2019-04-30T12:57:13-05:00 2018-06-30 134008324 PRICEWATERHOUSECOOPERS LLP 2001 MARKET ST STE 1800 PHILADELPHIA PA 19103 990 2017-07-01 232201344 TOWER HEALTH TOWE 4846284307 PO BOX 16052 READING PA 196126052 GARY F CONNER EXECUTIVE VP CFO 4846284307 2019-04-30 true MATTHEW D PETROSKI P00853132 2673303000 2019-04-30 167.68.16.49 2019-04-30 12:57:13 CD P 8AE7A7985622D0299A6D121F26C0752C747F2B2F 389016A9205CDDBE911302A3A824BEE521AEA736 2017 2020-01-14 16:20:31Z CLINT MATTHEWS PO BOX 16052 READING PA 196126052 2281859356 false X HTTPS://WWW.TOWERHEALTH.ORG X 1982 PA THE MISSION OF TOWER HEALTH IS TO PROVIDE COMPASSIONATE, ACCESSIBLE, HIGH QUALITY, COST EFFECTIVE HEALTHCARE TO THE COMMUNITY; 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. 14 10 5406 10 2092546 168238 60452 3557191 473933026 51495791 121950997 7530463 55052982 603474938 0 0 2513494 196253961 0 0 3683053 280083878 6196547 476337839 48856435 127137099 1506270845 2024107424 618461425 1241707304 887809420 782400120 X THE MISSION OF TOWER HEALTH IS TO PROVIDE COMPASSIONATE, ACCESSIBLE, HIGH QUALITY, COST EFFECTIVE HEALTHCARE TO THE COMMUNITY; TO PROMOTE HEALTH; TO EDUCATE HEALTHCARE PROFESSIONALS; AND TO PARTICIPATE IN APPROPRIATE CLINICAL RESEARCH. TOWER HEALTH 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. true false 21628120 30202037 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. 16542594 30421690 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. 15334570 32366148 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. 371685241 385185379 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. 371685241 385185379 425190525 true true false false false false false false false false true false false true true true false true false false true false false false false false true true false false true true false false false false false false false false false false false false false false true true true true false false true 215 0 true 5406 true true true false false false false false false false false false X 14 10 false false true false false true true true true false false true true true true true true true true false PA X GARY CONNER CFO 4846288000 420 SOUTH 5TH AVENUE WEST READING PA 19611 CLINT MATTHEWS PRESIDENT & 2.00 58.00 X X 0 2009603 429965 CHARLES BARBERA MD BOARD MEMBER 2.00 48.00 X 0 577371 35968 JOHN CASEY MD BOARD MEMBER 2.00 10.00 X 0 40715 1868 BRENT WAGNER MD CHAIRMAN 2.00 4.00 X X 0 0 0 C THOMAS WORK VICE-CHAIRMA 2.00 4.00 X X 0 0 0 BARBARA ARNER BOARD MEMBER 2.00 2.00 X 0 0 0 ANNE FLYNN MD BOARD MEMBER 2.00 2.00 X 0 0 0 TOM FLYNN PHD BOARD MEMBER 2.00 2.00 X 0 0 0 CHRIS G KRARAS BOARD MEMBER 2.00 4.00 X 0 0 0 GLENN MOYER BOARD MEMBER 2.00 2.00 X 0 0 0 MEG MUELLER BOARD MEMBER 2.00 2.00 X 0 0 0 KAREN RIGHTMIRE BOARD MEMBER 2.00 4.00 X 0 0 0 JOHN WEIDENHAMMER BOARD MEMBER 2.00 2.00 X 0 0 0 BEN ZINTAK BOARD MEMBER 2.00 2.00 X 0 0 0 THERESE SUCHER EXECUTIVE VP 2.00 48.00 X 0 972078 229597 GREGORY SORENSEN MD EXECUTIVE VP 2.00 48.00 X 0 806149 181749 GARY F CONNER EXECUTIVE VP 2.00 52.00 X 0 793626 182057 DAN AHERN EVP BUSINESS 2.00 48.00 X 0 719763 167651 KATHLEEN WETZEL SECRETARY 2.00 48.00 X 0 302685 63710 GEORGE A JENCKES MD CEO OF THP 52.00 0.00 X 568527 0 77265 JOHN CACCIAMANI CEO OF CHEST 52.00 0.00 X 226028 0 6949 RICHARD T NEWELL CEO OF POTTS 52.00 0.00 X 150078 0 11091 TERESA M PEIRCE VP CNO POTTS 50.00 0.00 X 130937 0 6922 STEPHEN TULLMAN CEO OF PHOEN 52.00 0.00 X 124245 0 7107 1199815 6221990 1401899 10 false true false HOSPITAL HOUSEKEEPING SYSTEMS LLC PO BOX 2267 SAN ANTONIO TX 78298 SUPPORT SERVICE 530740 XANITOS INC 75 REMITTANCE DRIVE DEPT 6529 CHICAGO IL 60675 SUPPORT SERVICE 510763 NA PARTNERS IN ANESTHESIA LLC 68 SOUTH SERVICE ROAD SUITE 350 MELVILLE NY 11747 ANESTHESIA SERV 345278 SOCIETY HILL ANESTHESIA 736-38 PINE STREET UNIT C PHILADELPHIA PA 19106 ANESTHESIA SERV 272780 MORRISON HEALTHCARE PO BOX 102289 ATLANTA GA 30368 CONSULTING 217731 24 55452 5000 60452 PATIENT CHARGES 621110 465226571 465226571 JOINT VENTURES 621400 5721725 5721725 UTILIZATION MGMT FEES 621990 2665722 2665722 HEALTH INS SHARED SAVINGS 621990 319008 319008 473933026 14990766 2092546 12898220 2555491 2555491 2555491 2555491 1785344649 1678384418 106960231 106960231 106960231 BUNDLED PAYMENT SHARE 2027929 2027929 OTHER INCOME 1626974 1626974 MEALS 732744 732744 587325 587325 4974972 603474938 478175254 2092546 123146686 X 3969229 681283 3287946 153465984 144459694 9006290 2252945 2080934 172011 25448047 23577879 1870168 11117756 10177246 940510 709805 709805 1665000 1665000 77984212 49761127 28223085 430010 430010 9568439 9568439 16124238 14900069 1224169 295935 155319 140616 17844955 17844955 17071037 17071037 4651411 4651411 SUPPLIES 67185173 66573720 611453 DRUGS & PHARM 26895841 26895841 PHYSICIAN FEES 21457087 20584733 872354 REPAIRS 12707731 12571410 136321 5493004 3635428 1857576 476337839 425190525 51147314 0 83935677 221 332 652245321 547767010 20032718 7063180 348356584 17199418 40312888 331157166 802460095 852819717 11252320 181331624 1506270845 2024107424 3973653 61076090 573504229 1131794058 40983543 48837156 618461425 1241707304 X 887809420 782392576 7544 887809420 782400120 1506270845 2024107424 X 127137099 -69781333 -162765066 X false true X true true true X X 2 READING HOSPITAL 231352204 3 true 61266390 0 TOWER HEALTH MEDICAL GROUP 232266054 3 true 0 0 2 61266390 0 true false false false false false false false false false false false false false false true true true X true true PART IV, SECTION D, LINE 3 THE INVESTMENT COMMITTEE IS COMPRISED OF MEMBERS OF THE 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. 86748211 86748211 176279801 7856914 168422887 78455208 9187160 69268048 6873364 155344 6718020 331157166 LT ASSETS AND GOODWILL 138351003 RECEIVABLE FROM AFFILIATES 17434458 CENTRAL PENNSYLVANIA HOME CARE 6361283 THIRD PARTY RECEIVABLE 6211513 UPMC 4091748 ALLSPIRE 3464846 USR MONTGOMERY PARTNERS-POTTSTOWN 2384927 HORIZON 1291874 SOUTH CHESTER MED BLDG 955173 CENTRAL PENNSYLVANIA ALLIANCE 350274 COMMONWEALTH CYBERKNIFE 345000 QUEST 89525 181331624 SWAP CONTRACT 26826882 CP-CAP LEASE 21771747 PHY STUDENT LOANS 136600 OTHER 101927 48837156 X SCHEDULE D, PAGE 3, PART X THE SYSTEM IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C) (3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL INCOME TAXES 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. CENTRAL AMERICA AND THE CARIBBEAN INVESTMENTS 9210958 EUROPE INVESTMENTS 135902081 145113039 145113039 true false true true true false SCHEDULE F, PAGE 1, PART I, LINE 3 CENTRAL AMERICA AND THE CARIBBEAN 0 9,210,958 EUROPE 0 135,902,081 true true X true X true X false true false false 8163503 8163503 0.01710 56785039 46370360 10414679 0.02190 64948542 46370360 18578182 0.03900 279121 279121 0.00060 4520622 4520622 0.00950 113526 113526 0.00020 16030 16030 4929299 4929299 0.01030 69877841 46370360 23507481 0.04940 true 38968509 22991420 157216978 168296002 -11079024 X true false SOUTHERN CHESTER MED PRIMARY/SPECIALTY CARE 0.55000 0.45000 5 1 POTTSTOWN HOSPITAL 1600 EAST HIGH STREET POTTSTOWN PA 19464 HTTPS://POTTSTOWN.TOWERHEALTH.ORG 163201 TOWER HEALTH 232201344 X X X A 2 CHESTNUT HILL HOSPITAL 8835 GERMANTOWN AVENUE PHILADELPHIA PA 19118 HTTPS://CHESTNUTHILL.TOWERHEALTH.ORG 036101 TOWER HEALTH 232201344 X X X A 3 PHOENIXVILLE HOSPITAL 140 NUTT ROAD PHOENIXVILLE PA 19460 HTTPS://PHOENIXVILLE.TOWERHEALTH.ORG 420901 X X X A 4 BRANDYWINE HOSPITAL 201 REECEVILLE ROAD COATESVILLE PA 19320 HTTPS://BRANDYWINE.TOWERHEALTH.ORG 025801 X X X A 5 JENNERSVILLE HOSPITAL 1015 WEST BALTIOMORE PIKE WEST GROVE PA 19390 HTTPS://JENNERSVILLE.TOWERHEALTH.ORG 291501 X X X A A 12345 false true false false true X 200.000000000000 400.000000000000 X X true true X X X X true X SEE SUPPLEMENTAL DISCLOSURES X SEE SUPPLEMENTAL DISCLOSURES X SEE SUPPLEMENTAL DISCLOSURES X X X X X X X true X false X true X false false 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. 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. false true false false false false false false false CLINT MATTHEWS PRESIDENT & CEO 1039833 630000 339770 393225 36740 2439568 307431 CHARLES BARBERA MD BOARD MEMBER 458727 89832 28812 18098 17870 613339 THERESE SUCHER EXECUTIVE VP COO 605228 200926 165924 192510 37087 1201675 147104 GREGORY SORENSEN MD EXECUTIVE VP CMO 533832 121910 150407 165803 15946 987898 131587 GARY F CONNER EXECUTIVE VP CFO 562886 201058 29682 167213 14844 975683 DAN AHERN EVP BUSINESS DEVELOP 454012 158866 106885 146555 21096 887414 95969 KATHLEEN WETZEL SECRETARY 239759 61381 1545 43182 20528 366395 GEORGE A JENCKES MD CEO OF THP 400093 82011 86423 63243 14022 645792 81188 JOHN CACCIAMANI CEO OF CHESTNUT HILL 99075 126400 553 2025 4924 232977 RICHARD T NEWELL CEO OF POTTSTOWN 95684 53600 794 3141 7950 161169 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. A BERKS COUNTY MUNICIPAL AUTHORITY SERIES 2009A-3 236647630 084538GG6 2009-07-15 132197073 SEE PART VI true false false B BERKS COUNTY MUNICIPAL AUTHORITY SERIES 2012-ABCD 236647630 084538GX9 2012-06-28 479354940 SEE PART VI true false false C BERKS COUNTY MUNICIPAL AUTHORITY SERIES 2016-ABCD 236647630 2016-05-16 175165000 REFUND PRIOR ISSUE (6/28/12) true false false D BERKS COUNTY IND DEV AUTHORITY SERIES 2017 237418629 08451PAY7 2017-10-31 646650683 SEE PART VI false false false A 34735000 44675000 132199246 1712133 14967250 115519863 2010 true false true true B 178616667 479394377 3523736 24697 475845944 2005 true true true true C 75000000 175165000 964718 282 174200000 2005 true false true true D 647148787 47370278 4343979 200000000 395434530 2010 true true true true A false false true true false false false true B false false true true false false false true C false false true true false false false true D false false true true false false false true A false false true true false false false false true B false false true true true false false false true C false false true true true false false false true D false false true true false false false false true A true B true C true D true 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. 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 TOWER HEALTH PARTNERS LLC PO BOX 16053 READING PA 196126052 463459501 HEALTHCARE PA 3355152 881730 TOWER HLTH BRANDYWINE HOSPITAL LLC 201 REECEVILLE ROAD COATESVILLE PA 19320 822086906 HOSPITAL PA 85546438 120567864 TOWER HLTH CHESTNUT HILL HOSPITAL LLC 8835 GERMANTOWN AVE PHILADELPHIA PA 19118 822108660 HOSPITAL PA 98071813 183347917 TOWER HLTH JENNERSVILLE HOSPITAL LLC 1015 W BALTIMORE PIKE WEST GROVE PA 19390 822116582 HOSPITAL PA 28770072 21829851 TOWER HLTH PHOENIXVILLE HOSPITAL LLC 140 NUTT ROAD PHOENIXVILLE PA 19460 822062413 HOSPITAL PA 117831031 106785682 TOWER HLTH POTTSTOWN HOSPITAL LLC 1600 EAST HIGH STREET POTTSTOWN PA 19464 822132538 HOSPITAL PA 141642191 186422739 TOWER HLTH TOWER HEALTH ENTERPRISES LLC 420 SOUTH 5TH AVENUE WEST READING PA 19611 822203526 HEALTHCARE PA 167415 3685100 TOWER HLTH READING HOSPITAL 420 SOUTH 5TH AVENUE WEST READING PA 19611 231352204 HEALTHCARE PA 501 C3 3 TH true THE FRIENDS OF THE READING HOSPITAL 420 SOUTH 5TH AVENUE WEST READING PA 19611 236026108 SUPPORTING PA 501 C3 12B TH true THE RDG HOSPITAL & MED CENTER SELF- 420 SOUTH 5TH AVENUE WEST READING PA 19611 232087514 TRUST FUND PA 501 C3 12B TH true TOWER HEALTH MEDICAL GROUP 420 SOUTH 5TH AVENUE WEST READING PA 19611 232266054 HEALTHCARE PA 501 C3 3 TH true THE HIGHLANDS AT WYOMISSING 2000 CAMBRIDGE AVE WYOMISSING PA 19610 222790840 RETIREMENT PA 501 C3 10 TH true READING HOSPITAL FOUNDATION 420 SOUTH 5TH AVENUE WEST READING PA 19611 473054125 SUPPORT PA 501C3 12B TH true SOUTHERN CHESTER CNTY MED BLDG 1 1015 WEST BALTIMORE PIKE WEST GROVE PA 19390 232200841 HEALTHCARE PA TOWER HLTH EXCLUDED 2744 20900 false true 0.54660 TOWER HEALTH PPO FKA BHP PO BOX 14744 READING PA 19612 232430798 PPO PA NA C CORP true MEDICUS RESOURCE MANAGEMENT PO BOX 14744 READING PA 19612 232565297 CM REVIEW PA NA C CORP true TOWER HEALTH RECIPROCAL RISK 151 MEETING STREET SUITE 301 CHARLESTON SC 29401 822758845 INSURANCE SC TOWER HLTH C CORP 1588435 6070188 1.00000 true false false false true false false false false false false false false false false false false false false false READING HOSPITAL D 61266390 GL TRANSACTIONS SCHEDULE R 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.