4A (Expenses $ 202988130 including grants of $ 0) (Revenue $ 300647132)
"INPATIENT CARE - 200,218 PATIENT DAYS READING HOSPITAL PROVIDES 725 BEDS FOR PROVISION OF COMPREHENSIVE INPATIENT, OUTPATIENT, AND EMERGENT CARE. INPATIENT CARE IS PROVIDED IN 2 CRITICAL CARE UNITS, 2 INTERMEDIATE CARE UNITS, 3 ACUTE REHABILITATION UNITS, AND 13 MEDICAL SURGICAL UNITS WITH SUB-SPECIALTIES THAT INCLUDE ONCOLOGY, NEUROLOGY, CARDIOLOGY, HEART FAILURE, ORTHOPEDICS, TRAUMA, BARIATRIC SURGERY, AND MEDICAL COMPLEXITY. IN ADDITION, READING HOSPITAL PROVIDES COMPREHENSIVE MATERNAL CHILD HEALTH SERVICES THAT INCLUDE OBSTETRICS, NEONATAL INTENSIVE CARE, INPATIENT PEDIATRIC MEDICAL SURGICAL CARE, AND PEDIATRIC EMERGENCY SERVICES. INPATIENT SERVICES ARE SUPPORTED BY HOSPITAL-BASED HEMODIALYSIS, APHERESIS, AND VASCULAR ACCESS SERVICES. READING HOSPITAL INPATIENT CARE OFFERS THE FOLLOWING HIGH LEVEL SERVICES TO SUPPORT COMMUNITIES WITHIN BOTH ITS PRIMARY AND SECONDARY MARKETS: 1.REGIONAL CANCER, CARDIAC, AND PRIMARY STROKE CENTERS 2.REGIONAL TRANSPLANT (KIDNEY AND LIVER) CENTER 3.TRAUMA LEVEL 1 CENTER (ONLY LEVEL 1 CENTER WITHIN THE COUNTY) 4.REGIONAL LEVEL III NEONATAL INTENSIVE CARE UNIT 5.VIRTUAL INTENSIVE CARE UNIT (VICU) 6.CHARITY CARE PROGRAM IN ADDITION, READING HOSPITAL INPATIENT CARE IS ALIGNED WITH SYSTEM PROGRAMS TO IMPROVE POST DISCHARGE CARE OUTCOMES, CARE ACROSS THE CONTINUUM FROM INPATIENT TO AMBULATORY SETTING, AND DECREASED READMISSION, INCLUDING 1.COMPREHENSIVE POPULATION HEALTH SERVICES 2.TOWER HEALTH STREET MEDICINE PROGRAM - A PROGRAM TO PROVIDE HEALTH SERVICES AND PREVENTATIVE CARE TO HOMELESS POPULATION WITHIN THE COMMUNITY 3.TELE-HEALTH SUPPORT OF HEART FAILURE PATIENT POPULATION TO HELP PREVENT READMISSIONS THROUGH THE REMOTE MONITORING OF BP AND WEIGHT IN JUNE 2021 READING HOSPITAL WAS MAGNET DESIGNATED FOR NURSING AND PATIENT CARE EXCELLENCE FOR THE SECOND CONSECUTIVE TIME; THIS NATIONAL LEVEL DESIGNATION BY THE AMERICAN NURSES CREDENTIALING CENTER IS RENEWED EVERY FOUR YEARS. THIS DESIGNATION INDICATES THAT READING HOSPITAL INPATIENT UNITS, EMERGENCY DEPARTMENT, PERIOPERATIVE SERVICES, AND AMBULATORY CARE DEPARTMENTS EXCEED NATIONAL BENCHMARKS FOR NURSING QUALITY INDICATORS, PATIENT SATISFACTION WITH NURSING CARE, AND NURSE SATISFACTION. EMERGENCY CARE - 106,958 EMERGENCY ROOM VISITS READING HOSPITAL EMERGENCY DEPARTMENT PROVIDES EMERGENCY, URGENT AND PRIMARY CARE SERVICES TO OUR COMMUNITY ""24/7/365,"" REGARDLESS OF ABILITY TO PAY. VOLUME TO RH EMERGENCY DEPARTMENT RANKS IT AMONG THE TOP THREE IN THE STATE OF PENNSYLVANIA YEAR AFTER YEAR. AS THE AREA'S ONLY ACCREDITED LEVEL 1 TRAUMA CENTER, RH ALSO PROVIDES IMMEDIATE ACCESS THROUGH ITS EMERGENCY DEPARTMENT TO ALL SPECIALTY SERVICES, FROM TRAUMA SURGEONS TO PLASTIC SURGEONS, AND ALL AREAS OF SPECIALTY CARE. THE HOSPITAL ALSO HAS A PEDIATRIC AND PSYCHIATRIC EMERGENCY DEPARTMENT. IN ADDITION TO ITS TRAUMA CERTIFICATION, RH IS THE ONLY HOSPITAL IN THE REGION TO HAVE MADE A COMMITMENT TO ACCREDITED CARE IN STROKE AND CHEST PAIN. THE HOSPITAL ALSO IS A CENTER OF EXCELLENCE WITH 24/7 CERTIFIED RECOVERY SPECIALISTS ON SITE TO PROVIDE WARM HAND-OFFS TO PATIENTS WITH OPIOID AND OTHER SUBSTANCE USE DISORDERS. THE DEPARTMENT OFFERS A SEXUAL ASSAULT NURSE EXAMINER (SANE) PROGRAM WITH THE BERKS COUNTY DISTRICT ATTORNEY TO ASSIST VICTIMS OF SEXUAL ASSAULT. THE HOSPITAL ALSO HAS AN EMERGENCY MEDICINE TRAINING PROGRAM, PARAMEDIC SCHOOL AND NURSING PROGRAM."

4B (Expenses $ 68219307 including grants of $ 0) (Revenue $ 131867775)
OPERATING ROOM - 17,979 TOTAL SURGERIES READING HOSPITAL OPERATES IN A MARKET SERVED BY NEARLY 20 SPECIALTY, INVESTOR-OWNED FACILITIES, WHICH CARVE OUT THE BEST PAYING INSURANCE PLANS, THE HIGHEST MARGIN PROCEDURES, AND THE LEAST COMPLICATED PATIENTS TO SERVE. BY CONTINUING TO PROVIDE A FULL-SERVICE SURGICAL SERVICE, READING HOSPITAL OFFERS THE MOST ADVANCED SURGICAL OPTIONS, FROM ROBOTIC ASSISTED, MINIMALLY INVASIVE SURGERY TO A FULL SPECTRUM OF OUTPATIENT SURGICAL OPTIONS. READING HOSPITAL ENSURES THE COMMUNITY HAS ACCESS TO SURGICAL SPECIALTIES THAT MAY BE EXPERIENCING SHORTAGES ELSEWHERE IN THE COUNTRY. READING HOSPITAL SUPPORTS ITS SURGEONS IN THEIR FELLOWSHIP TRAINING AND RECRUITS AND RETAINS SURGEONS IN AREAS LIKE PLASTIC SURGERY - AVAILABLE ONLY DURING LIMITED HOURS OR NOT AT ALL, IN OTHER HOSPITALS IN ITS MARKET.

4C (Expenses $ 80538513 including grants of $ 0) (Revenue $ 140956458)
MCGLINN CANCER INSTITUTE 31,521 PROCEDURES THE MCGLINN CANCER INSTITUTE, LOCATED WITHIN THE READING HOSPITAL, IS PRIMARILY AN OUT-PATIENT FACILITY WHICH HOUSES THE SECTIONS OF RADIATION ONCOLOGY, HEMATOLOGY/ONCOLOGY, AND GYNECOLOGICAL ONCOLOGY. THE ANNUAL TOTAL OF PATIENTS WHO ARE DIAGNOSED AND/OR TREATED IN FY23 WERE 1,709. UPON DIAGNOSIS, A NURSE NAVIGATOR CONTACTS EACH PATIENT TO OFFER INFORMATION AND SUPPORT. MOST PATIENTS ARE SEEN IN ONE OF OUR MULTI-DISCIPLINARY CLINICS BASED ON THE TYPE OF MALIGNANCY DIAGNOSED. THIS INCLUDES THORACIC, MALIGNANT HEMATOLOGY, BREAST, GENITO-URINARY, GYNECOLOGICAL, CUTANEOUS MALIGNANCIES, AND GASTRO-INTESTINAL CLINICS - MOST HELD ON A WEEKLY BASIS. EVERY CLINIC HAS ITS SPECIFIC TEAM OF PROVIDERS - SURGEONS, RADIATION ONCOLOGISTS, MEDICAL ONCOLOGISTS, RADIOLOGISTS, PATHOLOGISTS, NURSE NAVIGATORS, GENETIC COUNSELORS, AND PHYSICAL THERAPISTS - WHO CONFER AND COLLABORATE TO DESIGN A UNIQUE TREATMENT PLAN FOR EACH INDIVIDUAL PATIENT. EVERY CASE IS REVIEWED FOR POSSIBLE INCLUSION IN ONE OF THE MANY CLINICAL TRIALS OFFERED ON SITE. ONCE A PLAN OF ACTION HAS BEEN RECOMMENDED BY THE TEAM, THE PATIENT IS SEEN IN CONSULT BY THE PROVIDERS WHO WILL BE RESPONSIBLE FOR HIS/HER COURSE OF TREATMENT. MCGLINN CANCER INSTITUTE IS ACCREDITED BY THE COMMISSION ON CANCER AS A COMPREHENSIVE COMMUNITY CANCER PROGRAM. THE MEDICAL ONCOLOGY PRACTICE IS CERTIFIED BY THE AMERICAN SOCIETY OF CLINICAL ONCOLOGY THROUGH ITS QUALITY ONCOLOGY PRACTICE INITIATIVE (QOPI) AND THE RADIATION ONCOLOGY DEPARTMENT IS CERTIFIED BY THE AMERICAN COLLEGE OF RADIOLOGY. IN ADDITION, THE BREAST PROGRAM AT READING HOSPITAL IS ACCREDITED BY THE NATIONAL ACCREDITATION PROGRAM FOR BREAST CENTERS. THE CANCER CENTER OFFERS A THREE-YEAR HEMATOLOGY/ONCOLOGY FELLOWSHIP PROGRAM AND STUDENTS FROM VARIOUS PROGRAMS (EX: JEFFERSON UNIVERSITY, GWYNEDD MERCY UNIVERSITY, ARCADIA UNIVERSITY) ARE ASSIGNED CLINICAL ROTATIONS AT MCGLINN FOR GENETIC COUNSELING, RADIATION THERAPY TECHNOLOGY, AND PHYSICIAN ASSISTANT TRAINING.

4D (Expenses $ 745609381 including grants of $ 90265) (Revenue $ 726611801)
EXPENSES INCURRED IN PROVIDING VARIOUS OTHER MEDICALLY NECESSARY HEALTHCARE SERVICES INCLUDE BUT ARE NOT LIMITED TO: REVENUE EXPENSE RADIOLOGY 206,256,075 39,980,828 REHABILITATION/PHYSICAL THERAPY 49,225,592 29,855,833 TRAUMA CENTER 4,298,069 3,084,423 TRANSPLANT CENTER 150,621 473,668 PHARMACY 46,637,417 39,151,594 READING HOSPITAL PROVIDES SERVICES TO ALL INDIVIDUALS IN A NON- DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, OR ABILITY TO PAY.

FACILITY 1, READING HOSPITAL - PART V, LINE 3E
PARTICIPANTS OF THE CHNA ACROSS THE VARIOUS DATA COLLECTION METHODS EMPHASIZED THE NEED TO IMPROVE ACCESS TO EQUITABLE CARE AND BEHAVIORAL HEALTH AND TO EXPAND HEALTH EDUCATION AND PREVENTION. INEQUITIES SUCH AS DEMOGRAPHICAL DIFFERENCE HIGHLIGHT THE IMPORTANCE OF WEAVING AN EQUITY FOCUS WITHIN ALL AREAS OF HEALTH. SIGNIFICANT NEEDS: (A) ACCESS TO EQUITABLE CARE (B) BEHAVIORAL HEALTH (C) HEALTH EDUCATION AND PREVENTION (D) HEALTH EQUITY

FACILITY 1, READING HOSPITAL - PART V, LINE 3J
"THE BELOW NARRATIVE RELATES TO PART V, LINE 3I - IMPACT OF ACTIONS TAKEN TO ADDRESS THE SIGNIFICANT HEALTH NEEDS IN THE HOSPITAL FACILITY'S PRIOR CHNA(S). THE COMMUNITY HEALTH NEEDS ASSESSMENT IN 2019 IDENTIFIED THE FOLLOWING SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY: ACCESS TO HEALTH CARE, SOCIAL DETERMINANTS OF HEALTH, DISEASE PREVENTION & MANAGEMENT, AND ACCESS TO BEHAVIORAL HEALTH SERVICES. THE STRATEGIES OUTLINED BELOW REFLECT THE 2019 CHNA AND IMPLEMENTATION PLAN EFFORTS. ACCESS TO HEALTHCARE: ONE STRATEGY IDENTIFIED TO HELP INCREASE ACCESS TO HEALTHCARE SERVICES WAS TO INCREASE CULTURAL AWARENESS. A DIVERSITY AND INCLUSION COUNCIL WAS ESTABLISHED AT READING HOSPITAL WITH THE MISSION TO ""FOSTER AN ENVIRONMENT THAT EXPRESSLY VALUES DIVERSITY OF THOUGHT, PERSPECTIVE, BACKGROUND, AND EXPERIENCE AMONG ITS EMPLOYEES, TO MAKE EACH INDIVIDUAL FEEL WELCOME AND APPRECIATED FOR THEIR UNIQUE CONTRIBUTIONS."" THE COUNCIL IS COMMITTED TO ATTRACTING AND RETAINING A DIVERSE WORKFORCE, PROVIDING DIVERSITY AND INCLUSION TRAINING TO EMPLOYEES, CREATING EMPLOYEE RESOURCE GROUPS, AND PROMOTING DIVERSITY, EQUITY, AND INCLUSION THROUGH EVENTS AND COMMUNICATION ACTIVITIES. THE COUNCIL IS MADE UP OF 16 STAFF MEMBERS FROM A VARIETY OF CLINICAL AND NON-CLINICAL AREAS WITHIN THE HOSPITAL. DURING FY2022, THE DIVERSITY AND INCLUSION COUNCIL CONDUCTED 9 WEBINARS THAT ENGAGED OVER 1,000 STAFF. TOPICS INCLUDED RELIGIOUS AND SPIRITUAL INCLUSIVITY IN HEALTHCARE, IMPOSTER SYNDROME, WOMEN IN LEADERSHIP PANEL DISCUSSION, CARE FOR REFUGEE POPULATIONS, LGBTQ+ AFFIRMING SPACES IN HEALTHCARE, STIGMA, BIAS, & PREJUDICE, CULTURAL SENSITIVITY IN THE CARE OF MUSLIM PATIENTS AND THEIR FAMILIES, SOCIAL DETERMINANTS OF HEALTH, AND MEDICAL AND MENTAL HEALTH IMPLICATIONS FOR MIDDLE EASTERN PATIENTS AND FAMILIES. THE GROUP ALSO PLANS EVENTS THAT FOCUS ON PROVIDING EDUCATION AND CELEBRATING DIVERSITY, INCLUDING LGBTQ+, BLACK HISTORY MONTH, JEWISH AMERICAN HERITAGE MONTH, CHINESE NEW YEAR, ETC. THE TOWER ACCESS PROJECT, A SYSTEM INITIATIVE, CREATED A CENTRALIZED AND COORDINATED ADVANCED ACCESS CENTER WHICH IS NOW THE SINGLE POINT OF CONTACT FOR COMMUNITY MEMBERS TO FIND PROVIDERS, SCHEDULE APPOINTMENTS, AND ACCESS INFORMATION. READING HOSPITAL'S STREET MEDICINE PROGRAM SEEKS TO PROVIDE HEALTH CARE TO SOME OF THE MOST VULNERABLE MEMBERS OF THE BERKS COUNTY COMMUNITY - THE HOMELESS. PHYSICIAN AND NURSING STAFF VOLUNTEER THEIR TIME TO VISIT HOMELESS CAMPS, SOUP KITCHENS, AND SHELTERS TO DELIVER FREE, PRIMARY CARE TO THIS OFTEN UNDERSERVED AND NEGLECTED POPULATION IN AN ENVIRONMENT THAT IS FAMILIAR, SAFE, AND NON-JUDGMENTAL. THE STREET MEDICINE PROGRAM STRIVES TO DELIVER EQUITABLE AND PATIENT-CENTERED PRIMARY AND ACUTE HEALTHCARE SERVICES TO HOMELESS INDIVIDUALS, INCREASE ACCESSIBILITY AND CONTINUITY OF CARE BY CONNECTING PATIENTS TO HEALTHCARE SERVICES THROUGH TELEHEALTH, PROVIDE PATIENT CASE MANAGEMENT SERVICES AND INPATIENT CONSULTATIONS, AND EDUCATE PATIENTS ON AVAILABLE COMMUNITY SERVICES AND RESOURCES. A TELEHEALTH KIOSK WAS INSTALLED AT HOPE RESCUE MISSION, A HOMELESS SHELTER AND COMMUNITY PARTNER. THE KIOSK ALLOWS A HEALTHCARE PROVIDER TO MEET VIRTUALLY WITH PATIENTS WHO HAVE AN IMMEDIATE NEED OR REQUIRE FOLLOW-UP FROM A PRIOR VISIT. THE KIOSK ALSO OFFERS EXTERNAL MEDICAL DEVICES INCLUDING A BLOOD PRESSURE MONITOR, THERMOMETER, STETHOSCOPE, AND OTOSCOPE. THE PROGRAM'S MONTHLY EYE SCREENING CLINICS PROVIDE A SCREENING EYE EXAM FOR PATIENTS AND FACILITATES ACCESS TO FOLLOW UP CARE. THE SCREENING EXAM INCLUDES COLOR BLINDNESS, FIELD OF VISION, AND GLAUCOMA SCREENINGS, AS WELL AS VISUALIZATION OF THE RETINAS AND VISUAL ACUITY CHANGES. THE PROGRAM'S MONTHLY PULMONARY SCREENING CLINIC PROVIDES FOR THE EVALUATION AND EDUCATION OF PATIENTS WITH BREATHING DISORDERS INCLUDING SCREENING FOR SLEEP APNEA, EVALUATION FOR LOW-DOSE CT LUNG CANCER SCREENING, TOBACCO CESSATION EDUCATION, RESPIRATORY DISEASE MANAGEMENT (COPD, ASTHMA, OSA) EDUCATION, AND REVIEW OF RESPIRATORY MEDICATIONS SUCH AS INHALERS AND NEBULIZERS. THE STREET MEDICINE PROGRAM IS FULLY FUNDED BY GRANTS AND DONATIONS. STAFF VOLUNTEERS PARTICIPATE DURING THEIR NON-SCHEDULED HOURS. DURING FY2022, THE STREET MEDICINE PROGRAM PROVIDED CARE DURING OVER 1,600 ENCOUNTERS WITH HOMELESS COMMUNITY MEMBERS. OVER 5,500 STAFF HOURS AND NEARLY 1,400 VOLUNTEER HOURS WERE LOGGED BY HOSPITAL TEAM MEMBERS PROVIDING CARE AND SUPPORT TO THE PROGRAM AND ITS PATIENTS. THE BE WELL BERKS WEBSITE PROVIDES UP-TO-DATE INFORMATION ABOUT COMMUNITY WELLNESS DEPARTMENT INITIATIVES, EVENTS, AND EDUCATIONAL MATERIALS FOR COMMUNITY MEMBERS. THE CONTENT IS ACCESSIBLE ON A NUMBER OF DEVICES INCLUDING DESKTOPS/LAPTOPS, MOBILE DEVICES, TABLETS, ETC. IN FY2022, THE WEBSITE RECORDED OVER 6,900 UNIQUE VISITORS (AN INCREASE OF 27% YEAR OVER YEAR) AND OVER 8,700 SITE VISITS (AN INCREASE OF 21% YEAR OVER YEAR). THE TOP PAGES VISITED INCLUDE PATHWAYS TO HEALTHCARE CAREERS, STREET MEDICINE, BERKS TRAIL CHALLENGE, AND COMMUNITY HEALTH NEEDS ASSESSMENT. DURING FY2022, READING HOSPITAL'S REMOTE PATIENT MONITORING (RPM) PROGRAM, MANAGED BY THE POPULATION HEALTH TEAM, ENROLLED 175 PATIENTS IN RPM SERVICES, INCLUDING 166 PATIENTS DIAGNOSED WITH CHRONIC HEART FAILURE AND 9 PATIENTS WITH COVID-19. COVID-19 ENROLLMENT ENDED IN NOVEMBER 2021. OUR CAREGIVERS AND SUPPORT STAFF PARTICIPATE IN A NUMBER OF COMMUNITY HEALTH IMPROVEMENT INITIATIVES, INCLUDING COMMUNITY HEALTH EDUCATION, SCREENING EVENTS, AND IMMUNIZATION CLINICS, THAT EXTEND BEYOND PATIENT CARE ACTIVITIES AND ARE SUBSIDIZED BY THE HOSPITAL. PROGRAMS ARE OFFERED TO ALL COMMUNITY MEMBERS FOR FREE OR AT A VERY NOMINAL COST. STAFF PARTICIPATE IN COMMUNITY-BASED HEALTH EDUCATION EVENTS, SPEAKERS BUREAUS, AND HEALTH FAIRS TO PROVIDE INFORMATION AND EDUCATION FOR PREVENTION AND MANAGEMENT OF CHRONIC HEALTH CONDITIONS INCLUDING DIABETES, HEART HEALTH, CANCER, RESPIRATORY DISEASE, HEALTHY NUTRITION, AND A RANGE OF OTHER TOPICS. THE HOSPITAL'S INJURY PREVENTION PROGRAM PROVIDES FREE EDUCATION TO COMMUNITY MEMBERS IN AN EFFORT TO PREVENT THOSE ACCIDENTS AND INJURIES THAT RESULT IN THE HIGHEST PATIENT VOLUME IN OUR TRAUMA CENTER. EDUCATIONAL PROGRAMS INCLUDE: 1.STOP THE BLEED - NATIONAL AWARENESS CAMPAIGN THAT PREPARES THE PUBLIC TO SAVE LIVES IN THE EVENT OF A LIFE-THREATENING BLEED (12 SESSIONS HOSTED REACHING NEARLY 200 COMMUNITY MEMBERS); 2.MATTER OF BALANCE - EDUCATION AND AWARENESS AMONG OLDER ADULTS, FAMILIES, AND CAREGIVERS ABOUT THE SERIOUSNESS OF FALLS AND WAY TO REDUCE THEM; 3.FALL PREVENTION DAY - FIRST ANNUAL FALL PREVENTION DAY, INCLUDING A PANEL DISCUSSION, HEALTH FAIR WITH EDUCATION AND SCREENING OPPORTUNITIES, AND LOCALLY-OFFERED FALL PREVENTION CLASSES, WAS HOSTED IN CONJUNCTION WITH COMMUNITY PARTNERS AT ALVERNIA UNIVERSITY TO HELP COMMUNITY MEMBERS UNDERSTAND AND REDUCE FALL RISK (OVER 20 PARTICIPANTS); 4.TRAUMA/INJURY PREVENTION - CAR SEAT SAFETY, BICYCLE SAFETY, AND OTHER TOPICS (4 EVENTS REACHING NEARLY 400 COMMUNITY MEMBERS); 5.TRAUMA SURVIVORS NETWORK - WEBSITE PROVIDING RESOURCES, TOOLS, AND A SUPPORT NETWORK FOR TRAUMA PATIENTS AND THEIR FAMILIES. READING HOSPITAL STAFF ASSIST WITH NUMEROUS FREE SCREENING OPPORTUNITIES FOR COMMUNITY MEMBERS. SCREENING OPPORTUNITIES THAT WERE PREVIOUSLY LIMITED DUE TO COVID-19 BEGAN TO MAKE A COMEBACK, AND OVER 1,000 FREE SCREENINGS WERE CONDUCTED INCLUDING BLOOD PRESSURE (50 SCREENINGS), BREAST AND CERVICAL CANCERS (101 SCREENINGS), HIV (51 SCREENINGS) AND STD (748 SCREENINGS), AND MENTAL HEALTH (224 SCREENINGS). SOCIAL DETERMINANTS OF HEALTH: A NUMBER OF INITIATIVES HAVE BEEN UNDERTAKEN TO IDENTIFY AND ADDRESS SOCIAL DETERMINANTS OF HEALTH. READING HOSPITAL'S COMMUNITY CONNECTION PROGRAM (CCP) WAS DESIGNED TO IMPLEMENT TO CENTER FOR MEDICARE AND MEDICAID'S ACCOUNTABLE HEALTH COMMUNITIES (AHC) MODEL. THROUGH THE PROGRAM, ELIGIBLE MEDICARE AND MEDICAID PATIENTS ARE SCREENED FOR HEALTH-RELATED SOCIAL NEEDS IN THE AREAS OF FOOD, HOUSING, UTILITIES, TRANSPORTATION, AND SAFETY. PATIENTS ARE THEN RISK-STRATIFIED BASED ON NEEDS AND NUMBER OF EMERGENCY DEPARTMENT VISITS. ALL PATIENTS WHO SCREEN POSITIVE FOR SOCIAL NEEDS ARE PROVIDED A COMMUNITY REFERRAL SUMMARY THAT PROVIDES INFORMATION ON RESOURCES AVAILABLE IN THE COMMUNITY TO HELP ADDRESS THEIR UNMET NEEDS. HIGH-RISK PATIENTS (1 OR MORE SOCIAL NEEDS AND 2 OR MORE ED VISITS) ARE ALSO OFFERED ONE-YEAR OF NAVIGATION SERVICES, IN WHICH A NAVIGATOR CREATES CLOSED-LOOP REFERRALS TO PARTNER 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 11,500 SCREENINGS WERE COMPLETED AND OVER 751 BENEFICIARIES WERE IDENTIFIED AS ELIGIBLE FOR NAVIGATION SERVICES. THE CCP PARTNERS WITH OVER 20 CLINICAL DELIVERY SITES AND NEARLY 20 COMMUNITY SERVICE PARTNERS TO EXECUTE THE WORK. THIS PROGRAM WAS FULLY FUNDED BY A CENTERS FOR MEDICARE & MEDICAID SERVICES GRANT THROUGH APRIL 30, 2022. BEGINNING MAY 1, 2"

FACILITY 1, READING HOSPITAL - PART V, LINE 5
THE CHNA PROCESS BEGAN IN FEBRUARY 2021 AND COLLECTION OF QUANTITATIVE AND QUALITATIVE DATA CONCLUDED IN SEPTEMBER 2021. AS PART OF THE NEEDS ASSESSMENT, A VAST NUMBER OF RESIDENTS, EDUCATORS, GOVERNMENT, HEALTH CARE PROFESSIONALS, AND HEALTH AND HUMAN SERVICES LEADERS IN READING HOSPITAL'S SERVICE AREA PARTICIPATED IN THE STUDY. INFORMATION COLLECTED FROM LEADERS PROVIDED A DEEPER UNDERSTANDING OF COMMUNITY MATTERS, HEALTH EQUITY FACTORS, AND COMMUNITY NEEDS. THE FOLLOWING ACTIONS WERE CONDUCTED TO TAKE INTO ACCOUNT INPUT FROM INDIVIDUALS WHO REPRESENT THE BROAD INTEREST OF THE COMMUNITY: (1) STAKEHOLDER INTERVIEWS (2) FOCUS GROUPS (3) SENIOR LEADERSHIP FORUM (4) KEY INFORMANT SURVEYS (5) COMMUNITY SURVEY VARIOUS TYPES OF DATA, SUCH AS COUNTY DEMOGRAPHICS AND CHRONIC DISEASE PREVALENCE, WERE GATHERED FROM LOCAL, STATE, AND FEDERAL DATABASES TO COMPILE SECONDARY DATA. COMMUNITY SURVEYS, KEY INFORMANT SURVEYS, AND COMMUNITY STAKEHOLDER INTERVIEWS WERE DISPERSED COMMUNITY-WIDE TO GARNER PARTICIPATION FROM ALL MEMBERS RESIDING OR WORKING IN THE PRIMARY SERVICE AREA. THE DATA COLLECTED IDENTIFIED THE NEEDS, HIGH-RISK BEHAVIORS, BARRIERS, SOCIETAL ISSUES, AND CONCERNS OF THE UNDERSERVED AND VULNERABLE POPULATIONS. INFORMATION FROM FOCUS GROUPS WITH HOSPITAL LEADERSHIP AND COMMUNITY PARTNERS WHO PROVIDE SERVICES AND CARE TO THE REGION WAS ALSO INCLUDED IN THE COLLECTION PHASE. STAKEHOLDER INTERVIEW PARTICIPANTS: SAFEBERKS GATEWAY BERKS COMMUNITY HEALTH CENTER READING-BERKS CONFERENCE OF CHURCHES TOWER BEHAVIORAL HEALTH MAYOR'S OFFICE GREATER READING CHAMBER ALLIANCE EL PALO MAGAZINE, INC. EAST PENN MANUFACTURING, INC. PA HOUSE OF REPRESENTATIVES UPMC HEALTH PLAN BARTA UNITED WAY OF BERKS COUNTY HELPING HARVEST FOCUS GROUP PARTICIPANTS: HELPING HARVEST BERKS COMMUNITY ACTION PROGRAM TOWER HEALTH READING SCHOOL DISTRICT, LAUERS PARK ELEMENTARY UNITED WAY OF BERKS COUNTY CO-COUNTY WELLNESS SERVICES BERKS COMMUNITY HEALTH CENTER BERKS ENCORE CENTRO HISPANO NEIGHBORHOOD HOUSING SERVICES OF GREATER BERKS,INC.

FACILITY 1, READING HOSPITAL - PART V, LINE 7D
LINK TO THE READING HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT: HTTPS://WWW.TOWERHEALTH.ORG/LOCATIONS/READING-HOSPITAL/ABOUT/COMMUNITY/ READING-HOSPITAL-COMMUNITY-HEALTH-NEEDS-ASSESSMENT LINK TO THE READING HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT/ IMPLEMENTATION STRATEGY FOR THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT WAS COMPLETED IN NOVEMBER 2022 AND CAN BE FOUND AT HTTPS://WWW.TOWERHEALTH.ORG/LOCATIONS/READING-HOSPITAL/ABOUT/COMMUNITY/ READING-HOSPITAL-COMMUNITY-HEALTH-NEEDS-ASSESSMENT

FACILITY 1, READING HOSPITAL - PART V, LINE 11
"READING HOSPITAL'S MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT WAS COMPLETED IN 2022 AND IDENTIFIED AND PRIORITIZED FOUR AREAS OF FOCUS: ACCESS TO EQUITABLE CARE, BEHAVIORAL HEALTH, HEALTH EDUCATION AND PREVENTION, AND HEALTH EQUITY. THE DEVELOPMENT OF THE 2022 CHNA IMPLEMENTATION PLAN CONTINUED THROUGH THE BEGINNING OF FY2023 AND THE FINAL DOCUMENT WAS ADOPTED AND MADE PUBLICLY AVAILABLE NOVEMBER 15, 2022. THE IMPLEMENTATION PLAN, WHICH COVERED A THREE YEAR SPAN, OUTLINED SPECIFIC STRATEGIES FOR EACH PRIORITY AREA THAT WERE IMPLEMENTED THROUGH A VARIETY OF METHODS INCLUDING INPUT FROM EXPERT PROVIDERS, COMMUNITY OUTREACH, AND COLLABORATIONS AND PARTNERSHIPS WITH COMMUNITY ORGANIZATIONS. AN OVERVIEW OF EACH PRIORITY FOLLOWS: ACCESS TO EQUITABLE CARE: BASED ON WHAT WAS HEARD FROM COMMUNITY STAKEHOLDER INTERVIEWS, FOCUS GROUPS, AND KEY INFORMANT AND COMMUNITY SURVEY RESPONDENTS, SOLUTIONS FOR IMPROVING ACCESS MUST INCORPORATE BETTER CARE COORDINATION AND INTEGRATION AND ALIGNMENT OF HOSPITAL SYSTEMS AND SERVICES. ONGOING EFFORTS TO ADDRESS SOCIAL DETERMINANTS OF HEALTH MUST BE CONTINUED AS THOSE EFFORTS GO WELL BEYOND MEDICAL SCIENCE ALONE. THE GOAL IS TO INCREASE ACCESS TO EQUITABLE CARE BY COMMUNITY MEMBERS, PARTICULARLY THOSE CONSIDERED DISPARATE AND VULNERABLE POPULATIONS. THE INFORMATION GATHERED FROM THIS RESEARCH WILL PROVIDE SUPPORT AND DEVELOPMENT OF CURRENT PROGRAMS THAT DELIVER CARE TO VULNERABLE POPULATIONS (I.E. STREET MEDICINE, COMMUNITY PARAMEDICINE, AND REMOTE PATIENT MONITORING PROGRAMS), AS WELL ALSO DEVELOP PLANS TO INCREASE ACCESS TO SPECIALTY CARE THROUGH VIRTUAL OFFICE VISITS, TELECART, MOBILE APPS, AND TELEMEDICINE. BY STREAMLINING AN ADVANCED ACCESS CENTER READING HOSPITAL WILL PROVIDE EASE OF ACCESS FOR COMMUNITY MEMBERS SEEKING TO SCHEDULE APPOINTMENTS WITH AMBULATORY AND SPECIALTY CARE SERVICE LINES. READING HOSPITAL WILL WORK TO IMPROVE CULTURAL SENSITIVITY OF STAFF BY CONDUCTING CULTURAL AWARENESS TRAININGS AND CREATING A DIVERSITY AND INCLUSION COUNCIL FOR PROVIDERS AND OTHER CLINICAL AND NON-CLINICAL STAFF TO PARTICIPATE. READING HOSPITAL WILL ALSO WORK TO INCREASE PARTICIPATION IN PROGRAMS DESIGNED TO EDUCATE STUDENTS ABOUT CAREERS IN HEALTHCARE - MEDICAL EXPLORERS, JOB SHADOWING, HIGH SCHOOL AND COLLEGE INTERNSHIP PROGRAMS, AND ADVENTURES IN HEALTH SCIENCE AND MEDICINE - THROUGH PROGRAM PROMOTION. BEHAVIORAL HEALTH: POPULATIONS OFTEN STRUGGLE WITH OVERLAPPING PHYSICAL AND BEHAVIORAL HEALTH ISSUES THAT STEM FROM PSYCHOSOCIAL DETERMINANTS OF HEALTH INCLUDING HOUSING INSTABILITY OR HOMELESSNESS, UNEMPLOYMENT OR UNDEREMPLOYMENT, ""FOOD DESERT"" NEIGHBORHOODS AND FOOD INSECURITY, LANGUAGE BARRIERS AND HEALTH LITERACY, AS WELL AS SUBSTANCE MISUSE AND POLLUTION. THESE FACTORS CAN BE BARRIERS TO HOW RESIDENTS CAN ACCESS BEHAVIORAL HEALTH SERVICES AND IMPACT BEHAVIORAL HEALTH OUTCOMES. THE GOAL IS TO IMPROVE ACCESS TO SUPPORT FOR BEHAVIORAL SERVICES. READING HOSPITAL'S CENTER OF EXCELLENCE (COE) WILL SCREEN PATIENTS FOR OPIOID USE DISORDER (OUD) AND DETERMINE THE APPROPRIATE LEVEL OF CARE VIA STANDARDIZED PROCESSES (SBIRT) AND TOOLS (ASAM PLACEMENT CRITERIA). READING HOSPITAL'S SOFT-LANDING PROGRAM WILL SCREEN PATIENTS FOR SUBSTANCE USE DISORDER (SUD) AND APPROPRIATE LEVEL OF CARE VIA THE ASAM PLACEMENT MODEL. READING HOSPITAL WILL IDENTIFY 2 STAFF MEMBERS TO CONDUCT MENTAL HEALTH FIRST AID TRAINING (MHFA). TRAININGS WILL BE CONDUCTED AT READING HOSPITAL AND IN THE COMMUNITY. TOWER EMPLOYEE WELLNESS INITIATIVES WILL CONDUCT SCHWARZ ROUNDS, A MULTIDISCIPLINARY FORUM FOR EMPLOYEES TO DISCUSS SOCIAL AND EMOTIONAL ISSUES THAT ARISE IN CARING FOR PATIENTS. THE REHINKCARE APP WILL BE PROMOTED TO SUPPORT EMPLOYEES' PERSONAL, PROFESSIONAL, AND PARENTAL NEEDS. HEALTH EDUCATION AND PREVENTION: HEALTH EDUCATION AND HEALTH LITERACY PLAY A VITAL ROLE IN ACCESSING CARE AS KNOWLEDGE AND UNDERSTANDING EMPOWERS INDIVIDUALS TO MAKE INFORMED HEALTH DECISIONS AND HELPS THEM EFFECTIVELY NAVIGATE TODAY'S COMPLEX HEALTH CARE DELIVERY SYSTEM. PROVIDING HEALTH EDUCATION TO INCREASE UNDERSTANDING OF HEALTH ISSUES ENABLES PATIENTS AND FAMILIES TO SUCCESSFULLY IMPLEMENT TREATMENT PLANS AND IS ESSENTIAL TO MANAGING CHRONIC CONDITIONS AND PREVENTING COMPLICATIONS OR FREQUENT HOSPITALIZATIONS. BY IMPROVING HEALTH LITERACY AND EDUCATION ON HOW TO ADDRESS AND PREVENT CHRONIC DISEASES AND ILLNESS TO THE BROADER COMMUNITY, THE HEALTH ORGANIZATION'S PARADIGM SHIFTS FROM TREATING DISEASE TO A FOCUS ON WELLNESS, HEALTHY BEHAVIORS, AND POSITIVE HEALTH OUTCOMES. THE GOAL IS TO PROVIDE DISEASE EDUCATION AND PREVENTION OPPORTUNITIES IN THE COMMUNITY, SPECIFICALLY TARGETING DISPARATE AND VULNERABLE POPULATIONS. THE BERKS TRAIL CHALLENGE WILL BE EXECUTED TO ENCOURAGE EXPLORATION OF LOCAL PARKS AND TRAILS THROUGH A FREE, MINDFUL LEISURE ACTIVITY. DISEASE AND PREVENTIVE SCREENINGS (I.E. BLOOD PRESSURE SCREENINGS, BREAST AND CERVICAL CANCER SCREENINGS AND PROSTRATE CANCER SCREENINGS) WILL BE CONDUCTED. A PLAN WILL BE DEVELOPED TO LAUNCH A FRESH FOOD PHARMACY TARGETING VULNERABLE PATIENT POPULATION(S). TOWER EMPLOYEE WELLNESS INITIATIVE KNOW YOUR NUMBERS CAMPAIGN (BMI, BP, LIPIDS, A1C) THROUGH THE VIRGIN HEALTH APP WILL BE CONDUCTED. READING HOSPITAL WILL HELP ENGAGE THE EMPLOYEES WITH A PCP AND ENCOURAGE ENGAGEMENT WITH THE VIRGIN HEALTH PLATFORM FOR WELLNESS-BASED EDUCATION AND ACTIVITIES. A COMMUNITY CALENDAR WILL BE DEVELOPED TO INCREASE AWARENESS AND PARTICIPATION IN COMMUNITY OUTREACH & ENGAGEMENT (CORE) PROGRAMS. VIOLENCE PREVENTION INITIATIVE STOP THE BLEED TRAINING WILL BE CONDUCTED. THE HOSPITAL WILL DEVELOP AND IMPLEMENT A HOSPITAL-BASED VIOLENCE INTERVENTION PROGRAM (HVIP) AND ESTABLISH VIOLENCE SCREENING AND REFERRAL PROCESSES AND PILOT IN CLINICAL SITES. HEALTH EQUITY: UNDERSTANDING AND ADDRESSING THE NEEDS OF DIVERSE AND DISPARATE POPULATIONS IS A SIGNIFICANT CHALLENGE FOR HEALTH CARE ORGANIZATIONS. AS A CRITICAL ASPECT OF CREATING HEALTH EQUITY EFFORTS TO PROVIDE CULTURALLY COMPETENT AND LINGUISTICALLY APPROPRIATE CARE TO VERY DIVERSE RACIAL AND ETHNIC COMMUNITIES WITH VARIOUS CULTURAL BELIEFS, PERCEPTIONS, AND HEALTH PRACTICES MUST BE CONTINUOUS. ACHIEVING HEALTH EQUITY REQUIRES US TO SYSTEMICALLY DEFINE, MEASURE, AND IMPROVE THE COMMUNITY INFRASTRUCTURE AND ENHANCE HEALTH SYSTEM LEADERSHIP PERSPECTIVES, OPERATIONS, AND PRACTICES. THE FOLLOWING GOAL TO ACHIEVE HEALTH EQUITY IS DESIGNED TO ELIMINATE HEALTH INEQUITIES, CLOSE DISPARITY GAPS, AND IMPROVE HEALTH OUTCOMES. THE HEALTH EQUITY COUNCIL WILL CREATE A HEALTH EQUITY ACTION PLAN AND EVALUATION PLAN TO IDENTIFY AND ADDRESS DISPARITIES THROUGH ACTIONABLE STRATEGIES. READING HOSPITAL WILL EXPAND THE USE OF LANGUAGE AND INTERPRETATION SERVICES OFFERED THROUGH VIRTUAL VISITS. BILINGUAL STAFF WILL BE TRAINED TO BECOME CERTIFIED MEDICAL INTERPRETERS. READING HOSPITAL WILL PARTICIPATE IN COUNTY-WIDE BROADBAND ACCESS COALITIONS AND ASSIST WITH DEVELOPING AND IMPLEMENTING GROUP ACTIVITIES. LIST OF HEALTH NEEDS THE FACILITY DOES NOT PLAN TO ADDRESS: BEHAVIORAL HEALTH: LAST MINUTE BARRIERS WERE IDENTIFIED THAT PROHIBITED THE HOSPITAL TO MOVE FORWARD WITH THE VENDOR FOR THE MARVIN TELEMEDICINE PROGRAM TO PROVIDE DIGITAL BEHAVIORAL HEALTH SERVICES FOR HOSPITAL STAFF. ACCESS TO EQUITABLE CARE: THE EXPANSION OF THE REMOTE PATIENT MONITORING PROGRAM TO PATIENTS DIAGNOSED WITH DIABETES AND COPD HAS BEEN PLACED ON AN INDEFINITE HOLD."

FACILITY 1, READING HOSPITAL - PART V, LINE 13H
FINANCIAL ASSISTANCE CRITERIA: PATIENTS VISITING FROM OUT OF THE COUNTRY AND REQUIRING EMERGENCY SERVICES ARE ELIGIBLE FOR CONSIDERATION OF FINANCIAL ASSISTANCE. HOWEVER, PATIENTS VISITING THE UNITED STATES WITH THE INTENT OF RECEIVING NON-EMERGENT CARE ARE NOT GENERALLY ELIGIBLE FOR FINANCIAL ASSISTANCE.

FACILITY 1, READING HOSPITAL - PART V, LINE 15E
FINANCIAL ASSISTANCE APPLICATION PROCESS: 1. WHO IS ELIGIBLE FOR FINANCIAL ASSISTANCE: A. PATIENTS RECEIVING SERVICES IN OUR HOSPITAL AND THMG PRACTICES. B. BOTH UNINSURED AND UNDER-INSURED PATIENTS. C. PATIENTS WHO ARE DENIED MEDICAID COVERAGE, OR WHO ARE SCREENED AND DETERMINED TO NOT MEET THE MEDICAID COVERAGE CRITERIA. 2. A HOSPITAL FINANCIAL COUNSELOR OR PATIENT FINANCIAL SERVICES REPRESENTATIVE WILL ASSIST THE PATIENT WITH COMPLETING THE FINANCIAL ASSISTANCE APPLICATION AND OBTAIN ANY SUPPORTING DOCUMENTATION. 3. DECISIONS PERTAINING TO ELIGIBILITY FOR FINANCIAL ASSISTANCE WILL BE MADE WITHIN 14 DAYS OF RECEIPT OF A COMPLETE FINANCIAL ASSISTANCE APPLICATION. INCOMPLETE APPLICATIONS WILL BE REVIEWED AND ATTEMPTS TO CONTACT THE PATIENT/GUARANTOR FOR ADDITIONAL INFORMAITON WILL BE MADE. A CONFIRMATION LETTER IN ENGLISH AND SPANISH WILL BE SENT TO THE PATIENT DESCRIBING THE OUTCOME OF THE DECISION. 4. WHEN FINANCIAL ASSISTANCE IS APPROVED, A CONFIRMATION LETTER IN ENGLISH AND SPANISH WILL BE SENT TO THE PATIENT. THE LETTER WILL SERVE AS A MEANS OF SPECIFYING TIME FRAME COVERED BY THE FINANCIAL ASSISTANCE DETERMINATION. THE CONFIRMATION LETTER WILL CONTAIN A CONTACT NAME FOR THE PATIENT TO RETAIN AS A REFERENCE AND RESOURCE FOR ADDITIONAL QUESTIONS. 5. IF FINANCIAL ASSISTANCE IS NOT APPROVED, LETTERS IN ENGLISH AND SPANISH WILL BE SENT DESCRIBING THE REASONS FOR THE DECISION, AS WELL AS INFORMATION ON OTHER PAYMENT OPTIONS. SHOULD PATIENTS WISH TO APPEAL THE DECISION MADE, DIRECTIONS ON THE APPEALS PROCESS WILL ALSO BE PROVIDED. 6. PATIENTS OR GUARANTORS WHO DISAGREE WITH THE OUTCOME OF THE FINANCIAL ASSISTANCE ELIGIBILITY DECISION WILL HAVE THE OPPORTUNITY TO APPEAL THE DECISION. 7. THE FINANCIAL ASSISTANCE SCALE PROVIDES 100% CHARITY CARE TO BOTH INSURED AND UNINSURED PATIENTS WHOSE HOUSEHOLD INCOME IS UP TO 200% OF THE FEDERAL POVERTY LEVEL (FPL). THE FINANCIAL ASSISTANCE SCALE PROVIDES DISCOUNTED CARE ON A SLIDING SCALE FOR BOTH INSURED AND UNINSURED PATIENTS WHOSE HOUSEHOLD INCOME IS UP TO 400% OF THE FEDERAL PROVERTY LEVEL (FPL). 8. THE MCR FFS (MEDICARE FEE FOR SERVICE) IS USED TO DETERMINE THE FINANCIAL ASSISTANCE ADJUSTMENT. PATIENTS ARE ENCOURAGED TO BEGIN APPLYING FOR FINANCIAL ASSISTANCE AS EARLY AS POSSIBLE IN THE PROCESS OF ACCESSING MEDICAL CARE. THE SOONER READING HOSPITAL BECOMES AWARE OF THE FINANCIAL NEED, THE GREATER OPPORTUNITY EXISTS TO SUCCESSFULLY CONNECT THE PATIENT WITH POTENTIAL RESOURCES SUCH AS MEDICAID OR OTHER ASSISTANCE OF INSURANCE PROGRAMS. WHILE IT IS IDEAL TO INITIATE THE PROCESS AS SOON AS POSSIBLE, PATIENTS ARE ELIGIBLE TO REQUEST CONSIDERATION OF FINANCIAL ASSISTANCE AT ANY POINT IN THE BILLING AND COLLECTION CYCLE. IF THE FINANCIAL ASSISTANCE APPLICATION IS INITIATED WHILE THE ACCOUNT IS IN THE COLLECTION'S PROCESS, COLLECTION ACTIVITY WILL CEASE UNTIL DETERMINATION OF ELIGIBILITY HAS BEEN MADE.

FACILITY 1, READING HOSPITAL - PART V, LINE 16J
THIS NARRATIVE COVERS LINE 16A-C AND J: THE CURRENT PATIENT FINANCIAL ASSISTANCE POLICY, PLAIN LANGUAGE POLICY AND APPLICATIONS FOR FINANCIAL ASSISTANCE, IN ENGLISH AND SPANISH, ARE ACCESSIBLE AT HTTPS://WWW.TOWERHEALTH.ORG/LOCATIONS/READING- HOSPITAL/BILLING/FINANCIAL-ASSISTANCE-READING-HOSPITAL ADDITIONALLY, TOWER HEALTH MAINTAINS, AND CONTINUOUSLY UPDATES THE LIST OF ALL PROVIDERS (IDENTIFIED BY NAME, PRACTICE GROUP/ENTITY, HOSPITAL DEPARTMENT OR TYPE OF SERVICE) DELIVERING EMERGENCY OR OTHER MEDICALLY NECESSARY CARE AT READING HOSPITAL SPECIFYING WHICH PROVIDERS ARE AND ARE NOT COVERED BY THE PATIENT FINANCIAL ASSISTANCE POLICY. THIS PROVIDER LIST IS AVAILABLE ONLINE AT THE FOLLOWING READING HOSPITAL WEBSITE ADDRESS: HTTPS://WWW.TOWERHEALTH.ORG/PROVIDERS/. ADDITIONALLY, A PAPER COPY CAN BE OBTAINED AT NO COST BY CALLING 484-628-5683. FEES FOR SERVICES PROVIDED BY PHYSICIANS WHO ARE NOT EMPLOYED BY READING HOSPITAL ARE EXCLUDED FROM THE FINANCIAL ASSISTANCE POLICY. INFORMATION REGARDING ELIGIBILITY FOR FINANCIAL ASSISTANCE IS COMMUNICATED VIA SIGNAGE AND BROCHURES PROMINENTLY DISPLAYED THROUGHOUT THE HOSPITAL AND WITHIN REGISTRATION AREAS. PAMPHLETS TITLED UNDERSTANDING BILLING & PAYMENTS INCLUDE THE PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY. THE PAMPHLETS ARE PRINTED IN ENGLISH, SPANISH, GERMAN, DUTCH, HAITIAN CREOLE, AND VIETNAMESE AND ARE AVAILABLE IN THE LOBBIES AND WAITING AREAS THROUGHOUT READING HOSPITAL. THESE PAMPHLETS PROVIDE AN EASY-TO-READ SUMMARY OF THE FINANCIAL ASSISTANCE PROGRAM, WITH CONTACT INFORMATION OF READING HOSPITAL EMPLOYEES WHO WILL ASSIST THE PATIENTS WITH THE APPLICATION PROCESS. THESE PAMPHLETS ARE ALSO DISTRIBUTED TO PATIENTS AT THE POINTS OF REGISTRATION THROUGHOUT READING HOSPITAL. PATIENTS WHO ARE UNINSURED OR WHO EXPRESS THE INABILITY TO PAY AT POINT OF SERVICE ARE PROVIDED WITH THE PAMPHLET. EMERGENCY PATIENTS IN THESE SITUATIONS ARE PROVIDED WITH THE PAMPHLET AT THE TIME OF DISCHARGE. PATIENT BILLING STATEMENTS FOR READING HOSPITAL SERVICES CONTAIN GUIDANCE AND DIRECTION ON THE AVAILABILITY OF THE FINANCIAL ASSISTANCE PROGRAM. IN ADDITION, THE BACK OF THE BILLING STATEMENT IS A FINANCIAL ASSISTANCE APPLICATION. READING HOSPITAL WORKS CLOSELY WITH ADVOCACY PROGRAMS IN THE COMMUNITY. THE AVAILABILITY OF READING HOSPITAL FINANCIAL ASSISTANCE POLICY IS SHARED WITH THOSE AGENCIES. EXAMPLES ARE BERKS WESTERN CLINIC, OPPORTUNITY HOUSE, BERKS ENCORE, BERKS COMMUNITY HEALTH CENTER AND DANIEL TORRES HISPANIC CENTER, AS WELL AS THE COUNTY ASSISTANCE OFFICE.

SCHEDULE H, PART I, LINE 3C
PATIENTS WILL BE ASKED TO PROVIDE VERIFICATION OF HOUSEHOLD INCOME ALONG WITH THE NAMES OF PEOPLE RESIDING IN THE HOUSEHOLD, AS A REQUIREMENT OF THE APPLICATION PROCESS. THE INFORMATION IS UTILIZED IN DETERMINING WHERE THE HOUSEHOLD FALLS IN THE FEDERAL POVERTY LEVEL GUIDELINE (FPL). THE FPL CATEGORY WILL DETERMINE THE PATIENT OR GUARANTOR CONTRIBUTION AMOUNT TOWARD THEIR MEDICAL BILL.

SCHEDULE H, PART I, LINE 7G
READING HOSPITAL UTILIZES THE IRS GUIDELINES IN DETERMINING THE RATIO OF PATIENT COST TO CHARGES TO ESTIMATE THE COST OF EACH SUBSIDIZED HEALTH SERVICE. THIS CALCULATION DOES NOT REFLECT READING HOSPITAL'S OPERATIONAL LOSS. CURRENTLY THE HOSPITAL PROVIDES BEHAVIORAL HEALTH, AND OUTPATIENT SERVICES TO THE COMMUNITY ON A SUBSIDIZED BASIS AS THESE SERVICES REFLECT AN OPERATIONAL LOSS. READING HOSPITAL IS A NOT-FOR-PROFIT HEALTHCARE CENTER PROVIDING COMPREHENSIVE ACUTE CARE, POST-ACUTE CARE REHABILITATION, BEHAVIORAL, AND OCCUPATIONAL HEALTH SERVICES TO THE PEOPLE OF BERKS AND ADJOINING COUNTIES. READING HOSPITAL LIES ON THE OUTSKIRTS OF THE CITY OF READING, WHICH HAS AN ESTIMATED POPULATION OF 94,858, IN 2022. 28.6% OF THE RESIDENTS OF THE CITY LIVE BELOW FEDERAL POVERTY LEVELS. THE HEALTHCARE NEEDS TRACK CLOSELY TO THE HIGH POVERTY RATE IN THE CITY. THE MISSION OF THE READING HOSPITAL IS TO PROVIDE COMPASSIONATE, ACCESSIBLE, HIGH QUALITY, COST EFFECTIVE HEALTH CARE TO THE COMMUNITY; TO PROMOTE HEALTH; TO EDUCATE HEALTHCARE PROFESSIONALS; AND TO PARTICIPATE IN APPROPRIATE CLINICAL RESEARCH. READING HOSPITAL IS COMMITTED TO SERVING THE NEEDS OF THE COMMUNITY, EVEN WHEN THE NEEDED SERVICES CAUSE A DRAIN ON CAPITAL RESOURCES. DURING FY2023, READING HOSPITAL'S NET COMMUNITY BENEFIT FOR SUBSIDIZED HEALTH SERVICES TOTALED 8,020. READING HOSPITAL PROVIDES DURABLE MEDICAL EQUIPMENT (DME) AT NO COST TO PATIENTS WHO DEMONSTRATE A NEED, MEANING EQUIPMENT THAT IS NOT COVERED BY INSURANCE AND THEY ARE NOT FINANCIALLY ABLE TO PRIVATELY PAY FOR THE EQUIPMENT. DURING FY2023, READING HOSPITAL PROVIDED TWO (2) PATIENTS WITH ZOLL LIFE VESTS, WEARABLE CARDIOVERTER DEFIBRILLATORS WORN BY PATIENTS AT RISK OF SUDDEN CARDIAC DEATH, COSTING 3,100 EACH. READING HOSPITAL ALSO PROVIDES MORGUE SERVICES FOR THE BERKS COUNTY CORONER'S OFFICE, WHICH HELPS TO RELIEVE OR REDUCE GOVERNMENT BURDEN. IN FY2023, THERE WERE 125 CASES COMPLETED - 106 FOR THE CORONER'S OFFICE, 18 HOUSE CASES, AND 1 PRIVATE CASE. EXPENSES INCLUDE STAFF TIME (AUTOPSY ASSISTANT AT 500 HOURS AND A HISTOLOGY TECHNICIAN AT 100 HOURS). REVENUES IN THE AMOUNT OF 38,660 INCLUDE FACILITIES FEES RECEIVED FOR CORONER AND PRIVATE CASES.

SCHEDULE H, PART I, LINE 7
IN THE CHARITY CARE AND MEANS-TESTED GOVERNMENT PROGRAMS SECTION OF LINE 7 A COST TO CHARGE RATIO DEVELOPED FROM OUR MEDICARE COST REPORT IS UTILIZED.

SCHEDULE H, PART III, LINE 2
DUE TO THE ADOPTION OF ASU NO. 2014-09 REVENUE FROM CONTRACTS WITH CUSTOMERS (TOPIC 606) BAD DEBT EXPENSE IS NO LONGER REPORTED ON THE AUDITED FINANCIAL STATEMENTS. RATHER IT IS TREATED AS AN IMPLICIT PRICE CONCESSION. BAD DEBT IS DETERMINED IF THERE WAS AN EXTRAORDINARY OR ADVERSE EVENT THAT PREVENTED A PATIENT FROM BEING ABLE TO PAY THE EXPECTED AMOUNT. FOR PATIENTS WHO WERE DETERMINED BY THE HOSPITAL TO HAVE THE ABILITY TO PAY UNCOLLECTED AMOUNTS BUT DID NOT, THESE UNCOLLECTED AMOUNTS ARE TREATED AS IMPLICIT PRICE CONCESSIONS. THERE WAS NO ADVERSE OR EXTRAORDINARY EVENT THAT CAUSED THE ORGANIZATION TO REPORT BAD DEBT EXPENSE IN FY2023

SCHEDULE H, PART III, LINE 3
THE ORGANIZATION DOES NOT CURRENTLY HAVE A METHODOLOGY TO ACCURATELY QUANTIFY OR ESTIMATE THE AMOUNT OF BAD DEBT EXPENSE THAT WOULD BE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY.

SCHEDULE H, PART III, LINE 4
READING HOSPITAL IS INCLUDED IN THE CONSOLIDATED FOOTNOTE FOR TOWER HEALTH AND SUBSIDIARIES. THE FOLLOWING IS A FOOTNOTE REGARDING COMMUNITY BENEFIT EXPENSE AND UNCOMPENSATED CARE. THE SYSTEM PROVIDES SERVICES TO PATIENTS WHO MEET THE CRITERIA OF ITS CHARITY SERVICE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN THE ESTABLISHED RATES. CRITERIA FOR CHARITY CARE CONSIDER THE PATIENT'S FAMILY INCOME, FAMILY SIZE, AND ABILITY TO PAY. INDIVIDUALS WHO QUALIFY FOR CHARITY CARE DO NOT HAVE INSURANCE OR OTHER COVERAGE. THE SYSTEM MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE LEVEL OF CHARITY CARE AND COMMUNITY SERVICE IT PROVIDES. THESE RECORDS INCLUDE THE AMOUNT OF CHARGES FOREGONE BASED ON ESTABLISHED RATES FOR SERVICES, AND SUPPLIES FURNISHED UNDER ITS CHARITY CARE AND COMMUNITY SERVICE POLICIES, AND THE ESTIMATED COST OF THOSE SERVICES. CHARGES FOREGONE FOR UNCOMPENSATED CARE AS DETERMINED IN ACCORDANCE WITH THE SYSTEM'S POLICIES WERE APPROXIMATELY 38,908 AND 10,782 IN THE YEARS ENDED JUNE 30, 2023 AND 2022, RESPECTIVELY.DIRECT AND INDIRECT COSTS TO PROVIDE THESE SERVICES WERE APPROXIMATELY 8,735 AND 2,087 FOR THE YEARS ENDED JUNE 30, 2023 AND 2022, RESPECTIVELY. THE ESTIMATED COSTS WERE BASED ON A CALCULATION, WHICH MULTIPLIED THE COST TO CHARGE RATIO BY THE GROSS CHARGES ASSOCIATED WITH PROVIDING UNCOMPENSATED CARE TO PATIENTS. THE COST TO CHARGE RATIO WAS OBTAINED FROM THE SYSTEM'S MOST RECENTLY FILED MEDICARE COST REPORT. ADDITIONALLY, THE SYSTEM SPONSORS CERTAIN OTHER SERVICE PROGRAMS AND CHARITY SERVICES, WHICH PROVIDE SUBSTANTIAL BENEFIT TO THE BROADER COMMUNITY. SUCH PROGRAMS INCLUDE SERVICES TO NEEDY POPULATIONS REQUIRING SPECIAL SERVICES AND SUPPORT, COMMUNITY SERVICE PROGRAMS AND CHARITY SERVICES, AS WELL AS HEALTH PROMOTION AND EDUCATION. THE SYSTEM'S COMMUNITY SERVICE INCLUDES THE MEDICAL ASSISTANCE PROGRAM, WHICH MAKES PAYMENT FOR SERVICES PROVIDED TO FAMILIES WITH DEPENDENT CHILDREN, THE AGED, THE BLIND, AND THE PERMANENTLY AND TOTALLY DISABLED, WHOSE INCOME AND RESOURCES ARE INSUFFICIENT TO MEET THE COSTS OF NECESSARY MEDICAL SERVICES. PAYMENTS FROM THE MEDICAL ASSISTANCE PROGRAM ARE GENERALLY LESS THAN THE SYSTEM'S COST OF PROVIDING THE SERVICE. IN ADDITION, COMMUNITY SERVICE REPRESENTS THE COST TO DELIVER SERVICES TO THE COMMUNITY, NET OF ANY PAYMENT RECEIVED FOR THOSE SERVICES. INCLUDED IN THESE SERVICES ARE THE SYSTEM'S SUBSIDIES OF OUTPATIENT CLINICS, EDUCATION OF MEDICAL PROFESSIONALS WHO WORK WITH VARIOUS HEALTH CARE PROVIDERS IN THE COMMUNITY UPON GRADUATION AND COMMUNITY MENTAL HEALTH PROGRAMS. THE SYSTEM ALSO SPONSORS HEALTH FAIRS AND OTHER WELLNESS PROGRAMS THROUGHOUT THE COMMUNITY.

SCHEDULE H, PART III, LINE 8
THE HOSPITAL USES REPORTS FROM THE MEDICARE PROVIDER STATISTICAL AND REIMBURSEMENT SYSTEM TO CALCULATE THE GROSS PATIENT CHARGES AND GROSS REIMBURSEMENT PAYMENTS. A RATIO OF COST TO CHARGES IS APPLIED TO THE GROSS PATIENT CHARGES TO CALCULATE THE COMMUNITY BENEFIT EXPENSE.

SCHEDULE H, PART III, LINE 9B
PATIENTS ARE INFORMED OF OPTIONS FOR FINANCIAL ASSISTANCE THROUGHOUT THE REVENUE CYCLE, FROM REGISTRATION THROUGH COLLECTION; THEREFORE, READING HOSPITAL'S DEBT COLLECTION POLICY AND PROCEDURE INCLUDES SPECIFIC PROVISIONS FOR REFERRING PATIENTS FOR FINANCIAL ASSISTANCE.THREE STATEMENTS, SPECIFYING THE AMOUNT DUE AND APPROPRIATE DETAILED INSTRUCTIONS ARE SENT TO PATIENTS EVERY 30 DAYS A BALANCE REMAINS. EACH STATEMENT CONTAINS A PATIENT FINANCIAL ASSISTANCE APPLICATION WITH INSTRUCTIONS AND APPROPRIATE CONTACT INFORMATION. NO ACCOUNT SHALL BE SENT TO A COLLECTION AGENCY AS LONG AS THE PATIENT/GUARANTOR IS ACTIVELY WORKING WITH A FACILITIES PATIENT FINANCIAL SERVICES REPRESENTATIVE TO RESOLVE AN OPEN ACCOUNT.

SCHEDULE H, PART II
ECONOMIC DEVELOPMENT: READING HOSPITAL'S PRESIDENT & CEO SERVE ON THE GREATER BERKS DEVELOPMENT FUND (GBDF) BOARD OF DIRECTORS. GBDF IS A CERTIFIED ECONOMIC DEVELOPMENT ORGANIZATION THAT PROVIDES FINANCIAL ASSISTANCE TO BERKS COUNTY COMPANIES THROUGH ITS ACCESS TO FUNDING FROM PENNSYLVANIA'S DEPARTMENT OF COMMUNITY DEVELOPMENT AND OTHER RESOURCES. APPROXIMATELY 1 HOUR PER MONTH IS DEDICATED TO GBDF BOARD RESPONSIBILITIES. READING HOSPITAL SPONSORED AND PARTICIPATED IN A SMALL BUSINESS EXPO & PROCUREMENT STRATEGY EVENT HOSTED FOR SMALL BUSINESSES IN BERKS COUNTY AND THE SURROUNDING AREA. THE EVENT INCLUDED A PROCUREMENT PANEL DISCUSSION, STRATEGY PLANNING, AND NETWORKING, INCREASING VISIBILITY OF SMALL AND DIVERSE BUSINESSES IN THE COMMUNITY AND OPPORTUNITY TO UTILIZE THEIR SERVICES. ENVIRONMENTAL IMPROVEMENTS: READING HOSPITAL PARTICIPATES IN THE MEDSAFE PROGRAM, A MEDICAL COLLECTION KIOSK AND DISPOSAL SYSTEM, PROVIDING A RESOURCE FOR COMMUNITY MEMBERS TO SAFELY DISPOSE OF CONTROLLED, NON-CONTROLLED, AND OVER THE COUNTER MEDICATIONS. DURING FY2023, 3,709 OF STAFF TIME AND SUPPLIES SUPPORTED THIS PROGRAM. FOR THE FIRST TIME SINCE THE COVID-19 PANDEMIC, READING HOSPITAL BROUGHT BACK THE BIKE TO WORK WEEK RIDE. HELD ANNUALLY THE THIRD FRIDAY IN MAY, THE EVENT PROMOTES GREEN COMMUTE OPTIONS FOR HOSPITAL STAFF AND THE COMMUNITY. THE RIDE IS APPROXIMATELY 6-MILES AND TAKES PARTICIPANTS ON A LEISURELY RIDE THROUGH WEST READING, THE CITY OF READING, AND WYOMISSING. THE RIDE IS FACILITATED BY WEST READING AND CITY OF READING POLICE DEPARTMENTS TO ENSURE SAFETY. AS A THANK YOU FOR THEIR SUPPORT OF THE EVENT AND ENSURING THE SAFETY OF OUR COMMUNITIES, EACH POLICE DEPARTMENT WAS GIFTED A NEW TREK E-BIKE PURCHASED THROUGH GRANT FUNDING RECEIVED FROM THE FRIENDS OF READING HOSPITAL. COALITION BUILDING: READING HOSPITAL SERVES AS THE LEAD ORGANIZATION OF THE HEALTH EQUITY COMMUNITY COLLABORATIVE (HECC) WHICH CONVENES CLINICAL AND COMMUNITY PARTNERS TO ADDRESS COMMUNITY HEALTH PRIORITIES AND HEALTH-RELATED SOCIAL NEEDS, FOSTERING CROSS-SECTOR COLLABORATION AND ENSURING COMMUNITY CAPACITY TO ADDRESS AND RESOLVE NEEDS. THE HECC SUPPORTS AND ADVISES READING HOSPITAL'S HEALTH EQUITY COUNCIL IN GOALS AND STRATEGIES TO REDUCE HEALTH CARE DISPARITIES. FY2023 EXPENSES RELATED TO THE OVERSIGHT AND IMPLEMENTATION OF THE HECC INCLUDE 24,750 IN STIPENDS TO COMMUNITY PARTNERS AND 522 IN INCENTIVES FOR FOCUS GROUPS, TOTALING 25,272. A GRANT THROUGH UNITED WAY OF BERKS COUNTY SUPPORTS ALL EXPENSES. COMMUNITY HEALTH IMPROVEMENT ADVOCACY: READING HOSPITAL PARTICIPATES IN EFFORTS TO SUPPORT POLICIES AND PROGRAMS TO SAFEGUARD AND IMPROVE PUBLIC HEALTH. IN AUGUST 2022, READING HOSPITAL CEO PARTICIPATED IN A WEBINAR CALLED IMPACTING YOUR POCKETBOOK: THE COST OF GUN VIOLENCE HOSTED BY THE LEAGUE OF WOMEN VOTERS. IN MARCH 2023, THE PENNSYLVANIA STATE HOUSE JUDICIARY COMMITTEE HELD A HEARING ON GUN VIOLENCE. READING HOSPITAL'S PRESIDENT & CEO TESTIFIED BEFORE THE COMMITTEE ON THE IMPACT OF GUN VIOLENCE ON COMMUNITIES, WHILE THE HOSPITAL'S INTERIM DIVISION CHIEF OF TRAUMA AND SURGICAL CRITICAL CARE PARTICIPATED IN EVENTS AT THE CAPITOL RELATED TO GUN SAFETY AND REDUCING GUN VIOLENCE. WORFORCE DEVELOPMENT: READING HOSPITAL BELIEVES IN INVESTING IN THE FUTURE HEALTHCARE WORKFORCE AND DOES SO BY PROVIDING A NUMBER OF OPPORTUNITIES FOR PRIMARY, SECONDARY, AND POST-SECONDARY STUDENTS WHO ARE INTERESTED IN CAREERS IN HEALTHCARE TO ENGAGE WITH BOTH CLINICAL AND NON-CLINICAL STAFF. IN FY2023, 205,813 WERE DEDICATED TO ITS NUMEROUS WORKFORCE DEVELOPMENT AND CAREER EXPLORATION INITIATIVES. ONE OF ITS PREMIER PROGRAMS IS THE HIGH SCHOOL INTERNSHIP PROGRAM. 30 STUDENTS FROM 9 BERKS COUNTY SCHOOL DISTRICTS REPRESENTED THE CLASS OF 2023. INTERNS PARTICIPATE IN HANDS-ON EXPERIENCES THAT SUPPLEMENT THEIR CONVENTIONAL CLASSROOM LEARNING, ENHANCING THEIR ACADEMIC, PROFESSIONAL, AND PERSONAL DEVELOPMENT. HOSPITAL STAFF CONTRIBUTED APPROXIMATELY 5,980 HOURS OF TIME SERVING AS PRECEPTORS, AS WELL AS 54 HOURS SERVING AS FACILITATORS DURING MONTHLY WORKSHOPS. THE HOSPITAL ALSO OFFERS JOB SHADOWING WHICH HOSTED 197 UNIQUE STUDENTS WHO PARTICIPATED IN 420 COORDINATED EXPERIENCES TOTALING 2,052.85 SHADOWING HOURS. A JOB SHADOWING ROTATION FOR BERKS CATHOLIC ENGAGED 5 STUDENTS WHO COMPLETED OBSERVATION EXPERIENCES IN VARIOUS DEPARTMENTS OVER THE COURSE OF 6 MONTHS. STAFF CONTRIBUTED 114 HOURS SERVING AS PRECEPTORS FOR THE STUDENTS. READING HOSPITAL HOSTED 19 STUDENTS FROM BERKS CAREER & TECHNOLOGY CENTER'S MEDICAL HEALTH PROFESSIONS PROGRAM. THE STUDENTS COMPLETED 1,618 SHADOWING HOURS IN VARIOUS DEPARTMENTS. READING HOSPITAL'S HUMAN RESOURCES AND COMMUNITY WELLNESS TEAMS PARTICIPATED IN 11 CAREER FAIRS AT BERKS COUNTY SCHOOLS, SHARING INFORMATION ABOUT CAREER EXPLORATION PROGRAMMING AS WELL AS THE VARIOUS EDUCATIONAL AND CAREER PATHWAYS OFFERED BY READING HOSPITAL AND ITS SCHOOL OF HEALTH SCIENCES.

SCHEDULE H, PART VI, LINE 5
THE READING HOSPITAL BOARD IS COMPRISED OF 13 MEMBERS, 9 OF WHOM ARE FROM THE COMMUNITY WHO ARE NOT EMPLOYED BY THE HOSPITAL. ALL PHYSICIANS ARE ENCOURAGED TO APPLY FOR MEDICAL STAFF PRIVILEGES THE DEPARTMENT OF MEDICINE IS THE LARGEST CLINICAL DEPARTMENT OF READING HOSPITAL. THE DEPARTMENT SPANS 16 DIVISIONS OF MEDICINE. THIS COMPRISES OF 300+ PHYSICIANS (MD/DO) AND 80+ ADVANCED LICENSED PRACTITIONERS. CARE PROVIDED TO OUR PATIENTS SPANS AMBULATORY CARE THROUGH TO TRANSPLANT MEDICINE. THE DEPARTMENT FULFILLS THE MISSIONS OF OUR ORGANIZATION BY PROVIDING HIGH-QUALITY CARE, MEDICAL EDUCATION, AND RESEARCH. THE DEPARTMENT IS DEDICATED TO MEDICAL EDUCATION, PROVIDING MEDICAL STUDENTS, RESIDENTS, AND FELLOWS OPPORTUNITIES TO BE EDUCATED IN THEIR SPECIALTY AND ADVANCE THEIR CAREERS. READING HOSPITAL IS ACCREDITED BY THE PENNSYLVANIA MEDICAL SOCIETY TO SPONSOR CONTINUING MEDICAL EDUCATION FOR PHYSICIANS. THE CONTINUING MEDICAL EDUCATION TEAM WITHIN ACADEMIC AFFAIRS DEPARTMENT OVERSEES DEPARTMENT-BASED PROGRAMS FOR CME CATEGORY 1 AND CATEGORY 2 CREDITS. ONGOING EDUCATION IS ALSO AVAILABLE FOR STAFF IN ALL CLINICAL DEPARTMENTS. THE HOSPITAL ALSO PROVIDES ONGOING EDUCATION FOR STAFF IN ALL DEPARTMENTS ON SAFETY, COMPLIANCE, AND RELATED REGULATORY AND PROFESSIONAL ISSUES. CLINICAL RESEARCH IS A CORE COMPONENT OF READING HOSPITAL'S MISSION AND PROVIDES PATIENTS WITH ACCESS TO CUTTING-EDGE TREATMENTS WITHOUT NEEDING TO TRAVEL FAR FROM HOME. THE CLINICAL TRIALS OFFICE PROVIDES SUPPORT AND CLINICAL RESEARCH FOR PATIENTS, CAREGIVERS, AND MEDICAL PROFESSIONALS. THE CTO WORKS IN CONJUNCTION WITH THE HOSPITALS INSTITUTIONAL REVIEW BOARD WHICH MONITORS ALL CLINICAL RESEARCH PROJECTS CONDUCTED AT THE HOSPITAL. PROVIDING HEALTH CARE: A. INPATIENT DISCHARGES 32,909 B. INPATIENT DAYS 163,020 C. BIRTHS 3,038 D. EMEGENCY VISITS 106,958 PROMOTING HEALTH: HEALTH OUTREACH FOR CHILDREN (NEWBORNS THROUGH TEENS) CHILDREN'S HEALTH CENTER - PROVIDES AMBULATORY CARE TO PEDIATRIC PATIENTS WHO ARE MEDICALLY UNDERSERVED. IN FY2023, THERE WERE 16,838 VISITS. THE CHILDREN'S HEALTH CENTER PARTNERS WITH UNITED WAY OF BERKS COUNTY TO OFFER THE REACH OUT AND READ PROGRAM TO PROMOTE LITERACY. THROUGH THE PROGRAM, PARENTS RECEIVE EDUCATION FROM THEIR CHILD'S PRIMARY CARE PHYSICIAN ON THE IMPORTANCE OF READING ALOUD TO THEIR CHILDREN, INCLUDING LEARNING AGE- APPROPRIATE TIPS AND ENCOURAGEMENT. ALL CHILDREN RECEIVE A NEW BOOK TO TAKE HOME AND KEEP. IN ADDITION, THE WAITING ROOM OFTEN UTILIZES VOLUNTEERS TO CONDUCT READ-ALOUDS THAT BOTH ENTERTAIN CHILDREN AND MODEL GOOD PRACTICES FOR PARENTS. HEALTH OUTREACH FOR ADULTS: WOMEN'S HEALTH CENTER - PROVIDES OBSTETRICAL, GYNECOLOGICAL, AND WOMEN'S HEALTH CARE SERVICES TO MEDICALLY UNDERSERVED WOMEN. IN FY2023, THERE WERE 21,087 VISITS. CENTER FOR PUBLIC HEALTH - OFFERS A VARIETY OF PUBLIC HEALTH SERVICES INCLUDING HIV AND STI TESTING, CARE, AND TREATMENT, IMMUNIZATIONS, AND ROUTINE SCREENINGS. IN FY2023, THERE WERE 2,397 VISITS. OUTPATIENT SERVICES ADULT CLINICS - PROVIDE PRIMARY AND SUBSPECIALTY CARE, WITH AN EMPHASIS ON DISEASE PREVENTION AND HEALTH PROMOTION, TO MEDICALLY UNDERSERVED ADULTS. HEALTH OUTREACH FOR ALL AGES: EMERGENCY DEPARTMENT - READING HOSPITAL'S EMERGENCY DEPARTMENT OPERATES 24 HOURS PER DAY, 7 DAYS PER WEEK. IT INCLUDES MORE THAN 115 TREATMENT AREAS THAT OFFER ACUTE CARE TO SERIOUSLY ILL AND INJURED PATIENTS, AS WELL AS INTERMEDIATE/FAST TRACK CARE FOR PATIENTS WITH LESS ACUTE PROBLEMS AND OBSERVATION ROOMS FOR PATIENTS REQUIRING MORE PROLONGED EMERGENCY CARE. THE EMERGENCY DEPARTMENT PROVIDES A WIDE RANGE OF SERVICES AND CAPABILITIES INCLUDING DEDICATED COMPUTED TOMOGRAPHY (CT) SCANNER, CERTIFIED CHEST PAIN CENTER, AND ADVANCED PRIMARY STOKE CENTER TO ASSESS AND ADDRESS CASES OF TRAUMATIC ILLNESS, INJURY, AND OTHER EMERGENCY CONDITIONS. PEDIATRIC EMERGENCY DEPARTMENT - PROVIDES COMPREHENSIVE PEDIATRIC EMERGENCY CARE IN A COMFORTING, FAMILY-CENTERED ENVIRONMENT WHERE CHILDREN CAN FEEL SAFE. LEVEL I TRAUMA CENTER - READING HOSPITAL OPERATES THE REGIONS ONLY LEVEL I RESOURCE TRAUMA CENTER THAT PROVIDES LIFE-SAVING CARE TO TRAUMATICALLY INJURED PATIENTS INCLUDING RESUSCITATION, EMERGENCY SURGERY, INTENSIVE CARE, AND/OR GENERAL MEDICAL CARE; GENERAL SURGERY IN EITHER THE EMERGENCY OR ELECTIVE SETTING; AND NEUROLOGICAL CARE FOR PATIENTS SUFFERING INTRACRANIAL TUMOR, STROKE, INTRACEREBRAL HEMORRHAGE, STATUS EPILEPTICUS, AND OTHER CONDITIONS. IN FY2023 THERE WERE 1,217 TRAUMA ACTIVATIONS, 1,133 ACUTE CARE SURGERY CONTACTS AND 2,682 TRAUMA CONTACTS. ACCESS TO EMS SERVICES - THROUGH TOWERDIRECT, BERKS COUNTY RESIDENTS ARE ABLE TO GET THE MEDICAL CARE THEY NEED, QUICKLY AND SAFELY. TOWERDIRECT PROVIDES PLANNED AND UNPLANNED MEDICAL TRANSPORTATION INCLUDING AMBULANCE SERVICES, TRANSPORTATION FOR ROUTING MEDICAL VISITS, PATIENT TRANSFERS, CRITICAL CARE TRANSPORT, AND TRAUMA TRANSPORT. TOWERDIRECT ALSO PROVIDES PROACTIVE AND PREVENTATIVE HEALTH SERVICES INCLUDING HOME VISITS, PUBLIC EVENT SUPPORT (E.G, ON-SITE MEDICAL CARE AT CONCERTS, FAIRS, AND OTHER COMMUNITY EVENTS), AND SAFETY PRESENTATIONS. OBSTETRICS AND MIDWIFERY CARE - READING HOSPITAL OBSTETRICIANS AND CERTIFIED NURSE-MIDWIVES (CNMS) LICENSED BY THE ACCREDITATION COMMISSION FOR MIDWIFERY EDUCATION (ACME) WHO SPECIALIZE IN WOMEN'S REPRODUCTIVE HEALTH, PROVIDING SERVICES THAT RANGE FROM WELL-WOMAN VISITS AND ROUTINE GYNECOLOGICAL SERVICES TO PRENATAL, PREGNANCY, LABOR, AND DELIVERY CARE. CNMS ALSO STAFF THE OBSTETRICS URGENT CARE TRIAGE TEAM PROVIDING EXAMS AND DISCUSSING SYMPTOMS WITH PATIENTS WHO DO NOT FEEL WELL OR DEVELOP SYMPTOMS THAT ARE CONCERNING. READING HOSPITAL ALSO PROVIDES MATERNAL-FETAL MEDICINE SERVICES INCLUDING PRECONCEPTION COUNSELING, ULTRASOUND TESTS, FETAL HEART TESTS, NONINVASIVE PRENATAL TESTING (NIPT), NUCHAL TRANSLUCENCY SCREENING, AMNIOCENTESIS, DIABETES PROGRAMMING PROVIDED BY MATERNAL-FETAL SPECIALISTS WHO SPECIALIZE IN HIGH-RISK PREGNANCIES. READING HOSPITAL'S ON-SITE NEONATAL INTENSIVE CARE (NICU) TEAM OFFERS ADVANCED THERAPIES TO ASSIST WHEN THERE ARE COMPLICATIONS DURING DELIVERY OR AFTER A BABY IS BORN. TRAINED NURSES AND INTERNATIONAL BOARD-CERTIFIED LACTATION CONSULTANTS (IBCLCS) PROVIDE BREASTFEEDING SUPPORT TO NEW MOMS. INTERPRETING SERVICES - READING HOSPITAL'S INTERPRETING SERVICES DEPARTMENT INCLUDES ON-SITE SPANISH-ENGLISH INTERPRETERS WHO ASSIST PATIENTS WITH LANGUAGE BARRIERS. THESE STAFF ALSO ASSIST WITH TRANSLATIONS FOR WRITTEN COMMUNICATIONS. THE HOSPITAL ALSO OFFERS A NETWORK OF 24/7 VIDEO-REMOTE INTERPRETING STATIONS AND TELEPHONES FOR ANY LANGUAGE. SIGN LANGUAGE SERVICES - READING HOSPITAL PARTNERS WITH BERKS DEAF AND HARD OF HEARING SERVICES TO PROVIDE CERTIFIED SIGN LANGUAGE INTERPRETERS AS NEEDED. THE HOSPITAL HAS ALSO ESTABLISHED A 24/7 VIDEO-REMOTE SIGN LANGUAGE INTERPRETING SERVICE. PATIENT ADVOCATE OFFICE - READING HOSPITAL'S BELIEVES ITS PATIENTS, THEIR FAMILIES, FRIENDS, AND SUPPORT PERSONS SHOULD BE TREATED WITH RESPECT, UNDERSTANDING, AND COMPASSION. THE HOSPITAL'S PATIENT ADVOCATES HELP PATIENTS COMMUNICATE WITH THEIR PROVIDERS, OBTAIN INFORMATION THEY NEED TO MAKE DECISIONS, OBTAIN FINANCIAL INFORMATION, CONNECT WITH SOCIAL SUPPORTS, UNDERSTAND THEIR RIGHTS AND RESPONSIBILITIES, AND HELP THE PATIENT BE HEARD. IF A PATIENT HAD A CONCERN ABOUT THE CARE OR SERVICES THEY ARE RECEIVING, THEY HAVE THE RIGHT TO CONTACT THE PATIENT ADVOCATE OFFICE WHO WILL DOCUMENT THE CONCERN AND TAKE NECESSARY STEPS TO RESOLVE IT. SPIRITUAL CARE SERVICES - READING HOSPITAL'S DEPARTMENT OF SPIRITUAL CARE ENSURES THE AVAILABILITY OF HIGH-QUALITY SPIRITUAL CARE AND COUNSELING TO PATIENTS AND FAMILIES THROUGH JOINT EFFORTS OF CHAPLAINCY STAFF, VISITING CLERGY, AND VOLUNTEER CHAPLAINS. THE DEPARTMENT'S PASTORAL CARE PHILOSOPHY RESTS ON THE PRINCIPLE THAT THE CARE OF THE WHOLE PERSON - BODY, MIND, AND SPIRIT - IS INTEGRAL TO HEALTH AND HEALING. THE TEAM, IN PARTNERSHIP WITH THE VOLUNTEER SERVICES DEPARTMENT, PROVIDES THE NO ONE DIES ALONE COMPANION (NODAC) PROGRAM WHICH PROVIDES SPECIAL TRAINING FOR VOLUNTEERS TO SERVE AS A COMPANION TO PATIENTS WHO ARE AT END-OF-LIFE AND DO NOT HAVE A FAMILY MEMBER OR FRIEND AVAILABLE TO SUPPORT THIS PROCESS. PALLIATIVE CARE SERVICES - READING HOSPITAL'S PALLIATIVE CARE TEAM, COMPRISED OF DOCTORS, NURSES, SOCIAL WORKERS, CHAPLAINS, AND DIETICIANS, WORK AS A TEAM TO HELP RELIEVE AND PREVENT SYMPTOMS AND IMPROVE QUALITY OF LIFE FOR PATIENTS WITH A LIFE-LIMITING DISEASE. THE TEAM OFFERS COMPREHENSIVE SERVICES TO HOSPITAL PATIENTS, FAMILY MEMBERS, AND CAREGIVERS PROVIDING PATIENT AND FAMILY COUNSELING, EMOTIONAL AND SPIRITUAL SUPPORT, ASSISTANCE PLANNING FOR CARE AFTER A HOSPITAL STAY, HELP WITH TREATMENT CHOICES AND DECISIONS, AND REFERRALS TO SPECIALISTS AND BEREAVEMENT COUNSELING. FREE VALET PARKING AND SHUTTLE SERVICES - READING HOSPITAL OFFERS PATIENTS AND THEIR FAMILY MEMBERS AND VISITORS FREE VALET PARKING AND SHUTTLE SERVICES. VALET PARKING IS AVAILABLE AT 3 LOCATIONS, INCLUDING 24/7 ACCESS AT T

SCHEDULE H, PART VI, LINE 6
TOWER HEALTH MEDICAL GROUP (THMG) IS A GROUP WITHIN THE HOSPITAL'S AFFILIATED HEALTH CARE SYSTEM THAT PROVIDES GENERAL AND SPECIALIZED PRACTICE ASSISTANCE TO READING HOSPITAL WHICH IS AN ACUTE CARE HOSPITAL. PHYSICIANS CAN REFER PATIENTS TO THE ACUTE CARE HOSPITAL FOR FURTHER TREATMENT. COLLABORATION BETWEEN ALL TOWER HEALTH HOSPITALS ENABLES OUR HOSPITALS, PROVIDERS, LEADERSHIP AND STAFF TO LEVERAGE BEST PRACTICES ACROSS THE HEALTH SYSTEM. OUR PATIENTS BENEFIT FROM ACCESS TO A BROAD RANGE OF SERVICES - ALL RIGHT HERE IN OUR REGION.

SCHEDULE H, PART VI, LINE 7
PENNSYLVANIA

SCHEDULE H, PART VI, LINE 2
READING HOSPITAL'S MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT WAS COMPLETED AND MADE PUBLICLY AVAILABLE IN JUNE 2022. READING HOSPITAL, IN COLLABORATION WITH THE STRATEGIC CONSULTING FIRM TRIPP UMBACH, CONDUCTED RESEARCH IN 2021 AND DEPLOYED A NUMBER OF QUANTITATIVE AND QUALITATIVE RESEARCH METHODOLOGIES TO DEFINE AND SELECT COMMUNITY NEEDS. PRIMARY RESEARCH METHODS INCLUDED CONDUCTING STAKEHOLDER INTERVIEWS (10 COMPLETED), KEY INFORMANT SURVEYS (62 COMPLETED), COMMUNITY SURVEYS (367 COMPLETED), AND FOCUS GROUPS (2 COMPLETED). THE PRIMARY RESEARCH ALLOWED THE HOSPITAL TO GAIN INSIGHTS INTO HEALTH BEHAVIORS AND ACCESS BARRIERS FROM COMMUNITY MEMBERS AND ORGANIZATIONS WHO SERVE LOW-INCOME, VULNERABLE INDIVIDUALS IN THE COMMUNITY. SECONDARY RESEARCH COLLECTION INCLUDED DATA FROM THE UNITED STATES'S CENSUS BUREAU, DEPARTMENT OF LABOR, CENTERS FOR DISEASE CONTROL, AND CENTERS FOR MEDICARE AND MEDICAID SERVICES; PENNSYLVANIA'S DEPARTMENT OF HEALTH, DEPARTMENT OF HUMAN SERVICES, AND STATE CANCER PROFILES; READING HOSPITAL'S EPIC PATIENT DATA; AND OTHER LOCAL, REGIONAL, AND NATION DATA SOURCES INCLUDING THE UNIVERSITY OF WISCONSIN PUBLIC HEALTH INSTITUTE'S COUNTY HEALTH RANKINGS AND ROADMAPS, THE AGENCY FOR HEALTHCARE RESEARCH AND QUALITY (AHRQ), FEEDING AMERICA, THE KAISER FAMILY FOUNDATION, AND BERKS VITAL SIGNS. SUMMARIES OF PRIMARY AND SECONDARY DATA WERE COMPILED AND SHARED WITH THE HOSPITAL'S CHNA ADVISORY BOARD MADE UP OF READING HOSPITAL STAFF AND COMMUNITY PARTNERS, AS WELL AS PARTICIPANTS OF STAKEHOLDER INTERVIEWS, KEY INFORMANT SURVEYS, AND FOCUS GROUPS, WHO PARTICIPATED IN EXERCISES TO SELECT PRIORITY AREAS AND BEGIN LAYING THE GROUNDWORK FOR THE IMPLEMENTATION PLAN WHICH WAS COMPLETED AND MADE PUBLICLY AVAILABLE IN NOVEMBER 2022. IDENTIFIED AND ACCEPTED PRIORITY AREAS TO ADDRESS INCLUDE: ACCESS TO EQUITABLE CARE, BEHAVIORAL HEALTH, HEALTH EDUCATION AND PREVENTION, AND HEALTH EQUITY.

SCHEDULE H, PART VI, LINE 3
AS PART OF THE MISSION TO PROVIDE COMPASSIONATE, ACCESSIBLE, HIGH-QUALITY, COST-EFFECTIVE HEALTHCARE TO THE COMMUNITY, READING HOSPITAL RECOGNIZES THAT SOME PATIENTS AND FAMILIES MAY NEED FINANCIAL ASSISTANCE TO HELP DEFRAY THE COST OF HEALTHCARE SERVICES. THEREFORE, READING HOSPITAL OFFERS PATIENT FINANCIAL ASSISTANCE TO ENSURE ACCESS TO HIGH-QUALITY HEALTHCARE FOR ALL. PATIENTS ARE ENCOURAGED TO SEEK FINANCIAL ASSISTANCE AS EARLY IN THE TREATMENT PROCESS AS POSSIBLE. THE CURRENT FINANCIAL ASSISTANCE PROGRAM POLICY AND APPLICATIONS CAN BE FOUND ON THE READING HOSPITAL WEBSITE. THE PLAIN LANGUAGE AND FULL FINANCIAL ASSISTANCE POLICIES ARE OFFERED IN ENGLISH, SPANISH, GERMAN, DUTCH, HAITIAN CREOLE, AND VIETNAMESE, WHILE THE APPLICATION IS AVAILABLE IN ENGLISH AND SPANISH. THE WEBSITE INCLUDES A DATABASE OF ALL PROVIDERS WHO DELIVER EMERGENCY AND MEDICALLY NECESSARY CARE AT READING HOSPITAL AND IDENTIFIES WHICH ARE AND ARE NOT COVERED BY THE FINANCIAL ASSISTANCE POLICY. THE PROVIDER LIST IS CONTINUOUSLY UPDATED. A PAPER COPY OF THE LIST IS AVAILABLE FREE OF CHARGE UPON REQUEST FOR PATIENTS WHO DO NOT HAVE INTERNET ACCESS. PAMPHLETS TITLED UNDERSTANDING BILLING & PAYMENT INCLUDE A PLAIN LANGUAGE SUMMARY OF READING HOSPITAL'S FINANCIAL ASSISTANCE POLICY AND ARE MADE AVAILABLE IN LOBBIES AND WAITING AREAS THROUGHOUT THE HOSPITAL. THEY ARE ALSO PROVIDED TO PATIENTS WHO ARE UNINSURED, UNDERINSURED, OR EXPRESS AN INABILITY TO PAY AT REGISTRATION, POINT OF SERVICE, AND/OR DISCHARGE. PATIENT BILLING STATEMENTS FOR READING HOSPITAL SERVICES CONTAIN GUIDANCE AND DIRECTION ON THE AVAILABILITY OF THE FINANCIAL ASSISTANCE PROGRAM. THE FINANCIAL ASSISTANCE POLICY IS ALSO SHARED WITH A NUMBER OF ADVOCACY PROGRAMS WITHIN THE COMMUNITY. FINANCIAL COUNSELORS WILL EDUCATE PATIENTS AND FAMILIES IN REFERENCE TO AVAILABLE RESOURCES AND WILL PROVIDE ASSISTANCE WITH THE FINANCIAL ASSISTANCE APPLICATION AND APPROVAL PROCESS TO ENSURE ALL PATIENTS CONTINUE TO HAVE THE OPPORTUNITY TO ACCESS THE CARE THEY NEED.

SCHEDULE H, PART VI, LINE 4
READING HOSPITALS PRIMARY SERVICE AREA INCLUDES ALL AREAS OF BERKS COUNTY WHICH CONTAINS THE CITY OF READING. BERKS COUNTY PROFILE: ACCORDING TO THE U.S. CENSUS BUREAU, AS OF JULY 1, 2022, THE POPULATION OF BERKS COUNTY IS 430,449, A 0.4% INCREASE FROM APRIL 1, 2020. BERKS COUNTY HAS A DIVERSE POPULATION, WITH THE RACIAL MIX OF 85.7% WHITE ALONE, 8.2% BLACK OR AFRICAN AMERICAN ALONE, 1.7% ASIAN ALONE, 1.1% AMERICAN INDIAN AND ALASKA NATIVE ALONE, 0.2% NATIVE HAWAIIAN AND OTHER PACIFIC ISLANDER ALONE, AND 3.1% TWO OR MORE RACES. ETHNICALLY, 68.0% ARE WHITE ALONE, NOT HISPANIC OR LATINO, WITH 24.5% HISPANIC OR LATINO. 8.1% OF BERKS COUNTY RESIDENTS ARE FOREIGN BORN. 20,387 RESIDENTS ARE VETERANS. 19.5% OF RESIDENTS OVER 5 YEARS OLD SPEAK A LANGUAGE OTHER THAN ENGLISH AT HOME. 88.1% OF BERKS COUNTY RESIDENTS 25 YEARS AND OLDER ARE HIGH SCHOOL GRADUATES OR HIGHER, WHEREAS 26.8% OF THE SAME POPULATION HAVE A BACHELOR'S DEGREE OR HIGHER. OF RESIDENTS UNDER THE AGE OF 65, 10.3% HAVE A DISABILITY, AND 7.8% DO NOT HAVE HEALTH INSURANCE. THE MEDIAN HOUSEHOLD INCOME IN BERKS COUNTY IS 74,617. 12.9% OF RESIDENTS LIVE IN POVERTY. CITY OF READING PROFILE: THE POPULATION OF THE CITY OF READING IS MORE DIVERSE THAN THE REST OF THE COUNTY AND IS HOME TO MORE DISPARATE, VULNERABLE POPULATIONS WHO FACE BARRIERS TO RECEIVING CARE. ACCORDING TO THE U.S. CENSUS BUREAU, THE CITY OF READING HAS A POPULATION OF 94,858, A 0.3% DECREASE IN POPULATION FROM APRIL 1, 2020. THERE IS A RACIAL MIX OF 37.6% WHITE ALONE, 11.2% BLACK OF AFRICAN AMERICAN ALONE, 1.4% AMERICAN INDIAN AND ALASKA NATIVE ALONE, 1.3% ASIAN ALONE, AND 20.9% TWO OR MORE RACES. ETHNICALLY, 37.2% OF READING RESIDENTS ARE HISPANIC OR LATINO, WITH 21.0% WHITE ALONE, NOT HISPANIC OR LATINO. 19.4% OF READING RESIDENTS ARE FOREIGN BORN. 2,390 RESIDENTS ARE VETERANS. 53.1% OF RESIDENTS OVER 5 YEARS OLD SPEAK A LANGUAGE OTHER THAN ENGLISH AT HOME. 71.6% OF READING RESIDENTS 25 YEARS AND OLDER ARE HIGH SCHOOL GRADUATES OR HIGHER, WHEREAS ONLY 11.7% OF THE SAME POPULATION HAVE A BACHELOR'S DEGREE OR HIGHER. OF RESIDENTS UNDER THE AGE OF 65, 16.7% HAVE A DISABILITY, AND 12.0% DO NOT HAVE HEALTH INSURANCE. THE MEDIAN HOUSEHOLD INCOME IN READING IS 42,852. 28.6% OF RESIDENTS LIVE IN POVERTY.