TY 2019 Form 990

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(1) CLINT MATTHEWS...................................................................... FORMER PRES.	0.00 ................. 60.00					X	1,980,329	0	510,931
(2) THERESE SUCHER...................................................................... FORMER EVP C	0.00 ................. 52.50					X	1,131,410	0	270,168
(3) WILLIAM JENNINGS...................................................................... EVP & CEO RH	52.00 ................. 2.50	X	X				997,940	0	282,007
(4) GARY CONNER...................................................................... FORMER EVP C	0.00 ................. 54.50					X	982,640	0	210,830
(5) GREG SORENSEN MD...................................................................... EVP CMO	26.00 ................. 26.00		X				925,821	0	208,384
(6) DAN AHERN...................................................................... FORMER EVP B	0.00 ................. 52.50					X	841,489	0	203,182
(7) CHARLES BARBERA MD...................................................................... VICE CHAIR 3	2.00 ................. 48.50	X	X				0	632,079	202,703
(8) MARY AGNEW...................................................................... SVP CNO	26.00 ................. 26.50			X			549,623	0	133,838
(9) CECILIA SMITH DO...................................................................... BOARD MEMBER	2.00 ................. 48.50	X					0	597,806	41,980
(10) SUZANNE WENDEROTH MD...................................................................... BOARD MEMBER	2.00 ................. 50.50	X					0	502,514	119,897
(11) MICHELLE TRUPP...................................................................... VP CIO	50.00 .................				X		428,023	0	188,596
(12) MARK G MARTENS...................................................................... VP CHIEF ACA	50.00 .................				X		530,344	0	85,355
(13) RUSSELL H SHOWER...................................................................... SVP CHIEF OF	50.00 .................				X		520,515	0	91,180
(14) ROBERT EHINGER...................................................................... CFO/TREASURE	26.00 ................. 26.00		X				470,496	0	106,777
(15) LUIS A ROSA...................................................................... VP PAYOR CON	50.00 .................				X		506,857	0	57,582
(16) DAVID A SCHLAPPY...................................................................... VP CHIEF OF	50.00 .................				X		403,984	0	73,134
(17) MARK MCNASH...................................................................... VP SUPPORT S	52.00 ................. 0.00			X			371,862	0	101,335

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) CARL SEIDL........................................................................ VICE PRESIDE	52.00 .......................0.00			X	362,934	0	82,240
(19) DAWN ANUSZKIEWICZ........................................................................ COO RH	52.00 .......................0.00		X		326,286	0	24,845
(20) JOHN CASEY MD........................................................................ BOARD MEMBER	50.00 .......................0.50	X			305,019	0	25,423
(21) OLUBUMNI OJIKUTU MD........................................................................ BOARD MEMBER	2.00 .......................48.50	X			0	201,697	54,573
(22) MOLLY DIETRICH........................................................................ SECRETARY	40.00 .......................		X		65,490	0	12,550
(23) KOLIN GOOD MD........................................................................ BOARD MEMBER	2.00 .......................2.50	X			0	20,859	44,004
(24) DAN LANGDON........................................................................ BOARD MEMBER	2.00 .......................0.50	X			0	0	0
(25) PHILIP WEXLER MD........................................................................ BOARD MEMBER	2.00 .......................0.50	X			0	0	0
(26) JACQUE FETROW PHD........................................................................ BOARD MEMBER	2.00 .......................0.50	X			0	0	0
(27) SUSAN LOONEY PHD........................................................................ VICE CHAIR 4	2.00 .......................0.50	X	X		0	0	0
(28) THOMAS FLYNN PHD........................................................................ BOARD MEMBER	2.00 .......................0.50	X			0	0	0
(29) JOHN WEIDENHAMMER........................................................................ CHAIRMAN	2.00 .......................2.50	X	X		0	0	0
(30) BEN ZINTAK........................................................................ BOARD MEMBER	2.00 .......................0.50	X			0	0	0

(A) Name and business address	(B) Description of services	(C) Compensation
STEVENS & LEE PO BOX 679 READING,PA196030679	LEGAL	6,680,351
SAXTON & STUMP LLC 280 GRANITE RUN DRIVE LANCASTER,PA17601	LEGAL	5,174,873
TEKSYSTEMS INC PO BOX 198568 ATLANTA,GA30384	CONSULTING	4,291,319
SECURITY GUARDS INC PO BOX 6283 WYOMISSING,PA19610	SECURITY	3,483,413
BERKS SCHUYLKILL RESPIRATORY SPEC 2608 KEISER BLVD WYOMISSING,PA19610	PHYSICIAN FEES	3,428,160
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 65

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow

Attach to Form 990 or Form 990-EZ.
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Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public
Inspection

Name of the organization

READING HOSPITAL

Employer identification number

23-1352204

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990 or 990-EZ).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box in lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2019

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10

Gross receipts from related activities, etc. (see instructions) ..................

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2019 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2018 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2019. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2018. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2019. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2018. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2019

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose
3	Gross receipts from activities that are not an unrelated trade or business under section 513 .....
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge
6	Total. Add lines 1 through 5
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2019 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2018 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2019 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2018 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2019. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2018. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990 or 990-EZ) 2019

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked 12a of Part I, complete Sections A and B. If you checked 12b of Part I, complete Sections A and C. If you checked 12c of Part I, complete Sections A, D, and E. If you checked 12d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 12a or 12b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990 or 990-EZ) 2019

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

A family member of a person described in (a) above?

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2019

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by .035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2019

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 2019 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2019	(iii) Distributable Amount for 2019
1 Distributable amount for 2019 from Section C, line 6
2 Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2019:
a From 2014.......
b From 2015.......
c From 2016.......
d From 2017.......
e From 2018.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2019 distributable amount
i Carryover from 2014 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2019 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2019 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2019, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2019. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2020. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2015.....
b Excess from 2016.....
c Excess from 2017.....
d Excess from 2018.....
e Excess from 2019.....

Schedule A (Form 990 or 990-EZ) (2019)

Schedule A (Form 990 or 990-EZ) 2019

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990 or 990-EZ) 2019

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2019

Name of the organization

READING HOSPITAL

Employer identification number

23-1352204

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2019)

Schedule B (Form 990, 990-EZ, or 990-PF) (2019) Page 2

Name of organization READING HOSPITAL

Part I Contributors	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

Page 3

Name of organization READING HOSPITAL		Employer identification number 23-1352204

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

Page 4


Name of organization READING HOSPITAL			Employer identification number 23-1352204
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527

SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

Attach to Form 990 or Form 990-EZ.
SchCMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public
Inspection

If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

READING HOSPITAL

Employer identification number

23-1352204

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV (see instructions for definition of “political campaign activities")

Political campaign activity expenditures (see instructions) .................................................................... SchCMd Bullet

Volunteer hours for political campaign activities (see instructions) ..................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b........... SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6

For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2019

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ........................
c	Total lobbying expenditures (add lines 1a and 1b) ............................................................
d	Other exempt purpose expenditures ...............................................................................
e	Total exempt purpose expenditures (add lines 1c and 1d) ..................................................
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................................................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ...................................................................................................................	Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2016	(b) 2017	(c) 2018	(d) 2019	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2019

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes|No

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? ...........................................................................................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Publications, or published or broadcast statements? ...........................................................

Grants to other organizations for lobbying purposes? ..........................................................

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Yes

23,400

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Other activities? ...................................................................................................................

Total. Add lines 1c through 1i ....................................................................................................

23,400

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members ......................................................................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................

Taxable amount of lobbying and political expenditures (see instructions) .........................................

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
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 TOWER HEALTH DURING THESE CHANGING TIMES IN THE HEALTH CARE FIELD. THE LOBBYING ACTIVITY REPORTED IS THE LOBBYING PORTION OF THE HOSPITAL ASSOCIATION OF PENNSYLVANIA (HAP) DUES PAID. THERE IS NO DIRECT LOBBYING BY TOWER HEALTH AND NO ADDITIONAL EXPENSES INCURRED.

Return Reference

Explanation

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 TOWER HEALTH DURING THESE CHANGING TIMES IN THE HEALTH CARE FIELD. THE LOBBYING ACTIVITY REPORTED IS THE LOBBYING PORTION OF THE HOSPITAL ASSOCIATION OF PENNSYLVANIA (HAP) DUES PAID. THERE IS NO DIRECT LOBBYING BY TOWER HEALTH AND NO ADDITIONAL EXPENSES INCURRED.

Schedule C (Form 990 or 990EZ) 2019

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
SchDMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public Inspection

Name of the organization

READING HOSPITAL

Employer identification number

23-1352204

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 7/25/06, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... SchDMd Bullet

(ii)

Assets included in Form 990, Part X ............................... SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2019

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....

Part V

Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a) Current year	(b) Prior year	(c) Two years back	(d) Three years back	(e) Four years back

1a	Beginning of year balance ....
b	Contributions ...
c	Net investment earnings, gains, and losses
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

Term endowment SchDMd Bullet

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) Unrelated organizations .................

3a(i)

(ii) Related organizations .................

3a(ii)

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....	32,716,904		32,716,904
b	Buildings ....	708,111,299	401,853,374	306,257,925
c	Leasehold improvements	7,183,666	4,770,709	2,412,957
d	Equipment ....	1,073,930,086	702,071,191	371,858,895
e	Other .....	99,785,292	2,409,024	97,376,268
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				810,622,949

Schedule D (Form 990) 2019

Page 3

Part VII

InvestmentsOther Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives.........
(2) Closely-held equity interests........
(3)Other
(B)
(C)
(D)
(E)
(F)
(G)
(H)
(I)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1)OPERATING LEASE RIGHT-OF-USE				63,571,832
(2)DUE FROM AFFILIATES				59,050,346
(3)SELF-INSURANCE FUNDING NON-CURRENT				12,317,459
(4)THIRD PARTY RECV'S				11,838,146
(5)SELF-INSURANCE FUNDING CURENT				7,482,000
(6)MALPRACTICE TRUST				2,695,000
(7)DEFERRED TRUST				342,235
(8)SPRING RIDGE JV				58,140
(9)ACADIA JV				-96
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				157,355,062

Part X

Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	844,334,101
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2019

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......			1	1,034,989,068
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................			2e
3	Subtract line 2e from line 1..................			3	1,034,989,068
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b	30,045
c	Add lines 4a and 4b....................			4c	30,045
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	1,035,019,113

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1	971,538,717
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d....................		2e
3	Subtract line 2e from line 1...................		3	971,538,717
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.....................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5	971,538,717

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference

Explanation

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.

SCHEDULE D, PAGE 4, PART XI, LINE 4B

DONATIONS 30,045

Schedule D (Form 990) 2019

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public Inspection

Name of the organization

READING HOSPITAL

Employer identification number

23-1352204

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

Yes

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .	20,864,410		20,864,410	2.150 %
b	Medicaid (from Worksheet 3, column a) . . . . .	181,866,542	114,724,235	67,142,307	6.910 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	202,730,952	114,724,235	88,006,717	9.060 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	3,354,030	127,119	3,226,911	0.330 %
f	Health professions education (from Worksheet 5) . . .	46,472,374	18,455,035	28,017,339	2.880 %
g	Subsidized health services (from Worksheet 6) . . . .
h	Research (from Worksheet 7) .	4,065,815		4,065,815	0.420 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	352,058		352,058	0.040 %
j	Total. Other Benefits . .	54,244,277	18,582,154	35,662,123	3.670 %
k	Total. Add lines 7d and 7j .	256,975,229	133,306,389	123,668,840	12.730 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2019

Schedule H (Form 990) 2019

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(b) Persons served (optional)	(c) Total community building expense	(e) Net community building expense
1	Physical improvements and housing
2	Economic development		4,074	4,074
3	Community support		491	491
4	Environmental improvements		2,784	2,784
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy
8	Workforce development	435	25,565	25,565
9	Other
10	Total	435	32,914	32,914

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

78,053,364

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

46,051,485

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

246,774,987

Enter Medicare allowable costs of care relating to payments on line 5.....

338,172,931

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-91,397,944

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1TRH SURGICENTER LLC	OUTPATIENT SURGERY	50.000 %	50.000 %
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2019

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?1Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
1	READING HOSPITAL 420 SOUTH 5TH AVENUE WEST READING,PA19611 "SEE SUPPLEMENTAL DISCLOSURE" 440401	X	X	X	X

Schedule H (Form 990) 2019

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	READING HOSPITAL
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 19

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): "SEE SUPPLEMENTAL DISCLOSURE"

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 19

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): "SEE SUPPLEMENTAL DISCLOSURE"

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2019

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	READING HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.000000000000%
and FPG family income limit for eligibility for discounted care of 400.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

"SEE SUPPLEMENTAL DISCLOSURE"

The FAP application form was widely available on a website (list url):

"SEE SUPPLEMENTAL DISCLOSURE"

A plain language summary of the FAP was widely available on a website (list url):
"SEE SUPPLEMENTAL DISCLOSURE"

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2019

Page 6

Part VFacility Information (continued)

Billing and Collections

	READING HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2019

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	READING HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2019

Page 8

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
FACILITY 1, READING HOSPITAL - PART V, LINE 3J	THE BELOW NARRATIVE RELATES TO PART V, LINE 3I - IMPACT OF ACTIONS TAKEN TO ADDRESS THE SIGNIFICANT HEALTH NEEDS IN THE HOSPITAL FACILITY'S PRIOR CHNA(S). THE COMMUNITY HEALTH NEEDS ASSESSMENT IN 2016 IDENTIFIED THE FOLLOWING SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY: OBESITY, MENTAL HEALTH, ADDICTION AND ACCESS TO CARE. THE ACTIONS TAKEN WERE AS FOLLOWS: (1)OBESITY - MORE THAN 200,000 RESIDENTS ARE OVERWEIGHT OR OBESE. READING HOSPITAL INCREASED THE NUMBER OF F.I.T.T. (FUND ACTIVE HEALTHY YOUTH) PROGRAM SESSIONS FROM ONCE TO TWICE PER YEAR. THERE HAS BEEN AN INCREASE IN PARTICIPATION WITH THE ADDITION OF THESE SESSIONS. THE BE WELL BERKS GRANT PROGRAM WAS CREATED AS A MEANS TO INVEST DOLLARS INTO COMMUNITY ORGANIZATIONS SEEKING TO ADDRESS AND REDUCE OBESITY AMONG RESIDENTS. TWO PROGRAMS THAT WERE FUNDED THROUGH THIS PROGRAM WERE THE ANTIETAM SCHOOL DISTRICT - ANTIETAM FIT PROGRAM AND NEW JOURNEY COMMUNITY OUTREACH, INC. - FIGHTING POVERTY, FEEDING HOPE PROJECT. READING HOSPITAL ALSO PARTNERED WITH ZAGSTER, INC. TO IMPLEMENT A BIKE SHARE PROGRAM FOR ITS STAFF. (2)MENTAL HEALTH - MORE THAN 175,000 RESIDENTS SUFFER FROM ANXIETY OR DEPRESSIVE DISORDERS. TO ADDRESS THIS ISSUE, READING HOSPITAL EMBEDDED INTEGRATED CARE CLINICIANS WHO PROVIDE SERVICES AT 8 SITES TO PROVIDE BRIEF SUPPORTIVE THERAPY TO ASSIST WITH CURRENT CRISES, INTERMITTENT CONTACTS TO ASSIST WITH ONGOING MAINTENANCE OF GAINS, AND REFERRALS TO BEHAVIORAL HEALTH PROVIDERS AS NEEDED. READING HOSPITAL ALSO PARTNERED WITH SCREENING FOR MENTAL HEALTH, INC. TO IMPLEMENT A MINDKARE KIOSK AIMED AT REDUCING MENTAL HEALTH STIGMA. THE BE WELL BERKS GRANT PROGRAM ALSO AWARDED FUNDING TO BERKS COUNSELING CENTER TO TRAIN PEERS IN WHOLE HEALTH ACTION MANAGEMENT (WHAM) AND COMMUNITY MEMBERS IN MENTAL HEALTH FIRST AID (MHFA) TRAINING. (3)ADDICTION - RESIDENTS LACK ACCESS TO COORDINATED, COMMUNITY-BASED TREATMENT. READING HOSPITAL WAS THE RECIPIENT OF A GRANT FROM THE DEPARTMENT OF HUMAN SERVICES AND WAS DESIGNATED ON OPIOID USE DISORDER CENTER OF EXCELLENCE (COE). THE COE RESPONDED TO MORE THAN 1,200 REFERRALS AND PROVIDED COORDINATED, COMMUNITY-BASED CASE MANAGEMENT TO MORE THAN 700 PATIENTS THE HOSPITAL INSTITUTED A 24/7 WARM HANDOFF AND CREATED CARE TEAMS CONSISTING OF THERAPISTS, NURSES, PROVIDERS, AND CARE COORDINATORS TO PROVIDE COMPREHENSIVE CARE THAT ADDRESSES PHYSICAL, EMOTIONAL, AND BEHAVIORAL NEEDS OF PATIENTS STRUGGLING WITH ADDICTION. (4)ACCESS - UNMET SOCIAL NEEDS AND LACK OF CULTURALLY COMPETENT CARE CREATES BARRIERS. READING HOSPITAL RECEIVED A 4.5M GRANT FROM CENTER FOR MEDICARE AND MEDICAID SERVICES TO IMPLEMENT THE ACCOUNTABLE HEALTH COMMUNITIES MODEL, KNOWN AT THE HOSPITAL AS THE COMMUNITY CONNECTION PROJECT (CCP), TO IDENTIFY AND ADDRESS UNMET SOCIAL NEEDS WITHIN THE MEDICARE AND MEDICAID PATIENT POPULATIONS. TOWER HEALTH MEDICAL GROUP'S STREET MEDICINE PROGRAM PROVIDED PRIMARY CARE TO HOMELESS INDIVIDUALS IN SOUP KITCHENS, HOMELESS SHELTERS, AND TENT SITES. SINCE ITS INCEPTION, THE PROGRAM HAS PROVIDED CARE TO OVER 900 UNIQUE PATIENTS MIDPENN LEGAL SERVICES WAS AWARDED FUNDING FROM THE BE WELL BERKS GRANT PROGRAM TO IMPLEMENT A MEDICAL LEGAL PARTNERSHIP PROGRAM. TO IMPROVE CULTURALLY COMPETENT CARE, READING HOSPITAL IMPLEMENTED CULTURAL COMPETENCY TRAINING FOR STAFF. A NUMBER OF WORKPLACE AND VIRTUAL EXPERIENCE OPPORTUNITIES WERE MADE AVAILABLE TO STUDENTS FROM DIVERSE BACKGROUND TO ENCOURAGE SELECTION OF HEALTHCARE AS A CAREER PATH.
FACILITY 1, READING HOSPITAL - PART V, LINE 5	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 SURVEY INDIVIDUALS WERE INVITED TO PARTICIPATE IN A COMMUNITY DATA WALK TO ASSIST WITH PRIORTIZING THE DATA.
FACILITY 1, READING HOSPITAL - PART V, LINE 7D	LINK TO THE READING HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT: HTTPS://WWW.TOWERHEALTH.ORG/LOCATIONS/READING-HOSPITAL/ABOUT/COMMUNITY/ COMMUNITY-HEALTH-NEEDS-ASSESSMENT LINK TO THE READING HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT/ IMPLEMENTATION STRATEGY FOR THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT WAS COMPLETED IN NOVEMBER 2019 AND CAN BE FOUND AT HTTPS://WWW.TOWERHEALTH.ORG/LOCATIONS/READING-HOSPITAL/ABOUT/COMMUNITY/ COMMUNITY-HEALTH-NEEDS-ASSESSMENT
FACILITY 1, READING HOSPITAL - PART V, LINE 11	READING HOSPITAL 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: 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. READING HOSPITAL WILL UTILIZE GSI TECHNOLOGY TO IDENTIFY SUBPOPULATIONS WHO ARE AT RISK FOR HIGHER READMISSION RATES AND CHRONIC CONDITIONS OR DISEASES AND OVERLAY THIS WITH DATA SETS TO HELP SUPPORT PROGRAM DEVELOPMENT, PLACEMENT OF SERVICES, AND MESSAGING. THE INFORMATION GATHERED FROM THIS RESEARCH WILL PROVIDE SUPPORT AND DEVELOPMENT OF CURRENT PROGRAMS THAT DELIVER CARE TO VULNERABLE POPULATIONS (I.E. STREET MEDICINE, COMMUNITY PARAMEDICINE, AND REMOTE PATIENT MONITORING PROGRAMS), AS WELL AS TO DEVELOP PLANS TO INCREASE ACCESS TO SPECIALTY CARE THROUGH VIRTUAL OFFICE VISITS, TELECART, MOBILE APPS, AND TELEMEDICINE. BY STREAMLINING AN ADVANCED ACCESS CENTER WILL PROVIDE EASE OF ACCESS FOR COMMUNITY MEMBERS SEEKING TO SCHEDULE APPOINTMENTS WITH AMBULATORY AND SPECIALTY CARE SERVICE LINES. READING HOSPITAL WILL WORK TO IMPROVE CULTURAL SENSITIVITY OF STAFF BY CONDUCTING CULTURAL AWARENESS TRAININGS AND CREATING A DIVERSITY AND INCLUSION COUNCIL FOR PROVIDERS AND OTHER CLINICAL AND NON-CLINICAL STAFF TO PARTICIPATE. READING HOSPITAL WILL ALSO WORK TO INCREASE PARTICIPATION IN PROGRAMS DESIGNED TO EDUCATION STUDENTS ABOUT CAREERS IN HEALTHCARE - MEDICAL EXPLORERS, JOB SHADOWING, HIGH SCHOOL AND COLLEGE INTERNSHIP PROGRAMS, AND ADVENTURES IN HEALTH SCIENCE AND MEDICINE - THROUGH PROGRAM PROMOTION. SOCIAL DETERMINANTS OF HEALTH: THE GOAL IS TO IDENTIFY AND ADDRESS SOCIAL DETERMINANTS OF HEALTH (SDOH). READING 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. THROUGH THE MEDICAL LEGAL PARTNERSHIP PROGRAM, READING HOSPITAL WILL UTILIZE AN IN-HOUSE ATTORNEY TO ASSIST PATIENTS WITH LEGAL ISSUES THAT HAVE AN ADVERSE EFFECT ON HEALTH (I.E. HOUSING, INCOME STABILITY, ETC.) TO HELP REDUCE TRANSPORTATION BARRIERS, READING HOSPITAL WILL IMPLEMENT THE RIDE HEALTH PROGRAM. READING HOSPITAL WILL ALSO IMPLEMENT COMMUNITY-BASED INTERVENTION INITIATIVES, SPECIFICALLY A COMMUNITY HEALTH WORKER PROGRAM TO WORK WITH PEDIATRIC ASTHMA PATIENTS, THEN SEEK TO EXPAND THE PROGRAM TO ADDITIONAL POPULATIONS. DISEASE PREVENTION & MANAGEMENT: THIS GOAL IS TO IMPLEMENT CHRONIC DISEASE PREVENTION AND MANAGEMENT PROGRAMS IN THE PRIMARY SERVICE AREA, SPECIFICALLY TARGETING VULNERABLE POPULATIONS. READING HOSPITAL WILL CONDUCT MULTIPLE CANCER SCREENING EVENTS FOR THE COMMUNITY, INCLUDING CERVICAL CANCER, BREAST CANCER, ORAL CANCER, AND SKIN CANCER SCREENINGS. READING HOSPITAL WILL IMPLEMENT SHORT AND LONG-TERM WELLNESS INITIATIVES THROUGH TOWER WELLNESS PROGRAMS, ENCOURAGE COMMUNITY PARTICIPATION IN BERKS TRAIL CHALLENGE, INCREASE PHYSICAL ACTIVITY AND HEALTH EATING HABITS AMONG SCHOOL-AGED YOUTH THROUGH THE F.I.T.T. PROGRAM, AND ENCOURAGE STAFF TO UTILIZE THE BIKE SHARE PROGRAM AS A FORM OF EXERCISE. READING HOSPITAL WILL PARTNER WITH COMMUNITY ORGANIZATIONS TO INCREASE ACCESS TO HEALTHY FOOD. ACCESS TO BEHAVIORAL HEALTH SERVICES: THE GOAL IS TO IMPROVE ACCESS TO SCREENING, ASSESSMENT, TREATMENT, AND SUPPORT FOR BEHAVIORAL HEALTH. READING HOSPITAL'S CENTER OF EXCELLENCE (COE) WILL SCREEN PATIENTS FOR OPIOID USE DISORDER (OUD) AND DETERMINE THE APPROPRIATE LEVEL OF CARE VIA STANDARDIZED PROCESSES (SBIRT) AND TOOLS (ASAM PLACEMENT CRITERIA). TOWER BEHAVIORAL HEALTH, A JOINT VENTURE WITH ACADIA, WILL BUILD A NEW 144-BED IMPATIENT BEHAVIORAL HEALTH FACILITY. MINDKARE'S KIOSK AND ONLINE FREE, ANONYMOUS, CONFIDENTIAL MENTAL HEALTH SCREENING TOOL WILL BE PROMOTED THROUGHOUT THE COMMUNITY. READING HOSPITAL'S BEHAVIORAL HEALTH INTEGRATION PROGRAM WILL INTEGRATE THERAPISTS INTO PRIMARY CARE PRACTICES WHERE PATIENTS WILL BE SCREENED FOR DEPRESSION, AND THOSE WHO SCREENED POSITIVE WILL BE CONNECTED TO THE EMBEDDED THERAPIST FOR ASSISTANCE. READING HOSPITAL WILL ALSO SEEK TO DECREASE THE STIGMA RELATED TO BEHAVIORAL HEALTH BY PARTNERING WITH BERKS COUNSELING CENTER TO CONDUCT MENTAL HEALTH FIRST AID TRAININGS FOR STAFF AND THE COMMUNITY. LIST OF HEALTH NEEDS THE FACILITY DOES NOT PLAN TO ADDRESS: READING HOSPITAL DOES NOT INTEND TO ADDRESS DIABETES AS A STAND-ALONE CONDITION. RATHER IT WILL BE CATEGORIZED AS A CHRONIC DISEASE AND WILL BE ADDRESSED IN THE CHRONIC DISEASE MANAGEMENT STRATEGY. DENTAL HEALTH, TOBACCO AND STDS WILL BE ADDRESSED THROUGH ONGOING HEALTH SYSTEM INITIATIVES AND/OR IN COLLABORATION WITH ESTABLISHED 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. 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 PATIENT FINANCIAL SERVICES 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 INFORMAITON 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 PROVERTY LEVEL (FPL). 8. THE MCR FFS (MEDICARE FEE FOR SERVICE) IS USED TO DETERMINE 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 READING HOSPITAL BECOMES AWARE OF THE FINANCIAL NEED, THE GREATER OPPORTUNITY EXISTS TO SUCCESSFULLY CONNECT THE PATIENT WITH POTENTIAL RESOURCES SUCH AS MEDICAID 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 FINANCIAL ASSISTANCE AT ANY POINT IN THE BILLING AND COLLECTION CYCLE. IF THE FINANCIAL ASSISTANCE APPLICATION IS INITIATED WHILE THE ACCOUNT IS IN THE COLLECTION'S PROCESS, COLLECTION ACTIVITY WILL CEASE UNTIL DETERMINATION OF ELIGIBILITY HAS BEEN MADE.
FACILITY 1, READING HOSPITAL - PART V, LINE 16J	THIS NARRATIVE COVERS LINE 16A-C AND J: THE CURRENT PATIENT FINANCIAL ASSISTANCE POLICY, PLAIN LANGUAGE POLICY AND APPLICATIONS FOR FINANCIAL ASSISTANCE, IN ENGLISH AND SPANISH, ARE ACCESSIBLE AT HTTPS://WWW.TOWERHEALTH.ORG/LOCATIONS/READING- HOSPITAL/BILLING/FINANCIAL-ASSISTANCE. ADDITIONALLY, TOWER HEALTH MAINTAINS, AND CONTINUOUSLY UPDATES THE 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 THE FOLLOWING READING HOSPITAL WEBSITE ADDRESS: HTTPS://WWW.TOWERHEALTH.ORG/PROVIDERS/. ADDITIONALLY, A PAPER COPY CAN BE OBTAINED AT NO COST BY CALLING 484-628-5683. FEES FOR SERVICES PROVIDED BY PHYSICIANS WHO ARE NOT EMPLOYED BY READING HOSPITAL 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 READING HOSPITAL. THESE PAMPHLETS PROVIDE AN EASY-TO-READ SUMMARY OF THE FINANCIAL ASSISTANCE PROGRAM, WITH CONTACT INFORMATION OF READING HOSPITAL EMPLOYEES WHO WILL ASSIST THE PATIENTS WITH THE APPLICATION PROCESS. THESE PAMPHLETS ARE ALSO DISTRIBUTED TO PATIENTS AT THE POINTS OF REGISTRATION THROUGHOUT READING 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 READING 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. READING HOSPITAL WORKS CLOSELY WITH ADVOCACY PROGRAMS IN THE COMMUNITY. THE AVAILABILITY OF READING HOSPITAL FINANCIAL ASSISTANCE POLICY IS SHARED WITH THOSE AGENCIES. EXAMPLES ARE BERKS WESTERN CLINIC, OPPORTUNITY HOUSE, BERKS ENCORE, BERKS COMMUNITY HEALTH CENTER AND DANIEL TORRES HISPANIC CENTER, AS WELL AS THE COUNTY ASSISTANCE OFFICE.

Schedule H (Form 990) 2019

Page 9

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?1
Name and address		Type of Facility (describe)
1	TRHMC SURGICENTER AT SPRING RIDGE 2603 KEISER BLVD READING,PA19610	AMBULATORY SURGERY CENTER
2
3
4
5
6
7
8
9
10

Schedule H (Form 990) 2019

Page 10

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
SCHEDULE H, PART I, LINE 3C	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 THE HOUSEHOLD FALLS IN THE FEDERAL POVERTY LEVEL GUIDELINE (FPL). THE FPL CATEGORY WILL DETERMINE THE PATIENT OR GUARANTOR CONTRIBUTION AMOUNT TOWARD THEIR MEDICAL BILL.
SCHEDULE H, PART I, LINE 7G	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 79,181, IN 2019. 34.94% OF THE RESIDENTS OF THE CITY LIVE BELOW FEDERAL POVERTY LEVELS. THE HEALTHCARE 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 55% OF BERKS COUNTY PATIENTS REQUIRING INPATIENT SERVICES FOR SUBSTANCE ABUSE. THE OTHER NON-PROFIT HOSPITAL IN THE AREA SERVES ONLY 4% 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.
SCHEDULE H, PART I, LINE 7	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.
SCHEDULE H, PART III, LINE 2	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.
SCHEDULE H, PART III, LINE 3	IN PRIOR YEARS, THE HOSPITAL UTILIZED A PRODUCT THROUGH THE ADVISORY BOARD TO PROJECT THE PERCENTAGE OF PATIENTS ELIGIBLE FOR CHARITY. THE HOSPITAL ENDED THE RELATIONSHIP WITH THE ADVISORY BOARD, BUT LEVERAGED THE METHODOLOGY USED BY THE ADVISORY BOARD TO ESTIMATE THE CURRENT YEAR AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY.
SCHEDULE H, PART III, LINE 8	THE HOSPITAL USES REPORTS FROM THE MEDICARE PROVIDER STATISTICAL AND REIMBURSEMENT SYSTEM TO CALCULATE THE GROSS PATIENT CHARGES AND GOSS REIMBURSEMENT PAYMENTS. A RATIO OF COST TO CHARGES IS APPLIED TO THE GROSS PATIENT CHARGES TO CALCULATE THE COMMUNITY BENEFIT EXPENSE.
SCHEDULE H, PART III, LINE 9B	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. THREE STATEMENTS, SPECIFYING THE AMOUNT DUE AND APPROPRIATE DETAILED INSTRUCTIONS ARE SENT TO PATIENTS EVERY 30 DAYS A BALANCE REMAINS. EACH STATEMENT CONTAINS A PATIENT FINANCIAL ASSISTANCE APPLICATION WITH INSTRUCTIONS AND APPROPRIATE CONTACT INFORMATION. NO ACCOUNT SHALL BE SENT TO A COLLECTION AGENCY AS LONG AS THE PATIENT/GUARANTOR IS ACTIVELY WORKING WITH A FACILITIES PATIENT FINANCIAL SERVICES REPRESENTATIVE TO RESOLVE AN OPEN ACCOUNT.
SCHEDULE H, PART VI, LINE 2	READING HOSPITAL'S MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT WAS COMPLETED IN 2019. READING HOSPITAL DEPLOYED A NUMBER OF QUANTITATIVE AND QUALITATIVE RESEARCH METHODOLOGIES TO DEFINE AND SELECT COMMUNITY NEEDS. PRIMARY RESEARCH METHODS INCLUDED CONDUCTING A POPULATION SURVEY VIA TELEPHONE (400 COMPLETED), STAKEHOLDER INTERVIEWS (21 COMPLETED), KEY INFORMANT SURVEYS (65 COMPLETED), INTERCEPT SURVEYS (345 COMPLETED), AND FOCUS GROUPS (3 COMPLETED). THE PRIMARY RESEARCH ALLOWED THE HOSPITAL TO GAIN INSIGHTS INTO HEALTH BEHAVIORS AND ACCESS BARRIERS FROM COMMUNITY MEMBERS AND ORGANIZATIONS WHO SERVE LOW-INCOME, VULNERABLE INDIVIDUALS IN THE COMMUNITY. SECONDARY RESEARCH COLLECTION INCLUDED DATA FROM PENNSYLVANIA BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS), PENNSYLVANIA DEPARTMENT OF HEALTH PUBLIC HEALTH, PENNSYLVANIA YOUTH SURVEY (PAYS), ROBERT WOOD JOHNSON FOUNDATION'S COMMUNITY HEALTH RANKINGS, UNITED STATES CENSUS BUREAU, CENTERS FOR DISEASE CONTROL, HEALTHY PEOPLE 2020, UNITED WAY'S 2-1-1 COMMUNITY ASSET LIST, AND READING HOSPITAL PATIENT DATA. SUMMARIES OF PRIMARY AND SECONDARY DATA WERE COMPILED AND SHARED WITH THE HOSPITAL'S CHNA ADVISORY BOARD MADE UP OF READING HOSPITAL STAFF AND COMMUNITY PARTNERS AND PARTICIPANTS OF STAKEHOLDER INTERVIEWS, KEY INFORMANT SURVEYS, AND FOCUS GROUPS, WHO PARTICIPATED IN EXERCISES TO SELECT PRIORITY AREAS AND BEGIN LAYING THE GROUNDWORK FOR THE IMPLEMENTATION PLAN.
SCHEDULE H, PART VI, LINE 3	AS PART OF THE MISSION TO PROVIDE COMPASSIONATE, ACCESSIBLE, HIGH-QUALITY, COST-EFFECTIVE HEALTHCARE TO THE COMMUNITY, READING HOSPITAL RECOGNIZES THAT SOME PATIENTS AND FAMILIES MAY NEED FINANCIAL ASSISTANCE TO HELP DEFRAY THE COST OF HEALTHCARE SERVICES. THEREFORE, READING HOSPITAL OFFERS PATIENT FINANCIAL ASSISTANCE TO ENSURE ACCESS TO HIGH-QUALITY HEALTHCARE FOR ALL. PATIENTS ARE ENCOURAGED TO SEEK FINANCIAL ASSISTANCE AS EARLY IN THE TREATMENT PROCESS AS POSSIBLE. THE CURRENT FINANCIAL ASSISTANCE PROGRAM POLICY AND APPLICATIONS CAN BE FOUND IN BOTH ENGLISH AND SPANISH ON THE READING HOSPITAL WEBSITE. THE WEBSITE INCLUDES A DATABASE OF ALL PROVIDERS WHO DELIVER EMERGENCY AND MEDICALLY NECESSARY CARE AT READING HOSPITAL AND IDENTIFIES WHICH ARE AND ARE NOT COVERED BY THE FINANCIAL ASSISTANCE POLICY. THE PROVIDER LIST IS CONTINUOUSLY UPDATED. A PAPER COPY OF THE LIST IS AVAILABLE FREE OF CHARGE UPON REQUEST FOR PATIENTS WHO DO NOT HAVE INTERNET ACCESS. PAMPHLETS TITLED UNDERSTANDING BILLING & PAYMENT INCLUDE A PLAIN LANGUAGE SUMMARY OF READING HOSPITAL'S FINANCIAL ASSISTANCE POLICY AND ARE MADE AVAILABLE IN LOBBIES AND WAITING AREAS THROUGHOUT THE HOSPITAL. THEY ARE ALSO PROVIDED TO PATIENTS WHO ARE UNINSURED, UNDERINSURED, OR EXPRESS AN INABILITY TO PAY AT REGISTRATION, POINT OF SERVICE, AND/OR DISCHARGE. PATIENT BILLING STATEMENTS FOR READING HOSPITAL SERVICES CONTAIN GUIDANCE AND DIRECTION ON THE AVAILABILITY OF THE FINANCIAL ASSISTANCE PROGRAM. THE FINANCIAL ASSISTANCE POLICY IS ALSO SHARED WITH A NUMBER OF ADVOCACY PROGRAMS WITHIN THE COMMUNITY. FINANCIAL COUNSELORS WILL EDUCATE PATIENTS AND FAMILIES IN REFERENCE TO AVAILABLE RESOURCES AND WILL PROVIDE ASSISTANCE WITH THE FINANCIAL ASSISTANCE APPLICATION AND APPROVAL PROCESS TO ENSURE ALL PATIENTS CONTINUE TO HAVE THE OPPORTUNITY TO ACCESS THE CARE THEY NEED.
SCHEDULE H, PART VI, LINE 4	READING HOSPITAL'S PRIMARY SERVICE AREA INCLUDES ALL AREAS OF BERKS COUNTY. BERKS COUNTY PROFILE: ACCORDING TO THE U.S. CENSUS BUREAU, AS OF JULY 1, 2019, THE POPULATION OF BERKS COUNTY IS 421,164. BERKS COUNTY HAS A DIVERSE POPULATION, WITH THE RACIAL MIX INCLUDING 86.9% WHITE, 22.5% HISPANIC OR LATINO, 7.4% BLACK OF AFRICAN AMERICAN, 1.6% ASIAN, 0.9% AMERICAN INDIAN AND ALASKA NATIVE, 0.2% NATIVE HAWAIIAN AND OTHER PACIFIC ISLANDER, AND 3.1% TWO OR MORE RACES. 7.5% OF BERKS COUNTY RESIDENTS ARE FOREIGN BORN. 19% OF RESIDENTS AGED 5+ SPEAK A LANGUAGE OTHER THAN ENGLISH AT HOME. 13.5% OF BERKS COUNTY RESIDENTS AGED 25+ HAVE LESS THAN A HIGH SCHOOL EDUCATION; WHEREAS 24.5% HOLD A BACHELOR'S DEGREE OR HIGHER. THE MEDIAN HOUSEHOLD INCOME IN BERKS COUNTY IS 61,522. 11.4% OF BERKS COUNTY RESIDENTS LIVE BELOW POVERTY. CITY OF READING PROFILE: BERKS COUNTY INCLUDES THE CITY OF READING, WHICH HAS A MORE DIVERSE POPULATION THAN THE REST OF THE COUNTY. ACCORDING TO THE U.S. CENSUS BUREAU, THE CITY OF READING HAS A POPULATION OF 88,375. OF THOSE RESIDENTS, THE RACIAL MIX INCLUDES: 66.5% HISPANIC OR LATINO, 53.3% WHITE, 12.3% BLACK OF AFRICAN AMERICAN, 2.5% AMERICAN INDIAN AND ALASKA NATIVE, 0.7% ASIAN, AND 18.9% TWO OR MORE RACES. 19.5% OF RESIDENTS ARE FOREIGN BORN, AND 57% OF PERSONS OVER 5 YEARS OF AGE SPEAK A LANGUAGE OTHER THAN ENGLISH AT HOME. ONLY 67.7% OF RESIDENTS AGED 25+ HAVE RECEIVED A HIGH SCHOOL DIPLOMA OR HIGHER, AND ONLY 9.7% HAVE RECEIVED A BACHELOR'S DEGREE OR HIGHER. MEDIAN HOUSEHOLD INCOME IS LESS THAN HALF OF THE COUNTY'S MEDIAN, COMING IN AT 30,087. 35.4% OF CITY OF READING RESIDENTS LIVE IN POVERTY.
SCHEDULE H, PART VI, LINE 5	THE READING HOSPITAL BOARD IS COMPRISED OF 13 MEMBERS, 6 OF WHOM ARE FROM THE COMMUNITY WHO ARE NOT EMPLOYED BY THE HOSPITAL. ALL PHYSICIANS ARE ENCOURAGED TO APPLY FOR MEDICAL STAFF PRIVILEGES THE DEPARTMENT OF MEDICINE IS THE LARGEST CLINICAL DEPARTMENT OF READING HOSPITAL. THE DEPARTMENT SPANS 16 DIVISIONS OF MEDICINE. THIS COMPRISES OF 300+ PHYSICIANS (MD/DO) AND 80+ ADVANCED LICENSED PRACTITIONERS. CARE PROVIDED TO OUR PATIENTS SPANS AMBULATORY CARE THROUGH TO TRANSPLANT MEDICINE. THE DEPARTMENT FULFILLS THE MISSIONS OF OUR ORGANIZATION BY PROVIDING HIGH-QUALITY CARE, MEDICAL EDUCATION, AND RESEARCH. THE DEPARTMENT IS DEDICATED TO MEDICAL EDUCATION, PROVIDING MEDICAL STUDENTS, RESIDENTS, AND FELLOWS OPPORTUNITIES TO BE EDUCATED IN THEIR SPECIALTY AND ADVANCE THEIR CAREERS. READING HOSPITAL IS ACCREDITED BY THE PENNSYLVANIA MEDICAL SOCIETY TO SPONSOR CONTINUING MEDICAL EDUCATION FOR PHYSICIANS. THE CONTINUING MEDICAL EDUCATION TEAM WITHIN ACADEMIC AFFAIRS DEPARTMENT OVERSEES DEPARTMENT-BASED PROGRAMS FOR CME CATEGORY 1 AND CATEGORY 2 CREDITS. ONGOING EDUCATION IS ALSO AVAILABLE FOR STAFF IN ALL CLINICAL DEPARTMENTS. THE HOSPITAL ALSO PROVIDES ONGOING EDUCATION FOR STAFF IN ALL DEPARTMENTS ON SAFETY, COMPLIANCE, AND RELATED REGULATORY AND PROFESSIONAL ISSUES. CLINICAL RESEARCH IS A CORE COMPONENT OF READING HOSPITAL'S MISSION AND PROVIDES PATIENTS WITH ACCESS TO CUTTING-EDGE TREATMENTS WITHOUT NEEDING TO TRAVEL FAR FROM HOME. THE CLINICAL TRIALS OFFICE PROVIDES SUPPORT AND CLINICAL RESEARCH FOR PATIENTS, CAREGIVERS, AND MEDICAL PROFESSIONALS. THE CTO WORKS IN CONJUNCTION WITH THE HOSPITALS INSTITUTIONAL REVIEW BOARD WHICH MONITORS ALL CLINICAL RESEARCH PROJECTS CONDUCTED AT THE HOSPITAL.
SCHEDULE H, PART VI, LINE 6	TOWER HEALTH MEDICAL GROUP (THMG) IS A GROUP WITHIN THE HOSPITAL'S AFFILIATED HEALTH CARE SYSTEM THAT PROVIDES GENERAL AND SPECIALIZED PRACTICE ASSISTANCE TO READING HOSPITAL WHICH IS AN ACUTE CARE HOSPITAL. PHYSICIANS CAN REFER PATIENTS TO THE ACUTE CARE HOSPITAL FOR FURTHER TREATMENT. COLLABORATION BETWEEN ALL TOWER HEALTH HOSPITALS ENABLES OUR HOSPITALS, PROVIDERS, LEADERSHIP AND STAFF TO LEVERAGE BEST PRACTICES ACROSS THE HEALTH SYSTEM. OUR PATIENTS BENEFIT FROM ACCESS TO A BROAD RANGE OF SERVICES - ALL RIGHT HERE IN OUR REGION.
SCHEDULE H, PART VI, LINE 7	PENNSYLVANIA
SCHEDULE H, PART VI	PART II COMMUNITY BUILDING ACTIVITIES: ECONOMIC DEVELOPMENT: TWO MEMBERS OF READING HOSPITAL'S ADMINISTRATIVE TEAM SERVE ON BOARDS AND/OR COUNCILS RELATED TO ECONOMIC DEVELOPMENT. THESE INCLUDE THE GREATER READING CHAMBER OF COMMERCE AND INDUSTRY BOARD OF DIRECTORS AND THE BERKS COUNTY WORKFORCE DEVELOPMENT BOARD. ENVIRONMENTAL IMPROVEMENTS: READING HOSPITAL PARTICIPATES IN THE MEDSAFE PROGRAM, A MEDICATION COLLECTION KIOSK AND DISPOSAL SYSTEM, PROVIDING A SYSTEM FOR COMMUNITY MEMBERS TO SAFELY DISPOSE OF CONTROLLED, NON-CONTROLLED, AND OVER THE COUNTER MEDICATIONS. WORKFORCE DEVELOPMENT: READING HOSPITAL PROVIDES A NUMBER OF OPPORTUNITIES FOR PRIMARY, SECONDARY, AND POST-SECONDARY STUDENTS WHO ARE INTERESTED IN CAREERS IN HEALTHCARE TO ENGAGE WITH BOTH CLINICAL AND NON-CLINICAL STAFF. 75 STUDENTS PARTICIPATED IN THE HOSPITAL'S JOB SHADOWING PROGRAM, WITH 20% OF PRECEPTORS TIME BEING COUNTED TOWARDS COMMUNITY BENEFIT ACTIVITIES. THE ADVENTURES IN HEALTH SCIENCES AND MEDICINE (AHSM) PROGRAM CONNECTED THREE MIDDLE SCHOOL CLASSROOMS (52 STUDENTS) WITH HEALTHCARE PROFESSIONALS THROUGH AN 8-WEEK INTERACTIVE, VIDEO CONFERENCE FACILITATED LEARNING CASE STUDY. THESE ACTIVITIES ALLOW THE FUTURE OF HEALTHCARE TO EXPLORE CAREERS AND GET A REALISTIC PICTURE OF THE JOB DUTIES AND RESPONSIBILITIES FOR A VARIETY OF JOBS WITHIN THE HOSPITAL.

Schedule H (Form 990) 2019

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public Inspection

Name of the organization

READING HOSPITAL

Employer identification number

23-1352204

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .........

Yes

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ..

Yes

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? .............

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ....................

Any related organization? .......................

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ..................

Any related organization? ......................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2019

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1CLINT MATTHEWS FORMER PRES. & CEO	(i) (ii)	1,338,449 -------------	195,000 -------------	446,880 -------------	472,689 -------------	38,242 -------------	2,491,260 -------------	412,360 -------------
2THERESE SUCHER FORMER EVP COO	(i) (ii)	823,095 -------------	78,879 -------------	229,436 -------------	232,144 -------------	38,024 -------------	1,401,578 -------------	206,256 -------------
3WILLIAM JENNINGS EVP & CEO RH 10/2018	(i) (ii)	935,941 -------------	61,309 -------------	690 -------------	258,604 -------------	23,403 -------------	1,279,947 -------------	-------------
4GARY CONNER FORMER EVP CFO	(i) (ii)	718,465 -------------	68,495 -------------	195,680 -------------	197,606 -------------	13,224 -------------	1,193,470 -------------	151,353 -------------
5GREG SORENSEN MD EVP CMO	(i) (ii)	661,906 -------------	63,951 -------------	199,964 -------------	191,037 -------------	17,347 -------------	1,134,205 -------------	178,414 -------------
6DAN AHERN FORMER EVP BUS DEV.	(i) (ii)	639,698 -------------	62,752 -------------	139,039 -------------	180,139 -------------	23,043 -------------	1,044,671 -------------	121,542 -------------
7CHARLES BARBERA MD VICE CHAIR 3/31/20	(i) (ii)	------------- 506,422	------------- 90,093	------------- 35,564	------------- 179,813	------------- 22,890	------------- 834,782	-------------
8MARY AGNEW SVP CNO	(i) (ii)	468,881 -------------	37,913 -------------	42,829 -------------	110,795 -------------	23,043 -------------	683,461 -------------	39,019 -------------
9CECILIA SMITH DO BOARD MEMBER	(i) (ii)	------------- 517,917	------------- 73,994	------------- 5,895	------------- 33,564	------------- 8,416	------------- 639,786	-------------
10SUZANNE WENDEROTH MD BOARD MEMBER	(i) (ii)	------------- 445,207	------------- 30,140	------------- 27,167	------------- 96,494	------------- 23,403	------------- 622,411	------------- 26,399
11MICHELLE TRUPP VP CIO	(i) (ii)	382,493 -------------	31,252 -------------	14,278 -------------	187,604 -------------	992 -------------	616,619 -------------	-------------
12MARK G MARTENS VP CHIEF ACADEMIC	(i) (ii)	487,167 -------------	37,668 -------------	5,509 -------------	61,952 -------------	23,403 -------------	615,699 -------------	-------------
13RUSSELL H SHOWER SVP CHIEF OF HR	(i) (ii)	443,564 -------------	37,542 -------------	39,409 -------------	82,764 -------------	8,416 -------------	611,695 -------------	38,119 -------------
14ROBERT EHINGER CFO/TREASURER	(i) (ii)	388,837 -------------	65,230 -------------	16,429 -------------	80,411 -------------	26,366 -------------	577,273 -------------	-------------
15LUIS A ROSA VP PAYOR CONTRACTING	(i) (ii)	371,241 -------------	35,004 -------------	100,612 -------------	49,526 -------------	8,056 -------------	564,439 -------------	96,802 -------------
16DAVID A SCHLAPPY VP CHIEF OF QUALITY	(i) (ii)	341,816 -------------	26,776 -------------	35,392 -------------	49,731 -------------	23,403 -------------	477,118 -------------	34,702 -------------
17MARK MCNASH VP SUPPORT SERVICES	(i) (ii)	307,476 -------------	25,621 -------------	38,765 -------------	85,855 -------------	15,480 -------------	473,197 -------------	27,912 -------------
18CARL SEIDL VICE PRESIDENT	(i) (ii)	303,815 -------------	23,647 -------------	35,472 -------------	74,772 -------------	7,468 -------------	445,174 -------------	31,662 -------------
19DAWN ANUSZKIEWICZ COO RH	(i) (ii)	258,543 -------------	-------------	67,743 -------------	9,846 -------------	14,999 -------------	351,131 -------------	-------------
20JOHN CASEY MD BOARD MEMBER	(i) (ii)	303,100 -------------	-------------	1,919 -------------	11,200 -------------	14,223 -------------	330,442 -------------	-------------
21OLUBUMNI OJIKUTU MD BOARD MEMBER	(i) (ii)	------------- 166,701	------------- 27,450	------------- 7,546	------------- 34,784	------------- 19,789	------------- 256,270	-------------

Schedule J (Form 990) 2019

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference

Explanation

SCHEDULE J, PAGE 1, PART I, LINE 4

CLINT MATTHEWS 0 412,360 0 THERESE SUCHER 0 206,256 0 GARY CONNER 0 151,353 0 GREG SORENSEN, MD 0 178,414 0 DAN AHERN 0 121,542 0 MARY AGNEW 0 39,019 0 SUZANNE WENDEROTH, MD 0 26,399 0 RUSSELL H. SHOWER 0 38,119 0 LUIS A. ROSA 0 96,802 0 DAVID A. SCHLAPPY 0 34,702 0 MARK MCNASH 0 27,912 0 CARL SEIDL 0 31,662 0

SCHEDULE J, PART III

PART I, LINE 1B - EXECUTIVE BENEFITS SOCIAL CLUB DUES IS PART OF THE EXECUTIVE COMPENSATION PACKAGE FOR THE TOWER CEO AND IS TAXABLE INCOME TO THE TOWER CEO. PART III ADDITIONAL INFORMATION PART 1, 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: THE FOLLOWING INDIVIDUALS PARTICIPATED IN THE 457(F) DEFERRED COMPENSATION PLAN DURING THE CALENDAR YEAR 2019 BUT DID NOT RECEIVE A DISTRIBUTION. WILLIAM JENNINGS ROBERT EHINGER CHARLES BARBERA MARK MARTENS MICHELLE TRUPP

Schedule J (Form 990) 2019

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered "Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c, or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public Inspection

Name of the organization

READING HOSPITAL

Employer identification number

23-1352204

Part I

Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and section 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by the organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e) Original principal amount	(f) Balance due	(g) In default?		(h) Approved by board or committee?		(i) Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e) Original principal amount	(f) Balance due	Yes	No	Yes	No	Yes	No






Total ............... $

Part III

Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of assistance	(d) Type of assistance	(e) Purpose of assistance

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2019

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) WEIDENHAMMER SYSJ WEIDENHAMMER	CTLD ENTITY BM	101,681	IT SUPPORT		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference	Explanation

Schedule L (Form 990 or 990-EZ) 2019

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2019

Open to Public
Inspection

Name of the organization

READING HOSPITAL

Employer identification number

23-1352204

Return Reference	Explanation
FORM 990 - ORGANIZATION'S MISSION	WEBSITE: WWW.TOWERHEALTH.ORG/LOCATIONS/READING-HOSPITAL THE MISSION OF READING HOSPITAL 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. IN ADDITION TO ITS PRIMARY ROLE AS A PROVIDER OF DIRECT CARE, READING HOSPITAL 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. READING HOSPITAL'S COMMUNITY WELLNESS DEPARTMENT SUPPORTS THE HOSPITAL'S COMMUNITY ENGAGEMENT AND COMMUNITY BENEFIT ENDEAVORS. THE DEPARTMENT'S MISSION IS THREE PRONGED AND SEEKS TO LEAD, PARTNER, AND INVEST IN STRATEGIC HEALTH INITIATIVES THAT TARGET THE UNDERSERVED AND ADDRESS HEALTH DISPARITIES AND SOCIAL DETERMINANTS OF HEALTH. THE COMMUNITY WELLNESS DEPARTMENT ALSO MANAGES THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PROCESS. READING HOSPITAL'S MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN WAS COMPLETED IN 2019 AND IDENTIFIED AND PRIORITIZED FOUR AREAS OF FOCUS: ACCESS TO HEALTHCARE, SOCIAL DETERMINANTS OF HEALTH, DISEASE PREVENTION AND MANAGEMENT AND ACCESS TO BEHAVIORAL HEALTH SERVICES. THROUGHOUT THE 2020 FISCAL YEAR, THE HOSPITAL IMPLEMENTED STRATEGIES TO ADDRESS THESE PRIORITY AREAS. ACCESS TO HEALTHCARE: ONE STRATEGY IDENTIFIED TO HELP INCREASE ACCESS TO HEALTHCARE SERVICES WAS TO INCREASE CULTURAL AWARENESS. THE HOSPITAL CONDUCTED A NUMBER OF CULTURAL AWARENESS TRAININGS FOR STAFF TO LEARN ABOUT HOW PATIENTS WITH VARYING CULTURES, BELIEFS, AND VALUES EXPERIENCE AND PERCEIVE HEALTHCARE, AS WELL AS TO SHARE THEIR OWN EXPERIENCES. A DIVERSITY AND INCLUSION COUNCIL WAS ALSO ESTABLISHED TO IDENTIFY AND EDUCATE STAFF ON TOPICS OF INTEREST. THE GOAL OF BOTH PROGRAMS IS TO INCREASE AWARENESS AND PROVIDE HIGH-QUALITY, PATIENT-CENTERED HEALTHCARE. THE TOWER ACCESS PROJECT, A SYSTEM INITIATIVE, WAS EXECUTED AND CREATED A CENTRALIZED AND COORDINATED ADVANCED ACCESS CENTER WHICH IS NOW THE SINGLE POINT OF CONTACT FOR COMMUNITY MEMBERS TO FIND PROVIDERS, SCHEDULE APPOINTMENTS, AND ACCESS INFORMATION. READING HOSPITAL'S STREET MEDICINE PROGRAM SEEKS TO PROVIDE HEALTH CARE TO SOME OF THE MOST VULNERABLE MEMBERS OF THE BERKS COUNTY COMMUNITY - THE HOMELESS. PHYSICIAN AND NURSING STAFF VOLUNTEER THEIR TIME TO VISIT HOMELESS CAMPS, SOUP KITCHENS, AND SHELTERS TO DELIVER FREE, PRIMARY CARE TO THIS OFTEN UNDERSERVED AND NEGLECTED POPULATION IN AN ENVIRONMENT THAT IS FAMILIAR, SAFE, AND NON-JUDGMENTAL. THE PROGRAM OFFERS THREE COMPONENTS: DELIVERY OF PRIMARY CARE SERVICES, PATIENT CASE MANAGEMENT SERVICES, AND PATIENT EDUCATION ON HEALTH AND SOCIAL SERVICES. THE STREET MEDICINE PROGRAM IS FULLY GRANT FUNDED. STAFF VOLUNTEERS PARTICIPATE DURING THEIR NON-SCHEDULED HOURS. DURING FY2020, THE STREET MEDICINE PROGRAM PROVIDED CARE DURING OVER 1,200 ENCOUNTERS WITH HOMELESS COMMUNITY MEMBERS. THE BE WELL BERKS WEBSITE PROVIDES UP-TO-DATE INFORMATION ABOUT COMMUNITY WELLNESS DEPARTMENT INITIATIVES, EVENTS, AND EDUCATIONAL MATERIALS FOR COMMUNITY MEMBERS. THE CONTENT IS ACCESSIBLE ON A NUMBER OF DEVICES INCLUDING DESKTOPS/LAPTOPS, MOBILE DEVICES, TABLETS, ETC. IN FY2020, THE WEBSITE RECORDED OVER 5,800 UNIQUE VISITORS AND OVER 6,800 SITE VISITS. OUR CAREGIVERS AND SUPPORT STAFF PARTICIPATE IN A NUMBER OF COMMUNITY HEALTH IMPROVEMENT INITIATIVES, INCLUDING COMMUNITY HEALTH EDUCATION, SCREENING EVENTS, AND IMMUNIZATION CLINICS, THAT EXTEND BEYOND PATIENT CARE ACTIVITIES AND ARE SUBSIDIZED BY THE HOSPITAL. PROGRAMS ARE OFFERED TO ALL COMMUNITY MEMBERS FOR FREE OR AT A VERY NOMINAL COST. STAFF PARTICIPATE IN COMMUNITY-BASED HEALTH EDUCATION EVENTS, SPEAKERS BUREAUS, AND HEALTH FAIRS TO PROVIDE INFORMATION AND EDUCATION FOR PREVENTION AND MANAGEMENT OF CHRONIC HEALTH CONDITIONS INCLUDING DIABETES, HEART HEALTH, CANCER, RESPIRATORY DISEASE, HEALTHY NUTRITION, AND A RANGE OF OTHER TOPICS. THE HOSPITAL'S INJURY PREVENTION PROGRAM PROVIDES FREE EDUCATION TO COMMUNITY MEMBERS IN AN EFFORT TO PREVENT THOSE ACCIDENTS AND INJURIES THAT RESULT IN THE HIGHEST PATIENT VOLUME IN OUR TRAUMA CENTER. EDUCATIONAL PROGRAMS INCLUDE: 1.STOP THE BLEED - NATIONAL AWARENESS CAMPAIGN THAT PREPARES THE PUBLIC TO SAVE LIVES IN THE EVENT OF A LIFE-THREATENING BLEED; 2.FALL PREVENTION/MATTER OF BALANCE - EDUCATION AND AWARENESS AMONG OLDER ADULTS, FAMILIES, AND CAREGIVERS ABOUT THE SERIOUSNESS OF FALLS AND WAY TO REDUCE THEM; 3.TRAUMA/INJURY PREVENTION - CAR SEAT SAFETY, BICYCLE SAFETY, AND OTHER TOPICS; 4.FIRST AID STATIONS - BASIC FIRST AID AT LARGE SCALE COMMUNITY EVENTS (E.G. READING RADSPORT, WEST READING FALL FESTIVAL, MAPLE GROVE RACEWAY EVENTS, ETC.); 5.TRAUMA SURVIVORS NETWORK - WEBSITE PROVIDING RESOURCES, TOOLS, AND A SUPPORT NETWORK FOR TRAUMA PATIENTS AND THEIR FAMILIES. READING HOSPITAL STAFF ASSIST WITH NUMEROUS FREE SCREENING OPPORTUNITIES FOR COMMUNITY MEMBERS. DURING FY2020, OVER 1,500 FREE SCREENINGS WERE OFFERED, INCLUDING OVER 450 BLOOD PRESSURE SCREENINGS. ADDITIONAL FREE SCREENINGS INCLUDED BODY MASS INDEX, BREAST, CERVICAL, ORAL, AND SKIN CANCERS, HEARING, AND HIV AND STD SCREENINGS. READING HOSPITAL'S COMMUNITY FLU SHOT CLINICS PROVIDED IMMUNIZATIONS AT NO COST FOR OVER 1,500 BERKS COUNTY RESIDENTS. THE HOSPITAL SUPPORTS EFFORTS TO EDUCATE LOCAL STUDENTS ABOUT THE WIDE VARIETY OF CAREERS IN HEALTHCARE. THROUGH A PARTNERSHIP WITH BOY SCOUTS OF AMERICA HAWK MOUNTAIN COUNCIL, STAFF VOLUNTEER THEIR TIME TO PARTICIPATE IN MONTHLY MEDICAL EXPLORERS POSTS, ALLOWING OVER 100 STUDENTS TO TOUR AREAS OF THE HOSPITAL AND LEARN ABOUT VARIOUS CAREERS WITHIN A DEPARTMENT. DURING FY2020, OVER 124 LOCAL HIGH SCHOOL AND COLLEGE STUDENTS PARTICIPATED IN THE JOB SHADOWING PROGRAM, WHICH PROVIDED OPPORTUNITIES TO OBSERVE MEDICAL PROFESSIONALS IN THE HEALTHCARE SETTING. THE ADVENTURES IN HEALTH SCIENCE AND MEDICINE, A COLLABORATION WITH CLEVELAND CLINIC, OFFERS A SERIES OF COLLECTED LEARNING EXPERIENCES DESIGNED TO PROMOTE HEALTH, SCIENCE, AND MEDICAL PROFESSIONS TO LOCAL MIDDLE SCHOOL STUDENTS. THE PROGRAM CULMINATES WITH AN "INNOVATION CHALLENGE" WHERE STUDENTS WORK WITH THEIR PEERS TO APPLY THEIR LEARNING IN THE DEVELOPMENT OF A NEW HEALTH SCIENCE OR MEDICAL INNOVATION. IN FY2020, THE PROGRAM REACHED 3 MIDDLE SCHOOL CLASSROOMS AND OVER 70 STUDENTS. THE HIGH SCHOOL INTERNSHIP PROGRAM WAS DEVELOPED TO SUPPLEMENT CONVENTIONAL CLASSROOM TRAINING BY INTRODUCING STUDENTS TO A BROAD RANGE OF CLINICAL AND NON-CLINICAL PROFESSIONS IN READING HOSPITAL'S WORK ENVIRONMENT. THE PROGRAM PROVIDES AN OPPORTUNITY FOR STUDENTS TO APPLY THEIR KNOWLEDGE AND SKILLS WHILE GAINING INVALUABLE, HANDS-ON, PRACTICAL EXPERIENCES THAT ENHANCE A STUDENT'S ACADEMIC, PROFESSIONAL, AND PERSONAL DEVELOPMENT. IN FY2020, 7 STUDENTS PARTICIPATED IN THE YEAR-LONG PROGRAM. SOCIAL DETERMINANTS OF HEALTH: A NUMBER OF INITIATIVES HAVE ALSO BEEN UNDERTAKEN TO IDENTIFY AND ADDRESS SOCIAL DETERMINANTS OF HEALTH. READING HOSPITAL EMPLOYS AN ATTORNEY WHO MANAGES AND CONDUCTS THE WORK OF THE MEDICAL LEGAL PARTNERSHIP (MLP) PROGRAM, WHICH PROVIDES FREE CIVIL-LEGAL ADVICE AND REPRESENTATION TO LOW- INCOME PATIENTS FACING HEALTH-HARMING LEGAL NEEDS. IN FY2020, THE MLP PROGRAM SERVED OVER 150 PATIENTS. THE PROGRAM IS FUNDED THROUGH THE HOSPITAL'S BE WELL BERKS GRANT PROGRAM. TO ADDRESS TRANSPORTATION BARRIERS, READING HOSPITAL OFFERS A NUMBER OF OPTIONS TO PATIENTS INCLUDING BUS PASSES AND CAB VOUCHERS AT NO COST TO THE PATIENT, WHICH HELPS PATIENTS GET TO AND FROM APPOINTMENTS. THE HOSPITAL ALSO IMPLEMENTED THE RIDE HEALTH PROGRAM, WHICH ALLOWS CLINICIANS TO SCHEDULE RIDES FOR PATIENTS THROUGH AN INTEGRATED TRANSPORTATION NETWORK INCREASING ACCESS TO CARE. IN FY2020, OVER 500 RIDES WERE COMPLETED THROUGH THE RIDE HEALTH PROGRAM. READING HOSPITAL'S COMMUNITY CONNECTION PROJECT WAS DESIGNED TO IMPLEMENT TO CENTER FOR MEDICARE AND MEDICAID'S ACCOUNTABLE HEALTH COMMUNITIES (AHC) MODEL. THROUGH THE PROGRAM, ELIGIBLE MEDICARE AND MEDICAID PATIENTS ARE SCREENED FOR HEALTH-RELATED SOCIAL NEEDS IN THE AREAS OF FOOD, HOUSING, UTILITIES, TRANSPORTATION, AND SAFETY. PATIENTS ARE THEN RISK-STRATIFIED BASED ON NEEDS AND NUMBER OF EMERGENCY DEPARTMENT VISITS. ALL PATIENTS WHO SCREEN POSITIVE FOR SOCIAL NEEDS ARE PROVIDED A COMMUNITY REFERRAL SUMMARY THAT PROVIDES INFORMATION ON RESOURCES AVAILABLE IN THE COMMUNITY TO HELP ADDRESS THEIR UNMET NEEDS. HIGH-RISK PATIENTS (1 OR MORE SOCIAL NEEDS AND 2 OR MORE ED VISITS) ARE ALSO OFFERED ONE-YEAR OF NAVIGATION SERVICES, IN WHICH A NAVIGATOR CREATES CLOSED-LOOP REFERRALS TO COMMUNITY ORGANIZATIONS. THE GOAL OF THE PROGRAM IS TO TEST WHETHER SYSTEMATICALLY IDENTIFYING AND ADDRESSING HEALTH-RELATED SOCIAL NEEDS OF THIS POPULATION IMPACTS HEALTH QUALITY. IN FY2020, OVER 49,000 SCREENINGS WERE COMPLETED AND OVER 1,600 NAVIGATION CASES WERE OPENED. THIS PROGRAM IS FULLY FUNDED THROUGH
FORM 990, PAGE 1, PART I, LINE 6	FRIENDS OF READING HOSPITAL FINANCIAL DONATION AND 352 VOLUNTEERS (49,649) HOURS) DONATED THEIR TIME TO SUPPORT VARIOUS PROJECTS SUCH AS PROVIDING PRAYER SHAWLS, BABY HATS, CHEMO HATS, NECK PILLOWS AND HOSPICE QUILTS. DONATED FUNDS FOR AED'S FOR HEARTSAFE BERKS COUNTY, FARM BUCKS, CENTERING PREGNANCY, AND VARIOUS OTHER PROJECTS.
FORM 990, PAGE 2, PART III, LINE 4A	INPATIENT CARE - 184,237 PATIENT DAYS READING HOSPITAL PROVIDES 725 BEDS FOR PROVISION OF COMPREHENSIVE INPATIENT, OUTPATIENT, AND EMERGENT CARE. INPATIENT CARE IS PROVIDED IN 2 CRITICAL CARE UNITS, 2 INTERMEDIATE CARE UNITS, 3 ACUTE REHABILITATION UNITS, AND 13 MEDICAL SURGICAL UNITS WITH SUB-SPECIALTIES THAT INCLUDE ONCOLOGY, NEUROLOGY, CARDIOLOGY, HEART FAILURE, ORTHOPEDICS, TRAUMA, BARIATRIC SURGERY, AND MEDICAL COMPLEXITY. IN ADDITION, READING HOSPITAL PROVIDES COMPREHENSIVE MATERNAL CHILD HEALTH SERVICES THAT INCLUDE OBSTETRICS, NEONATAL INTENSIVE CARE, INPATIENT PEDIATRIC MEDICAL SURGICAL CARE, AND PEDIATRIC EMERGENCY SERVICES. INPATIENT SERVICES ARE SUPPORTED BY HOSPITAL-BASED HEMODIALYSIS, APHERESIS, AND VASCULAR ACCESS SERVICES. READING HOSPITAL INPATIENT CARE OFFERS THE FOLLOWING HIGH LEVEL SERVICES TO SUPPORT COMMUNITIES WITHIN BOTH ITS PRIMARY AND SECONDARY MARKETS: 1.REGIONAL CANCER, CARDIAC, AND PRIMARY STROKE CENTERS 2.REGIONAL TRANSPLANT (KIDNEY AND LIVER) CENTER 3.TRAUMA LEVEL 1 CENTER (ONLY LEVEL 1 CENTER WITHIN THE COUNTY) 4.REGIONAL LEVEL III NEONATAL INTENSIVE CARE UNIT 5.VIRTUAL INTENSIVE CARE UNIT (VICU) 6.CHARITY CARE PROGRAM IN ADDITION, READING HOSPITAL INPATIENT CARE IS ALIGNED WITH SYSTEM PROGRAMS TO IMPROVE POST DISCHARGE CARE OUTCOMES, CARE ACROSS THE CONTINUUM FROM INPATIENT TO AMBULATORY SETTING, AND DECREASED READMISSION, INCLUDING 1.COMPREHENSIVE POPULATION HEALTH SERVICES 2.TOWER HEALTH STREET MEDICINE PROGRAM - A PROGRAM TO PROVIDE HEALTH SERVICES AND PREVENTATIVE CARE TO HOMELESS POPULATION WITHIN THE COMMUNITY 3.TELE-HEALTH SUPPORT OF HEART FAILURE PATIENT POPULATION TO HELP PREVENT READMISSIONS THROUGH THE REMOTE MONITORING OF BP AND WEIGHT READING HOSPITAL WAS MAGNET DESIGNATED FOR NURSING AND PATIENT CARE EXCELLENCE IN 2016 AND IS CURRENTLY IN THE REDESIGNATION PROCESS; THIS NATIONAL LEVEL DESIGNATION BY THE AMERICAN NURSES CREDENTIALING CENTER IS RENEWED EVERY FOUR YEARS. THIS DESIGNATION INDICATES THAT READING HOSPITAL INPATIENT UNITS, EMERGENCY DEPARTMENT, PERIOPERATIVE SERVICES, AND AMBULATORY CARE DEPARTMENTS EXCEED NATIONAL BENCHMARKS FOR NURSING QUALITY INDICATORS, PATIENT SATISFACTION WITH NURSING CARE, AND NURSE SATISFACTION. EMERGENCY CARE - 116,201 EMERGENCY ROOM VISITS READING HOSPITAL EMERGENCY DEPARTMENT PROVIDES EMERGENCY, URGENT AND PRIMARY CARESERVICES 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 LEVEL 1 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 SPECIALTY CARE. THE HOSPITAL ALSO HAS A PEDIATRIC AND PSYCHIATRIC EMERGENCY DEPARTMENT. IN ADDITION TO ITS TRAUMA CERTIFICATION, RH IS THE ONLY HOSPITAL IN THE REGION TO HAVE MADE A COMMITMENT TO ACCREDITED CARE IN STROKE AND CHEST PAIN. THE HOSPITAL ALSO IS A CENTER OF EXCELLENCE WITH 24/7 CERTIFIED RECOVERY SPECIALISTS ON SITE TO PROVIDE WARM HAND-OFFS TO PATIENTS WITH OPIOID AND OTHER SUBSTANCE USE DISORDERS. THE DEPARTMENT OFFERS SEXUAL ASSAULT NURSE EXAMINER (SANE) PROGRAM WITH THE BERKS COUNTY DISTRICT ATTORNEY TO ASSIST VICTIMS OF SEXUAL ASSAULT. THE HOSPITAL ALSO HAS AN EMERGENCY MEDICINE TRAINING PROGRAM, PARAMEDIC SCHOOL AND NURSING PROGRAM.
FORM 990, PAGE 2, PART III, LINE 4C	OPERATING ROOM - 16,645 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 SPECIALTIES 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.
FORM 990, PAGE 2, PART III, LINE 4D	EXPENSES INCURRED IN PROVIDING VARIOUS OTHER MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, OR ABILITY TO PAY. SERVICES INCLUDE BUT ARE NOT LIMITED TO: REVENUE EXPENSE RADIOLOGY 168,984,197 23,739,370 REHABILITATION 18,065,955 18,997,794 HEART & VASCULARE 78,062,443 26,971,085 BEHAVIORAL HEALTH & ADDICTION 5,424,256 6,175,063 PHYSICAL THERAPY 2,947,851 1,827,735 RESPIRATORY/SLEEP CENTER 28,039,283 12,081,182 TRAUMA CENTER 4,834,686 5,161,297 READING HOSPITAL SAW A LARGE DECREASE IN REVENUE DUE TO THE POSTPONEMENT OF NON-URGENT PROCEDURES AND THE CANCELLATION OF ELECTIVE SURGERIES. OFFSITE LABS, RADIOLOGY CENTERS AND PHYSICIAN PRACTICES WERE CLOSED CAUSING A DECREASE IN PATIENT VISITS. OPERATING EXPENSES INCREASED DUE TO THE HIGH DEMAND FOR PERSONAL PROTECTIVE EQUIPMENT (PPE) FOR STAFF AND PATIENTS AND OTHER COVID RELATED EXPENSES. A STRONG EMPHASIS WAS PLACED ON SAFETY FOR OUR PATIENTS AND STAFF. AS A HEALTHCARE ORGANIZATION, WE WORKED TO INFORM THE COMMUNITY THAT DELAYING HEALTHCARE NEEDS PLACES AN INDIVIDUAL'S HEALTH AT RISK. READING HOSPITAL INVESTED IN EXPANDING DIGITAL, VIRTUAL AND TELEHEALTH SERVICES TO STAY CONNECTED WITH THEIR PATIENTS.
FORM 990, PAGE 6, PART VI, LINE 6	TOWER HEALTH 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 TOWER HEALTH.
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, OFFICER AND KEY EMPLOYEE TO SUBMIT IN WRITING TO THE CHIEF EXECUTIVE OFFICER A LIST OF BUSINESS OR OTHER ORGANIZATIONS OF WHICH THE MEMBER, MEMBER'S SPOUSE, A DECENDANT, OR A SPOUSE OF A DESCENDANT 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, OFFICER AND KEY EMPLOYEE FOR UPDATING AND RESUBMISSION AND BY WHICH THE BOARD MEMBER, OFFICER AND KEY EMPLOYEE SHALL CONFIRM HIS OR HER AWARENESS OF THIS POLICY. ALL MEMBERS OF TOWER HEALTH MANAGEMENT (INCLUDING DIRECTORS AND VICE PRESIDENTS) MUST COMPLETE AND SUBMIT A CONFLICT OF INTEREST DISCLOSURE STATEMENT ANNUALLY. SUCH STATEMENTS ARE REVIEWED BY THE CHIEF COMPLIANCE OFFICER.
FORM 990, PAGE 6, PART VI, LINE 15A	THE TOWER HEALTH 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	PENSION LIABILITY -75,275,605 INTERCOMPANY ASSET TRANSFER -86,839,737 ASSETS RELEASED FROM RESTRICTION -6,244,340 CORPORATE INCOME TAX 993 TOTAL -168,358,689

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2019

Additional Data

Software ID:
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- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public Inspection

Name of the organization

READING HOSPITAL

Employer identification number

23-1352204

Part I

Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)TOWER HEALTH 420 SOUTH 5TH AVENUE WEST READING,PA19611 23-2201344	HEALTHCARE	PA	501C3	12C	NA		No
(2)THE FRIENDS OF THE READING HOSPITAL 420 SOUTH 5TH AVENUE WEST READING,PA19611 23-6026108	FUNDRAISE	PA	501C3	10	RDG HOSP	Yes
(3)THE RDG HOSPITAL & MED CENTER SELF- 420 SOUTH 5TH AVENUE WEST READING,PA19611 23-2087514	TRUST FUND	PA	501C3	12B	RDG HOSP	Yes
(4)TOWER HEALTH MEDICAL GROUP 420 SOUTH 5TH AVENUE WEST READING,PA19611 23-2266054	HEALTHCARE	PA	501C3	3	TOWER HLTH		No
(5)READING HOSPITAL FOUNDATION 420 SOUTH 5TH AVENUE WEST READING,PA19611 47-3054125	SUPPORT	PA	501C3	12B	RDG HOSP	Yes
(6)TOWER HEALTH AT HOME 1170 BERKSHIRE BLVD WYOMISSING,PA19610 23-2469321	SUPPORTING	PA	501C3	12B	TOWER HLTH		No
(7)THAH - ADVANTAGE HOME CARE 1170 BERKSHIRE BLVD WYOMISSING,PA19610 23-2469319	HEALTHCARE	PA	501C3	3	THAH		No
(8)TOWER HEALTH AT HOME - BERKS 1170 BERKSHIRE BLVD WYOMISSING,PA19610 23-1466250	HEALTHCARE	PA	501C3	3	THAH		No
(9)TOWER HEALTH AT HOME - POTTSTOWN 1170 BERKSHIRE BLVD WYOMISSING,PA19610 23-1352574	HEALTHCARE	PA	501C3	3	THAH		No

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2019

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) SOUTHERN CHESTER CNTY MED BLDG 1 1015 WEST BALTIMORE PIKE WEST GROVE,PA19390 23-2200841	HEALTHCARE	PA	N/A				No			No
(2) READING - UPMC JOINT VENTURE LLC 600 GRANT STREET PITTSBURGH,PA15219 81-4566751	HEALTHCARE	PA	N/A				No			No
(3) TOWERUSP SURGERY CENTERS LLC 15305 DALLAS PARKWAY-SUITE 1600LB28 ADDISON,TX75001 36-4911103	HEALTHCARE	PA	N/A				No			No
(4) MEDICAL SCHOOL VENTURE LLC ELLIS PRES 3843 WEST CHESTER PIKE NEWTOWN SQUARE,PA19073 84-2638593	HEALTHCARE	PA	N/A				No			No

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets		Yes	No
(1) TOWER HEALTH PPO PO BOX 14744 READING,PA19612 23-2430798	PPO	PA	RDG HOSP	C CORP	-526,198	310,214	100.000 %	Yes
(2) MEDICUS RESOURCE MANAGEMENT PO BOX 14744 READING,PA19612 23-2565297	CM REVIEW	PA	TH PPO	C CORP			100.000 %	Yes
(3) TOWER HEALTH RECIPROCAL RISK 151 MEETING STREET SUITE 301 CHARLESTON,SC29401 82-2758845	INSURANCE	SC	NA	C CORP					No

Schedule R (Form 990) 2019

Page 3

Part V

Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................

b Gift, grant, or capital contribution to related organization(s) ............................

c Gift, grant, or capital contribution from related organization(s) ............................

Yes

d Loans or loan guarantees to or for related organization(s) ............................

e Loans or loan guarantees by related organization(s) ............................

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

k Lease of facilities, equipment, or other assets from related organization(s) ......................

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

m Performance of services or membership or fundraising solicitations by related organization(s) .................

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

o Sharing of paid employees with related organization(s) ............................

p Reimbursement paid to related organization(s) for expenses ............................

Yes

q Reimbursement paid by related organization(s) for expenses ............................

Yes

r Other transfer of cash or property to related organization(s) ............................

s Other transfer of cash or property from related organization(s) ............................

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) READING HOSPITAL FOUNDATION	P	831,607	G/L TRANSACTIONS
(2) READING HOSPITAL FOUNDATION	C	663,484	CASH
(3) THE FRIENDS OF THE READING HOSPITAL	Q	75,561	CASH

Schedule R (Form 990) 2019

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2019

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R. (see instructions).

Return Reference	Explanation

Schedule R (Form 990) 2019

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: 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.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	13
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	6
5	Total number of individuals employed in calendar year 2019 (Part V, line 2a) ......	5	7,833
6	Total number of volunteers (estimate if necessary) .............	6	352
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	1,447,360
b	Net unrelated business taxable income from Form 990-T, line 39 .........	7b

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	7,811,409	57,246,426
9	Program service revenue (Part VIII, line 2g) .........	976,052,427	929,652,693
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	401,034	496,112
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	37,169,403	47,623,882
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	1,021,434,273	1,035,019,113
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...		0
14	Benefits paid to or for members (Part IX, column (A), line 4).....		0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	466,833,159	532,485,465
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....		0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	429,024,307	439,053,252
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	895,857,466	971,538,717
19	Revenue less expenses. Subtract line 18 from line 12.......	125,576,807	63,480,396
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	1,033,939,184	1,183,713,752
21	Total liabilities (Part X, line 26).............	789,607,224	1,043,898,922
22	Net assets or fund balances. Subtract line 21 from line 20.....	244,331,960	139,814,830

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 159,055,273 including grants of $ ) (Revenue $ 172,267,512 )
	INPATIENT CARE - 184,237 PATIENT DAYS READING HOSPITAL PROVIDES 725 BEDS FOR PROVISION OF COMPREHENSIVE INPATIENT, OUTPATIENT, AND EMERGENT CARE. INPATIENT CARE IS PROVIDED IN 2 CRITICAL CARE UNITS, 2 INTERMEDIATE CARE UNITS, 3 ACUTE REHABILITATION UNITS, AND 13 MEDICAL SURGICAL UNITS WITH SUB-SPECIALTIES THAT INCLUDE ONCOLOGY, NEUROLOGY, CARDIOLOGY, HEART FAILURE, ORTHOPEDICS, TRAUMA, BARIATRIC SURGERY, AND MEDICAL COMPLEXITY. IN ADDITION, READING HOSPITAL PROVIDES COMPREHENSIVE MATERNAL CHILD HEALTH SERVICES THAT INCLUDE OBSTETRICS, NEONATAL INTENSIVE CARE, INPATIENT PEDIATRIC MEDICAL SURGICAL CARE, AND PEDIATRIC EMERGENCY SERVICES. INPATIENT SERVICES ARE SUPPORTED BY HOSPITAL-BASED HEMODIALYSIS, APHERESIS, AND VASCULAR ACCESS SERVICES. READING HOSPITAL INPATIENT CARE OFFERS THE FOLLOWING HIGH LEVEL SERVICES TO SUPPORT COMMUNITIES WITHIN BOTH ITS PRIMARY AND SECONDARY MARKETS: 1.REGIONAL CANCER, CARDIAC, AND PRIMARY STROKE CENTERS 2.REGIONAL TRANSPLANT (KIDNEY AND LIVER) CENTER 3.TRAUMA LEVEL 1 CENTER (ONLY LEVEL 1 CENTER WITHIN THE COUNTY) 4.REGIONAL LEVEL III NEONATAL INTENSIVE CARE UNIT 5.VIRTUAL INTENSIVE CARE UNIT (VICU) 6.CHARITY CARE PROGRAM IN ADDITION, READING HOSPITAL INPATIENT CARE IS ALIGNED WITH SYSTEM PROGRAMS TO IMPROVE POST DISCHARGE CARE OUTCOMES, CARE ACROSS THE CONTINUUM FROM INPATIENT TO AMBULATORY SETTING, AND DECREASED READMISSION, INCLUDING 1.COMPREHENSIVE POPULATION HEALTH SERVICES 2.TOWER HEALTH STREET MEDICINE PROGRAM - A PROGRAM TO PROVIDE HEALTH SERVICES AND PREVENTATIVE CARE TO HOMELESS POPULATION WITHIN THE COMMUNITY 3.TELE-HEALTH SUPPORT OF HEART FAILURE PATIENT POPULATION TO HELP PREVENT READMISSIONS THROUGH THE REMOTE MONITORING OF BP AND WEIGHT READING HOSPITAL WAS MAGNET DESIGNATED FOR NURSING AND PATIENT CARE EXCELLENCE IN 2016 AND IS CURRENTLY IN THE REDESIGNATION PROCESS; THIS NATIONAL LEVEL DESIGNATION BY THE AMERICAN NURSES CREDENTIALING CENTER IS RENEWED EVERY FOUR YEARS. THIS DESIGNATION INDICATES THAT READING HOSPITAL INPATIENT UNITS, EMERGENCY DEPARTMENT, PERIOPERATIVE SERVICES, AND AMBULATORY CARE DEPARTMENTS EXCEED NATIONAL BENCHMARKS FOR NURSING QUALITY INDICATORS, PATIENT SATISFACTION WITH NURSING CARE, AND NURSE SATISFACTION. EMERGENCY CARE - 116,201 EMERGENCY ROOM VISITS READING HOSPITAL EMERGENCY DEPARTMENT PROVIDES EMERGENCY, URGENT AND PRIMARY CARESERVICES 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 LEVEL 1 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 SPECIALTY CARE. THE HOSPITAL ALSO HAS A PEDIATRIC AND PSYCHIATRIC EMERGENCY DEPARTMENT. IN ADDITION TO ITS TRAUMA CERTIFICATION, RH IS THE ONLY HOSPITAL IN THE REGION TO HAVE MADE A COMMITMENT TO ACCREDITED CARE IN STROKE AND CHEST PAIN. THE HOSPITAL ALSO IS A CENTER OF EXCELLENCE WITH 24/7 CERTIFIED RECOVERY SPECIALISTS ON SITE TO PROVIDE WARM HAND-OFFS TO PATIENTS WITH OPIOID AND OTHER SUBSTANCE USE DISORDERS. THE DEPARTMENT OFFERS SEXUAL ASSAULT NURSE EXAMINER (SANE) PROGRAM WITH THE BERKS COUNTY DISTRICT ATTORNEY TO ASSIST VICTIMS OF SEXUAL ASSAULT. THE HOSPITAL ALSO HAS AN EMERGENCY MEDICINE TRAINING PROGRAM, PARAMEDIC SCHOOL AND NURSING PROGRAM.

4b	(Code: ) (Expenses $ 71,778,514 including grants of $ ) (Revenue $ 122,761,676 )
	PHARMACY - 9,284,355 DRUGS DISPENSED READING HOSPITAL 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.

4c	(Code: ) (Expenses $ 43,923,538 including grants of $ ) (Revenue $ 53,866,432 )
	OPERATING ROOM - 16,645 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 SPECIALTIES 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.

	(Code: ) (Expenses $ 586,703,104 including grants of $ ) (Revenue $ 596,815,112 )
	EXPENSES INCURRED IN PROVIDING VARIOUS OTHER MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, OR ABILITY TO PAY. SERVICES INCLUDE BUT ARE NOT LIMITED TO: REVENUE EXPENSE RADIOLOGY 168,984,197 23,739,370 REHABILITATION 18,065,955 18,997,794 HEART & VASCULARE 78,062,443 26,971,085 BEHAVIORAL HEALTH & ADDICTION 5,424,256 6,175,063 PHYSICAL THERAPY 2,947,851 1,827,735 RESPIRATORY/SLEEP CENTER 28,039,283 12,081,182 TRAUMA CENTER 4,834,686 5,161,297 READING HOSPITAL SAW A LARGE DECREASE IN REVENUE DUE TO THE POSTPONEMENT OF NON-URGENT PROCEDURES AND THE CANCELLATION OF ELECTIVE SURGERIES. OFFSITE LABS, RADIOLOGY CENTERS AND PHYSICIAN PRACTICES WERE CLOSED CAUSING A DECREASE IN PATIENT VISITS. OPERATING EXPENSES INCREASED DUE TO THE HIGH DEMAND FOR PERSONAL PROTECTIVE EQUIPMENT (PPE) FOR STAFF AND PATIENTS AND OTHER COVID RELATED EXPENSES. A STRONG EMPHASIS WAS PLACED ON SAFETY FOR OUR PATIENTS AND STAFF. AS A HEALTHCARE ORGANIZATION, WE WORKED TO INFORM THE COMMUNITY THAT DELAYING HEALTHCARE NEEDS PLACES AN INDIVIDUAL'S HEALTH AT RISK. READING HOSPITAL INVESTED IN EXPANDING DIGITAL, VIRTUAL AND TELEHEALTH SERVICES TO STAY CONNECTED WITH THEIR PATIENTS.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ 586,703,104 including grants of $ ) (Revenue $ 596,815,112 )
4e	Total program service expenses861,460,429

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	11,701,062	1,954,955	3,131,514

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	713,484
e	Government grants (contributions)		1e	56,502,897

f	All other contributions, gifts, grants, and similar amounts not included above		1f	30,045

g	Noncash contributions included in lines 1a - 1f:$		1g

h Total. Add lines 1a-1f.......		57,246,426

		Business Code
2a	PATIENT CHARGES	622110	929,652,693	929,652,693
b
c
d
e
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		929,652,693

3 Investment income (including dividends, interest, and othersimilar amounts) ......			493,778			493,778
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents		4,618,067	6a
b	Less: rental expenses			6b
c	Rental income or (loss)		4,618,067	6c
d	Net rental income or (loss).......			4,618,067			4,618,067
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	2,334		7a
b	Less: cost or other basis and sales expenses			7b
c	Gain or (loss)	2,334		7c
d	Net gain or (loss).........			2,334			2,334
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a
b	Less: cost of goods sold ..		10b
c	Net income or (loss) from sales of inventory..
Business Code			Miscellaneous Revenue
11a	RETAIL PHARMACY		446110	19,995,941		186,048	19,809,893
b	MEALS		722310	5,504,475			5,504,475
c	TUITION - NURSING TECH SCHOOL		611600	3,821,862	3,821,862
d	All other revenue ....			13,683,537	12,236,177	1,261,312
e	Total. Add lines 11a–11d ......			43,005,815
12	Total revenue. See instructions.....			1,035,019,113	945,710,732	1,447,360	30,428,547

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........	5,022,430	546,768	4,475,662
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........	6,661,526		6,661,526
7	Other salaries and wages........	403,841,513	379,210,433	24,631,080
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	21,718,307	20,497,251	1,221,056
9	Other employee benefits .......	65,450,070	59,637,176	5,812,894
10	Payroll taxes ...........	29,791,619	26,802,407	2,989,212
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	10,556,283		10,556,283
c	Accounting ...........	1,223,433		1,223,433
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	480,500		480,500
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	18,928,677	-22,850,430	41,779,107
12	Advertising and promotion ....	6,328,901		6,328,901
13	Office expenses .......
14	Information technology ......	57,423,479	57,423,479
15	Royalties ..
16	Occupancy ...........	26,195,952	23,400,815	2,795,137
17	Travel ............	1,271,664	1,090,076	181,588
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....
20	Interest ...........	20,125,863	20,125,863
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	66,363,073	66,363,073
23	Insurance ...	8,518,185	8,491,773	26,412
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	SUPPLIES	163,996,117	163,537,578	458,539
b	REPAIRS AND MAINTENANCE	19,126,743	18,669,785	456,958
c	PROJECT INDEPENDENCE	13,670,756	13,670,756
d	EPIC RESOURCES	5,962,292	5,962,292
e	All other expenses	18,881,334	18,881,334
25	Total functional expenses. Add lines 1 through 24e	971,538,717	861,460,429	110,078,288	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			696,127	1	551,149
2	Savings and temporary cash investments .........				2
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			150,437,849	4	151,704,155
5	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
					6
7	Notes and loans receivable, net ...........				7
8	Inventories for sale or use ............			26,947,795	8	38,800,667
9	Prepaid expenses and deferred charges ......			18,448,241	9	24,679,770
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	1,921,727,247
b	Less: accumulated depreciation	10b	1,111,104,298	791,479,431	10c	810,622,949
11	Investments—publicly traded securities .				11
12	Investments—other securities. See Part IV, line 11 .....				12
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			45,929,741	15	157,355,062
16	Total assets. Add lines 1 through 15 (must equal line 33)...			1,033,939,184	16	1,183,713,752

17	Accounts payable and accrued expenses .....	161,321,058	17	199,564,821
18	Grants payable ...		18
19	Deferred revenue .........		19
20	Tax-exempt bond liabilities .........		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
			22
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ..		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	628,286,166	25	844,334,101
26	Total liabilities. Add lines 17 through 25..	789,607,224	26	1,043,898,922

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	240,463,352	27	139,526,902
28	Net assets with donor restrictions ...........	3,868,608	28	287,928
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	244,331,960	32	139,814,830
33	Total liabilities and net assets/fund balances ........	1,033,939,184	33	1,183,713,752