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      <Desc>OUR PRIMARY CARE PROGRAM IS COMPRISED OF INTERNAL MEDICINE AND FAMILY PRACTICE PHYSICIANS, PHYSICIAN ASSISTANTS, AND NURSE PRACTITIONERS THROUGHOUT 53 LOCATIONS IN BERKS, CHESTER, MONTGOMERY AND PHILADELPHIA COUNTIES. DURING FISCAL YEAR 2020, TOWER HEALTH MEDICAL GROUP'S PRIMARY CARE PROGRAM PROVIDED CARE THROUGH 428,490 PATIENT VISITS TO PATIENTS OF ALL AGES WITH A FOCUS ON WELLNESS AND DISEASE MANAGEMENT. ALL LOCATIONS ACCEPT BOTH MEDICARE AND MEDICAID PATIENTS.</Desc>
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        <Desc>EXPENSES INCURRED IN PROVIDING VARIOUS OTHER HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGADLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, OR ABILITY TO PAY. OTHER PHYSICIAN SERVICES INCLUDE: REVENUE EXPENSE AMBULATORY SPECIALTIES 14,951,554 33,361,006 ANESTHESIA 14,353,902 28,414,998 BEHAVIORAL HEALTH SCIENCES 3,543,696 12,532,926 CARDIOLOGY 14,168,325 31,836,879 EMERGENCY 17,114,672 32,133,158 NEUROSCIENCES 7,306,024 24,984,002 ONCOLOGY 3,356,158 13,195,286 ORTHOPEDICS 2,711,160 7,283,845 PATHOLOGY 3,477,234 5,522,750 PEDIATRICS 7,891,137 13,370,275 RADIOLOGY 14,339,704 18,678,877 SUPPORT SERVICES 5,456,325 21,208,773 SURGICAL SPECIALTIES 15,321,916 36,389,979 TRAUMA 1,841,224 7,173,007 TRANSPLANT 282,680 2,434,619 WHEN THE COVID PANDEMIC HIT OUR COMMUNITY IN MARCH 2020, IT CAUSED MANY CRITICAL NEEDS FOR OUR ORGANIZATION AND COMMUNITY. A STRONG EMPHASIS WAS PLACED ON SAFETY FOR OUR PATIENTS AND STAFF. TOWER HEALTH MEDICAL GROUP(THMG) DEFERRED AND RESUMED PATIENT APPOINTMENTS IN A PHASED IN APPROACH: PHASE 1 INVOLVED IMPLEMENTING SAFE ENVIRONMENTAL AND PERSONAL PROTECTIVE EQUIPMENT PROTOCOLS WITHIN OUR PRACTICE SETTINGS AS GUIDED BY THE CDC, LOCAL REGULATORY HEALTH AGENCIES AND ORGANIZATIONAL POLICY. PATIENT COVID SCREENING PRACTICES WERE IMPLEMENTED PRIOR TO VISITS WITH PROVIDERS. ANY PATIENTS WITH POSITIVE COVID SYMPTOM SCREEN RESULTS WERE REFERRED TO OUR COVID TESTING SITES, URGENT CARE LOCATIONS AND/OR TRIAGE NURSING HOTLINE FOR HOME MANAGEMENT AND MONITORING SUPPORT. PHASE 2 INVOLVED A TEMPORARY DEFERMENT AND RESCHEDULING OF PREVENTIVE, ANNUAL, OR WELLNESS VISITS IN ORDER TO MAINTAIN SAFE DISTANCING WITHIN OUR CLINICAL ENVIRONMENTS AND TO REDUCE COVID EXPOSURE FOR OUR PATIENTS AND EMPLOYEES. PATIENTS WITH NEGATIVE COVID SCREEN RESULTS WERE SEEN IN THE PRACTICES WITH THE ENFORCEMENT OF LIMITED VISITOR RESTRICTIONS. THOSE PATIENTS CONSIDERED STABLE BUT PRESENTING WITH POSITIVE COVID SCREENING RESULTS WERE OFFERED BOTH TELEPHONIC OR TELEMEDICINE VIDEO VISITS WITH OUR PROVIDERS FOR MEETING THEIR REQUESTED NEEDS FOR TIMELY MEDICAL ATTENTION. PHASE 3 INVOLVED THE RESUMPTION OF PREVENTIVE, ANNUAL OR WELLNESS VISITS BEING SCHEDULED WITH PATIENTS SCREENING NEGATIVE FOR COVID SYMPTOMS. SPECIFIC APPOINTMENT GUIDELINES FOR MANAGING PATIENT WORKFLOWS AND OUR CARE ENVIRONMENT ARE BEING FOLLOWED ACCORDING TO RECOMMENDATIONS BY THE CENTERS FOR DISEASE CONTROL AND PREVENTION. OPTIMIZATION OF TELEMEDICINE VISITS (FACE TO FACE VIDEO) RESULTED IN GREATER PATIENT ACCESS TO AMBULATORY PROVIDER CONSULTATION AND TREATMENT SERVICES. THE MAJORITY OF OUR PRACTICES HAVE RESUMED PRE-COVID PATIENT VISIT VOLUMES. THE PANDEMIC CAUSED A DECREASE IN PATIENT VISITS OF APPROXIMATELY 35% IN THE LAST THREE AND A HALF MONTHS OF FY 2020.</Desc>
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        <PersonNm>CLINT MATTHEWS</PersonNm>
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        <OtherCompensationRltdOrgsAmt>446880</OtherCompensationRltdOrgsAmt>
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        <PersonNm>THOMAS G PSARROS MD</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOHN A BRACA III MD</PersonNm>
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        <OtherCompensationFilingOrgAmt>333672</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>11200</DeferredCompensationFlngOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DAVID SACKS MD</PersonNm>
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        <BonusFilingOrganizationAmount>104500</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>235810</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>101007</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>7883</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>997773</TotalCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>HERMAN C LAWSON MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>728000</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>55000</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>174332</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>14000</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>458</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>971790</TotalCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ERIC E ELGIN MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>675195</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>71109</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>71466</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>11200</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>22870</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>851840</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SUZANNE WENDEROTH</PersonNm>
        <TitleTxt>SVP CHIEF CLINIC OFF</TitleTxt>
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        <BonusFilingOrganizationAmount>30140</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>27167</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>96494</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>23403</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>622411</TotalCompensationFilingOrgAmt>
        <CompReportPrior990FilingOrgAmt>26399</CompReportPrior990FilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>THERESA FINK</PersonNm>
        <TitleTxt>SVP COO</TitleTxt>
        <BaseCompensationFilingOrgAmt>388552</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>26395</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>25944</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>89508</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>23403</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>553802</TotalCompensationFilingOrgAmt>
        <CompReportPrior990FilingOrgAmt>24653</CompReportPrior990FilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KRISTIN KEARNEY</PersonNm>
        <TitleTxt>SVP CFO</TitleTxt>
        <BaseCompensationFilingOrgAmt>309863</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>30188</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>30904</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>43184</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>8056</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>422195</TotalCompensationFilingOrgAmt>
        <CompReportPrior990FilingOrgAmt>30213</CompReportPrior990FilingOrgAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PAGE 1, PART I, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>CLINT MATTHEWS 0 412,360 0 SUZANNE WENDEROTH 0 26,399 0 THERESA FINK 0 24,653 0 KRISTIN KEARNEY 0 30,213 0</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART III</FormAndLineReferenceDesc>
        <ExplanationTxt>SCHEDULE J, PART I, LINE 3 TOP MANAGEMENT COMPENSATION: AS PROVIDED IN THE FORM 990, SCHEDULE J INSTRUCTIONS, SINCE THE ORGANIZATION RELIES ON A RELATED ORGANIZATION WHICH USES ONE OR MORE OF THE METHODS DESCRIBED IN LINE 3 TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION, THIS QUESTION HAS BEEN LEFT UNANSWERED. COMPENSATION PROCESS: THIS ORGANIZATION DOES NOT PAY THE COMPENSATION REPORTED FROM RELATED ENTITIES. 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 TOWER HEALTH MEDICAL GROUP'S EXECUTIVE MANAGEMENT. THE COMMITTEE HAS ADOPTED A WRITTEN EXECUTIVECOMPENSATION 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 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. SCHEDULE J, 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</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc6">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 - ORGANIZATION'S MISSION</FormAndLineReferenceDesc>
        <ExplanationTxt>TOWER HEALTH MEDICAL GROUP IS THE REGION'S PREMIER PHYSICIAN-DIRECTED, MULTI-SPECIALTY GROUP OF HEALTH CARE PROFESSIONALS WHO PARTICIPATE WITH TOWER HEALTH IN MANAGING POPULATION HEALTH AND PROMOTING WELLNESS, DELIVERING HEALTH CARE THAT IS READILY ACCESSIBLE, COMPASSIONATE, AND OF THE HIGHEST QUALITY AND VALUE, AND ENGAGING IN CLINICAL RESEARCH AND THE EDUCATION OF HEALTH CARE PROFESSIONALS AND OUR COMMUNITIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 1, PART I, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>BOARD MEMBERS WITHOUT COMPENSATION ARE VOLUNTEERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4D</FormAndLineReferenceDesc>
        <ExplanationTxt>EXPENSES INCURRED IN PROVIDING VARIOUS OTHER HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGADLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, OR ABILITY TO PAY. OTHER PHYSICIAN SERVICES INCLUDE: REVENUE EXPENSE AMBULATORY SPECIALTIES 14,951,554 33,361,006 ANESTHESIA 14,353,902 28,414,998 BEHAVIORAL HEALTH SCIENCES 3,543,696 12,532,926 CARDIOLOGY 14,168,325 31,836,879 EMERGENCY 17,114,672 32,133,158 NEUROSCIENCES 7,306,024 24,984,002 ONCOLOGY 3,356,158 13,195,286 ORTHOPEDICS 2,711,160 7,283,845 PATHOLOGY 3,477,234 5,522,750 PEDIATRICS 7,891,137 13,370,275 RADIOLOGY 14,339,704 18,678,877 SUPPORT SERVICES 5,456,325 21,208,773 SURGICAL SPECIALTIES 15,321,916 36,389,979 TRAUMA 1,841,224 7,173,007 TRANSPLANT 282,680 2,434,619 WHEN THE COVID PANDEMIC HIT OUR COMMUNITY IN MARCH 2020, IT CAUSED MANY CRITICAL NEEDS FOR OUR ORGANIZATION AND COMMUNITY. A STRONG EMPHASIS WAS PLACED ON SAFETY FOR OUR PATIENTS AND STAFF. TOWER HEALTH MEDICAL GROUP(THMG) DEFERRED AND RESUMED PATIENT APPOINTMENTS IN A PHASED IN APPROACH: PHASE 1 INVOLVED IMPLEMENTING SAFE ENVIRONMENTAL AND PERSONAL PROTECTIVE EQUIPMENT PROTOCOLS WITHIN OUR PRACTICE SETTINGS AS GUIDED BY THE CDC, LOCAL REGULATORY HEALTH AGENCIES AND ORGANIZATIONAL POLICY. PATIENT COVID SCREENING PRACTICES WERE IMPLEMENTED PRIOR TO VISITS WITH PROVIDERS. ANY PATIENTS WITH POSITIVE COVID SYMPTOM SCREEN RESULTS WERE REFERRED TO OUR COVID TESTING SITES, URGENT CARE LOCATIONS AND/OR TRIAGE NURSING HOTLINE FOR HOME MANAGEMENT AND MONITORING SUPPORT. PHASE 2 INVOLVED A TEMPORARY DEFERMENT AND RESCHEDULING OF PREVENTIVE, ANNUAL, OR WELLNESS VISITS IN ORDER TO MAINTAIN SAFE DISTANCING WITHIN OUR CLINICAL ENVIRONMENTS AND TO REDUCE COVID EXPOSURE FOR OUR PATIENTS AND EMPLOYEES. PATIENTS WITH NEGATIVE COVID SCREEN RESULTS WERE SEEN IN THE PRACTICES WITH THE ENFORCEMENT OF LIMITED VISITOR RESTRICTIONS. THOSE PATIENTS CONSIDERED STABLE BUT PRESENTING WITH POSITIVE COVID SCREENING RESULTS WERE OFFERED BOTH TELEPHONIC OR TELEMEDICINE VIDEO VISITS WITH OUR PROVIDERS FOR MEETING THEIR REQUESTED NEEDS FOR TIMELY MEDICAL ATTENTION. PHASE 3 INVOLVED THE RESUMPTION OF PREVENTIVE, ANNUAL OR WELLNESS VISITS BEING SCHEDULED WITH PATIENTS SCREENING NEGATIVE FOR COVID SYMPTOMS. SPECIFIC APPOINTMENT GUIDELINES FOR MANAGING PATIENT WORKFLOWS AND OUR CARE ENVIRONMENT ARE BEING FOLLOWED ACCORDING TO RECOMMENDATIONS BY THE CENTERS FOR DISEASE CONTROL AND PREVENTION. OPTIMIZATION OF TELEMEDICINE VISITS (FACE TO FACE VIDEO) RESULTED IN GREATER PATIENT ACCESS TO AMBULATORY PROVIDER CONSULTATION AND TREATMENT SERVICES. THE MAJORITY OF OUR PRACTICES HAVE RESUMED PRE-COVID PATIENT VISIT VOLUMES. THE PANDEMIC CAUSED A DECREASE IN PATIENT VISITS OF APPROXIMATELY 35% IN THE LAST THREE AND A HALF MONTHS OF FY 2020.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SOLE MEMBER OF TOWER HEALTH MEADICAL GROUP IS TOWER HEALTH, A PENNSYLVANIA NONPROFIT 501(C)(3) CORPORATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SOLE MEMBER OF TOWER HEALTH MEDICAL GROUP IS TOWER HEALTH, A PENNSYLVANIA NONPROFIT 501(C)(3) CORPORATION. THE BUSINESS AND AFFAIRS OF THE CORPORATION SHALL BE MANAGED BY THE BOARD OF DIRECTORS OF TOWER HEALTH UNDER THE PURSUANT TO THE PROVISIONS OF THE BYLAWS OF TOWER HEALTH.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SOLE MEMBER OF TOWER HEALTH MEDICAL GROUP IS TOWER HEALTH, A PENNSYLVANIA NONPROFIT 501(C)(3) CORPORATION. THE BUSINESS AND AFFAIRS OF THE CORPORATION SHALL BE MANAGED BY THE BOARD OF DIRECTORS OF TOWER HEALTH UNDER THE PURSUANT TO THE PROVISIONS OF THE BYLAWS OF TOWER HEALTH.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>TOWER HEALTH MEDICAL GROUP'S RETURN IS PREPARED BY HOSPITAL STAFF AND REVIEWED BY ITS EXTERNAL TAX ADVISORS. THE TOWER HEALTH MEDICAL GROUP'S RETURN IS THEN POSTED FOR REVIEW BY THE TOWER HEALTH BOARD, WHICH IS THE PARENT CORPORATION, PRIOR TO FILING THE RETURN.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>IT SHALL BE THE POLICY OF THE HOSPITAL AND CORRESPONDINGLY TOWER HEALTH MEDICAL GROUP TO REQUIRE EACH BOARD MEMBER TO SUBMIT IN WRITING TO THE CHIEF EXECUTIVE OFFICER A LIST OF BUSINESS OR OTHER ORGANIZATIONS OF WHICH THE MEMBER OR MEMBER'S SPOUSE 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 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 SHALL CONFIRM HIS AWARENESS OF THIS POLICY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>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 TOWER HEALTH MEDICAL GROUP'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 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>SAME RESPONSE AT QUESTION 15A</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>INTERCOMPANY ELIMINATIONS 211,806,023</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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          <AddressLine1Txt>420 SOUTH 5TH AVENUE</AddressLine1Txt>
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          <ZIPCd>19320</ZIPCd>
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          <BusinessNameLine1Txt>CHESTNUT HILL CLINIC COMPANY LLC</BusinessNameLine1Txt>
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          <AddressLine1Txt>8835 GERMANTOWN AVE</AddressLine1Txt>
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          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19118</ZIPCd>
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        <EIN>205689327</EIN>
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        <EndOfYearAssetsAmt>1944734</EndOfYearAssetsAmt>
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          <BusinessNameLine1Txt>THMG HOLD</BusinessNameLine1Txt>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>WEST GROVE CLINIC COMPANY LLC</BusinessNameLine1Txt>
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          <AddressLine1Txt>1015 W BALTIMORE PIKE</AddressLine1Txt>
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      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>true</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>false</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>true</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>