4A (Expenses $ 131408919 including grants of $ 0) (Revenue $ 178272286)
"ER/NURSING INPAITENT & OUTPATIENT PROGRAM: BRANDYWINE HOSPITAL BRANDYWINE HOSPITAL EMERGENCY DEPARTMENT PROVIDES EMERGENCY, URGENT AND PRIMARY CARE SERVICES TO THE COMMUNITY ""24/7/365"", REGARDLESS OF ABILITY TO PAY. BRANDYWINE HOSPITAL ALSO PROVIDES IMMEDIATE ACCESS THROUGH ITS EMERGENCY DEPARTMENT TO ALL SPECIALTY SERVICES. EMERGENCY ROOM VISITS FOR FY22 WERE 12,171. BRANDYWINE HOSPITAL INPATIENT UNITS INCLUDES MEDICAL SURGICAL, TELEMETRY AND INTENSIVE CARE UNITS THAT PROVIDE ACUTE IN-PATIENT SERVICES INCLUDING SUPPORT SERVICES SUCH AS LABORATORY, PHARMACY, PHYSICAL THERAPY, RESPIRATORY THERAPY, AND RADIOLOGY. TOTAL PATIENT DAYS FOR FY22 WERE 8,664. THE BEHAVIORAL HEALTH UNIT AT BRANDYWINE HOSPITAL PROVIDES 24-HOUR SUPERVISION, TREATMENT, STABILIZATION AND PLACEMENT FOR ADULTS AND OLDER ADULTS COPING WITH A VARIETY OF ISSUES, FOCUSING ON RETURNING THE INDIVIDUAL TO THE HIGHEST LEVEL OF FUNCTIONING POSSIBLE. THE INPATIENT EATING DISORDERS PROGRAM PROVIDES AN INDIVIDUALIZED TREATMENT PLAN, GROUP AND INDIVIDUAL THERAPY AND PSYCHIATRIC CARE FOR INDIVIDUALS AGES 13 AND OLDER. TOTAL PATIENT DAYS FOR FY22 WERE 8,835. CHESTNUT HILL HOSPITAL: CHESTNUT HILL HOSPITAL (CHH) EMERGENCY DEPARTMENT PROVIDES EMERGENCY, URGENT AND PRIMARY CARE SERVICES TO THE COMMUNITY ""24/7/365"", REGARDLESS OF ABILITY TO PAY. CHH PROVIDES IMMEDIATE ACCESS THROUGH ITS EMERGENCY DEPARTMENT TO ALL SPECIALTY AREAS. CHH REMAINS COMMITTED TO THEIR GOAL OF SEEING PATIENTS IN 30 MINUTES OR LESS. EMERGENCY ROOM VISITS FOR FY22 WERE 40,160. CHESTNUT HILL HOSPITAL INPATIENT UNITS INCLUDE MEDICAL SURGICAL, TELEMETRY AND INTENSIVE CARE UNITS THAT PROVIDE ACUTE IN-PATIENT SERVICES SUCH AS LABORATORY, PHARMACY, PHYSICAL THERAPY, RESPIRATORY THERAPY, AND RADIOLOGY. TOTAL PATIENT DAYS FOR FY22 WERE 31,276. THE BEHAVIORAL HEALTH UNIT AT CHESTNUT HILL HOSPITAL PROVIDES 24 HOUR SUPERVISION, TREATMENT, STABILIZATION AND PLACEMENT FOR ADULTS AND OLDER ADULTS COPING WITH A VARIETY OF ISSUES, FOCUSING ON RETURNING THE INDIVIDUAL TO THE HIGHEST LEVEL OF FUNCTIONING POSSIBLE. TOTAL PATIENT DAYS FOR FY22 WERE 5,816. JENNERSVILLE HOSPITAL: JENNERSVILLE HOSPITAL EMERGENCY DEPARTMENT PROVIDES EMERGENCY, URGENT AND PRIMARY CARE SERVICES TO THE COMMUNITY ""24/7/365"", REGARDLESS OF ABILITY TO PAY. JENNERSVILLE HOSPITAL ALSO PROVIDES IMMEDIATE ACCESS THROUGH ITS EMERGENCY DEPARTMENT TO ALL SPECIALTY SERVICES. EMERGENCY ROOM VISITS FOR FY22 WERE 7,137. JENNERSVILLE HOSPITAL INPATIENT UNITS INCLUDE MEDICAL SURGICAL, TELEMETRY AND INTENSIVE CARE UNITS THAT PROVIDE ACUTE IN-PATIENT SERVICES SUCH AS LABORATORY, PHARMACY, PHYSICAL THERAPY, RESPIRATORY THERAPY, AND RADIOLOGY. TOTAL PATIENT DAYS FOR FY22 WERE 2,768. PHOENIXVILLE HOSPITAL: PHOENIXVILLE HOSPITAL EMERGENCY DEPARTMENT PROVIDES EMERGENCY, URGENT AND PRIMARY CARE SERVICES TO THE COMMUNITY ""24/7/365"" REGARDLESS OF ABILITY TO PAY. PHOENIXVILLE HOSPITAL ALSO PROVIDES IMMEDIATE ACCESS THROUGH ITS EMERGENCY DEPARTMENT TO ALL SPECIALTY SERVICES, FROM SURGEONS TO ALL AREAS OF SPECIALTY CARE. PHOENIXVILLE HOSPITAL HAD ""24/7/365"" ON-CALL CONSULTANTS FOR PEDIATRIC EMERGENCY CASES THROUGH ST. CHRISTOPHER'S HOSPITAL FOR CHILDREN. LOCAL EMS PROVIDERS RELY ON PHOENIXVILLE HOSPITAL FOR ON-GOING MEDICAL EDUCATION. EMERGENCY ROOM VISITS FOR FY22 WERE 22,127. PHOENIXVILLE HOSPITAL INPATIENT UNITS INCLUDE MEDICAL SURGICAL, TELEMETRY AND INTENSIVE CARE UNITS, LABOR AND DELIVER, REHABILITATION, NURSERY AND NICU. THEY PROVIDE INPATIENT ACUTE SERVICES INCLUDING SUPPORT SUCH AS LABORATORY, PHARMACY, PHYSICAL THERAPY AND RADIOLOGY. TOTAL PATIENT DAYS FOR FY22 WERE 36,567. POTTSTOWN HOSPITAL: POTTSTOWN HOSPITAL EMERGENCY DEPARTMENT PROVIDES EMERGENCY, URGENT AND PRIMARY CARE SERVICES 24/7/365 TO THE COMMUNITY. THE EMERGENCY DEPARTMENT SERVES PATIENTS FROM BERKS, MONTGOMERY AND CHESTER COUNTIES. THE POTTSTOWN HOSPITAL EMERGENCY DEPARTMENT IS THE SECOND BUSIEST EMERGENCY DEPARTMENT IN MONTGOMERY COUNTY. THERE IS A FULL COMPLEMENT OF SPECIALTY SERVICES PROVIDED AT THE LOCAL AND/OR TERTIARY LEVEL WITH OUR SYSTEM HOSPITAL IN READING. EMERGENCY ROOM VISITS FOR FY22 WERE 31,801. POTTSTOWN HOSPITAL INPATIENT UNITS INCLUDE MEDICAL SURGICAL, TELEMETRY AND INTENSIVE CARE UNITS. THEY PROVIDE INPATIENT ACUTE SERVICES INCLUDING SUPPORT SUCH AS LABORATORY, PHARMACY, PHYSICAL THERAPY AND RADIOLOGY. TOTAL PATIENT DAYS FOR FY22 WERE 32,981. THE BEHAVIORAL HEALTH UNIT AT POTTSTOWN HOSPITAL PROVIDES 24/7/365 SUPERVISION, TREATMENT, STABILIZATION AND PLACEMENT FOR ADULTS AND GERIATRIC ADULTS COPING WITH A VARIETY OF ISSUES, FOCUSING ON RETURNING THE INDIVIDUAL TO THE HIGHEST LEVEL OF COGNITIVE FUNCTIONING POSSIBLE. TOTAL PATIENT DAYS FOR FY22 WERE 7,385."

4B (Expenses $ 76852335 including grants of $ 0) (Revenue $ 55170755)
OPERATING ROOM SERVICES: BRANDYWINE HOSPITAL: BRANDYWINE HOSPITAL'S SURGICAL SERVICE LINE CARE FOR BOTH INPATIENT AND OUTPATIENT IN NEED OF SURGICAL PROCEDURES INCLUDING BUT NOT LIMITED TO THE FOLLOWING SPECIALTIES: ENT, GASTROENTEROLOGICAL, GYNECOLOGIC, OPHTHALMOLOGY, UROLOGIC, VASCULAR AND GENERAL SURGERY. TOTAL PROCEDURES FOR FY22 WERE 879. CHESTNUT HILL HOSPITAL: CHESTNUT HILL HOSPITAL'S SURGICAL DEPARTMENT PROVIDES SURGICAL SERVICES TO OUR COMMUNITY IN BOTH AN INPATIENT AND OUTPATIENT SETTING. SERVICES INCLUDE: BARIATRICS, ENT, GASTROENTEROLOGY, GYNECOLOGY, ORTHOPEDICS, PAIN MANAGEMENT, PLASTICS, PODIATRY, PULMONOLOGY, THORACIC, UROLOGY, VASCULAR, AND GENERAL SURGERY. TOTAL PROCEDURES FOR FY22 WERE 4,016. JENNERSVILLE HOSPITAL: JENNERSVILLE HOSPITAL'S SURGICAL SERVICE DEPARTMENT CARES FOR BOTH INPATIENT AND OUTPATIENT IN NEED OF SURGICAL PROCEDURES INCLUDING BUT NOT LIMITED TO THE FOLLOWING SPECIALTIES: ENT, GASTROENTEROLOGICAL, GYNECOLOGIC, OPHTHALMOLOGY, UROLOGIC, VASCULAR AND GENERAL SURGERY. TOTAL PROCEDURES FOR FY22 WERE 1,043. PHOENIXVILLE HOSPITAL: PHOENIXVILLE HOSPITAL'S SURGICAL DEPARTMENT PROVIDES SURGICAL SERVICES TO THE COMMUNITY IN BOTH AN INPATIENT AND OUTPATIENT SETTING. THESE SERVICES INCLUDE: CARIOLOGY, CARDIO, THORACIS, ENT, ORTHOPEDICS, GYNECOLOGY, OBSTETRICS, UROLOGY, PAIN MANAGEMENT, PLASTIC, PODIATRY, NEURO AND GENERAL SURGERY. TOTAL PROCEDURES FOR FY22 WERE 7,946. POTTSTOWN HOSPITAL: POTTSTOWN HOSPITAL'S SURGICAL SERVICES DEPARTMENT PROVIDES EMERGENT, URGENT AND ELECTIVE SURGERIES TO THE COMMUNITY ON AN INPATIENT AND OUTPATIENT BASIS. EMERGENCY CASES CAN BE DONE 24/7/365 AND PATIENTS NEEDING A HIGHER LEVEL OF CARE CAN BE TRANSFERRED TO TERTIARY CENTERS IN THE AREA. POTTSTOWN HOSPITAL OFFERS, ORTHOPEDIC, VASCULAR, SPINE, ENT, MAXOFACIAL, PLASTIC, OB/GYN, OPHTHALMOLOGIC, UROLOGIC, PODIATRIC AND GENERAL SURGERY. TOTAL PROCEDURES FOR FY22 WERE 4,782.

4C (Expenses $ 36222494 including grants of $ 0) (Revenue $ 88870289)
RADIOLOGY/IMAGING PROGRAM: BRANDYWINE HOSPITAL: BRANDYWINE HOSPITAL RADIOLOGY DEPARTMENT PROVIDES IMAGING SERVICES TO THE COMMUNITY IN BOTH AN INPATIENT AND OUTPATIENT SETTING IN TWO LOCATIONS. THESE SERVICES INCLUDE BUT ARE NOT LIMITED TO PET SCANS, ULTRASOUNDS, CT SCANS, MRIS, NUCLEAR MEDICINE, INTERVENTIONAL RADIOLOGY AND MAMMOGRAMS. TOTAL PROCEDURES FOR FY22 WERE 22,154. CHESTNUT HILL HOSPITAL: CHESTNUT HILL HOSPITAL RADIOLOGY DEPARTMENT PROVIDES IMAGING SERVICES TO THE COMMUNITY IN BOTH AN INPATIENT AND OUTPATIENT SETTING. THESE SERVICES INCLUDE BUT ARE NOT LIMITED TO PET SCANS, ULTRASOUNDS, CAT SCANS, MRIS, NUCLEAR MEDICINE, INTERVENTIONAL RADIOLOGY, AND MAMMOGRAMS. CHESTNUT HILL HOSPITAL PROVIDES FREE SCREENINGS THROUGHOUT THE COMMUNITY AND OFFERS FINANCIAL ASSISTANCE FOR MAMMOGRAMS VIA FUNDS RECEIVED AT LOCAL CHARITABLE EVENTS HOSTED/SPONSORED BY CHESTNUT HILL HOSPITAL. TOTAL PROCEDURES FOR FY22 WERE 99,749. JENNERSVILLE HOSPITAL: JENNERSVIILE HOSPITAL RADIOLOGY DEPARTMENT PROVIDES IMAGING SERVICES TO THE COMMUNITY IN BOTH AN INPATIENT AND OUTPATIENT SETTING IN TWO LOCATIONS. THESE SERVICES INCLUDE BUT ARE NOT LIMITED TO PET SCANS, ULTRASOUNDS, CT SCANS, MRIS, NUCLEAR MEDICINE, INTERVENTIONAL RADIOLOGY AND MAMMOGRAMS. TOTAL PROCEDURES FOR FY22 WERE 11,738. PHOENIXVILLE HOSPITAL: PHOENIXVILLE HOSPITAL RADIOLOGY DEPARTMENT PROVIDES IMAGING SERVICES TO THE COMMUNITY IN BOTH AN INPATIENT AND OUTPATIENT SETTING IN TWO LOCATIONS. THESE SERVICES INCLUDE BUT ARE NOT LIMITED TO PET SCANS, ULTRASOUNDS, CT SCANS, MRIS, NUCLEAR MEDICINE, INTERVENTIONAL RADIOLOGY AND MAMMOGRAMS. PHOENIXVILLE HOSPITAL OFFERS FREE MAMMOGRAMS TO THE UNDERINSURED AND UNINSURED PATIENTS. TOTAL PROCEDURES FOR FY22 WERE 78,770. POTTSTOWN HOSPITAL: POTTSTOWN HOSPITAL RADIOLOGY DEPARTMENT PROVIDES IMAGING SERVICES TO THE COMMUNITY IN BOTH AN INPATIENT AND OUTPATIENT SETTING IN TWO LOCATIONS. THESE SERVICES INCLUDE BUT ARE NOT LIMITED TO PET SCANS, ULTRASOUNDS, CT SCANS, MRIS, NUCLEAR MEDICINE, INTERVENTIONAL RADIOLOGY AND MAMMOGRAMS. TOTAL PROCEDURES FOR FY22 WERE 88,082.

4D (Expenses $ 361346571 including grants of $ 0) (Revenue $ 216026703)
EXPENSES INCURRED IN PROVIDING VARIOUS OTHER MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, OR ABILITY TO PAY. SERVICES INCLUDE BUT ARE NOT LIMITED TO: BRANDYWINE HOSPITAL: BRANDYWINE HOSPITAL PROVIDES OUTPATIENT SERVICES FOR LABORATORY, RADIOLOGY, WOUND CARE, SLEEP AND RESPIRATORY/PT/OT/SPEECH THERAPY PATIENTS. WE ALSO PROVIDE OUTPATIENT INFUSION SERVICES TO ONCOLOGY PATIENTS IN THE COMMUNITY. TOTAL OUTPATIENT VISITS FOR FY22 WERE 20,194. BRANDYWINE HOSPITAL PROVIDES PHARMACY SUPPORT TO ALL INPATIENTS WITH THEIR PHARMACEUTICAL NEEDS. CHESTNUT HILL HOSPITAL: CHESTNUT HILL HOSPITAL PROVIDES A FULL RANGE OF OUTPATIENT, DIAGNOSTIC AND TREATMENT SERVICES FOR PEOPLE IN NORTHWEST PHILADELPHIA AND EASTERN MONTGOMERY COUNTY. OTHER THAN IMAGING, CHESTNUT HILL HOSPITAL'S AREAS OF FOCUS FOR OUTPATIENTS ARE WOMEN'S SERVICES, REHABILITATION SERVICES AND SLEEP CARE. TOTAL OUTPATIENT VISITS FOR FY22 WERE 97,419. ONCOLOGY AND HEMATOLOGY SERVICES AT CHESTNUT HILL HOSPITAL INCLUDE COMPREHENSIVE CANCER SERVICES IN CARING IN A CARING AND COMPASSIONATE SETTING. WE PROVIDE HOPE WITH PROVEN CANCER TREATMENTS. OUR CANCER SERVICES INCLUDE FINANCIAL COUNSELING AND AN ONLINE PATIENT PORTAL AT THE PRACTICE TO IMPROVE PATIENT ACCESS AND COMMUNICATION. FREE COMMUNITY LECTURES ON CANCER SCREENINGS ARE PROVIDED DURING THE YEAR. TOTAL PROCEDURES IN FY22 WERE 146. CHESTNUT HILL HOSPITAL PROVIDES PHARMACY SUPPORT TO ALL INPATIENT WITH THEIR PHARMACEUTICAL NEEDS. JENNERSVILLE HOSPITAL: JENNERSVILLE HOSPITAL PROVIDES OUTPATIENT SERVICES FOR LABORATORY, RADIOLOGY, WOUND CARE, SLEEP AND RESPIRATORY/PT/OT/SPEECH THERAPY PATIENTS. WE ALSO PROVIDE OUTPATIENT INFUSION SERVICES TO ONCOLOGY PATIENTS IN THE COMMUNITY. TOTAL OUTPATIENT PROCEDURES FOR FY22 WERE 49,508. JENNERSVILLE HOSPITAL PROVIDES PHARMACY SUPPORT TO ALL INPATIENTS WITH THEIR PHARMACEUTICAL NEEDS. PHOENIXVILLE HOSPITAL: PHOENIXVILLE HOSPITAL PROVIDES OUTPATIENT SERVICES FOR LABORATORY, RADIOLOGY PATIENTS AND DIALYSIS PATIENTS. CANCER CENTER PATIENTS RECEIVE OUTPATIENT SERVICES BASED ON THEIR TREATMENT PLAN. CARDIO-PULMONARY PATIENTS UTILIZE THE 1ST FLOOR REHABILITATION GYM FOR PRESCRIBED AND MONITORED OUTPATIENT EXERCISE. TOTAL PROCEDURES FOR FY22 WERE 323,674. PHOENIXVILLE HOSPITAL ONCOLOGY SERVICES DEPARTMENT PROVIDES MEDICAL ONCOLOGY AND RADIATION THERAPY SERVICES TO THE COMMUNITY. WE PROVIDE CHARITY SERVICES TO OUR SERVICE AREA WHO MEET OUR CHARITY POLICY GUIDELINES. TARGETED THERAPIES IN OUR RECENTLY RENOVATED INFUSION SUITE SELECTIVELY AFFECT ONLY THE CELLS RELATED TO A PARTICULAR CANCER, CAUSING LESS DAMAGE AND FEWER SIDE EFFECTS TO SURROUNDING NON-CANCEROUS CELLS AND BODY SYSTEMS THAN TRADITIONAL CHEMOTHERAPY DRUGS. PHOENIXVILLE HOSPITAL ACTIVELY PARTICIPATES IN A NUMBER OF PREVENTIVE AND TREATMENT CLINICAL TRIALS THROUGH THE CANCER TRIAL SUPPORT UNIT (CTSU). TOTAL PROCEDURES FOR FY22 WERE 9,385 PHOENIXVILLE HOSPITAL PROVIDES PHARMACY SUPPORT TO ALL INPATIENTS AND CANCER CENTER PATIENTS WITH THEIR PHARMACEUTICAL NEEDS. POTTSTOWN HOSPITAL: POTTSTOWN HOSPITAL PROVIDES OUTPATIENT SERVICES FOR LABORATORY, RADIOLOGY, WOUND CARE, AND PT/OT/SPEECH THERAPY PATIENTS. TOTAL PROCEDURES FOR FY22 WERE 324,250. POTTSTOWN HOSPITAL CANCER CENTER PROVIDES INPATIENT, OUTPATIENT AND INFUSION SERVICES TO ONCOLOGY PATIENTS IN THE COMMUNITY. THE POTTSTOWN HOSPITAL CANCER CENTER OFFERS A ROBUST SERVICE LINE INCLUSIVE OF MEDICAL AND RADIATION ONCOLOGY WITH RAPID ARC TECHNOLOGY WITH LINEAR ACCELERATOR AND CYBERKNIFE CAPABILITIES. THE POTTSTOWN HOSPITAL CANCER CENTER IS A FIVE-TIME RECIPIENT OF THE AMERICAN COLLEGE OF SURGEONS COUNCIL ON CANCER OUTSTANDING ACHIEVEMENT AWARD. THERE ARE ONLY 4 CANCER CENTERS IN THE UNITED STATES WHO HAVE ACHIEVED THIS DISTINCTION. POTTSTOWN HOSPITAL ACTIVELY PARTICIPATES IN A NUMBER OF PREVENTIVE AND TREATMENT CLINICAL TRIALS THROUGH THE CANCER TRIALS SUPPORT UNIT (CTSU). TOTAL PROCEDURES FOR FY22 WERE 21,112. POTTSTOWN HOSPITAL PROVIDES PHARMACY SUPPORT TO ALL INPATIENTS AND CANCER CENTER PATIENTS WITH THEIR PHARMACEUTICAL NEEDS. TOWER HEALTH URGENT CARE: TOWER HEALTH URGENT CARE CONSISTS OF 27 LOCATIONS. WE SPECIALIZE IN TREATING NON-LIFE-THREATENING ILLNESSES AND INJURIES. WE PROVIDE COORDINATED AND COMPREHENSIVE EXAMS FOR SCHOOL, CAMP, SPORTS, AND PRE- EMPLOYMENT, AS WELL AS PROFESSIONAL DRIVER EXAMS FROM OUR LICENSED, CERTIFIED MEDICAL EXAMINERS WITH THE DEPARTMENT OF TRANSPORTATION. AS A PREFERRED PROVIDER FOR MANY EMPLOYERS, WE ARE EQUIPPED TO HANDLE OCCUPATIONAL HEALTH NEEDS INCLUDING IMMUNIZATIONS, SCREENINGS, DOT AND CDL PHYSICALS. TELEMEDICINE HAS BECOME WIDELY ACCEPTED WITH THE ADVANCES IN REMOTE MEDICAL TECHNOLOGIES. TOWER HEALTH URGENT CARE IS ON THE FOREFRONT OF PATIENT CARE WITH OUR TELEBURN NETWORK. SELECT TOWER HEALTH URGENT CARE LOCATIONS HAVE PARTNERED WITH THE LEHIGH VALLEY TELEBURN NETWORK TO TREAT BURN PATIENTS BASED ON CONSULTS WITH SPECIALISTS AT THE LEHIGH VALLEY REGIONAL BURN CENTER. TELEBURN ENABLES OUR MEDICAL STAFF TO OBTAIN IMMEDIATE CONSULTS FROM THE BURN CENTER USING DIGITAL IMAGERY. TELEBURN ASSESSMENTS MEET ALL APPLICABLE PRIVACY AND SECURITY REGULATIONS OF THE HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT (HIPAA) AND THE HEALTH INFORMATION TECHNOLOGY FOR ECONOMIC AND CLINICAL HEALTH ACT (HITECH). ADDITIONALLY, COVID-19 ANTIBODY TESTING IS AVAILABLE AT SELECT TOWER HEALTH URGENT CARE LOCATIONS. TOWER HEALTH PROVIDERS: TOWER HEALTH PROVIDERS (THP) WAS FORMED TO DEVELOP A PHYSICIAN NETWORK TO WORK IN CONJUNCTION WITH TOWER HEALTH TO IMPLEMENT A CLINICAL INTEGRATION PROGRAM. CLINICAL INTEGRATION IS THE IMPLEMENTATION OF AN ACTIVE AND ONGOING PROGRAM TO EVALUATE AND MODIFY PRACTICE PATTERNS BY THE NETWORK'S PHYSICIAN PARTICIPANTS AND CREATE A HIGH DEGREE OF INTERDEPENDENCE AND COOPERATION AMONG THE PHYSICIANS TO CONTROL COSTS AND IMPROVE THE QUALITY AND EFFICIENCY OF HEALTH CARE FOR THE NETWORK'S PHYSICIAN PARTICIPANTS AND THE ENTIRE HEALTH CARE COMMUNITY SERVED. TOWER DIRECT: TOWERDIRECT IS A UNIFIED PATIENT TRANSPORTATION SYSTEM THAT SERVES BERKS COUNTY AND THE TOWER HEALTH SERVICE AREA. HAVING A UNIFIED AMBULANCE SERVICE SUPPORTS TOWER HEALTH'S GOAL OF PROVIDING PATIENTS WITH TIMELY AND HIGH-QUALITY CARE, WHILE DEVELOPING AN EMS PROGRAM THAT CAN GROW, INNOVATE, AND BETTER RESPOND TO THE EVER- CHANGING HEALTHCARE ENVIRONMENT. TOWERDIRECT IS A MULTIFACETED EMS SOLUTION TO OUR PATIENTS, CO-WORKERS, AND COMMUNITIES. BENEFITS TO THE COMMUNITY INCLUDE: IMPROVED AVAILABILITY AND SUSTAINABILITY OF EMERGENCY, NON-EMERGENCY, CRITICAL CARE, AND PEDIATRIC PATIENT TRANSPORT SERVICES FOR COMMUNITIES WITHIN BERKS COUNTY AND THE TOWER HEALTH SERVICE AREA; THE OPPORTUNITY TO ENHANCE PATIENT CARE AND IMPROVE OPERATIONAL PERFORMANCE; REAL-TIME ACCESS TO THE TOWER HEALTH ELECTRONIC MEDICAL RECORDS TO MEASURE AND IMPROVE PATIENT OUTCOMES; BETTER ACCESS TO PATIENT TRANSPORT SERVICES, IMPROVING THE TIMELINESS OF DISCHARGE FROM INPATIENT AND OUTPATIENT FACILITIES; ENHANCED EFFORTS TO IMPROVE PATIENT CARE INITIATION AND TRANSITIONS IN CARE SETTINGS; AND THE ABILITY TO ENHANCE COMMUNITY PARAMEDICINE AND PATIENT OUTREACH PROGRAMS.

GROUP A, FACILITY 1, POTTSTOWN 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 DIFFERENCES 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

GROUP A, FACILITY 1, POTTSTOWN 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 COMMUNITTY: ACCESS TO HEALTH CARE, SOCIAL DETERMINANTS OF HEALTH, DISEASE PREVENTION & MANAGEMENT, AND ACCESS TO BEHAVIORAL HEALTH SERVICES. THIS APPLIES TO POTTSTOWN HOSPITAL, CHESTNUT HILL HOSPITAL, PHOENIXVILLE HOSPITAL, BRANDYWINE HOSPITAL AND JENNERSVILLE HOSPITAL AN OVERVIEW OF EACH PRIORITY FOLLOWS: ACCESS TO HEALTH CARE: POTTSTOWN HOSPITAL: THE GOAL WAS TO INCREASE THE COMMUNITY'S ACCESS TO HEALTH CARE SERVICES, PARTICULARLY THOSE COMMUNITY MEMBERS CONSIDERED VULNERABLE AND/OR LIVING IN UNDERSERVED AREAS. POTTSTOWN HOSPITAL WORKED TO IMPROVE CULTURAL SENSITIVITY OF STAFF BY ATTENDING CULTURAL AWARENESS TRAININGS TO LEARN ABOUT HOW PATIENTS WITH DIVERSE CULTURES, BELIEFS, LIFESTYLES, AND VALUES EXPERIENCE AND PERCEIVE HEALTHCARE. A DIVERSITY AND INCLUSION COUNCIL WAS ESTABLISHED TO IDENTIFY AND EDUCATE STAFF ON TOPICS OF INTEREST. THE HOSPITAL PARTNERED WITH CREATIVE HEALTH SERVICES TO INCREASE ACCESS TO PRIMARY CARE FOR BEHAVIORAL HEALTH PATIENTS. POTTSTOWN HOSPITAL STREAMLINED THE ACCESS TO CARE FACILITIES THROUGH THE TOWER ACCESS PROJECT (TAP) TO PROVIDE EASE OF ACCESS FOR COMMUNITY MEMBERS SEEKING TO SCHEDULE APPOINTMENTS WITH AMBULATORY AND SPECIALTY CARE SERVICE LINES. THE HOSPITAL PARTNERED WITH COMMUNITY HEALTH AND DENTAL CARE TO PROVIDE IMMEDIATE FOLLOW-UP APPOINTMENTS POST DISCHARGE. CHESTNUT HILL HOSPITAL: THE GOAL WAS TO INCREASE THE COMMUNITY'S ACCESS TO HEALTH CARE SERVICES, PARTICULARLY THOSE COMMUNITY MEMBERS CONSIDERED VULNERABLE AND/OR LIVING IN UNDERSERVED AREAS. CHESTNUT HILL HOSPITAL WORKED TO IMPROVE CULTURAL SENSITIVITY OF STAFF BY ATTENDING CULTURAL AWARENESS TRAININGS TO LEARN ABOUT HOW PATIENTS WITH DIVERSE CULTURES, BELIEFS, LIFESTYLES, AND VALUES EXPERIENCE AND PERCEIVE HEALTHCARE. A DIVERSITY AND INCLUSION COUNCIL WAS ESTABLISHED TO IDENTIFY AND EDUCATE STAFF ON TOPICS OF INTEREST. THE HOSPITAL STREAMLINED THE ACCESS TO CARE FACILITIES THROUGH THE TOWER ACCESS PROJECT (TAP) TO PROVIDE EASE OF ACCESS FOR COMMUNITY MEMBERS SEEKING TO SCHEDULE APPOINTMENTS WITH AMBULATORY AND SPECIALTY CARE SERVICE LINES. CHESTNUT HILL HOSPITAL IMPLEMENTED A PATIENT PORTAL FOR FASTER ACCESS TO TEST RESULTS, REQUEST MED REFILLS, AND TO COMMUNICATE DIRECTLY WITH PROVIDERS. PHOENIXVILLE HOSPITAL: THE GOAL WAS TO INCREASE THE COMMUNITY'S ACCESS TO HEALTH CARE SERVICES, PARTICULARLY THOSE COMMUNITY MEMBERS CONSIDERED VULNERABLE AND/OR LIVING IN UNDERSERVED AREAS. PHOENIXVILLE HOSPITAL ENHANCED THE TELEMEDICINE OPPORTUNITIES FOR ADDITIONAL TELEHEALTH SERVICES. PHOENIXVILLE HOSPITAL WORKED TO IMPROVE CULTURAL SENSITIVITY OF STAFF BY ATTENDING CULTURAL AWARENESS TRAININGS TO LEARN ABOUT HOW PATIENTS WITH DIVERSE CULTURES, BELIEFS, LIFESTYLES, AND VALUES EXPERIENCE AND PERCEIVE HEALTHCARE. A DIVERSITY AND INCLUSION COUNCIL WAS ESTABLISHED TO IDENTIFY AND EDUCATE STAFF ON TOPICS OF INTEREST. THE HOSPITAL STREAMLINED THE ACCESS TO CARE FACILITIES THROUGH THE TOWER ACCESS PROJECT (TAP) TO PROVIDE EASE OF ACCESS FOR COMMUNITY MEMBERS SEEKING TO SCHEDULE APPOINTMENTS WITH AMBULATORY AND SPECIALTY CARE SERVICE LINES. PHOENIXVILLE HOSPITAL WORKED TO IMPROVE CULTURAL SENSITIVITY OF STAFF BY ATTENDING CULTURAL AWARENESS TRAININGS. THE HOSPITAL UTILIZED OUTREACH SITES TO CONNECT VULNERABLE POPULATIONS WITH RESOURCES TO ADDRESS UNMET HEALTH CARE NEEDS. PHOENIXVILLE HOSPITAL HOSTED BRIDGING THE GAP MEDICAL INTERPRETER CERTIFICATION TO INCREASE THE NUMBER OF QUALIFIED MEDICAL INTERPRETERS IN THE COMMUNITY. BRANDYWINE HOSPITAL: THE GOAL WAS TO INCREASE THE COMMUNITY'S ACCESS TO HEALTH CARE SERVICES, PARTICULARLY THOSE COMMUNITY MEMBERS CONSIDERED VULNERABLE AND/OR LIVING IN UNDERSERVED AREAS. BRANDYWINE HOSPITAL WORKED TO IMPROVE CULTURAL SENSITIVITY OF STAFF BY ATTENDING CULTURAL AWARENESS TRAININGS TO LEARN ABOUT HOW PATIENTS WITH DIVERSE CULTURES, BELIEFS, LIFESTYLES, AND VALUES EXPERIENCE AND PERCEIVE HEALTHCARE. A DIVERSITY AND INCLUSIOIN COUNCIL WAS ESTABLISHED TO IDENTIFY AND EDUCATE STAFF ON TOPICS OF INTEREST. THE HOSPITAL DEVELOPED, ENHANCED AND EXPANDED TELEMEDICINE OPPORTUNITIES AND ENHANCED THE USE OF REMOTE PATIENT MONITORING TO INCLUDE OBESE, DIABETIC AND CHF PATIENTS. JENNERSVILLE HOSPITAL: THE GOAL WAS TO INCREASE THE COMMUNITY'S ACCESS TO HEALTH CARE SERVICES, PARTICULARLY THOSE COMMUNITY MEMBERS CONSIDERED VULNERABLE AND/OR LIVING IN UNDERSERVED AREAS. JENNERSVILLE HOSPITAL WORKED TO IMPROVE CULTURAL SENSITIVITY OF STAFF BY ATTENDING CULTURAL AWARENESS TRAININGS TO LEARN ABOUT HOW PATIENTS WITH DIVERSE CULTURES, BELIEFS, LIFESTYLES, AND VALUES EXPERIENCE AND PERCEIVE HEALTHCARE. A DIVERSITY AND INCLUSION COUNCIL WAS ESTABLISHED TO IDENTIFY AND EDUCATE STAFF ON TOPICS OF INTEREST. JENNERSVILLE HOSPITAL ENHANCED THEIR SPECIALIST OFFERING BY RECRUITING ADDITIONAL SPECIALISTS. THE HOSPITAL EXPLORED A TELEMEDICINE PARTNERSHIP WITH CAREPORT M.D. THROUGH WORKFORCE DEVELOPMENT, THE HOSPITAL PROVIDED OPPORTUNITIES FOR YOUNG ADULTS TO EXPERIENCE CAREERS IN HEALTH CARE AS A WAY OF CULTIVATING THE FUTURE WORKFORCE. JENNERSVILLE HOSPITAL IMPLEMENTED AND ENGAGED PATIENTS THROUGH MY TOWER HEALTH AND STREAMLINED THE ACCESS TO CARE FACILITIES THROUGH THE TOWER ACCESS PROJECT (TAP) TO PROVIDE EASE OF ACCESS FOR COMMUNITY MEMBERS SEEKING TO SCHEDULE APPOINTMENTS WITH AMBULATORY AND SPECIALTY CARE SERVICE LINES. SOCIAL DETERMINANTS OF HEALTH: POTTSTOWN HOSPITAL: THE GOAL WAS TO IDENTIFY AND ADDRESS SOCIAL DETERMINANTS OF HEALTH (SDOH). POTTSTOWN HOSPITAL SCREENED MEDICARE AND MEDICAID PATIENTS IN IDENTIFIED CLINICAL AREAS, IDENTIFYING NEEDS, CONNECTING PATIENTS TO APPROPRIATE COMMUNITY RESOURCES, AND PROVIDING NAVIGATION SERVICES TO PATIENTS IDENTIFIED AS HIGH-RISK. TO HELP REDUCE TRANSPORTATION BARRIERS, THE HOSPITAL IMPLEMENTED THE RIDE HEALTH PROGRAM. CHESTNUT HILL HOSPITAL: THE GOAL WAS TO IDENTIFY AND ADDRESS SOCIAL DETERMINANTS OF HEALTH (SDOH). CHESTNUT HILL HOSPITAL SCREENED MEDICARE AND MEDICAID PATIENTS IN IDENTIFIED CLINICAL AREAS, IDENTIFYING NEEDS, CONNECTING PATIENTS TO APPROPRIATE COMMUNITY RESOURCES, AND PROVIDING NAVIGATION SERVICES TO PATIENTS IDENTIFIED AS HIGH-RISK. THE HOSPITAL ADDRESSED TRANSPORTATION BARRIERS BY DEVELOPING A WORKFLOW, IMPLEMENTATION PLAN AND GUIDELINES FOR TRANSPORTATION PROGRAM FOR PATIENTS. PHOENIXVILLE HOSPITAL: THE GOAL WAS TO IDENTIFY AND ADDRESS SOCIAL DETERMINANTS OF HEALTH (SDOH). PHOENIXVILLE HOSPITAL SCREENED MEDICARE AND MEDICAID PATIENTS IN IDENTIFIED CLINICAL AREAS, IDENTIFYING NEEDS, CONNECTING PATIENTS TO APPROPRIATE COMMUNITY RESOURCES, AND PROVIDING NAVIGATION SERVICES TO PATIENTS IDENTIFIED AS HIGH-RISK. TO HELP REDUCE TRANSPORTATION BARRIERS, THE HOSPITAL IMPLEMENTED THE RIDE HEALTH PROGRAM. BRANDYWINE HOSPITAL: THE GOAL WAS TO IDENTIFY AND ADDRESS SOCIAL DETERMINANTS OF HEALTH (SDOH). BRANDYWINE HOSPITAL SCREENED MEDICARE AND MEDICAID PATIENTS IN IDENTIFIED CLINICAL AREAS, IDENTIFYING NEEDS, CONNECTING PATIENTS TO APPROPRIATE COMMUNITY RESOURCES, AND PROVIDING NAVIGATION SERVICES TO PATIENTS IDENTIFIED AS HIGH-RISK. TO HELP REDUCE TRANSPORTATION BARRIERS, THE HOSPITAL IMPLEMENTED THE RIDE HEALTH PROGRAM. JENNERSVILLE HOSPITAL: THE GOAL WAS TO IDENTIFY AND ADDRESS SOCIAL DETERMINANTS OF HEALTH (SDOH). JENNERSVILLE HOSPITAL SCREENED MEDICARE AND MEDICAID PATIENTS IN IDENTIFIED CLINICAL AREAS, IDENTIFYING NEEDS, CONNECTING PATIENTS TO APPROPRIATE COMMUNITY RESOURCES, AND PROVIDING NAVIGATION SERVICES TO PATIENTS IDENTIFIED AS HIGH-RISK. THE HOSPITAL PARTNERED WITH COMMUNITY ORGANIZATIONS TO ADDRESS TRANSPORTATION BARRIERS AND PARTNERED WITH THE COMMUNITY FOOD BANK TO REDUCE FOOD SCARCITY ISSUES FOR VULNERABLE POPULATIONS. DISEASE PREVENTION & MANAGEMENT: POTTSTOWN HOSPITAL: THIS GOAL WAS TO IMPLEMENT CHRONIC DISEASE PREVENTION AND MANAGEMENT PROGRAMS IN THE PRIMARY SERVICE AREA, SPECIFICALLY TARGETING VULNERABLE POPULATIONS. POTTSTOWN HOSPITAL INCREASED DIABETES AND HYPERTENSION SCREENINGS AND CONDUCTED MULTIPLE CANCER EDUCATION AND SCREENING EVENTS FOR THE COMMUNITY, INCLUDING LUNG CANCER, BREAST CANCER AND SKIN CANCER SCREENINGS. THE HOSPITAL IMPLEMENTED SHORT AND LONG-TERM WELLNESS INITIATIVES THROUGH TOWER WELLNESS PROGRAMS AND BUILT RELATIONSHIPS WITH LOCAL SCHOOL DISTRICTS AND ATTENDED THEIR WELLNESS COMMITTEE MEETINGS AND PARTICIPATED IN SCHOOL WELLNESS ACTIVITIES FOR THE YOUTH. NUTRITION EDUCATION WAS PROVIDED TO THE COMMUNITY. CHESTNUT HILL HOSPITAL: THE GOAL WAS TO IMPLEMENT CHRONIC DISEASE PREVENTION AND MANAGEMENT PROGRAMS IN THE PRIMARY SERVICE AREA, SPECIFICALLY TARGETING VULNERABLE POPULATIONS. CHESTNUT HILL HOSPITAL PROVIDED SCREENING (HYPERTENSION, RISK ASSESSMENTS FOR HEART AND STROKE, MAMMOGRAMS SCREENINGS) AND EDUCATION (DIABETES) TO THE PRIMARY SERVICE AREAS, PARTICULARLY FOCUSING ON VULNERABLE POPULATIONS.

GROUP A, FACILITY 1, POTTSTOWN HOSPITAL - PART V, LINE 5
PART V FACILITY INFORMATION, SECTION A SUPPLEMENTAL DISCLOSURE: WEBSITE ADDRESS HTTPS://WWW.TOWERHEALTH.ORG/LOCATIONS/POTTSTOWN-HOSPITAL HTTPS://WWW.TOWERHEALTH.ORG/LOCATIONS/CHESTNUT-HILL-HOSPITAL HTTPS://WWW.TOWERHEALTH.ORG/LOCATIONS/PHOENIXVILLE-HOSPITAL JENNERSVILL HOSPITAL CLOSED AS OF DECEMBER 31, 2021 BRANDYWINE HOSPITAL CLOSED AS OF JANAURY 31, 2022 PART V, LINE 5 THIS ALSO APPLIES TO CHESTNUT HILL HOSPITAL AND PHOENIXVILLE HOSPITAL. 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 INTERVIEWS (POTTSTOWN): MONTGOMERY COUNTY MONTGOMERY COUNTY COMMUNITY COLLEGE PA HOUSE OF REPRESENTATIVES TRICOUNTY CHAMBER OF COMMERCE POTTSTOWN BOROUGH POTTSTOWN AREA HEALTH AND WELLNESS FOUNDATION COMMUNITY HEALTH AND DENTAL CARE TRICOUNTY COMMUNITY NETWORK POTTSGROVE SCHOOL DISTRICT CREATIVE HEALTH SERVICES STAKEHOLDER INTERVIEWS (PHOENIXVILLE): PHOENIXVILLE REGIONAL CHAMBER OF COMMERCE CHESTER COUNTY HEALTH DEPARTMENT PHOENIXVILLE AREA SCHOOL DISTRICT MONTGOMERY COUNTY HEALTH DEPARTMENT ALIANZAS DE PHOENIXVILLE PHOENIXVILLE COMMUNITY HEALTH FOUNDATION COMMUNITY HEALTH AND DENTAL CLINIC THE CLINIC MAYOR - PHOENIXVILLE PHOENIXVILLE YMCA STAKEHOLDER INTERVIEWS (CHESTNUT HILL HOSPITAL): OUR MOTHER OF CONSOLATION MT AIRY COMMUNITY DEVELOPMENT CORPORATION CENTER IN THE PARK PHILADELPHIA INTERFAITH HOSPITALITY NETWORK U.S. HOUSE OF REPRESENTATIVES DREXEL UNIVERSITY FACE TO FACE GERMANTOWN NEW COVENANT CHURCH OF PHILADELPHIA GREEN TREE COMMUNITY HEALTH FOUNDATION CHESTNUT HILL COLLEGE WHITEMARSH EMS FOCUS GROUP PARTICIPANTS (POTTSTOWN): SAGA COMMUNITY CENTER POTTSTOWN AREA HEALTH AND WELLNESS FOUNDATION PA HEALTH ACCESS NETWORK ACCESS SERVICES MONTGOMERY COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICESI ACLAMO HEALTH SPARK FOUNDATION COMMUNITY HEALTH AND DENTAL CARE TRICOUNTY COMMUNITY NETWORK POTTSTOWN HOSPITAL FOCUS GROUP PARTICIPANTS (PHOENIXVILLE): PHOENIXVILLE HOSPITAL PHOENIXVILLE AREA COMMUNITY SEVICES PHOENIXVILLE SENIOR CENTER ALIANZAS DE PHOENIXVILLE ORION HOPE PHOENIXVILLE COMMUNITY HEALTH FOUNDATION THE CLINIC HEALTHCARE ACCESS BOROUGH OF PHOENIXVILLE FOCUS GROUP PARTICIPANTS (CHESTNUT HILL): CHESTNUT HILL HOSPITAL MOUNT AIRY CDC GREEN TREE COMMUNITY HEALTH FOUNDATION U.S. REPRESENTATIVE DWIGHT EVANS

GROUP A, FACILITY 1, POTTSTOWN HOSPITAL - PART V, LINE 7D
THIS ALSO APPLIES TO CHESTNUT HILL HOSPITAL AND PHOENIXVILLE HOSPITAL LINK TO THE COMMUNITY HEALTH NEEDS ASSESSMENT FOR THE POTTSTOWN AND PHOENIXVILLE HOSPITALS: HTTPS://WWW.TOWERHEALTH.ORG/LOCATIONS/POTTSTOWN-HOSPITAL-COMMUNITY-HEALTH- NEEDS-ASSESSMENT HTTPS://WWW.TOWERHEALTH.ORG/LOCATIONS/PHOENIXVILLE-HOSPITAL-COMMUNITY- HEALTH-NEEDS-ASSESSMENT A COMMUNITY HEALTH NEEDS ASSESSMENT WAS NOT COMPLETED FOR THE FOLLOWING HOSPITALS IN 2022. JENNERSVILLE HOSPITAL CLOSED AS OF DECEMBER 31, 2021 BRANDYWINE HOSPITAL CLOSED AS OF JANUARY 31, 2022 THE 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/POTTSTOWN-HOSPITAL-COMMUNITY-HEALTH- NEEDS-ASSESSMENT HTTPS://WWW.TOWERHEALTH.ORG/LOCATIONS/PHOENIXVILLE-HOSPITAL-COMMUNITY- HEALTH-NEEDS-ASSESSMENT

GROUP A, FACILITY 1, POTTSTOWN HOSPITAL - PART V, LINE 11
"THE 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 WILL CONTINUE THROUGH THE BEGINNING OF FY2023 WITH THE FINAL DOCUMENT BEING ADOPTED AND MADE PUBLICLY AVAILABLE BY NOVEMBER 15, 2022. THE IMPLEMENTATION PLAN, WHICH COVERS A THREE YEAR SPAN, OUTLINES SPECIFIC STRATEGIES FOR EACH PRIORITY AREA THAT WILL BE 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: POTTSTOWN HOSPITAL, PHOENIXVILLE HOSPITAL, AND CHESTNUT HILL HOSPITAL THE HOSPITALS DEPLOY CONTINUOUS IMPROVEMENT EFFORTS TO BETTER UNDERSTAND THE CONTRIBUTING FACTORS THAT IMPEDE ACCESS TO EQUITABLE CARE AND HOW BEST TO ADDRESS IDENTIFIED BARRIERS AND GAPS IN THE PROVISION OF HEALTH CARE AND SERVICES. IMPROVING AN ORGANIZATION'S CAPACITY TO PROVIDE ACCESS TO EQUITABLE CARE FOR VULNERABLE AND ETHNIC POPULATIONS IS A CONTINUOUS AND EVOLVING PROCESS. THE GOAL IS TO INCREASE ACCESS TO EQUITABLE CARE BY COMMUNITY MEMBER, PARTICULARLY THOSE CONSIDERED VULNERABLE AND/OR LIVING IN UNDERSERVED AREAS. POTTSTOWN HOSPITAL WILL SCREEN VULNERABLE PATIENTS FOR SOCIAL DETERMINENTS OF HEALTH, IMPROVE ACCESS TO TRANSPORTATION BY UTILIZING THE RIDE HEALTH PLATFORM, IMPLEMENT STREET MEDICINE PROGRAM, IMPROVE DENTAL CARE ACCESSIBILITY BY PARTNERING WITH CHDC AND THE MOBILE DENTAL UNIT, IMPROVE ACCESS TO SCREENING MAMMOGRAMS, IDENTIFY OPPORTUNITIES FOR A COMMUNITY HEALTH WORK PROGRAM AND INCREASE CARE COORDINATION WITH OTHER HEALTH CARE ENTITIES IN THE SERVICE AREA. PHOENIXVILLE HOSPITAL WILL PROVIDE NURSE OUTREACH BY PROVIDING HEALTH INFORMATION AND RESOURCE REFERRALS TO VULNERABLE POPULATIONS IN THE COMMUNITY TO ADDRESS UNMET HEALTH CARE NEEDS. A RIDE HEALTH PROGRAM WILL BE IMPLEMENTS AND ACCESS TO TELEMEDICINE WILL BE PROVIDED. CHESTNUT HILL HOSPITAL WILL PROMOTE THE MYTOWERHEALTH PORTAL TO ENCOURAGE PATIENTS TO MANAGE INDIVIDUAL HEALTH, IMPLEMENT ONLINE APPOINTMENT SCHEDULING, PROVIDE CLINICAL SERVICES TO HOMEBOUND AND AT-RISK POPULATION THROUGH VOLUNTEERING AT NEIGHBORHOOD CLINICS, UTILIZE THE RIDE HEALTH PROGRAM AND ADDRESS SDOH BY PROVIDING ACUTE CARE AND HEALTH SCREENING SERVICES TO COMMUNITY MEMBERS. BEHAVIORAL HEALTH: POTTSTOWN HOSPITAL, PHOENIXVILLE HOSPITAL, AND CHESTNUT HILL HOSPITAL CHNA FOCUS GROUPS, STAKEHOLDERS, KEY INFORMANTS, AND SURVEY RESPONDENTS REPORTED ""IMPROVING ACCESS AND AVAILABILITY OF BEHAVIORAL HEALTH AND MENTAL HEALTH SERVICES AND PROGRAMS"" AS HAVING A GREAT IMPACT ON THE OVERALL HEALTH OF THEIR SURROUNDING COMMUNITIES AND A HIGH PRIORITY FOR IMPROVING HEALTH STATUS. THE GOAL IS TO IMPROVE ACCESS, SCREENING, ASSESSMENT, TREATMENT, AND SUPPORT FOR BEHAVIORAL HEALTH. POTTSTOWN HOSPITAL WILL PARTICIPATE IN COMMUNITY OUTREACH AND HEALTH EDUCATION AWARENESS EVENTS, ENGAGE IN WORKFORCE DEVELOPMENT OPPORTUNITIES FOR BEHAVIORAL HEALTH CARRIERS, OFFER SUICIDE PREVENTION TRAINING, IMPLEMENT TOWER EMPLOYEE WELLNESS INITIATIVES. PHOENIXVILLE HOSPITAL WILL INVITE COMMUNITY ORGANIZATIONS WHICH PROVIDE BEHAVIORAL HEALTH TO PARTICIPATE IN HOSPITAL COMMUNITY PROGRAMS. A BEHAVIORAL HEALTH SOCIAL MEDIA CAMPAIGN WILL BE LAUNCHED TO ENGAGE COMMUNITY MEMBERS WITH MONTHLY SOCIAL MEDIA POSTS FOCUSED ON BEHAVIORAL HEALTH ISSUES. TOWER EMPLOYEE WELLNESS INITIATIVE WILL BE EXPANDED. CHESTNUT HILL HOSPITAL WILL ESTABLISH A COMMITTEE TO ADDRESS WORKPLACE VIOLENCE, EXPAND BEHAVIORAL HEALTH SERVICES BY IDENTIFYING PARTNERS TO SUPPORT THE EXPANSION AND EXPAND TOWER WELLNESS EMPLOYEE INITIATIVES. HEALTH EDUCATION AND PREVENTION: POTTSTOWN HOSPITAL, PHOENIXVILLE HOSPITAL, AND CHESTNUT HILL HOSPITAL HEALTH EDUCATION PROGRAMS HELP PEOPLE BETTER UNDERSTAND HOW TO MANAGE AN EXISTING HEALTH CONDITION AND HOW TO PREVENT FURTHER ILLNESS, WHICH IS PARAMOUNT TO GOOD HEALTH. THE HOSPITAL'S COMMUNITY EDUCATION AND DISEASE PREVENTION PROGRAMS ARE DESIGNED TO ENGAGE AND EMPOWER INDIVIDUALS AND COMMUNITIES TO PRACTICE HEALTHY BEHAVIORS THAT REDUCE THE RISK OF DEVELOPING CHRONIC DISEASES AND TO IMPROVE MANAGEMENT FOR CHRONIC DISEASES SUCH AS HEART DISEASE, DIABETES, AND HIGH BLOOD PRESSURE. ACCORDING TO THE WORLD HEALTH ORGANIZATION, ""HEALTH EDUCATION ENABLES PEOPLE TO INCREASE CONTROL OVER THEIR OWN HEALTH."" THE GOAL IS TO IMPLEMENT CHRONIC DISEASE EDUCATION AND PREVENTION PROGRAMS IN THE PRIMARY SERVICE AREA, SPECIFICALLY TARGETING VULNERABLE POPULATIONS. POTTSTOWN HOSPITAL WILL INCREASE ACCESS TO HEALTHY FOODS, PROVIDE DISEASE SPECIFIC EDUCATION, ENGAGE WITH LOCAL SCHOOL DISTRICTS TO FURTHER WELLNESS EDUCATION AND PROGRAMS, INCREASE ACCESS TO CANCER SCREENINGS AND IMPLEMENT TOWER EMPLOYEE WELLNESS INITIATIVES. PHOENIXVILLE HOSPITAL WILL PROVIDE CHRONIC DISEASE-SPECIFIC EDUCATION TO OTHER VULNERABLE POPULATIONS INCLUDING LOW-INCOME, VETERANS, AND OTHERS. A HEALTH SURVEY FOR THE SPANISH/PORTUGUESE COMMUNITY WILL BE CREATED. BLOOD PRESSURE SCREENINGS, CANCER PREVENTION EDUCATION AND SCREENINGS WILL BE PROVIDED. A PARTNERSHIP WITH ORGANIZATIONS WILL BE ORGANIZED TO PROVIDE A VACCINE CLINIC TO THE COMMUNITY. TOWER EMPLOYEE WELLNESS INITIATIVE WILL BE IMPLEMENTED. CHESTNUT HILL HOSPITAL WILL LAUNCH WEIGHT LOSS SURGERY SUPPORT GROUPS TO ENCOURAGE MAINTENANCE OF A HEALTHY LIFESTYLE AFTER SURGERY, INCREASE HEALTH EDUCATION PROGRAMMING BY HOSTING EVENTS AND FREE SCREENINGS FOR LOCAL CONGREGATIONS, AND PARTNER WITH PHILADELPHIA PUBLIC SCHOOL SYSTEM TO PROVIDE HEALTH EDUCATION TO AT-RISK YOUTH AND FAMILIES. TOWER EMPLOYEE WELLNESS INITIATIVE WILL BE IMPLEMENTED. HEALTH EQUITY: POTTSTOWN HOSPITAL, PHOENIXVILLE HOSPITAL, AND CHESTNUT HILL HOSPITAL UNDERSTANDING AND ADDRESSING THE NEEDS OF DIVERSE AND DISPARATE POPULATIONS IS A SIGNIFICANT CHALLENGE FOR HEALTH CARE ORGANIZATIONS. AS A CRITICAL ASPECT OF IMPROVING HEALTH EQUITY AND DECREASING HEALTH DISPARITIES, THERE IS A CONTINUED EFFORT TO ENHANCE THE PROVISION OF CULTURALLY COMPETENT AND LINGUISTICALLY APPROPRIATE CARE TO A VERY DIVERSE SERVICE AREA AS DEFINED BY RACIAL AND ETHNIC COMMUNITIES WITH VARIOUS CULTURAL BELIEFS AND PERCEPTIONS, HEALTH PRACTICES, AND BEHAVIORS, AS WELL AS A DISTRUST OF THE HEALTH DELIVERY SYSTEM. THE ASSESSMENT OF THE DIVERSE AND DISPARATE POPULATION UNCOVERED MANY SDOH AND BARRIERS TO HEALTH CARE ACCESS AND SERVICES. BARRIERS SUCH AS A LACK OF TRANSPORTATION, INADEQUACY OF LANGUAGE AND INTERPRETATION SERVICES, LACK OF INSURANCE COVERAGE, AND CULTURAL BIAS AND DISCRIMINATION HAVE A VERY DRAMATIC IMPACT ON THE CAPACITY TO PROVIDE QUALITY HEALTH CARE AND THE QUALITY OF LIFE FOR POTTSTOWN HOSPITAL'S COMMUNITIES. INTERVENTIONS THAT IMPROVE HEALTH EQUITY AND REDUCE DISPARITIES MUST BE SYSTEMATIC AS AN ORGANIZATION GAINS GREATER UNDERSTANDING AND APPRECIATION FOR DIVERSE CULTURES AND ENHANCES THE ORGANIZATION'S ABILITY TO SERVE ALL PATIENTS EFFECTIVELY AND EFFICIENTLY. THE GOAL IS TO INCREASE HEALTH EQUITY BY ADDRESSING SOCIAL DETERMINANTS OF HEALTH AND PROVIDE CULTURALLY COMPETENT CARE. POTTSTOWN HOSPITAL WILL DEVELOP A HEALTH EQUITY COUNCIL TO CREATE A HEALTH EQUITY ASSESSMENT AND TRANSFORMATION ACTION PLAN. DIVERSITY, EQUITY AND INCLUSION TRAINING AND LEARNING OPPORTUNITIES WILL BE PROVIDED TO EMPLOYEES. PHOENIXVILLE HOSPITAL WILL DEVELOP A HEALTH EQUITY COUNCIL TO CREATE A HEALTH EQUITY ASSESSMENT AND TRANSFORMATION ACTION PLAN. DIVERSITY, EQUITY AND INCLUSION TRAINING AND LEARNING OPPORTUNITIES WILL BE PROVIDED TO EMPLOYEES. CHESTNUT HILL HOSPITAL WILL DEVELOP A HEALTH EQUITY COUNCIL TO CREATE A HEALTH EQUITY ASSESSMENT AND TRANSFORMATION ACTION PLAN. DIVERSITY, EQUITY AND INCLUSION TRAINING AND LEARNING OPPORTUNITIES WILL BE PROVIDED TO EMPLOYEES. LIST OF HEALTH NEEDS THE FACILITY DOES NOT PLAN TO ADDRESS: 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."

GROUP A, FACILITY 1, POTTSTOWN HOSPITAL - PART V, LINE 13H
THIS ALSO APPLIES TO CHESTNUT HILL HOSPITAL, PHOENIXVILLE HOSPITAL, BRANDYWINE HOSPITAL AND JENNERSVILLE HOSPITAL. 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-EMERGENCY CARE ARE NOT GENERALLY ELIGIBLE FOR FINANCIAL ASSISTANCE.

GROUP A, FACILITY 1, POTTSTOWN HOSPITAL - PART V, LINE 15E
THIS ALSO APPLIES TO CHESTNUT HILL HOSPITAL, PHOENIXVILLE HOSPITAL, BRANDYWINE HOSPITAL AND JENNERSVILLE HOSPITAL. 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 INFORMATION 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 POVERTY LEVEL (FPL). 8. THE MCR FFS (MEDICARE FEE FOR SERVICE) IS USED TO DETERIMINE 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 THE 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 FINANCAL ASSISTANCE AT ANY POINT IN THE BILLING AND COLLECTION CYCLE. IF THE FINANCIAL ASSISTANCE APPLICATION IS INITIATED WHILE THE ACCOUNT IS IN THE COLLECTION PROCESS, COLLECTION ACTIVITY WILL CEASE UNTIL DETERMINATION OF ELIGIBILITY HAS BEEN MADE.

GROUP A, FACILITY 1, POTTSTOWN HOSPITAL - PART V, LINE 16J
THE BELOW NARRATIVE COVERS LINE 16A-C AND J THIS ALSO APPLIES TO CHESTNUT HILL HOSPITAL AND PHOENIXVILLE HOSPITAL. THE CURRENT FINANCIAL ASSISTANCE POLICY, PLAIN LANGUAGE POLICY AND APPLICATIONS FOR FINANCIAL ASSISTANCE, IN ENGLISH, SPANISH, GERMAN, DUTCH, HAITIAN CREOLE, AND VIETNAMESE ARE ACCESSIBLE AT: HTTPS://WWW.TOWERHEALTH.ORG/LOCATIONS/POTTSTOWN-HOSPITAL/BILLING/ FINANCIAL-ASSISTANCE HTTPS://WWW.TOWERHEALTH.ORG/LOCATIONS/CHESTNUT-HILL-HOSPITAL/BILLING/ FINANCIAL-ASSISTANCE HTTPS://WWW.TOWERHEALTH.ORG/LOCATIONS/PHOENIXVILLE-HOSPITAL/BILLING/ FINANCIAL-ASSISTANCE 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 POTTSTOWN HOSPITAL, CHESTNUT HILL HOSPITAL, PHOENIXVILLE HOSPITAL, BRANDYWINE HOSPITAL AND JENNERSVILLE HOSPITAL SPECIFYING WHICH PROVIDERS ARE AND ARE NOT COVERED BY THE PATIENT FINANCIAL ASSISTANCE POLICY. THIS PROVIDER LIST IS AVAILABLE ONLINE AT: HTTPS://WWW.TOWERHEALTH.ORG/PROVIDERS/. IN ADDITION,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 POTTSTOWN, CHESUTNUT HILL, PHOENIXVILLE, BRANDYWINE AND JENNERSVILLE HOSPITALS 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 THE HOSPITAL. THESE PAMPHLETS PROVIDE AN EASY-TO-READ SUMMARY OF THE FINANCIAL ASSISTANCE PROGRAM, WITH CONTACT INFORMATION OF HOSPITAL EMPLOYEES WHO WILL ASSIST THE PATIENTS WITH THE APPLICATION PROCESS. THESE PAMPHLETS ARE ALSO DISTIBUTED TO PATIENTS AT THE POINTS OF REGISTRATION THROUGHOUT THE 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 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. THE HOSPITAL WORKS CLOSELY WITH ADVOCACY PROGRAMS IN THE COMMUNITY. THE AVAILABILITY OF THE HOPSITAL FINANCIAL ASSISTANCE POLICY IS SHARED WITH THOSE AGENCIES.

SCHEDULE H, PART I, LINE 3C
PATIENTS WILL BE REQUESTED 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 WITHIN 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 7
IN THE CHARITY CARE AND MEANS-TESTED GOVERNMENT PROGRAMS SECTION OF LINE 7, A COST TO CHARGE RATIO DEVELOPED FROM THE MEDICARE COST REPORT IS UTILIZED.

SCHEDULE H, PART II
"ECONOMIC DEVELOPMENT: MEMBERS OF CHESTNUT HILL HOSPITAL'S ADMINISTRATIVE TEAM SERVE ON BOARDS AND/OR COUNCILS RELATED TO ECONOMIC DEVELOPMENT. THESE INCLUDE MT AIRY CDC, CHESTNUT HILL BUSINESS ASSOCIATION, CHESTNUT HILL COMMUNITY ASSOCIATION AND THE CHESTNUT HILL CDC. TWO MEMBERS OF PHOENIXVILLE HOSPITAL'S ADMINISTRATIVE TEAM SERVE ON BOARDS AND/OR COUNCILS RELATED TO ECONOMIC DEVELOPMENT. THESE INCLUDE THE PERKIOMEN VALLEY CHAMBER OF COMMERCE AND THE PHOENIXVILLE CHAMBER OF COMMERCE. THE CEO OF POTTSTOWN HOSPITAL, SERVES ON BOARDS AND/OR COUNCILS RELATED TO ECONOMIC DEVELOPMENT. THESE INCLUDE THE TRICOUNTY AREA CHAMBER OF COMMERCE AND POTTSTOWN AREA ECONOMIC DEVELOPMENT. IN ADDITION, THE DIRECTOR OF IMAGING PARTICIPATES IN LEADERSHIP TRI-COUNTY THROUGH THE TRICOUNTY AREA CHAMBER OF COMMERCE. ENVIRONMENTAL IMPROVEMENTS: POTTSTOWN HOSPITAL ORGANIZED A COMMUNITY CLEAN UP EVENT TO CLEAN UP TRASH OFF OF HIGH STREET IN POTTSTOWN BOROUGH ON EARTH DAY. 12 STAFF MEMBERS PARTICIPATED IN THE EVENT ON APRIL 22, 2022. LEADERSHIP DEVELOPMENT AND TRAINING FOR COMMUNITY MEMBERS: RESPECT IS AT THE HEART OF CULTURAL COMPETENCE. PATIENTS WHO FEEL THEIR HEALTHCARE PROVIDERS RESPECT THEIR BELIEFS, CUSTOMS, VALUES, LANGUAGE AND TRADITIONS ARE MORE LIKELY TO COMMUNICATE FREELY AND HONESTLY, WHICH CAN, IN TURN, REDUCE DISPARITIES IN HEALTHCARE AND IMPROVE PATIENT OUTCOMES. SEVERAL STAFF MEMBERS FROM EACH OF THE HOSPITALS ATTENDED A CULTURAL COMPETENCY TRAINING COURSE TO IMPROVE CULTURAL COMPETENCY SKILL IN THE WORKPLACE. CRISIS PREVENTION AND INTERVENTION STRATEGIES HAVE BEEN EFFECTIVE IN REDUCING STRESS, PROBLEM SOLVING AND KEEPING A PERSON FROM NEEDING HIGHER LEVELS OF CARE SUCH AS A TRIP TO THE EMERGENCY DEPARTMENT OR CRISIS CENTER OR INPATIENT HOSPITALIZATION. SEVERAL STAFF MEMBERS FROM CHESTNUT HILL HOSPITAL PARTICIPATED IN A CRISIS PREVENTION INTERVENTION TRAINING COURSE TO HELP THEIR STAFF AND COMMUNITY PREPARE FOR AND HELP REDUCE CRISIS SITUATIONS. COALITION BUILDING: POTTSTOWN HOSPITAL ASSISTED READING HOSPITAL IN THE ACCOUNTABLE HEALTH COMMUNITY CONNECTION PROJECT TO HELP BRIDGE THE GAP BETWEEN MEDICAL CARE AND SOCIAL SERVICES FOR LOCAL MEDICARE AND MEDICAID PATIENTS. TO IMPROVE THE HEALTH OF MEDICARE AND MEDICAID PATIENTS, WE IDENTIFIED THEIR UNMET SOCIAL NEEDS AND THEN DIRECTED THEM TO APPROPRIATE SOCIAL SERVICE AGENCIES. IN THE PROCESS, WE WERE ABLE TO REDUCE COSTS ASSOCIATED WITH EMERGENCY CARE AND HOSPITALIZATIONS. WORKFORCE DEVELOPMENT: CHESTNUT HILL HOSPITAL IS A TEACHING HOSPITAL WITH SEVERAL RESIDENCY AND FELLOWSHIP PROGRAMS. IN ADDITION, CHESTNUT HILL HOSPITAL PARTNERS WITH AREA NURSING SCHOOLS TO PROVIDE HANDS-ON-TRAINING AND SKILL DEVELOPMENT. IN A PARTNERSHIP WITH THE PHILADELPHIA FIRE DEPARTMENT, CHESTNUT HILL HOSPITAL PROVIDES ADVANCE TRAINING FOR EMTS TO BECOME ""ADVANCED"" EMTS OR PARAMEDICS. PHOENIXVILLE HOSPITAL PROVIDES A NUMBER OF OPPORTUNITIES FOR PRIMARY, SECONDARY, AND POST-SECONDARY STUDENTS WHO ARE INTERESTED IN HEALTHCARE CAREERS TO ENGAGE WITH BOTH CLINICAL AND NON-CLINICAL STAFF. 25 STUDENTS PARTICIPATED IN THE HOSPITAL'S JOB SHADOWING PROGRAM, WITH 20% OF PRECEPTORS TIME BEING COUNTED TOWARDS COMMUNITY BENEFIT ACTIVITIES. POTTSTOWN HOSPITAL PROVIDES 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. STAFF PARTICIPATE IN WORKFORCE DEVELOPMENT FORUMS, OFFER SHADOWING OPPORTUNITIES, AND HOST CLINICAL ROTATIONS AND INTERNSHIPS."

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 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 FY2022

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 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 OF FINANCIAL ASSISTANCE THROUGHOUT THE REVENUE CYCLE, FROM REGISTRATION THROUGH COLLECTION; THEREFORE, THE 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 VI, LINE 5
PROMOTION OF COMMUNITY HEALTH: DESCRIPTION OF ACHIEVEMENTS IN FISCAL 2022 RELATING TO EXEMPT PURPOSE STATS PROIVDED ARE FOR POTTSTOWN HOPSITAL, CHESTNUT HILL HOSPITAL, PHOENIXVILLE HOSPITAL, BRANDYWINE HOSPITAL AND JENNERSVILLE HOSPITAL COLLECTIVELY. PROVIDING HEALTH CARE: INPATIENT DISCHARGES 25,249 INPATIENT DAYS 127,227 BIRTHS 937 EMERGENCY VISITS 113,396 PROMOTING HEALTH: CHESTNUT HILL HOSPITAL: HEALTH OUTREACH FOR ADULTS PARTICIPATE IN HEALTHY WOMAN PA A STATE FUNDED PROGRAM THAT PROVIDES BREAST AND CERVICAL SCREENING FOR WOMEN WITHOUT INSURANCE. CHESTNUT HILL HOSPITAL ALSO HAS A MAMMOGRAPHY SCREENING PROGRAM THAT FUNDS SCREENING MAMMOGRAMS FOR ANY WOMAN IN OUR COMMUNITY WHO IS UNINSURED. HEALTH OUTREACH IMPACTING ALL AGES CHESTNUT HILL HOSPITAL OPERATES AN ACCREDITED EMERGENCY DEPARTMENT THAT PROVIDES LIFE-SAVING CARE TO INJURED PATIENTS, INCLUDING RESUSCITATION, EMERGENCY SURGERY, INTENSIVE CARE, AND/OR GENERAL MEDICAL CARE; GENERAL SURGERY IN EITHER THE EMERGENCY OR ELECTIVE SETTING; AND NEUROCRITICAL CARE FOR PATIENTS SUFFERING INTRACRANIAL TUMOR, STROKE, INTRACEREBRAL HEMORRHAGE, STATUS EPILEPTICUS, AND OTHER CONDITIONS. CHESTNUT HILL HOSPITAL IS AN ACCREDITED CHEST PAIN CENTER AND STROKE CENTER. PROFESSIONAL EDUCATION IS PROVIDED TO EMS PROVIDERS. MAINTAIN 24/7 INTERPRETING SERVICES THE HOSPITAL OFFERS 24/7 INTERPRETING TELEPHONES FOR ANY LANGUAGE. TELEPHONE AMPLIFIERS AND TDDS (TELEPHONE DEVICES FOR THE DEAF) ARE AVAILABLE FOR THE HEARING IMPAIRED. PROVIDE 24/7 CHAPLAINCY SERVICES UPON ADMISSION, PATIENTS ARE ASKED TO PROVIDE A PARTICULAR RELIGION OR CONGREGATION SO THAT WE MAY PROVIDE PASTORAL MINISTRY. AN INTERFAITH CHAPEL, LOCATED ON THE FIRST FLOOR OF THE HOSPITAL, IS AVAILABLE FOR FAMILY USE. OFFER PALLIATIVE CARE SERVICES CHESTNUT HILL HOSPITAL'S PALLIATIVE MEDICINE TEAM SEEKS TO PROVIDE RELIEF FROM SUFFERING AND IMPROVE QUALITY OF LIFE FOR PATIENTS WITH SERIOUS, CHRONIC, OR LIFE-THREATENING ILLNESSES. THEY ALSO PROVIDE EDUCATION AND SUPPORT SERVICES TO PATIENTS AND THEIR FAMILIES TO INCREASE UNDERSTANDING OF HEALTH ISSUES AND TREATMENT AND CARE OPTIONS. OFFER FREE PARKING CHESTNUT HILL HOSPITAL OFFERS PATIENTS AND THEIR FAMILY MEMBERS AND VISITORS FREE GARAGE PARKING. IT ALSO PROVIDES WHEELCHAIRS AND ESCORTS TO SUPPORT MEDICALLY FRAGILE PATIENTS. SUPPORT ORGAN DONATION CHESTNUT HILL HOSPITAL PROVIDES INFORMATION AND EDUCATION ABOUT ORGAN DONATION OPTIONS TO PATIENTS AND THEIR FAMILIES. IN ADDITION, THE HOSPITAL SUPPORT ORGAN DONATION WITH ONLINE POSTING TO THE ENTIRE SERVICE AREA. EDUCATE HEALTHCARE PROFESSIONALS MEDICAL EDUCATION IS AN INTEGRAL PART OF CHESTNUT HILL HOSPITAL'S MISSION. THE HOSPITAL PROVIDES A NUMBER OF OPPORTUNITIES TO PREPARE STUDENTS FOR NEW OR ADVANCE CAREERS IN HEALTHCARE. CHESTNUT HILL HOSPITAL PARTNERED WITH PHILADELPHIA FIRE DEPARTMENT TO PROVIDE SPACE, EDUCATION AND HANDS ON TRAINING FOR 24 EMTS IN THE ADVANCE EMT PROGRAM. IN ADDITION, 13 EMTS TOOK PART IN THE PARAMEDIC TRAINING PROGRAM. PHOENIXVILLE HOSPITAL: HEALTH OUTREACH IMPACTING ALL AGES OPERATE A 24/7 EMERGENCY DEPARTMENT PHOENIXVILLE HOSPITAL'S ED OFFERS ADVANCED TECHNOLOGY AND TREATMENT AREAS TO FACILITATE TRIAGE, DIAGNOSIS AND TREATMENT OF ACUTE ILLNESSES OR INJURIES. WE OFFER EXPERIENCED, COMPASSIONATE EMERGENCY CARE - 24 HOURS A DAY, SEVEN DAYS A WEEK. PATIENTS RECEIVE CARE FROM A TEAM OF BOARD- CERTIFIED, SPECIALLY-TRAINED PHYSICIANS, PHYSICIAN ASSISTANTS AND NURSE PRACTITIONERS WITH EXPERTISE IN EMERGENCY CARE. CERTIFIED AS A PRIMARY STROKE CENTER BY THE JOINT COMMISSION, AN ACCREDITED CHEST PAIN CENTER AND RECIPIENT OF GOLD PLUS AWARD FOR HEART FAILURE BY THE AMERICAN HEART ASSOCIATION. MAINTAIN 24/7 INTERPRETING SERVICES PHOENIXVILLE HOSPITAL'S INTERPRETING SERVICES DEPARTMENT INCLUDES 3 ON-SITE SPANISH-ENGLISH AND 1 PORTUGUESE -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. MAINTAIN 24/7 SIGN LANGUAGE SERVICES PHOENIXVILLE HOSPITAL PARTNERS WITH DEAF-HEARING COMMUNICATION CENTRE, INC TO PROVIDE CERTIFIED SIGN LANGUAGE INTERPRETERS AS NEEDED. THE HOSPITAL ALSO HAS AN ESTABLISHED 24/7 VIDEO-REMOTE SIGN LANGUAGE INTERPRETING SERVICE. SUPPORT ORGAN DONATION PHOENIXVILLE HOSPITAL PROVIDES INFORMATION AND EDUCATION ABOUT ORGAN DONATION OPTIONS TO PATIENTS AND THEIR FAMILIES. PHOENIXVILLE HOSPITAL ACTIVELY PARTICIPATES IN THE HAP DONATE FOR LIFE CAMPAIGN EACH YEAR AND WAS AWARDED PLATINUM LEVEL FOR PARTICIPATION FROM HAP. EDUCATE HEALTHCARE PROFESSIONALS MEDICAL EDUCATION IS AN INTEGRAL PART OF PHOENIXVILLE HOSPITAL'S MISSION. THE HOSPITAL PROVIDES A NUMBER OF OPPORTUNITIES TO PREPARE STUDENTS FOR CAREERS IN HEALTHCARE INCLUDING NURSING, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, ANESTHESIA, AND PHARMACY WITH CLINICAL ROTATIONS. NURSING RN PROGRAM - 43 STUDENTS NURSING ALLIED HEALTH - 34 HIGH SCHOOL STUDENTS PT/OT/SLP - 29 STUDENTS PHARMACY - 6 STUDENTS CRNA - 5 STUDENTS RESPIRATORY THERAPY - 24 STUDENTS DIAGNOSTIC IMAGING - 4 STUDENTS PEDIATRICS - 6 STUDENTS PARAMEDIC - 4 STUDENTS ADVANCED PRACTICE PROFESSIONAL NURSE PRACTITIONER - 10 STUDENTS ADVANCED PRACTICE PROFESSIONAL PHYSICIAN ASSISTANCE - 11 STUDENTS PHOENIXVILLE HOSPITAL'S ADMINISTRATION DEPARTMENT MANAGES ADDITIONAL EDUCATIONAL OPPORTUNITIES INCLUDING RESIDENCIES. ENROLLMENT AND GRADUATE DATA FOR FY2022 IS AS FOLLOWS: RESIDENCY (PODIATRY) ENROLLED 9 GRADUATED 3 THE HOSPITAL SUPPORTS EFFORTS TO EDUCATE LOCAL STUDENTS ABOUT THE WIDE VARIETY OF CAREERS IN HEALTHCARE. DURING FY2022, OVER 25 LOCAL HIGH SCHOOL AND COLLEGE STUDENTS PARTICIPATED IN THE JOB SHADOWING PROGRAM, WHICH PROVIDED OPPORTUNITIES TO OBSERVE MEDICAL PROFESSIONALS IN THE HEALTHCARE SETTING. THIS EDUCATION PROVIDES INVALUABLE, HANDS-ON, PRACTICAL EXPERIENCES THAT ENHANCE A STUDENT'S ACADEMIC, PROFESSIONAL, AND PERSONAL DEVELOPMENT. CONDUCT APPROPRIATE CLINICAL RESEARCH CLINICAL RESEARCH IS A CORE COMPONENT OF PHOENIXVILLE HOSPITAL'S MISSION AND PROVIDES PATIENTS WITH ACCESS TO CUTTING-EDGE TREATMENTS WITHOUT NEEDING TO TRAVEL FAR FROM HOME. THE CLINICAL TRIALS NURSE PROVIDES SUPPORT AND CLINICAL RESEARCH FOR PATIENTS, CAREGIVERS, AND MEDICAL PROFESSIONALS. THE CLINICAL TRIALS NURSE WORKS IN CONJUNCTION WITH THE HOSPITALS INSTITUTIONAL REVIEW BOARD WHICH MONITORS ALL CLINICAL RESEARCH PROJECTS CONDUCTED AT THE HOSPITAL. GENETIC SCREENING: PHOENIXVILLE HOSPITAL OFFERS GENETIC SCREENING AND COUNSELING TO PHYSICIAN REFERRED AND SELF-REFERRED MEMBERS OF THE COMMUNITY. THE SERVICE INCREASES AWARENESS AND PREVENTION EFFORTS OF THOSE WHO ARE AT HIGH RISK OF CANCER. POTTSTOWN HOSPITAL: HEALTH OUTREACH FOR CHILDREN (NEWBORNS THROUGH TEENS), ADULTS, AND ALL AGES OPERATE A 24/7 EMERGENCY DEPARTMENT MAINTAIN 24/7 INTERPRETING SERVICES POTTSTOWN HOSPITAL OFFERS A NETWORK OF 24/7 VIDEO-REMOTE INTERPRETING STATIONS AND TELEPHONES FOR ANY LANGUAGE. MAINTAIN 24/7 SIGN LANGUAGE SERVICES POTTSTOWN HOSPITAL HAS AN ESTABLISHED 24/7 VIDEO-REMOTE SIGN LANGUAGE INTERPRETING SERVICE. PROVIDE 24/7 CHAPLAINCY SERVICES POTTSTOWN HOSPITAL'S DEPARTMENT OF SPIRITUAL CARE PROVIDES CHAPLAINCY SERVICES AND COUNSELING TO PATIENTS AND FAMILIES. OFFER PALLIATIVE CARE SERVICES POTTSTOWN HOSPITAL'S PALLIATIVE MEDICINE TEAM SEEKS TO PROVIDE RELIEF FROM SUFFERING AND IMPROVE QUALITY OF LIFE FOR PATIENTS WITH SERIOUS, CHRONIC, OR LIFE-THREATENING ILLNESSES. THEY ALSO PROVIDE EDUCATION AND SUPPORT SERVICES TO PATIENTS AND THEIR FAMILIES TO INCREASE UNDERSTANDING OF HEALTH ISSUES AND TREATMENT AND CARE OPTIONS. SUPPORT ORGAN DONATION POTTSTOWN HOSPITAL PROVIDES INFORMATION AND EDUCATION ABOUT ORGAN DONATION OPTIONS TO PATIENTS AND THEIR FAMILIES THROUGH THE GIFT OF LIFE PROGRAM. EDUCATE HEALTHCARE PROFESSIONALS EDUCATING HEALTHCARE PROFESSIONALS IS AN INTEGRAL PART OF POTTSTOWN HOSPITAL'S MISSION. THE HOSPITAL PROVIDES A NUMBER OF OPPORTUNITIES TO PREPARE STUDENTS FOR CAREERS IN HEALTHCARE. IN FY2022, POTTSTOWN HOSPITAL OFFERED THE FOLLOWING CLINICAL OPPORTUNITIES FOR STUDENTS: HEALTHCARE PROFESSION NUMBER OF STUDENTS NUMBER OF HOURS NURSING 239 STUDENTS 14,786 HOURS PHYSICIAN ASSISTANT 27 STUDENTS 7,000 HOURS NURSE PRACTITIONER 25 STUDENTS 8,220 HOURS PHLEBOTOMY 2 STUDENTS 132 HOURS PHARMACY 7 STUDENTS 1,120 HOURS PUBLIC HEALTH 3 STUDENTS 800 HOURS ONGOING EDUCATION FOR HEALTHCARE PROFESSIONALS POTTSTOWN HOSPITAL IS ACCREDITED BY THE PENNSYLVANIA MEDICAL SOCIETY TO SPONSOR CONTINUING MEDICAL EDUCATION FOR PHYSICIANS. THE CONTINUING MEDICAL EDUCATION TEAM 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 PROVIDE ONGOING EDUCATION FOR STAFF IN ALL DEPARTMENTS ON SAFETY, COMPLIANCE, AND RELATED REGULATORY AND PROFESSIONAL ISSUES. CONDUCT APPROPRIATE CLINICAL RESEARCH CLINICAL RESEARCH IS A CORE COMPONENT OF POTTSTOWN HOSPITAL'S MISSIO

SCHEDULE H, PART VI, LINE 6
TOWER HEALTH MEDICAL GROUP (THMG) IS A GROUP WITHIN THE HOSPITALS' AFFILIATED HEALTH CARE SYSTEM THAT PROVIDES GENERAL AND SPECIALIZED PRACTICE ASSISTANCE TO EACH OF THE ACUTE CARE HOSPITALS' UNDER TOWER HEALTH. PHYSICIANS CAN REFER PATIENTS TO THE ACUTE CARE HOSPITALS' FOR FURTHER TREATMENT.

SCHEDULE H, PART VI, LINE 7
PENNSYLVANIA

SCHEDULE H, PART III, LINE 4
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 10,782 AND 17,751 IN THE YEARS ENDED JUNE 30, 2022 AND 2021, RESPECTIVELY. DIRECT AND INDIRECT COSTS TO PROVIDE THESE SERVICES WERE APPROXIMATELY 2,087 AND 3,700 FOR THE YEARS ENDED JUNE 30, 2022 AND 2021, 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 MEDICALSERVICES. 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 VI, LINE 2
THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT WAS COMPLETED IN 2022. POTTSTOWN HOSPITAL, PHOENIXVILLE HOSPITAL AND CHESTNUT HILL 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, KEY INFORMANT SURVEYS, COMMUNITY SURVEYS, AND FOCUS GROUPS. THE PRIMARY RESEARCH ALLOWED THE HOSPITALS 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' 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; HOSPITAL EPIC PATIENT DATA; AND OTHER LOCAL, REGIONAL, AND NATIONAL DATA SOURCES. SUMMARIES OF PRIMARY AND SECONDARY DATA WERE COMPLIED AND SHARED WITH THE HOSPITAL'S CHNA ADVISORY BOARD MADE UP OF HOSPITAL STAFF, COMMUNITY PARTNERS, AND PARTICIPANTS OF STAKEHOLDER INTERVIEWS, KEY INFORMANT SURVEYS, AND FOCUS GROUPS, WHO PARTICIPATED IN EXERCISES TO SELECT PRIORITY AREAS AND BEGAN LAYING THE GROUNDWORK FOR THE IMPLEMENTATION PLAN. 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
POTTSTOWN HOSPITAL'S, CHESTNUT HILL HOSPITAL'S, PHOENIXVILLE HOSPITAL'S, BRANDYWINE HOSPITAL'S AND JENNERSVILLE HOSPITAL'S COMMITMENT TO PROVIDING AFFORDABLE CARE IS DEMONSTRATED THROUGH THE PATIENT FINANCIAL ASSISTANCE PROGRAM WHICH PROVIDES ASSISTANCE TO QUALIFIED PATIENTS. PATIENTS ARE ENCOURAGED TO SEEK FINANCIAL ASSISTANCE AS EARLY IN THE TREATMENT PROCESS AS POSSIBLE. THEY WILL BE OFFERED THE OPPORTUNITY TO MEET WITH FINANCIAL COUNSELORS AND RESOURCE ELIGIBILITY SPECIALISTS TRAINED TO PROVIDE APPLICATION ASSISTANCE FOR PROGRAMS SUCH AS MEDICAL ASSISTANCE, DISABILITY, COBRA, PATIENT FINANCIAL ASSISTANCE AND OTHER COMMUNITY PROGRAMS. THE HOSPITAL'S COMMITMENT TO PROVIDING AFFORDABLE CARE INCLUDES URGENT, NON- ELECTIVE, EMERGENT, AND OTHER PRE-APPROVED/PRE-SCREENED SERVICES. IMPLANTABLES, HIGH COST DRUGS, DME AND CONTRACTED SERVICES ARE PROVIDED TO QUALIFIED PATIENTS AT HOSPITAL COST.

SCHEDULE H, PART VI, LINE 4
THE MISSION OF POTTSTOWN HOSPITAL, CHESTNUT HILL HOSPITAL, PHOENIXVILLE HOSPITAL, BRANDYWINE HOSPITAL AND JENNERSVILLE HOSPITAL IS TO PROVIDE COMPASSIONATE, ACCESSIBLE, HIGH QUALITY, COST EFFECTIVE HEALTHCARE TO THE COMMUNITIES; TO PROMOTE HEALTH; TO EDUCATE HEALTHCARE PROFESSIONALS; AND TO PARTICIPATE IN APPROPRIATE CLINICAL RESEARCH. POTTSTOWN HOSPITAL, CHESTNUT HILL HOSPITAL, PHOENIXVILLE HOSPITAL, BRANDYWINE HOSPITAL AND JENNERSVILLE HOSPITAL ARE COMMITTED TO SERVING THE NEEDS OF THE COMMUNITY, EVEN WHEN THE NEEDED SERVICES CAUSE A DRAIN ON CAPITAL RESOURCES. POTTSTOWN HOSPITAL LLC PRIMARILY SERVES MONTGOMERY COUNTY. MONTGOMERY COUNTY PROFILE: MONTGOMERY COUNTY POPULATION IS 830,915. THE RACIAL MIX INCLUDES 79.4% WHITE, 5.4% HISPANIC/LATINO, 10% AFRICAN AMERICAN/BLACK AND 8.1% ASIAN. 5.6% OF MONTGOMERY COUNTY RESIDENTS AGE 25+ HAVE LESS THAN A HIGH SCHOOL EDUCATION; WHEREAS 49.3% HOLD A COLLEGE BACHELOR'S DEGREE OR HIGHER. THE MEDIAN HOUSEHOLD INCOME IN MONTGOMERY COUNTY IS 91,546. 6.0% PERCENT OF MONTGOMERY COUNTY FAMILIES LIVE IN POVERTY. CHESTNUT HILL HOSPITAL LLC PRIMARILY SERVES PHILADELPHIA COUNTY. PHILADELPHIA COUNTY PROFILE: PHILADELPHIA COUNTY POPULATION IS 1,603,797. THE RACIAL MIX INCLUDES 44.4% WHITE, 15.9% HISPANIC/LATINO, 43.6% AFRICAN AMERICAN/BLACK AND 8.0% ASIAN. 13.4% OF PHILADELPHIA COUNTY RESIDENTS AGE 25+ HAVE LESS THAN A HIGH SCHOOL EDUCATION; WHEREAS 32.5% HOLD A COLLEGE BACHELOR'S DEGREE OR HIGHER. THE MEDIAN HOUSEHOLD INCOME IN PHILADELPHIA COUNTY IS 52,649. 22.3% PERCENT OF PHILADELPHIA COUNTY FAMILIES LIVE IN POVERTY. PHOENIXVILLE HOSPITAL LLC PRIMARILY SERVES CHESTER COUNTY. CHESTER COUNTY PROFILE: CHESTER COUNTY POPULATION IS 524,989. THE RACIAL MIX INCLUDES 85.3% WHITE, 7.6% HISPANIC/LATINO, 6.2% AFRICAN AMERICAN/BLACK AND 6.1% ASIAN. 6.4% OF CHESTER COUNTY RESIDENTS AGE 25+ HAVE LESS THAN A HIGH SCHOOL EDUCATION; WHEREAS 53% HOLD A COLLEGE BACHELOR'S DEGREE OR HIGHER. THE MEDIAN HOUSEHOLD INCOME IN CHESTER COUNTY IS 100,214. 5.9% PERCENT OF CHESTER COUNTY FAMILIES LIVE IN POVERTY. BRANDYWINE HOSPITAL LLC AND JENNERSVILLE HOSPITAL LLC PRIMARILY SERVE CHESTER COUNTY. CHESTER COUNTY PROFILE: CHESTER COUNTY POPULATION IS 524,989. THE RACIAL MIX INCLUDES 85.3% WHITE, 7.6% HISPANIC/LATINO, 6.2% AFRICAN AMERICAN/BLACK AND 6.1% ASIAN. 6.4% OF CHESTER COUNTY RESIDENTS AGE 25+ HAVE LESS THAN A HIGH SCHOOL EDUCATION; WHEREAS 53% HOLD A COLLEGE BACHELOR'S DEGREE OR HIGHER. THE MEDIAN HOUSEHOLD INCOME IN CHESTER COUNTY IS 100,214. 5.9% PERCENT OF CHESTER COUNTY FAMILIES LIVE IN POVERTY.