TY 2024 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)
(1) DEBORAH ADDO...................................................................... DIRECTOR / PSH CEO	1.0 ................. 49.0	X	X	0	1,549,663	155,443
(2) JOSEPH FRANK...................................................................... PRESIDENT	1.0 ................. 49.0	X	X	0	621,209	36,404
(3) MICHAEL DUFF...................................................................... CHAIR / DIRECTOR	1.0 ................. 0	X	X	0	0	0
(4) ROBERT FIRELY...................................................................... VICE CHAIR / DIRECTOR	1.0 ................. 0	X	X	0	0	0
(5) CARL N BOTTERBUSCH...................................................................... DIRECTOR	1.0 ................. 0	X		0	0	0
(6) Dr RHADA PYATI...................................................................... DIRECTOR	1.0 ................. 0	X		0	0	0
(7) FR ROBERT FINLAN...................................................................... DIRECTOR	1.0 ................. 0	X		0	0	0
(8) HEIDI B MASANO...................................................................... DIRECTOR	1.0 ................. 1.0	X		0	0	0
(9) JACK R GOMBACH...................................................................... DIRECTOR	1.0 ................. 1.0	X		0	0	0
(10) KARTIK SHAH...................................................................... DIR / PRES MED STAFF	1.0 ................. 49.0	X		0	789,308	36,862
(11) KENNETH WOOD...................................................................... DIRECTOR	1.0 ................. 49.0	X		0	979,665	110,378
(12) LOUIS BORGATTA MD...................................................................... DIRECTOR/PHYSICIAN	1.0 ................. 49.0	X		0	738,972	46,984
(13) MARC ROVITO...................................................................... DIRECTOR/PHYSICIAN	1.0 ................. 49.0	X		0	653,037	51,579
(14) PETER M CARLINO...................................................................... DIRECTOR	1.0 ................. 1.0	X		0	0	0
(15) EDWARD CHABALOWSKI...................................................................... TREASURER/CFO - PART YEAR	48.0 ................. 2.0		X	411,294	0	39,868
(16) KIMBERLY WOLF...................................................................... EXEC. DIR. / SJRHN SR. MED. DIR.	49.0 ................. 1.0		X	461,709	0	28,058
(17) NICOLE LEHMAN...................................................................... SECRETARY (PSU EMP)	1.0 ................. 49.0		X	0	285,408	100,361

(A) Name and business address	(B) Description of services	(C) Compensation
AMN HEALTHCARE INC 12400 HIGH BLUFF DR SAN DIEGO,CA92130	Contracted Nurses	3,695,981
SODEXO INC 111 S FRONT ST HARRISBURG,PA17101	DIETARY AND HOUSEKEEPING SERVICES	2,813,538
EMERGENCY PHYSICIAN ASSOCIATION OF PA PC PO BOX 635016 CINCINNATI,OH45263	CONTRACTED PHYSICIANS	2,028,011
ON TOP MEDICAL LLC 1229 BAYOU BLUE RD HOUMA,LA70364	SURGICAL SERVICES	1,636,285
QUEST DIAGNOSTICS INC PO BOX 828669 PHILADELPHIA,PA19182	Lab Services	1,345,371
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 27

- 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.
right arrow

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

OMB No. 1545-0047

2024

Open to Public
Inspection

Name of the organization

ST JOSEPH REGIONAL HEALTH NETWORK

Employer identification number

23-1352211

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

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

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


Total

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

Cat. No. 11285F

Schedule A (Form 990) 2024

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) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(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) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(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 2024 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2023 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2024. 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—2023. 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—2024. 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—2023. 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) 2024

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) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(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) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(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 2024 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2023 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2024 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2023 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests-2024. 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—2023. 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) 2024

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.

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) 2024

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?

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

By reason of the relationship described in 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.

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.

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

Schedule A (Form 990) 2024

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) 2024

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 2024 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-2024	(iii) Distributable Amount for 2024
1 Distributable amount for 2024 from Section C, line 6
2 Underdistributions, if any, for years prior to 2024 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2024:
a From 2019.......
b From 2020.......
c From 2021.......
d From 2022.......
e From 2023.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2024 distributable amount
i Carryover from 2019 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2024 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2024 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2024, 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 2024. 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 2025. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2020.....
b Excess from 2021.....
c Excess from 2022.....
d Excess from 2023.....
e Excess from 2024.....

Schedule A (Form 990) (2024)

Schedule A (Form 990) 2024

Page 8

Part VI

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

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990) 2024

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

- TIN:

Schedule B
(Form 990)
(Rev. January 2025)

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

Name of the organization

ST JOSEPH REGIONAL HEALTH NETWORK

Employer identification number

23-1352211

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 ......... Right Arrow

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) (Rev. 1-2025)

Schedule B (Form 990) (Rev. 1-2025) Page 2

Name of organization ST JOSEPH REGIONAL HEALTH NETWORK

Part I	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) (Rev. 1-2025)

Schedule B (Form 990) (Rev. 1-2025)

Page 3

Name of organization ST JOSEPH REGIONAL HEALTH NETWORK		Employer identification number 23-1352211

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) (Rev. 1-2025)

Schedule B (Form 990) (Rev. 1-2025)

Page 4


Name of organization ST JOSEPH REGIONAL HEALTH NETWORK			Employer identification number 23-1352211
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) (Rev. 1-2025)

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

- 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

2024

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

ST JOSEPH REGIONAL HEALTH NETWORK

Employer identification number

23-1352211

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) 2024

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) 2021	(b) 2022	(c) 2023	(d) 2024	(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) 2024

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

(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)? ........

Yes

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

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

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

Yes

24,464

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

24,464

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

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

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

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

Part III-A

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

Yes

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

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

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

Part III-B

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

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

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

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

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

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

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

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

Taxable amount of lobbying and political expenditures. See Instructions .........................................

Part IV

Supplemental Information

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

Return Reference	Explanation
Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	THE ORGANIZATION WAS A MEMBER OF CERTAIN INDUSTRY ORGANIZATIONS; ALL OF WHICH ENGAGE IN LOBBYING EFFORTS ON BEHALF OF THEIR MEMBER HOSPITALS. THE PORTION OF THESE DUES ALLOCATED TO LOBBYING EXPENDITURES FOR THE YEAR IS THE FIGURE PROVIDED IN PART II-B, LINE 1I.

Schedule C (Form 990) 2024

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

- 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

Open to Public Inspection

Name of the organization

ST JOSEPH REGIONAL HEALTH NETWORK

Employer identification number

23-1352211

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) (Rev. 1-2025)

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 .....	3,788,724		3,788,724
b	Buildings ....	74,501,719	32,185,218	42,316,501
c	Leasehold improvements	21,047,495	9,629,767	11,417,728
d	Equipment ....	65,817,709	48,137,303	17,680,406
e	Other .....	3,311,373		3,311,373
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				78,514,732

Schedule D (Form 990) (Rev. 1-2025)

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)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

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)ROU OPERATING LEASE				12,060,370
(2)ROU FINANCE LEASE				2,324,659
(3)SELF INSURANCE RECOVERIES				1,626,779
(4)TRADE NAME-INTANGIBLES
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				16,011,808

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
Federal Income Taxes
DUE TO AFFILIATES	40,479,927
LEASE LIABILITY	14,454,834
MEDICAL MALPRACTICE	4,645,648
WORKERS COMP ACCRUED PAYABLE	1,120,229
SELF INSURANCE LIABILITIES	1,626,779
SALES TAX PAYABLE


Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	62,327,417
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) (Rev. 1-2025)

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 (Form 990) (Rev. 1-2025)

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

- 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

2024

Open to Public Inspection

Name of the organization

ST JOSEPH REGIONAL HEALTH NETWORK

Employer identification number

23-1352211

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 30000 %

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"? . . . . . . . . . . . . .

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

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

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

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

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

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		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(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) . . .			1,296,631		1,296,631	0.414 %
b	Medicaid (from Worksheet 3, column a) . . . . .			52,923,208	36,210,563	16,712,645	5.336 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .					0	0 %
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	0	0	54,219,839	36,210,563	18,009,276	5.750 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).		90,253	630,236		630,236	0.201 %
f	Health professions education (from Worksheet 5) . . .		1,054	313,264	167,420	145,844	0.047 %
g	Subsidized health services (from Worksheet 6) . . . .					0	0 %
h	Research (from Worksheet 7) .					0	0 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .		36,442	178,956		178,956	0.057 %
j	Total. Other Benefits . .	0	127,749	1,122,456	167,420	955,036	0.305 %
k	Total. Add lines 7d and 7j .	0	127,749	55,342,295	36,377,983	18,964,312	6.055 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2024

Schedule H (Form 990) 2024

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					0	0 %
2	Economic development					0	0 %
3	Community support		165	5,929		5,929	0.002 %
4	Environmental improvements					0	0 %
5	Leadership development and training for community members					0	0 %
6	Coalition building					0	0 %
7	Community health improvement advocacy					0	0 %
8	Workforce development		6	106,739		106,739	0.034 %
9	Other					0	0 %
10	Total	0	171	112,668	0	112,668	0.036 %

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. ......

26,585,060

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).....

53,862,772

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

72,200,235

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

-18,337,463

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) 2024

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?1Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
1	ST JOSEPH MEDICAL CENTER 2500 BERNVILLE ROAD READING,PA19605 WWW.PENNSTATEHEALTH.ORG/LOCATIONS 710501	X	X	X

Schedule H (Form 990) 2024

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)

	ST JOSEPH MEDICAL CENTER
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 25

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

Yes

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

Yes

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): www.pennstatehealth.org/COMMUNITY

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 25

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

Yes

If "Yes" (list url): www.pennstatehealth.org/COMMUNITY

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) 2024

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	ST JOSEPH MEDICAL CENTER
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 300.0%
and FPG family income limit for eligibility for discounted care of 300.0%

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):

www.pennstatehealth.org/patients-visitors/billing-medical-records/financial-assistance

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

www.pennstatehealth.org/patients-visitors/billing-medical-records/financial-assistance

A plain language summary of the FAP was widely available on a website (list url):
www.pennstatehealth.org/patients-visitors/billing-medical-records/financial-assistance

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) 2024

Page 6

Part VFacility Information (continued)

Billing and Collections

	ST JOSEPH MEDICAL CENTER
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) 2024

Page 7

Part VFacility Information (continued)

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

	ST JOSEPH MEDICAL CENTER
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) 2024

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
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - ST. JOSEPH REGIONAL HEALTH NETWORK. INPUT FOR COMMUNITY HEALTH NEEDS ASSESSMENT: PENN STATE HEALTH THE OVERALL PARENT OF THE HEALTH SYSTEM IN WHICH PSHHMC AFFILIATED, IS COMMITTED TO UNDERSTANDING AND ADDRESSING THE HEALTH NEEDS OF THE COMMUNITIES IT SERVES. IN ORDER TO BEST DO THAT, THE HEALTH SYSTEM COMPLETED ITS 2025 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). IN FISCAL YEAR 2025, WE CARRIED OUT THE THIRD YEAR OF THE CURRENT IMPLEMENTATION PLAN, WHILE ALSO DEVELOPING THE 2026-2028 IMPLEMENTATION STRATEGY BASED ON THE PRIORITIES IDENTIFIED IN THE 2025 CHNA. CHNA PROCESS: THE 2025 CHNA USED BOTH PRIMARY AND SECONDARY METHODS TO SOLICIT COMMUNITY INPUT AND COMPARE HEALTH TRENDS AND DISPARITIES ACROSS THE SIX-COUNTY SERVICE AREA. THE CHNA TIMELINE FROM JANUARY TO NOVEMBER 2024 COMPLIED WITH IRS TAX CODE 501(R) REQUIREMENTS TO CONDUCT A CHNA EVERY THREE YEARS AS SET FORTH BY THE AFFORDABLE CARE ACT (ACA). NEW DURING THIS FIFTH CHNA CYCLE: ENGAGED THE FIVE TASK FORCES TO CARRY OUT OUR CURRENT CHNA IMPLEMENTATION PLAN: 1) MENTAL HEALTH 2) HEALTH EQUITY 3) CHRONIC DISEASE AND RISK FACTOR PREVENTION 4) NUTRITION AND FOOD ACCESS 5) PHYSICAL ACTIVITY SHORTENED BOTH KEY INFORMANT AND COMMUNITY MEMBER SURVEYS TO SIMPLIFY AND FOCUS ON WHAT INFORMATION WE CANNOT GATHER WITH SECONDARY DATA. SHARED THE KEY INFORMANT SURVEY BROADLY BUT PRIORITIZED COMPLETING THE COMMUNITY MEMBER SURVEY IN MARGINALIZED COMMUNITIES OFTEN NOT HEARD FROM IN OTHER DATA SOURCES. PARTNERED WITH PENN MEDICINE LANCASTER GENERAL HOSPITAL AND WELLSPAN HEALTH TO CONDUCT THE KEY INFORMANT SURVEY IN OUR OVERLAPPING COUNTIES OF LEBANON AND LANCASTER. HELD KEY INFORMANT CONVERSATIONS TO GATHER MORE INPUT ON SURVEY RESPONSES AND HOW WE CAN BEST ADDRESS RESULTING COMMUNITY NEEDS. ANALYZED COMMUNITY HEALTH DATA COLLECTED AND MANAGED BY OUR COMMUNITY HEALTH NURSES USING RESEARCH ELECTRONIC DATA CAPTURE (REDCAP) TOOLS, AS WELL AS OUR OWN PATIENT DATA FROM THE SOCIAL DRIVERS OF HEALTH INPATIENT SCREENING TOOL AND THE TRINETX DATABASE. SPECIFIC CHNA STEPS INCLUDED: ANNOUNCEMENTS TO THE CHNA TASK FORCES COMPRISED OF COMMUNITY LEADERS AND PSH STAFF OPERATING THE CURRENT IMPLEMENTATION PLAN, AS WELL AS THE COMMUNITY HEALTH TEAM, TO KICK OFF THE CHNA CYCLE. REGULAR MEETINGS WERE HELD WITH THESE GROUPS THROUGHOUT THE CYCLE TO PILOT THE SURVEYS, ASSIST WITH SURVEYING AND DETERMINE PRIORITIES. MONTHLY MEETINGS WITH ALL HOSPITAL LEADERS TO REVIEW PROGRESS, PROVIDE FEEDBACK AND DETERMINE PRIORITIES. A KEY INFORMANT SURVEY WITH 460 COMMUNITY LEADERS AND STAKEHOLDERS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY, INCLUDING EXPERTS IN PUBLIC HEALTH AND INDIVIDUALS REPRESENTING MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS. OUT OF 460 SURVEYS, 450 WERE ANALYZED AND 10 RESPONSES WERE EXCLUDED BECAUSE THEY DID NOT REPRESENT ANY OF OUR SIX COUNTIES. TWELVE FOLLOW-UP KEY INFORMANT CONVERSATIONS WITH THOSE WHO REQUESTED THEM WHEN COMPLETING THEIR SURVEY. A COMMUNITY SURVEY COMPLETED BY 1,521 INDIVIDUALS, WITH 1,474 RESPONSES ELIGIBLE FOR USE BASED ON THE PARTICIPANTS' COUNTY AND AGE. AN ANALYSIS OF PSH DATA SOURCES, INCLUDING COMMUNITY HEALTH DATA. AN ANALYSIS OF EXISTING SECONDARY DATA SOURCES, INCLUDING PUBLIC HEALTH STATISTICS, DEMOGRAPHICS, SOCIAL MEASURES AND HEALTH CARE UTILIZATION. REVIEW OF THE CURRENT CHNA IMPLEMENTATION PLAN ASSETS AND AVAILABLE RESOURCES. PRIORITIZATION OF IDENTIFIED COMMUNITY HEALTH NEEDS TO DETERMINE THE MOST PRESSING ISSUES ON WHICH TO FOCUS COMMUNITY HEALTH IMPROVEMENT EFFORTS. A LIST OF COMMUNITY PARTNER ORGANIZATIONS THAT PARTICIPATED IN ANY ASPECT OF THE ASSESSMENT PROCESS IS IN APPENDIX A. THIS LIST MAY NOT BE ALL-INCLUSIVE SINCE PARTICIPANTS COULD CHOOSE TO BE ANONYMOUS.
Schedule H, Part V, Section B, Line 6a Facility , 1	Facility , 1 - OTHER HOSPITAL FACILITIES INCLUDED IN NEEDS ASSESSMENT:. FOR THE 2025 CHNA, PENN STATE HEALTH FORMED A COLLECTIVE WORKGROUP THAT INCLUDED THE FOLLOWING HOSPITALS: -PENN STATE HEALTH MILTON S. HERSHEY MEDICAL CENTER -PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER -PENN STATE HEALTH LANCASTER MEDICAL CENTER -PENNSYLVANIA PSYCHIATRIC INSTITUTE -PENN STATE HEALTH REHABILITATION HOSPITAL -PENN STATE HEALTH HAMPDEN MEDICAL CENTER
Schedule H, Part V, Section B, Line 6b Facility , 1	Facility , 1 - OTHER HOSPITAL FACILITIES INCLUDED IN NEEDS ASSESSMENT:. INCLUDED KEY COMMUNITY STAKEHOLDERS TO IDENTIFY AND ADDRESS THE NEEDS OF RESIDENTS LIVING IN THE SIX-COUNTY COMMUNITY, INCLUDING A PARTNERSHIP WITH WELLSPAN HEALTH AND PENN MEDICINE LANCASTER GENERAL HOSPITAL FOR OVERALAPPING COUNTIES OF LEBANON AND LANCASTER. THE DEPARTMENT OF PUBLIC HEALTH SCIENCES AT PENN STATE COLLEGE OF MEDICINE COORDINATED THE CHNA EFFORTS. THE APPENDIX OF THE FULL REPORTS AVAILABLE AT HTTPS://WWW.PENNSTATEHEALTH.ORG/COMMUNITY CONTAINS A LIST OF COMMUNITY PARTNER ORGANIZATIONS THAT PARTICIPATED IN ANY ASPECT OF THE ASSESSMENT PROCESS. PLEASE NOTE THIS LIST MAY NOT BE ALL-INCLUSIVE SINCE PARTICIPANTS COULD REMAIN ANONYMOUS.
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - . 2025 CHNA PRIORITIZED HEALTH NEEDS A CHNA LEADERSHIP TEAM REPRESENTING ALL PSH HOSPITALS MET ON A REGULAR BASIS THROUGHOUT THE CHNA PROCESS. THIS GROUP REVIEWED ALL FINDINGS, INCLUDING SURVEY RESULTS, KEY INFORMANT CONVERSATIONS, SECONDARY DATA ANALYSIS, CURRENT PLAN ACCOMPLISHMENTS AND AVAILABLE ASSETS, TO RECOMMEND THE THREE TOP PRIORITY HEALTH NEEDS TO FOCUS ON. THESE RESULTS AND RECOMMENDATIONS WERE ALSO PRESENTED TO THE PSH COMMUNITY HEALTH TEAM AND FIVE ACTIVE CHNA TASK FORCES. ALL THESE GROUPS CONSIST OF COMMUNITY-MINDED POSITIONS FROM PSH ENTITIES AS WELL AS COMMUNITY PARTNERS. THE PRIORITIZATION CRITERIA CONSIDERED INCLUDED THE SEVERITY AND MAGNITUDE OF THE NEED, CONTRIBUTING SOCIAL ISSUES, EXISTING COMMUNITY PARTNERSHIPS AND ASSETS, WHAT THE COMMUNITY IDENTIFIED AS IMPORTANT AND NEEDED, AND A REVIEW OF OUR CURRENT PLAN'S ACCOMPLISHMENTS. WE ALSO CONSIDERED THE EXPERTISE, RESOURCES AND GOALS WITHIN EACH MEDICAL CENTER AND ACROSS PSH. THEREFORE, THROUGH MULTIPLE METHODS OF COMMUNITY ENGAGEMENT AND DIALOGUE WITH COMMUNITY HEALTH EXPERTS, THE TOP PRIORITIZED HEALTH NEEDS TO FOCUS SYSTEMWIDE HEALTH IMPROVEMENT EFFORTS OVER THE THREE-YEAR CYCLE FROM JULY 1, 2025, TO JUNE 30, 2028, ARE 1) MENTAL WELL-BEING 2) FOOD AND NUTRITION SECURITY, AND 3) PHYSICAL WELL-BEING, ALL WHILE EMPOWERING HEALTHY ACTIONS TO ULTIMATELY ACHIEVE HEALTH EQUITY. ALL PRIORITIES WILL INCLUDE A FOCUS ON COMMUNITY POPULATIONS MOST AFFECTED AS DESCRIBED IN THE DATA RESULTS BELOW. MENTAL WELL-BEING WILL INCLUDE A FOCUS ON THE AREAS OF MENTAL HEALTH, SOCIAL SUPPORT, LONELINESS, STRESS, SUBSTANCE USE/MISUSE, TRAUMA, ABUSE AND GUN VIOLENCE. MENTAL WELL-BEING MESSAGES WILL BE EMBEDDED IN MOST EDUCATIONAL SESSIONS OFFERED ACROSS ALL PRIORITIES. FOOD AND NUTRITION SECURITY WILL FOCUS ON CONTINUED EXPANSION OF PSH FOOD ACCESS RESOURCES AND EDUCATION ACROSS OUR SERVICE AREA, SUCH AS COMMUNITY GARDENS, FRIDGES, FARM STANDS/MARKETS, CORNER STORE INITIATIVES, FOOD PANTRIES AND BOXES, PANTRIES AND WELLNESS SUPPORT (PAWS), VEGGIE RX, SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) OUTREACH, PRODUCE DISTRIBUTION, TOOLKITS, ETC., TO NOT ONLY IMPROVE ACCESS TO FOOD, BUT ACCESS TO NUTRITIOUS FOOD. PHYSICAL WELL-BEING WILL FOCUS ON PROMOTING HEALTHY ACTIONS TO REDUCE CANCER RISK, DIABETES, HIGH BLOOD PRESSURE, OBESITY AND TOBACCO USE, AND INCREASING PHYSICAL ACTIVITY. AS WE MOVE INTO OUR FIFTH CYCLE, WE ARE COMMITTED TO OUR ULTIMATE GOAL OF HEALTH EQUITY WHILE WE ADDRESS THESE INTER-RELATED PRIORITIES AS WELL AS HOMELESSNESS, ACCESS TO CARE AND POVERTY-RELATED ISSUES. IMPLEMENTATION STRATEGY WHILE CARRYING OUT THE THIRD YEAR OF THE CURRENT IMPLEMENTATION PLAN, THE TASK FORCES ALSO DEVELOPED THE 2026-2028 IMPLEMENTATION STRATEGY FROM NOVEMBER 2024 TO MAY 2025. 2022-2025 IMPLEMENTATION PLAN YEAR THREE: PRIORITY 1) MENTAL HEALTH RESPONSIBLE PARTY: PENNSYLVANIA PSYCHIATRIC INSTITUTE, PENN STATE HEALTH MILTON S. HERSHEY MEDICAL CENTER, PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER, PENN STATE HEALTH ST. JOSEPH MEDICAL CENTER AND PENN STATE HEALTH HAMPDEN MEDICAL CENTER GOAL: MENTAL HEALTH THROUGH PREVENTION, INTERVENTION AND SUPPORT. OVERARCHING INDICATORS/MEASUREMENTS FOR SUCCESS: -REDUCE THE NUMBER OF POOR MENTAL HEALTH DAYS REPORTED BY ADULTS IN THE PAST 30 DAYS. -DECREASE THE PERCENTAGE OF CHILDREN REPORTING FEELING SAD OR DEPRESSED MOST DAYS IN THE PAST YEAR. -DECREASE THE NUMBER OF DRUG OVERDOSE DEATHS PER 100,000 POPULATION. PROGRAM 1. BEHAVIORAL HEALTH EDUCATION AND PREVENTION - EXPAND AND INCREASE BEHAVIORAL HEALTH TRAINING AND EDUCATION. LONG-TERM OBJECTIVES (YEAR 3) 1. OFFER MENTAL HEALTH SIGNS/SYMPTOMS TRAININGS. -BY THE END OF THE 3RD YEAR, OVER 800 INDIVIDUALS WILL HAVE RECEIVED MENTAL HEALTH SIGNS/SYMPTOMS TRAINING. 2. PROVIDE SUBSTANCE USE EDUCATION VIA 15 LECTURES, TRAININGS, WEBINARS OR HEALTH FAIRS AMONG 2 ADDITIONAL POPULATIONS (LGBTQ+, RELIGIOUS, PEOPLE OF COLOR, ETC.). 3. DISTRIBUTE NALOXONE, LOCK BOXES AND SAFE DISPOSAL POUCHES AT 2 ADDITIONAL HEALTH FAIRS IN OUR SERVICE AREA. PROGRAM 2. BEHAVIORAL HEALTH RESOURCES, SUPPORT AND COLLABORATION - COLLABORATE WITH OTHER ORGANIZATIONS TO DEVELOP AN INVENTORY OF BEHAVIORAL HEALTH RESOURCES AND SUPPORT SYSTEMS. LONG-TERM OBJECTIVES (YEAR 3) 1. MAINTAIN AND EXPAND THE INVENTORY OF MENTAL HEALTH AND SUBSTANCE USE RESOURCES. 2. CONTINUE COLLABORATING WITH SCHOOL DISTRICTS TO PROMOTE MENTAL HEALTH RESOURCES. 3. MEET OR EXCEED TARGET OF 10% INCREASE IN USE OF PA 211 MENTAL HEALTH RESOURCES. 4. PSH GOVERNMENT RELATIONS WILL CONTINUE TO WORK ON ADDRESSING THE MENTAL HEALTH PRIORITY AREAS IDENTIFIED IN YEARS 1 AND 2. 5. MAINTAIN THE NUMBER OF PATIENTS RECEIVING METHADONE OR BUPRENORPHINE TREATMENT AT PPI CLINICS. 6. CONTINUE TO OFFER 2 SMART RECOVERY SUPPORT GROUPS. PRIORITY 2) HEALTH EQUITY RESPONSIBLE PARTY: PENN STATE HEALTH MILTON S. HERSHEY MEDICAL CENTER, PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER, PENN STATE HEALTH ST. JOSEPH MEDICAL CENTER, PENN STATE HEALTH HAMPDEN MEDICAL CENTER, PENNSYLVANIA PSYCHIATRIC INSTITUTE AND PENN STATE HEALTH REHABILITATION HOSPITAL. GOALS: - BRIDGE SYSTEMIC GAPS IN CARE BY EXPANDING COMMUNITY ACCESS AND NAVIGATION POINTS IN COLLABORATION WITH COMMUNITY PARTNERS. - EXPAND LANGUAGE AND PRACTICES THAT ARE SENSITIVE TO ISSUES LIKE SOCIAL DETERMINANTS OF HEALTH, RACISM AND LGBTQ+ DISCRIMINATION BY PROMOTING TRAUMA-INFORMED CARE (TIC). OVERARCHING INDICATORS/MEASUREMENTS FOR SUCCESS: - REDUCE DISPARITIES IN LIFE EXPECTANCY WITHIN OUR SERVICE AREA. - INCREASE THE PERCENTAGE OF ADULTS WITH A ROUTINE CHECKUP IN THE PAST YEAR. - DECREASE THE AVERAGE SCORES OF THE COMMUNITY NEED INDEX, SOCIAL VULNERABILITY INDEX OR AREA DEPRIVATION INDEX. PROGRAM 1. COMMUNITY ACCESS POINTS - COLLABORATE WITH FORMAL AND INFORMAL COMMUNITY LEADERS TO FIND COMMUNITY ACCESS AND NAVIGATION POINTS TO ENHANCE HEALTH OUTREACH. LONG-TERM OBJECTIVES (YEAR 3) 1. MAINTAIN AND UPDATE INVENTORY OF COMMUNITY HEALTH CARE ACCESS AND NAVIGATION POINTS, INCREASE NUMBER OF COMMUNITY ACCESS POINTS BY 12 LOCATIONS/EVENTS AND ASSESS THE COMMUNITY IMPACT. 2. CONTINUE PARTNERSHIP WITH UNITED WAY: - CONTINUE SUPPORTING PROMOTION OF PA 211. - RUN UNITED WAY CAMPAIGN, INCREASING EMPLOYEE CONTRIBUTIONS BY 3%. - ASSESS UNITED WAY CHW PROGRAM. PROGRAM 2. TRAUMA INFORMED COMMUNITIES - EXPAND TRAUMA-INFORMED AND HEALING-CENTERED PRACTICES ACROSS THE SERVICE AREA. LONG-TERM OBJECTIVES (YEAR 3) 1. BEGIN TO EDUCATE AT THE STATE LEVEL ON HOW TO IMPLEMENT TRAUMA-INFORMED PROCESSES. 2. IN PARTNERSHIP WITH COMMUNITY ORGANIZATIONS, OFFER 2 TIC TRAININGS TO PSH STAFF THAT ARE ALSO OPEN TO THE COMMUNITY TO PARTICIPATE. PRIORITY 3) WELLNESS AND DISEASE PREVENTION ELEMENT 1. CHRONIC DISEASE AND RISK FACTOR PREVENTION RESPONSIBLE PARTY: PENN STATE HEALTH MILTON S. HERSHEY MEDICAL CENTER, PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER, PENN STATE HEALTH ST. JOSEPH MEDICAL CENTER, PENN STATE HEALTH HAMPDEN MEDICAL CENTER AND PENN STATE HEALTH REHABILITATION HOSPITAL GOAL: IMPROVE CHRONIC DISEASE PREVENTION BY PROVIDING SCREENINGS AND EDUCATIONAL SESSIONS IN IDENTIFIED HIGH-NEED COMMUNITIES. OVERARCHING INDICATORS/MEASUREMENTS FOR SUCCESS - INCREASE THE NUMBER OF HEALTH SCREENINGS PROVIDED IN HIGH-NEED COMMUNITY LOCATIONS THAT RESULT IN EDUCATION AND/OR REFERRALS FOR FOLLOW-UP CARE. - PARTICIPANTS SHOW IMPROVED KNOWLEDGE OF CHRONIC DISEASE RISK FACTOR PREVENTION AFTER EDUCATIONAL SESSIONS. - INCREASE THE PERCENTAGE OF FEMALE MEDICARE ENROLLEES AGES 65 TO 74 WHO RECEIVED AN ANNUAL MAMMOGRAPHY SCREENING. PROGRAM 1. COLLABORATE TO INCREASE OPPORTUNITIES FOR CHRONIC DISEASE EDUCATION AND SCREENINGS, WITH A FOCUS ON UNDERSERVED COMMUNITIES AS IDENTIFIED BY CHNA AND COMMITTEE INPUT. LONG-TERM OBJECTIVES (YEAR 3) 1. COLLABORATE ON PROVIDING EDUCATION AND SCREENINGS AT 8 LARGE OPPORTUNITIES. - SUMMARIZE AND EVALUATE COMMUNITY OPPORTUNITIES ATTENDED IN YEAR 2 TO DETERMINE BEST FIT FOR MEETING HIGH-NEED COMMUNITIES. PROGRAM 2. EVALUATE EDUCATIONAL PROGRAMS TO DEMONSTRATE IMPROVED UNDERSTANDING OF CHRONIC DISEASE RISK FACTOR PREVENTION. LONG-TERM OBJECTIVES (YEAR 3) 1. COLLABORATE WITH COMMUNITY PARTNERS TO OFFER 8 EDUCATIONAL SESSIONS, AND MEASURE IMPROVED UNDERSTANDING OF CHRONIC DISEASE RISK FACTOR PREVENTION. ELEMENT 2. NUTRITION AND FOOD ACCESS RESPONSIBLE PARTY: PENN STATE HEALTH MILTON S. HERSHEY MEDICAL CENTER, PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER, PENN STATE HEALTH ST. JOSEPH MEDICAL CENTER AND PENN STATE HEALTH HAMPDEN MEDICAL CENTER GOAL: ADDRESS ISSUES RELATED TO OBESITY AND FOOD INSECURITY BY PROMOTING ACCESS TO AND CONSUMPTION OF HEALTHFUL DIETS, AND DETERMINE THE IMPACT OF NUTRITION EDUCATION AND IMPROVED ACCESS.
Schedule H, Part V, Section B, Line 11 Facility , 2	Facility , 2 - CONTINUATION 1. OVERARCHING INDICATORS/MEASUREMENTS FOR SUCCESS: - REDUCE OBESITY RATES IN BERKS, LEBANON AND DAUPHIN COUNTIES. - REDUCE THE PERCENTAGE OF RESIDENTS WITH LOW ACCESS TO FOOD IN BERKS, LEBANON AND DAUPHIN COUNTIES. - INCREASE THE REACH OF NUTRITION EDUCATION AND FOOD ACCESS TO RESIDENTS OF BERKS, CUMBERLAND, DAUPHIN, LANCASTER, LEBANON AND PERRY COUNTIES. PROGRAM 1. FOOD BUCKS / VEGGIE RX EXPANSION - EXPAND REACH OF NUTRITION AND FOOD ACCESS PROGRAMS. LONG-TERM OBJECTIVES (YEAR 3) 1. ENROLL 40 INDIVIDUALS IN THE PROGRAM. - UTILIZE AN EVALUATION TOOL. - EXPAND THE NETWORK OF FOOD RETAIL PARTNERS. 2. ENGAGE AT LEAST 14,000 PARTICIPANTS ACROSS ALL NUTRITION AND FOOD ACCESS PROGRAMS (FOOD BOX INITIATIVE, COMMUNITY GARDEN, FARMERS MARKETS, WELLNESS ON WHEELS, FARM STAND, VEGGIE RX AND DOWNTOWN HEALTHY FOOD PANTRY). 3. EVALUATE THE PRE-/POST-DATA FOR NUTRITION EDUCATION. PROGRAM 2. REGIONAL COLLABORATIVE AND STANDARDIZED NUTRITION AND FOOD ACCESS RESOURCE GUIDE - DEVELOP A REGIONAL 6-COUNTY COLLABORATIVE TO INCREASE COMMUNICATION AND DEVELOP A NUTRITION/FOOD ACCESS RESOURCE GUIDE. LONG-TERM OBJECTIVES (YEAR 3) 1. MAINTAIN THE MEETING SCHEDULE FOR THE COLLABORATIVE. - DEVELOP AND IMPLEMENT A POST-SURVEY TO ASSESS THE EFFECTIVENESS OF THE COLLABORATIVE. 2. MAINTAIN AND DISTRIBUTE THE RESOURCE GUIDE THROUGH AT LEAST 15 COMMUNITY OPPORTUNITIES IN UNDERSERVED COMMUNITIES. PROGRAM 3. COMMUNITY GARDEN INITIATIVE - IMPROVE ACCESS TO FRUITS, VEGETABLES AND NUTRITION EDUCATION WITHIN THE SERVICE AREA. LONG-TERM OBJECTIVES (YEAR 3) 1. OFFER 6 NUTRITION AND GARDENING EDUCATION PROGRAMS AT COMMUNITY GARDENS. ELEMENT 3. PHYSICAL ACTIVITY RESPONSIBLE PARTY: PENN STATE HEALTH MILTON S. HERSHEY MEDICAL CENTER, PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER, PENN STATE HEALTH ST. JOSEPH MEDICAL CENTER, PENN STATE HEALTH HAMPDEN MEDICAL CENTER AND PENN STATE HEALTH REHABILITATION HOSPITAL GOAL: IMPROVE HEALTH, FITNESS AND QUALITY OF LIFE THROUGH DAILY PHYSICAL ACTIVITY. OVERARCHING INDICATORS/MEASUREMENTS FOR SUCCESS: - INCREASE THE NUMBER OF FREE EXERCISE OPPORTUNITIES FOR ALL AGES IN ZIP CODES IDENTIFIED BY OUR CHNA AND COMMUNITY PARTNERS AS HAVING THE GREATEST RISK FACTORS FOR POOR HEALTH. - REDUCE THE PERCENTAGE OF ADULTS WHO DO NOT ENGAGE IN LEISURE-TIME PHYSICAL ACTIVITY. PROGRAM 1. COMMUNITY PHYSICAL ACTIVITY PROGRAMS AND INFRASTRUCTURE - 1. COLLABORATE TO SHARE OPPORTUNITIES FOR SAFE, COMMUNITY EXERCISE PROGRAMS. 2. ENHANCE POLICIES AND INFRASTRUCTURE TO INCREASE OPPORTUNITIES FOR PHYSICAL ACTIVITY. LONG-TERM OBJECTIVES (YEAR 3) 1. PROMOTE AND SHARE THE INVENTORY OF FREE COMMUNITY PROGRAMS THROUGH 5 NEW OPPORTUNITIES. 2. COLLABORATE ON ENHANCING ONE EXISTING COMMUNITY PHYSICAL ACTIVITY OPPORTUNITY IN ALL 6 OF OUR COUNTIES. 3. ESTABLISH 1 ADDITIONAL PARTNERSHIP WITH A LOCAL, COUNTY OR STATEWIDE PARKS AND RECREATION SYSTEM. 4. INCREASE/ENHANCE 2 OPPORTUNITIES FOR PHYSICAL ACTIVITY AT PSH HOSPITAL LOCATIONS AND EXTENDED INTO LOCAL COMMUNITIES. 5. COLLABORATE WITH 1 ADDITIONAL SCHOOL DISTRICT OR COMMUNITY ORGANIZATION TO IDENTIFY WAYS TO ENHANCE THE BUILT ENVIRONMENT FOR YOUTH PHYSICAL ACTIVITY. 2025-2028 IMPLEMENTATION STRATEGY TO DEVELOP OUR IMPLEMENTATION STRATEGY, CHNA FINDINGS WERE DISCUSSED IN OUR ONGOING PSH CHNA LEADERSHIP, PSH COMMUNITY HEALTH TEAM AND CHNA TASK FORCE MEETINGS FROM NOVEMBER 2024 THROUGH MAY 2025. WHILE CARRYING OUT THE THIRD YEAR OF OUR CURRENT IMPLEMENTATION PLAN, THE TASK FORCES ALSO DISCUSSED WHAT WAS WORKING WELL, WHAT SHOULD CONTINUE AND, BASED ON NEW DATA FINDINGS AND KEY SOCIAL DETERMINANTS OF HEALTH, WHERE THE GROUPS NEEDED TO FOCUS THEIR EFFORTS OVER THE NEXT THREE-YEAR CYCLE. SINCE THE NEW PRIORITIES ARE SIMILAR, OUR FIVE TASK FORCES WILL CONTINUE THEIR WORK INTO THE NEW STRATEGY WITH ONE ADJUSTMENT; THE CHRONIC DISEASE AND RISK FACTOR PREVENTION AND PHYSICAL ACTIVITY TASK FORCES WILL COMBINE TO CREATE THE PHYSICAL WELL-BEING TASK FORCE GOING FORWARD. AS A RESULT, THE FOLLOWING FOUR CHNA TASK FORCES COMPRISED OF INTERNAL EMPLOYEES AND COMMUNITY PARTNERS WILL DIRECT THIS IMPLEMENTATION STRATEGY: * HEALTH EQUITY * MENTAL WELL-BEING * FOOD AND NUTRITION SECURITY * PHYSICAL WELL-BEING THESE GROUPS ALSO RECOGNIZE THE OVERLAPPING NATURE OF OUR PRIORITIES AND WILL WORK TOGETHER TO CARRY OUT PROGRAMS THAT OVERLAP. EXAMPLES INCLUDE PROVIDING HEALTH EDUCATION FOR COMMUNITY ORGANIZATION STAFF (A KEY NEED HEARD THROUGH OUR CHNA PROCESS), EMBEDDING MENTAL HEALTH MESSAGING IN COMMUNITY EDUCATION, AND FOCUSING ON IMPROVING SOCIAL ISOLATION THROUGH PARTICIPATION IN PHYSICAL AND GARDENING ACTIVITIES. WE WILL CONTINUE TO BUILD ON OUR ONGOING PROGRAMMATIC ACCOMPLISHMENTS, WHILE ALSO SEEKING WAYS TO FOCUS ON MARGINALIZED COMMUNITY MEMBERS IDENTIFIED THROUGH OUR CHNA PROCESS. WE HAVE DEVELOPED BROAD GOALS AND OBJECTIVES THAT PSH AND COMMUNITY PARTNER EFFORTS WILL SUPPORT TO FOSTER ONGOING COLLABORATION. WHILE THE PROGRAMS MENTIONED WILL BE THE FOCUS OF OUR TASK FORCES, THIS IS ONLY A SNAPSHOT OF ALL COMMUNITY WORK ACROSS OUR PSH MEDICAL CENTERS AND COLLEGE OF MEDICINE. WE WILL CONTINUE TO LOOK FOR WAYS TO ENGAGE BOTH INTERNAL AND EXTERNAL COMMUNITY PARTNERS TO ADDRESS OUR PRIORITIZED HEALTH NEEDS. HEALTH EQUITY HEALTH EQUITY IS THE OVERARCHING FOCUS OF OUR COMMUNITY HEALTH EFFORTS, AND WE WILL CONTINUE TO USE OUR COMMUNITY IMPACT MODEL AS OUR CONCEPTUAL FRAMEWORK TO GUIDE OUR COMMUNITY HEALTH WORK. IT RECOGNIZES THAT ACHIEVING HEALTH EQUITY ISN'T A STRAIGHTFORWARD PATH FROM INTERVENTION TO OUTCOME. PROGRESS OFTEN REQUIRES MOVING BACK AND FORTH THROUGH THE MODEL. THE ULTIMATE GOAL IS TO FOSTER HEALTH EQUITY, ACKNOWLEDGING THE COMPLEXITY AND DYNAMIC NATURE OF COMMUNITY HEALTH EFFORTS. GUIDANCE WILL BE PROVIDED BY THE HEALTH EQUITY TASK FORCE TO THE THREE OTHER TASK FORCES TO ENSURE ALL COMMUNITY HEALTH EFFORTS ARE PLANNED AND CONDUCTED USING A HEALTH EQUITY LENS. THE TASK FORCE WILL INVITE THE OTHER GROUPS TO COLLABORATIVE MEETINGS TWICE PER YEAR AND WILL ENCOURAGE THEM TO UTILIZE THE PENNSYLVANIA AREA HEALTH EDUCATION CENTER (PA AHEC) TOOL TO APPLY THE PRINCIPLES OF EQUITY WHEN PLANNING AND IMPLEMENTING THEIR PROGRAMS. FOR EXAMPLE, EDUCATIONAL MATERIALS DEVELOPED BY THE OTHER TASK FORCES WILL BE REVIEWED BY THIS TASK FORCE. THIS GROUP WILL ALSO MAKE RECOMMENDATIONS FOR EXPANSION OF HEALTH SCREENING, TRAINING AND EDUCATION LOCATIONS. THE HEALTH EQUITY TASK FORCE WILL MEET TO SHARE BEST PRACTICES AND RESOURCES AND FOSTER COLLABORATION AMONG ALL MEMBERS. FOR EXAMPLE, THE CURRENT PSH SYSTEMWIDE HEALTH EQUITY STRATEGY TEAM FOCUSES ON MATERNAL HEALTH, AND A CENTRAL PA MATERNAL HEALTH COALITION IS ALSO BEING FORMED TO ORGANIZE AND STRENGTHEN COLLECTIVE EFFORTS TO IMPROVE HEALTH CARE ACCESS, ADDRESS SOCIAL DETERMINANTS OF HEALTH, AND PROMOTE EQUITY IN MATERNAL HEALTH OUTCOMES. THESE TWO GROUPS WILL SHARE INFORMATION AND RESOURCES WITH THIS TASK FORCE FOR ALL MEMBERS TO UTILIZE. IN ADDITION, WITH THE SUPPORT OF THIS TASK FORCE, THE SYSTEMWIDE HEALTH EQUITY STRATEGY TEAM IS WORKING TO IDENTIFY PARTNERSHIPS TO ADDRESS VARIOUS HEALTH-RELATED SOCIAL NEEDS SUCH AS TRANSPORTATION, HOUSING, FOOD ACCESS AND INTERPERSONAL SAFETY. MENTAL WELL-BEING PRIORITY GOAL IMPROVE MENTAL WELL-BEING THROUGH EDUCATION, ACCESS TO RESOURCES AND SUPPORT. OVERARCHING INDICATORS/MEASURES FOR SUCCESS * REDUCE THE NUMBER OF POOR MENTAL HEALTH DAYS REPORTED BY ADULTS IN THE PAST 30 DAYS. * DECREASE THE PERCENTAGE OF CHILDREN REPORTING FEELING SAD OR DEPRESSED MOST DAYS IN THE PAST YEAR. * DECREASE THE NUMBER OF DRUG OVERDOSE DEATHS PER 100,000 POPULATION. GOAL 1: PROVIDE CULTURALLY RELEVANT EDUCATION, RESOURCES AND SUPPORT REGARDING MENTAL HEALTH AND SUBSTANCE USE TO ALL SECTORS, WITH A FOCUS ON POPULATIONS AND COMMUNITIES THAT EXPERIENCE A HIGHER OCCURRENCE OF MENTAL HEALTH AND SUBSTANCE USE DISORDERS, USING A TRAUMA-INFORMED APPROACH. OBJECTIVE 1.1: DEVELOP RESOURCES TO FACILITATE EDUCATION, COMMUNICATION AND COLLABORATION AMONG AND BETWEEN COMMUNITY ORGANIZATIONS, INCLUDING A DATABASE OF SOCIAL GROUP ACTIVITIES AND A LIST OF INDIVIDUALS THAT CAN OFFER VARIOUS BEHAVIORAL HEALTH TRAINING PROGRAMS. MEASURE: INVENTORIES CREATED, DISTRIBUTED AND USED BY ALL TASK FORCES OBJECTIVE 1.2: PROVIDE EVIDENCE-BASED MENTAL HEALTH AND SUBSTANCE USE EDUCATION AND TRAINING PROGRAMS TO THE COMMUNITY IN A VARIETY OF LOCATIONS AND LANGUAGES, WITH A FOCUS ON INCREASING THE TRAINING AND USE OF COMMUNITY HEALTH WORKERS. MEASURES: * NUMBER OF COMMUNITY HEALTH WORKERS TRAINED * NUMBER OF TRAINING PROGRAMS PROVIDED TO COMMUNITY ORGANIZATIONS ANNUALLY * NUMBER OF TRAINING PROGRAMS OFFERED IN LANGUAGES OTHER THAN ENGLISH
Schedule H, Part V, Section B, Line 11 Facility , 3	Facility , 3 - CONTINUATION 2. OBJECTIVE 1.3: COLLABORATE WITH THE PHYSICAL WELL-BEING AND THE FOOD & NUTRITION SECURITY TASK FORCES TO OFFER EDUCATION AND RESOURCES AT THE INTERSECTION OF PHYSICAL AND BEHAVIORAL HEALTH. MEASURE: NUMBER OF FREE, GROUP NUTRITION AND/OR EXERCISE OPPORTUNITIES OFFERED RESPONSIBLE FOR EXECUTING THIS PLAN: PENNSYLVANIA PSYCHIATRIC INSTITUTE, PENN STATE HEALTH MILTON S. HERSHEY MEDICAL CENTER, PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER, PENN STATE HEALTH HAMPDEN MEDICAL CENTER, PENN STATE HEALTH ST. JOSEPH MEDICAL CENTER AND PENN STATE COLLEGE OF MEDICINE GOAL 2: EXPLORE AND DECREASE BARRIERS AND STIGMA EXPERIENCED BY THOSE SEEKING MENTAL HEALTH AND SUBSTANCE USE HELP AND THEIR LOVED ONES, AS WELL AS DECREASE STIGMATIZING ATTITUDES, BEHAVIORS AND POLICIES AMONG PROVIDERS. OBJECTIVE 2.1: CREATE AND PROVIDE CULTURALLY SENSITIVE MENTAL HEALTH MESSAGING THAT CAN BE INCORPORATED INTO ALL PROGRAMMING. MEASURE: MESSAGING DEVELOPED AND USED BY ALL TASK FORCES OBJECTIVE 2.2: OFFER EXPERIENTIAL LEARNING OPPORTUNITIES SPECIFICALLY GEARED TOWARD IMPROVING ADOLESCENTS' MENTAL HEALTH. MEASURE: EXPOSURE TO NEW OPPORTUNITIES AND EXPERIENCES, SUCH AS SENSORY, ART AND MUSIC THERAPY WORKSHOPS, WHICH THE STUDENTS WOULD NOT OTHERWISE HAVE ACCESS TO OBJECTIVE 2.3: WORK WITH COMMUNITY ORGANIZATIONS THAT SERVE HISTORICALLY STIGMATIZED AND DISADVANTAGED GROUPS TO CO-CREATE AND IMPLEMENT CULTURALLY SENSITIVE, PEER-LED SUBSTANCE USE AND OVERDOSE PREVENTION EDUCATION. MEASURE: NUMBER OF COMMUNITY ANCHORS PARTNERED WITH TO REDUCE OVERDOSES OBJECTIVE 2.4: IMPLEMENT A CULTURALLY RESPONSIVE AND TRAUMA-INFORMED LEADERSHIP PROGRAM WITHIN A SCHOOL DISTRICT. MEASURE: STUDENTS PROVIDED WITH SIX LEADERSHIP THEMED SESSIONS WITH THE FOUNDATION OF IMPROVING MENTAL HEALTH RESPONSIBLE FOR EXECUTING THIS PLAN: PENNSYLVANIA PSYCHIATRIC INSTITUTE, PENN STATE HEALTH MILTON S. HERSHEY MEDICAL CENTER, PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER, PENN STATE HEALTH HAMPDEN MEDICAL CENTER, PENN STATE HEALTH ST. JOSEPH MEDICAL CENTER AND PENN STATE COLLEGE OF MEDICINE FOOD & NUTRITION SECURITY PRIORITY GOAL EXPAND FOOD ACCESS RESOURCES AND EDUCATION IN ALL SIX COUNTIES TO IMPROVE ACCESS TO NUTRITIOUS FOODS. OVERARCHING INDICATORS/MEASURES FOR SUCCESS 1. INCREASE NUMBER OF PERSONS REACHED BY FOOD ACCESS RESOURCES AND PROGRAMS IN SERVICE AREA. 2. REDUCE THE PERCENTAGE OF RESIDENTS WITH LOW ACCESS TO FOOD IN BERKS, DAUPHIN, LEBANON AND PERRY COUNTIES. 3. REDUCE OBESITY RATES ACROSS ALL SIX COUNTIES. GOAL 1: ADDRESS FOOD INSECURITY AND INCREASE FRUITS AND VEGETABLES BY PRIORITY POPULATIONS. OBJECTIVE 1.1: USE COMMUNITY PARTNERS AND MAPPING TOOL TO IDENTIFY HEALTH EQUITY GAPS IN SERVICE AREA AND SHARE COMPILED DATA. MEASURES: * NUMBER OF HEALTH EQUITY GAPS IDENTIFIED AND EVALUATED * NUMBER OF EVENTS/METHODS THAT MAPPING TOOL DATA IS SHARED OBJECTIVE 1.2: DEVELOP URBAN AND RURAL AGRICULTURE GOALS AND IMPLEMENT CULTURALLY RELEVANT FOOD OPTIONS IN PROGRAMMING. MEASURES: * NUMBER OF URBAN AND RURAL AGRICULTURE GOALS DEVELOPED AND IMPLEMENTED * NUMBER OF LOCATIONS (RURAL VS. URBAN) USING PROGRAMMING OBJECTIVE 1.3: ADDRESS FOOD INSECURITY WITH MARKETING AND COMMUNICATION STRATEGIES FOR FOOD ACCESS PROGRAMS TO INCREASE AWARENESS OF FOOD OPPORTUNITIES AND MAKE AVAILABLE IN MULTIPLE LANGUAGES AND LOCATIONS. MEASURES: * IMPLEMENT NEW MARKETING AND COMMUNICATIONS STRATEGY * NUMBER OF PERSONS REACHED BY MARKETING AND COMMUNICATIONS * NUMBER OF TRANSLATED MARKETING AND COMMUNICATIONS MATERIALS * NUMBER OF EVENTS THAT INCLUDE MENTAL HEALTH MESSAGING OBJECTIVE 1.4: INCREASE FRESH FRUITS AND VEGETABLES FOR PRIORITY POPULATIONS THROUGH PROGRAM EXPANSION AND COMMUNITY PARTNERSHIP. MEASURES: * NUMBER OF EVENTS/PROGRAMS FOR SPECIFIC PRIORITY POPULATIONS * NUMBER OF NEW LOCATIONS * NUMBER OF UNIQUE ORGANIZATIONS/COMMUNITY PARTNERS SERVING PRIORITY POPULATIONS RESPONSIBLE FOR EXECUTING THIS PLAN: PENN STATE HEALTH MILTON S. HERSHEY MEDICAL CENTER, PENN STATE HEALTH HAMPDEN MEDICAL CENTER, PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER, PENN STATE HEALTH LANCASTER MEDICAL CENTER, PENN STATE HEALTH ST. JOSEPH MEDICAL CENTER AND PENN STATE COLLEGE OF MEDICINE GOAL 2: COLLABORATE WITH ADVOCACY PARTNERS TO ENGAGE WITH AND SUPPORT POLICIES ON A NATIONAL, STATE AND LOCAL LEVEL. OBJECTIVE 2.1: COLLABORATE AND BUILD OUR POLICY PARTNERSHIP NETWORK TO HOST A REGIONAL CONFERENCE/MEETING. MEASURES: * NUMBER OF CONFERENCE ATTENDEES * NUMBER OF UNIQUE ORGANIZATIONS * CONFERENCE/MEETING EVALUATION RESULTS OBJECTIVE 2.2: ENGAGE WITH COMMUNITY PARTNERS THAT ARE ADVOCATING FOR LOCAL AND REGIONAL POLICY CHANGES AND ENACTMENTS. MEASURES: * JOIN A REGIONAL POLICY COMMITTEE * NUMBER OF NEW POLICY PARTNERS ADDED TO OUR TASK FORCE * NUMBER OF POLICY-RELATED EVENTS/ITEMS SHARED WITH OUR TASK FORCE OBJECTIVE 2.3: ADVOCATE FOR SUSTAINABLE PRACTICES, INCLUDING FOOD WASTE DISPOSAL AND COMPOSTING IN OUR HOSPITALS AND SURROUNDING COMMUNITIES. MEASURE: * NUMBER OF POLICIES ENACTED AND/OR UPDATED RESPONSIBLE FOR EXECUTING THIS PLAN: PENN STATE HEALTH MILTON S. HERSHEY MEDICAL CENTER, PENN STATE HEALTH HAMPDEN MEDICAL CENTER, PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER, PENN STATE HEALTH LANCASTER MEDICAL CENTER, PENN STATE HEALTH ST. JOSEPH MEDICAL CENTER AND PENN STATE COLLEGE OF MEDICINE PHYSICAL WELL-BEING PRIORITY GOALS * PROMOTE HEALTHY ACTIONS TO REDUCE CANCER RISK AND ADDRESS OBESITY, DIABETES, HIGH BLOOD PRESSURE AND TOBACCO USE TO IMPROVE OVERALL PHYSICAL WELL-BEING. * INCREASE EXERCISE OPPORTUNITIES. OVERARCHING INDICATORS/MEASURES FOR SUCCESS * REDUCE THE NUMBER OF POOR PHYSICAL HEALTH DAYS REPORTED BY ADULTS IN THE PAST 30 DAYS. * INCREASE THE NUMBER OF COMMUNITY MEMBERS WHO EXERCISE. GOAL 1: COORDINATE COMMUNITY EDUCATIONAL INFORMATION AND TRAINING FOR COMMUNITY PARTNER ORGANIZATIONS. OBJECTIVE 1.1: PROVIDE CULTURALLY RELEVANT EDUCATIONAL MATERIALS AND EMBED MENTAL HEALTH MESSAGING IN ALL PROGRAMMING. MEASURE: NUMBER OF EDUCATIONAL PROGRAMS ADDRESSING TOP HEALTH CONCERNS AND MENTAL WELL-BEING OBJECTIVE 1.2: IDENTIFY AND SHARE TRAINING SESSIONS AVAILABLE TO COMMUNITY-BASED ORGANIZATIONS FOR THEIR MEMBERS AND STAFF. MEASURE: NUMBER OF TRAINING PROGRAMS OFFERED TO COMMUNITY ORGANIZATIONS ANNUALLY OBJECTIVE 1.3: EXPAND EDUCATIONAL REACH TO ALL PRIORITY POPULATIONS. MEASURE: NUMBER OF COMMUNITY MEMBERS REACHED OBJECTIVE 1.4: EVALUATE COMMUNITY EDUCATION SESSIONS FOR INCREASED RISK FACTOR UNDERSTANDING. MEASURES: * INCREASE PERCENTAGE OF PARTICIPANTS' UNDERSTANDING OF CHRONIC DISEASE RISK FACTORS * INCREASE THE PERCENTAGE OF PARTICIPANTS USING CHRONIC DISEASE EDUCATION TO IMPROVE THEIR OWN HEALTH OR SOMEONE ELSE'S HEALTH * INCREASE NUMBER OF EVALUATION SURVEYS USED IN LANGUAGES OTHER THAN ENGLISH RESPONSIBLE FOR EXECUTING THIS PLAN: PENN STATE HEALTH MILTON S. HERSHEY MEDICAL CENTER, PENN STATE HEALTH HAMPDEN MEDICAL CENTER, PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER, PENN STATE HEALTH LANCASTER MEDICAL CENTER, PENN STATE HEALTH ST. JOSEPH MEDICAL CENTER, PENNSYLVANIA PSYCHIATRIC INSTITUTE, PENN STATE HEALTH REHABILITATION HOSPITAL AND PENN STATE COLLEGE OF MEDICINE GOAL 2: PROVIDE AND EXPAND COMMUNITY HEALTH OUTREACH AND SCREENINGS, AND SUPPORT FREE CLINICS, WITH A FOCUS ON PRIORITY POPULATIONS AND BRINGING SERVICES TO UNHOUSED INDIVIDUALS. FOR EXAMPLE, COMMUNITY HEALTH SCREENINGS, SCHOOL ASSESSMENTS, VISION CLINICS, DENTAL CLINICS, HOLY SPIRIT MEDICAL OUTREACH CLINIC, ANNUAL COMMUNITY HEALTH EVENTS, ETC. OBJECTIVE 2.1: EVALUATE EXISTING LOCATIONS WHERE SCREENINGS AND SUPPORT ARE CURRENTLY OFFERED AND EXPAND TO OTHER COMMUNITIES, ESPECIALLY TO SPECIFIC PRIORITY POPULATIONS. MEASURE: ANNUAL NUMBER OF NEW OUTREACH LOCATIONS OBJECTIVE 2.2: EXPAND HEALTH SCREENINGS AND OUTREACH TO HOMELESS AND UNHOUSED INDIVIDUALS THROUGH EXPANDED PARTNERSHIPS. MEASURES: * IMPLEMENT STREET MEDICINE PARTNERSHIP IN LANCASTER * NUMBER OF LOCATIONS THAT REACH HOMELESS AND UNHOUSED INDIVIDUALS * NUMBER OF COMMUNITY MEMBERS REACHED OBJECTIVE 2.3: CONTINUE TO COLLECT AND ANALYZE COMMUNITY HEALTH DATA TO DEMONSTRATE IMPROVED OUTCOMES.
Schedule H, Part V, Section B, Line 11 Facility , 4	Facility , 4 - CONTUNUATION 3. MEASURES: * BLOOD PRESSURE: AWARENESS OF ELEVATED READINGS, REDUCTION IN INDIVIDUALS' READINGS IF ELEVATED AND IN AGGREGATE DATA OVER TIME * CHOLESTEROL: AWARENESS OF ELEVATED READINGS, REDUCTION IN INDIVIDUALS' READINGS IF ELEVATED AND IN AGGREGATE DATA OVER TIME * GLUCOSE/BLOOD SUGAR AND A1C: AWARENESS OF ELEVATED READINGS, REDUCTION IN INDIVIDUALS' READINGS IF ELEVATED AND IN AGGREGATE DATA OVER TIME * CARDIOVASCULAR DISEASE RISK: REDUCTION IN INDIVIDUALS' RISK AND AGGREGATE DATA OVER TIME * SMOKING CESSATION: NUMBER OF SMOKERS IDENTIFIED AND NUMBER REFERRED TO SMOKING CESSATION PROGRAMS * HEALTHY DAYS: NUMBER OF HEALTHY DAYS REPORTED IN THE PAST 30 DAYS * COMMUNITY HEALTH WORKERS: NUMBER OF CLIENT RELATIONSHIPS AND NUMBER OF REFERRALS MADE FOR SERVICES OBJECTIVE 2.4: CONTINUE REACHING SPECIAL POPULATIONS THROUGH COMMUNITY HEALTH EVENTS AND SCREENINGS. MEASURES: * ANNUAL NUMBER OF EVENTS * NUMBER OF COMMUNITY MEMBERS SCREENED * NUMBER OF CANCER SPECIFIC SCREENINGS RESPONSIBLE FOR EXECUTING THIS PLAN: PENN STATE HEALTH MILTON S. HERSHEY MEDICAL CENTER, PENN STATE HEALTH HAMPDEN MEDICAL CENTER, PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER, PENN STATE HEALTH LANCASTER MEDICAL CENTER, PENN STATE HEALTH ST. JOSEPH MEDICAL CENTER, PENNSYLVANIA PSYCHIATRIC INSTITUTE, PENN STATE HEALTH REHABILITATION HOSPITAL AND PENN STATE COLLEGE OF MEDICINE GOAL 3: OFFER OPPORTUNITIES FOR PHYSICAL ACTIVITY WITH A SPECIAL FOCUS ON ALSO ADDRESSING ISOLATION AND LONELINESS. OBJECTIVE 3.1: COLLABORATE TO PLAN SOCIAL WALKING AND OTHER PHYSICAL ACTIVITY PROGRAMS SUCH AS WALK WITH A DOC, STORYWALK, PROMOTION OF PARKS RX PROGRAMMING, ETC., WITH A FOCUS ON PRIORITY POPULATIONS SUCH AS SINGLE PARENTS, VETERANS, SENIORS AND PERSONS WITH DISABILITIES. MEASURES: * NUMBER OF FREE GROUP EXERCISE OPPORTUNITIES * NUMBER OF PARTICIPANTS * NUMBER OF UNIQUE ORGANIZATIONS/COMMUNITY PARTNERS SERVING PRIORITY POPULATIONS OBJECTIVE 3.2: IMPROVE THE BUILT ENVIRONMENT AND EQUIPMENT ACCESS TO INCREASE PHYSICAL ACTIVITY OPPORTUNITIES SUCH AS BICYCLE RECYCLE PROGRAMS AND COALITIONS, REGIONAL BIKE SHARE PROGRAMS, TRAIL SUPPORT, ETC. MEASURES: * NUMBER OF BUILT ENVIRONMENT PROJECTS TO INCREASE EXERCISE OPPORTUNITIES * NUMBER OF PARTICIPANTS RESPONSIBLE FOR EXECUTING THIS PLAN: PENN STATE HEALTH MILTON S. HERSHEY MEDICAL CENTER, PENN STATE HEALTH ST. JOSEPH MEDICAL CENTER AND PENN STATE HEALTH REHABILITATION HOSPITAL
Schedule H, Part V, Section B, Line 11 Facility , 5	Facility , 5 - CHNA IMPLEMENTATION PLAN 2022-2025 YEAR THREE ACCOMPLISHMENTS. DURING FISCAL YEAR 2025, PSH HOSPITALS CONTINUED THE TASK FORCES TO CARRY OUT THE THIRD YEAR OF THE CHNA IMPLEMENTATION PLAN. THESE TASK FORCES ARE COMPRISED OF PSH EMPLOYEES AND COMMUNITY PARTNERS AND MEMBERS WHO ALL FOCUS ON THE PRIORITIES IDENTIFIED IN THE CHNA: MENTAL HEALTH, HEALTH EQUITY AND CHRONIC DISEASE AND RISK FACTOR PREVENTION (SPLIT INTO THREE TASK FORCES: CHRONIC DISEASE AND RISK FACTOR PREVENTION, NUTRITION AND FOOD ACCESS, AND PHYSICAL ACTIVITY.) PLEASE NOTE, DURING THE SECOND HALF OF THE FISCAL YEAR, THE CHRONIC DISEASE AND PHYSICAL ACTIVITY GROUPS COMBINED INTO THE PHYSICAL WELL-BEING TASK FORCE. THE FOLLOWING SECTION WILL DESCRIBE KEY ACCOMPLISHMENTS PER PRIORITY AREA AND TASK FORCE. THE CHNA, IMPLEMENTATION STRATEGY AND ANNUAL COMMUNITY BENEFIT REPORT CAN BE FOUND AT: HTTPS://WWW.PENNSTATEHEALTH.ORG/COMMUNITY. MENTAL HEALTH: SEE YEAR 3 GOALS AND OBJECTIVES ABOVE. KEY ACCOMPLISHMENTS: EXPAND AND INCREASE BEHAVIORAL HEALTH TRAINING AND EDUCATION: * TRAINED 981 INDIVIDUALS ON MENTAL HEALTH SIGNS AND SYMPTOMS IN PARTNERSHIP WITH THE FOLLOWING ORGANIZATIONS: DAUPHIN COUNTY CRISIS INTERVENTION TEAM, PA STATE POLICE ACADEMY CADETS, BEACON CLINIC, PENN STATE HEALTH EMPLOYEE RESOURCE GROUPS, DAUPHIN COUNTY DISTRICT ATTORNEY'S OFFICE, INTERNATIONAL SERVICE CENTER AND COMMUNITY HEALTH WORKERS. PARTICIPANTS WHO HAVE ATTENDED THIS TRAINING AND TAKEN SURVEYS REPORT STATISTICALLY SIGNIFICANT IMPROVEMENTS IN THEIR PERCEIVED ABILITY TO MANAGE MENTAL HEALTH CRISES. * CLINICAL SIMULATION CENTER PARTNERED WITH PA STATE POLICE ACADEMY ON NINE INTERACTIVE AND INNOVATIVE TRAININGS TO HELP CADETS LEARN HOW TO BEST HANDLE MENTAL ILLNESS CASES, AND THE PROGRAM WAS EXPANDED OUTSIDE OF THE ACADEMY IN HARRISBURG AND PHILADELPHIA. THE PROGRAM HAS ALSO LED TO THE DEVELOPMENT OF THE KEYSTONE MODEL OF CRISIS MANAGEMENT. * OVER THE THREE-YEAR PERIOD, PROVIDED SUBSTANCE USE EDUCATION VIA 49 (APPROXIMATELY 16 PER YEAR) LECTURES, TRAININGS, WEBINARS OR HEALTH FAIRS, INCLUDING THE PENN STATE ADDICTION CENTER FOR TRANSLATION TOPICS IN ADDICTION MONTHLY SEMINAR SERIES, ANNUAL ADDICTION SYMPOSIUM AND OPIOID OVERDOSE REVERSAL TRAINING. NEW IN FY25, PROVIDED CULTURALLY RELEVANT EDUCATION TO BLACK BARBERS AND BEAUTICIANS ON MENTAL HEALTH AND SUBSTANCE USE, INCLUDING NALOXONE TRAINING. * DURING THE THREE YEARS, DISTRIBUTED APPROXIMATELY 1500 DOSES OF NALOXONE, LOCKBOXES AND SAFE DISPOSAL POUCHES AT NUMEROUS COMMUNITY HEALTH EVENTS, INCLUDING EVENTS IN CONNECTION WITH THE LGBT CENTER OF CENTRAL PA AND THE BIPOC COMMUNITY THROUGH GATHER THE SPIRIT FOR JUSTICE AND JUSTICE SYSTEM PARTNERS. * DRUG DROP BOXES ON THE PENN STATE HERSHEY CAMPUS COLLECTED APPROXIMATELY 4500 POUNDS OF UNUSED/EXPIRED MEDICATIONS OVER THE THREE-YEAR PERIOD. * COLLABORATED TO IMPLEMENT TWO COMMUNITY HEALTH VENDING MACHINES IN HARRISBURG AND READING TO DISPENSE NALOXONE, DRUG CHECKING KITS AND OTHER HEALTH NECESSITIES. PRELIMINARY DATA SHOWS THAT AT LEAST 1,422 INDIVIDUALS ARE USING BOTH VENDING MACHINES TO ACCESS ITEMS, WITH AT LEAST 450 INDIVIDUALS INTERACTING WITH THE SERVICES LIST TO CONNECT TO RESOURCES. * OFFERED DRUG TAKE-BACK DAY FIVE TIMES IN THREE YEARS, COLLECTING 3,523 POUNDS OF UNWANTED, UNNEEDED OR EXPIRED MEDICATIONS, AS WELL AS 92 SHARPS CONTAINERS. * THE COMMUNITY PSYCHIATRY RESIDENT TRACK IS A SPECIFIC TRAINING TRACK WITHIN THE GENERAL PSYCHIATRY RESIDENCY AT PENN STATE, PROVIDING ENHANCED LEARNING AND EXPERIENCES IN COMMUNITY PSYCHIATRY, INCLUDING CLINICAL EXPERIENCES IN PROVIDING CARE TO PATIENTS WITH SERIOUS MENTAL ILLNESS IN PUBLICLY FUNDED PROGRAMS. AS OF JULY 2025, THERE ARE A TOTAL OF FOUR PSYCHIATRY RESIDENTS IN THE COMMUNITY TRACK. * SECONDARY DATA ON OUR SIX-COUNTY SERVICE REGION SHOWED DURING THE LAST 3 YEARS OF OUR PLAN (2022-2025), o The percent of children reporting feeling sad or depressed most days in the past year decreased in all counties. (PAYS 2023). o The number of Drug Poisoning Deaths per 100,000 population decreased in Cumberland, Dauphin and Lebanon Counties. (County Health Rankings, 2025). COLLABORATE WITH ORGANIZATIONS TO DEVELOP AN INVENTORY OF BEHAVIORAL HEALTH RESOURCES AND SUPPORT SYSTEMS: * RECEIVED THREE COMMUNITY RELATIONS GRANTS RELATED TO MENTAL HEALTH: o THROUGH THE CULTURALLY RESPONSIVE AND TRAUMA-INFORMED LEADERSHIP PROGRAM, TAUGHT SIX ART AND MUSIC THERAPY WORKSHOPS GEARED TOWARD CHILDREN, TEENS AND YOUNG ADULTS AT THE STEELTON-HIGHSPIRE SCHOOL DISTRICT O THE MENTAL HEALTH IN EXPERIENTIAL EDUCATION GRANT SERVED A TOTAL OF 361 STUDENTS IN FY24-FY25 AND INCLUDED A TOTAL OF 19 EVENTS/INTERACTIONS WITH STUDENTS IN THE NEIGHBORING ACADEMY. THE INTERACTIONS INCLUDED YOGA AND MINDFULNESS SESSIONS, FOUR DIALECTICAL BEHAVIOR THERAPY WORKSHOPS PRE AND POST EXPERIENTIAL TRIP WORKSHOPS, EXPERIENTIAL TRIPS TO THE BALTIMORE AQUARIUM AND WOLF SANCTUARY, MENTAL HEALTH OVERVIEWS AND SENSORY REGULATION WORKSHOP & MINDFULNESS. O THROUGH THE MENTAL HEALTH EDUCATION TO YOUTH GRANT, TAUGHT SIX SENSORY REGULATION WORKSHOPS REACHING 63 CHILDREN, TEENS AND YOUNG ADULTS AT THE STEELTON-HIGHSPIRE SCHOOL DISTRICT * PSH GOVERNMENT RELATIONS MET WITH LEADERSHIP TO REVIEW AND ASSESS MENTAL HEALTH PRIORITIES AND NEEDS. * CONTINTUED THE UNITED WAY OF THE CAPITAL REGION CONTACT TO CARE AND ROAD TO SUCCESS INITIATIVES WITH TWO EMPLOYED COMMUNITY HEALTH WORKERS PROVIDING CONNECTIONS AND REFERALS TO HEALTHCARE AND COMMUNITY RESOURCES, INCLUDING REFERRALS FOR MENTAL OR BEHAVIORAL HEALTH AND SUBSTANCE USE. * DURING THE THREE YEARS, WE RECRUITED AND TRAINED TEN FELLOWS THROUGH THE ADDICTION MEDICINE FELLOWSHIP, PREPARING THESE PROVIDERS TO WORK IN COMMUNITY AND CLINICAL SETTINGS. * TRAINED A LEADER TO INITIATE THE SMART RECOVERY SUPPORT GROUP, WITH 4 OTHERS STARTING THE TRAINING TO BECOME SUPPORT GROUP LEADERS. PPI IS OFFERING ADULT, CHILD, AND ELDERLY SUPPORT GROUPS. * PENNSYLVANIA PSYCHIATRIC INSTITUTE'S ADVANCEMENT IN RECOVERY (AIR) PROGRAM OFFERS A COMPREHENSIVE MEDICATION ASSISTED TREATMENT PROGRAM FOR INDIVIDUALS STRUGGLING WITH OPIOID USE DISORDER AND IN FY25 THERE WERE 195 NEW INDIVIDUALS TREATED RESULTING IN A TOTAL OF 394 PEOPLE RECEIVING TREATMENT. * BEHAVIORAL HEALTH SERVICES AT PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER OPERATES TEENLINE TO PROVIDE COUNSELORS TO SERVE AS MENTAL HEALTH LIAISONS ON THE STUDENT ASSISTANCE PROGRAM TEAMS AT ALL PUBLIC SECONDARY SCHOOLS IN CUMBERLAND AND PERRY COUNTIES. * MOVING ON MATERNAL DEPRESSION PROGRAM IMPLEMENTED A VIRTUAL SUPPORT GROUP FOR MOMS AND REACHED OVER 50 MOMS IN JUST ONE YEAR. HEALTH EQUITY SEE YEAR 3 GOALS AND OBJECTIVES ABOVE. KEY ACCOMPLISHMENTS: * IN YEAR THREE, THE HEALTH EQUITY TASK FORCE CONTINUED TO UTILIZE THE COMMUNITY IMPACT MODEL TO GUIDE OUR COMMUNITY HEALTH WORK, COLLABORATE WITH THE OTHER TASK FORCES AND SUSTAIN ONGOING PARTNERSHIPS AND ACTIVITIES TO MAXIMIZE OFFERINGS TO OUR MOST VULNERABLE POPULATIONS. UPLIFT PARTNERSHIP WITH THE UNITED WAY: * IN THE FIRST TWO YEARS, PA 211 WAS EMBEDDED INTO DISCHARGE INSTRUCTIONS AND SUCCESSFUL AD CAMPAIGNS. IN YEAR THREE, WE SHIFTED TO INCREASING AWARENESS OF PA 211 INTERNALLY AND WITH OUR COMMUNITY PARTNER ORGANIZATIONS. WITH THE HELP OF OUR MARKETING AND COMMUNICATIONS TEAM, INFORMATION WAS SHARED THROUGH VARIOUS EMAILS, NEWSLETTERS, FLYERS, EMPLOYEE SCREENSAVERS AND COMMUNITY FACING TV SCREENS. * TWO UNITED WAY CONTACT TO CARE CHWS CONTINUED TO WORK WITH OUR TEAM. OVER THE COURSE OF THREE YEARS, THEY REACHED 337 PEOPLE. IN FY 2024-2025, THE CHWS HAVE ACTIVELY WORKED WITH 212 INDIVIDUALS AND MADE 173 HEALTHCARE/PRIMARY CARE SERVICES REFERRALS, 59 INSURANCE REFERRALS, 51 COMMUNITY RESOURCE REFERRALS (SUCH AS FOOD, TRANSPORTATION, EMPLOYMENT SERVICES AND MORE), 2 MENTAL/BEHAVIORAL HEALTHCARE SERVICE REFERRALS, AND ASSISTED WITH ESTABLISHING A MEDICAL HOME FOR 96 INDIVIDUALS. PARTNER WITH COMMUNITY ORGANIZATIONS ON TRAUMA-INFORMED CARE TRAININGS: * SINCE THE START OF THE TRAUMA-INFORMED CARE (TIC) PROGRAM IN 2021, 1,721 INDIVIDUALS HAVE BEEN TRAINED IN BERKS, CUMBERLAND, DAUPHIN, AND LANCASTER COUNTIES. RESULTS WERE PRESENTED AT THE AMERICAN PUBLIC HEALTH ASSOCIATION CONFERENCE TO SHARE THE PROGRAM AT THE STATE LEVEL IN YEAR TWO. IN YEAR THREE, EFFORTS EXPANDED TO INCLUDE FOUR INTERNAL STAFF AND STUDENT TRAININGS IN ADDITION TO ONGOING COMMUNITY SESSIONS.
Schedule H, Part V, Section B, Line 11 Facility , 6	Facility , 6 - ACCOMPLISHMENTS CONTINUED. * TIC EVALUATION RESULTS ACROSS 3 YEARS: 934 PRE-SURVEYS AND 695 POST-SURVEYS HAVE BEEN COMPLETED TO EVALUATE THE TRAINING PROGRAM. PARTICIPANT RESPONSES HAVE SHOWN A STATISTICALLY SIGNIFICANT IMPROVEMENT IN THEIR "KNOWLEDGE "UNDERSTANDING" OF TRAUMA. NINETY-SEVEN PERCENT OF OPEN-ENDED RESPONSES HAVE BEEN POSITIVE, WITH MANY STATING THAT THE TRAINING IS "EYE-OPENING "INFORMATIVE." THE MOST SIGNIFICANT IMPROVEMENT WAS SEEN IN PARTICIPANTS' COMPREHENSIVE UNDERSTANDING OF TRAUMA-INFORMED SENSORY CARE. * WE CONTINUED THE EMPOWERED RELIEF PROGRAM, AN EVIDENCE-BASED PAIN MANAGEMENT COMMUNITY EDUCATION SERIES, AND OFFERED 5 SESSIONS IN LANCASTER AND DAUPHIN COUNTIES IN YEAR THREE. ADDITIONAL HIGHLIGHTS: * COMMUNITY HEALTH NURSES AND COMMUNITY HEALTH WORKERS VISIT A COMBINED TOTAL OF 48 REGULAR SITES THAT HAVE CONTINUED TO SPREAD ACROSS OUR 6-COUNTY SERVICE AREA, PROVIDING SERVICES SUCH AS HEALTH SCREENINGS, BLOOD PRESSURE MONITORS, HEALTH EDUCATION AND CONNECTIONS TO COMMUNITY RESOURCES. SENIOR CENTERS WERE A NEW LOCATION TYPE ADDED TO OUR EXISTING SITES. * COMMUNITY HEALTH NURSES PROVIDED 1,322 GLUCOSE SCREENINGS, 290 A1C SCREENINGS, 643 ASCVD SCREENINGS, 2,180 BLOOD PRESSURE SCREENINGS, AND 7 FECAL IMMUNOCHEMICAL TEST (FIT) KITS FOR COLORECTAL CANCER SCREENING. * DATA HIGHLIGHT: OF THE 718 INDIVIDUALS WITH AT LEAST TWO BLOOD PRESSURE MEASUREMENTS TAKEN BY OUR COMMUNITY HEALTH NURSES, THERE WERE CLINICALLY AND STATISTICALLY SIGNIFICANT DECREASES IN BOTH SYSTOLIC AND DIASTOLIC NUMBERS, WITH AN AVERAGE SYSTOLIC DECREASE OF 3.0 POINTS AND DIASTOLIC DECREASE OF 1.4 POINTS. * PENN STATE COLLEGE OF MEDICINE COMMUNITY HEALTH EQUITY & ENGAGEMENT IN RESEARCH (CHEER) TEAM PROVIDED SIX EDUCATIONAL SESSIONS OPEN TO INTERNAL AND EXTERNAL PARTICIPANTS. TOPICS WERE RELATED TO HEALTH LITERACY IN RESEARCH, FEDERAL GUIDELINES ON RACE AND ETHNICITY DATA, AND INCLUSIVITY IN RESEARCH AND HEALTHCARE - WITH DEDICATED SESSIONS FOCUSED ON VETERANS, PREGNANT WOMEN, INDIVIDUALS WITH DISABILITIES, AND MEMBERS OF THE AMISH COMMUNITY AND PLAIN COMMUNITIES. * THE HEALTH EQUITY TASK FORCE SUPPORTED THE WORK OF THE NUTRITION AND FOOD SECURITY TASK FORCE AT A DAY OF SERVICE IN LEBANON COUNTY. THE COMBINED TEAMS ASSISTED WITH PLANTING AND MAINTENANCE OF COMMUNITY GARDENS HOSTED BY LEBANON COUNTY CHRISTIAN MINISTRIES AND CHESTNUT STREET COMMUNITY CENTER. * MOVING FORWARD, TASK FORCES AND INTERNAL TEAMS WILL FORMULATE AND SHARE CONSISTENT, ONGOING MESSAGING TO EDUCATE ON THE DIFFERENCES BETWEEN AND WHEN TO USE PA 211 VS. 988 VS. 911 TO ACCESS SERVICES. NUTRITION AND FOOD ACCESS SEE YEAR 3 GOALS AND OBJECTIVES ABOVE. KEY ACCOMPLISHMENTS: EXPAND REACH OF NUTRITION AND FOOD ACCESS PROGRAMS: SINCE 2014, PSH HAS BEEN DEDICATED TO ADDRESSING FOOD AND NUTRITION INSECURITY WITHIN OUR SIX COUNTIES AND, THANKS TO GENEROUS SUPPORT FROM THE RITE AID HEALTHY FUTURES GRANT, HAVE BEEN ABLE TO EXPAND THESE EFFORTS OVER THE PAST TWO YEARS. EIGHTY-FIVE NUTRITION AND FOOD ACCESS POINTS IN YEAR ONE, EXPANDING TO 94 LOCATIONS IN YEAR TWO OF THIS PLAN, AND 112 LOCATIONS IN YEAR THREE OF THIS PLAN, LEADING TO SUSTAINABILITY, GROWTH, EQUITY AND DATA-DRIVEN RESEARCH. * ABOUT 19,000 PEOPLE SERVED ANNUALLY IN THE GARDEN PROGRAMS. THE ORIGINAL COMMUNITY GARDEN LOCATED ON THE MILTON S. HERSHEY MEDICAL CENTER AND PENN STATE COLLEGE OF MEDICINE CAMPUS ALSO DONATES OVER 2,300 POUNDS OF PRODUCE AND HONEY AND 1,500 FLOWER ARRANGEMENTS ANNUALLY. THESE SITES NOT ONLY PROVIDE FRESH PRODUCE BUT ALSO OFFER ACCESS TO COMMUNITY RESOURCES, EDUCATION, SOCIAL SUPPORT AND PHYSICAL ACTIVITY. THE VEGGIE RX PROGRAM IS A PRODUCE VOUCHER AND NUTRITION EDUCATION PROGRAM FOR COMMUNITIES FACING HEALTH DISPARITIES AND CHRONIC HEALTH CONDITIONS LIKE CARDIOVASCULAR DISEASE AND DIABETES. IT STARTED AND CONTINUES TO HAVE POSITIVE OUTCOMES, WITH CLASSES SHOWING THAT THE AVERAGE TOTAL CHOLESTEROL AND DIASTOLIC BLOOD PRESSURES OF PARTICIPANTS IMPROVED. IN THE THIRD YEAR OF THE PLAN, THE PROGRAM EXPANDED TO FAMILY FIRST IN LEBANON AND COLUMBIA, AS WELL AS THE HUMAN SERVICES CENTER IN NORTHERN DAUPHIN COUNTY. IN BERKS COUNTY, THE LARGEST CLASS IN SPANISH TOOK PLACE IN THIS YEAR AS WELL.IN FISCAL YEAR 2025, VEGGIE RX EXPANDED TO 9 SITES IN 4 COUNTIES.IMPROVE ACCESS TO FRUITS AND VEGETABLES AND NUTRITION EDUCATION WITHIN OUR SERVICE AREA: * NUTRITION SITES IN ALL COUNTIES EDUCATED ON VARIOUS TOPICS THIS YEAR INCLUDING SKIN CANCER AND SUN SAFETY, THE HEALTH IMPACTS OF GARDENING, ORAL HEALTH, COOKING AND RISK FOR STROKE AND HEART ATTACKS. * COMMUNITY FRIDGES ARE STOCKED WEEKLY WITH FRESH PRODUCE AND OPEN TO ALL COMMUNITY MEMBERS. PSH PARTNERED WITH THE LATINO HISPANIC AMERICAN COMMUNITY CENTER (LHACC) AND THE PENN STATE HEALTH MEDICAL OUTREACH SERVICE TO ADDRESS FOOD INSECURITY IN DOWNTOWN HARRISBURG. THE PROGRAM HAS EXPANDED OVER THE PAST THREE YEARS, WITH A TOTAL OF SIX FRIDGES PLACED ACROSS THE SIX COUNTY SERVICE REGION. IN 2025, THERE WERE 10,040 PERSONS SERVED BY THE COMMUNITY FRIDGE PROGRAM. * GOGGLEWORKS GARDEN IN BERKS COUNTY HOSTED A BOOK LAUNCH TO INTRODUCE THE TOGETHER WE GROW BOOK. THE FAMILY FRIENDLY EDUCATIONAL BOOK WAS CREATED THROUGH COLLABORATION OF PSH AND LOCAL AUTHORS. * EXPANDED TO 21 COMMUNITY GARDEN SITES, ADDING TWO GARDEN SITES IN PERRY COUNTY, AN EDIBLE CLASSROOM IN COLUMBIA, TWO ADDITIONAL SITES IN LEBANON; ONE AT ST. LUKE'S AND ANOTHER AT SALVATION ARMY, TWO SITES IN LANCASTER COUNTY; ONE AT LANCASTER REC AND ANOTHER ON BAY STREET AND LASTLY, PARTNERED WITH THE BOYS AND GIRLS CLUB AT THEIR GREENHOUSE IN ALLISON HILL, HARRISBURG. * Secondary data about our service region showed that the percent of adults who report a BMI of greater or equal to 30 kg/m^2 decreased in Cumberland and Dauphin Counties during this 3-year implementation plan. (County Health Rankings, 2025). * ON THE PSH CAMPUSES, WE OFFER FIVE EMPLOYEE FOOD PANTRIES. FOOD BOXES ARE PROVIDED TO FOOD INSECURE PATIENTS IN EIGHT CLINICS. IN FY 2025, 438 FOOD BOXES, AS WELL AS FOOD AND CLOTHING COUPONS, SERVED 1,297 PEOPLE. - MILTON S. HERSHEY MEDICAL CENTER AND PENN STATE HEALTH SUPPORT THE FARMERS MARKET IN HERSHEY AND SUMMER CONCERT SERIES IN MAY-OCTOBER. THE MARKET INCREASES COMMUNITY ACCESS TO LOCALLY GROWN FRUITS AND VEGETABLES, OPPORTUNITIES FOR WELLNESS PARTNERSHIPS AND HEALTH EDUCATION PROVIDED BY PSH STAFF EACH WEEK. TO DATE, PSH HAS REACHED 90,352 PEOPLE THROUGH THE FARMERS MARKET PROGRAM. CHRONIC DISEASE AND RISK FACTOR PREVENTION AND PHYSICAL ACTIVITY SEE YEAR 3 GOALS AND OBJECTIVES ABOVE. KEY ACCOMPLISHMENTS: * DURING THIS FISCAL YEAR, THE CHRONIC DISEASE AND RISK FACTOR PREVENTION TASK FORCE AND PHYSICAL ACTIVITY TASK FORCE JOINED FORCES TO FORM THE PHYSICAL WELL-BEING TASK FORCE TO FOSTER ADDITIONAL COLLABORATION AMONG THESE GROUPS AND PLAN THE NEXT IMPLEMENTATION STRATEGY. * ONGOING WELLNESS AND DISEASE PREVENTION EFFORTS EXPANDED OVER THE THREE-YEAR PERIOD, AND REACHED 591,807 PEOPLE ACROSS ALL HOSPITALS IN FY 2025. * COMMUNITY HEALTH FEEDBACK EVALUATION SURVEY RESULTS O TOTAL NUMBER OF SURVEYS COMPLETED WITHIN THE THREE YEARS OF THE PLAN WAS 674 ON 29 VARIOUS TOPICS. O IN YEAR THREE ALONE, 322 SURVEYS WERE COMPLETED DEMONSRATING INCREASE USE FROM ADDITIONAL PROGRAMS AND EXPANSION EACH YEAR OF THE PLAN. O THE SHORT, ENGLISH SURVEY WAS THE MOST USED. O FOUR DIFFERENT GROUPS THAT EDUCATED ON ONE PARTICULAR HEALTH CONDITION REGULARLY USED OUR EVALUATION FRAMEWORK AND SURVEYS TO DEVELOP THEIR OWN SURVEY SPECIFIC TO THEIR EDUCATION. FROM OUR SURVEY, A STROKE SPECIFIC SURVEY, SENSORY REGULATION SURVEY, EMPOWERED RELIEF SURVEY AND HELLO GAME SURVEY WAS CREATED. O THE FRAMEWORK WAS SPLIT BETWEEN MEASURING TWO CATEGORIES- THE FIRST BEING PARTICIPANT'S ENGAGEMENT AND PARTICIPATION IN THE EVENT. THE SURVEY QUESTIONS WE SELECTED TO MEASURE THIS ARE SHOWN HERE. MOST USEFUL METHOD OF LEARNING IS PRESENTATION (88%) WITH GROUP DISCUSSION BEING SECOND (57%). MOST INDIVIDUALS PREFER TO RECEIVE EDUCATIONAL MATERIAL IN PERSON (63%), WITH EMAIL BEING SECOND MOST SELECTED OPTION (33%). O THE SECOND CATEGORY MEASURED WITH THE FRAMEWORK WAS PARTICIPANTS' LEARNING AND FUTURE ACTION STEPS. THESE NUMBERS HAVE ALL INCREASED OVER THREE YEARS. 98% SAID THEY LEARNED SOMETHING NEW AND 90% WERE VERY LIKELY TO PARTICIPATE IN A SIMILAR ACTIVITY IN THE FUTURE. THE MAJORITY OF PARTICIPANTS PLAN TO EITHER USE THE INFORMATION THEY LEARNED TO IMPROVE THEIR OWN HEALTH (55%) OR DISCUSS IT WITH A FRIEND/FAMILY MEMBER/COLLEAGUE/PROVIDER (51%) SHOWING HOW OUR EDUCATIOAL EVENTS CAN IMPACT THE HEALTH OF EVEN THOSE IN THE COMMUNITY WHO DID NOT ATTEND THE EVENT THEMSELVES.
Schedule H, Part V, Section B, Line 11 Facility , 7	Facility , 7 - ACCOMPLISHMENTS CONTINUED. * ALL PHYSICAL ACTIVITY PROGRAMMING CONTINUTED INTO YEAR THREE OF THE PLAN - HIGHLIGHTS FROM MEETINGS MINUTES. CUMULATIVE PSH PHYSICAL ACTIVITY PROGRAMMING IN FY 2025 REACHED 89,074 PARTICIPANTS. * WALKING PROGRAMS STORY WAS FEATURED IN THE ANNUAL COMMUNITY BENEFIT REPORT. KEY NUMBERS AND OUTCOME HIGHLIGHTS INCLUDE: O THE STORYWALKS IN DAUPHIN COUNTY UPDATED SEASONAL BOOKS AND SIGNS, AND EXPANDED FROM ONE TO TWO RURAL LOCATIONS: DETWEILER PARK AND LYKENS GLEN PARK, REACHING OVER 11,000 (11,036) PARTICIPANTS (REPORTED BY TRAIL COUNTERS) IN FY 2025. SCANNABLE SURVEYS COMPLETED SHOWED 95.7% FELT THE STORYWALK PROVIDED AN OPTION FOR MORE PHYSICAL ACTIVITY; AND 95.7% WANTED TO SEE MORE STORYWALKS. O WALK WITH A DOC EVENTS IN READING (12-WEEK SERIES) AND DAUPHIN COUNTY (8 MONTHLY EVENTS) REACHED OVER 200 (204) PEOPLE IN FY 2025. THE BURG RAN AN ARTICLE TO PROMOTE DAUPHIN COUNTY WALK WITH A DOC IN MARCH, 2025. ESTIMATED 5,000 PEOPLE REACHED BY THE ARTICLE. O DAUPHIN COUNTY WALK WITH A DOC EXPANDED THIS YEAR AND IS NOW ORGANIZED BY CAPITAL AREA GREENBELT ASSOCIATION, DAUPHIN COUNTY PARKS & RECREATION, PENBROOK BOROUGH, PENN STATE HEALTH AND SUSQUEHANNA TOWNSHIP PARKS & RECREATION AND FOCUSSES TOPICS ON THE PRIORITIES IDENTIFIED IN THE PENN STATE HEALTH 2025 COMMUNITY HEALTH NEEDS ASSESSMENT. * PHYSICAL ACTIVITY PROGRAMING AND BUILT ENVIRONMENT PROJCTS EXPANDED OVER THREE YEARS AND ARE OFFERED IN ALL SIX COUNTIES. NEW EXAMPLES INCLUDE: O SUSTAINABLE LAND MANAGEMENT AND WALKING TRAILS: IN PARTNERSHIP WITH LANDSTUDIES, INC., WE'VE INTRODUCED NATIVE MEADOWS AT HMC THAT BRIGHTEN THE CAMPUS AND SUPPORT POLLINATORS LIKE BEES AND BUTTERFLIES. EARLY BLOOMS SUCH AS PENSTEMON DIGITALIS AND COREOPSIS HELP WILDLIFE, WHILE THE MEADOWS MANAGE STORMWATER AND IMPROVE SOIL HEALTH. WITH WALKING PATHS, EDUCATIONAL SIGNS AND PEACEFUL SPOTS TO PAUSE, THESE MEADOWS OFFER A PLACE TO RECHARGE- JUST STEPS FROM THE HOSPITAL. IT'S ONE MORE WAY WE'RE CREATING A HEALTHIER ENVIRONMENT FOR OUR COMMUNITY. THIS EDUCATIONAL PROJECT ENCOURAGES PHYSICAL ACTIVITY, BOOSTS PARTICIPANTS' MENTAL HEALTH AND BENEFITS THE HEALTH OF THE ENVIRONMENT. O NEPORT SCHOOL DISTRICT GARDENS = ONE ADDITIONAL SCHOOL PHYSICAL ACTIVITY OPPORTUNITY TO BUILD AND MAINTAIN GARDEN, AND FUTURE EDUCATION WILL TIE IN A MENTAL WELL-BEING MESSAGE AS WELL. * SECONDARY DATA ON OUR SIX-COUNTY SERVICE REGION SHOWED THAT: O THE PERCENT OF ADULTS WITH A ROUTINE CHECKUP IN THE PAST YEAR INCREASED (SLIGHTLY BUT STILL AN INCREASE) IN BERKS AND LEBANON COUNTIES. (CDC BRFSS PLACES PROJECT, 2024). O ACCORDING TO THE 2025 COUNTY HEALTH RANKINGS, THE PERCENT OF ADULTS WHO REPORT NO LEISURE TIME PHYSICAL ACTIVITY (AGE 20+) DECREASED IN ALL COUNTIES.

Schedule H (Form 990) 2024

Page 9

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?1
Name and address		Type of Facility (describe)
1	COMMUNITY PHARMACY 145 NORTH 6TH STREET READING,PA19601	PHARMACY
2
3
4
5
6
7
8
9
10

Schedule H (Form 990) 2024

Page 10

Part VI

Supplemental Information

Provide the following information.

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

Form and Line Reference	Explanation
Schedule H, Part I, Line 3c	AS WELL AS USING THE FEDERAL POVERTY GUIDELINES, THE PATIENT'S AVAILABLE ASSETS AND ALL OTHER FINANCIAL RESOURCES AVAILABLE TO THE PATIENT ARE TAKEN INTO CONSIDERATION WHEN DETERMINING FREE OR DISCOUNTED CARE. PATIENTS WHOSE FAMILY INCOME EXCEEDS 300% OF THE FPG MAY BE ELIGIBLE TO RECEIVE DISCOUNTED RATES ON A CASE-BY-CASE BASIS BASED ON THEIR SPECIFIC CIRCUMSTANCES, SUCH AS CATASTROPHIC ILLNESS.
Schedule H, Part VI, Line 7	COMMUNITY BENEFIT REPORT STATE FILINGS NOT APPLICABLE IN THE STATE OF PENNSYLVANIA.
Schedule H, Part V, Section B LINE 13A	FINANCIAL ASSISTANCE GUIDELINES ARE BASED ON 300% OF THE FEDERAL POVERTY GUIDELINES (FPG) PUBLISHED ANNUALLY IN THE FEDERAL REGISTER. CARE IS DISCOUNTED 100% UP TO 300% OF THE FPG. DESIGNATED PERSONNEL WILL ACCESS THE FEDERAL REGISTER AND UPDATE THE FINANCIAL ASSISTANCE GUIDELINES ANNUALLY. THE DISCOUNT IS BASED ON FAMILY SIZE AND ANNUAL INCOME.
Schedule H, Part I, Line 6a Community benefit report prepared by related organization	PENN STATE HEALTH, A RELATED PARTY, PREPARES A COMMUNITY BENEFIT REPORT THAT INCLUDES ST. JOSEPH REGIONAL HEALTH NETWORK AND MAKES IT AVAILABLE TO THE PUBLIC.
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance	A COST ACCOUNTING SYSTEM WAS NOT USED TO COMPUTE AMOUNTS IN THE TABLE; RATHER COSTS IN THE TABLE WERE COMPUTED USING THE ORGANIZATION'S COST-TO-CHARGE RATIO. THE COST-TO-CHARGE RATIO COVERS ALL PATIENT SEGMENTS.
Schedule H, Part II Community Building Activities	EACH HOSPITAL WITHIN THE PENN STATE HEALTH SYSTEM ENGAGED IN ACTIVITIES TO PROTECT AND IMPROVE EACH OF ITS COMMUNITY'S HEALTH AND SAFETY. OVERALL, FOR FY2025, THE PENN STATE HEALTH SYSTEM SERVED 1,299,026 COMMUNITY MEMBERS WITH 174,656 EMPLOYEE HOURS AND 43,720 VOLUNTEER HOURS, RESULTING IN $11,361,879 IN COMMUNITY HEALTH SERVICES PROVIDED TO THE COMMUNITIES. A PORTION OF THE COMMUNITY HEALTH IMPROVEMENT SERVICES IS PRESENTED IN PART I, LINE 7.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	THE INITIAL IMPLICIT PRICE CONCESSIONS (BAD DEBT) RESERVE IS DETERMINED BASED ON THE DIFFERENCE BETWEEN THE 18 MONTH AND THE 6 MONTH ZERO BALANCE CLAIMS RATE. IF A NEGATIVE IMPLICIT RATE IS CALCULATED, NO IMPLICIT RATE IS APPLIED BASED ON THE RESULTS OF THE PRIOR YEAR LOOKBACK. ADDITIONAL IMPLICIT PRICE CONCESSION ESTIMATES ARE CONSIDERED TO ACCOUNT FOR (1) SELF-PAY AFTER INSURANCE BALANCES THAT HAVE NOT YET TRANSFERRED FROM AN INSURANCE BALANCE TO PATIENT BALANCE DUE TO TIMING OF THE REVENUE CYCLE PROCESS, AND (2) UNCOLLECTIBLE AMOUNTS THAT OCCUR ON A PATIENT ACCOUNT GREATER THAN 18 MONTHS.
Schedule H, Part III, Line 3 Bad Debt Expense Methodology	PATIENTS' ACCOUNTS ARE MONITORED THROUGHOUT THE BILLING PROCESS AND ARE RECLASSIFIED TO CHARITY CARE (100% DISCOUNTED CARE) WHENEVER A PATIENT BECOMES ELIGIBLE UNDER THE HOSPITAL'S UNCOMPENSATED OR CHARITY CARE POLICY.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	PAGE 10, FOOTNOTE FOR NET PATIENT SERVICE REVENUE.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	THE ORGANIZATION BELIEVES THAT MEDICARE UNDERPAYMENTS (SHORTFALL) AND THE COST OF BAD DEBT ARE COMMUNITY BENEFIT AND SHOULD BE INCLUDED ON FORM 990, SCHEDULE H, PART I. THE ORGANIZATION BELIEVES THAT THESE SERVICES AND RELATED COSTS PROMOTE THE HEALTH OF THE COMMUNITY AS A WHOLE AND ARE RENDERED IN CONJUNCTION WITH THE ORGANIZATION'S CHARITABLE TAX-EXEMPT PURPOSES AND MISSION IN PROVIDING MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER WITHOUT REGARD TO RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY AND IS CONSISTENT WITH THE COMMUNITY BENEFIT STANDARD PROMULGATED BY THE IRS. THE COMMUNITY BENEFIT STANDARD IS THE CURRENT STANDARD FOR A TAX-EXEMPT AND CHARITABLE ORGANIZATION UNDER THE INTERNAL REVENUE CODE ("IRC") 501(C)(3). SATISFYING THE "COMMUNITY BENEFIT STANDARD," AS ARTICULATED BY THE INTERNAL REVENUE SERVICE (IRS) IN REVENUE RULING 69-545, IS CURRENTLY REQUIRED FOR A HOSPITAL TO BE RECOGNIZED AS A CHARITABLE ORGANIZATION UNDER INTERNAL REVENUE CODE (IRC) 501(C)(3). AS DEVELOPED IN REVENUE RULING 69-545, UNDER THE COMMUNITY BENEFIT STANDARD, HOSPITALS WERE JUDGED ON WHETHER THEY PROMOTE THE HEALTH OF A BROAD CLASS OF INDIVIDUALS IN THE COMMUNITY. THE IRS CONCLUDED THAT THE HOSPITAL WAS "PROMOTING THE HEALTH OF A CLASS OF PERSONS THAT IS BROAD ENOUGH TO BENEFIT THE COMMUNITY" BECAUSE ITS EMERGENCY ROOM WAS OPEN TO ALL AND IT PROVIDED MEDICALLY NECESSARY CARE TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY. OTHER FACTORS THAT DEMONSTRATED COMMUNITY BENEFIT INCLUDED: SURPLUS FUNDS WERE USED TO IMPROVE PATIENT CARE, EXPAND FACILITIES AND ADVANCE MEDICAL TRAINING, EDUCATION AND RESEARCH; AND IT WAS CONTROLLED BY A BOARD OF DIRECTORS THAT CONSISTED OF INDEPENDENT CIVIC LEADERS. PENNSYLVANIA REQUIRES NON-PROFIT HOSPITALS TO PROVIDE A MINIMUM LEVEL OF COMMUNITY BENEFIT TO RETAIN EXEMPTION FROM STATE AND LOCAL TAXES. ACCORDING TO STATE GUIDANCE AND CASE LAW, THE UNREIMBURSED COST OF MEDICARE AND BAD DEBT IS CONSIDERED TO BE COMMUNITY BENEFIT FOR STATE TAX EXEMPTION PURPOSES.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	THE MEDICAL CENTER'S DEBT COLLECTION POLICY PROVIDES THAT THE MEDICAL CENTER WILL PERFORM A REASONABLE REVIEW OF EACH INPATIENT ACCOUNT PRIOR TO TURNING AN ACCOUNT FOR TO A THIRD-PARTY COLLECTION AGENT AND PRIOR TO INSTITUTING ANY LEGAL ACTION FOR NON-PAYMENT, TO ASSURE THAT THE PATIENT AND PATIENT GUARANTOR ARE NOT ELIGIBLE FOR ANY ASSISTANCE PROGRAM (E.G. MEDICAID) AND DO NOT QUALIFY FOR COVERAGE THROUGH THE MEDICAL CENTER'S COMMUNITY ASSISTANCE POLICY. AFTER HAVING BEEN TURNED OVER TO A THIRD-PARTY COLLECTION AGENT, ANY PATIENT ACCOUNT THAT IS SUBSEQUENTLY DETERMINED TO MEET THE MEDICAL CENTER COMMUNITY ASSISTANCE POLICY IS REQUIRED TO BE RETURNED IMMEDIATELY BY THE THIRD-PARTY COLLECTION AGENT TO THE MEDICAL CENTER FOR APPROPRIATE FOLLOW-UP. THE MEDICAL CENTER REQUIRES ITS THIRD-PARTY COLLECTION AGENTS TO INCLUDE A MESSAGE ON ALL STATEMENTS INDICATING THAT IF A PATIENT OR PATIENT GUARANTOR MEETS CERTAIN STIPULATED INCOME REQUIREMENTS, THE PATIENT OR PATIENT GUARANTOR MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE. THE MEDICAL CENTER'S CONTRACTS WITH THIRD PARTY COLLECTION AGENCIES INCLUDE THE FOLLOWING STANDARDS: - NEITHER THE MEDICAL CENTER NOR THEIR COLLECTION AGENCIES WILL REQUEST BENCH OR ARREST WARRANTS AS A RESULT OF NON-PAYMENT; - NEITHER THE MEDICAL CENTER NOR THEIR COLLECTION AGENCIES WILL SEEK LIENS THAT WOULD REQUIRE THE SALE OR FORECLOSURE OF A PRIMARY RESIDENCE; - NO COLLECTION AGENCY MAY SEEK COURT ACTION WITHOUT HOSPITAL APPROVAL. FINALLY, COLLECTION AGENCIES ARE TRAINED ON THE MEDICAL CENTER'S MISSION, CORE VALUES AND STANDARD OF CONDUCT TO MAKE SURE ALL PATIENTS ARE TREATED WITH DIGNITY AND RESPECT.
Schedule H, Part V, Section B, Line 16a FAP website	- ST. JOSEPH MEDICAL CENTER: Line 16a URL: www.pennstatehealth.org/patients-visitors/billing-medical-records/financial-assistance;
Schedule H, Part V, Section B, Line 16b FAP Application website	- ST. JOSEPH MEDICAL CENTER: Line 16b URL: www.pennstatehealth.org/patients-visitors/billing-medical-records/financial-assistance;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- ST. JOSEPH MEDICAL CENTER: Line 16c URL: www.pennstatehealth.org/patients-visitors/billing-medical-records/financial-assistance;
Schedule H, Part VI, Line 2 Needs assessment	COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA): SEE CHNA INFORMATION OCCASIONALLY ADDITIONAL ASSESSMENTS ARE CONDUCTED BY DISEASE SPECIFIC DEPARTMENTS, INSTITUTES, AND PROGRAMS.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: WE BELIEVE THAT RECEIVING HEALTHCARE IS A BASIC HUMAN RIGHT. THE ST. JOSEPH REGIONAL HEALTH NETWORK PARTICIPATES IN THE WIDEST NUMBER OF INSURANCE PROGRAMS OF THE HOSPITALS IN THE REGION. WE REALIZE THAT MANY PEOPLE EITHER CANNOT AFFORD HEALTH INSURANCE OR DO NOT HAVE ENOUGH INSURANCE TO COVER THEIR BILLS. THOSE ARE THE REASONS FOR OUR PAYMENT OPTIONS AND FINANCIAL ASSISTANCE PROGRAM, WHICH IS PUBLICLY POSTED ON THE HOSPITAL WEBSITE: HTTPS://WWW.PENNSTATEHEALTH.ORG/PATIENTS-VISITORS/BILLING-MEDICAL-RECORDS/FINANCIAL-ASSISTANCE. A PRICE ESTIMATOR ALSO WAS ADDED IN ORDER TO FURTHER CREATE PRICE AND COST TRANSPARENCY. WE UNDERSTAND THAT THE NEED FOR HEALTH CARE AND HOSPITAL SERVICES IS OFTEN UNPLANNED, AND SOME PATIENTS MAY NOT HAVE SUFFICIENT INSURANCE, OR MAY BE UNABLE TO PAY THEIR ENTIRE BILL RIGHT AWAY. WE ASSURE PATIENTS THAT ADMISSION TO THE ST. JOSEPH REGIONAL HEALTH NETWORK, NOT A FINANCIAL, DECISION. FOR THOSE WHO NEED TO TAKE ADVANTAGE OF OUR FINANCIAL ASSISTANCE PROGRAMS, WE PROVIDE THE NECESSARY ASSISTANCE IN COMPLETING APPLICATIONS THAT HELP TO DETERMINE ELIGIBILITY FOR FEDERAL, STATE OR COUNTY GOVERNMENT HEALTH CARE ASSISTANCE. WE ALSO OFFER THE ST. JOSEPH REGIONAL HEALTH NETWORK'S OWN ASSISTANCE PLAN THAT CAN PAY ALL OR A SIGNIFICANT PORTION OF HOSPITAL BILLS.
Schedule H, Part VI, Line 4 Community information	THE SERVICE AREA DEFINED FOR PURPOSES OF THE CHNA ENCOMPASSES 225 ZIP CODES IN SIX PENNSYLVANIA COUNTIES: BERKS, CUMBERLAND, DAUPHIN, LANCASTER, LEBANON AND PERRY. THESE SIX FOCUS COUNTIES REPRESENT THE COMMUNITY WHERE HEALTH CARE RESOURCES ARE AVAILABLE AND PROVIDED BY THE PARTNERING PENN STATE HEALTH ORGANIZATIONS. THE COUNTIES ARE ALSO HOME TO THE MAJORITY OF PENN STATE HEALTH'S PATIENT POPULATION. FOR ADDITIONAL DEMOGRAPHIC INFORMATION SEE FULL CHNA REPORT.
Schedule H, Part VI, Line 5 Promotion of community health	PENN STATE HEALTH HAS COMPLETED FIVE CYCLES OF COMMUNITY HEALTH NEEDS ASSESSMENTS AND HAS ESTABLISHED A LONG LEGACY OF COMMUNITY HEALTH PROGRAMMING. MANY PROGRAMS IDENTIFIED IN OUR PREVIOUS PLANS WILL CARRY FORWARD AND BE FURTHER DEVELOPED AND ENHANCED; INCLUDING THOSE COLLABORATED ON WITH MANY PROGRAMS AND PROJECTS WITHIN THE PENN STATE COLLEGE OF MEDICINE: - PENN STATE CANCER INSTITUTE CANCER NAVIGATION AND SURVIVORSHIP NETWORK - PENN STATE ADDICTION CENTER FOR TRANSLATION - PENN STATE CENTER FOR THE PROTECTION OF CHILDREN - PENN STATE REACH (RACIAL AND ETHNIC APPROACHES TO COMMUNITY HEALTH) PROGRAM - PENN STATE PRO WELLNESS - PENN STATE PROJECT ECHO (EXTENSION FOR COMMUNITY HEALTHCARE OUTCOMES) - MEDICAL STUDENT PROGRAMS, INCLUDING THE HEALTH SYSTEMS SCIENCE PATIENT NAVIGATION AND CULINARY MEDICINE COURSES AND THE STUDENT-RUN AND COLLABORATIVE OUTREACH PROGRAM FOR HEALTH EQUITY (SCOPE). - PENN STATE HEALTH OFFICE FOR DIVERSITY, EQUITY AND INCLUSION PIPELINE PROGRAMS - PENN STATE COLLEGE OF MEDICINE DEPARTMENT OF PUBLIC HEALTH SCIENCES - COMMUNITY HEALTH EQUITY & ENGAGEMENT IN RESEARCH (CHEER) PROGRAM - PENN STATE COLLEGE OF NURSING - ASERT COMMUNITY OUTREACH SPECIFIC COMMUNITY HEALTH PROGRAMMING EXECUTED ON BY ST. JOSEPH REGIONAL HEALTH NETWORK IS AS FOLLOWS: - AMERICAN CANCER SOCIETY / RELAY / LEADERSHIP COMMITTEES AND COMMUNITY EVENTS IN MULTIPLE LOCATIONS - ANGEL TREE OF GIVING PROGRAM - BEREAVEMENT SUPPORT GROUP - BLOOD DRIVES - BREAST CANCER SUPPORT SERVICES AND HEALTH SCREENING PROGRAMS - COMMUNITY GARDEN AT GOGGLEWORKS - COMMUNITY PARAMEDICINE - COMMUNITY RELATIONS DEPARTMENT AND MISSION & MINISTRY CHARITABLE PURPOSE SPONSORSHIPS - COMMUNITY RELATIONS DEPARTMENT OUTREACH AND BOARD SERVICE - CORNER STORE INITIATIVE - DENTAL CLINICS - FREE CHILDREN'S CLINICS AT THE DOWNTOWN CAMPUS - EMERGENCY SERVICES COMMUNITY OUTREACH - WORLD WAR II WEEKEND, FLU VACCINE DRIVE T HROUGH EVENTS - EMPLOYER HEALTH FAIRS - SWEET STREET, QUAKER MAID - FARMSTAND / RDG FRESH MARKET AT THE DOWNTOWN CAMPUS AND COMMUNITY HEALTH NURSING OUTREACH AT THE FARMSTAND - FINANCIAL COUNSELING AND INSURANCE ENROLLMENT - INCLUDING CHIP - GREATER READING HEALTHCARE CONNECTIONS INDUSTRY PARTNERSHIP - HIGH SCHOOL INTERNSHIP PROGRAM - HIGI - HISPANIC / LATINO COMMUNITY CANCER ADVISORY / COMMUNITY OUTREACH - ONCOLOGY EDUCATION, COMMUNITY PRESENTATIONS AND SUPPORT SERVICES / GROUPS - OPTHOMOLOGY - FREE COMMUNITY EYE CLINIC - PRAPARE TOOL AND CHARITABLE SUPPORT TO ADDRESS SOCIAL DETERMINANTES OF HEALTH - PHARMACY PATIENT MEDICATON ASSISTANCE - PROJECT SEARCH - READHING SCHOOL DISTRICT BACK TO SCHOOL EVENT - STUDENT SHADOWING AND EDUCATION FOR SOCIAL WORKERS, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, RESPIRATORY THERAPY, NURSING, RADIOLOGY/DIAGNOSTIC, SURGERY, ETC. - TAKE PRIDE IN YOUR HEALTH BREAST HEALTH EDUCATION AND SCREENING - UNITED WAY CAMPAIGN, UNITED WAY DAY OF CARING AND STUFF THE BUS EVENT - VEGGIE RX PROGRAM - WALK WITH A DOC
Schedule H, Part VI, Line 6 Affiliated health care system	ST. JOSEPH REGIONAL HEALTH NETWORK IS A MEMBER OF THE PENN STATE HEALTH SYSTEM. EACH HOSPITAL IN THE SYSTEM HAS A ROLE IN ADDRESSING COMMUNITY HEALTH NEEDS; THESE ROLES ARE DISCUSSED IN THE CHNA AND THE IMPLEMENTATION PLAN. ADDITIONALLY, WE ENCOURAGE READING EACH HOSPITAL'S OWN FEDERAL FORM 990, SCHEDULE H TO HEAR MORE ABOUT PROGRAMS OFFERED IN ITS COMMUNITIES.

Schedule H (Form 990) 2024

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

- TIN:

Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

Schedule I
(Form 990)
(Rev. January 2025)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

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

OMB No. 1545-0047

Open to Public
Inspection

Name of the organization
ST JOSEPH REGIONAL HEALTH NETWORK

Employer identification number
23-1352211

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient

that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC section (if applicable)	(d) Amount of cash grant	(h) Purpose of grant or assistance
(1) Bern Township Police 1069 Old Bernville Rd Reading,PA19605	23-6000249	Government	107,823	Program Support
(2) Breast Cancer Support Services 529 Reading Ave West Reading,PA19611	23-2762595	501(C) (3)	15,000	Program Support
(3) Diocese of Allentown PO Box F Allentown,PA18105	23-1598116	501(c)(3)	13,500	Program Support
(4) Adalyn Rose Foundation 307 Forest Hillcircle Reading,PA19606	84-1746119	501 (C) (3)	5,500	Program Support
(5) Alvernia University 400 Saint Bernadine Reading,PA19607	23-1522643	501(C)(3)	6,700	Program Support

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

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

Cat. No. 50055P

Schedule I (Form 990) Rev. 1-2025

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

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

(1)
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.

Return Reference

Explanation

Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds

IF A REQUEST FOR A CHARITABLE CONTRIBUTION OR GRANT IS APPROVED, THE COMMUNITY RELATIONS DEPARTMENT SENDS AN EMAIL WITH THE FOLLOWING DETAILS: -RECIPIENT IS ASKED TO PROVIDE AN INVOICE FOR PAYMENT, PROVIDING THE EXACT AMOUNT REQUESTED AND DETAILS FOR WHAT IT WILL BE SPENT ON. -THE APPROPRIATE LOGOS AND BRANDING ELEMENTS ARE PROVIDED FOR ANY MESSAGING. -THE FOLLOWING STATEMENT IS INCLUDED: "PENN STATE HEALTH (OR ITS AFFILIATE) IS PROUD TO SPONSOR PROGRAMS THAT SERVE OUR COMMUNITY. THIS ACTIVITY IS CONSISTENT WITH, AND SUPPORTIVE OF, OUR MISSION BY PROVIDING COMMUNITY BENEFIT WITHIN THE COMMUNITIES WE SERVE. ACCORDINGLY, YOU SHOULD CONSIDER THIS DONATION TO BE RESTRICTED TO ITS INTENDED PURPOSE. WE APPRECIATE YOUR SERVICE AND ARE EXCITED TO SUPPORT YOU IN THIS EFFORT!" THE SPONSORSHIPS ARE MONITORED BY THE ORGANIZATION'S COMMUNITY RELATIONS PERSONNEL TO ENSURE THE FUNDS ARE SPENT AS INTENDED AND THE ORGANIZATION MAY REQUEST WRITTEN DOCUMENTATION AND RECEIPTS AS SUBSTANTIATION. ORGANIZATION PERSONNEL ATTEND MANY OF THE EVENTS/CAUSES WE SPONSOR, WORK/ENGAGE ACTIVELY WITH THESE NON-PROFIT ORGANIZATIONS THROUGHOUT THE YEAR, AND TYPICALLY RECEIVE CONFIRMATION LETTERS FROM THE ORGANIZATIONS AS WAYS TO ASSURE OUR CONTRIBUTIONS ARE USED FOR THEIR INTENDED PURPOSES.

Schedule I (Form 990) Rev. 1-2025

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

- TIN:

Schedule J
(Form 990)
(Rev. January 2025)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
medium right arrow graphic

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
medium right arrow graphic

Attach to Form 990.
medium right arrow graphic

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

OMB No. 1545-0047

Open to Public Inspection

Name of the organization

ST JOSEPH REGIONAL HEALTH NETWORK

Employer identification number

23-1352211

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) (Rev. 1-2025)

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)
1DEBORAH ADDO DIRECTOR / PSH CEO	(i) (ii)	0 ------------- 972,726	0 ------------- 458,918	0 ------------- 118,019	0 ------------- 144,734	0 ------------- 10,709	0 ------------- 1,705,106	0 ------------- 0
2JOSEPH FRANK PRESIDENT	(i) (ii)	0 ------------- 496,589	0 ------------- 84,680	0 ------------- 39,940	0 ------------- 26,070	0 ------------- 10,334	0 ------------- 657,613	0 ------------- 0
3KENNETH WOOD DIRECTOR	(i) (ii)	0 ------------- 727,485	0 ------------- 228,114	0 ------------- 24,066	0 ------------- 89,815	0 ------------- 20,563	0 ------------- 1,090,043	0 ------------- 0
4KARTIK SHAH DIR / PRES MED STAFF	(i) (ii)	0 ------------- 549,993	0 ------------- 78,750	0 ------------- 160,565	0 ------------- 26,070	0 ------------- 10,792	0 ------------- 826,170	0 ------------- 0
5LOUIS BORGATTA MD DIRECTOR/PHYSICIAN	(i) (ii)	0 ------------- 429,386	0 ------------- 289,827	0 ------------- 19,759	0 ------------- 26,070	0 ------------- 20,914	0 ------------- 785,956	0 ------------- 0
6MARC ROVITO DIRECTOR/PHYSICIAN	(i) (ii)	0 ------------- 557,329	0 ------------- 85,357	0 ------------- 10,351	0 ------------- 26,070	0 ------------- 25,509	0 ------------- 704,616	0 ------------- 0
7STEPHEN MASSINI PSH CEO - PART YEAR	(i) (ii)	0 ------------- 1,136,520	0 ------------- 707,558	0 ------------- 731,025	0 ------------- 638,691	0 ------------- 21,422	0 ------------- 3,235,216	0 ------------- 0
8PAULA TINCH PSH CFO & EVP - PART YEAR	(i) (ii)	0 ------------- 814,835	0 ------------- 376,957	0 ------------- 199,585	0 ------------- 26,070	0 ------------- 20,923	0 ------------- 1,438,370	0 ------------- 0
9KIMBERLY WOLF EXEC. DIR. / SJRHN SR. MED. DIR.	(i) (ii)	412,564 ------------- 0	44,077 ------------- 0	5,068 ------------- 0	26,070 ------------- 0	1,988 ------------- 0	489,767 ------------- 0	0 ------------- 0
10EDWARD CHABALOWSKI TREASURER/CFO - PART YEAR	(i) (ii)	223,912 ------------- 0	50,386 ------------- 0	136,996 ------------- 0	23,174 ------------- 0	16,694 ------------- 0	451,162 ------------- 0	0 ------------- 0
11RANDY MORRIS TREASURER	(i) (ii)	0 ------------- 331,034	0 ------------- 52,062	0 ------------- 17,679	0 ------------- 26,070	0 ------------- 20,668	0 ------------- 447,513	0 ------------- 0
12ROSS DARROW VICE PRESIDENT, TREASURER	(i) (ii)	0 ------------- 295,418	0 ------------- 49,433	0 ------------- 17,904	0 ------------- 26,070	0 ------------- 28,258	0 ------------- 417,083	0 ------------- 0
13NICOLE LEHMAN SECRETARY (PSU EMP)	(i) (ii)	0 ------------- 285,408	0 ------------- 0	0 ------------- 0	0 ------------- 81,622	0 ------------- 18,739	0 ------------- 385,769	0 ------------- 0
14MICHAEL JUPINA VP COMMUNICATIONS	(i) (ii)	0 ------------- 251,627	0 ------------- 38,325	0 ------------- 1,804	0 ------------- 20,565	0 ------------- 1,613	0 ------------- 313,934	0 ------------- 0
15WENDY CLAYTON VP / CNO	(i) (ii)	252,795 ------------- 0	30,286 ------------- 0	5,789 ------------- 0	22,479 ------------- 0	27,812 ------------- 0	339,161 ------------- 0	0 ------------- 0
16Sara Kleiman PHYSICIAN ADVISOR	(i) (ii)	299,957 ------------- 0	78,298 ------------- 0	44,382 ------------- 0	26,070 ------------- 0	19,522 ------------- 0	468,229 ------------- 0	0 ------------- 0
17Marian Rhoads REGIONAL DIRECTOR	(i) (ii)	206,882 ------------- 0	31,161 ------------- 0	16,225 ------------- 0	17,775 ------------- 0	19,942 ------------- 0	291,985 ------------- 0	0 ------------- 0
18Mamie Eschleman REGISTERED NURSE	(i) (ii)	193,230 ------------- 0	43,158 ------------- 0	7,407 ------------- 0	16,918 ------------- 0	10,892 ------------- 0	271,605 ------------- 0	0 ------------- 0
19Lori Lapish-Heins REGISTERED NURSE	(i) (ii)	183,070 ------------- 0	37,165 ------------- 0	21,353 ------------- 0	17,467 ------------- 0	31,564 ------------- 0	290,619 ------------- 0	0 ------------- 0
20Kirstie Anderson REGISTERED NURSE	(i) (ii)	152,010 ------------- 0	40,146 ------------- 0	20,104 ------------- 0	13,664 ------------- 0	424 ------------- 0	226,348 ------------- 0	0 ------------- 0

Schedule J (Form 990) (Rev. 1-2025)

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, Part I, Line 3 Arrangement used to establish the top management official's compensation	ARRANGEMENT USED TO ESTABLISH THE CEO'S COMPENSATION: COMPENSATION FOR THE CEO (PRESIDENT) IS ESTABLISHED AND PAID BY A RELATED ORGANIZATION. THAT ORGANIZATION USED THE FOLLOWING TO ESTABLISH THE CEO'S COMPENSATION: (1) COMPENSATION COMMITTEE; (2) INDEPENDENT COMPENSATION CONSULTANT; (3) COMPENSATION SURVEY OR STUDY; (4) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.
Schedule J, Part I, Line 4a Severance or change-of-control payment	THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS DURING THE CALENDAR YEAR ENDING WITHIN THIS FISCAL YEAR ENDED JUNE 30, 2025: - EDWARD CHABALOWSKI - $63,252 - STEPHEN MASSINI - $304,920
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan	DURING THE CALENDAR YEAR ENDING WITHIN THIS FISCAL YEAR ENDED JUNE 30, 2025, AN OFFICER AND A DIRECTOR PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. THE BELOW LISTED INDIVIDUALS VESTED IN THE PLAN IN A PRIOR YEAR; THEREFORE, CURRENT YEAR CONTRIBUTIONS ARE TAXABLE AND REPORTED ON SCHEDULE J, PART II, COLUMN B(III), OTHER REPORTABLE COMPENSATION. - JOSEPH FRANK - $17,566 - STEPHEN MASSINI - $114,302 - PAULA TINCH - $46,018 DURING THE CALENDAR YEAR ENDING WITHIN THIS FISCAL YEAR ENDED JUNE 30, 2025, CERTAIN OFFICERS PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. THE BELOW LISTED INDIVIDUALS' CONTRIBUTIONS HAVE NOT YET VESTED; UNVESTED CONTRIBUTIONS ARE REPORTED ON SCHEDULE J, PART II, COLUMN C, RETIREMENT AND OTHER DEFERRED COMPENSATION. - DEBORAH ADDO - $118,664 - KENNETH WOOD - $63,745
Schedule J, Part I, Line 7 Non-fixed payments	BONUSES, PAID BY THE FILING ORGANIZATION OR BY A RELATED ORGANIZATION THAT EMPLOYS THE INDIVIDUALS, ARE BASED ON A NUMBER OF VARIABLES INCLUDING BUT NOT LIMITED TO INDIVIDUAL GOAL ACHIEVEMENTS AS WELL AS ORGANIZATION OPERATION ACHIEVEMENTS. THE FINAL DETERMINATION OF THE BONUS AMOUNT IS DETERMINED AND APPROVED BY THE APPLICABLE BOARD AS PART OF THE OVERALL COMPENSATION REVIEW OF THE OFFICERS, KEY EMPLOYEES AND HIGHEST COMPENSATED.

Schedule J (Form 990) (Rev. 1-2025)

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

- TIN:

SCHEDULE O
(Form 990)
(Rev. January 2025)
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 instructions and the latest information.

OMB No. 1545-0047

Open to Public
Inspection

Name of the organization

ST JOSEPH REGIONAL HEALTH NETWORK

Employer identification number

23-1352211

Return Reference	Explanation
Form 990, Part III, Line 1	CONTINUED: CATHOLIC SPONSORS AND SYSTEMS TO UNITE TO ENSURE THE FUTURE OF CATHOLIC HEALTH CARE. TO FULFILL THIS MISSION, THE CORPORATION, AS A VALUES-BASED ORGANIZATION, WILL ASSURE THE INTEGRITY OF THE MINISTRY IN BOTH CURRENT AND DEVELOPING ORGANIZATIONS AND ACTIVITIES; RESEARCH AND DEVELOP NEW MINISTRIES THAT INTEGRATE HEALTH, EDUCATION, PASTORAL, AND SOCIAL SERVICES; PROMOTE LEADERSHIP DEVELOPMENT AND FORMATION FOR MINISTRY THROUGHOUT THE ENTIRE ORGANIZATION; ADVOCATE FOR SYSTEMIC CHANGES WITH SPECIFIC CONCERN FOR PERSONS WHO ARE POOR, ALIENATED, AND UNDERSERVED; AND STEWARD RESOURCES BY GENERAL OVERSIGHT OF THE ENTIRE ORGANIZATION.
Form 990, Part V, Line 1a	FORM 1096 FOR THE FILING ORGANIZATION IS PROCESSED AND REPORTED BY ITS RELATED ORGANIZATION PENN STATE HEALTH (EIN: 47-3769205).
Form 990, Part VI, Line 6 Classes of members or stockholders	THE FILING ORGANIZATION'S SOLE MEMBER IS PENN STATE HEALTH, A PENNSYLVANIA NONPROFIT CORPORATION.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	DIRECTORS SHALL BE ELECTED BY THE CORPORATE MEMBER, PENN STATE HEALTH. THE CORPORATE MEMBER MAY AT ANY TIME REMOVE, WITH OR WITHOUT CAUSE, ANY MEMBER OF THE BOARD OF DIRECTORS.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	PURSUANT TO SPECIFICATIONS DEFINED IN THE BYLAWS THE CORPORATE MEMBERS HAVE RESERVED POWERS. NOTWITHSTANDING ANY OTHER PROVISIONS OF THESE BYLAWS, THE SOLE MEMBER MUST APPROVE THE FOLLOWING ITEMS, AS APPLICABLE, BEFORE THEY MAY BE IMPLEMENTED BY THIS CORPORATION. THE SOLE MEMBER SHALL HAVE THE AUTHORITY: (A) TO DETERMINE THE NUMBER OF AND TO ELECT AND REMOVE, WITH OR WITHOUT CAUSE, THE DIRECTORS OF THE CORPORATION; (B) TO APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, AND TO DETERMINE THE COMPENSATION OF, THE PRESIDENT; (C) TO ELECT AND REMOVE, WITH OR WITHOUT CAUSE, THE CHAIR AND VICE CHAIR OF THE BOARD, THE SECRETARY (INCLUDING ANY ASSISTANT OR ASSOCIATE SECRETARY), AND THE TREASURER (INCLUDING ANY ASSISTANT TREASURER); (D) TO APPROVE ANY AND ALL AMENDMENTS TO THE ARTICLES OF INCORPORATION OR BYLAWS OF THE CORPORATION; (E) TO ADOPT OR MODIFY THE MISSION, VISION, OR OBJECTIVES OF THE CORPORATION; (F) TO ADOPT ALL LONG-RANGE AND STRATEGIC PLANS; (G) TO APPROVE ALL OPERATING AND CAPITAL BUDGETS; (H) TO APPROVE ALL UNBUDGETED CAPITAL EXPENDITURES AND ALL UNBUDGETED OPERATING EXPENDITURES IN EXCESS OF SUCH AMOUNT AS IS DETERMINED BY OR PURSUANT TO THE POLICIES OF THE SOLE MEMBER; (I) TO APPROVE THE INCURRENCE OF DEBT OR GUARANTEE OF INDEBTEDNESS FOR BORROWED MONEY, OR THE PLEDGE OR MORTGAGE OF ASSETS TO SECURE THE SAME AND TO ESTABLISH AN OBLIGATED GROUP FOR FINANCING PURPOSES; (J) TO DETERMINE ANNUAL DISTRIBUTIONS TO BE MADE TO OR FOR THE BENEFIT OF THE PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE AS ACADEMIC SUPPORT PAYMENTS; (K) TO REQUIRE THE CORPORATION TO PARTICIPATE IN A CENTRALIZED FINANCIAL AND CASH MANAGEMENT SYSTEM FOR PENN STATE HEALTH AND ONE OR MORE OF ITS CONTROLLED AFFILIATES (THE "SYSTEM"); (L) TO APPROVE ANY DONATION OR TRANSFER OF THE CORPORATION'S ASSETS IN EXCESS OF SUCH AMOUNT AS IS DETERMINED BY OR PURSUANT TO THE POLICIES OF THE SOLE MEMBER, OTHER THAN DONATIONS OR TRANSFERS TO THE SOLE MEMBER OR ANOTHER ENTITY IN THE SYSTEM, UNLESS AUTHORIZED IN THE CORPORATION'S APPROVED BUDGET; (M) TO APPROVE AND AUTHORIZE ADDITIONS AND ELIMINATIONS OF CLINICAL SERVICES OF THE CORPORATION AND TO DETERMINE THE DISTRIBUTION OF CLINICAL AND SUPPORT SERVICES ACROSS THE SYSTEM; (N) TO APPROVE THE CREATION OR DISSOLUTION OF, INVESTMENT IN, OR DISPOSITION OF ANY SUBSIDIARY OR JOINT VENTURE AND TO APPROVE ANY OTHER STRATEGIC ALIGNMENT OR FUNDAMENTAL CHANGE TRANSACTION, INCLUDING (I) JOINT OPERATING AGREEMENTS OR MANAGEMENT AGREEMENTS, (II) ACQUISITIONS, DISPOSITIONS OR TRANSFERS OF MATERIAL OPERATIONS, (III) CLOSURE OF FACILITIES, (IV) MERGERS, CONSOLIDATIONS, AND DIVISIONS, (V) THE SALE, PLEDGING, LEASING OR TRANSFER OF ASSETS WITH A VALUE IN EXCESS OF SUCH AMOUNT AS IS DETERMINED BY OR PURSUANT TO THE POLICIES OF THE SOLE MEMBER, AND (VI) THE LIQUIDATION OR DISSOLUTION OF THE CORPORATION; (O) TO ADOPT EMPLOYEE BENEFIT PLANS; (P) TO ADOPT OR APPROVE THE INVESTMENT POLICIES OF THE CORPORATION; (Q) TO SELECT AND APPOINT AUDITORS FOR, AND TO DESIGNATE THE FISCAL YEAR OF, THE CORPORATION; (R) TO RETAIN COUNSEL ON BEHALF OF AND SETTLE ANY LITIGATION AGAINST THE CORPORATION; (S) TO ENTER INTO SYSTEM-WIDE AGREEMENTS ON BEHALF OF THE CORPORATION; AND (T) EXCEPT AS OTHERWISE PROVIDED IN THESE BYLAWS, TO GIVE SUCH APPROVALS AND TAKE SUCH OTHER ACTIONS AS ARE SPECIFICALLY RESERVED TO THE MEMBERS OF A PENNSYLVANIA NONPROFIT CORPORATION UNDER THE PENNSYLVANIA NONPROFIT CORPORATION LAW OF 1988, AS AMENDED (THE "PENNSYLVANIA NONPROFIT CORPORATION LAW").
Form 990, Part VI, Line 11b Review of form 990 by governing body	THE FORM 990 IS PREPARED BY AN EXTERNAL ACCOUNTING FIRM; IT IS REVIEWED BY ACCOUNTING/FINANCE DEPARTMENT PERSONNEL AND THE CHIEF FINANCIAL OFFICER, AND THEN DISTRIBUTED TO ALL MEMBERS OF THE BOARD FOR REVIEW AND COMMENT BEFORE IT IS FILED WITH THE IRS.
Form 990, Part VI, Line 12c Conflict of interest policy	THE FILING ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH ITS CONFLICT OF INTEREST (COI) POLICIES FOR OFFICERS, DIRECTORS, AND KEY EMPLOYEES (COVERED PERSONS). PER THE POLICY, NO COVERED PERSONS MAY ENGAGE IN ANY TRANSACTION OR ARRANGEMENT OR UNDERTAKE POSITIONS WITH OTHER ORGANIZATIONS THAT INVOLVE A CONFLICT OF INTEREST, EXCEPT IN COMPLIANCE WITH THE POLICY. EVERY COVERED PERSON SHALL DISCLOSE ALL ACTUAL AND POTENTIAL CONFLICTS THROUGH AN ANNUAL ONLINE DISCLOSURE STATEMENT AND AS MATTERS INVOLVING AN ACTUAL OR POTENTIAL CONFLICT ARISE. THE BOARD WILL EVALUATE THE DISCLOSURES AND THE MATERIAL FACTS RELATING TO THE TRANSACTION OR ARRANGEMENT GIVING RISE TO THE POTENTIAL CONFLICT TO DETERMINE WHETHER THEY INVOLVE ACTUAL CONFLICTS OF INTEREST AND MAY ATTEMPT TO DEVELOP ALTERNATIVES TO REMOVE THE CONFLICT FROM THE TRANSACTION OR ARRANGEMENT. A COVERED PERSON WHO HAS AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST SHALL NOT BE PRESENT FOR OR SHALL LEAVE ANY PORTION OF A MEETING AT WHICH THE BOARD OF DIRECTORS OR A COMMITTEE IS VOTING TO DETERMINE WHETHER A CONFLICT EXISTS, BUT MAY BE PRESENT PRIOR TO THE VOTE TO MAKE PRESENTATION TO THE BOARD OR COMMITTEE TO DISCLOSE ADDITIONAL FACTS, OR TO RESPOND TO QUESTIONS. THE FILING ORGANIZATION MAY ENTER INTO A TRANSACTION OR ARRANGEMENT IN WHICH A COVERED PERSON HAS AN ACTUAL CONFLICT OF INTEREST IF A MAJORITY OF DIRECTORS WHO HAVE NO INTEREST IN THE TRANSACTION OR ARRANGEMENT APPROVE THE TRANSACTION OR ARRANGEMENT AT A BOARD OR COMMITTEE MEETING AFTER DETERMINING THAT THE TRANSACTION OR ARRANGEMENT IS FAIR AND REASONABLE TO THE CORPORATION, ANY COVERED PERSON WHO HAS A CONFLICT WITH RESPECT TO THE TRANSACTION OR ARRANGEMENT DOES NOT PARTICIPATE IN AND IS NOT PRESENT FOR THE VOTE REGARDING SUCH TRANSACTION OR ARRANGEMENT (EXCEPT THAT THE COVERED PERSON MAY APPEAR AT A MEETING TO ANSWER QUESTIONS), AND IF THE TRANSACTION OR ARRANGEMENT INVOLVES COMPENSATION OR OTHER FINANCIAL BENEFIT TO THE COVERED PERSON, THE BOARD RELIES ON APPROPRIATE COMPARABILITY DATA TO DETERMINE REASONABLENESS. THE FILING ORGANIZATION WILL DOCUMENT THE FOREGOING IN THE MINUTES OF BOARD AND COMMITTEE MEETINGS, AS APPLICABLE. EACH COVERED PERSON MUST SIGN A STATEMENT THAT AFFIRMS THAT HE OR SHE HAS RECEIVED A COPY OF THE COI POLICY, HAS READ AND UNDERSTANDS IT, AND HAS AGREED TO COMPLY WITH IT. IF THE BOARD OF DIRECTORS HAS REASONABLE CAUSE TO BELIEVE THAT A COVERED PERSON HAS FAILED TO COMPLY WITH THE POLICY, THE BOARD MAY COUNSEL THE COVERED PERSON REGARDING SUCH FAILURE AND, IF THE ISSUE IS NOT RESOLVED TO THE BOARD'S SATISFACTION, MAY CONSIDER ADDITIONAL CORRECTIVE ACTION, INCLUDING REMOVAL FROM THE BOARD OF DIRECTORS OR OTHER POSITION WITH THE FILING ORGANIZATION, AS APPROPRIATE.
Form 990, Part VI, Line 15b Process to establish compensation of other employees	THE FILING ORGANIZATION IS PART OF A MULTI-ENTITY HEALTH SYSTEM AND MAY OR MAY NOT DESIGNATE ONE OR MORE OF ITS EMPLOYEES AS A CEO (OR PRESIDENT), OFFICER, OR KEY EMPLOYEE. IF THE FILING ORGANIZATION DOES NOT DESIGNATE INDIVIDUALS TO THESE ROLES, THE ROLE IS HANDLED BY AN INDIVIDUAL FROM THE PARENT ENTITY, PENN STATE HEALTH, OR AN AFFILITATE. PENN STATE HEALTH HAS ESTABLISHED A SYSTEM-WIDE PROCESS FOR ESTABLISHING COMPENSATION AS FOLLOWS: ANNUALLY, THE COMPENSATION COMMITTEE OF THE PARENT BOARD ENGAGES AN INDEPENDENT COMPENSATION CONSULTANT TO CONDUCT A COMPENSATION ANALYSIS FOR THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER (CEO), OFFICERS, AND KEY EMPLOYEES. AS PART OF THE ANALYSIS, THE INDEPENDENT COMPENSATION CONSULTANT IDENTIFIES, GATHERS, AND ANALYZES APPROPRIATE COMPARABILITY DATA UPON WHICH THE COMMITTEE AND THE FULL BOARD WILL RELY TO ASSESS THE REASONABLENESS OF THE TOTAL PROPOSED COMPENSATION (INCLUDING BENEFITS) OF THE CEO, OFFICERS, AND KEY EMPLOYEES. ONCE THE COMPENSATION ANALYSIS IS COMPLETE AND DOCUMENTED IN REPORTS, THE REPORTS ARE PROVIDED TO THE BOARD FOR REVIEW AND CONSIDERATION, TOGETHER WITH WRITTEN OPINIONS FROM THE COMPENSATION CONSULTANT THAT THE PROPOSED COMPENSATION ARRANGEMENTS FOR THE CEO, OFFICERS, AND KEY EMPLOYEES ARE REASONABLE WITHIN THE MEANING OF TREASURY REGULATION 53.4958-4(B)(1)(II)(A). WITH INPUT FROM THE COMPENSATION COMMITTEE, THE FULL BOARD MAKES ANNUAL DECISIONS WITH RESPECT TO COMPENSATION FOR THE CEO, OFFICERS, AND KEY EMPLOYEES BASED UPON THE DATA IN THE REPORT AND THE OPINION OF THE COMPENSATION CONSULTANT THAT THE PROPOSED COMPENSATION IS REASONABLE. THESE DECISIONS, THE BASIS FOR THESE DECISIONS, THE BOARD MEMBERS' NAMES WHO VOTE ON COMPENSATION, AND THAT NONE OF THE BOARD MEMBERS HAVE A CONFLICT OF INTEREST WITH RESPECT TO THESE COMPENSATION ARRANGEMENTS IS ALL CONTEMPORANEOUSLY DOCUMENTED IN THE MINUTES.
Form 990, Part VI, Line 19 Required documents available to the public	THE ORGANIZATION'S CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS OF THE PENNSYLVANIA STATE UNIVERSITY AND ITS SUBSIDIARIES (WHICH INCLUDES PENN STATE HEALTH AND ITS AFFILIATES) ARE AVAILABLE AT WWW.PSU.EDU.
Form 990, Part VII, Section A	PART VII AND SCHEDULE J REFLECT CERTAIN DIRECTORS AND OFFICERS RECEIVING COMPENSATION AND BENEFITS FROM A RELATED ORGANIZATION. PLEASE NOTE THAT REMUNERATION FOR DIRECTORS WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OF A RELATED ORGANIZATION, NOT FOR SERVICES RENDERED AS DIRECTORS OF THE FILING ORGANIZATION.
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue	Other Revenue - Total Revenue: 14942, Related or Exempt Function Revenue: 14942, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	TRANSFER TO AFFILIATE - CLINIC SUPPORT - -48602662; Total - -48602662;
FORM 990, PART VI, LINES 13 & 14 WHISTLEBLOWER POLICY AND DOCUMENT RETENTION/DESTRUCTION POLICY	THE FILING ORGANIZATION FOLLOWS THE WHISTLEBLOWER POLICY AND DOCUMENT RETENTION AND DESTRUCTION POLICY OF A RELATED ORGANIZATION.

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

Cat. No. 51056K

Schedule O (Form 990) (Rev. 1-2025)

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

- TIN:

SCHEDULE R
(Form 990)
(Rev. January 2025)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public Inspection

Name of the organization

ST JOSEPH REGIONAL HEALTH NETWORK

Employer identification number

23-1352211

Part I

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

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity
(1) ST JOSEPH PROVIDER HOSPITAL ORG LLC 100 CRYSTAL A DRIVE MC CA210 HERSHEY,PA17033 46-1482146	CI-NTWK	PA	0	0	SJRHN
(2) ST JOSEPH HEALTH SERVICES LLC 100 CRYSTAL A DRIVE MC CA210 HERSHEY,PA17033 47-3760925	HEALTHCARE	PA	3,088,915	610,699	SJRHN

Part II

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

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)ST JOSEPH MEDICAL CENTER FOUNDATION 100 CRYSTAL A DRIVE MC CA210 HERSHEY,PA17033 23-2649362	FUNDRAISING	PA	501(c)(3)	Type I	SJRHN	Yes
(2)ST JOSEPH MEDICAL GROUP 100 CRYSTAL A DRIVE MC CA210 HERSHEY,PA17033 20-8544021	HEALTHCARE	PA	501(c)(3)	10	PSH	Yes
(3)THE PENNSYLVANIA STATE UNIVERSITY ONE OLD MAIN UNIVERSITY PARK,PA17033 24-6000376	EDUCATION	PA	501(c)(3)	2	NA		No
(4)PENN STATE HEALTH 100 CRYSTAL A DRIVE MC CA210 HERSHEY,PA17033 47-3769205	HEALTHCARE	PA	501(c)(3)	Type I	PSU	Yes
(5)THE MILTON S HERSHEY MEDICAL CENTER 100 CRYSTAL A DRIVE MC CA210 HERSHEY,PA17033 25-1854772	HEALTHCARE	PA	501(c)(3)	3	PSH	Yes
(6)PENN STATE HEALTH LANCASTER MEDICAL CENTER 100 CRYSTAL A DRIVE MC CA210 HERSHEY,PA17033 85-1620900	HEALTHCARE	PA	501(c)(3)	3	PSH	Yes
(7)PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER 100 CRYSTAL A DRIVE MC CA210 HERSHEY,PA17033 23-1512747	HEALTHCARE	PA	501(c)(3)	3	PSH	Yes
(8)HOLY SPIRIT CORPORATION 100 CRYSTAL A DRIVE MC CA210 HERSHEY,PA17033 23-2214540	REAL ESTATE	PA	501(c)(2)		PSHHSMC	Yes
(9)PENN STATE HEALTH HAMPDEN MEDICAL CENTER 100 CRYSTAL A DRIVE MC CA210 HERSHEY,PA17033 85-1608328	HEALTHCARE	PA	501(c)(3)	3	PSH	Yes
(10)PENNSYLVANIA PSYCHIATRIC MEDICAL SERVICES 100 CRYSTAL A DRIVE MC CA210 HERSHEY,PA17033 82-2969322	HEALTHCARE	PA	501(c)(3)	3	PPI	Yes
(11)PENNSYLVANIA PSYCHIATRIC INSTITUTE 100 CRYSTAL A DRIVE MC CA210 HERSHEY,PA17033 26-1699000	HEALTHCARE	PA	501(c)(3)	3	MSHMC	Yes

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

Cat. No. 50135Y

Schedule R (Form 990) (Rev. 1-2025)

Page 2

Part III

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

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(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) HERSHEY OUTPATIENT SURGERY CENTER LP 15305 DALLAS PKWY ADDISON,TX75001 20-0469951	HEALTHCARE	PA	NITTANY HLTH				No			No
(2) SCOL HOLDINGS LLC 5000 COLLEGE BLVD STE 400 OVERLAND PARK,KS66211 87-1736200	HEALTHCARE	KS	NITTANY HLTH				No			No
(3) Lancaster Orthopedic Group Surgery Center LLC 413 GRANITE RUN DRIVE LANCASTER,PA17601 85-4269989	HEALTHCARE	PA	PSH				No			No

Part IV

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

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	Yes	No
(1) NITTANY HEALTH INC 100 CRYSTAL A DRIVE MC CA210 HERSHEY,PA17033 25-1769611	HEALTHCARE	PA	PSH	C Corporation					No

Schedule R (Form 990) (Rev. 1-2025)

Page 3

Part V

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

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

Yes

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

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

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

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

Yes

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

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

Yes

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

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

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

Yes

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

Yes

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

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

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

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

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

Yes

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

Yes

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

Yes

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

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

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

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

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) ST JOSEPH MEDICAL CENTER FOUNDATION	C	1,928,037	FMV

Schedule R (Form 990) (Rev. 1-2025)

Page 4

Part VI

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

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

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(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

Schedule R (Form 990) (Rev. 1-2025)

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R. See instructions.

Return Reference	Explanation
SUPPLEMENT INFROMATION	SCHEDULE R LISTS ONLY THOSE RELATED ORGANIZATIONS THAT RELATE TO THE HEALTH CARE OPERATIONS UNDER THE COMMON CONTROL OF THE PENNSYLVANIA STATE UNIVERSITY.

Schedule R (Form 990) (Rev. 1-2025)

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

1	Briefly describe the organization’s mission or most significant activities: TO NURTURE THE HEALING MINISTRY OF THE CHURCH, SUPPORTED BY EDUCATION AND RESEARCH.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	14
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	8
5	Total number of individuals employed in calendar year 2024 (Part V, line 2a) ......	5	1,768
6	Total number of volunteers (estimate if necessary) .............	6	77
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	1,056,437
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	5,042,555	3,374,633
9	Program service revenue (Part VIII, line 2g) .........	350,963,714	360,850,885
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	-133,124	-50,631
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	1,745,074	1,770,596
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	357,618,219	365,945,483
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	196,133	216,678
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)	124,771,132	128,132,749
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	227,904,676	184,830,365
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	352,871,941	313,179,792
19	Revenue less expenses. Subtract line 18 from line 12.......	4,746,278	52,765,691
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	169,838,071	152,441,303
21	Total liabilities (Part X, line 26).............	108,330,643	86,770,846
22	Net assets or fund balances. Subtract line 21 from line 20.....	61,507,428	65,670,457

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 203,603,001 including grants of $ 216,678 ) (Revenue $ 359,852,858 )
	PENN STATE HEALTH ST. JOSEPH MEDICAL CENTER IS A 204-BED ACUTE CARE HOSPITAL IN BERN TOWNSHIP, PA., THAT PROVIDES PATIENTS ADVANCED OUTPATIENT AND INPATIENT DIAGNOSTIC, MEDICAL AND SURGICAL SERVICES, INCLUDING MINIMALLY INVASIVE SURGERY. THE MEDICAL CENTER PROVIDES HIGHLY SKILLED, EXPERIENCED SURGEONS THAT TREAT A WIDE RANGE OF CONDITIONS, INCLUDING APPENDICITIS, HERNIAS, GALLBLADDER DISEASES, STOMACH AND INTESTINAL ISSUES, BREAST CANCER, AND BREAST RECONSTRUCTION SURGERY. THE MEDICAL CENTER USES ADVANCED TECHNIQUES SUCH AS MINIMALLY INVASIVE LAPAROSCOPIC AND ROBOTIC-ASSISTED SURGERY TO ASSIST WITH COMPREHENSIVE TREATMENT FOR AN ACTIVE, PAIN FREE LIFE.

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses203,603,001

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)				(D) Reportable compensation from the organization (W-2/1099-MISC/1099-NEC)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and title
(18) PAULA TINCH........................................................................ PSH CFO & EVP - PART YEAR	1.0 .......................49.0	X			0	1,391,377	46,993
(19) RANDY MORRIS........................................................................ TREASURER	1.0 .......................49.0	X			0	400,775	46,738
(20) ROSS DARROW........................................................................ VICE PRESIDENT, TREASURER	1.0 .......................49.0	X			0	362,755	54,328
(21) STEPHEN MASSINI........................................................................ PSH CEO - PART YEAR	1.0 .......................49.0	X			0	2,575,103	660,113
(22) MICHAEL JUPINA........................................................................ VP COMMUNICATIONS	40.0 .......................0.0		X		0	291,756	22,178
(23) WENDY CLAYTON........................................................................ VP / CNO	50.0 .......................0		X		288,870	0	50,291
(24) Kirstie Anderson........................................................................ REGISTERED NURSE	50.0 .......................0			X	212,260	0	14,088
(25) Lori Lapish-Heins........................................................................ REGISTERED NURSE	50.0 .......................0			X	241,588	0	49,031
(26) Mamie Eschleman........................................................................ REGISTERED NURSE	50.0 .......................0			X	243,795	0	27,810
(27) Marian Rhoads........................................................................ REGIONAL DIRECTOR	50.0 .......................0			X	254,268	0	37,717
(28) Sara Kleiman........................................................................ PHYSICIAN ADVISOR	50.0 .......................0			X	422,637	0	45,592

1b	Sub-Total..............
c	Total from continuation sheets to Part VII, Section A..
d	Total (add lines 1b and 1c).........	2,536,421	10,639,028	1,660,816

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	3,167,484
e	Government grants (contributions)		1e	197,000

f	All other contributions, gifts, grants, and similar amounts not included above		1f	10,149

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

h Total. Add lines 1a-1f.......		3,374,633

		Business Code
2a	NET PATIENT SERVICES	622110	347,799,576	347,799,576
b	PHARMACY & LAB REVENUE	622110	13,051,309	11,994,872	1,056,437
c
d
e
f	All other program service revenue.		0	0	0	0
g	Total. Add lines 2a–2f .....		360,850,885

3 Investment income (including dividends, interest, and othersimilar amounts) ......			4,462			4,462
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
			(i) Real	(ii) Personal
6a	Gross rents	6a	1,202,441
b	Less: rental expenses	6b	0
c	Rental income or (loss)	6c	1,202,441	0
d	Net rental income or (loss).......			1,202,441			1,202,441
			(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	7a		47,028
b	Less: cost or other basis and sales expenses	7b		102,121
c	Gain or (loss)	7c	0	-55,093
d	Net gain or (loss).........			-55,093			-55,093
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	Incentive Income		900099	378,369			378,369
b	Gift Shop Sales		900099	131,376			131,376
c	Medical fitness program		622110	43,468	43,468
d	All other revenue ....			14,942	14,942	0	0
e	Total. Add lines 11a–11d ......			568,155
12	Total revenue. See instructions.....			365,945,483	359,852,858	1,056,437	1,661,555

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	216,678	216,678
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 ...........	1,282,145	172,091	1,110,054
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........
7	Other salaries and wages........	100,531,607	87,802,586	12,729,021
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	3,709,612	1,413	3,708,199
9	Other employee benefits .......	15,375,345	178,437	15,196,908
10	Payroll taxes ...........	7,234,040	23,343	7,210,697
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	1,558		1,558
c	Accounting ...........
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	22,189,664	17,215,372	4,974,292	0
12	Advertising and promotion ....
13	Office expenses .......	2,302,807	1,834,014	468,793
14	Information technology ......
15	Royalties ..
16	Occupancy ...........	8,897,584	4,062,928	4,834,656
17	Travel ............	126,891	114,804	12,087
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	29,196	12,457	16,739
20	Interest ...........	2,712,282	2,451	2,709,831
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	11,209,921	6,836,032	4,373,889
23	Insurance ...	6,675,872	6,030,868	645,004
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	MEDICAL SUPPLIES	77,282,076	77,282,076
b	ALLOCATED CORP SERVICES	50,884,658		50,884,658
c	REPAIRS AND MAINTENANCE	978,279	613,674	364,605
d	Return of Grant - PEMA	552,942	552,942
e	All other expenses	986,635	650,835	335,800	0
25	Total functional expenses. Add lines 1 through 24e	313,179,792	203,603,001	109,576,791	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 ........			860	1	660
2	Savings and temporary cash investments .........			2,562,114	2	1,375,268
3	Pledges and grants receivable, net ......				3	550,000
4	Accounts receivable, net .............			56,402,837	4	48,252,073
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 .......
				0	5	0
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) ...
				0	6	0
7	Notes and loans receivable, net ...........				7
8	Inventories for sale or use ............			6,707,854	8	6,343,875
9	Prepaid expenses and deferred charges ......			1,764,420	9	1,272,887
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	168,467,020
b	Less: accumulated depreciation	10b	89,952,288	84,711,118	10c	78,514,732
11	Investments—publicly traded securities .				11
12	Investments—other securities. See Part IV, line 11 .....			0	12
13	Investments—program-related. See Part IV, line 11 ..			0	13
14	Intangible assets ...............				14	120,000
15	Other assets. See Part IV, line 11 ...........			17,688,868	15	16,011,808
16	Total assets. Add lines 1 through 15 (must equal line 33)...			169,838,071	16	152,441,303

17	Accounts payable and accrued expenses .....	28,331,200	17	23,381,090
18	Grants payable ...		18
19	Deferred revenue .........	1,460,597	19	1,062,339
20	Tax-exempt bond liabilities .........		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
		0	22	0
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	78,538,846	25	62,327,417
26	Total liabilities. Add lines 17 through 25..	108,330,643	26	86,770,846

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	58,620,906	27	62,317,472
28	Net assets with donor restrictions ...........	2,886,522	28	3,352,985
	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 ...........	61,507,428	32	65,670,457
33	Total liabilities and net assets/fund balances ........	169,838,071	33	152,441,303