TY 2023 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/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(1) DAN AHERN...................................................................... EVP BUSINESS	50.00 ................. 2.50			X			0	1,213,791	208,347
(2) SUZANNE WENDEROTH MD...................................................................... EVP/CMO TOWE	50.00 ................. 2.50			X			0	935,298	204,225
(3) MICHAEL STERN...................................................................... COO TH	50.00 ................. 0.00			X			0	849,711	253,156
(4) MIKE EESLEY...................................................................... BOARD TREAS	50.00 ................. 2.00		X				0	903,826	12,591
(5) BERNARD BOULANGER...................................................................... EVP/CEO PROV	25.00 ................. 25.00			X			0	698,488	206,132
(6) P SUE PERROTTY...................................................................... CEO TOWER HE	50.00 ................. 2.00	X	X				0	900,000	0
(7) THERESE SUCHER...................................................................... FORMER EVP C	0.00 .................					X	0	766,755	16,057
(8) ROBERT EHINGER...................................................................... SVP ASSOC. C	25.00 ................. 25.00			X			0	599,547	91,244
(9) RICHARD T NEWELL JR...................................................................... CEO POTTS TE	50.00 .................			X			478,864	0	101,588
(10) ZIAD OSMAN...................................................................... PHYSICIAN	50.00 .................				X		501,081	0	38,325
(11) RICHARD MCLAUGHLIN...................................................................... CEO PHOE/POT	50.00 .................			X			390,896	0	38,413
(12) MARK MCNASH...................................................................... SVP SUPPORT	50.00 .................			X			0	373,654	12,465
(13) MICHAEL SZYMANSKI...................................................................... VP CFO PHOEN	50.00 .................			X			296,329	0	17,124
(14) JOHN CASEY MD...................................................................... CEO THP TERM	50.00 ................. 2.50			X			262,820	0	48,391
(15) SANDRA CRABTREE...................................................................... VP CNO PHOEN	50.00 .................				X		278,198	0	24,296
(16) ANN BLANKENHORN...................................................................... FORMER CNO P	0.00 .................					X	0	291,931	9,782
(17) CLINT MATTHEWS...................................................................... FORMER PRES/	0.00 ................. 0.00					X	0	269,231	7,912

(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/1099-NEC)
(18) MARY AGNEW........................................................................ SVP CNO TERM	0.00 .......................0.00				X	0	264,206	9,176
(19) AJAY JANI........................................................................ PHYSICIAN	50.00 .......................			X		243,426	0	27,897
(20) SCOTT RESWEBER........................................................................ PHYSICIAN	50.00 .......................			X		260,007	0	9,245
(21) PAUL CHWIECKO........................................................................ PHYSICIAN	50.00 .......................			X		237,165	0	8,180
(22) JOHN CACCIAMANI........................................................................ FORMER CEO C	0.00 .......................				X	195,625	0	175
(23) TRACY DRUCKENMILLER........................................................................ BOARD SECRET	38.00 .......................2.00		X			0	106,105	21,812
(24) THEODORE AUMAN........................................................................ BOARD MEMBER	2.00 .......................2.00	X				0	0	0
(25) JIM BOSCOV........................................................................ VICE CHAIR	2.00 .......................4.00	X	X			0	0	0
(26) ANGEL HELM........................................................................ BOARD MEM TE	2.00 .......................2.00	X				0	0	0
(27) MARY KARGBO........................................................................ BOARD MEMBER	2.00 .......................2.00	X				0	0	0
(28) BRENT WAGNER MD........................................................................ BOARD MEMBER	2.00 .......................2.00	X				0	0	0
(29) ROBERT BRIGHAM MD........................................................................ BOARD MEMBER	2.00 .......................2.00	X				0	0	0
(30) PETE MOLINARO........................................................................ BOARD MEMBER	2.00 .......................2.00	X				0	0	0
(31) MEG MUELLER........................................................................ CHAIR	2.00 .......................2.00	X	X			0	0	0
(32) WILLIAM P THORNTON........................................................................ BOARD MEMBER	2.00 .......................2.00	X				0	0	0
(33) DOUG TIEMAN........................................................................ BOARD MEMBER	2.00 .......................2.00	X				0	0	0

(A) Name and business address	(B) Description of services	(C) Compensation
AMN HEALTHCARE INC PO BOX 281939 ATLANTA,GA30384	MED STAFF SERV	9,659,216
NA PARTNERS IN ANESTHESIA LLC 68 SOUTH SERVICE ROAD SUITE 350 MELVILLE,NY11747	ANESTHESIA SERV	4,673,512
SOCIETY HILL ANESTHESIA CONSULTANTS 301 SOUTH 8TH ST STE 2L PHILADELPHIA,PA19106	ANESTHESIA SERV	3,341,875
VIRTUAL RADIOLOGIC PROF OF NJ PO BOX 4246 CAROL STREAM,IL601974246	PHYSICIAN SERV	1,720,669
BERKS SCHUYLKILL RESPIRATORY SPEC 2608 KEISER BLVD WYOMISSING,PA196103333	MED STAFF SERV	1,675,792
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 25

- TIN:

SCHEDULE A
(Form 990)

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

2023

Open to Public
Inspection

Name of the organization

TOWER HEALTH

Employer identification number

23-2201344

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).)

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 33 1/3% 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 33 1/3% 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 on 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 ............................... 2

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

(i) Name of supported organization	(ii) EIN	(iii) Type of organization (described on lines 1- 10 above (see instructions))	(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)
(A) READING HOSPITAL	231352204	3	Yes		31,681,157	0
(B) TOWER HEALTH MEDICAL GROUP	232266054	3	Yes		0	0
Total 2					31,681,157	0

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

Cat. No. 11285F

Schedule A (Form 990) 2023

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) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(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) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(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 5 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 2023 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2022 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2023. 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—2022. 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—2023. 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—2022. 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) 2023

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) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(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) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(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 on 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 5 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 2023 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2022 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2023 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2022 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests-2023. 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—2022. 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) 2023

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, 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.

Yes

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 lines 3b and 3c 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 box 12a or 12b in Part I, answer lines 4b and 4c 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 lines 5b and 5c 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) .

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

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 on 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 on 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) 2023

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 on lines 11b and 11c below, the governing body of a supported organization?

11a

A family member of a person described on 11a above?

11b

A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the officers, 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?

Yes

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).

Yes

By reason of the relationship described in line 2 above, 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.

Yes

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 lines 2a and 2b 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 on line 2a, above 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 lines 3a and 3b 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?If "Yes" or "No", provide details in Part VI.

Yes

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.

Yes

Schedule A (Form 990) 2023

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 0.015 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 0.035	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) 2023

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	1
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity	2
3 Administrative expenses paid to accomplish exempt purposes of supported organizations	3
4 Amounts paid to acquire exempt-use assets	4
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI)	5
6 Other distributions (describe in Part VI). See instructions	6
7Total annual distributions. Add lines 1 through 6.	7
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions	8
9 Distributable amount for 2023 from Section C, line 6	9
10 Line 8 amount divided by Line 9 amount	10

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2023	(iii) Distributable Amount for 2023
1 Distributable amount for 2023 from Section C, line 6
2 Underdistributions, if any, for years prior to 2023 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2023:
a From 2018.......
b From 2019.......
c From 2020.......
d From 2021.......
e From 2022.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2023 distributable amount
i Carryover from 2018 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2023 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2023 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2023, 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 2023. 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 2024. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2019.....
b Excess from 2020.....
c Excess from 2021.....
d Excess from 2022.....
e Excess from 2023.....

Schedule A (Form 990) (2023)

Schedule A (Form 990) 2023

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
PART IV, SECTION D, LINE 3	THE INVESTMENT COMMITTEE IS COMPRISED OF MEMBERS OF THE SUPPORTED ORGANIZATIONS AS WELL AS THE SUPPORTING ORGANIZATION. BECAUSE OF THIS OVERLAP, THE SUPPORTED ORGANIZATIONS HAVE A SIGNIFICANT VOICE IN THE SUPPORTING ORGANIZATION'S INVESTMENT POLICIES AND IN DIRECTING THE USE OF THE ORGANIZATION'S INCOME AND ASSETS DURING THE TAX YEAR. THE CAPITAL RESOURCE COMMITTEE MEETS EVERY 2 MONTHS. INVESTMENT PRESENTATIONS ARE MADE, ISSUES ARE DISCUSSED AND MINUTES ARE TAKEN BY THE DIRECTOR OF TREASURY. ANY SUBSEQUENT FOLLOW-UP ORDERED BY THE COMMITTEE IS COORDINATED BY THE DIRECTOR OF TREASURY. ADDITIONALLY,THE PRESIDENT AND CEO OF TOWER HEALTH, IS ON THE BOARD OF DIRECTORS OF BOTH SUPPORTED ORGANIZATIONS AS WELL AS THE SUPPORTING ORGANIZATION. HAVING THE PRESIDENT AND CEO ON THESE BOARDS FURTHER ALLOWS THE SUPPORTED ORGANIZATION'S TO HAVE A SIGNIFICANT VOICE IN DIRECTING THE USE OF TOWER HEALTH'S INCOME AND ASSETS. ADDITIONALLY THE INVESTMENT COMMITTEE COLLABORATES WITH THE FINANCE COMMITTEE OF TOWER HEALTH TO ENSURE THAT BOTH COMMITTEES ARE AWARE OF THE CORPORATION'S CAPITAL NEEDS AND BEST ABLE TO ADDRESS THEM BY PRUDENT INVESTMENT AND SPENDING OF LONG-TERM CAPITAL, BY BORROWING, OR IN PART BY EACH, AS BEST ENSURES THE CORPORATION'S MISSION.
PART IV, SECTION E, LINE 3A	ORGANIZATION: THE BOARD OF DIRECTORS FOR EACH SUPPORTED ORGANIZATION IS ELECTED BY TOWER HEALTH AT THE ANNUAL MEETING.
PART IV, SECTION E, LINE 3B	ORGANIZATION: SUPPORTED ORGANIZATIONS FOLLOW POLICIES & PROCEDURES SET BY TOWER HEALTH. THE BYLAWS OF TOWER HEALTH STATES THAT TOWER HEALTH HAS CERTAIN POWERS OVER ITS SUBSIDIARIES/SUPPORTING ORGANIZATIONS INCLUDING, BUT NOT LIMITED TO MATTERS CONCERNING THE SALE OR PURCHASE OF ASSETS, CAPITAL BUDGETS, STRATEGIC PLANNING, INVESTMENTS, AND CORPORATE GOVERNANCE. ALL OF THE HOSPITALS PROVIDE SUPPORT TO TOWER HEALTH MEDICAL GROUP (THMG) WHICH IS RESPONSIBLE FOR PROVIDING ALL OF THE PHYSICIANS AND OTHER PROFESSIONALS TO READING HOSPITAL AND THE ENTIRE SERIVCE AREA. READING HOSPITAL IS A QUATERNARY CARE HOSPITAL AND AS SUCH IS SUPPORTED BY THE OTHER TOWER HEALTH HOSPITALS TO BE ABLE TO PROVIDE HIGH LEVEL SERVICES TO THE COMMUNITY THAT ARE NOT AVAILABLE IN THE OTHER HOSPITALS, SUCH AS TRANSPLANT, NEONATAL INTENSIVE CARE, SPECIALIZED SURGICAL PROCEDURES, AS WELL AS RESEARCH AND MEDICAL EDUCATION.

Schedule A (Form 990) 2023

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990)

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

2023

Name of the organization

TOWER HEALTH

Employer identification number

23-2201344

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) (2023)

Schedule B (Form 990) (2023) Page 2

Name of organization TOWER HEALTH

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) (2023)

Schedule B (Form 990) (2023)

Page 3

Name of organization TOWER HEALTH		Employer identification number 23-2201344

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) (2023)

Schedule B (Form 990) (2023)

Page 4


Name of organization TOWER HEALTH			Employer identification number 23-2201344
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) (2023)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990)

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

right arrow

Complete if the organization is described below. right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

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

OMB No. 1545-0047

2022

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

TOWER HEALTH

Employer identification number

23-2201344

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 .................................................................... right arrow

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 ................................ right arrow

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... right arrow

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 ..... right arrow

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

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

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.

Cat. No. 50084S

Schedule C (Form 990) 2022

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 right arrow

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 right arrow

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) 2019	(b) 2020	(c) 2021	(d) 2022	(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) 2022

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

15,571

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

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

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

15,571

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 IV	DURING THE COURSE OF THE YEAR, THERE ARE VARIOUS FEDERAL AND STATE HEALTHCARE ISSUES THAT ARE RAISED THAT AFFECT TOWER HEALTH AND ITS ENTITIES. WE 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 IV

DURING THE COURSE OF THE YEAR, THERE ARE VARIOUS FEDERAL AND STATE HEALTHCARE ISSUES THAT ARE RAISED THAT AFFECT TOWER HEALTH AND ITS ENTITIES. WE 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) 2022

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.
right arrow

Attach to Form 990.
right arrow

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

OMB No. 1545-0047

2022

Open to Public Inspection

Name of the organization

TOWER HEALTH

Employer identification number

23-2201344

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 July 25, 2006, 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 right arrow

Number of states where property subject to conservation easement is located right arrow

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
right arrow

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

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 ......................... right arrow

(ii)

Assets included in Form 990, Part X ............................... right arrow

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 .......................... right arrow

Assets included in Form 990, Part X ............................... right arrow

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

Cat. No. 52283D

Schedule D (Form 990) 2022

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 right arrow

Permanent endowment right arrow

Term endowment right arrow

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 .....	43,566,292		43,566,292
b	Buildings ....	62,966,922	21,632,293	41,334,629
c	Leasehold improvements	10,129,498	6,510,088	3,619,410
d	Equipment ....	31,924,701	42,655,456	-10,730,755
e	Other .....	20,690,908	2,998,616	17,692,292
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				95,481,868

Schedule D (Form 990) 2022

Page 3

Part VII

Investments - Other 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 (A) OTHER SECURITIES	100,651,391	F
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	100,651,391

Part VIII

Investments - Program 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

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
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)RECEIVABLE FROM AFFILIATES				1,144,568,337
(2)LT ASSETS/GOODWILL/SECURITY DEPOSITS				43,364,631
(3)OPERATING LEASE RIGHT OF USE				29,906,854
(4)THIRD PARTY RECEIVABLE				4,743,155
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				1,222,582,977

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
OTHER	143,260,189
ESTIMATED SELF INSURANCE COST	58,716,610
DEFERRED LIABILITY	778,527






Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	202,755,326
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) 2022

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
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
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
c	Add lines 4a and 4b....................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

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
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
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

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 ORGANIZATION IS INCLUDED IN TOWER HEALTH AND SUBSIDIARIES CONSOLIDATED FINANCIAL STATEMENTS. THE FOLLOWING TEXT IS FROM THE ASC 740 (FIN 48) FOOTNOTE. 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 (Form 990) 2022

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE F(Form 990)

Department of the Treasury
Internal Revenue Service

Statement of Activities Outside the United States

Complete if the organization answered "Yes" to Form 990, Part IV, line 14b, 15, or 16. Right arrow

Attach to Form 990. Right arrow

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

OMB No. 1545-0047

2023

Open to Public Inspection

Name of the organization
TOWER HEALTH

Employer identification number

23-2201344

Part I

General Information on Activities Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 14b.

For grantmakers. Does the organization maintain records to substantiate the amount of its grants and

other assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria used

to award the grants or assistance? . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.

Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)

(a) Region		(d) Activities conducted in region (by type) (such as, fundraising, program services, investments, grants to recipients located in the region)	(f) Total expenditures for and investments in the region
	CENTRAL AND CARIBBEAN	INVESTMENTS	1,126,966
	EUROPE	INVESTMENTS	11
	NORTH AMERICA	INVESTMENTS	3,408,510














3a	Sub-total ....		4,535,487
b	Total from continuation sheets to Part I ...
c	Totals (add lines 3a and 3b)		4,535,487

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2023

Schedule F (Form 990) 2023

Page 2

Part II

Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.

1 (a) Name of organization		(b) IRS code section and EIN (if applicable)	(c) Region	(d) Purpose of grant	(e) Amount of cash grant	(f) Manner of cash disbursement	(g) Amount of noncash assistance	(h) Description of noncash assistance	(i) Method of valuation (book, FMV, appraisal, other)

2	Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .......
3	Enter total number of other organizations or entities .......................

Schedule F (Form 990) 2023

Schedule F (Form 990) 2023Page 3

Part III

Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 16.

Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance		(b) Region	(c) Number of recipients	(d) Amount of cash grant	(e) Manner of cash disbursement	(f) Amount of noncash assistance	(g) Description of noncash assistance	(h) Method of valuation (book, FMV, appraisal, other)

Schedule F (Form 990) 2023

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2023

Page 5

Part V

Supplemental Information
Provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information. See instructions.

ReturnReference	Explanation
SCHEDULE F, PAGE 1, PART I, LINE 3	CENTRAL AND CARIBBEAN 0 1,126,966 EUROPE 0 11 NORTH AMERICA 0 3,408,510

Schedule F (Form 990) 2023

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 20a.
Medium right arrow

Attach to Form 990.
Medium right arrow

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

OMB No. 1545-0047

2023

Open to Public Inspection

Name of the organization

TOWER HEALTH

Employer identification number

23-2201344

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? . . . . . .

Yes

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) . . .	8,709,962		8,709,962	1.690 %
b	Medicaid (from Worksheet 3, column a) . . . . .	47,285,342	38,122,114	9,163,228	1.780 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	55,995,304	38,122,114	17,873,190	3.480 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	1,782,728	51,202	1,731,526	0.340 %
f	Health professions education (from Worksheet 5) . . .	13,816,115	1,307,900	12,508,215	2.430 %
g	Subsidized health services (from Worksheet 6) . . . .
h	Research (from Worksheet 7) .	510,198		510,198	0.100 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	286,532		286,532	0.060 %
j	Total. Other Benefits . .	16,395,573	1,359,102	15,036,471	2.920 %
k	Total. Add lines 7d and 7j .	72,390,877	39,481,216	32,909,661	6.400 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2023

Schedule H (Form 990) 2023

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.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development	2		14,625		14,625
3	Community support	1	33	5,464		5,464
4	Environmental improvements	1		3,416		3,416
5	Leadership development and training for community members
6	Coalition building	1		6,784		6,784
7	Community health improvement advocacy
8	Workforce development	3	53	93,411		93,411	0.020 %
9	Other
10	Total	8	86	123,700		123,700	0.020 %

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. ......

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. ......

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).....

166,730,044

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

204,495,285

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

-37,765,241

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 %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2023

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?2Name, 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)					Facility reporting group
1	POTTSTOWN HOSPITAL 1600 EAST HIGH STREET POTTSTOWN,PA19464 "SEE SUPPLEMENTAL DISCLOSURE" 163201 TOWER HEALTH 232201344	X	X	X	A
2	PHOENIXVILLE HOSPITAL 140 NUTT ROAD PHOENIXVILLE,PA19460 "SEE SUPPLEMENTAL DISCLOSURE" 420901	X	X	X	A

Schedule H (Form 990) 2023

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)

	A
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 22

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 22

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) 2023

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	A
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 DISCLOSURES

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

SEE SUPPLEMENTAL DISCLOSURES

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

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) 2023

Page 6

Part VFacility Information (continued)

Billing and Collections

	A
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) 2023

Page 7

Part VFacility Information (continued)

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

	A
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) 2023

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
GROUP A, FACILITY 1, POTTSTOWN HOSPITAL - PART V, LINE 3E	PARTICIPANTS OF THE CHNA ACROSS THE VARIOUS DATA COLLECTION METHODS EMPHASIZED THE NEED TO IMPROVE ACCESS TO EQUITABLE CARE AND BEHAVIORAL HEALTH AND TO EXPAND HEALTH EDUCATION AND PREVENTION. INEQUITIES SUCH AS DEMOGRAPHICAL DIFFERENCES HIGHLIGHT THE IMPORTANCE OF WEAVING AN EQUITY FOCUS WITHIN ALL AREAS OF HEALTH. SIGNIFICANT NEEDS: (A) ACCESS TO EQUITABLE CARE (B) BEHAVIORAL HEALTH (C) HEALTH EDUCATION AND PREVENTION (D) HEALTH EQUITY
GROUP A, FACILITY 1, POTTSTOWN 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 2019 IDENTIFIED THE FOLLOWING SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY: ACCESS TO HEALTH CARE, SOCIAL DETERMINANTS OF HEALTH, DISEASE PREVENTION & MANAGEMENT, AND ACCESS TO BEHAVIORAL HEALTH SERVICES. THIS APPLIES TO POTTSTOWN HOSPITAL, CHESTNUT HILL HOSPITAL (SOLD 12/31/2022), PHOENIXVILLE HOSPITAL, BRANDYWINE HOSPITAL (CLOSED JANUARY 31, 2022) AND JENNERSVILLE HOSPITAL (CLOSED DECEMBER 31, 2021). AN OVERVIEW OF EACH PRIORITY FOLLOWS: ACCESS TO HEALTH CARE: POTTSTOWN HOSPITAL: THE GOAL WAS TO INCREASE THE COMMUNITY'S ACCESS TO HEALTH CARE SERVICES, PARTICULARLY THOSE COMMUNITY MEMBERS CONSIDERED VULNERABLE AND/OR LIVING IN UNDERSERVED AREAS. POTTSTOWN HOSPITAL WORKED TO IMPROVE CULTURAL SENSITIVITY OF STAFF BY ATTENDING CULTURAL AWARENESS TRAININGS TO LEARN ABOUT HOW PATIENTS WITH DIVERSE CULTURES, BELIEFS, LIFESTYLES, AND VALUES EXPERIENCE AND PERCEIVE HEALTHCARE. A DIVERSITY AND INCLUSION COUNCIL WAS ESTABLISHED TO IDENTIFY AND EDUCATE STAFF ON TOPICS OF INTEREST. THE HOSPITAL PARTNERED WITH CREATIVE HEALTH SERVICES TO INCREASE ACCESS TO PRIMARY CARE FOR BEHAVIORAL HEALTH PATIENTS. POTTSTOWN HOSPITAL STREAMLINED THE ACCESS TO CARE FACILITIES THROUGH THE TOWER ACCESS PROJECT (TAP) TO PROVIDE EASE OF ACCESS FOR COMMUNITY MEMBERS SEEKING TO SCHEDULE APPOINTMENTS WITH AMBULATORY AND SPECIALTY CARE SERVICE LINES. THE HOSPITAL PARTNERED WITH COMMUNITY HEALTH AND DENTAL CARE TO PROVIDE IMMEDIATE FOLLOW-UP APPOINTMENTS POST DISCHARGE. CHESTNUT HILL HOSPITAL (SOLD 12/31/2022) THE GOAL WAS TO INCREASE THE COMMUNITY'S ACCESS TO HEALTH CARE SERVICES, PARTICULARLY THOSE COMMUNITY MEMBERS CONSIDERED VULNERABLE AND/OR LIVING IN UNDERSERVED AREAS. CHESTNUT HILL HOSPITAL WORKED TO IMPROVE CULTURAL SENSITIVITY OF STAFF BY ATTENDING CULTURAL AWARENESS TRAININGS TO LEARN ABOUT HOW PATIENTS WITH DIVERSE CULTURES, BELIEFS, LIFESTYLES, AND VALUES EXPERIENCE AND PERCEIVE HEALTHCARE. A DIVERSITY AND INCLUSION COUNCIL WAS ESTABLISHED TO IDENTIFY AND EDUCATE STAFF ON TOPICS OF INTEREST. THE HOSPITAL STREAMLINED THE ACCESS TO CARE FACILITIES THROUGH THE TOWER ACCESS PROJECT (TAP) TO PROVIDE EASE OF ACCESS FOR COMMUNITY MEMBERS SEEKING TO SCHEDULE APPOINTMENTS WITH AMBULATORY AND SPECIALTY CARE SERVICE LINES. CHESTNUT HILL HOSPITAL IMPLEMENTED A PATIENT PORTAL FOR FASTER ACCESS TO TEST RESULTS, REQUEST MED REFILLS, AND TO COMMUNICATE DIRECTLY WITH PROVIDERS. PHOENIXVILLE HOSPITAL: THE GOAL WAS TO INCREASE THE COMMUNITY'S ACCESS TO HEALTH CARE SERVICES, PARTICULARLY THOSE COMMUNITY MEMBERS CONSIDERED VULNERABLE AND/OR LIVING IN UNDERSERVED AREAS. PHOENIXVILLE HOSPITAL ENHANCED THE TELEMEDICINE OPPORTUNITIES FOR ADDITIONAL TELEHEALTH SERVICES. PHOENIXVILLE HOSPITAL WORKED TO IMPROVE CULTURAL SENSITIVITY OF STAFF BY ATTENDING CULTURAL AWARENESS TRAININGS TO LEARN ABOUT HOW PATIENTS WITH DIVERSE CULTURES, BELIEFS, LIFESTYLES, AND VALUES EXPERIENCE AND PERCEIVE HEALTHCARE. A DIVERSITY AND INCLUSION COUNCIL WAS ESTABLISHED TO IDENTIFY AND EDUCATE STAFF ON TOPICS OF INTEREST. THE HOSPITAL STREAMLINED THE ACCESS TO CARE FACILITIES THROUGH THE TOWER ACCESS PROJECT (TAP) TO PROVIDE EASE OF ACCESS FOR COMMUNITY MEMBERS SEEKING TO SCHEDULE APPOINTMENTS WITH AMBULATORY AND SPECIALTY CARE SERVICE LINES. THE HOSPITAL UTILIZED OUTREACH SITES TO CONNECT VULNERABLE POPULATIONS WITH RESOURCES TO ADDRESS UNMET HEALTH CARE NEEDS. PHOENIXVILLE HOSPITAL HOSTED BRIDGING THE GAP MEDICAL INTERPRETER CERTIFICATION TO INCREASE THE NUMBER OF QUALIFIED MEDICAL INTERPRETERS IN THE COMMUNITY. BRANDYWINE HOSPITAL (CLOSED 1/31/2022): THE GOAL WAS TO INCREASE THE COMMUNITY'S ACCESS TO HEALTH CARE SERVICES, PARTICULARLY THOSE COMMUNITY MEMBERS CONSIDERED VULNERABLE AND/OR LIVING IN UNDERSERVED AREAS. BRANDYWINE HOSPITAL WORKED TO IMPROVE CULTURAL SENSITIVITY OF STAFF BY ATTENDING CULTURAL AWARENESS TRAININGS TO LEARN ABOUT HOW PATIENTS WITH DIVERSE CULTURES, BELIEFS, LIFESTYLES, AND VALUES EXPERIENCE AND PERCEIVE HEALTHCARE. A DIVERSITY AND INCLUSIOIN COUNCIL WAS ESTABLISHED TO IDENTIFY AND EDUCATE STAFF ON TOPICS OF INTEREST. THE HOSPITAL DEVELOPED, ENHANCED AND EXPANDED TELEMEDICINE OPPORTUNITIES AND ENHANCED THE USE OF REMOTE PATIENT MONITORING TO INCLUDE OBESE, DIABETIC AND CHF PATIENTS. JENNERSVILLE HOSPITAL (CLOSED 12/31/2021): THE GOAL WAS TO INCREASE THE COMMUNITY'S ACCESS TO HEALTH CARE SERVICES, PARTICULARLY THOSE COMMUNITY MEMBERS CONSIDERED VULNERABLE AND/OR LIVING IN UNDERSERVED AREAS. JENNERSVILLE HOSPITAL WORKED TO IMPROVE CULTURAL SENSITIVITY OF STAFF BY ATTENDING CULTURAL AWARENESS TRAININGS TO LEARN ABOUT HOW PATIENTS WITH DIVERSE CULTURES, BELIEFS, LIFESTYLES, AND VALUES EXPERIENCE AND PERCEIVE HEALTHCARE. A DIVERSITY AND INCLUSION COUNCIL WAS ESTABLISHED TO IDENTIFY AND EDUCATE STAFF ON TOPICS OF INTEREST. JENNERSVILLE HOSPITAL ENHANCED THEIR SPECIALIST OFFERING BY RECRUITING ADDITIONAL SPECIALISTS. THE HOSPITAL EXPLORED A TELEMEDICINE PARTNERSHIP WITH CAREPORT M.D. THROUGH WORKFORCE DEVELOPMENT, THE HOSPITAL PROVIDED OPPORTUNITIES FOR YOUNG ADULTS TO EXPERIENCE CAREERS IN HEALTH CARE AS A WAY OF CULTIVATING THE FUTURE WORKFORCE. JENNERSVILLE HOSPITAL IMPLEMENTED AND ENGAGED PATIENTS THROUGH MY TOWER HEALTH AND STREAMLINED THE ACCESS TO CARE FACILITIES THROUGH THE TOWER ACCESS PROJECT (TAP) TO PROVIDE EASE OF ACCESS FOR COMMUNITY MEMBERS SEEKING TO SCHEDULE APPOINTMENTS WITH AMBULATORY AND SPECIALTY CARE SERVICE LINES. SOCIAL DETERMINANTS OF HEALTH: POTTSTOWN HOSPITAL: THE GOAL WAS TO IDENTIFY AND ADDRESS SOCIAL DETERMINANTS OF HEALTH (SDOH). POTTSTOWN HOSPITAL SCREENED MEDICARE AND MEDICAID PATIENTS IN IDENTIFIED CLINICAL AREAS, IDENTIFYING NEEDS, CONNECTING PATIENTS TO APPROPRIATE COMMUNITY RESOURCES, AND PROVIDING NAVIGATION SERVICES TO PATIENTS IDENTIFIED AS HIGH-RISK. TO HELP REDUCE TRANSPORTATION BARRIERS, THE HOSPITAL IMPLEMENTED THE RIDE HEALTH PROGRAM. CHESTNUT HILL HOSPITAL (SOLD 12/31/2022): THE GOAL WAS TO IDENTIFY AND ADDRESS SOCIAL DETERMINANTS OF HEALTH (SDOH). CHESTNUT HILL HOSPITAL SCREENED MEDICARE AND MEDICAID PATIENTS IN IDENTIFIED CLINICAL AREAS, IDENTIFYING NEEDS, CONNECTING PATIENTS TO APPROPRIATE COMMUNITY RESOURCES, AND PROVIDING NAVIGATION SERVICES TO PATIENTS IDENTIFIED AS HIGH-RISK. THE HOSPITAL ADDRESSED TRANSPORTATION BARRIERS BY DEVELOPING A WORKFLOW, IMPLEMENTATION PLAN AND GUIDELINES FOR TRANSPORTATION PROGRAM FOR PATIENTS. PHOENIXVILLE HOSPITAL: THE GOAL WAS TO IDENTIFY AND ADDRESS SOCIAL DETERMINANTS OF HEALTH (SDOH). PHOENIXVILLE HOSPITAL SCREENED MEDICARE AND MEDICAID PATIENTS IN IDENTIFIED CLINICAL AREAS, IDENTIFYING NEEDS, CONNECTING PATIENTS TO APPROPRIATE COMMUNITY RESOURCES, AND PROVIDING NAVIGATION SERVICES TO PATIENTS IDENTIFIED AS HIGH-RISK. TO HELP REDUCE TRANSPORTATION BARRIERS, THE HOSPITAL IMPLEMENTED THE RIDE HEALTH PROGRAM. BRANDYWINE HOSPITAL (CLOSED 1/31/2022): THE GOAL WAS TO IDENTIFY AND ADDRESS SOCIAL DETERMINANTS OF HEALTH (SDOH). BRANDYWINE HOSPITAL SCREENED MEDICARE AND MEDICAID PATIENTS IN IDENTIFIED CLINICAL AREAS, IDENTIFYING NEEDS, CONNECTING PATIENTS TO APPROPRIATE COMMUNITY RESOURCES, AND PROVIDING NAVIGATION SERVICES TO PATIENTS IDENTIFIED AS HIGH-RISK. TO HELP REDUCE TRANSPORTATION BARRIERS, THE HOSPITAL IMPLEMENTED THE RIDE HEALTH PROGRAM. JENNERSVILLE HOSPITAL (CLOSED 12/31/2021): THE GOAL WAS TO IDENTIFY AND ADDRESS SOCIAL DETERMINANTS OF HEALTH (SDOH). JENNERSVILLE HOSPITAL SCREENED MEDICARE AND MEDICAID PATIENTS IN IDENTIFIED CLINICAL AREAS, IDENTIFYING NEEDS, CONNECTING PATIENTS TO APPROPRIATE COMMUNITY RESOURCES, AND PROVIDING NAVIGATION SERVICES TO PATIENTS IDENTIFIED AS HIGH-RISK. THE HOSPITAL PARTNERED WITH COMMUNITY ORGANIZATIONS TO ADDRESS TRANSPORTATION BARRIERS AND PARTNERED WITH THE COMMUNITY FOOD BANK TO REDUCE FOOD SCARCITY ISSUES FOR VULNERABLE POPULATIONS. DISEASE PREVENTION & MANAGEMENT: POTTSTOWN HOSPITAL: THIS GOAL WAS TO IMPLEMENT CHRONIC DISEASE PREVENTION AND MANAGEMENT PROGRAMS IN THE PRIMARY SERVICE AREA, SPECIFICALLY TARGETING VULNERABLE POPULATIONS. POTTSTOWN HOSPITAL INCREASED DIABETES AND HYPERTENSION SCREENINGS AND CONDUCTED MULTIPLE CANCER EDUCATION AND SCREENING EVENTS FOR THE COMMUNITY, INCLUDING LUNG CANCER, BREAST CANCER AND SKIN CANCER SCREENINGS. THE HOSPITAL IMPLEMENTED SHORT AND LONG-TERM WELLNESS INITIATIVES THROUGH TOWER WELLNESS PROGRAMS AND BUILT RELATIONSHIPS WITH LOCAL SCHOOL DISTRICTS AND ATTENDED THEIR WELLNESS COMMITTEE MEETINGS AND PARTICIPATED IN SCHOOL WELLNESS ACTIVITIES FOR THE YOUTH. NUTRITION EDUCATION WAS PROVIDED TO THE COMMUNITY. CHESTNUT HILL HOSPITAL (SOLD 12/31/2022): THE GOAL WAS TO IMPLEMENT CHRONIC DISEASE PREVENTION AND MANAGEMENT PROGRAMS IN THE PRIMARY SERVICE AREA, SPECIFICALLY TARGETING VULNERABLE POPULATIONS. CHESTNUT HILL HOSPITAL PROVIDED SCREENING (HYPERTENSION, RISK ASSESSMENTS FOR HEART AND STROKE, MAMMOGRAMS SCREENINGS) AND EDUCATION
GROUP A, FACILITY 1, POTTSTOWN HOSPITAL - PART V, LINE 5	PART V FACILITY INFORMATION, SECTION A SUPPLEMENTAL DISCLOSURE: WEBSITE ADDRESS HTTPS://WWW.TOWERHEALTH.ORG/LOCATIONS/POTTSTOWN-HOSPITAL HTTPS://WWW.TOWERHEALTH.ORG/LOCATIONS/CHESTNUT-HILL-HOPSIAL HTTPS://WWW.TOWERHEALTH.ORG/LOCATIONS/PHOENIXVILLE-HOSPITAL CHESTNUT HILL HOSPITAL WAS SOLD AS OF DECEMBER 31, 2022 PART V, LINE 5 THIS ALSO APPLIES TO PHOENIXVILLE HOSPITAL. THE CHNA PROCESS BEGAN IN FEBRUARY 2021 AND COLLECTION OF QUANTITATIVE AND QUALITATIVE DATA CONCLUDED IN SEPTEMBER 2021. AS PART OF THE NEEDS ASSESSMENT, A VAST NUMBER OF RESIDENTS, EDUCATORS, GOVERNMENT, HEALTH CARE PROFESSIONALS, AND HEALTH AND HUMAN SERVICES LEADERS IN READING HOSPITAL'S SERVICE AREA PARTICIPATED IN THE STUDY. INFORMATION COLLECTED FROM LEADERS PROVIDED A DEEPER UNDERSTANDING OF COMMUNITY MATTERS, HEALTH EQUITY FACTORS, AND COMMUNITY NEEDS. 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) COMMUNITY SURVEY VARIOUS TYPES OF DATA, SUCH AS COUNTY DEMOGRAPHICS AND CHRONIC DISEASE PREVALENCE, WERE GATHERED FROM LOCAL, STATE, AND FEDERAL DATABASES TO COMPILE SECONDARY DATA. COMMUNITY SURVEYS, KEY INFORMANT SURVEYS, AND COMMUNITY STAKEHOLDER INTERVIEWS WERE DISPERSED COMMUNITY-WIDE TO GARNER PARTICIPATION FROM ALL MEMBERS RESIDING OR WORKING IN THE PRIMARY SERVICE AREA. THE DATA COLLECTED IDENTIFIED THE NEEDS, HIGH-RISK BEHAVIORS, BARRIERS, SOCIETAL ISSUES, AND CONCERNS OF THE UNDERSERVED AND VULNERABLE POPULATIONS. INFORMATION FROM FOCUS GROUPS WITH HOSPITAL LEADERSHIP AND COMMUNITY PARTNERS WHO PROVIDE SERVICES AND CARE TO THE REGION WAS ALSO INCLUDED IN THE COLLECTION PHASE. STAKEHOLDER INTERVIEWS (POTTSTOWN): MONTGOMERY COUNTY MONTGOMERY COUNTY COMMUNITY COLLEGE PA HOUSE OF REPRESENTATIVES TRICOUNTY CHAMBER OF COMMERCE POTTSTOWN BOROUGH POTTSTOWN AREA HEALTH AND WELLNESS FOUNDATION COMMUNITY HEALTH AND DENTAL CARE TRICOUNTY COMMUNITY NETWORK POTTSGROVE SCHOOL DISTRICT CREATIVE HEALTH SERVICES STAKEHOLDER INTERVIEWS (PHOENIXVILLE): PHOENIXVILLE REGIONAL CHAMBER OF COMMERCE CHESTER COUNTY HEALTH DEPARTMENT PHOENIXVILLE AREA SCHOOL DISTRICT MONTGOMERY COUNTY HEALTH DEPARTMENT ALIANZAS DE PHOENIXVILLE PHOENIXVILLE COMMUNITY HEALTH FOUNDATION COMMUNITY HEALTH AND DENTAL CLINIC THE CLINIC MAYOR - PHOENIXVILLE PHOENIXVILLE YMCA STAKEHOLDER INTERVIEWS (CHESTNUT HILL HOSPITAL): OUR MOTHER OF CONSOLATION MT AIRY COMMUNITY DEVELOPMENT CORPORATION CENTER IN THE PARK PHILADELPHIA INTERFAITH HOSPITALITY NETWORK U.S. HOUSE OF REPRESENTATIVES DREXEL UNIVERSITY FACE TO FACE GERMANTOWN NEW COVENANT CHURCH OF PHILADELPHIA GREEN TREE COMMUNITY HEALTH FOUNDATION CHESTNUT HILL COLLEGE WHITEMARSH EMS FOCUS GROUP PARTICIPANTS (POTTSTOWN): SAGA COMMUNITY CENTER POTTSTOWN AREA HEALTH AND WELLNESS FOUNDATION PA HEALTH ACCESS NETWORK ACCESS SERVICES MONTGOMERY COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICESI ACLAMO HEALTH SPARK FOUNDATION COMMUNITY HEALTH AND DENTAL CARE TRICOUNTY COMMUNITY NETWORK POTTSTOWN HOSPITAL FOCUS GROUP PARTICIPANTS (PHOENIXVILLE): PHOENIXVILLE HOSPITAL PHOENIXVILLE AREA COMMUNITY SEVICES PHOENIXVILLE SENIOR CENTER ALIANZAS DE PHOENIXVILLE ORION HOPE PHOENIXVILLE COMMUNITY HEALTH FOUNDATION THE CLINIC HEALTHCARE ACCESS BOROUGH OF PHOENIXVILLE FOCUS GROUP PARTICIPANTS (CHESTNUT HILL): CHESTNUT HILL HOSPITAL MOUNT AIRY CDC GREEN TREE COMMUNITY HEALTH FOUNDATION U.S. REPRESENTATIVE DWIGHT EVANS
GROUP A, FACILITY 1, POTTSTOWN HOSPITAL - PART V, LINE 7D	THIS ALSO APPLIES TO PHOENIXVILLE HOSPITAL LINK TO THE COMMUNITY HEALTH NEEDS ASSESSMENT FOR THE POTTSTOWN AND PHOENIXVILLE HOSPITALS: HTTPS://WWW.TOWERHEALTH.ORG/LOCATIONS/POTTSTOWN-HOSPITAL-COMMUNITY-HEALTH- NEEDS-ASSESSMENT HTTPS://WWW.TOWERHEALTH.ORG/LOCATIONS/PHOENIXVILLE-HOSPITAL-COMMUNITY- HEALTH-NEEDS-ASSESSMENT THE IMPLEMENTATION STRATEGY FOR THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT WAS COMPLETED IN NOVEMBER 2022 AND CAN BE FOUND AT: HTTPS://WWW.TOWERHEALTH.ORG/LOCATIONS/POTTSTOWN-HOSPITAL-COMMUNITY-HEALTH- NEEDS-ASSESSMENT HTTPS://WWW.TOWERHEALTH.ORG/LOCATIONS/PHOENIXVILLE-HOSPITAL-COMMUNITY- HEALTH-NEEDS-ASSESSMENT
GROUP A, FACILITY 1, POTTSTOWN HOSPITAL - PART V, LINE 11	THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT WAS COMPLETED IN 2022 AND IDENTIFIED AND PRIORITIZED FOUR AREAS OF FOCUS: ACCESS TO EQUITABLE CARE, BEHAVIORAL HEALTH, HEALTH EDUCATION AND PREVENTION, AND HEALTH EQUITY. THE DEVELOPMENT OF THE 2022 CHNA IMPLEMENTATION PLAN WILL CONTINUE THROUGH THE BEGINNING OF FY2023 WITH THE FINAL DOCUMENT BEING ADOPTED AND MADE PUBLICLY AVAILABLE BY NOVEMBER 15, 2022. 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 EQUITABLE CARE: POTTSTOWN HOSPITAL, PHOENIXVILLE HOSPITAL, AND CHESTNUT HILL HOSPITAL. THE HOSPITALS DEPLOY CONTINUOUS IMPROVEMENT EFFORTS TO BETTER UNDERSTAND THE CONTRIBUTING FACTORS THAT IMPEDE ACCESS TO EQUITABLE CARE AND HOW BEST TO ADDRESS IDENTIFIED BARRIERS AND GAPS IN THE PROVISION OF HEALTH CARE AND SERVICES. IMPROVING AN ORGANIZATION'S CAPACITY TO PROVIDE ACCESS TO EQUITABLE CARE FOR VULNERABLE AND ETHNIC POPULATIONS IS A CONTINUOUS AND EVOLVING PROCESS. THE GOAL IS TO INCREASE ACCESS TO EQUITABLE CARE BY COMMUNITY MEMBER, PARTICULARLY THOSE CONSIDERED VULNERABLE AND/OR LIVING IN UNDERSERVED AREAS. POTTSTOWN HOSPITAL WILL SCREEN VULNERABLE PATIENTS FOR SOCIAL DETERMINENTS OF HEALTH, IMPROVE ACCESS TO TRANSPORTATION BY UTILIZING THE RIDE HEALTH PLATFORM, IMPLEMENT STREET MEDICINE PROGRAM, IMPROVE DENTAL CARE ACCESSIBILITY BY PARTNERING WITH CHDC AND THE MOBILE DENTAL UNIT, IMPROVE ACCESS TO SCREENING MAMMOGRAMS, IDENTIFY OPPORTUNITIES FOR A COMMUNITY HEALTH WORK PROGRAM AND INCREASE CARE COORDINATION WITH OTHER HEALTH CARE ENTITIES IN THE SERVICE AREA. PHOENIXVILLE HOSPITAL WILL PROVIDE NURSE OUTREACH BY PROVIDING HEALTH INFORMATION AND RESOURCE REFERRALS TO VULNERABLE POPULATION IN THE COMMUNITY TO ADDRESS UNMET HEALTH CARE NEEDS. A RIDE HEALTH PROGRAM WILL BE IMPLEMENTED AND ACCESS TO TELEMEDICINE WILL BE PROVIDED. CHESTNUT HILL HOSPITAL PLANNED TO PROMOTE THE MYTOWERHEALTH PORTAL TO ENCOURAGE PATIENTS TO MANAGE INDIVIDUAL HEALTH, IMPLEMENT ONLINE APPOINTMENT SCHEDULING, PROVIDE CLINICAL SERVICES TO HOMEBOUND AND AT-RISK POPULATION THROUGH VOLUNTEERING AT NEIGHBORHOOD CLINICS, UTILIZE THE RIDE HEALTH PROGRAM AND ADDRESS SDOH BY PROVIDING ACUTE CARE AND HEALTH SCREENING SERVICES TO COMMUNITY MEMBERS. CHESTNUT HILL HOSPITAL WAS SOLD 12/31/2022. BEHAVIORAL HEALTH: POTTSTOWN HOSPITAL, PHOENIXVILLE HOSPITAL, AND CHESTNUT HILL HOSPITAL CHNA FOCUS GROUPS, STAKEHOLDERS, KEY INFORMANTS, AND SURVEY RESPONDENTS REPORTED "IMPROVING ACCESS AND AVAILABILITY OF BEHAVIORAL HEALTH AND MENTAL HEALTH SERVICES AND PROGRAMS" AS HAVING A GREAT IMPACT ON THE OVERALL HEALTH OF THEIR SURROUNDING COMMUNITIES AND A HIGH PRIORITY FOR IMPROVING HEALTH STATUS. THE GOAL IS TO IMPROVE ACCESS, SCREENING, ASSESSMENT, TREATMENT, AND SUPPORT FOR BEHAVIORAL HEALTH. POTTSTOWN HOSPITAL WILL PARTICIPATE IN COMMUNITY OUTREACH AND HEALTH EDUCATION AWARENESS EVENTS, ENGAGE IN WORKFORCE DEVELOPMENT OPPORTUNITIES FOR BEHAVIORAL HEALTH CARRIERS, OFFER SUICIDE PREVENTION TRAINING, IMPLEMENT TOWER EMPLOYEE WELLNESS INITIATIVES. PHOENIXVILLE HOSPITAL WILL INVITE COMMUNITY ORGANIZATIONS WHICH PROVIDE BEHAVIORAL HEALTH TO PARTICIPATE IN HOSPITAL COMMUNITY PROGRAMS. A BEHAVIORAL HEALTH SOCIAL MEDIA CAMPAIGN WILL BE LAUNCHED TO ENGAGE COMMUNITY MEMBERS WITH MONTHLY SOCIAL MEDIA POSTS FOCUSED ON BEHAVIORAL HEALTH ISSUES. TOWER EMPLOYEE WELLNESS INITIATIVE WILL BE EXPANDED. CHESTNUT HILL HOSPITAL PLANNED TO ESTABLISH A COMMITTEE TO ADDRESS WORKPLACE VIOLENCE, EXPAND BEHAVIORAL HEALTH SERVICES BY IDENTIFYING PARTNERS TO SUPPORT THE EXPANSION AND EXPAND TOWER WELLNESS EMPLOYEE INITIATIVES. CHESTNUT HILL HOSPITAL WAS SOLD 12/31/2022. HEALTH EDUCATION AND PREVENTION: POTTSTOWN HOSPITAL, PHOENIXVILLE HOSPITAL, AND CHESTNUT HILL HOSPITAL HEALTH EDUCATION PROGRAMS HELP PEOPLE BETTER UNDERSTAND HOW TO MANAGE AN EXISTING HEALTH CONDITION AND HOW TO PREVENT FURTHER ILLNESS, WHICH IS PARAMOUNT TO GOOD HEALTH. THE HOSPITAL'S COMMUNITY EDUCATION AND DISEASE PREVENTION PROGRAMS ARE DESIGNED TO ENGAGE AND EMPOWER INDIVIDUALS AND COMMUNITIES TO PRACTICE HEALTHY BEHAVIORS THAT REDUCE THE RISK OF DEVELOPING CHRONIC DISEASES AND TO IMPROVE MANAGEMENT FOR CHRONIC DISEASES SUCH AS HEART DISEASE, DIABETES, AND HIGH BLOOD PRESSURE. ACCORDING TO THE WORLD HEALTH ORGANIZATION, "HEALTH EDUCATION ENABLES PEOPLE TO INCREASE CONTROL OVER THEIR OWN HEALTH." THE GOAL IS TO IMPLEMENT CHRONIC DISEASE EDUCATION AND PREVENTION PROGRAMS IN THE PRIMARY SERVICE AREA, SPECIFICALLY TARGETING VULNERABLE POPULATIONS. POTTSTOWN HOSPITAL WILL INCREASE ACCESS TO HEALTHY FOODS, PROVIDE DISEASE SPECIFIC EDUCATION, ENGAGE WITH LOCAL SCHOOL DISTRICTS TO FURTHER WELLNESS EDUCATION AND PROGRAMS, INCREASE ACCESS TO CANCER SCREENINGS AND IMPLEMENT TOWER EMPLOYEE WELLNESS INITIATIVES. PHOENIXVILLE HOSPITAL WILL PROVIDE CHRONIC DISEASE-SPECIFIC EDUCATION TO OTHER VULNERABLE POPULATIONS INCLUDING LOW-INCOME, VETERANS, AND OTHERS. A HEALTH SURVEY FOR THE SPANISH/PORTUGUESE COMMUNITY WILL BE CREATED. BLOOD PRESSURE SCREENINGS, CANCER PREVENTION EDUCATION AND SCREENINGS WILL BE PROVIDED. A PARTNERSHIP WITH ORGANIZATIONS WILL BE ORGANIZED TO PROVIDE A VACCINE CLINIC TO THE COMMUNITY. TOWER EMPLOYEE WELLNESS INITIATIVE WILL BE IMPLEMENTED. CHESTNUT HILL HOSPITAL PLANNED TO LAUNCH WEIGHT LOSS SURGERY SUPPORT GROUPS TO ENCOURAGE MAINTENANCE OF A HEALTHY LIFESTYLE AFTER SURGERY, INCREASE HEALTH EDUCATION PROGRAMMING BY HOSTING EVENTS AND FREE SCREENINGS FOR LOCAL CONGREGATIONS, AND PARTNER WITH PHILADELPHIA PUBLIC SCHOOL SYSTEM TO PROVIDE HEALTH EDUCATION TO AT-RISK YOUTH AND FAMILIES. TOWER EMPLOYEE WELLNESS INITIATIVES WERE PLANNED TO BE IMPLEMENTED. CHESTNUT HILL HOSPITAL WAS SOLD 12/31/2022 HEALTH EQUITY: POTTSTOWN HOSPITAL, PHOENIXVILLE HOSPITAL, AND CHESTNUT HILL HOSPITAL UNDERSTANDING AND ADDRESSING THE NEEDS OF DIVERSE AND DISPARATE POPULATIONS IS A SIGNIFICANT CHALLENGE FOR HEALTH CARE ORGANIZATIONS. AS A CRITICAL ASPECT OF IMPROVING HEALTH EQUITY AND DECREASING HEALTH DISPARITIES, THERE IS A CONTINUED EFFORT TO ENHANCE THE PROVISION OF CULTURALLY COMPETENT AND LINGUISTICALLY APPROPRIATE CARE TO A VERY DIVERSE SERVICE AREA AS DEFINED BY RACIAL AND ETHNIC COMMUNITIES WITH VARIOUS CULTURAL BELIEFS AND PERCEPTIONS, HEALTH PRACTICES, AND BEHAVIORS, AS WELL AS A DISTRUST OF THE HEALTH DELIVERY SYSTEM. THE ASSESSMENT OF THE DIVERSE AND DISPARATE POPULATION UNCOVERED MANY SDOH AND BARRIERS TO HEALTH CARE ACCESS AND SERVICES. BARRIERS SUCH AS A LACK OF TRANSPORTATION, INADEQUACY OF LANGUAGE AND INTERPRETATION SERVICES, LACK OF INSURANCE COVERAGE, AND CULTURAL BIAS AND DISCRIMINATION HAVE A VERY DRAMATIC IMPACT ON THE CAPACITY TO PROVIDE QUALITY HEALTH CARE AND THE QUALITY OF LIFE FOR POTTSTOWN HOSPITAL'S COMMUNITIES. INTERVENTIONS THAT IMPROVE HEALTH EQUITY AND REDUCE DISPARITIES MUST BE SYSTEMATIC AS AN ORGANIZATION GAINS GREATER UNDERSTANDING AND APPRECIATION FOR DIVERSE CULTURES AND ENHANCES THE ORGANIZATION'S ABILITY TO SERVE ALL PATIENTS EFFECTIVELY AND EFFICIENTLY. THE GOAL IS TO INCREASE HEALTH EQUITY BY ADDRESSING SOCIAL DETERMINANTS OF HEALTH AND PROVIDE CULTURALLY COMPETENT CARE. POTTSTOWN HOSPITAL WILL DEVELOP A HEALTH EQUITY COUNCIL TO CREATE A HEALTH EQUITY ASSESSMENT AND TRANSFORMATION ACTION PLAN. DIVERSITY, EQUITY AND INCLUSION TRAINING AND LEARNING OPPORTUNITIES WILL BE PROVIDED TO EMPLOYEES. PHOENIXVILLE HOSPITAL WILL DEVELOP A HEALTH EQUITY COUNCIL TO CREATE A HEALTH EQUITY ASSESSMENT AND TRANSFORMATION ACTION PLAN. DIVERSITY, EQUITY AND INCLUSION TRAINING AND LEARNING OPPORTUNITIES WILL BE PROVIDED TO EMPLOYEES. CHESTNUT HILL HOSPITAL PLANNED TO DEVELOP A HEALTH EQUITY COUNCIL TO CREATE A HEALTH EQUITY ASSESSMENT AND TRANSFORMATION ACTION PLAN. DIVERSITY, EQUITY AND INCLUSION TRAINING AND LEARNING OPPORTUNITIES WERE PLANNED FOR EMPLOYEES. CHESTNUT HILL HOSPITAL WAS SOLD 12/31/2022. LIST OF HEALTH NEEDS THE FACILITY DOES NOT PLAN TO ADDRESS: ACCESS TO EQUITABLE CARE: THE EXPANSION OF THE REMOTE PATIENT MONITORING PROGRAM TO PATIENTS DIAGNOSED WITH DIABETES AND COPD HAS BEEN PLACED ON AN INDEFINITE HOLD.
GROUP A, FACILITY 1, POTTSTOWN HOSPITAL - PART V, LINE 13H	THIS ALSO APPLIES TO PHOENIXVILLE HOSPITAL. PATIENTS VISITING FROM OUT OF THE COUNTRY AND REQUIRING EMERGENCY SERVICES ARE ELIGIBLE FOR CONSIDERATION OF FINANCIAL ASSISTANCE. HOWEVER, PATIENTS VISITING THE UNITED STATES WITH THE INTENT OF RECEIVING NON-EMERGENCY CARE ARE NOT GENERALLY ELIGIBLE FOR FINANCIAL ASSISTANCE.
GROUP A, FACILITY 1, POTTSTOWN HOSPITAL - PART V, LINE 15E	THIS ALSO APPLIES TO PHOENIXVILLE HOSPITAL. FINANCIAL ASSISTANCE APPLICATION PROCESS: 1. WHO IS ELIGIBLE FOR FINANCIAL ASSISTANCE: A. PATIENTS RECEIVING SERVICES IN OUR HOSPITAL AND THMG PRACTICES. B. BOTH UNINSURED AND UNDER-INSURED PATIENTS. C. PATIENTS WHO ARE DENIED MEDICAID COVERAGE, OR WHO ARE SCREENED AND DETERMINED TO NOT MEET THE MEDICAID COVERAGE CRITERIA. 2. A HOSPITAL FINANCIAL COUNSELOR OR 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 INFORMATION WILL BE MADE. A CONFIRMATION LETTER IN ENGLISH AND SPANISH WILL BE SENT TO THE PATIENT DESCRIBING THE OUTCOME OF THE DECISION. 4. WHEN FINANCIAL ASSISTANCE IS APPROVED, A CONFIRMATION LETTER IN ENGLISH AND SPANISH WILL BE SENT TO THE PATIENT. THE LETTER WILL SERVE AS A MEANS OF SPECIFYING THE TIME FRAME COVERED BY THE FINANCIAL ASSISTANCE DETERMINATION. THE CONFIRMATION LETTER WILL CONTAIN A CONTACT NAME FOR THE PATIENT TO RETAIN AS A REFERENCE AND RESOURCE FOR ADDITIONAL QUESTIONS. 5. IF FINANCIAL ASSISTANCE IS NOT APPROVED, LETTERS IN ENGLISH AND SPANISH WILL BE SENT DESCRIBING THE REASONS FOR THE DECISION, AS WELL AS INFORMATION ON OTHER PAYMENT OPTIONS. SHOULD PATIENTS WISH TO APPEAL THE DECISION MADE, DIRECTIONS ON THE APPEALS PROCESS WILL ALSO BE PROVIDED. 6. PATIENTS OR GUARANTORS WHO DISAGREE WITH THE OUTCOME OF THE FINANCIAL ASSISTANCE ELIGIBILITY DECISION WILL HAVE THE OPPORTUNITY TO APPEAL THE DECISION. 7. THE FINANCIAL ASSISTANCE SCALE PROVIDES 100% CHARITY CARE TO BOTH INSURED AND UNINSURED PATIENTS WHOSE HOUSEHOLD INCOME IS UP TO 200% OF THE FEDERAL POVERTY LEVEL (FPL). THE FINANCIAL ASSISTANCE SCALE PROVIDES DISCOUNTED CARE ON A SLIDING SCALE FOR BOTH INSURED AND UNINSURED PATIENTS WHOSE HOUSEHOLD INCOME IS UP TO 400% OF THE FEDERAL POVERTY LEVEL (FPL). 8. THE MCR FFS (MEDICARE FEE FOR SERVICE) IS USED TO DETERIMINE THE FINANCIAL ASSISTANCE ADJUSTMENT. PATIENTS ARE ENCOURAGED TO BEGIN APPLYING FOR FINANCIAL ASSISTANCE AS EARLY AS POSSIBLE IN THE PROCESS OF ACCESSING MEDICAL CARE. THE SOONER THE HOSPITAL BECOMES AWARE OF THE FINANCIAL NEED, THE GREATER OPPORTUNITY EXISTS TO SUCCESSFULLY CONNECT THE PATIENT WITH POTENTIAL RESOURCES SUCH AS 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 FINANCAL ASSISTANCE AT ANY POINT IN THE BILLING AND COLLECTION CYCLE. IF THE FINANCIAL ASSISTANCE APPLICATION IS INITIATED WHILE THE ACCOUNT IS IN THE COLLECTION PROCESS, COLLECTION ACTIVITY WILL CEASE UNTIL DETERMINATION OF ELIGIBILITY HAS BEEN MADE.
GROUP A, FACILITY 1, POTTSTOWN HOSPITAL - PART V, LINE 16J	THE BELOW NARRATIVE COVERS LINE 16A-C AND J THIS ALSO APPLIES TO PHOENIXVILLE HOSPITAL. THE CURRENT FINANCIAL ASSISTANCE POLICY, PLAIN LANGUAGE POLICY AND APPLICATIONS FOR FINANCIAL ASSISTANCE, IN ENGLISH, SPANISH, GERMAN, DUTCH, HAITIAN CREOLE, AND VIETNAMESE ARE ACCESSIBLE AT: HTTPS://WWW.TOWERHEALTH.ORG/LOCATIONS/POTTSTOWN-HOSPITAL/BILLING/ FINANCIAL-ASSISTANCE HTTPS://WWW.TOWERHEALTH.ORG/LOCATIONS/PHOENIXVILLE-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 POTTSTOWN HOSPITAL, CHESTNUT HILL HOSPITAL, AND PHOENIXVILLE HOSPITAL SPECIFYING WHICH PROVIDERS ARE AND ARE NOT COVERED BY THE PATIENT FINANCIAL ASSISTANCE POLICY. THIS PROVIDER LIST IS AVAILABLE ONLINE AT: HTTPS://WWW.TOWERHEALTH.ORG/PROVIDERS/. IN ADDITION,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 POTTSTOWN, AND PHOENIXVILLE HOSPITALS ARE EXCLUDED FROM THE FINANCIAL ASSISTANCE POLICY. INFORMATION REGARDING ELIGIBILITY FOR FINANCIAL ASSISTANCE IS COMMUNICATED VIA SIGNAGE AND BROCHURES PROMINENTLY DISPLAYED THROUGHOUT THE HOSPITAL AND WITHIN REGISTRATION AREAS. PAMPHLETS TITLED UNDERSTANDING BILLING & PAYMENTS INCLUDE THE PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY. THE PAMPHLETS ARE PRINTED IN ENGLISH, SPANISH, GERMAN, DUTCH, HAITIAN CREOLE, AND VIETNAMESE AND ARE AVAILABLE IN THE LOBBIES AND WAITING AREAS THROUGHOUT THE HOSPITAL. THESE PAMPHLETS PROVIDE AN EASY-TO-READ SUMMARY OF THE FINANCIAL ASSISTANCE PROGRAM, WITH CONTACT INFORMATION OF HOSPITAL EMPLOYEES WHO WILL ASSIST THE PATIENTS WITH THE APPLICATION PROCESS. THESE PAMPHLETS ARE ALSO DISTIBUTED TO PATIENTS AT THE POINTS OF REGISTRATION THROUGHOUT THE HOSPITAL. PATIENTS WHO ARE UNINSURED OR WHO EXPRESS THE INABILITY TO PAY AT POINT OF SERVICE ARE PROVIDED WITH THE PAMPHLET. EMERGENCY PATIENTS IN THESE SITUATIONS ARE PROVIDED WITH THE PAMPHLET AT THE TIME OF DISCHARGE. PATIENT BILLING STATEMENTS FOR HOSPITAL SERVICES CONTAIN GUIDANCE AND DIRECTION ON THE AVAILABILITY OF THE FINANCIAL ASSISTANCE PROGRAM. IN ADDITION, THE BACK OF THE BILLING STATEMENT IS A FINANCIAL ASSISTANCE APPLICATION. THE HOSPITAL WORKS CLOSELY WITH ADVOCACY PROGRAMS IN THE COMMUNITY. THE AVAILABILITY OF THE HOPSITAL FINANCIAL ASSISTANCE POLICY IS SHARED WITH THOSE AGENCIES.

Schedule H (Form 990) 2023

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?
Name and address		Type of Facility (describe)
1
2
3
4
5
6
7
8
9
10

Schedule H (Form 990) 2023

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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 REQUESTED TO PROVIDE VERIFICATION OF HOUSEHOLD INCOME ALONG WITH THE NAMES OF PEOPLE RESIDING IN THE HOUSEHOLD, AS A REQUIREMENT OF THE APPLICATION PROCESS. THE INFORMATION IS UTILIZED IN DETERMINING WHERE THE HOUSEHOLD FALLS WITHIN THE FEDERAL POVERTY LEVEL GUIDELINE (FPL). THE FPL CATEGORY WILL DETERMINE THE PATIENT OR GUARANTOR CONTRIBUTION AMOUNT TOWARD THEIR MEDICAL BILL.
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 THE MEDICARE COST REPORT IS UTILIZED.
SCHEDULE H, PART II	ECONOMIC DEVELOPMENT: TWO MEMBERS OF PHOENIXVILLE HOSPITAL'S ADMINISTRATIVE TEAM SERVE ON BOARDS AND/OR COUNCILS RELATED TO ECONOMIC DEVELOPMENT. THESE INCLUDE THE PERKIOMEN VALLEY CHAMBER OF COMMERCE AND THE PHOENIXVILLE CHAMBER OF COMMERCE. THE CEO OF POTTSTOWN HOSPITAL, SERVES ON BOARDS AND/OR COUNCILS RELATED TO ECONOMIC DEVELOPMENT. THESE INCLUDE THE TRICOUNTY AREA CHAMBER OF COMMERCE AND POTTSTOWN AREA ECONOMIC DEVELOPMENT. IN ADDITION, SARAH RAWLINGS, DIRECTOR OF AMBULATORY SURGERY, PARTICIPATED IN LEADERSHIP TRI-COUNTY THROUGH THE TRICOUNTY AREA CHAMBER OF COMMERCE. ENVIRONMENTAL IMPROVEMENTS: POTTSTOWN HOSPITAL ORGANIZED A COMMUNITY CLEAN UP EVENT TO CLEAN UP TRASH OFF OF HIGH ST. IN POTTSTOWN BOROUGH ON EARTH DAY. 19 STAFF MEMBERS PARTICIPATED IN THE EVENT ON APRIL 22ND, 2024. LEADERSHIP DEVELOPMENT AND TRAINING FOR COMMUNITY MEMBERS: PHOENIXVILLE HOSPITAL OFFERS MEDICAL INTERPRETER TRAINING TO LOCAL NON- PROFIT ORGANIZATIONS ANNUALLY. COALITION BUILDING: PHOENIXVILLE HOSPITAL PARTICIPATES IN SEVERAL COMMUNITY COLLABORATIVES/COALITIONS WHICH ADDRESS HEALTH AND SAFETY ISSUES. THE HOSPITAL PARTICIPATED IN NATIONAL NIGHT OUT WHICH IS A COMMUNITY BUILDING CAMPAIGN THAT PROMOTES POLICE-COMMUNITY PARTNERSHIPS AND NEIGHBORHOOD CAMARADERIE. PHOENIXVILLE HOSPITAL ALSO PARTICIPATES IN THE HUB, AN INITIATIVE WITH PASD TO ADDRESS AND TO IDENTIFY AT RISK STUDENTS/FAMILIES AND SUPPORT NEEDS. PHOENIXVILLE HOSPITAL ALSO PARTICIPATES IN THE NEWLY IMPLEMENTED SENIOR HUB, ADDRESSING THE NEEDS OF SENIOR POPULATION. WE ALSO PARTICIPATE IN COMMUNITIES THAT CARE (CTC) WHICH IS A COLLABORATION OF ORGANIZATIONS USING EVIDENCE-BASED PREVENTION PROGRAMS AND POLICIES TO FOSTER POSITIVE MENTAL HEALTH AND YOUTH DEVELOPMENT. PHOENIXVILLE HOSPITAL ALSO PARTICIPATES IN THE PHOENIXVILLE AREA RESOURCE NETWORK AND THE HEALTH LITERACY COUNCIL. COMMUNITY HEALTH IMPROVEMENT ADVOCACY: PHOENIXVILLE HOSPITAL SUPPORTS POLICIES AND PROGRAMS TO SAFEGUARD AND OR IMPROVE PUBLIC HEALTH, ACCESS TO HEALTHCARE SERVICES, AND TRANSPORTATION. NURSE OUTREACH IS PROVIDED FOR VULNERABLE POPULATIONS INCLUDING LOW INCOME HOUSING, VETERANS, AND SENIORS. RIDE HEALTH PROVIDES TRANSPORTATION FOR THOSE WHO NEED A RIDE EITHER TO OR FROM A MEDICAL APPOINTMENT. WORKFORCE DEVELOPMENT: PHOENIXVILLE HOSPITAL BELIEVES IN INVESTING IN THE FUTURE HEALTHCARE WORKFORCE AND PROVIDES A NUMBER OF OPPORTUNITIES FOR PRIMARY, SECONDARY, AND POST-SECONDARY STUDENTS WHO ARE INTERESTED IN HEALTHCARE CAREERS TO ENGAGE WITH BOTH CLINICAL AND NON-CLINICAL STAFF. JOB SHADOWING AND HIGH SCHOOL CAREER STUDY ARE AVAILABLE FOR STUDENTS. JOB SHADOWING HOSTED 10 STUDENTS IN FY2024. PHOENIXVILLE HOSPITAL HAS DEVELOPED A STRONG PARTNERSHIP WITH PERKIOMEN VALLEY HIGH SCHOOL AND HOSTS STUDENTS IN THEIR CAREER STUDY PROGRAM. SENIOR HIGH SCHOOL STUDENTS HAVE THE OPPORTUNITY TO EXPLORE HEALTHCARE CAREERS AT THE HOSPITAL. 12 STUDENTS PARTICIPATED IN FY2024 IN 10 DIFFERENT CLINICAL AREAS. POTTSTOWN 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. STAFF PARTICIPATE IN WORKFORCE DEVELOPMENT FORUMS, OFFER SHADOWING OPPORTUNITIES, AND HOST CLINICAL ROTATIONS AND INTERNSHIPS. IN ADDITION, IN FY24, POTTSTOWN HOSPITAL LAUNCHED THE HIGH SCHOOL INTERNSHIP PROGRAM. THIS UNIQUE PROGRAM OFFERED FULL-YEAR INTERNSHIPS TO FIVE STUDENTS FROM SCHOOLS IN THE HOSPITAL'S SERVICE AREA. IN ADDITION, THE STUDENTS RECEIVED WORKFORCE DEVELOPMENT EDUCATION. THE HOSPITAL ALSO OFFERED A CAREER EXPLORATION EVENT WHICH FEATURED AN IN-DEPTH TOUR OF THE HOSPITAL WITH EDUCATION ON EACH DEPARTMENT. THE EVENT CONCLUDED WITH A PANEL DISCUSSION FROM VARIOUS ROLES IN THE HOSPITAL.
SCHEDULE H, PART III, LINE 2	DUE TO THE ADOPTION OF ASU NO. 2014-09 REVENUE FROM CONTRACTS WITH CUSTOMERS (TOPIC 606) BAD DEBT EXPENSE IS NO LONGER REPORTED ON THE AUDITED FINANCIAL STATEMENTS. RATHER IT IS TREATED AS AN IMPLICIT PRICE CONCESSION. BAD DEBT IS DETERMINED IF THERE WAS AN EXTRAORDINARY OR ADVERSE EVENT THAT PREVENTED A PATIENT FROM BEING ABLE TO PAY THE EXPECTED AMOUNT. FOR PATIENTS WHO WERE DETERMINED BY THE HOSPITAL TO HAVE THE ABILITY TO PAY UNCOLLECTED AMOUNTS BUT DID NOT, THESE UNCOLLECTED AMOUNTS ARE TREATED AS IMPLICIT PRICE CONCESSIONS. THERE WAS NO ADVERSE OR EXTRAORDINARY EVENT THAT CAUSED THE ORGANIZATION TO REPORT BAD DEBT EXPENSE IN FY2024.
SCHEDULE H, PART III, LINE 3	THE ORGANIZATION DOES NOT CURRENTLY HAVE A METHODOLOGY TO ACCURATELY QUANTIFY OR ESTIMATE THE AMOUNT OF BAD DEBT EXPENSE THAT WOULD BE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY.
SCHEDULE H, PART III, LINE 4	THE FOLLOWING IS A FOOTNOTE REGARDING COMMUNITY BENEFIT EXPENSE AND UNCOMPENSATED CARE. THE SYSTEM PROVIDES SERVICES TO PATIENTS WHO MEET THE CRITERIA OF ITS CHARITY SERVICE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN THE ESTABLISHED RATES. CRITERIA FOR CHARITY CARE CONSIDER THE PATIENT'S FAMILY INCOME, FAMILY SIZE, AND ABILITY TO PAY. INDIVIDUALS WHO QUALIFY FOR CHARITY CARE DO NOT HAVE INSURANCE OR OTHER COVERAGE. THE SYSTEM MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE LEVEL OF CHARITY CARE AND COMMUNITY SERVICE IT PROVIDES. THESE RECORDS INCLUDE THE AMOUNT OF CHARGES FOREGONE BASED ON ESTABLISHED RATES FOR SERVICES, AND SUPPLIES FURNISHED UNDER ITS CHARITY CARE AND COMMUNITY SERVICE POLICIES, AND THE ESTIMATED COST OF THOSE SERVICES. CHARGES FOREGONE FOR UNCOMPENSATED CARE AS DETERMINED IN ACCORDANCE WITH THE SYSTEM'S POLICIES WERE APPROXIMATELY 46,599 AND 38,908 IN THE YEARS ENDED JUNE 30, 2024 AND 2023, RESPECTIVELY.DIRECT AND INDIRECT COSTS TO PROVIDE THESE SERVICES WERE APPROXIMATELY 11,119 AND 8,735 FOR THE YEARS ENDED JUNE 30, 2024 AND 2023, RESPECTIVELY. THE ESTIMATED COSTS WERE BASED ON A CALCULATION, WHICH MULTIPLIED THE COST TO CHARGE RATIO BY THE GROSS CHARGES ASSOCIATED WITH PROVIDING UNCOMPENSATED CARE TO PATIENTS. THE COST TO CHARGE RATIO WAS OBTAINED FROM THE SYSTEM'S MOST RECENTLY FILED MEDICARE COST REPORT. ADDITIONALLY, THE SYSTEM SPONSORS CERTAIN OTHER SERVICE PROGRAMS AND CHARITY SERVICES, WHICH PROVIDE SUBSTANTIAL BENEFIT TO THE BROADER COMMUNITY. SUCH PROGRAMS INCLUDE SERVICES TO NEEDY POPULATIONS REQUIRING SPECIAL SERVICES AND SUPPORT, COMMUNITY SERVICE PROGRAMS AND CHARITY SERVICES, AS WELL AS HEALTH PROMOTION AND EDUCATION. THE SYSTEM'S COMMUNITY SERVICE INCLUDES THE MEDICAL ASSISTANCE PROGRAM, WHICH MAKES PAYMENT FOR SERVICES PROVIDED TO FAMILIES WITH DEPENDENT CHILDREN, THE AGED, THE BLIND, AND THE PERMANENTLY AND TOTALLY DISABLED, WHOSE INCOME AND RESOURCES ARE INSUFFICIENT TO MEET THE COSTS OF NECESSARY MEDICAL SERVICES. PAYMENTS FROM THE MEDICAL ASSISTANCE PROGRAM ARE GENERALLY LESS THAN THE SYSTEM'S COST OF PROVIDING THE SERVICE. IN ADDITION, COMMUNITY SERVICE REPRESENTS THE COST TO DELIVER SERVICES TO THE COMMUNITY, NET OF ANY PAYMENT RECEIVED FOR THOSE SERVICES. INCLUDED IN THESE SERVICES ARE THE SYSTEM'S SUBSIDIES OF OUTPATIENT CLINICS, EDUCATION OF MEDICAL PROFESSIONALS WHO WORK WITH VARIOUS HEALTH CARE PROVIDERS IN THE COMMUNITY UPON GRADUATION AND COMMUNITY MENTAL HEALTH PROGRAMS. THE SYSTEM ALSO SPONSORS HEALTH FAIRS AND OTHER WELLNESS PROGRAMS THROUGHOUT THE COMMUNITY.
SCHEDULE H, PART III, LINE 8	THE HOSPITAL MAINTAINS RECORDS THROUGH THEIR GENERAL LEDGER SYSTEM TO CALCULATE GROSS PATIENT CHARGES AND GROSS REIMBURSEMENT PAYMENTS. A RATIO OF COST TO CHARGES IS APPLIED TO THE GROSS PATIENT CHARGES TO CALCULATE THE COMMUNITY BENEFIT EXPENSE.
SCHEDULE H, PART III, LINE 9B	PATIENTS ARE INFORMED OF OPTIONS OF FINANCIAL ASSISTANCE THROUGHOUT THE REVENUE CYCLE, FROM REGISTRATION THROUGH COLLECTION; THEREFORE, THE HOSPITAL'S DEBT COLLECTION POLICY AND PROCEDURE INCLUDES SPECIFIC PROVISIONS FOR REFERRING PATIENTS FOR FINANCIAL ASSISTANCE. 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	THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT WAS COMPLETED IN 2022. POTTSTOWN HOSPITAL, PHOENIXVILLE HOSPITAL AND CHESTNUT HILL HOSPITAL, IN COLLABORATION WITH THE STRATEGIC CONSULTING FIRM - TRIPP UMBACH, CONDUCTED RESEARCH IN 2021 AND DEPLOYED A NUMBER OF QUANTITATIVE AND QUALITATIVE RESEARCH METHODOLOGIES TO DEFINE AND SELECT COMMUNITY NEEDS. PRIMARY RESEARCH METHODS INCLUDED CONDUCTING STAKEHOLDER INTERVIEWS, KEY INFORMANT SURVEYS, COMMUNITY SURVEYS, AND FOCUS GROUPS. THE PRIMARY RESEARCH ALLOWED THE HOSPITALS 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 THE UNITED STATES' CENSUS BUREAU, DEPARTMENT OF LABOR, CENTERS FOR DISEASE CONTROL, AND CENTERS FOR MEDICARE AND MEDICAID SERVICES; PENNSYLVANIA'S DEPARTMENT OF HEALTH, DEPARTMENT OF HUMAN SERVICES, AND STATE CANCER PROFILES; HOSPITAL EPIC PATIENT DATA; AND OTHER LOCAL, REGIONAL, AND NATIONAL DATA SOURCES. SUMMARIES OF PRIMARY AND SECONDARY DATA WERE COMPILED AND SHARED WITH THE HOSPITAL'S CHNA ADVISORY BOARD MADE UP OF HOSPITAL STAFF, COMMUNITY PARTNERS, AND PARTICIPANTS OF STAKEHOLDER INTERVIEWS, KEY INFORMANT SURVEYS, AND FOCUS GROUPS, WHO PARTICIPATED IN EXERCISES TO SELECT PRIORITY AREAS AND BEGAN LAYING THE GROUNDWORK FOR THE IMPLEMENTATION PLAN. IDENTIFIED AND ACCEPTED PRIORITY AREAS TO ADDRESS INCLUDE: ACCESS TO EQUITABLE CARE, BEHAVIORAL HEALTH, HEALTH EDUCATION AND PREVENTION, AND HEALTH EQUITY.
SCHEDULE H, PART VI, LINE 3	AS PART OF THE MISSION TO PROVIDE COMPASSIONATE, ACCESSIBLE, HIGH-QUALITY, COST-EFFECTIVE HEALTHCARE TO THE COMMUNITY, CHESTNUT HILL HOSPITAL, PHOENIXVILLE HOSPITAL AND POTTSTOWN HOSPITAL RECOGNIZE THAT SOME PATIENTS AND FAMILIES MAY NEED FINANCIAL ASSISTANCE TO HELP DEFRAY THE COST OF HEALTHCARE SERVICES. THEREFORE, EACH HOSPITAL OFFERS PATIENT FINANCIAL ASSISTANCE TO ENDURE ACCESS TO HIGH-QUALITY HEALTHCARE TO 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 ON THE WEBSITE. THE PLAIN LANGUAGE AND FULL FINANCIAL ASSISTANCE POLICIES ARE OFFERED IN ENGLISH, SPANISH, GERMAN, DUTCH, HAITIAN CREOLE, AND VIETNAMESE, WHILE THE APPLICATION IS AVAILABLE IN ENGLISH AND SPANISH. THE WEBSITE INCLUDES A DATABASE OF ALL PROVIDERS WHO DELIVER EMERGENCY AND MEDICALLY NECESSARY CARE AT CHESTNUT HILL HOSPITAL, PHOENIXVILLE HOSPITAL AND POTTSTOWN 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 THE HOSPITALS FINANCIAL ASSISTANCE POLICY AND ARE MADE AVAILABLE IN LOBBIES AND WAITING AREAS THROUGHOUT THE HOSPITALS. 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 CHESTNUT HILL HOSPITAL, PHOENIXVILLE HOSPITAL AND POTTSTOWN 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	THE MISSION OF POTTSTOWN HOSPITAL, AND PHOENIXVILLE HOSPITAL IS TO PROVIDE COMPASSIONATE, ACCESSIBLE, HIGH QUALITY, COST EFFECTIVE HEALTHCARE TO THE COMMUNITIES; TO PROMOTE HEALTH; TO EDUCATE HEALTHCARE PROFESSIONALS; AND TO PARTICIPATE IN APPROPRIATE CLINICAL RESEARCH. POTTSTOWN HOSPITAL, AND PHOENIXVILLE HOSPITAL ARE COMMITTED TO SERVING THE NEEDS OF THE COMMUNITY, EVEN WHEN THE NEEDED SERVICES CAUSE A DRAIN ON CAPITAL RESOURCES. PHOENIXVILLE HOSPITAL'S PRIMARY SERVICE AREA INCLUDES AREAS IN CHESTER AND MONTGOMERY COUNTY. CHESTER COUNTY PROFILE: ACCORDING TO THE 2023 DECENNIAL CENSUS, THE TOTAL ESTIMATED POPULATION OF CHESTER COUNTY IS 549,884. THERE ARE 202,405 TOTAL HOUSEHOLDS AND 214,827 TOTAL HOUSING UNITS. CHESTER COUNTY HAS A DIVERSE POPULATION WITH THE RACIAL MIX INCLUDING 83.7% WHITE ALONE, 8.3% HISPANIC OR LATINO, 6.3% BLACK OR AFRICAN AMERICAN ALONE, 7.3% ASIAN ALONE, 0.3% AMERICAN INDIAN AND ALASKA NATIVE ALONE, 0.1% NATIVE HAWAIIAN AND OTHER PACIFIC ISLANDER ALONE, AND 2.2% TWO OR MORE RACES. 20,088 RESIDENTS ARE VETERANS. 9.6% OF CHESTER COUNTY RESIDENTS ARE FOREIGN BORN. 13.3% OF RESIDENTS AGED 5+ SPEAK A LANGUAGE OTHER THAN ENGLISH AT HOME. THE MEDIAN HOUSEHOLD INCOME IN CHESTER COUNTY IS 123,041 AND 6.2% OF CHESTER COUNTY RESIDENTS LIVE IN POVERTY. 94.9% OF CHESTER COUNTY RESIDENTS 25 YEARS AND OLDER ARE HIGH SCHOOL GRADUATES OR HIGHER, WHEREAS 56.6% OF THE SAME AGE GROUP HAVE A BACHELOR'S DEGREE OR HIGHER. OF RESIDENTS UNDER THE AGE OF 65, 6.6% HAVE A DISABILITY, AND 5.7% DO NOT HAVE HEALTH INSURANCE. MONTGOMERY COUNTY PROFILE: ACCORDING TO THE 2023 DECENNIAL CENSUS, THE TOTAL ESTIMATED POPULATION OF MONTGOMERY COUNTY IS 868,742. THERE ARE 333,514 TOTAL HOUSEHOLDS AND 352,192 TOTAL HOUSING UNITS. MONTGOMERY COUNTY HAS A DIVERSE POPULATION WITH THE RACIAL MIX INCLUDING 77.8% WHITE ALONE, 6.8% HISPANIC OR LATINO, 10.5% BLACK OR AFRICAN AMERICAN ALONE, 8.7% ASIAN ALONE, 0.3% AMERICAN INDIAN AND ALASKA NATIVE ALONE, 0.1% NATIVE HAWAIIAN AND OTHER PACIFIC ISLANDER ALONE, AND 2.6% TWO OR MORE RACES. 33,223 RESIDENTS ARE VETERANS. 11.2% OF MONTGOMERY COUNTY RESIDENTS ARE FOREIGN BORN. 14.5% OF RESIDENTS AGED 5+ SPEAK A LANGUAGE OTHER THAN ENGLISH AT HOME. THE MEDIAN HOUSEHOLD INCOME IN MONTGOMERY COUNTY IS 111,521 AND 6.9% OF MONTGOMERY COUNTY RESIDENTS LIVE IN POVERTY. 94.9% OF MONTGOMERY COUNTY RESIDENTS 25 YEARS AND OLDER ARE HIGH SCHOOL GRADUATES OR HIGHER, WHEREAS 52.3% OF THE SAME AGE GROUP HAVE A BACHELOR'S DEGREE OR HIGHER. OF RESIDENTS UNDER THE AGE OF 65, 6.8% HAVE A DISABILITY, AND 4.3% DO NOT HAVE HEALTH INSURANCE. POTTSTOWN HOSPITAL'S PRIMARY SERVICE AREA INCLUDES SPECIFIC ZIP CODES IN BERKS, MONTGOMERY, AND CHESTER COUNTIES AND ENCOMPASSES A 10 MILE RADIUS AROUND THE HOSPITAL. POTTSTOWN HOSPITAL'S PRIMARY SERVICE AREA INCLUDES THE FOLLOWING ZIP CODES: 19464, 19465,19470, 19473, 19478, 19512, 19518, 19519, 19525, 19430, AND 19548. POTTSTOWN BOROUGH, ZIP CODE 19464, IS IDENTIFIED AS THE MOST VULNERABLE ZIP CODE IN THE SERVICE AREA WITH THE HIGHEST POVERTY RATE AND HIGHEST UNEMPLOYMENT RATE. ACCORDING TO THE CLARITAS - POP-FACTS PREMIER 2018, ENVIRONICS ANALYTICS, THE POPULATION IN THE HOSPITAL'S SERVICE AREA IS 141,130. THE SERVICE AREA HAS A DIVERSE POPULATION INCLUDING 86.6% WHITE, 7.4% BLACK OR AFRICAN AMERICAN, 3.8% LATINO, AND 2.3% ASIAN. THE COMMUNITY IS 51% FEMALE AND 49% MALE. THE MEDIAN AGE IN THE SERVICE AREA IS 40.8 WITH 15.5% OF RESIDENTS AGED 65 AND OLDER. THE MEDIAN HOUSEHOLD INCOME IN THE HOSPITAL'S SERVICE AREA IS 76,914. 5.1% OF RESIDENTS ARE LIVING IN POVERTY. IN POTTSTOWN BOROUGH, ZIP CODE 19464, 13% OF RESIDENTS ARE LIVING IN POVERTY.
SCHEDULE H, PART VI, LINE 5	PROMOTION OF COMMUNITY HEALTH: DESCRIPTION OF ACHIEVEMENTS IN FISCAL YEAR 2024 RELATING TO EXEMPT PURPOSE STATS PROVIDED ARE FOR POTTSTOWN HOPSITAL, CHESTNUT HILL HOSPITAL, PHOENIXVILLE HOSPITAL COLLECTIVELY. PROVIDING HEALTH CARE: INPATIENT DISCHARGES 16,415 INPATIENT DAYS 70,288 BIRTHS 926 EMERGENCY VISITS 57,421 PROMOTING HEALTH: PHOENIXVILLE HOSPITAL: HEALTH OUTREACH IMPACTING ALL AGES PHOENIXVILLE HOSPITAL IS COMMITTED TO ADVANCING HEALTH AND TRANSFORMING LIVES THROUGHOUT CHESTER AND MONTGOMERY COUNTIES. AS A LEADING HEALTHCARE PROVIDER, WE STRIVE TO POSITIVELY IMPACT THE HEALTH AND WELL-BEING OF OUR PATIENTS AND THE BROADER COMMUNITY WE SERVE. MANY OF OUR PROGRAMS AND SERVICES HAVE BEEN DEVELOPED TO ADDRESS SPECIFIC HEALTH NEEDS OR OVERCOME BARRIERS TO CARE AS IDENTIFIED ON OUR COMMUNITY HEALTH NEEDS ASSESSMENT. THE COMMUNITY HEALTH EDUCATION AND OUTREACH DEPARTMENT IS FOCUSED ON PROMOTING, PROTECTING, AND IMPROVING THE HEALTH OF INDIVIDUALS AND COMMUNITIES BY OFFERING A VARIETY OF PROGRAMS FOCUSED ON HEALTH PROMOTION AND DISEASE. THE MISSION OF COMMUNITY HEALTH EDUCATION AND OUTREACH IS TO IMPROVE THE HEALTH STATUS OF OUR COMMUNITY THROUGH EVIDENCE-BASED PRACTICE AND EDUCATION. OPERATE A 24/7 EMERGENCY DEPARTMENT PHOENIXVILLE HOSPITAL'S ED OFFERS ADVANCED TECHNOLOGY AND TREATMENT AREAS TO FACILITATE TRIAGE, DIAGNOSIS AND TREATMENT OF ACUTE ILLNESSES OR INJURIES. WE OFFER EXPERIENCED, COMPASSIONATE EMERGENCY CARE - 24 HOURS A DAY, SEVEN DAYS A WEEK. PATIENTS RECEIVE CARE FROM A TEAM OF BOARD- CERTIFIED, SPECIALLY TRAINED PHYSICIANS, PHYSICIAN ASSISTANTS AND NURSE PRACTITIONERS WITH EXPERTISE IN EMERGENCY CARE. CERTIFIED AS A PRIMARY STROKE CENTER BY THE JOINT COMMISSION, AN ACCREDITED CHEST PAIN CENTER AND RECIPIENT OF GOLD PLUS AWARD FOR HEART FAILURE BY THE AMERICAN HEART ASSOCIATION. ACCESS TO EMS SERVICES THROUGH TOWERDIRECT, CHESTER AND MONTGOMERY RESIDENTS ARE ABLE TO GET THE MEDICAL CARE THEY NEED QUICKLY AND SAFELY. TOWERDIRECT PROVIDES PLANNED AND UNPLANNED MEDICAL TRANSPORTATION INCLUDING AMBULANCE SERVICES, TRANSPORTATION FOR ROUTING MEDICAL VISITS, PATIENT TRANSFERS, CRITICAL CARE TRANSPORT, AND TRAUMA TRANSPORT. TOWERDIRECT ALSO PROVIDES PROACTIVE AND PREVENTATIVE HEALTH SERVICES AT PUBLIC EVENTS. MAINTAIN 24/7 INTERPRETING SERVICES PHOENIXVILLE HOSPITAL'S INTERPRETING SERVICES DEPARTMENT INCLUDES IN PERSON INTERPRETERS FOR SELECT LANGUAGES. WE CURRENTLY EMPLOY 4 SPANISH/ENGLISH/PORTUGUESE INTERPRETERS WHO ASSIST PATIENTS WITH LANGUAGE BARRIERS. OUR SPANISH AND PORTUGUESE INTERPRETERS ALSO TAKE ON THE ROLE OF PATIENT REPRESENTATIVES/ADVOCATES FOR SPANISH AND PORTUGUESE PATIENTS AND FAMILIES. THESE STAFF ALSO ASSIST WITH TRANSLATIONS FOR WRITTEN COMMUNICATIONS. THE HOSPITAL ALSO OFFERS A NETWORK OF 24/7 VIDEO-REMOTE INTERPRETING STATIONS AND TELEPHONES FOR ANY LANGUAGE. MAINTAIN 24/7 SIGN LANGUAGE SERVICES PHOENIXVILLE HOSPITAL PARTNERS WITH DEAF-HEARING COMMUNICATION CENTRE, INC TO PROVIDE CERTIFIED SIGN LANGUAGE INTERPRETERS AS NEEDED. THE HOSPITAL ALSO HAS AN ESTABLISHED 24/7 VIDEO-REMOTE SIGN LANGUAGE INTERPRETING SERVICE. PATIENT ADVOCATE REPRESENTATIVE PHOENIXVILLE HOSPITAL BELIEVES ITS PATIENTS, FAMILIES, FRIENDS, AND SUPPORT PERSONS SHOULD BE TREATED WITH RESPECT, UNDERSTANDING AND COMPASSION. IF A PATIENT HAS A CONCERN ABOUT THE CARE OR SERVICES THEY ARE RECEIVING, THEY HAVE THE RIGHT TO CONTACT THE PATIENT ADVOCATE REPRESENTATIVE WHO WILL DOCUMENT THE CONCERN AND TAKE NECESSARY STEPS TO RESOLVE IT. THE PATIENT ADVOCATE HELPS PATIENTS COMMUNICATE WITH THEIR PROVIDERS, OBTAIN INFORMATION THEY NEED TO MAKE DECISIONS, OBTAIN REFERRALS TO FINANCIAL COUNSELORS, CONNECT WITH SOCIAL SUPPORTS, UNDERSTAND THEIR RIGHTS AND RESPONSIBILITIES,AND HELP THE PATIENT BE HEARD. SPIRITUAL CARE SERVICES PHOENIXVILLE HOSPITAL ENSURES THE AVAILABILITY OF SPIRITUAL CARE AND COUNSELING TO PATIENTS AND FAMILIES. THE PASTORAL CARE PHILOSOPHY RESTS ON THE PRINCIPLE THAT THE CARE OF THE WHOLE PERSON - BODY, MIND, AND SPIRIT - IS INTEGRAL TO HEALTH AND HEALING. PALLIATIVE CARE SERVICES PHOENIXVILLE HOSPITAL'S PALLIATIVE CARE PROGRAM, LED BY A NURSE PRACTITIONER, WORKS TO HELP RELIEVE AND PREVENT SYMPTOMS AND IMPROVE QUALITY OF LIFE FOR PATIENTS WITH A LIFE-LIMITING DISEASE. PALLIATIVE CARE OFFERS SERVICES TO HOSPITAL PATIENTS, FAMILY MEMBERS, AND CAREGIVERS PROVIDING PATIENT AND FAMILY COUNSELING, EMOTIONAL AND SPIRITUAL SUPPORT, ASSISTANCE WITH PLANNING FOR CARE AFTER A HOSPITAL STAY IN COLLABORATION WITH CARE MANAGEMENT TEAM, HELP WITH TREATMENT CHOICES AND DECISIONS, AND REFERRALS TO SPECIALISTS AND BEREAVEMENT COUNSELING. SUPPORT ORGAN DONATION PHOENIXVILLE HOSPITAL PROVIDES INFORMATION AND EDUCATION ABOUT ORGAN DONATION OPTIONS TO PATIENTS AND THEIR FAMILIES. PHOENIXVILLE HOSPITAL ACTIVELY PARTICIPATES IN THE HAP DONATE FOR LIFE CAMPAIGN EACH YEAR. AWARDED TITANIUM LEVEL FOR PARTICIPATION FROM HAP. EDUCATE HEALTHCARE PROFESSIONALS PHOENIXVILLE HOSPITAL HOSTS CLINICAL ROTATIONS FOR STUDENTS PURSUING ADVANCED PRACTITIONER CREDENTIALS. 31 APP STUDENTS FROM 11 DIFFERENT SCHOOLS COMPLETED CLINICALS IN A VARIETY OF AREAS INCLUDING ANESTHESIOLOGY, CARDIOLOGY, COMMUNITY HEALTH, EMERGENCY MEDICINE, OB/GYN, PROFESSIONAL DEVELOPMENT, AND WOMEN'S HEALTH. DNP - 1 STUDENT COMPLETED 200 HOURS. MSN - 2 STUDENTS COMPLETED 200 HOURS. APP - CRNA - 10 STUDENTS COMPLETED APPROXIMATELY 600 HOURS. APP- NP - 3 STUDENTS COMPLETED 600 HOURS. APP-PA - 15 STUDENTS COMPLETED 2460 HOURS. PHOENIXVILLE HOSPITAL SUPPORTED THREE (3) MEDICAL RESIDENCY PROGRAMS THIS YEAR. PODIATRY (3-YEAR PROGRAM) - 10 RESIDENTS PSYCHIATRY (3-YEAR PROGRAM AND FELLOWSHIP) - 30 RESIDENTS AND 2 FELLOWS INTERNAL MEDICINE (3-YEAR PROGRAM) -10 RESIDENTS PHOENIXVILLE HOSPITAL ALSO PROVIDES CLINICAL OPPORTUNITIES FOR SEVERAL POST-SECONDARY INSTITUTIONS: MONTGOMERY COUNTY COMMUNITY COLLEGE READING AREA COMMUNITY COLLEGE READING HOSPITAL OF HEALTH SCIENCES CHESTER COUNTY INTERMEDIATE UNIT PRACTICAL NURSING PROGRAM HOLY FAMILY UNIVERSITY UNIVERSITY OF DELAWARE UNIVERSITY OF RHODE ISLAND WIDENER UNIVERSITY HARRISBURG AREA COMMUNITY COLLEGE SUBURBAN COMMUNITY HOSPITAL PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE (PCOM) PHOENIXVILLE HOSPITAL PROVIDES CLINICAL ROTATIONS FOR NURSING STUDENTS THROUGHOUT THE YEAR FROM SEVERAL ACCREDITED NURSING PROGRAMS INCLUDING MONTGOMERY COUNTY COMMUNITY COLLEGE AND GWYNEDD MERCY UNIVERSITY. CLINICAL ROTATIONS ARE ALSO PROVIDED FOR THE NURSING LPN PROGRAM OF THE CHESTER COUNTY INTERMEDIATE UNIT (CCIU). NURSING RN PROGRAM -35 NURSING STUDENTS COMPLETED 4212 HOURS. NURSING LPN - 47 STUDENTS COMPLETED 2408 HOURS. CLINICAL OPPORTUNITIES ARE PROVIDED IN VARIOUS CLINICAL/NONCLINICAL AREAS: PT/OT/SLP - 30 STUDENTS COMPLETED 9576 HOURS. PHARMACY - 3 STUDENTS COMPLETED 144 HOURS. DIAGNOSTIC IMAGING - 9 STUDENTS COMPLETED 2890 HOURS. PARAMEDIC - 24 STUDENTS COMPLETED 576 HOURS. CASE MANAGEMENT - STUDENT COMPLETED 450 HOURS. RESPIRATORY THERAPY - 1 STUDENT COMPLETED 24 HOURS. GENETICS - 1 STUDENT COMPLETED 72 HOURS. MEDICAL STUDENTS PEDIATRICS (PCOM)- 17 STUDENTS ALLIED HEALTH STUDENTS FROM CHESTER COUNTY INTERMEDIATE UNIT (CCIU) AND PHOENIXVILLE AREA SCHOOL DISTRICT ALSO PERFORM CLINICAL OBSERVATIONS/ROTATIONS AT PHOENIXVILLE HOSPITAL. NURSING ALLIED HEALTH - 39 HIGH SCHOOL STUDENTS COMPLETED 840 HOURS PHOENIXVILLE HOSPITAL ALSO SUPPORTS A JOB SHADOWING/OBSERVER PROGRAM ALLOWING INDIVIDUALS WITH A HEALTH CARE INTEREST THE OPPORTUNITY TO EXPLORE DIFFERENT HEALTH CARE CAREERS. DURING FY2024, 10 LOCAL HIGH SCHOOL AND COLLEGE STUDENTS PARTICIPATED IN THE JOB SHADOWING PROGRAM, WHICH PROVIDED OPPORTUNITIES TO OBSERVE MEDICAL PROFESSIONALS IN THE HEALTHCARE SETTING. THE JOB SHADOWING PROGRAM PROVIDES INVALUABLE, HANDS-ON, PRACTICAL EXPERIENCES THAT ENHANCE A STUDENT'S ACADEMIC, PROFESSIONAL, AND PERSONAL DEVELOPMENT. ALSO, A THREE-WEEK HEALTHCARE CAREER STUDY PROGRAM WAS OFFERED TO 12 HIGH SCHOOL SENIORS AND ALSO PROVIDED AN OPPORTUNITY TO OBSERVE DIFFERENT HEALTH RELATED CAREERS. CONDUCT APPROPRIATE CLINICAL RESEARCH CLINICAL RESEARCH IS A CORE COMPONENT OF PHOENIXVILLE HOSPITAL'S MISSION AND PROVIDES PATIENTS WITH ACCESS TO CUTTING-EDGE TREATMENTS WITHOUT NEEDING TO TRAVEL FAR FROM HOME. IN FY2024, THE CLINICAL CANCER RESEARCH NURSE ENROLLED PATIENTS IN 8 DIFFERENT CLINICAL TRIALS. GENETIC SCREENING: PHOENIXVILLE HOSPITAL OFFERS GENETIC SCREENING AND COUNSELING TO PHYSICIAN REFERRED AND SELF-REFERRED MEMBERS OF THE COMMUNITY. THE SERVICE INCREASES AWARENESS AND PREVENTION EFFORTS OF THOSE WHO ARE AT HIGH RISK OF CANCER. ON FY2024, 401 PATIENTS RECEIVED GENETIC COUNSELING PROVIDING HEALTH AWARENESS AND PREVENTION BENEFITS. POTTSTOWN HOSPITAL: PROMOTING HEALTH: HEALTH OUTREACH FOR CHILDREN (NEWBORNS THROUGH TEENS), ADULTS, AND ALL AGES OPERATE A 24/7 EMERGENCY DEPARTMENT MAINTAIN 24/7 INTERPRETING SERVICES POTTSTOWN HOSPITAL OFFERS A NETWORK OF 24/7 VIDEO-REMOTE INTERPRETING STATIONS AND TELEPHONES FOR ANY LANGUAGE. MAINTAIN 24/7 SIGN LANGUAGE SERVICES POTTSTOWN HOSPITAL HAS
SCHEDULE H, PART VI, LINE 6	TOWER HEALTH MEDICAL GROUP (THMG) IS A GROUP WITHIN THE HOSPITALS' AFFILIATED HEALTH CARE SYSTEM THAT PROVIDES GENERAL AND SPECIALIZED PRACTICE ASSISTANCE TO EACH OF THE ACUTE CARE HOSPITALS UNDER TOWER HEALTH. PHYSICIANS CAN REFER PATIENTS TO THE ACUTE CARE HOSPITALS' FOR FURTHER TREATMENT.
SCHEDULE H, PART VI, LINE 7	PENNSYLVANIA

Schedule H (Form 990) 2023

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
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Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
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Attach to Form 990.
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Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2023

Open to Public Inspection

Name of the organization

TOWER HEALTH

Employer identification number

23-2201344

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 .....

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? ....

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? .............

Yes

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 ............

Yes

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) 2023

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, 1099-MISC compensation, and/or 1099-NEC			(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)
1DAN AHERN EVP BUSINESS DEVELOP	(i) (ii)	------------- 670,945	------------- 355,861	------------- 186,985	------------- 181,008	------------- 27,339	------------- 1,422,138	------------- 165,196
2SUZANNE WENDEROTH MD EVP/CMO TOWER HLTH	(i) (ii)	------------- 657,349	------------- 200,160	------------- 77,789	------------- 177,301	------------- 26,924	------------- 1,139,523	------------- 76,047
3MICHAEL STERN COO TH	(i) (ii)	------------- 849,021	-------------	------------- 690	------------- 225,800	------------- 27,356	------------- 1,102,867	-------------
4MIKE EESLEY BOARD TREAS 7/1/23	(i) (ii)	------------- 900,016	-------------	------------- 3,810	------------- 11,550	------------- 1,041	------------- 916,417	-------------
5BERNARD BOULANGER EVP/CEO PROV ENTR	(i) (ii)	------------- 695,020	-------------	------------- 3,468	------------- 186,308	------------- 19,824	------------- 904,620	-------------
6P SUE PERROTTY CEO TOWER HEALTH	(i) (ii)	------------- 900,000	-------------	-------------	-------------	-------------	------------- 900,000	-------------
7THERESE SUCHER FORMER EVP COO	(i) (ii)	-------------	-------------	------------- 766,755	-------------	------------- 16,057	------------- 782,812	-------------
8ROBERT EHINGER SVP ASSOC. CFO TH	(i) (ii)	------------- 407,472	------------- 124,057	------------- 68,018	------------- 73,579	------------- 17,665	------------- 690,791	------------- 64,208
9RICHARD T NEWELL JR CEO POTTS TERM 4/24	(i) (ii)	420,290 -------------	-------------	58,574 -------------	74,890 -------------	26,698 -------------	580,452 -------------	57,284 -------------
10ZIAD OSMAN PHYSICIAN	(i) (ii)	487,239 -------------	-------------	13,842 -------------	11,550 -------------	26,775 -------------	539,406 -------------	-------------
11RICHARD MCLAUGHLIN CEO PHOE/POTTS 4/24	(i) (ii)	390,206 -------------	-------------	690 -------------	11,489 -------------	26,924 -------------	429,309 -------------	-------------
12MARK MCNASH SVP SUPPORT	(i) (ii)	------------- 65,282	------------- 171,313	------------- 137,059	------------- 7,885	------------- 4,580	------------- 386,119	------------- 136,602
13MICHAEL SZYMANSKI VP CFO PHOEN/POTTS	(i) (ii)	294,349 -------------	-------------	1,980 -------------	7,645 -------------	9,479 -------------	313,453 -------------	-------------
14JOHN CASEY MD CEO THP TERM 12/23	(i) (ii)	223,096 -------------	-------------	39,724 -------------	30,818 -------------	17,573 -------------	311,211 -------------	36,989 -------------
15SANDRA CRABTREE VP CNO PHOENIXVILLE	(i) (ii)	229,897 -------------	46,821 -------------	1,480 -------------	5,250 -------------	19,046 -------------	302,494 -------------	-------------
16ANN BLANKENHORN FORMER CNO POTTSTOWN	(i) (ii)	------------- 242,819	------------- 48,564	------------- 548	------------- 8,742	------------- 1,040	------------- 301,713	-------------
17CLINT MATTHEWS FORMER PRES/CEO	(i) (ii)	-------------	-------------	------------- 269,231	------------- 7,912	-------------	------------- 277,143	-------------
18MARY AGNEW SVP CNO TERM 7/22	(i) (ii)	-------------	-------------	------------- 264,206	-------------	------------- 9,176	------------- 273,382	-------------
19AJAY JANI PHYSICIAN	(i) (ii)	234,074 -------------	-------------	9,352 -------------	8,663 -------------	19,234 -------------	271,323 -------------	-------------
20SCOTT RESWEBER PHYSICIAN	(i) (ii)	197,115 -------------	-------------	62,892 -------------	8,792 -------------	453 -------------	269,252 -------------	-------------
21PAUL CHWIECKO PHYSICIAN	(i) (ii)	232,288 -------------	-------------	4,877 -------------	7,730 -------------	450 -------------	245,345 -------------	-------------
22JOHN CACCIAMANI FORMER CEO CHES HILL	(i) (ii)	15,878 -------------	-------------	179,747 -------------	175 -------------	-------------	195,800 -------------	179,721 -------------

Schedule J (Form 990) 2023

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	DAN AHERN 0 165,196 0 SUZANNE WENDEROTH, MD 0 76,047 0 THERESE SUCHER 771,494 0 0 ROBERT EHINGER 0 64,208 0 RICHARD T. NEWELL JR. 0 57,284 0 MARK MCNASH 0 136,602 0 JOHN CASEY, MD 0 36,989 0 CLINT MATTHEWS 269,231 0 0 MARY AGNEW 266,913 0 0 JOHN CACCIAMANI 0 179,721 0
SCHEDULE J, PAGE 1, PART I, LINE 7	TOWER HEALTH USES RETENTION BONUSES FOR KEY EXECUTIVES AS ONE WAY TO ENSURE CONTINUITY OF LEADERSHIP AS THE HEALTH SYSTEM NAVIGATES ITS ORGANIZATION TURNAROUND AND FULFILLS ITS MISSION IN A CHALLENGING ENVIRONMENT FOR HEALTHCARE PROVIDERS. THE DETAILS OF INDIVIDUAL EXECUTIVE RETENTION BONUSES ARE DEVELOPED WITH OVERSIGHT BY THE TOWER HEALTH BOARD OF DIRECTORS COMPENSATION COMMITTEE AND ARE APPROVED BY THE FULL TOWER HEALTH BOARD. AS IN ALL MATTERS OF EXECUTIVE COMPENSATION, THE BOARD RELIES ON MARKET DATA AND OUTSIDE EXPERTISE TO ENSURE ITS RETENTION BONUS PROGRAM IS CONSISTENT WITH INDUSTRY STANDARDS. DANIEL AHERN 355,861.00 SUZANNE WENDEROTH, MD 200,160.00 ROBERT EHINGER 124,057.00 SANDRA CRABTREE 46,821.00 MARCK MCNASH 171,313.00 ANN BLANKENHORN 48,564.00
SCHEDULE J, PART III	PART I, 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 PEOPLE PARTICIPATED IN THE 457(F) DEFERRED COMPENSATION PLAN DURING CALENDAR YEAR 2023 BUT DID NOT RECEIVE A DISTRIBUTION. MICHAEL STERN BERNARD BOULANGER COMPENSATION DISCLOSURE: THE COMPENSATION OF EXECUTIVES IS DETERMINED BY TOWER HEALTH'S BOARD OF DIRECTORS, WHICH HAS DULY APPOINTED AN EXECUTIVE COMPENSATION COMMITTEE (THE "COMMITTEE"), WHICH IS RESPONSIBLE FOR THE REVIEW AND APPROVAL OF ALL COMPENSATION AND BENEFITS PROVIDED TO THE HOSPITAL'S EXECUTIVE MANAGEMENT. THE COMMITTEE HAS ADOPTED A WRITTEN EXECUTIVE COMPENSATION PHILOSOPHY STATEMENT AND AN EXECUTIVE COMPENSATION COMMITTEE CHARTER GOVERNING THE WORK AND REVIEW PROCESS OF THE COMMITTEE. THE COMMITTEE FOLLOWS THE PROCEDURES DESCRIBED IN THE PHILOSOPHY STATEMENT AND THE CHARTER WHEN IT REVIEWS AND APPROVES THE COMPENSATION AND EMPLOYEE BENEFITS PROVIDED TO THE HOSPITAL'S SENIOR MANAGEMENT, INCLUDING THE CHIEF EXECUTIVE OFFICER AND THE CHIEF FINANCIAL OFFICER. THE COMMITTEE'S REVIEW ANALYZES EVERY ELEMENT OF COMPENSATION, INCLUDING CURRENT AND DEFERRED COMPENSATION, AND BENEFITS, INCLUDING QUALIFIED AND NON-QUALIFIED BENEFITS. THE COMMITTEE CONDUCTS ITS REVIEW AND APPROVAL PROCESS AT LEAST ANNUALLY, AND APPROVES COMPENSATION AND BENEFITS ONLY TO THE EXTENT THAT THE COMMITTEE HAS CONCLUDED THAT THE COMPENSATION AND BENEFITS CONSTITUTE NO MORE THAN REASONABLE COMPENSATION FOR EACH EXECUTIVE. THE COMMITTEE CONSISTS ENTIRELY OF DISINTERESTED MEMBERS OF THE BOARD, AND THE COMMITTEE WORKS WITH AN INDEPENDENT COMPENSATION CONSULTANT TO PREPARE AND REVIEW IN ADVANCE COMPREHENSIVE DATA SHOWING THE COMPENSATION PROVIDED BY SIMILARLY SITUATED ORGANIZATIONS FOR FUNCTIONALLY SIMILAR POSITIONS. THE COMMITTEE ALSO PREPARES A TIMELY AND THOROUGH WRITTEN RECORD OF ITS DELIBERATIONS AND CONCLUSIONS. AS A RESULT, THE COMMITTEE'S REVIEW PROCESS IS DESIGNED TO SATISFY THE PROCEDURAL CRITERIA NECESSARY TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE FEDERAL INCOME TAX LAW INTERMEDIATE SANCTIONS RULES.

Schedule J (Form 990) 2023

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Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax-Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2023

Open to Public
Inspection

Name of the organization
TOWER HEALTH

Employer identification number
23-2201344

Part Ⅰ

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	THE BERKS COUNTY MUNICIPAL AUTHORIT SERIES 2012-ABCD	23-6647630	084538GX9	06-28-2012	479,354,940	SEE PART VI	X			X		X
B	BERKS COUNTY IND DEV AUTHORITY SERIES 2017	23-7418629	08451PAY7	10-31-2017	646,650,683	SEE PART VI		X		X		X
C	THE BERKS COUNTY MUNICIPAL AUTHORIT SERIES 2020	23-6647630	084538JC2	02-11-2020	321,190,756	SEE PART VI		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	313,210,000		10,755,000		17,250,000
2 Amount of bonds legally defeased ..............
3 Total proceeds of issue ..................	479,394,377		648,112,763		321,190,756
4 Gross proceeds in reserve funds .............
5 Capitalized interest from proceeds .............
6 Proceeds in refunding escrows ...............
7 Issuance costs from proceeds ...............	3,523,736		4,343,979		121,916
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............	24,697
10 Capital expenditures from proceeds .............			200,000,000
11 Other spent proceeds .............	475,845,944		443,768,784		321,068,840
12 Other unspent proceeds .............
13 Year of substantial completion .............	2005		2017		2010
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue of tax-exempt bonds (or, if issued prior to 2020, a current refunding issue)? ........	X		X		X
15 Were the bonds issued as part of an advance refunding issue of taxable bonds (or, if issued prior to 2020, an advance refunding issue)? ........	X		X			X
16 Has the final allocation of proceeds been made? ..........	X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X		X

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

Cat. No. 50193E

Schedule K (Form 990) 2023

Page 2

Part Ⅲ

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............		X		X		X
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............	X		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?	X		X		X
c Are there any research agreements that may result in private business use of bond-financed property? .............		X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........
6 Total of lines 4 and 5 .............
7 Does the bond issue meet the private security or payment test? ...		X		X		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........	X		X		X

Part Ⅳ

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X		X		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......		X		X		X
b Exception to rebate? ........	X		X		X
c No rebate due? .........	X		X		X
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....	X			X	X

Schedule K (Form 990) 2023

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X		X
b Name of provider ..........
c Term of hedge .........
d Was the hedge superintegrated? ......
e Was the hedge terminated? ........
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X		X		X
b Name of provider ..........
c Term of GIC .........
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........
6 Were any gross proceeds invested beyond an available temporary period?		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X		X		X

Part Ⅴ

Procedures To Undertake Corrective Action

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X		X		X

Part Ⅵ

Supplemental Information. Provide additional information for responses to questions on Schedule K. (See instructions).

Return Reference	Explanation
PURPOSE OF ISSUE DESCRIPTION	THE BERKS COUNTY MUNICIPAL AUTHORITY SEE PART VI
PURPOSE OF ISSUE DESCRIPTION	BERKS COUNTY IND DEV AUTHORITY SEE PART VI
PURPOSE OF ISSUE DESCRIPTION	THE BERKS COUNTY MUNICIPAL AUTHORITY SEE PART VI
DATE REBATE COMPUTATION PERFORMED	THE BERKS COUNTY MUNICIPAL AUTHORITY 12/28/12
DATE REBATE COMPUTATION PERFORMED	BERKS COUNTY IND DEV AUTHORITY 04/30/18
DATE REBATE COMPUTATION PERFORMED	THE BERKS COUNTY MUNICIPAL AUTHORITY 08/11/20
ADDITIONAL INFORMATION	THE BERKS COUNTY MUNICIPAL AUTHORITY NOTE REGARDING THE REBATE COMPUTATIONS ON 12/28/2012 & 8/11/2020: SINCE THE BOND PROCEEDS HAVE BEEN SPENT, A SPENDING EXCEPTION WAS MET, AND THE DEBT SERVICE FUND WAS OPERATED ON A BONA FIDE BASIS, NO FURTHER REBATE CALCULATIONS ARE NECESSARY.
ADDITIONAL INFORMATION	BERKS COUNTY IND DEV AUTHORITY NOTE REGARDING THE REBATE COMPUTATION ON 4/30/2018: AS NO REBATABLE ARBITRAGE WAS EARNED ON THE ADVANCE REFUNDING ESCROW AND THE DEBT SERVICE FUND WAS OPERATED ON A BONA FIDE BASES, NO FURTHER REBATE ANALYSIS IS NECESSARY. PART I, ROW A, COLUMN (F) - REFUND PRIOR ISSUES (5/26/1994, 9/10/1988, 12/4/2008, 7/15/2009 & 2/2/2010) PART I, ROW B, COLUMN (F) - PURCHASE FACILITY AND REFUND PRIOR ISSUES (7/15/2009 & 9/29/2017) PART I, ROW C, COLUMN (F) - REFUND PRIOR ISSUES (7/15/2009, 6/28/2012, 5/16/2016 & 12/27/2017) PART II, COLUMN C, LINE 3 - THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN PART I, COLUMN (E) DUE TO INVESTMENT EARNINGS. PART III, LINE 9 ROUTINELY MONITORS THE USE OF BOND-FINANCED ASSETS AND REGULARLY ENGAGES BOND COUNSEL AS NECESSARY TO ENSURE ALL POST-ISSUANCE COMPLIANCE REQUIREMENTS ARE MET.

Schedule K (Form 990) 2023

Additional Data

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SCHEDULE O
(Form 990)

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

OMB No. 1545-0047

2023

Open to Public
Inspection

Name of the organization

TOWER HEALTH

Employer identification number

23-2201344

Return Reference	Explanation
FORM 990 - ORGANIZATION'S MISSION	THE MISSION OF TOWER HEALTH IS TO PROVIDE COMPASSIONATE, ACCESSIBLE, HIGH QUALITY, COST EFFECTIVE HEALTHCARE TO THE COMMUNITY; TO PROMOTE HEALTH; TO EDUCATE HEALTHCARE PROFESSIONALS; AND TO PARTICIPATE IN APPROPRIATE CLINICAL RESEARCH. TOWER HEALTH (PARENT) IS A NON-PROFIT HEALTHCARE SYSTEM THAT PROVIDES CHARITABLE COMMUNITY-BASED HEALTHCARE SERVICES AND PROGRAMS TO IMPROVE THE HEALTH AND WELL-BEING OF THE PEOPLE AND THE COMMUNITIES IT SERVES IN THE GREATER BERKS, MONTGOMERY AND CHESTER AREAS THROUGH ITS SUBSIDIARIES (SEE FORM 990, SCHEDULE R). SUBSIDIARIES INCLUDE BUT ARE NOT LIMITED TO PHOENIXVILLE HOSPITAL, AND POTTSTOWN HOSPITAL, THE TWO OF WHICH ARE HELD IN SINGLE MEMBER LLCS THAT TOWER HEALTH IS THE SOLE MEMBER OF. AS A RESULT, THESE ARE TREATED AS DISREGARDED ENTITIES AND ALL OF THEIR INCOME AND ACTIVITIES ARE REPORTED ON TOWER HEALTH'S FORM 990. AS A PROVIDER OF DIRECT CARE, TOWER HEALTH ADDRESSES ISSUES OUTSIDE THAT REALM THAT IMPACT HEALTH AND WELLNESS. IN FACT, A KEY PART OF TOWER'S MISSION MEANS THE REINVESTMENT OF RESOURCES INTO THESE EFFORTS, WHICH ARE COLLECTIVELY KNOWN AS COMMUNITY BENEFIT. WE ARE PROUD TO REPORT THAT IN OUR LAST FISCAL YEAR, WE COLLECTIVELY COMMITTED NEARLY 32.7M TO THIS CAUSE. PHOENIXVILLE HOSPITAL: PHOENIXVILLE HOSPITAL IS COMMITTED TO SERVING AND IMPROVING THE HEALTH OF OUR COMMUNITY. PHOENIXVILLE HOSPITAL'S COMMUNITY HEALTH EDUCATION AND OUTREACH DEPARTMENT SUPPORTS THE HOSPITAL'S COMMUNITY ENGAGEMENT AND COMMUNITY BENEFIT ENDEAVORS. THE MISSION OF COMMUNITY HEALTH EDUCATION AND OUTREACH IS TO IMPROVE THE HEALTH STATUS OF OUR COMMUNITY THROUGH EVIDENCE-BASED PRACTICE AND HEALTH EDUCATION. THE COMMUNITY HEALTH DEPARTMENT ALSO MANAGES THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PROCESS. PHOENIXVILLE HOSPITAL'S MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN WAS COMPLETED IN 2022 AND IDENTIFIED AND PRIORITIZED FOUR AREAS OF FOCUS: ACCESS TO EQUITABLE HEALTHCARE, BEHAVIORAL HEALTH, DISEASE PREVENTION AND MANAGEMENT AND HEALTH EQUITY. THROUGHOUT THE FISCAL YEAR 2022, PHOENIXVILLE HOSPITAL WORKED TO DEVELOP AND IMPLEMENT STRATEGIES TO ADDRESS THE IDENTIFIED PRIORITY AREAS. ACCESS TO EQUITABLE HEALTHCARE - PHOENIXVILLE HOSPITAL DEPLOYS CONTINUOUS IMPROVEMENT EFFORTS TO BETTER UNDERSTAND THE CONTRIBUTING FACTORS THAT IMPEDE ACCESS TO EQUITABLE CARE AND HOW BEST TO ADDRESS IDENTIFIED BARRIERS AND GAPS IN HEALTHCARE AND SERVICES. 1.NURSE OUTREACH SITES - COMMUNITY HEALTH NURSES PROVIDE HEALTH INFORMATION AND RESOURCE REFERRALS TO VULNERABLE, DIVERSE, AND UNDERSERVED POPULATIONS IN THE COMMUNITY TO ADDRESS UNMET HEALTH CARE NEEDS. THERE ARE CURRENTLY 8 NURSE OUTREACH SITES AT LOW-INCOME HOUSING UNITS, LOCAL FOOD PANTRIES, VA HOUSING FACILITY, AND LOCAL CHURCHES. IN FY 2024, 950 PERSONS ATTENDED AN OUTREACH SITE. 2.RIDE HEALTH - THE RIDE HEALTH PROGRAM PROVIDES FREE TRANSPORTATION TO AND FROM APPOINTMENTS FOR ELIGIBLE PATIENTS IN AN EFFORT TO INCREASE ACCESS TO CARE. IN FY2024, THIS PROGRAM EXPERIENCED GROWTH AND PROVIDED 208 RIDES TO PATIENTS. 3.ACCESS TO TELEMEDICINE - COLLABORATION WITH COMMUNITY ORGANIZATIONS SERVING SENIORS TO PROVIDE TECHNOLOGY EDUCATION TO OLDER ADULTS INCLUDING TELEHEALTH EDUCATION ON ADVANCEMENTS IN HEALTHCARE, TECHNOLOGY, REMOTE PATIENT MONITORING, AND ACCESSING HEALTH PORTALS RESULTING IN EASIER AND FASTER ACCESS TO CARE. TELEHEALTH EDUCATION PROGRAMS HAVE BEEN OFFERED IN OUR SENIOR HEALTH PROGRAMS. 4.HEALTHY BABY PROGRAM - PHOENIXVILLE HOSPITAL PARTNERS WITH LOCAL OB/GYN PRACTICES TO IMPROVE ACCESS TO HIGH-QUALITY PRENATAL, DELIVERY, AND POST- PARTUM CARE TO UNINSURED PREGNANT WOMEN IN OUR PRIMARY SERVICE AREA. THE HEALTHY BABY PROGRAM WELCOMES ALL WOMEN IN NEED HOWEVER THE PRIMARY GROUP SERVED IS SPANISH AND PORTUGUESE SPEAKING UNINSURED WOMEN IN OUR PRIMARY SERVICE AREA. IN FY2024, 126 WOMEN WERE ENROLLED IN THE HEALTHY BABY PROGRAM. BEHAVIORAL HEALTH - THE NEED FOR ACCESS TO BEHAVIORAL HEALTH SERVICES BECAME MORE EVIDENT POST PANDEMIC AND PHOENIXVILLE HOSPITAL IS ADDRESSING MENTAL HEALTH ISSUES AND DRUG AND ALCOHOL ADDICTION. 1.AWARENESS OF BEHAVIORAL HEALTH RESOURCES- COMMUNITY ORGANIZATIONS WHICH PROVIDE BEHAVIORAL HEALTH ARE INVITED TO PARTICIPATE IN HOSPITAL COMMUNITY PROGRAMS TO INCREASE AWARENESS OF RESOURCES IN OUR COMMUNITY. WE HELD OUR 2ND ANNUAL MENTAL HEALTH FUN FAIR AT THE PHOENIXVILLE RECREATION CENTER AND COLLABORATED WITH 30 ORGANIZATIONS WHO SHARED MENTAL HEALTH RESOURCES AND WITH THE COMMUNITY. OVER 200 PEOPLE ATTENDED THE EVENT AND LEARNED ABOUT WAYS TO TAKE CARE OF YOUR MENTAL HEALTH. BEHAVIORAL HEALTH RESOURCES ARE SHARED WITH PARTICIPANTS AT ALL OF OUR NURSE OUTREACH SITES. 2.COMMUNITY BEHAVIORAL HEALTH PROGRAMS- HEALTH EDUCATION PROGRAMS FOCUSED ON BEHAVIORAL HEALTH ISSUES ARE OFFERED TO THE COMMUNITY. PROGRAMS ON DEPRESSION AND STRESS MANAGEMENT WERE OFFERED AT NURSE OUTREACH SITES. 3.BEHAVIORAL HEALTH SOCIAL MEDIA CAMPAIGN -COMMUNITY MEMBERS CAN ENGAGE WITH SOCIAL MEDIA POSTS FOCUSED ON BEHAVIORAL HEALTH ISSUES. THERE WERE MONTHLY SOCIAL MEDIA POSTS (FACEBOOK AND INSTAGRAM) SPECIFICALLY ADDRESSING MENTAL HEALTH WITH A REACH OF 12,374 PEOPLE. 4.EMPLOYEE WELLNESS INITIATIVES - PHOENIXVILLE HOSPITAL PROVIDES OPPORTUNITIES FOR STAFF TO STAY HEALTHY THROUGH ITS TOWER HEALTH WELLNESS PROGRAMS. AN EMPLOYEE ASSISTANCE PROGRAM (EAP) IS AVAILABLE TO SUPPORT EMPLOYEES IN IDENTIFYING ISSUES THAT MAY IMPACT THEIR HEALTH AND WELL-BEING AT HOME OR ON THE JOB. PERSONALIZED MENTAL HEALTH SERVICES FOR EMPLOYEES IS AVAILABLE THROUGH MARVIN TELEMEDICINE. ALSO, THE RISE PROGRAM PROVIDES PEER SUPPORT FOR STAFF. RISE STANDS FOR "RESILIENCE IN STRESSFUL EVENTS- AND OFFERS EMOTIONAL SUPPORT TO ANY STAFF MEMBER WHO ENCOUNTERS A STRESSFUL WORK-RELATED EVENT. THE VIRGIN PULSE APP IS AVAILABLE TO ALL EMPLOYEES AND PROVIDES UPDATES ON WAYS TO STAY HEALTHY AND JOIN CHALLENGES. THROUGH A PARTNERSHIP WITH FITBIT, PHOENIXVILLE HOSPITAL OFFERS DISCOUNTED FITBIT DEVICES TO HOSPITAL STAFF AND THEIR FAMILIES THROUGH ITS STOREFRONT. PET THERAPY IS OFFERED TO STAFF ON MONTHLY BASIS AND HAS BECOME A STAFF FAVORITE WELLNESS ACTIVITY. DISEASE PREVENTION AND MANAGEMENT - HEALTH EDUCATION PROGRAMS HELP PEOPLE BETTER UNDERSTAND HOW TO MANAGE EXISTING HEALTH CONDITIONS AND HOW TO PREVENT ILLNESS AND DISEASE. PHOENIXVILLE HOSPITAL'S COMMUNITY EDUCATION AND DISEASE PREVENTION PROGRAMS ARE DESIGNED TO ENGAGE AND EMPOWER INDIVIDUALS AND COMMUNITIES TO PRACTICE HEALTHY BEHAVIORS THAT REDUCE THE RISK OF DEVELOPING CHRONIC DISEASES AND TO IMPROVE MANAGEMENT FOR CHRONIC DISEASES SUCH AS HEART DISEASE, DIABETES, AND HIGH BLOOD PRESSURE. 1.CHRONIC DISEASE EDUCATION- IN AN EFFORT TO ADDRESS CHRONIC DISEASE PREVENTION AND MANAGEMENT, PHOENIXVILLE HOSPITAL HAS IMPLEMENTED A NUMBER OF COMMUNITY HEALTH INITIATIVES THROUGHOUT ITS PRIMARY SERVICE AREA FOCUSING ON OLDER ADULT, LOW INCOME, VETERANS, AND OTHER VULNERABLE POPULATIONS. DISEASE EDUCATION INCLUDES HEART DISEASE, HIGH BLOOD PRESSURE, DIABETES, OBESITY, AND OTHER HEALTH TOPICS. 2. A HEALTHY SENIOR PROGRAM HOSTS MONTHLY PROGRAMS TO PROVIDE HEALTH EDUCATION AND RESOURCES TO THE OLDER POPULATION. SESSIONS ARE HELD AT THE HOSPITAL AS WELL AS AT OTHER COMMUNITY ORGANIZATIONS SUCH AS THE PHOENIXVILLE YMCA AND THE PHOENIXVILLE RECREATION CENTER. MONTHLY HEALTH CHATS ARE ALSO HOSTED BY A COMMUNITY HEALTH NURSE AT SEVERAL SENIOR LIVING FACILITIES. IN FY2024, 659 SENIORS ATTENDED HEALTH EDUCATION PROGRAMS. 3.TOBACCO WELLNESS PROGRAMS - PHOENIXVILLE HOSPITAL IS RECIPIENT OF A STATE GRANT FROM TOBACCO SETTLEMENT FUNDS DISTRIBUTED BY THE DEPARTMENT OF HEALTH AND HEALTH PROMOTION COUNCIL. OUR CERTIFIED TOBACCO CESSATION COUNSELOR PROVIDES ONGOING SMOKING CESSATION SUPPORT, AND EDUCATION AND PREVENTION FOR ADULTS AND YOUTH. VAPING EDUCATION IS PROVIDED IN LOCAL SCHOOL DISTRICTS FOR PARENTS, TEACHERS, AND STUDENTS. IN FY2024, 327 STUDENTS ATTENDED A VAPING EDUCATION PROGRAM. ADDITIONALLY, 62 PERSONS ATTENDED A SMOKING CESSATION PROGRAM. 4.SPANISH/PORTUGUESE SPEAKING COMMUNITY- BASED OUTREACH - HEALTH EDUCATION AND RESOURCES TO ADDRESS NEEDS OF DIVERSE COMMUNITY ARE PROVIDED WITH BILINGUAL STAFF. A BILINGUAL INTERPRETER NOW ATTENDS NURSE OUTREACH AT OUR FOOD PANTRY SITE WHICH HAS A LARGE SPANISH/PORTUGUESE SPEAKING POPULATION SEEKING RESOURCES. IN FY2024 10 SESSIONS WERE HELD WITH BILINGUAL STAFF SERVING 93 PERSONS. 5.BLOOD PRESSURE SCREENINGS -BP SCREENINGS ARE OFFERED AT NURSE OUTREACH AND COMMUNITY EVENTS. IN FY2024, 950 PERSONS PARTICIPATED IN A BLOOD PRESSURE SCREENING. 6.CANCER PREVENTION EDUCATION AND SCREENING - CANCER PREVENTION AND SCREENING ACTIVITIES ARE PROVIDED AT HOSPITAL AND COMMUNITY EVENTS. TOBACCO CESSATION/VAPING EDUCATION TO STUDENTS AND PARENTS IS OFFERED. IN FY2024, 327 STUDENTS RECEIVED VAPING EDUCATION. MAMMOGRAM SCREENINGS ARE OFFERED TO THE COMMUNITY. A PARTNERSHIP WITH HEALTHCARE ACCESS PROVIDES RESOURCES TO OFFER FREE MAMMOGRAM SCREENINGS TO UNINSURED AND UNDERINSURED POPULATION. IN FY2024, 108 UNINSURED WO
FORM 990	SALE OF CHESTNUT HILL HOSPITAL CHESTNUT HILL HOSPITAL LLC (EIN 82-2108660), LOCATED AT 8835 GERMANTOWN AVENUE, PHILADELPHIA, PA 19118, IS A 148-BED LICENSED ACUTE CARE HOSPITAL WHICH WAS ACQUIRED BY TOWER HEALTH FROM COMMUNITY HEALTH SYSTEMS, LLC EFFECTIVE OCTOBER 1, 2017. A BILL OF SALE WAS MADE AND ENTERED INTO AS OF DECEMBER 23, 2022. THE BUYER AGREED TO PURCHASE ALL THE ASSETS WHICH WERE OWNED, USED OR HELD FOR USE IN CONNECTION WITH CHESTNUT HILL HOSPITAL. THE SALE TRANSACTION WAS EFFECTIVE DECEMBER 31, 2022.
FORM 990, PAGE 1, PART I, LINE 6	VOLUNTEERS INCLUDE BOARD MEMBERS WITHOUT COMPENSATION AND VOLUNTEERS (AGE 16 AND OLDER) PROVIDING VOLUNTEER SERVICES AT THE HOSPITALS.
FORM 990, PAGE 2, PART III, LINE 4A	ER/NURSING INPATIENT & OUTPATIENT PROGRAM: PHOENIXVILLE HOSPITAL: PHOENIXVILLE HOSPITAL EMERGENCY DEPARTMENT PROVIDES EMERGENCY, URGENT AND PRIMARY CARE SERVICES TO THE COMMUNITY "24/7/365" REGARDLESS OF ABILITY TO PAY. PHOENIXVILLE HOSPITAL ALSO PROVIDES IMMEDIATE ACCESS THROUGH ITS EMERGENCY DEPARTMENT TO ANCILLARY SERVICES, FROM SURGEONS TO ALL AREAS OF SPECIALTY CARE. PHOENIXVILLE HOSPITAL HAS "24/7/365" ON-CALL CONSULTANTS FOR PEDIATRIC EMERGENCY CASES THROUGH ST. CHRISTOPHER'S HOSPITAL FOR CHILDREN. LOCAL EMS PROVIDERS RELY ON PHOENIXVILLE HOSPITAL FOR ON-GOING MEDICAL EDUCATION. EMERGENCY ROOM VISITS FOR FY24 WERE 25,001. PHOENIXVILLE HOSPITAL INPATIENT UNITS INCLUDE MEDICAL SURGICAL, TELEMETRY AND INTENSIVE CARE UNITS, LABOR AND DELIVERY, REHABILITATION, NURSERY AND NICU. THEY PROVIDE INPATIENT ACUTE SERVICES INCLUDING SUPPORT SUCH AS LABORATORY, PHARMACY, PHYSICAL THERAPY AND RADIOLOGY. TOTAL PATIENT DAYS FOR FY24 WERE 37,260. POTTSTOWN HOSPITAL: POTTSTOWN HOSPITAL EMERGENCY DEPARTMENT PROVIDES EMERGENCY, URGENT AND PRIMARY CARE SERVICES 24/7/365 TO THE COMMUNITY. THE EMERGENCY DEPARTMENT SERVES PATIENTS FROM BERKS, MONTGOMERY AND CHESTER COUNTIES. THE POTTSTOWN HOSPITAL EMERGENCY DEPARTMENT IS THE SECOND BUSIEST EMERGENCY DEPARTMENT IN MONTGOMERY COUNTY. THERE IS A FULL COMPLEMENT OF SPECIALTY SERVICES PROVIDED AT THE LOCAL AND/OR TERTIARY LEVEL WITH OUR SYSTEM HOSPITAL IN READING. EMERGENCY ROOM VISITS FOR FY24 WERE 31,617. POTTSTOWN HOSPITAL INPATIENT UNITS INCLUDE MEDICAL SURGICAL, TELEMETRY AND INTENSIVE CARE UNITS. THEY PROVIDE INPATIENT ACUTE SERVICES INCLUDING SUPPORT SUCH AS LABORATORY, PHARMACY, PHYSICAL THERAPY AND RADIOLOGY. TOTAL PATIENT DAYS FOR FY24 WERE 32,078. THE BEHAVIORAL HEALTH UNIT AT POTTSTOWN HOSPITAL PROVIDES 24/7/365 SUPERVISION, TREATMENT, STABILIZATION AND PLACEMENT FOR ADULTS AND GERIATRIC ADULTS COPING WITH A VARIETY OF ISSUES, FOCUSING ON RETURNING THE INDIVIDUAL TO THE HIGHEST LEVEL OF COGNITIVE FUNCTIONING POSSIBLE. TOTAL PATIENT DAYS FOR FY24 WERE 6,722.
FORM 990, PAGE 2, PART III, LINE 4B	OPERATING ROOM SERVICES: PHOENIXVILLE HOSPITAL: PHOENIXVILLE HOSPITAL'S SURGICAL DEPARTMENT PROVIDES SURGICAL SERVICES TO THE COMMUNITY IN BOTH AN INPATIENT AND OUTPATIENT SETTING. THESE SERVICES INCLUDE: CARIOLOGY, CARDIO, THORACIS, ENT, ORTHOPEDICS, GYNECOLOGY, OBSTETRICS, UROLOGY, PAIN MANAGEMENT, PLASTIC, PODIATRY, NEURO AND GENERAL SURGERY. THE ROBOTICS SURGERY PROGRAM RECEIVED THE CENTER OF EXCELLENCE ACCREDITATION IN 2023. TOTAL PROCEDURES FOR FY24 WERE 9,117. POTTSTOWN HOSPITAL: POTTSTOWN HOSPITAL'S SURGICAL SERVICES DEPARTMENT PROVIDES EMERGENT, URGENT AND ELECTIVE SURGERIES TO THE COMMUNITY ON AN INPATIENT AND OUTPATIENT BASIS. EMERGENCY CASES CAN BE DONE 24/7/365 AND PATIENTS NEEDING A HIGHER LEVEL OF CARE CAN BE TRANSFERRED TO TERTIARY CENTERS IN THE AREA. POTTSTOWN HOSPITAL OFFERS, ORTHOPEDIC, VASCULAR, SPINE, ENT, MAXOFACIAL, PLASTIC, OB/GYN, OPHTHALMOLOGIC, UROLOGIC, PODIATRIC AND GENERAL SURGERY. TOTAL PROCEDURES FOR FY24 WERE 4,973.
FORM 990, PAGE 2, PART III, LINE 4C	RADIOLOGY/IMAGING PROGRAM: PHOENIXVILLE HOSPITAL: PHOENIXVILLE HOSPITAL RADIOLOGY DEPARTMENT PROVIDES IMAGING SERVICES TO THE COMMUNITY IN BOTH AN INPATIENT AND OUTPATIENT SETTING IN TWO LOCATIONS. THESE SERVICES INCLUDE BUT ARE NOT LIMITED TO PET/CT SCANS, ULTRASOUNDS, CT SCANS, MRIS, NUCLEAR MEDICINE, INTERVENTIONAL RADIOLOGY AND MAMMOGRAMS. PHOENIXVILLE HOSPITAL OFFERS FREE MAMMOGRAMS TO THE UNDERINSURED AND UNINSURED PATIENTS. TOTAL PROCEDURES FOR FY24 WERE 87,802. POTTSTOWN HOSPITAL: POTTSTOWN HOSPITAL RADIOLOGY DEPARTMENT PROVIDES IMAGING SERVICES TO THE COMMUNITY IN BOTH AN INPATIENT AND OUTPATIENT SETTING IN TWO LOCATIONS. THESE SERVICES INCLUDE BUT ARE NOT LIMITED TO PET/CT SCANS, ULTRASOUNDS, CT SCANS, MRIS, NUCLEAR MEDICINE, INTERVENTIONAL RADIOLOGY AND MAMMOGRAMS. TOTAL PROCEDURES FOR FY24 WERE 89,699.
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: PHOENIXVILLE HOSPITAL: PHOENIXVILLE HOSPITAL PROVIDES OUTPATIENT SERVICES FOR LABORATORY, RADIOLOGY PATIENTS AND DIALYSIS PATIENTS. CANCER CENTER PATIENTS RECEIVE OUTPATIENT SERVICES BASED ON THEIR TREATMENT PLAN. CARDIO-PULMONARY PATIENTS UTILIZE THE 1ST FLOOR REHABILITATION GYM FOR PRESCRIBED AND MONITORED OUTPATIENT EXERCISE. TOTAL PROCEDURES FOR FY24 WERE 347,708. PHOENIXVILLE HOSPITAL ONCOLOGY SERVICES DEPARTMENT PROVIDES MEDICAL ONCOLOGY AND RADIATION THERAPY SERVICES TO THE COMMUNITY. WE PROVIDE CHARITY SERVICES TO OUR SERVICE AREA WHO MEET OUR CHARITY POLICY GUIDELINES. TARGETED THERAPIES IN OUR RECENTLY RENOVATED INFUSION SUITE SELECTIVELY AFFECT ONLY THE CELLS RELATED TO A PARTICULAR CANCER, CAUSING LESS DAMAGE AND FEWER SIDE EFFECTS TO SURROUNDING NON-CANCEROUS CELLS AND BODY SYSTEMS THAN TRADITIONAL CHEMOTHERAPY DRUGS. PHOENIXVILLE HOSPITAL ACTIVELY PARTICIPATES IN A NUMBER OF PREVENTIVE AND TREATMENT CLINICAL TRIALS THROUGH THE CANCER TRIAL SUPPORT UNIT (CTSU). TOTAL PROCEDURES FOR FY24 WERE 9,502 PHOENIXVILLE HOSPITAL PROVIDES PHARMACY SUPPORT TO ALL INPATIENTS AND CANCER CENTER PATIENTS WITH THEIR PHARMACEUTICAL NEEDS. POTTSTOWN HOSPITAL: POTTSTOWN HOSPITAL PROVIDES OUTPATIENT SERVICES FOR LABORATORY, RADIOLOGY, WOUND CARE AND PT/OT/SPEECH THERAPY PATIENTS. TOTAL PROCEDURES FOR FY24 WERE 435,390 POTTSTOWN HOSPITAL CANCER CENTER PROVIDES INPATIENT, OUTPATIENT AND INFUSION SERVICES TO ONCOLOGY PATIENTS IN THE COMMUNITY. THE POTTSTOWN HOSPITAL CANCER CENTER OFFERS A ROBUST SERVICE LINE INCLUSIVE OF MEDICAL AND RADIATION ONCOLOGY WITH RAPID ARC TECHNOLOGY WITH LINEAR ACCELERATOR AND CYBERKNIFE CAPABILITIES. THE POTTSTOWN HOSPITAL CANCER CENTER IS A FIVE-TIME RECIPIENT OF THE AMERICAN COLLEGE OF SURGEONS COUNCIL ON CANCER OUTSTANDING ACHIEVEMENT AWARD. THERE ARE ONLY 4 CANCER CENTERS IN THE UNITED STATES WHO HAVE ACHIEVED THIS DISTINCTION. POTTSTOWN HOSPITAL ACTIVELY PARTICIPATES IN A NUMBER OF PREVENTIVE AND TREATMENT CLINICAL TRIALS THROUGH THE CANCER TRIALS SUPPORT UNIT (CTSU). TOTAL PROCEDURES FOR FY24 WERE 19,847. POTTSTOWN HOSPITAL PROVIDES PHARMACY SUPPORT TO ALL INPATIENTS AND CANCER CENTER PATIENTS WITH THEIR PHARMACEUTICAL NEEDS. TOWER HEALTH URGENT CARE: TOWER HEALTH URGENT CARE LOCATIONS ARE LOCATED IN BERKS AND MONTGOMERY COUNTY. WE SPECIALIZE IN TREATING NON-LIFE-THREATENING ILLNESSES AND INJURIES. WE PROVIDE COORDINATED AND COMPREHENSIVE EXAMS FOR SCHOOL, CAMP, SPORTS, AND PRE- EMPLOYMENT, AS WELL AS PROFESSIONAL DRIVER EXAMS FROM OUR LICENSED, CERTIFIED MEDICAL EXAMINERS WITH THE DEPARTMENT OF TRANSPORTATION. AS A PREFERRED PROVIDER FOR MANY EMPLOYERS, WE ARE EQUIPPED TO HANDLE OCCUPATIONAL HEALTH NEEDS INCLUDING IMMUNIZATIONS, SCREENINGS, DOT AND CDL PHYSICALS. TELEMEDICINE HAS BECOME WIDELY ACCEPTED WITH THE ADVANCES IN REMOTE MEDICAL TECHNOLOGIES. TOWER HEALTH URGENT CARE FACILITIES ACHIEVED ACCREDITATION FROM THE URGENT CARE ASSOCIATION (UCA), WHICH IS THE HIGHEST LEVEL OF DISTINCTION FOR URGENT CARE CENTERS. THIS RECOGNITION WAS EARNED AFTER A COMPREHENSIVE SURVEY, WHICH INCLUDED ONSITE VISITS AND VIRTUAL SURVEYS WITH STAFF MEMBERS BY UCA ACCREDITATION SURVEYORS. THIS ACCREDITATION ENSURES ALL TOWER HEALTH URGENT CARE LOCATIONS HAVE MET ALL UCA'S STANDARDS AND CRITERIA FOR QUALITY OF PATIENT CARE, SAFETY, AND SCOPE OF SERVICES. TOWER HEALTH PROVIDERS: TOWER HEALTH PROVIDERS (THP) WAS FORMED TO DEVELOP A PHYSICIAN NETWORK TO WORK IN CONJUNCTION WITH TOWER HEALTH TO IMPLEMENT A CLINICAL INTEGRATION PROGRAM. CLINICAL INTEGRATION IS THE IMPLEMENTATION OF AN ACTIVE AND ONGOING PROGRAM TO EVALUATE AND MODIFY PRACTICE PATTERNS BY THE NETWORK'S PHYSICIAN PARTICIPANTS AND CREATE A HIGH DEGREE OF INTERDEPENDENCE AND COOPERATION AMONG THE PHYSICIANS TO CONTROL COSTS AND IMPROVE THE QUALITY AND EFFICIENCY OF HEALTH CARE FOR THE NETWORK'S PHYSICIAN PARTICIPANTS AND THE ENTIRE HEALTH CARE COMMUNITY SERVED. TOWER HEALTH PROVIDERS (THP) IS AN EXTENSIVE, HIGH-VALUE NETWORK OF PROVIDERS FROM ALL SPECIALTIES SPREAD ACROSS A WIDE GEOGRAPHY. OUR ORGANIZATION ENSURES PARTICIPATING PROVIDERS ALIGN WITH EVIDENCE-BASED MEDICINE PRACTICES IN A CULTURE OF ACCOUNTABILITY AND COLLABORATION. THESE PRINCIPALS CONTINUE TO DRIVE HEALTHCARE TRANSFORMATION THROUGH IMPROVED QUALITY, COST EFFICACY, AND INCREASED PATIENT AND PROVIDER SATISFACTION. THP CREATES OPPORTUNITIES FOR THE ALIGNMENT OF NEW INCENTIVES AND ALTERNATE PAYMENT MODELS FOR PROVIDERS. BY BRINGING TOGETHER THE BEST PROVIDERS WITH THE STRONGEST HEALTHCARE SYSTEMS, THP IS HELPING PROVIDERS AND PRACTICES BENEFIT FROM THESE NEW ARRANGEMENTS. TOWERDIRECT: TOWERDIRECT IS A UNIFIED PATIENT TRANSPORTATION SYSTEM THAT SERVES BERKS COUNTY AND THE TOWER HEALTH SERVICE AREA. HAVING A UNIFIED AMBULANCE SERVICE SUPPORTS TOWER HEALTH'S GOAL OF PROVIDING PATIENTS WITH TIMELY AND HIGH-QUALITY CARE, WHILE DEVELOPING AN EMS PROGRAM THAT CAN GROW, INNOVATE, AND BETTER RESPOND TO THE EVER-CHANGING HEALTHCARE ENVIRONMENT. TOWERDIRECT IS A MULTIFACETED EMS SOLUTION TO OUR PATIENTS, CO-WORKERS, AND COMMUNITIES. BENEFITS TO THE COMMUNITY INCLUDE: IMPROVED AVAILABILITY AND SUSTAINABILITY OF EMERGENCY, NON-EMERGENCY, CRITICAL CARE, AND PEDIATRIC PATIENT TRANSPORT SERVICES FOR COMMUNITIES WITHIN BERKS COUNTY AND THE TOWER HEALTH SERVICE AREA; THE OPPORTUNITY TO ENHANCE PATIENT CARE AND IMPROVE OPERATIONAL PERFORMANCE; REAL-TIME ACCESS TO THE TOWER HEALTH ELECTRONIC MEDICAL RECORDS TO MEASURE AND IMPROVE PATIENT OUTCOMES; BETTER ACCESS TO PATIENT TRANSPORT SERVICES, IMPROVING THE TIMELINESS OF DISCHARGE FROM INPATIENT AND OUTPATIENT FACILITIES; ENHANCED EFFORTS TO IMPROVE PATIENT CARE INITIATION AND TRANSITIONS IN CARE SETTINGS; AND THE ABILITY TO ENHANCE COMMUNITY PARAMEDICINE AND PATIENT OUTREACH PROGRAMS. TOWERDIRECT OFFERS SEVERAL PROACTIVE AND PREVENTIVE HEALTH SERVICES, INCLUDING: HOME VISITS - UPON THE PROVIDER'S REQUEST, MEMBERS OF THE TOWERDIRECT TEAM PROVIDE IN-HOME VISITS TO CONFIRM THE PATIENT HAS ALL PRESCRIBED MEDICATIONS AND IF REMOTE MONITORING IS UTILIZED, TO MAKE SURE THE EQUIPMENT IS SET UP CORRECTLY. PUBLIC EVENT SUPPORT - TOWERDIRECT ROUTINELY ATTENDS CONCERTS COUNTY FAIRS, AND OTHER COMMUNITY EVENTS IN CASE AN ATTENDEE NEEDS ON-SITE MEDICAL CARE OR MEDICAL TRANSPORTATION. SAFETY PRESENTATIONS - THE TOWERDIRECT TEAM GIVES PRESENTATIONS AT SCHOOLS, LIBRARIES, AND OTHER PUBLIC VENUES UPON REQUEST. TOPICS INCLUDE CAR SEAT SAFETY, FALL PREVENTION AND BIKE AND HELMET SAFETY.
FORM 990, PART V	THE ORGANIZATION DOES NOT FILE FORMS W-2, 1099-MISC,OR FORMS 1096. THE ORGANIZATION AND ITS RELATED ORGANIZATION, READING HOSPITAL (EIN 23- 1352204), SHARE ADMINISTRATIVE RESPONSIBILITIES. AS SUCH, READING HOSPITAL ADMINISTERS PAYMENTS TO INDEPENDENT CONSULTANTS AND FURNISHES FORMS 1099- MISC, AS REQUIRED, AND IS RESPONSIBLE FOR FILING TOWER HEALTH'S (EIN 23- 2201344)FORM 1096 AND W-2 FILINGS.
FORM 990, PAGE 6, PART VI, LINE 11B	THE FORM 990 IS PREPARED BY HOSPITAL STAFF, REVIEWED BY AN EXTERNAL TAX ADVISOR AND POSTED ON A WEBSITE FOR BOARD MEMBERS PRIOR TO FILING WITH THE IRS. MEMBERS ARE ALERTED TO INFORMATION AND NOTICES. A COPY OF THE 990 IS MAILED TO ANY BOARD MEMBER UNABLE TO VIEW THIS SITE.
FORM 990, PAGE 6, PART VI, LINE 12C	IT SHALL BE THE POLICY OF THE HOSPITAL TO REQUIRE EACH BOARD MEMBER, OFFICER AND KEY EMPLOYEE TO SUBMIT IN WRITING TO THE CHIEF EXECUTIVE OFFICER A LIST OF BUSINESSES OR OTHER ORGANIZATIONS OF WHICH THE MEMBER, MEMBER'S SPOUSE, A DESCENDANT, 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 FOR UPDATING AND RESUBMISSION AND BY WHICH THE BOARD MEMBER, OFFICER AND KEY EMPLOYEE SHALL CONFIRM HIS OR HER AWARENESS OF THIS POLICY. PROCEDURES FOR ADDRESSING A CONFLICT OF INTEREST: A. AFTER THE BOARD OR COMMITTEE HAS DETERMINED THAT A MEMBER IS INDEED CONFLICTED, THE CONFLICTED PERSON MAY BE COUNTED IN DETERMINING WHETHER THERE IS A QUORUM TO ACT, BUT MAY NOT VOTE UPON THE MATTER. THE CONFLICTED MEMBER, OR A CONFLICTED OFFICER WHO IS NOT A MEMBER, MAY NEVERTHELESS MAKE A PRESENTATION TO THE BOARD OR COMMITTEE ON THE MATTER BUT, AFTER THE PRESENTATION, THE CONFLICTED PERSON SHALL LEAVE THE MEETING DURING THE DISCUSSION OF AND VOTE ON THE MATTER. B. THE BOARD OR COMMITTEE CHAIR MAY APPOINT ONE OR MORE DISINTERESTED PERSONS TO INVESTIGATE POSSIBLE RESOLUTIONS OF THE MATTER THAT ARE DEVOID OF THE CONFLICT OF INTEREST. C. THE BOARD OR COMMITTEE SHALL EXERCISE DUE DILIGENCE TO DETERMINE WHETHER TH CAN ADDRESS THE MATTER MORE ADVANTAGEOUSLY BY MEANS THAT AVOID THE CONFLICT OF INTEREST. D. IF THE MATTER CANNOT BEADDRESSED MORE ADVANTAGEOUSLY BY MEANS THAT AVOID THE CONFLICT OF INTEREST, OR IF OTHER APPROACHES TO RESOLUTION ARE IMPRACTICAL UNDER THE CIRCUMSTANCES, THE BOARD OR COMMITTEE SHALL DETERMINE WHETHER THE PROPOSED TRANSACTION OR CONTRACT IS IN TH'S BEST INTERESTS, WHETHER IT IS FAIR AND REASONABLE, AND WHETHER TO ENTER INTO IT. E. IF THE BOARD DETERMINES THAT THERE HAS BEEN A VIOLATION OF THIS POLICY, THE BOARD SHALL TAKE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION, WHICH MAY INCLUDE REMOVAL (IF THE INTERESTED PERSON IS A BOARD OR COMMITTEE MEMBER) OR TERMINATION (IF THE INTERESTED PERSON IS AN EMPLOYEE). INTENTIONALLY OR REPEATEDLY FAILING TO ADHERE TO THIS POLICY IS GROUNDS FOR REMOVAL FROM THE BOARD AND ITS COMMITTEES.
FORM 990, PAGE 6, PART VI, LINE 15A	TOWER HEALTH'S BOARD OF DIRECTORS HAS DULY APPOINTED AN EXECUTIVE COMPENSATION COMMITTEE (THE "COMMITTEE"), WHICH IS RESPONSIBLE FOR THE REVIEW AND APPROVAL OF ALL COMPENSATION AND BENEFITS PROVIDED TO THE HOSPITAL'S EXECUTIVE MANAGEMENT. THE COMMITTEE HAS ADOPTED A WRITTEN EXECUTIVE COMPENSATION PHILOSOPHY STATEMENT AND AN EXECUTIVE COMPENSATION COMMITTEE CHARTER GOVERNING THE WORK AND REVIEW PROCESS OF THE COMMITTEE. THE COMMITTEE FOLLOWS THE PROCEDURES DESCRIBED IN THE PHILOSOPHY STATEMENT AND THE CHARTER WHEN IT REVIEWS AND APPROVES THE COMPENSATION AND EMPLOYEE BENEFITS PROVIDED TO THE HOSPITAL'S SENIOR MANAGEMENT, INCLUDING THE CHIEF EXECUTIVE OFFICER AND THE CHIEF FINANCIAL OFFICER. THE COMMITTEE'S REVIEW ANALYZES EVERY ELEMENT OF COMPENSATION, INCLUDING CURRENT AND DEFERRED COMPENSATION, AND BENEFITS, INCLUDING QUALIFIED AND NON-QUALIFIED BENEFITS. THE COMMITTEE CONDUCTS ITS REVIEW AND APPROVAL PROCESS AT LEAST ANNUALLY, AND APPROVES COMPENSATION AND BENEFITS ONLY TO THE EXTENT THAT THE COMMITTEE HAS CONCLUDED THAT THE COMPENSATION AND BENEFITS CONSTITUTE NO MORE THAN REASONABLE COMPENSATION FOR EACH EXECUTIVE. THE COMMITTEE CONSISTS ENTIRELY OF DISINTERESTED MEMBERS OF THE BOARD, AND THE COMMITTEE WORKS WITH AN INDEPENDENT COMPENSATION CONSULTANT TO PREPARE AND REVIEW IN ADVANCE COMPREHENSIVE DATA SHOWING THE COMPENSATION PROVIDED BY SIMILARLY SITUATED ORGANIZATIONS FOR FUNCTIONALLY SIMILAR POSITIONS. THE COMMITTEE ALSO PREPARES A TIMELY AND THOROUGH WRITTEN RECORD OF ITS DELIBERATIONS AND CONCLUSIONS. AS A RESULT, THE COMMITTEE'S REVIEW PROCESS IS DESIGNED TO SATISFY THE PROCEDURAL CRITERIA NECESSARY TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE FEDERAL INCOME TAX LAW INTERMEDIATE SANCTIONS RULES.
FORM 990, PAGE 6, PART VI, LINE 15B	SAME RESPONSE AS LINE 15A.
FORM 990, PAGE 6, PART VI, LINE 19	THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC.
FORM 990, PART IX, LINE 11G	OUTSIDE SERV/OTHER FEES 3,773,626 0 0 OUTSIDE SERV/OTHER FEES 0 556,070 0 PHYSICIAN FEES/OTHER 9,575,182 0 0 PHYSICIAN FEES/OTHER 10,598,175 0 0 PHYSICIAN FEES/OTHER 7,763,538 0 0 PHYSICIAN FEES/OTHER 25,363,848 21,960 0 TOTAL 57,074,369 578,030 0
FORM 990, PART XI, LINE 9	UNRESTRICTED NET ASSETS -42,736 INTERCOMPANY ASSET TRANSFER 59,497,775 INCOME TAX EXPENSE -187,083 LAND IMPAIRMENT -2,606,381 OTHER ASSETS 6,019 TOTAL 56,667,594

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

Cat. No. 51056K

Schedule O (Form 990) 2023

Additional Data

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1	Briefly describe the organization’s mission or most significant activities: THE MISSION OF TOWER HEALTH IS TO PROVIDE COMPASSIONATE, ACCESSIBLE, HIGH QUALITY, COST EFFECTIVE HEALTHCARE TO THE COMMUNITY.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	10
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	9
5	Total number of individuals employed in calendar year 2023 (Part V, line 2a) ......	5	3,452
6	Total number of volunteers (estimate if necessary) .............	6	128
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	1,147,614
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	1,577,496

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	2,104,877	178,662
9	Program service revenue (Part VIII, line 2g) .........	418,465,699	361,356,566
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	84,093,302	7,217,207
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	26,907,925	37,848,029
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	531,571,803	406,600,464
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)	243,467,772	198,644,159
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)....	376,302,932	315,579,314
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	619,770,704	514,223,473
19	Revenue less expenses. Subtract line 18 from line 12.......	-88,198,901	-107,623,009
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	1,705,834,972	1,634,452,647
21	Total liabilities (Part X, line 26).............	1,615,793,910	1,602,621,975
22	Net assets or fund balances. Subtract line 21 from line 20.....	90,041,062	31,830,672

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	Signature of officer	Date

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4a	(Code: ) (Expenses $ 81,311,398 including grants of $ ) (Revenue $ 112,319,047 )
	ER/NURSING INPATIENT & OUTPATIENT PROGRAM: PHOENIXVILLE HOSPITAL: PHOENIXVILLE HOSPITAL EMERGENCY DEPARTMENT PROVIDES EMERGENCY, URGENT AND PRIMARY CARE SERVICES TO THE COMMUNITY "24/7/365" REGARDLESS OF ABILITY TO PAY. PHOENIXVILLE HOSPITAL ALSO PROVIDES IMMEDIATE ACCESS THROUGH ITS EMERGENCY DEPARTMENT TO ANCILLARY SERVICES, FROM SURGEONS TO ALL AREAS OF SPECIALTY CARE. PHOENIXVILLE HOSPITAL HAS "24/7/365" ON-CALL CONSULTANTS FOR PEDIATRIC EMERGENCY CASES THROUGH ST. CHRISTOPHER'S HOSPITAL FOR CHILDREN. LOCAL EMS PROVIDERS RELY ON PHOENIXVILLE HOSPITAL FOR ON-GOING MEDICAL EDUCATION. EMERGENCY ROOM VISITS FOR FY24 WERE 25,001. PHOENIXVILLE HOSPITAL INPATIENT UNITS INCLUDE MEDICAL SURGICAL, TELEMETRY AND INTENSIVE CARE UNITS, LABOR AND DELIVERY, REHABILITATION, NURSERY AND NICU. THEY PROVIDE INPATIENT ACUTE SERVICES INCLUDING SUPPORT SUCH AS LABORATORY, PHARMACY, PHYSICAL THERAPY AND RADIOLOGY. TOTAL PATIENT DAYS FOR FY24 WERE 37,260. POTTSTOWN HOSPITAL: POTTSTOWN HOSPITAL EMERGENCY DEPARTMENT PROVIDES EMERGENCY, URGENT AND PRIMARY CARE SERVICES 24/7/365 TO THE COMMUNITY. THE EMERGENCY DEPARTMENT SERVES PATIENTS FROM BERKS, MONTGOMERY AND CHESTER COUNTIES. THE POTTSTOWN HOSPITAL EMERGENCY DEPARTMENT IS THE SECOND BUSIEST EMERGENCY DEPARTMENT IN MONTGOMERY COUNTY. THERE IS A FULL COMPLEMENT OF SPECIALTY SERVICES PROVIDED AT THE LOCAL AND/OR TERTIARY LEVEL WITH OUR SYSTEM HOSPITAL IN READING. EMERGENCY ROOM VISITS FOR FY24 WERE 31,617. POTTSTOWN HOSPITAL INPATIENT UNITS INCLUDE MEDICAL SURGICAL, TELEMETRY AND INTENSIVE CARE UNITS. THEY PROVIDE INPATIENT ACUTE SERVICES INCLUDING SUPPORT SUCH AS LABORATORY, PHARMACY, PHYSICAL THERAPY AND RADIOLOGY. TOTAL PATIENT DAYS FOR FY24 WERE 32,078. THE BEHAVIORAL HEALTH UNIT AT POTTSTOWN HOSPITAL PROVIDES 24/7/365 SUPERVISION, TREATMENT, STABILIZATION AND PLACEMENT FOR ADULTS AND GERIATRIC ADULTS COPING WITH A VARIETY OF ISSUES, FOCUSING ON RETURNING THE INDIVIDUAL TO THE HIGHEST LEVEL OF COGNITIVE FUNCTIONING POSSIBLE. TOTAL PATIENT DAYS FOR FY24 WERE 6,722.

4b	(Code: ) (Expenses $ 52,400,071 including grants of $ ) (Revenue $ 50,666,529 )
	OPERATING ROOM SERVICES: PHOENIXVILLE HOSPITAL: PHOENIXVILLE HOSPITAL'S SURGICAL DEPARTMENT PROVIDES SURGICAL SERVICES TO THE COMMUNITY IN BOTH AN INPATIENT AND OUTPATIENT SETTING. THESE SERVICES INCLUDE: CARIOLOGY, CARDIO, THORACIS, ENT, ORTHOPEDICS, GYNECOLOGY, OBSTETRICS, UROLOGY, PAIN MANAGEMENT, PLASTIC, PODIATRY, NEURO AND GENERAL SURGERY. THE ROBOTICS SURGERY PROGRAM RECEIVED THE CENTER OF EXCELLENCE ACCREDITATION IN 2023. TOTAL PROCEDURES FOR FY24 WERE 9,117. POTTSTOWN HOSPITAL: POTTSTOWN HOSPITAL'S SURGICAL SERVICES DEPARTMENT PROVIDES EMERGENT, URGENT AND ELECTIVE SURGERIES TO THE COMMUNITY ON AN INPATIENT AND OUTPATIENT BASIS. EMERGENCY CASES CAN BE DONE 24/7/365 AND PATIENTS NEEDING A HIGHER LEVEL OF CARE CAN BE TRANSFERRED TO TERTIARY CENTERS IN THE AREA. POTTSTOWN HOSPITAL OFFERS, ORTHOPEDIC, VASCULAR, SPINE, ENT, MAXOFACIAL, PLASTIC, OB/GYN, OPHTHALMOLOGIC, UROLOGIC, PODIATRIC AND GENERAL SURGERY. TOTAL PROCEDURES FOR FY24 WERE 4,973.

4c	(Code: ) (Expenses $ 23,573,743 including grants of $ ) (Revenue $ 66,628,260 )
	RADIOLOGY/IMAGING PROGRAM: PHOENIXVILLE HOSPITAL: PHOENIXVILLE HOSPITAL RADIOLOGY DEPARTMENT PROVIDES IMAGING SERVICES TO THE COMMUNITY IN BOTH AN INPATIENT AND OUTPATIENT SETTING IN TWO LOCATIONS. THESE SERVICES INCLUDE BUT ARE NOT LIMITED TO PET/CT SCANS, ULTRASOUNDS, CT SCANS, MRIS, NUCLEAR MEDICINE, INTERVENTIONAL RADIOLOGY AND MAMMOGRAMS. PHOENIXVILLE HOSPITAL OFFERS FREE MAMMOGRAMS TO THE UNDERINSURED AND UNINSURED PATIENTS. TOTAL PROCEDURES FOR FY24 WERE 87,802. POTTSTOWN HOSPITAL: POTTSTOWN HOSPITAL RADIOLOGY DEPARTMENT PROVIDES IMAGING SERVICES TO THE COMMUNITY IN BOTH AN INPATIENT AND OUTPATIENT SETTING IN TWO LOCATIONS. THESE SERVICES INCLUDE BUT ARE NOT LIMITED TO PET/CT SCANS, ULTRASOUNDS, CT SCANS, MRIS, NUCLEAR MEDICINE, INTERVENTIONAL RADIOLOGY AND MAMMOGRAMS. TOTAL PROCEDURES FOR FY24 WERE 89,699.

	(Code: ) (Expenses $ 266,081,673 including grants of $ ) (Revenue $ 163,656,295 )
	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: PHOENIXVILLE HOSPITAL: PHOENIXVILLE HOSPITAL PROVIDES OUTPATIENT SERVICES FOR LABORATORY, RADIOLOGY PATIENTS AND DIALYSIS PATIENTS. CANCER CENTER PATIENTS RECEIVE OUTPATIENT SERVICES BASED ON THEIR TREATMENT PLAN. CARDIO-PULMONARY PATIENTS UTILIZE THE 1ST FLOOR REHABILITATION GYM FOR PRESCRIBED AND MONITORED OUTPATIENT EXERCISE. TOTAL PROCEDURES FOR FY24 WERE 347,708. PHOENIXVILLE HOSPITAL ONCOLOGY SERVICES DEPARTMENT PROVIDES MEDICAL ONCOLOGY AND RADIATION THERAPY SERVICES TO THE COMMUNITY. WE PROVIDE CHARITY SERVICES TO OUR SERVICE AREA WHO MEET OUR CHARITY POLICY GUIDELINES. TARGETED THERAPIES IN OUR RECENTLY RENOVATED INFUSION SUITE SELECTIVELY AFFECT ONLY THE CELLS RELATED TO A PARTICULAR CANCER, CAUSING LESS DAMAGE AND FEWER SIDE EFFECTS TO SURROUNDING NON-CANCEROUS CELLS AND BODY SYSTEMS THAN TRADITIONAL CHEMOTHERAPY DRUGS. PHOENIXVILLE HOSPITAL ACTIVELY PARTICIPATES IN A NUMBER OF PREVENTIVE AND TREATMENT CLINICAL TRIALS THROUGH THE CANCER TRIAL SUPPORT UNIT (CTSU). TOTAL PROCEDURES FOR FY24 WERE 9,502 PHOENIXVILLE HOSPITAL PROVIDES PHARMACY SUPPORT TO ALL INPATIENTS AND CANCER CENTER PATIENTS WITH THEIR PHARMACEUTICAL NEEDS. POTTSTOWN HOSPITAL: POTTSTOWN HOSPITAL PROVIDES OUTPATIENT SERVICES FOR LABORATORY, RADIOLOGY, WOUND CARE AND PT/OT/SPEECH THERAPY PATIENTS. TOTAL PROCEDURES FOR FY24 WERE 435,390 POTTSTOWN HOSPITAL CANCER CENTER PROVIDES INPATIENT, OUTPATIENT AND INFUSION SERVICES TO ONCOLOGY PATIENTS IN THE COMMUNITY. THE POTTSTOWN HOSPITAL CANCER CENTER OFFERS A ROBUST SERVICE LINE INCLUSIVE OF MEDICAL AND RADIATION ONCOLOGY WITH RAPID ARC TECHNOLOGY WITH LINEAR ACCELERATOR AND CYBERKNIFE CAPABILITIES. THE POTTSTOWN HOSPITAL CANCER CENTER IS A FIVE-TIME RECIPIENT OF THE AMERICAN COLLEGE OF SURGEONS COUNCIL ON CANCER OUTSTANDING ACHIEVEMENT AWARD. THERE ARE ONLY 4 CANCER CENTERS IN THE UNITED STATES WHO HAVE ACHIEVED THIS DISTINCTION. POTTSTOWN HOSPITAL ACTIVELY PARTICIPATES IN A NUMBER OF PREVENTIVE AND TREATMENT CLINICAL TRIALS THROUGH THE CANCER TRIALS SUPPORT UNIT (CTSU). TOTAL PROCEDURES FOR FY24 WERE 19,847. POTTSTOWN HOSPITAL PROVIDES PHARMACY SUPPORT TO ALL INPATIENTS AND CANCER CENTER PATIENTS WITH THEIR PHARMACEUTICAL NEEDS. TOWER HEALTH URGENT CARE: TOWER HEALTH URGENT CARE LOCATIONS ARE LOCATED IN BERKS AND MONTGOMERY COUNTY. WE SPECIALIZE IN TREATING NON-LIFE-THREATENING ILLNESSES AND INJURIES. WE PROVIDE COORDINATED AND COMPREHENSIVE EXAMS FOR SCHOOL, CAMP, SPORTS, AND PRE- EMPLOYMENT, AS WELL AS PROFESSIONAL DRIVER EXAMS FROM OUR LICENSED, CERTIFIED MEDICAL EXAMINERS WITH THE DEPARTMENT OF TRANSPORTATION. AS A PREFERRED PROVIDER FOR MANY EMPLOYERS, WE ARE EQUIPPED TO HANDLE OCCUPATIONAL HEALTH NEEDS INCLUDING IMMUNIZATIONS, SCREENINGS, DOT AND CDL PHYSICALS. TELEMEDICINE HAS BECOME WIDELY ACCEPTED WITH THE ADVANCES IN REMOTE MEDICAL TECHNOLOGIES. TOWER HEALTH URGENT CARE FACILITIES ACHIEVED ACCREDITATION FROM THE URGENT CARE ASSOCIATION (UCA), WHICH IS THE HIGHEST LEVEL OF DISTINCTION FOR URGENT CARE CENTERS. THIS RECOGNITION WAS EARNED AFTER A COMPREHENSIVE SURVEY, WHICH INCLUDED ONSITE VISITS AND VIRTUAL SURVEYS WITH STAFF MEMBERS BY UCA ACCREDITATION SURVEYORS. THIS ACCREDITATION ENSURES ALL TOWER HEALTH URGENT CARE LOCATIONS HAVE MET ALL UCA'S STANDARDS AND CRITERIA FOR QUALITY OF PATIENT CARE, SAFETY, AND SCOPE OF SERVICES. TOWER HEALTH PROVIDERS: TOWER HEALTH PROVIDERS (THP) WAS FORMED TO DEVELOP A PHYSICIAN NETWORK TO WORK IN CONJUNCTION WITH TOWER HEALTH TO IMPLEMENT A CLINICAL INTEGRATION PROGRAM. CLINICAL INTEGRATION IS THE IMPLEMENTATION OF AN ACTIVE AND ONGOING PROGRAM TO EVALUATE AND MODIFY PRACTICE PATTERNS BY THE NETWORK'S PHYSICIAN PARTICIPANTS AND CREATE A HIGH DEGREE OF INTERDEPENDENCE AND COOPERATION AMONG THE PHYSICIANS TO CONTROL COSTS AND IMPROVE THE QUALITY AND EFFICIENCY OF HEALTH CARE FOR THE NETWORK'S PHYSICIAN PARTICIPANTS AND THE ENTIRE HEALTH CARE COMMUNITY SERVED. TOWER HEALTH PROVIDERS (THP) IS AN EXTENSIVE, HIGH-VALUE NETWORK OF PROVIDERS FROM ALL SPECIALTIES SPREAD ACROSS A WIDE GEOGRAPHY. OUR ORGANIZATION ENSURES PARTICIPATING PROVIDERS ALIGN WITH EVIDENCE-BASED MEDICINE PRACTICES IN A CULTURE OF ACCOUNTABILITY AND COLLABORATION. THESE PRINCIPALS CONTINUE TO DRIVE HEALTHCARE TRANSFORMATION THROUGH IMPROVED QUALITY, COST EFFICACY, AND INCREASED PATIENT AND PROVIDER SATISFACTION. THP CREATES OPPORTUNITIES FOR THE ALIGNMENT OF NEW INCENTIVES AND ALTERNATE PAYMENT MODELS FOR PROVIDERS. BY BRINGING TOGETHER THE BEST PROVIDERS WITH THE STRONGEST HEALTHCARE SYSTEMS, THP IS HELPING PROVIDERS AND PRACTICES BENEFIT FROM THESE NEW ARRANGEMENTS. TOWERDIRECT: TOWERDIRECT IS A UNIFIED PATIENT TRANSPORTATION SYSTEM THAT SERVES BERKS COUNTY AND THE TOWER HEALTH SERVICE AREA. HAVING A UNIFIED AMBULANCE SERVICE SUPPORTS TOWER HEALTH'S GOAL OF PROVIDING PATIENTS WITH TIMELY AND HIGH-QUALITY CARE, WHILE DEVELOPING AN EMS PROGRAM THAT CAN GROW, INNOVATE, AND BETTER RESPOND TO THE EVER-CHANGING HEALTHCARE ENVIRONMENT. TOWERDIRECT IS A MULTIFACETED EMS SOLUTION TO OUR PATIENTS, CO-WORKERS, AND COMMUNITIES. BENEFITS TO THE COMMUNITY INCLUDE: IMPROVED AVAILABILITY AND SUSTAINABILITY OF EMERGENCY, NON-EMERGENCY, CRITICAL CARE, AND PEDIATRIC PATIENT TRANSPORT SERVICES FOR COMMUNITIES WITHIN BERKS COUNTY AND THE TOWER HEALTH SERVICE AREA; THE OPPORTUNITY TO ENHANCE PATIENT CARE AND IMPROVE OPERATIONAL PERFORMANCE; REAL-TIME ACCESS TO THE TOWER HEALTH ELECTRONIC MEDICAL RECORDS TO MEASURE AND IMPROVE PATIENT OUTCOMES; BETTER ACCESS TO PATIENT TRANSPORT SERVICES, IMPROVING THE TIMELINESS OF DISCHARGE FROM INPATIENT AND OUTPATIENT FACILITIES; ENHANCED EFFORTS TO IMPROVE PATIENT CARE INITIATION AND TRANSITIONS IN CARE SETTINGS; AND THE ABILITY TO ENHANCE COMMUNITY PARAMEDICINE AND PATIENT OUTREACH PROGRAMS. TOWERDIRECT OFFERS SEVERAL PROACTIVE AND PREVENTIVE HEALTH SERVICES, INCLUDING: HOME VISITS - UPON THE PROVIDER'S REQUEST, MEMBERS OF THE TOWERDIRECT TEAM PROVIDE IN-HOME VISITS TO CONFIRM THE PATIENT HAS ALL PRESCRIBED MEDICATIONS AND IF REMOTE MONITORING IS UTILIZED, TO MAKE SURE THE EQUIPMENT IS SET UP CORRECTLY. PUBLIC EVENT SUPPORT - TOWERDIRECT ROUTINELY ATTENDS CONCERTS COUNTY FAIRS, AND OTHER COMMUNITY EVENTS IN CASE AN ATTENDEE NEEDS ON-SITE MEDICAL CARE OR MEDICAL TRANSPORTATION. SAFETY PRESENTATIONS - THE TOWERDIRECT TEAM GIVES PRESENTATIONS AT SCHOOLS, LIBRARIES, AND OTHER PUBLIC VENUES UPON REQUEST. TOPICS INCLUDE CAR SEAT SAFETY, FALL PREVENTION AND BIKE AND HELMET SAFETY.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ 266,081,673 including grants of $ ) (Revenue $ 163,656,295 )
4e	Total program service expenses423,366,885

1b	Sub-Total..............
c	Total from continuation sheets to Part VII, Section A..
d	Total (add lines 1b and 1c).........	3,144,411	8,172,543	1,366,533

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d
e	Government grants (contributions)		1e	131,934

f	All other contributions, gifts, grants, and similar amounts not included above		1f	46,728

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

h Total. Add lines 1a-1f.......		178,662

		Business Code
2a	PATIENT CHARGES	621110	342,934,714	342,934,714
b	JOINT VENTURES	621990	16,078,730	16,692,559	-613,829
c	CARE COORDINATION FEE	621400	2,343,122	2,343,122
d
e
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		361,356,566

3 Investment income (including dividends, interest, and othersimilar amounts) ......			3,418,201		1,761,443	1,656,758
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
			(i) Real	(ii) Personal
6a	Gross rents	6a	5,695,692
b	Less: rental expenses	6b
c	Rental income or (loss)	6c	5,695,692
d	Net rental income or (loss).......			5,695,692			5,695,692
			(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	7a	41,094,724	303,810
b	Less: cost or other basis and sales expenses	7b	37,599,528
c	Gain or (loss)	7c	3,495,196	303,810
d	Net gain or (loss).........			3,799,006			3,799,006
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
11a	ST. CHRIS MGMT FEE/INTEREST		900099	22,460,987	22,460,987
b	DUCOM OPERATIONAL REVENUE		900099	5,125,093	5,125,093
c	EMS MEMBERSHIPS		900099	1,171,232	1,171,232
d	All other revenue ....			3,395,025	2,542,424		852,601
e	Total. Add lines 11a–11d ......			32,152,337
12	Total revenue. See instructions.....			406,600,464	393,270,131	1,147,614	12,004,057

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 ...........	754,557		754,557
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........	761,742		761,742
7	Other salaries and wages........	157,299,169	153,725,263	3,573,906
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	2,696,922	2,551,313	145,609
9	Other employee benefits .......	25,817,402	25,169,504	647,898
10	Payroll taxes ...........	11,314,367	10,940,672	373,695
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	853,777		853,777
c	Accounting ...........
d	Lobbying ...........	15,571		15,571
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	1,159,896		1,159,896
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	57,652,399	57,074,369	578,030
12	Advertising and promotion ....	197,087		197,087
13	Office expenses .......
14	Information technology ......	16,510	16,510
15	Royalties ..
16	Occupancy ...........	21,278,586	20,924,732	353,854
17	Travel ............	101,186	98,972	2,214
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....
20	Interest ...........	28,254,632	28,254,632
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	6,186,283	6,186,283
23	Insurance ...	20,282,540	20,282,540
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	CORPORATE EXP ALLOCATION	80,814,248		80,814,248
b	SUPPLIES	46,713,325	46,624,371	88,954
c	DRUGS & PHARM	33,131,528	33,131,528
d	REPAIRS	10,429,935	10,343,026	86,909
e	All other expenses	8,491,811	8,043,170	448,641
25	Total functional expenses. Add lines 1 through 24e	514,223,473	423,366,885	90,856,588	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 ........			138,708,597	1	94,957,178
2	Savings and temporary cash investments .........			2,947	2	3,254
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			58,243,800	4	62,426,743
5	Loans and other receivables from 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 ............			9,835,092	8	9,784,693
9	Prepaid expenses and deferred charges ......			13,400,342	9	9,256,693
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	169,278,321
b	Less: accumulated depreciation	10b	73,796,453	99,537,185	10c	95,481,868
11	Investments—publicly traded securities .			103,913,401	11	2,980,361
12	Investments—other securities. See Part IV, line 11 .....				12	100,651,391
13	Investments—program-related. See Part IV, line 11 ..			19,200,121	13	36,327,489
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			1,262,993,487	15	1,222,582,977
16	Total assets. Add lines 1 through 15 (must equal line 33)...			1,705,834,972	16	1,634,452,647

17	Accounts payable and accrued expenses .....	143,691,535	17	128,583,197
18	Grants payable ...		18
19	Deferred revenue .........		19
20	Tax-exempt bond liabilities .........	1,278,509,372	20	1,271,283,452
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	193,593,003	25	202,755,326
26	Total liabilities. Add lines 17 through 25..	1,615,793,910	26	1,602,621,975

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	89,961,738	27	31,777,078
28	Net assets with donor restrictions ...........	79,324	28	53,594
	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 ...........	90,041,062	32	31,830,672
33	Total liabilities and net assets/fund balances ........	1,705,834,972	33	1,634,452,647

1	Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
2	Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may be required to separately file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A; don't file with Form 990). . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
3	Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471). . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
4	Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If “Yes,” the organization may be required to file Form 8621, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621) .	Yes	No
5	Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships (see Instructions for Form 8865). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
6	Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to separately file Form 5713, International Boycott Report (see Instructions for Form 5713; don't file with Form 990).. . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No

(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
(1) TOWER HEALTH PROVIDERS LLC PO BOX 16053 READING,PA196126052 46-3459501	HEALTHCARE	PA	2,343,122	119,674	TOWER HLTH
(2) BRANDYWINE HOSPITAL LLC 201 REECEVILLE ROAD COATESVILLE,PA19320 82-2086906	CLOSED	PA	-156,629	4,510,403	TOWER HLTH
(3) CHESTNUT HILL HOSPITAL LLC 8835 GERMANTOWN AVE PHILADELPHIA,PA19118 82-2108660	HOSPITAL	PA	4,172,137	-1,806,250	TOWER HLTH
(4) JENNERSVILLE HOSPITAL LLC 1015 W BALTIMORE PIKE WEST GROVE,PA19390 82-2116582	CLOSED	PA	23,158	98,693	TOWER HLTH
(5) PHOENIXVILLE HOSPITAL LLC 140 NUTT ROAD PHOENIXVILLE,PA19460 82-2062413	HOSPITAL	PA	182,586,125	-70,388,390	TOWER HLTH
(6) POTTSTOWN HOSPITAL LLC 1600 EAST HIGH STREET POTTSTOWN,PA19464 82-2132538	HOSPITAL	PA	151,925,356	-163,139,216	TOWER HLTH
(7) TOWER HEALTH ENTERPRISES LLC 420 SOUTH 5TH AVENUE WEST READING,PA19611 82-2203526	HEALTHCARE	PA	1,226	3,080,298	TOWER HLTH
(8) CHESTNUT HILL DEVELOPMENT 8835 GERMANTOWN AVE PHILADELPHIA,PA19118 82-2585433	MED SERV	PA			CNH HOSP
(9) TOWERDIRECT LLC 420 SOUTH 5TH AVENUE WEST READING,PA19611 45-5349097	MED SERV	PA	-3,869,830	3,819,551	TH ENTERPR
(10) TOWER HEALTH URGENT CARE LLC 420 SOUTH 5TH AVENUE WEST READING,PA19611 61-1903284	MED SERV	PA	18,778,521	8,278,922	TH ENTERPR
(11) TOWER HEALTH CVO LLC 420 SOUTH 5TH AVENUE WEST READING,PA19611 83-1423785	MED CRED	PA			TH ENTERPR

(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)READING HOSPITAL 420 SOUTH 5TH AVENUE WEST READING,PA19611 23-1352204	HEALTHCARE	PA	501C3	3	TH	Yes
(2)THE RDG HOSPITAL & MED CENTER SELF- 420 SOUTH 5TH AVENUE WEST READING,PA19611 23-2087514	TRUST FUND	PA	501C3	12B	TH	Yes
(3)TOWER HEALTH MEDICAL GROUP 420 SOUTH 5TH AVENUE WEST READING,PA19611 23-2266054	HEALTHCARE	PA	501C3	3	TH	Yes
(4)READING HOSPITAL FOUNDATION 420 SOUTH 5TH AVENUE WEST READING,PA19611 47-3054125	SUPPORTING	PA	501C3	12B	TH	Yes
(5)TOWER HEALTH AT HOME 420 SOUTH 5TH AVENUE WEST READING,PA19611 23-1466250	HEALTHCARE	PA	501C3	3	TOWER HLTH	Yes
(6)THAH - ADVANTAGE HOME CARE 420 SOUTH 5TH AVENUE WEST READING,PA19611 23-2469319	HEALTHCARE	PA	501C3	3	THAH	Yes

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(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?		(k) Percentage ownership
(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	(k) Percentage ownership
(1) READING-UPMC JOINT VENTURE LLC 600 GRANT STREET PITTSBURGH,PA15219 81-4566751	HEALTHCARE	PA	N/A	RELATED		1,257,698		No		Yes		50.000 %

(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?		(k) Percentage ownership
(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	(k) Percentage ownership