2024-05-10T17:27:30-05:00 2023-06-30 366055558 GRANT THORNTON LLP 2001 MARKET STREET SUITE 700 PHILADELPHIA PA 19103 990 2022-07-01 251854772 THE MILTON S HERSHEY MEDICAL CENTER MILT 7175316612 100 CRYSTAL A DRIVE MC CA210 HERSHEY PA 17033 TRACY L MOYER VP FINANCIAL SERVICES 7175316612 2024-05-10 1 TRACY MOYER 999009999 1 RUSSLEE ARMSTRONG P00288383 2155614200 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z DEBORAH ADDO 100 CRYSTAL A DRIVE MC CA210 HERSHEY PA 17033 2660930700 0 X HTTPS://WWW.PENNSTATEHEALTH.ORG/LOCATIONS/ X 2000 PA TO CONTINUALLY IMPROVE THE HEALTH AND WELL-BEING OF THE PEOPLE IN PENNSYLVANIA. 11 9 11960 218 270359 261859 27602158 27579957 2574781875 2614559363 206593 -11104549 15066035 18726278 2617656661 2649761049 0 4000 0 0 1232765091 1317228807 0 0 0 1046891948 1123984913 2279657039 2441217720 337999622 208543329 3329700297 3530051602 950856448 946866145 2378843849 2583185457 X MSHMC'S MISSION IS TO CONTINUALLY IMPROVE THE HEALTH AND WELL-BEING OF THE PEOPLE IN PENNSYLVANIA. THE ORGANIZATION PROVIDES PATIENTS WITH EXCELLENT, COMPASSIONATE, CULTURALLY RESPONSIVE AND EQUITABLE CARE; EDUCATES AND TRAINS HEALTHCARE (CONTINUED IN SCHEDULE O) PROFESSIONALS; AND ADVANCES EVIDENCE-BASED MEDICAL INNOVATION THROUGH RESEARCH AND DISCOVERY. 0 0 1952273661 4000 2624268601 MILTON S. HERSHEY MEDICAL CENTER (MSHMC) IS A 632-LICENSED BED ACADEMIC MEDICAL CENTER LOCATED IN HERSHEY, PA. THE HOSPITAL PROVIDES ADULTS AND CHILDREN ADVANCED PATIENT-FOCUSED CARE FOR CANCER, HEART, VASCULAR, AND NEUROLOGICAL CONDITIONS. THE HOSPITAL IS PENNSYLVANIA'S ONLY NATIONALLY VERIFIED LEVEL 1 TRAUMA CENTER FOR BOTH ADULTS AND CHILDREN. ADDITIONALLY, MSHMC OPERATES AN AMBULATORY SURGICAL CENTER, WHICH PROVIDES ENDOSCOPY PROCEDURES TO THE CENTRE COUNTY REGION. MSHMC SHARES ITS CAMPUS WITH PENN STATE CANCER INSTITUTE, PENN STATE COLLEGE OF MEDICINE AND PENN STATE HEALTH CHILDREN'S HOSPITAL, THE REGION'S ONLY CHILDREN'S HOSPITAL. IN PARTNERSHIP WITH PENN STATE COLLEGE OF MEDICINE, MSHMC FACULTY AND STAFF CONTINUE TO CREATE INNOVATIVE MEDICAL ADVANCES THROUGH RESEARCH AND CLINICAL TRIALS. (SEE SCHEDULE O)PROJECTS RANGE FROM THE DEVELOPMENT OF ARTIFICIAL ORGANS AND ADVANCED DIAGNOSTICS TO GROUNDBREAKING CANCER TREATMENTS AND UNDERSTANDING THE FUNDAMENTAL CAUSES OF DISEASE. FOR MORE INFORMATION, SEE SCHEDULE H. 1952273661 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 1 1 0 0 0 0 0 1 1 1 0 0 0 1 X 0 0 11960 1 1 1 0 0 0 0 0 0 0 0 0 1 0 X 11 9 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 PA X TRACY L MOYER VICE PRESIDENT FINA 7177632100 100 CRYSTAL A DRIVE MC CA210 HERSHEY PA 17033 X DEBORAH ADDO AS OF 82022 INT. PRES/DIRECTOR/PSH COO 1.00 49.00 X X 0 920763 48852 DEBORAH BERINI PRESIDENT / DIRECTOR (THRU 8/2022) 50.00 0.00 X X 815400 0 115829 TIM MOSHER MD DIRECTOR / CHAIR, DEPT RAD 40.00 0.00 X 716639 0 55711 DENNIS BRENCLKE CHAIR / DIRECTOR 1.00 0.00 X X 0 0 0 KATHY PAPE VICE CHAIR / DIRECTOR 1.00 0.00 X X 0 0 0 JEANNE ARNOLD DIRECTOR 1.00 0.00 X 0 0 0 TOM LENKEVICH DIRECTOR 1.00 0.00 X 0 0 0 PETER TOMBROS DIRECTOR 1.00 0.00 X 0 0 0 TONY FARAH DIRECTOR 1.00 0.00 X 0 0 0 BRIAN HUDSON DIRECTOR 1.00 0.00 X 0 0 0 BONY DAWOOD DIRECTOR 1.00 0.00 X 0 0 0 ROB BOWMAN DIRECTOR 1.00 0.00 X 0 0 0 JODY REYES CHIEF OPERATING OFFICER 50.00 0.00 X 502763 0 42971 JULIE NICKELL TREASURER / CFO 50.00 0.00 X 427614 0 61876 NICOLE LEHMAN INTERIM SEC. (PSU EMP) 1.00 49.00 X 0 276742 97256 ROSS DARROW VICE PRESIDENT, TREASURER 1.00 49.00 X 0 301878 61619 KATHLEEN MILLER ASSOC. SECRETARY 1.00 39.00 X 0 99552 10921 KEVIN P BLACK MD DEAN OF MEDICINE 39.00 1.00 X 1030848 0 47707 MICHELE SZKOLNICKI CNO 40.00 0.00 X 447916 0 54801 JESSE BIBLE PHYSICIAN 40.00 0.00 X 1251898 0 62024 JOHN KELLEHER PHYSICIAN 40.00 0.00 X 1238850 0 62024 BRAD ZACHARIA PHYSICIAN 40.00 0.00 X 1073580 0 61123 JAMES MCINERNEY PHYSICIAN 40.00 0.00 X 1056529 0 62024 BEHZAD SOLEIMANI PHYSICIAN 40.00 0.00 X 1050235 0 48039 ERIKA SAUNDERS FMR DIR (THRU 6/22) / PSYCHIATRIST 40.00 0.00 X 504022 0 40848 ANNEMARIE BOYAN FMR SEC/PSH GC (PSU EMP) (THRU 2/22) 0.00 0.00 X 0 142089 12694 ROBERT HARBAUGH FMR KE (THRU 6/22) - SVP, MED GROUP 40.00 0.00 X 640696 0 61575 10756990 1741024 1007894 2704 1 1 0 SODEXO INC 111 SOUTH FRONT STREET HARRISBURG PA 17101 DIETARY & ENVIRONMENTAL SVCS 6255115 CARDINAL HEALTH 105 INC 7000 CARDINAL PLACE DUBLIN OH 43017 OUTSIDE PUR. SVCS- CLINICAL 4888000 NATIONAL MARROW DONOR PROGRAM 500 N 5TH STREET MINNEAPOLIS MN 55401 BLOOD STEM CELL COLLECTION 3412430 LANGUAGE LINE SERVICES INC ONE LOWER RAGSDALE DR BLDG 2 MONTEREY CA 93940 VIDEO INTERP. & TRANSLATION SVCS 2923138 HCSC LAUNDRY HCS COOPERATIVE INC PO BOX 25092 LEHIGH VALLEY PA 180025092 LAUNDRY SERVICES 2920569 61 7050821 11383471 9145665 27579957 PATIENT SERVICES REVENUE 621110 2369905398 2369635039 270359 PHARMACY REVENUE 900099 143721030 143721030 SERVICES RENDERED CONTRACTS 900099 95586427 95586427 CLINIC SUBSIDY SUPPORT 621110 5346508 5346508 2614559363 120657 0 120657 120657 120657 65102 11169651 -11104549 -11104549 -11104549 DISCOUNTS AND REBATES 900099 9979597 9979597 NET SPORTS MGMT PROGRAM 900099 1037435 1037435 NET CLINICAL RESEARCH 900099 861429 861429 6727160 6727160 18605621 2649761049 2624268601 270359 -2357868 4000 4000 4320074 3456059 864015 1247142 997714 249428 1033519831 826815865 206703966 44439265 35551412 8887853 173355989 138684791 34671198 60346506 48277205 12069301 590215 590215 158581227 126864982 31716245 248719 198975 49744 262667409 210133927 52533482 11409753 9127802 2281951 53190634 42552507 10638127 3081683 2465346 616337 4945068 4945068 74498353 59598682 14899671 52352048 41881638 10470410 MEDICAL SUPPLIES/DRUGS 494061159 395248927 98812232 LICENSES & FEES 2207578 1766062 441516 EDUCATION EXPENSES 2101485 1681188 420297 MEMBERSHIP DUES 1444955 1155964 288991 2604627 865547 1739080 2441217720 1952273661 488944059 0 43409250 5488 6254907 34003 369705358 393413698 41152104 47859766 8027401 7612561 915647560 619604962 305304344 296042598 198523 184751 2555648410 2784898737 3329700297 3530051602 189122040 205243871 0 0 761734408 741622274 950856448 946866145 X 2372620177 2577519607 6223672 5665850 2378843849 2583185457 3329700297 3530051602 X 208543329 -4201721 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 31746 0 0 1 31746 0 PART II-B, LINE 1: THE FILING ORGANIZATION PAYS DUES TO ASSOCIATIONS WHO CONDUCT LOBBYING. 549114723 351171220 197943503 8485217 5503268 2981949 352050210 258046395 94003815 5997410 4884079 1113331 296042598 DUE FROM AFFILIATE 2120326575 CAPITAL/OPERATING LEASES-ROU 626228059 SELF INSURANCE RECOVERIES 37269879 INVESTMENT IN JOINT VENTURES 1074224 2784898737 OPERATING LEASE 299871985 CAPITAL LEASE 197509765 MEDICAL MALPRACTICE 156565753 OTHER LIABILITIES 36989669 PATIENT CREDIT BALANCE 27217962 MEDICAL / RX RESERVES 13125869 PENSION LIABILITY 10341271 741622274 1 1 1 X 300.000000000000 1 X 1 1 1 0 1 1 15651833 15651833 0.00640 30035345 8823277 21212068 0.00870 45687178 8823277 36863901 0.01510 665341 4542800 124294 4418506 0.00180 1239 75950860 14539079 61411781 0.02520 1074224 1074224 0.00040 75123 600663 600663 0.00020 741703 82168547 14663373 67505174 0.02760 741703 127855725 23486650 104369075 0.04270 1 47947443 255134142 367685107 -112550965 X 1 1 1 1 THE MILTON S HERSHEY MEDICAL CENTER 500 UNIVERSITY DRIVE HERSHEY PA 17033 WWW.PENNSTATEHEALTH.ORG/LOCATIONS 135101 X X X X X X TRANSPLANTS; EMS: HELICOPTER, PARAMEDICS THE MILTON S HERSHEY MEDICAL CENTER 1 0 0 1 X X X X X X X X X 21 1 1 1 1 X WWW.PENNSTATEHEALTH.ORG/COMMUNITY X 1 22 1 WWW.PENNSTATEHEALTH.ORG/COMMUNITY 0 1 X 300.000000000000 300.000000000000 X X X X 1 1 X X X X 1 X SEE PART V NARRATIVE X SEE PART V NARRATIVE X SEE PART V NARRATIVE X X X X X X 1 X 0 X X X X 1 X 0 0 PART V, SECTION B, LINE 5: INPUT FOR COMMUNITY HEALTH NEEDS ASSESSMENT:PENN STATE HEALTH, THE OVERALL PARENT OF THE HEALTH SYSTEM IN WHICH MSHMC IS AFFILIATED, IS COMMITTED TO UNDERSTANDING AND ADDRESSING THE HEALTH NEEDS OF THE COMMUNITIES IT SERVES. IN ORDER TO BEST DO THAT, THE HEALTH SYSTEM COMPLETED ITS 2021 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). CHNA PROCESS THE 2021 CHNA USED BOTH PRIMARY AND SECONDARY METHODS TO SOLICIT COMMUNITY INPUT AND COMPARE HEALTH TRENDS AND DISPARITIES ACROSS THE SIX-COUNTY SERVICE AREA. THE CHNA TIMELINE COMPLIED WITH IRS TAX CODE 501(R) REQUIREMENTS TO CONDUCT A CHNA EVERY THREE YEARS, AS SET FORTH BY THE AFFORDABLE CARE ACT. SPECIFIC CHNA STEPS INCLUDED:-KICKOFF MEETING TO ANNOUNCE THE START OF THE CHNA PROCESS AND HOST ALL INTERNAL COMMUNITY-MINDED STAFF MEMBERS. THEY PROVIDED INPUT ON COMMUNITY PARTNERS TO ENGAGE BASED ON HIGH-NEED AREAS, AS DEFINED BY COMMUNITY NEED INDEX (CNI) SCORES-MONTHLY LEADERSHIP MEETINGS, INCLUDING ALL HOSPITALS, TO REVIEW PROGRESS AND PROVIDE FEEDBACK-A KEY INFORMANT SURVEY WITH 317 COMMUNITY LEADERS AND STAKEHOLDERS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY, INCLUDING EXPERTS IN PUBLIC HEALTH AND INDIVIDUALS REPRESENTING MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS-A COMMUNITY MEMBER SURVEY (CMS) COMPLETED BY 2,778 INDIVIDUALS, WITH 2,532 RESPONSES ABLE TO BE USED BASED UPON COUNTY OF RESIDENCE AND AGE-AN ANALYSIS OF EXISTING SECONDARY DATA SOURCES, INCLUDING PUBLIC HEALTH STATISTICS, DEMOGRAPHIC AND SOCIAL MEASURES AND HEALTH CARE UTILIZATION-TWO PARTNER FORUMS, WITH REPRESENTATIVES FROM DIVERSE COMMUNITY-BASED AND PUBLIC HEALTH ORGANIZATIONS, TO GATHER INSIGHT ON COMMUNITY HEALTH NEEDS AND FOSTER COLLABORATION TOWARD COMMUNITY HEALTH IMPROVEMENT - THE FIRST FORUM HOSTED 112 PARTICIPANTS AND THE SECOND 103 PARTICIPANTS-REVIEW OF THE CURRENT CHNA IMPLEMENTATION PLAN AND AVAILABLE RESOURCES-PRIORITIZATION OF IDENTIFIED COMMUNITY HEALTH NEEDS TO DETERMINE THE MOST PRESSING ISSUES ON WHICH TO FOCUS COMMUNITY HEALTH IMPROVEMENT EFFORTS KEY INFORMANT SURVEY A KEY INFORMANT SURVEY WAS CONDUCTED ELECTRONICALLY TO SOLICIT INFORMATION ABOUT COMMUNITY HEALTH NEEDS. A TOTAL OF 317 INDIVIDUALS RESPONDED TO THE SURVEY, INCLUDING HEALTH AND SOCIAL SERVICE PROVIDERS; COMMUNITY AND STATEWIDE PUBLIC HEALTH EXPERTS; CIVIC, RELIGIOUS AND SOCIAL LEADERS; COMMUNITY PLANNERS, POLICYMAKERS AND ELECTED OFFICIALS; AND OTHERS REPRESENTING DIVERSE POPULATIONS, INCLUDING MINORITY, LOW-INCOME, LGBTQ+ AND OTHER UNDERSERVED OR VULNERABLE POPULATIONS. THE SURVEY WAS AVAILABLE IN ENGLISH AND SPANISH AND INCLUDED A DISABILITY AND LANGUAGE ACCOMMODATION STATEMENT. IT WAS OPEN FOR A LONGER PERIOD OF TIME COMPARED TO PAST CHNA CYCLES, FROM NOVEMBER 2020 TO MARCH 2021, DUE TO THE COVID-19 PANDEMIC. QR CODES AND LINKS TO THE SURVEY WERE SHARED MULTIPLE TIMES VIA EMAIL, AS WELL AS AT VIRTUAL MEETINGS AND PROFESSIONAL EDUCATION SESSIONS. KEY INFORMANTS WERE ASKED A SERIES OF QUESTIONS ABOUT THEIR PERCEPTIONS OF COMMUNITY HEALTH, INCLUDING HEALTH DRIVERS, BARRIERS TO CARE, COMMUNITY INFRASTRUCTURE AND RECOMMENDATIONS FOR COMMUNITY HEALTH IMPROVEMENT. RESPONDENTS REPRESENTED EXCELLENT GEOGRAPHIC BALANCE ACROSS THE SIX COUNTY AREA, AS FOLLOWS: BERKS COUNTY (124, 39.1%), CUMBERLAND COUNTY (123, 38.8%), DAUPHIN COUNTY (167, 52.7%), LANCASTER COUNTY (97, 30.6%), LEBANON COUNTY (97, 30.6%), PERRY COUNTY (100, 31.6%) AND OTHER (67, 21.1%). RESPONDENTS WERE ABLE TO SELECT MULTIPLE COUNTIES, SO THE NUMBER OF INDIVIDUAL RESPONDENTS AND PERCENTAGES DO NOT ADD UP TO 317 AND 100%, RESPECTIVELY. ABOUT 40% OF RESPONDENTS PROVIDED SERVICES TO ALL RESIDENTS. OF THOSE ORGANIZATIONS THAT FOCUSED PRIMARILY ON A SPECIAL POPULATION, MOST SERVED LOW-INCOME/POOR (35%), FAMILIES (27%) OR CHILDREN/YOUTH (27%). "OTHER" POPULATIONS SERVED, AS INDICATED BY 5% OF RESPONDENTS, INCLUDED ARABIC, NEPALESE, VETERANS, PREGNANT WOMEN, SINGLE PARENTS, COLLEGE STUDENTS AND INDIVIDUALS AFFECTED BY SPECIFIC ISSUES, INCLUDING HIV/AIDS, MENTAL HEALTH, INTELLECTUAL DISABILITIES, EPILEPSY OR SUBSTANCE USE.COMMUNITY MEMBER SURVEYA COMMUNITY MEMBER SURVEY WAS CONDUCTED WITH RESIDENTS ACROSS THE SIX-COUNTY COMMUNITY TO GATHER INSIGHTS INTO HEALTH STATUS, RISK BEHAVIORS, BARRIERS TO ACCESSING HEALTH SERVICES AND THE HEALTH AND SOCIAL NEEDS OF VULNERABLE COMMUNITY MEMBERS. THE SURVEY WAS CONDUCTED WITH ADULTS AGE 18 OR OVER AND INCLUDED LOW-INCOME, UNDERSERVED OR MINORITY POPULATIONS. DUE TO THE COVID-19 PANDEMIC LIMITING IN-PERSON OPPORTUNITIES, THE SURVEY WAS CONDUCTED OVER A LONGER PERIOD, FROM SEPTEMBER 2020 TO APRIL 2021, THAN PAST CHNA CYCLES. ELECTRONIC AND PAPER VERSIONS OF THE SURVEY WERE AVAILABLE IN ENGLISH AND SPANISH, AND THEY INCLUDED A DISABILITY AND LANGUAGE ACCOMMODATION STATEMENT. PAPER SURVEYS WERE COLLECTED AT 29 COMMUNITY PARTNER PHYSICAL LOCATIONS, PRIMARILY FOCUSED ON UNDERSERVED COMMUNITIES. ADVERTISING CARDS, INCLUDING QR CODES AND LINKS, WERE SHARED AT COMMUNITY EVENTS WHERE IN-PERSON SURVEYING COULD NOT BE ACCOMMODATED DUE TO COVID-19. PAPER AND VIRTUAL ADVERTISING MATERIALS WERE SHARED EXTENSIVELY BY OUR COMMUNITY PARTNERS VIA THEIR VIRTUAL EVENTS AND EDUCATIONAL SESSIONS, WITH SUPPORT GROUPS, IN COMMUNITY AND PROFESSIONAL NEWSLETTERS, WITH FORMER PATIENT/CLIENT EMAIL LISTS, VIA PRESS RELEASE CYCLES, FROM SEPTEMBER 2020 TO APRIL 2021, AND THROUGH SOCIAL MEDIA ARTICLES. THE SURVEY WAS NOT INTENDED TO BE A REPRESENTATIVE SAMPLE OF THE GREATER COMMUNITY, BUT RATHER PROVIDE GENERAL INSIGHTS INTO RESPONDENTS' PERCEPTIONS AND HEALTH STATUS. THE SURVEY DATA WERE ANALYZED BY COUNTY AND RACE/ETHNICITY. (NOTE: RACIAL/ETHNIC DATA WAS NOT ANALYZED FOR GROUPS WITH FEWER THAN 10 RESPONDENTS.) A TOTAL OF 2,778 INDIVIDUALS COMPLETED THE SURVEY ACROSS THE SIX-COUNTY SERVICE AREA, AND 2,532 RESPONSES WERE ABLE TO BE USED BASED UPON COUNTY OF RESIDENCE AND AGE. THE LARGEST PERCENTAGES OF RESPONDENTS RESIDED IN DAUPHIN COUNTY (43%) AND BERKS COUNTY (19%), WHICH ARE THE HOME COUNTIES OF THE MILTON S. HERSHEY MEDICAL CENTER, PENN STATE HEALTH ST. JOSEPH MEDICAL CENTER, PENNSYLVANIA PSYCHIATRIC INSTITUTE AND PENN STATE HEALTH REHABILITATION HOSPITAL. THE LARGEST PERCENTAGES OF RESPONDENTS WERE FEMALE (67.5%) AND WHITE (87.4%). NINE PERCENT OF RESPONDENTS IDENTIFIED AS HISPANIC OR LATINO AND 5% OF RESPONDENTS IDENTIFIED AS BLACK OR AFRICAN AMERICAN. THE MOST REPRESENTED AGE GROUPS WERE 65 TO 74 (23.4%) AND 55 TO 64 (22.6%). APPROXIMATELY 19% OF RESPONDENTS REPORTED A HOUSEHOLD INCOME OF $34,999 OR LESS. ABOUT 2.8% DID NOT COMPLETE HIGH SCHOOL, WHILE 15.6% GRADUATED HIGH SCHOOL OR EARNED A GED. SEVENTY-SEVEN PERCENT OF RESPONDENTS HAVE SOME COLLEGE EXPERIENCE, INCLUDING EARNING AN ASSOCIATE, BACHELOR'S OR MASTER'S DEGREE. ABOUT HALF OF THE RESPONDENTS WERE EMPLOYED, WHILE THE OTHER HALF WAS NOT WORKING DUE TO BEING RETIRED (32.7%), UNEMPLOYED (4.4%), UNABLE TO WORK (4.1%) OR FOR OTHER REASONS. DEMOGRAPHIC DATA FOR ALL SURVEY RESPONDENTS CAN BE FOUND IN THE FULL REPORT AT HTTPS://WWW.PENNSTATEHEALTH.ORG/COMMUNITY.COMMUNITY MEMBERS WERE ASKED TO PROVIDE THEIR FEEDBACK ON PREVIOUS CHNAS CONDUCTED BY PENN STATE HEALTH AS PART OF THE KEY INFORMANT SURVEY, AS WELL AS DURING THE COMMUNITY PARTNER FORUMS. THE OPPORTUNITY TO PROVIDE FEEDBACK IS ALSO AVAILABLE TO THE GENERAL PUBLIC ON AN ONGOING BASIS VIA A LINK POSTED ON PENNSTATEHEALTH.ORG/COMMUNITY. OVERALL, THE FEEDBACK WAS POSITIVE, WITH MANY COMMENTS INDICATING THAT RESPONDENTS FELT PENN STATE HEALTH HAS BEEN DOING AN EXCELLENT JOB WITH FACILITATING COLLABORATION, FOSTERING PARTNERSHIPS AND DOCUMENTING AND SHARING FINDINGS. SOME RESPONDENTS EXPRESSED A DESIRE FOR PENN STATE HEALTH TO HAVE A STRONGER PRESENCE IN VARIOUS GEOGRAPHICAL LOCATIONS AND TO UTILIZE ITS INFLUENCE TO HAVE AN IMPACT ON SYSTEMIC FACTORS THAT INFLUENCE HEALTH. A FULL LIST OF COMMENTS RECEIVED IS INCLUDED IN APPENDIX C OF THE FULL REPORT. PART V, SECTION B, LINE 6A / 6B OTHER HOSPITAL FACILITIES INCLUDED IN NEEDS ASSESSMENT: FOR THIS 2021, FOURTH ASSESSMENT CYCLE, PENN STATE HEALTH FORMED A COLLECTIVE WORKGROUP THAT INCLUDED THE FOLLOWING HOSPITALS:-PENN STATE HEALTH MILTON S. HERSHEY MEDICAL CENTER-PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER-PENN STATE HEALTH ST. JOSEPH MEDICAL CENTER-PENN STATE HEALTH HAMPDEN MEDICAL CENTER-PENNSYLVANIA PSYCHIATRIC INSTITUTE-PENN STATE HEALTH REHABILITATION HOSPITAL-PENN STATE HEALTH LANCASTER MEDICAL CENTER****SINCE PENN STATE HEALTH LANCASTER MEDICAL CENTER WAS UNDER CONSTRUCTION DURING THIS ASSESSMENT, THIS COMMUNITY WAS ALSO INCLUDED. THE DEPARTMENT OF PUBLIC HEALTH SCIENCES AT PENN STATE COLLEGE OF MEDICINE COORDINATED THE CHNA EFFORTS.IT ALSO INCLUDED KEY COMMUNITY STAKEHOLDERS TO IDENTIFY AND ADDRESS THE NEEDS OF RESIDENTS LIVING IN THE SIX COUNTY COMMUNITY. APPENDIX B OF THE FULL REPORT AVAILABLE AT HTTPS://WWW.PENNSTATEHEALTH.ORG/COMMUNITY CONTAINS A LIST OF COMMUNITY PARTNER ORGANIZATIONS THAT PARTICIPATED IN ANY ASPECT OF THE ASSESSMENT PROCESS. PLEASE NOTE THIS LIST MAY NOT BE ALL-INCLUSIVE SINCE PARTICIPANTS COULD REMAIN ANONYMOUS. PART V, SECTION B, LINE 11 THREE PRIORITIZED COMMUNITY HEALTH NEEDSTHE 2022 CHNA GATHERED COMMUNITY INPUT AND COMPARED HEALTH TRENDS AND DISPARITIES ACROSS THE SIX-COUNTY SERVICE AREA. BASED ON THIS WORK, OUR HOSPITALS, IN COLLABORATION WITH OUR COMMUNITY PARTNERS, WILL FOCUS SYSTEM-WIDE HEALTH IMPROVEMENT EFFORTS OVER THE THREE-YEAR CYCLE FROM JULY 1, 2022, TO JUNE 30, 2025 ON THE IDENTIFIED PRIORITY AREAS OF 1) MENTAL HEALTH 2) HEALTH EQUITY AND 3) WELLNESS AND DISEASE PREVENTION. ALL PRIORITIES IDENTIFIED THROUGH THE CHNA WILL BE ADDRESSED. MENTAL HEALTH INCLUDES A FOCUS ON COMMUNITY GROUPS, SUCH AS THE LGBTQ+ COMMUNITY, PEOPLE OF COLOR AND YOUTH. SUBSTANCE USE DISORDER WILL ALSO BE ADDRESSED UNDER THIS PRIORITY. HEALTH EQUITY COVERS CONCERNS THAT INCLUDE ACCESS TO CARE, ELDER ISSUES WITH ACCESS, SOCIAL DETERMINANTS OF HEALTH, RACISM, DIVERSITY, TRANSPORTATION AND HOUSING. WELLNESS AND DISEASE PREVENTION ENCOMPASSES FOOD ACCESS AND NUTRITION, SUBSTANCE USE PREVENTION, CHRONIC DISEASE PREVENTION, HEALTH EDUCATION AND PHYSICAL ACTIVITY. THESE PRIORITIES ARE INTERRELATED, AND ONE CANNOT BE ADDRESSED WITHOUT THE OTHER.IMPLEMENTATION PLAN TO DEVELOP OUR IMPLEMENTATION PLAN, INTERNAL EMPLOYEES AND COMMUNITY PARTNERS ATTENDED A KICKOFF MEETING, WHERE CHNA FINDINGS AND PARTNER FORUM RECOMMENDATIONS WERE SHARED. PARTICIPANTS ORGANIZED INTO THE FOLLOWING TASK FORCES TO BEST DEVELOP OUR PLAN: 1) MENTAL HEALTH; 2) HEALTH EQUITY; 3) CHRONIC DISEASE AND RISK FACTOR PREVENTION; 4) NUTRITION AND FOOD ACCESS; AND 5) PHYSICAL ACTIVITY. THESE TASK FORCES MET FROM NOVEMBER 2021 TO FEBRUARY 2022 TO DISCUSS KEY FINDINGS FROM THE CHNA; EXPLORE UNDERSERVED COMMUNITIES THROUGH REVIEW OF COMMUNITY NEED INDEX (CNI) SCORES, LIFE EXPECTANCY MEASURES AND OTHER KEY SOCIAL DETERMINANTS OF HEALTH; FIND ADDITIONAL COMMUNITY PARTNER RESOURCES; AND DEVELOP A PLAN. THE PLAN INCLUDES KEY PROGRAM DESCRIPTIONS, GOALS AND OBJECTIVES TO BE MET OVER THE NEXT THREE YEARS.DUE TO THE OVERLAPPING NATURE OF OUR PRIORITIES, ALL FIVE TASK FORCES PROPOSED SIMILAR PROGRAMS TO EXPAND COMMUNICATION AND PROMOTE EXISTING RESOURCES. ALL HAVE AGREED TO CONTINUE TO MEET AND ENGAGE NEW PARTNERS OVER THE THREE YEARS OF THIS PLAN TO ENCOURAGE DIALOGUE AMONG THEMSELVES AND CONTINUE TO STREAMLINE AND STRENGTHEN EACH OTHER'S COMMUNITY EFFORTS. ADDITIONALLY, EACH TASK FORCE PLANS TO COMPILE AN INVENTORY OF COMMUNITY RESOURCES THAT ARE CURRENTLY AVAILABLE TO NOT ONLY INCREASE AWARENESS AMONG THE GROUP BUT ALSO TO ADVERTISE TO COMMUNITY MEMBERS. NOT KNOWING WHAT RESOURCES ARE AVAILABLE AND HOW TO ACCESS THEM WAS A CLEAR MESSAGE HEARD DURING OUR CHNA PROCESS. THROUGH KEY PARTNERSHIPS WITH ORGANIZATIONS LISTED AT THE END OF THIS IMPLEMENTATION PLAN DOCUMENT, THE PLAN IS TO MAKE THESE RESOURCES MORE WELL-KNOWN - THROUGH THE PROGRAM PA 211: GET CONNECTED (PA 211), FOR EXAMPLE, A FREE AND CONFIDENTIAL SERVICE THAT HELPS PEOPLE FIND THE LOCAL RESOURCES THEY NEED 24/7. OUR PROJECTS FOCUS HEAVILY ON COMMUNITY EDUCATION, ANOTHER MESSAGE WE HEARD THROUGH OUR CHNA PROCESS. IN ADDITION, MANY OF OUR PROJECTS WILL SERVE MORE THAN ONE OF OUR IDENTIFIED COMMUNITY NEEDS. FOR EXAMPLE, INCREASING OUR OUTREACH AND PROGRAMMING TO MORE FOOD PANTRIES ACROSS OUR SERVICE AREA FURTHERS OUR WORK IN THE AREAS OF HEALTH EQUITY, WELLNESS AND DISEASE PREVENTION AND NUTRITION AND FOOD ACCESS. WITHIN EACH PRIORITY AREA, WE WILL BE FOCUSING OUR EFFORTS ON COMMUNITIES IDENTIFIED WITH THE HIGHEST NEED. THESE MIGHT BE AREAS WITH LARGER MINORITY POPULATIONS, LOWER LIFE EXPECTANCY AND OTHER HIGH-RISK GROUPS. THE FOLLOWING ACTIONS WILL ADDRESS OUR PRIORITIZED HEALTH NEEDS OVER THE NEXT THREE YEARS, AS WELL AS THE SPECIFIC HOSPITAL ADDRESSING EACH NEED. ALL NEEDS WILL BE ADDRESSED IN THIS PLAN. STRATEGIES INCLUDED ARE EVIDENCE-BASED, OR STRATEGIES THAT WILL BE EVALUATED, TO ENSURE THE MOST EFFECTIVE USE OF COMMUNITY AND HOSPITAL RESOURCES. ALL OUTCOMES WILL BE TRACKED AND ANY NECESSARY ADJUSTMENTS TO THIS PLAN WILL BE SHARED IN ANNUAL REPORTS THAT WILL BE COMMUNICATED PUBLICLY ON OUR WEBSITES.PRIORITY 1) MENTAL HEALTH RESPONSIBLE PARTY: PENNSYLVANIA PSYCHIATRIC INSTITUTE, PENN STATE HEALTH MILTON S. HERSHEY MEDICAL CENTER, PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER, PENN STATE HEALTH ST. JOSEPH MEDICAL CENTER AND PENN STATE HEALTH HAMPDEN MEDICAL CENTERGOAL: IMPROVE MENTAL HEALTH THROUGH PREVENTION, INTERVENTION AND SUPPORT. OVERARCHING INDICATORS/MEASUREMENTS FOR SUCCESS:-REDUCE THE NUMBER OF POOR MENTAL HEALTH DAYS REPORTED BY ADULTS IN THE PAST 30 DAYS.-DECREASE THE PERCENTAGE OF CHILDREN REPORTING FEELING SAD OR DEPRESSED MOST DAYS IN THE PAST YEAR. -DECREASE THE NUMBER OF DRUG OVERDOSE DEATHS PER 100,000 POPULATION.PROGRAM 1. BEHAVIORAL HEALTH EDUCATION AND PREVENTION - EXPAND AND INCREASE BEHAVIORAL HEALTH TRAINING AND EDUCATION.SHORT TERM OBJECTIVES (YEAR 1)1. OFFER MENTAL HEALTH SIGNS/SYMPTOMS TRAININGS.-5 TO TEACHERS-3 TO LAW ENFORCEMENT-2 TO COMMUNITY HEALTH WORKERS (CHWS)-COLLABORATE WITH THE DAUPHIN COUNTY DISTRICT ATTORNEY'S OFFICE TO OFFER 3 CIT TRAININGS.2. PROVIDE SUBSTANCE USE EDUCATION VIA 15 LECTURES, TRAININGS, WEBINARS OR HEALTH FAIRS.3. DISTRIBUTE NALOXONE, LOCK BOXES AND SAFE DISPOSAL POUCHES AT 2 HEALTH FAIRS IN OUR SERVICE AREA.MEDIUM-TERM OBJECTIVES (YEAR 2)1. OFFER MENTAL HEALTH SIGNS/SYMPTOMS TRAININGS.-USE TRAIN-THE-TRAINER TO EDUCATE 3 CHWS ON OFFERING MENTAL HEALTH SIGNS/SYMPTOMS TRAINING.-OFFER 3 MENTAL HEALTH SIGNS/SYMPTOMS TRAININGS TO STUDENTS IN GRADES 7 AND HIGHER.2. EXPAND SUBSTANCE USE EDUCATION VIA LECTURES, TRAININGS, WEBINARS OR HEALTH FAIRS IN 2 ADDITIONAL COUNTIES AND WITHIN THE BUREAU OF PRISONS.3. DISTRIBUTE NALOXONE, LOCK BOXES AND SAFE DISPOSAL POUCHES AT 2 ADDITIONAL HEALTH FAIRS IN OUR SERVICE AREA.LONG-TERM OBJECTIVES (YEAR 3) 1. OFFER MENTAL HEALTH SIGNS/SYMPTOMS TRAININGS.-BY THE END OF THE 3RD YEAR, OVER 800 INDIVIDUALS WILL HAVE RECEIVED MENTAL HEALTH SIGNS/SYMPTOMS TRAINING.2. PROVIDE SUBSTANCE USE EDUCATION VIA 15 LECTURES, TRAININGS, WEBINARS OR HEALTH FAIRS AMONG 2 ADDITIONAL POPULATIONS (LGBTQ+, RELIGIOUS, PEOPLE OF COLOR, ETC.).3. DISTRIBUTE NALOXONE, LOCK BOXES AND SAFE DISPOSAL POUCHES AT 2 ADDITIONAL HEALTH FAIRS IN OUR SERVICE AREA.PROGRAM 2. BEHAVIORAL HEALTH RESOURCES, SUPPORT AND COLLABORATION - COLLABORATE WITH OTHER ORGANIZATIONS TO DEVELOP AN INVENTORY OF BEHAVIORAL HEALTH RESOURCES AND SUPPORT SYSTEMS.SHORT TERM OBJECTIVES (YEAR 1)1. DEVELOP OPPORTUNITIES TO COLLABORATE-JOIN A COLLABORATIVE ALREADY IN PLACE, SUCH AS THE HEAL PA INITIATIVE.-APPLY FOR PSH COMMUNITY RELATIONS AND ASSOCIATION FOR FACULTY AND FRIENDS GRANTS.-GATHER AND CREATE AN INVENTORY OF MENTAL HEALTH AND SUBSTANCE USE RESOURCES.2. BUILD RELATIONSHIPS WITH 3 SUPERINTENDENTS TO DISCUSS MENTAL HEALTH RESOURCE PROMOTION.3. COLLABORATE WITH PA 211 TO INCREASE AWARENESS OF MENTAL HEALTH RESOURCES.-OBTAIN BASELINE STATISTICS ON PA 211 MENTAL HEALTH RESOURCE USAGE.4. PSH GOVERNMENT RELATIONS WILL MEET WITH PSH LEADERSHIP TO REVIEW AND ASSESS MENTAL HEALTH PRIORITIES AND NEEDS FOR THE NEXT 2 YEARS.5. RECRUIT ADDITIONAL PROVIDERS.-RECRUIT 5 PHYSICIANS FOCUSED ON ADDICTION TO THE AIR PROGRAM.-RECRUIT 2 FELLOWS TO THE ADDICTION MEDICINE FELLOWSHIP AND OBTAIN A BASELINE NUMBER OF PATIENTS SEEN IN CLINICS AT PPI.6. INITIATE 1 SMART RECOVERY SUPPORT GROUP.MEDIUM-TERM OBJECTIVES (YEAR 2)1. MAINTAIN AND EXPAND THE INVENTORY OF MENTAL HEALTH AND SUBSTANCE USE RESOURCES.2. COLLABORATE WITH 3 SCHOOL DISTRICTS TO ADD PA 211 AND 741741 AS RESOURCES IN STUDENTS' AGENDA BOOKS.3. DETERMINE INCREASE IN PA 211 MENTAL HEALTH RESOURCE USE DURING YEAR 1 AND INCREASE BY 10%.4. PSH GOVERNMENT RELATIONS WILL WORK ON ADDRESSING THE MENTAL HEALTH PRIORITY AREAS IDENTIFIED IN YEAR 1.5. INCREASE THE NUMBER OF PATIENTS RECEIVING METHADONE OR BUPRENORPHINE TREATMENT AT PPI CLINICS BY 45%.6. INITIATE 1 SMART RECOVERY FRIENDS AND FAMILY SUPPORT GROUP.LONG-TERM OBJECTIVES (YEAR 3) 1. MAINTAIN AND EXPAND THE INVENTORY OF MENTAL HEALTH AND SUBSTANCE USE RESOURCES.2. CONTINUE COLLABORATING WITH SCHOOL DISTRICTS TO PROMOTE MENTAL HEALTH RESOURCES.3. MEET OR EXCEED TARGET OF 10% INCREASE IN USE OF PA 211 MENTAL HEALTH RESOURCES.4. PSH GOVERNMENT RELATIONS WILL CONTINUE TO WORK ON ADDRESSING THE MENTAL HEALTH PRIORITY AREAS IDENTIFIED IN YEARS 1 AND 2.5. MAINTAIN THE NUMBER OF PATIENTS RECEIVING METHADONE OR BUPRENORPHINE TREATMENT AT PPI CLINICS.6. CONTINUE TO OFFER 2 SMART RECOVERY SUPPORT GROUPS.PRIORITY 2) HEALTH EQUITYRESPONSIBLE PARTY: PENN STATE HEALTH MILTON S. HERSHEY MEDICAL CENTER, PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER, PENN STATE HEALTH ST. JOSEPH MEDICAL CENTER, PENN STATE HEALTH HAMPDEN MEDICAL CENTER, PENNSYLVANIA PSYCHIATRIC INSTITUTE, PENN STATE HEALTH REHABILITATION HOSPITAL AND PENN STATE HEALTH LANCASTER MEDICAL CENTER. GOALS: - BRIDGE SYSTEMIC GAPS IN CARE BY EXPANDING COMMUNITY ACCESS AND NAVIGATION POINTS IN COLLABORATION WITH COMMUNITY PARTNERS. - EXPAND LANGUAGE AND PRACTICES THAT ARE SENSITIVE TO ISSUES LIKE SOCIAL DETERMINANTS OF HEALTH, RACISM AND LGBTQ+ DISCRIMINATION BY PROMOTING TRAUMA-INFORMED CARE (TIC). OVERARCHING INDICATORS/MEASUREMENTS FOR SUCCESS: - REDUCE DISPARITIES IN LIFE EXPECTANCY WITHIN OUR SERVICE AREA. - INCREASE THE PERCENTAGE OF ADULTS WITH A ROUTINE CHECKUP IN THE PAST YEAR. - DECREASE THE AVERAGE SCORES OF THE COMMUNITY NEED INDEX, SOCIAL VULNERABILITY INDEX OR AREA DEPRIVATION INDEX.PROGRAM 1. COMMUNITY ACCESS POINTS - COLLABORATE WITH FORMAL AND INFORMAL COMMUNITY LEADERS TO FIND COMMUNITY ACCESS AND NAVIGATION POINTS TO ENHANCE HEALTH OUTREACH. SHORT TERM OBJECTIVES (YEAR 1)1. COLLABORATE TO CREATE AND MAINTAIN AN INVENTORY OF COMMUNITY HEALTH CARE ACCESS POINTS IN HIGHEST NEED AREAS, FOCUSING ON HEALTH NEEDS SPECIFIC TO COMMUNITY.2. UPLIFT PARTNERSHIP WITH UNITED WAY:- SUPPORT PROMOTION OF PA 211 PROGRAM.- RUN PSH UNITED WAY CAMPAIGN.- HIRE CONTACT TO CARE CHW TO IMPLEMENT CHW PROGRAM FOR PSH IN CUMBERLAND, DAUPHIN AND PERRY COUNTIES.MEDIUM-TERM OBJECTIVES (YEAR 2)1. MAINTAIN AND UPDATE INVENTORY OF COMMUNITY HEALTH CARE ACCESS AND NAVIGATION POINTS, AND INCREASE NUMBER OF COMMUNITY ACCESS POINTS BY 6 LOCATIONS/EVENTS.2. CONTINUE PARTNERSHIP WITH UNITED WAY:- CONTINUE SUPPORTING PROMOTION OF PA 211 PROGRAM.- RUN PSH UNITED WAY CAMPAIGN, INCREASING DONATIONS BY 3%.- DEVELOP PSH CONTACT TO CARE CHW PROGRAM FOR CUMBERLAND, PERRY AND DAUPHIN COUNTIES.LONG-TERM OBJECTIVES (YEAR 3) 1. MAINTAIN AND UPDATE INVENTORY OF COMMUNITY HEALTH CARE ACCESS AND NAVIGATION POINTS, INCREASE NUMBER OF COMMUNITY ACCESS POINTS BY 12 LOCATIONS/EVENTS AND ASSESS THE COMMUNITY IMPACT.2. CONTINUE PARTNERSHIP WITH UNITED WAY:- CONTINUE SUPPORTING PROMOTION OF PA 211.- RUN UNITED WAY CAMPAIGN, INCREASING EMPLOYEE CONTRIBUTIONS BY 3%.- ASSESS UNITED WAY CHW PROGRAM.PROGRAM 2. TRAUMA INFORMED COMMUNITIES - EXPAND TRAUMA-INFORMED AND HEALING-CENTERED PRACTICES ACROSS THE SERVICE AREA. SHORT TERM OBJECTIVES (YEAR 1)1. COLLABORATE TO CREATE AND MAINTAIN AN INVENTORY OF COMMUNITY ORGANIZATIONS ALREADY PROMOTING TRAUMA INFORMED PRACTICES.2. PARTNER WITH COMMUNITY ORGANIZATIONS TO IDENTIFY EXISTING TIC TRAINING OPTIONS FOR PSH STAFF.MEDIUM-TERM OBJECTIVES (YEAR 2)1. INCREASE PSH INVOLVEMENT IN STATEWIDE TRAUMA-INFORMED CARE WORK BY:- SERVING ON THREE TASK FORCES- EXPANDING OCCUPATIONAL THERAPY EDUCATION ON SENSORY NEEDS OF CHILDREN TO 2 COUNTIES2. IN PARTNERSHIP WITH COMMUNITY ORGANIZATIONS, OFFER 2 TIC TRAININGS TO PSH STAFF THAT ARE ALSO OPEN TO THE COMMUNITY TO PARTICIPATE.LONG-TERM OBJECTIVES (YEAR 3) 1. BEGIN TO EDUCATE AT THE STATE LEVEL ON HOW TO IMPLEMENT TRAUMA-INFORMED PROCESSES. 2. IN PARTNERSHIP WITH COMMUNITY ORGANIZATIONS, OFFER 2 TIC TRAININGS TO PSH STAFF THAT ARE ALSO OPEN TO THE COMMUNITY TO PARTICIPATE.PRIORITY 3) WELLNESS AND DISEASE PREVENTIONELEMENT 1. CHRONIC DISEASE AND RISK FACTOR PREVENTIONRESPONSIBLE PARTY: PENN STATE HEALTH MILTON S. HERSHEY MEDICAL CENTER, PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER, PENN STATE HEALTH ST. JOSEPH MEDICAL CENTER, PENN STATE HEALTH HAMPDEN MEDICAL CENTER AND PENN STATE HEALTH REHABILITATION HOSPITALGOAL: IMPROVE CHRONIC DISEASE PREVENTION BY PROVIDING SCREENINGS AND EDUCATIONAL SESSIONS IN IDENTIFIED HIGH-NEED COMMUNITIES. OVERARCHING INDICATORS/MEASUREMENTS FOR SUCCESS - INCREASE THE NUMBER OF HEALTH SCREENINGS PROVIDED IN HIGH-NEED COMMUNITY LOCATIONS THAT RESULT IN EDUCATION AND/OR REFERRALS FOR FOLLOW-UP CARE. - PARTICIPANTS SHOW IMPROVED KNOWLEDGE OF CHRONIC DISEASE RISK FACTOR PREVENTION AFTER EDUCATIONAL SESSIONS. - INCREASE THE PERCENTAGE OF FEMALE MEDICARE ENROLLEES AGES 65 TO 74 WHO RECEIVED AN ANNUAL MAMMOGRAPHY SCREENING.PROGRAM 1. COLLABORATE TO INCREASE OPPORTUNITIES FOR CHRONIC DISEASE EDUCATION AND SCREENINGS, WITH A FOCUS ON UNDERSERVED COMMUNITIES AS IDENTIFIED BY CHNA AND COMMITTEE INPUT.SHORT TERM OBJECTIVES (YEAR 1)1. COLLABORATE ON PROVIDING EDUCATION AND SCREENINGS AT 4 LARGE OPPORTUNITIES.- FORM AND HOLD REGULAR TASK FORCE MEETINGS TO ENHANCE COMMUNICATION BETWEEN PSH HOSPITALS AND COMMUNITY PARTNERS ACROSS THE 6-COUNTY REGION.- DEVELOP AND PROMOTE AN INVENTORY OF EVENTS, ACTIVITIES AND PROGRAMS ALREADY BEING OFFERED IN UNDERSERVED COMMUNITIES.- IDENTIFY GAPS AND DEVELOP ONE NEW OPPORTUNITY WHERE NEEDED.MEDIUM-TERM OBJECTIVES (YEAR 2)1. COLLABORATE ON PROVIDING EDUCATION AND SCREENINGS AT 6 LARGE OPPORTUNITIES.- SUMMARIZE AND EVALUATE COMMUNITY OPPORTUNITIES ATTENDED IN YEAR 1 TO DETERMINE BEST FIT FOR MEETING HIGH-NEED COMMUNITIES.LONG-TERM OBJECTIVES (YEAR 3) 1. COLLABORATE ON PROVIDING EDUCATION AND SCREENINGS AT 8 LARGE OPPORTUNITIES.- SUMMARIZE AND EVALUATE COMMUNITY OPPORTUNITIES ATTENDED IN YEAR 2 TO DETERMINE BEST FIT FOR MEETING HIGH-NEED COMMUNITIES.PROGRAM 2. EVALUATE EDUCATIONAL PROGRAMS TO DEMONSTRATE IMPROVED UNDERSTANDING OF CHRONIC DISEASE RISK FACTOR PREVENTION.SHORT TERM OBJECTIVES (YEAR 1)1. CREATE AN EVALUATION SURVEY TO IMPLEMENT AT EACH EDUCATIONAL PROGRAM.MEDIUM-TERM OBJECTIVES (YEAR 2)1. COLLABORATE WITH COMMUNITY PARTNERS TO OFFER 6 EDUCATIONAL SESSIONS, AND MEASURE IMPROVED UNDERSTANDING OF CHRONIC DISEASE RISK FACTOR PREVENTION.LONG-TERM OBJECTIVES (YEAR 3) 1. COLLABORATE WITH COMMUNITY PARTNERS TO OFFER 8 EDUCATIONAL SESSIONS, AND MEASURE IMPROVED UNDERSTANDING OF CHRONIC DISEASE RISK FACTOR PREVENTION.ELEMENT 2. NUTRITION AND FOOD ACCESSRESPONSIBLE PARTY: PENN STATE HEALTH MILTON S. HERSHEY MEDICAL CENTER, PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER, PENN STATE HEALTH ST. JOSEPH MEDICAL CENTER AND PENN STATE HEALTH HAMPDEN MEDICAL CENTERGOAL: ADDRESS ISSUES RELATED TO OBESITY AND FOOD INSECURITY BY PROMOTING ACCESS TO AND CONSUMPTION OF HEALTHFUL DIETS, AND DETERMINE THE IMPACT OF NUTRITION EDUCATION AND IMPROVED ACCESS. OVERARCHING INDICATORS/MEASUREMENTS FOR SUCCESS: - REDUCE OBESITY RATES IN BERKS, LEBANON AND DAUPHIN COUNTIES. - REDUCE THE PERCENTAGE OF RESIDENTS WITH LOW ACCESS TO FOOD IN BERKS, LEBANON AND DAUPHIN COUNTIES. - INCREASE THE REACH OF NUTRITION EDUCATION AND FOOD ACCESS TO RESIDENTS OF BERKS, CUMBERLAND, DAUPHIN, LANCASTER, LEBANON AND PERRY COUNTIES.PROGRAM 1. FOOD BUCKS / VEGGIE RX EXPANSION - EXPAND REACH OF NUTRITION AND FOOD ACCESS PROGRAMS.SHORT TERM OBJECTIVES (YEAR 1)1. BEGIN PROGRAM PLANNING AND DEVELOPMENT OF VEGGIE RX INTO LEBANON.- IDENTIFY KEY PARTNERS AND REQUIRED RESOURCES.- DETERMINE GOALS, OBJECTIVES AND MEASURABLE OUTCOMES.- DETERMINE REFERRAL PROCESS AND ELIGIBILITY.- CREATE NEEDS ASSESSMENT OF COMMUNITY PARTICIPANTS.2. ENGAGE AT LEAST 10,000 PARTICIPANTS ACROSS ALL NUTRITION AND FOOD ACCESS PROGRAMS (FOOD BOX INITIATIVE, COMMUNITY GARDEN, FARMERS MARKETS, WELLNESS ON WHEELS, FARM STAND, VEGGIE RX AND DOWNTOWN HEALTHY FOOD PANTRY).3. DEVELOP A PRE-/POST EVALUATION PLAN FOR NUTRITION EDUCATION FOR CURRENT VEGGIE RX PROGRAM.MEDIUM-TERM OBJECTIVES (YEAR 2)1. START NEW SITE LOCATION IN LEBANON.- ENROLLMENT OF 30 INDIVIDUALS AT NEW SITE LOCATION.- DETERMINE PROCESS-EVALUATION METHODS.- MONITOR PROGRESS TOWARD THE PROGRAM'S GOALS.2. ENGAGE AT LEAST 12,000 PARTICIPANTS ACROSS ALL NUTRITION AND FOOD ACCESS PROGRAMS (FOOD BOX INITIATIVE, COMMUNITY GARDEN, FARMERS MARKETS, WELLNESS ON WHEELS, FARM STAND, VEGGIE RX AND DOWNTOWN HEALTHY FOOD PANTRY).3. IMPLEMENT THE PRE-/POST-EVALUATION OF EDUCATIONAL OFFERINGS FOR PARTICIPANTS.LONG-TERM OBJECTIVES (YEAR 3) 1. ENROLL 40 INDIVIDUALS IN THE PROGRAM.- UTILIZE AN EVALUATION TOOL.- EXPAND THE NETWORK OF FOOD RETAIL PARTNERS.2. ENGAGE AT LEAST 14,000 PARTICIPANTS ACROSS ALL NUTRITION AND FOOD ACCESS PROGRAMS (FOOD BOX INITIATIVE, COMMUNITY GARDEN, FARMERS MARKETS, WELLNESS ON WHEELS, FARM STAND, VEGGIE RX AND DOWNTOWN HEALTHY FOOD PANTRY).3. EVALUATE THE PRE-/POST-DATA FOR NUTRITION EDUCATION.PROGRAM 2. REGIONAL COLLABORATIVE AND STANDARDIZED NUTRITION AND FOOD ACCESS RESOURCE GUIDE - DEVELOP A REGIONAL 6-COUNTY COLLABORATIVE TO INCREASE COMMUNICATION AND DEVELOP A NUTRITION/FOOD ACCESS RESOURCE GUIDE. SHORT TERM OBJECTIVES (YEAR 1)1. ESTABLISH A MEETING SCHEDULE FOR THE COLLABORATIVE AND IDENTIFY PARTNERS TO INCLUDE.2. IDENTIFY PROGRAMS THAT WILL BE INCLUDED IN THE RESOURCE GUIDE.- CATEGORIZE THE RESOURCE GUIDE BASED ON NEED AND COUNTY.- FINALIZE METHODS OF DISSEMINATION AND DISTRIBUTE THE RESOURCE GUIDE THROUGH AT LEAST 5 OUTLETS.MEDIUM-TERM OBJECTIVES (YEAR 2)1. MAINTAIN THE MEETING SCHEDULE FOR THE COLLABORATIVE.2. MAINTAIN AND DISTRIBUTE THE RESOURCE GUIDE THROUGH AT LEAST 10 COMMUNITY OPPORTUNITIES IN UNDERSERVED COMMUNITIES. LONG-TERM OBJECTIVES (YEAR 3) 1. MAINTAIN THE MEETING SCHEDULE FOR THE COLLABORATIVE.- DEVELOP AND IMPLEMENT A POST-SURVEY TO ASSESS THE EFFECTIVENESS OF THE COLLABORATIVE.2. MAINTAIN AND DISTRIBUTE THE RESOURCE GUIDE THROUGH AT LEAST 15 COMMUNITY OPPORTUNITIES IN UNDERSERVED COMMUNITIES.PROGRAM 3. COMMUNITY GARDEN INITIATIVE - IMPROVE ACCESS TO FRUITS, VEGETABLES AND NUTRITION EDUCATION WITHIN THE SERVICE AREA.SHORT TERM OBJECTIVES (YEAR 1)1. PLANT AT LEAST 2 COMMUNITY/SENSORY GARDENS IN THE SERVICE AREA.- ENGAGE LOCAL PARTNERS AND COMMUNITY MEMBERS.- COMPLETE A FOOD INSECURITY SURVEY, IDENTIFYING BARRIERS TO ACCESSING FOOD.MEDIUM-TERM OBJECTIVES (YEAR 2)1. OFFER 3 NUTRITION AND GARDENING EDUCATION PROGRAMS AT COMMUNITY GARDENS.LONG-TERM OBJECTIVES (YEAR 3)1. OFFER 6 NUTRITION AND GARDENING EDUCATION PROGRAMS AT COMMUNITY GARDENS.ELEMENT 3. PHYSICAL ACTIVITYRESPONSIBLE PARTY: PENN STATE HEALTH MILTON S. HERSHEY MEDICAL CENTER, PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER, PENN STATE HEALTH ST. JOSEPH MEDICAL CENTER, PENN STATE HEALTH HAMPDEN MEDICAL CENTER, PENN STATE HEALTH REHABILITATION HOSPITAL AND PENN STATE HEALTH LANCASTER MEDICAL CENTER. GOAL: IMPROVE HEALTH, FITNESS AND QUALITY OF LIFE THROUGH DAILY PHYSICAL ACTIVITY. OVERARCHING INDICATORS/MEASUREMENTS FOR SUCCESS: - INCREASE THE NUMBER OF FREE EXERCISE OPPORTUNITIES FOR ALL AGES IN ZIP CODES IDENTIFIED BY OUR CHNA AND COMMUNITY PARTNERS AS HAVING THE GREATEST RISK FACTORS FOR POOR HEALTH. - REDUCE THE PERCENTAGE OF ADULTS WHO DO NOT ENGAGE IN LEISURE-TIME PHYSICAL ACTIVITY.PROGRAM 1. COMMUNITY PHYSICAL ACTIVITY PROGRAMS AND INFRASTRUCTURE - 1. COLLABORATE TO SHARE OPPORTUNITIES FOR SAFE, COMMUNITY EXERCISE PROGRAMS.2. ENHANCE POLICIES AND INFRASTRUCTURE TO INCREASE OPPORTUNITIES FOR PHYSICAL ACTIVITY.SHORT TERM OBJECTIVES (YEAR 1)1. CREATE AN INVENTORY OF FREE COMMUNITY EXERCISE PROGRAMS.2. JOIN COMMUNITY COLLABORATIVES ALREADY IN PLACE TO INCREASE PHYSICAL ACTIVITY.3. INVESTIGATE OPPORTUNITIES WITH LOCAL, COUNTY AND STATEWIDE PARKS AND RECREATION SYSTEMS IN ALL 6 COUNTIES; ESTABLISH A PARTNERSHIP WITH 1.4. INVESTIGATE OPPORTUNITIES TO FOSTER PHYSICAL ACTIVITY AT ALL PSH HOSPITAL LOCATIONS AND EXTENDING INTO LOCAL COMMUNITIES.5. COLLABORATE WITH 1 SCHOOL DISTRICT OR COMMUNITY ORGANIZATION TO IDENTIFY WAYS TO ENHANCE THE BUILT ENVIRONMENT FOR YOUTH PHYSICAL ACTIVITY.MEDIUM-TERM OBJECTIVES (YEAR 2)1. PROMOTE AND SHARE THE INVENTORY OF FREE COMMUNITY PROGRAMS THROUGH 5 OPPORTUNITIES.2. COLLABORATE ON ENHANCING 1 EXISTING COMMUNITY PHYSICAL ACTIVITY OPPORTUNITY IN 3 OF OUR 6 COUNTIES.3. ESTABLISH 1 ADDITIONAL PARTNERSHIP WITH A LOCAL, COUNTY OR STATEWIDE PARKS AND RECREATION SYSTEM.4. INCREASE/ENHANCE 2 OPPORTUNITIES FOR PHYSICAL ACTIVITY AT PSH HOSPITAL LOCATIONS AND EXTENDED INTO LOCAL COMMUNITIES.5. COLLABORATE WITH 1 ADDITIONAL SCHOOL DISTRICT OR COMMUNITY ORGANIZATION TO IDENTIFY WAYS TO ENHANCE THE BUILT ENVIRONMENT FOR YOUTH PHYSICAL ACTIVITYLONG-TERM OBJECTIVES (YEAR 3)1. PROMOTE AND SHARE THE INVENTORY OF FREE COMMUNITY PROGRAMS THROUGH 5 NEW OPPORTUNITIES.2. COLLABORATE ON ENHANCING ONE EXISTING COMMUNITY PHYSICAL ACTIVITY OPPORTUNITY IN ALL 6 OF OUR COUNTIES.3. ESTABLISH 1 ADDITIONAL PARTNERSHIP WITH A LOCAL, COUNTY OR STATEWIDE PARKS AND RECREATION SYSTEM.4. INCREASE/ENHANCE 2 OPPORTUNITIES FOR PHYSICAL ACTIVITY AT PSH HOSPITAL LOCATIONS AND EXTENDED INTO LOCAL COMMUNITIES.5. COLLABORATE WITH 1 ADDITIONAL SCHOOL DISTRICT OR COMMUNITY ORGANIZATION TO IDENTIFY WAYS TO ENHANCE THE BUILT ENVIRONMENT FOR YOUTH PHYSICAL ACTIVITY. COMMUNITY GRANTS AND CHARITABLE PURPOSE SPONSORSHIPS IN ORDER TO ALSO PARTNER WITH COMMUNITY ORGANIZATIONS TO ADDRESS PRIORITIZED HEALTH NEEDS, GRANTS AND SPONSORSHIPS ARE PROVIDED ON AN ANNUAL BASES. CALENDAR YEAR 2023 IS THE EIGHTH YEAR OF THESE GRANTS AND, OVER THIS TIME FRAME, 105 PROJECT TEAMS WERE FUNDED BY $396,750. THIS SUCCESSFUL ENDEAVOR ENGAGES EMPLOYEES FROM ALL PSH HOSPITALS TO PARTNER WITH COMMUNITY ORGANIZATIONS TO START A PROGRAM ADDRESSING AT LEAST ONE OF THE HEALTH NEED PRIORITIES NAMED IN THE CHNA. PRIORITY IS GIVEN TO SUSTAINABLE START-UP PROJECTS THAT WILL HAVE A POSITIVE HEALTH IMPACT ON OUR COMMUNITY. APPLICATIONS MAY ALSO BE SUBMITTED TO SUPPORT PREEXISTING PROGRAMS AND CONTINUE THEIR EXCELLENT WORK. NOT ONLY DO THESE GRANTS PROVIDE LOCAL HEALTH PROGRAMMING, BUT THEY ALSO 1) ENGAGE EMPLOYEE TALENT IN COMMUNITY OUTREACH, 2) HELP DEVELOP AN ORGANIZATIONAL CULTURE OF COMMUNITY HEALTH IMPROVEMENT AND 3) PROVIDE OUR EMPLOYEES AND STUDENTS WITH THE OPPORTUNITY TO LEARN FROM COMMUNITY PARTNERS AND BETTER UNDERSTAND THE SOCIAL INFLUENCES ON HEALTH THAT EXIST OUTSIDE OF OUR HOSPITAL WALLS.CHNA IMPLEMENTATION PLAN 2022-2025 YEAR ONE ACCOMPLISHMENTSDURING FISCAL YEAR 2023, PSH HOSPITALS CONTINUED FIVE TASK FORCES TO CARRY OUT THE FIRST YEAR OF THE CHNA IMPLEMENTATION PLAN. THESE TASK FORCES ARE COMPRISED OF PSH EMPLOYEES AND COMMUNITY PARTNERS AND MEMBERS WHO ALL FOCUS ON THE PRIORITIES IDENTIFIED IN THE CHNA: MENTAL HEALTH, HEALTH EQUITY AND CHRONIC DISEASE AND RISK FACTOR PREVENTION (SPLIT INTO THREE TASK FORCES: CHRONIC DISEASE AND RISK FACTOR PREVENTION, NUTRITION AND FOOD ACCESS, AND PHYSICAL ACTIVITY.) THE FOLLOWING SECTION WILL DESCRIBE KEY ACCOMPLISHMENTS PER PRIORITY AREA AND TASK FORCE. 100% OF THE OBJECTIVES SET IN YEAR ONE OF THE PLAN WERE MET. ALSO DURING THIS FISCAL YEAR, PSH CONTINUED TO EXPAND AND LANCASTER MEDICAL CENTER OPENED. ANTICIPATING THIS, LANCASTER COUNTY WAS INCLUDED IN THE 2021 CHNA, THEY JUMPED RIGHT ON BOARD THE COMMUNITY OUTREACH EFFORTS AND A LYON SOFTWARE CBISA CONTRACT WAS INITIATED TO TRACK THEIR COMMUNITY BENEFIT. ALL OTHER HOSPITALS CONTINUED TO EXPAND AND ACHIEVED INCREASES IN COMMUNITY HEALTH DOLLARS CONTRIBUTED AS WELL AS PERSONS SERVED IN THE COMMUNITY. NEW THIS YEAR, PSH DEVELOPED A MORE FORMAL ANNUAL COMMUNITY BENEFIT REPORT INSTEAD OF THE ANNUAL CHNA REPORT CARD. THE CHNA, IMPLEMENTATION PLAN AND COMMUNITY BENEFIT REPORT CAN BE FOUND AT: HTTPS://WWW.PENNSTATEHEALTH.ORG/COMMUNITY. MENTAL HEALTH:SEE YEAR 1 GOALS AND OBJECTIVES ABOVE. YEAR 1 ACCOMPLISHMENTS:OFFER MENTAL HEALTH SIGNS AND SYMPTOMS TRAININGS:- TRAINED 418 INDIVIDUALS ON MENTAL HEALTH SIGNS AND SYMPTOMS IN PARTNERSHIP WITH THE FOLLOWING ORGANIZATIONS: CIT DAUPHIN COUNTY LAW ENFORCEMENT, PA STATE POLICE ACADEMY CADETS, BEACON CLINIC, ERG GROUP AT PHS, DAUPHIN COUNTY DISTRICT ATTORNEY'S OFFICE CIT, INTERNATIONAL SERVICE CENTER, COMMUNITY HEALTH WORKERS. - PROVIDED SUBSTANCE USE EDUCATION VIA 18 LECTURES, TRAININGS, WEBINARS OR HEALTH FAIRS.- DISTRIBUTED NALOXONE, LOCK BOXES AND SAFE DISPOSAL POUCHES AT 4 HEALTH FAIRS. - COLLABORATED ON A COMMUNITY HEALTH VENDING MACHINE PROJECT TO DISPENSE NALOXONE, DRUG CHECKING KITS, AND OTHER HEALTH NECESSITIES. - OFFERED DRUG TAKE BACK DAY COLLECTING OVER 1000 POUNDS OF UNWANTED, UNNEEDED, OR EXPIRED MEDICATIONS, AS WELL AS 20 SHARPS CONTAINERS.DEVELOP OPPORTUNITIES TO COLLABORATE: - JOINED HEAL PA INITIATIVE. - RECEIVED A COMMUNITY RELATIONS GRANT TO BEGIN SENSORY REGULATION WORKSHOPS GEARED TOWARDS CHILDREN, TEENS AND YOUTH.- CREATED AND MAINTAIN THE COMMUNITY NETWORK DIRECTORY TO SERVE AS AN INVENTORY OF MENTAL HEALTH AND SUBSTANCE USE RESOURCES. - MADE CONNECTIONS WITH MULTIPLE SCHOOL DISTRICT SUPERINTENDENTS AND PARTNERED WITH STEELTON HIGHSPIRE SCHOOL DISTRICT. - PARTNERED WITH THE HEALTH EQUITY TASK FORCE, PA 211 AND THE UNITED WAY OF THE CAPITAL REGION ON A VIDEO TO PROMOTE 211 USAGE.- PSH GOVERNMENT RELATIONS MET WITH LEADERSHIP TO REVIEW AND ASSESS MENTAL HEALTH PRIORITIES AND NEEDS FOR THE NEXT 2 YEARS. - INITIATED UNITED WAY OF THE CAPITAL REGION CONTACT TO CARE AND ROAD TO SUCCESS INITIATIVES AND EMPLOY A COMMUNITY HEALTH WORKER (CHW) AT PPI.- RECRUITED 2 FELLOWS TO THE ADDICTION MEDICINE FELLOWSHIP AND MONITOR NUMBER OF PATIENTS SEEN AT PPI.- LEADER WAS TRAINED TO INITIATE THE SMART RECOVERY SUPPORT GROUP.- PPI INITIATED ADULT AND CHILD SUPPORT GROUPS.- THROUGH THE USE OF FUNDS FROM A COMMUNITY RELATIONS GRANT, THE LANCASTER HARM REDUCTION PROJECT WAS ABLE TO TEMPORARILY INCREASE HOURS AT THEIR HARRISBURG AND LANCASTER LOCATIONS FOR 6 MONTHS.- A COMMUNITY RELATIONS GRANT ALLOWED THE PARTNERSHIP WITH AN OUTREACH SPECIALIST IN THE COMMUNITY TO EXPAND OUR EDUCATIONAL OFFERINGS TO PROVIDE FREE HIGH QUALITY, EVIDENCE-BASED, TRAUMA-SENSITIVE TRAINING ON SUBSTANCE USE, HARM REDUCTION, AND MENTAL HEALTH TOPICS TO MEMBERS OF THE COMMUNITY. HEALTH EQUITY:SEE YEAR 1 GOALS AND OBJECTIVES ABOVE. YEAR 1 ACCOMPLISHMENTS:COLLABORATE TO CREATE AND MAINTAIN AN INVENTORY OF COMMUNITY HEALTH ACCESS POINTS AND ORGANIZATIONS PROMOTING TRAUMA INFORMED CARE PRACTICES:- CHNA NETWORKING DRIVE UPDATED WITH CURRENT COMMUNITY ACCESS POINTS AND TRAUMA INFORMED ORGANIZATIONS. UPLIFT PARTNERSHIP WITH THE UNITED WAY: - PA 211 CAMPAIGN VIDEO CREATED AND PROVIDED TO COMMUNITY PARTNERS AND JOINT SOCIAL MEDIA CAMPAIGN RAN IN JULY 2022.- PA 211 INFORMATION EMBEDDED IN PSH DISCHARGE INSTRUCTIONS JUNE 2023.- UNITED WAY 2022 CAMPAIGN SUCCESSFULLY RAN AND PLANNING FOR 2023 HAS STARTED.- UNITED WAY CONTACT TO CARE CHW HIRED DECEMBER 2022. PARTNER WITH COMMUNITY ORGANIZATION ON TRAUMA INFORMED CARE TRAININGS: - TRAUMA INFORMED CARE STAFF TRAINING OFFERED IN SEPTEMBER 2022.- FIFTEEN COMMUNITY PARTNER EDUCATION SESSIONS PROVIDED. - EVALUATION RESULTS: 486 PRE-SURVEYS AND 340 POST-SURVEYS HAVE BEEN COMPLETED TO EVALUATE THE TRAINING PROGRAM. PARTICIPANT RESPONSES HAVE SHOWN A STATISTICALLY SIGNIFICANT IMPROVEMENT IN THEIR `KNOWLEDGE AND `UNDERSTANDING' OF TRAUMA. NINETY-EIGHT PERCENT OF OPEN-ENDED RESPONSES HAVE BEEN POSITIVE, WITH MANY STATING THAT THE TRAINING IS "EYE-OPENING AND "INFORMATIVE." ADDITIONAL YEAR 1 HIGHLIGHTS: - EXPANDED WORK AT THE RACETRACK TO ASSIST OTHER POPULATIONS IN PARTNERSHIP WITH HOLY SPIRIT MEDICAL CENTER OUTREACH CLINIC.- PARTNERSHIP WITH CARDIOVASCULAR SERVICE LINE TO INCREASE ASCVD SCREENING IN THE COMMUNITY AND THE NUMBER OF SCREENINGS WAS DOUBLED WITHIN THE FIRST QUARTER. - PARTNERSHIP WITH LION CARE TO OFFER HEALTH FAIR WITH THE ISGH MOSQUE IN STEELTON.- IMPLEMENTED NURSE COMMUNITY PARTNERSHIP REFERRAL PROGRAM.- BEGAN HEALTHCARE SCREENINGS AT CORNER STORES IN READING.- BEGAN TRACKING COMMUNITY HEALTH NURSE AND CHW PARTICIPANT HEALTH DATA IN REDCAP SO WE CAN BEGIN EVALUATING EFFORTS. - THE PSH SYSTEM-WIDE HEALTH EQUITY STRATEGY WAS STARTED, AND THIS CHNA HEALTH EQUITY TASK FORCE CONTRIBUTES AS THE COMMUNITY PILLAR.- THE HEALTH EQUITY TASK FORCE PARTICIPATED IN A TEAM OUTREACH EVENT AND PACKED FOOD BOXES AT THE CENTRAL PENNSYLVANIA FOOD BANK. CHRONIC DISEASE AND RISK FACTOR PREVENTION: SEE YEAR 1 GOALS AND OBJECTIVES ABOVE. YEAR 1 ACCOMPLISHMENTS:COLLABORATE TO INCREASE OPPORTUNITIES FOR CHRONIC DISEASE EDUCATION AND TRAININGS WITH A FOCUS ON UNDERSERVED COMMUNITIES:- TASK FORCE MEETINGS HAVE FOSTERED COLLABORATION TO EXTEND OUR REACH, AND WE HAVE HEARD ABOUT EXCELLENT PROGRAMS FROM MANY PRESENTERS. - THE COMMUNITY NETWORK DIRECTORY WAS CREATED AND IS BEING USED BY ALL TASK FORCES FOR NETWORKING AND COLLABORATION. - COLLABORATED AT MANY LARGE COMMUNITY EVENTS ACROSS OUR SIX COUNTIES, EXAMPLES: NATIONAL NIGHT OUT, RECFEST, YMCA HEALTH EQUITY TOUR, BERKS GUTS AND GLORY EVENT, AMERICAN HEART WALK, CULTURAL DIVERSITY FESTIVAL IN DOWNTOWN READING, CANCER SURVIVORSHIP CONFERENCE, PENN STATE HEALTH BLUE WHITE GAME, DIABETES FAIRS, FLU SHOT EVENTS, REACH EVENTS, AND WALK WITH A DOC TO PROVIDE STROKE AND DIABETES EDUCATION. - COMMUNITY HEALTH NURSES PROVIDING EDUCATION AND SCREENINGS AT THE DOWNTOWN READING FARMSTAND AND IN COLLABORATION WITH THE READING CORNER STORE INITIATIVE; ALSO NEW THIS YEAR, A FAIR WAS HELD AT THE STEELTON MOSQUE. - STROKE PROGRAM COLLABORATED WITH THE PANTRIES AND WELLNESS SUPPORT (PAWS) PROGRAM, AND PROVIDED BRAIN AND STROKE EDUCATION AT PAXTONIA ELEMENTARY SCHOOL. THE STROKE TEAM ALSO IDENTIFIED A GAP AND PARTNERED WITH LEADER CENTER FOR ACTIVE LIFE TO PROVIDE LUNCH-AND-LEARN OPPORTUNITIES ON PREVENTION SCREENINGS AND MESSAGES. CREATE AN EVALUATION SURVEY TO IMPLEMENT AT COMMUNITY EDUCATIONAL EVENTS TO DEMONSTRATE IMPROVED UNDERSTANDING OF CHRONIC DISEASE RISK FACTOR PREVENTION:- EVALUATION FRAMEWORK AND SURVEYS CREATED. SHORT AND LONG (INCLUDES DEMOGRAPHIC QUESTIONS) VERSIONS AVAILABLE IN ENGLISH AND SPANISH VIA PDFS, REDCAP LINKS, AND A POWERPOINT SLIDE AND FLIER WITH QR CODES. - SURVEYS ARE BEING USED BY COMMUNITY HEALTH AND OTHER TASK FORCES TOO AND HAVE BEEN COMPLETED VIRTUALLY AND AT HERSHEY PLAZA, LHACC, SALVATION ARMY, MORNING STAR, CUMBERLAND COUNTY HOUSING AND THE INTERNATIONAL SERVICE CENTER. - EDUCATIONAL TOPICS EVALUATED INCLUDE: LET'S GET EDUCATED AGAINST CANCER, BREAST BINGO: CANCER EDUCATION, HELLO (END OF LIFE PLANNING), KNOW YOUR NUMBERS, MENTAL HEALTH SIGNS & SYMPTOMS, CAUTION (CANCER EDUCATION), PREVENTATIVE HEALTH, URINARY HEALTH, OSTEOPOROSIS, AND STROKE. - WORKING WITH THE STROKE TEAM TO DEVELOP A PRE-POST SURVEY SPECIFICALLY FOR THEM AS WELL AS A PRE-POST SURVEY FOR USE WITH THE SENSORY TRAINING GRANT.- EVALUATION RESULTS: 173 EVALUATION SURVEYS WERE COMPLETED, WITH THE SHORT, ENGLISH SURVEY BEING THE FORMAT MOST OFTEN USED. RESULTS SHOWED THAT THE MOST USEFUL METHOD OF LEARNING WAS THROUGH A PRESENTATION FORMAT AND THAT THE MAJORITY OF RESPONDENTS PREFERRED TO RECEIVE EDUCATIONAL INFORMATION IN PERSON. ABOUT ONE HUNDRED PERCENT OF ALL RESPONDENTS SAID THEY EITHER `STRONGLY AGREE OR `AGREE' THAT THEY HAD LEARNED SOMETHING NEW DURING THEIR EVENT THAT THEY CAN USE IN THEIR WORK / LIFE. THE EVALUATION ALSO SHOWED THAT THE MAJORITY OF PARTICIPANTS PLAN TO EITHER USE THE INFORMATION THEY LEARNED TO IMPROVE THEIR OWN HEALTH OR DISCUSS IT WITH A FRIEND/FAMILY MEMBER/COLLEAGUE/PROVIDER, SHOWING HOW EDUCATIONAL EVENTS CAN IMPACT THE HEALTH OF EVEN THOSE IN THE COMMUNITY WHO DID NOT ATTEND THE EVENT THEMSELVES. NUTRITION AND FOOD ACCESS:SEE YEAR 1 GOALS AND OBJECTIVES ABOVE. YEAR 1 ACCOMPLISHMENTS:EXPAND REACH OF NUTRITION AND FOOD ACCESS PROGRAMS:VEGGIE RX CONTINUES TO DEMONSTRATE GREAT SUCCESS IN BERKS COUNTY. 75 PATIENTS WERE ENROLLED SINCE JULY 1, 2022. THIS NUMBER DOES NOT REFLECT THE TOTAL NUMBER OF FAMILY MEMBERS POSITIVELY IMPACTED BY THE PATIENT'S PARTICIPATION IN THE PROGRAM. IN TOTAL, WE ENROLLED 154 PATIENTS IN VEGGIE RX 2.0; 81% HISPANIC, 70% FEMALE, 59.5% LESS THAN HIGH SCHOOL EDUCATION, 58.8% RECEIVING SNAP, AND 90.0% ON MEDICAID/MEDICARE. COMPARED TO BASELINE, AT 7 MONTHS POST-PROGRAM A1C DECREASED SIGNIFICANTLY (-0.4%, P = .04) AND THERE WAS NO PRE-POST CHANGE IN BMI (P=.78). THE OVERALL VOUCHER REDEMPTION RATE WAS 85% (13,848 REDEEMED/16,196 GIVEN). - VEGGIE RX EXPANDED TO LEBANON AND LANCASTER COUNTIES: >FOR LEBANON COUNTY VEGGIE RX, THERE WAS 39 PEOPLE ENROLLED AND 19 COMPLETED THE PROGRAM. 68% SHOWED A DECREASE IN THEIR A1C AFTER THE 6-WEEK PROGRAM. >FOR LANCASTER VEGGIE RX, 16 ENROLLED AND 13 COMPLETED THE PROGRAM. >CREATED PRE/POST ASSESSMENTS FOR THE PROGRAM AND EACH EDUCATIONAL SESSION. - OVERALL, NUTRITION AND FOOD ACCESS INITIATIVES REACHED OVER 30,000 PEOPLE IN YEAR ONE. DEVELOP A REGIONAL COLLABORATIVE TO INCREASE COMMUNICATION AND DEVELOP A NUTRITION / FOOD ACCESS RESOURCE. - DEVELOPED GEOCODING MAP TO SHOW ALL OF PENN STATE HEALTH FOOD ACCESS LOCATIONS AND FOOD DESSERTS. INCLUDES OVER 80 LOCATIONS THAT HIGHLIGHT DIFFERENT FOOD ACCESS WORK SUCH AS THE VEGGIE RX PROGRAMS, FARM STAND, COMMUNITY GARDENS, FOOD BOXES, COMMUNITY FRIDGES, PANTRIES AND WELLNESS SUPPORT (PAWS), ETC. - DEVELOPED COMMUNITY NETWORKING DIRECTORY TO HOUSE RECURRING NUTRITION RELATED PROGRAMS AND EVENTS.- CREATED FACT SHEETS HIGHLIGHTING MANY OF THESE SERVICES. IMPROVE ACCESS TO FRUITS AND VEGETABLES, AND NUTRITION EDUCATION WITH OUR SERVICE AREA:- PAWS PROGRAM PROVIDED HEALTH SCREENINGS AND EDUCATION AT 10 FOOD PANTRIES AND ALSO PROVIDED NURSING OUTREACH AT OTHER LOCATIONS SUCH AS THE RACETRACK, ANCHOR LANCASTER, LANCASTER LIBRARIES, AND WITH THE CORNER STORE INITIATIVE IN READING.- COMMUNITY GARDEN EXPANSION: IN ADDITION TO OUR CAMPUS GARDEN, RITE AID HEALTHY FUTURES HAS GRACIOUSLY PROVIDED FUNDING TO CONSTRUCT MULTIPLE COMMUNITY GARDENS ACROSS OUR SERVICE AREA. THE FIRST GARDEN WAS THE CHESTNUT STREET COMMUNITY CENTER GARDEN IN LEBANON. DURING THE FIRST YEAR OF OUR PLAN WE EXPANDED TO 14 GARDENS TOTAL IN BERKS, DAUPHIN, LANCASTER, LEBANON AND PERRY COUNTIES. - THIS YEAR THE GARDENS HAVE REACHED OVER 5,000 COMMUNITY MEMBERS. - THE GARDENS CREATE A SPACE FOR FAMILIES TO HARVEST VARIOUS VEGETABLES, BRING THE COMMUNITY TOGETHER, AND PROVIDE NUTRITION EDUCATION. - WE PROVIDED PROGRAMMING TO 150 PEOPLE ABOUT CONTAINER GARDENING AT EIGHT LOCATIONS AND SERVED 58 PEOPLE FOR THE COOKING CLASSES IN FOUR OF THE GARDENS. - TWELVE AEROGARDENS WERE PROVIDED TO THE LEBANON SCHOOL DISTRICT TO TEACH STUDENTS IN ALL GRADES GARDENING TECHNIQUES AND HOW TO GROW THEIR OWN HEALTHY FOODS WHILE INCREASING CONSUMPTION. EVALUATION PRE AND POST SURVEYS WERE DEVELOPED AND UTILIZED. ADDITIONAL SUPPLIES WERE USED TO CREATE AN AQUAPONICS PROGRAM FOR 5TH GRADERS.- PENN STATE REACH PARTNERED WITH BELL & EVENS ON A DIABETES PREVENTION PROGRAM INCENTIVIZE PARTICIPANTS WITH WEEKLY CSI VEGETABLE BOXES FOR PARTICIPATING IN AN ON-LINE EDUCATIONAL PROGRAM. PHYSICAL ACTIVITY: SEE YEAR 1 GOALS AND OBJECTIVES ABOVE.YEAR 1 ACCOMPLISHMENTS:- OUR CHNA COMMUNITY MEMBER SURVEY SHOWED THAT LESS THAN 30% OF THOSE SURVEYED MET THE NATIONAL PHYSICAL ACTIVITY GUIDELINE OF AT LEAST 150 MINUTES OF MODERATE-INTENSITY, AEROBIC PHYSICAL ACTIVITY EACH WEEK OR THE EQUIVALENT OF 30 MINUTES ON AT LEAST FIVE DAYS PER WEEK. 1/5 REPORTED NO DAYS OF PHYSICAL ACTIVITY IN THE PAST MONTH. GOOD NEWS: 2023 COUNTY HEALTH RANKINGS SHOWED A DECREASE IN THE PERCENTAGE OF ADULTS WHO REPORT NO LEISURE TIME PHYSICAL ACTIVITY IN ALL SIX COUNTIES!COLLABORATE MORE TO SHARE OPPORTUNITIES FOR COMMUNITY PHYSICAL ACTIVITY PROGRAMS: - CREATED AND MAINTAIN PHYSICAL ACTIVITY SECTION OF THE COMMUNITY NETWORK DIRECTORY BEING USED BY ALL TASK FORCES. - HOLD MEETINGS EVERY OTHER MONTH TO HIGHLIGHT UPCOMING EVENTS ACROSS OUR SIX COUNTIES. - INVITE PRESENTERS TO SHARE ABOUT PHYSICAL ACTIVITY PROGRAMS TO HELP PROMOTE AND POSSIBLY REPLICATE IN OTHER AREAS TO EXPAND PHYSICAL ACTIVITY OPPORTUNITIES AND INFRASTRUCTURE: THE COMMON WHEEL, COMMUNITY HEALTH COUNCIL OF LEBANON COUNTY - LEBANON VALLEY CALENDAR, PENNSYLVANIA PARKS & FORESTS FOUNDATION, THE ASPEN INSTITUTE - PROJECT PLAY, PENN STATE PRO WELLNESS, AHEC - HEALTH EQUITY TOOL KIT, BETTER TOGETHER LEBANON SUMMERFEST, GIRLS RUGBY, INC., GIRLS ON THE RUN, JCWK DANCE LAB, HARRISBURG BICYCLE CLUB - SMART CYCLING CLASS, REACH PHYSICAL ACTIVITY PROJECTS, PENN STATE REHABILITATION RECFEST - CONTINUE TO PARTNER WITH DAUPHIN COUNTY PARKS AND RECREATION ON THEIR PARKS RX WALK WITH A DOC PROGRAM. PSH PHYSICIANS SHARE A KEY MESSAGE AND THEN WALK WITH PARTICIPANTS TO ANSWER QUESTIONS. DCPR ALSO OPENED A FIRST DISC GOLF COURSE IN NORTHERN DAUPHIN COUNTY. - SHARED AND PARTICIPATED IN HARRISBURG PARKS AND RECREATION DESIGN UPDATE MEETINGS. - TASK FORCE MEMBERS PARTICIPATE ON THE PA STATE HEALTH IMPROVEMENT PLAN DEVELOPMENT COMMITTEE FOR PHYSICAL ACTIVITY AND NUTRITION.ENHANCE POLICIES AND INFRASTRUCTURE TO INCREASE OPPORTUNITIES FOR PHYSICAL ACTIVITY: - WORKED WITH PHYSICAL ACTIVITY INFRASTRUCTURE AND INITIATIVES IN ALL 6 COUNTIES. - BIKE SHARE PROGRAM - ON REGIONAL BIKE SHARE PLANNING COMMITTEE AND NEW BIKE RACK PLACED IN HUMMELSTOWN. - PROVIDED COUNTING DEVICES TO THE SAMBA TRAILS AND WILL CONTINUE TO SUPPORT THESE TRAILS. - PROMOTED AND PARTICIPATED IN MEETINGS FOR THE TRI-COUNTY REGIONAL PLANNING COMMISSION (TCRPC) AND HARRISBURG AREA TRANSPORTATION STUDY (HATS) REGIONAL ACTIVE TRANSPORTATION PLAN FOR CUMBERLAND, DAUPHIN, AND PERRY COUNTIES. - PROVIDED COMMUNITY RELATIONS GRANTS TO THE JOY OF SPORTS FOUNDATION PLAY FIT PROGRAM IN DERRY TOWNSHIP, LEBANON BICYCLE RECYCLE, BRINGING BALANCE TO OLDER ADULTS THROUGH A MATTER OF BALANCE. - PSH ST. JOSEPH'S DOWNTOWN CENTER IN READING AND REACH OFFERED AND EVALUATED A WALK WITH A DOC PROGRAM. - REACH WORKS TO INCREASE PHYSICAL ACTIVITY THROUGH THE BUILT ENVIRONMENT AND VARIOUS PHYSICAL ACTIVITY INITIATIVES IN LEBANON AND BERKS COUNTIES: LEBANON: TRAFFIC GARDEN, LIBERTY TRAIL IMPROVEMENTS, PUMPTRACK, SAMBA TRAILS AND BASKETBALL COURT IMPROVEMENTS AT COLEMAN PARK, LEBANON BICYCLE RECYCLE, RAIL TRAIL SPUR PROJECTS. READING: ACTIVE TRANSPORTATION PLAN IN DOWNTOWN READING AND BILINGUAL AND INCLUSIVE WALKING GUIDES AND TOURS, WALK WORKS IN BOTH LEBANON AND READING. SUPPORT LEBANON PHYSICAL ACTIVITY TASK FORCE AND COMMUNITY EVENTS LIKE HEALTHY KIDS DAY, SUMMERFEST, LEBANON VALLEY TENNIS EVENTS, LEBANON VALLEY MOUNTAIN BIKE TEAM, ETC. - PENN STATE PRO WELLNESS PROVIDES ONGOING SUPPORT TO SCHOOLS FOR WALK TO SCHOOL DAY AND MOVE IT OUTSIDE. - RECFEST 2023 HELD AT SPOOKY NOOK IN LANCASTER - ADAPTIVE SPORTS RECREATION AND EXERCISE EXPO FOR ALL AGES AND ABILITIES TO INTRODUCE HOW TO USE AND ACCESS ADAPTIVE EQUIPMENT. - NATIONAL NIGHT OUT WAS HELD ON AUGUST 1ST AT 10 LOCATIONS ACROSS OUR SIX COUNTIES; IN PERRY COUNTY THE MESSAGE FOCUSED ON BACK TO SCHOOL SAFETY DEVELOPED BY PSH PEDIATRIC TRAUMA AND INJURY PREVENTION INCLUDING TRANSPORTATION SAFETY, AND REFLECTORS FOR USE ON BACKPACKS, KEYCHAINS, ETC. WERE DISTRIBUTED.PART V, SECTION B, LINE 16:THE FINANCIAL ASSISTANCE POLICY, APPLICATION AND PLAIN LANGUAGE SUMMARY ARE AVAILABLE AT THE FOLLOWING WEBSITE: WWW.PENNSTATEHEALTH.ORG/PATIENTS-VISITORS/BILLING-MEDICAL-RECORDS/FINANCIAL-ASSISTANCE 63 1 - ALLERGY ASTHMA & IMMUNOLOGY 10 CONFERENCE DRIVE HERSHEY PA 17033 ALLERGY, ASTHMA & IMMUNOLOGY 2 - ANESTHESIA PREOPERATIVE EVALUATION 200 CAMPUS DRIVE ENTRANCE 4 SUITE 1300 HERSHEY PA 17033 ANESTHESIA PREOPERATIVE EVALUATION 3 - BONE AND JOINT INSTITUTE 30 HOPE DRIVE SUITE 2400 ENTRANCE B HERSHEY PA 17033 ADULT ORTHOPAEDICS 4 - BREAST CENTER 30 HOPE DRIVE SUITE 1800 ENTRANCE A HERSHEY PA 17033 SURGICAL SPECIALTIES, MAMMOGRAPHY 5 - CAMP HILL - MRI AND MAMMOGRAPHY 3025 MARKET ST CAMP HILL PA 17011 MRI & MAMMOGRAPHY 6 - CAMP HILL - RADIOLOGY & ULTRASOUND 3025 MARKET ST CAMP HILL PA 17011 RADIOLOGY & ULTRASOUND 7 - CANCER INSTITUTE INFUSION SERVICES 400 UNIVERSITY DRIVE HERSHEY PA 17033 ADULT INFUSION 8 - CANCER INSTITUTE OUTPATIENT CLINIC 400 UNIVERSITY DRIVE HERSHEY PA 17033 CANCER CARE 9 - CANCER INSTITUTE RADIATIONONCOLOGY 400 UNIVERSITY DRIVE HERSHEY PA 17033 RADIATION ONCOLOGY 10 - CHILDREN'S HEART GROUP NYES ROAD 121 NYES ROAD SUITE D HARRISBURG PA 17112 GENERAL PEDIATRICS & PEDS CARDIOLOGY 11 - CHILDREN'S HOSPITAL - HEMATOLOGYONCOLOG 600 UNIVERSITY DRIVE HERSHEY PA 17033 PEDIATRIC INFUSION 12 - DENTAL CLINIC 200 CAMPUS DRIVE ENTRANCE 4 SUITE 1300 HERSHEY PA 17033 DENTISTRY 13 - DERMATOLOGY 200 CAMPUS DRIVE ENTRANCE 3 SUITE 100 HERSHEY PA 17033 DERMATOLOGY & MOHS SURGERY 14 - DIALYSIS 200 CAMPUS DRIVE ENTRANCE 4 SUITE 1400 HERSHEY PA 17033 DIALYSIS 15 - EAST CAMPUS CTMRIUS 30 HOPE DRIVE SUITE 1900 ENTRANCE A HERSHEY PA 17033 CT, MRI & ULTRASOUND 16 - EAST CAMPUS RADIOLOGY 30 HOPE DRIVE SUITE 2300 ENTRANCE B HERSHEY PA 17033 X-RAY 17 - ENDOSCOPY 200 CAMPUS DRIVE ENTRANCE 4 SUITE 2500 HERSHEY PA 17033 ENDOSCOPY 18 - EYE CENTER 200 CAMPUS DRIVE ENTRANCE 1 SUITE 800 HERSHEY PA 17033 OPHTHALMOLOGY & OPTOMETRY 19 - FISHBURN ROAD RADIOLOGY 845 FISHBURN ROAD HERSHEY PA 17033 X-RAY 20 - GAMMA KNIFE 30 HOPE DRIVE HERSHEY PA 17033 NEURO-ONCOLOGY & RADIATION ONCOLOGY 21 - HEART & VASCULAR INSTITUTE (IO SILVER) 200 CAMPUS DRIVE ENTRANCE 2 SUITE 600 HERSHEY PA 17033 CARDIOLOGY 22 - MEDICINE SUITE 200 CAMPUS DRIVE ENTRANCE 4 SUITE 2400 HERSHEY PA 17033 GASTROENTEROLOGY 23 - MIDDLETOWN RADIOLOGY 3100 SCHOOLHOUSE RD SUITE 200 MIDDLETOWN PA 17057 X-RAY 24 - NEUROLOGY 30 HOPE DRIVE SUITE 1300 ENTRANCE B HERSHEY PA 17033 NEUROLOGY 25 - NEUROPHYSIOLOGY LAB 30 HOPE DRIVE ROOM 1619 HERSHEY PA 17033 NEUROPHYSIOLOGY 26 - NEUROSURGERY 30 HOPE DRIVE SUITE 1200 ENTRANCE B HERSHEY PA 17033 NEUROSURGERY 27 - NYES ROAD RADIOLOGY 121 NYES ROAD SUITE B HARRISBURG PA 17112 X-RAY 28 - OBSTETRICS & GYNECOLOGY EAST CAMPUS 35 HOPE DRIVE SUITE 202 204 HERSHEY PA 17033 WOMEN'S HEALTH 29 - PAIN MEDICINE 200 CAMPUS DRIVE ENTRANCE 4 SUITE 3300 HERSHEY PA 17033 PAIN MEDICINE 30 - PEDIATRIC BONE AND JOINT INSTITUTE 30 HOPE DRIVE SUITE 2200 ENTRANCE B HERSHEY PA 17033 PEDIATRIC ORTHOPAEDICS 31 - PEDIATRIC SPECIALTIES 200 CAMPUS DRIVE ENTRANCE 4 SUITE 1100 HERSHEY PA 17033 PEDIATRIC MULTI-SPECIALTY 32 - PEDIATRIC SPECIALTIES HOPE DRIVE 35 HOPE DRIVE SUITE 104 HERSHEY PA 17033 PEDIATRIC MULTI-SPECIALTY 33 - PEDIATRICS EAST CAMPUS 35 HOPE DRIVE SUITE 102 HERSHEY PA 17033 GENERAL PEDIATRICS 34 - PLASTIC SURGERY 30 HOPE DRIVE SUITE 1860 ENTRANCE A HERSHEY PA 17033 PLASTIC SURGERY 35 - PSMG - BRIARCREST ADOLESCENT MEDICINE 905 W GOVERNOR ROAD SUITE 200 HERSHEY PA 17033 ADOLESCENT MEDICINE 36 - PSMG - BRIARCREST FEEDING CLINIC 905 W GOVERNOR ROAD SUITE 350 HERSHEY PA 17033 DEVELOPMENTAL MEDICINE 37 - PSMG - BRIARCREST PEDIATRIC SPECIALTIES 905 W GOVERNOR ROAD SUITE 320 HERSHEY PA 17033 PEDIATRIC GASTROENTEROLOGY 38 - PSMG - CAMP HILL FAMILY MEDICINE ENTRANCE B 3025 MARKET STREET CAMP HILL PA 17011 PRIMARY CARE 39 - PSMG - CAMP HILL SPECIALTIES ENTRANCE A 3025 MARKET STREET CAMP HILL PA 17011 MULTI-SPECIALTY 40 - PSMG - COCOA OUTPATIENT CENTER 1150 COCOA AVE HERSHEY PA 17033 PRIMARY CARE, ENDOCRINOLOGY & NEPHROLOGY 41 - PSMG - ELIZABETHTOWN 1 CONTINENTAL DR ELIZABETHTOWN PA 17022 PRIMARY CARE 42 - PSMG - FISHBURN ROAD 845 FISHBURN ROAD HERSHEY PA 17033 PRIMARY CARE 43 - PSMG - HARRISBURG 2626 NORTH THIRD STREET HARRISBURG PA 17110 PRIMARY CARE 44 - PSMG - HEART & VASCULAR INSTITUTE - NYES 121 NYES ROAD SUITE E HARRISBURG PA 17110 CARDIOLOGY 45 - PSMG - LIME SPRING HEM ONC 2221 NOLL DRIVE SUITE B LANCASTER PA 17603 ADULT INFUSION 46 - PSMG - LIME SPRING SPECIALTIES 2221 NOLL DRIVE SUITE E100 LANCASTER PA 17603 MULTI-SPECIALTY 47 - PSMG - MECHANICSBURG 140 OLD WILLOW MILL ROAD MECHANICSBURG PA 17050 PRIMARY CARE 48 - PSMG - MIDDLETOWN 3100 SCHOOLHOUSE RD SUITE 200 MIDDLETOWN PA 17057 PRIMARY CARE 49 - PSMG - MINIMALLY INVASIVE SURGERYBARIAT 3100 SCHOOLHOUSE RD SUITE 100 MIDDLETOWN PA 17057 MINIMALLY INVASIVE SURGERY/BARIATRICS 50 - PSMG - MOUNT JOY 201 LEFEVER ROAD MOUNT JOY PA 17552 PRIMARY CARE 51 - PSMG - NYES ROAD--FAMILY MEDICINE I 121 NYES ROAD SUITE A HARRISBURG PA 17112 PRIMARY CARE 52 - PSMG - NYES ROAD--FAMILY MEDICINE II 121 NYES ROAD SUITE F HARRISBURG PA 17112 PRIMARY CARE 53 - PSMG - NYES ROAD--SPECIALTIES 121 NYES ROAD SUITE C HARRISBURG PA 17112 MULTI-SPECIALTY 54 - PSMG - PALMYRA 941 PARK DR PALMYRA PA 17078 PRIMARY CARE 55 - PSMG - PENN STATE CHILDREN'S LANCASTER P 1430 HARRISBURG PIKE LANCASTER PA 17601 PEDIATRIC MULTI-SPECIALTY 56 - PSMG - PENN STATE HEALTH - LEADER HEIGHT 130 LEADER HEIGHTS YORK PA 17403 PEDIATRIC SPECIALTIES & REPRODUCTIVE ENDOCRINOLOGY 57 - PSMG - PHYSICAL MEDICINE AND REHABILITAT 1135 OLD WEST CHOCOLATE AVE SUITE 101 HUMMELSTOWN PA 17036 PHYSICAL MEDICINE AND REHABILITATION 58 - PSMG - PSYCHIATRY 22 NORTHEAST DR HERSHEY PA 17033 BEHAVIORAL HEALTH 59 - PSMG - SLEEP RESEARCH AND TREATMENT CENT 1214 RESEARCH BLVD SUITE 1159 HUMMELSTOWN PA 17036 SLEEP LAB 60 - PULMONARY FUNCTION LAB 200 CAMPUS DRIVE ENTRANCE 4 SUITE 2018 HERSHEY PA 17033 PULMONARY TESTING 61 - SURGERY SPECIALTIESUROLOGY 200 CAMPUS DRIVE ENTRANCE 4 SUITE 3100 HERSHEY PA 17033 SURGICAL SPECIALTIES 62 - SURGERY SUITE 400 & AUDIOLOGY 200 CAMPUS DRIVE ENTRANCE 2 SUITE 400 HERSHEY PA 17033 OTOLARYNGOLOGY & AUDIOLOGY 63 - THERAPY SERVICES 30 HOPE DRIVE SUITE 1500 ENTRANCE B HERSHEY PA 17033 PHYSICAL, OCCUPATIONAL & SPEECH THERAPY PART I, LINE 3C: NOT APPLICABLE PART I, LINE 6A: COMMUNITY BENEFIT REPORT: THE MILTON S. HERSHEY MEDICAL CENTER PREPARES A COMMUNITY BENEFIT REPORT AND MAKES IT AVAILABLE TO THE PUBLIC. PART I, LINE 7: COSTING METHODOLOGY USED TO CALCULATE FINANCIAL ASSISTANCE: A COST ACCOUNTING SYSTEM WAS NOT USED TO COMPUTE AMOUNTS IN THE TABLE; RATHER COSTS IN THE TABLE WERE COMPUTED USING THE ORGANIZATION'S COST-TO-CHARGE RATIO. THE COST-TO-CHARGE RATIO COVERS ALL PATIENT SEGMENTS. BASED ON THAT FORMULA, ($1,903,204,585/$6,491,818,431) RESULTS IN A 29% COST-TO-CHARGE RATIO. PART I, LINE 7G: SUBSIDIZED HEALTH SERVICES: THERE ARE NO PHYSICIAN PRACTICES INCLUDED IN SUBSIDIZED HEALTH SERVICES. PART II, COMMUNITY BUILDING ACTIVITIES: COMMUNITY BUILDING ACTIVITIES: EACH HOSPITAL WITHIN THE PENN STATE HEALTH SYSTEM ENGAGED IN ACTIVITIES TO PROTECT AND IMPROVE EACH OF ITS COMMUNITY'S HEALTH AND SAFETY. OVERALL, FOR FY2023 THE PENN STATE HEALTH SYSTEM SERVED 972,301 COMMUNITY MEMBERS WITH 126,400 EMPLOYEE HOURS AND 43,337 VOLUNTEER HOURS, RESULTING IN $7,291,934 IN COMMUNITY HEALTH SERVICES PROVIDED TO THE COMMUNITIES. A PORTION OF THE COMMUNITY HEALTH IMPROVEMENT SERVICES IS PRESENTED IN PART I, LINE 7. PART III, LINE 2: THE INITIAL IMPLICIT PRICE CONCESSIONS (BAD DEBT) RESERVE IS DETERMINED BASED ON THE DIFFERENCE BETWEEN THE 18 MONTH AND THE 6 MONTH ZERO BALANCE CLAIMS RATE. IF A NEGATIVE IMPLICIT RATE IS CALCULATED, NO IMPLICIT RATE IS APPLIED BASED ON THE RESULTS OF THE PRIOR YEAR LOOKBACK. ADDITIONAL IMPLICIT PRICE CONCESSION ESTIMATES ARE CONSIDERED TO ACCOUNT FOR (1) SELF-PAY AFTER INSURANCE BALANCES THAT HAVE NOT YET TRANSFERRED FROM AN INSURANCE BALANCE TO PATIENT BALANCE DUE TO TIMING OF THE REVENUE CYCLE PROCESS, AND (2) UNCOLLECTIBLE AMOUNTS THAT OCCUR ON A PATIENT ACCOUNT GREATER THAN 18 MONTHS. PART III, LINE 3: PATIENTS' ACCOUNTS ARE MONITORED THROUGHOUT THE BILLING PROCESS AND ARE RECLASSIFIED TO CHARITY CARE (100% DISCOUNTED CARE) WHENEVER A PATIENT BECOMES ELIGIBLE UNDER THE HOSPITAL'S UNCOMPENSATED OR CHARITY CARE POLICY. PART III, LINE 4: PAGE 12, FOOTNOTE FOR NET PATIENT SERVICE REVENUE PART III, LINE 8: THE ORGANIZATION BELIEVES THAT MEDICARE UNDERPAYMENTS (SHORTFALL) AND THE COST OF BAD DEBT ARE COMMUNITY BENEFIT AND SHOULD BE INCLUDED ON FORM 990, SCHEDULE H, PART I. THE ORGANIZATION BELIEVES THAT THESE SERVICES AND RELATED COSTS PROMOTE THE HEALTH OF THE COMMUNITY AS A WHOLE AND ARE RENDERED IN CONJUNCTION WITH THE ORGANIZATION'S CHARITABLE TAX-EXEMPT PURPOSES AND MISSION IN PROVIDING MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER WITHOUT REGARD TO RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY AND IS CONSISTENT WITH THE COMMUNITY BENEFIT STANDARD PROMULGATED BY THE IRS. THE COMMUNITY BENEFIT STANDARD IS THE CURRENT STANDARD FOR A TAX-EXEMPT AND CHARITABLE ORGANIZATION UNDER THE INTERNAL REVENUE CODE ("IRC") 501(C)(3). SATISFYING THE "COMMUNITY BENEFIT STANDARD," AS ARTICULATED BY THE INTERNAL REVENUE SERVICE (IRS) IN REVENUE RULING 69-545, IS CURRENTLY REQUIRED FOR A HOSPITAL TO BE RECOGNIZED AS A CHARITABLE ORGANIZATION UNDER INTERNAL REVENUE CODE (IRC) 501(C)(3). AS DEVELOPED IN REVENUE RULING 69-545, UNDER THE COMMUNITY BENEFIT STANDARD, HOSPITALS WERE JUDGED ON WHETHER THEY PROMOTE THE HEALTH OF A BROAD CLASS OF INDIVIDUALS IN THE COMMUNITY. THE IRS CONCLUDED THAT THE HOSPITAL WAS "PROMOTING THE HEALTH OF A CLASS OF PERSONS THAT IS BROAD ENOUGH TO BENEFIT THE COMMUNITY" BECAUSE ITS EMERGENCY ROOM WAS OPEN TO ALL AND IT PROVIDED CARE TO THOSE WHO COULD PAY, WHETHER DIRECTLY OR THROUGH THIRD-PARTY REIMBURSEMENT. OTHER FACTORS THAT DEMONSTRATED COMMUNITY BENEFIT INCLUDED: SURPLUS FUNDS WERE USED TO IMPROVE PATIENT CARE, EXPAND FACILITIES AND ADVANCE MEDICAL TRAINING, EDUCATION AND RESEARCH; AND IT WAS CONTROLLED BY A BOARD OF DIRECTORS THAT CONSISTED OF INDEPENDENT CIVIC LEADERS.PENNSYLVANIA REQUIRES NON-PROFIT HOSPITALS TO PROVIDE A MINIMUM LEVEL OF COMMUNITY BENEFIT TO RETAIN EXEMPTION FROM STATE AND LOCAL TAXES. ACCORDING TO STATE GUIDANCE AND CASE LAW, THE UNREIMBURSED COST OF MEDICARE AND BAD DEBT IS CONSIDERED TO BE COMMUNITY BENEFIT FOR STATE TAX EXEMPTION PURPOSES. PART III, LINE 9B: THE MEDICAL CENTER'S DEBT COLLECTION POLICY PROVIDES THAT THE MEDICAL CENTER WILL PERFORM A REASONABLE REVIEW OF EACH INPATIENT ACCOUNT PRIOR TO TURNING AN ACCOUNT FOR TO A THIRD-PARTY COLLECTION AGENT AND PRIOR TO INSTITUTING ANY LEGAL ACTION FOR NON-PAYMENT, TO ASSURE THAT THE PATIENT AND PATIENT GUARANTOR ARE NOT ELIGIBLE FOR ANY ASSISTANCE PROGRAM (E.G. MEDICAID) AND DO NOT QUALIFY FOR COVERAGE THROUGH THE MEDICAL CENTER'S COMMUNITY ASSISTANCE POLICY. AFTER HAVING BEEN TURNED OVER TO A THIRD-PARTY COLLECTION AGENT, ANY PATIENT ACCOUNT THAT IS SUBSEQUENTLY DETERMINED TO MEET THE MEDICAL CENTER COMMUNITY ASSISTANCE POLICY IS REQUIRED TO BE RETURNED IMMEDIATELY BY THE THIRD-PARTY COLLECTION AGENT TO THE MEDICAL CENTER FOR APPROPRIATE FOLLOW-UP. THE MEDICAL CENTER REQUIRES ITS THIRD-PARTY COLLECTION AGENTS TO INCLUDE A MESSAGE ON ALL STATEMENTS INDICATING THAT IF A PATIENT OR PATIENT GUARANTOR MEETS CERTAIN STIPULATED INCOME REQUIREMENTS, THE PATIENT OR PATIENT GUARANTOR MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE.THE MEDICAL CENTER'S CONTRACTS WITH THIRD PARTY COLLECTION AGENCIES INCLUDE THE FOLLOWING STANDARDS: - NEITHER THE MEDICAL CENTER NOR THEIR COLLECTION AGENCIES WILL REQUEST BENCH OR ARREST WARRANTS AS A RESULT OF NON-PAYMENT; - NEITHER THE MEDICAL CENTER NOR THEIR COLLECTION AGENCIES WILL SEEK LIENS THAT WOULD REQUIRE THE SALE OR FORECLOSURE OF A PRIMARY RESIDENCE; - NO COLLECTION AGENCY MAY SEEK COURT ACTION WITHOUT HOSPITAL APPROVAL.FINALLY, COLLECTION AGENCIES ARE TRAINED ON THE MEDICAL CENTER'S MISSION, CORE VALUES AND STANDARD OF CONDUCT TO MAKE SURE ALL PATIENTS ARE TREATED WITH DIGNITY AND RESPECT. PART VI, LINE 2: COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA):SEE CHNA INFORMATION. OCCASIONALLY ADDITIONAL ASSESSMENTS ARE CONDUCTED BY DISEASE SPECIFIC DEPARTMENTS, INSTITUTES, AND PROGRAMS. PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCEWE BELIEVE THAT RECEIVING HEALTHCARE IS A BASIC HUMAN RIGHT. THE MILTON S. HERSHEY MEDICAL CENTER PARTICIPATES IN THE WIDEST NUMBER OF INSURANCE PROGRAMS OF THE HOSPITALS IN THE REGION. WE REALIZE THAT MANY PEOPLE EITHER CANNOT AFFORD HEALTH INSURANCE OR DO NOT HAVE ENOUGH INSURANCE TO COVER THEIR BILLS. THOSE ARE THE REASONS FOR OUR PAYMENT OPTIONS AND FINANCIAL ASSISTANCE PROGRAM, WHICH IS PUBLICLY POSTED ON THE HOSPITAL WEBSITE: HTTPS://WWW.PENNSTATEHEALTH.ORG/PATIENTS-VISITORS/BILLING-MEDICAL-RECORDS/FINANCIAL-ASSISTANCE. A PRICE ESTIMATOR ALSO WAS ADDED IN ORDER TO FURTHER CREATE PRICE AND COST TRANSPARENCY.WE UNDERSTAND THAT THE NEED FOR HEALTH CARE AND HOSPITAL SERVICES IS OFTEN UNPLANNED, AND SOME PATIENTS MAY NOT HAVE SUFFICIENT INSURANCE, OR MAY BE UNABLE TO PAY THEIR ENTIRE BILL RIGHT AWAY. WE ASSURE PATIENTS THAT ADMISSION TO THE MILTON S. HERSHEY MEDICAL CENTER , NOT A FINANCIAL, DECISION. FOR THOSE WHO NEED TO TAKE ADVANTAGE OF OUR FINANCIAL ASSISTANCE PROGRAMS, WE PROVIDE THE NECESSARY ASSISTANCE IN COMPLETING APPLICATIONS THAT HELP TO DETERMINE ELIGIBILITY FOR FEDERAL, STATE OR COUNTY GOVERNMENT HEALTH CARE ASSISTANCE. WE ALSO OFFER THE MILTON S. HERSHEY MEDICAL CENTER'S OWN ASSISTANCE PLAN THAT CAN PAY ALL OR A SIGNIFICANT PORTION OF HOSPITAL BILLS. PART VI, LINE 4: COMMUNITY INFORMATIONTHE SERVICE AREA DEFINED FOR PURPOSES OF THE CHNA ENCOMPASSES 225 ZIP CODES IN SIX PENNSYLVANIA COUNTIES: BERKS, CUMBERLAND, DAUPHIN, LANCASTER, LEBANON AND PERRY. THESE SIX FOCUS COUNTIES REPRESENT THE COMMUNITY WHERE HEALTH CARE RESOURCES ARE AVAILABLE AND PROVIDED BY THE PARTNERING PENN STATE HEALTH ORGANIZATIONS. THE COUNTIES ARE ALSO HOME TO THE MAJORITY OF PENN STATE HEALTH'S PATIENT POPULATION. TOTAL POPULATION OF THESE SIX COUNTIES: 1,707,543. FOR ADDITIONAL DEMOGRAPHIC INFORMATION SEE FULL CHNA REPORT PAGE 2 AND STARTING ON PAGE 17. PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTHPENN STATE HEALTH HAS COMPLETED FIVE CYCLES OF COMMUNITY HEALTH NEEDS ASSESSMENTS AND HAS ESTABLISHED A LONG LEGACY OF COMMUNITY HEALTH PROGRAMMING. MANY PROGRAMS IDENTIFIED IN OUR PREVIOUS PLANS WILL CARRY FORWARD AND BE FURTHER DEVELOPED AND ENHANCED; INCLUDING THOSE COLLABORATED ON WITH MANY PROGRAMS AND PROJECTS WITHIN THE PENN STATE COLLEGE OF MEDICINE: - PENN STATE CANCER INSTITUTE CANCER NAVIGATION AND SURVIVORSHIP NETWORK - PENN STATE ADDICTION CENTER FOR TRANSLATION - PENN STATE CENTER FOR THE PROTECTION OF CHILDREN - PENN STATE REACH (RACIAL AND ETHNIC APPROACHES TO COMMUNITY HEALTH) PROGRAM - PENN STATE PRO WELLNESS - PENN STATE PROJECT ECHO (EXTENSION FOR COMMUNITY HEALTHCARE OUTCOMES) - MEDICAL STUDENT PROGRAMS, INCLUDING THE HEALTH SYSTEMS SCIENCE PATIENT NAVIGATION AND CULINARY MEDICINE COURSES AND THE STUDENT-RUN AND COLLABORATIVE OUTREACH PROGRAM FOR HEALTH EQUITY (SCOPE). - PENN STATE HEALTH OFFICE FOR DIVERSITY, EQUITY AND INCLUSION PIPELINE PROGRAMS - PENN STATE COLLEGE OF MEDICINE DEPARTMENT OF PUBLIC HEALTH SCIENCES - COMMUNITY HEALTH EQUITY & ENGAGEMENT IN RESEARCH (CHEER) PROGRAM - PENN STATE COLLEGE OF NURSING - ASERT COMMUNITY OUTREACH SPECIFIC COMMUNITY HEALTH PROGRAMMING EXECUTED ON BY THE MILTON S. HERSHEY MEDICAL CENTER IS AS FOLLOWS:- THE PANTRIES AND WELLNESS SUPPORT (PAWS) PROGRAM STARTED AT THE MILTON S. HERSHEY MEDICAL CENTER EXPANDED CARDIOVASCULAR SCREENINGS AND HEALTH EDUCATION INTO ADDITIONAL FOOD PANTRIES ACROSS OUR COMMUNITY IN FIVE COUNTIES. - NARCAN DISTRIBUTION AND EDUCATION, AS WELL AS A COMPREHENSIVE DRUG SAFETY PROGRAM, INCLUDING EDUCATION, DRUG TAKE-BACK DAYS AND BOXES, LOCK BOXES AND DISPOSERX DRUG DISPOSAL PACKET DISTRIBUTION CONTINUED. - ASCVD HEART AND VASCULAR HEALTH- AL-ANON - ANNUAL FLU SHOT EVENTS IN UNDERSERVED COMMUNITY LOCATIONS, ENSURING THESE IMPORTANT VACCINES CAN BE RECEIVED BY EVERYONE. - SCHOOL HEALTH ASSESSMENTS AND GLASSES FOR CHILDREN IN NEED PROGRAMS.- UNITED WAY CAMPAIGN, UNITED WAY DAY OF CARING AND STUFF THE BUS EVENT- CHARITABLE PURPOSE SPONSORSHIPS- BIKE SHARE PROGRAM AND SAMBA TRAILS- COMMUNITY GARDEN IN HERSHEY AND COMMUNITY GARDENS ACROSS OUR COMMUNITY IN ALL SIX COUNTIES- COMMUNITY HEALTH WORKERS (CHW) INCLUDING A CHW IN PARTNERSHIP WITH THE UNITED WAY CONTACT TO CARE PROGRAM- FARMERS MARKET IN HERSHEY- COMMUNITY HEALTH NURSING OUTREACH- CENTER FOR THE PROTECTION OF CHILDREN- DIABETIC ADULT CARE EDUCATION AND SUPPORT GROUPS- CAMP LIONHEART / HEART HEALTH FOR CHILDREN- HEART AND VASCULAR INSTITUTE HEART HEALTH EDUCATION AT 16 COMMUNITY OPPORTUNITIES- HEALTHCARE CAREER EXPLORATION PROGRAM (HCEP)- HELLO END OF LIFE PLANNING GAME - HISPANIC/LATINO CANCER COMMUNITY ADVISORY BOARD- INCREASING ACCESS TO HARM REDUCTION SERVICES PROJECT- LDCTC BE KIND AND SUBSTANCE USE DISORDER NEWSLETTER CAMPAIGN - LEBANON VALLEY BICYCLE RECYCLE - LET'S GET EDUCATED AGAINST CANCER MONTHLY WEBINAR SERIES- DIVERSITY AND INCLUSION OUTREACH AT THE HARRISBURG PRIDE FESTIVAL- MENTAL HEALTH COMMUNITY PROGRAMMING AND PSYCHIATRY COMMUNITY OUTREACH AT 28 EVENTS- OPIOID TASK FORCE AND STEWARDSHIP PROGRAM- DISEASE-SPECIFIC SUPPORT GROUPS, HEALTH SCREENINGS AND OUTREACH, COMMUNITY EVENTS, AND NAVIGATION PROGRAMS- COMMUNITY PARAMEDICINE- PRESCRIPTION ASSISTANCE PROGRAM- TRANSPORTATION SUPPORT TO UNDER-RESOURCED PATIENTS TO ALLOW THEM TO RECEIVE NECESSARY CARE- COMMUNITY BUILDING / DIVERSE BUSINESS PROGRAM - 32 HEALTH EDUCATION PROGRAMS THROUGH LOCAL MEDIA OUTLETS AND SURGERY LIVE!- COMMUNITY EMERGENCY SERVICES OUTREACH AND CPR.- PROVIDING EDUCATION AT DISEASE SPECIFIC COMMUNITY WALKS AND EVENT SUCH AS THE ALS WALK, MS WALK, AMERICAN HEAR/STROKE WALK, HIGHMARK WALK, ETC.- STUDENT SHADOWING AND EDUCATION - SPORTS MEDICINE, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, RESPIRATORY THERAPY, NURSING, PHARMACY, RADIOLOGY AND IMAGING, MEDICAL, PHYSICIAN ASSISTANT, ETC.- STATE COLLEGE LION MOBILE CLINIC- STROKE OUTREACH, SUPPORT GROUP AND COORDINATORS MEETINGS- PROVIDER AND FINANCIAL SUPPORT FOR COMMUNITY FREE CLINICS INCLUDING HOPE WITHIN MINISTRIES, BEACON CLINIC, ETC. - TOBACCO CESSATION AND PREVENTION IN PARTNERSHIP WITH THE YMCA CENTER FOR HEALTHY LIVING- COMMUNITY BOARD SERVICE- ADULT AND PEDIATRIC INJURY PREVENTION EDUCATION AND OUTREACH INCLUDING STOP THE BLEED; TRAUMA PREVENTION; DRIVE TO STAY ALIVE; CHILD SAFETY SEAT INSPECTIONS; SAFE SITTER PROGRAM; SAFE AT HOME PROGRAM; PEDESTRIAN, BICYCLE AND WATER SAFETY- BREAST CANCER SCREENING EVENTS- COMMUNITY PROFESSIONAL EDUCATION EVENTS AND SYMPOSIUMS- LIONCARE CLINIC AT THE BETHESDA MISSION- SKIN CANCER PREVENTION AND SUN SAFETY AWARENESS- DIVERSITY OUTREACH PROGRAMS / ALL THINGS DIVERSITY- EMERGENCY MEDICINE AND LIFE LION COMMUNITY OUTREACH- BLOOD DONATIONS- MAMMOGRAM PROGRAM- MINDFULNESS BASED STRESS REDUCTION- NUTRITION NAVIGATION PROGRAM - MENSTRUAL HEALTH PROJECTS TO IMPROVE HEALTH EQUITY IN THE COMMUNITY - NATIONAL NIGHT OUT ORGANIZED AT 10 LOCATIONS- PA STATE HEALTH IMPROVEMENT PLAN COMMITTEES FOR HEALTH EQUITY, NUTRITION AND PHYSICAL ACTIVITY- PROJECT SEARCH- PENN STATE REHABILITATION HOSPITAL RECFEST- PRIMARY CARE FOR THE NEPALI-SPEAKING BHUTANESE COMMUNITY-PSYCHIATRY SUMMER TREATMENT PROGRAM- PUBLIC HEALTH SCIENCES RESEARCH AND OUTREACH- SALVATION ARMY BREAKFAST PROGRAM AND GIVING TREE EVENTS- SIMULATION CENTER MENTAL HEALTH SIMULATION TRAININGS IN PARTNERSHIP WITH THE PA STATE POLICE ACADEMY- TRAUMA INFORMED CARE- UROLOGY ANNUAL PROSTATE CANCER SCREENING EVENT- VEGGIE RX IN LEBANON- WALK WITH A DOC IN PARTNERSHIP WITH DAUPHIN COUNTY PARKS AND REC AND THE HIGHMARK PARKS RX PROGRAM PART VI, LINE 6: AFFILIATED HEALTH CARE SYSTEMTHE MILTON S. HERSHEY MEDICAL CENTER IS A MEMBER OF THE PENN STATE HEALTH SYSTEM. EACH HOSPITAL IN THE SYSTEM HAS A ROLE IN ADDRESSING COMMUNITY HEALTH NEEDS; THESE ROLES ARE DISCUSSED IN THE CHNA AND THE IMPLEMENTATION PLAN. ADDITIONALLY, WE ENCOURAGE READING EACH HOSPITAL'S OWN FEDERAL FORM 990, SCHEDULE H TO HEAR MORE ABOUT PROGRAMS OFFERED IN ITS COMMUNITIES. PART VI, LINE 7: COMMUNITY BENEFIT REPORT STATE FILINGSNOT APPLICABLE IN THE STATE OF PENNSYLVANIA X X X X 1 1 0 0 0 0 0 1 0 JESSE BIBLE PHYSICIAN 934195 0 315000 0 2703 0 38400 0 23624 0 1313922 0 0 0 JOHN KELLEHER PHYSICIAN 936144 0 300000 0 2706 0 38400 0 23624 0 1300874 0 0 0 BRAD ZACHARIA PHYSICIAN 802014 0 270000 0 1566 0 38400 0 22723 0 1134703 0 0 0 JAMES MCINERNEY PHYSICIAN 790061 0 260000 0 6468 0 38400 0 23624 0 1118553 0 0 0 BEHZAD SOLEIMANI PHYSICIAN 839603 0 118525 0 92107 0 38400 0 9639 0 1098274 0 0 0 KEVIN P BLACK MD DEAN OF MEDICINE 945068 0 75000 0 10780 0 38400 0 9307 0 1078555 0 0 0 DEBORAH ADDO AS OF 82022 INT. PRES/DIRECTOR/PSH COO 0 788301 0 88462 0 44000 0 39593 0 9259 0 969615 0 0 DEBORAH BERINI PRESIDENT / DIRECTOR (THRU 8/2022) 497307 0 10000 0 308093 0 109527 0 6302 0 931229 0 0 0 TIM MOSHER MD DIRECTOR / CHAIR, DEPT RAD 660717 0 50000 0 5922 0 38400 0 17311 0 772350 0 0 0 ROBERT HARBAUGH FMR KE (THRU 6/22) - SVP, MED GROUP 484820 0 40000 0 115876 0 38400 0 23175 0 702271 0 0 0 JODY REYES CHIEF OPERATING OFFICER 434741 0 65000 0 3022 0 30426 0 12545 0 545734 0 0 0 ERIKA SAUNDERS FMR DIR (THRU 6/22) / PSYCHIATRIST 450875 0 50000 0 3147 0 38400 0 2448 0 544870 0 0 0 MICHELE SZKOLNICKI CNO 388814 0 37115 0 21987 0 38400 0 16401 0 502717 0 0 0 JULIE NICKELL TREASURER / CFO 397247 0 25000 0 5367 0 38400 0 23476 0 489490 0 0 0 NICOLE LEHMAN INTERIM SEC. (PSU EMP) 0 261742 0 15000 0 0 0 70490 0 26766 0 373998 0 0 ROSS DARROW VICE PRESIDENT, TREASURER 0 262516 0 25000 0 14362 0 38400 0 23219 0 363497 0 0 ANNEMARIE BOYAN FMR SEC/PSH GC (PSU EMP) (THRU 2/22) 0 142089 0 0 0 0 0 7383 0 5311 0 154783 0 0 PART I, LINE 3 ARRANGEMENT USED TO ESTABLISH THE CEO'S COMPENSATION: COMPENSATION FOR THE CEO (PRESIDENT) IS ESTABLISHED AND PAID BY A RELATED ORGANIZATION. THAT ORGANIZATION USED THE FOLLOWING TO ESTABLISH THE CEO'S COMPENSATION: (1) COMPENSATION COMMITTEE; (2) INDEPENDENT COMPENSATION CONSULTANT; (3) COMPENSATION SURVEY OR STUDY; (4) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. PART I, LINES 4A-B THE FOLLOWING INDIVIDUAL RECEIVED A SEVERANCE PAYMENT DURING THE CALENDAR YEAR ENDING WITHIN THIS FISCAL YEAR ENDED JUNE 30, 2023: - DEBORAH BERINI - $200,346 DURING THE CALENDAR YEAR ENDING WITHIN THIS FISCAL YEAR ENDED JUNE 30, 2023, A FORMER KEY EMPLOYEE PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. THE BELOW LISTED INDIVIDUAL VESTED IN THE PLAN IN A PRIOR YEAR; THEREFORE, CURRENT YEAR CONTRIBUTIONS ARE TAXABLE AND REPORTED ON SCHEDULE J, PART II, COLUMN B(III), OTHER REPORTABLE COMPENSATION. - ROBERT HARBAUGH - $82,636 DURING THE CALENDAR YEAR ENDING WITHIN THIS FISCAL YEAR ENDED JUNE 30, 2023, CERTAIN OFFICERS PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. THE BELOW LISTED INDIVIDUALS' CONTRIBUTIONS HAVE NOT YET VESTED; UNVESTED CONTRIBUTIONS ARE REPORTED ON SCHEDULE J, PART II, COLUMN C, RETIREMENT AND OTHER DEFERRED COMPENSATION. - DEBORAH BERINI - $71,127 - DEBORAH ADDO - $1,193 PART I, LINE 7 BONUSES, PAID BY THE FILING ORGANIZATION OR BY A RELATED ORGANIZATION THAT EMPLOYS THE INDIVIDUALS, ARE BASED ON A NUMBER OF VARIABLES INCLUDING BUT NOT LIMITED TO INDIVIDUAL GOAL ACHIEVEMENTS AS WELL AS ORGANIZATION OPERATION ACHIEVEMENTS. THE FINAL DETERMINATION OF THE BONUS AMOUNT IS DETERMINED AND APPROVED BY THE APPLICABLE BOARD AS PART OF THE OVERALL COMPENSATION REVIEW OF THE OFFICERS, KEY EMPLOYEES AND HIGHEST COMPENSATED. JEFFREY MILLER FAMILIAL W/ OFFICER 671978 EMPLOYMENT 0 MARIA HAMILTON FAMILIAL W/ KEY EMP 280409 EMPLOYMENT 0 GENERAL EXPLANATION PENNSYLVANIA STATE UNIVERSITY (PSU) IS THE PARENT OF PENN STATE HEALTH (PSH), AND PSH IS THE PARENT OF THE FILING ORGANIZATION, MILTON S. HERSHEY MEDICAL CENTER (MSHMC). -PSU IS A PUBLIC UNIVERSITY, A DIVISION OF THE COMMONWEALTH OF PENNSYLVANIA, WHOSE INCOME IS EXCLUDED UNDER INTERNAL REVENUE CODE (IRC) SECTION 115. PSU IS EXEMPT FROM FILING A FEDERAL FORM 990 BECAUSE IT IS A STATE INSTITUTION WHOSE INCOME IS EXCLUDED FROM GROSS INCOME UNDER SECTION 115. PSU'S YEAR OF FORMATION WAS 1855. -PSH IS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(A) OF THE IRC AS AN ORGANIZATION DESCRIBED IN SECTION 501(C)(3) AND FURTHER DESCRIBED IN SECTION 509(A)(3) (A SUPPORTING ORGANIZATION). PSH'S YEAR OF FORMATION WAS 2014. -MSHMC IS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(A) OF THE IRC AS AN ORGANIZATION DESCRIBED IN SECTION 501(C)(3) AND FURTHER DESCRIBED IN SECTION 509(A)(1) AND 170(B)(1)(A)(III) (A HOSPITAL). MSHMC'S YEAR OF FORMATION WAS 2000. IN 2000, MSHMC REQUESTED RECOGNITION OF ITS EXEMPT STATUS AS A SECTION 501(C)(3) ORGANIZATION AND CONFIRMATION OF EXEMPTION FROM FILING A FEDERAL FORM 990 BECAUSE IT IS AN AFFILIATE OF A GOVERNMENTAL UNIT (I.E., PSU). THE INTERNAL REVENUE SERVICE (IRS) GRANTED SUCH EXEMPTION IN ACCORDANCE WITH REVENUE PROCEDURE 95-48 WHICH PROVIDES THAT AFFILIATES OF GOVERNMENTAL UNITS EXEMPT FROM FEDERAL INCOME TAX UNDER 501(A) ARE LIKEWISE EXEMPT FROM FILING FEDERAL FORM 990. THEREFORE, SINCE ITS INCORPORATION FORMATION IN 2000, MSHMC HAS NOT FILED A FORM 990. FOR THE YEAR ENDED JUNE 30, 2022, MSHMC MANAGEMENT DECIDED THAT THERE ARE ADVANTAGES TO PREPARING AND FILING A FORM 990 AND IS VOLUNTARILY CHOOSING TO DO SO. FORM 990, PART V, LINE 1A: FORM 1096: FORM 1096 FOR THE FILING ORGANIZATION IS PROCESSED AND REPORTED BY ITS RELATED ORGANIZATION PENN STATE HEALTH (EIN: 47-3769205). FORM 990, PART VI, SECTION A, LINE 2 CERTAIN LISTED OFFICERS AND BOARD MEMBERS ALSO SERVE AS OFFICERS AND BOARD MEMBERS OF A TAXABLE ENTITY. FORM 990, PART VI, SECTION A, LINE 6 CLASSES OF MEMBERS OR STOCKHOLDERS: THE FILING ORGANIZATION'S SOLE MEMBER IS PENN STATE HEALTH, A PENNSYLVANIA NONPROFIT CORPORATION, RECOGNIZED AS EXEMPT FROM FEDERAL TAXATION AS A CHARITABLE ENTITY. FORM 990, PART VI, SECTION A, LINE 7A ELECTING MEMBERS OF GOVERNING BODY: DIRECTORS SHALL BE ELECTED BY THE SOLE MEMBER. PURSUANT TO SPECIFICATIONS DEFINED IN THE BYLAWS, THE SOLE MEMBER MAY AT ANY TIME REMOVE, WITH OR WITHOUT CAUSE, ANY MEMBER OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B DECISIONS REQUIRING APPROVAL BY MEMBERS OR STOCKHOLDERS: PURSUANT TO SPECIFICATIONS DEFINED IN THE BYLAWS THE CORPORATE MEMBERS HAVE RESERVED POWERS. NOTWITHSTANDING ANY OTHER PROVISIONS OF THESE BYLAWS, THE SOLE MEMBER MUST APPROVE THE FOLLOWING ITEMS, AS APPLICABLE, BEFORE THEY MAY BE IMPLEMENTED BY THIS CORPORATION. THE SOLE MEMBER SHALL HAVE THE AUTHORITY: (A) TO DETERMINE THE NUMBER OF AND TO ELECT AND REMOVE, WITH OR WITHOUT CAUSE, THE DIRECTORS OF THE CORPORATION; (B) TO APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, AND TO DETERMINE THE COMPENSATION OF, THE PRESIDENT; (C) TO ELECT AND REMOVE, WITH OR WITHOUT CAUSE, THE CHAIR AND VICE CHAIR OF THE BOARD, THE SECRETARY (INCLUDING ANY ASSISTANT OR ASSOCIATE SECRETARY), AND THE TREASURER (INCLUDING ANY ASSISTANT TREASURER); (D) TO APPROVE ANY AND ALL AMENDMENTS TO THE ARTICLES OF INCORPORATION OR BYLAWS OF THE CORPORATION; (E) TO ADOPT OR MODIFY THE MISSION, VISION, OR OBJECTIVES OF THE CORPORATION; (F) TO ADOPT ALL LONG-RANGE AND STRATEGIC PLANS; (G) TO APPROVE ALL OPERATING AND CAPITAL BUDGETS; (H) TO APPROVE ALL UNBUDGETED CAPITAL EXPENDITURES AND ALL UNBUDGETED OPERATING EXPENDITURES IN EXCESS OF SUCH AMOUNT AS IS DETERMINED BY OR PURSUANT TO THE POLICIES OF THE SOLE MEMBER; (I) TO APPROVE THE INCURRENCE OF DEBT OR GUARANTEE OF INDEBTEDNESS FOR BORROWED MONEY, OR THE PLEDGE OR MORTGAGE OF ASSETS TO SECURE THE SAME AND TO ESTABLISH AN OBLIGATED GROUP FOR FINANCING PURPOSES; (J) TO DETERMINE ANNUAL DISTRIBUTIONS TO BE MADE TO OR FOR THE BENEFIT OF THE PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE AS ACADEMIC SUPPORT PAYMENTS; (K) TO REQUIRE THE CORPORATION TO PARTICIPATE IN A CENTRALIZED FINANCIAL AND CASH MANAGEMENT SYSTEM FOR PENN STATE HEALTH AND ONE OR MORE OF ITS CONTROLLED AFFILIATES (THE "SYSTEM"); (L) TO APPROVE ANY DONATION OR TRANSFER OF THE CORPORATION'S ASSETS IN EXCESS OF SUCH AMOUNT AS IS DETERMINED BY OR PURSUANT TO THE POLICIES OF THE SOLE MEMBER, OTHER THAN DONATIONS OR TRANSFERS TO THE SOLE MEMBER OR ANOTHER ENTITY IN THE SYSTEM, UNLESS AUTHORIZED IN THE CORPORATION'S APPROVED BUDGET; (M) TO APPROVE AND AUTHORIZE ADDITIONS AND ELIMINATIONS OF CLINICAL SERVICES OF THE CORPORATION AND TO DETERMINE THE DISTRIBUTION OF CLINICAL AND SUPPORT SERVICES ACROSS THE SYSTEM; (N) TO APPROVE THE CREATION OR DISSOLUTION OF, INVESTMENT IN, OR DISPOSITION OF ANY SUBSIDIARY OR JOINT VENTURE AND TO APPROVE ANY OTHER STRATEGIC ALIGNMENT OR FUNDAMENTAL CHANGE TRANSACTION, INCLUDING (I) JOINT OPERATING AGREEMENTS OR MANAGEMENT AGREEMENTS, (II) ACQUISITIONS, DISPOSITIONS OR TRANSFERS OF MATERIAL OPERATIONS, (III) CLOSURE OF FACILITIES, (IV) MERGERS, CONSOLIDATIONS, AND DIVISIONS, (V) THE SALE, PLEDGING, LEASING OR TRANSFER OF ASSETS WITH A VALUE IN EXCESS OF SUCH AMOUNT AS IS DETERMINED BY OR PURSUANT TO THE POLICIES OF THE SOLE MEMBER, AND (VI) THE LIQUIDATION OR DISSOLUTION OF THE CORPORATION; (O) TO ADOPT EMPLOYEE BENEFIT PLANS; (P) TO ADOPT OR APPROVE THE INVESTMENT POLICIES OF THE CORPORATION; (Q) TO SELECT AND APPOINT AUDITORS FOR, AND TO DESIGNATE THE FISCAL YEAR OF, THE CORPORATION; (R) TO RETAIN COUNSEL ON BEHALF OF AND SETTLE ANY LITIGATION AGAINST THE CORPORATION; (S) TO ENTER INTO SYSTEM-WIDE AGREEMENTS ON BEHALF OF THE CORPORATION; AND (T) EXCEPT AS OTHERWISE PROVIDED IN THESE BYLAWS, TO GIVE SUCH APPROVALS AND TAKE SUCH OTHER ACTIONS AS ARE SPECIFICALLY RESERVED TO THE MEMBERS OF A PENNSYLVANIA NONPROFIT CORPORATION UNDER THE PENNSYLVANIA NONPROFIT CORPORATION LAW OF 1988, AS AMENDED (THE "PENNSYLVANIA NONPROFIT CORPORATION LAW"). FORM 990, PART VI, SECTION B, LINE 11B REVIEW OF FORM 990 BY GOVERNING BODY: THE FORM 990 IS PREPARED BY AN EXTERNAL ACCOUNTING FIRM; IT IS REVIEWED BY ACCOUNTING/FINANCE DEPARTMENT PERSONNEL AND THE CHIEF FINANCIAL OFFICER, AND THEN DISTRIBUTED TO ALL MEMBERS OF THE BOARD FOR REVIEW AND COMMENT BEFORE IT IS FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST POLICY: THE FILING ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH ITS CONFLICT OF INTEREST (COI) POLICIES FOR OFFICERS, DIRECTORS, AND KEY EMPLOYEES (COVERED PERSONS). PER THE POLICY, NO COVERED PERSONS MAY ENGAGE IN ANY TRANSACTION OR ARRANGEMENT OR UNDERTAKE POSITIONS WITH OTHER ORGANIZATIONS THAT INVOLVE A CONFLICT OF INTEREST, EXCEPT IN COMPLIANCE WITH THE POLICY. EVERY COVERED PERSON SHALL DISCLOSE ALL ACTUAL AND POTENTIAL CONFLICTS THROUGH AN ANNUAL WRITTEN DISCLOSURE STATEMENT AND AS MATTERS INVOLVING AN ACTUAL OR POTENTIAL CONFLICT ARISE. THE BOARD WILL EVALUATE THE DISCLOSURES AND THE MATERIAL FACTS RELATING TO THE TRANSACTION OR ARRANGEMENT GIVING RISE TO THE POTENTIAL CONFLICT TO DETERMINE WHETHER THEY INVOLVE ACTUAL CONFLICTS OF INTEREST AND MAY ATTEMPT TO DEVELOP ALTERNATIVES TO REMOVE THE CONFLICT FROM THE TRANSACTION OR ARRANGEMENT. A COVERED PERSON WHO HAS AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST SHALL NOT BE PRESENT FOR OR SHALL LEAVE ANY PORTION OF A MEETING AT WHICH THE BOARD OF DIRECTORS OR A COMMITTEE IS VOTING TO DETERMINE WHETHER A CONFLICT EXISTS, BUT MAY BE PRESENT PRIOR TO THE VOTE TO MAKE PRESENTATION TO THE BOARD OR COMMITTEE TO DISCLOSE ADDITIONAL FACTS, OR TO RESPOND TO QUESTIONS. THE FILING ORGANIZATION MAY ENTER INTO A TRANSACTION OR ARRANGEMENT IN WHICH A COVERED PERSON HAS AN ACTUAL CONFLICT OF INTEREST IF A MAJORITY OF DIRECTORS WHO HAVE NO INTEREST IN THE TRANSACTION OR ARRANGEMENT APPROVE THE TRANSACTION OR ARRANGEMENT AT A BOARD OR COMMITTEE MEETING AFTER DETERMINING THAT THE TRANSACTION OR ARRANGEMENT IS FAIR AND REASONABLE TO THE CORPORATION, ANY COVERED PERSON WHO HAS A CONFLICT WITH RESPECT TO THE TRANSACTION OR ARRANGEMENT DOES NOT PARTICIPATE IN AND IS NOT PRESENT FOR THE VOTE REGARDING SUCH TRANSACTION OR ARRANGEMENT (EXCEPT THAT THE COVERED PERSON MAY APPEAR AT A MEETING TO ANSWER QUESTIONS), AND IF THE TRANSACTION OR ARRANGEMENT INVOLVES COMPENSATION OR OTHER FINANCIAL BENEFIT TO THE COVERED PERSON, THE BOARD RELIES ON APPROPRIATE COMPARABILITY DATA TO DETERMINE REASONABLENESS. THE FILING ORGANIZATION WILL DOCUMENT THE FOREGOING IN THE MINUTES OF BOARD AND COMMITTEE MEETINGS, AS APPLICABLE. EACH COVERED PERSON MUST SIGN A STATEMENT THAT AFFIRMS THAT HE OR SHE HAS RECEIVED A COPY OF THE COI POLICY, HAS READ AND UNDERSTANDS IT, AND HAS AGREED TO COMPLY WITH IT. IF THE BOARD OF DIRECTORS HAS REASONABLE CAUSE TO BELIEVE THAT A COVERED PERSON HAS FAILED TO COMPLY WITH THE POLICY, THE BOARD MAY COUNSEL THE COVERED PERSON REGARDING SUCH FAILURE AND, IF THE ISSUE IS NOT RESOLVED TO THE BOARD'S SATISFACTION, MAY CONSIDER ADDITIONAL CORRECTIVE ACTION, INCLUDING REMOVAL FROM THE BOARD OF DIRECTORS OR OTHER POSITION WITH THE FILING ORGANIZATION, AS APPROPRIATE. FORM 990, PART VI, SECTION B, LINE 15 PROCESS USED TO ESTABLISH COMPENSATION OF CEO, OFFICERS, AND KEY EMPLOYEES: THE BOARD COMPENSATION COMMITTEE IS DELEGATED RESPONSIBILITY BY THE BOARD TO MAKE AND RECOMMEND TO THE BOARD THE COMPENSATION DECISIONS FOR ITS KEY EXECUTIVES, INCLUDING THE CHIEF EXECUTIVE OFFICER, CHIEF FINANCIAL OFFICER, OTHER OFFICERS AND ALL DISQUALIFIED PERSONS (AS DEFINED BY TREASURY REGULATIONS). THE COMMITTEE HAS STRONG GOVERNANCE PROCESSES IN PLACE TO ENSURE BEST PRACTICES AND THAT COMPENSATION DECISIONS FOR EXECUTIVES ARE REASONABLE AND SUPPORTIVE OF THE ORGANIZATION'S LEADERSHIP TALENT NEEDS. THE COMMITTEE'S COMPENSATION REVIEW PROCESS IS STRUCTURED TO SATISFY AND COMPLY WITH THE REQUIREMENTS OF THE REBUTTABLE PRESUMPTION OF REASONABLENESS, UNDER THE INTERMEDIATE SANCTION REGULATIONS (IRC SECTION 4958). 1. THE COMMITTEE OF THE BOARD IS AUTHORIZED BY THE BOARD OF DIRECTORS TO REVIEW AND APPROVE ALL COMPENSATION (INCLUDING EXECUTIVE BENEFITS) ARRANGEMENTS. 2. THE COMMITTEE IS COMPRISED OF DIRECTORS THAT ARE FREE OF MATERIAL FINANCIAL CONFLICT WITH RESPECT TO THE COMPENSATION BEING REVIEWED. 3. ANNUALLY, THE COMPENSATION COMMITTEE, ENGAGES AN INDEPENDENT COMPENSATION CONSULTANT TO CONDUCT A TOTAL COMPENSATION ANALYSIS FOR THE ORGANIZATION'S EXECUTIVES. 4. THE COMMITTEE REVIEWS AND APPROVES THESE COMPENSATION ARRANGEMENTS IN ADVANCE OF IMPLEMENTATION BY REVIEWING MARKET COMPARABILITY DATA PROVIDED BY ITS INDEPENDENT THIRD-PARTY CONSULTANT AND DOCUMENTED IN COMPREHENSIVE REPORTS. 5. THE COMMITTEE DOCUMENTS ITS DECISIONS, AND THE BASIS FOR ITS DECISIONS, IN A TIMELY MANNER WITHIN MEETING MINUTES. 6. THE COMMITTEE ALSO RECEIVES PROFESSIONAL OPINIONS WITH RESPECT TO REASONABLENESS FROM ITS INDEPENDENT COMPENSATION CONSULTANT, AS SUCH TERM IS DEFINED WITHIN INTERMEDIATE SANCTIONS REGULATIONS. 7. THE COMMITTEE REPORTS ITS ACTIONS ON A REGULAR BASIS TO THE FULL BOARD. FORM 990, PART VI, SECTION C, LINE 19 REQUIRED DOCUMENTS AVAILABLE TO THE PUBLIC: THE ORGANIZATION'S CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS OF THE MILTON S. HERSHEY MEDICAL CENTER AND ITS SUBSIDIARIES (WHICH INCLUDES PENN STATE HEALTH) ARE AVAILABLE AT WWW.PSU.EDU. PART VII/SCHEDULE J PART VII AND SCHEDULE J REFLECT CERTAIN DIRECTORS AND OFFICERS RECEIVING COMPENSATION AND BENEFITS FROM A RELATED ORGANIZATION. PLEASE NOTE THAT REMUNERATION FOR DIRECTORS WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OF A RELATED ORGANIZATION, NOT FOR SERVICES RENDERED AS DIRECTORS OF THE FILING ORGANIZATION. FORM 990, PART XI, LINE 9: NON-CAPITAL TRANSFERS TO AFFILIATES -3,423,700. CHANGES TO RESTRICTED NET ASSETS -570,412. CAPITAL TRANSFERS TO AFFILIATES -220,199. CONTRIBUTIONS FOR PURCHASE OF PROPERTY & EQUIPMENT 12,590. PENN STATE HERSHEY ENDOSCOPY CENTER 100 CRYSTAL A DRIVE MC CA210 HERSHEY PA 17033 274000002 HEALTHCARE PA 2142641 3518744 PSH ST JOSEPH REGIONAL HEALTH NETWORK 100 CRYSTAL A DRIVE MC CA210 HERSHEY PA 17033 231352211 HEALTHCARE PA 501(C)(3) LINE 3 PSH 0 ST JOSEPH MEDICAL CENTER FOUNDATION 100 CRYSTAL A DRIVE MC CA210 HERSHEY PA 17033 232649362 FUNDRAISING PA 501(C)(3) LINE 12A, I SJRHN 0 ST JOSEPH MEDICAL GROUP 100 CRYSTAL A DRIVE MC CA210 HERSHEY PA 17033 208544021 HEALTHCARE PA 501(C)(3) LINE 10 PSH 0 THE PENNSYLVANIA STATE UNIVERSITY ONE OLD MAIN UNIVERSITY PARK PA 16802 246000376 EDUCATION PA 115 N/A 0 PENN STATE HEALTH 100 CRYSTAL A DRIVE MC CA210 HERSHEY PA 17033 473769205 HEALTHCARE PA 501(C)(3) LINE 12A, I PSU 0 PENN STATE HEALTH HAMPDEN MEDICAL CENTER 100 CRYSTAL A DRIVE MC CA210 HERSHEY PA 17033 851608328 HEALTHCARE PA 501(C)(3) LINE 3 PSH 0 PENN STATE HEALTH LANCASTER MEDICAL CENTER 100 CRYSTAL A DRIVE MC CA210 HERSHEY PA 17033 851620900 HEALTHCARE PA 501(C)(3) LINE 3 PSH 0 PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER 100 CRYSTAL A DRIVE MC CA210 HERSHEY PA 17033 231512747 HEALTHCARE PA 501(C)(3) LINE 3 PSH 0 HOLY SPIRIT CORPORATION 100 CRYSTAL A DRIVE MC CA210 HERSHEY PA 17033 232214540 REAL ESTATE PA 501(C)(2) PSHHSMC 0 SPIRIT PHYSICIAN SERVICES INC 100 CRYSTAL A DRIVE MC CA210 HERSHEY PA 17033 251766971 PHYSICIAN SERVICES PA 501(C)(3) LINE 10 PSH 0 HERSHEY OUTPATIENT SURGERY CENTER LP 15305 DALLAS PKWY ADDISON TX 75001 200469951 HEALTHCARE PA NITTANY HLTH 0 0 NITTANY HEALTH - VALUEHEALTH JOINT 11221 ROE AVE LEAWOOD KS 66211 851154159 HEALTHCARE PA NITTANY HLTH 0 0 NITTANY HEALTH INC 100 CRYSTAL A DRIVE MC CA210 HERSHEY PA 17033 251769611 HOMECARE INTEGRTN PA C 0 CGH REALTY CO INC 100 CRYSTAL A DRIVE MC CA210 HERSHEY PA 17033 232326801 REAL ESTATE PA C 0 HOLY SPIRIT VENTURES INC 100 CRYSTAL A DRIVE MC CA210 HERSHEY PA 17033 232407709 REAL ESTATE PA C 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 1 1 0 1 1 SUPPLEMENTAL INFORMATION: SCHEDULE R LISTS ONLY THOSE RELATED ORGANIZATIONS THAT RELATE TO THE HEALTH CARE OPERATIONS UNDER THE COMMON CONTROL OF THE PENNSYLVANIA STATE UNIVERSITY.