TOWER HEALTH: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization: TOWER HEALTH (EIN 23-2201344)
Tax period: 2017-07-01 to 2018-06-30
Filed: 2019-04-30
IRS object ID: 201931209349301353
Schema version: 2017v2.3
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule D
Schedule F
Schedule H
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-04-30T12:57:13-05:00	ReturnTs
Tax Period End	2018-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	134008324	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	PRICEWATERHOUSECOOPERS LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	2001 MARKET ST STE 1800	AddressLine1Txt
City	PHILADELPHIA	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	19103	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2017-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	232201344	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	TOWER HEALTH	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	TOWE	BusinessNameControlTxt
Phone	4846284307	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 16052	AddressLine1Txt
City	READING	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	196126052	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	GARY F CONNER	PersonNm
Person Title	EXECUTIVE VP CFO	PersonTitleTxt
Phone	4846284307	PhoneNum
Signature	2019-04-30	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	MATTHEW D PETROSKI	PreparerPersonNm
PTIN	P00853132	PTIN
Phone	2673303000	PhoneNum
Preparation	2019-04-30	PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	167.68.16.49	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2019-04-30	IPDt
IP Tm	12:57:13	IPTm
IP Timezone	CD	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	8AE7A7985622D0299A6D121F26C0752C747F2B2F	AtSubmissionCreationDeviceId
At Submission Filing Device Id	389016A9205CDDBE911302A3A824BEE521AEA736	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2017	TaxYr
Build TS	2020-01-14 16:20:31Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	CLINT MATTHEWS	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 16052	AddressLine1Txt
City	READING	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	196126052	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$2,281,859,356	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	HTTPS://WWW.TOWERHEALTH.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1982	FormationYr
Legal Domicile State	PA	LegalDomicileStateCd
Activity Or 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 IS A NON-PROFIT HEALTHCARE SYSTEM CONSISTING OF DIRECTLY AND INDIRECTLY CONTROLLED ENTITIES (SEE FORM 990, SCHEDULE R FOR A LISTING OF AFFILITES), INCLUDING BUT NOT LIMITED TO BRANDYWINE HOSPITAL, CHESTNUT HILL HOSPITAL, JENNERSVILLE HOSPITAL, PHOENIXVILLE HOSPITAL, AND POTTSTOWN HOSPITAL. TOWER HEALTH PROVIDES CHARITABLE COMMUNITY-BASED HEALTHCARE SERVICES AND PROGRAMS TO IMPROVE THE HEALTH AND WELL-BEING OF THE PEOPLE AND COMMUNITIES IT SERVES.	ActivityOrMissionDesc
Voting Members Governing Body	14	VotingMembersGoverningBodyCnt
Voting Members Independent	10	VotingMembersIndependentCnt
Total Employee	5406	TotalEmployeeCnt
Total Volunteers	10	TotalVolunteersCnt
Total Gross UBI	$2,092,546	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$168,238	NetUnrelatedBusTxblIncmAmt
CY Contributions Grants	$60,452	CYContributionsGrantsAmt
PY Program Service Revenue	$3,557,191	PYProgramServiceRevenueAmt
CY Program Service Revenue	$473,933,026	CYProgramServiceRevenueAmt
PY Investment Income	$51,495,791	PYInvestmentIncomeAmt
CY Investment Income	$121,950,997	CYInvestmentIncomeAmt
CY Other Revenue	$7,530,463	CYOtherRevenueAmt
PY Total Revenue	$55,052,982	PYTotalRevenueAmt
CY Total Revenue	$603,474,938	CYTotalRevenueAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$2,513,494	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$196,253,961	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$3,683,053	PYOtherExpensesAmt
CY Other Expenses	$280,083,878	CYOtherExpensesAmt
PY Total Expenses	$6,196,547	PYTotalExpensesAmt
CY Total Expenses	$476,337,839	CYTotalExpensesAmt
PY Revenues Less Expenses	$48,856,435	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$127,137,099	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,506,270,845	TotalAssetsBOYAmt
Total Assets EOY	$2,024,107,424	TotalAssetsEOYAmt
Total Liabilities BOY	$618,461,425	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$1,241,707,304	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$887,809,420	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$782,400,120	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
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 IS A NON-PROFIT HEALTHCARE SYSTEM CONSISTING OF DIRECTLY AND INDIRECTLY CONTROLLED ENTITIES (SEE FORM 990, SCHEDULE R FOR A LISTING OF AFFILITES), INCLUDING BUT NOT LIMITED TO BRANDYWINE HOSPITAL, CHESTNUT HILL HOSPITAL, JENNERSVILLE HOSPITAL, PHOENIXVILLE HOSPITAL, AND POTTSTOWN HOSPITAL. TOWER HEALTH PROVIDES CHARITABLE COMMUNITY-BASED HEALTHCARE SERVICES AND PROGRAMS TO IMPROVE THE HEALTH AND WELL-BEING OF THE PEOPLE AND COMMUNITIES IT SERVES.	MissionDesc
Significant New Program Srvc	Yes (true)	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$21,628,120	ExpenseAmt
Revenue	$30,202,037	RevenueAmt
Desc	EMERGENCY CARE: BRANDYWINE HOSPITAL EMERGENCY DEPARTMENT PROVIDES EMERGENCY, URGENT AND PRIMARY CARE SERVICES TO THE COMMUNITY "24/7/365", REGARDLESS OF ABILITY TO PAY. BRANDWINE HOSPITAL ALSO PROVIDES IMMEDIATE ACCESS THROUGH ITS EMERGENCY DEPARTMENT TO ALL SPECIALTY SERVICES. EMERGENCY ROOM VISITS FOR FY18 WERE 20,327. 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 FY18 WERE 29,775. 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 FY18 WERE 11,050. PHOENIXVILLE HOSPITAL EMERGENCY DEPARTMENT PROVIDES EMERGENCY, URGENT AND PRIMARY CARE SERVICES TO THE COMMUNITY "24/7/365" REGARDLESS OF ABILITY TO PAY. PHOENIXVILE HOSPITAL ALSO PROVIDES IMMEDIATED ACCESS THROUGH ITS EMERGENCY DEPARTMENT TO ALL SPECIALTY SERVICES, FROM SURGEONS TO ALL AREAS OF SPECIALTY CARE. PHOENIXVILLE HOSPITAL HAS "24/7/365" ON-CALL CONSULTANTS FOR PEDIATRIC EMERGECY CASES THROUGH NEMOURS. LOCAL EMS PROVIDERS RELY ON PHOENIXVILLE HOSPITAL FOR ON-GOING MEDICAL EDUCATION. EMERGENCY ROOM VISITS FOR FY18 WERE 17,081. POTTSTOWN HOSPITAL EMERGENCY DEPARTMENT PROVIDES EMERGENCY, URGENT AND PRIMARY CARE SERVICES TO THE COMMUNITY. THE EMERGENCY DEPARTMENT IS OPEN 24 HOURS A DAY, 365 DAYS A YEAR AND 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 FY18 WERE 30,069.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$16,542,594	ExpenseAmt
Revenue	$30,421,690	RevenueAmt
Desc	OPERATING ROOM: CHESTNUT HILL HOSPITAL SURGICAL DEPARTMENT PROVIDES SURGICAL SERVICES TO THE COMMUNITY IN BOTH AN INPATIENT AND OUTPATIENT SETTING. THESE SERVICES INCLUDE BARIATRICS, ENT, GASTROENTEROLOGY, GYNECOLOGY, ORTHOPEDICS, PAIN MANAGEMENT, PLASTICS, PODIATRY, PULMONOLOGY, THORACIC, UROLOGY, VASCULAR AND GENERAL SURGERY. TOTAL SURGERIES FOR FY18 WERE 3,918. JENNERSVILLE HOSPITAL PROVIDES SURGICAL SERVICES TO THE COMMUNITY IN BOTH AN INPATIENT AND OUTPATIENT SETTING. SURGICAL PROCEDURES INCLUDE BUT ARE NOT LIMITED TO THE FOLLOWING SPECIALTIES: ENT, GENERAL SURGERY, GASTROENTEROLOGIC, GYNECOLOGICAL, OPHTHALMOLOGY, UROLOGIC AND VASCULAR SURGICAL PROCEDURES. TOTAL SURGERIES FOR FY18 WERE 1,375. POTTSTOWN HOSPITAL SURGICAL SERVICES DEPARTMENT PROVIDES EMERGENCY, URGENT AND ELECTIVE SURGERIES TO THE COMMUNITY ON AN INPATIENT AND OUTPATIENT BASIS. EMERGENCY CASES CAN BE DONE 24 HOURS A DAY, 365 DAYS A YEAR - PATIENTS NEEDING A HIGHER LEVEL OF CARE CAN BE TRANSFERRED TO TERTIARY CENTERS IN THE AREA. POTTSTOWN HOSPITAL OFFERS GENERAL, ORTHOPEDIC, VASCULAR, SPINE, ENT, MAXILLOFACIAL, PLASTIC, OB/GYN, OPHTHALMOLOGIC, UROLOGIC AND PODIATRIC SURGERY. TOTAL SURGERIES FOR FY18 WERE 7,169.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$15,334,570	ExpenseAmt
Revenue	$32,366,148	RevenueAmt
Desc	RADIOLOGY/ONCOLOGY: 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 COUMMUNITY AND OFFERS FINANCIAL ASSISTANCE FOR MAMMOGRAMS VIA FUNDS RECEIVED AT LOCAL CHARITABLE EVENTS HOSTED/SPONSORED BY CHH. TOTAL IMAGING PROCEDURES/SCANS FOR FY18 WERE 74,561. PHOENIXVILLE HOSPITAL ONCOLOGY SERVICES DEPARTMENT PROVIDES MEDICAL ONCOLOGY AND RADIATION THERAPY SERVICES TO THE COMMUNITY. PHOENIXVILLE HOSPITAL PROVIDES CHARITY SERVICES TO THE SERVICE AREA WHO MEET THE 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 TRIALS SUPPORT UNIT (CTSU). TOTAL PATIENTS SEEN FOR FY18 WERE 2,046 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 OUR 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 COUNTRY WHO HAVE ACHIEVED THIS DISTINCTION. TOTAL ONCOLOGY INFUSION CASES FOR FY18 WERE 2,876.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$371,685,241	ExpenseAmt
Revenue	$385,185,379	RevenueAmt
Desc	OTHER ACCOMPLISHMENTS INCLUDE BUT ARE NOT LIMITED TO: BRANDYWINE HOSPITAL INPATIENT BEHAVIORAL HEALTH 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 VISITS FOR FY18 WERE 13,243 PHOENIXVILLE HOSPITAL OB/GYN WOMEN'S HEALTH SERVICES DEPARTMENT PROVIDE OB/GYN CARE AND MATERNITY SERVICES TO THE COMMUNITY "24/7/365". PHOENIXVILLE HOSPITAL PROVIDES CHARITY SERVICES TO THE SERVICE AREA THROUGH OUR HEALTHY BABY PROGRAM TO FAMILIES WHO MEET OUR CHARITY POLICY GUIDELINES. SIX BOARD-CERTIFIED OB/GYNS DELIVER OVER 800 BABIES EACH YEAR AND ARE BACKED BY A LEVEL II NICU AND NEMOURS BOARD-CERTIFIED NEONATOLOGISTS PROVIDING "24/7/365" COVERAGE. PRIVATE ROOMS WITH ROOM- SERVICE ARE PROVIDED. LACTATION SERVICES, FAMILY PREP CLASSES AND POST- PARTUM SUPPORT IS ALSO PROVIDED. TOTAL NEW BORN FOR FY18 WERE 588.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$371,685,241	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue	$385,185,379	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$425,190,525	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	false	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	false	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	215	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	5406	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	14	GoverningBodyVotingMembersCnt
Independent Voting Member	10	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (true)	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	PA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	GARY CONNER CFO	PersonNm
Phone	4846288000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	420 SOUTH 5TH AVENUE	AddressLine1Txt
City	WEST READING	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	19611	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
CLINT MATTHEWS
PRESIDENT &	2.00	58.00	Yes (X)	Yes (X)	$0	$2,009,603	$429,965
CHARLES BARBERA MD
BOARD MEMBER	2.00	48.00	Yes (X)		$0	$577,371	$35,968
JOHN CASEY MD
BOARD MEMBER	2.00	10.00	Yes (X)		$0	$40,715	$1,868
BRENT WAGNER MD
CHAIRMAN	2.00	4.00	Yes (X)	Yes (X)	$0	$0	$0
C THOMAS WORK
VICE-CHAIRMA	2.00	4.00	Yes (X)	Yes (X)	$0	$0	$0
BARBARA ARNER
BOARD MEMBER	2.00	2.00	Yes (X)		$0	$0	$0
ANNE FLYNN MD
BOARD MEMBER	2.00	2.00	Yes (X)		$0	$0	$0
TOM FLYNN PHD
BOARD MEMBER	2.00	2.00	Yes (X)		$0	$0	$0
CHRIS G KRARAS
BOARD MEMBER	2.00	4.00	Yes (X)		$0	$0	$0
GLENN MOYER
BOARD MEMBER	2.00	2.00	Yes (X)		$0	$0	$0
MEG MUELLER
BOARD MEMBER	2.00	2.00	Yes (X)		$0	$0	$0
KAREN RIGHTMIRE
BOARD MEMBER	2.00	4.00	Yes (X)		$0	$0	$0
JOHN WEIDENHAMMER
BOARD MEMBER	2.00	2.00	Yes (X)		$0	$0	$0
BEN ZINTAK
BOARD MEMBER	2.00	2.00	Yes (X)		$0	$0	$0
THERESE SUCHER
EXECUTIVE VP	2.00	48.00		Yes (X)	$0	$972,078	$229,597
GREGORY SORENSEN MD
EXECUTIVE VP	2.00	48.00		Yes (X)	$0	$806,149	$181,749
GARY F CONNER
EXECUTIVE VP	2.00	52.00		Yes (X)	$0	$793,626	$182,057
DAN AHERN
EVP BUSINESS	2.00	48.00		Yes (X)	$0	$719,763	$167,651
KATHLEEN WETZEL
SECRETARY	2.00	48.00		Yes (X)	$0	$302,685	$63,710
GEORGE A JENCKES MD
CEO OF THP	52.00	0.00			$568,527	$0	$77,265	Yes (X)
JOHN CACCIAMANI
CEO OF CHEST	52.00	0.00			$226,028	$0	$6,949	Yes (X)
RICHARD T NEWELL
CEO OF POTTS	52.00	0.00			$150,078	$0	$11,091		Yes (X)
TERESA M PEIRCE
VP CNO POTTS	50.00	0.00			$130,937	$0	$6,922		Yes (X)
STEPHEN TULLMAN
CEO OF PHOEN	52.00	0.00			$124,245	$0	$7,107		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,199,815	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$6,221,990	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,401,899	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	10	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt	Address Line2ContractorAddress/USAddress/AddressLine2Txt
HOSPITAL HOUSEKEEPING SYSTEMS LLC
PO BOX 2267	SAN ANTONIO	TX	78298	SUPPORT SERVICE	$530,740
XANITOS INC
75 REMITTANCE DRIVE	CHICAGO	IL	60675	SUPPORT SERVICE	$510,763	DEPT 6529
NA PARTNERS IN ANESTHESIA LLC
68 SOUTH SERVICE ROAD	MELVILLE	NY	11747	ANESTHESIA SERV	$345,278	SUITE 350
SOCIETY HILL ANESTHESIA
736-38 PINE STREET	PHILADELPHIA	PA	19106	ANESTHESIA SERV	$272,780	UNIT C
MORRISON HEALTHCARE
PO BOX 102289	ATLANTA	GA	30368	CONSULTING	$217,731

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	24	CntrctRcvdGreaterThan100KCnt
Government Grants	$55,452	GovernmentGrantsAmt
All Other Contributions	$5,000	AllOtherContributionsAmt
Total Contributions	$60,452	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT CHARGES	621110	$465,226,571	$465,226,571
JOINT VENTURES	621400	$5,721,725	$5,721,725
UTILIZATION MGMT FEES	621990	$2,665,722	$2,665,722
HEALTH INS SHARED SAVINGS	621990	$319,008	$319,008

Field	Value	IRS element (for citing)
Total Program Service Revenue	$473,933,026	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$14,990,766	TotalRevenueColumnAmt
Unrelated Business Revenue	$2,092,546	UnrelatedBusinessRevenueAmt
Exclusion	$12,898,220	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$2,555,491	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$2,555,491	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,555,491	TotalRevenueColumnAmt
Exclusion	$2,555,491	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$1,785,344,649	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$1,678,384,418	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$106,960,231	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$106,960,231	TotalRevenueColumnAmt
Exclusion	$106,960,231	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt
BUNDLED PAYMENT SHARE	$2,027,929	$2,027,929
OTHER INCOME	$1,626,974	$1,626,974
MEALS	$732,744		$732,744

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$587,325	TotalRevenueColumnAmt
Related Or Exempt Func Income	$587,325	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$4,974,972	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$603,474,938	TotalRevenueColumnAmt
Related Or Exempt Func Income	$478,175,254	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$2,092,546	UnrelatedBusinessRevenueAmt
Exclusion	$123,146,686	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$3,969,229	TotalAmt
Program Services	$681,283	ProgramServicesAmt
Management And General	$3,287,946	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$153,465,984	TotalAmt
Program Services	$144,459,694	ProgramServicesAmt
Management And General	$9,006,290	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$2,252,945	TotalAmt
Program Services	$2,080,934	ProgramServicesAmt
Management And General	$172,011	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$25,448,047	TotalAmt
Program Services	$23,577,879	ProgramServicesAmt
Management And General	$1,870,168	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$11,117,756	TotalAmt
Program Services	$10,177,246	ProgramServicesAmt
Management And General	$940,510	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$709,805	TotalAmt
Management And General	$709,805	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$1,665,000	TotalAmt
Management And General	$1,665,000	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$77,984,212	TotalAmt
Program Services	$49,761,127	ProgramServicesAmt
Management And General	$28,223,085	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$430,010	TotalAmt
Management And General	$430,010	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$9,568,439	TotalAmt
Program Services	$9,568,439	ProgramServicesAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$16,124,238	TotalAmt
Program Services	$14,900,069	ProgramServicesAmt
Management And General	$1,224,169	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$295,935	TotalAmt
Program Services	$155,319	ProgramServicesAmt
Management And General	$140,616	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$17,844,955	TotalAmt
Program Services	$17,844,955	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$17,071,037	TotalAmt
Program Services	$17,071,037	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$4,651,411	TotalAmt
Program Services	$4,651,411	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
SUPPLIES	$67,185,173	$66,573,720	$611,453
DRUGS & PHARM	$26,895,841	$26,895,841
PHYSICIAN FEES	$21,457,087	$20,584,733	$872,354
REPAIRS	$12,707,731	$12,571,410	$136,321

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$5,493,004	TotalAmt
Program Services	$3,635,428	ProgramServicesAmt
Management And General	$1,857,576	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$476,337,839	TotalAmt
Program Services	$425,190,525	ProgramServicesAmt
Management And General	$51,147,314	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
EOY	$83,935,677	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$221	BOYAmt
EOY	$332	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$652,245,321	BOYAmt
EOY	$547,767,010	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
EOY	$20,032,718	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
EOY	$7,063,180	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$348,356,584	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$17,199,418	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$40,312,888	BOYAmt
EOY	$331,157,166	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$802,460,095	BOYAmt
EOY	$852,819,717	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$11,252,320	BOYAmt
EOY	$181,331,624	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,506,270,845	BOYAmt
EOY	$2,024,107,424	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$3,973,653	BOYAmt
EOY	$61,076,090	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$573,504,229	BOYAmt
EOY	$1,131,794,058	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$40,983,543	BOYAmt
EOY	$48,837,156	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$618,461,425	BOYAmt
EOY	$1,241,707,304	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$887,809,420	BOYAmt
EOY	$782,392,576	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
EOY	$7,544	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$887,809,420	BOYAmt
EOY	$782,400,120	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,506,270,845	BOYAmt
EOY	$2,024,107,424	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$127,137,099	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$69,781,333	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$162,765,066	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Supporting Organization509a3	Yes (X)	SupportingOrganization509a3Ind
Supporting Org Type3 Func Int	Yes (X)	SupportingOrgType3FuncIntInd
Supported Organizations	2	SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp (2 entries)

EINEIN	Organization TypeOrganizationTypeCd	Governing Document ListedGoverningDocumentListedInd	SupportSupportAmt	Other SupportOtherSupportAmt
READING HOSPITAL
231352204	3	Yes (true)	$61,266,390	$0
TOWER HEALTH MEDICAL GROUP
232266054	3	Yes (true)	$0	$0

Field	Value	IRS element (for citing)
Supported Organizations Total	2	SupportedOrganizationsTotalCnt
Support Sum	$61,266,390	SupportSumAmt
Other Support Sum	$0	OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

Field	Value	IRS element (for citing)
Listed By Name Governing Doc	Yes (true)	ListedByNameGoverningDocInd
Suprt Org No IRS Determination	false	SuprtOrgNoIRSDeterminationInd
Supported Org Section C456	false	SupportedOrgSectionC456Ind
Supported Org Not Organized US	false	SupportedOrgNotOrganizedUSInd
Organization Change Suprt Org	false	OrganizationChangeSuprtOrgInd
Support Non Supported Org	false	SupportNonSupportedOrgInd
Payment Substantial Contribtr	false	PaymentSubstantialContribtrInd
Loan Disqualified Person	false	LoanDisqualifiedPersonInd
Controlled Disqualified Prsn	false	ControlledDisqualifiedPrsnInd
Disqualified Prsn Controll Int	false	DisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr Int	false	DisqualifiedPrsnOwnrIntInd
Excess Business Holdings Rules	false	ExcessBusinessHoldingsRulesInd
Contribution Controller	false	ContributionControllerInd
Contribution Family	false	ContributionFamilyInd
Contribution35 Controlled	false	Contribution35ControlledInd

Form990 Sch A Type3 Sprt Org All Form990SchAType3SprtOrgAllGrp

Field	Value	IRS element (for citing)
Timely Provided Documents	Yes (true)	TimelyProvidedDocumentsInd
Officers Close Relationship	Yes (true)	OfficersCloseRelationshipInd
Supported Org Voice Investment	Yes (true)	SupportedOrgVoiceInvestmentInd

Form990 Sch A Type3 Func Int Form990SchAType3FuncIntGrp

Field	Value	IRS element (for citing)
Parent Supported Org	Yes (X)	ParentSupportedOrgInd
Appoint Elect Majority Officer	Yes (true)	AppointElectMajorityOfficerInd
Exercise Direction Policies	Yes (true)	ExerciseDirectionPoliciesInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART IV, SECTION D, LINE 3	THE INVESTMENT COMMITTEE IS COMPRISED OF MEMBERS OF THE SUPPORTETD 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 PRESENATATIONS 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.
PART IV, SECTION E, LINE 3A	THE BOARD OF DIRECTORS FOR EACH SUPPORTED ORGANIZATION IS ELECTED BY TOWER HEALTH AT THE ANNUAL MEETING.
PART IV, SECTION E, LINE 3B	SUPPORTING ORGANIZATIONS FOLLOW POLICIES AND PROCEDURES SET BY TOWER HEALTH.

Schedule B IRS990ScheduleB

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$86,748,211	OtherCostOrOtherBasisAmt
Book Value	$86,748,211	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$176,279,801	OtherCostOrOtherBasisAmt
Depreciation	$7,856,914	DepreciationAmt
Book Value	$168,422,887	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$78,455,208	OtherCostOrOtherBasisAmt
Depreciation	$9,187,160	DepreciationAmt
Book Value	$69,268,048	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$6,873,364	OtherCostOrOtherBasisAmt
Depreciation	$155,344	DepreciationAmt
Book Value	$6,718,020	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$331,157,166	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (12 entries)

DescDesc	Book ValueBookValueAmt
LT ASSETS AND GOODWILL	$138,351,003
RECEIVABLE FROM AFFILIATES	$17,434,458
CENTRAL PENNSYLVANIA HOME CARE	$6,361,283
THIRD PARTY RECEIVABLE	$6,211,513
UPMC	$4,091,748
ALLSPIRE	$3,464,846
USR MONTGOMERY PARTNERS-POTTSTOWN	$2,384,927
HORIZON	$1,291,874
SOUTH CHESTER MED BLDG	$955,173
CENTRAL PENNSYLVANIA ALLIANCE	$350,274
COMMONWEALTH CYBERKNIFE	$345,000
QUEST	$89,525

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$181,331,624	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
SWAP CONTRACT	$26,826,882
CP-CAP LEASE	$21,771,747
PHY STUDENT LOANS	$136,600
OTHER	$101,927

Field	Value	IRS element (for citing)
Total Liability	$48,837,156	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE D, PAGE 3, PART X	FormAndLineReferenceDesc
Explanation	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 AND 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. ON DECEMBER 22, 2017, THE PRESIDENT SIGNED INTO LAW H.R.1, ORIGINALLY KNOWN AS THE TAX CUTS AND JOBS ACT. THE NEW LAW INCLUDES SEVERAL PROVISIONS THAT RESULT IN SUBSTANTIAL CHANGES TO THE TAX TREATMENT OF TAX-EXEMPT ORGANIZATIONS AND THEIR DONORS. THE SYSTEM HAS REVIEWED THESE PROVISIONS AND THE POTENTIAL IMPACT AND CONCLUDED THE ENACTMENT OF H.R. 1 WILL NOT HAVE A MATERIAL IMPACT ON THE OPERATIONS OF THE SYSTEM.	ExplanationTxt

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (2 entries)

RegionRegionTxt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Region Total ExpendituresRegionTotalExpendituresAmt
CENTRAL AMERICA AND THE CARIBBEAN	INVESTMENTS	$9,210,958
EUROPE	INVESTMENTS	$135,902,081

Field	Value	IRS element (for citing)
Subtotal Spent	$145,113,039	SubtotalSpentAmt
Total Spent	$145,113,039	TotalSpentAmt
Transfer To Foreign Corp	Yes (true)	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (true)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	Yes (true)	PassiveForeignInvestmestCoInd
Foreign Partnership	Yes (true)	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE F, PAGE 1, PART I, LINE 3	FormAndLineReferenceDesc
Explanation	CENTRAL AMERICA AND THE CARIBBEAN 0 9,210,958 EUROPE 0 135,902,081	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	false	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	false	AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,163,503	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$8,163,503	NetCommunityBenefitExpnsAmt
Total Expense	0.01710	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$56,785,039	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$46,370,360	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,414,679	NetCommunityBenefitExpnsAmt
Total Expense	0.02190	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$64,948,542	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$46,370,360	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$18,578,182	NetCommunityBenefitExpnsAmt
Total Expense	0.03900	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$279,121	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$279,121	NetCommunityBenefitExpnsAmt
Total Expense	0.00060	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,520,622	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$4,520,622	NetCommunityBenefitExpnsAmt
Total Expense	0.00950	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$113,526	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$113,526	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$16,030	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$16,030	NetCommunityBenefitExpnsAmt

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,929,299	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$4,929,299	NetCommunityBenefitExpnsAmt
Total Expense	0.01030	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$69,877,841	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$46,370,360	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$23,507,481	NetCommunityBenefitExpnsAmt
Total Expense	0.04940	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$38,968,509	BadDebtExpenseAmt
Bad Debt Expense Attributable	$22,991,420	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$157,216,978	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$168,296,002	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$11,079,024	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	false	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

Field	Value	IRS element (for citing)
Business Name Line1	SOUTHERN CHESTER MED	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Primary Activities	PRIMARY/SPECIALTY CARE	PrimaryActivitiesTxt
Org Profit Or Ownership	0.55000	OrgProfitOrOwnershipPct
Physicians Profit Or Ownership	0.45000	PhysiciansProfitOrOwnershipPct

Field	Value	IRS element (for citing)
Hospital Facilities	5	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (5 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Business Name Line1SubordinateHospitalName/BusinessNameLine1Txt	Subordinate Hospital EINSubordinateHospitalEIN	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd
POTTSTOWN HOSPITAL
1	1600 EAST HIGH STREET	POTTSTOWN	PA	19464	HTTPS://POTTSTOWN.TOWERHEALTH.ORG	163201	TOWER HEALTH	232201344	Yes (X)	Yes (X)	Yes (X)	A
CHESTNUT HILL HOSPITAL
2	8835 GERMANTOWN AVENUE	PHILADELPHIA	PA	19118	HTTPS://CHESTNUTHILL.TOWERHEALTH.ORG	036101	TOWER HEALTH	232201344	Yes (X)	Yes (X)	Yes (X)	A
PHOENIXVILLE HOSPITAL
3	140 NUTT ROAD	PHOENIXVILLE	PA	19460	HTTPS://PHOENIXVILLE.TOWERHEALTH.ORG	420901			Yes (X)	Yes (X)	Yes (X)	A
BRANDYWINE HOSPITAL
4	201 REECEVILLE ROAD	COATESVILLE	PA	19320	HTTPS://BRANDYWINE.TOWERHEALTH.ORG	025801			Yes (X)	Yes (X)	Yes (X)	A
JENNERSVILLE HOSPITAL
5	1015 WEST BALTIOMORE PIKE	WEST GROVE	PA	19390	HTTPS://JENNERSVILLE.TOWERHEALTH.ORG	291501			Yes (X)	Yes (X)	Yes (X)	A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	A	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	12345	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	Yes (true)	TaxExemptHospitalCYOrPYInd
CHNA Conducted	false	CHNAConductedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.000000000000	FPGFamilyIncmLmtDscntCarePct
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Other Method	Yes (X)	OtherMethodInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE SUPPLEMENTAL DISCLOSURES	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE SUPPLEMENTAL DISCLOSURES	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE SUPPLEMENTAL DISCLOSURES	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
None Made	Yes (X)	NoneMadeInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Prospective Medicare Medicaid	Yes (X)	ProspectiveMedicareMedicaidInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
GROUP A, FACILITY 1, POTTSTOWN HOSPITAL - PART V, LINE 2	MONTGOMERY/CHESTER HOSPITALS WERE ACQUIRED ON OCTOBER 1, 2017 FROM COMMUNITY HEALTH SYSTEMS (CHS), AND ARE SINGLE MEMBER LIMITED LIABILITY COMPANIES, WHICH ARE DISREGARDED ENTITIES FOR FEDERAL TAX PURPOSES, PROVIDING ACUTE AND POST ACUTE CARE. THE FIVE HOSPITALS INCLUDE: BRANDYWINE HOSPITAL IN COATESVILLE; CHESTNUT HILL HOSPITAL IN PHILADELPHIA; JENNERSVILLE REGIONAL HOSPITAL IN WEST GROVE; PHOENIXVILLE HOSPITAL IN PHOENIXVILLE AND POTTSTOWN MEMORIAL MEDICAL CENTER IN POTTSTOWN (COLLECTIVLEY, MONTGOMERY/CHESTER HOSPITALS).
GROUP A, FACILITY 1, POTTSTOWN HOSPITAL - PART V, LINE 13H	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	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 MEDICIAD COVERAGE CRITERIA. 2. A HOSPITAL FINANCIAL COUNSELOR OR PRF 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 SPECIFIYING 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 QUARANTORS 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 MEDICIAD 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 CURRENT FINANCIAL ASSISTANCE POLICY AND APPLICATIONS FOR FINANCIAL ASSISTANCE, IN ENGLISH AND SPANISH, ARE ACCESSIBLE AT: HTTPS://POTTSTOWN.TOWERHEALTH.ORG/PATIENTS-FAMILIES/BILLING-AND- INSURANCE/FINANCIAL-ASSISTANCE/ HTTPS://CHESTNUTHILL.TOWERHEALTH.ORG/PATIENTS-FAMILIES/BILLING-AND- INSURANCE/FINANCIAL-ASSISTANCE/ HTTPS://PHOENIXVILLE.TOWERHEALTH.ORG/PATIENTS-FAMILIES/BILLING-AND- INSURANCE/FINANCIAL-ASSISTANCE/ HTTPS://BRANDYWINE.TOWERHEALTH.ORG/PATIENTS-FAMILIES/BILLING-AND- INSURANCE/FINANCIAL-ASSISTANCE/ HTTPS://JENNERSVILLE.TOWERHEALTH.ORG/PATIENTS-FAMILIES/BILLING-AND- INSURANCE/FINANCIAL-ASSISTANCE/ ADDITIONALLY, TOWER HEALTH MAINTAINS, AND UPDATES ON AT LEAST A QUARTERLY BASIS, A LIST OF ALL PROVIDERS (IDENTIFIED BY NAME, PRACTICE GROUP/ENTITY, HOSPITAL DEPARTMENT OR TYPE OF SERVICE) DELIVERING EMERGENCY OR OTHER MEDICALLY NECESSARY CARE AT READING HOSPITAL SPECIFYING WHICH PROVIDERS ARE AND ARE NOT COVERED BY THE PATIENT FINANCIAL ASSISTANCE POLICY. THIS PROVIDER LIST IS AVAILABLE ONLINE AT: HTTPS://POTTSTOWN.TOWERHEALTH.ORG/FIND-A-DOCTOR/ HTTPS://CHESTNUTHILL.TOWERHEALTH.ORG/FIND-A-DOCTOR/ HTTPS://PHOENIXVILLE.TOWERHEALTH.ORG/FIND-A-DOCTOR/ HTTPS://BRANDYWINE.TOWERHEALTH.ORG/FIND-A-DOCTOR/ HTTPS://JENNERSVILLE.TOWERHEALTH.ORG/FIND-A-DOCTOR/ A PAPER COPY CAN BE OBTAINED, FREE OF CHARGE, BY CONTACTING THE REFERRAL LINE AT: POTTSTOWN HOSPITAL 610-327-7000 CHESTNUT HILL HOSPITAL 215-753-2000 PHOENIXVILLE HOSPITAL 610-983-1000 BRANDYWINE HOSPITAL 610-383-8000 JENNERSVILLE HOSPITAL 610-869-1090 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. PART V, SECTION B, LINE 16 A-C LINK TO FINANCIAL ASSISTANCE POLICY (FAP), APPLICATION AND PLAIN LANGUAGE SUMMARY: HTTPS://BRANDYWINE.TOWERHEALTH.ORG/PATIENTS-FAMILIES/BILLING-AND- INSURANCE/FINANCIAL-ASSISTANCE/ HTTPS://CHESTNUTHILL.TOWERHEALTH.ORG/PATIENTS-FAMILIES/BILLING-AND- INSURANCE/FINANCIAL-ASSISTANCE/ HTTPS://JENNERSVILLE.TOWERHEALTH.ORG/PATIENTS-FAMILIES/BILLING-AND- INSURANCE/FINANCIAL-ASSISTANCE/ HTTPS://PHOENIXVILLE.TOWERHEALTH.ORG/PATIENTS-FAMILIES/BILLING-AND- INSURANCE/FINANCIAL-ASSISTANCE/ HTTPS://POTTSTOWN.TOWERHEALTH.ORG/PATIENTS-FAMILIES/BILLING-AND- INSURANCE/FINANCIAL-ASSISTANCE/ PART V, SECTION B, LINE 16 J TOWER HEALTH INADVERTENTLY DID NOT ADOPT A FINANCIAL ASSISTANCE POLICY, FINANCIAL ASSISTANCE APPLICATION, AND PLAIN LANGUAGE SUMMARY THAT CONTAINED ALL OF THE ELEMENTS REQUIRED BY TREASURY REGULATION SECTION 1.501(R)-4. THIS INADVERTENT FAILURE WAS DUE TO A CHANGE IN THE RESPONSIBLE TEAM THAT OCCURRED AT THE ORGANIZATION. THE FAILURE WAS DISCOVERED IN MARCH 2018 AND TOWER HEALTH PROMPTLY ACTED TO CORRECT BY REVISING THE FINANCIAL ASSISTANCE POLICY, FINANCIAL ASSISTANCE APPLICATION, AND PLAIN LANGUAGE SUMMARY TO INCLUDE ALL OF THE ELEMENTS REQUIRED BY INTERNAL REVENUE CODE SECTION 501 (R) AND WIDELY PUBLICIZED THE CORRECTED DOCUMENTS WITHIN THE MEANING OF TREASURY REGULATION SECTION 1.501(R)-3(B)(5). TOWER HEALTH IMPLEMENTED NEW SAFEGUARDS TO ENSURE THAT A SIMILAR OVERSIGHT DOES NOT OCCUR IN THE FUTURE, INCLUDING THE ESTABLISHMENT OF A NEW MANAGEMENT TEAM THAT WILL BE HELD RESPONSIBLE FOR OVERSEEING THESE POLICIES AND DOCUMENTS GOING FORWARD.

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C - OTHER INCOME BASED CRITERIA FOR FREE OR DISCOUNTED CARE	PATIENTS WILL BE REQUESTED TO PROVIDE VERIFICATION OF HOUSEHOLD INCOME ALONG WITH THE NAMES OF PEOPLE RESIDING IN THE HOUSEHOLD, AS A REQUIREMENT OF THEAPPLICATION 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 QUARANTOR CONTRIBUTION AMOUNT TOWARD THEIR MEDICAL BILL.
PART III, LINE 2 - BAD DEBT EXPENSE METHODOLOGY	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.
PART III, LINE 3 BAD DEBT EXPENSE, PATIENTS ELIGIBLE FOR ASSISTANCE	IN PRIOR YEARS, THE HOSPITAL UTILIZED A PRODUCT THROUGH THE ADVISORY BOARD TO PROJECT THE PRECENTAGE OF PATIENTS ELIGIBLE FOR CHARITY. THE HOSPITAL ENDED THE RELATIONSHIP WITH THE ADVISORY BOARD, BUT LEVERAGED THE METHODOLOGY USED BY THE ADVISORY BOARD TO ESTIMATE THE CURRENT YEAR AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY.
PART III, LINE 8 - MEDICARE EXPLANATION	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.
PART III, LINE 9B - COLLECTION PRACTICES EXPLANATION	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.
PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEM	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 J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)

TitleTitleTxt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt
CLINT MATTHEWS
PRESIDENT & CEO	$1,039,833	$630,000	$339,770	$393,225	$36,740	$2,439,568	$307,431
CHARLES BARBERA MD
BOARD MEMBER	$458,727	$89,832	$28,812	$18,098	$17,870	$613,339
THERESE SUCHER
EXECUTIVE VP COO	$605,228	$200,926	$165,924	$192,510	$37,087	$1,201,675	$147,104
GREGORY SORENSEN MD
EXECUTIVE VP CMO	$533,832	$121,910	$150,407	$165,803	$15,946	$987,898	$131,587
GARY F CONNER
EXECUTIVE VP CFO	$562,886	$201,058	$29,682	$167,213	$14,844	$975,683
DAN AHERN
EVP BUSINESS DEVELOP	$454,012	$158,866	$106,885	$146,555	$21,096	$887,414	$95,969
KATHLEEN WETZEL
SECRETARY	$239,759	$61,381	$1,545	$43,182	$20,528	$366,395
GEORGE A JENCKES MD
CEO OF THP								$400,093	$82,011	$86,423	$63,243	$14,022	$645,792	$81,188
JOHN CACCIAMANI
CEO OF CHESTNUT HILL								$99,075	$126,400	$553	$2,025	$4,924	$232,977
RICHARD T NEWELL
CEO OF POTTSTOWN								$95,684	$53,600	$794	$3,141	$7,950	$161,169

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

SCHEDULE J, PAGE 1, PART I, LINE 4

CLINT MATTHEWS 0 307,431 0 THERESE SUCHER 0 147,104 0 GREGORY SORENSEN, MD 0 131,587 0 DAN AHERN 0 95,969 0 GEORGE A. JENCKES, MD 0 81,188 0

SCHEDULE J, PART III

PART III, 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: GARY F. CONNER AND KATHLEEN WETZEL PARTICIPATED IN THE 457(F) DEFERRED COMPENSATION PLAN DURING CALENDAR YEAR 2017 BUT DID NOT RECEIVE DISTRIBUTIONS. 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.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Business Name Line2IssuerName/BusinessNameLine2Txt	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
BERKS COUNTY MUNICIPAL AUTHORITY
A	SERIES 2009A-3	236647630	084538GG6	2009-07-15	$132,197,073	SEE PART VI	Yes (true)	false	false
BERKS COUNTY MUNICIPAL AUTHORITY
B	SERIES 2012-ABCD	236647630	084538GX9	2012-06-28	$479,354,940	SEE PART VI	Yes (true)	false	false
BERKS COUNTY MUNICIPAL AUTHORITY
C	SERIES 2016-ABCD	236647630		2016-05-16	$175,165,000	REFUND PRIOR ISSUE (6/28/12)	Yes (true)	false	false
BERKS COUNTY IND DEV AUTHORITY
D	SERIES 2017	237418629	08451PAY7	2017-10-31	$646,650,683	SEE PART VI	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Refunding EscrowRefundingEscrowAmt
A	$34,735,000	$44,675,000	$132,199,246	$1,712,133	$14,967,250	$115,519,863	2010	Yes (true)	false	Yes (true)	Yes (true)
B	$178,616,667		$479,394,377	$3,523,736		$475,845,944	2005	Yes (true)	Yes (true)	Yes (true)	Yes (true)	$24,697
C	$75,000,000		$175,165,000	$964,718		$174,200,000	2005	Yes (true)	false	Yes (true)	Yes (true)	$282
D			$647,148,787	$4,343,979	$200,000,000	$395,434,530	2010	Yes (true)	Yes (true)	Yes (true)	Yes (true)		$47,370,278

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	Yes (true)	Yes (true)	false	false	false	Yes (true)
B	false	false	Yes (true)	Yes (true)	false	false	false	Yes (true)
C	false	false	Yes (true)	Yes (true)	false	false	false	Yes (true)
D	false	false	Yes (true)	Yes (true)	false	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	false	false	Yes (true)	Yes (true)	false	false	false	false	Yes (true)
B	false	false	Yes (true)	Yes (true)	Yes (true)	false	false	false	Yes (true)
C	false	false	Yes (true)	Yes (true)	Yes (true)	false	false	false	Yes (true)
D	false	false	Yes (true)	Yes (true)	false	false	false	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)
C	Yes (true)
D	Yes (true)

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

SCHEDULE K - DATE REBATE COMPUTATION PERFORMED

BERKS COUNTY MUNICIPAL AUTHORITY 08/31/10 BERKS COUNTY MUNICIPAL AUTHORITY 12/28/12 BERKS COUNTY MUNICIPAL AUTHORITY 06/01/16 BERKS COUNTY IND DEV AUTHORITY 04/30/18 BERKS COUNTY MUNICIPAL AUTHORITY 06/27/18

SCHEDULE K - ADDITIONAL INFORMATION

BERKS COUNTY MUNICIPAL AUTHORITY SCHEDULE K, PART IV, ARBITRAGE, LINE 2C: (A) ISSUER NAME: THE BERKS COUNTY MUNICIPAL AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 08/31/2010 (A) ISSUER NAME: THE BERKS COUNTY MUNICIPAL AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 12/28/2012 (A) ISSUER NAME: THE BERKS COUNTY MUNCIPAL AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 06/01/2016 (A) ISSUER NAME: THE BERKS COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 04/30/2018 (A) ISSUER NAME: THE BERKS COUNTY MUNCIPAL AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 06/27/2018 NOTE REGARDING THE REBATE COMPUTATIONS ON 8/31/10, 12/28/12, 6/1/16 AND 6/27/18: 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) - CONSCTRUCTION OF FACILITY AND REFUNDING OF PRIOR ISSUE (3/29/2001) PART I, ROW B, COLUMN (F) - REFUNDING PRIOR ISSUES (5/26/1994, 9/10/1998, 12/4/2008, 7/15/2009, 2/2/2010) PART I, ROW D, COLUMN (F) - PURCHASE FACILITY AND REFUND PRIOR ISSUES (7/15/2009 AND 9/29/2017) 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.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 IS A NON-PROFIT HEALTHCARE SYSTEM CONSISTING OF DIRECTLY AND INDIRECTLY CONTROLLED ENTITIES (SEE FORM 990, SCHEDULE R FOR A LISTING OF AFFILITES), INCLUDING BUT NOT LIMITED TO BRANDYWINE HOSPITAL, CHESTNUT HILL HOSPITAL, JENNERSVILLE HOSPITAL, PHOENIXVILLE HOSPITAL, AND POTTSTOWN HOSPITAL. TOWER HEALTH PROVIDES CHARITABLE COMMUNITY-BASED HEALTHCARE SERVICES AND PROGRAMS TO IMPROVE THE HEALTH AND WELL-BEING OF THE PEOPLE AND COMMUNITIES IT SERVES.
FORM 990, PAGE 2, PART III, LINE 2	MONTGOMERY/CHESTER HOSPITALS WERE ACQUUIRED ON OCTOBER 1, 2017 FROM COMMUNITY HEALTH SYSTEMS. MONTGOMERY/CHESTER HOSPITALS ARE TAX-EXEMPT NOT-FOR-PROFIT CORPORATIONS PROVIDING ACUTE AND POST ACUTE CARE.
FORM 990, PAGE 2, PART III, LINE 4A	SPECIALTY AREAS. CHH REMAINS COMMITTED TO THEIR GOAL OF SEEING PATIENTS IN 30 MINUTES OR LESS. EMERGENCY ROOM VISITS FOR FY18 WERE 29,775. 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 FY18 WERE 11,050. PHOENIXVILLE HOSPITAL EMERGENCY DEPARTMENT PROVIDES EMERGENCY, URGENT AND PRIMARY CARE SERVICES TO THE COMMUNITY "24/7/365" REGARDLESS OF ABILITY TO PAY. PHOENIXVILE HOSPITAL ALSO PROVIDES IMMEDIATED ACCESS THROUGH ITS EMERGENCY DEPARTMENT TO ALL SPECIALTY SERVICES, FROM SURGEONS TO ALL AREAS OF SPECIALTY CARE. PHOENIXVILLE HOSPITAL HAS "24/7/365" ON-CALL CONSULTANTS FOR PEDIATRIC EMERGECY CASES THROUGH NEMOURS. LOCAL EMS PROVIDERS RELY ON PHOENIXVILLE HOSPITAL FOR ON-GOING MEDICAL EDUCATION. EMERGENCY ROOM VISITS FOR FY18 WERE 17,081. POTTSTOWN HOSPITAL EMERGENCY DEPARTMENT PROVIDES EMERGENCY, URGENT AND PRIMARY CARE SERVICES TO THE COMMUNITY. THE EMERGENCY DEPARTMENT IS OPEN 24 HOURS A DAY, 365 DAYS A YEAR AND 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 FY18 WERE 30,069.
FORM 990, PAGE 2, PART III, LINE 4B	GASTROENTEROLOGIC, GYNECOLOGICAL, OPHTHALMOLOGY, UROLOGIC AND VASCULAR SURGICAL PROCEDURES. TOTAL SURGERIES FOR FY18 WERE 1,375. POTTSTOWN HOSPITAL SURGICAL SERVICES DEPARTMENT PROVIDES EMERGENCY, URGENT AND ELECTIVE SURGERIES TO THE COMMUNITY ON AN INPATIENT AND OUTPATIENT BASIS. EMERGENCY CASES CAN BE DONE 24 HOURS A DAY, 365 DAYS A YEAR - PATIENTS NEEDING A HIGHER LEVEL OF CARE CAN BE TRANSFERRED TO TERTIARY CENTERS IN THE AREA. POTTSTOWN HOSPITAL OFFERS GENERAL, ORTHOPEDIC, VASCULAR, SPINE, ENT, MAXILLOFACIAL, PLASTIC, OB/GYN, OPHTHALMOLOGIC, UROLOGIC AND PODIATRIC SURGERY. TOTAL SURGERIES FOR FY18 WERE 7,169.
FORM 990, PAGE 2, PART III, LINE 4C	PHOENIXVILLE HOSPITAL ONCOLOGY SERVICES DEPARTMENT PROVIDES MEDICAL ONCOLOGY AND RADIATION THERAPY SERVICES TO THE COMMUNITY. PHOENIXVILLE HOSPITAL PROVIDES CHARITY SERVICES TO THE SERVICE AREA WHO MEET THE 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 TRIALS SUPPORT UNIT (CTSU). TOTAL PATIENTS SEEN FOR FY18 WERE 2,046 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 OUR 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 COUNTRY WHO HAVE ACHIEVED THIS DISTINCTION. TOTAL ONCOLOGY INFUSION CASES FOR FY18 WERE 2,876.
FORM 990, PAGE 2, PART III, LINE 4D	OTHER ACCOMPLISHMENTS INCLUDE BUT ARE NOT LIMITED TO: BRANDYWINE HOSPITAL INPATIENT BEHAVIORAL HEALTH 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 VISITS FOR FY18 WERE 13,243 PHOENIXVILLE HOSPITAL OB/GYN WOMEN'S HEALTH SERVICES DEPARTMENT PROVIDE OB/GYN CARE AND MATERNITY SERVICES TO THE COMMUNITY "24/7/365". PHOENIXVILLE HOSPITAL PROVIDES CHARITY SERVICES TO THE SERVICE AREA THROUGH OUR HEALTHY BABY PROGRAM TO FAMILIES WHO MEET OUR CHARITY POLICY GUIDELINES. SIX BOARD-CERTIFIED OB/GYNS DELIVER OVER 800 BABIES EACH YEAR AND ARE BACKED BY A LEVEL II NICU AND NEMOURS BOARD-CERTIFIED NEONATOLOGISTS PROVIDING "24/7/365" COVERAGE. PRIVATE ROOMS WITH ROOM- SERVICE ARE PROVIDED. LACTATION SERVICES, FAMILY PREP CLASSES AND POST- PARTUM SUPPORT IS ALSO PROVIDED. TOTAL NEW BORN FOR FY18 WERE 588.
FORM 990, PAGE 6, PART VI, LINE 4	THE BYLAWS WERE UPDATED TO REFLECT THE NAME CHANGE FROM READING HEALTH SYSTEM TO TOWER HEALTH AND TO INCLUDE THE NEWLY ACQUIRED HOSPITALS' BRANDYWINE HOSPITAL LLC, CHESTNUT HILL HOSPITAL LLC, JENNERSVILLE HOSPITAL LLC, PHOENIXVILLE HOSPITAL LLC, AND POTTSTOWN HOSPITAL LLC.
FORM 990, PAGE 6, PART VI, LINE 7A	THE MANAGEMENT OF THE CORPORATION SHALL BE VESTED IN THE BOARD OF DIRECTORS WHO SERVES AS THE SOLE MEMBER.
FORM 990, PAGE 6, PART VI, LINE 7B	THE MANAGEMENT OF THE CORPORATION SHALL BE VESTED IN THE BOARD OF DIRECTORS WHO SERVE AS THE SOLE MEMBER.
FORM 990, PAGE 6, PART VI, LINE 11B	THE FORM 990 IS PREPARED BY HOSPITAL STAFF,REVIEWED BY AN EXTERNAL TAX ADVISOR AND POSTED ON A 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 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.
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 PROG. FEES 34,450,854 0 0 OUTSIDE SERV/OTHER FEES M&G 0 28,223,085 0 OUTSIDE SERV/OTHER FEES 6,214,350 0 0 OUTSIDE SERV/OTHER FEES 3,120,691 0 0 OUTSIDE SERV/OTHER FEES 5,975,232 0 0 TOTAL 49,761,127 28,223,085 0
FORM 990, PART XI, LINE 9	ASSETS RELEASED FROM RESTRICTION & OTHER 101,457,481 INTERCOMPANY ASSET TRANSFER -264,222,547 TOTAL -162,765,066

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (7 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
TOWER HEALTH PARTNERS LLC
PO BOX 16053	READING	PA	196126052	463459501	HEALTHCARE	PA	$3,355,152	$881,730	TOWER HLTH
BRANDYWINE HOSPITAL LLC
201 REECEVILLE ROAD	COATESVILLE	PA	19320	822086906	HOSPITAL	PA	$85,546,438	$120,567,864	TOWER HLTH
CHESTNUT HILL HOSPITAL LLC
8835 GERMANTOWN AVE	PHILADELPHIA	PA	19118	822108660	HOSPITAL	PA	$98,071,813	$183,347,917	TOWER HLTH
JENNERSVILLE HOSPITAL LLC
1015 W BALTIMORE PIKE	WEST GROVE	PA	19390	822116582	HOSPITAL	PA	$28,770,072	$21,829,851	TOWER HLTH
PHOENIXVILLE HOSPITAL LLC
140 NUTT ROAD	PHOENIXVILLE	PA	19460	822062413	HOSPITAL	PA	$117,831,031	$106,785,682	TOWER HLTH
POTTSTOWN HOSPITAL LLC
1600 EAST HIGH STREET	POTTSTOWN	PA	19464	822132538	HOSPITAL	PA	$141,642,191	$186,422,739	TOWER HLTH
TOWER HEALTH ENTERPRISES LLC
420 SOUTH 5TH AVENUE	WEST READING	PA	19611	822203526	HEALTHCARE	PA	$167,415	$3,685,100	TOWER HLTH

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
READING HOSPITAL
420 SOUTH 5TH AVENUE	WEST READING	PA	19611	231352204	HEALTHCARE	PA	501 C3	3	TH	Yes (true)
THE FRIENDS OF THE READING HOSPITAL
420 SOUTH 5TH AVENUE	WEST READING	PA	19611	236026108	SUPPORTING	PA	501 C3	12B	TH	Yes (true)
THE RDG HOSPITAL & MED CENTER SELF-
420 SOUTH 5TH AVENUE	WEST READING	PA	19611	232087514	TRUST FUND	PA	501 C3	12B	TH	Yes (true)
TOWER HEALTH MEDICAL GROUP
420 SOUTH 5TH AVENUE	WEST READING	PA	19611	232266054	HEALTHCARE	PA	501 C3	3	TH	Yes (true)
THE HIGHLANDS AT WYOMISSING
2000 CAMBRIDGE AVE	WYOMISSING	PA	19610	222790840	RETIREMENT	PA	501 C3	10	TH	Yes (true)
READING HOSPITAL FOUNDATION
420 SOUTH 5TH AVENUE	WEST READING	PA	19611	473054125	SUPPORT	PA	501C3	12B	TH	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	SOUTHERN CHESTER CNTY MED BLDG 1	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1015 WEST BALTIMORE PIKE	AddressLine1Txt
City	WEST GROVE	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	19390	ZIPCd

Field	Value	IRS element (for citing)
EIN	232200841	EIN
Primary Activities	HEALTHCARE	PrimaryActivitiesTxt
Legal Domicile State	PA	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	TOWER HLTH	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Predominant Income Type	EXCLUDED	PredominantIncomeTypeTxt
Share Of Total Income	$2,744	ShareOfTotalIncomeAmt
Share Of EOY Assets	$20,900	ShareOfEOYAssetsAmt
Disproportionate Allocations	false	DisproportionateAllocationsInd
General Or Managing Partner	Yes (true)	GeneralOrManagingPartnerInd
Ownership	0.54660	OwnershipPct

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct
TOWER HEALTH PPO FKA BHP
PO BOX 14744	READING	PA	19612	232430798	PPO	PA	NA	C CORP	Yes (true)
MEDICUS RESOURCE MANAGEMENT
PO BOX 14744	READING	PA	19612	232565297	CM REVIEW	PA	NA	C CORP	Yes (true)
TOWER HEALTH RECIPROCAL RISK
151 MEETING STREET SUITE 301	CHARLESTON	SC	29401	822758845	INSURANCE	SC	TOWER HLTH	C CORP	Yes (true)	$1,588,435	$6,070,188	1.00000

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	false	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (true)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	READING HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Transaction Type	D	TransactionTypeTxt
Involved	$61,266,390	InvolvedAmt
Method Of Amount Determination	GL TRANSACTIONS	MethodOfAmountDeterminationTxt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE R	FormAndLineReferenceDesc
Explanation	SCHEDULE R, PART II IDENTIFICATION OF RELATED TAX-EXEMPT ORGANIZATIONS: THE HIGHLANDS OF WYOMISSING CHOSE TO OPERATE UNDER LOCAL OWNERSHIP SEPARATE FROM TOWER HEALTH AS OF 9/30/17.	ExplanationTxt