Reading Health System

“The tower health bylaws were changed to reflect the board size, defined as: no fewer than ten (10) and no more than sixteen (16) directors, including the corporation's president and chief executive officer, who is a voting, ex officio member of the board.”

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

“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.”

“Tower health recognizes grant revenue on part viii, line 1e when the funds are applied to grant expenses. The grant funds reported on schedule b reflect funds received in the fiscal year and not necessarly used in the fiscal year.”

“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 chestnut hill hospital, phoenixville hospital, and pottstown hospital, the three of which are held in single member llcs that tower health is the sole member of. As a result, these are treated as disregarded entities and all of their income and activities are reported on tower health's form 990. As a provider of direct care, tower health addresses issues outside that realm that impact health and wellness. In fact, a key part of tower's mission means the reinvestment of resources into these efforts, which are collectively known as community benefit. We are proud to report that in our last fiscal year, we collectively committed nearly 50.5m to this cause. Phoenixville hospital: phoenixville hospital is committed to serving and improving the health of our community. Phoenixville hospital's community health education and outreach department supports the hospital's community engagement and community benefit endeavors. The mission of community health education and outreach is to improve the health status of our community through evidence-based practice and health education. The community health department also manages the community health needs assessment and implementation process. Phoenixville hospital's most recent community health needs assessment and implementation plan was completed in 2022 and identified and prioritized four areas of focus: access to equitable healthcare, behavioral health, disease prevention and management and health equity. Throughout the fiscal year 2023, phoenixville hospital worked to develop and implement strategies to address the identified priority areas. Access to equitable healthcare - phoenixville hospital deploys continuous improvement efforts to better understand the contributing factors that impede access to equitable care and how best to address identified barriers and gaps in healthcare and services. 1.nurse outreach sites - community health nurses provide health information and resource referrals to vulnerable, diverse, and underserved populations in the community to address unmet health care needs. There are currently 7 nurse outreach sites at low-income housing units, local food pantries, va housing facility, and local churches. In fy 2023, 1088 persons attended an outreach site. 2.ride health - the ride health program provides free transportation to and from appointments for eligible patients in an effort to increase access to care. In fy2023, this program experienced growth and provided 140 rides to patients. 3.access to telemedicine - collaboration with community organizations serving seniors to provide technology education to older adults including telehealth education on advancements in healthcare, technology, remote patient monitoring, and accessing health portals resulting in easier and faster access to care. Telehealth education programs have been offered in our senior health programs. 4.healthy baby program - phoenixville hospital partners with local ob/gyn practices to improve access to high-quality prenatal, delivery, and post- partum care to uninsured pregnant women in our primary service area. The healthy baby program welcomes all women in need however the primary group served is non-english speaking, uninsured women in our primary service area. For fy2023, 92 women were enrolled in the healthy baby program. Behavioral health - the need for access to behavioral health services became more evide”

“Sale of chestnut hill hospital chestnut hill hospital llc (ein 82-2108660), located at 8835 germantown avenue, philadelphia, pa 19118, is a 148-bed licensed acute care hospital which was acquired by tower health from community health systems, llc effective october 1, 2017. A bill of sale was made and entered into as of december 23, 2022. The buyer agreed to purchase all the assets which were owned, used or held for use in connection with chestnut hill hospital. The sale transaction was effective december 31, 2022.”

“Volunteers include board members without compensation and volunteers (age 16 and older) providing volunteer services at the hospitals.”

“Er/nursing inpatient & outpatient program: 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 fy23 were 20,643. 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 fy23 were 15,348. 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 fy23 were 2,399. 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 has "24/7/365" on-call consultants for pediatric emergency cases through st. Christopher's hospital for children. Local ems providers rely on phoenixville hospital for on-going medical education. Emergency room visits for fy23 were 25,542. Phoenixville hospital inpatient units include medical surgical, telemetry and intensive care units, labor and delivery, rehabilitation, nursery and nicu. They provide inpatient acute services including support such as laboratory, pharmacy, physical therapy and radiology. Total patient days for fy23 were 37,461. Pottstown hospital: pottstown hospital emergency department provides emergency, urgent and primary care services 24/7/365 to the community. The emergency department serves patients from berks, montgomery and chester counties. The pottstown hospital emergency department is the second busiest emergency department in montgomery county. There is a full complement of specialty services provided at the local and/or tertiary level with our system hospital in reading. Emergency room visits for fy23 were 33,103. Pottstown hospital inpatient units include medical surgical, telemetry and intensive care units. They provide inpatient acute services including support such as laboratory, pharmacy, physical therapy and radiology. Total patient days for fy23 were 28,019. The behavioral health unit at pottstown hospital provides 24/7/365 supervision, treatment, stabilization and placement for adults and geriatric adults coping with a variety of issues, focusing on returning the individual to the highest level of cognitive functioning possible. Total patient days for fy23 were 7,506.”

“Operating room services: 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 fy23 were 1,639. Phoenixville hospital: phoenixville hospital's surgical department provides surgical services to the community in both an inpatient and outpatient setting. These services include: cariology, cardio, thoracis, ent, orthopedics, gynecology, obstetrics, urology, pain management, plastic, podiatry, neuro and general surgery. The robotics surgery program received the center of excellence accreditation in 2023. Total procedures for fy23 were 8,316. 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 fy23 were 6,463.”

“Radiology/imaging program: 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 fy23 were 49,493. 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 fy23 were 84,566. 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 fy23 were 85,135.”

“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: 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 fy23 were 48,224. Oncology and hematology services at chestnut hill hospital include comprehensive cancer services 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 fy23 were 73. Chestnut hill hospital provides pharmacy support to all inpatient 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 fy23 were 33,350. 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 fy23 were 9,947 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 fy23 were 421,358. 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 fy23 were 21,784. Pottstown hospital provides pharmacy support to all inpatients and cancer center patients with their pharmaceutical needs. Tower health urgent care: tower health urgent care locations are located in berks and montgomery county. We specialize in treating non-life-threatening illnesses and injuries. We provide coordinated and comprehensive exams for school, camp, sports, and pre- employment, as well as professional driver exams from our licensed, certified medical examiners with the department of transportation. As a preferred provider for many employers, we are equipped to handle occupational health needs including immunizations, screenings, dot and cdl physicals. Telemedicine has become widely accepted with the advances in remote medical technologies. Tower health urgent c”

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

“Outside serv/other fees 0 33,460 0 outside serv/other fees 0 923,298 0 physician fees/other 12,963,284 0 0 physician fees/other 13,130,127 0 0 physician fees/other 8,102,489 0 0 physician fees/other 43,296,827 0 0 total 77,492,727 956,758 0”

“Unrestricted net assets -2,284 intercompany asset transfer 344,652,793 income tax expense -42,155 building impairment -53,697,610 other assets -5,646 deconsolidation of stc -42,889,000 total 248,016,098”