2018-04-13T10:23:14-04:00 2017-06-30 134008324 PRICEWATERHOUSECOOPERS LLP 2001 MARKET ST STE 1800 PHILADELPHIA PA 19103 990 2016-07-01 231352204 READING HOSPITAL READ 4846284307 PO BOX 16052 READING PA 196126052 GARY F CONNER CFO/TREASURER 4846284307 2018-04-13 true PRICEWATERHOUSECOOPERS LLC P00853132 2673303000 2018-04-13 F8E8C302B45B67843F13B8EA9C208F1DCF85C19A 422E86B6B2C7B3EAE25CC6A51283D6720360A04E 2016 2021-01-29 14:40:06Z CLINT MATTHEWS PO BOX 16052 PO BOX 16052 READING PA 19612 925976260 false X HTTPS://READING.TOWERHEALTH.ORG X 1869 PA THE MISSION OF THE READING HOSPITAL IS TO PROVIDE COMPASSIONATE, ACCESSIBLE, HIGH QUALITY, COST EFFECTIVE CARE TO THE COMMUNITY: TO PROMOTE HEALTH; TO EDUCATE HEALTHCARE PROFESSIONALS; AND TO PARTICIPATE IN APPROPRIATE CLINICAL RESEARCH. ASK SOMEONE TO DEFINE A HOSPITAL'S ROLE IN THE COMMUNITY, AND MOST OFTEN YOU HEAR ABOUT SERVICES AND DEPARTMENTS, OR ABOUT DOCTORS, NURSES AND OTHER CAREGIVERS. IN ADDITION TO ITS PRIMARY ROLE AS A PROVIDER OF DIRECT CARE, TOWER HEALTH ADDRESSES ISSUES OUTSIDE THAT REALM THAT IMPACT HEALTH AND WELLNESS. IN FACT, A KEY PART OF OUR MISSION MEANS THE REINVESTMENT OF OUR RESOURCES INTO THESE EFFORTS, WHICH ARE COLLECTIVELY KNOWN AS COMMUNITY BENEFIT. WE ARE PROUD TO REPORT THAT IN OUR LAST FISCAL YEAR, WE COMMITTED MORE THAN 169 MILLION TO THIS CAUSE. OUR CAREGIVERS AND SUPPORT STAFF PARTICIPATE IN HEALTH EDUCATION, FREE SCREENINGS, AND IMMUNIZATIONS. THEY SUPPORT ACTIVITIES FOR INDIVIDUALS WITH SERIOUS OR CHRONIC HEALTH CONDITIONS, ADVANCE SELF-CARE BY IN 15 12 6428 988 1517975 -2359992 2202211 2396019 837836737 906785294 1145375 -1919494 27896904 18714441 869081227 925976260 0 0 410221852 445911468 0 0 384612472 403922317 794834324 849833785 74246903 76142475 895645440 846227245 979458830 876533515 -83813390 -30306270 X THE MISSION OF THE READING HOSPITAL IS TO PROVIDE COMPASSIONATE, ACCESSIBLE, HIGH QUALITY, COST EFFECTIVE CARE TO THE COMMUNITY: TO PROMOTE HEALTH; TO EDUCATE HEALTHCARE PROFESSIONALS; AND TO PARTICIPATE IN APPROPRIATE CLINICAL RESEARCH. ASK SOMEONE TO DEFINE A HOSPITAL'S ROLE IN THE COMMUNITY, AND MOST OFTEN YOU HEAR ABOUT SERVICES AND DEPARTMENTS, OR ABOUT DOCTORS, NURSES AND OTHER CAREGIVERS. IN ADDITION TO ITS PRIMARY ROLE AS A PROVIDER OF DIRECT CARE, TOWER HEALTH ADDRESSES ISSUES OUTSIDE THAT REALM THAT IMPACT HEALTH AND WELLNESS. IN FACT, A KEY PART OF OUR MISSION MEANS THE REINVESTMENT OF OUR RESOURCES INTO THESE EFFORTS, WHICH ARE COLLECTIVELY KNOWN AS COMMUNITY BENEFIT. WE ARE PROUD TO REPORT THAT IN OUR LAST FISCAL YEAR, WE COMMITTED MORE THAN 169 MILLION TO THIS CAUSE. OUR CAREGIVERS AND SUPPORT STAFF PARTICIPATE IN HEALTH EDUCATION, FREE SCREENINGS, AND IMMUNIZATIONS. THEY SUPPORT ACTIVITIES FOR INDIVIDUALS WITH SERIOUS OR CHRONIC HEALTH CONDITIONS, ADVANCE SELF-CARE BY IN false false 43568720 61837269 OPERATING ROOM - 17,444 TOTAL SURGERIES READING HOSPITAL OPERATES IN A MARKET SERVED BY NEARLY 20 SPECIALTY, INVESTOR-OWNED FACILITIES, WHICH CARVE OUT THE BEST PAYING INSURANCE PLANS, THE HIGHEST MARGIN PROCEDURES, AND THE LEAST COMPLICATED PATIENTS TO SERVE. BY CONTINUING TO PROVIDE A FULL SERVICE SURGICAL SERVICE, RH OFFERS THE MOST ADVANCED SURGICAL OPTIONS, FROM ROBOTIC ASSISTED, MINIMALLY INVASIVE SURGERY TO A FULL SPECTRUM OF OUTPATIENT SURGICAL OPTIONS. AND TO ENSURE OUR COMMUNITY HAS ACCESS TO SURGICAL SPECIALITIES THAT MAY BE EXPERIENCING SHORTAGES ELSEWHERE IN THE COUNTRY. RH SUPPORTS ITS SURGEONS IN THEIR FELLOWSHIP TRAINING AND RECRUITS AND RETAINS SURGEONS IN AREAS LIKE PLASTIC SURGERY - AVAILABLE ONLY DURING LIMITED HOURS OR NOT AT ALL, IN OTHER HOSPITALS IN ITS MARKET. 45734306 92130277 EMERGENCY CARE - 133,559 EMERGENCY ROOM VISITS RH EMERGENCY DEPARTMENT PROVIDES EMERGENT, URGENT AND PRIMARY CARE SERVICES TO OUR COMMUNITY "24/7/365," REGARDLESS OF ABILITY TO PAY. VOLUME TO RH EMERGENCY DEPARTMENT RANKS IT AMONG THE TOP THREE IN THE STATE OF PENNSYLVANIA YEAR AFTER YEAR. AS THE AREA'S ONLY ACCREDITED TRAUMA CENTER, RH ALSO PROVIDES IMMEDIATE ACCESS THROUGH ITS EMERGENCY DEPARTMENT TO ALL SPECIALTY SERVICES, FROM TRAUMA SURGEONS TO PLASTIC SURGEONS, AND ALL AREAS OF SEPCIALITY CARE. IN ADDITION TO ITS TRAUMA CERTIFICATION, RH IS THE ONLY HOSPITAL IN THE REGION TO HAVE MADE A COMMITMENT TO ACCREDIATED CARE IN STROKE AND CHEST PAIN. FOLLOWING THE RELOCATION OF THE OTHER HOSPITAL IN THE CITY TO A NEW SUBURBAN CAMPUS, RH IS FULFILLING ITS COMMITTMENT TO SERVE THE UNDERSERVED POPULATION OF THE CITY. 72803215 98426650 PHARMACY - 8,464,190 DRUGS DISPENSED RH PROVIDES ACCESS TO NEEDED PRESCRIPTIONS FOR THOSE PATIENTS WHO CANNOT AFFORD THEIR MEDICATION. EACH MONTH RH ABSORBS THE COST OF PRESCRIPTION MEDICATION FOR PATIENTS OF RH WITH NO PRESCRIPTION COVERAGE. RH RECOGNIZES THE IMPORTANT ROLE OF PATIENT COMPLIANCE WITH THEIR TREATMENT, INCLUDING TAKING MEDICATION AS PRESCRIBED, AND RECOGNIZES THAT PATIENTS WITHOUT THE ABILITY TO PAY FOR THOSE MEDICATIONS WILL SIMPLY NOT COMPLY. TO ENSURE OPTIMAL PATIENT HEALTH AND THE BEST PATIENT OUTCOMES, RH ABSORBS THE COSTS OF THESE MEDICATIONS AS PART OF OUR EXEMPT PURPOSE IN OUR COMMUNITY. 614264790 660673749 EXPENSES ARE FOR TREATING INPATIENTS, OUTPATIENTS AND EMERGENCY PATIENTS 614264790 660673749 776371031 true true false true false false false false false true true false false false true true false true false false false false false false false false true true false false true false false false false false true false false false false false false false true true true false false true 570 0 true 6428 true true true false false false false false false false false false X 15 12 false false false false true true true true true false false true true true true true true true true true true PA X GARY CONNER CFO 4846288000 420 SOUTH 5TH AVENUE WEST READING PA 19611 CLINT MATTHEWS PRESIDENT & 54.00 6.00 X X 1662225 0 408368 CHARLES BARBERA MD BOARD MEMBER 2.00 48.00 X 0 570912 207036 BRENT WAGNER MD CHAIRMAN 2.00 4.00 X X 0 0 0 JOHN WEIDENHAMMER VICE CHAIRMA 2.00 2.00 X X 0 0 0 BARBARA ARNER BOARD MEMBER 2.00 2.00 X 0 0 0 JOHN CASEY MD BOARD MEMBER 2.00 2.00 X 0 0 0 ANNE FLYNN MD BOARD MEMBER 2.00 2.00 X 0 0 0 THOMAS FLYNN PHD BOARD MEMBER 2.00 2.00 X 0 0 0 VICTOR HAMMEL BOARD MEMBER 2.00 4.00 X 0 0 0 BRIAN HARD 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 BEN ZINTAK BOARD MEMBER 2.00 2.00 X 0 0 0 GREG SORENSEN MD CMO 50.00 X 1033554 0 211511 THERESE SUCHER COO 50.00 X 885825 0 267242 GARY F CONNER CFO/TREASURE 48.00 6.00 X 678605 0 164224 DAN AHERN SENIOR VP 48.00 2.00 X 546836 0 139273 KATHLEEN WETZEL SECRETARY 48.00 2.00 X 260445 0 120339 MARY AGNEW VP/CHIEF NUR 50.00 X 413815 0 137635 CARL SEIDL VICE PRESIDE 50.00 X 348275 0 112226 MARK MCNASH VICE PRESIDE 50.00 X 312779 0 100333 JACOB D MCKNIGHT VICE PRESIDE 40.00 X 423555 0 151841 RUSSELL H SHOWER VICE PRESIDE 40.00 X 407106 0 52800 DAVID A SCHLAPPY VICE PRESIDE 40.00 X 380258 0 62233 ROBERT S JONES DO PHYSICIAN 40.00 X 368074 0 129276 MICHAEL T BROWN MD PHYSICIAN 40.00 X 363663 0 22619 8085015 570912 2286956 303 false true false LF DRISCOLL COMPANY LLC 401 E CITY LINE AVE SUITE 500 BALA CYNWYD PA 190041003 ARCHITECTS 89864345 SAXTON & STUMP LLC 280 GRANITE RUN DRIVE SUITE 300 LANCASTER PA 17601 LEGAL 5374355 PENN TRAUMA SERVICES 51 NORTH 39TH STREET ROOM 120 PHILADELPHIA PA 191042640 TRAUMA SERVICE 2590442 HCSC BLOOD CENTER 1465 VALLEY CENTER PARKWAY BETHLEHEM PA 18017 CONSULTING 2223191 CARDIOLOGY ASSOC OF W READING 301 S 7TH AVE WEST READING PA 19611 HEALTH CARE SER 1704590 70 90351 1245661 1060007 2396019 PATIENT CHARGES 622110 906785294 906785294 906785294 -1919494 -1919494 4887734 4887734 4887734 4887734 MEALS 722310 6026081 6026081 SPRING RIDGE SURGI CENTER 621990 3174178 3174178 TUITION - NURSING TECH SCHOOL 611600 2785046 2785046 1841402 323427 1517975 13826707 925976260 913067945 1517975 8994321 6655202 881594 5773608 338452071 327303772 11148299 20758646 17684834 3073812 55321946 51825886 3496060 24723603 22954874 1768729 9185617 9185617 576410 576410 56465 56465 43809800 22508035 21301765 8836053 8836053 25525136 25525136 19835962 19254686 581276 1292112 1091368 200744 11326504 11326504 77888719 77888719 -3240497 -3273861 33364 SUPPLIES 150824305 150522613 301692 PHYSICIAN FEES 24207315 19948768 4258547 REPAIRS AND MAINTENANCE 13905488 13807631 97857 HOSPITAL PROGRAMS 5374212 5374212 14518716 11746260 2772456 849833785 776371031 73462754 0 115960315 53919778 104579276 109696763 13957892 14859459 20084147 14202473 1637043477 900372086 728096276 736671391 25693266 28398083 -112725732 -111520702 895645440 846227245 125894444 112441304 1054679 675010 852509707 763417201 979458830 876533515 X -107480818 -60371167 314096 1666814 23353332 28398083 -83813390 -30306270 895645440 846227245 X 76142475 1123327 -23758682 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false true 14123 false false 14123 false SCHEDULE C, PART II-B, LINE 1 PART II-B, LINE 1G 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 READING HOSPITAL DURING THESE CHANGING TIMES IN THE HEALTH CARE FIELD. THERE ARE NO ADDITIONAL EXPENSES INCURRED. 11101965 1210550 539462 63621 12788355 10208518 852568 99691 58812 11101965 9273178 584767 406162 55589 10208518 6827185 1241237 1224116 19360 9273178 5069623 434567 528969 35242 6827185 1.00000 false false 33602423 33602423 669965229 397745742 272219487 909843068 502626344 407216724 23632757 23632757 736671391 LT LOAN - AFFILIATE PAYABLE 467140033 PENSION PAYABLE 252255924 ESTIMATED SELF INSURANCE COSTS 37499000 DEFERRED REVENUE 4494452 DEFERRED COMPENSATION 1885743 NMG SWAP 88255 GIFT ANNUITIES 53794 763417201 X SCHEDULE D, PAGE 3, PART X 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. true true X true X true X false true true false true true 16783073 16783073 0.01970 157778263 106637217 51141046 0.06020 174561336 106637217 67924119 0.07990 4916059 6460 4909599 0.00580 35975103 15014174 20960929 0.02470 3740174 3740174 0.00440 1636338 1636338 0.00190 46267674 15020634 31247040 0.03680 220829010 121657851 99171159 0.11670 1812 11002 11002 1812 11002 11002 true 43712763 25790530 253135761 306778106 -53642345 X true false TRH SURGICENTER LLC OUTPATIENT SURGERY 0.50000 0.50000 1 1 READING HOSPITAL 420 SOUTH 5TH AVENUE WEST READING PA 19611 "SEE SUPPLEMENTAL DISCLOSURES" 440401 X X X X READING HOSPITAL 1 false false true X X X X X X X X 16 true true false true X "SEE SUPPLEMENTAL DISCLOSURES" X true 16 true "SEE SUPPLEMENTAL DISCLOSURES" false false true X 200.000000000000 400.000000000000 X X true true X X X true X "SEE SUPPLEMENTAL DISCLOSURE" X "SEE SUPPLEMENTAL DISCLOSURE" X X X X X X true X false true X false false FACILITY 1, READING HOSPITAL - PART V, LINE 5 A CHNA IMPLEMENTATION REPORT WAS COMPLETED IN 2016. KEY INFORMANTS WERE DEFINED AS COMMUNITY STAKEHOLDERS WITH EXPERT KNOWLEDGE INCLUDING PUBLIC HEALTH AND HEALTH CARE PROFESSIONALS, SOCIAL SERVICE PROVIDERS, NON-PROFIT LEADERS, BUSINESS LEADERS, FAITH-BASED ORGANIZATIONS, AND OTHER COMMUNITY LEADERS. FOR INDIVIDUALS' NAMES PLEASE REFER TO THE IMPLEMENTATION PLAN. FACILITY 1, READING HOSPITAL - PART V, LINE 6A PENN STATE HEALTH ST JOSEPH HOSPITAL, READING, PA FACILITY 1, READING HOSPITAL - PART V, LINE 11 LIST OF HEALTH NEEDS THE FACILITY DOES NOT PLAN TO ADDRESS: TOWER HEALTH DOES NOT INTEND TO ADDRESS DIABETES, DENTAL HEALTH, HEART DISEASE, CANCER, MATERNAL/INFANT HEALTH, TOBACCO, STDS AND STROKE. IDENTIFICATION AND DESCRIPTION OF HEALTH NEED THE FACILITY DOES NOT INTEND TO MEET: DIABETES WILL BE CATEGORIZED AS A CHRONIC DISEASE AND WILL BE ADRESSED IN THE OBESITY/OVERWEIGHT STRATEGY. DENTAL HEALTH, HEART DISEASE, CANCER, MATERNAL/INFANT HEALTH, TOBACCO, STDS AND STROKE WILL BE ADDRESSED THROUGH ONGOING HEALTH SYSTEM INITIATIVES OR IN COLLABORATION WITH ESTABLISHED AND PROVEN COMMUNITY ORGANIZATIONS. FACILITY 1, READING HOSPITAL - PART V, LINE 13H FINANCIAL ASSISTANCE CRITERIA: 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-EMERGENT CARE ARE NOT GENERALLY ELIGIBLE FOR FINANCIAL ASSISTANCE. FACILITY 1, READING HOSPITAL - PART V, LINE 15E FINANCIAL ASSISTANCE APPLICATION PROCESS: 1. PATIENTS WILL BE SCREENED FOR MEDICAID PRIOR TO BEING CONSIDERED FOR FINANCIAL ASSISTANCE. 2. WHO IS ELIGIBLE FOR FINANCIAL ASSISTANCE: A. PATIENTS RECEIVING SERVICES IN OUR HOSPITAL AND THMG PRACTICES. B. BOTH UNINSURED AND UNDER-INSURED PATIENTS. 3. A HOSPITAL FINANCIAL COUNSELOR OR PFS REPRESENTATIVE WILL COMPLETE THE FINANCIAL ASSISTANCE APPLICATION AND OBTAIN ANY SUPPORTING DOCUMENTATION. 4. THE FINANCIAL ASSISTANCE POLICY SPECIFIES THAT APPLICATIONS MUST BE APPROVED OR DENIED WITHIN 14 DAYS OF COMPLETION. 5. 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). 6. THE MCR FFS (MEDICARE FEE FOR SERVICE) IS USED TO DETERMINE THE FINANCIAL ASSISTANCE ADJUSTMENT. AS A RESULT OF THE TOWER HEALTH PATIENT FINANCIAL SERVICES VERIFICATION-OF COVERAGE PROCESS, THERE WILL BE THE OPPORTUNITY TO IDENTIFY UNINSURED PATIENTS AND UNDERINSURED PATIENTS. TOWER HEALTH FINANCIAL COUNSELING RESOURCES WILL ASSIST THESE PATIENTS WITH THE MEDICAID APPLICATION PROCESS. PATIENTS WHO ARE DENIED MEDICAID COVERAGE, OR WHO ARE SCREENED AND DETERMINED TO NOT MEET THE MEDICAID COVERAGE CRITERIA, WILL BE CONSIDERED FOR THE PATIENT FINANCIAL ASSISTANCE PROGRAM. FACILITY 1, READING HOSPITAL - PART V, LINE 16J INFORMATION REGARDING ELIGIBILITY FOR FINANCIAL ASSISTANCE IS COMMUNICATED VIA SIGNAGE AND BROCHURES PROMINENTLY DISPLAYED THROUGHOUT THE HOSPITAL AND WITHIN REGISTRATION AREAS. IN ADDITION, THIS INFORMATION IS PROVIDED ON THE HOSPITAL'S BILLING STATEMENTS AND WEBSITE. OPTIONS ARE ALSO REVIEWED WITH PATIENTS CONTACTING THE PATIENT FINANCIAL SERVICES CALL CENTER OR WITH STAFF LOCATED IN THE PATIENT FINANCIAL SERVICES OFFICE ON C2. THE HOSPITAL'S REGISTRATION AND CLINIC STAFF ARE KNOWLEDGEABLE ABOUT THE PATIENT FINANCIAL ASSISTANCE PROGRAM AND FREQUENTLY DISCUSS AVAILABLE OPTIONS WITH PATIENTS. PATIENTS ARE ASSISTED WITH COMPLETING THE MEDICAL ASSISTANCE APPLICATION BY THE HOSPITAL'S FINANCIAL COUNSELORS OR ARE DIRECTED TO THE COUNTY ASSISTANCE OFFICE. 1 TRHMC SURGICENTER AT SPRING RIDGE 2603 KEISER BLVD READING PA 19610 AMBULATORY SURGERY CENTER PART I, LINE 3C - OTHER INCOME BASED CRITERIA FOR FREE OR DISCOUNTED CARE PATIENTS WILL BE ASKED 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 IN THE FEDERAL POVERTY LEVEL GUIDELINE (FPL) THE HOUSEHOLD FALLS. THE FPL CATEGORY WILL DETERMINE THE PATIENT OR GUARANTOR CONTRIBUTION AMOUNT TOWARD THEIR MEDICAL BILL. PART I, LINE 7G - SUBSIDIZED HEALTH SERVICES EXPLANATION READING HOSPITAL UTILIZES THE IRS GUIDELINES IN DETERMINING THE RATIO OF PATIENT COST TO CHARGES TO ESTIMATE THE COST OF EACH SUBSIDIZED HEALTH SERVICE. THIS CALCULATION DOES NOT REFLECT READING HOSPITAL'S OPERATIONAL LOSS. CURRENTLY THE HOSPITAL PROVIDES BEHAVIORAL HEALTH, AND OUTPATIENT SERVICES TO THE COMMUNITY ON A SUBSIDIZED BASIS AS THESE SERVICES REFLECT AN OPERATIONAL LOSS. READING HOSPITAL IS A NOT-FOR-PROFIT HEALTHCARE CENTER PROVIDING COMPREHENSIVE ACUTE CARE, POST-ACUTE CARE REHABILITATION, BEHAVIORAL, AND OCCUPATIONAL HEALTH SERVICES TO THE PEOPLE OF BERKS AND ADJOINING COUNTIES. READING HOSPITAL LIES ON THE OUTSKIRTS OF THE CITY OF READING, WHICH HAS AN ESTIMATED POPULATION OF 88,278, IN 2017. 36% OF THE RESIDENTS OF THE CITY LIVE BELOW FEDERAL POVERTY LEVELS. THE HEALTH CARE NEEDS TRACK CLOSELY TO THE HIGH POVERTY RATE IN THE CITY. THE ADULT PREVALENCE OF DIABETES, THE PROPORTION OF ADULTS WITH DIAGNOSED HIGH BLOOD PRESSURE, THE PERCENT OF WOMEN WHO RECEIVE NO PRENATAL CARE IN THE FIRST TRIMESTER, THE PEDIATRIC AND ADULT ASTHMA HOSPITAL ADMISSION RATES, AND THE THREE-YEAR AVERAGE PNEUMONIA DEATH RATE ALL EXCEED THE NATIONAL BENCHMARKS FOR THESE INDICATORS. THE MISSION OF READING HOSPITAL IS TO PROVIDE COMPASSIONATE, ACCESSIBLE, HIGH QUALITY, COST EFFECTIVE HEALTH CARE TO THE COMMUNITY; TO PROMOTE HEALTH; TO EDUCATE HEALTHCARE PROFESSIONALS; AND TO PARTICIPATE IN APPROPRIATE CLINICAL RESEARCH. READING HOSPITAL IS COMMITTED TO SERVING THE NEEDS OF THE COMMUNITY, EVEN WHEN THE NEEDED SERVICES CAUSE A DRAIN ON CAPITAL RESOURCES. READING HOSPITAL IS A REGIONAL REFERRAL CENTER FOR BEHAVIORAL HEALTH SERVICES. READING HOSPITAL PROVIDES APPROXIMATELY ONE-THIRD OF ALL INPATIENT MENTAL HEALTH SERVICES USED BY THE RESIDENTS OF BERKS COUNTY AND 28% AMONG PATIENTS AGE 60+. ANOTHER MENTAL HEALTH PROVIDER, HAVEN BEHAVIORAL HEALTH, HAS RECENTLY ESTABLISHED A TREATMENT FACILITY IN THE CITY OF READING OFFERING MENTAL HEALTH SERVICES. READING HOSPITAL TREATS NEARLY 60% OF BERKS COUNTY PATIENTS REQUIRING INPATIENT SERVICES FOR SUBSTANCE ABUSE. THE OTHER NON-PROFIT HOSPITAL IN THE AREA SERVES ONLY .51% OF THESE PATIENTS. READING HOSPITAL HAS EXPANDED AND RELOCATED ITS INPATIENT DETOXIFICATION CENTER TO MEET THE GROWING NEED FOR THESE SERVICES. IF READING HOSPITAL CEASED TO PROVIDE SUBSTANCE ABUSE SERVICES, PATIENTS WOULD HAVE TO TRAVEL OUT OF THE AREA FOR TREATMENT BECAUSE LOCAL PROVIDERS WOULD NOT HAVE THE ABILITY TO MEET THE NEED. READING HOSPITAL PERENNIALLY RANKS AMONG THE TOP FOUR PENNSYLVANIA HOSPITALS IN OUTPATIENT SERVICES. BECAUSE OF THE HIGH POVERTY RATE AND THE HIGH NUMBER OF UNINSURED AND MEDICAID/CHIP RESIDENTS, OUTPATIENT SERVICES ARE OFTEN PROVIDED WITHOUT ADEQUATE COMPENSATION. 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 OUR MEDICARE COST REPORT IS UTILIZED. PART III, LINE 9B - COLLECTION PRACTICES EXPLANATION PATIENTS ARE INFORMED OF OPTIONS FOR FINANCIAL ASSISTANCE THROUGHOUT THE REVENUE CYCLE, FROM REGISTRATION THROUGH COLLECTION; THEREFORE, READING 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, READING HOSPITAL ASSESSES HEALTH CARE NEEDS OF THE COMMUNITES THROUGH SECONDARY DATA ANALYSIS FROM A COMMUNITY COMMONS DATABASE AND DEATH TRENDS RELATED TO SUBSTANCE ABUSE AND SUICIDE. THE 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 HOSPITAL FREQUENTLY LOOKS AT HIGH ED UTILIZERS AND THEN MAPS 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 HOSPTIAL TO GATHER FIRSTHAND FEEDBACK FROM THE COMMUNITY REGARDING HEALTHCARE MESSAGING AND PROPOSED INTERVENTIONS. THE HOSPITAL ALSO CONDUCTS FOCUS GROUPS TO GAIN MORE INSIGHT INTO PATIENT'S HEALTH BEHAVIORS AND ACCESS BARRIERS. PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE READING 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, HIGHT COST DRUGS, DME AND CONTRACTED SERVICES ARE PROVIDED TO QUALIFIED PATIENTS AT HOSPITAL COST. PART VI, LINE 4 - COMMUNITY INFORMATION THE READING HOSPITAL PRIMARILY SERVES BERKS COUNTY. BERKS COUNTY PROFILE: BERKS COUNTY POPULATION IS 416,383. THERE IS A LARGE POPULATION ORIGINATED BY BIRTH IN THE COUNTY: 75% OF RESIDENTS WERE BORN IN PENNSYLVANIA, 15% WERE BORN ELSEWHERE IN THE UNITED STATES, 4% WERE BORN IN PUERTO RICO, US ISLANDS OR ABROAD TO AMERICAN PARENTS, AND 7% WERE FOREIGN BORN. THE RACIAL MIX INCLUDES 80% WHITE, 5% BLACK, 2% ASIAN, 10% SOME OTHER RACE, AND 3% OF MIXED RACE. THERE IS A LARGE HISPANIC POPULATION IN BERKS COUNTY; ABOUT 20% OF RESIDENTS CLASSIFY THEMSELVES AS HISPANIC, AND 14% OF ALL RESIDENTS, AGES 5+ SPEAK SPANISH AT HOME. 15% PERCENT OF BERKS COUNTY RESIDENTS AGE 25+ HAVE LESS THAN A HIGH SCHOOL EDUCATION; WHEREAS 23% HOLD A COLLEGE BACHELOR'S DEGREE OR HIGHER. THE MEDIAN HOUSEHOLD INCOME IN BERKS COUNTY IS 58,386. 14% PERCENT OF BERKS COUNTY RESIDENTS LIVE BELOW POVERTY; THIS FIGURE INCLUDES 22% OF ALL CHILDREN UNDER AGE 18 AND 7% OF ALL SENIORS AGE 65+. CITY OF READING PROFILE: BERKS COUNTY INCLUDES THE CITY OF READING, WHICH HAS A MORE DIVERSE POPULATION THAN THE REST OF THE COUNTY: 52% OF THE RESIDENTS WERE BORN IN PENNSYLVANIA, 17% WERE BORN ELSEWHERE IN THE UNITED STATES, 13% WERE BORN IN PUERTO RICO, US ISLANDS, OR ABROAD TO AMERICAN PARENTS, AND 18% WERE FOREIGN BORN. THE RACIAL MIX INCLUDES 43% WHITE, 12% BLACK, 1% ASIAN, 35% SOME OTHER RACE, AND 7% OF MIXED RACE. THE MAJORITY OF THE POPULATION OF THE CITY OF READING IS HISPANIC; ABOUT 68% OF THE RESIDENTS CLASSIFY THEMSELVES AS HISPANIC, AND 50% SPEAK SPANISH IN THEIR HOMES. 34% OF READING RESIDENTS AGE 25+ HAVE NOT GRADUATED FROM HIGH SCHOOL, AND ONLY 9% HAVE ATTAINED A BACHELOR'S DEGREE OR HIGHER. MANY READING RESIDENTS ARE POOR, AND THE MEDIAN INCOME IN THE CITY IS ONLY 28,250. OVER ONE-THIRD OF THE RESIDENTS, (40%), LIVE BELOW THE FEDERAL POVERTY LIMIT (FPL); THIS FIGURE INCLUDES OVER HALF, (55%), OF ALL CHILDREN UNDER AGE 18 AND 20% OF ALL SENIORS AGE 65+. PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH DESCRIPTION OF ACHIEVEMENTS IN FISCAL 2017 RELATING TO EXEMPT PURPOSE 1)PROVIDING HEALTH CARE INPATIENT DISCHARGES 34,367 INPATIENT DAYS 163,943 BIRTHS 3,537 EMERGENCY SERVICES 130,886 2) PROMOTING HEALTH HEALTH OUTREACH FOR CHILDREN (NEWBORNS THROUGH TEENS) OPERATE CHILDREN'S HEALTH CENTER: PROVIDE AMBULATORY CARE TO PEDIATRIC PATIENTS WHO ARE MEDICALLY UNDERSERVED; 16,346 VISITS; PROVIDES EACH CHILD WITH A FREE BOOK THROUGH IT REACH OUT AND READ PROGRAM TO IMPROVE LITERACY AND DEVELOP A CHILD'S LIFELONG PASSION FOR READING. HEALTH OUTREACH FOR ADULTS OPERATE WOMEN'S HEALTH CENTER: OFFERING MEDICALLY UNDERSERVED WOMEN BOTH OBSTETRICAL AND GYNECOLOGICAL CARE; 20,810 VISITS. OPERATE CENTER FOR PUBLIC HEALTH: OFFERS CARE TO INDIVIDUALS DIAGNOSED WITH AIDS OR WHO ARE HIV POSITIVE; 3,579 PATIENT REGISTRATIONS. OPERATE OUTPATIENT SERVICES ADULT CLINICS: PROVIDES PRIMARY AND SUBSPECIALTY CARE TO MEDICALLY UNDERSERVED ADULTS; 7,614 VISITS. HEALTH OUTREACH: IMPACTING ALL AGES OPERATE AN ACCREDITED TRAUMA CENTER, THAT PROVIDED THIS LIFE-SAVING LEVEL OF CARE TO 2,923 INDIVIDUALS LAST YEAR; PROVIDE TRAUMA PREVENTION EDUCATION TO THE GENERAL COMMUNITY; AND PROFESSIONAL EDUCATION TO EMS AND HOSPITAL PROVIDERS. OPERATE A 24/7 EMERGENCY DEPARTMENT. OFFERING MIDWIFERY CARE TO PREGNANT WOMEN. OPERATE A SCHOOL OF HEALTH SCIENCES TO PROVIDE COLLEGE-LEVEL TRAINING IN FIVE HEALTHCARE CAREERS (NURSING, RADIOLOGIC TECHNOLOGY, CLINICAL PASTORAL CARE, SURGICAL TECHNOLOGY, PARAMEDIC MEDICINE). OPERATE A SCHOOL OF CLINICAL LABORATORY SCIENCE TO PROVIDE THE FOURTH YEAR OF COLLEGE WORK TO STUDENTS INTERESTED IN CAREERS IN LABORATORY MEDICINE. OPERATE A 24/7 DRUG AND ALCOHOL CENTER WITH INPATIENT DETOXIFICATION, DROP-IN SERVICE, AND SUPPORT GROUPS. MAINTAIN 24/7 INTERPRETING SERVICES: 16 ON-SITE SPANISH-ENGLISH INTERPRETERS; AND TRANSLATE FOR WRITTEN COMMUNICATIONS; NETWORK OF 24/7 VIDEO-REMOTE INTERPRETING STATIONS AND TELEPHONES FOR ANY LANGUAGE. MAINTAIN 24/7 SIGN LANGUAGE SERVICES: PARTNERSHIP WITH BERKS DEAF AND HARD OF HEARING TO PROVIDE CERTIFIED SIGN LANGUAGE INTERPRETER AS NEEDED; ESTABLISHED 24/7 VIDEO-REMOTE SIGN LANGUAGE INTERPRETING SERVICE. PROVIDES 24/7 CHAPLAINCY SERVICES PROGRAM TO PROVIDE PATIENTS AND STAFF WITH SUPPORT FOR SPIRITUAL CONCERNS. DEVELOPED PALLIATIVE CARE SERVICES TO SUPPORT SERIOUSLY ILL PATIENTS AND FAMILIES IN UNDERSTANDING HEALTH PROBLEM AND OPTIONS. PROVIDE INPATIENT HOSPICE SERVICES, WITH APPROPRIATE NETWORKING FOR OUTPATIENT HOSPICE CARE. HIRED A SOCIAL WORKER TO MANAGE PATIENTS WHO HAVE FREQUENTED THE ED WITH MINOR COMPLAINTS. VISITS PATIENTS IN THEIR HOME TO CONNECT THEM WITH COMMUNITY RESOURCES AND ACCESS TO OUTPATIENT CARE. OFFER PAWS FOR WELLNESS AND OTHER PET THERAPY PROGRAMS AT NO CHARGE TO PATIENTS. OFFERS NO ONE DIES ALONE PROGRAM THROUGH SPECIALLY TRAINED VOLUNTEERS. PROVIDE FREE VALET PARKING TO PATIENTS AND THEIR VISITORS; OFFER WHEELCHAIRS AND ESCORTS TO SUPPORT MEDICALLY FRAGILE PATIENTS. OFFERS A STREET MEDICINE PROGRAM WHICH IS A SYSTEMATIC APPROACH TO THE PROVISION OF HEALTH CARE TO THE UNSHELTERED HOMELESS, DEFINED TO BE INDIVIDUALS LIVING IN DWELLINGS NOT MEANT FOR HUMAN HABITATION AND UNLIKELY TO PARTICIPATE IN OR BENEFIT FROM SOCIAL SERVICES FOR THE HOMELESS. TOWER HEALTH'S STREET MEDICINE TEAM IS MADE UP OF VOLUNTEERS THAT ASSEMBLE ONE DAY EACH WEEK TO VISIT HOMELESS CAMPS AND SOUP KITCHENS THROUGHOUT READING, PA AND DELIVER FREE PRIMARY CARE TO THIS OFTEN UNDERSERVED POPULATION IN AN ENVIRONMENT THAT IS SAFE, FAMILIAR, AND NON- JUDGMENTAL. THE THREE COMPONENTS OF THE STREET MEDICINE PROGRAM INCLUDE: DELIVERY OF PRIMARY CARE SERVICES TO HOMELESS INDIVIDUALS TO REDUCE ED VISITS, RE-ADMISSIONS, AND LENTH OF STAY; PATIENT CASE MANAGEMENT SERVICES; PATIENT EDUCATION ON AVAILABLE COMMUNITY SERVICES. THE STREET MEDICINE PROGRAM IS GRANT FUNDED AND STAFFED BY TH VOLUNTEERS THAT INCLUDE PHYSICIANS AND NURSING STAFF. SUPPORT ORGAN DONATION COMMUNICATION AND PROCESS; EARNED RECOGNITION FROM THE US DEPARTMENT OF HEALTH AND HUMAN SERVICES FOR LEVEL OF SUCCESS. MAINTAIN HELPLINE (CALL CENTER) FOR FREE INFORMATION ON HOSPITAL SERVICES, PHYSICIANS, HEALTH TOPICS, AND /OR LOCAL SUPPORT GROUPS. EDUCATING HEALTHCARE PROFESSIONALS/CONDUCTING APPROPRIATE RESEARCH PREPARING STUDENTS FOR CAREERS IN HEALTH CARE HOSPITAL SCHOOLS ENROLLED GRADUATED CLINICAL PASTORAL EDUCATION 10 5 NURSING 230 94 PARAMEDIC INSTITUTE 67 9 MEDICAL IMAGING 32 15 SURGICAL TECH 13 7 PHYSICIANS IN RESIDENCIES 88 32 MEDICAL STUDENTS IN CLERKSHIPS 201 NA ONGOING EDUCATION/RESEARCH OPPORTUNITIES FOR CURRENT HEALTHCARE PROFESSIONALS: OFFICE OF RESEARCH CONTINUES TO STIMULATE LOCAL RESEARCH THAT WILL BRING LEADING-EDGE TREATMENT OPTIONS TO BERKS COUNTY. WORKS IN CONJUNCTION WITH HOSPITAL'S INSTITUTIONAL REVIEW BOARD THAT MONITORS ALL CLINICAL RESEARCH PROJECTS CONDUCTED AT READING HOSPITAL. ACCREDITED BY THE PENNSYLVANIA MEDICAL SOCIETY TO SPONSOR CONTINUING MEDICAL EDUCATION FOR PHYSICIANS. CME DEPARTMENT WITHIN ACADEMIC AFFAIRS DIVISION OVERSEES DEPARTMENT-BASED PROGRAMS FOR CME CATEGORY1 AND CATEGORY 2 CREDITS. PROVIDES ONGOING EDUCATION FOR STAFF IN ALL CLINICAL DEPARTMENTS. 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 RH WHICH IS AN ACUTE CARE HOSPITAL. PHYSICIANS CAN REFER PATIENTS TO THE ACUTE CARE HOSPITAL FOR FURTHER TREATMENT. ADDITIONAL INFORMATION PART II COMMUNITY BUILDING ACTIVITIES: WORKFORCE DEVELOPMENT - THE RECRUITMENT OF PHYSICIANS AND OTHER HEALTH PROFESSIONALS TO AREAS DESIGNATED AND UNDERSERVED. COLLABORATED WITH EDUCATION INSTITUTIONS TO TRAIN AND RECRUIT HEALTH PROFESSIONALS NEEDED IN THE COMMUNITY. THESE DOLLARS ENCOMPASSED HIGH SCHOOL VISITS, AND OUR MEDICAL EXPLORERS PROGRAM (GEARED TOWARDS HIGH SCHOOL STUDENTS), TO DRIVE ENTRY INTO THE HEALTHCARE FIELD. PART III, LINE 3 IN PRIOR YEARS, THE HOSPITAL UTILIZED A PRODUCT THROUGH THE ADVISORY BOARD WHICH PROJECTED THE PATIENTS ELIGIBILITY FOR CHARTY. SAME METHODOLOGY WAS USED TO ESTIMATE THE PORTION OF BAD DEBT AS A COMMUNITY BENEFIT. PART V, SECTION B, LINE 7A LINK TO THE READING HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT: HTTPS://READING.TOWERHEALTH.ORG/APP/FILES/PUBLIC/308/2016CHNA.PDF PART V, SECTION B, LINE 10A LINK TO THE READING HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT IMPLEMENTATION PLAN: HTTPS://READING.TOWERHEALTH.ORG/APP/FILES/PUBLIC/312/CHNA-IMPLEMENTATION- PLAN-2017.PDF PART V, SECTION B, LINE 16 A-C LINK TO FINANCIAL ASSISTANCE POLICY (FAP), APPLICATION AND PLAIN LANGUAGE SUMMARY. HTTPS://READING.TOWERHEALTH.ORG/PATIENTS-FAMILIES/BILLING- INSURANCE/FINANCIAL-ASSISTANCE/ X true true X X X X X X false true false false false false false false false CLINT MATTHEWS PRESIDENT & CEO 982825 360000 319400 372726 35642 2070593 287430 CHARLES BARBERA MD BOARD MEMBER 472805 85104 13003 187079 19957 777948 GREG SORENSEN MD CMO 454579 114039 464936 193138 18373 1245065 446116 THERESE SUCHER COO 574953 152472 158400 225635 41607 1153067 141410 GARY F CONNER CFO/TREASURER 500890 129451 48264 137500 26724 842829 DAN AHERN SENIOR VP 420039 117497 9300 107901 31372 686109 KATHLEEN WETZEL SECRETARY 212326 46839 1280 99968 20371 380784 MARY AGNEW VP/CHIEF NURSING OFF 333039 78786 1990 115894 21741 551450 CARL SEIDL VICE PRESIDENT 277219 62906 8150 99995 12231 460501 MARK MCNASH VICE PRESIDENT 252596 59130 1053 84212 16121 413112 JACOB D MCKNIGHT VICE PRESIDENT 347400 73746 2409 136646 15195 575396 RUSSELL H SHOWER VICE PRESIDENT 328000 78406 700 33800 19000 459906 DAVID A SCHLAPPY VICE PRESIDENT 312652 67146 460 31982 30251 442491 ROBERT S JONES DO PHYSICIAN 275001 76313 16760 116384 12892 497350 MICHAEL T BROWN MD PHYSICIAN 270005 93658 18453 4166 386282 SCHEDULE J, PAGE 1, PART I, LINE 4 CLINT MATTHEWS 0 660,156 0 GREG SORENSEN, MD 0 639,254 0 THERESE SUCHER 0 367,045 0 SCHEDULE J, PART III PART I, LINE 1B - WRITTEN REIMBURSEMENT POLICY SOCIAL CLUB DUES IS PART OF THE EXECUTIVE COMPENSATION PACKAGE FOR THE CEO AND IS TAXABLE INCOME TO THE CEO. WEIDENHAMMER SYSJ WEIDENHAMMER OWNER 894587 IT SUPPORT false FORM 990 - ORGANIZATION'S MISSION THE MISSION OF THE READING HOSPITAL IS TO PROVIDE COMPASSIONATE, ACCESSIBLE, HIGH QUALITY, COST EFFECTIVE CARE TO THE COMMUNITY: TO PROMOTE HEALTH; TO EDUCATE HEALTHCARE PROFESSIONALS; AND TO PARTICIPATE IN APPROPRIATE CLINICAL RESEARCH. ASK SOMEONE TO DEFINE A HOSPITAL'S ROLE IN THE COMMUNITY, AND MOST OFTEN YOU HEAR ABOUT SERVICES AND DEPARTMENTS, OR ABOUT DOCTORS, NURSES AND OTHER CAREGIVERS. IN ADDITION TO ITS PRIMARY ROLE AS A PROVIDER OF DIRECT CARE, TOWER HEALTH ADDRESSES ISSUES OUTSIDE THAT REALM THAT IMPACT HEALTH AND WELLNESS. IN FACT, A KEY PART OF OUR MISSION MEANS THE REINVESTMENT OF OUR RESOURCES INTO THESE EFFORTS, WHICH ARE COLLECTIVELY KNOWN AS COMMUNITY BENEFIT. WE ARE PROUD TO REPORT THAT IN OUR LAST FISCAL YEAR, WE COMMITTED MORE THAN 169 MILLION TO THIS CAUSE. OUR CAREGIVERS AND SUPPORT STAFF PARTICIPATE IN HEALTH EDUCATION, FREE SCREENINGS, AND IMMUNIZATIONS. THEY SUPPORT ACTIVITIES FOR INDIVIDUALS WITH SERIOUS OR CHRONIC HEALTH CONDITIONS, ADVANCE SELF-CARE BY INCREASING HEALTHCARE KNOWLEDGE, AND ADDRESS SPECIFIC COMMUNITY NEEDS THROUGH AN ARRAY OF OTHER EDUCATIONAL, SERVICE AND OUTREACH ACTIVITIES. HERE ARE A FEW EXAMPLES OF WHY THESE PROGRAMS REPRESENT THE BEST OF ALL OF US, WORKING TOGETHER FOR THE HEALTH OF OUR COMMUNITY. COMMUNITY HEALTH IMPROVEMENT SERVICES ARE CARRIED OUT TO IMPROVE COMMUNITY HEALTH. THEY EXTEND BEYOND PATIENT CARE ACTIVITIES AND ARE SUBSIDIZED BY TOWER HEALTH. PROGRAMS ARE OFFERED FOR FREE OR AT A VERY NOMINAL FEE TO ALL COMMUNITY MEMBERS. READING HEALTH SYSTEM PROVIDES HEALTH EDUCATION PROGRAMS DESIGNED TO EDUCATE AND IMPROVE THE HEALTH OF THE COMMUNITY. FREE COMMUNITY BASED CLINICAL CARE IS OFFERED AT VARIOUS TIMES THROUGHOUT THE YEAR AND INCLUDE FREE FLU SHOTS AND CANCER SCREENINGS, WHICH INCLUDE SKIN, CERVICAL, BREAST, AND ORAL. DURING FY 2017 APPROXIMATELY 2,180 FLU VACCINES WERE PROVIDED TO COMMUNITY MEMBERS FREE OF CHARGE AND OVER 115 FREE CANCER SCREENINGS WERE GIVEN AND 47 AUTISM SCREENINGS. PRESCRIPTION MEDICATIONS, MEDICAL EQUIPMENT AND TRANSPORTATION WAS ALSO PROVIDED FREE OF CHARGE FOR PATIENTS WHO DEMONSTRATE NEED. HEARTSAFE BERKS COUNTY IS AN INNOVATIVE PROGRAM THAT PLACES AUTOMATIC EXTERNAL DEFIBRILLATORS (AEDS) IN KEY INSTITUTIONS THROUGHOUT THE COUNTY. AN AED CAN HELP REVIVE A PERSON WHOSE HEART HAS STOPPED BEFORE EMERGENCY MEDICAL PERSONNEL ARRIVE. DIVERSITY AND CONSUMER ENGAGEMENT POSITION WAS CREATED TO SUPPORT TOWER HEALTH COMMUNITY ENGAGEMENT ENDEAVORS. THIS DEPARTMENT WILL BE RESPONSIBLE FOR DELIVERY OF STRATEGIC HEALTH SERVICES FOR UNDERSERVED POPULATION. COMMUNITY BENEFIT TOTAL: 169,914,556 (FISCAL YEAR 2017) DIRECT PATIENT CARE UNREIMBURSED MEDICARE: 53.6 MILLION THE DIFFERENCE BETWEEN MEDICARE CHARGES AND MEDICARE PAYMENTS AND THE ACTUAL COST OF PROVIDING PATIENT CARE. UNREIMBURSED MEDICAID: 51.1 MILLION THE DIFFERENCE BETWEEN MEDICAL ASSISTANCE CHARGES AND MEDICAID PAYMENTS AND THE ACTUAL COST OF PROVIDING PATIENT CARE. BAD DEBT: 7.9 MILLION THE COST OF PROVIDING CARE TO PATIENTS WHOM WE BELIEVE WOULD QUALIFY FOR FINANCIAL ASSISTANCE UNDER OUR CHARITY CARE POLICY. UNCOMPENSATED CHARITY CARE: 25.7 MILLION FREE HEALTH SERVICES PROVIDED TO PERSONS WHO MEET OUR CRITERIA FOR FINANCIAL ASSISTANCE. THIS AMOUNT REFLECTS THE ACTUAL COST OF PROVIDING CARE. COMMUNITY HEALTH IMPROVEMENT SERVICES PATIENT CARE COMMUNITY SERVICES: 3.9 MILLION INCLUDES FREE FLU SHOTS, CANCER SCREENINGS, MEDICATIONS, MEDICAL EQUIPMENT AND TRANSPORTATION FOR COMMUNITY MEMBERS; FREE INTERPRETING SERVICES; AND FREE COMMUNITY HELP LINE. COMMUNITY HEALTH EDUCATION: .9 MILLION INCLUDES HEALTH EDUCATION PROGRAMS, CPR CLASSES, SUPPORT GROUPS AND FREE WORKSITE HEALTH EDUCATION PROGRAMS THAT IMPROVE COMMUNITY HEALTH. CONTRIBUTIONS: 1.1 MILLION MONETARY SUPPORT GIVEN TO THE WEST READING & LOCAL COMMUNITIES. FINANCIAL AND IN-KIND DONATIONS: .5 MILLION CONTRIBUTIONS MADE BY RH AND ITS EMPLOYERS TO COMMUNITY NON-PROFIT ORGANIZATIONS. CASH AND IN-KIND DONATIONS WERE MADE TO NON-PROFIT ORGANIZATIONS, NOT AFFILIATED WITH TOWER HEALTH, AND WHOSE PROGRAMS AND OR SERVICES SHARE THE MISSION OF TOWER HEALTH. EXAMPLES OF SUPPORTED NON-PROFIT ORGANIZATIONS ARE THE AMERICAN CANCER SOCIETY, AMERICAN HEART ASSOCIATION, CENTRO HISPANO, BERKS COMMUNITY HEALTH CENTER, READING BERKS SCIENCE FAIR, CAREN FOUNDATION, READING CHAMBER OF COMMERCE AND OTHER NON- PROFIT ORGANIZATIONS. 750 FREE TURKEYS ARE GIVEN TO THE SALVATION ARMY EACH YEAR TO ASSIST NEEDY FAMILIES IN BERKS COUNTY. ALL EMPLOYEES ARE OFFERED THE OPPORTUNITY TO HELP THE COMMUNITY THROUGH THE READING HEALTH SYSTEM'S EMPLOYEE ENGAGEMENT INITIATIVE. TOWER HEALTH OFFERS A FREE PHONE BASED COMMUNITY HELPLINE TO ASSIST COMMUNITY MEMBERS TO CONNECT WITH SERVICES PROVIDED WITHIN THE HEALTH SYSTEMAND THE COMMUNITY. PROFESSIONAL EDUCATION AND CLINICAL RESEARCH MEDICAL EDUCATION FOR PHYSICIANS/MEDICAL STUDENTS: 20.9 MILLION INCLUDES SALARIES AND BENEFITS FOR MEDICAL RESIDENTS, MEDICAL LIBRARY, AND CONTINUING MEDICAL EDUCATION PROGRAMS AVAILABLE TO ALL PHYSICIANS WITHIN THE COMMUNITY. NURSING AND OTHER HEALTH PROFESSIONAL EDUCATION INCLUDES NURSING, PARAMEDIC AND PASTORAL CARE EDUCATION THAT RESULT IN A DEGREE, CERTIFICATE OR TRAINING NECESSARY TO BE LICENSED TO PRACTICE AS A HEALTH PROFESSIONAL. INCLUDES CONTINUING MEDICAL EDUCATION PROGRAMS OFFERED TO ALL NURSES IN THE COMMUNITY. CONTINUING MEDICAL EDUCATION IS OFFERED TO ALL PHYSICIANS, NURSES AND OTHER HEALTH PROFESSIONALS WITHIN THE COMMUNITY ON SUBJECTS FOR WHICH OUR ORGANIZATION HAS SPECIAL EXPERTISE. CANCER CLINICAL RESEARCH AND TUMOR REGISTRY: 2.1 MILLION INCLUDES RESEARCH AND CLINICAL TRIALS IN THE AREAS OF CANCER, AND TUMOR REGISTRY EXPENSES. READING HEALTH SYSTEM PARTICIPATES IN CANCER CLINICAL HEALTH RESEARCH THAT IS SHARED WITH OTHERS OUTSIDE OF OUR SYSTEM. BECAUSE OF THE HOSPITAL'S DEDICATION TO CLINICAL RESEARCH AND OUR AFFILIATIONS WITH VARIOUS NATIONAL ORGANIZATIONS, WE ARE ABLE TO PROVIDE PATIENTS, IN OUR COMMUNITY, WITH THE OPPORTUNITY TO PARTICIPATE IN THE SAME RESEARCH STUDIES BEING OFFERED AT LARGE UNIVERSITY HOSPITALS THROUGHOUT THIS NATION. THIS INCLUDES RESEARCH AND CLINICAL TRIALS IN THE AREA OF CANCER AND INCLUDES TUMOR REGISTRY EXPENSES. BASED UPON THE COMMUNITY HEALTH NEEDS ASSESSMENT, READING HEALTH SYSTEM IDENTIFIED SEVERAL HIGH-PRIORITY ISSUES FOR OUR FOCUS; OBESITY, MENTAL HEALTH, ACCESS TO CARE, AND ADDICTION. TO HELP ORGANIZE OUR EFFORTS AND KEEP THESE KEY ISSUES IN FRONT OF THE COMMUNITY, READING HEALTH SYSTEM DEVELOPED A COMMUNITY HEALTH DEPARTMENT. THIS DEPARTMENT WILL FOSTER PARTNERSHIPS WITH COMMUNITY ORGANIZATIONS SO THAT WE CAN WORK TOGETHER TO DEVELOP, IMPLEMENT, AND EVALUATE PROGRAMS TO IMPROVE OUR COMMUNITIES HEALTH. WE ARE HOPEFUL OUR EFFORTS WILL EMPOWER MORE PEOPLE TO MANAGE THEIR HEALTH BEHAVIORS AND THEREBY EXPERIENCE A BETTER QUALITY OF LIFE. FORM 990, PAGE 1, PART I, LINE 6 FRIENDS OF READING HOSPITAL FINANCIAL DONATION AND 988 VOLUNTEERS (46,305 HOURS) DONATED THIER TIME TO SUPPORT VARIOUS PROJECTS SUCH AS PROVIDING KNITTED BABY CAPS, CHEMO CAPS, NECK PILLOWS AND EYEGLASS CASES FOR PATIENTS. DONTATED FUNDS FOR AED'S FOR HEARTSAFE BERKS COUNTY, FARM BUCKS, CENTERING PREGNANCY, AND VARIOUS OTHER PROJECTS. FORM 990, PAGE 2, PART III, LINE 4A HOSPITALS IN ITS MARKET. FORM 990, PAGE 2, PART III, LINE 4B COMMITTMENT TO SERVE THE UNDERSERVED POPULATION OF THE CITY. FORM 990, PAGE 2, PART III, LINE 4D EXPENSES ARE FOR TREATING INPATIENTS, OUTPATIENTS AND EMERGENCY PATIENTS FORM 990, PAGE 6, PART VI, LINE 6 READING HEALTH SYSTEM ELECTS THE MEMBERS OF THE GOVERNING BODY FORM 990, PAGE 6, PART VI, LINE 7A THE MANAGEMENT OF THE CORPORATION SHALL BE VESTED IN THE BOARD OF DIRECTORS ELECTED BY THE MEMBER WHO IS THE READING HEALTH SYSTEM. FORM 990, PAGE 6, PART VI, LINE 7B ALL DECISIONS ARE SUBJECT TO APPROVAL BY THE BOARD OF DIRECTORS AS MANAGEMENT OF THE CORPORATION ELECTED BY THE 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 BOARD PORTAL FOR BOARD MEMBERS TO VIEW PRIOR TO FILING. MEMBERS ARE ALERTED TO INFORMATION AND NOTICES. A PAPER COPY OF FORM 990 IS AVAILABLE UPON REQUEST FOR ANY BOARD MEMBER UNABLE TO VEIW THE PORTAL. 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 THE READING HEALTH SYSTEM'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 WHICH INCLUDES KEY EMPLOYEES. FORM 990, PAGE 6, PART VI, LINE 19 THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. FORM 990, PART XI, LINE 9 INTERCOMPANY ASSET TRANSFERS -82,162,528 CONTRIBUTIONS CLASSIFIED AS RESTRICTED ASSETS 2,712,909 ASSETS RELEASED FROM RESTRICTION 2,300,096 PENSION LIABILITY 53,390,841 TOTAL -23,758,682 TOWER HEALTH 420 SOUTH 5TH AVENUE WEST READING PA 19611 232201344 SUPPORTING PA 501C3 12C NA false THE FRIENDS OF THE READING HOSPITAL 420 SOUTH 5TH AVENUE WEST READING PA 19611 236026108 SUPPORTING PA 501C3 12B RHS true THE RDG HOSPITAL & MED CENTER SELF- 420 SOUTH 5TH AVENUE WEST READING PA 19611 232087514 TRUST FUND PA 501C3 12B RHS true TOWER HEALTH MEDICAL GROUP 420 SOUTH 5TH AVENUE WEST READING PA 19611 232266054 HEALTHCARE PA 501C3 3 RHS true THE HIGHLANDS AT WYOMISSING 2000 CAMBRIDGE AVE WYOMISSING PA 19610 222790840 RETIREMENT PA 501C3 10 RHS true TOWER HEALTH PARTNERS 420 SOUTH 5TH AVENUE WEST READING PA 196126052 463459501 HEALTHCARE PA 501C3 3 RHS true READING HOSPITAL FOUNDATION 420 SOUTH 5TH AVENUE WEST READING PA 19611 473054125 SUPPORT PA 501C3 12B RHS true BERKSHIRE HEALTH PARTNERS PO BOX 14744 READING PA 19612 232430798 PPO PA RDG HOSP C CORP 502503 1511638 1.00000 true true false false false false false false false false false false false false false false true true true false TOWER HEALTH MEDICAL GROUO A 2824881 G/L TRANSACTIONS TOWER HEALTH MEDICAL GROUP R 81789000 G/L TRANSACTIONS THE HIGHLANDS AT WYOMISSING Q 16373629 G/L TRANSACTIONS READING HOSPITAL FOUNDATION P 562132 G/L TRANSACTIONS