2025-05-14T10:40:55-04:00 2024-06-30 135565207 KPMG LLP 1735 MARKET STREET PHILADELPHIA PA 19103 990 2023-07-01 232201344 TOWER HEALTH TOWE 4846284307 PO BOX 16052 READING PA 196126052 MICHAEL STERN CEO TOWER HEALTH 4846284307 2025-05-14 true false PHILLIP E GROFF P01247783 2672567000 2025-05-14 2023 2025-03-06 01:10:19Z MICHAEL STERN PO BOX 16052 READING PA 196126052 444199992 false X HTTPS://WWW.TOWERHEALTH.ORG X 1982 PA THE MISSION OF TOWER HEALTH IS TO PROVIDE COMPASSIONATE, ACCESSIBLE, HIGH QUALITY, COST EFFECTIVE HEALTHCARE TO THE COMMUNITY. 10 9 3452 128 1147614 1577496 2104877 178662 418465699 361356566 84093302 7217207 26907925 37848029 531571803 406600464 0 0 243467772 198644159 0 0 376302932 315579314 619770704 514223473 -88198901 -107623009 1705834972 1634452647 1615793910 1602621975 90041062 31830672 X THE MISSION OF TOWER HEALTH IS TO PROVIDE COMPASSIONATE, ACCESSIBLE, HIGH QUALITY, COST EFFECTIVE HEALTHCARE TO THE COMMUNITY; TO PROMOTE HEALTH; TO EDUCATE HEALTHCARE PROFESSIONALS; AND TO PARTICIPATE IN APPROPRIATE CLINICAL RESEARCH. TOWER HEALTH (PARENT) IS A NON-PROFIT HEALTHCARE SYSTEM THAT PROVIDES CHARITABLE COMMUNITY-BASED HEALTHCARE SERVICES AND PROGRAMS TO IMPROVE THE HEALTH AND WELL-BEING OF THE PEOPLE AND THE COMMUNITIES IT SERVES IN THE GREATER BERKS, MONTGOMERY AND CHESTER AREAS THROUGH ITS SUBSIDIARIES (SEE FORM 990, SCHEDULE R). SUBSIDIARIES INCLUDE BUT ARE NOT LIMITED TO PHOENIXVILLE HOSPITAL, AND POTTSTOWN HOSPITAL, THE TWO OF WHICH ARE HELD IN SINGLE MEMBER LLCS THAT TOWER HEALTH IS THE SOLE MEMBER OF. AS A RESULT, THESE ARE TREATED AS DISREGARDED ENTITIES AND ALL OF THEIR INCOME AND ACTIVITIES ARE REPORTED ON TOWER HEALTH'S FORM 990. AS A PROVIDER OF DIRECT CARE, TOWER HEALTH ADDRESSES ISSUES OUTSIDE THAT REALM THAT IMPACT HEALTH AND WELLNESS. IN FACT, A KEY PART OF false false 81311398 112319047 ER/NURSING INPATIENT & OUTPATIENT PROGRAM: PHOENIXVILLE HOSPITAL: PHOENIXVILLE HOSPITAL EMERGENCY DEPARTMENT PROVIDES EMERGENCY, URGENT AND PRIMARY CARE SERVICES TO THE COMMUNITY "24/7/365" REGARDLESS OF ABILITY TO PAY. PHOENIXVILLE HOSPITAL ALSO PROVIDES IMMEDIATE ACCESS THROUGH ITS EMERGENCY DEPARTMENT TO ANCILLARY SERVICES, FROM SURGEONS TO ALL AREAS OF SPECIALTY CARE. PHOENIXVILLE HOSPITAL HAS "24/7/365" ON-CALL CONSULTANTS FOR PEDIATRIC EMERGENCY CASES THROUGH ST. CHRISTOPHER'S HOSPITAL FOR CHILDREN. LOCAL EMS PROVIDERS RELY ON PHOENIXVILLE HOSPITAL FOR ON-GOING MEDICAL EDUCATION. EMERGENCY ROOM VISITS FOR FY24 WERE 25,001. PHOENIXVILLE HOSPITAL INPATIENT UNITS INCLUDE MEDICAL SURGICAL, TELEMETRY AND INTENSIVE CARE UNITS, LABOR AND DELIVERY, REHABILITATION, NURSERY AND NICU. THEY PROVIDE INPATIENT ACUTE SERVICES INCLUDING SUPPORT SUCH AS LABORATORY, PHARMACY, PHYSICAL THERAPY AND RADIOLOGY. TOTAL PATIENT DAYS FOR FY24 WERE 37,260. POTTSTOWN HOSPITAL: POTTSTOWN HOSPITAL EMERGENCY DEPARTMENT PROVIDES EMERGENCY, URGENT AND PRIMARY CARE SERVICES 24/7/365 TO THE COMMUNITY. THE EMERGENCY DEPARTMENT SERVES PATIENTS FROM BERKS, MONTGOMERY AND CHESTER COUNTIES. THE POTTSTOWN HOSPITAL EMERGENCY DEPARTMENT IS THE SECOND BUSIEST EMERGENCY DEPARTMENT IN MONTGOMERY COUNTY. THERE IS A FULL COMPLEMENT OF SPECIALTY SERVICES PROVIDED AT THE LOCAL AND/OR TERTIARY LEVEL WITH OUR SYSTEM HOSPITAL IN READING. EMERGENCY ROOM VISITS FOR FY24 WERE 31,617. POTTSTOWN HOSPITAL INPATIENT UNITS INCLUDE MEDICAL SURGICAL, TELEMETRY AND INTENSIVE CARE UNITS. THEY PROVIDE INPATIENT ACUTE SERVICES INCLUDING SUPPORT SUCH AS LABORATORY, PHARMACY, PHYSICAL THERAPY AND RADIOLOGY. TOTAL PATIENT DAYS FOR FY24 WERE 32,078. THE BEHAVIORAL HEALTH UNIT AT POTTSTOWN HOSPITAL PROVIDES 24/7/365 SUPERVISION, TREATMENT, STABILIZATION AND PLACEMENT FOR ADULTS AND GERIATRIC ADULTS COPING WITH A VARIETY OF ISSUES, FOCUSING ON RETURNING THE INDIVIDUAL TO THE HIGHEST LEVEL OF COGNITIVE FUNCTIONING POSSIBLE. TOTAL PATIENT DAYS FOR FY24 WERE 6,722. 52400071 50666529 OPERATING ROOM SERVICES: PHOENIXVILLE HOSPITAL: PHOENIXVILLE HOSPITAL'S SURGICAL DEPARTMENT PROVIDES SURGICAL SERVICES TO THE COMMUNITY IN BOTH AN INPATIENT AND OUTPATIENT SETTING. THESE SERVICES INCLUDE: CARIOLOGY, CARDIO, THORACIS, ENT, ORTHOPEDICS, GYNECOLOGY, OBSTETRICS, UROLOGY, PAIN MANAGEMENT, PLASTIC, PODIATRY, NEURO AND GENERAL SURGERY. THE ROBOTICS SURGERY PROGRAM RECEIVED THE CENTER OF EXCELLENCE ACCREDITATION IN 2023. TOTAL PROCEDURES FOR FY24 WERE 9,117. POTTSTOWN HOSPITAL: POTTSTOWN HOSPITAL'S SURGICAL SERVICES DEPARTMENT PROVIDES EMERGENT, URGENT AND ELECTIVE SURGERIES TO THE COMMUNITY ON AN INPATIENT AND OUTPATIENT BASIS. EMERGENCY CASES CAN BE DONE 24/7/365 AND PATIENTS NEEDING A HIGHER LEVEL OF CARE CAN BE TRANSFERRED TO TERTIARY CENTERS IN THE AREA. POTTSTOWN HOSPITAL OFFERS, ORTHOPEDIC, VASCULAR, SPINE, ENT, MAXOFACIAL, PLASTIC, OB/GYN, OPHTHALMOLOGIC, UROLOGIC, PODIATRIC AND GENERAL SURGERY. TOTAL PROCEDURES FOR FY24 WERE 4,973. 23573743 66628260 RADIOLOGY/IMAGING PROGRAM: PHOENIXVILLE HOSPITAL: PHOENIXVILLE HOSPITAL RADIOLOGY DEPARTMENT PROVIDES IMAGING SERVICES TO THE COMMUNITY IN BOTH AN INPATIENT AND OUTPATIENT SETTING IN TWO LOCATIONS. THESE SERVICES INCLUDE BUT ARE NOT LIMITED TO PET/CT SCANS, ULTRASOUNDS, CT SCANS, MRIS, NUCLEAR MEDICINE, INTERVENTIONAL RADIOLOGY AND MAMMOGRAMS. PHOENIXVILLE HOSPITAL OFFERS FREE MAMMOGRAMS TO THE UNDERINSURED AND UNINSURED PATIENTS. TOTAL PROCEDURES FOR FY24 WERE 87,802. POTTSTOWN HOSPITAL: POTTSTOWN HOSPITAL RADIOLOGY DEPARTMENT PROVIDES IMAGING SERVICES TO THE COMMUNITY IN BOTH AN INPATIENT AND OUTPATIENT SETTING IN TWO LOCATIONS. THESE SERVICES INCLUDE BUT ARE NOT LIMITED TO PET/CT SCANS, ULTRASOUNDS, CT SCANS, MRIS, NUCLEAR MEDICINE, INTERVENTIONAL RADIOLOGY AND MAMMOGRAMS. TOTAL PROCEDURES FOR FY24 WERE 89,699. 266081673 163656295 EXPENSES INCURRED IN PROVIDING VARIOUS OTHER MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, OR ABILITY TO PAY. SERVICES INCLUDE BUT ARE NOT LIMITED TO: PHOENIXVILLE HOSPITAL: PHOENIXVILLE HOSPITAL PROVIDES OUTPATIENT SERVICES FOR LABORATORY, RADIOLOGY PATIENTS AND DIALYSIS PATIENTS. CANCER CENTER PATIENTS RECEIVE OUTPATIENT SERVICES BASED ON THEIR TREATMENT PLAN. CARDIO-PULMONARY PATIENTS UTILIZE THE 1ST FLOOR REHABILITATION GYM FOR PRESCRIBED AND MONITORED OUTPATIENT EXERCISE. TOTAL PROCEDURES FOR FY24 WERE 347,708. PHOENIXVILLE HOSPITAL ONCOLOGY SERVICES DEPARTMENT PROVIDES MEDICAL ONCOLOGY AND RADIATION THERAPY SERVICES TO THE COMMUNITY. WE PROVIDE CHARITY SERVICES TO OUR SERVICE AREA WHO MEET OUR CHARITY POLICY GUIDELINES. TARGETED THERAPIES IN OUR RECENTLY RENOVATED INFUSION SUITE SELECTIVELY AFFECT ONLY THE CELLS RELATED TO A PARTICULAR CANCER, CAUSING LESS DAMAGE AND FEWER SIDE EFFECTS TO SURROUNDING NON-CANCEROUS CELLS AND BODY SYSTEMS THAN TRADITIONAL CHEMOTHERAPY DRUGS. PHOENIXVILLE HOSPITAL ACTIVELY PARTICIPATES IN A NUMBER OF PREVENTIVE AND TREATMENT CLINICAL TRIALS THROUGH THE CANCER TRIAL SUPPORT UNIT (CTSU). TOTAL PROCEDURES FOR FY24 WERE 9,502 PHOENIXVILLE HOSPITAL PROVIDES PHARMACY SUPPORT TO ALL INPATIENTS AND CANCER CENTER PATIENTS WITH THEIR PHARMACEUTICAL NEEDS. POTTSTOWN HOSPITAL: POTTSTOWN HOSPITAL PROVIDES OUTPATIENT SERVICES FOR LABORATORY, RADIOLOGY, WOUND CARE AND PT/OT/SPEECH THERAPY PATIENTS. TOTAL PROCEDURES FOR FY24 WERE 435,390 POTTSTOWN HOSPITAL CANCER CENTER PROVIDES INPATIENT, OUTPATIENT AND INFUSION SERVICES TO ONCOLOGY PATIENTS IN THE COMMUNITY. THE POTTSTOWN HOSPITAL CANCER CENTER OFFERS A ROBUST SERVICE LINE INCLUSIVE OF MEDICAL AND RADIATION ONCOLOGY WITH RAPID ARC TECHNOLOGY WITH LINEAR ACCELERATOR AND CYBERKNIFE CAPABILITIES. THE POTTSTOWN HOSPITAL CANCER CENTER IS A FIVE-TIME RECIPIENT OF THE AMERICAN COLLEGE OF SURGEONS COUNCIL ON CANCER OUTSTANDING ACHIEVEMENT AWARD. THERE ARE ONLY 4 CANCER CENTERS IN THE UNITED STATES WHO HAVE ACHIEVED THIS DISTINCTION. POTTSTOWN HOSPITAL ACTIVELY PARTICIPATES IN A NUMBER OF PREVENTIVE AND TREATMENT CLINICAL TRIALS THROUGH THE CANCER TRIALS SUPPORT UNIT (CTSU). TOTAL PROCEDURES FOR FY24 WERE 19,847. POTTSTOWN HOSPITAL PROVIDES PHARMACY SUPPORT TO ALL INPATIENTS AND CANCER CENTER PATIENTS WITH THEIR PHARMACEUTICAL NEEDS. TOWER HEALTH URGENT CARE: TOWER HEALTH URGENT CARE LOCATIONS ARE LOCATED IN BERKS AND MONTGOMERY COUNTY. WE SPECIALIZE IN TREATING NON-LIFE-THREATENING ILLNESSES AND INJURIES. WE PROVIDE COORDINATED AND COMPREHENSIVE EXAMS FOR SCHOOL, CAMP, SPORTS, AND PRE- EMPLOYMENT, AS WELL AS PROFESSIONAL DRIVER EXAMS FROM OUR LICENSED, CERTIFIED MEDICAL EXAMINERS WITH THE DEPARTMENT OF TRANSPORTATION. AS A PREFERRED PROVIDER FOR MANY EMPLOYERS, WE ARE EQUIPPED TO HANDLE OCCUPATIONAL HEALTH NEEDS INCLUDING IMMUNIZATIONS, SCREENINGS, DOT AND CDL PHYSICALS. TELEMEDICINE HAS BECOME WIDELY ACCEPTED WITH THE ADVANCES IN REMOTE MEDICAL TECHNOLOGIES. TOWER HEALTH URGENT CARE FACILITIES ACHIEVED ACCREDITATION FROM THE URGENT CARE ASSOCIATION (UCA), WHICH IS THE HIGHEST LEVEL OF DISTINCTION FOR URGENT CARE CENTERS. THIS RECOGNITION WAS EARNED AFTER A COMPREHENSIVE SURVEY, WHICH INCLUDED ONSITE VISITS AND VIRTUAL SURVEYS WITH STAFF MEMBERS BY UCA ACCREDITATION SURVEYORS. THIS ACCREDITATION ENSURES ALL TOWER HEALTH URGENT CARE LOCATIONS HAVE MET ALL UCA'S STANDARDS AND CRITERIA FOR QUALITY OF PATIENT CARE, SAFETY, AND SCOPE OF SERVICES. TOWER HEALTH PROVIDERS: TOWER HEALTH PROVIDERS (THP) WAS FORMED TO DEVELOP A PHYSICIAN NETWORK TO WORK IN CONJUNCTION WITH TOWER HEALTH TO IMPLEMENT A CLINICAL INTEGRATION PROGRAM. CLINICAL INTEGRATION IS THE IMPLEMENTATION OF AN ACTIVE AND ONGOING PROGRAM TO EVALUATE AND MODIFY PRACTICE PATTERNS BY THE NETWORK'S PHYSICIAN PARTICIPANTS AND CREATE A HIGH DEGREE OF INTERDEPENDENCE AND COOPERATION AMONG THE PHYSICIANS TO CONTROL COSTS AND IMPROVE THE QUALITY AND EFFICIENCY OF HEALTH CARE FOR THE NETWORK'S PHYSICIAN PARTICIPANTS AND THE ENTIRE HEALTH CARE COMMUNITY SERVED. TOWER HEALTH PROVIDERS (THP) IS AN EXTENSIVE, HIGH-VALUE NETWORK OF PROVIDERS FROM ALL SPECIALTIES SPREAD ACROSS A WIDE GEOGRAPHY. OUR ORGANIZATION ENSURES PARTICIPATING PROVIDERS ALIGN WITH EVIDENCE-BASED MEDICINE PRACTICES IN A CULTURE OF ACCOUNTABILITY AND COLLABORATION. THESE PRINCIPALS CONTINUE TO DRIVE HEALTHCARE TRANSFORMATION THROUGH IMPROVED QUALITY, COST EFFICACY, AND INCREASED PATIENT AND PROVIDER SATISFACTION. THP CREATES OPPORTUNITIES FOR THE ALIGNMENT OF NEW INCENTIVES AND ALTERNATE PAYMENT MODELS FOR PROVIDERS. BY BRINGING TOGETHER THE BEST PROVIDERS WITH THE STRONGEST HEALTHCARE SYSTEMS, THP IS HELPING PROVIDERS AND PRACTICES BENEFIT FROM THESE NEW ARRANGEMENTS. TOWERDIRECT: TOWERDIRECT IS A UNIFIED PATIENT TRANSPORTATION SYSTEM THAT SERVES BERKS COUNTY AND THE TOWER HEALTH SERVICE AREA. HAVING A UNIFIED AMBULANCE SERVICE SUPPORTS TOWER HEALTH'S GOAL OF PROVIDING PATIENTS WITH TIMELY AND HIGH-QUALITY CARE, WHILE DEVELOPING AN EMS PROGRAM THAT CAN GROW, INNOVATE, AND BETTER RESPOND TO THE EVER-CHANGING HEALTHCARE ENVIRONMENT. TOWERDIRECT IS A MULTIFACETED EMS SOLUTION TO OUR PATIENTS, CO-WORKERS, AND COMMUNITIES. BENEFITS TO THE COMMUNITY INCLUDE: IMPROVED AVAILABILITY AND SUSTAINABILITY OF EMERGENCY, NON-EMERGENCY, CRITICAL CARE, AND PEDIATRIC PATIENT TRANSPORT SERVICES FOR COMMUNITIES WITHIN BERKS COUNTY AND THE TOWER HEALTH SERVICE AREA; THE OPPORTUNITY TO ENHANCE PATIENT CARE AND IMPROVE OPERATIONAL PERFORMANCE; REAL-TIME ACCESS TO THE TOWER HEALTH ELECTRONIC MEDICAL RECORDS TO MEASURE AND IMPROVE PATIENT OUTCOMES; BETTER ACCESS TO PATIENT TRANSPORT SERVICES, IMPROVING THE TIMELINESS OF DISCHARGE FROM INPATIENT AND OUTPATIENT FACILITIES; ENHANCED EFFORTS TO IMPROVE PATIENT CARE INITIATION AND TRANSITIONS IN CARE SETTINGS; AND THE ABILITY TO ENHANCE COMMUNITY PARAMEDICINE AND PATIENT OUTREACH PROGRAMS. TOWERDIRECT OFFERS SEVERAL PROACTIVE AND PREVENTIVE HEALTH SERVICES, INCLUDING: HOME VISITS - UPON THE PROVIDER'S REQUEST, MEMBERS OF THE TOWERDIRECT TEAM PROVIDE IN-HOME VISITS TO CONFIRM THE PATIENT HAS ALL PRESCRIBED MEDICATIONS AND IF REMOTE MONITORING IS UTILIZED, TO MAKE SURE THE EQUIPMENT IS SET UP CORRECTLY. PUBLIC EVENT SUPPORT - TOWERDIRECT ROUTINELY ATTENDS CONCERTS COUNTY FAIRS, AND OTHER COMMUNITY EVENTS IN CASE AN ATTENDEE NEEDS ON-SITE MEDICAL CARE OR MEDICAL TRANSPORTATION. SAFETY PRESENTATIONS - THE TOWERDIRECT TEAM GIVES PRESENTATIONS AT SCHOOLS, LIBRARIES, AND OTHER PUBLIC VENUES UPON REQUEST. TOPICS INCLUDE CAR SEAT SAFETY, FALL PREVENTION AND BIKE AND HELMET SAFETY. 266081673 163656295 423366885 true true false true false false false false false false true true false true true true false true false false true false false false false false true true false false true true false false false false false false false false false false false false false false true true true true false false true X 0 0 true 3452 true false false false false false false false false false false false false X 10 9 false false false false false false false true true false false true true true true true true true true true false PA X MIKE EESLEY CFO TOWER HEALTH 4846288000 420 SOUTH 5TH AVENUE WEST READING PA 19611 DAN AHERN EVP BUSINESS 50.00 2.50 X 0 1213791 208347 SUZANNE WENDEROTH MD EVP/CMO TOWE 50.00 2.50 X 0 935298 204225 MICHAEL STERN COO TH 50.00 0.00 X 0 849711 253156 MIKE EESLEY BOARD TREAS 50.00 2.00 X 0 903826 12591 BERNARD BOULANGER EVP/CEO PROV 25.00 25.00 X 0 698488 206132 P SUE PERROTTY CEO TOWER HE 50.00 2.00 X X 0 900000 0 THERESE SUCHER FORMER EVP C 0.00 X 0 766755 16057 ROBERT EHINGER SVP ASSOC. C 25.00 25.00 X 0 599547 91244 RICHARD T NEWELL JR CEO POTTS TE 50.00 X 478864 0 101588 ZIAD OSMAN PHYSICIAN 50.00 X 501081 0 38325 RICHARD MCLAUGHLIN CEO PHOE/POT 50.00 X 390896 0 38413 MARK MCNASH SVP SUPPORT 50.00 X 0 373654 12465 MICHAEL SZYMANSKI VP CFO PHOEN 50.00 X 296329 0 17124 JOHN CASEY MD CEO THP TERM 50.00 2.50 X 262820 0 48391 SANDRA CRABTREE VP CNO PHOEN 50.00 X 278198 0 24296 ANN BLANKENHORN FORMER CNO P 0.00 X 0 291931 9782 CLINT MATTHEWS FORMER PRES/ 0.00 0.00 X 0 269231 7912 MARY AGNEW SVP CNO TERM 0.00 0.00 X 0 264206 9176 AJAY JANI PHYSICIAN 50.00 X 243426 0 27897 SCOTT RESWEBER PHYSICIAN 50.00 X 260007 0 9245 PAUL CHWIECKO PHYSICIAN 50.00 X 237165 0 8180 JOHN CACCIAMANI FORMER CEO C 0.00 X 195625 0 175 TRACY DRUCKENMILLER BOARD SECRET 38.00 2.00 X 0 106105 21812 THEODORE AUMAN BOARD MEMBER 2.00 2.00 X 0 0 0 JIM BOSCOV VICE CHAIR 2.00 4.00 X X 0 0 0 ANGEL HELM BOARD MEM TE 2.00 2.00 X 0 0 0 MARY KARGBO BOARD MEMBER 2.00 2.00 X 0 0 0 BRENT WAGNER MD BOARD MEMBER 2.00 2.00 X 0 0 0 ROBERT BRIGHAM MD BOARD MEMBER 2.00 2.00 X 0 0 0 PETE MOLINARO BOARD MEMBER 2.00 2.00 X 0 0 0 MEG MUELLER CHAIR 2.00 2.00 X X 0 0 0 WILLIAM P THORNTON BOARD MEMBER 2.00 2.00 X 0 0 0 DOUG TIEMAN BOARD MEMBER 2.00 2.00 X 0 0 0 3144411 8172543 1366533 471 true true false AMN HEALTHCARE INC PO BOX 281939 ATLANTA GA 30384 MED STAFF SERV 9659216 NA PARTNERS IN ANESTHESIA LLC 68 SOUTH SERVICE ROAD SUITE 350 MELVILLE NY 11747 ANESTHESIA SERV 4673512 SOCIETY HILL ANESTHESIA CONSULTANTS 301 SOUTH 8TH ST STE 2L PHILADELPHIA PA 19106 ANESTHESIA SERV 3341875 VIRTUAL RADIOLOGIC PROF OF NJ PO BOX 4246 CAROL STREAM IL 601974246 PHYSICIAN SERV 1720669 BERKS SCHUYLKILL RESPIRATORY SPEC 2608 KEISER BLVD WYOMISSING PA 196103333 MED STAFF SERV 1675792 25 X 131934 46728 178662 PATIENT CHARGES 621110 342934714 342934714 JOINT VENTURES 621990 16078730 16692559 -613829 CARE COORDINATION FEE 621400 2343122 2343122 361356566 3418201 1761443 1656758 5695692 5695692 5695692 5695692 41094724 303810 37599528 3495196 303810 3799006 3799006 ST. CHRIS MGMT FEE/INTEREST 900099 22460987 22460987 DUCOM OPERATIONAL REVENUE 900099 5125093 5125093 EMS MEMBERSHIPS 900099 1171232 1171232 3395025 2542424 852601 32152337 406600464 393270131 1147614 12004057 X 754557 754557 761742 761742 157299169 153725263 3573906 2696922 2551313 145609 25817402 25169504 647898 11314367 10940672 373695 853777 853777 15571 15571 1159896 1159896 57652399 57074369 578030 197087 197087 16510 16510 21278586 20924732 353854 101186 98972 2214 28254632 28254632 6186283 6186283 20282540 20282540 CORPORATE EXP ALLOCATION 80814248 80814248 SUPPLIES 46713325 46624371 88954 DRUGS & PHARM 33131528 33131528 REPAIRS 10429935 10343026 86909 8491811 8043170 448641 514223473 423366885 90856588 0 138708597 94957178 2947 3254 58243800 62426743 9835092 9784693 13400342 9256693 169278321 73796453 99537185 95481868 103913401 2980361 100651391 19200121 36327489 1262993487 1222582977 1705834972 1634452647 143691535 128583197 1278509372 1271283452 193593003 202755326 1615793910 1602621975 X 89961738 31777078 79324 53594 90041062 31830672 1705834972 1634452647 X -107623009 -7395414 140439 56667594 X false true X true true true X X 2 READING HOSPITAL 231352204 3 true 31681157 0 TOWER HEALTH MEDICAL GROUP 232266054 3 true 0 0 2 31681157 0 true false false false false false false false false false false false false false false true true true X true true PART IV, SECTION D, LINE 3 THE INVESTMENT COMMITTEE IS COMPRISED OF MEMBERS OF THE SUPPORTED ORGANIZATIONS AS WELL AS THE SUPPORTING ORGANIZATION. BECAUSE OF THIS OVERLAP, THE SUPPORTED ORGANIZATIONS HAVE A SIGNIFICANT VOICE IN THE SUPPORTING ORGANIZATION'S INVESTMENT POLICIES AND IN DIRECTING THE USE OF THE ORGANIZATION'S INCOME AND ASSETS DURING THE TAX YEAR. THE CAPITAL RESOURCE COMMITTEE MEETS EVERY 2 MONTHS. INVESTMENT PRESENTATIONS ARE MADE, ISSUES ARE DISCUSSED AND MINUTES ARE TAKEN BY THE DIRECTOR OF TREASURY. ANY SUBSEQUENT FOLLOW-UP ORDERED BY THE COMMITTEE IS COORDINATED BY THE DIRECTOR OF TREASURY. ADDITIONALLY,THE PRESIDENT AND CEO OF TOWER HEALTH, IS ON THE BOARD OF DIRECTORS OF BOTH SUPPORTED ORGANIZATIONS AS WELL AS THE SUPPORTING ORGANIZATION. HAVING THE PRESIDENT AND CEO ON THESE BOARDS FURTHER ALLOWS THE SUPPORTED ORGANIZATION'S TO HAVE A SIGNIFICANT VOICE IN DIRECTING THE USE OF TOWER HEALTH'S INCOME AND ASSETS. ADDITIONALLY THE INVESTMENT COMMITTEE COLLABORATES WITH THE FINANCE COMMITTEE OF TOWER HEALTH TO ENSURE THAT BOTH COMMITTEES ARE AWARE OF THE CORPORATION'S CAPITAL NEEDS AND BEST ABLE TO ADDRESS THEM BY PRUDENT INVESTMENT AND SPENDING OF LONG-TERM CAPITAL, BY BORROWING, OR IN PART BY EACH, AS BEST ENSURES THE CORPORATION'S MISSION. PART IV, SECTION E, LINE 3A ORGANIZATION: THE BOARD OF DIRECTORS FOR EACH SUPPORTED ORGANIZATION IS ELECTED BY TOWER HEALTH AT THE ANNUAL MEETING. PART IV, SECTION E, LINE 3B ORGANIZATION: SUPPORTED ORGANIZATIONS FOLLOW POLICIES & PROCEDURES SET BY TOWER HEALTH. THE BYLAWS OF TOWER HEALTH STATES THAT TOWER HEALTH HAS CERTAIN POWERS OVER ITS SUBSIDIARIES/SUPPORTING ORGANIZATIONS INCLUDING, BUT NOT LIMITED TO MATTERS CONCERNING THE SALE OR PURCHASE OF ASSETS, CAPITAL BUDGETS, STRATEGIC PLANNING, INVESTMENTS, AND CORPORATE GOVERNANCE. ALL OF THE HOSPITALS PROVIDE SUPPORT TO TOWER HEALTH MEDICAL GROUP (THMG) WHICH IS RESPONSIBLE FOR PROVIDING ALL OF THE PHYSICIANS AND OTHER PROFESSIONALS TO READING HOSPITAL AND THE ENTIRE SERIVCE AREA. READING HOSPITAL IS A QUATERNARY CARE HOSPITAL AND AS SUCH IS SUPPORTED BY THE OTHER TOWER HEALTH HOSPITALS TO BE ABLE TO PROVIDE HIGH LEVEL SERVICES TO THE COMMUNITY THAT ARE NOT AVAILABLE IN THE OTHER HOSPITALS, SUCH AS TRANSPLANT, NEONATAL INTENSIVE CARE, SPECIALIZED SURGICAL PROCEDURES, AS WELL AS RESEARCH AND MEDICAL EDUCATION. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false true 15571 false false 15571 false SCHEDULE C, PART IV DURING THE COURSE OF THE YEAR, THERE ARE VARIOUS FEDERAL AND STATE HEALTHCARE ISSUES THAT ARE RAISED THAT AFFECT TOWER HEALTH AND ITS ENTITIES. WE VOICE OUR CONCERNS OR ISSUES REGARDING THESE MATTERS THROUGH EITHER DIRECT CONTACT OR WRITTEN CORRESPONDENCE WITH LEGISLATORS. THE PURPOSE OF THESE CONTACTS IS TO PROMOTE THE GENERAL INTERESTS AND WELFARE OF TOWER HEALTH DURING THESE CHANGING TIMES IN THE HEALTH CARE FIELD. THE LOBBYING ACTIVITY REPORTED IS THE LOBBYING PORTION OF THE HOSPITAL ASSOCIATION OF PENNSYLVANIA (HAP) DUES PAID. THERE IS NO DIRECT LOBBYING BY TOWER HEALTH AND NO ADDITIONAL EXPENSES INCURRED. 43566292 43566292 62966922 21632293 41334629 10129498 6510088 3619410 31924701 42655456 -10730755 20690908 2998616 17692292 95481868 OTHER SECURITIES 100651391 F 100651391 RECEIVABLE FROM AFFILIATES 1144568337 LT ASSETS/GOODWILL/SECURITY DEPOSITS 43364631 OPERATING LEASE RIGHT OF USE 29906854 THIRD PARTY RECEIVABLE 4743155 1222582977 OTHER 143260189 ESTIMATED SELF INSURANCE COST 58716610 DEFERRED LIABILITY 778527 202755326 X SCHEDULE D, PAGE 3, PART X THE ORGANIZATION IS INCLUDED IN TOWER HEALTH AND SUBSIDIARIES CONSOLIDATED FINANCIAL STATEMENTS. THE FOLLOWING TEXT IS FROM THE ASC 740 (FIN 48) FOOTNOTE. THE SYSTEM IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C) (3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. ON SUCH A BASIS, THE EXEMPT ENTITIES DO NOT INCUR LIABILITY FOR FEDERAL INCOME TAXES, EXCEPT IN THE CASE OF UNRELATED BUSINESS INCOME. THE SYSTEM EVALUATES UNCERTAIN TAX POSITIONS USING A TWO-STEP APPROACH FOR RECOGNIZING AND MEASURING TAX BENEFITS TAKEN OR EXPECTED TO BE TAKEN IN AN UNRELATED BUSINESS ACTIVITY TAX RETURN AND DISCLOSURES REGARDING UNCERTAINTIES IN TAX POSITIONS. NO ADJUSTMENTS TO THE CONSOLIDATED FINANCIAL STATEMENTS WERE REQUIRED AS A RESULT OF THIS EVALUATION. false CENTRAL AND CARIBBEAN INVESTMENTS 1126966 EUROPE INVESTMENTS 11 NORTH AMERICA INVESTMENTS 3408510 4535487 4535487 true false true true true false SCHEDULE F, PAGE 1, PART I, LINE 3 CENTRAL AND CARIBBEAN 0 1,126,966 EUROPE 0 11 NORTH AMERICA 0 3,408,510 true true X true X true X true true true false true true 8709962 8709962 0.01690 47285342 38122114 9163228 0.01780 55995304 38122114 17873190 0.03480 1782728 51202 1731526 0.00340 13816115 1307900 12508215 0.02430 510198 510198 0.00100 286532 286532 0.00060 16395573 1359102 15036471 0.02920 72390877 39481216 32909661 0.06400 2 14625 14625 1 33 5464 5464 1 3416 3416 1 6784 6784 3 53 93411 93411 0.00020 8 86 123700 123700 0.00020 true 166730044 204495285 -37765241 X true true 2 1 POTTSTOWN HOSPITAL 1600 EAST HIGH STREET POTTSTOWN PA 19464 "SEE SUPPLEMENTAL DISCLOSURE" 163201 TOWER HEALTH 232201344 X X X A 2 PHOENIXVILLE HOSPITAL 140 NUTT ROAD PHOENIXVILLE PA 19460 "SEE SUPPLEMENTAL DISCLOSURE" 420901 X X X A A 12 false false true X X X X X X X X X X 22 true false false true X "SEE SUPPLEMENTAL DISCLOSURE" X X true 22 true "SEE SUPPLEMENTAL DISCLOSURE" false false true X 200.000000000000 400.000000000000 X X true true X X X X true X SEE SUPPLEMENTAL DISCLOSURES X SEE SUPPLEMENTAL DISCLOSURES X SEE SUPPLEMENTAL DISCLOSURES X X X X X X X true X false X X X X true X false false GROUP A, FACILITY 1, POTTSTOWN HOSPITAL - PART V, LINE 3E PARTICIPANTS OF THE CHNA ACROSS THE VARIOUS DATA COLLECTION METHODS EMPHASIZED THE NEED TO IMPROVE ACCESS TO EQUITABLE CARE AND BEHAVIORAL HEALTH AND TO EXPAND HEALTH EDUCATION AND PREVENTION. INEQUITIES SUCH AS DEMOGRAPHICAL DIFFERENCES HIGHLIGHT THE IMPORTANCE OF WEAVING AN EQUITY FOCUS WITHIN ALL AREAS OF HEALTH. SIGNIFICANT NEEDS: (A) ACCESS TO EQUITABLE CARE (B) BEHAVIORAL HEALTH (C) HEALTH EDUCATION AND PREVENTION (D) HEALTH EQUITY GROUP A, FACILITY 1, POTTSTOWN HOSPITAL - PART V, LINE 3J THE BELOW NARRATIVE RELATES TO PART V, LINE 3I - IMPACT OF ACTIONS TAKEN TO ADDRESS THE SIGNIFICANT HEALTH NEEDS IN THE HOSPITAL FACILITY'S PRIOR CHNA(S). THE COMMUNITY HEALTH NEEDS ASSESSMENT IN 2019 IDENTIFIED THE FOLLOWING SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY: ACCESS TO HEALTH CARE, SOCIAL DETERMINANTS OF HEALTH, DISEASE PREVENTION & MANAGEMENT, AND ACCESS TO BEHAVIORAL HEALTH SERVICES. THIS APPLIES TO POTTSTOWN HOSPITAL, CHESTNUT HILL HOSPITAL (SOLD 12/31/2022), PHOENIXVILLE HOSPITAL, BRANDYWINE HOSPITAL (CLOSED JANUARY 31, 2022) AND JENNERSVILLE HOSPITAL (CLOSED DECEMBER 31, 2021). AN OVERVIEW OF EACH PRIORITY FOLLOWS: ACCESS TO HEALTH CARE: POTTSTOWN HOSPITAL: THE GOAL WAS TO INCREASE THE COMMUNITY'S ACCESS TO HEALTH CARE SERVICES, PARTICULARLY THOSE COMMUNITY MEMBERS CONSIDERED VULNERABLE AND/OR LIVING IN UNDERSERVED AREAS. POTTSTOWN HOSPITAL WORKED TO IMPROVE CULTURAL SENSITIVITY OF STAFF BY ATTENDING CULTURAL AWARENESS TRAININGS TO LEARN ABOUT HOW PATIENTS WITH DIVERSE CULTURES, BELIEFS, LIFESTYLES, AND VALUES EXPERIENCE AND PERCEIVE HEALTHCARE. A DIVERSITY AND INCLUSION COUNCIL WAS ESTABLISHED TO IDENTIFY AND EDUCATE STAFF ON TOPICS OF INTEREST. THE HOSPITAL PARTNERED WITH CREATIVE HEALTH SERVICES TO INCREASE ACCESS TO PRIMARY CARE FOR BEHAVIORAL HEALTH PATIENTS. POTTSTOWN HOSPITAL STREAMLINED THE ACCESS TO CARE FACILITIES THROUGH THE TOWER ACCESS PROJECT (TAP) TO PROVIDE EASE OF ACCESS FOR COMMUNITY MEMBERS SEEKING TO SCHEDULE APPOINTMENTS WITH AMBULATORY AND SPECIALTY CARE SERVICE LINES. THE HOSPITAL PARTNERED WITH COMMUNITY HEALTH AND DENTAL CARE TO PROVIDE IMMEDIATE FOLLOW-UP APPOINTMENTS POST DISCHARGE. CHESTNUT HILL HOSPITAL (SOLD 12/31/2022) THE GOAL WAS TO INCREASE THE COMMUNITY'S ACCESS TO HEALTH CARE SERVICES, PARTICULARLY THOSE COMMUNITY MEMBERS CONSIDERED VULNERABLE AND/OR LIVING IN UNDERSERVED AREAS. CHESTNUT HILL HOSPITAL WORKED TO IMPROVE CULTURAL SENSITIVITY OF STAFF BY ATTENDING CULTURAL AWARENESS TRAININGS TO LEARN ABOUT HOW PATIENTS WITH DIVERSE CULTURES, BELIEFS, LIFESTYLES, AND VALUES EXPERIENCE AND PERCEIVE HEALTHCARE. A DIVERSITY AND INCLUSION COUNCIL WAS ESTABLISHED TO IDENTIFY AND EDUCATE STAFF ON TOPICS OF INTEREST. THE HOSPITAL STREAMLINED THE ACCESS TO CARE FACILITIES THROUGH THE TOWER ACCESS PROJECT (TAP) TO PROVIDE EASE OF ACCESS FOR COMMUNITY MEMBERS SEEKING TO SCHEDULE APPOINTMENTS WITH AMBULATORY AND SPECIALTY CARE SERVICE LINES. CHESTNUT HILL HOSPITAL IMPLEMENTED A PATIENT PORTAL FOR FASTER ACCESS TO TEST RESULTS, REQUEST MED REFILLS, AND TO COMMUNICATE DIRECTLY WITH PROVIDERS. PHOENIXVILLE HOSPITAL: THE GOAL WAS TO INCREASE THE COMMUNITY'S ACCESS TO HEALTH CARE SERVICES, PARTICULARLY THOSE COMMUNITY MEMBERS CONSIDERED VULNERABLE AND/OR LIVING IN UNDERSERVED AREAS. PHOENIXVILLE HOSPITAL ENHANCED THE TELEMEDICINE OPPORTUNITIES FOR ADDITIONAL TELEHEALTH SERVICES. PHOENIXVILLE HOSPITAL WORKED TO IMPROVE CULTURAL SENSITIVITY OF STAFF BY ATTENDING CULTURAL AWARENESS TRAININGS TO LEARN ABOUT HOW PATIENTS WITH DIVERSE CULTURES, BELIEFS, LIFESTYLES, AND VALUES EXPERIENCE AND PERCEIVE HEALTHCARE. A DIVERSITY AND INCLUSION COUNCIL WAS ESTABLISHED TO IDENTIFY AND EDUCATE STAFF ON TOPICS OF INTEREST. THE HOSPITAL STREAMLINED THE ACCESS TO CARE FACILITIES THROUGH THE TOWER ACCESS PROJECT (TAP) TO PROVIDE EASE OF ACCESS FOR COMMUNITY MEMBERS SEEKING TO SCHEDULE APPOINTMENTS WITH AMBULATORY AND SPECIALTY CARE SERVICE LINES. THE HOSPITAL UTILIZED OUTREACH SITES TO CONNECT VULNERABLE POPULATIONS WITH RESOURCES TO ADDRESS UNMET HEALTH CARE NEEDS. PHOENIXVILLE HOSPITAL HOSTED BRIDGING THE GAP MEDICAL INTERPRETER CERTIFICATION TO INCREASE THE NUMBER OF QUALIFIED MEDICAL INTERPRETERS IN THE COMMUNITY. BRANDYWINE HOSPITAL (CLOSED 1/31/2022): THE GOAL WAS TO INCREASE THE COMMUNITY'S ACCESS TO HEALTH CARE SERVICES, PARTICULARLY THOSE COMMUNITY MEMBERS CONSIDERED VULNERABLE AND/OR LIVING IN UNDERSERVED AREAS. BRANDYWINE HOSPITAL WORKED TO IMPROVE CULTURAL SENSITIVITY OF STAFF BY ATTENDING CULTURAL AWARENESS TRAININGS TO LEARN ABOUT HOW PATIENTS WITH DIVERSE CULTURES, BELIEFS, LIFESTYLES, AND VALUES EXPERIENCE AND PERCEIVE HEALTHCARE. A DIVERSITY AND INCLUSIOIN COUNCIL WAS ESTABLISHED TO IDENTIFY AND EDUCATE STAFF ON TOPICS OF INTEREST. THE HOSPITAL DEVELOPED, ENHANCED AND EXPANDED TELEMEDICINE OPPORTUNITIES AND ENHANCED THE USE OF REMOTE PATIENT MONITORING TO INCLUDE OBESE, DIABETIC AND CHF PATIENTS. JENNERSVILLE HOSPITAL (CLOSED 12/31/2021): THE GOAL WAS TO INCREASE THE COMMUNITY'S ACCESS TO HEALTH CARE SERVICES, PARTICULARLY THOSE COMMUNITY MEMBERS CONSIDERED VULNERABLE AND/OR LIVING IN UNDERSERVED AREAS. JENNERSVILLE HOSPITAL WORKED TO IMPROVE CULTURAL SENSITIVITY OF STAFF BY ATTENDING CULTURAL AWARENESS TRAININGS TO LEARN ABOUT HOW PATIENTS WITH DIVERSE CULTURES, BELIEFS, LIFESTYLES, AND VALUES EXPERIENCE AND PERCEIVE HEALTHCARE. A DIVERSITY AND INCLUSION COUNCIL WAS ESTABLISHED TO IDENTIFY AND EDUCATE STAFF ON TOPICS OF INTEREST. JENNERSVILLE HOSPITAL ENHANCED THEIR SPECIALIST OFFERING BY RECRUITING ADDITIONAL SPECIALISTS. THE HOSPITAL EXPLORED A TELEMEDICINE PARTNERSHIP WITH CAREPORT M.D. THROUGH WORKFORCE DEVELOPMENT, THE HOSPITAL PROVIDED OPPORTUNITIES FOR YOUNG ADULTS TO EXPERIENCE CAREERS IN HEALTH CARE AS A WAY OF CULTIVATING THE FUTURE WORKFORCE. JENNERSVILLE HOSPITAL IMPLEMENTED AND ENGAGED PATIENTS THROUGH MY TOWER HEALTH AND STREAMLINED THE ACCESS TO CARE FACILITIES THROUGH THE TOWER ACCESS PROJECT (TAP) TO PROVIDE EASE OF ACCESS FOR COMMUNITY MEMBERS SEEKING TO SCHEDULE APPOINTMENTS WITH AMBULATORY AND SPECIALTY CARE SERVICE LINES. SOCIAL DETERMINANTS OF HEALTH: POTTSTOWN HOSPITAL: THE GOAL WAS TO IDENTIFY AND ADDRESS SOCIAL DETERMINANTS OF HEALTH (SDOH). POTTSTOWN HOSPITAL SCREENED MEDICARE AND MEDICAID PATIENTS IN IDENTIFIED CLINICAL AREAS, IDENTIFYING NEEDS, CONNECTING PATIENTS TO APPROPRIATE COMMUNITY RESOURCES, AND PROVIDING NAVIGATION SERVICES TO PATIENTS IDENTIFIED AS HIGH-RISK. TO HELP REDUCE TRANSPORTATION BARRIERS, THE HOSPITAL IMPLEMENTED THE RIDE HEALTH PROGRAM. CHESTNUT HILL HOSPITAL (SOLD 12/31/2022): THE GOAL WAS TO IDENTIFY AND ADDRESS SOCIAL DETERMINANTS OF HEALTH (SDOH). CHESTNUT HILL HOSPITAL SCREENED MEDICARE AND MEDICAID PATIENTS IN IDENTIFIED CLINICAL AREAS, IDENTIFYING NEEDS, CONNECTING PATIENTS TO APPROPRIATE COMMUNITY RESOURCES, AND PROVIDING NAVIGATION SERVICES TO PATIENTS IDENTIFIED AS HIGH-RISK. THE HOSPITAL ADDRESSED TRANSPORTATION BARRIERS BY DEVELOPING A WORKFLOW, IMPLEMENTATION PLAN AND GUIDELINES FOR TRANSPORTATION PROGRAM FOR PATIENTS. PHOENIXVILLE HOSPITAL: THE GOAL WAS TO IDENTIFY AND ADDRESS SOCIAL DETERMINANTS OF HEALTH (SDOH). PHOENIXVILLE HOSPITAL SCREENED MEDICARE AND MEDICAID PATIENTS IN IDENTIFIED CLINICAL AREAS, IDENTIFYING NEEDS, CONNECTING PATIENTS TO APPROPRIATE COMMUNITY RESOURCES, AND PROVIDING NAVIGATION SERVICES TO PATIENTS IDENTIFIED AS HIGH-RISK. TO HELP REDUCE TRANSPORTATION BARRIERS, THE HOSPITAL IMPLEMENTED THE RIDE HEALTH PROGRAM. BRANDYWINE HOSPITAL (CLOSED 1/31/2022): THE GOAL WAS TO IDENTIFY AND ADDRESS SOCIAL DETERMINANTS OF HEALTH (SDOH). BRANDYWINE HOSPITAL SCREENED MEDICARE AND MEDICAID PATIENTS IN IDENTIFIED CLINICAL AREAS, IDENTIFYING NEEDS, CONNECTING PATIENTS TO APPROPRIATE COMMUNITY RESOURCES, AND PROVIDING NAVIGATION SERVICES TO PATIENTS IDENTIFIED AS HIGH-RISK. TO HELP REDUCE TRANSPORTATION BARRIERS, THE HOSPITAL IMPLEMENTED THE RIDE HEALTH PROGRAM. JENNERSVILLE HOSPITAL (CLOSED 12/31/2021): THE GOAL WAS TO IDENTIFY AND ADDRESS SOCIAL DETERMINANTS OF HEALTH (SDOH). JENNERSVILLE HOSPITAL SCREENED MEDICARE AND MEDICAID PATIENTS IN IDENTIFIED CLINICAL AREAS, IDENTIFYING NEEDS, CONNECTING PATIENTS TO APPROPRIATE COMMUNITY RESOURCES, AND PROVIDING NAVIGATION SERVICES TO PATIENTS IDENTIFIED AS HIGH-RISK. THE HOSPITAL PARTNERED WITH COMMUNITY ORGANIZATIONS TO ADDRESS TRANSPORTATION BARRIERS AND PARTNERED WITH THE COMMUNITY FOOD BANK TO REDUCE FOOD SCARCITY ISSUES FOR VULNERABLE POPULATIONS. DISEASE PREVENTION & MANAGEMENT: POTTSTOWN HOSPITAL: THIS GOAL WAS TO IMPLEMENT CHRONIC DISEASE PREVENTION AND MANAGEMENT PROGRAMS IN THE PRIMARY SERVICE AREA, SPECIFICALLY TARGETING VULNERABLE POPULATIONS. POTTSTOWN HOSPITAL INCREASED DIABETES AND HYPERTENSION SCREENINGS AND CONDUCTED MULTIPLE CANCER EDUCATION AND SCREENING EVENTS FOR THE COMMUNITY, INCLUDING LUNG CANCER, BREAST CANCER AND SKIN CANCER SCREENINGS. THE HOSPITAL IMPLEMENTED SHORT AND LONG-TERM WELLNESS INITIATIVES THROUGH TOWER WELLNESS PROGRAMS AND BUILT RELATIONSHIPS WITH LOCAL SCHOOL DISTRICTS AND ATTENDED THEIR WELLNESS COMMITTEE MEETINGS AND PARTICIPATED IN SCHOOL WELLNESS ACTIVITIES FOR THE YOUTH. NUTRITION EDUCATION WAS PROVIDED TO THE COMMUNITY. CHESTNUT HILL HOSPITAL (SOLD 12/31/2022): THE GOAL WAS TO IMPLEMENT CHRONIC DISEASE PREVENTION AND MANAGEMENT PROGRAMS IN THE PRIMARY SERVICE AREA, SPECIFICALLY TARGETING VULNERABLE POPULATIONS. CHESTNUT HILL HOSPITAL PROVIDED SCREENING (HYPERTENSION, RISK ASSESSMENTS FOR HEART AND STROKE, MAMMOGRAMS SCREENINGS) AND EDUCATION GROUP A, FACILITY 1, POTTSTOWN HOSPITAL - PART V, LINE 5 PART V FACILITY INFORMATION, SECTION A SUPPLEMENTAL DISCLOSURE: WEBSITE ADDRESS HTTPS://WWW.TOWERHEALTH.ORG/LOCATIONS/POTTSTOWN-HOSPITAL HTTPS://WWW.TOWERHEALTH.ORG/LOCATIONS/CHESTNUT-HILL-HOPSIAL HTTPS://WWW.TOWERHEALTH.ORG/LOCATIONS/PHOENIXVILLE-HOSPITAL CHESTNUT HILL HOSPITAL WAS SOLD AS OF DECEMBER 31, 2022 PART V, LINE 5 THIS ALSO APPLIES TO PHOENIXVILLE HOSPITAL. THE CHNA PROCESS BEGAN IN FEBRUARY 2021 AND COLLECTION OF QUANTITATIVE AND QUALITATIVE DATA CONCLUDED IN SEPTEMBER 2021. AS PART OF THE NEEDS ASSESSMENT, A VAST NUMBER OF RESIDENTS, EDUCATORS, GOVERNMENT, HEALTH CARE PROFESSIONALS, AND HEALTH AND HUMAN SERVICES LEADERS IN READING HOSPITAL'S SERVICE AREA PARTICIPATED IN THE STUDY. INFORMATION COLLECTED FROM LEADERS PROVIDED A DEEPER UNDERSTANDING OF COMMUNITY MATTERS, HEALTH EQUITY FACTORS, AND COMMUNITY NEEDS. THE FOLLOWING ACTIONS WERE CONDUCTED TO TAKE INTO ACCOUNT INPUT FROM INDIVIDUALS WHO REPRESENT THE BROAD INTEREST OF THE COMMUNITY: (1) STAKEHOLDER INTERVIEWS (2) FOCUS GROUPS (3) SENIOR LEADERSHIP FORUM (4) KEY INFORMANT SURVEYS (5) COMMUNITY SURVEY VARIOUS TYPES OF DATA, SUCH AS COUNTY DEMOGRAPHICS AND CHRONIC DISEASE PREVALENCE, WERE GATHERED FROM LOCAL, STATE, AND FEDERAL DATABASES TO COMPILE SECONDARY DATA. COMMUNITY SURVEYS, KEY INFORMANT SURVEYS, AND COMMUNITY STAKEHOLDER INTERVIEWS WERE DISPERSED COMMUNITY-WIDE TO GARNER PARTICIPATION FROM ALL MEMBERS RESIDING OR WORKING IN THE PRIMARY SERVICE AREA. THE DATA COLLECTED IDENTIFIED THE NEEDS, HIGH-RISK BEHAVIORS, BARRIERS, SOCIETAL ISSUES, AND CONCERNS OF THE UNDERSERVED AND VULNERABLE POPULATIONS. INFORMATION FROM FOCUS GROUPS WITH HOSPITAL LEADERSHIP AND COMMUNITY PARTNERS WHO PROVIDE SERVICES AND CARE TO THE REGION WAS ALSO INCLUDED IN THE COLLECTION PHASE. STAKEHOLDER INTERVIEWS (POTTSTOWN): MONTGOMERY COUNTY MONTGOMERY COUNTY COMMUNITY COLLEGE PA HOUSE OF REPRESENTATIVES TRICOUNTY CHAMBER OF COMMERCE POTTSTOWN BOROUGH POTTSTOWN AREA HEALTH AND WELLNESS FOUNDATION COMMUNITY HEALTH AND DENTAL CARE TRICOUNTY COMMUNITY NETWORK POTTSGROVE SCHOOL DISTRICT CREATIVE HEALTH SERVICES STAKEHOLDER INTERVIEWS (PHOENIXVILLE): PHOENIXVILLE REGIONAL CHAMBER OF COMMERCE CHESTER COUNTY HEALTH DEPARTMENT PHOENIXVILLE AREA SCHOOL DISTRICT MONTGOMERY COUNTY HEALTH DEPARTMENT ALIANZAS DE PHOENIXVILLE PHOENIXVILLE COMMUNITY HEALTH FOUNDATION COMMUNITY HEALTH AND DENTAL CLINIC THE CLINIC MAYOR - PHOENIXVILLE PHOENIXVILLE YMCA STAKEHOLDER INTERVIEWS (CHESTNUT HILL HOSPITAL): OUR MOTHER OF CONSOLATION MT AIRY COMMUNITY DEVELOPMENT CORPORATION CENTER IN THE PARK PHILADELPHIA INTERFAITH HOSPITALITY NETWORK U.S. HOUSE OF REPRESENTATIVES DREXEL UNIVERSITY FACE TO FACE GERMANTOWN NEW COVENANT CHURCH OF PHILADELPHIA GREEN TREE COMMUNITY HEALTH FOUNDATION CHESTNUT HILL COLLEGE WHITEMARSH EMS FOCUS GROUP PARTICIPANTS (POTTSTOWN): SAGA COMMUNITY CENTER POTTSTOWN AREA HEALTH AND WELLNESS FOUNDATION PA HEALTH ACCESS NETWORK ACCESS SERVICES MONTGOMERY COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICESI ACLAMO HEALTH SPARK FOUNDATION COMMUNITY HEALTH AND DENTAL CARE TRICOUNTY COMMUNITY NETWORK POTTSTOWN HOSPITAL FOCUS GROUP PARTICIPANTS (PHOENIXVILLE): PHOENIXVILLE HOSPITAL PHOENIXVILLE AREA COMMUNITY SEVICES PHOENIXVILLE SENIOR CENTER ALIANZAS DE PHOENIXVILLE ORION HOPE PHOENIXVILLE COMMUNITY HEALTH FOUNDATION THE CLINIC HEALTHCARE ACCESS BOROUGH OF PHOENIXVILLE FOCUS GROUP PARTICIPANTS (CHESTNUT HILL): CHESTNUT HILL HOSPITAL MOUNT AIRY CDC GREEN TREE COMMUNITY HEALTH FOUNDATION U.S. REPRESENTATIVE DWIGHT EVANS GROUP A, FACILITY 1, POTTSTOWN HOSPITAL - PART V, LINE 7D THIS ALSO APPLIES TO PHOENIXVILLE HOSPITAL LINK TO THE COMMUNITY HEALTH NEEDS ASSESSMENT FOR THE POTTSTOWN AND PHOENIXVILLE HOSPITALS: HTTPS://WWW.TOWERHEALTH.ORG/LOCATIONS/POTTSTOWN-HOSPITAL-COMMUNITY-HEALTH- NEEDS-ASSESSMENT HTTPS://WWW.TOWERHEALTH.ORG/LOCATIONS/PHOENIXVILLE-HOSPITAL-COMMUNITY- HEALTH-NEEDS-ASSESSMENT THE IMPLEMENTATION STRATEGY FOR THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT WAS COMPLETED IN NOVEMBER 2022 AND CAN BE FOUND AT: HTTPS://WWW.TOWERHEALTH.ORG/LOCATIONS/POTTSTOWN-HOSPITAL-COMMUNITY-HEALTH- NEEDS-ASSESSMENT HTTPS://WWW.TOWERHEALTH.ORG/LOCATIONS/PHOENIXVILLE-HOSPITAL-COMMUNITY- HEALTH-NEEDS-ASSESSMENT GROUP A, FACILITY 1, POTTSTOWN HOSPITAL - PART V, LINE 11 THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT WAS COMPLETED IN 2022 AND IDENTIFIED AND PRIORITIZED FOUR AREAS OF FOCUS: ACCESS TO EQUITABLE CARE, BEHAVIORAL HEALTH, HEALTH EDUCATION AND PREVENTION, AND HEALTH EQUITY. THE DEVELOPMENT OF THE 2022 CHNA IMPLEMENTATION PLAN WILL CONTINUE THROUGH THE BEGINNING OF FY2023 WITH THE FINAL DOCUMENT BEING ADOPTED AND MADE PUBLICLY AVAILABLE BY NOVEMBER 15, 2022. THE IMPLEMENTATION PLAN, WHICH COVERS A THREE YEAR SPAN, OUTLINES SPECIFIC STRATEGIES FOR EACH PRIORITY AREA THAT WILL BE IMPLEMENTED THROUGH A VARIETY OF METHODS INCLUDING INPUT FROM EXPERT PROVIDERS, COMMUNITY OUTREACH, AND COLLABORATIONS AND PARTNERSHIPS WITH COMMUNITY ORGANIZATIONS. AN OVERVIEW OF EACH PRIORITY FOLLOWS: ACCESS TO EQUITABLE CARE: POTTSTOWN HOSPITAL, PHOENIXVILLE HOSPITAL, AND CHESTNUT HILL HOSPITAL. THE HOSPITALS DEPLOY CONTINUOUS IMPROVEMENT EFFORTS TO BETTER UNDERSTAND THE CONTRIBUTING FACTORS THAT IMPEDE ACCESS TO EQUITABLE CARE AND HOW BEST TO ADDRESS IDENTIFIED BARRIERS AND GAPS IN THE PROVISION OF HEALTH CARE AND SERVICES. IMPROVING AN ORGANIZATION'S CAPACITY TO PROVIDE ACCESS TO EQUITABLE CARE FOR VULNERABLE AND ETHNIC POPULATIONS IS A CONTINUOUS AND EVOLVING PROCESS. THE GOAL IS TO INCREASE ACCESS TO EQUITABLE CARE BY COMMUNITY MEMBER, PARTICULARLY THOSE CONSIDERED VULNERABLE AND/OR LIVING IN UNDERSERVED AREAS. POTTSTOWN HOSPITAL WILL SCREEN VULNERABLE PATIENTS FOR SOCIAL DETERMINENTS OF HEALTH, IMPROVE ACCESS TO TRANSPORTATION BY UTILIZING THE RIDE HEALTH PLATFORM, IMPLEMENT STREET MEDICINE PROGRAM, IMPROVE DENTAL CARE ACCESSIBILITY BY PARTNERING WITH CHDC AND THE MOBILE DENTAL UNIT, IMPROVE ACCESS TO SCREENING MAMMOGRAMS, IDENTIFY OPPORTUNITIES FOR A COMMUNITY HEALTH WORK PROGRAM AND INCREASE CARE COORDINATION WITH OTHER HEALTH CARE ENTITIES IN THE SERVICE AREA. PHOENIXVILLE HOSPITAL WILL PROVIDE NURSE OUTREACH BY PROVIDING HEALTH INFORMATION AND RESOURCE REFERRALS TO VULNERABLE POPULATION IN THE COMMUNITY TO ADDRESS UNMET HEALTH CARE NEEDS. A RIDE HEALTH PROGRAM WILL BE IMPLEMENTED AND ACCESS TO TELEMEDICINE WILL BE PROVIDED. CHESTNUT HILL HOSPITAL PLANNED TO PROMOTE THE MYTOWERHEALTH PORTAL TO ENCOURAGE PATIENTS TO MANAGE INDIVIDUAL HEALTH, IMPLEMENT ONLINE APPOINTMENT SCHEDULING, PROVIDE CLINICAL SERVICES TO HOMEBOUND AND AT-RISK POPULATION THROUGH VOLUNTEERING AT NEIGHBORHOOD CLINICS, UTILIZE THE RIDE HEALTH PROGRAM AND ADDRESS SDOH BY PROVIDING ACUTE CARE AND HEALTH SCREENING SERVICES TO COMMUNITY MEMBERS. CHESTNUT HILL HOSPITAL WAS SOLD 12/31/2022. BEHAVIORAL HEALTH: POTTSTOWN HOSPITAL, PHOENIXVILLE HOSPITAL, AND CHESTNUT HILL HOSPITAL CHNA FOCUS GROUPS, STAKEHOLDERS, KEY INFORMANTS, AND SURVEY RESPONDENTS REPORTED "IMPROVING ACCESS AND AVAILABILITY OF BEHAVIORAL HEALTH AND MENTAL HEALTH SERVICES AND PROGRAMS" AS HAVING A GREAT IMPACT ON THE OVERALL HEALTH OF THEIR SURROUNDING COMMUNITIES AND A HIGH PRIORITY FOR IMPROVING HEALTH STATUS. THE GOAL IS TO IMPROVE ACCESS, SCREENING, ASSESSMENT, TREATMENT, AND SUPPORT FOR BEHAVIORAL HEALTH. POTTSTOWN HOSPITAL WILL PARTICIPATE IN COMMUNITY OUTREACH AND HEALTH EDUCATION AWARENESS EVENTS, ENGAGE IN WORKFORCE DEVELOPMENT OPPORTUNITIES FOR BEHAVIORAL HEALTH CARRIERS, OFFER SUICIDE PREVENTION TRAINING, IMPLEMENT TOWER EMPLOYEE WELLNESS INITIATIVES. PHOENIXVILLE HOSPITAL WILL INVITE COMMUNITY ORGANIZATIONS WHICH PROVIDE BEHAVIORAL HEALTH TO PARTICIPATE IN HOSPITAL COMMUNITY PROGRAMS. A BEHAVIORAL HEALTH SOCIAL MEDIA CAMPAIGN WILL BE LAUNCHED TO ENGAGE COMMUNITY MEMBERS WITH MONTHLY SOCIAL MEDIA POSTS FOCUSED ON BEHAVIORAL HEALTH ISSUES. TOWER EMPLOYEE WELLNESS INITIATIVE WILL BE EXPANDED. CHESTNUT HILL HOSPITAL PLANNED TO ESTABLISH A COMMITTEE TO ADDRESS WORKPLACE VIOLENCE, EXPAND BEHAVIORAL HEALTH SERVICES BY IDENTIFYING PARTNERS TO SUPPORT THE EXPANSION AND EXPAND TOWER WELLNESS EMPLOYEE INITIATIVES. CHESTNUT HILL HOSPITAL WAS SOLD 12/31/2022. HEALTH EDUCATION AND PREVENTION: POTTSTOWN HOSPITAL, PHOENIXVILLE HOSPITAL, AND CHESTNUT HILL HOSPITAL HEALTH EDUCATION PROGRAMS HELP PEOPLE BETTER UNDERSTAND HOW TO MANAGE AN EXISTING HEALTH CONDITION AND HOW TO PREVENT FURTHER ILLNESS, WHICH IS PARAMOUNT TO GOOD HEALTH. THE HOSPITAL'S COMMUNITY EDUCATION AND DISEASE PREVENTION PROGRAMS ARE DESIGNED TO ENGAGE AND EMPOWER INDIVIDUALS AND COMMUNITIES TO PRACTICE HEALTHY BEHAVIORS THAT REDUCE THE RISK OF DEVELOPING CHRONIC DISEASES AND TO IMPROVE MANAGEMENT FOR CHRONIC DISEASES SUCH AS HEART DISEASE, DIABETES, AND HIGH BLOOD PRESSURE. ACCORDING TO THE WORLD HEALTH ORGANIZATION, "HEALTH EDUCATION ENABLES PEOPLE TO INCREASE CONTROL OVER THEIR OWN HEALTH." THE GOAL IS TO IMPLEMENT CHRONIC DISEASE EDUCATION AND PREVENTION PROGRAMS IN THE PRIMARY SERVICE AREA, SPECIFICALLY TARGETING VULNERABLE POPULATIONS. POTTSTOWN HOSPITAL WILL INCREASE ACCESS TO HEALTHY FOODS, PROVIDE DISEASE SPECIFIC EDUCATION, ENGAGE WITH LOCAL SCHOOL DISTRICTS TO FURTHER WELLNESS EDUCATION AND PROGRAMS, INCREASE ACCESS TO CANCER SCREENINGS AND IMPLEMENT TOWER EMPLOYEE WELLNESS INITIATIVES. PHOENIXVILLE HOSPITAL WILL PROVIDE CHRONIC DISEASE-SPECIFIC EDUCATION TO OTHER VULNERABLE POPULATIONS INCLUDING LOW-INCOME, VETERANS, AND OTHERS. A HEALTH SURVEY FOR THE SPANISH/PORTUGUESE COMMUNITY WILL BE CREATED. BLOOD PRESSURE SCREENINGS, CANCER PREVENTION EDUCATION AND SCREENINGS WILL BE PROVIDED. A PARTNERSHIP WITH ORGANIZATIONS WILL BE ORGANIZED TO PROVIDE A VACCINE CLINIC TO THE COMMUNITY. TOWER EMPLOYEE WELLNESS INITIATIVE WILL BE IMPLEMENTED. CHESTNUT HILL HOSPITAL PLANNED TO LAUNCH WEIGHT LOSS SURGERY SUPPORT GROUPS TO ENCOURAGE MAINTENANCE OF A HEALTHY LIFESTYLE AFTER SURGERY, INCREASE HEALTH EDUCATION PROGRAMMING BY HOSTING EVENTS AND FREE SCREENINGS FOR LOCAL CONGREGATIONS, AND PARTNER WITH PHILADELPHIA PUBLIC SCHOOL SYSTEM TO PROVIDE HEALTH EDUCATION TO AT-RISK YOUTH AND FAMILIES. TOWER EMPLOYEE WELLNESS INITIATIVES WERE PLANNED TO BE IMPLEMENTED. CHESTNUT HILL HOSPITAL WAS SOLD 12/31/2022 HEALTH EQUITY: POTTSTOWN HOSPITAL, PHOENIXVILLE HOSPITAL, AND CHESTNUT HILL HOSPITAL UNDERSTANDING AND ADDRESSING THE NEEDS OF DIVERSE AND DISPARATE POPULATIONS IS A SIGNIFICANT CHALLENGE FOR HEALTH CARE ORGANIZATIONS. AS A CRITICAL ASPECT OF IMPROVING HEALTH EQUITY AND DECREASING HEALTH DISPARITIES, THERE IS A CONTINUED EFFORT TO ENHANCE THE PROVISION OF CULTURALLY COMPETENT AND LINGUISTICALLY APPROPRIATE CARE TO A VERY DIVERSE SERVICE AREA AS DEFINED BY RACIAL AND ETHNIC COMMUNITIES WITH VARIOUS CULTURAL BELIEFS AND PERCEPTIONS, HEALTH PRACTICES, AND BEHAVIORS, AS WELL AS A DISTRUST OF THE HEALTH DELIVERY SYSTEM. THE ASSESSMENT OF THE DIVERSE AND DISPARATE POPULATION UNCOVERED MANY SDOH AND BARRIERS TO HEALTH CARE ACCESS AND SERVICES. BARRIERS SUCH AS A LACK OF TRANSPORTATION, INADEQUACY OF LANGUAGE AND INTERPRETATION SERVICES, LACK OF INSURANCE COVERAGE, AND CULTURAL BIAS AND DISCRIMINATION HAVE A VERY DRAMATIC IMPACT ON THE CAPACITY TO PROVIDE QUALITY HEALTH CARE AND THE QUALITY OF LIFE FOR POTTSTOWN HOSPITAL'S COMMUNITIES. INTERVENTIONS THAT IMPROVE HEALTH EQUITY AND REDUCE DISPARITIES MUST BE SYSTEMATIC AS AN ORGANIZATION GAINS GREATER UNDERSTANDING AND APPRECIATION FOR DIVERSE CULTURES AND ENHANCES THE ORGANIZATION'S ABILITY TO SERVE ALL PATIENTS EFFECTIVELY AND EFFICIENTLY. THE GOAL IS TO INCREASE HEALTH EQUITY BY ADDRESSING SOCIAL DETERMINANTS OF HEALTH AND PROVIDE CULTURALLY COMPETENT CARE. POTTSTOWN HOSPITAL WILL DEVELOP A HEALTH EQUITY COUNCIL TO CREATE A HEALTH EQUITY ASSESSMENT AND TRANSFORMATION ACTION PLAN. DIVERSITY, EQUITY AND INCLUSION TRAINING AND LEARNING OPPORTUNITIES WILL BE PROVIDED TO EMPLOYEES. PHOENIXVILLE HOSPITAL WILL DEVELOP A HEALTH EQUITY COUNCIL TO CREATE A HEALTH EQUITY ASSESSMENT AND TRANSFORMATION ACTION PLAN. DIVERSITY, EQUITY AND INCLUSION TRAINING AND LEARNING OPPORTUNITIES WILL BE PROVIDED TO EMPLOYEES. CHESTNUT HILL HOSPITAL PLANNED TO DEVELOP A HEALTH EQUITY COUNCIL TO CREATE A HEALTH EQUITY ASSESSMENT AND TRANSFORMATION ACTION PLAN. DIVERSITY, EQUITY AND INCLUSION TRAINING AND LEARNING OPPORTUNITIES WERE PLANNED FOR EMPLOYEES. CHESTNUT HILL HOSPITAL WAS SOLD 12/31/2022. LIST OF HEALTH NEEDS THE FACILITY DOES NOT PLAN TO ADDRESS: ACCESS TO EQUITABLE CARE: THE EXPANSION OF THE REMOTE PATIENT MONITORING PROGRAM TO PATIENTS DIAGNOSED WITH DIABETES AND COPD HAS BEEN PLACED ON AN INDEFINITE HOLD. GROUP A, FACILITY 1, POTTSTOWN HOSPITAL - PART V, LINE 13H THIS ALSO APPLIES TO PHOENIXVILLE HOSPITAL. PATIENTS VISITING FROM OUT OF THE COUNTRY AND REQUIRING EMERGENCY SERVICES ARE ELIGIBLE FOR CONSIDERATION OF FINANCIAL ASSISTANCE. HOWEVER, PATIENTS VISITING THE UNITED STATES WITH THE INTENT OF RECEIVING NON-EMERGENCY CARE ARE NOT GENERALLY ELIGIBLE FOR FINANCIAL ASSISTANCE. GROUP A, FACILITY 1, POTTSTOWN HOSPITAL - PART V, LINE 15E THIS ALSO APPLIES TO PHOENIXVILLE HOSPITAL. FINANCIAL ASSISTANCE APPLICATION PROCESS: 1. WHO IS ELIGIBLE FOR FINANCIAL ASSISTANCE: A. PATIENTS RECEIVING SERVICES IN OUR HOSPITAL AND THMG PRACTICES. B. BOTH UNINSURED AND UNDER-INSURED PATIENTS. C. PATIENTS WHO ARE DENIED MEDICAID COVERAGE, OR WHO ARE SCREENED AND DETERMINED TO NOT MEET THE MEDICAID COVERAGE CRITERIA. 2. A HOSPITAL FINANCIAL COUNSELOR OR PATIENT FINANCIAL SERVICES REPRESENTATIVE WILL ASSIST THE PATIENT WITH COMPLETING THE FINANCIAL ASSISTANCE APPLICATION AND OBTAIN ANY SUPPORTING DOCUMENTATION. 3. DECISIONS PERTAINING TO ELIGIBILITY FOR FINANCIAL ASSISTANCE WILL BE MADE WITHIN 14 DAYS OF RECEIPT OF A COMPLETE FINANCIAL ASSISTANCE APPLICATION. INCOMPLETE APPLICATIONS WILL BE REVIEWED AND ATTEMPTS TO CONTACT THE PATIENT/GUARANTOR FOR ADDITIONAL INFORMATION WILL BE MADE. A CONFIRMATION LETTER IN ENGLISH AND SPANISH WILL BE SENT TO THE PATIENT DESCRIBING THE OUTCOME OF THE DECISION. 4. WHEN FINANCIAL ASSISTANCE IS APPROVED, A CONFIRMATION LETTER IN ENGLISH AND SPANISH WILL BE SENT TO THE PATIENT. THE LETTER WILL SERVE AS A MEANS OF SPECIFYING THE TIME FRAME COVERED BY THE FINANCIAL ASSISTANCE DETERMINATION. THE CONFIRMATION LETTER WILL CONTAIN A CONTACT NAME FOR THE PATIENT TO RETAIN AS A REFERENCE AND RESOURCE FOR ADDITIONAL QUESTIONS. 5. IF FINANCIAL ASSISTANCE IS NOT APPROVED, LETTERS IN ENGLISH AND SPANISH WILL BE SENT DESCRIBING THE REASONS FOR THE DECISION, AS WELL AS INFORMATION ON OTHER PAYMENT OPTIONS. SHOULD PATIENTS WISH TO APPEAL THE DECISION MADE, DIRECTIONS ON THE APPEALS PROCESS WILL ALSO BE PROVIDED. 6. PATIENTS OR GUARANTORS WHO DISAGREE WITH THE OUTCOME OF THE FINANCIAL ASSISTANCE ELIGIBILITY DECISION WILL HAVE THE OPPORTUNITY TO APPEAL THE DECISION. 7. THE FINANCIAL ASSISTANCE SCALE PROVIDES 100% CHARITY CARE TO BOTH INSURED AND UNINSURED PATIENTS WHOSE HOUSEHOLD INCOME IS UP TO 200% OF THE FEDERAL POVERTY LEVEL (FPL). THE FINANCIAL ASSISTANCE SCALE PROVIDES DISCOUNTED CARE ON A SLIDING SCALE FOR BOTH INSURED AND UNINSURED PATIENTS WHOSE HOUSEHOLD INCOME IS UP TO 400% OF THE FEDERAL POVERTY LEVEL (FPL). 8. THE MCR FFS (MEDICARE FEE FOR SERVICE) IS USED TO DETERIMINE THE FINANCIAL ASSISTANCE ADJUSTMENT. PATIENTS ARE ENCOURAGED TO BEGIN APPLYING FOR FINANCIAL ASSISTANCE AS EARLY AS POSSIBLE IN THE PROCESS OF ACCESSING MEDICAL CARE. THE SOONER THE HOSPITAL BECOMES AWARE OF THE FINANCIAL NEED, THE GREATER OPPORTUNITY EXISTS TO SUCCESSFULLY CONNECT THE PATIENT WITH POTENTIAL RESOURCES SUCH AS MEDICAID OR OTHER ASSISTANCE OF INSURANCE PROGRAMS. WHILE IT IS IDEAL TO INITIATE THE PROCESS AS SOON AS POSSIBLE, PATIENTS ARE ELIGIBLE TO REQUEST CONSIDERATION OF FINANCAL ASSISTANCE AT ANY POINT IN THE BILLING AND COLLECTION CYCLE. IF THE FINANCIAL ASSISTANCE APPLICATION IS INITIATED WHILE THE ACCOUNT IS IN THE COLLECTION PROCESS, COLLECTION ACTIVITY WILL CEASE UNTIL DETERMINATION OF ELIGIBILITY HAS BEEN MADE. GROUP A, FACILITY 1, POTTSTOWN HOSPITAL - PART V, LINE 16J THE BELOW NARRATIVE COVERS LINE 16A-C AND J THIS ALSO APPLIES TO PHOENIXVILLE HOSPITAL. THE CURRENT FINANCIAL ASSISTANCE POLICY, PLAIN LANGUAGE POLICY AND APPLICATIONS FOR FINANCIAL ASSISTANCE, IN ENGLISH, SPANISH, GERMAN, DUTCH, HAITIAN CREOLE, AND VIETNAMESE ARE ACCESSIBLE AT: HTTPS://WWW.TOWERHEALTH.ORG/LOCATIONS/POTTSTOWN-HOSPITAL/BILLING/ FINANCIAL-ASSISTANCE HTTPS://WWW.TOWERHEALTH.ORG/LOCATIONS/PHOENIXVILLE-HOSPITAL/BILLING/ FINANCIAL-ASSISTANCE ADDITIONALLY, TOWER HEALTH MAINTAINS, AND CONTINUOUSLY UPDATES THE LIST OF ALL PROVIDERS (IDENTIFIED BY NAME, PRACTICE GROUP/ENTITY HOSPITAL DEPARTMENT OR TYPE OF SERVICE) DELIVERING EMERGENCY OR OTHER MEDICALLY NECESSARY CARE AT POTTSTOWN HOSPITAL, CHESTNUT HILL HOSPITAL, AND PHOENIXVILLE HOSPITAL SPECIFYING WHICH PROVIDERS ARE AND ARE NOT COVERED BY THE PATIENT FINANCIAL ASSISTANCE POLICY. THIS PROVIDER LIST IS AVAILABLE ONLINE AT: HTTPS://WWW.TOWERHEALTH.ORG/PROVIDERS/. IN ADDITION,A PAPER COPY CAN BE OBTAINED AT NO COST BY CALLING 484-628-5683. FEES FOR SERVICES PROVIDED BY PHYSICIANS WHO ARE NOT EMPLOYED BY POTTSTOWN, AND PHOENIXVILLE HOSPITALS ARE EXCLUDED FROM THE FINANCIAL ASSISTANCE POLICY. INFORMATION REGARDING ELIGIBILITY FOR FINANCIAL ASSISTANCE IS COMMUNICATED VIA SIGNAGE AND BROCHURES PROMINENTLY DISPLAYED THROUGHOUT THE HOSPITAL AND WITHIN REGISTRATION AREAS. PAMPHLETS TITLED UNDERSTANDING BILLING & PAYMENTS INCLUDE THE PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY. THE PAMPHLETS ARE PRINTED IN ENGLISH, SPANISH, GERMAN, DUTCH, HAITIAN CREOLE, AND VIETNAMESE AND ARE AVAILABLE IN THE LOBBIES AND WAITING AREAS THROUGHOUT THE HOSPITAL. THESE PAMPHLETS PROVIDE AN EASY-TO-READ SUMMARY OF THE FINANCIAL ASSISTANCE PROGRAM, WITH CONTACT INFORMATION OF HOSPITAL EMPLOYEES WHO WILL ASSIST THE PATIENTS WITH THE APPLICATION PROCESS. THESE PAMPHLETS ARE ALSO DISTIBUTED TO PATIENTS AT THE POINTS OF REGISTRATION THROUGHOUT THE HOSPITAL. PATIENTS WHO ARE UNINSURED OR WHO EXPRESS THE INABILITY TO PAY AT POINT OF SERVICE ARE PROVIDED WITH THE PAMPHLET. EMERGENCY PATIENTS IN THESE SITUATIONS ARE PROVIDED WITH THE PAMPHLET AT THE TIME OF DISCHARGE. PATIENT BILLING STATEMENTS FOR HOSPITAL SERVICES CONTAIN GUIDANCE AND DIRECTION ON THE AVAILABILITY OF THE FINANCIAL ASSISTANCE PROGRAM. IN ADDITION, THE BACK OF THE BILLING STATEMENT IS A FINANCIAL ASSISTANCE APPLICATION. THE HOSPITAL WORKS CLOSELY WITH ADVOCACY PROGRAMS IN THE COMMUNITY. THE AVAILABILITY OF THE HOPSITAL FINANCIAL ASSISTANCE POLICY IS SHARED WITH THOSE AGENCIES. SCHEDULE H, PART I, LINE 3C PATIENTS WILL BE REQUESTED TO PROVIDE VERIFICATION OF HOUSEHOLD INCOME ALONG WITH THE NAMES OF PEOPLE RESIDING IN THE HOUSEHOLD, AS A REQUIREMENT OF THE APPLICATION PROCESS. THE INFORMATION IS UTILIZED IN DETERMINING WHERE THE HOUSEHOLD FALLS WITHIN THE FEDERAL POVERTY LEVEL GUIDELINE (FPL). THE FPL CATEGORY WILL DETERMINE THE PATIENT OR GUARANTOR CONTRIBUTION AMOUNT TOWARD THEIR MEDICAL BILL. SCHEDULE H, PART I, LINE 7 IN THE CHARITY CARE AND MEANS-TESTED GOVERNMENT PROGRAMS SECTION OF LINE 7, A COST TO CHARGE RATIO DEVELOPED FROM THE MEDICARE COST REPORT IS UTILIZED. SCHEDULE H, PART II ECONOMIC DEVELOPMENT: TWO MEMBERS OF PHOENIXVILLE HOSPITAL'S ADMINISTRATIVE TEAM SERVE ON BOARDS AND/OR COUNCILS RELATED TO ECONOMIC DEVELOPMENT. THESE INCLUDE THE PERKIOMEN VALLEY CHAMBER OF COMMERCE AND THE PHOENIXVILLE CHAMBER OF COMMERCE. THE CEO OF POTTSTOWN HOSPITAL, SERVES ON BOARDS AND/OR COUNCILS RELATED TO ECONOMIC DEVELOPMENT. THESE INCLUDE THE TRICOUNTY AREA CHAMBER OF COMMERCE AND POTTSTOWN AREA ECONOMIC DEVELOPMENT. IN ADDITION, SARAH RAWLINGS, DIRECTOR OF AMBULATORY SURGERY, PARTICIPATED IN LEADERSHIP TRI-COUNTY THROUGH THE TRICOUNTY AREA CHAMBER OF COMMERCE. ENVIRONMENTAL IMPROVEMENTS: POTTSTOWN HOSPITAL ORGANIZED A COMMUNITY CLEAN UP EVENT TO CLEAN UP TRASH OFF OF HIGH ST. IN POTTSTOWN BOROUGH ON EARTH DAY. 19 STAFF MEMBERS PARTICIPATED IN THE EVENT ON APRIL 22ND, 2024. LEADERSHIP DEVELOPMENT AND TRAINING FOR COMMUNITY MEMBERS: PHOENIXVILLE HOSPITAL OFFERS MEDICAL INTERPRETER TRAINING TO LOCAL NON- PROFIT ORGANIZATIONS ANNUALLY. COALITION BUILDING: PHOENIXVILLE HOSPITAL PARTICIPATES IN SEVERAL COMMUNITY COLLABORATIVES/COALITIONS WHICH ADDRESS HEALTH AND SAFETY ISSUES. THE HOSPITAL PARTICIPATED IN NATIONAL NIGHT OUT WHICH IS A COMMUNITY BUILDING CAMPAIGN THAT PROMOTES POLICE-COMMUNITY PARTNERSHIPS AND NEIGHBORHOOD CAMARADERIE. PHOENIXVILLE HOSPITAL ALSO PARTICIPATES IN THE HUB, AN INITIATIVE WITH PASD TO ADDRESS AND TO IDENTIFY AT RISK STUDENTS/FAMILIES AND SUPPORT NEEDS. PHOENIXVILLE HOSPITAL ALSO PARTICIPATES IN THE NEWLY IMPLEMENTED SENIOR HUB, ADDRESSING THE NEEDS OF SENIOR POPULATION. WE ALSO PARTICIPATE IN COMMUNITIES THAT CARE (CTC) WHICH IS A COLLABORATION OF ORGANIZATIONS USING EVIDENCE-BASED PREVENTION PROGRAMS AND POLICIES TO FOSTER POSITIVE MENTAL HEALTH AND YOUTH DEVELOPMENT. PHOENIXVILLE HOSPITAL ALSO PARTICIPATES IN THE PHOENIXVILLE AREA RESOURCE NETWORK AND THE HEALTH LITERACY COUNCIL. COMMUNITY HEALTH IMPROVEMENT ADVOCACY: PHOENIXVILLE HOSPITAL SUPPORTS POLICIES AND PROGRAMS TO SAFEGUARD AND OR IMPROVE PUBLIC HEALTH, ACCESS TO HEALTHCARE SERVICES, AND TRANSPORTATION. NURSE OUTREACH IS PROVIDED FOR VULNERABLE POPULATIONS INCLUDING LOW INCOME HOUSING, VETERANS, AND SENIORS. RIDE HEALTH PROVIDES TRANSPORTATION FOR THOSE WHO NEED A RIDE EITHER TO OR FROM A MEDICAL APPOINTMENT. WORKFORCE DEVELOPMENT: PHOENIXVILLE HOSPITAL BELIEVES IN INVESTING IN THE FUTURE HEALTHCARE WORKFORCE AND PROVIDES A NUMBER OF OPPORTUNITIES FOR PRIMARY, SECONDARY, AND POST-SECONDARY STUDENTS WHO ARE INTERESTED IN HEALTHCARE CAREERS TO ENGAGE WITH BOTH CLINICAL AND NON-CLINICAL STAFF. JOB SHADOWING AND HIGH SCHOOL CAREER STUDY ARE AVAILABLE FOR STUDENTS. JOB SHADOWING HOSTED 10 STUDENTS IN FY2024. PHOENIXVILLE HOSPITAL HAS DEVELOPED A STRONG PARTNERSHIP WITH PERKIOMEN VALLEY HIGH SCHOOL AND HOSTS STUDENTS IN THEIR CAREER STUDY PROGRAM. SENIOR HIGH SCHOOL STUDENTS HAVE THE OPPORTUNITY TO EXPLORE HEALTHCARE CAREERS AT THE HOSPITAL. 12 STUDENTS PARTICIPATED IN FY2024 IN 10 DIFFERENT CLINICAL AREAS. POTTSTOWN HOSPITAL PROVIDES A NUMBER OF OPPORTUNITIES FOR PRIMARY, SECONDARY, AND POST-SECONDARY STUDENTS WHO ARE INTERESTED IN CAREERS IN HEALTHCARE TO ENGAGE WITH BOTH CLINICAL AND NON-CLINICAL STAFF. STAFF PARTICIPATE IN WORKFORCE DEVELOPMENT FORUMS, OFFER SHADOWING OPPORTUNITIES, AND HOST CLINICAL ROTATIONS AND INTERNSHIPS. IN ADDITION, IN FY24, POTTSTOWN HOSPITAL LAUNCHED THE HIGH SCHOOL INTERNSHIP PROGRAM. THIS UNIQUE PROGRAM OFFERED FULL-YEAR INTERNSHIPS TO FIVE STUDENTS FROM SCHOOLS IN THE HOSPITAL'S SERVICE AREA. IN ADDITION, THE STUDENTS RECEIVED WORKFORCE DEVELOPMENT EDUCATION. THE HOSPITAL ALSO OFFERED A CAREER EXPLORATION EVENT WHICH FEATURED AN IN-DEPTH TOUR OF THE HOSPITAL WITH EDUCATION ON EACH DEPARTMENT. THE EVENT CONCLUDED WITH A PANEL DISCUSSION FROM VARIOUS ROLES IN THE HOSPITAL. SCHEDULE H, PART III, LINE 2 DUE TO THE ADOPTION OF ASU NO. 2014-09 REVENUE FROM CONTRACTS WITH CUSTOMERS (TOPIC 606) BAD DEBT EXPENSE IS NO LONGER REPORTED ON THE AUDITED FINANCIAL STATEMENTS. RATHER IT IS TREATED AS AN IMPLICIT PRICE CONCESSION. BAD DEBT IS DETERMINED IF THERE WAS AN EXTRAORDINARY OR ADVERSE EVENT THAT PREVENTED A PATIENT FROM BEING ABLE TO PAY THE EXPECTED AMOUNT. FOR PATIENTS WHO WERE DETERMINED BY THE HOSPITAL TO HAVE THE ABILITY TO PAY UNCOLLECTED AMOUNTS BUT DID NOT, THESE UNCOLLECTED AMOUNTS ARE TREATED AS IMPLICIT PRICE CONCESSIONS. THERE WAS NO ADVERSE OR EXTRAORDINARY EVENT THAT CAUSED THE ORGANIZATION TO REPORT BAD DEBT EXPENSE IN FY2024. SCHEDULE H, PART III, LINE 3 THE ORGANIZATION DOES NOT CURRENTLY HAVE A METHODOLOGY TO ACCURATELY QUANTIFY OR ESTIMATE THE AMOUNT OF BAD DEBT EXPENSE THAT WOULD BE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. SCHEDULE H, PART III, LINE 4 THE FOLLOWING IS A FOOTNOTE REGARDING COMMUNITY BENEFIT EXPENSE AND UNCOMPENSATED CARE. THE SYSTEM PROVIDES SERVICES TO PATIENTS WHO MEET THE CRITERIA OF ITS CHARITY SERVICE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN THE ESTABLISHED RATES. CRITERIA FOR CHARITY CARE CONSIDER THE PATIENT'S FAMILY INCOME, FAMILY SIZE, AND ABILITY TO PAY. INDIVIDUALS WHO QUALIFY FOR CHARITY CARE DO NOT HAVE INSURANCE OR OTHER COVERAGE. THE SYSTEM MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE LEVEL OF CHARITY CARE AND COMMUNITY SERVICE IT PROVIDES. THESE RECORDS INCLUDE THE AMOUNT OF CHARGES FOREGONE BASED ON ESTABLISHED RATES FOR SERVICES, AND SUPPLIES FURNISHED UNDER ITS CHARITY CARE AND COMMUNITY SERVICE POLICIES, AND THE ESTIMATED COST OF THOSE SERVICES. CHARGES FOREGONE FOR UNCOMPENSATED CARE AS DETERMINED IN ACCORDANCE WITH THE SYSTEM'S POLICIES WERE APPROXIMATELY 46,599 AND 38,908 IN THE YEARS ENDED JUNE 30, 2024 AND 2023, RESPECTIVELY.DIRECT AND INDIRECT COSTS TO PROVIDE THESE SERVICES WERE APPROXIMATELY 11,119 AND 8,735 FOR THE YEARS ENDED JUNE 30, 2024 AND 2023, RESPECTIVELY. THE ESTIMATED COSTS WERE BASED ON A CALCULATION, WHICH MULTIPLIED THE COST TO CHARGE RATIO BY THE GROSS CHARGES ASSOCIATED WITH PROVIDING UNCOMPENSATED CARE TO PATIENTS. THE COST TO CHARGE RATIO WAS OBTAINED FROM THE SYSTEM'S MOST RECENTLY FILED MEDICARE COST REPORT. ADDITIONALLY, THE SYSTEM SPONSORS CERTAIN OTHER SERVICE PROGRAMS AND CHARITY SERVICES, WHICH PROVIDE SUBSTANTIAL BENEFIT TO THE BROADER COMMUNITY. SUCH PROGRAMS INCLUDE SERVICES TO NEEDY POPULATIONS REQUIRING SPECIAL SERVICES AND SUPPORT, COMMUNITY SERVICE PROGRAMS AND CHARITY SERVICES, AS WELL AS HEALTH PROMOTION AND EDUCATION. THE SYSTEM'S COMMUNITY SERVICE INCLUDES THE MEDICAL ASSISTANCE PROGRAM, WHICH MAKES PAYMENT FOR SERVICES PROVIDED TO FAMILIES WITH DEPENDENT CHILDREN, THE AGED, THE BLIND, AND THE PERMANENTLY AND TOTALLY DISABLED, WHOSE INCOME AND RESOURCES ARE INSUFFICIENT TO MEET THE COSTS OF NECESSARY MEDICAL SERVICES. PAYMENTS FROM THE MEDICAL ASSISTANCE PROGRAM ARE GENERALLY LESS THAN THE SYSTEM'S COST OF PROVIDING THE SERVICE. IN ADDITION, COMMUNITY SERVICE REPRESENTS THE COST TO DELIVER SERVICES TO THE COMMUNITY, NET OF ANY PAYMENT RECEIVED FOR THOSE SERVICES. INCLUDED IN THESE SERVICES ARE THE SYSTEM'S SUBSIDIES OF OUTPATIENT CLINICS, EDUCATION OF MEDICAL PROFESSIONALS WHO WORK WITH VARIOUS HEALTH CARE PROVIDERS IN THE COMMUNITY UPON GRADUATION AND COMMUNITY MENTAL HEALTH PROGRAMS. THE SYSTEM ALSO SPONSORS HEALTH FAIRS AND OTHER WELLNESS PROGRAMS THROUGHOUT THE COMMUNITY. SCHEDULE H, PART III, LINE 8 THE HOSPITAL MAINTAINS RECORDS THROUGH THEIR GENERAL LEDGER SYSTEM TO CALCULATE GROSS PATIENT CHARGES AND GROSS REIMBURSEMENT PAYMENTS. A RATIO OF COST TO CHARGES IS APPLIED TO THE GROSS PATIENT CHARGES TO CALCULATE THE COMMUNITY BENEFIT EXPENSE. SCHEDULE H, PART III, LINE 9B PATIENTS ARE INFORMED OF OPTIONS OF FINANCIAL ASSISTANCE THROUGHOUT THE REVENUE CYCLE, FROM REGISTRATION THROUGH COLLECTION; THEREFORE, THE HOSPITAL'S DEBT COLLECTION POLICY AND PROCEDURE INCLUDES SPECIFIC PROVISIONS FOR REFERRING PATIENTS FOR FINANCIAL ASSISTANCE. THREE STATEMENTS, SPECIFYING THE AMOUNT DUE AND APPROPRIATE DETAILED INSTRUCTIONS ARE SENT TO PATIENTS EVERY 30 DAYS A BALANCE REMAINS. EACH STATEMENT CONTAINS A PATIENT FINANCIAL ASSISTANCE APPLICATION WITH INSTRUCTIONS AND APPROPRIATE CONTACT INFORMATION. NO ACCOUNT SHALL BE SENT TO A COLLECTION AGENCY AS LONG AS THE PATIENT/GUARANTOR IS ACTIVELY WORKING WITH A FACILITIES PATIENT FINANCIAL SERVICES REPRESENTATIVE TO RESOLVE AN OPEN ACCOUNT. SCHEDULE H, PART VI, LINE 2 THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT WAS COMPLETED IN 2022. POTTSTOWN HOSPITAL, PHOENIXVILLE HOSPITAL AND CHESTNUT HILL HOSPITAL, IN COLLABORATION WITH THE STRATEGIC CONSULTING FIRM - TRIPP UMBACH, CONDUCTED RESEARCH IN 2021 AND DEPLOYED A NUMBER OF QUANTITATIVE AND QUALITATIVE RESEARCH METHODOLOGIES TO DEFINE AND SELECT COMMUNITY NEEDS. PRIMARY RESEARCH METHODS INCLUDED CONDUCTING STAKEHOLDER INTERVIEWS, KEY INFORMANT SURVEYS, COMMUNITY SURVEYS, AND FOCUS GROUPS. THE PRIMARY RESEARCH ALLOWED THE HOSPITALS TO GAIN INSIGHTS INTO HEALTH BEHAVIORS AND ACCESS BARRIERS FROM COMMUNITY MEMBERS AND ORGANIZATIONS WHO SERVE LOW-INCOME, VULNERABLE INDIVIDUALS IN THE COMMUNITY. SECONDARY RESEARCH COLLECTION INCLUDED DATA FROM THE UNITED STATES' CENSUS BUREAU, DEPARTMENT OF LABOR, CENTERS FOR DISEASE CONTROL, AND CENTERS FOR MEDICARE AND MEDICAID SERVICES; PENNSYLVANIA'S DEPARTMENT OF HEALTH, DEPARTMENT OF HUMAN SERVICES, AND STATE CANCER PROFILES; HOSPITAL EPIC PATIENT DATA; AND OTHER LOCAL, REGIONAL, AND NATIONAL DATA SOURCES. SUMMARIES OF PRIMARY AND SECONDARY DATA WERE COMPILED AND SHARED WITH THE HOSPITAL'S CHNA ADVISORY BOARD MADE UP OF HOSPITAL STAFF, COMMUNITY PARTNERS, AND PARTICIPANTS OF STAKEHOLDER INTERVIEWS, KEY INFORMANT SURVEYS, AND FOCUS GROUPS, WHO PARTICIPATED IN EXERCISES TO SELECT PRIORITY AREAS AND BEGAN LAYING THE GROUNDWORK FOR THE IMPLEMENTATION PLAN. IDENTIFIED AND ACCEPTED PRIORITY AREAS TO ADDRESS INCLUDE: ACCESS TO EQUITABLE CARE, BEHAVIORAL HEALTH, HEALTH EDUCATION AND PREVENTION, AND HEALTH EQUITY. SCHEDULE H, PART VI, LINE 3 AS PART OF THE MISSION TO PROVIDE COMPASSIONATE, ACCESSIBLE, HIGH-QUALITY, COST-EFFECTIVE HEALTHCARE TO THE COMMUNITY, CHESTNUT HILL HOSPITAL, PHOENIXVILLE HOSPITAL AND POTTSTOWN HOSPITAL RECOGNIZE THAT SOME PATIENTS AND FAMILIES MAY NEED FINANCIAL ASSISTANCE TO HELP DEFRAY THE COST OF HEALTHCARE SERVICES. THEREFORE, EACH HOSPITAL OFFERS PATIENT FINANCIAL ASSISTANCE TO ENDURE ACCESS TO HIGH-QUALITY HEALTHCARE TO ALL. PATIENTS ARE ENCOURAGED TO SEEK FINANCIAL ASSISTANCE AS EARLY IN THE TREATMENT PROCESS AS POSSIBLE. THE CURRENT FINANCIAL ASSISTANCE PROGRAM POLICY AND APPLICATIONS CAN BE FOUND ON THE WEBSITE. THE PLAIN LANGUAGE AND FULL FINANCIAL ASSISTANCE POLICIES ARE OFFERED IN ENGLISH, SPANISH, GERMAN, DUTCH, HAITIAN CREOLE, AND VIETNAMESE, WHILE THE APPLICATION IS AVAILABLE IN ENGLISH AND SPANISH. THE WEBSITE INCLUDES A DATABASE OF ALL PROVIDERS WHO DELIVER EMERGENCY AND MEDICALLY NECESSARY CARE AT CHESTNUT HILL HOSPITAL, PHOENIXVILLE HOSPITAL AND POTTSTOWN HOSPITAL AND IDENTIFIES WHICH ARE AND ARE NOT COVERED BY THE FINANCIAL ASSISTANCE POLICY. THE PROVIDER LIST IS CONTINUOUSLY UPDATED. A PAPER COPY OF THE LIST IS AVAILABLE FREE OF CHARGE UPON REQUEST FOR PATIENTS WHO DO NOT HAVE INTERNET ACCESS. PAMPHLETS TITLED UNDERSTANDING BILLING & PAYMENT INCLUDE A PLAIN LANGUAGE SUMMARY OF THE HOSPITALS FINANCIAL ASSISTANCE POLICY AND ARE MADE AVAILABLE IN LOBBIES AND WAITING AREAS THROUGHOUT THE HOSPITALS. THEY ARE ALSO PROVIDED TO PATIENTS WHO ARE UNINSURED, UNDERINSURED, OR EXPRESS AN INABILITY TO PAY AT REGISTRATION, POINT OF SERVICE, AND/OR DISCHARGE. PATIENT BILLING STATEMENTS FOR CHESTNUT HILL HOSPITAL, PHOENIXVILLE HOSPITAL AND POTTSTOWN HOSPITAL SERVICES CONTAIN GUIDANCE AND DIRECTION ON THE AVAILABILITY OF THE FINANCIAL ASSISTANCE PROGRAM. THE FINANCIAL ASSISTANCE POLICY IS ALSO SHARED WITH A NUMBER OF ADVOCACY PROGRAMS WITHIN THE COMMUNITY. FINANCIAL COUNSELORS WILL EDUCATE PATIENTS AND FAMILIES IN REFERENCE TO AVAILABLE RESOURCES AND WILL PROVIDE ASSISTANCE WITH THE FINANCIAL ASSISTANCE APPLICATION AND APPROVAL PROCESS TO ENSURE ALL PATIENTS CONTINUE TO HAVE THE OPPORTUNITY TO ACCESS THE CARE THEY NEED. SCHEDULE H, PART VI, LINE 4 THE MISSION OF POTTSTOWN HOSPITAL, AND PHOENIXVILLE HOSPITAL IS TO PROVIDE COMPASSIONATE, ACCESSIBLE, HIGH QUALITY, COST EFFECTIVE HEALTHCARE TO THE COMMUNITIES; TO PROMOTE HEALTH; TO EDUCATE HEALTHCARE PROFESSIONALS; AND TO PARTICIPATE IN APPROPRIATE CLINICAL RESEARCH. POTTSTOWN HOSPITAL, AND PHOENIXVILLE HOSPITAL ARE COMMITTED TO SERVING THE NEEDS OF THE COMMUNITY, EVEN WHEN THE NEEDED SERVICES CAUSE A DRAIN ON CAPITAL RESOURCES. PHOENIXVILLE HOSPITAL'S PRIMARY SERVICE AREA INCLUDES AREAS IN CHESTER AND MONTGOMERY COUNTY. CHESTER COUNTY PROFILE: ACCORDING TO THE 2023 DECENNIAL CENSUS, THE TOTAL ESTIMATED POPULATION OF CHESTER COUNTY IS 549,884. THERE ARE 202,405 TOTAL HOUSEHOLDS AND 214,827 TOTAL HOUSING UNITS. CHESTER COUNTY HAS A DIVERSE POPULATION WITH THE RACIAL MIX INCLUDING 83.7% WHITE ALONE, 8.3% HISPANIC OR LATINO, 6.3% BLACK OR AFRICAN AMERICAN ALONE, 7.3% ASIAN ALONE, 0.3% AMERICAN INDIAN AND ALASKA NATIVE ALONE, 0.1% NATIVE HAWAIIAN AND OTHER PACIFIC ISLANDER ALONE, AND 2.2% TWO OR MORE RACES. 20,088 RESIDENTS ARE VETERANS. 9.6% OF CHESTER COUNTY RESIDENTS ARE FOREIGN BORN. 13.3% OF RESIDENTS AGED 5+ SPEAK A LANGUAGE OTHER THAN ENGLISH AT HOME. THE MEDIAN HOUSEHOLD INCOME IN CHESTER COUNTY IS 123,041 AND 6.2% OF CHESTER COUNTY RESIDENTS LIVE IN POVERTY. 94.9% OF CHESTER COUNTY RESIDENTS 25 YEARS AND OLDER ARE HIGH SCHOOL GRADUATES OR HIGHER, WHEREAS 56.6% OF THE SAME AGE GROUP HAVE A BACHELOR'S DEGREE OR HIGHER. OF RESIDENTS UNDER THE AGE OF 65, 6.6% HAVE A DISABILITY, AND 5.7% DO NOT HAVE HEALTH INSURANCE. MONTGOMERY COUNTY PROFILE: ACCORDING TO THE 2023 DECENNIAL CENSUS, THE TOTAL ESTIMATED POPULATION OF MONTGOMERY COUNTY IS 868,742. THERE ARE 333,514 TOTAL HOUSEHOLDS AND 352,192 TOTAL HOUSING UNITS. MONTGOMERY COUNTY HAS A DIVERSE POPULATION WITH THE RACIAL MIX INCLUDING 77.8% WHITE ALONE, 6.8% HISPANIC OR LATINO, 10.5% BLACK OR AFRICAN AMERICAN ALONE, 8.7% ASIAN ALONE, 0.3% AMERICAN INDIAN AND ALASKA NATIVE ALONE, 0.1% NATIVE HAWAIIAN AND OTHER PACIFIC ISLANDER ALONE, AND 2.6% TWO OR MORE RACES. 33,223 RESIDENTS ARE VETERANS. 11.2% OF MONTGOMERY COUNTY RESIDENTS ARE FOREIGN BORN. 14.5% OF RESIDENTS AGED 5+ SPEAK A LANGUAGE OTHER THAN ENGLISH AT HOME. THE MEDIAN HOUSEHOLD INCOME IN MONTGOMERY COUNTY IS 111,521 AND 6.9% OF MONTGOMERY COUNTY RESIDENTS LIVE IN POVERTY. 94.9% OF MONTGOMERY COUNTY RESIDENTS 25 YEARS AND OLDER ARE HIGH SCHOOL GRADUATES OR HIGHER, WHEREAS 52.3% OF THE SAME AGE GROUP HAVE A BACHELOR'S DEGREE OR HIGHER. OF RESIDENTS UNDER THE AGE OF 65, 6.8% HAVE A DISABILITY, AND 4.3% DO NOT HAVE HEALTH INSURANCE. POTTSTOWN HOSPITAL'S PRIMARY SERVICE AREA INCLUDES SPECIFIC ZIP CODES IN BERKS, MONTGOMERY, AND CHESTER COUNTIES AND ENCOMPASSES A 10 MILE RADIUS AROUND THE HOSPITAL. POTTSTOWN HOSPITAL'S PRIMARY SERVICE AREA INCLUDES THE FOLLOWING ZIP CODES: 19464, 19465,19470, 19473, 19478, 19512, 19518, 19519, 19525, 19430, AND 19548. POTTSTOWN BOROUGH, ZIP CODE 19464, IS IDENTIFIED AS THE MOST VULNERABLE ZIP CODE IN THE SERVICE AREA WITH THE HIGHEST POVERTY RATE AND HIGHEST UNEMPLOYMENT RATE. ACCORDING TO THE CLARITAS - POP-FACTS PREMIER 2018, ENVIRONICS ANALYTICS, THE POPULATION IN THE HOSPITAL'S SERVICE AREA IS 141,130. THE SERVICE AREA HAS A DIVERSE POPULATION INCLUDING 86.6% WHITE, 7.4% BLACK OR AFRICAN AMERICAN, 3.8% LATINO, AND 2.3% ASIAN. THE COMMUNITY IS 51% FEMALE AND 49% MALE. THE MEDIAN AGE IN THE SERVICE AREA IS 40.8 WITH 15.5% OF RESIDENTS AGED 65 AND OLDER. THE MEDIAN HOUSEHOLD INCOME IN THE HOSPITAL'S SERVICE AREA IS 76,914. 5.1% OF RESIDENTS ARE LIVING IN POVERTY. IN POTTSTOWN BOROUGH, ZIP CODE 19464, 13% OF RESIDENTS ARE LIVING IN POVERTY. SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH: DESCRIPTION OF ACHIEVEMENTS IN FISCAL YEAR 2024 RELATING TO EXEMPT PURPOSE STATS PROVIDED ARE FOR POTTSTOWN HOPSITAL, CHESTNUT HILL HOSPITAL, PHOENIXVILLE HOSPITAL COLLECTIVELY. PROVIDING HEALTH CARE: INPATIENT DISCHARGES 16,415 INPATIENT DAYS 70,288 BIRTHS 926 EMERGENCY VISITS 57,421 PROMOTING HEALTH: PHOENIXVILLE HOSPITAL: HEALTH OUTREACH IMPACTING ALL AGES PHOENIXVILLE HOSPITAL IS COMMITTED TO ADVANCING HEALTH AND TRANSFORMING LIVES THROUGHOUT CHESTER AND MONTGOMERY COUNTIES. AS A LEADING HEALTHCARE PROVIDER, WE STRIVE TO POSITIVELY IMPACT THE HEALTH AND WELL-BEING OF OUR PATIENTS AND THE BROADER COMMUNITY WE SERVE. MANY OF OUR PROGRAMS AND SERVICES HAVE BEEN DEVELOPED TO ADDRESS SPECIFIC HEALTH NEEDS OR OVERCOME BARRIERS TO CARE AS IDENTIFIED ON OUR COMMUNITY HEALTH NEEDS ASSESSMENT. THE COMMUNITY HEALTH EDUCATION AND OUTREACH DEPARTMENT IS FOCUSED ON PROMOTING, PROTECTING, AND IMPROVING THE HEALTH OF INDIVIDUALS AND COMMUNITIES BY OFFERING A VARIETY OF PROGRAMS FOCUSED ON HEALTH PROMOTION AND DISEASE. THE MISSION OF COMMUNITY HEALTH EDUCATION AND OUTREACH IS TO IMPROVE THE HEALTH STATUS OF OUR COMMUNITY THROUGH EVIDENCE-BASED PRACTICE AND EDUCATION. OPERATE A 24/7 EMERGENCY DEPARTMENT PHOENIXVILLE HOSPITAL'S ED OFFERS ADVANCED TECHNOLOGY AND TREATMENT AREAS TO FACILITATE TRIAGE, DIAGNOSIS AND TREATMENT OF ACUTE ILLNESSES OR INJURIES. WE OFFER EXPERIENCED, COMPASSIONATE EMERGENCY CARE - 24 HOURS A DAY, SEVEN DAYS A WEEK. PATIENTS RECEIVE CARE FROM A TEAM OF BOARD- CERTIFIED, SPECIALLY TRAINED PHYSICIANS, PHYSICIAN ASSISTANTS AND NURSE PRACTITIONERS WITH EXPERTISE IN EMERGENCY CARE. CERTIFIED AS A PRIMARY STROKE CENTER BY THE JOINT COMMISSION, AN ACCREDITED CHEST PAIN CENTER AND RECIPIENT OF GOLD PLUS AWARD FOR HEART FAILURE BY THE AMERICAN HEART ASSOCIATION. ACCESS TO EMS SERVICES THROUGH TOWERDIRECT, CHESTER AND MONTGOMERY RESIDENTS ARE ABLE TO GET THE MEDICAL CARE THEY NEED QUICKLY AND SAFELY. TOWERDIRECT PROVIDES PLANNED AND UNPLANNED MEDICAL TRANSPORTATION INCLUDING AMBULANCE SERVICES, TRANSPORTATION FOR ROUTING MEDICAL VISITS, PATIENT TRANSFERS, CRITICAL CARE TRANSPORT, AND TRAUMA TRANSPORT. TOWERDIRECT ALSO PROVIDES PROACTIVE AND PREVENTATIVE HEALTH SERVICES AT PUBLIC EVENTS. MAINTAIN 24/7 INTERPRETING SERVICES PHOENIXVILLE HOSPITAL'S INTERPRETING SERVICES DEPARTMENT INCLUDES IN PERSON INTERPRETERS FOR SELECT LANGUAGES. WE CURRENTLY EMPLOY 4 SPANISH/ENGLISH/PORTUGUESE INTERPRETERS WHO ASSIST PATIENTS WITH LANGUAGE BARRIERS. OUR SPANISH AND PORTUGUESE INTERPRETERS ALSO TAKE ON THE ROLE OF PATIENT REPRESENTATIVES/ADVOCATES FOR SPANISH AND PORTUGUESE PATIENTS AND FAMILIES. THESE STAFF ALSO ASSIST WITH TRANSLATIONS FOR WRITTEN COMMUNICATIONS. THE HOSPITAL ALSO OFFERS A NETWORK OF 24/7 VIDEO-REMOTE INTERPRETING STATIONS AND TELEPHONES FOR ANY LANGUAGE. MAINTAIN 24/7 SIGN LANGUAGE SERVICES PHOENIXVILLE HOSPITAL PARTNERS WITH DEAF-HEARING COMMUNICATION CENTRE, INC TO PROVIDE CERTIFIED SIGN LANGUAGE INTERPRETERS AS NEEDED. THE HOSPITAL ALSO HAS AN ESTABLISHED 24/7 VIDEO-REMOTE SIGN LANGUAGE INTERPRETING SERVICE. PATIENT ADVOCATE REPRESENTATIVE PHOENIXVILLE HOSPITAL BELIEVES ITS PATIENTS, FAMILIES, FRIENDS, AND SUPPORT PERSONS SHOULD BE TREATED WITH RESPECT, UNDERSTANDING AND COMPASSION. IF A PATIENT HAS A CONCERN ABOUT THE CARE OR SERVICES THEY ARE RECEIVING, THEY HAVE THE RIGHT TO CONTACT THE PATIENT ADVOCATE REPRESENTATIVE WHO WILL DOCUMENT THE CONCERN AND TAKE NECESSARY STEPS TO RESOLVE IT. THE PATIENT ADVOCATE HELPS PATIENTS COMMUNICATE WITH THEIR PROVIDERS, OBTAIN INFORMATION THEY NEED TO MAKE DECISIONS, OBTAIN REFERRALS TO FINANCIAL COUNSELORS, CONNECT WITH SOCIAL SUPPORTS, UNDERSTAND THEIR RIGHTS AND RESPONSIBILITIES,AND HELP THE PATIENT BE HEARD. SPIRITUAL CARE SERVICES PHOENIXVILLE HOSPITAL ENSURES THE AVAILABILITY OF SPIRITUAL CARE AND COUNSELING TO PATIENTS AND FAMILIES. THE PASTORAL CARE PHILOSOPHY RESTS ON THE PRINCIPLE THAT THE CARE OF THE WHOLE PERSON - BODY, MIND, AND SPIRIT - IS INTEGRAL TO HEALTH AND HEALING. PALLIATIVE CARE SERVICES PHOENIXVILLE HOSPITAL'S PALLIATIVE CARE PROGRAM, LED BY A NURSE PRACTITIONER, WORKS TO HELP RELIEVE AND PREVENT SYMPTOMS AND IMPROVE QUALITY OF LIFE FOR PATIENTS WITH A LIFE-LIMITING DISEASE. PALLIATIVE CARE OFFERS SERVICES TO HOSPITAL PATIENTS, FAMILY MEMBERS, AND CAREGIVERS PROVIDING PATIENT AND FAMILY COUNSELING, EMOTIONAL AND SPIRITUAL SUPPORT, ASSISTANCE WITH PLANNING FOR CARE AFTER A HOSPITAL STAY IN COLLABORATION WITH CARE MANAGEMENT TEAM, HELP WITH TREATMENT CHOICES AND DECISIONS, AND REFERRALS TO SPECIALISTS AND BEREAVEMENT COUNSELING. SUPPORT ORGAN DONATION PHOENIXVILLE HOSPITAL PROVIDES INFORMATION AND EDUCATION ABOUT ORGAN DONATION OPTIONS TO PATIENTS AND THEIR FAMILIES. PHOENIXVILLE HOSPITAL ACTIVELY PARTICIPATES IN THE HAP DONATE FOR LIFE CAMPAIGN EACH YEAR. AWARDED TITANIUM LEVEL FOR PARTICIPATION FROM HAP. EDUCATE HEALTHCARE PROFESSIONALS PHOENIXVILLE HOSPITAL HOSTS CLINICAL ROTATIONS FOR STUDENTS PURSUING ADVANCED PRACTITIONER CREDENTIALS. 31 APP STUDENTS FROM 11 DIFFERENT SCHOOLS COMPLETED CLINICALS IN A VARIETY OF AREAS INCLUDING ANESTHESIOLOGY, CARDIOLOGY, COMMUNITY HEALTH, EMERGENCY MEDICINE, OB/GYN, PROFESSIONAL DEVELOPMENT, AND WOMEN'S HEALTH. DNP - 1 STUDENT COMPLETED 200 HOURS. MSN - 2 STUDENTS COMPLETED 200 HOURS. APP - CRNA - 10 STUDENTS COMPLETED APPROXIMATELY 600 HOURS. APP- NP - 3 STUDENTS COMPLETED 600 HOURS. APP-PA - 15 STUDENTS COMPLETED 2460 HOURS. PHOENIXVILLE HOSPITAL SUPPORTED THREE (3) MEDICAL RESIDENCY PROGRAMS THIS YEAR. PODIATRY (3-YEAR PROGRAM) - 10 RESIDENTS PSYCHIATRY (3-YEAR PROGRAM AND FELLOWSHIP) - 30 RESIDENTS AND 2 FELLOWS INTERNAL MEDICINE (3-YEAR PROGRAM) -10 RESIDENTS PHOENIXVILLE HOSPITAL ALSO PROVIDES CLINICAL OPPORTUNITIES FOR SEVERAL POST-SECONDARY INSTITUTIONS: MONTGOMERY COUNTY COMMUNITY COLLEGE READING AREA COMMUNITY COLLEGE READING HOSPITAL OF HEALTH SCIENCES CHESTER COUNTY INTERMEDIATE UNIT PRACTICAL NURSING PROGRAM HOLY FAMILY UNIVERSITY UNIVERSITY OF DELAWARE UNIVERSITY OF RHODE ISLAND WIDENER UNIVERSITY HARRISBURG AREA COMMUNITY COLLEGE SUBURBAN COMMUNITY HOSPITAL PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE (PCOM) PHOENIXVILLE HOSPITAL PROVIDES CLINICAL ROTATIONS FOR NURSING STUDENTS THROUGHOUT THE YEAR FROM SEVERAL ACCREDITED NURSING PROGRAMS INCLUDING MONTGOMERY COUNTY COMMUNITY COLLEGE AND GWYNEDD MERCY UNIVERSITY. CLINICAL ROTATIONS ARE ALSO PROVIDED FOR THE NURSING LPN PROGRAM OF THE CHESTER COUNTY INTERMEDIATE UNIT (CCIU). NURSING RN PROGRAM -35 NURSING STUDENTS COMPLETED 4212 HOURS. NURSING LPN - 47 STUDENTS COMPLETED 2408 HOURS. CLINICAL OPPORTUNITIES ARE PROVIDED IN VARIOUS CLINICAL/NONCLINICAL AREAS: PT/OT/SLP - 30 STUDENTS COMPLETED 9576 HOURS. PHARMACY - 3 STUDENTS COMPLETED 144 HOURS. DIAGNOSTIC IMAGING - 9 STUDENTS COMPLETED 2890 HOURS. PARAMEDIC - 24 STUDENTS COMPLETED 576 HOURS. CASE MANAGEMENT - STUDENT COMPLETED 450 HOURS. RESPIRATORY THERAPY - 1 STUDENT COMPLETED 24 HOURS. GENETICS - 1 STUDENT COMPLETED 72 HOURS. MEDICAL STUDENTS PEDIATRICS (PCOM)- 17 STUDENTS ALLIED HEALTH STUDENTS FROM CHESTER COUNTY INTERMEDIATE UNIT (CCIU) AND PHOENIXVILLE AREA SCHOOL DISTRICT ALSO PERFORM CLINICAL OBSERVATIONS/ROTATIONS AT PHOENIXVILLE HOSPITAL. NURSING ALLIED HEALTH - 39 HIGH SCHOOL STUDENTS COMPLETED 840 HOURS PHOENIXVILLE HOSPITAL ALSO SUPPORTS A JOB SHADOWING/OBSERVER PROGRAM ALLOWING INDIVIDUALS WITH A HEALTH CARE INTEREST THE OPPORTUNITY TO EXPLORE DIFFERENT HEALTH CARE CAREERS. DURING FY2024, 10 LOCAL HIGH SCHOOL AND COLLEGE STUDENTS PARTICIPATED IN THE JOB SHADOWING PROGRAM, WHICH PROVIDED OPPORTUNITIES TO OBSERVE MEDICAL PROFESSIONALS IN THE HEALTHCARE SETTING. THE JOB SHADOWING PROGRAM PROVIDES INVALUABLE, HANDS-ON, PRACTICAL EXPERIENCES THAT ENHANCE A STUDENT'S ACADEMIC, PROFESSIONAL, AND PERSONAL DEVELOPMENT. ALSO, A THREE-WEEK HEALTHCARE CAREER STUDY PROGRAM WAS OFFERED TO 12 HIGH SCHOOL SENIORS AND ALSO PROVIDED AN OPPORTUNITY TO OBSERVE DIFFERENT HEALTH RELATED CAREERS. CONDUCT APPROPRIATE CLINICAL RESEARCH CLINICAL RESEARCH IS A CORE COMPONENT OF PHOENIXVILLE HOSPITAL'S MISSION AND PROVIDES PATIENTS WITH ACCESS TO CUTTING-EDGE TREATMENTS WITHOUT NEEDING TO TRAVEL FAR FROM HOME. IN FY2024, THE CLINICAL CANCER RESEARCH NURSE ENROLLED PATIENTS IN 8 DIFFERENT CLINICAL TRIALS. GENETIC SCREENING: PHOENIXVILLE HOSPITAL OFFERS GENETIC SCREENING AND COUNSELING TO PHYSICIAN REFERRED AND SELF-REFERRED MEMBERS OF THE COMMUNITY. THE SERVICE INCREASES AWARENESS AND PREVENTION EFFORTS OF THOSE WHO ARE AT HIGH RISK OF CANCER. ON FY2024, 401 PATIENTS RECEIVED GENETIC COUNSELING PROVIDING HEALTH AWARENESS AND PREVENTION BENEFITS. POTTSTOWN HOSPITAL: PROMOTING HEALTH: HEALTH OUTREACH FOR CHILDREN (NEWBORNS THROUGH TEENS), ADULTS, AND ALL AGES OPERATE A 24/7 EMERGENCY DEPARTMENT MAINTAIN 24/7 INTERPRETING SERVICES POTTSTOWN HOSPITAL OFFERS A NETWORK OF 24/7 VIDEO-REMOTE INTERPRETING STATIONS AND TELEPHONES FOR ANY LANGUAGE. MAINTAIN 24/7 SIGN LANGUAGE SERVICES POTTSTOWN HOSPITAL HAS SCHEDULE H, PART VI, LINE 6 TOWER HEALTH MEDICAL GROUP (THMG) IS A GROUP WITHIN THE HOSPITALS' AFFILIATED HEALTH CARE SYSTEM THAT PROVIDES GENERAL AND SPECIALIZED PRACTICE ASSISTANCE TO EACH OF THE ACUTE CARE HOSPITALS UNDER TOWER HEALTH. PHYSICIANS CAN REFER PATIENTS TO THE ACUTE CARE HOSPITALS' FOR FURTHER TREATMENT. SCHEDULE H, PART VI, LINE 7 PENNSYLVANIA true true false false false false false true false DAN AHERN EVP BUSINESS DEVELOP 670945 355861 186985 181008 27339 1422138 165196 SUZANNE WENDEROTH MD EVP/CMO TOWER HLTH 657349 200160 77789 177301 26924 1139523 76047 MICHAEL STERN COO TH 849021 690 225800 27356 1102867 MIKE EESLEY BOARD TREAS 7/1/23 900016 3810 11550 1041 916417 BERNARD BOULANGER EVP/CEO PROV ENTR 695020 3468 186308 19824 904620 P SUE PERROTTY CEO TOWER HEALTH 900000 900000 THERESE SUCHER FORMER EVP COO 766755 16057 782812 ROBERT EHINGER SVP ASSOC. CFO TH 407472 124057 68018 73579 17665 690791 64208 RICHARD T NEWELL JR CEO POTTS TERM 4/24 420290 58574 74890 26698 580452 57284 ZIAD OSMAN PHYSICIAN 487239 13842 11550 26775 539406 RICHARD MCLAUGHLIN CEO PHOE/POTTS 4/24 390206 690 11489 26924 429309 MARK MCNASH SVP SUPPORT 65282 171313 137059 7885 4580 386119 136602 MICHAEL SZYMANSKI VP CFO PHOEN/POTTS 294349 1980 7645 9479 313453 JOHN CASEY MD CEO THP TERM 12/23 223096 39724 30818 17573 311211 36989 SANDRA CRABTREE VP CNO PHOENIXVILLE 229897 46821 1480 5250 19046 302494 ANN BLANKENHORN FORMER CNO POTTSTOWN 242819 48564 548 8742 1040 301713 CLINT MATTHEWS FORMER PRES/CEO 269231 7912 277143 MARY AGNEW SVP CNO TERM 7/22 264206 9176 273382 AJAY JANI PHYSICIAN 234074 9352 8663 19234 271323 SCOTT RESWEBER PHYSICIAN 197115 62892 8792 453 269252 PAUL CHWIECKO PHYSICIAN 232288 4877 7730 450 245345 JOHN CACCIAMANI FORMER CEO CHES HILL 15878 179747 175 195800 179721 SCHEDULE J, PAGE 1, PART I, LINE 4 DAN AHERN 0 165,196 0 SUZANNE WENDEROTH, MD 0 76,047 0 THERESE SUCHER 771,494 0 0 ROBERT EHINGER 0 64,208 0 RICHARD T. NEWELL JR. 0 57,284 0 MARK MCNASH 0 136,602 0 JOHN CASEY, MD 0 36,989 0 CLINT MATTHEWS 269,231 0 0 MARY AGNEW 266,913 0 0 JOHN CACCIAMANI 0 179,721 0 SCHEDULE J, PAGE 1, PART I, LINE 7 TOWER HEALTH USES RETENTION BONUSES FOR KEY EXECUTIVES AS ONE WAY TO ENSURE CONTINUITY OF LEADERSHIP AS THE HEALTH SYSTEM NAVIGATES ITS ORGANIZATION TURNAROUND AND FULFILLS ITS MISSION IN A CHALLENGING ENVIRONMENT FOR HEALTHCARE PROVIDERS. THE DETAILS OF INDIVIDUAL EXECUTIVE RETENTION BONUSES ARE DEVELOPED WITH OVERSIGHT BY THE TOWER HEALTH BOARD OF DIRECTORS COMPENSATION COMMITTEE AND ARE APPROVED BY THE FULL TOWER HEALTH BOARD. AS IN ALL MATTERS OF EXECUTIVE COMPENSATION, THE BOARD RELIES ON MARKET DATA AND OUTSIDE EXPERTISE TO ENSURE ITS RETENTION BONUS PROGRAM IS CONSISTENT WITH INDUSTRY STANDARDS. DANIEL AHERN 355,861.00 SUZANNE WENDEROTH, MD 200,160.00 ROBERT EHINGER 124,057.00 SANDRA CRABTREE 46,821.00 MARCK MCNASH 171,313.00 ANN BLANKENHORN 48,564.00 SCHEDULE J, PART III PART I, LINE 4B TERMS AND CONDITIONS OF PARTICIPATION IN THE SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: THE 457(F) PLAN IS A TAX-DEFERRED RETIREMENT PLAN CONSISTING OF EMPLOYER CONTRIBUTIONS THAT ARE DESIGNED TO HELP SUPPLEMENT THE RETIREMENT SAVINGS FOR KEY EMPLOYEES. THE EMPLOYEE IS IMMEDIATELY ELIGIBLE TO RECEIVE TOWER HEALTH CONTRIBUTIONS TO THE 457(F) DEFERRED COMPENSATION PLAN. THE EMPLOYEE MUST BE EMPLOYED ON DECEMBER 31ST TO RECEIVE THE EMPLOYER CONTRIBUTION FOR THAT PLAN YEAR. THE EMPLOYEE SHALL BECOME 100% VESTED IN THE EMPLOYER CONTRIBUTION FOR THAT PLAN YEAR THREE YEARS AFTER THE CONTRIBUTION HAS BEEN MADE TO THE ACCOUNT. THE EMPLOYEE WILL ALSO BECOME 100% VESTED IN ALL OF THE EMPLOYER CONTRIBUTIONS: 1) UPON ATTAINING THE AGE 65 WHILE STILL EMPLOYED BY TOWER HEALTH 2) DUE TO DEATH OR DISABILITY 3) UPON TERMINATION OF EMPLOYMENT WITHOUT CAUSE PARTICIPATION IN PLAN: THE FOLLOWING PEOPLE PARTICIPATED IN THE 457(F) DEFERRED COMPENSATION PLAN DURING CALENDAR YEAR 2023 BUT DID NOT RECEIVE A DISTRIBUTION. MICHAEL STERN BERNARD BOULANGER COMPENSATION DISCLOSURE: THE COMPENSATION OF EXECUTIVES IS DETERMINED BY TOWER HEALTH'S BOARD OF DIRECTORS, WHICH HAS DULY APPOINTED AN EXECUTIVE COMPENSATION COMMITTEE (THE "COMMITTEE"), WHICH IS RESPONSIBLE FOR THE REVIEW AND APPROVAL OF ALL COMPENSATION AND BENEFITS PROVIDED TO THE HOSPITAL'S EXECUTIVE MANAGEMENT. THE COMMITTEE HAS ADOPTED A WRITTEN EXECUTIVE COMPENSATION PHILOSOPHY STATEMENT AND AN EXECUTIVE COMPENSATION COMMITTEE CHARTER GOVERNING THE WORK AND REVIEW PROCESS OF THE COMMITTEE. THE COMMITTEE FOLLOWS THE PROCEDURES DESCRIBED IN THE PHILOSOPHY STATEMENT AND THE CHARTER WHEN IT REVIEWS AND APPROVES THE COMPENSATION AND EMPLOYEE BENEFITS PROVIDED TO THE HOSPITAL'S SENIOR MANAGEMENT, INCLUDING THE CHIEF EXECUTIVE OFFICER AND THE CHIEF FINANCIAL OFFICER. THE COMMITTEE'S REVIEW ANALYZES EVERY ELEMENT OF COMPENSATION, INCLUDING CURRENT AND DEFERRED COMPENSATION, AND BENEFITS, INCLUDING QUALIFIED AND NON-QUALIFIED BENEFITS. THE COMMITTEE CONDUCTS ITS REVIEW AND APPROVAL PROCESS AT LEAST ANNUALLY, AND APPROVES COMPENSATION AND BENEFITS ONLY TO THE EXTENT THAT THE COMMITTEE HAS CONCLUDED THAT THE COMPENSATION AND BENEFITS CONSTITUTE NO MORE THAN REASONABLE COMPENSATION FOR EACH EXECUTIVE. THE COMMITTEE CONSISTS ENTIRELY OF DISINTERESTED MEMBERS OF THE BOARD, AND THE COMMITTEE WORKS WITH AN INDEPENDENT COMPENSATION CONSULTANT TO PREPARE AND REVIEW IN ADVANCE COMPREHENSIVE DATA SHOWING THE COMPENSATION PROVIDED BY SIMILARLY SITUATED ORGANIZATIONS FOR FUNCTIONALLY SIMILAR POSITIONS. THE COMMITTEE ALSO PREPARES A TIMELY AND THOROUGH WRITTEN RECORD OF ITS DELIBERATIONS AND CONCLUSIONS. AS A RESULT, THE COMMITTEE'S REVIEW PROCESS IS DESIGNED TO SATISFY THE PROCEDURAL CRITERIA NECESSARY TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE FEDERAL INCOME TAX LAW INTERMEDIATE SANCTIONS RULES. A THE BERKS COUNTY MUNICIPAL AUTHORIT SERIES 2012-ABCD 236647630 084538GX9 2012-06-28 479354940 SEE PART VI true false false B BERKS COUNTY IND DEV AUTHORITY SERIES 2017 237418629 08451PAY7 2017-10-31 646650683 SEE PART VI false false false C THE BERKS COUNTY MUNICIPAL AUTHORIT SERIES 2020 236647630 084538JC2 2020-02-11 321190756 SEE PART VI false false false A 313210000 479394377 3523736 24697 475845944 2005 true true true true B 10755000 648112763 4343979 200000000 443768784 2017 true true true true C 17250000 321190756 121916 321068840 2010 true false true true A false false true true false false false true B false false true true false false false true C false false true true false false false true A false false true true true false false false true B false false true true false false false false true C false false true true true false false false true A true B true C true PURPOSE OF ISSUE DESCRIPTION THE BERKS COUNTY MUNICIPAL AUTHORITY SEE PART VI PURPOSE OF ISSUE DESCRIPTION BERKS COUNTY IND DEV AUTHORITY SEE PART VI PURPOSE OF ISSUE DESCRIPTION THE BERKS COUNTY MUNICIPAL AUTHORITY SEE PART VI DATE REBATE COMPUTATION PERFORMED THE BERKS COUNTY MUNICIPAL AUTHORITY 12/28/12 DATE REBATE COMPUTATION PERFORMED BERKS COUNTY IND DEV AUTHORITY 04/30/18 DATE REBATE COMPUTATION PERFORMED THE BERKS COUNTY MUNICIPAL AUTHORITY 08/11/20 ADDITIONAL INFORMATION THE BERKS COUNTY MUNICIPAL AUTHORITY NOTE REGARDING THE REBATE COMPUTATIONS ON 12/28/2012 & 8/11/2020: SINCE THE BOND PROCEEDS HAVE BEEN SPENT, A SPENDING EXCEPTION WAS MET, AND THE DEBT SERVICE FUND WAS OPERATED ON A BONA FIDE BASIS, NO FURTHER REBATE CALCULATIONS ARE NECESSARY. ADDITIONAL INFORMATION BERKS COUNTY IND DEV AUTHORITY NOTE REGARDING THE REBATE COMPUTATION ON 4/30/2018: AS NO REBATABLE ARBITRAGE WAS EARNED ON THE ADVANCE REFUNDING ESCROW AND THE DEBT SERVICE FUND WAS OPERATED ON A BONA FIDE BASES, NO FURTHER REBATE ANALYSIS IS NECESSARY. PART I, ROW A, COLUMN (F) - REFUND PRIOR ISSUES (5/26/1994, 9/10/1988, 12/4/2008, 7/15/2009 & 2/2/2010) PART I, ROW B, COLUMN (F) - PURCHASE FACILITY AND REFUND PRIOR ISSUES (7/15/2009 & 9/29/2017) PART I, ROW C, COLUMN (F) - REFUND PRIOR ISSUES (7/15/2009, 6/28/2012, 5/16/2016 & 12/27/2017) PART II, COLUMN C, LINE 3 - THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN PART I, COLUMN (E) DUE TO INVESTMENT EARNINGS. PART III, LINE 9 ROUTINELY MONITORS THE USE OF BOND-FINANCED ASSETS AND REGULARLY ENGAGES BOND COUNSEL AS NECESSARY TO ENSURE ALL POST-ISSUANCE COMPLIANCE REQUIREMENTS ARE MET. FORM 990 - ORGANIZATION'S MISSION THE MISSION OF TOWER HEALTH IS TO PROVIDE COMPASSIONATE, ACCESSIBLE, HIGH QUALITY, COST EFFECTIVE HEALTHCARE TO THE COMMUNITY; TO PROMOTE HEALTH; TO EDUCATE HEALTHCARE PROFESSIONALS; AND TO PARTICIPATE IN APPROPRIATE CLINICAL RESEARCH. TOWER HEALTH (PARENT) IS A NON-PROFIT HEALTHCARE SYSTEM THAT PROVIDES CHARITABLE COMMUNITY-BASED HEALTHCARE SERVICES AND PROGRAMS TO IMPROVE THE HEALTH AND WELL-BEING OF THE PEOPLE AND THE COMMUNITIES IT SERVES IN THE GREATER BERKS, MONTGOMERY AND CHESTER AREAS THROUGH ITS SUBSIDIARIES (SEE FORM 990, SCHEDULE R). SUBSIDIARIES INCLUDE BUT ARE NOT LIMITED TO PHOENIXVILLE HOSPITAL, AND POTTSTOWN HOSPITAL, THE TWO OF WHICH ARE HELD IN SINGLE MEMBER LLCS THAT TOWER HEALTH IS THE SOLE MEMBER OF. AS A RESULT, THESE ARE TREATED AS DISREGARDED ENTITIES AND ALL OF THEIR INCOME AND ACTIVITIES ARE REPORTED ON TOWER HEALTH'S FORM 990. AS A PROVIDER OF DIRECT CARE, TOWER HEALTH ADDRESSES ISSUES OUTSIDE THAT REALM THAT IMPACT HEALTH AND WELLNESS. IN FACT, A KEY PART OF TOWER'S MISSION MEANS THE REINVESTMENT OF RESOURCES INTO THESE EFFORTS, WHICH ARE COLLECTIVELY KNOWN AS COMMUNITY BENEFIT. WE ARE PROUD TO REPORT THAT IN OUR LAST FISCAL YEAR, WE COLLECTIVELY COMMITTED NEARLY 32.7M TO THIS CAUSE. PHOENIXVILLE HOSPITAL: PHOENIXVILLE HOSPITAL IS COMMITTED TO SERVING AND IMPROVING THE HEALTH OF OUR COMMUNITY. PHOENIXVILLE HOSPITAL'S COMMUNITY HEALTH EDUCATION AND OUTREACH DEPARTMENT SUPPORTS THE HOSPITAL'S COMMUNITY ENGAGEMENT AND COMMUNITY BENEFIT ENDEAVORS. THE MISSION OF COMMUNITY HEALTH EDUCATION AND OUTREACH IS TO IMPROVE THE HEALTH STATUS OF OUR COMMUNITY THROUGH EVIDENCE-BASED PRACTICE AND HEALTH EDUCATION. THE COMMUNITY HEALTH DEPARTMENT ALSO MANAGES THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PROCESS. PHOENIXVILLE HOSPITAL'S MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN WAS COMPLETED IN 2022 AND IDENTIFIED AND PRIORITIZED FOUR AREAS OF FOCUS: ACCESS TO EQUITABLE HEALTHCARE, BEHAVIORAL HEALTH, DISEASE PREVENTION AND MANAGEMENT AND HEALTH EQUITY. THROUGHOUT THE FISCAL YEAR 2022, PHOENIXVILLE HOSPITAL WORKED TO DEVELOP AND IMPLEMENT STRATEGIES TO ADDRESS THE IDENTIFIED PRIORITY AREAS. ACCESS TO EQUITABLE HEALTHCARE - PHOENIXVILLE HOSPITAL DEPLOYS CONTINUOUS IMPROVEMENT EFFORTS TO BETTER UNDERSTAND THE CONTRIBUTING FACTORS THAT IMPEDE ACCESS TO EQUITABLE CARE AND HOW BEST TO ADDRESS IDENTIFIED BARRIERS AND GAPS IN HEALTHCARE AND SERVICES. 1.NURSE OUTREACH SITES - COMMUNITY HEALTH NURSES PROVIDE HEALTH INFORMATION AND RESOURCE REFERRALS TO VULNERABLE, DIVERSE, AND UNDERSERVED POPULATIONS IN THE COMMUNITY TO ADDRESS UNMET HEALTH CARE NEEDS. THERE ARE CURRENTLY 8 NURSE OUTREACH SITES AT LOW-INCOME HOUSING UNITS, LOCAL FOOD PANTRIES, VA HOUSING FACILITY, AND LOCAL CHURCHES. IN FY 2024, 950 PERSONS ATTENDED AN OUTREACH SITE. 2.RIDE HEALTH - THE RIDE HEALTH PROGRAM PROVIDES FREE TRANSPORTATION TO AND FROM APPOINTMENTS FOR ELIGIBLE PATIENTS IN AN EFFORT TO INCREASE ACCESS TO CARE. IN FY2024, THIS PROGRAM EXPERIENCED GROWTH AND PROVIDED 208 RIDES TO PATIENTS. 3.ACCESS TO TELEMEDICINE - COLLABORATION WITH COMMUNITY ORGANIZATIONS SERVING SENIORS TO PROVIDE TECHNOLOGY EDUCATION TO OLDER ADULTS INCLUDING TELEHEALTH EDUCATION ON ADVANCEMENTS IN HEALTHCARE, TECHNOLOGY, REMOTE PATIENT MONITORING, AND ACCESSING HEALTH PORTALS RESULTING IN EASIER AND FASTER ACCESS TO CARE. TELEHEALTH EDUCATION PROGRAMS HAVE BEEN OFFERED IN OUR SENIOR HEALTH PROGRAMS. 4.HEALTHY BABY PROGRAM - PHOENIXVILLE HOSPITAL PARTNERS WITH LOCAL OB/GYN PRACTICES TO IMPROVE ACCESS TO HIGH-QUALITY PRENATAL, DELIVERY, AND POST- PARTUM CARE TO UNINSURED PREGNANT WOMEN IN OUR PRIMARY SERVICE AREA. THE HEALTHY BABY PROGRAM WELCOMES ALL WOMEN IN NEED HOWEVER THE PRIMARY GROUP SERVED IS SPANISH AND PORTUGUESE SPEAKING UNINSURED WOMEN IN OUR PRIMARY SERVICE AREA. IN FY2024, 126 WOMEN WERE ENROLLED IN THE HEALTHY BABY PROGRAM. BEHAVIORAL HEALTH - THE NEED FOR ACCESS TO BEHAVIORAL HEALTH SERVICES BECAME MORE EVIDENT POST PANDEMIC AND PHOENIXVILLE HOSPITAL IS ADDRESSING MENTAL HEALTH ISSUES AND DRUG AND ALCOHOL ADDICTION. 1.AWARENESS OF BEHAVIORAL HEALTH RESOURCES- COMMUNITY ORGANIZATIONS WHICH PROVIDE BEHAVIORAL HEALTH ARE INVITED TO PARTICIPATE IN HOSPITAL COMMUNITY PROGRAMS TO INCREASE AWARENESS OF RESOURCES IN OUR COMMUNITY. WE HELD OUR 2ND ANNUAL MENTAL HEALTH FUN FAIR AT THE PHOENIXVILLE RECREATION CENTER AND COLLABORATED WITH 30 ORGANIZATIONS WHO SHARED MENTAL HEALTH RESOURCES AND WITH THE COMMUNITY. OVER 200 PEOPLE ATTENDED THE EVENT AND LEARNED ABOUT WAYS TO TAKE CARE OF YOUR MENTAL HEALTH. BEHAVIORAL HEALTH RESOURCES ARE SHARED WITH PARTICIPANTS AT ALL OF OUR NURSE OUTREACH SITES. 2.COMMUNITY BEHAVIORAL HEALTH PROGRAMS- HEALTH EDUCATION PROGRAMS FOCUSED ON BEHAVIORAL HEALTH ISSUES ARE OFFERED TO THE COMMUNITY. PROGRAMS ON DEPRESSION AND STRESS MANAGEMENT WERE OFFERED AT NURSE OUTREACH SITES. 3.BEHAVIORAL HEALTH SOCIAL MEDIA CAMPAIGN -COMMUNITY MEMBERS CAN ENGAGE WITH SOCIAL MEDIA POSTS FOCUSED ON BEHAVIORAL HEALTH ISSUES. THERE WERE MONTHLY SOCIAL MEDIA POSTS (FACEBOOK AND INSTAGRAM) SPECIFICALLY ADDRESSING MENTAL HEALTH WITH A REACH OF 12,374 PEOPLE. 4.EMPLOYEE WELLNESS INITIATIVES - PHOENIXVILLE HOSPITAL PROVIDES OPPORTUNITIES FOR STAFF TO STAY HEALTHY THROUGH ITS TOWER HEALTH WELLNESS PROGRAMS. AN EMPLOYEE ASSISTANCE PROGRAM (EAP) IS AVAILABLE TO SUPPORT EMPLOYEES IN IDENTIFYING ISSUES THAT MAY IMPACT THEIR HEALTH AND WELL-BEING AT HOME OR ON THE JOB. PERSONALIZED MENTAL HEALTH SERVICES FOR EMPLOYEES IS AVAILABLE THROUGH MARVIN TELEMEDICINE. ALSO, THE RISE PROGRAM PROVIDES PEER SUPPORT FOR STAFF. RISE STANDS FOR "RESILIENCE IN STRESSFUL EVENTS- AND OFFERS EMOTIONAL SUPPORT TO ANY STAFF MEMBER WHO ENCOUNTERS A STRESSFUL WORK-RELATED EVENT. THE VIRGIN PULSE APP IS AVAILABLE TO ALL EMPLOYEES AND PROVIDES UPDATES ON WAYS TO STAY HEALTHY AND JOIN CHALLENGES. THROUGH A PARTNERSHIP WITH FITBIT, PHOENIXVILLE HOSPITAL OFFERS DISCOUNTED FITBIT DEVICES TO HOSPITAL STAFF AND THEIR FAMILIES THROUGH ITS STOREFRONT. PET THERAPY IS OFFERED TO STAFF ON MONTHLY BASIS AND HAS BECOME A STAFF FAVORITE WELLNESS ACTIVITY. DISEASE PREVENTION AND MANAGEMENT - HEALTH EDUCATION PROGRAMS HELP PEOPLE BETTER UNDERSTAND HOW TO MANAGE EXISTING HEALTH CONDITIONS AND HOW TO PREVENT ILLNESS AND DISEASE. PHOENIXVILLE HOSPITAL'S COMMUNITY EDUCATION AND DISEASE PREVENTION PROGRAMS ARE DESIGNED TO ENGAGE AND EMPOWER INDIVIDUALS AND COMMUNITIES TO PRACTICE HEALTHY BEHAVIORS THAT REDUCE THE RISK OF DEVELOPING CHRONIC DISEASES AND TO IMPROVE MANAGEMENT FOR CHRONIC DISEASES SUCH AS HEART DISEASE, DIABETES, AND HIGH BLOOD PRESSURE. 1.CHRONIC DISEASE EDUCATION- IN AN EFFORT TO ADDRESS CHRONIC DISEASE PREVENTION AND MANAGEMENT, PHOENIXVILLE HOSPITAL HAS IMPLEMENTED A NUMBER OF COMMUNITY HEALTH INITIATIVES THROUGHOUT ITS PRIMARY SERVICE AREA FOCUSING ON OLDER ADULT, LOW INCOME, VETERANS, AND OTHER VULNERABLE POPULATIONS. DISEASE EDUCATION INCLUDES HEART DISEASE, HIGH BLOOD PRESSURE, DIABETES, OBESITY, AND OTHER HEALTH TOPICS. 2. A HEALTHY SENIOR PROGRAM HOSTS MONTHLY PROGRAMS TO PROVIDE HEALTH EDUCATION AND RESOURCES TO THE OLDER POPULATION. SESSIONS ARE HELD AT THE HOSPITAL AS WELL AS AT OTHER COMMUNITY ORGANIZATIONS SUCH AS THE PHOENIXVILLE YMCA AND THE PHOENIXVILLE RECREATION CENTER. MONTHLY HEALTH CHATS ARE ALSO HOSTED BY A COMMUNITY HEALTH NURSE AT SEVERAL SENIOR LIVING FACILITIES. IN FY2024, 659 SENIORS ATTENDED HEALTH EDUCATION PROGRAMS. 3.TOBACCO WELLNESS PROGRAMS - PHOENIXVILLE HOSPITAL IS RECIPIENT OF A STATE GRANT FROM TOBACCO SETTLEMENT FUNDS DISTRIBUTED BY THE DEPARTMENT OF HEALTH AND HEALTH PROMOTION COUNCIL. OUR CERTIFIED TOBACCO CESSATION COUNSELOR PROVIDES ONGOING SMOKING CESSATION SUPPORT, AND EDUCATION AND PREVENTION FOR ADULTS AND YOUTH. VAPING EDUCATION IS PROVIDED IN LOCAL SCHOOL DISTRICTS FOR PARENTS, TEACHERS, AND STUDENTS. IN FY2024, 327 STUDENTS ATTENDED A VAPING EDUCATION PROGRAM. ADDITIONALLY, 62 PERSONS ATTENDED A SMOKING CESSATION PROGRAM. 4.SPANISH/PORTUGUESE SPEAKING COMMUNITY- BASED OUTREACH - HEALTH EDUCATION AND RESOURCES TO ADDRESS NEEDS OF DIVERSE COMMUNITY ARE PROVIDED WITH BILINGUAL STAFF. A BILINGUAL INTERPRETER NOW ATTENDS NURSE OUTREACH AT OUR FOOD PANTRY SITE WHICH HAS A LARGE SPANISH/PORTUGUESE SPEAKING POPULATION SEEKING RESOURCES. IN FY2024 10 SESSIONS WERE HELD WITH BILINGUAL STAFF SERVING 93 PERSONS. 5.BLOOD PRESSURE SCREENINGS -BP SCREENINGS ARE OFFERED AT NURSE OUTREACH AND COMMUNITY EVENTS. IN FY2024, 950 PERSONS PARTICIPATED IN A BLOOD PRESSURE SCREENING. 6.CANCER PREVENTION EDUCATION AND SCREENING - CANCER PREVENTION AND SCREENING ACTIVITIES ARE PROVIDED AT HOSPITAL AND COMMUNITY EVENTS. TOBACCO CESSATION/VAPING EDUCATION TO STUDENTS AND PARENTS IS OFFERED. IN FY2024, 327 STUDENTS RECEIVED VAPING EDUCATION. MAMMOGRAM SCREENINGS ARE OFFERED TO THE COMMUNITY. A PARTNERSHIP WITH HEALTHCARE ACCESS PROVIDES RESOURCES TO OFFER FREE MAMMOGRAM SCREENINGS TO UNINSURED AND UNDERINSURED POPULATION. IN FY2024, 108 UNINSURED WO FORM 990 SALE OF CHESTNUT HILL HOSPITAL CHESTNUT HILL HOSPITAL LLC (EIN 82-2108660), LOCATED AT 8835 GERMANTOWN AVENUE, PHILADELPHIA, PA 19118, IS A 148-BED LICENSED ACUTE CARE HOSPITAL WHICH WAS ACQUIRED BY TOWER HEALTH FROM COMMUNITY HEALTH SYSTEMS, LLC EFFECTIVE OCTOBER 1, 2017. A BILL OF SALE WAS MADE AND ENTERED INTO AS OF DECEMBER 23, 2022. THE BUYER AGREED TO PURCHASE ALL THE ASSETS WHICH WERE OWNED, USED OR HELD FOR USE IN CONNECTION WITH CHESTNUT HILL HOSPITAL. THE SALE TRANSACTION WAS EFFECTIVE DECEMBER 31, 2022. FORM 990, PAGE 1, PART I, LINE 6 VOLUNTEERS INCLUDE BOARD MEMBERS WITHOUT COMPENSATION AND VOLUNTEERS (AGE 16 AND OLDER) PROVIDING VOLUNTEER SERVICES AT THE HOSPITALS. FORM 990, PAGE 2, PART III, LINE 4A ER/NURSING INPATIENT & OUTPATIENT PROGRAM: PHOENIXVILLE HOSPITAL: PHOENIXVILLE HOSPITAL EMERGENCY DEPARTMENT PROVIDES EMERGENCY, URGENT AND PRIMARY CARE SERVICES TO THE COMMUNITY "24/7/365" REGARDLESS OF ABILITY TO PAY. PHOENIXVILLE HOSPITAL ALSO PROVIDES IMMEDIATE ACCESS THROUGH ITS EMERGENCY DEPARTMENT TO ANCILLARY SERVICES, FROM SURGEONS TO ALL AREAS OF SPECIALTY CARE. PHOENIXVILLE HOSPITAL HAS "24/7/365" ON-CALL CONSULTANTS FOR PEDIATRIC EMERGENCY CASES THROUGH ST. CHRISTOPHER'S HOSPITAL FOR CHILDREN. LOCAL EMS PROVIDERS RELY ON PHOENIXVILLE HOSPITAL FOR ON-GOING MEDICAL EDUCATION. EMERGENCY ROOM VISITS FOR FY24 WERE 25,001. PHOENIXVILLE HOSPITAL INPATIENT UNITS INCLUDE MEDICAL SURGICAL, TELEMETRY AND INTENSIVE CARE UNITS, LABOR AND DELIVERY, REHABILITATION, NURSERY AND NICU. THEY PROVIDE INPATIENT ACUTE SERVICES INCLUDING SUPPORT SUCH AS LABORATORY, PHARMACY, PHYSICAL THERAPY AND RADIOLOGY. TOTAL PATIENT DAYS FOR FY24 WERE 37,260. POTTSTOWN HOSPITAL: POTTSTOWN HOSPITAL EMERGENCY DEPARTMENT PROVIDES EMERGENCY, URGENT AND PRIMARY CARE SERVICES 24/7/365 TO THE COMMUNITY. THE EMERGENCY DEPARTMENT SERVES PATIENTS FROM BERKS, MONTGOMERY AND CHESTER COUNTIES. THE POTTSTOWN HOSPITAL EMERGENCY DEPARTMENT IS THE SECOND BUSIEST EMERGENCY DEPARTMENT IN MONTGOMERY COUNTY. THERE IS A FULL COMPLEMENT OF SPECIALTY SERVICES PROVIDED AT THE LOCAL AND/OR TERTIARY LEVEL WITH OUR SYSTEM HOSPITAL IN READING. EMERGENCY ROOM VISITS FOR FY24 WERE 31,617. POTTSTOWN HOSPITAL INPATIENT UNITS INCLUDE MEDICAL SURGICAL, TELEMETRY AND INTENSIVE CARE UNITS. THEY PROVIDE INPATIENT ACUTE SERVICES INCLUDING SUPPORT SUCH AS LABORATORY, PHARMACY, PHYSICAL THERAPY AND RADIOLOGY. TOTAL PATIENT DAYS FOR FY24 WERE 32,078. THE BEHAVIORAL HEALTH UNIT AT POTTSTOWN HOSPITAL PROVIDES 24/7/365 SUPERVISION, TREATMENT, STABILIZATION AND PLACEMENT FOR ADULTS AND GERIATRIC ADULTS COPING WITH A VARIETY OF ISSUES, FOCUSING ON RETURNING THE INDIVIDUAL TO THE HIGHEST LEVEL OF COGNITIVE FUNCTIONING POSSIBLE. TOTAL PATIENT DAYS FOR FY24 WERE 6,722. FORM 990, PAGE 2, PART III, LINE 4B OPERATING ROOM SERVICES: PHOENIXVILLE HOSPITAL: PHOENIXVILLE HOSPITAL'S SURGICAL DEPARTMENT PROVIDES SURGICAL SERVICES TO THE COMMUNITY IN BOTH AN INPATIENT AND OUTPATIENT SETTING. THESE SERVICES INCLUDE: CARIOLOGY, CARDIO, THORACIS, ENT, ORTHOPEDICS, GYNECOLOGY, OBSTETRICS, UROLOGY, PAIN MANAGEMENT, PLASTIC, PODIATRY, NEURO AND GENERAL SURGERY. THE ROBOTICS SURGERY PROGRAM RECEIVED THE CENTER OF EXCELLENCE ACCREDITATION IN 2023. TOTAL PROCEDURES FOR FY24 WERE 9,117. POTTSTOWN HOSPITAL: POTTSTOWN HOSPITAL'S SURGICAL SERVICES DEPARTMENT PROVIDES EMERGENT, URGENT AND ELECTIVE SURGERIES TO THE COMMUNITY ON AN INPATIENT AND OUTPATIENT BASIS. EMERGENCY CASES CAN BE DONE 24/7/365 AND PATIENTS NEEDING A HIGHER LEVEL OF CARE CAN BE TRANSFERRED TO TERTIARY CENTERS IN THE AREA. POTTSTOWN HOSPITAL OFFERS, ORTHOPEDIC, VASCULAR, SPINE, ENT, MAXOFACIAL, PLASTIC, OB/GYN, OPHTHALMOLOGIC, UROLOGIC, PODIATRIC AND GENERAL SURGERY. TOTAL PROCEDURES FOR FY24 WERE 4,973. FORM 990, PAGE 2, PART III, LINE 4C RADIOLOGY/IMAGING PROGRAM: PHOENIXVILLE HOSPITAL: PHOENIXVILLE HOSPITAL RADIOLOGY DEPARTMENT PROVIDES IMAGING SERVICES TO THE COMMUNITY IN BOTH AN INPATIENT AND OUTPATIENT SETTING IN TWO LOCATIONS. THESE SERVICES INCLUDE BUT ARE NOT LIMITED TO PET/CT SCANS, ULTRASOUNDS, CT SCANS, MRIS, NUCLEAR MEDICINE, INTERVENTIONAL RADIOLOGY AND MAMMOGRAMS. PHOENIXVILLE HOSPITAL OFFERS FREE MAMMOGRAMS TO THE UNDERINSURED AND UNINSURED PATIENTS. TOTAL PROCEDURES FOR FY24 WERE 87,802. POTTSTOWN HOSPITAL: POTTSTOWN HOSPITAL RADIOLOGY DEPARTMENT PROVIDES IMAGING SERVICES TO THE COMMUNITY IN BOTH AN INPATIENT AND OUTPATIENT SETTING IN TWO LOCATIONS. THESE SERVICES INCLUDE BUT ARE NOT LIMITED TO PET/CT SCANS, ULTRASOUNDS, CT SCANS, MRIS, NUCLEAR MEDICINE, INTERVENTIONAL RADIOLOGY AND MAMMOGRAMS. TOTAL PROCEDURES FOR FY24 WERE 89,699. FORM 990, PAGE 2, PART III, LINE 4D EXPENSES INCURRED IN PROVIDING VARIOUS OTHER MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, OR ABILITY TO PAY. SERVICES INCLUDE BUT ARE NOT LIMITED TO: PHOENIXVILLE HOSPITAL: PHOENIXVILLE HOSPITAL PROVIDES OUTPATIENT SERVICES FOR LABORATORY, RADIOLOGY PATIENTS AND DIALYSIS PATIENTS. CANCER CENTER PATIENTS RECEIVE OUTPATIENT SERVICES BASED ON THEIR TREATMENT PLAN. CARDIO-PULMONARY PATIENTS UTILIZE THE 1ST FLOOR REHABILITATION GYM FOR PRESCRIBED AND MONITORED OUTPATIENT EXERCISE. TOTAL PROCEDURES FOR FY24 WERE 347,708. PHOENIXVILLE HOSPITAL ONCOLOGY SERVICES DEPARTMENT PROVIDES MEDICAL ONCOLOGY AND RADIATION THERAPY SERVICES TO THE COMMUNITY. WE PROVIDE CHARITY SERVICES TO OUR SERVICE AREA WHO MEET OUR CHARITY POLICY GUIDELINES. TARGETED THERAPIES IN OUR RECENTLY RENOVATED INFUSION SUITE SELECTIVELY AFFECT ONLY THE CELLS RELATED TO A PARTICULAR CANCER, CAUSING LESS DAMAGE AND FEWER SIDE EFFECTS TO SURROUNDING NON-CANCEROUS CELLS AND BODY SYSTEMS THAN TRADITIONAL CHEMOTHERAPY DRUGS. PHOENIXVILLE HOSPITAL ACTIVELY PARTICIPATES IN A NUMBER OF PREVENTIVE AND TREATMENT CLINICAL TRIALS THROUGH THE CANCER TRIAL SUPPORT UNIT (CTSU). TOTAL PROCEDURES FOR FY24 WERE 9,502 PHOENIXVILLE HOSPITAL PROVIDES PHARMACY SUPPORT TO ALL INPATIENTS AND CANCER CENTER PATIENTS WITH THEIR PHARMACEUTICAL NEEDS. POTTSTOWN HOSPITAL: POTTSTOWN HOSPITAL PROVIDES OUTPATIENT SERVICES FOR LABORATORY, RADIOLOGY, WOUND CARE AND PT/OT/SPEECH THERAPY PATIENTS. TOTAL PROCEDURES FOR FY24 WERE 435,390 POTTSTOWN HOSPITAL CANCER CENTER PROVIDES INPATIENT, OUTPATIENT AND INFUSION SERVICES TO ONCOLOGY PATIENTS IN THE COMMUNITY. THE POTTSTOWN HOSPITAL CANCER CENTER OFFERS A ROBUST SERVICE LINE INCLUSIVE OF MEDICAL AND RADIATION ONCOLOGY WITH RAPID ARC TECHNOLOGY WITH LINEAR ACCELERATOR AND CYBERKNIFE CAPABILITIES. THE POTTSTOWN HOSPITAL CANCER CENTER IS A FIVE-TIME RECIPIENT OF THE AMERICAN COLLEGE OF SURGEONS COUNCIL ON CANCER OUTSTANDING ACHIEVEMENT AWARD. THERE ARE ONLY 4 CANCER CENTERS IN THE UNITED STATES WHO HAVE ACHIEVED THIS DISTINCTION. POTTSTOWN HOSPITAL ACTIVELY PARTICIPATES IN A NUMBER OF PREVENTIVE AND TREATMENT CLINICAL TRIALS THROUGH THE CANCER TRIALS SUPPORT UNIT (CTSU). TOTAL PROCEDURES FOR FY24 WERE 19,847. POTTSTOWN HOSPITAL PROVIDES PHARMACY SUPPORT TO ALL INPATIENTS AND CANCER CENTER PATIENTS WITH THEIR PHARMACEUTICAL NEEDS. TOWER HEALTH URGENT CARE: TOWER HEALTH URGENT CARE LOCATIONS ARE LOCATED IN BERKS AND MONTGOMERY COUNTY. WE SPECIALIZE IN TREATING NON-LIFE-THREATENING ILLNESSES AND INJURIES. WE PROVIDE COORDINATED AND COMPREHENSIVE EXAMS FOR SCHOOL, CAMP, SPORTS, AND PRE- EMPLOYMENT, AS WELL AS PROFESSIONAL DRIVER EXAMS FROM OUR LICENSED, CERTIFIED MEDICAL EXAMINERS WITH THE DEPARTMENT OF TRANSPORTATION. AS A PREFERRED PROVIDER FOR MANY EMPLOYERS, WE ARE EQUIPPED TO HANDLE OCCUPATIONAL HEALTH NEEDS INCLUDING IMMUNIZATIONS, SCREENINGS, DOT AND CDL PHYSICALS. TELEMEDICINE HAS BECOME WIDELY ACCEPTED WITH THE ADVANCES IN REMOTE MEDICAL TECHNOLOGIES. TOWER HEALTH URGENT CARE FACILITIES ACHIEVED ACCREDITATION FROM THE URGENT CARE ASSOCIATION (UCA), WHICH IS THE HIGHEST LEVEL OF DISTINCTION FOR URGENT CARE CENTERS. THIS RECOGNITION WAS EARNED AFTER A COMPREHENSIVE SURVEY, WHICH INCLUDED ONSITE VISITS AND VIRTUAL SURVEYS WITH STAFF MEMBERS BY UCA ACCREDITATION SURVEYORS. THIS ACCREDITATION ENSURES ALL TOWER HEALTH URGENT CARE LOCATIONS HAVE MET ALL UCA'S STANDARDS AND CRITERIA FOR QUALITY OF PATIENT CARE, SAFETY, AND SCOPE OF SERVICES. TOWER HEALTH PROVIDERS: TOWER HEALTH PROVIDERS (THP) WAS FORMED TO DEVELOP A PHYSICIAN NETWORK TO WORK IN CONJUNCTION WITH TOWER HEALTH TO IMPLEMENT A CLINICAL INTEGRATION PROGRAM. CLINICAL INTEGRATION IS THE IMPLEMENTATION OF AN ACTIVE AND ONGOING PROGRAM TO EVALUATE AND MODIFY PRACTICE PATTERNS BY THE NETWORK'S PHYSICIAN PARTICIPANTS AND CREATE A HIGH DEGREE OF INTERDEPENDENCE AND COOPERATION AMONG THE PHYSICIANS TO CONTROL COSTS AND IMPROVE THE QUALITY AND EFFICIENCY OF HEALTH CARE FOR THE NETWORK'S PHYSICIAN PARTICIPANTS AND THE ENTIRE HEALTH CARE COMMUNITY SERVED. TOWER HEALTH PROVIDERS (THP) IS AN EXTENSIVE, HIGH-VALUE NETWORK OF PROVIDERS FROM ALL SPECIALTIES SPREAD ACROSS A WIDE GEOGRAPHY. OUR ORGANIZATION ENSURES PARTICIPATING PROVIDERS ALIGN WITH EVIDENCE-BASED MEDICINE PRACTICES IN A CULTURE OF ACCOUNTABILITY AND COLLABORATION. THESE PRINCIPALS CONTINUE TO DRIVE HEALTHCARE TRANSFORMATION THROUGH IMPROVED QUALITY, COST EFFICACY, AND INCREASED PATIENT AND PROVIDER SATISFACTION. THP CREATES OPPORTUNITIES FOR THE ALIGNMENT OF NEW INCENTIVES AND ALTERNATE PAYMENT MODELS FOR PROVIDERS. BY BRINGING TOGETHER THE BEST PROVIDERS WITH THE STRONGEST HEALTHCARE SYSTEMS, THP IS HELPING PROVIDERS AND PRACTICES BENEFIT FROM THESE NEW ARRANGEMENTS. TOWERDIRECT: TOWERDIRECT IS A UNIFIED PATIENT TRANSPORTATION SYSTEM THAT SERVES BERKS COUNTY AND THE TOWER HEALTH SERVICE AREA. HAVING A UNIFIED AMBULANCE SERVICE SUPPORTS TOWER HEALTH'S GOAL OF PROVIDING PATIENTS WITH TIMELY AND HIGH-QUALITY CARE, WHILE DEVELOPING AN EMS PROGRAM THAT CAN GROW, INNOVATE, AND BETTER RESPOND TO THE EVER-CHANGING HEALTHCARE ENVIRONMENT. TOWERDIRECT IS A MULTIFACETED EMS SOLUTION TO OUR PATIENTS, CO-WORKERS, AND COMMUNITIES. BENEFITS TO THE COMMUNITY INCLUDE: IMPROVED AVAILABILITY AND SUSTAINABILITY OF EMERGENCY, NON-EMERGENCY, CRITICAL CARE, AND PEDIATRIC PATIENT TRANSPORT SERVICES FOR COMMUNITIES WITHIN BERKS COUNTY AND THE TOWER HEALTH SERVICE AREA; THE OPPORTUNITY TO ENHANCE PATIENT CARE AND IMPROVE OPERATIONAL PERFORMANCE; REAL-TIME ACCESS TO THE TOWER HEALTH ELECTRONIC MEDICAL RECORDS TO MEASURE AND IMPROVE PATIENT OUTCOMES; BETTER ACCESS TO PATIENT TRANSPORT SERVICES, IMPROVING THE TIMELINESS OF DISCHARGE FROM INPATIENT AND OUTPATIENT FACILITIES; ENHANCED EFFORTS TO IMPROVE PATIENT CARE INITIATION AND TRANSITIONS IN CARE SETTINGS; AND THE ABILITY TO ENHANCE COMMUNITY PARAMEDICINE AND PATIENT OUTREACH PROGRAMS. TOWERDIRECT OFFERS SEVERAL PROACTIVE AND PREVENTIVE HEALTH SERVICES, INCLUDING: HOME VISITS - UPON THE PROVIDER'S REQUEST, MEMBERS OF THE TOWERDIRECT TEAM PROVIDE IN-HOME VISITS TO CONFIRM THE PATIENT HAS ALL PRESCRIBED MEDICATIONS AND IF REMOTE MONITORING IS UTILIZED, TO MAKE SURE THE EQUIPMENT IS SET UP CORRECTLY. PUBLIC EVENT SUPPORT - TOWERDIRECT ROUTINELY ATTENDS CONCERTS COUNTY FAIRS, AND OTHER COMMUNITY EVENTS IN CASE AN ATTENDEE NEEDS ON-SITE MEDICAL CARE OR MEDICAL TRANSPORTATION. SAFETY PRESENTATIONS - THE TOWERDIRECT TEAM GIVES PRESENTATIONS AT SCHOOLS, LIBRARIES, AND OTHER PUBLIC VENUES UPON REQUEST. TOPICS INCLUDE CAR SEAT SAFETY, FALL PREVENTION AND BIKE AND HELMET SAFETY. FORM 990, PART V THE ORGANIZATION DOES NOT FILE FORMS W-2, 1099-MISC,OR FORMS 1096. THE ORGANIZATION AND ITS RELATED ORGANIZATION, READING HOSPITAL (EIN 23- 1352204), SHARE ADMINISTRATIVE RESPONSIBILITIES. AS SUCH, READING HOSPITAL ADMINISTERS PAYMENTS TO INDEPENDENT CONSULTANTS AND FURNISHES FORMS 1099- MISC, AS REQUIRED, AND IS RESPONSIBLE FOR FILING TOWER HEALTH'S (EIN 23- 2201344)FORM 1096 AND W-2 FILINGS. FORM 990, PAGE 6, PART VI, LINE 11B THE FORM 990 IS PREPARED BY HOSPITAL STAFF, REVIEWED BY AN EXTERNAL TAX ADVISOR AND POSTED ON A WEBSITE FOR BOARD MEMBERS PRIOR TO FILING WITH THE IRS. MEMBERS ARE ALERTED TO INFORMATION AND NOTICES. A COPY OF THE 990 IS MAILED TO ANY BOARD MEMBER UNABLE TO VIEW THIS SITE. FORM 990, PAGE 6, PART VI, LINE 12C IT SHALL BE THE POLICY OF THE HOSPITAL TO REQUIRE EACH BOARD MEMBER, OFFICER AND KEY EMPLOYEE TO SUBMIT IN WRITING TO THE CHIEF EXECUTIVE OFFICER A LIST OF BUSINESSES OR OTHER ORGANIZATIONS OF WHICH THE MEMBER, MEMBER'S SPOUSE, A DESCENDANT, OR A SPOUSE OF A DESCENDANT IS AN OFFICER, DIRECTOR, MEMBER EMPLOYEE OR OWNER (35% OR GREATER SHARE) WITH WHICH THE COMPANY MIGHT REASONABLY ENTER INTO A RELATIONSHIP OR A TRANSACTION IN WHICH THE BOARD MEMBER, OFFICER AND KEY EMPLOYEE WOULD HAVE CONFLICTING INTERESTS. EACH YEAR A COPY OF THE WRITTEN STATEMENT WILL BE SENT TO THE BOARD MEMBER FOR UPDATING AND RESUBMISSION AND BY WHICH THE BOARD MEMBER, OFFICER AND KEY EMPLOYEE SHALL CONFIRM HIS OR HER AWARENESS OF THIS POLICY. PROCEDURES FOR ADDRESSING A CONFLICT OF INTEREST: A. AFTER THE BOARD OR COMMITTEE HAS DETERMINED THAT A MEMBER IS INDEED CONFLICTED, THE CONFLICTED PERSON MAY BE COUNTED IN DETERMINING WHETHER THERE IS A QUORUM TO ACT, BUT MAY NOT VOTE UPON THE MATTER. THE CONFLICTED MEMBER, OR A CONFLICTED OFFICER WHO IS NOT A MEMBER, MAY NEVERTHELESS MAKE A PRESENTATION TO THE BOARD OR COMMITTEE ON THE MATTER BUT, AFTER THE PRESENTATION, THE CONFLICTED PERSON SHALL LEAVE THE MEETING DURING THE DISCUSSION OF AND VOTE ON THE MATTER. B. THE BOARD OR COMMITTEE CHAIR MAY APPOINT ONE OR MORE DISINTERESTED PERSONS TO INVESTIGATE POSSIBLE RESOLUTIONS OF THE MATTER THAT ARE DEVOID OF THE CONFLICT OF INTEREST. C. THE BOARD OR COMMITTEE SHALL EXERCISE DUE DILIGENCE TO DETERMINE WHETHER TH CAN ADDRESS THE MATTER MORE ADVANTAGEOUSLY BY MEANS THAT AVOID THE CONFLICT OF INTEREST. D. IF THE MATTER CANNOT BEADDRESSED MORE ADVANTAGEOUSLY BY MEANS THAT AVOID THE CONFLICT OF INTEREST, OR IF OTHER APPROACHES TO RESOLUTION ARE IMPRACTICAL UNDER THE CIRCUMSTANCES, THE BOARD OR COMMITTEE SHALL DETERMINE WHETHER THE PROPOSED TRANSACTION OR CONTRACT IS IN TH'S BEST INTERESTS, WHETHER IT IS FAIR AND REASONABLE, AND WHETHER TO ENTER INTO IT. E. IF THE BOARD DETERMINES THAT THERE HAS BEEN A VIOLATION OF THIS POLICY, THE BOARD SHALL TAKE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION, WHICH MAY INCLUDE REMOVAL (IF THE INTERESTED PERSON IS A BOARD OR COMMITTEE MEMBER) OR TERMINATION (IF THE INTERESTED PERSON IS AN EMPLOYEE). INTENTIONALLY OR REPEATEDLY FAILING TO ADHERE TO THIS POLICY IS GROUNDS FOR REMOVAL FROM THE BOARD AND ITS COMMITTEES. FORM 990, PAGE 6, PART VI, LINE 15A TOWER HEALTH'S BOARD OF DIRECTORS HAS DULY APPOINTED AN EXECUTIVE COMPENSATION COMMITTEE (THE "COMMITTEE"), WHICH IS RESPONSIBLE FOR THE REVIEW AND APPROVAL OF ALL COMPENSATION AND BENEFITS PROVIDED TO THE HOSPITAL'S EXECUTIVE MANAGEMENT. THE COMMITTEE HAS ADOPTED A WRITTEN EXECUTIVE COMPENSATION PHILOSOPHY STATEMENT AND AN EXECUTIVE COMPENSATION COMMITTEE CHARTER GOVERNING THE WORK AND REVIEW PROCESS OF THE COMMITTEE. THE COMMITTEE FOLLOWS THE PROCEDURES DESCRIBED IN THE PHILOSOPHY STATEMENT AND THE CHARTER WHEN IT REVIEWS AND APPROVES THE COMPENSATION AND EMPLOYEE BENEFITS PROVIDED TO THE HOSPITAL'S SENIOR MANAGEMENT, INCLUDING THE CHIEF EXECUTIVE OFFICER AND THE CHIEF FINANCIAL OFFICER. THE COMMITTEE'S REVIEW ANALYZES EVERY ELEMENT OF COMPENSATION, INCLUDING CURRENT AND DEFERRED COMPENSATION, AND BENEFITS, INCLUDING QUALIFIED AND NON-QUALIFIED BENEFITS. THE COMMITTEE CONDUCTS ITS REVIEW AND APPROVAL PROCESS AT LEAST ANNUALLY, AND APPROVES COMPENSATION AND BENEFITS ONLY TO THE EXTENT THAT THE COMMITTEE HAS CONCLUDED THAT THE COMPENSATION AND BENEFITS CONSTITUTE NO MORE THAN REASONABLE COMPENSATION FOR EACH EXECUTIVE. THE COMMITTEE CONSISTS ENTIRELY OF DISINTERESTED MEMBERS OF THE BOARD, AND THE COMMITTEE WORKS WITH AN INDEPENDENT COMPENSATION CONSULTANT TO PREPARE AND REVIEW IN ADVANCE COMPREHENSIVE DATA SHOWING THE COMPENSATION PROVIDED BY SIMILARLY SITUATED ORGANIZATIONS FOR FUNCTIONALLY SIMILAR POSITIONS. THE COMMITTEE ALSO PREPARES A TIMELY AND THOROUGH WRITTEN RECORD OF ITS DELIBERATIONS AND CONCLUSIONS. AS A RESULT, THE COMMITTEE'S REVIEW PROCESS IS DESIGNED TO SATISFY THE PROCEDURAL CRITERIA NECESSARY TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE FEDERAL INCOME TAX LAW INTERMEDIATE SANCTIONS RULES. FORM 990, PAGE 6, PART VI, LINE 15B SAME RESPONSE AS LINE 15A. FORM 990, PAGE 6, PART VI, LINE 19 THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. FORM 990, PART IX, LINE 11G OUTSIDE SERV/OTHER FEES 3,773,626 0 0 OUTSIDE SERV/OTHER FEES 0 556,070 0 PHYSICIAN FEES/OTHER 9,575,182 0 0 PHYSICIAN FEES/OTHER 10,598,175 0 0 PHYSICIAN FEES/OTHER 7,763,538 0 0 PHYSICIAN FEES/OTHER 25,363,848 21,960 0 TOTAL 57,074,369 578,030 0 FORM 990, PART XI, LINE 9 UNRESTRICTED NET ASSETS -42,736 INTERCOMPANY ASSET TRANSFER 59,497,775 INCOME TAX EXPENSE -187,083 LAND IMPAIRMENT -2,606,381 OTHER ASSETS 6,019 TOTAL 56,667,594 TOWER HEALTH PROVIDERS LLC PO BOX 16053 READING PA 196126052 463459501 HEALTHCARE PA 2343122 119674 TOWER HLTH BRANDYWINE HOSPITAL LLC 201 REECEVILLE ROAD COATESVILLE PA 19320 822086906 CLOSED PA -156629 4510403 TOWER HLTH CHESTNUT HILL HOSPITAL LLC 8835 GERMANTOWN AVE PHILADELPHIA PA 19118 822108660 HOSPITAL PA 4172137 -1806250 TOWER HLTH JENNERSVILLE HOSPITAL LLC 1015 W BALTIMORE PIKE WEST GROVE PA 19390 822116582 CLOSED PA 23158 98693 TOWER HLTH PHOENIXVILLE HOSPITAL LLC 140 NUTT ROAD PHOENIXVILLE PA 19460 822062413 HOSPITAL PA 182586125 -70388390 TOWER HLTH POTTSTOWN HOSPITAL LLC 1600 EAST HIGH STREET POTTSTOWN PA 19464 822132538 HOSPITAL PA 151925356 -163139216 TOWER HLTH TOWER HEALTH ENTERPRISES LLC 420 SOUTH 5TH AVENUE WEST READING PA 19611 822203526 HEALTHCARE PA 1226 3080298 TOWER HLTH CHESTNUT HILL DEVELOPMENT 8835 GERMANTOWN AVE PHILADELPHIA PA 19118 822585433 MED SERV PA CNH HOSP TOWERDIRECT LLC 420 SOUTH 5TH AVENUE WEST READING PA 19611 455349097 MED SERV PA -3869830 3819551 TH ENTERPR TOWER HEALTH URGENT CARE LLC 420 SOUTH 5TH AVENUE WEST READING PA 19611 611903284 MED SERV PA 18778521 8278922 TH ENTERPR TOWER HEALTH CVO LLC 420 SOUTH 5TH AVENUE WEST READING PA 19611 831423785 MED CRED PA TH ENTERPR READING HOSPITAL 420 SOUTH 5TH AVENUE WEST READING PA 19611 231352204 HEALTHCARE PA 501C3 3 TH true THE RDG HOSPITAL & MED CENTER SELF- 420 SOUTH 5TH AVENUE WEST READING PA 19611 232087514 TRUST FUND PA 501C3 12B TH true TOWER HEALTH MEDICAL GROUP 420 SOUTH 5TH AVENUE WEST READING PA 19611 232266054 HEALTHCARE PA 501C3 3 TH true READING HOSPITAL FOUNDATION 420 SOUTH 5TH AVENUE WEST READING PA 19611 473054125 SUPPORTING PA 501C3 12B TH true TOWER HEALTH AT HOME 420 SOUTH 5TH AVENUE WEST READING PA 19611 231466250 HEALTHCARE PA 501C3 3 TOWER HLTH true THAH - ADVANTAGE HOME CARE 420 SOUTH 5TH AVENUE WEST READING PA 19611 232469319 HEALTHCARE PA 501C3 3 THAH true READING-UPMC JOINT VENTURE LLC 600 GRANT STREET PITTSBURGH PA 15219 814566751 HEALTHCARE PA N/A RELATED 1257698 false true 0.50000 TOWER HEALTH PPO FKA BHP PO BOX 14744 READING PA 19612 232430798 PPO PA NA C CORP false MEDICUS RESOURCE MANAGEMENT PO BOX 14744 READING PA 19612 232565297 CM REVIEW PA NA C CORP false TOWER HEALTH RECIPROCAL RISK 151 MEETING STREET SUITE 301 CHARLESTON SC 29401 822758845 INSURANCE SC TOWER HLTH C CORP 14175596 47316158 1.00000 false false false false true false false false false false false false false false true true false false false false READING HOSPITAL D 31681157 GL TRANSACTIONS