2020-06-12T13:24:02-05:00 2019-06-30 135565207 KPMG LLP 8350 BROAD STREET STE 900 MCLEAN VA 22102 990 2018-07-01 232201344 TOWER HEALTH TOWE 4846284307 PO BOX 16052 READING PA 196126052 GARY F CONNER EXECUTIVE VP CFO 4846284307 2020-06-12 true JG WHITE P01498698 7032868000 2020-06-12 52.38.98.93 2020-06-12 13:24:02 CD P C4F4301BCA08B0DA86AB5E5E1BC737D06AE3FF09 7958D68071BC3DD7223DFDF65C84AA978ACDD896 2018 2020-09-23 17:36:50Z CLINT MATTHEWS PO BOX 16052 READING PA 196126052 1296605460 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. 9 7 5171 7 252408 100558 60452 330250 473933026 548175979 121950997 42027531 7530463 8807589 603474938 599341349 0 0 196253961 294143087 0 0 280083878 401240253 476337839 695383340 127137099 -96041991 2024107424 1785046902 1241707304 1279089590 782400120 505957312 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. false false 29487247 42509669 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 FY19 WERE 27,110. 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 FY19 WERE 39,798. 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 FY19 WERE 14,951. 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 FY19 WERE 22,398. 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 FY19 WERE 40,102. 24747865 27113748 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 FY19 WERE 5,711. 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 FY19 WERE 1,957. 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 FY19 WERE 8,293. 18528649 31813152 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 FY19 WERE 99,213. PHOENIXVILLE HOSPITAL ONCOLOGY SERVICES DEPARTMENT PROVIDES MEDICAL ONCOLOGY AND RADIATION THERAPY SERVICES TO THE COMMUNITY. PHOENIXVILLE HOSPITAL PROVIDES CHARITY SERVICES TO THEIR SERVICE AREA WHO MEET THEIR CHARITY POLICY GUIDELINES. TARGETED THERAPIES IN THEIR 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 FY19 WERE 2,304. 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 THEIR 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 FY19 WERE 2,474. 532186798 449129715 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 FY19 WERE 17,574. PHOENIXVILLE HOSPITAL OB/GYN WOMEN'S HEALTH SERVICES DEPARTMENT PROVIDES OB/GYN CARE AND MATERNITY SERVICES TO THE COMMUNITY "24/7/365". PHOENIXVILLE HOSPITAL PROVIDES CHARITY SERVICES TO THE SERVICE AREA THROUGH THEIR HEALTHY BABY PROGRAM TO FAMILIES WHO MEET THEIR 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 FY19 WERE 735. TOWER HEALTH PARTNERS (THP) WAS FORMED TO DEVELOP A PHYSICIAN NETWORK TO WORK IN CONJUNCTION WITH TOWER HEALTH TO IMPLEMENT A CLINICAL INTEGRATION PROGRAM. CLINICAL INTEGRATION IS THE IMPLEMENTATION OF AN ACTIVE AND ONGOING PROGRAM TO EVALUATE AND MODIFY PRACTICE PATTERNS BY THE NETWORK'S PHYSICIAN PARTICIPANTS AND CREATE A HIGH DEGREE OF INTERDEPENDENCE AND COOPERATION AMONG THE PHYSICIANS TO CONTROL COSTS AND IMPROVE THE QUALITY AND EFFICIENCY OF HEALTH CARE FOR THE NETWORK'S PHYSICIAN PARTICIPANTS AND THE ENTIRE HEALTH CARE COMMUNITY SERVED. 532186798 449129715 604950559 true true false true 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 508 0 true 5171 true true true false false false false false false false false false false false X 9 7 false false false false false false false true true false false true 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 & 48.00 12.00 X X 0 2329275 448297 BRENT WAGNER MD CHAIRMAN 2.00 4.00 X X 0 0 0 JOHN WEIDENHAMMER VICE-CHAIRMA 2.00 6.00 X X 0 0 0 BARBARA ARNER BOARD MEMBER 2.00 2.00 X 0 0 0 CHRIS G KRARAS BOARD MEMBER 2.00 4.00 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 C THOMAS WORK BOARD MEMBER 2.00 4.00 X 0 0 0 BEN ZINTAK BOARD MEMBER 2.00 4.00 X 0 0 0 THERESE SUCHER EXECUTIVE VP 25.00 27.00 X 0 1178749 241290 GARY F CONNER EXECUTIVE VP 48.00 2.00 X 0 1107348 204153 KATHLEEN WETZEL SECRETARY 12 2.00 48.00 X 0 415367 77193 TRACY DRUCKENMILLER SECRETARY 1/ 40.00 X 0 103747 19395 GREGORY SORENSEN MD EXECUTIVE VP 2.00 48.00 X 0 1032627 180407 DAN AHERN EVP BUSINESS 48.00 2.00 X 0 954863 193197 GEORGE A JENCKES MD CEO OF THP 52.00 0.00 X 625677 0 90802 STEPHEN TULLMAN CEO PHOENIXV 52.00 X 549608 0 93229 JOHN CACCIAMANI CEO CHESTNUT 52.00 X 505684 0 98212 RICHARD T NEWELL JR CEO POTTSTOW 52.00 X 476699 0 95264 WALTER HUNT CEO BRANDYWI 52.00 X 378687 0 91659 DEB KONARSKI VP CFO POTTS 52.00 X 289272 0 47524 RONNIE URSIN CEO JENRSVL 52.00 X 288524 0 23845 CLAIRE MOONEY INTERIM CEO 52.00 X 240048 0 9747 MARCOS COSTNER VP CFO CHEST 52.00 X 239652 0 37483 EDWARD CHABALOWSKI VP CFO PHOEN 52.00 X 182723 0 21672 RICHARD MCLAUGHLIN VP CMO POTTS 50.00 X 420161 0 6219 TERESA PEIRCE VP CNO POTTS 50.00 X 335695 0 27961 PATRICIA SCHERELE VP CNO CHEST 50.00 X 268622 0 32195 SANDRA CRABTREE VP CNO PHOEN 50.00 X 231486 0 35322 JOHN SCANLON CP CMO CHEST 50.00 X 231400 0 30393 5263938 7121976 2105459 333 false true false MORRISON HEALTHCARE PO BOX 102289 ATLANTA GA 30368 CONSULTING 5080265 NA PARTNERS IN ANESTHESIA LLC 68 SOUTH SERVICE ROAD SUITE 350 MELVILLE NY 11747 ANESTHESIA SERV 4054870 TRI-COUNTY HOSPITALISTS LLC 2005 KESTRAL CIRCLE AUDOBON PA 19403 SUPPORT SERV 2834498 HHS ENVIRONMENTAL SERVICES LLC PO BOX 826 SAN ANTONIO TX 782930826 SUPPORT SERV 2520660 XANITOS INC 75 REMITTANCE DRIVE DEPT 6529 CHICAGO IL 60675 SUPPORT SERVICE 2095676 107 138821 191429 330250 PATIENT CHARGES 621110 539777720 539777720 JOINT VENTURES 621400 6998376 6339785 658591 CARE COORDIATION FEE 621990 968624 968624 HEALTH INS SHARED SAVINGS 621990 431259 431259 548175979 23018415 -406183 23424598 4382282 4382282 4382282 4382282 716273227 697143083 121028 19130144 -121028 19009116 19009116 MEALS 1376411 1376411 OTHER INCOME 1030641 1030641 PURCHASE REBATES 675187 675187 1343068 1343068 4425307 599341349 550566284 252408 48192407 X 4069253 4069253 229781796 218269070 11512726 4141881 3348400 793481 39329278 36184167 3145111 16820879 15307130 1513749 1009984 1009984 20055 20055 1597763 1597763 110048385 53216546 56831839 1455925 1455925 14031520 14031520 24705418 24705418 660217 441624 218593 28853293 28853293 26611462 26611462 7693180 7693180 SUPPLIES 88384297 87605426 778871 DRUGS & PHARM 37353397 37353397 PHYSICIAN FEES 35373085 35014615 358470 REPAIRS 20082322 19952434 129888 3359950 -3637123 6997073 695383340 604950559 90432781 0 83935677 3047255 332 1490 547767010 527346361 20032718 20926124 7063180 12321399 379398605 40533610 331157166 338864995 852819717 707503448 19334650 17151126 161996974 157884704 2024107424 1785046902 61076090 96569081 1131794058 1141769963 48837156 40750546 1241707304 1279089590 X 782392576 505950243 7544 7069 782400120 505957312 2024107424 1785046902 X -96041991 -1571 -180399246 X false true X true true true X X 2 READING HOSPITAL 231352204 3 true 21817386 0 TOWER HEALTH MEDICAL GROUP 232266054 3 true 0 0 2 21817386 0 true false false false false false false false false false false false false false false true true true X true true PART IV, SECTION D, LINE 3 THE INVESTMENT COMMITTEE IS COMPRISED OF MEMBERS OF THE SUPPORTED ORGANIZATIONS AS WELL AS THE SUPPORTING ORGANIZATION. BECAUSE OF THIS OVERLAP, THE SUPPORTED ORGANIZATIONS HAVE A SIGNIFICANT VOICE IN THE SUPPORTING ORGANIZATION'S INVESTMENT POLICIES AND IN DIRECTING THE USE OF THE ORGANIZATION'S INCOME AND ASSETS DURING THE TAX YEAR. THE CAPITAL RESOURCE COMMITTEE MEETS EVERY 2 MONTHS. INVESTMENT PRESENTATIONS ARE MADE, ISSUES ARE DISCUSSED AND MINUTES ARE TAKEN BY THE DIRECTOR OF TREASURY. ANY SUBSEQUENT FOLLOW-UP ORDERED BY THE COMMITTEE IS COORDINATED BY THE DIRECTOR OF TREASURY. ADDITIONALLY, CLINT MATTHEWS, PRESIDENT AND CEO OF TOWER HEALTH, IS ON THE BOARD OF DIRECTORS OF BOTH OF THE SUPPORTED ORGANIZATIONS AS WELL AS THE SUPPORTING ORGANIZATION. HIS PRESENCE ON THESE BOARDS FURTHER ALLOWS THE SUPPORTED ORGANIZATION'S TO HAVE A SIGNIFICANT VOICE IN DIRECTING THE USE OF TOWER HEALTH'S INCOME AND ASSETS. PART IV, SECTION E, LINE 3A ORGANIZATION: THE BOARD OF DIRECTORS FOR EACH SUPPORTED ORGANIZATION IS ELECTED BY TOWER HEALTH AT THE ANNUAL MEETING. PART IV, SECTION E, LINE 3B ORGANIZATION: SUPPORTED ORGANIZATIONS FOLLOW POLICIES & PROCEDURES SET BY TOWER HEALTH. THE BYLAWS OF TOWER HEALTH STATES THAT TOWER HEALTH HAS CERTAIN POWERS OVER ITS SUBSIDIARIES/SUPPORTING ORGANIZATIONS INCLUDING, BUT NOT LIMITED TO MATTERS CONCERNING THE SALE OR PURCHASE OF ASSETS, CAPITAL BUDGETS, STRATEGIC PLANNING, INVESTMENTS, AND CORPORATE GOVERNANCE. ALL OF THE HOSPITALS PROVIDE SUPPORT TO TOWER HEALTH MEDICAL GROUP (THMG) WHICH IS RESPONSIBLE FOR PROVIDING ALL OF THE PHYSICIANS AND OTHER PROFESSIONALS TO READING HOSPITAL AND THE ENTIRE SERIVCE AREA. READING HOSPITAL IS A QUATERNARY CARE HOSPITAL AND AS SUCH IS SUPPORTED BY THE OTHER TOWER HEALTH HOSPITALS TO BE ABLE TO PROVIDE HIGH LEVEL SERVICES TO THE COMMUNITY THAT ARE NOT AVAILABLE IN THE OTHER HOSPITALS, SUCH AS TRANSPLANT, NEONATAL INTENSIVE CARE, SPECIALIZED SURGICAL PROCEDURES, AS WELL AS RESEARCH AND MEDICAL EDUCATION. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false true 34259 false false 34259 false SCHEDULE C, PART IV DURING THE COURSE OF THE YEAR, THERE ARE VARIOUS FEDERAL AND STATE HEALTHCARE ISSUES THAT ARE RAISED THAT AFFECT TOWER HEALTH AND ITS ENTITIES. WE WILL VOICE OUR CONCERNS OR ISSUES REGARDING THESE MATTERS THROUGH EITHER DIRECT CONTACT OR WRITTEN CORRESPONDENCE WITH LEGISLATORS. THE PURPOSE OF THESE CONTACTS IS TO PROMOTE THE GENERAL INTERESTS AND WELFARE OF TOWER HEALTH DURING THESE CHANGING TIMES IN THE HEALTH CARE FIELD. THERE ARE NO ADDITIONAL EXPENSES INCURRED. 87774925 87774925 206044601 20702496 185342105 71357166 19287505 52069661 13776965 387463 13389502 338576193 LT ASSETS AND GOODWILL 161028576 THIRD PARTY RECEIVABLE 3085160 RECEIVABLE FROM AFFILIATES -6229032 157884704 SWAP CONTRACT 38831402 OTHER 1747185 PHY STUDENT LOANS 171959 40750546 X SCHEDULE D, PAGE 3, PART X THE SYSTEM IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C) (3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. ON SUCH A BASIS, THE EXEMPT ENTITIES DO NOT INCUR LIABILITY FOR FEDERAL INCOME TAXES, EXCEPT IN THE CASE OF UNRELATED BUSINESS INCOME. THE SYSTEM EVALUATES UNCERTAIN TAX POSITIONS USING A TWO-STEP APPROACH FOR RECOGNIZING AND MEASURING TAX BENEFITS TAKEN OR EXPECTED TO BE TAKEN IN AN UNRELATED BUSINESS ACTIVITY TAX RETURN AND DISCLOSURES REGARDING UNCERTAINTIES IN TAX POSITIONS. NO ADJUSTMENTS TO THE CONSOLIDATED FINANCIAL STATEMENTS WERE REQUIRED AS A RESULT OF THIS EVALUATION. NORTH AMERICA INVESTMENTS 9499672 EUROPE INVESTMENTS 91735265 101234937 101234937 true false true true true false SCHEDULE F, PAGE 1, PART I, LINE 3 NORTH AMERICA 0 9,499,672 EUROPE 0 91,735,265 true true X true X true X true true true false true true 13468321 13468321 0.01940 84202770 74656726 9546044 0.01370 97671091 74656726 23014365 0.03310 573159 26531 546628 0.00080 6289632 6289632 0.00900 513569 513569 0.00070 300814 300814 0.00040 7677174 26531 7650643 0.01100 105348265 74683257 30665008 0.04410 true 80323723 47390997 191668506 246313689 -54645183 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 true X X X X X X X X X X 19 true false false true X "SEE SUPPLEMENTAL DISCLOSURE" X X true 19 true "SEE SUPPLEMENTAL DISCLOSURE" false false true X 200.000000000000 400.000000000000 X X true true X X X X true X SEE SUPPLEMENTAL DISCLOSURES X SEE SUPPLEMENTAL DISCLOSURES X SEE SUPPLEMENTAL DISCLOSURES X X X X X X X true X false X X X X true X false false GROUP A, FACILITY 1, POTTSTOWN HOSPITAL - PART V, LINE 2 CHESTER/MONTGOMERY/PHILADELPHIA 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 (COLLECTIVELY, CHESTER/MONTGOMERY/PHILADELPHIA HOSPITALS). GROUP A, FACILITY 1, POTTSTOWN HOSPITAL - PART V, LINE 3E THIS ALSO APPLIES TO CHESTNUT HILL HOSPITAL, PHOENIXVILLE HOSPITAL, BRANDYWINE HOSPITAL AND JENNERSVILLE HOSPITAL (1) OBESITY (2) MENTAL HEALTH (3) ADDICTION (4) ACCESS TO CARE PART V, SECTION B,4 THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS APPROVED BY THE BOARD OF DIRECTORS IN MARCH 2019 BUT WAS NOT MADE AVAILABLE TO THE PUBLIC UNTIL 7/1/19. TOWER HEALTH HAS PROCEDURES IN PLACE TO HAVE FUTURE CHNA'S TO BE MADE AVAILABLE TO THE PUBLIC BY 6/30. GROUP A, FACILITY 1, POTTSTOWN HOSPITAL - PART V, LINE 5 THIS ALSO APPLIES TO CHESTNUT HILL HOSPITAL, PHOENIXVILLE HOSPITAL, BRANDYWINE HOSPITAL AND JENNERSVILLE HOSPITAL THE FOLLOWING ACTIONS WERE CONDUCTED TO TAKE INTO ACCOUNT INPUT FROM INDIVIDUALS WHO REPRESENT THE BROAD INTEREST OF THE COMMUNITY: (1) STAKEHOLDER INTERVIEWS (2) FOCUS GROUPS (3) SENIOR LEADERSHIP FORUM (4) KEY INFORMANT SURVEYS (5) INTERCEPT SURVEYS (6) COMMUNITY TELEPHONE SURVEYS GROUP A, FACILITY 1, POTTSTOWN HOSPITAL - PART V, LINE 7D THIS ALSO APPLIES TO CHESTNUT HILL HOSPITAL, PHOENIXVILLE HOSPITAL, BRANDYWINE HOSPITAL AND JENNERSVILLE HOSPITAL LINK TO THE COMMUNITY HEALTH NEEDS ASSESSMENT FOR THE CHESTER/MONTGOMERY/PHILADELPHIA HOSPITALS: HTTPS://POTTSTOWN.TOWERHEALTH.ORG/COMMUNITY/COMMUNITY-HEALTH-NEEDS- ASSESSMENT/ HTTPS://CHESTNUTHILL.TOWERHEALTH.ORG/COMMUNITY/COMMUNITY-HEALTH-NEEDS- ASSESSMENT HTTPS://PHOENIXVILLE.TOWERHEALTH.ORG/COMMUNITY/COMMUNITY-HEALTH-NEEDS- ASSESSMENT HTTPS://BRANDYWINE.TOWERHEALTH.ORG/COMMUNITY/COMMUNITY-HEALTH-NEEDS- ASSESSMENT HTTPS://JENNERSVILLE.TOWERHEALTH.ORG/COMMUNITY/COMMUNITY-HEALTH-NEEDS- ASSESSMENT THE IMPLEMENTATION STRATEGY FOR THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT WAS COMPLETED IN NOVEMBER 2019 AND CAN BE FOUND AT: HTTPS://POTTSTOWN.TOWERHEALTH.ORG/COMMUNITY/COMMUNITY-HEALTH-NEEDS- ASSESSMENT/ HTTPS://CHESTNUTHILL.TOWERHEALTH.ORG/COMMUNITY/COMMUNITY-HEALTH-NEEDS- ASSESSMENT HTTPS://PHOENIXVILLE.TOWERHEALTH.ORG/COMMUNITY/COMMUNITY-HEALTH-NEEDS- ASSESSMENT HTTPS://BRANDYWINE.TOWERHEALTH.ORG/COMMUNITY/COMMUNITY-HEALTH-NEEDS- ASSESSMENT HTTPS://JENNERSVILLE.TOWERHEALTH.ORG/COMMUNITY/COMMUNITY-HEALTH-NEEDS- ASSESSMENT GROUP A, FACILITY 1, POTTSTOWN HOSPITAL - PART V, LINE 11 THIS ALSO APPLIES TO CHESTNUT HILL HOSPITAL, PHOENIXVILLE HOSPITAL, BRANDYWINE HOSPITAL AND JENNERSVILLE HOSPITAL THE CHESTER/MONTGOMERY/PHILADELPHIA HOSPITALS (POTTSTOWN, CHESTNUT HILL, PHOENIXVILLE, BRANDYWINE AND JENNERSVILLE) EACH DEVELOPED A COMMUNITY HEALTH IMPLEMENTATION PLAN. THE IMPLEMENTATION PLAN, WHICH COVERS A THREE YEAR SPAN, OUTLINES SPECIFIC STRATEGIES FOR EACH PRIORITY AREA THAT WILL BE IMPLEMENTED THROUGH A VARIETY OF METHODS INCLUDING INPUT FROM EXPERT PROVIDERS, COMMUNITY OUTREACH, AND COLLABORATIONS AND PARTNERSHIPS WITH COMMUNITY ORGANIZATIONS. AN OVERVIEW OF EACH PRIORITY FOLLOWS: ACCESS TO HEALTH CARE: POTTSTOWN HOSPITAL: THE GOAL IS TO INCREASE THE COMMUNITY'S ACCESS TO HEALTH CARE SERVICES, PARTICULARLY THOSE COMMUNITY MEMBERS CONSIDERED VULNERABLE AND/OR LIVING IN UNDERSERVED AREAS. POTTSTOWN HOSPITAL WILL WORK TO IMPROVE CULTURAL SENSITIVITY OF STAFF BY ATTENDING CULTURAL AWARENESS TRAININGS. THE HOSPITAL WILL PARTNER WITH CREATIVE HEALTH SERVICES TO INCREASE ACCESS TO PRIMARY CARE FOR BEHAVIORAL HEALTH PATIENTS. POTTSTOWN HOSPITAL WILL STREAMLINE THE ACCESS TO CARE FACILITIES THROUGH THE TOWER ACCESS PROJECT (TAP) TO PROVIDE EASE OF ACCESS FOR COMMUNITY MEMBERS SEEKING TO SCHEDULE APPOINTMENTS WITH AMBULATORY AND SPECIALTY CARE SERVICE LINES. THE HOSPITAL WILL PARTNER WITH COMMUNITY HEALTH AND DENTAL CARE TO PROVIDE IMMEDIATE FOLLOW-UP APPOINTMENTS POST DISCHARGE. CHESTNUT HILL HOSPITAL: THE GOAL IS TO INCREASE THE COMMUNITY'S ACCESS TO HEALTH CARE SERVICES, PARTICULARLY THOSE COMMUNITY MEMBERS CONSIDERED VULNERABLE AND/OR LIVING IN UNDERSERVED AREAS. CHESTNUT HILL HOSPITAL WILL WORK TO IMPROVE CULTURAL SENSITIVITY OF STAFF BY ATTENDING CULTURAL AWARENESS TRAININGS. THE HOSPITAL WILL STREAMLINE THE ACCESS TO CARE FACILITIES THROUGH THE TOWER ACCESS PROJECT (TAP) TO PROVIDE EASE OF ACCESS FOR COMMUNITY MEMBERS SEEKING TO SCHEDULE APPOINTMENTS WITH AMBULATORY AND SPECIALTY CARE SERVICE LINES. CHESTNUT HILL HOSPITAL WILL IMPLEMENT A PATIENT PORTAL FOR FASTER ACCESS TO TEST RESULTS, REQUEST MED REFILLS, AND TO COMMUNICATE DIRECTLY WITH PROVIDERS. PHOENIXVILLE HOSPITAL: THE GOAL IS TO INCREASE THE COMMUNITY'S ACCESS TO HEALTH CARE SERVICES, PARTICULARLY THOSE COMMUNITY MEMBERS CONSIDERED VULNERABLE AND/OR LIVING IN UNDERSERVED AREAS. PHOENIXVILLE HOSPITAL WILL ENHANCE THE TELEMEDICINE OPPORTUNITIES FOR ADDITIONAL TELEHEALTH SERVICES. THE HOSPITAL WILL STREAMLINE THE ACCESS TO CARE FACILITIES THROUGH THE TOWER ACCESS PROJECT (TAP) TO PROVIDE EASE OF ACCESS FOR COMMUNITY MEMBERS SEEKING TO SCHEDULE APPOINTMENTS WITH AMBULATORY AND SPECIALTY CARE SERVICE LINES. PHOENIXVILLE HOSPITAL WILL WORK TO IMPROVE CULTURAL SENSITIVITY OF STAFF BY ATTENDING CULTURAL AWARENESS TRAININGS. THE HOSPITAL WILL UTILIZE OUTREACH SITES TO CONNECT VULNERABLE POPULATIONS WITH RESOURCES TO ADDRESS UNMET HEALTH CARE NEEDS. PHOENIXVILLE HOSPITAL WILL HOST BRIDGING THE GAP MEDICAL INTERPRETER CERTIFICATION TO INCREASE THE NUMBER OF QUALIFIED MEDICAL INTERPRETERS IN THE COMMUNITY. BRANDYWINE HOSPITAL: THE GOAL IS TO INCREASE THE COMMUNITY'S ACCESS TO HEALTH CARE SERVICES, PARTICULARLY THOSE COMMUNITY MEMBERS CONSIDERED VULNERABLE AND/OR LIVING IN UNDERSERVED AREAS. BRANDYWINE HOSPITAL WORK TO IMPROVE CULTURAL SENSITIVITY OF STAFF BY ATTENDING CULTURAL AWARENESS TRAININGS. THE HOSPITAL WILL DEVELOP, ENHANCE AND EXPAND TELEMEDICINE OPPORTUNITIES AND WILL ENHANCE THE USE OF REMOTE PATIENT MONITORING TO INCLUDE OBESE, DIABETIC AND CHF PATIENTS JENNERSVILLE HOSPITAL: THE GOAL IS TO INCREASE THE COMMUNITY'S ACCESS TO HEALTH CARE SERVICES, PARTICULARLY THOSE COMMUNITY MEMBERS CONSIDERED VULNERABLE AND/OR LIVING IN UNDERSERVED AREAS. JENNERSVILLE HOSPITAL WILL ENHANCE THEIR SPECIALIST OFFERING BY RECRUITING ADDITIONAL SPECIALISTS. THE HOSPITAL WILL EXPLORE A TELEMEDICINE PARTNERSHIP WITH CAREPORT M.D. THROUGH WORKFORCE DEVELOPMENT, THE HOSPITAL WILL PROVIDE OPPORTUNITIES FOR YOUNG ADULTS TO EXPERIENCE CAREERS IN HEALTH CARE AS A WAY OF CULTIVATING THE FUTURE WORKFORCE. JENNERSVILLE HOSPITAL WILL IMPLEMENT AND ENGAGE PATIENTS THROUGH MY TOWER HEALTH AND WILL STREAMLINE THE ACCESS TO CARE FACILITIES THROUGH THE TOWER ACCESS PROJECT (TAP) TO PROVIDE EASE OF ACCESS FOR COMMUNITY MEMBERS SEEKING TO SCHEDULE APPOINTMENTS WITH AMBULATORY AND SPECIALTY CARE SERVICE LINES. SOCIAL DETERMINANTS OF HEALTH: POTTSTOWN HOSPITAL: THE GOAL IS TO IDENTIFY AND ADDRESS SOCIAL DETERMINANTS OF HEALTH (SDOH). POTTSTOWN HOSPITAL WILL SEEK TO ACHIEVE THIS GOAL IN THE CLINICAL ENVIRONMENT BY SCREENING MEDICARE AND MEDICAID PATIENTS IN IDENTIFIED CLINICAL AREAS, IDENTIFYING NEEDS, CONNECTING PATIENTS TO APPROPRIATE COMMUNITY RESOURCES, AND PROVIDING NAVIGATION SERVICES TO PATIENTS IDENTIFIED AS HIGH-RISK. TO HELP REDUCE TRANSPORTATION BARRIERS, THE HOSPITAL WILL IMPLEMENT THE RIDE HEALTH PROGRAM. CHESTNUT HILL HOSPITAL: THE GOAL IS TO IDENTIFY AND ADDRESS SOCIAL DETERMINANTS OF HEALTH (SDOH). CHESTNUT HILL HOSPITAL WILL SEEK TO ACHIEVE THIS GOAL IN THE CLINICAL ENVIRONMENT BY SCREENING MEDICARE AND MEDICAID PATIENTS IN IDENTIFIED CLINICAL AREAS, IDENTIFYING NEEDS, CONNECTING PATIENTS TO APPROPRIATE COMMUNITY RESOURCES, AND PROVIDING NAVIGATION SERVICES TO PATIENTS IDENTIFIED AS HIGH-RISK. THE HOSPITAL WILL ADDRESS TRANSPORTATION BARRIERS BY DEVELOPING A WORKFLOW, IMPLEMENTATION PLAN AND GUIDELINES FOR TRANSPORTATION PROGRAM FOR PATIENTS. PHOENIXVILLE HOSPITAL: THE GOAL IS TO IDENTIFY AND ADDRESS SOCIAL DETERMINANTS OF HEALTH (SDOH). PHOENIXVILLE HOSPITAL WILL SEEK TO ACHIEVE THIS GOAL IN THE CLINICAL ENVIRONMENT BY SCREENING MEDICARE AND MEDICAID PATIENTS IN IDENTIFIED CLINICAL AREAS, IDENTIFYING NEEDS, CONNECTING PATIENTS TO APPROPRIATE COMMUNITY RESOURCES, AND PROVIDING NAVIGATION SERVICES TO PATIENTS IDENTIFIED AS HIGH-RISK. TO HELP REDUCE TRANSPORTATION BARRIERS, THE HOSPITAL WILL IMPLEMENT THE RIDE HEALTH PROGRAM. BRANDYWINE HOSPITAL: THE GOAL IS TO IDENTIFY AND ADDRESS SOCIAL DETERMINANTS OF HEALTH (SDOH). BRANDYWINE HOSPITAL WILL SEEK TO ACHIEVE THIS GOAL IN THE CLINICAL ENVIRONMENT BY SCREENING MEDICARE AND MEDICAID PATIENTS IN IDENTIFIED CLINICAL AREAS, IDENTIFYING NEEDS, CONNECTING PATIENTS TO APPROPRIATE COMMUNITY RESOURCES, AND PROVIDING NAVIGATION SERVICES TO PATIENTS IDENTIFIED AS HIGH-RISK. TO HELP REDUCE TRANSPORTATION BARRIERS, THE HOSPITAL WILL IMPLEMENT THE RIDE HEALTH PROGRAM. JENNERSVILLE HOSPITAL: THE GOAL IS TO IDENTIFY AND ADDRESS SOCIAL DETERMINANTS OF HEALTH (SDOH). JENNERSVILLE HOSPITAL WILL SEEK TO ACHIEVE THIS GOAL IN THE CLINICAL ENVIRONMENT BY SCREENING MEDICARE AND MEDICAID PATIENTS IN IDENTIFIED CLINICAL AREAS, IDENTIFYING NEEDS, CONNECTING PATIENTS TO APPROPRIATE COMMUNITY RESOURCES, AND PROVIDING NAVIGATION SERVICES TO PATIENTS IDENTIFIED AS HIGH-RISK. THE HOSPITAL WILL PARTNER WITH COMMUNITY ORGANIZATIONS TO ADDRESS TRANSPORTATION BARRIERS AND PARTNER WITH THE COMMUNITY FOOD BANK TO REDUCE FOOD SCARCITY ISSUES FOR VULNERABLE POPULATIONS. DISEASE PREVENTION & MANAGEMENT: POTTSTOWN HOSPITAL: THIS GOAL IS TO IMPLEMENT CHRONIC DISEASE PREVENTION AND MANAGEMENT PROGRAMS IN THE PRIMARY SERVICE AREA, SPECIFICALLY TARGETING VULNERABLE POPULATIONS. POTTSTOWN HOSPITAL WILL INCREASE DIABETES AND HYPERTENSION SCREENINGS AND WILL CONDUCT MULTIPLE CANCER EDUCATION AND SCREENING EVENTS FOR THE COMMUNITY, INCLUDING LUNG CANCER, BREAST CANCER AND SKIN CANCER SCREENINGS. THE HOSPITAL WILL IMPLEMENT SHORT AND LONG-TERM WELLNESS INITIATIVES THROUGH TOWER WELLNESS PROGRAMS AND BUILD RELATIONSHIPS WITH LOCAL SCHOOL DISTRICTS AND ATTEND THEIR WELLNESS COMMITTEE MEETINGS AND PARTICIPATE IN SCHOOL WELLNESS ACTIVITIES FOR THE YOUTH. A COMMUNITY GARDEN WILL BE DEVELOPED TO PLANT AND HARVEST FRUITS AND VEGETABLES. NUTRITION EDUCATION WILL BE PROVIDED TO THE COMMUNITY ALONG WITH FOOD DEMONSTRATIONS, AND FREE FRUITS AND VEGETABLES. CHESTNUT HILL HOSPITAL: THIS GOAL IS TO IMPLEMENT CHRONIC DISEASE PREVENTION AND MANAGEMENT PROGRAMS IN THE PRIMARY SERVICE AREA, SPECIFICALLY TARGETING VULNERABLE POPULATIONS. CHESTNUT HILL HOSPITAL WILL PROVIDE SCREENING (HYPERTENSION, RISK ASSESSMENTS FOR HEAR AND STROKE, MAMMOGRAMS SCREENINGS) AND EDUCATION (DIABETES) TO THE PRIMARY SERVICE AREAS, PARTICULARLY FOCUSING ON VULNERABLE POPULATIONS. THE HOSPITAL WILL PARTICIPATE IN THE STATE HEALTHY WOMEN PROGRAM PROVIDING MAMMOGRAMS AND PAPS TO UNINSURED WOMEN. CHESTNUT HILL HOSPITAL WILL IMPLEMENT SHORT AND LONG-TERM WELLNESS INITIATIVES THROUGH TOWER WELLNESS PROGRAMS FOR THE COMMUNITY AND PARTNER WITH THE COMMUNITY TO MAKE AED'S AVAILABLE TO FIRST RESPONDERS. PHOENIXVILLE HOSPITAL: THIS GOAL IS TO IMPLEMENT CHRONIC DISEASE PREVENTION AND MANAGEMENT PROGRAMS IN THE PRIMARY SERVICE AREA, SPECIFICALLY TARGETING VULNERABLE POPULATIONS. PHOENIXVILLE HOSPITAL WILL PROVIDE PROGRAMS THAT EDUCATE THE COMMUNITY ABOUT DIABETES BY PROMOTING DIABETES SUPPORT GROUP MEETINGS AND PROVIDE DIABETES PROGRAMS TO THE AT-RISK POPULATION. THE HOSPITAL WILL RAISE AWARENESS OF AVAILABLE ASSISTANCE TO FOOD P GROUP A, FACILITY 1, POTTSTOWN HOSPITAL - PART V, LINE 13H THIS ALSO APPLIES TO CHESTNUT HILL HOSPITAL, PHOENIXVILLE HOSPITAL, BRANDYWINE HOSPITAL AND JENNERSVILLE HOSPITAL. PATIENTS VISITING FROM OUT OF THE COUNTRY AND REQUIRING EMERGENCY SERVICES ARE ELIGIBLE FOR CONSIDERATION OF FINANCIAL ASSISTANCE. HOWEVER, PATIENTS VISITING THE UNITED STATES WITH THE INTENT OF RECEIVING NON-EMERGENCY CARE ARE NOT GENERALLY ELIGIBLE FOR FINANCIAL ASSISTANCE. GROUP A, FACILITY 1, POTTSTOWN HOSPITAL - PART V, LINE 15E THIS ALSO APPLIES TO CHESTNUT HILL HOSPITAL, PHOENIXVILLE HOSPITAL, BRANDYWINE HOSPITAL AND JENNERSVILLE HOSPITAL. FINANCIAL ASSISTANCE APPLICATION PROCESS: 1. WHO IS ELIGIBLE FOR FINANCIAL ASSISTANCE: A. PATIENTS RECEIVING SERVICES IN OUR HOSPITAL AND THMG PRACTICES. B. BOTH UNINSURED AND UNDER-INSURED PATIENTS. C. PATIENTS WHO ARE DENIED MEDICAID COVERAGE, OR WHO ARE SCREENED AND DETERMINED TO NOT MEET THE MEDICAID COVERAGE CRITERIA. 2. A HOSPITAL FINANCIAL COUNSELOR OR 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 SPECIFYING TIME FRAME COVERED BY THE FINANCIAL ASSISTANCE DETERMINATION. THE CONFIRMATION LETTER WILL CONTAIN A CONTACT NAME FOR THE PATIENT TO RETAIN AS A REFERENCE AND RESOURCE FOR ADDITIONAL QUESTIONS. 5. IF FINANCIAL ASSISTANCE IS NOT APPROVED, LETTERS IN ENGLISH AND SPANISH WILL BE SENT DESCRIBING THE REASONS FOR THE DECISION, AS WELL AS INFORMATION ON OTHER PAYMENT OPTIONS. SHOULD PATIENTS WISH TO APPEAL THE DECISION MADE, DIRECTIONS ON THE APPEALS PROCESS WILL ALSO BE PROVIDED. 6. PATIENTS OR GUARANTORS WHO DISAGREE WITH THE OUTCOME OF THE FINANCIAL ASSISTANCE ELIGIBILITY DECISION WILL HAVE THE OPPORTUNITY TO APPEAL THE DECISION. 7. THE FINANCIAL ASSISTANCE SCALE PROVIDES 100% CHARITY CARE TO BOTH INSURED AND UNINSURED PATIENTS WHOSE HOUSEHOLD INCOME IS UP TO 200% OF THE FEDERAL POVERTY LEVEL (FPL). THE FINANCIAL ASSISTANCE SCALE PROVIDES DISCOUNTED CARE ON A SLIDING SCALE FOR BOTH INSURED AND UNINSURED PATIENTS WHOSE HOUSEHOLD INCOME IS UP TO 400% OF THE FEDERAL POVERTY LEVEL (FPL). 8. THE MCR FFS (MEDICARE FEE FOR SERVICE) IS USED TO DETERIMINE THE FINANCIAL ASSISTANCE ADJUSTMENT. PATIENTS ARE ENCOURAGED TO BEGIN APPLYING FOR FINANCIAL ASSISTANCE AS EARLY AS POSSIBLE IN THE PROCESS OF ACCESSING MEDICAL CARE. THE SOONER THE HOSPITAL BECOMES AWARE OF THE FINANCIAL NEED, THE GREATER OPPORTUNITY EXISTS TO SUCCESSFULLY CONNECT THE PATIENT WITH POTENTIAL RESOURCES SUCH AS 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 THIS ALSO APPLIES TO CHESTNUT HILL HOSPITAL, PHOENIXVILLE HOSPITAL, BRANDYWINE HOSPITAL AND JENNERSVILLE HOSPITAL. THE CURRENT FINANCIAL ASSISTANCE POLICY, PLAIN LANGUAGE POLIC 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 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 THE APPLICATION PROCESS. THE INFORMATION IS UTILIZED IN DETERMINING WHERE THE HOUSEHOLD FALLS WITHIN THE FEDERAL POVERTY LEVEL GUIDELINE (FPL). THE FPL CATEGORY WILL DETERMINE THE PATIENT OR GUARANTOR CONTRIBUTION AMOUNT TOWARD THEIR MEDICAL BILL. PART I, LINE 7 - COSTING METHODOLOGY EXPLANATION IN THE CHARITY CARE AND MEANS-TESTED GOVERNMENT PROGRAMS SECTION OF LINE 7, A COST TO CHARGE RATIO DEVELOPED FROM THE MEDICARE COST REPORT IS UTILIZED. 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 PERCENTAGE OF PATIENTS ELIGIBLE FOR CHARITY CARE. THE HOSPITAL ENDED THE RELATIONSHIP WITH THE ADVISORY BOARD, BUT LEVERAGED THE METHODOLOGY USED BY THE ADVISORY BOARD TO ESTIMATE THE CURRENT YEAR AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY. 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. IN ADDITION TO THE COMMUNITY BENEFIT EXPENSE REFLECTED IN PART I, LINE 7, THE MEDICARE SHORTFALL IS SUBSTANTIALLY LARGER IN FY19 THAN IN THE FY18. TOWER HEALTH ATTRIBUTES THIS SHORTFALL TO PROVIDING CHARITY CARE OUTSIDE OF THE COMMUNITY BENEFIT PERCENTAGE CALCULATION. 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 2 - NEEDS ASSESSMENT IN ADDITION TO THE CHNA REPORT, POTTSTOWN HOSPITAL, CHESTNUT HILL HOSPITAL, PHOENIXVILLE HOSPITAL,BRANDYWINE HOSPITAL AND JENNERSVILLE HOSPITAL ASSESS HEALTH CARE NEEDS OF THE COMMUNITIES THROUGH SECONDARY DATA ANALYSIS FROM A COMMUNITY COMMONS DATABASE AND DEATH TRENDS RELATED TO SUBSTANCE ABUSE AND SUICIDE. EACH HOSPITAL PARTNERS WITH COMMUNITY ORGANIZATIONS TO DEPLOY SURVEYS TO IDENTIFY AND ADDRESS HEALTH ISSUES RELATING TO FOOD INSECURITY, LOW RESIDENT ENGAGEMENT, FREQUENT ED USAGE AND ABSENCE OF PRIMARY CARE. THE HOSPITALS FREQUENTLY LOOK AT HIGH ED UTILIZERS AND THEN MAP THEIR LOCATION TO ANALYZE THEIR BUILT ENVIRONMENT BY LOOKING FOR AVAILABILITY OF FRESH GROCERY MARKETS, PUBLIC TRANSPORTATION ACCESS, OPEN SPACE AND CRIME. COMMUNITY INTERVIEWS ARE CONDUCTED BY THE HOSPITAL TO GATHER FIRSTHAND FEEDBACK FROM THE COMMUNITY REGARDING HEALTHCARE MESSAGING AND PROPOSED INTERVENTIONS. EACH HOSPITAL ALSO CONDUCTS FOCUS GROUPS TO GAIN MORE INSIGHT INTO PATIENTS' HEALTH BEHAVIORS AND ACCESS BARRIERS. PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE POTTSTOWN HOSPITAL'S, CHESTNUT HILL HOSPITAL'S, PHOENIXVILLE HOSPITAL'S, BRANDYWINE HOSPITAL'S AND JENNERSVILLE HOSPITAL'S COMMITMENT TO PROVIDING AFFORDABLE CARE IS DEMONSTRATED THROUGH THE PATIENT FINANCIAL ASSISTANCE PROGRAM WHICH PROVIDES ASSISTANCE TO QUALIFIED PATIENTS. PATIENTS ARE ENCOURAGED TO SEEK FINANCIAL ASSISTANCE AS EARLY IN THE TREATMENT PROCESS AS POSSIBLE. THEY WILL BE OFFERED THE OPPORTUNITY TO MEET WITH FINANCIAL COUNSELORS AND RESOURCE ELIGIBILITY SPECIALISTS TRAINED TO PROVIDE APPLICATION ASSISTANCE FOR PROGRAMS SUCH AS MEDICAL ASSISTANCE, DISABILITY, COBRA, PATIENT FINANCIAL ASSISTANCE AND OTHER COMMUNITY PROGRAMS. THE HOSPITAL'S COMMITMENT TO PROVIDING AFFORDABLE CARE INCLUDES URGENT, NON- ELECTIVE, EMERGENT, AND OTHER PRE-APPROVED/PRE-SCREENED SERVICES. IMPLANTABLES, HIGH COST DRUGS, DME AND CONTRACTED SERVICES ARE PROVIDED TO QUALIFIED PATIENTS AT HOSPITAL COST. PART VI, LINE 4 - COMMUNITY INFORMATION THE MISSION OF POTTSTOWN HOSPITAL, CHESTNUT HILL HOSPITAL, PHOENIXVILLE HOSPITAL, BRANDYWINE HOSPITAL AND JENNERSVILLE HOSPITAL IS TO PROVIDE COMPASSIONATE, ACCESSIBLE, HIGH QUALITY, COST EFFECTIVE HEALTHCARE TO THE COMMUNITIES; TO PROMOTE HEALTH; TO EDUCATE HEALTHCARE PROFESSIONALS; AND TO PARTICIPATE IN APPROPRIATE CLINICAL RESEARCH. POTTSTOWN HOSPITAL, CHESTNUT HILL HOSPITAL, PHOENIXVILLE HOSPITAL, BRANDYWINE HOSPITAL AND JENNERSVILLE HOSPITAL ARE COMMITTED TO SERVING THE NEEDS OF THE COMMUNITY, EVEN WHEN THE NEEDED SERVICES CAUSE A DRAIN ON CAPITAL RESOURCES. POTTSTOWN HOSPITAL LLC PRIMARILY SERVES MONTGOMERY COUNTY. MONTGOMERY COUNTY PROFILE: MONTGOMERY COUNTY POPULATION IS 141,130. THE RACIAL MIX INCLUDES 86.6% WHITE, 3.8% HISPANIC/LATINO, 7.4% AFRICAN AMERICAN/BLACK AND 2.3% ASIAN. 16.5% OF MONTGOMERY COUNTY RESIDENTS AGE 25+ HAVE LESS THAN A HIGH SCHOOL EDUCATION; WHEREAS 8.2% HOLD A COLLEGE BACHELOR'S DEGREE OR HIGHER. THE MEDIAN HOUSEHOLD INCOME IN MONTGOMERY COUNTY IS 76,914. 5.1% PERCENT OF MONTGOMERY COUNTY FAMILIES LIVE IN POVERTY. THE RATE OF 7.8% OF CHILDREN LIVING IN POVERTY IN MONTGOMERY COUNTY HAS FLUCTUATED IN RECENT YEARS. 20.8% OF CHILDREN LIVE IN SINGLE PARENT HOMES. CHESTNUT HILL HOSPITAL LLC PRIMARILY SERVES PHILADELPHIA COUNTY. PHILADELPHIA COUNTY PROFILE: PHILADELPHIA COUNTY POPULATION IS 234,767. THE RACIAL MIX INCLUDES 45.4% WHITE, 3.7% HISPANIC/LATINO, 47.7% AFRICAN AMERICAN/BLACK AND 2.1% ASIAN. 35.7% OF PHILADELPHIA COUNTY RESIDENTS AGE 25+ HAVE LESS THAN A HIGH SCHOOL EDUCATION; WHEREAS 26.6% HOLD A COLLEGE BACHELOR'S DEGREE OR HIGHER. THE MEDIAN HOUSEHOLD INCOME IN PHILADELPHIA COUNTY IS 60,644. 11.0% PERCENT OF PHILADELPHIA COUNTY FAMILIES LIVE IN POVERTY. THE RATE OF 37.2% OF CHILDREN LIVING IN POVERTY IN PHILADELPHIA COUNTY HAS FLUCTUATED IN RECENT YEARS. 59.8% OF CHILDREN LIVE IN SINGLE PARENT HOMES. PHOENIXVILLE HOSPITAL LLC PRIMARILY SERVES CHESTER COUNTY. CHESTER COUNTY PROFILE: CHESTER COUNTY POPULATION IS 519,514. THE RACIAL MIX INCLUDES 82.5% WHITE, 4.1% HISPANIC/LATINO, 7.9% AFRICAN AMERICAN/BLACK AND 5.8% ASIAN. 16.7% OF CHESTER COUNTY RESIDENTS AGE 25+ HAVE LESS THAN A HIGH SCHOOL EDUCATION; WHEREAS 8.7% HOLD A COLLEGE BACHELOR'S DEGREE OR HIGHER. THE MEDIAN HOUSEHOLD INCOME IN CHESTER COUNTY IS 87,268. 4.3% PERCENT OF CHESTER COUNTY FAMILIES LIVE IN POVERTY. THE RATE OF 7.5% OF CHILDREN LIVING IN POVERTY IN CHESTER COUNTY HAS FLUCTUATED IN RECENT YEARS. 19.3% OF CHILDREN LIVE IN SINGLE PARENT HOMES. BRANDYWINE HOSPITAL LLC AND JENNERSVILLE HOSPITAL LLC PRIMARILY SERVE CHESTER COUNTY. CHESTER COUNTY PROFILE: CHESTER COUNTY POPULATION IS 519,514. THE RACIAL MIX INCLUDES 83.1% WHITE, 7.7% HISPANIC/LATINO, 6.1% AFRICAN AMERICAN/BLACK AND 5.2% ASIAN. 16.7% OF CHESTER COUNTY RESIDENTS AGE 25+ HAVE LESS THAN A HIGH SCHOOL EDUCATION; WHEREAS 8.7% HOLD A COLLEGE BACHELOR'S DEGREE OR HIGHER. THE MEDIAN HOUSEHOLD INCOME IN CHESTER COUNTY IS 97,715. 4.0% PERCENT OF CHESTER COUNTY FAMILIES LIVE IN POVERTY. THE RATE OF 7.5% OF CHILDREN LIVING IN POVERTY IN CHESTER COUNTY HAS FLUCTUATED IN RECENT YEARS. 19.3% OF CHILDREN LIVE IN SINGLE PARENT HOMES. PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH PROMOTION OF COMMUNITY HEALTH: DESCRIPTION OF ACHIEVEMENTS IN FISCAL 2019 RELATING TO EXEMPT PURPOSE STATS PROIVDED ARE FOR POTTSTOWN HOPSITAL, CHESTNUT HILL HOSPITAL, PHOENIXVILLE HOSPITAL, BRANDYWINE HOSPTIAL AND JENNERSVILLE HOSPITAL COLLECTIVELY. PROVIDING HEALTH CARE: INPATIENT DISCHARGES 29,054 INPATIENT DAYS 142,101 BIRTHS 1,142 EMERGENCY VISITS 144,359 HEALTH OUTREACH: PROVIDE CHARITY SERVICES IN THE SERVICE AREA THROUGH THE HEALTHY BABY PROGRAM TO FAMILIES WHO MEET THE CHARITY POLICY GUIDELINES. OVER 800 BABIES ARE DELIVERED EACH YEAR UNDER THIS PROGRAM. LACTATION SERVICES, FAMILY PREP CLASSES AND POST-PARTUM SUPPORT IS PROVIDED. OPERATE A 24/7 EMERGENCY DEPARTMENT. MAINTAIN 24/7 INTERPRETING SERVICES. SUPPORT ORGAN DONATION COMMUNICATION AND PROCESS. PROVIDE CHAPLIANCY SERVICES TO PROVIDE PATIENTS AND STAFF WITH SUPPORT FOR SPIRITUAL CONCERNS. OPERATE OUTPATIENT SPECIALTY CLINICS PROVIDING PRIMARY & SUBSPECIALTY CARE TO MEDICALLY UNDERSERVED PATIENTS. OFFER INFORMATION ON HOSPITAL WEBSITE RELATING TO HOSPITAL SERVICES, PHYSICIANS, HEALTH TOPICS, AND /OR LOCAL SUPPORT GROUPS. ONGOING EDUCATION/RESEARCH OPPORTUNITIES FOR CURRENT HEALTHCARE PROFESSIONALS: (1)PROVIDES ONGOING EDUCATION FOR STAFF IN ALL CLINICAL DEPARTMENTS. (2)PROVIDES ONGOING EDUCATION FOR STAFF IN ALL DEPARTMENTS ON SAFETY, COMPLIANCE, AND RELATED REGULATORY AND PROFESSIONAL ISSUES. INVESTED IN THE FUTURE HEALTH AND WELL-BEING OF THE COMMUNITY THROUGH EDUCATION AND RESEARCH ACTIVITIES. 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. PART VI, LINE 7 - STATE FILING OF COMMUNITY BENEFIT REPORT PENNSYLVANIA true true false false false false false false false CLINT MATTHEWS PRESIDENT & CEO 1194000 747428 387847 410226 38071 2777572 353617 THERESE SUCHER EXECUTIVE VP COO 702533 284023 192193 204287 37003 1420039 169003 GARY F CONNER EXECUTIVE VP CFO 640781 279728 186839 191100 13053 1311501 147042 KATHLEEN WETZEL SECRETARY 12/31/18 289103 97071 29193 55338 21855 492560 27266 GREGORY SORENSEN MD EXECUTIVE VP CMO 608473 249760 174394 163544 16863 1213034 152834 DAN AHERN EVP BUSINESS DEVELOP 560805 244153 149905 170750 22447 1148060 132398 GEORGE A JENCKES MD CEO OF THP 455578 121212 48887 75737 15065 716479 44647 STEPHEN TULLMAN CEO PHOENIXVILLE 366732 120597 62279 74067 19162 642837 54946 JOHN CACCIAMANI CEO CHESTNUT HILL 370696 131789 3199 72688 25524 603896 RICHARD T NEWELL JR CEO POTTSTOWN 355159 118632 2908 69740 25524 571963 WALTER HUNT CEO BRANDYWINE 283892 91949 2846 66135 25524 470346 DEB KONARSKI VP CFO POTTSTOWN 222360 65337 1575 22000 25524 336796 RONNIE URSIN CEO JENRSVL 6/18 193110 51003 44411 8140 15705 312369 CLAIRE MOONEY INTERIM CEO JENRSVL 200299 27365 12384 9567 180 249795 MARCOS COSTNER VP CFO CHESTNUT HILL 180179 57811 1662 11959 25524 277135 EDWARD CHABALOWSKI VP CFO PHOENIXVILLE 170004 12719 6915 14757 204395 RICHARD MCLAUGHLIN VP CMO POTTSTOWN 368810 50853 498 5500 719 426380 TERESA PEIRCE VP CNO POTTSTOWN 272611 60934 2150 19250 8711 363656 PATRICIA SCHERELE VP CNO CHESTNUT HILL 214750 50624 3248 15492 16703 300817 SANDRA CRABTREE VP CNO PHOENIXVILLE 182737 47341 1408 18619 16703 266808 JOHN SCANLON CP CMO CHESTNUT HILL 199560 29195 2645 13690 16703 261793 SCHEDULE J, PAGE 1, PART I, LINE 4 CLINT MATTHEWS 0 353,617 0 THERESE SUCHER 0 169,003 0 GARY F. CONNER 0 147,042 0 KATHLEEN WETZEL 0 27,266 0 GREGORY SORENSEN, MD 0 152,834 0 DAN AHERN 0 132,398 0 GEORGE A. JENCKES, MD 0 44,647 0 STEPHEN TULLMAN 0 54,946 0 RONNIE URSIN 21,577 0 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: JOHN CACCIAMANI AND RICHARD NEWELL JR. PARTICIPATED IN THE 457(F) DEFERRED COMPENSATION PLAN DURING CALENDAR YEAR 2018 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 39390000 44675000 132199246 1712133 14967250 115519863 2010 true false true true B 180075000 479394377 3523736 24697 475845944 2005 true true true true C 75000000 175165000 964718 282 174200000 2005 true false true true D 647878606 46879762 4343979 200000000 396654866 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 08/30/10 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 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 PART I, ROW A, COLUMN (F) - CONSTRUCTION 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 II, COLUMN C, LINE 3 - THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN PART I, COLUMN (E) DUE TO INVESTMENT EARNINGS. BERKS COUNTY IND DEV AUTHORITY 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 D, COLUMN (F) - PURCHASE FACILITY AND REFUND PRIOR ISSUES (7/15/2009 & 9/29/2017) 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 4A 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 FY19 WERE 27,110. 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 FY19 WERE 39,798. 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 FY19 WERE 14,951. 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 FY19 WERE 22,398. 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 FY19 WERE 40,102. FORM 990, PAGE 2, PART III, LINE 4B 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 FY19 WERE 5,711. 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 FY19 WERE 1,957. 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 FY19 WERE 8,293. FORM 990, PAGE 2, PART III, LINE 4C 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 FY19 WERE 99,213. PHOENIXVILLE HOSPITAL ONCOLOGY SERVICES DEPARTMENT PROVIDES MEDICAL ONCOLOGY AND RADIATION THERAPY SERVICES TO THE COMMUNITY. PHOENIXVILLE HOSPITAL PROVIDES CHARITY SERVICES TO THEIR SERVICE AREA WHO MEET THEIR CHARITY POLICY GUIDELINES. TARGETED THERAPIES IN THEIR 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 FY19 WERE 2,304. 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 THEIR 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 FY19 WERE 2,474. 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 FY19 WERE 17,574. PHOENIXVILLE HOSPITAL OB/GYN WOMEN'S HEALTH SERVICES DEPARTMENT PROVIDES OB/GYN CARE AND MATERNITY SERVICES TO THE COMMUNITY "24/7/365". PHOENIXVILLE HOSPITAL PROVIDES CHARITY SERVICES TO THE SERVICE AREA THROUGH THEIR HEALTHY BABY PROGRAM TO FAMILIES WHO MEET THEIR 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 FY19 WERE 735. TOWER HEALTH PARTNERS (THP) WAS FORMED TO DEVELOP A PHYSICIAN NETWORK TO WORK IN CONJUNCTION WITH TOWER HEALTH TO IMPLEMENT A CLINICAL INTEGRATION PROGRAM. CLINICAL INTEGRATION IS THE IMPLEMENTATION OF AN ACTIVE AND ONGOING PROGRAM TO EVALUATE AND MODIFY PRACTICE PATTERNS BY THE NETWORK'S PHYSICIAN PARTICIPANTS AND CREATE A HIGH DEGREE OF INTERDEPENDENCE AND COOPERATION AMONG THE PHYSICIANS TO CONTROL COSTS AND IMPROVE THE QUALITY AND EFFICIENCY OF HEALTH CARE FOR THE NETWORK'S PHYSICIAN PARTICIPANTS AND THE ENTIRE HEALTH CARE COMMUNITY SERVED. FORM 990, PAGE 6, PART VI, LINE 11B THE FORM 990 IS PREPARED BY HOSPITAL STAFF,REVIEWED BY AN EXTERNAL TAX ADVISOR AND POSTED ON A WEBSITE FOR BOARD MEMBERS PRIOR TO FILING. MEMBERS ARE ALERTED TO INFORMATION AND NOTICES. A COPY OF THE 990 IS MAILED TO ANY BOARD MEMBER UNABLE TO VIEW THIS SITE. FORM 990, PAGE 6, PART VI, LINE 12C IT SHALL BE THE POLICY OF THE HOSPITAL TO REQUIRE EACH BOARD MEMBER, OFFICER AND KEY EMPLOYEE TO SUBMIT IN WRITING TO THE CHIEF EXECUTIVE OFFICER A LIST OF BUSINESS OR OTHER ORGANIZATIONS OF WHICH THE MEMBER 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, OFFICER AND KEY EMPLOYEE WOULD HAVE CONFLICTING INTERESTS. EACH YEAR A COPY OF THE WRITTEN STATEMENT WILL BE SENT TO THE BOARD MEMBER FOR UPDATING AND RESUBMISSION AND BY WHICH THE BOARD MEMBER, OFFICER AND KEY EMPLOYEE SHALL CONFIRM HIS OR HER AWARENESS OF THIS POLICY. FORM 990, PAGE 6, PART VI, LINE 15A TOWER HEALTH'S BOARD OF DIRECTORS HAS DULY APPOINTED AN EXECUTIVE COMPENSATION COMMITTEE (THE "COMMITTEE"), WHICH IS RESPONSIBLE FOR THE REVIEW AND APPROVAL OF ALL COMPENSATION AND BENEFITS PROVIDED TO THE HOSPITAL'S EXECUTIVE MANAGEMENT. THE COMMITTEE HAS ADOPTED A WRITTEN EXECUTIVE COMPENSATION PHILOSOPHY STATEMENT AND AN EXECUTIVE COMPENSATION COMMITTEE CHARTER GOVERNING THE WORK AND REVIEW PROCESS OF THE COMMITTEE. THE COMMITTEE FOLLOWS THE PROCEDURES DESCRIBED IN THE PHILOSOPHY STATEMENT AND THE CHARTER WHEN IT REVIEWS AND APPROVES THE COMPENSATION AND EMPLOYEE BENEFITS PROVIDED TO THE HOSPITAL'S SENIOR MANAGEMENT, INCLUDING THE CHIEF EXECUTIVE OFFICER AND THE CHIEF FINANCIAL OFFICER. THE COMMITTEE'S REVIEW ANALYZES EVERY ELEMENT OF COMPENSATION, INCLUDING CURRENT AND DEFERRED COMPENSATION, AND BENEFITS, INCLUDING QUALIFIED AND NON-QUALIFIED BENEFITS. THE COMMITTEE CONDUCTS ITS REVIEW AND APPROVAL PROCESS AT LEAST ANNUALLY, AND APPROVES COMPENSATION AND BENEFITS ONLY TO THE EXTENT THAT THE COMMITTEE HAS CONCLUDED THAT THE COMPENSATION AND BENEFITS CONSTITUTE NO MORE THAN REASONABLE COMPENSATION FOR EACH EXECUTIVE. THE COMMITTEE CONSISTS ENTIRELY OF DISINTERESTED MEMBERS OF THE BOARD, AND THE COMMITTEE WORKS WITH AN INDEPENDENT COMPENSATION CONSULTANT TO PREPARE AND REVIEW IN ADVANCE COMPREHENSIVE DATA SHOWING THE COMPENSATION PROVIDED BY SIMILARLY SITUATED ORGANIZATIONS FOR FUNCTIONALLY SIMILAR POSITIONS. THE COMMITTEE ALSO PREPARES A TIMELY AND THOROUGH WRITTEN RECORD OF ITS DELIBERATIONS AND CONCLUSIONS. AS A RESULT, THE COMMITTEE'S REVIEW PROCESS IS DESIGNED TO SATISFY THE PROCEDURAL CRITERIA NECESSARY TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE FEDERAL INCOME TAX LAW INTERMEDIATE SANCTIONS RULES. FORM 990, PAGE 6, PART VI, LINE 15B SAME RESPONSE AS LINE 15A. FORM 990, PAGE 6, PART VI, LINE 19 THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. FORM 990, PART IX, LINE 11G OUTSIDE SERV/OTHER PROG. FEES 36,611,679 0 0 OUTSIDE SERV/OTHER FEES M&G 0 56,831,839 0 PROG 1 OTHER FEES/SERVICES 7,106,668 0 0 PROG 2 OTHER FEES/SERVICES 4,406,091 0 0 PROG 3 OTHER FEES/SERVICES 5,092,108 0 0 TOTAL 53,216,546 56,831,839 0 FORM 990, PART XI, LINE 9 ASSETS RELEASED FROM RESTRICTION & OTHER 22,104,422 INTERCOMPANY ASSET TRANSFER -201,982,185 INCOME TAX EXPENSE -521,483 TOTAL -180,399,246 TOWER HEALTH PARTNERS LLC PO BOX 16053 READING PA 196126052 463459501 HEALTHCARE PA 1835995 110121 TOWER HLTH BRANDYWINE HOSPITAL LLC 201 REECEVILLE ROAD COATESVILLE PA 19320 822086906 HOSPITAL PA 97287101 118427445 TOWER HLTH CHESTNUT HILL HOSPITAL LLC 8835 GERMANTOWN AVE PHILADELPHIA PA 19118 822108660 HOSPITAL PA 109783654 180910907 TOWER HLTH JENNERSVILLE HOSPITAL LLC 1015 W BALTIMORE PIKE WEST GROVE PA 19390 822116582 HOSPITAL PA 36969796 25802140 TOWER HLTH PHOENIXVILLE HOSPITAL LLC 140 NUTT ROAD PHOENIXVILLE PA 19460 822062413 HOSPITAL PA 136374741 98550124 TOWER HLTH POTTSTOWN HOSPITAL LLC 1600 EAST HIGH STREET POTTSTOWN PA 19464 822132538 HOSPITAL PA 153256513 176128581 TOWER HLTH TOWER HEALTH ENTERPRISES LLC 420 SOUTH 5TH AVENUE WEST READING PA 19611 822203526 HEALTHCARE PA 14616214 32068016 TOWER HLTH BRANDYWINE HOSPITAL MED TRANS LLC 201 REESEVILLE ROAD COATESVILLE PA 19320 822571017 MED SERV PA 1422319 -176648 BRAND HOSP CHESTNUT HILL DEVELOPMENT 8835 GERMANTOWN AVE PHILADELPHIA PA 19118 822585433 MED SERV PA 715503 371960 CNH HOSP POTTSTOWN MEM AMBULANCE CO LLC 1600 EAST HIGH STREET POTTSTOWN PA 19464 455349097 MED SERV PA 723705 -473743 POTTS HOSP TOWER HEALTH URGENT CARE LLC 420 SOUTH 5TH AVENUE WEST READING PA 19611 611903284 MED SERV PA 14313156 28079858 TH ENTERPR TOWER HEALTH CVO LLC 420 SOUTH 5TH AVENUE WEST READING PA 19611 831423785 MED CRED PA TH ENTERPR READING HOSPITAL 420 SOUTH 5TH AVENUE WEST READING PA 19611 231352204 HEALTHCARE PA 501 C3 3 TH true THE FRIENDS OF THE READING HOSPITAL 420 SOUTH 5TH AVENUE WEST READING PA 19611 236026108 SUPPORTING PA 501 C3 10 TH true THE RDG HOSPITAL & MED CENTER SELF- 420 SOUTH 5TH AVENUE WEST READING PA 19611 232087514 TRUST FUND PA 501 C3 12B TH true TOWER HEALTH MEDICAL GROUP 420 SOUTH 5TH AVENUE WEST READING PA 19611 232266054 HEALTHCARE PA 501 C3 3 TH true READING HOSPITAL FOUNDATION 420 SOUTH 5TH AVENUE WEST READING PA 19611 473054125 SUPPORTING PA 501C3 12B TH true TOWER HEALTH AT HOME 1170 BERKSHIRE BLVD WYOMISSING PA 19610 232469321 SUPPORTING PA 501C3 12B TOWER HLTH true THAH - ADVANTAGE HOME CARE 1170 BERKSHIRE BLVD WYOMISSING PA 19610 232469319 HEALTHCARE PA 501C3 3 TOWER HLTH true TOWER HEALTH AT HOME - BERKS 1170 BERKSHIRE BLVD WYOMISSING PA 19610 231466250 HEALTHCARE PA 501C3 3 TOWER HLTH true TOWER HEALTH AT HOME - POTTSTOWN 1170 BERKSHIRE BLVD WYOMISSING PA 19610 231352574 HEALTHCARE PA 501C3 3 TOWER HLTH true SOUTHERN CHESTER CNTY MED BLDG 1 1015 WEST BALTIMORE PIKE WEST GROVE PA 19390 232200841 HEALTHCARE PA TOWER HLTH EXCLUDED -104081 -46408 false true 0.54660 READING-UPMC JOINT VENTURE LLC 600 GRANT STREET PITTSBURGH PA 15219 814566751 HEALTHCARE PA N/A RELATED 6473519 18423236 false 596860 true 0.50000 TOWERUSP SURGERY CENTERS LLC 15305 DALLAS PARKWAY-SUITE 1600LB28 SUITE 1600-LB-28 ADDISON TX 75001 364911103 HEALTHCARE PA N/A RELATED false false 0.50100 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 5853722 14123340 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 21817386 GL TRANSACTIONS