2022-05-13T08:58:19-05:00 2021-06-30 135565207 KPMG LLP 8350 BROAD STREET STE 900 MCLEAN VA 22102 990 2020-07-01 231352204 READING HOSPITAL READ 4846284307 PO BOX 16052 READING PA 196126052 P SUE PERROTTY TOWER HLTH PRES/CEO 4846284307 2022-05-13 true P SUE PERROTTY XXX-XX-XXXX ANDREW ROE P01876391 7032868000 2022-05-13 2020 2022-09-23 18:48:47Z WILLIAM JENNINGS PO BOX 16052 READING PA 196126052 1266780463 false X SEE SUPPLEMENTAL DISCLOSURE X 1869 PA TO PROVIDE COMPASSIONATE, ACCESSIBLE, HIGH QUALITY, COST EFFECTIVE CARE TO THE COMMUNITY: TO PROMOTE HEALTH; TO EDUCATE HEALTHCARE PROFESSIONALS; AND TO PARTICIPATE IN APPROPRIATE CLINICAL RESEARCH. 15 7 7398 206 1946091 57246426 20605743 929652693 1184004055 496112 226820 47623882 59004420 1035019113 1263841038 0 0 532485465 502137766 0 0 439053252 574433097 971538717 1076570863 63480396 187270175 1183713752 1056250681 1043898922 990837672 139814830 65413009 X WEBSITE: WWW.TOWERHEALTH.ORG/LOCATIONS/READING-HOSPITAL THE MISSION OF READING HOSPITAL 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. IN ADDITION TO ITS PRIMARY ROLE AS A PROVIDER OF DIRECT CARE, READING HOSPITAL ADDRESSES ISSUES OUTSIDE THAT REALM THAT IMPACT HEALTH AND WELLNESS. IN FACT, A KEY PART OF OUR MISSION MEANS THE REINVESTMENT OF OUR RESOURCES INTO THESE EFFORTS, WHICH ARE COLLECTIVELY KNOWN AS COMMUNITY BENEFIT. READING HOSPITAL'S COMMUNITY WELLNESS DEPARTMENT SUPPORTS THE HOSPITAL'S COMMUNITY ENGAGEMENT AND COMMUNITY BENEFIT ENDEAVORS. THE DEPARTMENT'S MISSION IS THREE PRONGED AND SEEKS TO LEAD, PARTNER, AND INVEST IN STRATEGIC HEALTH INITIATIVES THAT TARGET THE UNDERSERVED AND ADDRESS HEALTH DISPARITIES AND SOCIAL DETERMINANTS OF HEALTH. THE COMMUNITY WELLNESS DEPARTMENT ALSO MANAGES THE COMMUNITY HEALTH NEEDS AS false false 165522363 289389433 INPATIENT CARE - 203,050 PATIENT DAYS READING HOSPITAL PROVIDES 725 BEDS FOR PROVISION OF COMPREHENSIVE INPATIENT, OUTPATIENT, AND EMERGENT CARE. INPATIENT CARE IS PROVIDED IN 2 CRITICAL CARE UNITS, 2 INTERMEDIATE CARE UNITS, 3 ACUTE REHABILITATION UNITS, AND 13 MEDICAL SURGICAL UNITS WITH SUB-SPECIALTIES THAT INCLUDE ONCOLOGY, NEUROLOGY, CARDIOLOGY, HEART FAILURE, ORTHOPEDICS, TRAUMA, BARIATRIC SURGERY, AND MEDICAL COMPLEXITY. IN ADDITION, READING HOSPITAL PROVIDES COMPREHENSIVE MATERNAL CHILD HEALTH SERVICES THAT INCLUDE OBSTETRICS, NEONATAL INTENSIVE CARE, INPATIENT PEDIATRIC MEDICAL SURGICAL CARE, AND PEDIATRIC EMERGENCY SERVICES. INPATIENT SERVICES ARE SUPPORTED BY HOSPITAL-BASED HEMODIALYSIS, APHERESIS, AND VASCULAR ACCESS SERVICES. READING HOSPITAL INPATIENT CARE OFFERS THE FOLLOWING HIGH LEVEL SERVICES TO SUPPORT COMMUNITIES WITHIN BOTH ITS PRIMARY AND SECONDARY MARKETS: 1.REGIONAL CANCER, CARDIAC, AND PRIMARY STROKE CENTERS 2.REGIONAL TRANSPLANT (KIDNEY AND LIVER) CENTER 3.TRAUMA LEVEL 1 CENTER (ONLY LEVEL 1 CENTER WITHIN THE COUNTY) 4.REGIONAL LEVEL III NEONATAL INTENSIVE CARE UNIT 5.VIRTUAL INTENSIVE CARE UNIT (VICU) 6.CHARITY CARE PROGRAM IN ADDITION, READING HOSPITAL INPATIENT CARE IS ALIGNED WITH SYSTEM PROGRAMS TO IMPROVE POST DISCHARGE CARE OUTCOMES, CARE ACROSS THE CONTINUUM FROM INPATIENT TO AMBULATORY SETTING, AND DECREASED READMISSION, INCLUDING 1.COMPREHENSIVE POPULATION HEALTH SERVICES 2.TOWER HEALTH STREET MEDICINE PROGRAM - A PROGRAM TO PROVIDE HEALTH SERVICES AND PREVENTATIVE CARE TO HOMELESS POPULATION WITHIN THE COMMUNITY 3.TELE-HEALTH SUPPORT OF HEART FAILURE PATIENT POPULATION TO HELP PREVENT READMISSIONS THROUGH THE REMOTE MONITORING OF BP AND WEIGHT READING HOSPITAL WAS MAGNET DESIGNATED FOR NURSING AND PATIENT CARE EXCELLENCE IN 2016 AND IS CURRENTLY IN THE REDESIGNATION PROCESS; THIS NATIONAL LEVEL DESIGNATION BY THE AMERICAN NURSES CREDENTIALING CENTER IS RENEWED EVERY FOUR YEARS. THIS DESIGNATION INDICATES THAT READING HOSPITAL INPATIENT UNITS, EMERGENCY DEPARTMENT, PERIOPERATIVE SERVICES, AND AMBULATORY CARE DEPARTMENTS EXCEED NATIONAL BENCHMARKS FOR NURSING QUALITY INDICATORS, PATIENT SATISFACTION WITH NURSING CARE, AND NURSE SATISFACTION. EMERGENCY CARE - 100,166 EMERGENCY ROOM VISITS READING HOSPITAL EMERGENCY DEPARTMENT PROVIDES EMERGENCY, URGENT AND PRIMARY CARESERVICES TO OUR COMMUNITY "24/7/365," REGARDLESS OF ABILITY TO PAY. VOLUME TO RH EMERGENCY DEPARTMENT RANKS IT AMONG THE TOP THREE IN THE STATE OF PENNSYLVANIA YEAR AFTER YEAR. AS THE AREA'S ONLY ACCREDITED LEVEL 1 TRAUMA CENTER, RH ALSO PROVIDES IMMEDIATE ACCESS THROUGH ITS EMERGENCY DEPARTMENT TO ALL SPECIALTY SERVICES, FROM TRAUMA SURGEONS TO PLASTIC SURGEONS, AND ALL AREAS OF SPECIALTY CARE. THE HOSPITAL ALSO HAS A PEDIATRIC AND PSYCHIATRIC EMERGENCY DEPARTMENT. IN ADDITION TO ITS TRAUMA CERTIFICATION, RH IS THE ONLY HOSPITAL IN THE REGION TO HAVE MADE A COMMITMENT TO ACCREDITED CARE IN STROKE AND CHEST PAIN. THE HOSPITAL ALSO IS A CENTER OF EXCELLENCE WITH 24/7 CERTIFIED RECOVERY SPECIALISTS ON SITE TO PROVIDE WARM HAND-OFFS TO PATIENTS WITH OPIOID AND OTHER SUBSTANCE USE DISORDERS. THE DEPARTMENT OFFERS SEXUAL ASSAULT NURSE EXAMINER (SANE) PROGRAM WITH THE BERKS COUNTY DISTRICT ATTORNEY TO ASSIST VICTIMS OF SEXUAL ASSAULT. THE HOSPITAL ALSO HAS AN EMERGENCY MEDICINE TRAINING PROGRAM, PARAMEDIC SCHOOL AND NURSING PROGRAM. 56175164 108228773 OPERATING ROOM - 17,935 TOTAL SURGERIES READING HOSPITAL OPERATES IN A MARKET SERVED BY NEARLY 20 SPECIALTY, INVESTOR-OWNED FACILITIES, WHICH CARVE OUT THE BEST PAYING INSURANCE PLANS, THE HIGHEST MARGIN PROCEDURES, AND THE LEAST COMPLICATED PATIENTS TO SERVE. BY CONTINUING TO PROVIDE A FULL-SERVICE SURGICAL SERVICE, RH OFFERS THE MOST ADVANCED SURGICAL OPTIONS, FROM ROBOTIC ASSISTED, MINIMALLY INVASIVE SURGERY TO A FULL SPECTRUM OF OUTPATIENT SURGICAL OPTIONS. AND TO ENSURE OUR COMMUNITY HAS ACCESS TO SURGICAL SPECIALTIES THAT MAY BE EXPERIENCING SHORTAGES ELSEWHERE IN THE COUNTRY. RH SUPPORTS ITS SURGEONS IN THEIR FELLOWSHIP TRAINING AND RECRUITS AND RETAINS SURGEONS IN AREAS LIKE PLASTIC SURGERY - AVAILABLE ONLY DURING LIMITED HOURS OR NOT AT ALL, IN OTHER HOSPITALS IN ITS MARKET. 53422178 122032302 MCGLINN CANCER INSTITUTE 28,786 PROCEDURES THE MCGLINN CANCER INSTITUTE, LOCATED WITHIN THE READING HOSPITAL, IS PRIMARILY AN OUT-PATIENT FACILITY WHICH HOUSES THE SECTIONS OF RADIATION ONCOLOGY, HEMATOLOGY/ONCOLOGY, AND GYNECOLOGICAL ONCOLOGY. THE ANNUAL TOTAL OF PATIENTS WHO ARE DIAGNOSED AND/OR TREATED HERE APPROXIMATES 1600. UPON DIAGNOSIS, A NURSE NAVIGATOR CONTACTS EACH PATIENT TO OFFER INFORMATION AND SUPPORT. MOST PATIENTS ARE SEEN IN ONE OF OUR MULTI-DISCIPLINARY CLINICS BASED ON THE TYPE OF MALIGNANCY DIAGNOSED. THIS INCLUDES THORACIC, MALIGNANT HEMATOLOGY, BREAST, GENITO-URINARY, GYNECOLOGICAL, CUTANEOUS MALIGNANCIES, AND GASTRO-INTESTINAL CLINICS - MOST HELD ON A WEEKLY BASIS. EVERY CLINIC HAS ITS SPECIFIC TEAM OF PROVIDERS - SURGEONS, RADIATION ONCOLOGISTS, MEDICAL ONCOLOGISTS, RADIOLOGISTS, PATHOLOGISTS, NURSE NAVIGATORS, GENETIC COUNSELORS, AND PHYSICAL THERAPISTS - WHO CONFER AND COLLABORATE TO DESIGN A UNIQUE TREATMENT PLAN FOR EACH INDIVIDUAL PATIENT. EVERY CASE IS REVIEWED FOR POSSIBLE INCLUSION IN ONE OF THE MANY CLINICAL TRIALS OFFERED ON SITE. ONCE A PLAN OF ACTION HAS BEEN RECOMMENDED BY THE TEAM, THE PATIENT IS SEEN IN CONSULT BY THE PROVIDERS WHO WILL BE RESPONSIBLE FOR HIS/HER COURSE OF TREATMENT. MCGLINN CANCER INSTITUTE IS ACCREDITED BY THE COMMISSION ON CANCER AS A COMPREHENSIVE COMMUNITY CANCER PROGRAM. THE MEDICAL ONCOLOGY PRACTICE IS CERTIFIED BY THE AMERICAN SOCIETY OF CLINICAL ONCOLOGY THROUGH ITS QUALITY ONCOLOGY PRACTICE INITIATIVE (QOPI) AND THE RADIATION ONCOLOGY DEPARTMENT IS CERTIFIED BY THE AMERICAN COLLEGE OF RADIOLOGY. IN ADDITION, THE BREAST PROGRAM AT READING HOSPITAL IS ACCREDITED BY THE NATIONAL ACCREDITATION PROGRAM FOR BREAST CENTERS. THE CANCER CENTER OFFERS A THREE-YEAR HEMATOLOGY/ONCOLOGY FELLOWSHIP PROGRAM AND STUDENTS FROM VARIOUS PROGRAMS (EX: JEFFERSON UNIVERSITY, GWYNEDD MERCY UNIVERSITY, ARCADIA UNIVERSITY) ARE ASSIGNED CLINICAL ROTATIONS AT MCGLINN FOR GENETIC COUNSELING, RADIATION THERAPY TECHNOLOGY, AND PHYSICIAN ASSISTANT TRAINING. 671934280 684486295 EXPENSES INCURRED IN PROVIDING VARIOUS OTHER MEDICALLY NECESSARY HEALTHCARE SERVICES INCLUDE BUT ARE NOT LIMITED TO: REVENUE EXPENSE RADIOLOGY 183,615,510 30,935,796 REHABILITATION/PHYSICAL THERAPY 49,791,285 25,292,025 TRAUMA CENTER 4,970,690 3,068,372 TRANSPLANT CENTER 187,399 2,833,726 PHARMACY 52,532,766 44,459,819 READING HOSPITAL PROVIDES SERVICES TO ALL INDIVIDUALS IN A NON- DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, OR ABILITY TO PAY. FY20: READING HOSPITAL SAW A LARGE DECREASE IN REVENUE DUE TO THE POSTPONEMENT OF NON-URGENT PROCEDURES AND THE CANCELLATION OF ELECTIVE SURGERIES. OFFSITE LABS, RADIOLOGY CENTERS AND PHYSICIAN PRACTICES WERE CLOSED CAUSING A DECREASE IN PATIENT VISITS. OPERATING EXPENSES INCREASED DUE TO THE HIGH DEMAND FOR PERSONAL PROTECTIVE EQUIPMENT (PPE) FOR STAFF AND PATIENTS AND OTHER COVID RELATED EXPENSES. A STRONG EMPHASIS WAS PLACED ON SAFETY FOR OUR PATIENTS AND STAFF. AS A HEALTHCARE ORGANIZATION, WE WORKED TO INFORM THE COMMUNITY THAT DELAYING HEALTHCARE NEEDS PLACES AN INDIVIDUAL'S HEALTH AT RISK. READING HOSPITAL INVESTED IN EXPANDING DIGITAL, VIRTUAL ANDTELEHEALTH SERVICES TO STAY CONNECTED WITH THEIR PATIENTS. FY21: THROUGHOUT THE MANY CHALLANGES WE HAVE FACED DURING THE PANDEMIC, READING HOSPITAL EMPLOYEES CONTINUE TO DO WHAT IT TAKES TO SUPPORT THEIR PEERS AND PROVIDE EXCELLENT CARE FOR OUR PATIENTS. READING HOSPITAL CONTINUES TO RESPOND TO THE SURGES THAT HAVE OCCURRED THROUGHOUT FY21 WHICH PUTS A GREATER DEMAND ON STAFFING AND INCREASED SUPPLY COSTS RELTING TO PERSONAL PROTECTIVE EQUIPMENT. THE GREATER DEMAND ON STAFFING HAS CREATED SALARY CHALLANGES WHICH ESCALATED COSTS. READING HOSPITAL CONTINUES TO RELY ON OUR WORKFORCE LABOR POOL TO HELP US MEET THE STAFFING CHALLENGES. THE INCREASED SUPPLY COSTS REALTING TO PERSONAL PROTECTIVE EQUIPMENT STILL CONTINUE AS CHANGES HAVE OCCURRED IN REGARDS TO THE REQUIREMENTS FOR ADDITIONAL PROTECTIVE EQUIPMENT, AND SOCIAL DISTANCING. 671934280 684486295 947053985 true true false true false false false false false false true false false true true true false true false false false false false false false false true true false false true false false false false false false false true false false false false false true true true false false true 957 0 true 7398 true true true false false false false false false false false false true false X 15 7 false false false false true true true true true false false true true true true true true true true true true PA X ROBERT EHINGER SVP FIN OPERATIONS 4846288000 420 SOUTH 5TH AVENUE WEST READING PA 19611 X CLINT MATTHEWS TOWER HLTH P 0.00 60.00 X 1853435 0 531987 GARY F CONNER EVP CFO 0.00 52.50 X 1369454 0 221759 THERESE SUCHER EVP COO 0.00 52.50 X 1081662 0 279198 WILLIAM JENNINGS EVP & CEO RH 52.00 2.50 X X 995458 0 286428 GREG SORENSON EVP CMO TERM 26.00 26.00 X 878955 0 240239 DAN AHERN EVP BUSINESS 0.00 52.50 X 855506 0 211047 ERIC ELGIN MD BOARD MEMBER 2.00 48.50 X 0 899076 34962 MARY AGNEW SVP CNO 0.00 52.50 X 696162 0 129930 CHARLES BARBERA MD BOARD MEMBER 2.00 48.50 X 590046 0 226297 CARL SEIDL VP TERM 5/21 52.00 X 359731 0 400167 MARK G MARTENS VP CHIEF ACA 50.00 X 562923 0 118544 MICHELLE TRUPP VP CIO 50.00 X 458213 0 210853 SUZANNE WENDEROTH MD BOARD MEMBER 2.00 50.50 X 0 511810 126661 RUSSELL H SHOWERS SVP CHIEF OF 50.00 X 504340 0 94437 CECILIA SMITH DO BOARD MEMBER 2.00 48.50 X 0 532195 31827 ROBERT EHINGER CFO TERM 9/2 26.00 26.00 X 415545 0 110488 LUIS A ROSA VP PAYOR CON 50.00 X 438577 0 59500 MARK MCNASH SVP SUPPORT 0.00 52.00 X 362746 0 102959 DAVID A SCHLAPPY VP CHIEF OF 50.00 X 386627 0 75854 RON NUTTING MD CMO 52.00 0.00 X 389848 0 41756 DAWN ANUSZKIEWICZ COO RH 52.00 X 392549 0 35412 JOHN CASEY MD BOARD MEMBER 2.00 50.50 X 0 326746 66194 OLUBUMNI OJIKUTU MD BOARD MEMBER 2.00 48.50 X 0 256846 71045 MARK REYNGOUDT CFO 10/1/20 52.00 X 259634 0 38023 ROSEMARY WURSTER CNO 52.00 X 278581 0 11910 MIN LEE VP OPERATION 52.00 X 184490 0 11318 MOLLY DIETRICH SECRETARY 40.00 X 70329 0 13625 YAMIL SANCHEZ ED D BOARD MEMBER 2.00 0.50 X 0 0 0 LATRICE MUMIN EDD BOARD MEMBER 2.00 0.50 X 0 0 0 DAN LANGDON BOARD MEMBER 2.00 0.50 X 0 0 0 JACQUE FETROW PHD BOARD MEMBER 2.00 0.50 X 0 0 0 SUSAN LOONEY PHD VICE CHAIR 2.00 0.50 X X 0 0 0 THOMAS FLYNN PHD BOARD MEMBER 2.00 0.50 X 0 0 0 JOHN WEIDENHAMMER CHAIRMAN 2.00 2.50 X X 0 0 0 BEN ZINTAK BOARD MEMBER 2.00 0.50 X 0 0 0 13384811 2526673 3782420 676 true true false STEVENS & LEE PO BOX 679 READING PA 196030679 LEGAL 8925864 HEALTHTRUST WORKFORCE SOLUTIONS LLC PO BOX 742697 ATLANTA GA 30374 CONTRACTING 5075027 TEKSYSTEMS INC PO BOX 198568 ATLANTA GA 30384 CONSULTING 4251016 SAXTON & STUMP LLC 280 GRANITE RUN DRIVE LANCASTER PA 17601 LEGAL 4087748 BERKS SCHUYLKILL RESPIRATORY SPEC 2608 KEISER BLVD WYOMISSING PA 19610 PHYSICIAN FEES 3812804 54 1896268 18558303 151172 20605743 PATIENT CHARGES 622110 1055662202 1055662202 MANAGEMENT FEES 561000 128341853 128341853 1184004055 467143 467143 4425334 4425334 4425334 4425334 2699102 2939425 -240323 -240323 -240323 RETAIL PHARMACY 446110 27934240 58058 27876182 MEALS 722310 4566007 4566007 TUITION - NURSING TECH SCHOOL 611600 3940635 3940635 18138204 16192113 1888033 54579086 1263841038 1204136803 1946091 37094343 X 6497033 259216 6237817 8073063 8073063 388784784 374085978 14698806 11332889 10577355 755534 58287548 54364045 3923503 29162449 27144658 2017791 10575322 10575322 1271070 1271070 420000 420000 118213355 56673578 61539777 3361603 3361603 53453933 53453933 17787594 16340558 1447036 262477 207035 55442 30031437 30031437 61610451 61610451 10971648 10971648 SUPPLIES 180892165 180555504 336661 PROJECT INDEPENDENCE 26283528 26283528 REPAIRS AND MAINTENANCE 18686038 18490857 195181 HOSPITAL PROGRAMS 4670360 4670360 35942116 21333844 14608272 1076570863 947053985 129516878 0 551149 289437 151704155 125806046 38800667 51193376 24679770 22787861 1867477201 1179689793 810622949 687787408 157355062 168386553 1183713752 1056250681 199564821 332661945 844334101 658175727 1043898922 990837672 X 139526902 65150006 287928 263003 139814830 65413009 1183713752 1056250681 X 187270175 -148115 -261523881 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false true 56828 false false 56828 false SCHEDULE C, PART II-B, LINE 1 PART II-B, LINE 1G 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 WILL 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. 30028279 30028279 723273302 421681445 301591857 6035326 4925626 1109700 989448688 750045698 239402990 118691606 3037024 115654582 687787408 OPERATING LEASE RIGHT-OF-USE 60605132 DUE FROM AFFILIATES 49035351 SELF-INSURANCE FUNDING NON-CURRENT 20888807 THIRD PARTY RECEIVABLE 15814205 MALPRACTICE TRUST 11439817 SELF-INSURANCE FUNDING CURENT 7482000 DEFERRED EMPLOYER FICA 2646741 SPRING RIDGE JV 374188 DEFERRED TRUST 78872 SECURITY DEPOSITS 21440 168386553 LT LOAN - AFFILIATE PAYABLE 360987413 PENSION PAYABLE 184509434 OPERATING LEASE OBLIGATION 61489069 ESTIMATED SELF INSURANCE COSTS 25180296 LT DEFERRED FICA PAYABLE 19754619 DEFERRED REVENUE 3406430 CAPITAL LEASE OBLIGATION 1469428 DEFERRED COMPENSATION 1183312 DEFERRED RENT 105816 OTHER LT LIABILITIES 89910 658175727 X 1263710922 1263710922 130116 130116 1263841038 1076570863 1076570863 1076570863 SCHEDULE D, PAGE 3, PART X 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. SCHEDULE D, PAGE 4, PART XI, LINE 4B DONATIONS 130,116 true true X true X true X true true false true true 19060731 19060731 0.01770 187476209 122699356 64776853 0.06020 206536940 122699356 83837584 0.07790 2714338 106622 2607716 0.00240 55085942 18533729 36552213 0.03400 4429292 500000 3929292 0.00360 30322 30322 62259894 19140351 43119543 0.04010 268796834 141839707 126957127 0.11790 5109 5109 5827 5827 2521 2521 13457 13457 true 89206822 32649697 376254999 505568624 -129313625 X true true TRH SURGICENTER LLC OUTPATIENT SURGERY 0.50000 0.50000 1 1 READING HOSPITAL 420 SOUTH 5TH AVENUE WEST READING PA 19611 "SEE SUPPLEMENTAL DISCLOSURE" 440401 X X X X READING HOSPITAL 1 false false true X X X X X X X X X X 19 true false false true X "SEE SUPPLEMENTAL DISCLOSURE" X X true 19 true "SEE SUPPLEMENTAL DISCLOSURE" false false true X 200.000000000000 400.000000000000 X X true true X X X X true X "SEE SUPPLEMENTAL DISCLOSURE" X "SEE SUPPLEMENTAL DISCLOSURE" X "SEE SUPPLEMENTAL DISCLOSURE" X X X X X X X true X false X X X X true X false false FACILITY 1, READING HOSPITAL - PART V, LINE 3E SIGNIFICANT HEALTH NEEDS FACILITY 1, READING 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 2016 IDENTIFIED THE FOLLOWING SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY: OBESITY, MENTAL HEALTH, ADDICTION AND ACCESS TO CARE. THE ACTIONS TAKEN WERE AS FOLLOWS: (1)OBESITY - MORE THAN 200,000 RESIDENTS ARE OVERWEIGHT OR OBESE. READING HOSPITAL INCREASED THE NUMBER OF F.I.T.T. (FUND ACTIVE HEALTHY YOUTH) PROGRAM SESSIONS FROM ONCE TO TWICE PER YEAR. THERE HAS BEEN AN INCREASE IN PARTICIPATION WITH THE ADDITION OF THESE SESSIONS. THE BE WELL BERKS GRANT PROGRAM WAS CREATED AS A MEANS TO INVEST DOLLARS INTO COMMUNITY ORGANIZATIONS SEEKING TO ADDRESS AND REDUCE OBESITY AMONG RESIDENTS. TWO PROGRAMS THAT WERE FUNDED THROUGH THIS PROGRAM WERE THE ANTIETAM SCHOOL DISTRICT - ANTIETAM FIT PROGRAM AND NEW JOURNEY COMMUNITY OUTREACH, INC. - FIGHTING POVERTY, FEEDING HOPE PROJECT. READING HOSPITAL ALSO PARTNERED WITH ZAGSTER, INC. TO IMPLEMENT A BIKE SHARE PROGRAM FOR ITS STAFF. (2)MENTAL HEALTH - MORE THAN 175,000 RESIDENTS SUFFER FROM ANXIETY OR DEPRESSIVE DISORDERS. TO ADDRESS THIS ISSUE, READING HOSPITAL EMBEDDED INTEGRATED CARE CLINICIANS WHO PROVIDE SERVICES AT 8 SITES TO PROVIDE BRIEF SUPPORTIVE THERAPY TO ASSIST WITH CURRENT CRISES, INTERMITTENT CONTACTS TO ASSIST WITH ONGOING MAINTENANCE OF GAINS, AND REFERRALS TO BEHAVIORAL HEALTH PROVIDERS AS NEEDED. READING HOSPITAL ALSO PARTNERED WITH SCREENING FOR MENTAL HEALTH, INC. TO IMPLEMENT A MINDKARE KIOSK AIMED AT REDUCING MENTAL HEALTH STIGMA. THE BE WELL BERKS GRANT PROGRAM ALSO AWARDED FUNDING TO BERKS COUNSELING CENTER TO TRAIN PEERS IN WHOLE HEALTH ACTION MANAGEMENT (WHAM) AND COMMUNITY MEMBERS IN MENTAL HEALTH FIRST AID (MHFA) TRAINING. (3)ADDICTION - RESIDENTS LACK ACCESS TO COORDINATED, COMMUNITY-BASED TREATMENT. READING HOSPITAL WAS THE RECIPIENT OF A GRANT FROM THE DEPARTMENT OF HUMAN SERVICES AND WAS DESIGNATED ON OPIOID USE DISORDER CENTER OF EXCELLENCE (COE). THE COE RESPONDED TO MORE THAN 1,200 REFERRALS AND PROVIDED COORDINATED, COMMUNITY-BASED CASE MANAGEMENT TO MORE THAN 700 PATIENTS THE HOSPITAL INSTITUTED A 24/7 WARM HANDOFF AND CREATED CARE TEAMS CONSISTING OF THERAPISTS, NURSES, PROVIDERS, AND CARE COORDINATORS TO PROVIDE COMPREHENSIVE CARE THAT ADDRESSES PHYSICAL, EMOTIONAL, AND BEHAVIORAL NEEDS OF PATIENTS STRUGGLING WITH ADDICTION. (4)ACCESS - UNMET SOCIAL NEEDS AND LACK OF CULTURALLY COMPETENT CARE CREATES BARRIERS. READING HOSPITAL RECEIVED A 4.5M GRANT FROM CENTER FOR MEDICARE AND MEDICAID SERVICES TO IMPLEMENT THE ACCOUNTABLE HEALTH COMMUNITIES MODEL, KNOWN AT THE HOSPITAL AS THE COMMUNITY CONNECTION PROJECT (CCP), TO IDENTIFY AND ADDRESS UNMET SOCIAL NEEDS WITHIN THE MEDICARE AND MEDICAID PATIENT POPULATIONS. TOWER HEALTH MEDICAL GROUP'S STREET MEDICINE PROGRAM PROVIDED PRIMARY CARE TO HOMELESS INDIVIDUALS IN SOUP KITCHENS, HOMELESS SHELTERS, AND TENT SITES. SINCE ITS INCEPTION, THE PROGRAM HAS PROVIDED CARE TO OVER 900 UNIQUE PATIENTS MIDPENN LEGAL SERVICES WAS AWARDED FUNDING FROM THE BE WELL BERKS GRANT PROGRAM TO IMPLEMENT A MEDICAL LEGAL PARTNERSHIP PROGRAM. TO IMPROVE CULTURALLY COMPETENT CARE, READING HOSPITAL IMPLEMENTED CULTURAL COMPETENCY TRAINING FOR STAFF. A NUMBER OF WORKPLACE AND VIRTUAL EXPERIENCE OPPORTUNITIES WERE MADE AVAILABLE TO STUDENTS FROM DIVERSE BACKGROUND TO ENCOURAGE SELECTION OF HEALTHCARE AS A CAREER PATH. FACILITY 1, READING HOSPITAL - PART V, LINE 5 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) INTERCEPT SURVEYS (6) COMMUNITY TELEPHONE SURVEY INDIVIDUALS WERE INVITED TO PARTICIPATE IN A COMMUNITY DATA WALK TO ASSIST WITH PRIORTIZING THE DATA. FACILITY 1, READING HOSPITAL - PART V, LINE 7D LINK TO THE READING HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT: HTTPS://WWW.TOWERHEALTH.ORG/LOCATIONS/READING-HOSPITAL/ABOUT/COMMUNITY/ COMMUNITY-HEALTH-NEEDS-ASSESSMENT LINK TO THE READING HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT/ IMPLEMENTATION STRATEGY FOR THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT WAS COMPLETED IN NOVEMBER 2019 AND CAN BE FOUND AT HTTPS://WWW.TOWERHEALTH.ORG/LOCATIONS/READING-HOSPITAL/ABOUT/COMMUNITY/ COMMUNITY-HEALTH-NEEDS-ASSESSMENT FACILITY 1, READING HOSPITAL - PART V, LINE 11 READING HOSPITAL DEVELOPED A COMMUNITY HEALTH IMPLEMENTATION PLAN. 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 HEALTH CARE: THE GOAL IS TO INCREASE THE COMMUNITY'S ACCESS TO HEALTH CARE SERVICES, PARTICULARLY THOSE COMMUNITY MEMBERS CONSIDERED VULNERABLE AND/OR LIVING IN UNDERSERVED AREAS. READING HOSPITAL WILL UTILIZE GSI TECHNOLOGY TO IDENTIFY SUBPOPULATIONS WHO ARE AT RISK FOR HIGHER READMISSION RATES AND CHRONIC CONDITIONS OR DISEASES AND OVERLAY THIS WITH DATA SETS TO HELP SUPPORT PROGRAM DEVELOPMENT, PLACEMENT OF SERVICES, AND MESSAGING. THE INFORMATION GATHERED FROM THIS RESEARCH WILL PROVIDE SUPPORT AND DEVELOPMENT OF CURRENT PROGRAMS THAT DELIVER CARE TO VULNERABLE POPULATIONS (I.E. STREET MEDICINE, COMMUNITY PARAMEDICINE, AND REMOTE PATIENT MONITORING PROGRAMS), AS WELL AS TO DEVELOP PLANS TO INCREASE ACCESS TO SPECIALTY CARE THROUGH VIRTUAL OFFICE VISITS, TELECART, MOBILE APPS, AND TELEMEDICINE. BY STREAMLINING AN ADVANCED ACCESS CENTER WILL PROVIDE EASE OF ACCESS FOR COMMUNITY MEMBERS SEEKING TO SCHEDULE APPOINTMENTS WITH AMBULATORY AND SPECIALTY CARE SERVICE LINES. READING HOSPITAL WILL WORK TO IMPROVE CULTURAL SENSITIVITY OF STAFF BY CONDUCTING CULTURAL AWARENESS TRAININGS AND CREATING A DIVERSITY AND INCLUSION COUNCIL FOR PROVIDERS AND OTHER CLINICAL AND NON-CLINICAL STAFF TO PARTICIPATE. READING HOSPITAL WILL ALSO WORK TO INCREASE PARTICIPATION IN PROGRAMS DESIGNED TO EDUCATION STUDENTS ABOUT CAREERS IN HEALTHCARE - MEDICAL EXPLORERS, JOB SHADOWING, HIGH SCHOOL AND COLLEGE INTERNSHIP PROGRAMS, AND ADVENTURES IN HEALTH SCIENCE AND MEDICINE - THROUGH PROGRAM PROMOTION. SOCIAL DETERMINANTS OF HEALTH: THE GOAL IS TO IDENTIFY AND ADDRESS SOCIAL DETERMINANTS OF HEALTH (SDOH). READING HOSPITAL WILL SEEK TO ACHIEVE THIS GOAL IN THE CLINICAL ENVIRONMENT BY SCREENING 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. THROUGH THE MEDICAL LEGAL PARTNERSHIP PROGRAM, READING HOSPITAL WILL UTILIZE AN IN-HOUSE ATTORNEY TO ASSIST PATIENTS WITH LEGAL ISSUES THAT HAVE AN ADVERSE EFFECT ON HEALTH (I.E. HOUSING, INCOME STABILITY, ETC.) TO HELP REDUCE TRANSPORTATION BARRIERS, READING HOSPITAL WILL IMPLEMENT THE RIDE HEALTH PROGRAM. READING HOSPITAL WILL ALSO IMPLEMENT COMMUNITY-BASED INTERVENTION INITIATIVES, SPECIFICALLY A COMMUNITY HEALTH WORKER PROGRAM TO WORK WITH PEDIATRIC ASTHMA PATIENTS, THEN SEEK TO EXPAND THE PROGRAM TO ADDITIONAL POPULATIONS. DISEASE PREVENTION & MANAGEMENT: THIS GOAL IS TO IMPLEMENT CHRONIC DISEASE PREVENTION AND MANAGEMENT PROGRAMS IN THE PRIMARY SERVICE AREA, SPECIFICALLY TARGETING VULNERABLE POPULATIONS. READING HOSPITAL WILL CONDUCT MULTIPLE CANCER SCREENING EVENTS FOR THE COMMUNITY, INCLUDING CERVICAL CANCER, BREAST CANCER, ORAL CANCER, AND SKIN CANCER SCREENINGS. READING HOSPITAL WILL IMPLEMENT SHORT AND LONG-TERM WELLNESS INITIATIVES THROUGH TOWER WELLNESS PROGRAMS, ENCOURAGE COMMUNITY PARTICIPATION IN BERKS TRAIL CHALLENGE, INCREASE PHYSICAL ACTIVITY AND HEALTH EATING HABITS AMONG SCHOOL-AGED YOUTH THROUGH THE F.I.T.T. PROGRAM, AND ENCOURAGE STAFF TO UTILIZE THE BIKE SHARE PROGRAM AS A FORM OF EXERCISE. READING HOSPITAL WILL PARTNER WITH COMMUNITY ORGANIZATIONS TO INCREASE ACCESS TO HEALTHY FOOD. ACCESS TO BEHAVIORAL HEALTH SERVICES: THE GOAL IS TO IMPROVE ACCESS TO SCREENING, ASSESSMENT, TREATMENT, AND SUPPORT FOR BEHAVIORAL HEALTH. READING HOSPITAL'S CENTER OF EXCELLENCE (COE) WILL SCREEN PATIENTS FOR OPIOID USE DISORDER (OUD) AND DETERMINE THE APPROPRIATE LEVEL OF CARE VIA STANDARDIZED PROCESSES (SBIRT) AND TOOLS (ASAM PLACEMENT CRITERIA). TOWER BEHAVIORAL HEALTH, A JOINT VENTURE WITH ACADIA, WILL BUILD A NEW 144-BED IMPATIENT BEHAVIORAL HEALTH FACILITY. MINDKARE'S KIOSK AND ONLINE FREE, ANONYMOUS, CONFIDENTIAL MENTAL HEALTH SCREENING TOOL WILL BE PROMOTED THROUGHOUT THE COMMUNITY. READING HOSPITAL'S BEHAVIORAL HEALTH INTEGRATION PROGRAM WILL INTEGRATE THERAPISTS INTO PRIMARY CARE PRACTICES WHERE PATIENTS WILL BE SCREENED FOR DEPRESSION, AND THOSE WHO SCREENED POSITIVE WILL BE CONNECTED TO THE EMBEDDED THERAPIST FOR ASSISTANCE. READING HOSPITAL WILL ALSO SEEK TO DECREASE THE STIGMA RELATED TO BEHAVIORAL HEALTH BY PARTNERING WITH BERKS COUNSELING CENTER TO CONDUCT MENTAL HEALTH FIRST AID TRAININGS FOR STAFF AND THE COMMUNITY. LIST OF HEALTH NEEDS THE FACILITY DOES NOT PLAN TO ADDRESS: READING HOSPITAL DOES NOT INTEND TO ADDRESS DIABETES AS A STAND-ALONE CONDITION. RATHER IT WILL BE CATEGORIZED AS A CHRONIC DISEASE AND WILL BE ADDRESSED IN THE CHRONIC DISEASE MANAGEMENT STRATEGY. DENTAL HEALTH, TOBACCO AND STDS WILL BE ADDRESSED THROUGH ONGOING HEALTH SYSTEM INITIATIVES AND/OR IN COLLABORATION WITH ESTABLISHED COMMUNITY ORGANIZATIONS. FACILITY 1, READING HOSPITAL - PART V, LINE 13H FINANCIAL ASSISTANCE CRITERIA: 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-EMERGENT CARE ARE NOT GENERALLY ELIGIBLE FOR FINANCIAL ASSISTANCE. FACILITY 1, READING HOSPITAL - PART V, LINE 15E 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 INFORMAITON 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 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 PROVERTY LEVEL (FPL). 8. THE MCR FFS (MEDICARE FEE FOR SERVICE) IS USED TO DETERMINE 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 READING 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 FINANCIAL ASSISTANCE AT ANY POINT IN THE BILLING AND COLLECTION CYCLE. IF THE FINANCIAL ASSISTANCE APPLICATION IS INITIATED WHILE THE ACCOUNT IS IN THE COLLECTION'S PROCESS, COLLECTION ACTIVITY WILL CEASE UNTIL DETERMINATION OF ELIGIBILITY HAS BEEN MADE. FACILITY 1, READING HOSPITAL - PART V, LINE 16J THIS NARRATIVE COVERS LINE 16A-C AND J: THE CURRENT PATIENT FINANCIAL ASSISTANCE POLICY, PLAIN LANGUAGE POLICY AND APPLICATIONS FOR FINANCIAL ASSISTANCE, IN ENGLISH AND SPANISH, ARE ACCESSIBLE AT HTTPS://WWW.TOWERHEALTH.ORG/LOCATIONS/READING- 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 READING HOSPITAL SPECIFYING WHICH PROVIDERS ARE AND ARE NOT COVERED BY THE PATIENT FINANCIAL ASSISTANCE POLICY. THIS PROVIDER LIST IS AVAILABLE ONLINE AT THE FOLLOWING READING HOSPITAL WEBSITE ADDRESS: HTTPS://WWW.TOWERHEALTH.ORG/PROVIDERS/. ADDITIONALLY, 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 READING HOSPITAL 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 AND SPANISH AND ARE AVAILABLE IN THE LOBBIES AND WAITING AREAS THROUGHOUT READING HOSPITAL. THESE PAMPHLETS PROVIDE AN EASY-TO-READ SUMMARY OF THE FINANCIAL ASSISTANCE PROGRAM, WITH CONTACT INFORMATION OF READING HOSPITAL EMPLOYEES WHO WILL ASSIST THE PATIENTS WITH THE APPLICATION PROCESS. THESE PAMPHLETS ARE ALSO DISTRIBUTED TO PATIENTS AT THE POINTS OF REGISTRATION THROUGHOUT READING 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 READING 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. READING HOSPITAL WORKS CLOSELY WITH ADVOCACY PROGRAMS IN THE COMMUNITY. THE AVAILABILITY OF READING HOSPITAL FINANCIAL ASSISTANCE POLICY IS SHARED WITH THOSE AGENCIES. EXAMPLES ARE BERKS WESTERN CLINIC, OPPORTUNITY HOUSE, BERKS ENCORE, BERKS COMMUNITY HEALTH CENTER AND DANIEL TORRES HISPANIC CENTER, AS WELL AS THE COUNTY ASSISTANCE OFFICE. 1 TRHMC SURGICENTER AT SPRING RIDGE 2603 KEISER BLVD READING PA 19610 AMBULATORY SURGERY CENTER SCHEDULE H, PART I, LINE 3C PATIENTS WILL BE ASKED 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 IN 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 7G READING HOSPITAL UTILIZES THE IRS GUIDELINES IN DETERMINING THE RATIO OF PATIENT COST TO CHARGES TO ESTIMATE THE COST OF EACH SUBSIDIZED HEALTH SERVICE. THIS CALCULATION DOES NOT REFLECT READING HOSPITAL'S OPERATIONAL LOSS. CURRENTLY THE HOSPITAL PROVIDES BEHAVIORAL HEALTH, AND OUTPATIENT SERVICES TO THE COMMUNITY ON A SUBSIDIZED BASIS AS THESE SERVICES REFLECT AN OPERATIONAL LOSS. READING HOSPITAL IS A NOT-FOR-PROFIT HEALTHCARE CENTER PROVIDING COMPREHENSIVE ACUTE CARE, POST-ACUTE CARE REHABILITATION, BEHAVIORAL, AND OCCUPATIONAL HEALTH SERVICES TO THE PEOPLE OF BERKS AND ADJOINING COUNTIES. READING HOSPITAL LIES ON THE OUTSKIRTS OF THE CITY OF READING, WHICH HAS AN ESTIMATED POPULATION OF 95,112, IN 2020. 32.7% OF THE RESIDENTS OF THE CITY LIVE BELOW FEDERAL POVERTY LEVELS. THE HEALTHCARE NEEDS TRACK CLOSELY TO THE HIGH POVERTY RATE IN THE CITY. THE ADULT PREVALENCE OF DIABETES, THE PROPORTION OF ADULTS WITH DIAGNOSED HIGH BLOOD PRESSURE, THE PERCENT OF WOMEN WHO RECEIVE NO PRENATAL CARE IN THE FIRST TRIMESTER, THE PEDIATRIC AND ADULT ASTHMA HOSPITAL ADMISSION RATES, AND THE THREE-YEAR AVERAGE PNEUMONIA DEATH RATE ALL EXCEED THE NATIONAL BENCHMARKS FOR THESE INDICATORS. THE MISSION OF READING HOSPITAL IS TO PROVIDE COMPASSIONATE, ACCESSIBLE, HIGH QUALITY, COST EFFECTIVE HEALTH CARE TO THE COMMUNITY; TO PROMOTE HEALTH; TO EDUCATE HEALTHCARE PROFESSIONALS; AND TO PARTICIPATE IN APPROPRIATE CLINICAL RESEARCH. READING HOSPITAL IS COMMITTED TO SERVING THE NEEDS OF THE COMMUNITY, EVEN WHEN THE NEEDED SERVICES CAUSE A DRAIN ON CAPITAL RESOURCES. READING HOSPITAL IS A REGIONAL REFERRAL CENTER FOR BEHAVIORAL HEALTH SERVICES. READING HOSPITAL PROVIDES APPROXIMATELY ONE-THIRD OF ALL INPATIENT MENTAL HEALTH SERVICES USED BY THE RESIDENTS OF BERKS COUNTY AND 28% AMONG PATIENTS AGE 60+. ANOTHER MENTAL HEALTH PROVIDER, HAVEN BEHAVIORAL HEALTH, HAS RECENTLY ESTABLISHED A TREATMENT FACILITY IN THE CITY OF READING OFFERING MENTAL HEALTH SERVICES. READING HOSPITAL TREATS NEARLY 55% OF BERKS COUNTY PATIENTS REQUIRING INPATIENT SERVICES FOR SUBSTANCE ABUSE. THE OTHER NON-PROFIT HOSPITAL IN THE AREA SERVES ONLY 4% OF THESE PATIENTS. READING HOSPITAL HAS EXPANDED AND RELOCATED ITS INPATIENT DETOXIFICATION CENTER TO MEET THE GROWING NEED FOR THESE SERVICES. IF READING HOSPITAL CEASED TO PROVIDE SUBSTANCE ABUSE SERVICES, PATIENTS WOULD HAVE TO TRAVEL OUT OF THE AREA FOR TREATMENT BECAUSE LOCAL PROVIDERS WOULD NOT HAVE THE ABILITY TO MEET THE NEED. READING HOSPITAL PERENNIALLY RANKS AMONG THE TOP FOUR PENNSYLVANIA HOSPITALS IN OUTPATIENT SERVICES. BECAUSE OF THE HIGH POVERTY RATE AND THE HIGH NUMBER OF UNINSURED AND MEDICAID/CHIP RESIDENTS, OUTPATIENT SERVICES ARE OFTEN PROVIDED WITHOUT ADEQUATE COMPENSATION. 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 OUR MEDICARE COST REPORT IS UTILIZED. SCHEDULE H, PART III, LINE 2 ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE SYSTEM ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND PROVISION FOR UNCOLLECTIBLE ACCOUNTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE SYSTEM ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND A PROVISION FOR UNCOLLECTIBLE ACCOUNTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS NOT YET PAID, OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE SYSTEM RECORDS A SIGNIFICANT PROVISION FOR UNCOLLECTIBLE ACCOUNTS IN THE PERIOD OF SERVICE ON THE BASIS OF PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES, IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. SCHEDULE H, PART III, LINE 3 IN PRIOR YEARS, THE HOSPITAL UTILIZED A PRODUCT THROUGH THE ADVISORY BOARD TO PROJECT THE PERCENTAGE OF PATIENTS ELIGIBLE FOR CHARITY. THE HOSPITAL ENDED THE RELATIONSHIP WITH THE ADVISORY BOARD, BUT LEVERAGED THE METHODOLOGY USED BY THE ADVISORY BOARD TO ESTIMATE THE CURRENT YEAR AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY. SCHEDULE H, PART III, LINE 8 THE HOSPITAL USES REPORTS FROM THE MEDICARE PROVIDER STATISTICAL AND REIMBURSEMENT SYSTEM TO CALCULATE THE GROSS PATIENT CHARGES AND GOSS 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 FOR FINANCIAL ASSISTANCE THROUGHOUT THE REVENUE CYCLE, FROM REGISTRATION THROUGH COLLECTION; THEREFORE, READING 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 READING HOSPITAL'S MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT WAS COMPLETED IN 2019. READING HOSPITAL DEPLOYED A NUMBER OF QUANTITATIVE AND QUALITATIVE RESEARCH METHODOLOGIES TO DEFINE AND SELECT COMMUNITY NEEDS. PRIMARY RESEARCH METHODS INCLUDED CONDUCTING A POPULATION SURVEY VIA TELEPHONE (400 COMPLETED), STAKEHOLDER INTERVIEWS (21 COMPLETED), KEY INFORMANT SURVEYS (65 COMPLETED), INTERCEPT SURVEYS (345 COMPLETED), AND FOCUS GROUPS (3 COMPLETED). THE PRIMARY RESEARCH ALLOWED THE HOSPITAL 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 PENNSYLVANIA BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS), PENNSYLVANIA DEPARTMENT OF HEALTH PUBLIC HEALTH, PENNSYLVANIA YOUTH SURVEY (PAYS), ROBERT WOOD JOHNSON FOUNDATION'S COMMUNITY HEALTH RANKINGS, UNITED STATES CENSUS BUREAU, CENTERS FOR DISEASE CONTROL, HEALTHY PEOPLE 2020, UNITED WAY'S 2-1-1 COMMUNITY ASSET LIST, AND READING HOSPITAL PATIENT DATA. SUMMARIES OF PRIMARY AND SECONDARY DATA WERE COMPILED AND SHARED WITH THE HOSPITAL'S CHNA ADVISORY BOARD MADE UP OF READING HOSPITAL STAFF AND COMMUNITY PARTNERS AND PARTICIPANTS OF STAKEHOLDER INTERVIEWS, KEY INFORMANT SURVEYS, AND FOCUS GROUPS, WHO PARTICIPATED IN EXERCISES TO SELECT PRIORITY AREAS AND BEGIN LAYING THE GROUNDWORK FOR THE IMPLEMENTATION PLAN. IDENTIFIED AND ACCEPTED PRIORITY AREAS TO ADDRESS INCLUDE: ACCESS TO HEALTH CARE SERVICES, SOCIAL DETERMINANTS OF HEALTH, DISEASE PREVENTION AND MANAGEMENT, AND ACCESS TO BEHAVIORAL HEALTH SERVICES. READING HOSPITAL BEGAN THE PROCESS OF CONDUCTING ITS 2022 COMMUNITY HEALTH NEEDS ASSESSMENT IN THE FALL OF 2020. THE HOSPITAL SELECTED ITS VENDOR - TRIPP UMBACH - AND BEGAN CONDUCTING QUANTITATIVE AND QUALITATIVE RESEARCH IN EARLY 2021. AS OF THE END OF THE FISCAL YEAR 2021, COMPLETED PRIMARY RESEARCH INCLUDED STAKEHOLDER INTERVIEWS (10 COMPLETED), KEY INFORMANT SURVEYS (61 COMPLETED), COMMUNITY SURVEYS (181 COMPLETED), AND FOCUS GROUPS (2 COMPLETED). SCHEDULE H, PART VI, LINE 3 AS PART OF THE MISSION TO PROVIDE COMPASSIONATE, ACCESSIBLE, HIGH-QUALITY, COST-EFFECTIVE HEALTHCARE TO THE COMMUNITY, READING HOSPITAL RECOGNIZES THAT SOME PATIENTS AND FAMILIES MAY NEED FINANCIAL ASSISTANCE TO HELP DEFRAY THE COST OF HEALTHCARE SERVICES. THEREFORE, READING HOSPITAL OFFERS PATIENT FINANCIAL ASSISTANCE TO ENSURE ACCESS TO HIGH-QUALITY HEALTHCARE FOR 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 IN BOTH ENGLISH AND SPANISH ON THE READING HOSPITAL WEBSITE. THE WEBSITE INCLUDES A DATABASE OF ALL PROVIDERS WHO DELIVER EMERGENCY AND MEDICALLY NECESSARY CARE AT READING 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 READING HOSPITAL'S FINANCIAL ASSISTANCE POLICY AND ARE MADE AVAILABLE IN LOBBIES AND WAITING AREAS THROUGHOUT THE HOSPITAL. 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 READING 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 READING HOSPITAL'S PRIMARY SERVICE AREA INCLUDES ALL AREAS OF BERKS COUNTY. BERKS COUNTY PROFILE: ACCORDING TO THE U.S. CENSUS BUREAU, AS OF JULY 1, 2019, THE POPULATION OF BERKS COUNTY IS 421,164. BERKS COUNTY HAS A DIVERSE POPULATION, WITH THE RACIAL MIX INCLUDING 86.9% WHITE, 22.5% HISPANIC OR LATINO, 7.4% BLACK OF AFRICAN AMERICAN, 1.6% ASIAN, 0.9% AMERICAN INDIAN AND ALASKA NATIVE, 0.2% NATIVE HAWAIIAN AND OTHER PACIFIC ISLANDER, AND 3.1% TWO OR MORE RACES. 7.5% OF BERKS COUNTY RESIDENTS ARE FOREIGN BORN. 19% OF RESIDENTS AGED 5+ SPEAK A LANGUAGE OTHER THAN ENGLISH AT HOME. 13.5% OF BERKS COUNTY RESIDENTS AGED 25+ HAVE LESS THAN A HIGH SCHOOL EDUCATION; WHEREAS 24.5% HOLD A BACHELOR'S DEGREE OR HIGHER. THE MEDIAN HOUSEHOLD INCOME IN BERKS COUNTY IS 61,522. 11.4% OF BERKS COUNTY RESIDENTS LIVE BELOW POVERTY. CITY OF READING PROFILE: BERKS COUNTY INCLUDES THE CITY OF READING, WHICH HAS A MORE DIVERSE POPULATION THAN THE REST OF THE COUNTY. ACCORDING TO THE U.S. CENSUS BUREAU, THE CITY OF READING HAS A POPULATION OF 88,375. OF THOSE RESIDENTS, THE RACIAL MIX INCLUDES: 66.5% HISPANIC OR LATINO, 53.3% WHITE, 12.3% BLACK OF AFRICAN AMERICAN, 2.5% AMERICAN INDIAN AND ALASKA NATIVE, 0.7% ASIAN, AND 18.9% TWO OR MORE RACES. 19.5% OF RESIDENTS ARE FOREIGN BORN, AND 57% OF PERSONS OVER 5 YEARS OF AGE SPEAK A LANGUAGE OTHER THAN ENGLISH AT HOME. ONLY 67.7% OF RESIDENTS AGED 25+ HAVE RECEIVED A HIGH SCHOOL DIPLOMA OR HIGHER, AND ONLY 9.7% HAVE RECEIVED A BACHELOR'S DEGREE OR HIGHER. MEDIAN HOUSEHOLD INCOME IS LESS THAN HALF OF THE COUNTY'S MEDIAN, COMING IN AT 30,087. 35.4% OF CITY OF READING RESIDENTS LIVE IN POVERTY. SCHEDULE H, PART VI, LINE 5 THE READING HOSPITAL BOARD IS COMPRISED OF 15 MEMBERS, 6 OF WHOM ARE FROM THE COMMUNITY WHO ARE NOT EMPLOYED BY THE HOSPITAL. ALL PHYSICIANS ARE ENCOURAGED TO APPLY FOR MEDICAL STAFF PRIVILEGES THE DEPARTMENT OF MEDICINE IS THE LARGEST CLINICAL DEPARTMENT OF READING HOSPITAL. THE DEPARTMENT SPANS 16 DIVISIONS OF MEDICINE. THIS COMPRISES OF 300+ PHYSICIANS (MD/DO) AND 80+ ADVANCED LICENSED PRACTITIONERS. CARE PROVIDED TO OUR PATIENTS SPANS AMBULATORY CARE THROUGH TO TRANSPLANT MEDICINE. THE DEPARTMENT FULFILLS THE MISSIONS OF OUR ORGANIZATION BY PROVIDING HIGH-QUALITY CARE, MEDICAL EDUCATION, AND RESEARCH. THE DEPARTMENT IS DEDICATED TO MEDICAL EDUCATION, PROVIDING MEDICAL STUDENTS, RESIDENTS, AND FELLOWS OPPORTUNITIES TO BE EDUCATED IN THEIR SPECIALTY AND ADVANCE THEIR CAREERS. READING HOSPITAL IS ACCREDITED BY THE PENNSYLVANIA MEDICAL SOCIETY TO SPONSOR CONTINUING MEDICAL EDUCATION FOR PHYSICIANS. THE CONTINUING MEDICAL EDUCATION TEAM WITHIN ACADEMIC AFFAIRS DEPARTMENT OVERSEES DEPARTMENT-BASED PROGRAMS FOR CME CATEGORY 1 AND CATEGORY 2 CREDITS. ONGOING EDUCATION IS ALSO AVAILABLE FOR STAFF IN ALL CLINICAL DEPARTMENTS. THE HOSPITAL ALSO PROVIDES ONGOING EDUCATION FOR STAFF IN ALL DEPARTMENTS ON SAFETY, COMPLIANCE, AND RELATED REGULATORY AND PROFESSIONAL ISSUES. CLINICAL RESEARCH IS A CORE COMPONENT OF READING HOSPITAL'S MISSION AND PROVIDES PATIENTS WITH ACCESS TO CUTTING-EDGE TREATMENTS WITHOUT NEEDING TO TRAVEL FAR FROM HOME. THE CLINICAL TRIALS OFFICE PROVIDES SUPPORT AND CLINICAL RESEARCH FOR PATIENTS, CAREGIVERS, AND MEDICAL PROFESSIONALS. THE CTO WORKS IN CONJUNCTION WITH THE HOSPITALS INSTITUTIONAL REVIEW BOARD WHICH MONITORS ALL CLINICAL RESEARCH PROJECTS CONDUCTED AT THE HOSPITAL. SCHEDULE H, PART VI, LINE 6 TOWER HEALTH MEDICAL GROUP (THMG) IS A GROUP WITHIN THE HOSPITAL'S AFFILIATED HEALTH CARE SYSTEM THAT PROVIDES GENERAL AND SPECIALIZED PRACTICE ASSISTANCE TO READING HOSPITAL WHICH IS AN ACUTE CARE HOSPITAL. PHYSICIANS CAN REFER PATIENTS TO THE ACUTE CARE HOSPITAL FOR FURTHER TREATMENT. COLLABORATION BETWEEN ALL TOWER HEALTH HOSPITALS ENABLES OUR HOSPITALS, PROVIDERS, LEADERSHIP AND STAFF TO LEVERAGE BEST PRACTICES ACROSS THE HEALTH SYSTEM. OUR PATIENTS BENEFIT FROM ACCESS TO A BROAD RANGE OF SERVICES - ALL RIGHT HERE IN OUR REGION. SCHEDULE H, PART VI, LINE 7 PENNSYLVANIA SCHEDULE H, PART VI PART II COMMUNITY BUILDING ACTIVITIES: ECONOMIC DEVELOPMENT: TWO MEMBERS OF READING HOSPITAL'S ADMINISTRATIVE TEAM SERVE ON BOARDS AND/OR COUNCILS RELATED TO ECONOMIC DEVELOPMENT. THESE INCLUDE THE GREATER READING CHAMBER OF COMMERCE AND INDUSTRY BOARD OF DIRECTORS AND THE BERKS COUNTY WORKFORCE DEVELOPMENT BOARD. ENVIRONMENTAL IMPROVEMENTS: READING HOSPITAL PARTICIPATES IN THE MEDSAFE PROGRAM, A MEDICATION COLLECTION KIOSK AND DISPOSAL SYSTEM, PROVIDING A SYSTEM FOR COMMUNITY MEMBERS TO SAFELY DISPOSE OF CONTROLLED, NON-CONTROLLED, AND OVER THE COUNTER MEDICATIONS. WORKFORCE DEVELOPMENT: READING 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. THESE ACTIVITIES ALLOW THE FUTURE OF HEALTHCARE TO EXPLORE CAREERS AND GET A REALISTIC PICTURE OF THE JOB DUTIES AND RESPONSIBILITES FOR A VARIETY OF JOBS WITHIN THE HOSPITAL. X X X X X X false true false false false false false false false CLINT MATTHEWS TOWER HLTH PRES/CEO 1392025 461410 492108 39879 2385422 426790 GARY F CONNER EVP CFO 736896 632558 208112 13647 1591213 587504 THERESE SUCHER EVP COO 844921 236741 239101 40097 1360860 213561 WILLIAM JENNINGS EVP & CEO RH 10/2018 957635 37823 262416 24012 1281886 GREG SORENSON EVP CMO TERM 1/2021 679470 199485 222193 18046 1119194 175565 DAN AHERN EVP BUSINESS DEVELOP 659166 196340 187035 24012 1066553 158984 ERIC ELGIN MD BOARD MEMBER 694381 46157 158538 11400 23562 934038 MARY AGNEW SVP CNO 481320 214842 105918 24012 826092 211032 CHARLES BARBERA MD BOARD MEMBER 543939 46107 202285 24012 816343 CARL SEIDL VP TERM 5/21/21 311504 48227 392939 7228 759898 32221 MARK G MARTENS VP CHIEF ACADEMIC 523977 38946 94532 24012 681467 MICHELLE TRUPP VP CIO 440000 18213 210046 807 669066 SUZANNE WENDEROTH MD BOARD MEMBER 474869 36941 102217 24444 638471 35801 RUSSELL H SHOWERS SVP CHIEF OF HR 457133 47207 85764 8673 598777 45916 CECILIA SMITH DO BOARD MEMBER 529723 2472 23154 8673 564022 ROBERT EHINGER CFO TERM 9/2020 398027 17518 86044 24444 526033 LUIS A ROSA VP PAYOR CONTRACTING 381147 57430 51259 8241 498077 38880 MARK MCNASH SVP SUPPORT SERVICES 316915 45831 86853 16106 465705 31548 DAVID A SCHLAPPY VP CHIEF OF QUALITY 349980 36647 51410 24444 462481 35957 RON NUTTING MD CMO 338365 51483 25650 16106 431604 DAWN ANUSZKIEWICZ COO RH 391859 690 11400 24012 427961 JOHN CASEY MD BOARD MEMBER 324766 1980 50088 16106 392940 OLUBUMNI OJIKUTU MD BOARD MEMBER 245351 10800 695 50318 20727 327891 MARK REYNGOUDT CFO 10/1/20 247991 11643 10129 27894 297657 ROSEMARY WURSTER CNO 277759 822 11106 804 290491 MIN LEE VP OPERATIONS 157356 27134 5923 5395 195808 SCHEDULE J, PAGE 1, PART I, LINE 4 CLINT MATTHEWS 0 426,790 0 GARY F. CONNER 0 587,504 0 THERESE SUCHER 0 213,561 0 GREG SORENSON 0 175,565 0 DAN AHERN 0 158,984 0 MARY AGNEW 0 211,032 0 CARL SEIDL 0 32,221 0 SUZANNE WENDEROTH, MD 0 35,801 0 RUSSELL H. SHOWERS 0 45,916 0 LUIS A. ROSA 0 38,880 0 MARK MCNASH 0 31,548 0 DAVID A. SCHLAPPY 0 35,957 0 SCHEDULE J, PART III PART III ADDITIONAL INFORMATION PART 1, 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 INDIVIDUALS PARTICIPATED IN THE 457(F) DEFERRED COMPENSATION PLAN DURING THE CALENDAR YEAR 2020 BUT DID NOT RECEIVE A DISTRIBUTION. WILLIAM JENNINGS ROBERT EHINGER CHARLES BARBERA JOHN CASEY MARK MARTENS MICHELLE TRUPP WEIDENHAMMER SYSJ WEIDENHAMMER CTLD ENTITY BM 75163 IT SUPPORT false FORM 990 - ORGANIZATION'S MISSION WEBSITE: WWW.TOWERHEALTH.ORG/LOCATIONS/READING-HOSPITAL THE MISSION OF READING HOSPITAL 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. IN ADDITION TO ITS PRIMARY ROLE AS A PROVIDER OF DIRECT CARE, READING HOSPITAL ADDRESSES ISSUES OUTSIDE THAT REALM THAT IMPACT HEALTH AND WELLNESS. IN FACT, A KEY PART OF OUR MISSION MEANS THE REINVESTMENT OF OUR RESOURCES INTO THESE EFFORTS, WHICH ARE COLLECTIVELY KNOWN AS COMMUNITY BENEFIT. READING HOSPITAL'S COMMUNITY WELLNESS DEPARTMENT SUPPORTS THE HOSPITAL'S COMMUNITY ENGAGEMENT AND COMMUNITY BENEFIT ENDEAVORS. THE DEPARTMENT'S MISSION IS THREE PRONGED AND SEEKS TO LEAD, PARTNER, AND INVEST IN STRATEGIC HEALTH INITIATIVES THAT TARGET THE UNDERSERVED AND ADDRESS HEALTH DISPARITIES AND SOCIAL DETERMINANTS OF HEALTH. THE COMMUNITY WELLNESS DEPARTMENT ALSO MANAGES THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PROCESS. READING HOSPITAL'S MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN WAS COMPLETED IN 2019 AND IDENTIFIED AND PRIORITIZED FOUR AREAS OF FOCUS: ACCESS TO HEALTHCARE, SOCIAL DETERMINANTS OF HEALTH, DISEASE PREVENTION AND MANAGEMENT AND ACCESS TO BEHAVIORAL HEALTH SERVICES. THROUGHOUT THE 2020 FISCAL YEAR, THE HOSPITAL IMPLEMENTED STRATEGIES TO ADDRESS THESE PRIORITY AREAS. ACCESS TO HEALTHCARE: ONE STRATEGY IDENTIFIED TO HELP INCREASE ACCESS TO HEALTHCARE SERVICES WAS TO INCREASE CULTURAL AWARENESS. A DIVERSITY AND INCLUSION COUNCIL WAS ESTABLISHED AT READING HOSPITAL WITH THE MISSION TO "FOSTER AN ENVIRONMENT THAT EXPRESSLY VALUES DIVERSITY OF THOUGHT, PERSPECTIVE, BACKGROUND, AND EXPERIENCE AMONG ITS EMPLOYEES, TO MAKE EACH INDIVIDUAL FEEL WELCOME AND APPRECIATED FOR THEIR UNIQUE CONTRIBUTIONS." THE COUNCIL IS COMMITTED TO ATTRACTING AND RETAINING A DIVERSE WORKFORCE, PROVIDING DIVERSITY AND INCLUSION TRAINING TO EMPLOYEES, CREATING EMPLOYEE RESOURCE GROUPS, AND PROMOTING DIVERSITY, EQUITY, AND INCLUSION THROUGH EVENTS AND COMMUNICATION ACTIVITIES. THE COUNCIL IS MADE UP OF 16 STAFF MEMBERS FROM A VARIETY OF CLINICAL AND NON-CLINICAL AREAS WITHIN THE HOSPITAL. DURING FY2021, THE DIVERSITY AND INCLUSION COUNCIL CONDUCTED 7 WEBINARS THAT ENGAGED OVER 1,000 STAFF. TOPICS INCLUDED TRANSGENDER HEALTHCARE; THE HOLOCAUST, MY PERSONAL STORY; TOWER HEALTH CEO ROUNDTABLE; IMPLICIT BIAS; UNCONSCIOUS BIAS: A CONVERSATION; MULTIGENERATIONAL WORKFORCE; AND CULTURAL AWARENESS. THE GROUP ALSO PLANS CELEBRATIONS THAT FOCUS ON EDUCATING ABOUT AND CELEBRATING DIVERSITY, INCLUDING LGBTQ+, BLACK HISTORY MONTH, JEWISH AMERICAN HERITAGE MONTH, CHINESE NEW YEAR, ETC. THE COUNCIL ALSO OFFERED A 2.5-HOUR DIVERSITY & INCLUSION TRAINING FOCUSED ON IMPLICIT BIAS TO ALL HOSPITAL LEADERSHIP. THE TRAINING ALLOWED LEADERSHIP TO REFLECT ON A NUMBER OF TOPICS INCLUDING EQUITY VERSUS EQUALITY, HEALTHCARE DISPARITIES, CROSS- CULTURAL COMMUNICATION, MICROAGGRESSIONS, STRUCTURAL RACISM, AND HISTORICAL BIAS. 18 SESSIONS WERE COMPLETED. THE TOWER ACCESS PROJECT, A SYSTEM INITIATIVE, WAS EXECUTED AND CREATED A CENTRALIZED AND COORDINATED ADVANCED ACCESS CENTER WHICH IS NOW THE SINGLE POINT OF CONTACT FOR COMMUNITY MEMBERS TO FIND PROVIDERS, SCHEDULE APPOINTMENTS, AND ACCESS INFORMATION. READING HOSPITAL'S STREET MEDICINE PROGRAM SEEKS TO PROVIDE HEALTH CARE TO SOME OF THE MOST VULNERABLE MEMBERS OF THE BERKS COUNTY COMMUNITY - THE HOMELESS. PHYSICIAN AND NURSING STAFF VOLUNTEER THEIR TIME TO VISIT HOMELESS CAMPS, SOUP KITCHENS, AND SHELTERS TO DELIVER FREE, PRIMARY CARE TO THIS OFTEN UNDERSERVED AND NEGLECTED POPULATION IN AN ENVIRONMENT THAT IS FAMILIAR, SAFE, AND NON-JUDGMENTAL. THE PROGRAM OFFERS THREE COMPONENTS: DELIVERY OF PRIMARY CARE SERVICES, PATIENT CASE MANAGEMENT SERVICES, AND PATIENT EDUCATION ON HEALTH AND SOCIAL SERVICES. THE STREET MEDICINE PROGRAM IS FULLY GRANT FUNDED. STAFF VOLUNTEERS PARTICIPATE DURING THEIR NON-SCHEDULED HOURS. DURING FY2021, THE STREET MEDICINE PROGRAM PROVIDED CARE DURING OVER 1,200 ENCOUNTERS WITH HOMELESS COMMUNITY MEMBERS. OVER 2,000 PAID STAFF HOURS AND OVER 1,000 VOLUNTEER HOURS WERE LOGGED BY HOSPITAL TEAM MEMBERS PROVIDING CARE AND SUPPORT TO THE PROGRAM AND ITS PATIENTS. THE BE WELL BERKS WEBSITE PROVIDES UP-TO-DATE INFORMATION ABOUT COMMUNITY WELLNESS DEPARTMENT INITIATIVES, EVENTS, AND EDUCATIONAL MATERIALS FOR COMMUNITY MEMBERS. THE CONTENT IS ACCESSIBLE ON A NUMBER OF DEVICES INCLUDING DESKTOPS/LAPTOPS, MOBILE DEVICES, TABLETS, ETC. IN FY2021, THE WEBSITE RECORDED OVER 5,700 UNIQUE VISITORS AND OVER 6,900 SITE VISITS. DURING FY2021, READING HOSPITAL'S REMOTE PATIENT MONITORING PROGRAM, MANAGED BY THE POPULATION HEALTH TEAM, PROVIDED SERVICES TO OVER 200 PATIENTS INCLUDING THOSE DIAGNOSED WITH CHRONIC HEART FAILURE AND COVID-19. OUR CAREGIVERS AND SUPPORT STAFF PARTICIPATE IN A NUMBER OF COMMUNITY HEALTH IMPROVEMENT INITIATIVES, INCLUDING COMMUNITY HEALTH EDUCATION, SCREENING EVENTS, AND IMMUNIZATION CLINICS, THAT EXTEND BEYOND PATIENT CARE ACTIVITIES AND ARE SUBSIDIZED BY THE HOSPITAL. PROGRAMS ARE OFFERED TO ALL COMMUNITY MEMBERS FOR FREE OR AT A VERY NOMINAL COST. STAFF PARTICIPATE IN COMMUNITY-BASED HEALTH EDUCATION EVENTS, SPEAKERS BUREAUS, AND HEALTH FAIRS TO PROVIDE INFORMATION AND EDUCATION FOR PREVENTION AND MANAGEMENT OF CHRONIC HEALTH CONDITIONS INCLUDING DIABETES, HEART HEALTH, CANCER, RESPIRATORY DISEASE, HEALTHY NUTRITION, AND A RANGE OF OTHER TOPICS. THE HOSPITAL'S INJURY PREVENTION PROGRAM PROVIDES FREE EDUCATION TO COMMUNITY MEMBERS IN AN EFFORT TO PREVENT THOSE ACCIDENTS AND INJURIES THAT RESULT IN THE HIGHEST PATIENT VOLUME IN OUR TRAUMA CENTER. EDUCATIONAL PROGRAMS INCLUDE: 1.STOP THE BLEED - NATIONAL AWARENESS CAMPAIGN THAT PREPARES THE PUBLIC TO SAVE LIVES IN THE EVENT OF A LIFE-THREATENING BLEED (5 SESSIONS HOSTED REACHING OVER 60 COMMUNITY MEMBERS); 2.FALL PREVENTION/MATTER OF BALANCE - EDUCATION AND AWARENESS AMONG OLDER ADULTS, FAMILIES, AND CAREGIVERS ABOUT THE SERIOUSNESS OF FALLS AND WAY TO REDUCE THEM; 3.TRAUMA/INJURY PREVENTION - CAR SEAT SAFETY, BICYCLE SAFETY, AND OTHER TOPICS (4 EVENTS REACHING NEARLY 400 COMMUNITY MEMBERS); 4.TRAUMA SURVIVORS NETWORK - WEBSITE PROVIDING RESOURCES, TOOLS, AND A SUPPORT NETWORK FOR TRAUMA PATIENTS AND THEIR FAMILIES. READING HOSPITAL STAFF ASSIST WITH NUMEROUS FREE SCREENING OPPORTUNITIES FOR COMMUNITY MEMBERS. DURING FY2021, MANY SCREENING OPPORTUNITIES WERE LIMITED DUE TO COVID-19. BUT AS THE YEAR WENT ON, SCREENING EVENTS RETURNED AND NEARLY 1,500 FREE SCREENINGS WERE CONDUCTED INCLUDING BREAST (85 SCREENINGS) AND CERVICAL (20 SCREENINGS) CANCERS, HIV (66 SCREENINGS) AND STD (486 SCREENINGS), AND MENTAL HEALTH (820 SCREENINGS). SOCIAL DETERMINANTS OF HEALTH: A NUMBER OF INITIATIVES HAVE ALSO BEEN UNDERTAKEN TO IDENTIFY AND ADDRESS SOCIAL DETERMINANTS OF HEALTH. READING HOSPITAL'S COMMUNITY CONNECTION PROJECT (CCP) WAS DESIGNED TO IMPLEMENT TO CENTER FOR MEDICARE AND MEDICAID'S ACCOUNTABLE HEALTH COMMUNITIES (AHC) MODEL. THROUGH THE PROGRAM, ELIGIBLE MEDICARE AND MEDICAID PATIENTS ARE SCREENED FOR HEALTH-RELATED SOCIAL NEEDS IN THE AREAS OF FOOD, HOUSING, UTILITIES, TRANSPORTATION, AND SAFETY. PATIENTS ARE THEN RISK-STRATIFIED BASED ON NEEDS AND NUMBER OF EMERGENCY DEPARTMENT VISITS. ALL PATIENTS WHO SCREEN POSITIVE FOR SOCIAL NEEDS ARE PROVIDED A COMMUNITY REFERRAL SUMMARY THAT PROVIDES INFORMATION ON RESOURCES AVAILABLE IN THE COMMUNITY TO HELP ADDRESS THEIR UNMET NEEDS. HIGH-RISK PATIENTS (1 OR MORE SOCIAL NEEDS AND 2 OR MORE ED VISITS) ARE ALSO OFFERED ONE-YEAR OF NAVIGATION SERVICES, IN WHICH A NAVIGATOR CREATES CLOSED-LOOP REFERRALS TO PARTNER COMMUNITY ORGANIZATIONS. THE GOAL OF THE PROGRAM IS TO TEST WHETHER SYSTEMATICALLY IDENTIFYING AND ADDRESSING HEALTH-RELATED SOCIAL NEEDS OF THIS POPULATION IMPACTS HEALTH QUALITY. IN FY2021, OVER 36,000 SCREENINGS WERE COMPLETED AND OVER 1,400 BENEFICIARIES WERE IDENTIFIED AS ELIGIBLE FOR NAVIGATION SERVICES. THE CCP PARTNERS WITH OVER 20 CLINICAL DELIVERY SITES AND NEARLY 20 COMMUNITY SERVICE PARTNERS TO EXECUTE THE WORK. THIS PROGRAM IS FULLY FUNDED THROUGH A CMS GRANT. READING HOSPITAL EMPLOYS AN ATTORNEY WHO MANAGES AND CONDUCTS THE WORK OF THE MEDICAL LEGAL PARTNERSHIP (MLP) PROGRAM, WHICH PROVIDES FREE CIVIL- LEGAL ADVICE AND REPRESENTATION TO LOW-INCOME PATIENTS FACING HEALTH- HARMING LEGAL NEEDS. IN FY2021, THE MLP PROGRAM RECEIVED 93 REFERRALS AND CLOSED 82 CASES. THE MLP MANAGING ATTORNEY PARTNERED WITH LOCAL COMMUNITY ORGANIZATION, CENTRO HISPANO DANIEL TORRES, INC., TO CONDUCT A VIRTUAL TOWN HALL PROVIDING INFORMATION AND UPDATES ON THE FEDERAL EVICTION MORATORIUM TO COMMUNITY MEMBERS. THE MLP ALSO WRITES A MONTHLY BLOG THAT IS SHARED ON THE BE WELL BERKS WEBSITE TO EDUCATE THE COMMUNITY ON PRESSING CIVIL-LEGAL ISSUES. TO ADDRESS TRANSPORTATION BARRIERS, READING HOSPITAL OFFERS A NUMBER OF OPTIONS TO PATIENTS INCLUDING BUS PASSES AND CAB VOUCHERS AT NO COST FORM 990, PAGE 1, PART I, LINE 6 IN FISCAL YEAR 2021, READING HOSPITAL HAD 352 VOLUNTEERS (39,620) HOURS) DONATE THEIR TIME. THERE ARE THREE TYPES OF VOLUNTEERS THAT SERVE THE READING HOSPITAL. THERE ARE IN-SERVICE VOLUNTEERS WHO COME INTO THE HOSPITAL. THEY GO TO PATIENT CARE UNITS TO RESTOCK, REFILL PATIENT WATER, PROVIDE VISITOR COMFORT TO THE PATIENTS AND HELP THE STAFF WITH VARIOUS ACTIVITIES. THIS ALLOWS OUR STAFF TO PROVIDE A HIGHER LEVEL CARE TO OUR PATIENTS. THE SECOND TYPE OF VOLUNTEER IS THE COMMUNITY VOLUNTEER. WE HAVE VOLUNTEERS WHO HAND MAKE PATIENT COMFORT ITEMS. IN FY 20-21 OUR VOLUNTEERS MADE 32,867 ITEMS INCLUDING 13,318 FACE MASKS FOR THE PANDEMIC. THE THIRD TYPE OF VOLUNTEER ARE THE FRIENDS OF READING HOSPITAL WHO VOLUNTEER THEIR TIME AND TALENT TO FUND RAISE FOR SPECIAL PROJECTS TO ENHANCE THE PATIENT EXPERIENCE AND THE HEALTH OF OUR COMMUNITY SUCH FUNDING FOR AEDS PROVIDED FREE OF CHARGE TO ALL FIRST RESPONDERS IN BERKS COUNTY AND A MOBILE MAMMOGRAPHY UNIT. FORM 990, PAGE 2, PART III, LINE 4A INPATIENT CARE - 203,050 PATIENT DAYS READING HOSPITAL PROVIDES 725 BEDS FOR PROVISION OF COMPREHENSIVE INPATIENT, OUTPATIENT, AND EMERGENT CARE. INPATIENT CARE IS PROVIDED IN 2 CRITICAL CARE UNITS, 2 INTERMEDIATE CARE UNITS, 3 ACUTE REHABILITATION UNITS, AND 13 MEDICAL SURGICAL UNITS WITH SUB-SPECIALTIES THAT INCLUDE ONCOLOGY, NEUROLOGY, CARDIOLOGY, HEART FAILURE, ORTHOPEDICS, TRAUMA, BARIATRIC SURGERY, AND MEDICAL COMPLEXITY. IN ADDITION, READING HOSPITAL PROVIDES COMPREHENSIVE MATERNAL CHILD HEALTH SERVICES THAT INCLUDE OBSTETRICS, NEONATAL INTENSIVE CARE, INPATIENT PEDIATRIC MEDICAL SURGICAL CARE, AND PEDIATRIC EMERGENCY SERVICES. INPATIENT SERVICES ARE SUPPORTED BY HOSPITAL-BASED HEMODIALYSIS, APHERESIS, AND VASCULAR ACCESS SERVICES. READING HOSPITAL INPATIENT CARE OFFERS THE FOLLOWING HIGH LEVEL SERVICES TO SUPPORT COMMUNITIES WITHIN BOTH ITS PRIMARY AND SECONDARY MARKETS: 1.REGIONAL CANCER, CARDIAC, AND PRIMARY STROKE CENTERS 2.REGIONAL TRANSPLANT (KIDNEY AND LIVER) CENTER 3.TRAUMA LEVEL 1 CENTER (ONLY LEVEL 1 CENTER WITHIN THE COUNTY) 4.REGIONAL LEVEL III NEONATAL INTENSIVE CARE UNIT 5.VIRTUAL INTENSIVE CARE UNIT (VICU) 6.CHARITY CARE PROGRAM IN ADDITION, READING HOSPITAL INPATIENT CARE IS ALIGNED WITH SYSTEM PROGRAMS TO IMPROVE POST DISCHARGE CARE OUTCOMES, CARE ACROSS THE CONTINUUM FROM INPATIENT TO AMBULATORY SETTING, AND DECREASED READMISSION, INCLUDING 1.COMPREHENSIVE POPULATION HEALTH SERVICES 2.TOWER HEALTH STREET MEDICINE PROGRAM - A PROGRAM TO PROVIDE HEALTH SERVICES AND PREVENTATIVE CARE TO HOMELESS POPULATION WITHIN THE COMMUNITY 3.TELE-HEALTH SUPPORT OF HEART FAILURE PATIENT POPULATION TO HELP PREVENT READMISSIONS THROUGH THE REMOTE MONITORING OF BP AND WEIGHT READING HOSPITAL WAS MAGNET DESIGNATED FOR NURSING AND PATIENT CARE EXCELLENCE IN 2016 AND IS CURRENTLY IN THE REDESIGNATION PROCESS; THIS NATIONAL LEVEL DESIGNATION BY THE AMERICAN NURSES CREDENTIALING CENTER IS RENEWED EVERY FOUR YEARS. THIS DESIGNATION INDICATES THAT READING HOSPITAL INPATIENT UNITS, EMERGENCY DEPARTMENT, PERIOPERATIVE SERVICES, AND AMBULATORY CARE DEPARTMENTS EXCEED NATIONAL BENCHMARKS FOR NURSING QUALITY INDICATORS, PATIENT SATISFACTION WITH NURSING CARE, AND NURSE SATISFACTION. EMERGENCY CARE - 100,166 EMERGENCY ROOM VISITS READING HOSPITAL EMERGENCY DEPARTMENT PROVIDES EMERGENCY, URGENT AND PRIMARY CARESERVICES TO OUR COMMUNITY "24/7/365," REGARDLESS OF ABILITY TO PAY. VOLUME TO RH EMERGENCY DEPARTMENT RANKS IT AMONG THE TOP THREE IN THE STATE OF PENNSYLVANIA YEAR AFTER YEAR. AS THE AREA'S ONLY ACCREDITED LEVEL 1 TRAUMA CENTER, RH ALSO PROVIDES IMMEDIATE ACCESS THROUGH ITS EMERGENCY DEPARTMENT TO ALL SPECIALTY SERVICES, FROM TRAUMA SURGEONS TO PLASTIC SURGEONS, AND ALL AREAS OF SPECIALTY CARE. THE HOSPITAL ALSO HAS A PEDIATRIC AND PSYCHIATRIC EMERGENCY DEPARTMENT. IN ADDITION TO ITS TRAUMA CERTIFICATION, RH IS THE ONLY HOSPITAL IN THE REGION TO HAVE MADE A COMMITMENT TO ACCREDITED CARE IN STROKE AND CHEST PAIN. THE HOSPITAL ALSO IS A CENTER OF EXCELLENCE WITH 24/7 CERTIFIED RECOVERY SPECIALISTS ON SITE TO PROVIDE WARM HAND-OFFS TO PATIENTS WITH OPIOID AND OTHER SUBSTANCE USE DISORDERS. THE DEPARTMENT OFFERS SEXUAL ASSAULT NURSE EXAMINER (SANE) PROGRAM WITH THE BERKS COUNTY DISTRICT ATTORNEY TO ASSIST VICTIMS OF SEXUAL ASSAULT. THE HOSPITAL ALSO HAS AN EMERGENCY MEDICINE TRAINING PROGRAM, PARAMEDIC SCHOOL AND NURSING PROGRAM. FORM 990, PAGE 2, PART III, LINE 4B OPERATING ROOM - 17,935 TOTAL SURGERIES READING HOSPITAL OPERATES IN A MARKET SERVED BY NEARLY 20 SPECIALTY, INVESTOR-OWNED FACILITIES, WHICH CARVE OUT THE BEST PAYING INSURANCE PLANS, THE HIGHEST MARGIN PROCEDURES, AND THE LEAST COMPLICATED PATIENTS TO SERVE. BY CONTINUING TO PROVIDE A FULL-SERVICE SURGICAL SERVICE, RH OFFERS THE MOST ADVANCED SURGICAL OPTIONS, FROM ROBOTIC ASSISTED, MINIMALLY INVASIVE SURGERY TO A FULL SPECTRUM OF OUTPATIENT SURGICAL OPTIONS. AND TO ENSURE OUR COMMUNITY HAS ACCESS TO SURGICAL SPECIALTIES THAT MAY BE EXPERIENCING SHORTAGES ELSEWHERE IN THE COUNTRY. RH SUPPORTS ITS SURGEONS IN THEIR FELLOWSHIP TRAINING AND RECRUITS AND RETAINS SURGEONS IN AREAS LIKE PLASTIC SURGERY - AVAILABLE ONLY DURING LIMITED HOURS OR NOT AT ALL, IN OTHER HOSPITALS IN ITS MARKET. FORM 990, PAGE 2, PART III, LINE 4C MCGLINN CANCER INSTITUTE 28,786 PROCEDURES THE MCGLINN CANCER INSTITUTE, LOCATED WITHIN THE READING HOSPITAL, IS PRIMARILY AN OUT-PATIENT FACILITY WHICH HOUSES THE SECTIONS OF RADIATION ONCOLOGY, HEMATOLOGY/ONCOLOGY, AND GYNECOLOGICAL ONCOLOGY. THE ANNUAL TOTAL OF PATIENTS WHO ARE DIAGNOSED AND/OR TREATED HERE APPROXIMATES 1600. UPON DIAGNOSIS, A NURSE NAVIGATOR CONTACTS EACH PATIENT TO OFFER INFORMATION AND SUPPORT. MOST PATIENTS ARE SEEN IN ONE OF OUR MULTI-DISCIPLINARY CLINICS BASED ON THE TYPE OF MALIGNANCY DIAGNOSED. THIS INCLUDES THORACIC, MALIGNANT HEMATOLOGY, BREAST, GENITO-URINARY, GYNECOLOGICAL, CUTANEOUS MALIGNANCIES, AND GASTRO-INTESTINAL CLINICS - MOST HELD ON A WEEKLY BASIS. EVERY CLINIC HAS ITS SPECIFIC TEAM OF PROVIDERS - SURGEONS, RADIATION ONCOLOGISTS, MEDICAL ONCOLOGISTS, RADIOLOGISTS, PATHOLOGISTS, NURSE NAVIGATORS, GENETIC COUNSELORS, AND PHYSICAL THERAPISTS - WHO CONFER AND COLLABORATE TO DESIGN A UNIQUE TREATMENT PLAN FOR EACH INDIVIDUAL PATIENT. EVERY CASE IS REVIEWED FOR POSSIBLE INCLUSION IN ONE OF THE MANY CLINICAL TRIALS OFFERED ON SITE. ONCE A PLAN OF ACTION HAS BEEN RECOMMENDED BY THE TEAM, THE PATIENT IS SEEN IN CONSULT BY THE PROVIDERS WHO WILL BE RESPONSIBLE FOR HIS/HER COURSE OF TREATMENT. MCGLINN CANCER INSTITUTE IS ACCREDITED BY THE COMMISSION ON CANCER AS A COMPREHENSIVE COMMUNITY CANCER PROGRAM. THE MEDICAL ONCOLOGY PRACTICE IS CERTIFIED BY THE AMERICAN SOCIETY OF CLINICAL ONCOLOGY THROUGH ITS QUALITY ONCOLOGY PRACTICE INITIATIVE (QOPI) AND THE RADIATION ONCOLOGY DEPARTMENT IS CERTIFIED BY THE AMERICAN COLLEGE OF RADIOLOGY. IN ADDITION, THE BREAST PROGRAM AT READING HOSPITAL IS ACCREDITED BY THE NATIONAL ACCREDITATION PROGRAM FOR BREAST CENTERS. THE CANCER CENTER OFFERS A THREE-YEAR HEMATOLOGY/ONCOLOGY FELLOWSHIP PROGRAM AND STUDENTS FROM VARIOUS PROGRAMS (EX: JEFFERSON UNIVERSITY, GWYNEDD MERCY UNIVERSITY, ARCADIA UNIVERSITY) ARE ASSIGNED CLINICAL ROTATIONS AT MCGLINN FOR GENETIC COUNSELING, RADIATION THERAPY TECHNOLOGY, AND PHYSICIAN ASSISTANT TRAINING. FORM 990, PAGE 2, PART III, LINE 4D EXPENSES INCURRED IN PROVIDING VARIOUS OTHER MEDICALLY NECESSARY HEALTHCARE SERVICES INCLUDE BUT ARE NOT LIMITED TO: REVENUE EXPENSE RADIOLOGY 183,615,510 30,935,796 REHABILITATION/PHYSICAL THERAPY 49,791,285 25,292,025 TRAUMA CENTER 4,970,690 3,068,372 TRANSPLANT CENTER 187,399 2,833,726 PHARMACY 52,532,766 44,459,819 READING HOSPITAL PROVIDES SERVICES TO ALL INDIVIDUALS IN A NON- DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, OR ABILITY TO PAY. FY20: READING HOSPITAL SAW A LARGE DECREASE IN REVENUE DUE TO THE POSTPONEMENT OF NON-URGENT PROCEDURES AND THE CANCELLATION OF ELECTIVE SURGERIES. OFFSITE LABS, RADIOLOGY CENTERS AND PHYSICIAN PRACTICES WERE CLOSED CAUSING A DECREASE IN PATIENT VISITS. OPERATING EXPENSES INCREASED DUE TO THE HIGH DEMAND FOR PERSONAL PROTECTIVE EQUIPMENT (PPE) FOR STAFF AND PATIENTS AND OTHER COVID RELATED EXPENSES. A STRONG EMPHASIS WAS PLACED ON SAFETY FOR OUR PATIENTS AND STAFF. AS A HEALTHCARE ORGANIZATION, WE WORKED TO INFORM THE COMMUNITY THAT DELAYING HEALTHCARE NEEDS PLACES AN INDIVIDUAL'S HEALTH AT RISK. READING HOSPITAL INVESTED IN EXPANDING DIGITAL, VIRTUAL ANDTELEHEALTH SERVICES TO STAY CONNECTED WITH THEIR PATIENTS. FY21: THROUGHOUT THE MANY CHALLANGES WE HAVE FACED DURING THE PANDEMIC, READING HOSPITAL EMPLOYEES CONTINUE TO DO WHAT IT TAKES TO SUPPORT THEIR PEERS AND PROVIDE EXCELLENT CARE FOR OUR PATIENTS. READING HOSPITAL CONTINUES TO RESPOND TO THE SURGES THAT HAVE OCCURRED THROUGHOUT FY21 WHICH PUTS A GREATER DEMAND ON STAFFING AND INCREASED SUPPLY COSTS RELTING TO PERSONAL PROTECTIVE EQUIPMENT. THE GREATER DEMAND ON STAFFING HAS CREATED SALARY CHALLANGES WHICH ESCALATED COSTS. READING HOSPITAL CONTINUES TO RELY ON OUR WORKFORCE LABOR POOL TO HELP US MEET THE STAFFING CHALLENGES. THE INCREASED SUPPLY COSTS REALTING TO PERSONAL PROTECTIVE EQUIPMENT STILL CONTINUE AS CHANGES HAVE OCCURRED IN REGARDS TO THE REQUIREMENTS FOR ADDITIONAL PROTECTIVE EQUIPMENT, AND SOCIAL DISTANCING. FORM 990, PAGE 6, PART VI, LINE 6 TOWER HEALTH ELECTS THE MEMBERS OF THE GOVERNING BODY FORM 990, PAGE 6, PART VI, LINE 7A THE MANAGEMENT OF THE CORPORATION SHALL BE VESTED IN THE BOARD OF DIRECTORS ELECTED BY THE MEMBER WHO IS TOWER HEALTH. FORM 990, PAGE 6, PART VI, LINE 7B ALL DECISIONS ARE SUBJECT TO APPROVAL BY THE BOARD OF DIRECTORS AS MANAGEMENT OF THE CORPORATION ELECTED BY THE MEMBER. 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 BOARD PORTAL FOR BOARD MEMBERS TO VIEW PRIOR TO FILING. MEMBERS ARE ALERTED TO INFORMATION AND NOTICES. A PAPER COPY OF FORM 990 IS AVAILABLE UPON REQUEST FOR ANY BOARD MEMBER UNABLE TO VEIW THE PORTAL. 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 BUSINESS OR OTHER ORGANIZATIONS OF WHICH THE MEMBER, MEMBER'S SPOUSE, A DECENDANT, 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, OFFICER AND KEY EMPLOYEE FOR UPDATING AND RESUBMISSION AND BY WHICH THE BOARD MEMBER, OFFICER AND KEY EMPLOYEE SHALL CONFIRM HIS OR HER AWARENESS OF THIS POLICY. ALL MEMBERS OF TOWER HEALTH MANAGEMENT (INCLUDING DIRECTORS AND VICE PRESIDENTS) MUST COMPLETE AND SUBMIT A CONFLICT OF INTEREST DISCLOSURE STATEMENT ANNUALLY. SUCH STATEMENTS ARE REVIEWED BY THE CHIEF COMPLIANCE OFFICER. FORM 990, PAGE 6, PART VI, LINE 15A THE TOWER HEALTH 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 WHICH INCLUDES KEY EMPLOYEES. FORM 990, PAGE 6, PART VI, LINE 19 THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. FORM 990, PART IX, LINE 11G OTHER PROGRAM FEES 23,668,317 0 0 OTHER FEES 0 56,176,148 0 OTHER FEES 6,597,902 0 0 OTHER FEES 1,440,478 0 0 OTHER FEES 891,781 0 0 PHYSICIAN FEES 24,075,100 5,363,629 0 TOTAL 56,673,578 61,539,777 0 FORM 990, PART XI, LINE 9 INTERCOMPANY ASSET TRANSFER -235,961,345 ASSETS RELEASED FROM RESTRICTION -105,513,704 PENSION LIABILITY 79,949,719 CORPORATE INCOME TAX 3,857 OTHER CHANGES -2,408 TOTAL -261,523,881 TOWER HEALTH 420 SOUTH 5TH AVENUE WEST READING PA 19611 232201344 HEALTHCARE PA 501C3 12C NA false THE FRIENDS OF THE READING HOSPITAL 420 SOUTH 5TH AVENUE WEST READING PA 19611 236026108 FUNDRAISE PA 501C3 10 RDG HOSP true THE RDG HOSPITAL & MED CENTER SELF- 420 SOUTH 5TH AVENUE WEST READING PA 19611 232087514 TRUST FUND PA 501C3 12B RDG HOSP true TOWER HEALTH MEDICAL GROUP 420 SOUTH 5TH AVENUE WEST READING PA 19611 232266054 HEALTHCARE PA 501C3 3 TOWER HLTH false READING HOSPITAL FOUNDATION 420 SOUTH 5TH AVENUE WEST READING PA 19611 473054125 SUPPORT PA 501C3 12B RDG HOSP true TOWER HEALTH AT HOME 1170 BERKSHIRE BLVD WYOMISSING PA 19610 232469321 SUPPORTING PA 501C3 12B TOWER HLTH false THAH - ADVANTAGE HOME CARE 1170 BERKSHIRE BLVD WYOMISSING PA 19610 232469319 HEALTHCARE PA 501C3 3 THAH false TOWER HEALTH AT HOME - BERKS 1170 BERKSHIRE BLVD WYOMISSING PA 19610 231466250 HEALTHCARE PA 501C3 3 THAH false TOWER HEALTH AT HOME - POTTSTOWN 1170 BERKSHIRE BLVD WYOMISSING PA 19610 231352574 HEALTHCARE PA 501C3 3 THAH false SOUTHERN CHESTER CNTY MED BLDG 1 1015 WEST BALTIMORE PIKE WEST GROVE PA 19390 232200841 HEALTHCARE PA N/A false false READING - UPMC JOINT VENTURE LLC 600 GRANT STREET PITTSBURGH PA 15219 814566751 HEALTHCARE PA N/A false false TOWERUSP SURGERY CENTERS LLC 15305 DALLAS PARKWAY-SUITE 1600LB28 ADDISON TX 75001 364911103 HEALTHCARE PA N/A false false MEDICAL SCHOOL VENTURE LLC ELLIS PRES 3843 WEST CHESTER PIKE NEWTOWN SQUARE PA 19073 842638593 HEALTHCARE PA N/A false false TOWER HEALTH PPO PO BOX 14744 READING PA 19612 232430798 PPO PA RDG HOSP C CORP -415884 292674 1.00000 true MEDICUS RESOURCE MANAGEMENT PO BOX 14744 READING PA 19612 232565297 CM REVIEW PA TH PPO C CORP 1.00000 true TOWER HEALTH RECIPROCAL RISK 151 MEETING STREET SUITE 301 CHARLESTON SC 29401 822758845 INSURANCE SC NA C CORP false false false true false false false false false false false false false false false false true true false false READING HOSPITAL FOUNDATION P 690742 G/L TRANSACTIONS READING HOSPITAL FOUNDATION C 1896268 CASH THE FRIENDS OF THE READING HOSPITAL Q 66123 CASH