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 232201344 TOWER HEALTH TOWE 4846284307 PO BOX 16052 READING PA 196126052 P SUE PERROTTY TOWER HLTH PRES/CEO 4846284307 2022-05-13 true SUE PERROTTY XXX-XX-XXXX ANDREW ROE P01876391 7032868000 2022-05-13 2020 2022-09-23 18:48:47Z P SUE PERROTTY PO BOX 16052 PO BOX 16052 READING PA 196126052 653699747 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. 11 11 5720 11 -1433769 26465365 22375461 469793290 516326355 30152137 12182938 7638449 11302384 534049241 562187138 0 0 313150276 292050213 0 0 429616137 449647759 742766413 741697972 -208717172 -179510834 1916208118 1567530050 1783691030 1725484412 132517088 -157954362 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 BRANDYWINE HOSPITAL, CHESTNUT HILL HOSPITAL, JENNERSVILLE, HOSPITAL, PHOENIXVILLE HOSPITAL, AND POTTSTOWN HOSPITAL, THE FIVE 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. BRANDYWINE HOSPITAL: BRANDYWINE HOSPITAL'S COMMUNITY WELLNESS DE false false 129791968 202145557 ER/NURSING INPAITENT & OUTPATIENT PROGRAM: BRANDYWINE HOSPITAL BRANDYWINE HOSPITAL EMERGENCY DEPARTMENT PROVIDES EMERGENCY, URGENT AND PRIMARY CARE SERVICES TO THE COMMUNITY "24/7/365", REGARDLESS OF ABILITY TO PAY. BRANDYWINE HOSPITAL ALSO PROVIDES IMMEDIATE ACCESS THROUGH ITS EMERGENCY DEPARTMENT TO ALL SPECIALTY SERVICES. EMERGENCY ROOM VISITS FOR FY21 WERE 21,462. BRANDYWINE HOSPITAL INPATIENT UNITS INCLUDES MEDICAL SURGICAL, TELEMETRY AND INTENSIVE CARE UNITS THAT PROVIDE ACUTE IN-PATIENT SERVICES INCLUDING SUPPORT SERVICES SUCH AS LABORATORY, PHARMACY, PHYSICAL THERAPY, RESPIRATORY THERAPY, AND RADIOLOGY. TOTAL PATIENT DAYS FOR FY21 WERE 17,658. THE BEHAVIORAL HEALTH UNIT AT BRANDYWINE HOSPITAL PROVIDES 24-HOUR SUPERVISION, TREATMENT, STABILIZATION AND PLACEMENT FOR ADULTS AND OLDER ADULTS COPING WITH A VARIETY OF ISSUES, FOCUSING ON RETURNING THE INDIVIDUAL TO THE HIGHEST LEVEL OF FUNCTIONING POSSIBLE. THE INPATIENT EATING DISORDERS PROGRAM PROVIDES AN INDIVIDUALIZED TREATMENT PLAN, GROUP AND INDIVIDUAL THERAPY AND PSYCHIATRIC CARE FOR INDIVIDUALS AGES 13 AND OLDER. TOTAL PATIENT DAYS FOR FY21 WERE 16,830. CHESTNUT HILL HOSPITAL: CHESTNUT HILL HOSPITAL EMERGENCY DEPARTMENT PROVIDES EMERGENCY, URGENT AND PRIMARY CARE SERVICES TO THE COMMUNITY "24/7/365", REGARDLESS OF ABILITY TO PAY. CHH PROVIDES IMMEDIATE ACCESS THROUGH ITS EMERGENCY DEPARTMENT TO ALL SPECIALTY AREAS. CHH REMAINS COMMITTED TO THEIR GOAL OF SEEING PATIENTS IN 30 MINUTES OR LESS. EMERGENCY ROOM VISITS FOR FY21 WERE 35,246. CHESTNUT HILL HOSPITAL INPATIENT UNITS INCLUDE MEDICAL SURGICAL, TELEMETRY AND INTENSIVE CARE UNITS THAT PROVIDE ACUTE IN-PATIENT SERVICES SUCH AS LABORATORY, PHARMACY, PHYSICAL THERAPY, RESPIRATORY THERAPY, AND RADIOLOGY. TOTAL PATIENT DAYS FOR FY21 WERE 30,408. THE BEHAVIORAL HEALTH UNIT AT CHESTNUT HILL HOSPITAL PROVIDES 24 HOUR SUPERVISION, TREATMENT, STABILIZATION AND PLACEMENT FOR ADULTS AND OLDER ADULTS COPING WITH A VARIETY OF ISSUES, FOCUSING ON RETURNING THE INDIVIDUAL TO THE HIGHEST LEVEL OF FUNCTIONING POSSIBLE. TOTAL PATIENT DAYS FOR FY21 WERE 5,019. JENNERSVILLE HOSPITAL: JENNERSVILLE HOSPITAL EMERGENCY DEPARTMENT PROVIDES EMERGENCY, URGENT AND PRIMARY CARE SERVICES TO THE COMMUNITY "24/7/365", REGARDLESS OF ABILITY TO PAY. JENNERSVILLE HOSPITAL ALSO PROVIDES IMMEDIATE ACCESS THROUGH ITS EMERGENCY DEPARTMENT TO ALL SPECIALTY SERVICES. EMERGENCY ROOM VISITS FOR FY21 WERE 12,741. JENNERSVILLE HOSPITAL INPATIENT UNITS INCLUDE MEDICAL SURGICAL, TELEMETRY AND INTENSIVE CARE UNITS THAT PROVIDE ACUTE IN-PATIENT SERVICES SUCH AS LABORATORY, PHARMACY, PHYSICAL THERAPY, RESPIRATORY THERAPY, AND RADIOLOGY. TOTAL PATIENT DAYS FOR FY21 WERE 8,268. 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 ALL SPECIALTY SERVICES, FROM SURGEONS TO ALL AREAS OF SPECIALTY CARE. PHOENIXVILLE HOSPITAL HAD "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 FY21 WERE 20,311. PHOENIXVILLE HOSPITAL INPATIENT UNITS INCLUDE MEDICAL SURGICAL, TELEMETRY AND INTENSIVE CARE UNITS, LABOR AND DELIVER, REHABILITATION, NURSERY AND NICU. THEY PROVIDE INPATIENT ACUTE SERVICES INCLUDING SUPPORT SUCH AS LABORATORY, PHARMACY, PHYSICAL THERAPY AND RADIOLOGY. TOTAL PATIENT DAYS WERE 35,008. 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 FY21 WERE 32,273 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 WERE 30,378. 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 FY21 WERE 7,659. 80447544 69116124 OPERATING ROOM SERVICES: BRANDYWINE HOSPITAL: BRANDYWINE HOSPITAL'S SURGICAL SERVICE LINE CARE FOR BOTH INPATIENT AND OUTPATIENT IN NEED OF SURGICAL PROCEDURES INCLUDING BUT NOT LIMITED TO THE FOLLOWING SPECIALTIES: ENT, GASTROENTEROLOGICAL, GYNECOLOGIC, OPHTHALMOLOGY, UROLOGIC, VASCULAR AND GENERAL SURGERY. TOTAL PROCEDURES FOR FY21 WERE 2,698. CHESTNUT HILL HOSPITAL: CHESTNUT HILL HOSPITAL'S SURGICAL DEPARTMENT PROVIDES SURGICAL SERVICES TO OUR COMMUNITY IN BOTH AN INPATIENT AND OUTPATIENT SETTING. SERVICES INCLUDE: BARIATRICS, ENT, GASTROENTEROLOGY, GYNECOLOGY, ORTHOPEDICS, PAIN MANAGEMENT, PLASTICS, PODIATRY, PULMONOLOGY, THORACIC, UROLOGY, VASCULAR, AND GENERAL SURGERY. TOTAL PROCEDURES FOR FY21 WERE 5,086. JENNERSVILLE HOSPITAL: JENNERSVILLE HOSPITAL'S SURGICAL SERVICE DEPARTMENT CARES FOR BOTH INPATIENT AND OUTPATIENT IN NEED OF SURGICAL PROCEDURES INCLUDING BUT NOT LIMITED TO THE FOLLOWING SPECIALTIES: ENT, GASTROENTEROLOGICAL, GYNECOLOGIC, OPHTHALMOLOGY, UROLOGIC, VASCULAR AND GENERAL SURGERY. TOTAL PROCEDURES FOR FY21 WERE 2,898. 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. TOTAL PROCEDURES FOR FY21 WERE 8,392. 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 FY21 WERE 6,122. 42605835 101898130 RADIOLOGY/IMAGING PROGRAM: BRANDYWINE HOSPITAL: BRANDYWINE 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 SCANS, ULTRASOUNDS, CT SCANS, MRIS, NUCLEAR MEDICINE, INTERVENTIONAL RADIOLOGY AND MAMMOGRAMS. TOTAL PROCEDURES FOR FY21 WERE 40,932. CHESTNUT HILL HOSPITAL: CHESTNUT HILL HOSPITAL RADIOLOGY DEPARTMENT PROVIDES IMAGING SERVICES TO THE COMMUNITY IN BOTH AN INPATIENT AND OUTPATIENT SETTING. THESE SERVICES INCLUDE BUT ARE NOT LIMITED TO PET SCANS, ULTRASOUNDS, CAT SCANS, MRIS, NUCLEAR MEDICINE, INTERVENTIONAL RADIOLOGY, AND MAMMOGRAMS. CHESTNUT HILL HOSPITAL PROVIDES FREE SCREENINGS THROUGHOUT THE COMMUNITY AND OFFERS FINANCIAL ASSISTANCE FOR MAMMOGRAMS VIA FUNDS RECEIVED AT LOCAL CHARITABLE EVENTS HOSTED/SPONSORED BY CHESTNUT HILL HOSPITAL. TOTAL PROCEDURES FOR FY21 WERE 83,882. JENNERSVILLE HOSPITAL: JENNERSVIILE 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 SCANS, ULTRASOUNDS, CT SCANS, MRIS, NUCLEAR MEDICINE, INTERVENTIONAL RADIOLOGY AND MAMMOGRAMS. TOTAL PROCEDURES FOR FY21 WERE 24,677. 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 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 FY21 WERE 73,815. 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 SCANS, ULTRASOUNDS, CT SCANS, MRIS, NUCLEAR MEDICINE, INTERVENTIONAL RADIOLOGY AND MAMMOGRAMS. TOTAL PROCEDURES FOR FY21 WERE 78,036. 350270919 148428202 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: BRANDYWINE HOSPITAL: BRANDYWINE HOSPITAL PROVIDES OUTPATIENT SERVICES FOR LABORATORY, RADIOLOGY, WOUND CARE, SLEEP AND RESPIRATORY/PT/OT/SPEECH THERAPY PATIENTS. WE ALSO PROVIDE OUTPATIENT INFUSION SERVICES TO ONCOLOGY PATIENTS IN THE COMMUNITY. TOTAL OUTPATIENT VISITS FOR FY21 WERE 76,624. BRANDYWINE HOSPITAL PROVIDES PHARMACY SUPPORT TO ALL INPATIENTS WITH THEIR PHARMACEUTICAL NEEDS. CHESTNUT HILL HOSPITAL: CHESTNUT HILL HOSPITAL PROVIDES A FULL RANGE OF OUTPATIENT, DIAGNOSTIC AND TREATMENT SERVICES FOR PEOPLE IN NORTHWEST PHILADELPHIA AND EASTERN MONTGOMERY COUNTY. OTHER THAN IMAGING, CHESTNUT HILL HOSPITAL'S AREAS OF FOCUS FOR OUTPATIENTS ARE WOMEN'S SERVICES, REHABILITATION SERVICES AND SLEEP CARE. TOTAL OUTPATIENT VISITS FOR FY21 WERE 105,536. ONCOLOGY AND HEMATOLOGY SERVICES AT CHESTNUT HILL HOSPITAL INCLUDE COMPREHENSIVE CANCER SERVICES IN CARING IN A CARING AND COMPASSIONATE SETTING. WE PROVIDE HOPE WITH PROVEN CANCER TREATMENTS. OUR CANCER SERVICES INCLUDE FINANCIAL COUNSELING AND AN ONLINE PATIENT PORTAL AT THE PRACTICE TO IMPROVE PATIENT ACCESS AND COMMUNICATION. FREE COMMUNITY LECTURES ON CANCER SCREENINGS ARE PROVIDED DURING THE YEAR. TOTAL PROCEDURES IN FY21 WERE 259. CHESTNUT HILL HOSPITAL PROVIDES PHARMACY SUPPORT TO ALL INPATIENT WITH THEIR PHARMACEUTICAL NEEDS. JENNERSVILLE HOSPITAL: JENNERSVILLE HOSPITAL PROVIDES OUTPATIENT SERVICES FOR LABORATORY, RADIOLOGY, WOUND CARE, SLEEP AND RESPIRATORY/PT/OT/SPEECH THERAPY PATIENTS. WE ALSO PROVIDE OUTPATIENT INFUSION SERVICES TO ONCOLOGY PATIENTS IN THE COMMUNITY. TOTAL OUTPATIENT PROCEDURES FOR FY21 WERE 124,665. JENNERSVILLE HOSPITAL PROVIDES PHARMACY SUPPORT TO ALL INPATIENTS WITH THEIR PHARMACEUTICAL NEEDS. 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 FY21 WERE 319,890. 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 FY21 WERE 11,333. PHOENIXVILLE HOSPITAL PROVIDES PHARMACY SUPPORT TO ALL INPATIENTS AND CANCER CENTER PATIENTS WITH THEIR PHARMACEUTICAL NEEDS. THE NEW STATE-OF- THE-ART PHARMACY OPENED IN 2020. POTTSTOWN HOSPITAL: POTTSTOWN HOSPITAL PROVIDES OUTPATIENT SERVICES FOR LABORATORY, RADIOLOGY, WOUND CARE, AND PT/OT/SPEECH THERAPY PATIENTS. TOTAL PROCEDURES FOR FY21 WERE 321,049. 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 FY21 WERE 7,638. POTTSTOWN HOSPITAL PROVIDES PHARMACY SUPPORT TO ALL INPATIENTS AND CANCER CENTER PATIENTS WITH THEIR PHARMACEUTICAL NEEDS. THE NEW STATE-OF-THE-ART PHARMACY OPENED IN 2020. TOWER HEALTH URGENT CARE: TOWER HEALTH URGENT CARE CONSISTS OF 27 LOCATIONS. 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 IS ON THE FOREFRONT OF PATIENT CARE WITH OUR TELEBURN NETWORK. SELECT TOWER HEALTH URGENT CARE LOCATIONS HAVE PARTNERED WITH THE LEHIGH VALLEY TELEBURN NETWORK TO TREAT BURN PATIENTS BASED ON CONSULTS WITH SPECIALISTS AT THE LEHIGH VALLEY REGIONAL BURN CENTER. TELEBURN ENABLES OUR MEDICAL STAFF TO OBTAIN IMMEDIATE CONSULTS FROM THE BURN CENTER USING DIGITAL IMAGERY. TELEBURN ASSESSMENTS MEET ALL APPLICABLE PRIVACY AND SECURITY REGULATIONS OF THE HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT (HIPAA) AND THE HEALTH INFORMATION TECHNOLOGY FOR ECONOMIC AND CLINICAL HEALTH ACT (HITECH). ADDITIONALLY, COVID-19 ANTIBODY TESTING IS AVAILABLE AT SELECT TOWER HEALTH URGENT CARE LOCATIONS. 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 DIRECT: 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 COVID RESPONSE: FY20: TOWER HEALTH 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 RELEATED 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. TOWER HEALTH INVESTED IN EXPANDING DIGITAL, VIRTUAL AND TELEHEALTH SERVICES TO STAY CONNECTED WITH THEIR PATIENTS. FY21: THROUGHOUT THE MANY CHALLANGES WE HAVE FACED DURING THE PANDEMIC, TOWER HEALTH EMPLOYEES CONTINUE TO DO WHAT IT TAKES TO SUPPORT THEIR PEERS AND PROVIDE EXCELLENT CARE FOR OUR PATIENTS. TOWER HEALTH 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. TOWER HEALTH CONTINUES TO RELY ON OUR WORKFORCE LABOR POOL TO HELP US MEET THE STAFFING CHALLENGES. 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SOLUTIONS LLC PO BOX 742697 ATLANTA GA 303742697 CONTRACT LABOR 2682069 BERKS SCHUYLKILL RESPIRATORY SPEC 2608 KEISER BLVD WYOMISSING PA 196103333 MED STAFF SERV 1750925 SOCIETY HILL ANESTHESIA CONSULTANTS 301 SOUTH 8TH ST STE 2L PHILADELPHIA PA 19106 ANESTHESIA SERV 1675825 BARDEN THORWARTH DAUGHTRIDGE 2 MERIDIAN BLVD 3RD FLOOR WYOMISSING PA 19610 MED STAFF SERV 1363659 39 22203263 172198 22375461 PATIENT CHARGES 621110 572459232 572459232 CARE COORDINATION FEE 621400 6644187 6644187 JOINT VENTURES 621990 -62777064 -61699729 -1077335 516326355 6038919 -356434 6395353 4909921 4909921 4909921 4909921 97582968 73660 91447341 65268 6135627 8392 6144019 6144019 CAPITATION REVENUE 900099 2235381 2235381 PURCHASE REBATES 900099 1186582 1186582 MEALS 722310 1130805 1130805 1839695 1839695 6392463 562187138 522665348 -1433769 18580098 X 3309978 3309978 231533799 221607505 9926294 8262676 8181015 81661 31966382 29741861 2224521 16977378 15918903 1058475 100716 100716 1380000 1380000 92615704 85578565 7037139 1154187 1154187 495170 495170 22759951 22759951 93156 64968 28188 34810757 34810757 36257610 36257610 9690 9690 CORPORATE EXP ALLOCATION 111438268 111438268 SUPPLIES 82359253 82106809 252444 DRUGS & PHARM 39417181 39417181 REPAIRS 22514409 22498647 15762 4241707 3667634 574073 741697972 603116266 138581706 0 300998155 53534516 51252 6 77844050 80808269 20618956 20621813 14609565 20826572 357815254 98423146 327533948 259392108 554000960 664426349 51792652 -33210830 568758580 501131247 1916208118 1567530050 141113750 228158503 1361150437 1296150274 281426843 201175635 1783691030 1725484412 X 132482221 -157990649 34867 36287 132517088 -157954362 1916208118 1567530050 X -179510834 91426809 -202387425 X false true X true true true X X 2 READING HOSPITAL 231352204 3 true 26956695 0 TOWER HEALTH MEDICAL GROUP 232266054 3 true 0 0 2 26956695 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 55173 false false 55173 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 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. 88093232 88093232 196530965 47021100 149509865 31210271 48792305 -17582034 41980786 2609741 39371045 259392108 RECEIVABLE FROM AFFILIATES 404183452 OPERATING LEASE RIGHT OF USE 60136618 LT ASSETS/GOODWILL/SECURITY DEPOSITS 29588578 THIRD PARTY RECEIVABLE 7222599 501131247 OTHER 179079961 ESTIMATED SELF INSURANCE COST 17769953 MEDICARE COVID-19 PAYMENTS 3509806 DEFERRED LIABILITY 776554 PHY STUDENT LOANS 39361 201175635 X 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. false NORTH AMERICA INVESTMENTS 6788644 EUROPE INVESTMENTS 122351740 129140384 129140384 true false true true true false SCHEDULE F, PAGE 1, PART I, LINE 3 NORTH AMERICA 0 6,788,644 EUROPE 0 122,351,740 true true X true X true X true true true false true true 13225725 13225725 0.01780 99946837 70218495 29728342 0.04010 113172562 70218495 42954067 0.05790 2672996 72909 2600087 0.00350 11058733 3510829 7547904 0.01020 963633 963633 0.00130 209867 209867 0.00030 14905229 3583738 11321491 0.01530 128077791 73802233 54275558 0.07320 4 15185 15185 1 525 873 873 2 2527 2527 1 47 410 410 2 20775 20775 1 187686 187686 0.00030 1 2690 2690 12 572 230146 230146 0.00030 true 82370993 20592748 309341868 346530001 -37188133 X true true SOUTHERN CHESTER MED PRIMARY/SPECIALTY CARE 0.55000 0.45000 5 1 POTTSTOWN HOSPITAL 1600 EAST HIGH STREET POTTSTOWN PA 19464 "SEE SUPPLEMENTAL DISCLOSURE" 163201 TOWER HEALTH 232201344 X X X A 2 CHESTNUT HILL HOSPITAL 8835 GERMANTOWN AVENUE PHILADELPHIA PA 19118 "SEE SUPPLEMENTAL DISCLOSURE" 036101 TOWER HEALTH 232201344 X X X X A 3 PHOENIXVILLE HOSPITAL 140 NUTT ROAD PHOENIXVILLE PA 19460 "SEE SUPPLEMENTAL DISCLOSURE" 420901 X X X A 4 BRANDYWINE HOSPITAL 201 REECEVILLE ROAD COATESVILLE PA 19320 "SEE SUPPLEMENTAL DISCLOSURE" 025801 X X X A 5 JENNERSVILLE HOSPITAL 1015 WEST BALTIOMORE PIKE WEST GROVE PA 19390 "SEE SUPPLEMENTAL DISCLOSURE" 291501 X X X A A 12345 false false true 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 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 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-HOSPITAL HTTPS://WWW.TOWERHEALTH.ORG/LOCATIONS/PHOENIXVILLE-HOSPITAL HTTPS://WWW.TOWERHEALTH.ORG/LOCATIONS/BRANDYWINE-HOSPITAL HTTPS://WWW.TOWERHEALTH.ORG/LOCATIONS/JENNERSVILLE-HOSPITAL PART V, LINE 5 THIS ALSO APPLIES TO CHESTNUT HILL HOSPITAL, PHOENIXVILLE HOSPITAL, BRANDYWINE HOSPITAL AND JENNERSVILLE HOSPITAL 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 SURVEYS GROUP A, FACILITY 1, POTTSTOWN HOSPITAL - PART V, LINE 7D THIS ALSO APPLIES TO CHESTNUT HILL HOSPITAL, PHOENIXVILLE HOSPITAL, BRANDYWINE HOSPITAL AND JENNERSVILLE HOSPITAL LINK TO THE COMMUNITY HEALTH NEEDS ASSESSMENT FOR THE CHESTER/MONTGOMERY/PHILADELPHIA HOSPITALS: HTTPS://WWW.TOWERHEALTH.ORG/LOCATIONS/POTTSTOWN-HOSPITAL/ABOUT/ COMMUNITY/COMMUNITY-HEALTH-NEEDS-ASSESSMENT HTTPS://WWW.TOWERHEALTH.ORG/LOCATIONS/CHESTNUT-HILL-HOSPITAL/ABOUT/ COMMUNITY/COMMUNITY-HEALTH-NEEDS-ASSESSMENT HTTPS://WWW.TOWERHEALTH.ORG/LOCATIONS/PHOENIXVILLE-HOSPITAL/ABOUT/ COMMUNITY/COMMUNITY-HEALTH-NEEDS-ASSESSMENT HTTPS://WWW.TOWERHEALTH.ORG/LOCATIONS/BRANDYWINE-HOSPITAL/ABOUT/ COMMUNITY/COMMUNITY-HEALTH-NEEDS-ASSESSMENT HTTPS://WWW.TOWERHEALTH.ORG/LOCATIONS/JENNERSVILLE-HOSPITAL/ABOUT/ COMMUNITY/COMMUNITY-HEALTH-NEEDS-ASSESSMENT THE 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/POTTSTOWN-HOSPITAL/ABOUT/ COMMUNITY/COMMUNITY-HEALTH-NEEDS-ASSESSMENT HTTPS://WWW.TOWERHEALTH.ORG/LOCATIONS/CHESTNUT-HILL-HOSPITAL/ABOUT/ COMMUNITY/COMMUNITY-HEALTH-NEEDS-ASSESSMENT HTTPS://WWW.TOWERHEALTH.ORG/LOCATIONS/PHOENIXVILLE-HOSPITAL/ABOUT/ COMMUNITY/COMMUNITY-HEALTH-NEEDS-ASSESSMENT HTTPS://WWW.TOWERHEALTH.ORG/LOCATIONS/BRANDYWINE-HOSPITAL/ABOUT/ COMMUNITY/COMMUNITY-HEALTH-NEEDS-ASSESSMENT HTTPS://WWW.TOWERHEALTH.ORG/LOCATIONS/JENNERSVILLE-HOSPITAL/ABOUT/ COMMUNITY/COMMUNITY-HEALTH-NEEDS-ASSESSMENT GROUP A, FACILITY 1, POTTSTOWN HOSPITAL - PART V, LINE 11 THIS ALSO APPLIES TO CHESTNUT HILL HOSPITAL, PHOENIXVILLE HOSPITAL, BRANDYWINE HOSPITAL AND JENNERSVILLE HOSPITAL THE CHESTER/MONTGOMERY/PHILADELPHIA HOSPITALS (POTTSTOWN, CHESTNUT HILL, PHOENIXVILLE, BRANDYWINE AND JENNERSVILLE) EACH 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: POTTSTOWN HOSPITAL: 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. POTTSTOWN HOSPITAL WILL WORK TO IMPROVE CULTURAL SENSITIVITY OF STAFF BY ATTENDING CULTURAL AWARENESS TRAININGS. THE HOSPITAL WILL PARTNER WITH CREATIVE HEALTH SERVICES TO INCREASE ACCESS TO PRIMARY CARE FOR BEHAVIORAL HEALTH PATIENTS. POTTSTOWN HOSPITAL WILL STREAMLINE 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 WILL PARTNER WITH COMMUNITY HEALTH AND DENTAL CARE TO PROVIDE IMMEDIATE FOLLOW-UP APPOINTMENTS POST DISCHARGE. CHESTNUT HILL HOSPITAL: 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. CHESTNUT HILL HOSPITAL WILL WORK TO IMPROVE CULTURAL SENSITIVITY OF STAFF BY ATTENDING CULTURAL AWARENESS TRAININGS. THE HOSPITAL WILL STREAMLINE 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 WILL IMPLEMENT A PATIENT PORTAL FOR FASTER ACCESS TO TEST RESULTS, REQUEST MED REFILLS, AND TO COMMUNICATE DIRECTLY WITH PROVIDERS. PHOENIXVILLE HOSPITAL: 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. PHOENIXVILLE HOSPITAL WILL ENHANCE THE TELEMEDICINE OPPORTUNITIES FOR ADDITIONAL TELEHEALTH SERVICES. THE HOSPITAL WILL STREAMLINE 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. PHOENIXVILLE HOSPITAL WILL WORK TO IMPROVE CULTURAL SENSITIVITY OF STAFF BY ATTENDING CULTURAL AWARENESS TRAININGS. THE HOSPITAL WILL UTILIZE OUTREACH SITES TO CONNECT VULNERABLE POPULATIONS WITH RESOURCES TO ADDRESS UNMET HEALTH CARE NEEDS. PHOENIXVILLE HOSPITAL WILL HOST BRIDGING THE GAP MEDICAL INTERPRETER CERTIFICATION TO INCREASE THE NUMBER OF QUALIFIED MEDICAL INTERPRETERS IN THE COMMUNITY. BRANDYWINE HOSPITAL: 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. BRANDYWINE HOSPITAL WORK TO IMPROVE CULTURAL SENSITIVITY OF STAFF BY ATTENDING CULTURAL AWARENESS TRAININGS. THE HOSPITAL WILL DEVELOP, ENHANCE AND EXPAND TELEMEDICINE OPPORTUNITIES AND WILL ENHANCE THE USE OF REMOTE PATIENT MONITORING TO INCLUDE OBESE, DIABETIC AND CHF PATIENTS. JENNERSVILLE HOSPITAL: 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. JENNERSVILLE HOSPITAL WILL ENHANCE THEIR SPECIALIST OFFERING BY RECRUITING ADDITIONAL SPECIALISTS. THE HOSPITAL WILL EXPLORE A TELEMEDICINE PARTNERSHIP WITH CAREPORT M.D. THROUGH WORKFORCE DEVELOPMENT, THE HOSPITAL WILL PROVIDE OPPORTUNITIES FOR YOUNG ADULTS TO EXPERIENCE CAREERS IN HEALTH CARE AS A WAY OF CULTIVATING THE FUTURE WORKFORCE. JENNERSVILLE HOSPITAL WILL IMPLEMENT AND ENGAGE PATIENTS THROUGH MY TOWER HEALTH AND WILL STREAMLINE 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 IS TO IDENTIFY AND ADDRESS SOCIAL DETERMINANTS OF HEALTH (SDOH). POTTSTOWN 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. TO HELP REDUCE TRANSPORTATION BARRIERS, THE HOSPITAL WILL IMPLEMENT THE RIDE HEALTH PROGRAM. CHESTNUT HILL HOSPITAL: THE GOAL IS TO IDENTIFY AND ADDRESS SOCIAL DETERMINANTS OF HEALTH (SDOH). CHESTNUT HILL 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. THE HOSPITAL WILL ADDRESS TRANSPORTATION BARRIERS BY DEVELOPING A WORKFLOW, IMPLEMENTATION PLAN AND GUIDELINES FOR TRANSPORTATION PROGRAM FOR PATIENTS. PHOENIXVILLE HOSPITAL: THE GOAL IS TO IDENTIFY AND ADDRESS SOCIAL DETERMINANTS OF HEALTH (SDOH). PHOENIXVILLE 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. TO HELP REDUCE TRANSPORTATION BARRIERS, THE HOSPITAL WILL IMPLEMENT THE RIDE HEALTH PROGRAM. BRANDYWINE HOSPITAL: THE GOAL IS TO IDENTIFY AND ADDRESS SOCIAL DETERMINANTS OF HEALTH (SDOH). BRANDYWINE 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. TO HELP REDUCE TRANSPORTATION BARRIERS, THE HOSPITAL WILL IMPLEMENT THE RIDE HEALTH PROGRAM. JENNERSVILLE HOSPITAL: THE GOAL IS TO IDENTIFY AND ADDRESS SOCIAL DETERMINANTS OF HEALTH (SDOH). JENNERSVILLE 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. THE HOSPITAL WILL PARTNER WITH COMMUNITY ORGANIZATIONS TO ADDRESS TRANSPORTATION BARRIERS AND PARTNER WITH THE COMMUNITY FOOD BANK TO REDUCE FOOD SCARCITY ISSUES FOR VULNERABLE POPULATIONS. DISEASE PREVENTION & MANAGEMENT: POTTSTOWN HOSPITAL: THIS GOAL IS TO IMPLEMENT CHRONIC DISEASE PREVENTION AND MANAGEMENT PROGRAMS IN THE PRIMARY SERVICE AREA, SPECIFICALLY TARGETING VULNERABLE POPULATIONS. POTTSTOWN HOSPITAL WILL INCREASE DIABETES AND HYPERTENSION SCREENINGS AND WILL CONDUCT MULTIPLE CANCER EDUCATION AND SCREENING EVENTS FOR THE COMMUNITY, INCLUDING LUNG CANCER, BREAST CANCER AND SKIN CANCER SCREENINGS. THE HOSPITAL WILL IMPLEMENT SHORT AND LONG-TERM WELLNESS INITIATIVES THROUGH TOWER WELLNESS PROGRAMS AND BUILD RELATIONSHIPS WITH LOCAL SCHOOL DISTRICTS AND ATTEND THEIR WELLNESS COMMITTEE MEETINGS AND PARTICIPATE IN SCHOOL WELLNESS ACTIVITIES FOR THE YOUTH. A COMMUNITY GARDEN WILL BE DEVELOPED TO PLANT AND HARVEST FRUITS AND VEGETABLES. NUTRITION EDUCATION WILL BE PROVIDED TO THE COMMUNITY ALONG WITH FOOD DEMONSTRATIONS, AND FREE FRUITS AND VEGETABLES. CHESTNUT HILL HOSPITAL: THIS GOAL IS TO IMPLEMENT CHRONIC DISEASE PREVENTION AND MANAGEMENT PROGRAMS IN THE PRIMARY SERVICE AREA, SPECIFICALLY TARGETING VULNERABLE POPULATIONS. CHESTNUT HILL HOSPITAL WILL PROVIDE SCREENING (HYPERTENSION, RISK ASSESSMENTS FOR HEART AND STROKE, MAMMOGRAMS SCREENINGS) AND EDUCATION (DIABETES) TO THE PRIMARY SERVICE AREAS, PARTICULARLY FOCUSING ON VULNERABLE POPULATIONS. THE HOSPITAL WILL PARTICIPATE IN THE STATE HEALTHY WOMEN PROGRAM PROVIDING MAMMOGRAMS AND PAPS TO UNINSURED WOMEN. CHESTNUT HILL HOSPITAL WILL IMPLEMENT SHORT AND LONG-TERM WELLNESS INITIATIVES THROUGH TOWER WELLNESS PROGRAMS FOR THE COMMUNITY AND PARTNER WITH THE COMMUNITY TO MAKE AED'S AVAILABLE TO FIRST RESPONDERS. PHOENIXVILLE HOSPITAL: THIS GOAL IS TO IMPLEMENT CHRONIC DISEASE PREVENTION AND MANAGEMENT PROGRAMS IN THE PRIMARY SERVICE AREA, SPECIFICALLY TARGETING VULNERABLE POPULATIONS. PHOENIXVILLE HOSPITAL WILL PROVIDE PROGRAMS THAT EDUCATE THE COMMUNITY ABOUT DIABETES BY PROMOTING DIABETES SUPPORT GROUP MEETINGS AND PROVIDE DIABETES PROGRAMS TO THE AT-RISK POPULATION. THE HOSPITAL WILL RAISE AWARENESS OF AVAILABLE ASSISTANCE TO FOOD GROUP A, FACILITY 1, POTTSTOWN HOSPITAL - PART V, LINE 13H THIS ALSO APPLIES TO CHESTNUT HILL HOSPITAL, PHOENIXVILLE HOSPITAL, BRANDYWINE HOSPITAL AND JENNERSVILLE 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 CHESTNUT HILL HOSPITAL, PHOENIXVILLE HOSPITAL, BRANDYWINE HOSPITAL AND JENNERSVILLE 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 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 CHESTNUT HILL HOSPITAL, PHOENIXVILLE HOSPITAL, BRANDYWINE HOSPITAL AND JENNERSVILLE HOSPITAL. THE CURRENT FINANCIAL ASSISTANCE POLICY, PLAIN LANGUAGE POLICY AND APPLICATIONS FOR FINANCIAL ASSISTANCE, IN ENGLISH AND SPANISH, ARE ACCESSIBLE AT: HTTPS://WWW.TOWERHEALTH.ORG/LOCATIONS/POTTSTOWN-HOSPITAL/BILLING/ FINANCIAL-ASSISTANCE HTTPS://WWW.TOWERHEALTH.ORG/LOCATIONS/CHESTNUT-HILL-HOSPITAL/BILLING/ FINANCIAL-ASSISTANCE HTTPS://WWW.TOWERHEALTH.ORG/LOCATIONS/PHOENIXVILLE-HOSPITAL/BILLING/ FINANCIAL-ASSISTANCE HTTPS://WWW.TOWERHEALTH.ORG/LOCATIONS/BRANDYWINE-HOSPITAL/BILLING/ FINANCIAL-ASSISTANCE HTTPS://WWW.TOWERHEALTH.ORG/LOCATIONS/JENNERSVILLE-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, PHOENIXVILLE HOSPITAL, BRANDYWINE HOSPITAL AND JENNERSVILLE 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, CHESUTNUT HILL, PHOENIXVILLE, BRANDYWINE AND JENNERSVILLE 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 AND SPANISH 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: THE CEO OF BRANDYWINE HOSPITAL SERVES ON BOARDS AND/OR COUNCILS RELATED TO ECONOMIC DEVELOPMENT. THESE INCLUDE THE SOUTHERN CHESTER COUNTY CHAMBER OF COMMERCE, OXFORD MAINSTREET, AND THE CHESTER COUNTY ECONOMIC DEVELOPMENT COUNCIL. MEMBERS OF CHESTNUT HILL HOSPITAL'S ADMINISTRATIVE TEAM SERVE ON BOARDS AND/OR COUNCILS RELATED TO ECONOMIC DEVELOPMENT. THESE INCLUDE MT AIRY CDC, CHESTNUT HILL BUSINESS ASSOCIATION, CHESTNUT HILL COMMUNITY ASSOCIATION AND THE CHESTNUT HILL CDC. THE CEO OF JENNERSVILLE HOSPITAL SERVES ON BOARDS AND/OR COUNCILS RELATED TO ECONOMIC DEVELOPMENT. THESE INCLUDE THE SOUTHERN CHESTER COUNTY CHAMBER OF COMMERCE, OXFORD MAINSTREET, AND THE CHESTER COUNTY ECONOMIC DEVELOPMENT COUNCIL. 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 INDUSTRIAL DEVELOPMENT. ENVIRONMENTAL IMPROVEMENTS: JENNERSVILLE HOSPITAL PARTNERED WITH THE OXFORD BOROUGH POLICE DEPARTMENT ON A PRESCRIPTION MEDICATION TAKE-BACK EVENT ON OCTOBER 17, 2020. NINETY POUNDS OF PRESCRIPTION MEDICATION WERE COLLECTED IN FOUR HOURS. POTTSTOWN HOSPITAL ORGANIZED A COMMUNITY CLEAN UP EVENT TO CLEAN UP TRASH OFF OF HIGH ST. IN POTTSTOWN BOROUGH. 10 STAFF MEMBERS PARTICIPATED IN THE EVENT ON NOVEMBER 6TH, 2020. IN ADDITION, POTTSTOWN HOSPITAL PARTICIPATED IN THE HIGH ST. CORRIDOR STUDY TO CREATE A DESIGN GUIDE FOR HIGH STREET RELATED TO SEVERAL GOALS FOR THE CORRIDOR INCLUDING IMPROVING MULTIMODAL ACCESS, EFFICIENT TRAFFIC CIRCULATION, AND BEAUTIFICATION. COMMUNITY SUPPORT: BRANDYWINE HOSPITAL FORMED AN OPIOID STEWARDSHIP TASK FORCE, FOR WHICH ONE OF THE GOALS IS TO REDUCE THE ACCESSIBILITY OF OPIOIDS IN THE COMMUNITY. STRATEGIES FOR REACHING THIS GOAL INCLUDE EDUCATION FOR PROVIDERS ON ALTERNATIVES TO OPIOIDS FOR PAIN MANAGEMENT AND MEDICATION TAKE BACK EVENTS FOR THE COMMUNITY. LEADERSHIP DEVELOPMENT AND TRAINING FOR COMMUNITY MEMBERS: RESPECT IS AT THE HEART OF CULTURAL COMPETENCE. PATIENTS WHO FEEL THEIR HEALTHCARE PROVIDERS RESPECT THEIR BELIEFS, CUSTOMS, VALUES, LANGUAGE AND TRADITIONS ARE MORE LIKELY TO COMMUNICATE FREELY AND HONESTLY, WHICH CAN, IN TURN, REDUCE DISPARITIES IN HEALTHCARE AND IMPROVE PATIENT OUTCOMES. SEVERAL STAFF MEMBERS FROM EACH OF THE HOSPITALS ATTENDED A CULTURAL COMPETENCY TRAINING COURSE TO IMPROVE CULTURAL COMPETENCY SKILL IN THE WORKPLACE. CRISIS PREVENTION AND INTERVENTION STRATEGIES HAVE BEEN EFFECTIVE IN REDUCING STRESS, PROBLEM SOLVING AND KEEPING A PERSON FROM NEEDING HIGHER LEVELS OF CARE SUCH AS A TRIP TO THE EMERGENCY DEPARTMENT OR CRISIS CENTER OR INPATIENT HOSPITALIZATION. SEVERAL STAFF MEMBERS FROM EACH OF THE HOSPITAL PARTICIPATED IN A CRISIS PREVENTION INTERVENTION TRAINING COURSE TO HELP THEIR STAFF AND COMMUNITY PREPARE FOR AND HELP REDUCE CRISIS SITUATIONS. COALITION BUILDING: POTTSTOWN HOSPITAL ASSISTED READING HOSPITAL IN THE ACCOUNTABLE HEALTH COMMUNITY CONNECTION PROJECT TO HELP BRIDGE THE GAP BETWEEN MEDICAL CARE AND SOCIAL SERVICES FOR LOCAL MEDICARE AND MEDICAID PATIENTS. TO IMPROVE THE HEALTH OF MEDICARE AND MEDICAID PATIENTS, WE IDENTIFIED THEIR UNMET SOCIAL NEEDS AND THEN DIRECTED THEM TO APPROPRIATE SOCIAL SERVICE AGENCIES. IN THE PROCESS, WE WERE ABLE TO REDUCE COSTS ASSOCIATED WITH EMERGENCY CARE AND HOSPITALIZATIONS. COMMUNITY HEALTH IMPROVEMENT ADVOCACY: THE CEO OF BRANDYWINE HOSPITAL AND JENNERSVILLE HOSPITAL SERVED ON THE CHESTER COUNTY ECONOMIC DEVELOPMENT COUNCIL TO HELP PROMOTE BUSINESS AND COMMUNITY PROSPERITY IN CHESTER COUNTY THROUGH A BALANCED ECONOMIC DEVELOPMENT STRATEGY THAT FOSTERS PRIVATE SECTOR GROWTH AND JOB CREATING WHILE PRESERVING THE COUNTY'S QUALITY OF LIFE. WORKFORCE DEVELOPMENT: BRANDYWINE HOSPITAL PROVIDES OPPORTUNITIES FOR STUDENTS WHO ARE INTERESTED IN CAREERS IN HEALTHCARE TO ENGAGE WITH BOTH CLINICAL AND NON-CLINICAL STAFF. ALTHOUGH SOME OF OUR REGULAR PROGRAMS WERE PLACED ON HOLD DUE TO COVID, BRANDYWINE HOSPITAL WAS STILL ABLE TO HOST 103 CLINICAL NURSING STUDENTS FROM LINCOLN UNIVERSITY, IMMACULATA UNIVERSITY, WILKES UNIVERSITY, WIDENER UNIVERSITY, WEST CHESTER UNIVERSITY AND VILLANOVA UNIVERSITY. IN ADDITION, BRANDYWINE HOSPITAL'S CEO SERVED AS THE CHAIRPERSON FOR THE CHESTER COUNTY ECONOMIC DEVELOPMENT COUNCIL'S HEALTHCARE CONNECT, FOR WHICH WORKFORCE DEVELOPMENT IS A PRIMARY FOCUS AREA. CHESTNUT HILL HOSPITAL IS A TEACHING HOSPITAL WITH SEVERAL RESIDENCY AND FELLOWSHIP PROGRAMS. IN ADDITION, CHESTNUT HILL HOSPITAL PARTNERS WITH AREA NURSING SCHOOLS TO PROVIDE HANDS-ON-TRAINING AND SKILL DEVELOPMENT. IN A PARTNERSHIP WITH THE PHILADELPHIA FIRE DEPARTMENT, CHESTNUT HILL HOSPITAL PROVIDES ADVANCE TRAINING FOR EMTS TO BECOME "ADVANCED" EMTS OR PARAMEDICS. JENNERSVILLE HOSPITAL PROVIDES OPPORTUNITIES FOR STUDENTS WHO ARE INTERESTED IN CAREERS IN HEALTHCARE TO ENGAGE WITH BOTH CLINICAL AND NON- CLINICAL STAFF. ALTHOUGH SOME OF OUR REGULAR PROGRAMS WERE PLACED ON HOLD DUE TO COVID, JENNERSVILLE HOSPITAL WAS STILL ABLE TO HOST 54 CLINICAL NURSING STUDENTS FROM CECIL COUNTY COMMUNITY COLLEGE AND LINCOLN UNIVERSITY. IN ADDITION, JENNERSVILLE HOSPITAL'S CEO SERVED AS THE CHAIRPERSON FOR THE CHESTER COUNTY ECONOMIC DEVELOPMENT'S HEALTHCARE CONNECT, FOR WHICH WORKFORCE DEVELOPMENT IS A PRIMARY FOCUS AREA. PHOENIXVILLE HOSPITAL 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. 25 STUDENTS PARTICIPATED IN THE HOSPITAL'S JOB SHADOWING PROGRAM, WITH 20% OF PRECEPTORS TIME BEING COUNTED TOWARDS COMMUNITY BENEFIT ACTIVITIES. 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. 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 CARE. 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 GROSS REIMBURSEMENT PAYMENTS. A RATIO OF COST TO CHARGES IS APPLIED TO THE GROSS PATIENT CHARGES TO CALCULATE THE COMMUNITY BENEFIT EXPENSE. IN ADDITION TO THE COMMUNITY BENEFIT EXPENSE REFLECTED IN PART I, LINE 7, THE MEDICARE SHORTFALL IS SUBSTANTIALLY LARGER IN FY20 THAN IN THE FY19. TOWER HEALTH ATTRIBUTES THIS SHORTFALL TO PROVIDING CHARITY CARE OUTSIDE OF THE COMMUNITY BENEFIT PERCENTAGE CALCULATION. 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 IN ADDITION TO THE CHNA REPORT, POTTSTOWN HOSPITAL, CHESTNUT HILL HOSPITAL, PHOENIXVILLE HOSPITAL,BRANDYWINE HOSPITAL AND JENNERSVILLE HOSPITAL ASSESS HEALTH CARE NEEDS OF THE COMMUNITIES THROUGH SECONDARY DATA ANALYSIS FROM A COMMUNITY COMMONS DATABASE AND DEATH TRENDS RELATED TO SUBSTANCE ABUSE AND SUICIDE. EACH HOSPITAL PARTNERS WITH COMMUNITY ORGANIZATIONS TO DEPLOY SURVEYS TO IDENTIFY AND ADDRESS HEALTH ISSUES RELATING TO FOOD INSECURITY, LOW RESIDENT ENGAGEMENT, FREQUENT ED USAGE AND ABSENCE OF PRIMARY CARE. THE HOSPITALS FREQUENTLY LOOK AT HIGH ED UTILIZERS AND THEN MAP THEIR LOCATION TO ANALYZE THEIR BUILT ENVIRONMENT BY LOOKING FOR AVAILABILITY OF FRESH GROCERY MARKETS, PUBLIC TRANSPORTATION ACCESS, OPEN SPACE AND CRIME. COMMUNITY INTERVIEWS ARE CONDUCTED BY THE HOSPITAL TO GATHER FIRSTHAND FEEDBACK FROM THE COMMUNITY REGARDING HEALTHCARE MESSAGING AND PROPOSED INTERVENTIONS. EACH HOSPITAL ALSO CONDUCTS FOCUS GROUPS TO GAIN MORE INSIGHT INTO PATIENTS' HEALTH BEHAVIORS AND ACCESS BARRIERS. SCHEDULE H, PART VI, LINE 3 POTTSTOWN HOSPITAL'S, CHESTNUT HILL HOSPITAL'S, PHOENIXVILLE HOSPITAL'S, BRANDYWINE HOSPITAL'S AND JENNERSVILLE HOSPITAL'S COMMITMENT TO PROVIDING AFFORDABLE CARE IS DEMONSTRATED THROUGH THE PATIENT FINANCIAL ASSISTANCE PROGRAM WHICH PROVIDES ASSISTANCE TO QUALIFIED PATIENTS. PATIENTS ARE ENCOURAGED TO SEEK FINANCIAL ASSISTANCE AS EARLY IN THE TREATMENT PROCESS AS POSSIBLE. THEY WILL BE OFFERED THE OPPORTUNITY TO MEET WITH FINANCIAL COUNSELORS AND RESOURCE ELIGIBILITY SPECIALISTS TRAINED TO PROVIDE APPLICATION ASSISTANCE FOR PROGRAMS SUCH AS MEDICAL ASSISTANCE, DISABILITY, COBRA, PATIENT FINANCIAL ASSISTANCE AND OTHER COMMUNITY PROGRAMS. THE HOSPITAL'S COMMITMENT TO PROVIDING AFFORDABLE CARE INCLUDES URGENT, NON- ELECTIVE, EMERGENT, AND OTHER PRE-APPROVED/PRE-SCREENED SERVICES. IMPLANTABLES, HIGH COST DRUGS, DME AND CONTRACTED SERVICES ARE PROVIDED TO QUALIFIED PATIENTS AT HOSPITAL COST. SCHEDULE H, PART VI, LINE 4 THE MISSION OF POTTSTOWN HOSPITAL, CHESTNUT HILL HOSPITAL, PHOENIXVILLE HOSPITAL, BRANDYWINE HOSPITAL AND JENNERSVILLE 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, CHESTNUT HILL HOSPITAL, PHOENIXVILLE HOSPITAL, BRANDYWINE HOSPITAL AND JENNERSVILLE HOSPITAL ARE COMMITTED TO SERVING THE NEEDS OF THE COMMUNITY, EVEN WHEN THE NEEDED SERVICES CAUSE A DRAIN ON CAPITAL RESOURCES. POTTSTOWN HOSPITAL LLC PRIMARILY SERVES MONTGOMERY COUNTY. MONTGOMERY COUNTY PROFILE: MONTGOMERY COUNTY POPULATION IS 141,130. THE RACIAL MIX INCLUDES 86.6% WHITE, 3.8% HISPANIC/LATINO, 7.4% AFRICAN AMERICAN/BLACK AND 2.3% ASIAN. 16.5% OF MONTGOMERY COUNTY RESIDENTS AGE 25+ HAVE LESS THAN A HIGH SCHOOL EDUCATION; WHEREAS 8.2% HOLD A COLLEGE BACHELOR'S DEGREE OR HIGHER. THE MEDIAN HOUSEHOLD INCOME IN MONTGOMERY COUNTY IS 76,914. 5.1% PERCENT OF MONTGOMERY COUNTY FAMILIES LIVE IN POVERTY. THE RATE OF 7.8% OF CHILDREN LIVING IN POVERTY IN MONTGOMERY COUNTY HAS FLUCTUATED IN RECENT YEARS. 20.8% OF CHILDREN LIVE IN SINGLE PARENT HOMES. CHESTNUT HILL HOSPITAL LLC PRIMARILY SERVES PHILADELPHIA COUNTY. PHILADELPHIA COUNTY PROFILE: PHILADELPHIA COUNTY POPULATION IS 234,767. THE RACIAL MIX INCLUDES 45.4% WHITE, 3.7% HISPANIC/LATINO, 47.7% AFRICAN AMERICAN/BLACK AND 2.1% ASIAN. 35.7% OF PHILADELPHIA COUNTY RESIDENTS AGE 25+ HAVE LESS THAN A HIGH SCHOOL EDUCATION; WHEREAS 26.6% HOLD A COLLEGE BACHELOR'S DEGREE OR HIGHER. THE MEDIAN HOUSEHOLD INCOME IN PHILADELPHIA COUNTY IS 60,644. 11.0% PERCENT OF PHILADELPHIA COUNTY FAMILIES LIVE IN POVERTY. THE RATE OF 37.2% OF CHILDREN LIVING IN POVERTY IN PHILADELPHIA COUNTY HAS FLUCTUATED IN RECENT YEARS. 59.8% OF CHILDREN LIVE IN SINGLE PARENT HOMES. PHOENIXVILLE HOSPITAL LLC PRIMARILY SERVES CHESTER COUNTY. CHESTER COUNTY PROFILE: CHESTER COUNTY POPULATION IS 519,514. THE RACIAL MIX INCLUDES 82.5% WHITE, 4.1% HISPANIC/LATINO, 7.9% AFRICAN AMERICAN/BLACK AND 5.8% ASIAN. 16.7% OF CHESTER COUNTY RESIDENTS AGE 25+ HAVE LESS THAN A HIGH SCHOOL EDUCATION; WHEREAS 8.7% HOLD A COLLEGE BACHELOR'S DEGREE OR HIGHER. THE MEDIAN HOUSEHOLD INCOME IN CHESTER COUNTY IS 87,268. 4.3% PERCENT OF CHESTER COUNTY FAMILIES LIVE IN POVERTY. THE RATE OF 7.5% OF CHILDREN LIVING IN POVERTY IN CHESTER COUNTY HAS FLUCTUATED IN RECENT YEARS. 19.3% OF CHILDREN LIVE IN SINGLE PARENT HOMES. BRANDYWINE HOSPITAL LLC AND JENNERSVILLE HOSPITAL LLC PRIMARILY SERVE CHESTER COUNTY. CHESTER COUNTY PROFILE: CHESTER COUNTY POPULATION IS 519,514. THE RACIAL MIX INCLUDES 83.1% WHITE, 7.7% HISPANIC/LATINO, 6.1% AFRICAN AMERICAN/BLACK AND 5.2% ASIAN. 16.7% OF CHESTER COUNTY RESIDENTS AGE 25+ HAVE LESS THAN A HIGH SCHOOL EDUCATION; WHEREAS 8.7% HOLD A COLLEGE BACHELOR'S DEGREE OR HIGHER. THE MEDIAN HOUSEHOLD INCOME IN CHESTER COUNTY IS 97,715. 4.0% PERCENT OF CHESTER COUNTY FAMILIES LIVE IN POVERTY. THE RATE OF 7.5% OF CHILDREN LIVING IN POVERTY IN CHESTER COUNTY HAS FLUCTUATED IN RECENT YEARS. 19.3% OF CHILDREN LIVE IN SINGLE PARENT HOMES. SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH: DESCRIPTION OF ACHIEVEMENTS IN FISCAL 2021 RELATING TO EXEMPT PURPOSE STATS PROIVDED ARE FOR POTTSTOWN HOPSITAL, CHESTNUT HILL HOSPITAL, PHOENIXVILLE HOSPITAL, BRANDYWINE HOSPTIAL AND JENNERSVILLE HOSPITAL COLLECTIVELY. PROVIDING HEALTH CARE: INPATIENT DISCHARGES 30,519 INPATIENT DAYS 148,144 BIRTHS 945 EMERGENCY VISITS 122,033 PROMOTING HEALTH: BRANDYWINE HOSPITAL: HEALTH OUTREACH FOR ADULTS: BRANDYWINE HOSPITAL STAFFED FLU VACCINATION CLINICS AND COVID VACCINATION CLINICS, AT WHICH 800 COMMUNITY MEMBERS WERE VACCINATED. BRANDYWINE HOSPITAL OFFERED VARIOUS HEALTH EDUCATION OPPORTUNITIES FOR THE COMMUNITY INCLUDING SEMINARS ON TOPICS LIKE THE IMPORTANCE OF BREAST SELF EXAM, LUNG CANCER SCREENINGS, AND EATING DISORDERS IN THE TIME OF COVID OPERATE A 24/7 EMERGENCY DEPARTMENT MAINTAIN 24/7 INTERPRETING SERVICES BRANDYWINE HOSPITAL OFFERS A NETWORK OF 24/7 VIDEO-REMOTE INTERPRETING STATIONS AND TELEPHONES FOR ANY LANGUAGE. MAINTAIN 24/7 SIGN LANGUAGE SERVICES BRANDYWINE HOSPITAL HAS AN ESTABLISHED 24/7 VIDEO-REMOTE SIGN LANGUAGE INTERPRETING SERVICE. SUPPORT ORGAN DONATION BRANDYWINE HOSPITAL PROVIDES INFORMATION AND EDUCATION ABOUT ORGAN DONATION OPTIONS TO PATIENTS AND THEIR FAMILIES. MAINTAIN HELP LINE A CALL CENTER PROVIDES FREE INFORMATION ON HOSPITAL SERVICES, PHYSICIANS, HEALTH TOPICS, LOCAL SUPPORT GROUPS, AND EVENTS AND ACTIVITIES OFFERED TO MEMBERS OF THE COMMUNITY. EDUCATE HEALTHCARE PROFESSIONALS MEDICAL EDUCATION IS AN INTEGRAL PART OF BRANDYWINE HOSPITAL'S MISSION. THE HOSPITAL PROVIDES A NUMBER OF OPPORTUNITIES TO PREPARE STUDENTS FOR CAREERS IN HEALTHCARE. IN FY2021, SOME OF THOSE OPPORTUNITIES WERE NOT POSSIBLE DUE TO COVID. HOWEVER, BRANDYWINE HOSPITAL WAS ABLE TO HOST 104 CLINICAL NURSING STUDENTS IN FY2021. ONGOING EDUCATION FOR HEALTHCARE PROFESSIONALS BRANDYWINE 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. CONDUCT APPROPRIATE CLINICAL RESEARCH CLINICAL RESEARCH IS A CORE COMPONENT OF BRANDYWINE HOSPITAL'S MISSION AND PROVIDES PATIENTS WITH ACCESS TO CUTTING-EDGE TREATMENTS WITHOUT NEEDING TO TRAVEL FAR FROM HOME. CHESTNUT HILL HOSPITAL: HEALTH OUTREACH FOR ADULTS PARTICIPATE IN HEALTHY WOMAN PA A STATE FUNDED PROGRAM THAT PROVIDES BREAST AND CERVICAL SCREENING FOR WOMEN WITHOUT INSURANCE. CHESTNUT HILL HOSPITAL ALSO HAS A MAMMOGRAPHY SCREENING PROGRAM THAT FUNDS SCREENING MAMMOGRAMS FOR ANY WOMAN IN OUR COMMUNITY WHO IS UNINSURED. HEALTH OUTREACH IMPACTING ALL AGES CHESTNUT HILL HOSPITAL OPERATES AN ACCREDITED EMERGENCY DEPARTMENT THAT PROVIDES LIFE-SAVING CARE TO INJURED PATIENTS, INCLUDING RESUSCITATION, EMERGENCY SURGERY, INTENSIVE CARE, AND/OR GENERAL MEDICAL CARE; GENERAL SURGERY IN EITHER THE EMERGENCY OR ELECTIVE SETTING; AND NEUROCRITICAL CARE FOR PATIENTS SUFFERING INTRACRANIAL TUMOR, STROKE, INTRACEREBRAL HEMORRHAGE, STATUS EPILEPTICUS, AND OTHER CONDITIONS. CHESTNUT HILL HOSPITAL IS AN ACCREDITED CHEST PAIN CENTER AND STROKE CENTER. PROFESSIONAL EDUCATION IS PROVIDED TO EMS PROVIDERS. MAINTAIN 24/7 INTERPRETING SERVICES THE HOSPITAL OFFERS 24/7 INTERPRETING TELEPHONES FOR ANY LANGUAGE. TELEPHONE AMPLIFIERS AND TDDS (TELEPHONE DEVICES FOR THE DEAF) ARE AVAILABLE FOR THE HEARING IMPAIRED. IF YOU NEED A SPECIAL PHONE, PLEASE NOTIFY YOUR NURSE. PROVIDE 24/7 CHAPLAINCY SERVICES UPON ADMISSION, PATIENTS ARE ASKED TO PROVIDE A PARTICULAR RELIGION OR CONGREGATION SO THAT WE MAY PROVIDE PASTORAL MINISTRY. AN INTERFAITH CHAPEL, LOCATED ON THE FIRST FLOOR OF THE HOSPITAL, IS AVAILABLE FOR FAMILY USE. OFFER PALLIATIVE CARE SERVICES CHESTNUT HILL HOSPITAL'S PALLIATIVE MEDICINE TEAM SEEKS TO PROVIDE RELIEF FROM SUFFERING AND IMPROVE QUALITY OF LIFE FOR PATIENTS WITH SERIOUS, CHRONIC, OR LIFE-THREATENING ILLNESSES. THEY ALSO PROVIDE EDUCATION AND SUPPORT SERVICES TO PATIENTS AND THEIR FAMILIES TO INCREASE UNDERSTANDING OF HEALTH ISSUES AND TREATMENT AND CARE OPTIONS. OFFER FREE PARKING CHESTNUT HILL HOSPITAL OFFERS PATIENTS AND THEIR FAMILY MEMBERS AND VISITORS FREE GARAGE PARKING. IT ALSO PROVIDES WHEELCHAIRS AND ESCORTS TO SUPPORT MEDICALLY FRAGILE PATIENTS. SUPPORT ORGAN DONATION CHESTNUT HILL HOSPITAL PROVIDES INFORMATION AND EDUCATION ABOUT ORGAN DONATION OPTIONS TO PATIENTS AND THEIR FAMILIES. IN ADDITION, THE HOSPITAL SUPPORT ORGAN DONATION WITH ONLINE POSTING TO THE ENTIRE SERVICE AREA. EDUCATE HEALTHCARE PROFESSIONALS MEDICAL EDUCATION IS AN INTEGRAL PART OF CHESTNUT HILL HOSPITAL'S MISSION. THE HOSPITAL PROVIDES A NUMBER OF OPPORTUNITIES TO PREPARE STUDENTS FOR NEW OR ADVANCE CAREERS IN HEALTHCARE. CHESTNUT HILL HOSPITAL PARTNERED WITH PHILADELPHIA FIRE DEPARTMENT TO PROVIDE SPACE, EDUCATION AND HANDS ON TRAINING FOR 24 EMTS IN THE ADVANCE EMT PROGRAM. IN ADDITION, 13 EMTS TOOK PART IN THE PARAMEDIC TRAINING PROGRAM. NURSING PROGRAM STUDENTS RECORDED MORE THAN 2,000 CLINICAL HOURS DURING FY2021. JENNERSVILLE HOSPITAL: HEALTH OUTREACH FOR ADULTS: PARTICIPATED IN THE COMMUNITY CONNECTIONS PROJECT IN WHICH PATIENTS COMING INTO THE EMERGENCY DEPARTMENT ARE SCREENED FOR UNMET SOCIAL NEEDS AND REFERRED TO APPROPRIATE COMMUNITY AGENCIES FOR ASSISTANCE WITH THOSE NEEDS. THE GOAL OF THE PROGRAM IS TO IMPROVE HEALTH AND REDUCE HOSPITAL VISITS BY ADDRESSING THESE SOCIAL DETERMINANTS OF HEALTH. IN FY2021, 444 PATIENTS WERE SCREENED. OF THOSE, 32 WERE IDENTIFIED AS HIGH RISK, DEFINED AS HAVING ONE OR MORE UNMET SOCIAL NEED AND HAVING TWO OR MORE EMERGENCY ROOM VISITS WITHIN THE LAST 12 MONTHS. THOSE HIGH-RISK PATIENTS WERE ENTERED INTO A NAVIGATION SYSTEM LASTING UP TO 12 MONTHS. TOWER HEALTH ROLLED OUT A TELEMEDICINE PLATFORM THAT ALLOWED PATIENTS TO ACCESS PRIMARY CARE SERVICES DURING COVID. FOR FY2021, THERE WERE 3,212 PRIMARY CARE TELEMEDICINE VISITS. TOWER HEALTH ALSO INTRODUCED A TELEPSYCH PLATFORM IN NOVEMBER, 2020 THAT ALLOWED FOR PSYCHIATRIC CONSULTS WITH BRANDYWINE HOSPITAL BEHAVIORAL HEALTH FOR PATIENTS COMING THROUGH THE EMERGENCY DEPARTMENT AT JENNERSVILLE HOSPITAL. THROUGH APRIL, 2021, 34 TELEPSYCH CONSULTS HAD BEEN COMPLETED. PROVIDED HEALTH EDUCATION ON THE COVID-19 VIRUS AND APPROPRIATE INFECTION PREVENTION MEASURES THAT SHOULD BE TAKEN VIA A VIDEO FEATURING THE MEDICAL DIRECTOR OF EMERGENCY SERVICES. THIS VIDEO WAS SHARED WITH RESIDENTS OF RETIREMENT COMMUNITIES IN THE AREA. PARTICIPATED IN THE LINDA CREED FOUNDATION FREE MAMMOGRAM EVENT IN WHICH 10 UNINSURED PATIENTS WERE SERVED. IN PARTNERSHIP WITH THE CHESTER COUNTY DEPARTMENT OF HEALTH, JENNERSVILLE HOSPITAL STAFFED THREE FLU VACCINATION CLINICS, TWO OF WHICH WERE DIRECTLY TARGETED TO UN- OR UNDERINSURED INDIVIDUALS. STAFFED COVID VACCINATION CLINICS, AT WHICH 800 COMMUNITY MEMBERS WERE VACCINATED. OPERATE A 24/7 EMERGENCY DEPARTMENT MAINTAIN 24/7 INTERPRETING SERVICES JENNERSVILLE HOSPITAL OFFERS A NETWORK OF 24/7 VIDEO-REMOTE INTERPRETING STATIONS AND TELEPHONES FOR ANY LANGUAGE. IN FY2021, JENNERSVILLE HOSPITAL EMPLOYED AN IN-PERSON CERTIFIED MEDICAL INTERPRETER WHO SERVED 647 SPANISH-SPEAKING PATIENTS. MAINTAIN 24/7 SIGN LANGUAGE SERVICES THE HOSPITAL HAS AN ESTABLISHED 24/7 VIDEO-REMOTE SIGN LANGUAGE INTERPRETING SERVICE. SUPPORT ORGAN DONATION JENNERSVILLE HOSPITAL PROVIDES INFORMATION AND EDUCATION ABOUT ORGAN DONATION OPTIONS TO PATIENTS AND THEIR FAMILIES. MAINTAIN HELP LINE A CALL CENTER PROVIDES FREE INFORMATION ON HOSPITAL SERVICES, PHYSICIANS, HEALTH TOPICS, LOCAL SUPPORT GROUPS, AND EVENTS AND ACTIVITIES OFFERED TO MEMBERS OF THE COMMUNITY. PHOENIXVILLE HOSPITAL: HEALTH OUTREACH IMPACTING ALL AGES 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. MAINTAIN 24/7 INTERPRETING SERVICES PHOENIXVILLE HOSPITAL'S INTERPRETING SERVICES DEPARTMENT INCLUDES 3 ON-SITE SPANISH-ENGLISH AND 1 PORTUGUESE -ENGLISH INTERPRETERS WHO ASSIST PATIENTS WITH LANGUAGE BARRIERS. 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-HE 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 false false CLINT MATTHEWS PRES/CEO TERM 2/2021 1392025 461410 492108 39879 2385422 426790 GARY F CONNER EVP CFO TERM 2/2021 736896 632558 208112 13647 1591213 587504 THERESE SUCHER EVP COO 844921 236741 239101 40097 1360860 213561 GREGORY SORENSEN MD EVP CMO TERM 1/21 679470 199485 222193 18046 1119194 175565 DAN AHERN EVP BUSINESS DEVELOP 659166 196340 187035 24012 1066553 158984 MARY AGNEW SVP CNO 481320 214842 105918 24012 826092 211032 JOHN CACCIAMANI CEO CHESTNUT HILL 392000 86683 77385 27669 583737 67604 RICHARD T NEWELL JR CEO POTTSTOWN 391947 81834 76785 27669 578235 64135 STEPHEN TULLMAN CEO PHOENIXVILLE 388916 83585 81915 21321 575737 60442 ROBERT EHINGER SVP FIN OPERATIONS 398027 17518 86044 24444 526033 MARK MCNASH SVP SUPPORT SERVICES 316915 45831 86853 16106 465705 31548 RICHARD MCLAUGHLIN VP CMO POTTSTOWN 384803 16188 14250 28269 443510 GEORGE A JENCKES MD CEO THP TERM 6/2020 239796 128585 63313 8457 440151 55176 JOHN CASEY MD CEO THP 7/2020 324766 1980 50088 16106 392940 VIKRAM ACHARYA INT CEO BRAND TERMED 234104 53800 63581 11400 26299 389184 SEAN O'CONNELL INTERIM TREAS 2/2021 334671 1290 46214 807 382982 EDWARD CHABALOWSKI VP CFO PHOENIXVILLE 311481 15640 11400 18033 356554 CLAIRE MOONEY CEO BRAND/JENNERSV 274674 1877 43279 572 320402 BRYCE SILLYMAN VP COO POTTS TERMED 134744 163458 5608 15825 319635 ROBERT MCMURTRIE VP CMO PHOENIXVILLE 235077 35964 15912 12285 10757 309995 JOHN SCANLON VP CMO CHESTNUT HILL 259677 15956 15740 18029 309402 WALTER HUNT CEO BRANDYWINE 256474 13741 17100 18080 305395 DEB KONARSKI VP CFO POTTS 118854 155864 9942 15990 300650 MARK REYNGOUDT VP CFO BRANDYWINE 247991 11643 10129 27894 297657 MICHAEL SZYMANSKI VP CFO BRAND/JENNERS 240852 2273 9682 9295 262102 MARCOS COSTNER VP CFO CHESTNUT HILL 191666 9132 11819 27654 240271 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 GREGORY SORENSEN, MD 0 175,565 0 DAN AHERN 0 158,984 0 MARY AGNEW 0 211,032 0 JOHN CACCIAMANI 0 67,604 0 RICHARD T. NEWELL JR. 0 64,135 0 STEPHEN TULLMAN 0 60,442 0 MARK MCNASH 0 31,548 0 GEORGE A. JENCKES, MD 0 55,176 0 VIKRAM ACHARYA 25,865 0 0 BRYCE SILLYMAN 143,500 0 0 DEB KONARSKI 127,205 0 0 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: CLAIRE MOONEY PARTICIPATED IN THE 457(F) DEFERRED COMPENSATION PLAN DURING CALENDAR YEAR 2020 BUT DID NOT RECEIVE A DISTRIBUTION. 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 BERKS COUNTY MUNICIPAL AUTHORITY 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 648112763 4343979 200000000 443768784 2017 true true true true C 3750000 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 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 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 BERKS COUNTY MUNICIPAL AUTHORITY NOTE REGARDING THE REBATE COMPUTATION ON 12/28/12 & 8/11/20: 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. NOTE REGARDING THE REBATE COMPUTATION ON 4/30/18: AS NO REBATABLE ARBITRAGE WAS EARNED ON THE ADVANCE REFUNDING ESCROW AND THE DEBT SERVICE FUND WAS OPERATED ON A BONA FIDE BASIS, 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 & 2/27/2017) 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. 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 BRANDYWINE HOSPITAL, CHESTNUT HILL HOSPITAL, JENNERSVILLE, HOSPITAL, PHOENIXVILLE HOSPITAL, AND POTTSTOWN HOSPITAL, THE FIVE 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. BRANDYWINE HOSPITAL: BRANDYWINE 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. BRANDYWINE 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 2021 FISCAL YEAR, THE HOSPITAL WORKED TO DEVELOP AND IMPLEMENT STRATEGIES TO ADDRESS THESE PRIORITY AREAS. ACCESS TO HEALTHCARE: ONE STRATEGY IDENTIFIED TO HELP IMPROVE ACCESS TO HEALTHCARE SERVICES WAS TO INCREASE CULTURAL AWARENESS. HOSPITAL STAFF PARTICIPATED IN 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 ALSO ESTABLISHED TO IDENTIFY AND EDUCATE STAFF ON TOPICS OF INTEREST. THE GOAL OF BOTH PROGRAMS IS TO INCREASE AWARENESS THAT CONTRIBUTES TO HIGH-QUALITY, PATIENT-CENTERED HEALTHCARE. 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. TOWER HEALTH ROLLED OUT A TELEMEDICINE PLATFORM THAT ALLOWED PATIENTS TO ACCESS PRIMARY CARE SERVICES DURING COVID. FOR FY2021, THERE WERE 2,344 PRIMARY CARE TELEMEDICINE VISITS WITH TOWER HEALTH MEDICAL GROUP PRIMARY CARE PHYSICIANS WITHIN THE BRANDYWINE HOSPITAL SERVICE AREA. BRANDYWINE HOSPITAL ALSO LAUNCHED A TELEPSYCH PLATFORM IN NOVEMBER, 2020 THAT ALLOWED FOR PSYCHIATRIC CONSULTS AT OTHER TOWER HOSPITALS. SINCE THE LAUNCH OF THE PLATFORM, 326 TELEPSYCH CONSULTS HAVE BEEN CONDUCTED BETWEEN JENNERSVILLE HOSPITAL, PHOENIXVILLE HOSPITAL, AND AREA NURSING HOMES. AS TELEMEDICINE TOOK HOLD IN FY2021, BRANDYWINE HOSPITAL DEVELOPED A TECHNOLOGY WORKSHOP FOR SENIORS IN ORDER TO HELP THEM FEEL MORE COMFORTABLE USING ONLINE PLATFORMS FOR DOCTOR VISITS, ACCESSING MEDICAL RECORDS, AND SOCIALIZING WITH FAMILY TO REDUCE FEELINGS OF ISOLATION. PARTICIPANTS REPORTED A 25% INCREASE IN KNOWLEDGE AFTER ATTENDING. BRANDYWINE HOSPITAL PARTICIPATES AS A PROVIDER FOR MDSAVE, WHICH ALLOWS PARTICIPANTS TO ACCESS HIGH QUALITY RELIABLE CARE AT MORE AFFORDABLE PRICES. AS A LONG-TERM STRATEGY TO IMPROVE ACCESS, BRANDYWINE HOSPITAL PROVIDES EDUCATIONAL OPPORTUNITIES FOR STUDENTS CONSIDERING A CAREER IN HEALTHCARE. IN FY2021, BRANDYWINE HOSPITAL HOSTED 103 CLINICAL NURSING STUDENTS FROM LINCOLN UNIVERSITY, IMMACULATA UNIVERSITY, WILKES UNIVERSITY, WIDENER UNIVERSITY, WEST CHESTER UNIVERSITY AND VILLANOVA UNIVERSITY. SOCIAL DETERMINANTS OF HEALTH IN ORDER TO ASSIST PATIENTS EXPERIENCING TRANSPORTATION ISSUES, BRANDYWINE HOSPITAL PARTICIPATES IN THE RIDE HEALTH PROGRAM IN WHICH TRANSPORTATION TO/FROM DOCTOR APPOINTMENTS IS ARRANGED FOR PATIENTS IN NEED. IN FY2021, BRANDYWINE HOSPITAL SPENT 10,115 ON RIDE HEALTH RIDES WHICH BENEFITTED 438 PATIENTS. DISEASE PREVENTION AND MANAGEMENT BRANDYWINE HOSPITAL STAFF PARTICIPATE IN COMMUNITY-BASED HEALTH EDUCATION EVENTS AND HEALTH FAIRS TO PROVIDE INFORMATION AND EDUCATION FOR PREVENTION AND MANAGEMENT OF HEALTH CONDITIONS. TOPICS INCLUDE HEALTHY EATING, CANCER, RAPID RESPONSE FOR STROKE, THE IMPORTANCE OF BREAST SELF EXAM, THE IMPORTANCE OF LUNG CANCER SCREENING, ETC. THESE EDUCATIONAL EVENTS ARE OFFERED FREE TO THE COMMUNITY. BRANDYWINE HOSPITAL STAFFED COVID VACCINATION CLINICS, SERVING 800 COMMUNITY MEMBERS IN FY2021. IN ADDITION, HOSPITAL STAFF PROVIDED EDUCATION TO RESIDENTS OF A NEARBY RETIREMENT COMMUNITY ON BEST INFECTION PREVENTION PRACTICES. ACCESS TO BEHAVIORAL HEALTH SERVICES: TOWER HEALTH LAUNCHED A BEHAVIORAL HEALTH TELEMEDICINE PLATFORM IN FY2021 AND CONDUCTED 326 TELEPSYCH CONSULTS FOR PATIENTS AT JENNERSVILLE HOSPITAL, PHOENIXVILLE HOSPITAL, AND AREA NURSING HOMES. BRANDYWINE HOSPITAL HOSTED SUICIDE PREVENTION TRAININGS, WHICH WERE ATTENDED BY LOCAL EMS AND POLICE, AS WELL AS STAFF. THE TRAINING FOCUSES ON HOW TO INTERACT WITH AN INDIVIDUAL CONSIDERING SUICIDE BY ASKING THE RIGHT QUESTIONS, PERSUADING THE INDIVIDUAL TO SEEK HELP, AND REFERRING THE INDIVIDUAL TO THE APPROPRIATE RESOURCE. BRANDYWINE HOSPITAL ALSO CONDUCTED A TRAINING FOR LONGWOOD EMS ON TRAUMA INFORMED CARE. BRANDYWINE HOSPITAL HOSTED A WEBINAR FOR THE COMMUNITY ON THE TOPIC OF "EATING DISORDERS IN THE TIME OF COVID" WHICH WAS ATTENDED BY PARENTS, SCHOOL STAFF MEMBERS, AND PROFESSIONALS FROM OTHER HEALTHCARE ORGANIZATIONS. IN ORDER TO REDUCE THE NUMBER OF OPIOID-RELATED DEATHS IN THE COMMUNITY, BRANDYWINE HOSPITAL HOSTED A VIRTUAL EVENT ON THE OPIOID EPIDEMIC WHICH INCLUDED EDUCATION ON AVAILABLE RESOURCES AND TRAINING ON THE USE OF NARCAN. ATTENDEES RECEIVED A FREE DOSE OF NARCAN. THIS EVENT WAS ONE COMPONENT OF A LARGER PLAN DEVELOPED BY THE NEWLY-CREATED OPIOID STEWARDSHIP TASK FORCE TO EXAMINE BOTH INTERNAL AND EXTERNAL STRATEGIES FOR ADDRESSING THE HIGH INCIDENCE OF OPIOID USE DISORDER AND OVERDOSE DEATHS REPORTED IN THE COATESVILLE AREA. OTHER COMPONENTS OF THE PLAN INVOLVE EXAMINING CLINICAL ORDER SETS, IMPLEMENTING AGREEMENTS BETWEEN PROVIDERS AND PATIENTS REGARDING PAIN MANAGEMENT, EDUCATION FOR PROVIDERS ON ALTERNATIVES TO OPIOIDS FOR PAIN MANAGEMENT, AND THE PLANNING OF PRESCRIPTION MEDICATION TAKE-BACK EVENTS TO HELP REDUCE THE ACCESSIBILITY OF OPIOIDS IN THE COMMUNITY. BRANDYWINE HOSPITAL STAFF REGULARY PARTICIPATE ON BOTH, THE CHESTER COUNTY OVERDOSE PREVENTION TASK FORCE AND THE CHESTER COUNTY SUICIDE PREVENTION TASK FORCE. CHESTNUT HILL HOSPITAL: CHESTNUT HILL HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN WAS COMPLETED 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 2021 FISCAL YEAR, THE HOSPITAL WORKED TO DEVELOP AND IMPLEMENT STRATEGIES TO ADDRESS THESE PRIORITY AREAS. ACCESS TO HEALTHCARE: ONE STRATEGY IDENTIFIED TO HELP INCREASE ACCESS TO HEALTHCARE SERVICES WAS TO INCREASE CULTURAL AWARENESS. THE HOSPITAL CONDUCTED A NUMBER OF CULTURAL AWARENESS SESSIONS FOR STAFF TO LEARN ABOUT HOW PATIENTS WITH VARYING CULTURES, BELIEFS, AND VALUES EXPERIENCE AND PERCEIVE HEALTHCARE, AS WELL AS TO SHARE THEIR OWN EXPERIENCES. A DIVERSITY AND INCLUSION COUNCIL WAS ESTABLISHED TO IDENTIFY AND EDUCATE STAFF ON TOPICS OF INTEREST. EMPLOYEES TOOK PART IN THE TOWER LET'S TALK LECTURE SERIES. THE GOAL OF THESE PROGRAMS IS TO INCREASE AWARENESS AND PROVIDE HIGH-QUALITY, PATIENT-CENTERED HEALTHCARE. 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. CHESTNUT HILL HOSPITAL'S RESIDENTS PROVIDE HEALTH CARE TO SOME OF THE MOST VULNERABLE MEMBERS OF THE PHILADELPHIA AND MONTGOMERY COUNTY COMMUNITIES. PHYSICIANS 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 AND PATIENT EDUCATION ON HEALTH AND SOCIAL SERVICES. FIRST AID STATIONS - BASIC FIRST AID AT LARGE SCALE COMMUNITY EVENTS INCLUDING THE GARDEN FESTIVAL IN CHESTNUT HILL. DURING FY2020, OVER 1,500 FREE SCREENINGS WERE OFFERED, INCLUDING OVER 450 BLOOD PRESSURE SCREENINGS. VIRTUAL VISITS - THE PANDEMIC DROVE EFFORTS TO IMPLEMENT A R FORM 990, PAGE 1, PART I, LINE 6 BOARD MEMBERS WITHOUT COMPENSATION ARE VOLUNTEERS. FORM 990, PART III TO ADDRESS FOOD INSECURITY, POTTSTOWN HOSPITAL DEVELOPED A 100% SUBSIDIZED COMMUNITY SUPPORTED AGRICULTURE (CSA) PROGRAM CALLED YOUTH GROW CSA. THIS PROGRAM IS IMPLEMENTED IN PARTNERSHIP WITH GREENALLIES, A LOCAL NON-PROFIT ORGANIZATION FOCUSED ON SUSTAINABILITY AND ENVIRONMENTAL EDUCATION. THIS PROGRAM OPERATES A ONE-ACRE FARM IN POTTSTOWN, PA AND PROVIDED OVER 2,000 LBS. OF ORGANIC PRODUCE TO 25 LOW-INCOME FAMILIES DURING FY2021. THIS IMPACTED OVER 100 INDIVIDUALS. ANOTHER PROGRAM THAT WAS DEVELOPED TO ADDRESS FOOD INSECURITY IS THE COMMUNITY FRIDGE. THE NEW COMMUNITY FRIDGE IS LOCATED ON HIGH ST. IN THE CENTER OF POTTSTOWN BOROUGH. IT IS OPEN 24/7 AND IS STOCKED WITH FRESH PRODUCE, READY TO EAT MEALS, SNACKS, WATER, AND ESSENTIAL ITEMS LIKE EGGS AND BREAD. COMMUNITY MEMBERS ARE ABLE TO "TAKE WHAT THEY NEED AND LEAVE WHAT THEY DON'T". IN ADDITION, THE HOSPITAL DEVELOPED A NEW COMMUNITY GARDEN ONSITE AT THE HOSPITAL THAT PROVIDES FRESH HERBS. HERBS ARE A SIMPLE WAY TO ADD HEALTHY FLAVOR TO RECIPES, AND YET THE COST OF HERBS IS A BARRIER TO OUR COMMUNITY. THIS NEW HERB GARDEN PROMOTES HEALTHY EATING THROUGH EDUCATIONAL OPPORTUNITIES AS WELL. POTTSTOWN HOSPITAL PARTICIPATES IN THE COMMUNITY CONNECTION PROJECT (CCP), WHICH IMPLEMENTS THE 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 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 829 SCREENINGS WERE COMPLETED AND OVER 190 NAVIGATION CASES WERE OPENED. THIS PROGRAM IS FULLY FUNDED THROUGH A CMS GRANT. DISEASE PREVENTION AND MANAGEMENT: IN AN EFFORT TO ADDRESS CHRONIC DISEASE PREVENTION AND MANAGEMENT, POTTSTOWN HOSPITAL HAS IMPLEMENTED A NUMBER OF INITIATIVES THROUGHOUT ITS PRIMARY SERVICE AREA. POTTSTOWN HOSPITAL DESIGNED A NEW PROGRAM CALLED MEDICINE ON THE MOVE. MEDICINE ON THE MOVE IS A WALK AND TALK STYLE PROGRAM AIMED AT PROVIDING DISEASE PREVENTION AND EDUCATION. THE GROUP MEETS AT A LOCAL PARK TO LEARN ABOUT A SPECIFIC HEALTH TOPIC. ALL PARTICIPANTS RECEIVE A FREE PEDOMETER TO ENCOURAGE CONTINUOUS PHYSICAL ACTIVITY. FOLLOWING THE EDUCATION, PARTICIPANTS TAKE A WALK AROUND THE PARK AND CAN CONTINUE TO ENGAGE WITH THE PROVIDER AND ASK ANY QUESTIONS THEY MIGHT HAVE. FOLLOWING THE WALK, PARTICIPANTS RECEIVE A HEALTHY SNACK. THERE WERE FIVE MEDICINE ON THE MOVE EVENTS IN FY21 FEATURING THE FOLLOWING DISEASE PREVENTION TOPICS: DIABETES AND HYPERTENSION, STROKE, PHYSICAL ACTIVITY, NUTRITION, AND DIVERTICULITIS. THERE WAS AN INCREASED FOCUS ON CANCER SCREENINGS AND CANCER EDUCATION THAT SPECIFICALLY TARGETED VULNERABLE POPULATIONS. FREE SCREENING EVENTS WERE HELD THROUGHOUT THE YEAR TO ADDRESS THIS HEALTH DISPARITY. THESE EVENTS WERE CONDUCTED IN PARTNERSHIP WITH THE LOCAL FEDERALLY QUALIFIED HEALTH CENTER (FQHC) TO SPECIFICALLY SCREEN INDIVIDUALS WITHOUT HEALTH INSURANCE. THROUGH THESE EVENTS, 9 BREAST CANCER SCREENINGS AND 11 SKIN CANCER SCREENINGS WERE CONDUCTED. IN ADDITION, POTTSTOWN HOSPITAL ENROLLED IN A NEW RESEARCH STUDY AIMING TO RETURN LUNG CANCER SCREENING RATES TO PRE- PANDEMIC RATES. WITH COVID-19, OUR HOSPITAL NOTICED A SIGNIFICANT DECREASE IN LUNG CANCER SCREENINGS. TO COMBAT THIS, THE HOSPITAL BEGAN A TARGETED EFFORT TO EDUCATE PROVIDERS, COMMUNITY PARTNERS, AND THE COMMUNITY ABOUT THE AVAILABILITY OF LUNG CANCER SCREENINGS. IN ADDITION, IN OCTOBER 2020, POTTSTOWN HOSPITAL CELEBRATED PINK DAY AND PROVIDED CANCER PREVENTION EDUCATION TO COMMUNITY MEMBERS AND PATIENTS. POTTSTOWN HOSPITAL HELPED LEAD THE COVID-19 EFFORTS IN THE SERVICE AREA. THIS INCLUDED COMMUNICATIONS, STRATEGIC PLANNING CALLS BOTH LOCALLY AND COUNTY WIDE, AND A COORDINATED VACCINE ROLL OUT. POTTSTOWN HOSPITAL ESTABLISHED A COVID-19 VACCINE CLINIC AND PROVIDED OVER 3,000 COMMUNITY MEMBERS WITH THE VACCINE. IN ADDITION, THE HOSPITAL IMPLEMENTED A COVID-19 VACCINE PANEL DISCUSSION TARGETING SPANISH-SPEAKING INDIVIDUALS AND FAMILIES IN THE COMMUNITY. DR. SEDA LOPEZ AND TWO ADDITIONAL TOWER HEALTH PROVIDERS, PROVIDED INFORMATION ON THE VACCINE INCLUDING VACCINE AVAILABILITY, LOCAL PLACES TO GET THE VACCINE, MYTHS AND FACTS ABOUT THE VACCINE, ETC. IN ADDITION, COVID-19 EDUCATION WAS PROVIDED TO A LOCAL SENIOR LIVING FACILITY. POTTSTOWN HOSPITAL IMPLEMENTED A DISEASE PREVENTION SOCIAL MEDIA CAMPAIGN SHARING INFORMATION ON NUTRITION, PHYSICAL ACTIVITY, AND HEALTHY LIFESTYLES. COMBINED, THE POSTS REACHED OVER 31,000 PEOPLE. POTTSTOWN HOSPITAL PROVIDES OPPORTUNITIES FOR STAFF TO STAY HEALTHY THROUGH ITS TOWER WELLNESS PROGRAMS. ONE NEW INITIATIVE IN FY21 WAS A WELLNESS OASIS. THIS OASIS WAS CREATED AS A QUIET SPACE FOR EMPLOYEES TO VISIT DURING WORK BREAKS FOR MEDITATION AND REFLECTION. IN ADDITION, HOSPITAL STAFF PARTICIPATE IN SYSTEM-WIDE WELLNESS ACTIVITIES SUCH AS FITBIT WALKING/STEPS CHALLENGES. POTTSTOWN HOSPITAL PROVIDED NUTRITION EDUCATION TO DANIEL BOONE SCHOOL DISTRICT STAFF/FACULTY, STUDENTS, AND FAMILIES. THESE EDUCATIONAL SESSIONS PROVIDED INFORMATION ON MYPLATE, TIPS AND TRICKS TO EAT HEALTHY DURING THE SCHOOL YEAR AND STAYING HOME DUE TO COVID-19, HEALTHY RECIPES, ETC. ACCESS TO BEHAVIORAL HEALTH SERVICES: POTTSTOWN HOSPITAL LAUNCHED THE CONNECT WITH A SMILE CAMPAIGN IN COLLABORATION CREATIVE HEALTH SERVICES, THE LOCAL BEHAVIORAL HEALTH PROVIDER. THIS CAMPAIGN WORKED TO CONNECT INDIVIDUALS THROUGH SMILING, EVEN BEHIND WEARING A MASK. THE CAMPAIGN PROVIDED CONTACT INFORMATION FOR THE LOCAL BEHAVIORAL HEALTH PROVIDER AND THE SUICIDE PREVENTION HOTLINE. THE CAMPAIGN REACHED OVER 15,000 FAMILIES AND WAS SHARED WITH ALL FIVE SCHOOL DISTRICTS IN THE SERVICE AREA. POTTSTOWN HOSPITAL'S CENTER FOR BEHAVIORAL MEDICINE (CBM) CELEBRATED NATIONAL SUICIDE PREVENTION DAY ON SEPTEMBER 10TH. CBM STAFF WORKED TO REDUCE THE STIGMA AROUND MENTAL HEALTH AND SHARE FACTS VS. MYTHS, LOCAL RESOURCES, AND LOCAL STATISTICS. POTTSTOWN HOSPITAL CONDUCTED TWO ROUNDS OF OUTREACH AT ST. AL'S HOMELESS SHELTER. THIS OUTREACH WAS CONDUCTED IN PARTNERSHIP WITH THE LOCAL FQHC AND LOCAL BEHAVIORAL HEALTH PROVIDER. THIS OUTREACH SHARED LOCAL RESOURCES, GAVE THE OPPORTUNITY FOR RESIDENTS TO ASK QUESTIONS DIRECTLY TO PROVIDERS, AND HELP DISPEL MYTHS AROUND BEHAVIORAL HEALTH. POTTSTOWN HOSPITAL'S CENTER FOR BEHAVIORAL MEDICINE STAFF PROVIDED MENTAL HEALTH EDUCATION TO TEACHERS AND FACULTY IN DANIEL BOONE SCHOOL DISTRICT. THIS INCLUDED INFORMATION ON HOW THE MIND WORKS, MANAGING STRESS, AND PRACTICING MINDFULNESS. OTHER COMMUNITY BENEFIT ACTIVITIES: POTTSTOWN HOSPITAL BELIEVES IN THE IMPORTANCE OF CONDUCTING APPROPRIATE CLINICAL RESEARCH THAT INCREASES GENERALIZABLE KNOWLEDGE AND ADVANCES HEALTH. IN FY2021, POTTSTOWN HOSPITAL'S CANCER CENTER PARTICIPATED IN OVER 10 RESEARCH STUDIES. POTTSTOWN HOSPITAL IS COMMITTED TO SUPPORTING COMMUNITY PROJECTS AND EVENTS THAT ALIGN WITH THE MISSION, VISION, VALUES, AND COMMUNITY BENEFIT OBJECTIVES OF THE HOSPITAL. DURING FY2021, THE HOSPITAL SUPPORTED 12 LOCAL NON-PROFIT ORGANIZATIONS THROUGH THE COMMUNITY WELLNESS SPONSORSHIP PROGRAM. THIS TOTALED MORE THAN 50,000. FUNDING WAS USED TO INCORPORATE A BEHAVIORAL HEALTH COUNSELOR IN A LOCAL SCHOOL DISTRICT, SUPPORT NEIGHBORHOOD REVITALIZATION EFFORTS, FUND MEALS ON WHEELS, ENCOURAGE HEALTHY EATING AT THE LOCAL FARMERS MARKET, DEVELOP A NEW TRANSPORTATION COALITION TO ADDRESS THE TRANSPORTATION ISSUES IN THE COMMUNITY, DEVELOP A NEW FITNESS AND NUTRITION PROGRAM FOR SPANISH-SPEAKING INDIVIDUALS, AND PROVIDE HEALTHY SNACKS FOR LOW-INCOME YOUTH DURING SUMMER CAMP. POTTSTOWN HOSPITAL'S PATHS PROGRAM OFFERS ENROLLMENT ASSISTANCE FOR MEDICAID. IN FY21, OVER 500 INDIVIDUALS WERE CONNECTED TO MEDICAL ASSISTANCE. OVER 45 EMPLOYEES DONATED BLOOD DURING THREE BLOOD DRIVES THROUGHOUT FY2021. THE DRIVES WERE HOSTED IN PARTNERSHIP WITH THE RED CROSS. POTTSTOWN HOSPITAL ENCOURAGES STAFF MEMBERS TO VOLUNTEER AT LOCAL NON- PROFIT ORGANIZATIONS AND/OR SERVE ON BOARD OF DIRECTORS DURING THE WORKDAY. IN FY2021, STAFF DONATED THEIR TIME ON ECONOMIC DEVELOPMENT COUNCILS, THE LOCAL CHAMBER OF COMMERCE, AND LOCAL FOUNDATIONS/NON-PROFITS FOCUSED ON EDUCATION, SENIOR SERVICES, VETERANS' SERVICES, FOOD INSECURITY, AND NON- PROFIT CAPACITY BUILDING. FORM 990, PAGE 2, PART III, LINE 4A ER/NURSING INPAITENT & OUTPATIENT PROGRAM: BRANDYWINE HOSPITAL BRANDYWINE HOSPITAL EMERGENCY DEPARTMENT PROVIDES EMERGENCY, URGENT AND PRIMARY CARE SERVICES TO THE COMMUNITY "24/7/365", REGARDLESS OF ABILITY TO PAY. BRANDYWINE HOSPITAL ALSO PROVIDES IMMEDIATE ACCESS THROUGH ITS EMERGENCY DEPARTMENT TO ALL SPECIALTY SERVICES. EMERGENCY ROOM VISITS FOR FY21 WERE 21,462. BRANDYWINE HOSPITAL INPATIENT UNITS INCLUDES MEDICAL SURGICAL, TELEMETRY AND INTENSIVE CARE UNITS THAT PROVIDE ACUTE IN-PATIENT SERVICES INCLUDING SUPPORT SERVICES SUCH AS LABORATORY, PHARMACY, PHYSICAL THERAPY, RESPIRATORY THERAPY, AND RADIOLOGY. TOTAL PATIENT DAYS FOR FY21 WERE 17,658. THE BEHAVIORAL HEALTH UNIT AT BRANDYWINE HOSPITAL PROVIDES 24-HOUR SUPERVISION, TREATMENT, STABILIZATION AND PLACEMENT FOR ADULTS AND OLDER ADULTS COPING WITH A VARIETY OF ISSUES, FOCUSING ON RETURNING THE INDIVIDUAL TO THE HIGHEST LEVEL OF FUNCTIONING POSSIBLE. THE INPATIENT EATING DISORDERS PROGRAM PROVIDES AN INDIVIDUALIZED TREATMENT PLAN, GROUP AND INDIVIDUAL THERAPY AND PSYCHIATRIC CARE FOR INDIVIDUALS AGES 13 AND OLDER. TOTAL PATIENT DAYS FOR FY21 WERE 16,830. CHESTNUT HILL HOSPITAL: CHESTNUT HILL HOSPITAL EMERGENCY DEPARTMENT PROVIDES EMERGENCY, URGENT AND PRIMARY CARE SERVICES TO THE COMMUNITY "24/7/365", REGARDLESS OF ABILITY TO PAY. CHH PROVIDES IMMEDIATE ACCESS THROUGH ITS EMERGENCY DEPARTMENT TO ALL SPECIALTY AREAS. CHH REMAINS COMMITTED TO THEIR GOAL OF SEEING PATIENTS IN 30 MINUTES OR LESS. EMERGENCY ROOM VISITS FOR FY21 WERE 35,246. CHESTNUT HILL HOSPITAL INPATIENT UNITS INCLUDE MEDICAL SURGICAL, TELEMETRY AND INTENSIVE CARE UNITS THAT PROVIDE ACUTE IN-PATIENT SERVICES SUCH AS LABORATORY, PHARMACY, PHYSICAL THERAPY, RESPIRATORY THERAPY, AND RADIOLOGY. TOTAL PATIENT DAYS FOR FY21 WERE 30,408. THE BEHAVIORAL HEALTH UNIT AT CHESTNUT HILL HOSPITAL PROVIDES 24 HOUR SUPERVISION, TREATMENT, STABILIZATION AND PLACEMENT FOR ADULTS AND OLDER ADULTS COPING WITH A VARIETY OF ISSUES, FOCUSING ON RETURNING THE INDIVIDUAL TO THE HIGHEST LEVEL OF FUNCTIONING POSSIBLE. TOTAL PATIENT DAYS FOR FY21 WERE 5,019. JENNERSVILLE HOSPITAL: JENNERSVILLE HOSPITAL EMERGENCY DEPARTMENT PROVIDES EMERGENCY, URGENT AND PRIMARY CARE SERVICES TO THE COMMUNITY "24/7/365", REGARDLESS OF ABILITY TO PAY. JENNERSVILLE HOSPITAL ALSO PROVIDES IMMEDIATE ACCESS THROUGH ITS EMERGENCY DEPARTMENT TO ALL SPECIALTY SERVICES. EMERGENCY ROOM VISITS FOR FY21 WERE 12,741. JENNERSVILLE HOSPITAL INPATIENT UNITS INCLUDE MEDICAL SURGICAL, TELEMETRY AND INTENSIVE CARE UNITS THAT PROVIDE ACUTE IN-PATIENT SERVICES SUCH AS LABORATORY, PHARMACY, PHYSICAL THERAPY, RESPIRATORY THERAPY, AND RADIOLOGY. TOTAL PATIENT DAYS FOR FY21 WERE 8,268. 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 ALL SPECIALTY SERVICES, FROM SURGEONS TO ALL AREAS OF SPECIALTY CARE. PHOENIXVILLE HOSPITAL HAD "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 FY21 WERE 20,311. PHOENIXVILLE HOSPITAL INPATIENT UNITS INCLUDE MEDICAL SURGICAL, TELEMETRY AND INTENSIVE CARE UNITS, LABOR AND DELIVER, REHABILITATION, NURSERY AND NICU. THEY PROVIDE INPATIENT ACUTE SERVICES INCLUDING SUPPORT SUCH AS LABORATORY, PHARMACY, PHYSICAL THERAPY AND RADIOLOGY. TOTAL PATIENT DAYS WERE 35,008. 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 FY21 WERE 32,273 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 WERE 30,378. 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 FY21 WERE 7,659. FORM 990, PAGE 2, PART III, LINE 4B OPERATING ROOM SERVICES: BRANDYWINE HOSPITAL: BRANDYWINE HOSPITAL'S SURGICAL SERVICE LINE CARE FOR BOTH INPATIENT AND OUTPATIENT IN NEED OF SURGICAL PROCEDURES INCLUDING BUT NOT LIMITED TO THE FOLLOWING SPECIALTIES: ENT, GASTROENTEROLOGICAL, GYNECOLOGIC, OPHTHALMOLOGY, UROLOGIC, VASCULAR AND GENERAL SURGERY. TOTAL PROCEDURES FOR FY21 WERE 2,698. CHESTNUT HILL HOSPITAL: CHESTNUT HILL HOSPITAL'S SURGICAL DEPARTMENT PROVIDES SURGICAL SERVICES TO OUR COMMUNITY IN BOTH AN INPATIENT AND OUTPATIENT SETTING. SERVICES INCLUDE: BARIATRICS, ENT, GASTROENTEROLOGY, GYNECOLOGY, ORTHOPEDICS, PAIN MANAGEMENT, PLASTICS, PODIATRY, PULMONOLOGY, THORACIC, UROLOGY, VASCULAR, AND GENERAL SURGERY. TOTAL PROCEDURES FOR FY21 WERE 5,086. JENNERSVILLE HOSPITAL: JENNERSVILLE HOSPITAL'S SURGICAL SERVICE DEPARTMENT CARES FOR BOTH INPATIENT AND OUTPATIENT IN NEED OF SURGICAL PROCEDURES INCLUDING BUT NOT LIMITED TO THE FOLLOWING SPECIALTIES: ENT, GASTROENTEROLOGICAL, GYNECOLOGIC, OPHTHALMOLOGY, UROLOGIC, VASCULAR AND GENERAL SURGERY. TOTAL PROCEDURES FOR FY21 WERE 2,898. 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. TOTAL PROCEDURES FOR FY21 WERE 8,392. 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 FY21 WERE 6,122. FORM 990, PAGE 2, PART III, LINE 4C RADIOLOGY/IMAGING PROGRAM: BRANDYWINE HOSPITAL: BRANDYWINE 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 SCANS, ULTRASOUNDS, CT SCANS, MRIS, NUCLEAR MEDICINE, INTERVENTIONAL RADIOLOGY AND MAMMOGRAMS. TOTAL PROCEDURES FOR FY21 WERE 40,932. CHESTNUT HILL HOSPITAL: CHESTNUT HILL HOSPITAL RADIOLOGY DEPARTMENT PROVIDES IMAGING SERVICES TO THE COMMUNITY IN BOTH AN INPATIENT AND OUTPATIENT SETTING. THESE SERVICES INCLUDE BUT ARE NOT LIMITED TO PET SCANS, ULTRASOUNDS, CAT SCANS, MRIS, NUCLEAR MEDICINE, INTERVENTIONAL RADIOLOGY, AND MAMMOGRAMS. CHESTNUT HILL HOSPITAL PROVIDES FREE SCREENINGS THROUGHOUT THE COMMUNITY AND OFFERS FINANCIAL ASSISTANCE FOR MAMMOGRAMS VIA FUNDS RECEIVED AT LOCAL CHARITABLE EVENTS HOSTED/SPONSORED BY CHESTNUT HILL HOSPITAL. TOTAL PROCEDURES FOR FY21 WERE 83,882. JENNERSVILLE HOSPITAL: JENNERSVIILE 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 SCANS, ULTRASOUNDS, CT SCANS, MRIS, NUCLEAR MEDICINE, INTERVENTIONAL RADIOLOGY AND MAMMOGRAMS. TOTAL PROCEDURES FOR FY21 WERE 24,677. 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 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 FY21 WERE 73,815. 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 SCANS, ULTRASOUNDS, CT SCANS, MRIS, NUCLEAR MEDICINE, INTERVENTIONAL RADIOLOGY AND MAMMOGRAMS. TOTAL PROCEDURES FOR FY21 WERE 78,036. 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: BRANDYWINE HOSPITAL: BRANDYWINE HOSPITAL PROVIDES OUTPATIENT SERVICES FOR LABORATORY, RADIOLOGY, WOUND CARE, SLEEP AND RESPIRATORY/PT/OT/SPEECH THERAPY PATIENTS. WE ALSO PROVIDE OUTPATIENT INFUSION SERVICES TO ONCOLOGY PATIENTS IN THE COMMUNITY. TOTAL OUTPATIENT VISITS FOR FY21 WERE 76,624. BRANDYWINE HOSPITAL PROVIDES PHARMACY SUPPORT TO ALL INPATIENTS WITH THEIR PHARMACEUTICAL NEEDS. CHESTNUT HILL HOSPITAL: CHESTNUT HILL HOSPITAL PROVIDES A FULL RANGE OF OUTPATIENT, DIAGNOSTIC AND TREATMENT SERVICES FOR PEOPLE IN NORTHWEST PHILADELPHIA AND EASTERN MONTGOMERY COUNTY. OTHER THAN IMAGING, CHESTNUT HILL HOSPITAL'S AREAS OF FOCUS FOR OUTPATIENTS ARE WOMEN'S SERVICES, REHABILITATION SERVICES AND SLEEP CARE. TOTAL OUTPATIENT VISITS FOR FY21 WERE 105,536. ONCOLOGY AND HEMATOLOGY SERVICES AT CHESTNUT HILL HOSPITAL INCLUDE COMPREHENSIVE CANCER SERVICES IN CARING IN A CARING AND COMPASSIONATE SETTING. WE PROVIDE HOPE WITH PROVEN CANCER TREATMENTS. OUR CANCER SERVICES INCLUDE FINANCIAL COUNSELING AND AN ONLINE PATIENT PORTAL AT THE PRACTICE TO IMPROVE PATIENT ACCESS AND COMMUNICATION. FREE COMMUNITY LECTURES ON CANCER SCREENINGS ARE PROVIDED DURING THE YEAR. TOTAL PROCEDURES IN FY21 WERE 259. CHESTNUT HILL HOSPITAL PROVIDES PHARMACY SUPPORT TO ALL INPATIENT WITH THEIR PHARMACEUTICAL NEEDS. JENNERSVILLE HOSPITAL: JENNERSVILLE HOSPITAL PROVIDES OUTPATIENT SERVICES FOR LABORATORY, RADIOLOGY, WOUND CARE, SLEEP AND RESPIRATORY/PT/OT/SPEECH THERAPY PATIENTS. WE ALSO PROVIDE OUTPATIENT INFUSION SERVICES TO ONCOLOGY PATIENTS IN THE COMMUNITY. TOTAL OUTPATIENT PROCEDURES FOR FY21 WERE 124,665. JENNERSVILLE HOSPITAL PROVIDES PHARMACY SUPPORT TO ALL INPATIENTS WITH THEIR PHARMACEUTICAL NEEDS. 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 FY21 WERE 319,890. 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 FY21 WERE 11,333. PHOENIXVILLE HOSPITAL PROVIDES PHARMACY SUPPORT TO ALL INPATIENTS AND CANCER CENTER PATIENTS WITH THEIR PHARMACEUTICAL NEEDS. THE NEW STATE-OF- THE-ART PHARMACY OPENED IN 2020. POTTSTOWN HOSPITAL: POTTSTOWN HOSPITAL PROVIDES OUTPATIENT SERVICES FOR LABORATORY, RADIOLOGY, WOUND CARE, AND PT/OT/SPEECH THERAPY PATIENTS. TOTAL PROCEDURES FOR FY21 WERE 321,049. 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 FY21 WERE 7,638. POTTSTOWN HOSPITAL PROVIDES PHARMACY SUPPORT TO ALL INPATIENTS AND CANCER CENTER PATIENTS WITH THEIR PHARMACEUTICAL NEEDS. THE NEW STATE-OF-THE-ART PHARMACY OPENED IN 2020. TOWER HEALTH URGENT CARE: TOWER HEALTH URGENT CARE CONSISTS OF 27 LOCATIONS. 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 IS ON THE FOREFRONT OF PATIENT CARE WITH OUR TELEBURN NETWORK. SELECT TOWER HEALTH URGENT CARE LOCATIONS HAVE PARTNERED WITH THE LEHIGH VALLEY TELEBURN NETWORK TO TREAT BURN PATIENTS BASED ON CONSULTS WITH SPECIALISTS AT THE LEHIGH VALLEY REGIONAL BURN CENTER. TELEBURN ENABLES OUR MEDICAL STAFF TO OBTAIN IMMEDIATE CONSULTS FROM THE BURN CENTER USING DIGITAL IMAGERY. TELEBURN ASSESSMENTS MEET ALL APPLICABLE PRIVACY AND SECURITY REGULATIONS OF THE HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT (HIPAA) AND THE HEALTH INFORMATION TECHNOLOGY FOR ECONOMIC AND CLINICAL HEALTH ACT (HITECH). ADDITIONALLY, COVID-19 ANTIBODY TESTING IS AVAILABLE AT SELECT TOWER HEALTH URGENT CARE LOCATIONS. 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 DIRECT: 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 COVID RESPONSE: FY20: TOWER HEALTH 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 RELEATED 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. TOWER HEALTH INVESTED IN EXPANDING DIGITAL, VIRTUAL AND TELEHEALTH SERVICES TO STAY CONNECTED WITH THEIR PATIENTS. FY21: THROUGHOUT THE MANY CHALLANGES WE HAVE FACED DURING THE PANDEMIC, TOWER HEALTH EMPLOYEES CONTINUE TO DO WHAT IT TAKES TO SUPPORT THEIR PEERS AND PROVIDE EXCELLENT CARE FOR OUR PATIENTS. TOWER HEALTH 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. TOWER HEALTH 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 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. 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 BUSINESS OR OTHER ORGANIZATIONS OF WHICH THE MEMBER, MEMBER'S SPOUSE, A DESCENDANT, OR A SPOUCE 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. 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 11,968,847 0 0 OUTSIDE SERV/OTHER FEES 0 6,694,802 0 PHYSICAN FEES/OTHER 14,324,387 0 0 PHYSICIAN FEES/OTHER 12,565,836 0 0 PHYSICIAN FEES/OTHER 9,467,865 0 0 PHYSICIAN FEES/OTHER 37,251,630 342,337 0 TOTAL 85,578,565 7,037,139 0 FORM 990, PART XI, LINE 9 UNRESTRICTED NET ASSETS 106,713,225 INTERCOMPANY ASSET TRANSFER 10,113,815 INCOME TAX EXPENSE 511,543 BUILDING IMPAIRMENT -319,663,567 OTHER ASSETS -62,441 TOTAL -202,387,425 TOWER HEALTH PROVIDERS LLC PO BOX 16053 READING PA 196126052 463459501 HEALTHCARE PA 6644187 4188233 TOWER HLTH BRANDYWINE HOSPITAL LLC 201 REECEVILLE ROAD COATESVILLE PA 19320 822086906 HOSPITAL PA 80976891 -69003284 TOWER HLTH CHESTNUT HILL HOSPITAL LLC 8835 GERMANTOWN AVE PHILADELPHIA PA 19118 822108660 HOSPITAL PA 127877919 51372212 TOWER HLTH JENNERSVILLE HOSPITAL LLC 1015 W BALTIMORE PIKE WEST GROVE PA 19390 822116582 HOSPITAL PA 42786085 -19259941 TOWER HLTH PHOENIXVILLE HOSPITAL LLC 140 NUTT ROAD PHOENIXVILLE PA 19460 822062413 HOSPITAL PA 164478438 58241855 TOWER HLTH POTTSTOWN HOSPITAL LLC 1600 EAST HIGH STREET POTTSTOWN PA 19464 822132538 HOSPITAL PA 152702362 -2831760 TOWER HLTH TOWER HEALTH ENTERPRISES LLC 420 SOUTH 5TH AVENUE WEST READING PA 19611 822203526 HEALTHCARE PA 330048 4526745 TOWER HLTH CHESTNUT HILL DEVELOPMENT 8835 GERMANTOWN AVE PHILADELPHIA PA 19118 822585433 MED SERV PA 559174 6235671 CNH HOSP TOWERDIRECT LLC 420 SOUTH 5TH AVENUE WEST READING PA 19611 455349097 MED SERV PA 7112873 -6330715 TH ENTERPR TOWER HEALTH URGENT CARE LLC 420 SOUTH 5TH AVENUE WEST READING PA 19611 611903284 MED SERV PA 29319552 9669164 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 501 C3 3 TH true THE FRIENDS OF THE READING HOSPITAL 420 SOUTH 5TH AVENUE WEST READING PA 19611 236026108 FUNDRAISE PA 501 C3 10 TH true THE RDG HOSPITAL & MED CENTER SELF- 420 SOUTH 5TH AVENUE WEST READING PA 19611 232087514 TRUST FUND PA 501 C3 12B TH true TOWER HEALTH MEDICAL GROUP 420 SOUTH 5TH AVENUE WEST READING PA 19611 232266054 HEALTHCARE PA 501 C3 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 1170 BERKSHIRE BLVD WYOMISSING PA 19610 232469321 SUPPORTING PA 501C3 12B TOWER HLTH true THAH - ADVANTAGE HOME CARE 1170 BERKSHIRE BLVD WYOMISSING PA 19610 232469319 HEALTHCARE PA 501C3 3 THAH true TOWER HEALTH AT HOME - BERKS 1170 BERKSHIRE BLVD WYOMISSING PA 19610 231466250 HEALTHCARE PA 501C3 3 THAH true TOWER HEALTH AT HOME - POTTSTOWN 1170 BERKSHIRE BLVD WYOMISSING PA 19610 231352574 HEALTHCARE PA 501C3 3 THAH true SOUTHERN CHESTER CNTY MED BLDG 1 1015 WEST BALTIMORE PIKE WEST GROVE PA 19390 232200841 HEALTHCARE PA TOWER HLTH EXCLUDED 61323 -58420 false true 0.54660 READING-UPMC JOINT VENTURE LLC 600 GRANT STREET PITTSBURGH PA 15219 814566751 HEALTHCARE PA N/A RELATED -8300157 13296280 false true 0.50000 TOWERUSP SURGERY CENTERS LLC 15305 DALLAS PARKWAY-SUITE 1600LB28 SUITE 1600-LB-28 ADDISON TX 75001 364911103 HEALTHCARE PA N/A RELATED false false 0.50100 MEDICAL SCHOOL VENTURE LLC ELLIS PRES 3843 WEST CHESTER PIKE NEWTOWN SQUARE PA 19073 842638593 HEALTHCARE PA TOWER HLTH RELATED 10519297 false false 0.61750 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 11065223 30450689 1.00000 true false false false true false false false false false false false false false false false false false false false READING HOSPITAL D 26956695 GL TRANSACTIONS