Reading Health System

“The form 990 is prepared by hospital staff, reviewed by an external tax advisor and posted on a website for board members prior to filing with the irs. Members are alerted to information and notices. A copy of the 990 is mailed to any board member unable to view this site.”

“It shall be the policy of the hospital to require each board member, officer and key employee to submit in writing to the chief executive officer a list of business or other organizations of which the member, member's spouse, a descendant, or a spouce of a descendant is an officer, director, member employee or owner (35% or greater share) with which the company might reasonably enter into a relationship or a transaction in which the board member, officer and key employee would have conflicting interests. Each year a copy of the written statement will be sent to the board member for updating and resubmission and by which the board member, officer and key employee shall confirm his or her awareness of this policy. Procedures for addressing a conflict of interest: a. After the board or committee has determined that a member is indeed conflicted, the conflicted person may be counted in determining whether there is a quorum to act, but may not vote upon the matter. The conflicted member, or a conflicted officer who is not a member, may nevertheless make a presentation to the board or committee on the matter but, after the presentation, the conflicted person shall leave the meeting during the discussion of and vote on the matter. B. The board or committee chair may appoint one or more disinterested persons to investigate possible resolutions of the matter that are devoid of the conflict of interest. C. The board or committee shall exercise due diligence to determine whether th can address the matter more advantageously by means that avoid the conflict of interest. D. If the matter cannot be addressed more advantageously by means that avoid the conflict of interest, or if other approaches to resolution are impractical under the circumstances, the board or committee shall determine whether the proposed transaction or contract is in th's best interests, whether it is fair and reasonable, and whether to enter into it. E. If the board determines that there has been a violation of this policy, the board shall take appropriate disciplinary and corrective action, which may include removal (if the interested person is a board or committee member) or termination (if the interested person is an employee). Intentionally or repeatedly failing to adhere to this policy is grounds for removal from the board and its committees.”

“Tower health's board of directors has duly appointed an executive compensation committee (the "committee"), which is responsible for the review and approval of all compensation and benefits provided to the hospital's executive management. The committee has adopted a written executive compensation philosophy statement and an executive compensation committee charter governing the work and review process of the committee. The committee follows the procedures described in the philosophy statement and the charter when it reviews and approves the compensation and employee benefits provided to the hospital's senior management, including the chief executive officer and the chief financial officer. The committee's review analyzes every element of compensation, including current and deferred compensation, and benefits, including qualified and non-qualified benefits. The committee conducts its review and approval process at least annually, and approves compensation and benefits only to the extent that the committee has concluded that the compensation and benefits constitute no more than reasonable compensation for each executive. The committee consists entirely of disinterested members of the board, and the committee works with an independent compensation consultant to prepare and review in advance comprehensive data showing the compensation provided by similarly situated organizations for functionally similar positions. The committee also prepares a timely and thorough written record of its deliberations and conclusions. As a result, the committee's review process is designed to satisfy the procedural criteria necessary to qualify for the rebuttable presumption of reasonableness under the federal income tax law intermediate sanctions rules.”

“Same response as line 15a.”

“The organization does not make its governing documents, conflicts of interest policy and financial statements available to the public.”

“The mission of tower health is to provide compassionate, accessible, high quality, cost effective healthcare to the community; to promote health; to educate healthcare professionals; and to participate in appropriate clinical research. Tower health (parent) is a non-profit healthcare system that provides charitable community-based healthcare services and programs to improve the health and well-being of the people and the communities it serves in the greater berks, montgomery and chester areas through its subsidiaries (see form 990, schedule r). Subsidiaries include but are not limited to brandywine hospital, chestnut hill hospital, jennersville, hospital, phoenixville hospital, and pottstown hospital, the five of which are held in single member llcs that tower health is the sole member of. As a result, these are treated as disregarded entities and all of their income and activities are reported on tower health's form 990. Other community benefit activities include: potttown: pottstown hospital believes in the importance of conducting appropriate clinical research that increases generalizable knowledge and advances health. In fy2022, pottstown hospital's cancer center participated in over 16 research studies. Pottstown hospital is committed to supporting community projects and events that align with the mission, vision, values, and community benefit objectives of the hospital. During fy2022, the hospital supported 15 local non-profit organizations through the community wellness sponsorship program. This totaled more than 37,000 and impacted more than 12,000 individuals. Funding was used to incorporate a behavioral health counselor in a local school district, support neighborhood revitalization efforts, fund meals on wheels, encourage healthy eating at the local farmers market, provide baby formula during the nation-wide shortage to low-income families in need, support caregiver efforts, ensure housing for the homeless, fund mental health improvement strategies, support dei efforts, and provide healthy snacks for low-income youth during summer camp. Pottstown hospital's paths program offers enrollment assistance for medicaid. In fy22, over 2,074 individuals were connected to medical assistance. Over 150 employees donated blood during three blood drives throughout fy2022. The drives were hosted in partnership with the red cross. Pottstown hospital encourages staff members to volunteer at local non- profit organizations and/or serve on board of directors during the workday. In fy2022, staff donated their time on economic development councils, the local chamber of commerce, and local foundations/non-profits focused on education, senior services, veterans' services, food insecurity, and non- profit capacity building. Phoenixville: phoenixville hospital's paths program offers enrollment assistance for medicaid and prescription assistance for the hospital's cancer infusion center patients, as well as for other health services. The cancer center at phoenixville hospital maintains a patient assistance fund to aid patients with copays, transportation, medications, and other needs. Many members of phoenixville hospital's staff dedicate time and knowledge assisting non-profit organizations, economic development councils, and the local chamber of commerce within the community through their service on boards and committees. Phoenixville hospital provides financial support to the operation of the phoenixville hospital thrift shop which provides the community a resource to shop. Thrift shop proceeds are donated annually to local non-profits. For fy22 a total of 57200 was donated back to community non-profit organizations. Phoenixville hospital also provides support to seven local nonprofits allowing them to lease space for 1 per year in the bookworm building. Volunteers are a very important part of our hospital community. We utilize volunteers at the thrift shop, at the hospital and at our limerick campus. For fy22 we had sixty (60) volunteers”

“Hospital closure: jennersville hospital llc (ein 82-2116582), located at 1015 w. Baltimore pike, west grove, chester county, pennsylvania 19390, is a 52-bed licensed acute care hospital which was acquired by tower health from community health systems, llc, effective as of october 1, 2017. Since the acquisition, tower health has made substantial investments in both the physical space and human resources and has reconfigured services with the goals of attempting to make the hospital a viable operating entity. Despite continued efforts, jennersville hospital continued to sustain substantial losses, experience substantial competition in the service area, and experienced a lack of success when recruiting new medical staff in key specialties. The hospital also experienced a downward trend in patient volumes, as well as accelerated nursing and other staff turnover resulting in excessive vacancies. As a result of these factors, tower health has concluded that the long-term viability of jennersville hospital was not feasible. Jennersville hospital llc (ein 82-2116582) closed effective december 31, 2021. Brandywine hospital llc (ein 82-2086906), located at 201 reeceville road, coatesville, chester county, pennsylvania 19320, is a 171-bed licensed acute care hospital which was acquired by tower health from community health systems, llc, effective as of october 1, 2017. Since the acquisition, tower health has made substantial investments in both the physical space and human resources and has reconfigured services with the goals of attempting to make the hospital a viable operating entity. Despite continued efforts, brandywine hospital continued to sustain substantial losses, experience substantial competition in the service area, and experienced a lack of success when recruiting new medical staff in key specialties. The hospital also experienced a downward trend in patient volumes, as well as accelerated nursing and other staff turnover resulting in excessive vacancies. As a result of these factors, tower health has concluded that the long-term viability of brandywine hospital was not feasible. Brandywine hospital llc (ein 82-2086906) closed effective january 31, 2022.”

“Board members without compensation are volunteers.”

“To address food insecurity, pottstown hospital developed a 100% subsidized community supported agriculture (csa) program called youth grow csa. This program is implemented in partnership with greenallies, a local non-profit organization focused on sustainability and environmental education. This program operates a one-acre farm in pottstown, pa and provided over 2,000 lbs. Of organic produce to 25 low-income families during fy2022. This impacted over 100 individuals. Another program that was developed to address food insecurity is the community fridge. The new community fridge is located on high st. In the center of pottstown borough. It is open 24/7 and is stocked with fresh produce, ready to eat meals, snacks, water, and essential items like eggs and bread. Community members are able to "take what they need and leave what they don't". In addition, the hospital developed a new community garden onsite at the hospital that provides fresh herbs. Herbs are a simple way to add healthy flavor to recipes, and yet the cost of herbs is a barrier to our community. This new herb garden promotes healthy eating through educational opportunities as well. Pottstown hospital participates in the community connection project (ccp), which implements the center for medicare and medicaid's accountable health communities (ahc) model. Through the program, eligible medicare and medicaid patients are screened for health-related social needs in the areas of food, housing, utilities, transportation, and safety. Patients are then risk-stratified based on needs and number of emergency department visits. All patients who screen positive for social needs are provided a community referral summary that provides information on resources available in the community to help address their unmet needs. High-risk patients (1 or more social needs and 2 or more ed visits) are also offered one-year of navigation services, in which a navigator creates closed-loop referrals to community organizations. The goal of the program is to test whether systematically identifying and addressing health-related social needs of this population impacts health quality. In fy2022, over 829 screenings were completed and over 190 navigation cases were opened. This program is fully funded through a cms grant. Disease prevention and management: in an effort to address chronic disease prevention and management, pottstown hospital has implemented a number of initiatives throughout its primary service area. Pottstown hospital designed a new program called medicine on the move. Medicine on the move is a walk and talk style program aimed at providing disease prevention and education. The group meets at a local park to learn about a specific health topic. All participants receive a free pedometer to encourage continuous physical activity. Following the education, participants take a walk around the park and can continue to engage with the provider and ask any questions they might have. Following the walk, participants receive a healthy snack. There were five medicine on the move events in fy22 featuring the following disease prevention topics: diabetes and hypertension, stroke, physical activity, nutrition, and diverticulitis. There was an increased focus on cancer screenings and cancer education that specifically targeted vulnerable populations. Free screening events were held throughout the year to address this health disparity. These events were conducted in partnership with the local federally qualified health center (fqhc) to specifically screen individuals without health insurance. Through these events, 9 breast cancer screenings and 11 skin cancer screenings were conducted. In addition, pottstown hospital enrolled in a new research study aiming to return lung cancer screening rates to pre- pandemic rates. With covid-19, our hospital noticed a significant decrease in lung cancer screenings. To combat this, the hospital began a targeted effort to educate providers, community partners, and t”

“Er/nursing inpaitent & outpatient program: brandywine hospital brandywine hospital emergency department provides emergency, urgent and primary care services to the community "24/7/365", regardless of ability to pay. Brandywine hospital also provides immediate access through its emergency department to all specialty services. Emergency room visits for fy22 were 12,171. Brandywine hospital inpatient units includes medical surgical, telemetry and intensive care units that provide acute in-patient services including support services such as laboratory, pharmacy, physical therapy, respiratory therapy, and radiology. Total patient days for fy22 were 8,664. The behavioral health unit at brandywine hospital provides 24-hour supervision, treatment, stabilization and placement for adults and older adults coping with a variety of issues, focusing on returning the individual to the highest level of functioning possible. The inpatient eating disorders program provides an individualized treatment plan, group and individual therapy and psychiatric care for individuals ages 13 and older. Total patient days for fy22 were 8,835. Chestnut hill hospital: chestnut hill hospital (chh) emergency department provides emergency, urgent and primary care services to the community "24/7/365", regardless of ability to pay. Chh provides immediate access through its emergency department to all specialty areas. Chh remains committed to their goal of seeing patients in 30 minutes or less. Emergency room visits for fy22 were 40,160. Chestnut hill hospital inpatient units include medical surgical, telemetry and intensive care units that provide acute in-patient services such as laboratory, pharmacy, physical therapy, respiratory therapy, and radiology. Total patient days for fy22 were 31,276. The behavioral health unit at chestnut hill hospital provides 24 hour supervision, treatment, stabilization and placement for adults and older adults coping with a variety of issues, focusing on returning the individual to the highest level of functioning possible. Total patient days for fy22 were 5,816. Jennersville hospital: jennersville hospital emergency department provides emergency, urgent and primary care services to the community "24/7/365", regardless of ability to pay. Jennersville hospital also provides immediate access through its emergency department to all specialty services. Emergency room visits for fy22 were 7,137. Jennersville hospital inpatient units include medical surgical, telemetry and intensive care units that provide acute in-patient services such as laboratory, pharmacy, physical therapy, respiratory therapy, and radiology. Total patient days for fy22 were 2,768. Phoenixville hospital: phoenixville hospital emergency department provides emergency, urgent and primary care services to the community "24/7/365" regardless of ability to pay. Phoenixville hospital also provides immediate access through its emergency department to all specialty services, from surgeons to all areas of specialty care. Phoenixville hospital had "24/7/365" on-call consultants for pediatric emergency cases through st. Christopher's hospital for children. Local ems providers rely on phoenixville hospital for on-going medical education. Emergency room visits for fy22 were 22,127. Phoenixville hospital inpatient units include medical surgical, telemetry and intensive care units, labor and deliver, rehabilitation, nursery and nicu. They provide inpatient acute services including support such as laboratory, pharmacy, physical therapy and radiology. Total patient days for fy22 were 36,567. Pottstown hospital: pottstown hospital emergency department provides emergency, urgent and primary care services 24/7/365 to the community. The emergency department serves patients from berks, montgomery and chester counties. The pottstown hospital emergency department is the second busiest emergency department in montgomery county. There is a full complement of specialty services provided at the”

“Operating room services: brandywine hospital: brandywine hospital's surgical service line care for both inpatient and outpatient in need of surgical procedures including but not limited to the following specialties: ent, gastroenterological, gynecologic, ophthalmology, urologic, vascular and general surgery. Total procedures for fy22 were 879. Chestnut hill hospital: chestnut hill hospital's surgical department provides surgical services to our community in both an inpatient and outpatient setting. Services include: bariatrics, ent, gastroenterology, gynecology, orthopedics, pain management, plastics, podiatry, pulmonology, thoracic, urology, vascular, and general surgery. Total procedures for fy22 were 4,016. Jennersville hospital: jennersville hospital's surgical service department cares for both inpatient and outpatient in need of surgical procedures including but not limited to the following specialties: ent, gastroenterological, gynecologic, ophthalmology, urologic, vascular and general surgery. Total procedures for fy22 were 1,043. Phoenixville hospital: phoenixville hospital's surgical department provides surgical services to the community in both an inpatient and outpatient setting. These services include: cariology, cardio, thoracis, ent, orthopedics, gynecology, obstetrics, urology, pain management, plastic, podiatry, neuro and general surgery. Total procedures for fy22 were 7,946. Pottstown hospital: pottstown hospital's surgical services department provides emergent, urgent and elective surgeries to the community on an inpatient and outpatient basis. Emergency cases can be done 24/7/365 and patients needing a higher level of care can be transferred to tertiary centers in the area. Pottstown hospital offers, orthopedic, vascular, spine, ent, maxofacial, plastic, ob/gyn, ophthalmologic, urologic, podiatric and general surgery. Total procedures for fy22 were 4,782.”

“Radiology/imaging program: brandywine hospital: brandywine hospital radiology department provides imaging services to the community in both an inpatient and outpatient setting in two locations. These services include but are not limited to pet scans, ultrasounds, ct scans, mris, nuclear medicine, interventional radiology and mammograms. Total procedures for fy22 were 22,154. Chestnut hill hospital: chestnut hill hospital radiology department provides imaging services to the community in both an inpatient and outpatient setting. These services include but are not limited to pet scans, ultrasounds, cat scans, mris, nuclear medicine, interventional radiology, and mammograms. Chestnut hill hospital provides free screenings throughout the community and offers financial assistance for mammograms via funds received at local charitable events hosted/sponsored by chestnut hill hospital. Total procedures for fy22 were 99,749. Jennersville hospital: jennersviile hospital radiology department provides imaging services to the community in both an inpatient and outpatient setting in two locations. These services include but are not limited to pet scans, ultrasounds, ct scans, mris, nuclear medicine, interventional radiology and mammograms. Total procedures for fy22 were 11,738. Phoenixville hospital: phoenixville hospital radiology department provides imaging services to the community in both an inpatient and outpatient setting in two locations. These services include but are not limited to pet scans, ultrasounds, ct scans, mris, nuclear medicine, interventional radiology and mammograms. Phoenixville hospital offers free mammograms to the underinsured and uninsured patients. Total procedures for fy22 were 78,770. Pottstown hospital: pottstown hospital radiology department provides imaging services to the community in both an inpatient and outpatient setting in two locations. These services include but are not limited to pet scans, ultrasounds, ct scans, mris, nuclear medicine, interventional radiology and mammograms. Total procedures for fy22 were 88,082.”

“Expenses incurred in providing various other medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin, or ability to pay. Services include but are not limited to: brandywine hospital: brandywine hospital provides outpatient services for laboratory, radiology, wound care, sleep and respiratory/pt/ot/speech therapy patients. We also provide outpatient infusion services to oncology patients in the community. Total outpatient visits for fy22 were 20,194. Brandywine hospital provides pharmacy support to all inpatients with their pharmaceutical needs. Chestnut hill hospital: chestnut hill hospital provides a full range of outpatient, diagnostic and treatment services for people in northwest philadelphia and eastern montgomery county. Other than imaging, chestnut hill hospital's areas of focus for outpatients are women's services, rehabilitation services and sleep care. Total outpatient visits for fy22 were 97,419. Oncology and hematology services at chestnut hill hospital include comprehensive cancer services in caring in a caring and compassionate setting. We provide hope with proven cancer treatments. Our cancer services include financial counseling and an online patient portal at the practice to improve patient access and communication. Free community lectures on cancer screenings are provided during the year. Total procedures in fy22 were 146. Chestnut hill hospital provides pharmacy support to all inpatient with their pharmaceutical needs. Jennersville hospital: jennersville hospital provides outpatient services for laboratory, radiology, wound care, sleep and respiratory/pt/ot/speech therapy patients. We also provide outpatient infusion services to oncology patients in the community. Total outpatient procedures for fy22 were 49,508. Jennersville hospital provides pharmacy support to all inpatients with their pharmaceutical needs. Phoenixville hospital: phoenixville hospital provides outpatient services for laboratory, radiology patients and dialysis patients. Cancer center patients receive outpatient services based on their treatment plan. Cardio-pulmonary patients utilize the 1st floor rehabilitation gym for prescribed and monitored outpatient exercise. Total procedures for fy22 were 323,674. Phoenixville hospital oncology services department provides medical oncology and radiation therapy services to the community. We provide charity services to our service area who meet our charity policy guidelines. Targeted therapies in our recently renovated infusion suite selectively affect only the cells related to a particular cancer, causing less damage and fewer side effects to surrounding non-cancerous cells and body systems than traditional chemotherapy drugs. Phoenixville hospital actively participates in a number of preventive and treatment clinical trials through the cancer trial support unit (ctsu). Total procedures for fy22 were 9,385 phoenixville hospital provides pharmacy support to all inpatients and cancer center patients with their pharmaceutical needs. Pottstown hospital: pottstown hospital provides outpatient services for laboratory, radiology, wound care, and pt/ot/speech therapy patients. Total procedures for fy22 were 324,250. Pottstown hospital cancer center provides inpatient, outpatient and infusion services to oncology patients in the community. The pottstown hospital cancer center offers a robust service line inclusive of medical and radiation oncology with rapid arc technology with linear accelerator and cyberknife capabilities. The pottstown hospital cancer center is a five-time recipient of the american college of surgeons council on cancer outstanding achievement award. There are only 4 cancer centers in the united states who have achieved this distinction. Pottstown hospital actively participates in a number of preventive and treatment clinical trials through the cancer trials support unit (ctsu). Total procedures for f”

“The organization does not file forms w-2, 1099-misc,of forms 1096. The organization and its related organization, reading hospital (ein 23- 1352204), share administrative responsibilities. As such, reading hospital administers payments to independent consultants and furnishes forms 1099- misc, as required, and is responsible for filing tower health's (ein 23- 2201344)form 1096 and w-2 filings.”

“Outside serv/other fees 37,993,149 0 0 outside serv/other fees 0 3,426,634 0 physican fees/other 22,447,580 0 0 physician fees/other 15,834,031 0 0 physician fees/other 8,044,650 0 0 physician fees/other 33,293,329 0 0 total 117,612,739 3,426,634 0”

“Unrestricted net assets -4,231 intercompany asset transfer 429,981,934 income tax expense 1,989 building impairment -112,957,973 other assets -1,637 total 317,020,082”