4A (Expenses $ 162415235 including grants of $ 426646) (Revenue $ 200500899)
HEALTHCARE -- HOLY REDEEMER HOSPITAL IS A 239-BED HOSPITAL WITH A STAFF OF MORE THAN 500 PHYSICIANS. WE ALSO PROVIDE COMPREHENSIVE OUTPATIENT COMMUNITY-BASED DIAGNOSTICS, HOME HEALTH SERVICES, AND REHABILITATION PROGRAMS THAT BRING COMPASSION AND CARING DIRECTLY INTO THE COMMUNITY. OUR PHYSICIANS AND SURGEONS ARE WELL KNOWN FOR THEIR EXPERTISE AND HAVE EARNED THE HOSPITAL AN OUTSTANDING REPUTATION FOR MEDICAL EXCELLENCE. WE PROVIDE AN EXCELLENT SERVICE IN CARDIOLOGY, ONCOLOGY, ORTHOPEDICS, OBSTETRICS, PEDIATRICS, DIAGNOSTICS AND REHABILITATION SERVICES, AND EMERGENCY CARE FROM PEDIATRIC TO GERIATRIC. THE HOSPITAL'S PATIENT ADMISSIONS OR CASES FOR THE YEAR WERE APPROXIMATELY 10,016, FOR A TOTAL PATIENT SERVICE DAYS OF APPROXIMATELY 53,275. THERE WERE APPROXIMATELY 5,262 SURGICAL CASES PERFORMED, BOTH INPATIENT AND OUTPATIENT. APPROXIMATELY 146,246 DIAGNOSTIC AND REHABILITATIVE OUTPATIENT SERVICE CASES WERE PERFORMED.

4B (Expenses $ 65986617 including grants of $ 0) (Revenue $ 56813479)
LIFECARE -- OUR LONG TERM CARE FACILITIES, HOLY REDEEMER LAFAYETTE AND HOLY REDEEMER SAINT JOSEPH MANOR, PROVIDES SERVICES TO OLDER ADULTS AT DIFFERENT LEVELS OF CARE. THE LAFAYETTE IS A WONDERFUL OPTION FOR ADULTS WHO DESIRE TO MAINTAIN AN INDEPENDENT LIFESTYLE WITH THE ADDED ASSURANCE THAT MEDICAL, SOCIAL AND RELIGIOUS SERVICES ARE AVAILABLE. THE FACILITY OFFERS 226 LOVELY PRIVATE RENTAL APARTMENTS SET ON A BEAUTIFUL CAMPUS ADJACENT TO THE WOODS OF PENNYPACK PARK. 54 PERSONAL CARE UNITS ARE ALSO AVAILABLE, AND THE LAFAYETTE'S 120-BED LONG TERM CARE FACILITY PROVIDES A SEAMLESS TRANSITION IF THE NEED FOR SKILLED NURSING CARE ARISES. THE LAFAYETTE IS ALSO A SITE FOR HOLY REDEEMER'S OUTPATIENT REHABILITATION CENTER, WHICH OFFERS SPEECH, OCCUPATIONAL AND PHYSICAL THERAPY.SAINT JOSEPH MANOR HAS BEEN PROVIDING COMPASSIONATE NURSING AND ASSISTED LIVING CARE TO OLDER ADULTS SINCE 1937. THE MANOR OFFERS 63 PERSONAL CARE UNITS, AND 296 LONG TERM CARE SKILLED NURSING SERVICES INCLUDING A DEMENTIA UNIT. ADJACENT TO HOLY REDEEMER HOSPITAL AND MEDICAL CENTER, RESIDENTS HAVE CONVENIENT ACCESS TO PHYSICIANS, DIAGNOSTIC AND EMERGENCY SERVICES. BOTH THE MANOR AND LAFAYETTE ARE MEDICARE AND MEDICAID CERTIFIED. TOTAL OCCUPANCY IN BOTH FACILITIES EQUATE TO 53.89% IN NURSING, 70.24% IN PERSONAL CARE, AND 63.72% IN INDEPENDENT.

4C (Expenses $ 36402728 including grants of $ 0) (Revenue $ 33731544)
HOMECARE -- THE FOLLOWING SERVICES ARE PROVIDED: (1) SPECIALIZED NURSING CARE, (2) THERAPY, (3) LIFEASSESS PROGRAM, (4) HEARTASSESS PROGRAM, (5) BREATHE EASY PROGRAM, AND (6) TELEMONITORING.(1) SPECIALIZED NURSING CARE DELIVERED BY OUR HIGHLY-TRAINED NURSING STAFF WITH A COMPASSIONATE APPROACH.(2) THERAPY SERVICES BY OUR SPECIALIZED REHABILITATION THERAPISTS WHO OFFER A VARIETY OF THERAPIES TO MEET THE UNIQUE NEEDS OF EACH PATIENT.(3) LIFEASSESS PROGRAM, A COMPREHENSIVE ASSESSMENT, EDUCATION, SUPPORT AND REHABILITATION PROGRAM THAT IDENTIFIES AND TREATS OLDER ADULTS WHO ARE AT RISK FOR FOUR OF THE MOST COMMON GERIATRIC SYNDROMES - DEPRESSION, DEMENTIA, FALLS RISK AND INCONTINENCE - ALLOWING THEM TO LIVE SAFELY AT HOME.(4) HEARTASSESS PROGRAM, DESIGNED TO IMPROVE QUALITY OF LIFE FOR HEART FAILURE PATIENTS BY HELPING THEM FOCUS ON THE MOST IMPORTANT ASPECTS OF MANAGING THEIR HEART FAILURE AT HOME. PATIENTS ARE TAUGHT SYMPTOM AND MEDICATION MANAGEMENT AND ARE ASSIGNED HOME HEALTH CARE NURSES TO HELP WITH MEDICATIONS, DIET, DISEASE MANAGEMENT AND ASSISTING WITH LIFESTYLE CHANGES.(5) BREATHE EASY PROGRAM, ALLOWS PATIENTS WHO SUFFER FROM CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD) TO BETTER MANAGE THEIR CONDITION AT HOME, IMPROVING THEIR OVERALL QUALITY OF LIFE.(6) TELEMONITORING, AN ADVANCED SYSTEM AVAILABLE TO REMOTELY MONITOR VITAL INFORMATION, SUCH AS BLOOD PRESSURE, HEART RATE, WEIGHT AND BLOOD OXYGEN LEVELS FOR CARDIAC PATIENTS OR ANY PATIENTS WHO NEED ADDITIONAL SUPERVISION. RESULTS ARE AUTOMATICALLY TRANSMITTED TO A HOMECARE NURSE WHO WILL PERFORM TRIAGE TO DETERMINE AN APPROPRIATE PLAN OF ACTION.THE HOSPICE DIVISION PROVIDES PAIN RELIEF AND SYMPTOM CONTROL APPROPRIATE TO CLINICAL GOALS. PSYCHOLOGICAL AND SPIRITUAL PAINS ARE AS SIGNIFICANT AS PHYSICAL PAIN. ADDRESSING ALL THREE REQUIRES THE SKILLS OF AN INTERDISCIPLINARY TEAM. THE HOLY REDEEMER HOSPICE TEAM IS GUIDED BY THE NEEDS AND WISHES OF THE PATIENT AND FAMILY AND INCLUDES THEM AS IMPORTANT MEMBERS OF THE CARE TEAM. THE INTEGRATED, MULTI-DISCIPLINARY GROUP INCLUDES: PATIENT AND FAMILY, PATIENT'S PERSONAL PHYSICIAN, HOSPICE MEDICAL DIRECTOR, SPECIALLY TRAINED NURSES, MEDICAL SOCIAL WORKERS, PASTORAL COUNSELORS, HOME HEALTH AIDES, PHYSICAL, OCCUPATIONAL AND SPEECH THERAPISTS, COMPLEMENTARY THERAPISTS, VOLUNTEERS, AND BEREAVEMENT COUNSELORS AVAILABLE TO ASSIST WITH THE GRIEVING PROCESS. A COMPLEMENTARY (OR ALTERNATIVE) THERAPY PROGRAM OFFERS HOLISTIC SOLUTIONS FOR PATIENTS AND FAMILIES. HOLY REDEEMER ALSO OFFERS PALLIATIVE CARE SERVICES WHICH AIM TO PROVIDE COMFORT AND IMPROVE QUALITY OF LIFE AT ANY TIME DURING THE COURSE OF A SERIOUS ADVANCED ILLNESS, OFTEN AT THE SAME TIME AS A CURATIVE OR LIFE PROLONGING TREATMENTS. THE SUPPORT AND EDUCATION PROVIDED BY THE PALLIATIVE CARE TEAM ALSO PROVIDES MUCH NEEDED BENEFITS FOR FAMILY MEMBERS AND CAREGIVERS AND ASSISTS THE PATIENT AND FAMILY TO BETTER UNDERSTAND AND COPE WITH THE ILLNESS, AND IN MAKING CHOICES FOR CARE.THE SUPPORT AT HOME SERVICE PROVIDES PRACTICAL SUPPORT, PEACE OF MIND AND A SAFE AND SOUND ENVIRONMENT. SERVICES INCLUDE PERSONAL CARE, MEAL PREPARATION, LAUNDRY/LIGHT HOUSEKEEPING, ERRANDS AND LOCAL TRANSPORTATION, MOBILITY AND EXERCISE MANAGEMENT, COMPANIONSHIP AND SOCIALIZATION, MEDICATION MANAGEMENT, WELLNESS, AND HEALTH MAINTENANCE. HOMECARE NURSING ADMISSIONS FOR THE FISCAL YEAR WERE 4,486 AND PERFORMED A TOTAL OF 88,293 SERVICE/VISITS IN PATIENTS' HOMES. THERE WERE 754 HOSPICE ADMISSIONS AND 40,851 HOSPICE DAYS IN FISCAL YEAR 2022.

HOLY REDEEMER HOSPITAL
"PART V, SECTION B, LINE 5: RECOGNIZING THAT HOSPITALS AND HEALTH SYSTEMS OFTEN MUTUALLY SERVE THE SAME COMMUNITIES, A GROUP OF LOCAL HOSPITALS AND HEALTH SYSTEMS CONVENED TO DEVELOP THE SECOND SOUTHEASTERN PA (SEPA) REGIONAL CHNA, FOCUSING ON ALL FIVE SOUTHEASTERN PA COUNTIES (BUCKS, CHESTER, DELAWARE, MONTGOMERY, AND PHILADELPHIA.) HOLY REDEEMER HOSPITAL IS ONE OF THE THIRTY-SEVEN PARTNERING HOSPITALS. IN ORDER TO GATHER COMMUNITY/STAKEHOLDER INPUT, COMMUNITY MEETINGS WERE COORDINATED BY THE HEALTH CARE IMPROVEMENT FOUNDATION (HCIF) AND PHILADELPHIA ASSOCIATION OF COMMUNITY DEVELOPMENT CORPORATIONS (PACDC) WHICH INCLUDED: - 26 VIRTUAL FOCUS GROUP-STYLE ""COMMUNITY CONVERSATIONS"" HELD TO GATHER INPUT FROM RESIDENTS OF GEOGRAPHIC COMMUNITIES ACROSS ALL FIVE COUNTIES. - 21 VIRTUAL FOCUS GROUP DISCUSSIONS CENTERED ON ""SPOTLIGHT"" TOPICS CONDUCTED WITH COMMUNITY ORGANIZATION AND LOCAL GOVERNMENT AGENCY REPRESENTATIVES. TOPICS COVERED INCLUDED BEHAVIORAL HEALTH, CHRONIC DISEASE, FOOD INSECURITY, HOUSING AND HOMELESSNESS, OLDER ADULTS AND CARE, RACISM AND DISCRIMINATION IN HEALTH CARE, SUBSTANCE USE, AND VIOLENCE.TWO EXPERTS IN QUALITATIVE DATA COLLECTION AND ANALYSIS ENGAGED AS QUALITATIVE LEAD CONSULTANTS FACILITATED ALL OF THESE DISCUSSIONS, ANALYZED THE QUALITATIVE DATA, AND SUMMARIZED KEY FINDINGS. IN ADDITION, THE PROJECT TEAM EITHER UNDERTOOK DIRECTLY OR SUPPORTED PARTNERS WITH TARGETED PRIMARY DATA COLLECTION TO BETTER UNDERSTAND THE NEEDS OF PARTICULAR COMMUNITIES OR POPULATIONS. THESE FOCUS AREAS AND COMMUNITIES WERE EITHER SPECIFIC TO DIFFERENT TYPE OF FACILITIES WITHIN PARTICIPATING HEALTH SYSTEMS (I.E., CANCER CENTERS, REHABILITATION FACILITIES) OR REFLECTED GAPS IN THE 2019 CHNA: - CANCER - DISABILITY - IMMIGRANT, REFUGEE, AND HERITAGE COMMUNITIES - YOUTH VOICEFINALLY, SECONDARY DATA IN THE FORM OF REPORTS AND SUMMARIES FROM OTHER COMMUNITY ENGAGEMENT EFFORTS WERE ALSO INCORPORATED INTO THE REPORT. ALL DATA WERE SYNTHESIZED BY HCIF STAFF.HCIF (HEALTH CARE IMPROVEMENT FOUNDATION), PACDC (PHILADELPHIA ASSOCIATION OF COMMUNITY DEVELOPMENT CORPORATIONS), COMMUNITY PARTNERS IN THE FIVE-COUNTY REGION, AND QUALITATIVE HOSPITALS/HEALTH SYSTEMS AND SUPPORTING PARTNERS COLLABORATIVELY DEVELOPED THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS AND REPORT TO IDENTIFY REGIONAL HEALTH PRIORITIES AND ISSUES SPECIFIC TO EACH PARTICIPATING INSTITUTION'S SERVICE AREA."

HOLY REDEEMER HOSPITAL
PART V, SECTION B, LINE 6A: IN ADDITION TO HOLY REDEEMER HOSPITAL, THE SEPA REGIONAL CHNA WAS CONDUCTED WITH THE FOLLOWING PARTNERING HEALTH SYSTEMS AND HOSPITALS:-CHILDREN'S HOSPITAL OF PHILADELPHIA - MIDDLEMAN FAMILY PAVILION AT CHOP, KING OF PRUSSIA - DOYLESTOWN HOSPITAL - GRAND VIEW HOSPITAL - EINSTEIN MEDICAL CENTER ELKINS PARK - EINSTEIN MEDICAL CENTER MONTGOMERY - EINSTEIN MEDICAL CENTER PHILADELPHIA - JEFFERSON ABINGTON HOSPITAL - JEFFERSON BUCKS HOSPITAL - JEFFERSON FRANKFORD HOSPITAL - JEFFERSON HOSPITAL FOR NEUROSCIENCE - JEFFERSON LANSDALE HOSPITAL - JEFFERSON METHODIST HOSPITAL - JEFFERSON TORRESDALE HOSPITAL - MAGEE REHABILITATION HOSPITAL MOSSREHAB - ROTHMAN ORTHOPEDIC SPECIALTY HOSPITAL - THOMAS JEFFERSON UNIVERSITY HOSPITAL - BRYN MAWR HOSPITAL - BRYN MAWR REHABILITATION HOSPITAL - LANKENAU MEDICAL CENTER - PAOLI HOSPITAL - RIDDLE HOSPITAL PENN MEDICINE - CHESTER COUNTY HOSPITAL - HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA - HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA - CEDAR AVENUE - PENN PRESBYTERIAN MEDICAL CENTER - PENNSYLVANIA HOSPITAL - FOX CHASE CANCER CENTER - TEMPLE UNIVERSITY HOSPITAL - TEMPLE UNIVERSITY HOSPITAL - EPISCOPAL CAMPUS - TEMPLE UNIVERSITY HOSPITAL - JEANES CAMPUS - TEMPLE UNIVERSITY HOSPITAL - NORTHEASTERN CAMPUS - MERCY CATHOLIC MEDICAL CENTER, MERCY FITZGERALD HOSPITAL CAMPUS - NAZARETH HOSPITAL - ST. MARY MEDICAL CENTER - ST. MARY REHABILITATION HOSPITAL

HOLY REDEEMER HOSPITAL
PART V, SECTION B, LINE 6B: IN ADDITION TO THE PARTICIPATING HOSPITALS AND HEALTH SYSTEMS, THE NON-HOSPITAL ORGANIZATIONS BELOW PROVIDED SUPPORT TO THE CHNA PROCESS:- CHESTER COUNTY HEALTH DEPARTMENT (CCHD)- DELAWARE COUNTY HEALTH DEPARTMENT (DCHD)- HEALTH CARE IMPROVEMENT FOUNDATION (HCIF)- MONTGOMERY COUNTY OFFICE OF PUBLIC HEALTH (OPH)- PHILADELPHIA ASSOCIATION OF COMMUNITY DEVELOPMENT CORPORATIONS (PACDC)- PHILADELPHIA DEPARTMENT OF PUBLIC HEALTH (PDPH)

HOLY REDEEMER HOSPITAL
PART V, SECTION B, LINE 11: SIMILAR TO ITS PRIORITIZATION PROCESS WITH ALL PREVIOUS CHNAS, HOLY REDEEMER HOSPITAL'S CHNA STEERING COMMITTEE MET AND DISCUSSED EACH IDENTIFIED NEED FROM THE COLLABORATIVE CHNA, INCLUDING THE IMPACT OF THIS NEED ON THE COMMUNITY, WHAT IT WILL TAKE TO MAKE AN IMPACT ON THE NEED, THE ABILITY OF HOLY REDEEMER HOSPITAL TO MAKE AN IMPACT, AND WHAT RESOURCES AND COLLABORATIVES ARE ALREADY AVAILABLE IN THE COMMUNITY. COMMITTEE MEMBERS AGAIN CHOSE THREE CRITERIA ON WHICH TO BASE PRIORITIZATION OF THE IDENTIFIED NEEDS. THESE CRITERIA INCLUDED: 1) MAGNITUDE OF THE PROBLEM, 2) ALIGNMENT WITH HOLY REDEEMER'S STRATEGIC PLAN, AND 3) AVAILABILITY OF HOLY REDEEMER HOSPITAL RESOURCES TO MAKE AN IMPACT. THE PRIORITIZATION PROCESS RESULTED IN THE IDENTIFICATION OF THE FOLLOWING NEEDS WHICH WILL BE ADDRESSED IN HOLY REDEEMER HOSPITAL'S IMPLEMENTATION PLAN FOR 2022-2025:- MENTAL HEALTH CONDITIONS - MAIN ACTIVITIES TO BE IMPLEMENTED: 1. TRAINING ALL STAFF IN TRAUMA INFORMED PRACTICES BEGINNING WITH THE STAFF IN THE OBSTETRIC PRACTICES AND ON THE LDR/OB/NICU UNITS. CONTINUE TRAINING IN ALL OTHER AREAS OF THE HOSPITAL. 2. CONTINUE COLLABORATION WITH THE COACH COLLABORATIVE, IMPLEMENTING THE TRAUMA INFORMED APPROACH THROUGHOUT THE HEALTH SYSTEM. 3. PROVIDE DE-ESCALATION TRAINING THROUGHOUT THE HEALTH SYSTEM UTILIZING A TRAIN THE TRAINER APPROACH. 4. CONTINUE TO ADD THERAPISTS TO CURRENT PHYSICIAN OFFICES WITH CO-LOCATED BEHAVIORAL HEALTH SPECIALISTS. EXPAND TO NEW PHYSICIAN OFFICE LOCATIONS AND ADD ADDITIONAL APPOINTMENT HOURS AS ABLE. 5. EVALUATE PROGRAM DECISION ELEMENTS FOR AN IMBEDDED BEHAVIORAL HEALTH SPECIALISTS MODEL IN THE PHYSICIAN PRACTICES AND IMPLEMENT. 6. INVESTIGATE THE FUTURE OPTIONS OF TELEHEALTH AND/OR TELETHERAPY OPTIONS. 7. LECTURE OR LECTURE SERIES FOR THE COMMUNITY ON POTENTIAL BEHAVIORAL HEALTH TOPICS. (FOR EXAMPLE, DEPRESSION, ANXIETY, SUICIDE). MAKE AVAILABLE FOR FUTURE VIEWINGS. 8. INVESTIGATE ADDING BEHAVIORAL HEALTH INFORMATION TO EMPLOYEE FACING NEWSLETTERS AND EMPLOYEE PORTAL APP. 9. DEVELOP AND IMPLEMENT AN EMPLOYEE WELLNESS AT WORK INITIATIVE. 10. UTILIZE REDEEMER HEALTH PUBLIC RELATIONS PUBLICATIONS AND SOCIAL MEDIA OUTLETS TO EDUCATE COMMUNITY MEMBERS ABOUT THE OFFERINGS AVAILABLE. - SUBSTANCE USE & RELATED DISORDERS - MAIN ACTIVITIES TO BE IMPLEMENTED: 1. SUBSTANCE USE DISORDER (SUD) PROGRAM FOR PREGNANT THROUGH POST-PARTUM PATIENTS AND THEIR BABIES. PROGRAM TO INCLUDE A SUB OB NAVIGATOR AND BEHAVIORAL HEALTH COUNSELOR. ASSESSMENT BEGINNING IN THE OB OFFICE, WITH SCREENING TOOL, RESOURCES, SUBOXONE PRESCRIPTION AND REFERRAL PROCESS THROUGH POST-PARTUM FOLLOW UP. DOCUMENTS PROVIDED IN SEVEN DIFFERENT LANGUAGES. 2. TRAINING OF ALL STAFF IN THE OBSTETRIC PRACTICES AND ON THE LDR/OB/NICU UNIT IN TRAUMA INFORMED PRACTICES. CONTINUE TRAINING IN ALL OTHER AREAS OF THE HOSPITAL. 3. PROVIDE NARCAN TO ALL IDENTIFIED MOMS IN THE SUD PROGRAM UPON DISCHARGE. 4. INVESTIGATE ADDING A CERTIFIED ADDICTION COUNSELOR AT OB VISITS IN ALL PRACTICES FOR THOSE PATIENTS WHO SCREEN POSITIVE. 5. CONTINUE TO INSTITUTE A WARM HANDOFF PROGRAM IN THE EMERGENCY DEPARTMENT, USING A CARE MANAGER TO PROVIDE A CONNECTION FOR PEOPLE WITH ADDICTIONS TO TREATMENT. 6. CONTINUE TO HAVE EMERGENCY DEPARTMENT STAFF GO OUT TO HEALTH FAIRS, ETC. TO EDUCATE THE COMMUNITY ABOUT SUBSTANCE USE ISSUES. 7. INVESTIGATE HOLDING A TAKE BACK PRESCRIPTION DRUG EVENT. EDUCATE COMMUNITY ABOUT THE CURRENT LOCATION OF DROP OFF BOXES. 8. UTILIZE REDEEMER HEALTH PUBLIC RELATIONS PUBLICATIONS AND SOCIAL MEDIA OUTLETS TO EDUCATE COMMUNITY MEMBERS ABOUT THE OFFERINGS AVAILABLE.- FOOD ACCESS - MAIN ACTIVITIES TO BE IMPLEMENTED: 1. CONTINUE PARTNERSHIP WITH THE COACH COLLABORATIVE TO ADDRESS FOOD ACCESS IN VULNERABLE POPULATIONS WHICH INCLUDES FOOD INSECURITY SCREENING, REFERRAL PROCESS DEVELOPMENT AND A MENU OF OTHER INTERVENTIONS. ADVOCATE FOR LEGISLATION THAT SUPPORTS ACCESS TO FOOD AND SUPPORTS. 2. INVESTIGATE THE IMPLEMENTATION OF FOOD INSECURITY SCREENING AND REFERRAL IN VARIOUS AREAS OF HRH INCLUDING THE EMERGENCY DEPARTMENT, PHYSICIAN PRACTICES AND CANCER CENTER. 3. INVESTIGATE PROVIDING MORE SELF-CHOICE OPTIONS AT THE FOOD PANTRIES. 4. INVESTIGATE IMPLEMENTING AN ELECTRONIC INTAKE SYSTEM AT THE TOWNSEND RD. FOOD PANTRY FOR BETTER TRACKING OF DEMOGRAPHICS AND NEEDS OF CLIENTS. 5. INVESTIGATE ADDING WRAP AROUND HEALTH SERVICES AT THE PANTRIES SUCH AS FLU SHOTS, ETC. 6. INVESTIGATE THE ADDITION OF A MICRO PANTRY AT THE HOSPITAL WITH FOOD FOR PATIENTS NEEDING IMMEDIATE ASSISTANCE. 7. INVESTIGATE ADDITIONAL DELIVERY OR TRANSPORTATION OPTIONS FOR CLIENTS WHO CANNOT GET TO THE TOWNSEND RD. FOOD PANTRY.- ACCESS TO CARE (PRIMARY & SPECIALTY) - MAIN ACTIVITIES TO BE IMPLEMENTED: 1. WITH THE CHESTNUT HILL HOSPITAL ALLIANCE, PROVIDE WOMEN'S HEALTH, HOME CARE AND OTHER SERVICES AS COLLABORATIVE EFFORTS MAY DETERMINE, TO THE SERVICE AREA WHICH INCLUDE WEST AND NORTH WEST PHILADELPHIA. ALLIANCE WILL ALSO ENSURE EMERGENCY ROOM SERVICES. 2. INVESTIGATE EXPANDING PARTNERSHIP WITH MEDICAID INSURERS. SCREEN PATIENTS FOR MEDICAID ELIGIBILITY, ASSISTING THEM WITH ENROLLING, PARTICULARLY OBSTETRICS PATIENTS. 3. PROVIDE SCREENINGS, PROGRAMS OR HEALTH FAIR AT THE NORTHEAST PHILADELPHIA AND/OR CARDONE LOCATIONS. COULD INCLUDE MAMMOGRAMS, BLOOD PRESSURE SCREENINGS, DIABETES SCREENINGS, ETC. 4. PROVIDE EDUCATIONAL PROGRAMS FOR CHURCH AND OTHER ORGANIZATIONS ON TOPICS RELEVANT TO PRIMARY, SPECIALTY AND PALLIATIVE CARE. INVESTIGATE RECORDING THE SESSIONS FOR INCREASED ACCESS TO INFORMATION. 5. EXPAND THE HOUSE CALLS PROGRAM, A PROGRAM PROVIDING PHYSICIAN VISITS IN THE HOME. 6. FORMALIZE RESOURCE REFERRAL LISTS AND PROCESS FOR SDOH SCREENINGS IN THE PHYSICIAN PRACTICES. 7. EXPLORE DEVELOPING A FORMAL MEDICATION REVIEW PROGRAM IN THE PRIMARY CARE OFFICES. 8. CONTINUE TO PROMOTE AND INCREASE EASE OF TELEHEALTH VISITS ESPECIALLY FOR PATIENTS WHO HAVE ACCESS ISSUES. 9. CONTINUE TO TRANSLATE DOCUMENTS AND FORMS FOR PREVALENT LANGUAGES IN THE SERVICE AREA. 10. EXPLORE DEVELOPING A MOBILE MEDICAL CLINIC PROGRAM. 11. EXPLORE OPENING A FEDERALLY QUALIFIED HEALTHCARE CENTER. 12. UTILIZE REDEEMER HEALTH PUBLIC RELATIONS PUBLICATIONS AND SOCIAL MEDIA OUTLETS TO EDUCATE COMMUNITY MEMBERS ABOUT THE OFFERINGS AVAILABLE.- CHRONIC CONDITIONS (PREVENTION & MANAGEMENT) - MAIN ACTIVITIES TO BE IMPLEMENTED: 1. NUTRITION & DIABETES EDUCATION TO OUTPATIENTS (BOTH GROUP AND ONE-ON-ONE) AND EMPLOYEES. NUTRITION CARE TO INPATIENTS AND ST. JOSEPH'S MANOR RESIDENTS. ATTENDANCE AT HEALTH FAIRS. 2. INVESTIGATE RESTARTING THE TRIM-A-WEIGH OR SIMILAR PROGRAM AS A ZOOM CLASS WHICH WILL COMBINE FITNESS AND FOOD COUNSELING FOR PEOPLE WHO WANT TO LOSE WEIGHT. 3. CONTINUE TO PROVIDE PROGRAMS WHICH BENEFIT EMPLOYEES AND COMMUNITY MEMBERS TO EAT BETTER, EXERCISE AND IMPROVE MENTAL WELL-BEING. 4. SMOKING CESSATION - TRAIN NEW STAFF MEMBERS TO BE CERTIFIED IN SMOKING CESSATION CLASSES. IMPLEMENT FREE SMOKING CESSATION CLASSES 2 TO 4 TIMES A YEAR. PARTICIPATE IN THE GREAT AMERICAN SMOKE OUT. CONTINUE WITH LUNG SCREENING PROGRAM FOR AT RISK COMMUNITY MEMBERS. 5. HEALTH SCREENINGS - PROVIDE SCREENINGS FOR AT RISK POPULATIONS, COLLABORATING WITH ORGANIZATIONS AND COMMUNITY GROUPS. GOING OUT INTO THE COMMUNITY WITH SCREENINGS AS OFTEN AS FEASIBLE. UNINSURED BREAST CANCER SCREENINGS FOR ELIGIBLE WOMEN WITHOUT INSURANCE. 6. COMMUNITY EVENTS AND WALKS - HOLD EVENTS AND WALKS WITH A FOCUS ON EDUCATION ABOUT HEALTHY LIVING INCLUDING OBTAINING SCREENINGS AND PREVENTION OF DISEASES, TARGETED TO AT RISK POPULATIONS AND CONDITIONS. 7. HOLD DISEASE SPECIFIC ZOOM WEBINARS THROUGHOUT THE YEAR TO EDUCATE THE COMMUNITY ON DISEASE CONDITIONS, SCREENING TOOLS AND/OR PREVENTION MECHANISMS. 8. UTILIZE REDEEMER HEALTH PUBLIC RELATIONS PUBLICATIONS AND SOCIAL MEDIA OUTLETS TO EDUCATE COMMUNITY MEMBERS ABOUT THE OFFERINGS AVAILABLE.- RACISM AND DISCRIMINATION IN THE HEALTHCARE SETTING - MAIN ACTIVITIES TO BE IMPLEMENTED: 1. FORMALIZE THE STRATEGIC DIRECTION OF THE DEI PROGRAM IN CONJUNCTION WITH THE NEWLY HIRED CHIEF DIVERSITY & INCLUSION OFFICER. 2. DEVELOP A DATA COLLECTION AND DISSEMINATION STRATEGY FOR THE DEI PROGRAM. 3. CONTINUE WITH THE 5-PART DIVERSITY, EQUITY AND INCLUSION EDUCATIONAL SESSIONS FOR LEADERSHIP AND STAFF. INTEGRATE EDUCATIONAL OPPORTUNITIES INTO VARIOUS PLATFORMS. 4. FORMULATE A PROCESS FOR ESTABLISHING A MENTORING PROGRAM. 5. UTILIZE INTERNAL AND EXTERNAL COMMUNICATION MECHANISMS TO ACKNOWLEDGE, EDUCATE AND CELEBRATE CULTURAL EVENTS AND HOLIDAYS. ESTABLISH A DIVERSITY AWARENESS WEEK TO EDUCATE AND CELEBRATE THE IMPORTANCE OF DIVERSITY. 6. CONTINUE TO ACT AS A WORK STUDY LOCATION FOR THE CRISTO REY HIGH SCHOOL STUDENTS INTERESTED IN THE MEDICAL FIELD THROUGHOUT THE SYSTEM. 7. INVENTORY CURRENT COMMUNITY PARTNERSHIPS, IDENTIFY GAPS IN COMMUNITIES WE SERVE, AND ESTABLISH ADDITIONAL PARTNERSHIPS FOCUSED ON DEI EFFORTS.

HOLY REDEEMER HOSPITAL
PART V, SECTION B, LINE 13B: A PATIENT'S MEDICAL INDIGENCY IS DETERMINED BY HOLY REDEEMER HOSPITAL WITHOUT GIVING EXCLUSIVE CONSIDERATION TO A PATIENT'S INCOME LEVEL WHEN A PATIENT HAS SIGNIFICANT AND/OR CATASTROPHIC MEDICAL BILLS. MEDICALLY INDIGENT PATIENTS DO NOT HAVE APPROPRIATE INSURANCE COVERAGE THAT APPLIES TO SERVICES RELATED TO THEIR SIGNIFICANT OR CATASTROPHIC HEALTH CARE REQUIREMENTS (E.G. NEONATAL CARE, CANCER, BURN CARE, LONG TERM AND/OR INTENSIVE CARE, ETC.) SUCH PATIENTS MAY HAVE A REASONABLE LEVEL OF INCOME, BUT A LOW LEVEL OF LIQUID ASSETS AND PAYMENT OF THEIR MEDICAL BILLS WOULD BE SERIOUSLY DETRIMENTAL TO THEIR BASIC FINANCIAL WELL-BEING AND SURVIVAL.HOLY REDEEMER HOSPITAL SHALL GRANT A CHARITY CARE DISCOUNT EITHER THROUGH THE USE OF THE SLIDING SCALE APPROACH OR UP TO 100% IF THE PATIENT HAS THE FOLLOWING: 1) NO MATERIAL APPLICABLE INSURANCE. 2) NO MATERIAL USABLE LIQUID ASSETS. 3) SIGNIFICANT AND/OR CATASTROPHIC MEDICAL BILLS.

HOLY REDEEMER HOSPITAL:
PART V, SECTION B, LINE 7A AND 10A: THE CHNA REPORT AND MOST RECENTLY ADOPTED IMPLEMENTATION STRATEGY ARE POSTED ON THE HOLY REDEEMER HOSPITAL WEBSITE AT:HTTPS://WWW.HOLYREDEEMER.COM/MAIN/COMMUNITYHEALTHNEEDSASSESSMENT.ASPX

HOLY REDEEMER HOSPITAL:
PART V, SECTION B, LINES 16A, 16B AND 16C: THE MOST CURRENT FAP, FAP APPLICATION AND FAP PLAIN LANGUAGE SUMMARY ARE POSTED ON THE HOLY REDEEMER HOSPITAL WEBSITE AT:HTTPS://WWW.HOLYREDEEMER.COM/MAIN/CHARITYCAREPOLICY.ASPX

PART V, SECTION B, LINE 11 (CONTINUED):
- HOUSING - MAIN ACTIVITIES TO BE IMPLEMENTED: 1. IMPROVE AND MODIFY THE ON CAMPUS TRANSITIONAL HOUSING UNITS TO MAKE THEM EASILY CONVERTIBLE TO PERMANENT SUPPORTIVE HOUSING WHEN/IF NEEDED. 2. CONTINUE TO PROVIDE RENTAL ASSISTANCE THROUGH INTERNAL RENT SUBSIDIES TO APPROVED DRAPP RECIPIENTS. 3. INVESTIGATE THE POTENTIAL FOR AND IMPACT OF DEVELOPING ADDITIONAL UNITS OF PERMANENT SUPPORTIVE AND/OR AFFORDABLE HOUSING ON FUTURE OPERATIONS. 4. INVESTIGATE AND CONTINUE TO ENGAGE IN PARTNERSHIPS FOR THE BENEFITS OF RESIDENTS AND CLIENTS, PROVIDING OPPORTUNITIES FOR COMMUNITY BUILDING, HOUSING, EDUCATION, PROGRAMMING AND ANY OTHER RELEVANT ACTIVITY, INCLUDING PROGRAMS THAT FOCUS ON SKILLS TO DECREASE HOMELESSNESS. 5. FOCUS ADVOCACY EFFORTS FOR RELEVANT TOPICS INCLUDING ADDITIONAL AFFORDABLE HOUSING AND INCREASE IN INCOME/WAGES.THERE WERE NEEDS IDENTIFIED IN THE COLLABORATIVE CHNA DOCUMENT THAT HOLY REDEEMER HOSPITAL IS CHOOSING NOT TO ADDRESS AS PRIORITIES BASED UPON THE PRIORITIZATION PROCESS NOTED ABOVE. WHILE IMPORTANT TO THE COMMUNITY AND THE HOSPITAL, THEY WERE NOT CHOSEN BASED ON HRH'S PRIORITIZATION PROCESS WHICH INCLUDED THE LIMITED AVAILABILITY OF RESOURCES. THESE IDENTIFIED NEEDS INCLUDE THE FOLLOWING:- HEALTHCARE & HEALTH RESOURCES NAVIGATION - LINGUISTICALLY & CULTURALLY APPROPRIATE SERVICES - COMMUNITY VIOLENCE - SOCIOECONOMIC DISADVANTAGE - NEIGHBORHOOD CONDITIONS REDEEMER HEALTH AND HOLY REDEEMER HOSPITAL DO STILL PERFORM MANY ACTIVITIES THAT MEET THE IDENTIFIED NEEDS OF THE COMMUNITY WHICH WERE NOT CHOSEN AS PRIORITIES DURING THIS CHNA PROCESS. SOME OF THOSE ACTIVITIES INCLUDE ADDING NURSE NAVIGATORS TO COMPLEX AREAS, INCREASING TRANSPORTATION ACCESSIBILITY, PARTNERING WITH A LOCAL SCHOOL DISTRICT TO PROVIDE WORK STUDY HOURS AND INFORMATION ON HEALTH CARE CAREERS, HAVING A LANGUAGE LINE AND TRANSLATED SURVEYS FOR PATIENTS WHO DO NOT SPEAK ENGLISH, AS WELL AS OTHER INITIATIVES. IN ADDITION, SOME OF THESE NEEDS ARE ALREADY PROVIDED BY OTHER COMMUNITY ORGANIZATIONS WHO HAVE THE EXPERTISE TO PROVIDE THESE SERVICES. REDEEMER HEALTH WILL PARTNER WITH THOSE ORGANIZATIONS AND CONTINUE TO PROVIDE APPROPRIATE SERVICES AS ABLE.

PART I, LINE 3C:
A PATIENT'S MEDICAL INDIGENCY IS DETERMINED BY HRHS WITHOUT GIVING EXCLUSIVE CONSIDERATION TO A PATIENT'S INCOME LEVEL WHEN A PATIENT HAS SIGNIFICANT AND/OR CATASTROPHIC MEDICAL BILLS. MEDICALLY INDIGENT PATIENTS DO NOT HAVE APPROPRIATE INSURANCE COVERAGE THAT APPLIES TO SERVICES RELATED TO THEIR SIGNIFICANT OR CATASTROPHIC HEALTH CARE REQUIREMENTS (E.G. NEONATAL CARE, CANCER, BURN CARE, LONG TERM AND/OR INTENSIVE CARE, ETC.) SUCH PATIENTS MAY HAVE A REASONABLE LEVEL OF INCOME, BUT A LOW LEVEL OF LIQUID ASSETS AND PAYMENT OF THEIR MEDICAL BILLS WOULD BE SERIOUSLY DETRIMENTAL TO THEIR BASIC FINANCIAL WELL-BEING AND SURVIVAL. AS SUCH THE FINANCIAL ASSISTANCE DETERMINATION CHECKLIST INCLUDES A SECTION ON IDENTIFICATION OF LIQUID ASSETS AS A PERTINENT CONSIDERATION IN THE DETERMINATION PROCESS.HOLY REDEEMER HOSPITAL SHALL GRANT A CHARITY CARE DISCOUNT EITHER THROUGH THE USE OF THE SLIDING SCALE APPROACH OR UP TO 100% IF THE PATIENT HAS THE FOLLOWING: 1) NO MATERIAL APPLICABLE INSURANCE. 2) NO MATERIAL USABLE LIQUID ASSETS. 3) SIGNIFICANT AND/OR CATASTROPHIC MEDICAL BILLS.

PART I, LINE 7:
AS REPORTED IN THE INCOME STATEMENT AND REFLECTED IN FOOTNOTE #3 OF THE CHARITY CARE AND COMMUNITY SERVICE SECTION OF THE AUDITOR'S REPORT:HRHS PROVIDES SERVICES TO PATIENTS WHO MEET THE CRITERIA OF THE CHARITY SERVICE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ESTABLISHED RATES AND PROVIDES PROGRAMS FOR THE COMMUNITY. CRITERIA FOR CHARITY CARE CONFORM TO THE PROVISIONS OF THE CATHOLIC HEALTH ASSOCIATION OF THE UNITED STATES, SOCIAL ACCOUNTABILITY BUDGET, A PROCESS FOR PLANNING AND REPORTING COMMUNITY SERVICE IN A TIME OF FISCAL CONSTRAINT. HRHS MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE LEVEL OF CHARITY CARE AND COMMUNITY SERVICE IT PROVIDES. THESE RECORDS INCLUDE THE AMOUNT OF CHARGES FORGONE, BASED ON ESTABLISHED RATES, FOR SERVICES AND SUPPLIES FURNISHED UNDER CHARITY CARE AND COMMUNITY SERVICES POLICIES, THE ESTIMATED COST OF THOSE SERVICES AND SUPPLIES, AND STATISTICS QUANTIFYING THE LEVEL OF CHARITY CARE AND COMMUNITY SERVICE. HRHS ESTIMATES ITS DIRECT AND INDIRECT COSTS OF PROVIDING CHARITY CARE FOR EACH ENTITY BY EITHER CALCULATING A COST PER CHARGEABLE UNIT AND APPLYING TO CHARGES FORGONE, A COST-TO-CHARGE RATIO BY COMPARING THE PER DIEM RATE FROM THE MOST RECENTLY FILED COST REPORT TO THE GROSS BILL RATE, OR DIRECT EXPENSES RECORDED UNDER SPECIFIC COST CENTERS. BENEFITS FOR THE POOR INCLUDE SERVICES PROVIDED TO PERSONS WHO CANNOT AFFORD HEALTH CARE BECAUSE OF INADEQUATE RESOURCES AND/OR WHO ARE UNINSURED OR UNDERINSURED. BENEFITS FOR THE BROADER COMMUNITY INCLUDE SERVICES PROVIDED TO OTHER NEEDY POPULATIONS THAT MAY NOT QUALIFY AS POOR BUT THAT NEED SPECIAL SERVICES AND SUPPORT. EXAMPLES INCLUDE MATERNITY ASSISTANCE PROGRAMS, HEALTH EVALUATIONS, AND SOCIAL SERVICES.

PART I, LINE 7G:
SUBSIDIZED HEALTH SERVICES WERE FOR EMPLOYEE PROGRAMS; NEGATIVE MARGINS EXISTED FOR PEDIATRIC REHABILITATION SERVICES, COUNSELING SERVICES AND UNDER-FUNDED PROGRAMS (GRANT SUPPORTED) FOR COMMUNITY HEALTH SERVICES.

PART II, COMMUNITY BUILDING ACTIVITIES:
REDEEMER HEALTH IS AN ACTIVE PARTICIPANT IN THE HEALTH AND WELLBEING OF OUR COMMUNITY. FROM REGIONAL HEALTH AND SAFETY TASK FORCE PARTICIPATION, YOUTH EDUCATION AND SCREENINGS TO INTERACTIVE EVENTS THAT PROMOTE HEALTH, REDEEMER HEALTH BRINGS OUR MISSION TO CARE, COMFORT, AND HEAL TO OUR COMMUNITY. SINCE 1924 WHEN THE SISTERS OF THE HOLY REDEEMER (SPONSOR OF REDEEMER HEALTH) SETTLED IN HUNTINGDON VALLEY, PA, REDEEMER HEALTH HAS BEEN COMMITTED TO HELPING WOMEN AND THEIR CHILDREN AND THE ELDERLY, AND TO FULFILL THAT COMMITMENT HAS DEVELOPED A TRANSITIONAL HOUSING PROGRAM FOR HOMELESS FAMILIES AND THEIR CHILDREN, EDUCATION PROGRAMS FOR EXPECTANT PARENTS, HEALTH SERVICES DELIVERED IN THE HOME FOR HOMEBOUND SENIORS, AND EVEN A PARTICIPATORY COMMUNITY GARDENING PROGRAM THAT PROMOTES NUTRITION AND ECOLOGY. REDEEMER HEALTH STAFF, VOLUNTEERS, PHYSICIANS AND NURSES EDUCATE COMMUNITY MEMBERS, PATIENTS, AND RESIDENTS ABOUT HOW TO CARE FOR THEMSELVES AND PROVIDE PREVENTATIVE HEALTH INFORMATION TO SENIORS, WOMEN, CHILDREN AND TEENS, ENCOURAGING BEHAVIORS THAT MAY LEAD TO MAJOR IMPROVEMENTS IN PHYSICAL AND EMOTIONAL HEALTH. WE CONDUCT HEALTH FAIRS AND SCREENINGS IN THE COMMUNITY. COMMUNITY SERVICE PROGRAMS AND ACTIVITIES ARE AIMED AT IMPROVING THE GENERAL HEALTH AND WELLBEING OF THE COMMUNITY AS A WHOLE. REDEEMER HEALTH LEADERS VOLUNTEER HUNDREDS OF HOURS ON LOCAL NON-PROFIT ORGANIZATION BOARDS CONTRIBUTING TO COMMUNITY DEVELOPMENT AND ENHANCEMENT ACTIVITIES, AS WELL AS WORK FORCE AND HEALTH IMPROVEMENT INITIATIVES. REDEEMER HEALTH PRODUCES AND SENDS AN E-NEWSLETTER AND CALENDAR TO 100,000 EMAIL ADDRESSES THROUGHOUT THE PRIMARY AND SECONDARY SERVICE AREA, EDUCATING READERS ON HEALTHY LIVING AND DISEASE MANAGEMENT, OFFERING HEALTH RELATED LECTURES AND EVENTS, AND INFORMATION ON NEW SERVICES AND PROVIDERS AT REDEEMER HEALTH.

PART III, LINE 2:
"THE AMOUNT REPORTED WAS THE ACTUAL BAD DEBT WRITTEN-OFF FROM SELF-PAY CLASS OF ACCOUNTS IN IN-PATIENT, OUT-PATIENT AND EMERGENCY SERVICES MULTIPLIED BY THE ""COST-TO-CHARGE RATIO"" TO ARRIVE AT CALCULATED COST OF SERVICES THAT WERE FOREGONE."

PART III, LINE 8:
MEDICARE REVENUE AND COST WERE DETERMINED FROM THE ACCOUNTING SYSTEM FOR ALL DIVISIONS OF THIS BUSINESS UNIT - HRHS. THE SHORTFALL OR LOSS FROM THE TREATMENTS AND SERVICES RENDERED TO MEDICARE RECIPIENTS SHOULD BE TREATED AS COMMUNITY BENEFIT.

PART III, LINE 9B:
THE FORMAL WRITTEN FINANCIAL ASSISTANCE POLICY CONTAINS SPECIFIC CRITERIA THAT MUST BE MET IN ORDER TO BE DEEMED ELIGIBLE. THE PATIENT IS RESPONSIBLE FOR PROVIDING HRHS WITH ALL NECESSARY INFORMATION IN ORDER TO MAKE AN INFORMED DECISION AS TO THE AMOUNT OF FINANCIAL ASSISTANCE THAT MAY BE OFFERED.

PART III, LINES 2, 5 AND 6:
THE AMOUNTS REPORTED IN THIS SECTION OF SCHEDULE H PERTAIN ONLY TO THE BUSINESS OF THE REPORTING FACILITY, HOLY REDEEMER HOSPITAL.

PART VI, LINE 2:
IN ADDITION TO THE CHNA REPORT, HRHS HAS CONTINUALLY ASSESSED THE HEALTH CARE NEEDS OF THE COMMUNITY IT SERVES USING THE PUBLIC HEALTH MANAGEMENT CORPORATION (PHMC) COMMUNITY HEALTH DATA BASE, TRACKING THE COMMUNITY'S HEALTH STATUS, AS WELL AS OTHER PERTINENT STATISTICS.

PART VI, LINE 7, REPORTS FILED WITH STATES
NJ,PA

PART III, LINE 4:
IN GENERAL HRHS FOLLOWS ASU 2014-09. HRHS AUDITED FINANCIAL STATEMENT FOOTNOTE #3 'PATIENT SERVICE REVENUE' INCLUDES EXPLANATIONS FOR THE BAD DEBT EXPENSE:GENERALLY, PATIENTS WHO ARE COVERED BY THIRD-PARTY PAYORS ARE RESPONSIBLE FOR RELATED DEDUCTIBLES AND COINSURANCE, WHICH VARY IN AMOUNT. HRHS ALSO PROVIDES SERVICES TO UNINSURED PATIENTS, AND OFFERS THOSE UNINSURED PATIENTS A DISCOUNT, EITHER BY POLICY OR LAW, FROM STANDARD CHARGES. HRHS ESTIMATES THE TRANSACTION PRICE FOR PATIENTS WITH DEDUCTIBLES AND COINSURANCE AND FROM THOSE WHO ARE UNINSURED BASED ON HISTORICAL EXPERIENCE AND CURRENT MARKET CONDITIONS. THE INITIAL ESTIMATE OF THE TRANSACTION PRICE IS DETERMINED BY REDUCING THE STANDARD CHARGE BY ANY CONTRACTUAL ADJUSTMENTS, DISCOUNTS, AND IMPLICIT PRICE CONCESSIONS. SUBSEQUENT CHANGES TO THE ESTIMATE OF THE TRANSACTION PRICE ARE GENERALLY RECORDED AS ADJUSTMENTS TO PATIENT SERVICE REVENUE IN THE PERIOD OF THE CHANGE. ADDITIONAL REVENUE RECOGNIZED DUE TO CHANGES IN ITS ESTIMATES OF IMPLICIT PRICE CONCESSIONS, DISCOUNTS, AND CONTRACTUAL ADJUSTMENTS WERE NOT CONSIDERED MATERIAL FOR THE YEAR ENDED JUNE 30, 2022. SUBSEQUENT CHANGES THAT ARE DETERMINED TO BE THE RESULT OF AN ADVERSE CHANGE IN THE PATIENT'S ABILITY TO PAY ARE RECORDED AS BAD DEBT EXPENSE. CONSISTENT WITH HRHS'S MISSION, CARE IS PROVIDED TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THEREFORE, HRHS HAS DETERMINED IT HAS PROVIDED IMPLICIT PRICE CONCESSIONS TO UNINSURED PATIENTS AND PATIENTS WITH OTHER UNINSURED BALANCES (FOR EXAMPLE, COPAYS AND DEDUCTIBLES). THE IMPLICIT PRICE CONCESSIONS INCLUDED IN ESTIMATING THE TRANSACTION PRICE REPRESENT THE DIFFERENCE BETWEEN AMOUNTS BILLED TO PATIENTS AND THE AMOUNTS HRHS EXPECTS TO COLLECT BASED ON ITS COLLECTION HISTORY WITH THOSE PATIENTS.PATIENTS WHO MEET THE HRHS'S CRITERIA FOR CHARITY CARE ARE PROVIDED CARE WITHOUT CHARGE OR AT AMOUNTS LESS THAN ESTABLISHED RATES. SUCH AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE ARE NOT REPORTED AS REVENUE.

PART VI, LINE 3:
IN ADDITION TO THE FINANCIAL ASSISTANCE POLICY PROCEDURES DESCRIBED ON SCHEDULE H, PART V, HRHS ENGAGES AN EXTERNAL CONSULTANT TO ASSIST PATIENTS WITH OBTAINING MEDICAL ASSISTANCE FROM THE STATE OF PENNSYLVANIA. THIS FUNCTION BEGINS IN THE EMERGENCY DEPARTMENT AND CONTINUES IF THE PATIENT IS ADMITTED. IF THE PATIENT IS DISCHARGED FROM THE EMERGENCY DEPARTMENT, EVERY EFFORT IS MADE TO ASSIST THE PATIENT ONCE THEY RETURN HOME. WHILE AN INPATIENT, THE PATIENT WILL RECEIVE A VISIT(S) FROM THE FINANCIAL COUNSELOR TO ASSIST IN THE COMPLETION OF THE APPLICATION NECESSARY FOR MEDICAID. A PATIENT MAY QUALIFY FOR FINANCIAL ASSISTANCE EVEN IF THEY ARE NOT ELIGIBLE FOR MEDICAL ASSISTANCE. THE PATIENT WOULD BE MADE AWARE OF THIS PROCESS ONCE A DETERMINATION HAS BEEN MADE AT THE STATE LEVEL. A PATIENT MAY CONTACT OUR CUSTOMER SERVICE CENTER ANYTIME TO REQUEST ASSISTANCE WITH PAYING THEIR PATIENT LIABILITIES.

PART VI, LINE 4:
THE REDEEMER HEALTH PENNSYLVANIA SERVICE AREA INCLUDES BUCKS, MONTGOMERY, DELAWARE, AND PHILADELPHIA COUNTIES IN SOUTHEASTERN PENNSYLVANIA. THE SOUTHEASTERN PENNSYLVANIA MARKET (PRIMARY AND SECONDARY) INCLUDES AREAS SERVED BY HOLY REDEEMER HOSPITAL, SAINT JOSEPH MANOR, LAFAYETTE, LITTLE FLOWER MANOR, REDEEMER HEALTH HOME CARE AND HOSPICE SERVICES, AND MULTIPLE OUTPATIENT AND PHYSICIAN PRACTICE LOCATIONS. THE PRIMARY SERVICE AREA FOR ACUTE CARE SERVICES IS COMPRISED OF THREE ZIP CODES IN MONTGOMERY COUNTY, FOUR ZIP CODES IN BUCKS COUNTY AND EIGHT ZIP CODES IN PHILADELPHIA COUNTY. THESE ZIP CODES REPRESENT 75% OF RH'S INPATIENT ADMISSIONS. REDEEMER HEALTH HOME CARE AND HOSPICE IN NEW JERSEY ALSO SERVES TWELVE COUNTIES IN NEW JERSEY INCLUDING CAPE MAY, ATLANTIC, OCEAN, CAMDEN, GLOUCESTER, SALEM, CUMBERLAND, MERCER, MONMOUTH, MIDDLESEX, SOMERSET AND UNION COUNTIES. THE SYSTEM PROVIDES SERVICES FOR OVER 8.5 MILLION PEOPLE THROUGHOUT THE PRIMARY, SECONDARY AND NEW JERSEY SERVICE AREAS. THE FOLLOWING POPULATION DEMOGRAPHICS, INCLUDING THE NOTED POVERTY LEVELS ARE FROM THE 2022 CHNA REPORT SITING THE AMERICAN COMMUNITY SURVEY, CENSUS BUREAU. RH'S PA TARGETED SERVICE AREA FOR COMMUNITY HEALTH IMPROVEMENT DEMOGRAPHICS: ESTIMATED POPULATION OF 534,106, 12% OF THE POPULATION IS IN POVERTY, 16% OF THE CHILDREN UNDER 18 YEARS ARE IN POVERTY, ADULTS AGES 20-44 COMPRISE THE LARGEST PORTION OF THE POPULATION AT 32.8%, MAJOR RACE CATEGORIES INCLUDE WHITE NON-HISPANIC 65%, BLACK 11.7%, HISPANIC/LATINO 11.2%, AND ASIAN 9.3%.

PART VI, LINE 6:
HRHS IS INVOLVED WITH SEVERAL COMMUNITY PARTNERS:1. ABINGTON COMMUNITY TASKFORCE-ORGANIZATIONS SUPPORTING A CARING COMMUNITY - THIS ORGANIZATION IS A COALITION OF PARENTS AND STUDENTS, AS WELL AS ABINGTON- AND ROCKLEDGE- BASED REPRESENTATIVES FROM EDUCATIONAL, RELIGIOUS, SOCIAL SERVICES, RECREATIONAL, CIVIC AND LAW ENFORCEMENT ORGANIZATIONS WITH A MISSION TO CREATE A RESPONSIBLE, CARING AND SAFE COMMUNITY. THE FOCUS OF ACT HAS BEEN TO PROMOTE HEALTHY YOUTH ACTIVITIES, TO INCREASE AWARENESS AMONG CITIZENS ABOUT THESE ACTIVITIES IN THE COMMUNITY AND GIVE RECOGNITION TO OUTSTANDING PARTNERSHIPS IN ABINGTON. HOLY REDEEMER HAS BEEN INVOLVED WITH ACT ON SEVERAL INITIATIVES SUCH AS THE ANNUAL TEEN FORUM, IN-SERVICES, TEAM BUILDING AND COMMUNITY ACTIVITIES.2. HRHS AND ST. HILARY OF POITIERS COMMUNITY GARDEN PROJECT - THE SECOND GRADE CLASS OF A LOCAL GRADE SCHOOL, ST HILARY OF POITIERS, THEIR PRINCIPAL, AND TEACHER PARTICIPATE IN A SCHOOL GARDEN PROGRAM. THE PROGRAM INCLUDES CLASSROOM EDUCATION WITH A HOLY REDEEMER DIETITIAN, GARDEN VISITS AND PLANTING IN THE SISTERS OF THE HOLY REDEEMER'S GARDEN. PLANTING INCLUDES SUMMER FRUIT VARIETIES AND GARDEN VEGETABLES, HERBS AND FLOWERS. THE CURRICULUM INCLUDES CARE OF ENVIRONMENT, HEALTHY EATING, AND SHARING THE GARDEN PRODUCE WITH THOSE WHO DON'T HAVE ACCESS TO HEALTHY FOODS.3. HEALING CONSCIOUSNESS FOUNDATION - A NON-PROFIT ORGANIZATION WAS FOUNDED BY BREAST CANCER SURGEON, DR. BETH BAUGHMAN DUPREE. DR. DUPREE IS ALSO MEDICAL DIRECTOR OF HOLY REDEEMER'S BREAST HEALTH PROGRAM, WORKING TOGETHER TO PROVIDE A HOLISTIC APPROACH TO HEALING.4. AARP - HRHS WORKS WITH AARP TO PROVIDE SAFE DRIVING CLASSES FOR SENIORS EVERY MONTH.

PART VI, LINE 5:
HRHS PROVIDES THE FOLLOWING SERVICES TO OUR COMMUNITY:ALL ACTIVITIES ARE FREE UNLESS OTHERWISE NOTED.SUPPORT GROUPS:- BUCKS COUNTY BREAST FRIENDS SUPPORT GROUPS FOR ALL STAGES- NEW MEMBERS, GENERAL MEMBERS, AND YOUNG MEMBERS- META FRIENDS FOR MEN AND WOMEN WITH STAGE IV BREAST CANCER- UNITE, INC. GRIEF SUPPORT FOLLOWING THE LOSS OF A BABY - INFANT MEMORIAL ANNUAL INTERFAITH SERVICE FOR THOSE WHO HAVE EXPERIENCED MISCARRIAGE, STILLBIRTH OR DEATH OF AN INFANT.- HEALING COMPANIONS BEREAVEMENT SUPPORT GROUP FOR ADULTS GRIEVING THE LOSS OF A LOVED ONE IN A SAFE, SUPPORTIVE ATMOSPHERE.- TREE OF LIGHTS BEREAVEMENT AND MEMORIAL SERVICES FOR HOSPICE FAMILIES. MULTIPLE LOCATIONS IN PA AND NEW JERSEY.EDUCATIONAL EVENTS:- DIABETES SELF-MANAGEMENT CLASSES, OFFERED SEVERAL TIMES PER YEAR. (COST GENERALLY COVERED BY HEALTH INSURANCE.)- HEART HEALTHY EXPO EDUCATES ABOUT HEART DISEASE AND WOMEN, HELD ANNUALLY AT NESHAMINY MALL.- LOOK GOOD...FEEL BETTER TEACHES BEAUTY TECHNIQUES TO WOMEN WHO ARE ACTIVELY UNDERGOING CANCER TREATMENT- AARP DRIVER SAFETY PROGRAM- CHILDBIRTH EDUCATION CLASSES - FAMILY & FRIENDS CPR PROVIDED EVERY MONTH - ($25 PER PERSON)- FITNESS CENTER OFFERING WEIGHT MANAGEMENT AND EXERCISE PROGRAMS- SMOKING CESSATION PROGRAMSCOMMUNITY INTERACTION AND EDUCATIONAL OUTREACH:- AMERICAN DIABETES ASSOCIATION'S TOUR DE CURE- AMERICAN HEART ASSOCIATION HEART WALK- HEART HEALTHY EXPO- LADIES OF PORT RICHMOND FREE FOLLOW UP SCREENING- SHINE A LIGHT ON LUNG CANCER EVENT- VARIOUS CORPORATE AND COMMUNITY HEALTH FAIRSSCREENINGS:- BLOOD PRESSURE SCREENINGS AT EVENTS THROUGHOUT THE REGION- BODY MASS INDEX MEASUREMENT AND INFORMATION PROVIDED AT EVENTS IN THE COMMUNITY- DEPRESSION AND ANXIETY SCREENINGS- MAMMOGRAMS OFFERED FREE TO UNINSURED WOMEN FOUR TIMES PER YEARPUBLICATION:- LIFELINKS, OUR COMMUNITY MAGAZINE, IS PUBLISHED BI-ANNUALLY, DISTRIBUTED TO 33,000 HOUSEHOLDS WITH EACH ISSUANCE, AND FOCUSES ON HEALTH AND WELLNESS INFORMATION AND THE NUMEROUS EVENTS ASSOCIATED WITH HOLY REDEEMER HOSPITAL. TOPICS COVERED INCLUDE PREGNANCY, CARDIOVASCULAR HEALTH, BREAST CANCER, LUNG CANCER, HOLISTIC HEALTH, DIABETES, AND SENIOR HEALTH.DIGITAL RESOURCES (UPDATED THREE TIMES A WEEK):- HEALTHLINK: BEGINNING IN OCTOBER 2014, HOLY REDEEMER BEGAN PUBLISHING A HEALTH NEWS SITE WITH NEARLY DAILY UPDATES. THE SITE PROVIDES CONSUMER HEALTH AND WELLNESS INFORMATION ON DIVERSE TOPICS SUCH AS ORTHOPEDICS, SENIOR LIVING, HOSPICE CARE, WOMEN'S HEALTH, DIABETES AND MORE. THIS SITE ALSO INCORPORATES THE FORMER CARING WITH CONFIDENCE: SUPPORT FOR END OF LIFE CAREGIVERS' SITE AND THE AGING WELL, A BLOG SITE FOCUSING ON SENIOR HEALTH AND LIVING. THIS CONTENT-RICH ONLINE COMMUNITY INCLUDES INFORMATIONAL POSTS, FACT SHEETS, WEB RESOURCES, AND A FORUM OUR COMMUNITY. - HEALTH LIBRARY ON WWW.HOLYREDEEMER.COM- WWW.FACEBOOK.COM/HOLYREDEEMERHEALTH POSTS HEALTH INFORMATION, CURRENT EVENTS RELATED TO HEALTHCARE, AND COMMUNITY EDUCATIONAL EVENTS.CHARITABLE ACTIVITIES:- DRUEDING CENTER-HOLY REDEEMER SPONSORS DRUEDING CENTER, A TRANSITIONAL HOUSING PROGRAM AND COMPREHENSIVE TREATMENT PROGRAM FOR HOMELESS WOMEN AND THEIR CHILDREN. A COMPLETE REPORT IS AVAILABLE ON DRUEDING CENTER'S WEBSITE, WWW.DRUEDINGCENTER.ORG. - FOOD PANTRIES-HOLY REDEEMER HEALTH SYSTEM SPONSORS THREE FOOD PANTRIES: GREEN LIGHT FOOD PANTRY AT DRUEDING CENTER, PHILADELPHIA; FOOD PANTRY OF PA IN NORTHEAST PHILADELPHIA, AND HOLY REDEEMER'S FOOD PANTRY OF NJ IN SWAINTON, NJ.