2026-05-14T15:42:12+00:00 2025-06-30 331498605 Plante & Moran PLLC 250 SOUTH HIGH ST SUITE 100 COLUMBUS OH 43215 990 2024-07-01 851620990 PENN STATE HEALTH LANCASTER MEDICAL CENTER PENN 7175318477 100 CRYSTAL A DRIVE MC CA210 HERSHEY PA 17033 DEBORAH ADDO DIRECTOR/CHAIR/COO 2026-05-14 true true AMY CIMINELLO CPA P00796388 6148493000 2026-05-14 2024 2025-03-06 01:10:19Z DEBORAH ADDO 100 CRYSTAL A DRIVE MC CA210 HERSHEY PA 17033 219038427 false X WWW.PENNSTATEHEALTH.ORG/LOCATIONS X 2020 PA TO CONTINUALLY IMPROVE THE HEALTH AND WELL BEING OF THE PEOPLE OF PENNSYLVANIA, AND BEYOND. 10 3 983 20 0 147546 87170 163038013 217963858 3650 29959 320003 957440 163509212 219038427 177600 171000 0 72458754 75057292 0 0 0 132902680 137272077 205539034 212500369 -42029822 6538058 369624660 347630733 483294299 464321327 -113669639 -116690594 PENN STATE HEALTH LANCASTER MEDICAL CENTER'S MISSION IS TO CONTINUALLY IMPROVE THE HEALTH AND WELL BEING OF THE PEOPLE IN PENNSYLVANIA; PROVIDE EXCELLENT, COMPASSIONATE, CULTURALLY RESPONSIVE AND EQUITABLE CARE; EDUCATE AND TRAIN HEALTH CARE PROFESSIONALS; ADVANCE EVIDENCE-BASED MEDICAL INNOVATION THROUGH RESEARCH AND DISCOVERY. false false 132730389 171000 217963858 PENN STATE HEALTH LANCASTER MEDICAL CENTER OPENED ON OCTOBER 3, 2022. THE MEDICAL CENTER PROVIDES COMPLETE MEDICAL AND SURGICAL SERVICES, A STATE-OF-THE-ART EMERGENCY DEPARTMENT, SPECIALTY INPATIENT SERVICES AND ADVANCED IMAGING FOR PEOPLE IN LANCASTER AND YORK COUNTIES. THE 142-BED ACUTE CARE MEDICAL CENTER IS FUNDAMENTALLY COMMITTED TO PROVIDING COMPASSIONATE, INCLUSIVE AND EQUITABLE CARE THROUGH ITS DIVERSE WORKFORCE. PATIENTS AND THEIR FAMILIES CAN RECEIVE THE MOST ADVANCED CARE IN MODERN, PATIENT-CENTERED AREAS OF INPATIENT SERVICES, INLCUDING: CARDIAC CATHETERIZATION, CRITICAL CARE, EMERGENCY MEDICINE, LABOR AND DELIVERY, AND SURGERY. ENDOSCOPY, IMAGING SERVICES, LAB SERVICES, NONINVASIVE DIAGNOSTIC CARDIOLOGY AND WOMEN'S SERVICES. 132730389 true true false true false false false false false false true false false false true false false true false false false false false false false false true true true false true false false false false false false false false false false false false false false false true false false false false true X 0 0 983 true false false false false false false false false false false false false X 10 3 false false false false true true true true true false false false true true true true true true false true false false PA X TRACY L MOYER 7177632100 100 CRYSTAL A DR MC CA210 HERSHEY PA 17033 DEBORAH ADDO DIRECTOR & CHAIR / PSH PRESIDENT & COO 1.0 49.0 X X 0 1549663 155443 JOSEPH FRANK PRESIDENT 48.0 2.0 X X 621209 0 36404 PAULA TINCH DIRECTOR / PSH CFO & EVP - PART YEAR 1.0 49.0 X X 0 1391377 46993 ALLISON BARRETT DIRECTOR 1.0 49.0 X 0 503518 26070 BEN LAZARUS DIRECTOR 1.0 0 X 0 0 0 DARON KAHN DIRECTOR 1.0 49.0 X 0 511851 28090 GENE CLARK DIRECTOR 1.0 0 X 0 0 0 JUDITH HLAFCSAK DIRECTOR/PSH CHIEF OF STAFF 1.0 49.0 X 0 930204 36657 KENNETH WOOD DIRECTOR / EVP & SYSTEM CMO 1.0 49.0 X 0 979665 110378 LIZ MARTIN DIRECTOR 1.0 0 X 0 0 0 MICHAEL REIHART DIRECTOR/PHYSICIAN - PART YEAR 1.0 49.0 X 0 488181 54277 RAHWA TEKALI DIRECTOR - PART YEAR 1.0 0 X 0 0 0 ANN ALLWEIN ASSOC. SECRETARY 1.0 49.0 X 0 89750 15463 CLAIRE MOONEY SVP AND CHIEF OPERATING OFFICER - PART YEAR 50.0 0 X 306039 0 45618 EDWARD CHABALOWSKI TREAS/VP/CFO - PART YEAR 1.0 49.0 X 0 411294 39868 NICOLE LEHMAN SECRETARY (PSU EMP) 1.0 49.0 X 0 285408 100361 RANDY MORRIS TREASURER/EVP & CFO 1.0 49.0 X 0 400775 46738 ROSS DARROW VICE PRESIDENT, TREASURER 1.0 49.0 X 0 362755 54328 STEPHEN MASSINI PSH CEO - PART YEAR 1.0 49.0 X 0 2575103 660113 BARABARA ZUPPA VP CHIEF NURSING OFFICER 50.0 0 X 258930 0 39719 Angela Sonon SR DIRECTOR OF QUALITY/MEDICAL AFFAIRS 50.0 0 X 250868 0 37135 Georgina Danowski REGISTERED NURSE 50.0 0 X 215190 0 12632 Kara Smith REGISTERED NURSE 50.0 0 X 241158 0 49033 Mark Jarowenko VP OF MEDICAL AFFAIRS 50.0 0 X 407600 0 46714 PATRICIA HOAK REGISTERED NURSE 50.0 0 X 194944 0 10772 2495938 10479544 1652806 145 false true false AMN HEALTHCARE INC 12400 HIGH BLUFF DR STE 410 SAN DIEGO CA 92130 CONTRACTED NURSES 6590243 NORTH AMERICAN PARTNERS IN ANESTHESIA LLC PO BOX 936947 ATLANTA GA 31193 PHYSICIAN LOCUMS 6237720 SODEXO INC 111 SOUTH FRONT STREET HARRISBURG PA 17101 DIETARY AND HOUSEKEEPING SERVICES 4157979 UMS HERSHEY URS LITHOTRIPSY LLC 1700 W PARK DR WESTBOROUGH MA 01581 UROLOGY SERVICES 1912487 HCSC LAUNDRY PO BOX 25092 LEHIGH VALLEY PA 180025092 Laundry Services 406978 14 2500 84670 87170 NET PATIENT SERVICE 622110 214441719 214441719 PHARMACY REVENUE 622110 3522139 3522139 0 0 0 0 217963858 29959 29959 340688 340688 0 340688 340688 0 0 Incentive Income 900099 616462 616462 Other Revenue 900099 290 290 0 0 0 0 616752 219038427 217963858 0 987399 X 171000 171000 1188538 168533 1020005 57798403 52185801 5612602 2033251 1848864 184387 9892936 8814984 1077952 4144164 3682783 461381 65 65 25898650 18602050 7296600 0 807076 561155 245921 2605681 111965 2493716 35964 29495 6469 17725 16507 1218 16884171 35171 16849000 29201339 6831639 22369700 2656003 2315431 340572 MEDICAL SUPPLIES 36520693 36520693 ALLOCATED CORPORATE SERVICE 21149017 21149017 REPAIRS & MAINTENANCE 1004232 607268 396964 LICENSES 217497 197809 19688 273964 29241 244723 0 212500369 132730389 79769980 0 1800 1800 22038667 25768901 0 0 0 0 3174365 2896138 1199236 1029368 382799201 70740194 336009307 312059007 0 0 7201285 5875519 369624660 347630733 14277697 14421939 0 0 469016602 449899388 483294299 464321327 X -113669639 -116690598 -113669639 -116690598 369624660 347630729 X 6538058 -9559017 X false true true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 1554 1554 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY THE ORGANIZATION WAS A MEMBER OF CERTAIN INDUSTRY ORGANIZATIONS; ALL OF WHICH ENGAGE IN LOBBYING EFFORTS ON BEHALF OF THEIR MEMBER HOSPITALS. THE PORTION OF THESE DUES ALLOCATED TO LOBBYING EXPENDITURES FOR THE YEAR IS THE FIGURE PROVIDED IN PART II-B, LINE 1I. 16144872 16144872 318568514 51530337 267038177 202064 20966 181098 47310947 19188891 28122056 572804 572804 312059007 Federal Income Taxes DUE TO AFFILIATES 441133456 LEASE LIABILITY 4440470 MEDICAL MALPRACTICE 2483213 WORKERS COMP ACCRUED PAYABLE 328864 SELF INSURANCE LIABILITIES 1513385 449899388 true true X true X 300 true X 633165 633165 0.00298 26654571 14722068 11932503 0.05615 0 0.0 0 0 27287736 14722068 12565668 0.05913 60520 288200 288200 0.00136 164 191283 191283 0.00090 0 0.0 0 0.0 4170 29353 29353 0.00014 0 64854 508836 0 508836 0.00239 0 64854 27796572 14722068 13074504 0.06153 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 true 12833663 33184159 48414941 -15230782 X true true 1 1 PENN STATE HEALTH LANCASTER MED CENTER 100 CRYSTAL A DRIVE MC CA210 HERSHEY PA 17033 WWW.PENNSTATEHEALTH.ORG/LOCATIONS 50720101 X X X X PENN STATE HEALTH LANCASTER MED CENTER 1 false false true X X X X X X X X X 25 true true true true X WWW.PENNSTATEHEALTH.ORG/COMMUNITY X true 25 true WWW.PENNSTATEHEALTH.ORG/COMMUNITY false true X 300.0 300.0 X X X X true true X X X X true X www.pennstatehealth.org/patients-visitors/billing-medical-records/financial-assistance X www.pennstatehealth.org/patients-visitors/billing-medical-records/financial-assistance X www.pennstatehealth.org/patients-visitors/billing-medical-records/financial-assistance X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - PENN STATE HEALTH LANCASTER MEDICAL CENTER. INPUT FOR COMMUNITY HEALTH NEEDS ASSESSMENT: PENN STATE HEALTH THE OVERALL PARENT OF THE HEALTH SYSTEM IN WHICH PSHLMC 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 2025 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). IN FISCAL YEAR 2025, WE CARRIED OUT THE THIRD YEAR OF THE CURRENT IMPLEMENTATION PLAN, WHILE ALSO DEVELOPING THE 2026-2028 IMPLEMENTATION STRATEGY BASED ON THE PRIORITIES IDENTIFIED IN THE 2025 CHNA. CHNA PROCESS: THE 2025 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 FROM JANUARY TO NOVEMBER 2024 COMPLIED WITH IRS TAX CODE 501(R) REQUIREMENTS TO CONDUCT A CHNA EVERY THREE YEARS AS SET FORTH BY THE AFFORDABLE CARE ACT (ACA). NEW DURING THIS FIFTH CHNA CYCLE: ENGAGED THE FIVE TASK FORCES TO CARRY OUT OUR CURRENT CHNA IMPLEMENTATION PLAN: 1) MENTAL HEALTH 2) HEALTH EQUITY 3) CHRONIC DISEASE AND RISK FACTOR PREVENTION 4) NUTRITION AND FOOD ACCESS 5) PHYSICAL ACTIVITY SHORTENED BOTH KEY INFORMANT AND COMMUNITY MEMBER SURVEYS TO SIMPLIFY AND FOCUS ON WHAT INFORMATION WE CANNOT GATHER WITH SECONDARY DATA. SHARED THE KEY INFORMANT SURVEY BROADLY BUT PRIORITIZED COMPLETING THE COMMUNITY MEMBER SURVEY IN MARGINALIZED COMMUNITIES OFTEN NOT HEARD FROM IN OTHER DATA SOURCES. PARTNERED WITH PENN MEDICINE LANCASTER GENERAL HOSPITAL AND WELLSPAN HEALTH TO CONDUCT THE KEY INFORMANT SURVEY IN OUR OVERLAPPING COUNTIES OF LEBANON AND LANCASTER. HELD KEY INFORMANT CONVERSATIONS TO GATHER MORE INPUT ON SURVEY RESPONSES AND HOW WE CAN BEST ADDRESS RESULTING COMMUNITY NEEDS. ANALYZED COMMUNITY HEALTH DATA COLLECTED AND MANAGED BY OUR COMMUNITY HEALTH NURSES USING RESEARCH ELECTRONIC DATA CAPTURE (REDCAP) TOOLS, AS WELL AS OUR OWN PATIENT DATA FROM THE SOCIAL DRIVERS OF HEALTH INPATIENT SCREENING TOOL AND THE TRINETX DATABASE. SPECIFIC CHNA STEPS INCLUDED: ANNOUNCEMENTS TO THE CHNA TASK FORCES COMPRISED OF COMMUNITY LEADERS AND PSH STAFF OPERATING THE CURRENT IMPLEMENTATION PLAN, AS WELL AS THE COMMUNITY HEALTH TEAM, TO KICK OFF THE CHNA CYCLE. REGULAR MEETINGS WERE HELD WITH THESE GROUPS THROUGHOUT THE CYCLE TO PILOT THE SURVEYS, ASSIST WITH SURVEYING AND DETERMINE PRIORITIES. MONTHLY MEETINGS WITH ALL HOSPITAL LEADERS TO REVIEW PROGRESS, PROVIDE FEEDBACK AND DETERMINE PRIORITIES. A KEY INFORMANT SURVEY WITH 460 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. OUT OF 460 SURVEYS, 450 WERE ANALYZED AND 10 RESPONSES WERE EXCLUDED BECAUSE THEY DID NOT REPRESENT ANY OF OUR SIX COUNTIES. TWELVE FOLLOW-UP KEY INFORMANT CONVERSATIONS WITH THOSE WHO REQUESTED THEM WHEN COMPLETING THEIR SURVEY. A COMMUNITY SURVEY COMPLETED BY 1,521 INDIVIDUALS, WITH 1,474 RESPONSES ELIGIBLE FOR USE BASED ON THE PARTICIPANTS' COUNTY AND AGE. AN ANALYSIS OF PSH DATA SOURCES, INCLUDING COMMUNITY HEALTH DATA. AN ANALYSIS OF EXISTING SECONDARY DATA SOURCES, INCLUDING PUBLIC HEALTH STATISTICS, DEMOGRAPHICS, SOCIAL MEASURES AND HEALTH CARE UTILIZATION. REVIEW OF THE CURRENT CHNA IMPLEMENTATION PLAN ASSETS AND AVAILABLE RESOURCES. PRIORITIZATION OF IDENTIFIED COMMUNITY HEALTH NEEDS TO DETERMINE THE MOST PRESSING ISSUES ON WHICH TO FOCUS COMMUNITY HEALTH IMPROVEMENT EFFORTS. A LIST OF COMMUNITY PARTNER ORGANIZATIONS THAT PARTICIPATED IN ANY ASPECT OF THE ASSESSMENT PROCESS IS IN APPENDIX A. THIS LIST MAY NOT BE ALL-INCLUSIVE SINCE PARTICIPANTS COULD CHOOSE TO BE ANONYMOUS. Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - OTHER HOSPITAL FACILITIES INCLUDED IN NEEDS ASSESSMENT:. FOR THE 2025 CHNA, 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 -PENNSYLVANIA PSYCHIATRIC INSTITUTE -PENN STATE HEALTH REHABILITATION HOSPITAL -PENN STATE HEALTH HAMPDEN MEDICAL CENTER Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - OTHER HOSPITAL FACILITIES INCLUDED IN NEEDS ASSESSMENT:. INCLUDED KEY COMMUNITY STAKEHOLDERS TO IDENTIFY AND ADDRESS THE NEEDS OF RESIDENTS LIVING IN THE SIX-COUNTY COMMUNITY, INCLUDING A PARTNERSHIP WITH WELLSPAN HEALTH AND PENN MEDICINE LANCASTER GENERAL HOSPITAL FOR OVERALAPPING COUNTIES OF LEBANON AND LANCASTER. THE DEPARTMENT OF PUBLIC HEALTH SCIENCES AT PENN STATE COLLEGE OF MEDICINE COORDINATED THE CHNA EFFORTS. THE APPENDIX OF THE FULL REPORTS 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. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - . 2025 CHNA PRIORITIZED HEALTH NEEDS A CHNA LEADERSHIP TEAM REPRESENTING ALL PSH HOSPITALS MET ON A REGULAR BASIS THROUGHOUT THE CHNA PROCESS. THIS GROUP REVIEWED ALL FINDINGS, INCLUDING SURVEY RESULTS, KEY INFORMANT CONVERSATIONS, SECONDARY DATA ANALYSIS, CURRENT PLAN ACCOMPLISHMENTS AND AVAILABLE ASSETS, TO RECOMMEND THE THREE TOP PRIORITY HEALTH NEEDS TO FOCUS ON. THESE RESULTS AND RECOMMENDATIONS WERE ALSO PRESENTED TO THE PSH COMMUNITY HEALTH TEAM AND FIVE ACTIVE CHNA TASK FORCES. ALL THESE GROUPS CONSIST OF COMMUNITY-MINDED POSITIONS FROM PSH ENTITIES AS WELL AS COMMUNITY PARTNERS. THE PRIORITIZATION CRITERIA CONSIDERED INCLUDED THE SEVERITY AND MAGNITUDE OF THE NEED, CONTRIBUTING SOCIAL ISSUES, EXISTING COMMUNITY PARTNERSHIPS AND ASSETS, WHAT THE COMMUNITY IDENTIFIED AS IMPORTANT AND NEEDED, AND A REVIEW OF OUR CURRENT PLAN'S ACCOMPLISHMENTS. WE ALSO CONSIDERED THE EXPERTISE, RESOURCES AND GOALS WITHIN EACH MEDICAL CENTER AND ACROSS PSH. THEREFORE, THROUGH MULTIPLE METHODS OF COMMUNITY ENGAGEMENT AND DIALOGUE WITH COMMUNITY HEALTH EXPERTS, THE TOP PRIORITIZED HEALTH NEEDS TO FOCUS SYSTEMWIDE HEALTH IMPROVEMENT EFFORTS OVER THE THREE-YEAR CYCLE FROM JULY 1, 2025, TO JUNE 30, 2028, ARE 1) MENTAL WELL-BEING 2) FOOD AND NUTRITION SECURITY, AND 3) PHYSICAL WELL-BEING, ALL WHILE EMPOWERING HEALTHY ACTIONS TO ULTIMATELY ACHIEVE HEALTH EQUITY. ALL PRIORITIES WILL INCLUDE A FOCUS ON COMMUNITY POPULATIONS MOST AFFECTED AS DESCRIBED IN THE DATA RESULTS BELOW. MENTAL WELL-BEING WILL INCLUDE A FOCUS ON THE AREAS OF MENTAL HEALTH, SOCIAL SUPPORT, LONELINESS, STRESS, SUBSTANCE USE/MISUSE, TRAUMA, ABUSE AND GUN VIOLENCE. MENTAL WELL-BEING MESSAGES WILL BE EMBEDDED IN MOST EDUCATIONAL SESSIONS OFFERED ACROSS ALL PRIORITIES. FOOD AND NUTRITION SECURITY WILL FOCUS ON CONTINUED EXPANSION OF PSH FOOD ACCESS RESOURCES AND EDUCATION ACROSS OUR SERVICE AREA, SUCH AS COMMUNITY GARDENS, FRIDGES, FARM STANDS/MARKETS, CORNER STORE INITIATIVES, FOOD PANTRIES AND BOXES, PANTRIES AND WELLNESS SUPPORT (PAWS), VEGGIE RX, SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) OUTREACH, PRODUCE DISTRIBUTION, TOOLKITS, ETC., TO NOT ONLY IMPROVE ACCESS TO FOOD, BUT ACCESS TO NUTRITIOUS FOOD. PHYSICAL WELL-BEING WILL FOCUS ON PROMOTING HEALTHY ACTIONS TO REDUCE CANCER RISK, DIABETES, HIGH BLOOD PRESSURE, OBESITY AND TOBACCO USE, AND INCREASING PHYSICAL ACTIVITY. AS WE MOVE INTO OUR FIFTH CYCLE, WE ARE COMMITTED TO OUR ULTIMATE GOAL OF HEALTH EQUITY WHILE WE ADDRESS THESE INTER-RELATED PRIORITIES AS WELL AS HOMELESSNESS, ACCESS TO CARE AND POVERTY-RELATED ISSUES. IMPLEMENTATION STRATEGY WHILE CARRYING OUT THE THIRD YEAR OF THE CURRENT IMPLEMENTATION PLAN, THE TASK FORCES ALSO DEVELOPED THE 2026-2028 IMPLEMENTATION STRATEGY FROM NOVEMBER 2024 TO MAY 2025. 2022-2025 IMPLEMENTATION PLAN YEAR THREE: 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 CENTER GOAL: 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. 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. 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 EQUITY RESPONSIBLE 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 AND PENN STATE HEALTH REHABILITATION HOSPITAL. 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. 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. 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 PREVENTION ELEMENT 1. CHRONIC DISEASE AND RISK FACTOR PREVENTION RESPONSIBLE 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 HOSPITAL GOAL: 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. 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. 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 ACCESS RESPONSIBLE 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 CENTER GOAL: 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. Schedule H, Part V, Section B, Line 11 Facility , 2 Facility , 2 - CONTINUATION 1. 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. 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. 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. LONG-TERM OBJECTIVES (YEAR 3) 1. OFFER 6 NUTRITION AND GARDENING EDUCATION PROGRAMS AT COMMUNITY GARDENS. ELEMENT 3. PHYSICAL ACTIVITY RESPONSIBLE 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 HOSPITAL 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. LONG-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. 2025-2028 IMPLEMENTATION STRATEGY TO DEVELOP OUR IMPLEMENTATION STRATEGY, CHNA FINDINGS WERE DISCUSSED IN OUR ONGOING PSH CHNA LEADERSHIP, PSH COMMUNITY HEALTH TEAM AND CHNA TASK FORCE MEETINGS FROM NOVEMBER 2024 THROUGH MAY 2025. WHILE CARRYING OUT THE THIRD YEAR OF OUR CURRENT IMPLEMENTATION PLAN, THE TASK FORCES ALSO DISCUSSED WHAT WAS WORKING WELL, WHAT SHOULD CONTINUE AND, BASED ON NEW DATA FINDINGS AND KEY SOCIAL DETERMINANTS OF HEALTH, WHERE THE GROUPS NEEDED TO FOCUS THEIR EFFORTS OVER THE NEXT THREE-YEAR CYCLE. SINCE THE NEW PRIORITIES ARE SIMILAR, OUR FIVE TASK FORCES WILL CONTINUE THEIR WORK INTO THE NEW STRATEGY WITH ONE ADJUSTMENT; THE CHRONIC DISEASE AND RISK FACTOR PREVENTION AND PHYSICAL ACTIVITY TASK FORCES WILL COMBINE TO CREATE THE PHYSICAL WELL-BEING TASK FORCE GOING FORWARD. AS A RESULT, THE FOLLOWING FOUR CHNA TASK FORCES COMPRISED OF INTERNAL EMPLOYEES AND COMMUNITY PARTNERS WILL DIRECT THIS IMPLEMENTATION STRATEGY: * HEALTH EQUITY * MENTAL WELL-BEING * FOOD AND NUTRITION SECURITY * PHYSICAL WELL-BEING THESE GROUPS ALSO RECOGNIZE THE OVERLAPPING NATURE OF OUR PRIORITIES AND WILL WORK TOGETHER TO CARRY OUT PROGRAMS THAT OVERLAP. EXAMPLES INCLUDE PROVIDING HEALTH EDUCATION FOR COMMUNITY ORGANIZATION STAFF (A KEY NEED HEARD THROUGH OUR CHNA PROCESS), EMBEDDING MENTAL HEALTH MESSAGING IN COMMUNITY EDUCATION, AND FOCUSING ON IMPROVING SOCIAL ISOLATION THROUGH PARTICIPATION IN PHYSICAL AND GARDENING ACTIVITIES. WE WILL CONTINUE TO BUILD ON OUR ONGOING PROGRAMMATIC ACCOMPLISHMENTS, WHILE ALSO SEEKING WAYS TO FOCUS ON MARGINALIZED COMMUNITY MEMBERS IDENTIFIED THROUGH OUR CHNA PROCESS. WE HAVE DEVELOPED BROAD GOALS AND OBJECTIVES THAT PSH AND COMMUNITY PARTNER EFFORTS WILL SUPPORT TO FOSTER ONGOING COLLABORATION. WHILE THE PROGRAMS MENTIONED WILL BE THE FOCUS OF OUR TASK FORCES, THIS IS ONLY A SNAPSHOT OF ALL COMMUNITY WORK ACROSS OUR PSH MEDICAL CENTERS AND COLLEGE OF MEDICINE. WE WILL CONTINUE TO LOOK FOR WAYS TO ENGAGE BOTH INTERNAL AND EXTERNAL COMMUNITY PARTNERS TO ADDRESS OUR PRIORITIZED HEALTH NEEDS. HEALTH EQUITY HEALTH EQUITY IS THE OVERARCHING FOCUS OF OUR COMMUNITY HEALTH EFFORTS, AND WE WILL CONTINUE TO USE OUR COMMUNITY IMPACT MODEL AS OUR CONCEPTUAL FRAMEWORK TO GUIDE OUR COMMUNITY HEALTH WORK. IT RECOGNIZES THAT ACHIEVING HEALTH EQUITY ISN'T A STRAIGHTFORWARD PATH FROM INTERVENTION TO OUTCOME. PROGRESS OFTEN REQUIRES MOVING BACK AND FORTH THROUGH THE MODEL. THE ULTIMATE GOAL IS TO FOSTER HEALTH EQUITY, ACKNOWLEDGING THE COMPLEXITY AND DYNAMIC NATURE OF COMMUNITY HEALTH EFFORTS. GUIDANCE WILL BE PROVIDED BY THE HEALTH EQUITY TASK FORCE TO THE THREE OTHER TASK FORCES TO ENSURE ALL COMMUNITY HEALTH EFFORTS ARE PLANNED AND CONDUCTED USING A HEALTH EQUITY LENS. THE TASK FORCE WILL INVITE THE OTHER GROUPS TO COLLABORATIVE MEETINGS TWICE PER YEAR AND WILL ENCOURAGE THEM TO UTILIZE THE PENNSYLVANIA AREA HEALTH EDUCATION CENTER (PA AHEC) TOOL TO APPLY THE PRINCIPLES OF EQUITY WHEN PLANNING AND IMPLEMENTING THEIR PROGRAMS. FOR EXAMPLE, EDUCATIONAL MATERIALS DEVELOPED BY THE OTHER TASK FORCES WILL BE REVIEWED BY THIS TASK FORCE. THIS GROUP WILL ALSO MAKE RECOMMENDATIONS FOR EXPANSION OF HEALTH SCREENING, TRAINING AND EDUCATION LOCATIONS. THE HEALTH EQUITY TASK FORCE WILL MEET TO SHARE BEST PRACTICES AND RESOURCES AND FOSTER COLLABORATION AMONG ALL MEMBERS. FOR EXAMPLE, THE CURRENT PSH SYSTEMWIDE HEALTH EQUITY STRATEGY TEAM FOCUSES ON MATERNAL HEALTH, AND A CENTRAL PA MATERNAL HEALTH COALITION IS ALSO BEING FORMED TO ORGANIZE AND STRENGTHEN COLLECTIVE EFFORTS TO IMPROVE HEALTH CARE ACCESS, ADDRESS SOCIAL DETERMINANTS OF HEALTH, AND PROMOTE EQUITY IN MATERNAL HEALTH OUTCOMES. THESE TWO GROUPS WILL SHARE INFORMATION AND RESOURCES WITH THIS TASK FORCE FOR ALL MEMBERS TO UTILIZE. IN ADDITION, WITH THE SUPPORT OF THIS TASK FORCE, THE SYSTEMWIDE HEALTH EQUITY STRATEGY TEAM IS WORKING TO IDENTIFY PARTNERSHIPS TO ADDRESS VARIOUS HEALTH-RELATED SOCIAL NEEDS SUCH AS TRANSPORTATION, HOUSING, FOOD ACCESS AND INTERPERSONAL SAFETY. MENTAL WELL-BEING PRIORITY GOAL IMPROVE MENTAL WELL-BEING THROUGH EDUCATION, ACCESS TO RESOURCES AND SUPPORT. OVERARCHING INDICATORS/MEASURES 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. GOAL 1: PROVIDE CULTURALLY RELEVANT EDUCATION, RESOURCES AND SUPPORT REGARDING MENTAL HEALTH AND SUBSTANCE USE TO ALL SECTORS, WITH A FOCUS ON POPULATIONS AND COMMUNITIES THAT EXPERIENCE A HIGHER OCCURRENCE OF MENTAL HEALTH AND SUBSTANCE USE DISORDERS, USING A TRAUMA-INFORMED APPROACH. OBJECTIVE 1.1: DEVELOP RESOURCES TO FACILITATE EDUCATION, COMMUNICATION AND COLLABORATION AMONG AND BETWEEN COMMUNITY ORGANIZATIONS, INCLUDING A DATABASE OF SOCIAL GROUP ACTIVITIES AND A LIST OF INDIVIDUALS THAT CAN OFFER VARIOUS BEHAVIORAL HEALTH TRAINING PROGRAMS. MEASURE: INVENTORIES CREATED, DISTRIBUTED AND USED BY ALL TASK FORCES OBJECTIVE 1.2: PROVIDE EVIDENCE-BASED MENTAL HEALTH AND SUBSTANCE USE EDUCATION AND TRAINING PROGRAMS TO THE COMMUNITY IN A VARIETY OF LOCATIONS AND LANGUAGES, WITH A FOCUS ON INCREASING THE TRAINING AND USE OF COMMUNITY HEALTH WORKERS. MEASURES: * NUMBER OF COMMUNITY HEALTH WORKERS TRAINED * NUMBER OF TRAINING PROGRAMS PROVIDED TO COMMUNITY ORGANIZATIONS ANNUALLY * NUMBER OF TRAINING PROGRAMS OFFERED IN LANGUAGES OTHER THAN ENGLISH Schedule H, Part V, Section B, Line 11 Facility , 3 Facility , 3 - CONTINUATION 2. OBJECTIVE 1.3: COLLABORATE WITH THE PHYSICAL WELL-BEING AND THE FOOD & NUTRITION SECURITY TASK FORCES TO OFFER EDUCATION AND RESOURCES AT THE INTERSECTION OF PHYSICAL AND BEHAVIORAL HEALTH. MEASURE: NUMBER OF FREE, GROUP NUTRITION AND/OR EXERCISE OPPORTUNITIES OFFERED RESPONSIBLE FOR EXECUTING THIS PLAN: PENNSYLVANIA PSYCHIATRIC INSTITUTE, PENN STATE HEALTH MILTON S. HERSHEY MEDICAL CENTER, PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER, PENN STATE HEALTH HAMPDEN MEDICAL CENTER, PENN STATE HEALTH ST. JOSEPH MEDICAL CENTER AND PENN STATE COLLEGE OF MEDICINE GOAL 2: EXPLORE AND DECREASE BARRIERS AND STIGMA EXPERIENCED BY THOSE SEEKING MENTAL HEALTH AND SUBSTANCE USE HELP AND THEIR LOVED ONES, AS WELL AS DECREASE STIGMATIZING ATTITUDES, BEHAVIORS AND POLICIES AMONG PROVIDERS. OBJECTIVE 2.1: CREATE AND PROVIDE CULTURALLY SENSITIVE MENTAL HEALTH MESSAGING THAT CAN BE INCORPORATED INTO ALL PROGRAMMING. MEASURE: MESSAGING DEVELOPED AND USED BY ALL TASK FORCES OBJECTIVE 2.2: OFFER EXPERIENTIAL LEARNING OPPORTUNITIES SPECIFICALLY GEARED TOWARD IMPROVING ADOLESCENTS' MENTAL HEALTH. MEASURE: EXPOSURE TO NEW OPPORTUNITIES AND EXPERIENCES, SUCH AS SENSORY, ART AND MUSIC THERAPY WORKSHOPS, WHICH THE STUDENTS WOULD NOT OTHERWISE HAVE ACCESS TO OBJECTIVE 2.3: WORK WITH COMMUNITY ORGANIZATIONS THAT SERVE HISTORICALLY STIGMATIZED AND DISADVANTAGED GROUPS TO CO-CREATE AND IMPLEMENT CULTURALLY SENSITIVE, PEER-LED SUBSTANCE USE AND OVERDOSE PREVENTION EDUCATION. MEASURE: NUMBER OF COMMUNITY ANCHORS PARTNERED WITH TO REDUCE OVERDOSES OBJECTIVE 2.4: IMPLEMENT A CULTURALLY RESPONSIVE AND TRAUMA-INFORMED LEADERSHIP PROGRAM WITHIN A SCHOOL DISTRICT. MEASURE: STUDENTS PROVIDED WITH SIX LEADERSHIP THEMED SESSIONS WITH THE FOUNDATION OF IMPROVING MENTAL HEALTH RESPONSIBLE FOR EXECUTING THIS PLAN: PENNSYLVANIA PSYCHIATRIC INSTITUTE, PENN STATE HEALTH MILTON S. HERSHEY MEDICAL CENTER, PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER, PENN STATE HEALTH HAMPDEN MEDICAL CENTER, PENN STATE HEALTH ST. JOSEPH MEDICAL CENTER AND PENN STATE COLLEGE OF MEDICINE FOOD & NUTRITION SECURITY PRIORITY GOAL EXPAND FOOD ACCESS RESOURCES AND EDUCATION IN ALL SIX COUNTIES TO IMPROVE ACCESS TO NUTRITIOUS FOODS. OVERARCHING INDICATORS/MEASURES FOR SUCCESS 1. INCREASE NUMBER OF PERSONS REACHED BY FOOD ACCESS RESOURCES AND PROGRAMS IN SERVICE AREA. 2. REDUCE THE PERCENTAGE OF RESIDENTS WITH LOW ACCESS TO FOOD IN BERKS, DAUPHIN, LEBANON AND PERRY COUNTIES. 3. REDUCE OBESITY RATES ACROSS ALL SIX COUNTIES. GOAL 1: ADDRESS FOOD INSECURITY AND INCREASE FRUITS AND VEGETABLES BY PRIORITY POPULATIONS. OBJECTIVE 1.1: USE COMMUNITY PARTNERS AND MAPPING TOOL TO IDENTIFY HEALTH EQUITY GAPS IN SERVICE AREA AND SHARE COMPILED DATA. MEASURES: * NUMBER OF HEALTH EQUITY GAPS IDENTIFIED AND EVALUATED * NUMBER OF EVENTS/METHODS THAT MAPPING TOOL DATA IS SHARED OBJECTIVE 1.2: DEVELOP URBAN AND RURAL AGRICULTURE GOALS AND IMPLEMENT CULTURALLY RELEVANT FOOD OPTIONS IN PROGRAMMING. MEASURES: * NUMBER OF URBAN AND RURAL AGRICULTURE GOALS DEVELOPED AND IMPLEMENTED * NUMBER OF LOCATIONS (RURAL VS. URBAN) USING PROGRAMMING OBJECTIVE 1.3: ADDRESS FOOD INSECURITY WITH MARKETING AND COMMUNICATION STRATEGIES FOR FOOD ACCESS PROGRAMS TO INCREASE AWARENESS OF FOOD OPPORTUNITIES AND MAKE AVAILABLE IN MULTIPLE LANGUAGES AND LOCATIONS. MEASURES: * IMPLEMENT NEW MARKETING AND COMMUNICATIONS STRATEGY * NUMBER OF PERSONS REACHED BY MARKETING AND COMMUNICATIONS * NUMBER OF TRANSLATED MARKETING AND COMMUNICATIONS MATERIALS * NUMBER OF EVENTS THAT INCLUDE MENTAL HEALTH MESSAGING OBJECTIVE 1.4: INCREASE FRESH FRUITS AND VEGETABLES FOR PRIORITY POPULATIONS THROUGH PROGRAM EXPANSION AND COMMUNITY PARTNERSHIP. MEASURES: * NUMBER OF EVENTS/PROGRAMS FOR SPECIFIC PRIORITY POPULATIONS * NUMBER OF NEW LOCATIONS * NUMBER OF UNIQUE ORGANIZATIONS/COMMUNITY PARTNERS SERVING PRIORITY POPULATIONS RESPONSIBLE FOR EXECUTING THIS PLAN: PENN STATE HEALTH MILTON S. HERSHEY MEDICAL CENTER, PENN STATE HEALTH HAMPDEN MEDICAL CENTER, PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER, PENN STATE HEALTH LANCASTER MEDICAL CENTER, PENN STATE HEALTH ST. JOSEPH MEDICAL CENTER AND PENN STATE COLLEGE OF MEDICINE GOAL 2: COLLABORATE WITH ADVOCACY PARTNERS TO ENGAGE WITH AND SUPPORT POLICIES ON A NATIONAL, STATE AND LOCAL LEVEL. OBJECTIVE 2.1: COLLABORATE AND BUILD OUR POLICY PARTNERSHIP NETWORK TO HOST A REGIONAL CONFERENCE/MEETING. MEASURES: * NUMBER OF CONFERENCE ATTENDEES * NUMBER OF UNIQUE ORGANIZATIONS * CONFERENCE/MEETING EVALUATION RESULTS OBJECTIVE 2.2: ENGAGE WITH COMMUNITY PARTNERS THAT ARE ADVOCATING FOR LOCAL AND REGIONAL POLICY CHANGES AND ENACTMENTS. MEASURES: * JOIN A REGIONAL POLICY COMMITTEE * NUMBER OF NEW POLICY PARTNERS ADDED TO OUR TASK FORCE * NUMBER OF POLICY-RELATED EVENTS/ITEMS SHARED WITH OUR TASK FORCE OBJECTIVE 2.3: ADVOCATE FOR SUSTAINABLE PRACTICES, INCLUDING FOOD WASTE DISPOSAL AND COMPOSTING IN OUR HOSPITALS AND SURROUNDING COMMUNITIES. MEASURE: * NUMBER OF POLICIES ENACTED AND/OR UPDATED RESPONSIBLE FOR EXECUTING THIS PLAN: PENN STATE HEALTH MILTON S. HERSHEY MEDICAL CENTER, PENN STATE HEALTH HAMPDEN MEDICAL CENTER, PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER, PENN STATE HEALTH LANCASTER MEDICAL CENTER, PENN STATE HEALTH ST. JOSEPH MEDICAL CENTER AND PENN STATE COLLEGE OF MEDICINE PHYSICAL WELL-BEING PRIORITY GOALS * PROMOTE HEALTHY ACTIONS TO REDUCE CANCER RISK AND ADDRESS OBESITY, DIABETES, HIGH BLOOD PRESSURE AND TOBACCO USE TO IMPROVE OVERALL PHYSICAL WELL-BEING. * INCREASE EXERCISE OPPORTUNITIES. OVERARCHING INDICATORS/MEASURES FOR SUCCESS * REDUCE THE NUMBER OF POOR PHYSICAL HEALTH DAYS REPORTED BY ADULTS IN THE PAST 30 DAYS. * INCREASE THE NUMBER OF COMMUNITY MEMBERS WHO EXERCISE. GOAL 1: COORDINATE COMMUNITY EDUCATIONAL INFORMATION AND TRAINING FOR COMMUNITY PARTNER ORGANIZATIONS. OBJECTIVE 1.1: PROVIDE CULTURALLY RELEVANT EDUCATIONAL MATERIALS AND EMBED MENTAL HEALTH MESSAGING IN ALL PROGRAMMING. MEASURE: NUMBER OF EDUCATIONAL PROGRAMS ADDRESSING TOP HEALTH CONCERNS AND MENTAL WELL-BEING OBJECTIVE 1.2: IDENTIFY AND SHARE TRAINING SESSIONS AVAILABLE TO COMMUNITY-BASED ORGANIZATIONS FOR THEIR MEMBERS AND STAFF. MEASURE: NUMBER OF TRAINING PROGRAMS OFFERED TO COMMUNITY ORGANIZATIONS ANNUALLY OBJECTIVE 1.3: EXPAND EDUCATIONAL REACH TO ALL PRIORITY POPULATIONS. MEASURE: NUMBER OF COMMUNITY MEMBERS REACHED OBJECTIVE 1.4: EVALUATE COMMUNITY EDUCATION SESSIONS FOR INCREASED RISK FACTOR UNDERSTANDING. MEASURES: * INCREASE PERCENTAGE OF PARTICIPANTS' UNDERSTANDING OF CHRONIC DISEASE RISK FACTORS * INCREASE THE PERCENTAGE OF PARTICIPANTS USING CHRONIC DISEASE EDUCATION TO IMPROVE THEIR OWN HEALTH OR SOMEONE ELSE'S HEALTH * INCREASE NUMBER OF EVALUATION SURVEYS USED IN LANGUAGES OTHER THAN ENGLISH RESPONSIBLE FOR EXECUTING THIS PLAN: PENN STATE HEALTH MILTON S. HERSHEY MEDICAL CENTER, PENN STATE HEALTH HAMPDEN MEDICAL CENTER, PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER, PENN STATE HEALTH LANCASTER MEDICAL CENTER, PENN STATE HEALTH ST. JOSEPH MEDICAL CENTER, PENNSYLVANIA PSYCHIATRIC INSTITUTE, PENN STATE HEALTH REHABILITATION HOSPITAL AND PENN STATE COLLEGE OF MEDICINE GOAL 2: PROVIDE AND EXPAND COMMUNITY HEALTH OUTREACH AND SCREENINGS, AND SUPPORT FREE CLINICS, WITH A FOCUS ON PRIORITY POPULATIONS AND BRINGING SERVICES TO UNHOUSED INDIVIDUALS. FOR EXAMPLE, COMMUNITY HEALTH SCREENINGS, SCHOOL ASSESSMENTS, VISION CLINICS, DENTAL CLINICS, HOLY SPIRIT MEDICAL OUTREACH CLINIC, ANNUAL COMMUNITY HEALTH EVENTS, ETC. OBJECTIVE 2.1: EVALUATE EXISTING LOCATIONS WHERE SCREENINGS AND SUPPORT ARE CURRENTLY OFFERED AND EXPAND TO OTHER COMMUNITIES, ESPECIALLY TO SPECIFIC PRIORITY POPULATIONS. MEASURE: ANNUAL NUMBER OF NEW OUTREACH LOCATIONS OBJECTIVE 2.2: EXPAND HEALTH SCREENINGS AND OUTREACH TO HOMELESS AND UNHOUSED INDIVIDUALS THROUGH EXPANDED PARTNERSHIPS. MEASURES: * IMPLEMENT STREET MEDICINE PARTNERSHIP IN LANCASTER * NUMBER OF LOCATIONS THAT REACH HOMELESS AND UNHOUSED INDIVIDUALS * NUMBER OF COMMUNITY MEMBERS REACHED OBJECTIVE 2.3: CONTINUE TO COLLECT AND ANALYZE COMMUNITY HEALTH DATA TO DEMONSTRATE IMPROVED OUTCOMES. Schedule H, Part V, Section B, Line 11 Facility , 4 Facility , 4 - CONTUNUATION 3. MEASURES: * BLOOD PRESSURE: AWARENESS OF ELEVATED READINGS, REDUCTION IN INDIVIDUALS' READINGS IF ELEVATED AND IN AGGREGATE DATA OVER TIME * CHOLESTEROL: AWARENESS OF ELEVATED READINGS, REDUCTION IN INDIVIDUALS' READINGS IF ELEVATED AND IN AGGREGATE DATA OVER TIME * GLUCOSE/BLOOD SUGAR AND A1C: AWARENESS OF ELEVATED READINGS, REDUCTION IN INDIVIDUALS' READINGS IF ELEVATED AND IN AGGREGATE DATA OVER TIME * CARDIOVASCULAR DISEASE RISK: REDUCTION IN INDIVIDUALS' RISK AND AGGREGATE DATA OVER TIME * SMOKING CESSATION: NUMBER OF SMOKERS IDENTIFIED AND NUMBER REFERRED TO SMOKING CESSATION PROGRAMS * HEALTHY DAYS: NUMBER OF HEALTHY DAYS REPORTED IN THE PAST 30 DAYS * COMMUNITY HEALTH WORKERS: NUMBER OF CLIENT RELATIONSHIPS AND NUMBER OF REFERRALS MADE FOR SERVICES OBJECTIVE 2.4: CONTINUE REACHING SPECIAL POPULATIONS THROUGH COMMUNITY HEALTH EVENTS AND SCREENINGS. MEASURES: * ANNUAL NUMBER OF EVENTS * NUMBER OF COMMUNITY MEMBERS SCREENED * NUMBER OF CANCER SPECIFIC SCREENINGS RESPONSIBLE FOR EXECUTING THIS PLAN: PENN STATE HEALTH MILTON S. HERSHEY MEDICAL CENTER, PENN STATE HEALTH HAMPDEN MEDICAL CENTER, PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER, PENN STATE HEALTH LANCASTER MEDICAL CENTER, PENN STATE HEALTH ST. JOSEPH MEDICAL CENTER, PENNSYLVANIA PSYCHIATRIC INSTITUTE, PENN STATE HEALTH REHABILITATION HOSPITAL AND PENN STATE COLLEGE OF MEDICINE GOAL 3: OFFER OPPORTUNITIES FOR PHYSICAL ACTIVITY WITH A SPECIAL FOCUS ON ALSO ADDRESSING ISOLATION AND LONELINESS. OBJECTIVE 3.1: COLLABORATE TO PLAN SOCIAL WALKING AND OTHER PHYSICAL ACTIVITY PROGRAMS SUCH AS WALK WITH A DOC, STORYWALK, PROMOTION OF PARKS RX PROGRAMMING, ETC., WITH A FOCUS ON PRIORITY POPULATIONS SUCH AS SINGLE PARENTS, VETERANS, SENIORS AND PERSONS WITH DISABILITIES. MEASURES: * NUMBER OF FREE GROUP EXERCISE OPPORTUNITIES * NUMBER OF PARTICIPANTS * NUMBER OF UNIQUE ORGANIZATIONS/COMMUNITY PARTNERS SERVING PRIORITY POPULATIONS OBJECTIVE 3.2: IMPROVE THE BUILT ENVIRONMENT AND EQUIPMENT ACCESS TO INCREASE PHYSICAL ACTIVITY OPPORTUNITIES SUCH AS BICYCLE RECYCLE PROGRAMS AND COALITIONS, REGIONAL BIKE SHARE PROGRAMS, TRAIL SUPPORT, ETC. MEASURES: * NUMBER OF BUILT ENVIRONMENT PROJECTS TO INCREASE EXERCISE OPPORTUNITIES * NUMBER OF PARTICIPANTS RESPONSIBLE FOR EXECUTING THIS PLAN: PENN STATE HEALTH MILTON S. HERSHEY MEDICAL CENTER, PENN STATE HEALTH ST. JOSEPH MEDICAL CENTER AND PENN STATE HEALTH REHABILITATION HOSPITAL Schedule H, Part V, Section B, Line 11 Facility , 5 Facility , 5 - CHNA IMPLEMENTATION PLAN 2022-2025 YEAR THREE ACCOMPLISHMENTS. DURING FISCAL YEAR 2025, PSH HOSPITALS CONTINUED THE TASK FORCES TO CARRY OUT THE THIRD 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.) PLEASE NOTE, DURING THE SECOND HALF OF THE FISCAL YEAR, THE CHRONIC DISEASE AND PHYSICAL ACTIVITY GROUPS COMBINED INTO THE PHYSICAL WELL-BEING TASK FORCE. THE FOLLOWING SECTION WILL DESCRIBE KEY ACCOMPLISHMENTS PER PRIORITY AREA AND TASK FORCE. THE CHNA, IMPLEMENTATION STRATEGY AND ANNUAL COMMUNITY BENEFIT REPORT CAN BE FOUND AT: HTTPS://WWW.PENNSTATEHEALTH.ORG/COMMUNITY. MENTAL HEALTH: SEE YEAR 3 GOALS AND OBJECTIVES ABOVE. KEY ACCOMPLISHMENTS: EXPAND AND INCREASE BEHAVIORAL HEALTH TRAINING AND EDUCATION: * TRAINED 981 INDIVIDUALS ON MENTAL HEALTH SIGNS AND SYMPTOMS IN PARTNERSHIP WITH THE FOLLOWING ORGANIZATIONS: DAUPHIN COUNTY CRISIS INTERVENTION TEAM, PA STATE POLICE ACADEMY CADETS, BEACON CLINIC, PENN STATE HEALTH EMPLOYEE RESOURCE GROUPS, DAUPHIN COUNTY DISTRICT ATTORNEY'S OFFICE, INTERNATIONAL SERVICE CENTER AND COMMUNITY HEALTH WORKERS. PARTICIPANTS WHO HAVE ATTENDED THIS TRAINING AND TAKEN SURVEYS REPORT STATISTICALLY SIGNIFICANT IMPROVEMENTS IN THEIR PERCEIVED ABILITY TO MANAGE MENTAL HEALTH CRISES. * CLINICAL SIMULATION CENTER PARTNERED WITH PA STATE POLICE ACADEMY ON NINE INTERACTIVE AND INNOVATIVE TRAININGS TO HELP CADETS LEARN HOW TO BEST HANDLE MENTAL ILLNESS CASES, AND THE PROGRAM WAS EXPANDED OUTSIDE OF THE ACADEMY IN HARRISBURG AND PHILADELPHIA. THE PROGRAM HAS ALSO LED TO THE DEVELOPMENT OF THE KEYSTONE MODEL OF CRISIS MANAGEMENT. * OVER THE THREE-YEAR PERIOD, PROVIDED SUBSTANCE USE EDUCATION VIA 49 (APPROXIMATELY 16 PER YEAR) LECTURES, TRAININGS, WEBINARS OR HEALTH FAIRS, INCLUDING THE PENN STATE ADDICTION CENTER FOR TRANSLATION TOPICS IN ADDICTION MONTHLY SEMINAR SERIES, ANNUAL ADDICTION SYMPOSIUM AND OPIOID OVERDOSE REVERSAL TRAINING. NEW IN FY25, PROVIDED CULTURALLY RELEVANT EDUCATION TO BLACK BARBERS AND BEAUTICIANS ON MENTAL HEALTH AND SUBSTANCE USE, INCLUDING NALOXONE TRAINING. * DURING THE THREE YEARS, DISTRIBUTED APPROXIMATELY 1500 DOSES OF NALOXONE, LOCKBOXES AND SAFE DISPOSAL POUCHES AT NUMEROUS COMMUNITY HEALTH EVENTS, INCLUDING EVENTS IN CONNECTION WITH THE LGBT CENTER OF CENTRAL PA AND THE BIPOC COMMUNITY THROUGH GATHER THE SPIRIT FOR JUSTICE AND JUSTICE SYSTEM PARTNERS. * DRUG DROP BOXES ON THE PENN STATE HERSHEY CAMPUS COLLECTED APPROXIMATELY 4500 POUNDS OF UNUSED/EXPIRED MEDICATIONS OVER THE THREE-YEAR PERIOD. * COLLABORATED TO IMPLEMENT TWO COMMUNITY HEALTH VENDING MACHINES IN HARRISBURG AND READING TO DISPENSE NALOXONE, DRUG CHECKING KITS AND OTHER HEALTH NECESSITIES. PRELIMINARY DATA SHOWS THAT AT LEAST 1,422 INDIVIDUALS ARE USING BOTH VENDING MACHINES TO ACCESS ITEMS, WITH AT LEAST 450 INDIVIDUALS INTERACTING WITH THE SERVICES LIST TO CONNECT TO RESOURCES. * OFFERED DRUG TAKE-BACK DAY FIVE TIMES IN THREE YEARS, COLLECTING 3,523 POUNDS OF UNWANTED, UNNEEDED OR EXPIRED MEDICATIONS, AS WELL AS 92 SHARPS CONTAINERS. * THE COMMUNITY PSYCHIATRY RESIDENT TRACK IS A SPECIFIC TRAINING TRACK WITHIN THE GENERAL PSYCHIATRY RESIDENCY AT PENN STATE, PROVIDING ENHANCED LEARNING AND EXPERIENCES IN COMMUNITY PSYCHIATRY, INCLUDING CLINICAL EXPERIENCES IN PROVIDING CARE TO PATIENTS WITH SERIOUS MENTAL ILLNESS IN PUBLICLY FUNDED PROGRAMS. AS OF JULY 2025, THERE ARE A TOTAL OF FOUR PSYCHIATRY RESIDENTS IN THE COMMUNITY TRACK. * SECONDARY DATA ON OUR SIX-COUNTY SERVICE REGION SHOWED DURING THE LAST 3 YEARS OF OUR PLAN (2022-2025), o The percent of children reporting feeling sad or depressed most days in the past year decreased in all counties. (PAYS 2023). o The number of Drug Poisoning Deaths per 100,000 population decreased in Cumberland, Dauphin and Lebanon Counties. (County Health Rankings, 2025). COLLABORATE WITH ORGANIZATIONS TO DEVELOP AN INVENTORY OF BEHAVIORAL HEALTH RESOURCES AND SUPPORT SYSTEMS: * RECEIVED THREE COMMUNITY RELATIONS GRANTS RELATED TO MENTAL HEALTH: o THROUGH THE CULTURALLY RESPONSIVE AND TRAUMA-INFORMED LEADERSHIP PROGRAM, TAUGHT SIX ART AND MUSIC THERAPY WORKSHOPS GEARED TOWARD CHILDREN, TEENS AND YOUNG ADULTS AT THE STEELTON-HIGHSPIRE SCHOOL DISTRICT O THE MENTAL HEALTH IN EXPERIENTIAL EDUCATION GRANT SERVED A TOTAL OF 361 STUDENTS IN FY24-FY25 AND INCLUDED A TOTAL OF 19 EVENTS/INTERACTIONS WITH STUDENTS IN THE NEIGHBORING ACADEMY. THE INTERACTIONS INCLUDED YOGA AND MINDFULNESS SESSIONS, FOUR DIALECTICAL BEHAVIOR THERAPY WORKSHOPS PRE AND POST EXPERIENTIAL TRIP WORKSHOPS, EXPERIENTIAL TRIPS TO THE BALTIMORE AQUARIUM AND WOLF SANCTUARY, MENTAL HEALTH OVERVIEWS AND SENSORY REGULATION WORKSHOP & MINDFULNESS. O THROUGH THE MENTAL HEALTH EDUCATION TO YOUTH GRANT, TAUGHT SIX SENSORY REGULATION WORKSHOPS REACHING 63 CHILDREN, TEENS AND YOUNG ADULTS AT THE STEELTON-HIGHSPIRE SCHOOL DISTRICT * PSH GOVERNMENT RELATIONS MET WITH LEADERSHIP TO REVIEW AND ASSESS MENTAL HEALTH PRIORITIES AND NEEDS. * CONTINTUED THE UNITED WAY OF THE CAPITAL REGION CONTACT TO CARE AND ROAD TO SUCCESS INITIATIVES WITH TWO EMPLOYED COMMUNITY HEALTH WORKERS PROVIDING CONNECTIONS AND REFERALS TO HEALTHCARE AND COMMUNITY RESOURCES, INCLUDING REFERRALS FOR MENTAL OR BEHAVIORAL HEALTH AND SUBSTANCE USE. * DURING THE THREE YEARS, WE RECRUITED AND TRAINED TEN FELLOWS THROUGH THE ADDICTION MEDICINE FELLOWSHIP, PREPARING THESE PROVIDERS TO WORK IN COMMUNITY AND CLINICAL SETTINGS. * TRAINED A LEADER TO INITIATE THE SMART RECOVERY SUPPORT GROUP, WITH 4 OTHERS STARTING THE TRAINING TO BECOME SUPPORT GROUP LEADERS. PPI IS OFFERING ADULT, CHILD, AND ELDERLY SUPPORT GROUPS. * PENNSYLVANIA PSYCHIATRIC INSTITUTE'S ADVANCEMENT IN RECOVERY (AIR) PROGRAM OFFERS A COMPREHENSIVE MEDICATION ASSISTED TREATMENT PROGRAM FOR INDIVIDUALS STRUGGLING WITH OPIOID USE DISORDER AND IN FY25 THERE WERE 195 NEW INDIVIDUALS TREATED RESULTING IN A TOTAL OF 394 PEOPLE RECEIVING TREATMENT. * BEHAVIORAL HEALTH SERVICES AT PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER OPERATES TEENLINE TO PROVIDE COUNSELORS TO SERVE AS MENTAL HEALTH LIAISONS ON THE STUDENT ASSISTANCE PROGRAM TEAMS AT ALL PUBLIC SECONDARY SCHOOLS IN CUMBERLAND AND PERRY COUNTIES. * MOVING ON MATERNAL DEPRESSION PROGRAM IMPLEMENTED A VIRTUAL SUPPORT GROUP FOR MOMS AND REACHED OVER 50 MOMS IN JUST ONE YEAR. HEALTH EQUITY SEE YEAR 3 GOALS AND OBJECTIVES ABOVE. KEY ACCOMPLISHMENTS: * IN YEAR THREE, THE HEALTH EQUITY TASK FORCE CONTINUED TO UTILIZE THE COMMUNITY IMPACT MODEL TO GUIDE OUR COMMUNITY HEALTH WORK, COLLABORATE WITH THE OTHER TASK FORCES AND SUSTAIN ONGOING PARTNERSHIPS AND ACTIVITIES TO MAXIMIZE OFFERINGS TO OUR MOST VULNERABLE POPULATIONS. UPLIFT PARTNERSHIP WITH THE UNITED WAY: * IN THE FIRST TWO YEARS, PA 211 WAS EMBEDDED INTO DISCHARGE INSTRUCTIONS AND SUCCESSFUL AD CAMPAIGNS. IN YEAR THREE, WE SHIFTED TO INCREASING AWARENESS OF PA 211 INTERNALLY AND WITH OUR COMMUNITY PARTNER ORGANIZATIONS. WITH THE HELP OF OUR MARKETING AND COMMUNICATIONS TEAM, INFORMATION WAS SHARED THROUGH VARIOUS EMAILS, NEWSLETTERS, FLYERS, EMPLOYEE SCREENSAVERS AND COMMUNITY FACING TV SCREENS. * TWO UNITED WAY CONTACT TO CARE CHWS CONTINUED TO WORK WITH OUR TEAM. OVER THE COURSE OF THREE YEARS, THEY REACHED 337 PEOPLE. IN FY 2024-2025, THE CHWS HAVE ACTIVELY WORKED WITH 212 INDIVIDUALS AND MADE 173 HEALTHCARE/PRIMARY CARE SERVICES REFERRALS, 59 INSURANCE REFERRALS, 51 COMMUNITY RESOURCE REFERRALS (SUCH AS FOOD, TRANSPORTATION, EMPLOYMENT SERVICES AND MORE), 2 MENTAL/BEHAVIORAL HEALTHCARE SERVICE REFERRALS, AND ASSISTED WITH ESTABLISHING A MEDICAL HOME FOR 96 INDIVIDUALS. PARTNER WITH COMMUNITY ORGANIZATIONS ON TRAUMA-INFORMED CARE TRAININGS: * SINCE THE START OF THE TRAUMA-INFORMED CARE (TIC) PROGRAM IN 2021, 1,721 INDIVIDUALS HAVE BEEN TRAINED IN BERKS, CUMBERLAND, DAUPHIN, AND LANCASTER COUNTIES. RESULTS WERE PRESENTED AT THE AMERICAN PUBLIC HEALTH ASSOCIATION CONFERENCE TO SHARE THE PROGRAM AT THE STATE LEVEL IN YEAR TWO. IN YEAR THREE, EFFORTS EXPANDED TO INCLUDE FOUR INTERNAL STAFF AND STUDENT TRAININGS IN ADDITION TO ONGOING COMMUNITY SESSIONS. Schedule H, Part V, Section B, Line 11 Facility , 6 Facility , 6 - ACCOMPLISHMENTS CONTINUED. * TIC EVALUATION RESULTS ACROSS 3 YEARS: 934 PRE-SURVEYS AND 695 POST-SURVEYS HAVE BEEN COMPLETED TO EVALUATE THE TRAINING PROGRAM. PARTICIPANT RESPONSES HAVE SHOWN A STATISTICALLY SIGNIFICANT IMPROVEMENT IN THEIR "KNOWLEDGE "UNDERSTANDING" OF TRAUMA. NINETY-SEVEN PERCENT OF OPEN-ENDED RESPONSES HAVE BEEN POSITIVE, WITH MANY STATING THAT THE TRAINING IS "EYE-OPENING "INFORMATIVE." THE MOST SIGNIFICANT IMPROVEMENT WAS SEEN IN PARTICIPANTS' COMPREHENSIVE UNDERSTANDING OF TRAUMA-INFORMED SENSORY CARE. * WE CONTINUED THE EMPOWERED RELIEF PROGRAM, AN EVIDENCE-BASED PAIN MANAGEMENT COMMUNITY EDUCATION SERIES, AND OFFERED 5 SESSIONS IN LANCASTER AND DAUPHIN COUNTIES IN YEAR THREE. ADDITIONAL HIGHLIGHTS: * COMMUNITY HEALTH NURSES AND COMMUNITY HEALTH WORKERS VISIT A COMBINED TOTAL OF 48 REGULAR SITES THAT HAVE CONTINUED TO SPREAD ACROSS OUR 6-COUNTY SERVICE AREA, PROVIDING SERVICES SUCH AS HEALTH SCREENINGS, BLOOD PRESSURE MONITORS, HEALTH EDUCATION AND CONNECTIONS TO COMMUNITY RESOURCES. SENIOR CENTERS WERE A NEW LOCATION TYPE ADDED TO OUR EXISTING SITES. * COMMUNITY HEALTH NURSES PROVIDED 1,322 GLUCOSE SCREENINGS, 290 A1C SCREENINGS, 643 ASCVD SCREENINGS, 2,180 BLOOD PRESSURE SCREENINGS, AND 7 FECAL IMMUNOCHEMICAL TEST (FIT) KITS FOR COLORECTAL CANCER SCREENING. * DATA HIGHLIGHT: OF THE 718 INDIVIDUALS WITH AT LEAST TWO BLOOD PRESSURE MEASUREMENTS TAKEN BY OUR COMMUNITY HEALTH NURSES, THERE WERE CLINICALLY AND STATISTICALLY SIGNIFICANT DECREASES IN BOTH SYSTOLIC AND DIASTOLIC NUMBERS, WITH AN AVERAGE SYSTOLIC DECREASE OF 3.0 POINTS AND DIASTOLIC DECREASE OF 1.4 POINTS. * PENN STATE COLLEGE OF MEDICINE COMMUNITY HEALTH EQUITY & ENGAGEMENT IN RESEARCH (CHEER) TEAM PROVIDED SIX EDUCATIONAL SESSIONS OPEN TO INTERNAL AND EXTERNAL PARTICIPANTS. TOPICS WERE RELATED TO HEALTH LITERACY IN RESEARCH, FEDERAL GUIDELINES ON RACE AND ETHNICITY DATA, AND INCLUSIVITY IN RESEARCH AND HEALTHCARE - WITH DEDICATED SESSIONS FOCUSED ON VETERANS, PREGNANT WOMEN, INDIVIDUALS WITH DISABILITIES, AND MEMBERS OF THE AMISH COMMUNITY AND PLAIN COMMUNITIES. * THE HEALTH EQUITY TASK FORCE SUPPORTED THE WORK OF THE NUTRITION AND FOOD SECURITY TASK FORCE AT A DAY OF SERVICE IN LEBANON COUNTY. THE COMBINED TEAMS ASSISTED WITH PLANTING AND MAINTENANCE OF COMMUNITY GARDENS HOSTED BY LEBANON COUNTY CHRISTIAN MINISTRIES AND CHESTNUT STREET COMMUNITY CENTER. * MOVING FORWARD, TASK FORCES AND INTERNAL TEAMS WILL FORMULATE AND SHARE CONSISTENT, ONGOING MESSAGING TO EDUCATE ON THE DIFFERENCES BETWEEN AND WHEN TO USE PA 211 VS. 988 VS. 911 TO ACCESS SERVICES. NUTRITION AND FOOD ACCESS SEE YEAR 3 GOALS AND OBJECTIVES ABOVE. KEY ACCOMPLISHMENTS: EXPAND REACH OF NUTRITION AND FOOD ACCESS PROGRAMS: SINCE 2014, PSH HAS BEEN DEDICATED TO ADDRESSING FOOD AND NUTRITION INSECURITY WITHIN OUR SIX COUNTIES AND, THANKS TO GENEROUS SUPPORT FROM THE RITE AID HEALTHY FUTURES GRANT, HAVE BEEN ABLE TO EXPAND THESE EFFORTS OVER THE PAST TWO YEARS. EIGHTY-FIVE NUTRITION AND FOOD ACCESS POINTS IN YEAR ONE, EXPANDING TO 94 LOCATIONS IN YEAR TWO OF THIS PLAN, AND 112 LOCATIONS IN YEAR THREE OF THIS PLAN, LEADING TO SUSTAINABILITY, GROWTH, EQUITY AND DATA-DRIVEN RESEARCH. * ABOUT 19,000 PEOPLE SERVED ANNUALLY IN THE GARDEN PROGRAMS. THE ORIGINAL COMMUNITY GARDEN LOCATED ON THE MILTON S. HERSHEY MEDICAL CENTER AND PENN STATE COLLEGE OF MEDICINE CAMPUS ALSO DONATES OVER 2,300 POUNDS OF PRODUCE AND HONEY AND 1,500 FLOWER ARRANGEMENTS ANNUALLY. THESE SITES NOT ONLY PROVIDE FRESH PRODUCE BUT ALSO OFFER ACCESS TO COMMUNITY RESOURCES, EDUCATION, SOCIAL SUPPORT AND PHYSICAL ACTIVITY. THE VEGGIE RX PROGRAM IS A PRODUCE VOUCHER AND NUTRITION EDUCATION PROGRAM FOR COMMUNITIES FACING HEALTH DISPARITIES AND CHRONIC HEALTH CONDITIONS LIKE CARDIOVASCULAR DISEASE AND DIABETES. IT STARTED AND CONTINUES TO HAVE POSITIVE OUTCOMES, WITH CLASSES SHOWING THAT THE AVERAGE TOTAL CHOLESTEROL AND DIASTOLIC BLOOD PRESSURES OF PARTICIPANTS IMPROVED. IN THE THIRD YEAR OF THE PLAN, THE PROGRAM EXPANDED TO FAMILY FIRST IN LEBANON AND COLUMBIA, AS WELL AS THE HUMAN SERVICES CENTER IN NORTHERN DAUPHIN COUNTY. IN BERKS COUNTY, THE LARGEST CLASS IN SPANISH TOOK PLACE IN THIS YEAR AS WELL.IN FISCAL YEAR 2025, VEGGIE RX EXPANDED TO 9 SITES IN 4 COUNTIES.IMPROVE ACCESS TO FRUITS AND VEGETABLES AND NUTRITION EDUCATION WITHIN OUR SERVICE AREA: * NUTRITION SITES IN ALL COUNTIES EDUCATED ON VARIOUS TOPICS THIS YEAR INCLUDING SKIN CANCER AND SUN SAFETY, THE HEALTH IMPACTS OF GARDENING, ORAL HEALTH, COOKING AND RISK FOR STROKE AND HEART ATTACKS. * COMMUNITY FRIDGES ARE STOCKED WEEKLY WITH FRESH PRODUCE AND OPEN TO ALL COMMUNITY MEMBERS. PSH PARTNERED WITH THE LATINO HISPANIC AMERICAN COMMUNITY CENTER (LHACC) AND THE PENN STATE HEALTH MEDICAL OUTREACH SERVICE TO ADDRESS FOOD INSECURITY IN DOWNTOWN HARRISBURG. THE PROGRAM HAS EXPANDED OVER THE PAST THREE YEARS, WITH A TOTAL OF SIX FRIDGES PLACED ACROSS THE SIX COUNTY SERVICE REGION. IN 2025, THERE WERE 10,040 PERSONS SERVED BY THE COMMUNITY FRIDGE PROGRAM. * GOGGLEWORKS GARDEN IN BERKS COUNTY HOSTED A BOOK LAUNCH TO INTRODUCE THE TOGETHER WE GROW BOOK. THE FAMILY FRIENDLY EDUCATIONAL BOOK WAS CREATED THROUGH COLLABORATION OF PSH AND LOCAL AUTHORS. * EXPANDED TO 21 COMMUNITY GARDEN SITES, ADDING TWO GARDEN SITES IN PERRY COUNTY, AN EDIBLE CLASSROOM IN COLUMBIA, TWO ADDITIONAL SITES IN LEBANON; ONE AT ST. LUKE'S AND ANOTHER AT SALVATION ARMY, TWO SITES IN LANCASTER COUNTY; ONE AT LANCASTER REC AND ANOTHER ON BAY STREET AND LASTLY, PARTNERED WITH THE BOYS AND GIRLS CLUB AT THEIR GREENHOUSE IN ALLISON HILL, HARRISBURG. * Secondary data about our service region showed that the percent of adults who report a BMI of greater or equal to 30 kg/m^2 decreased in Cumberland and Dauphin Counties during this 3-year implementation plan. (County Health Rankings, 2025). * ON THE PSH CAMPUSES, WE OFFER FIVE EMPLOYEE FOOD PANTRIES. FOOD BOXES ARE PROVIDED TO FOOD INSECURE PATIENTS IN EIGHT CLINICS. IN FY 2025, 438 FOOD BOXES, AS WELL AS FOOD AND CLOTHING COUPONS, SERVED 1,297 PEOPLE. - MILTON S. HERSHEY MEDICAL CENTER AND PENN STATE HEALTH SUPPORT THE FARMERS MARKET IN HERSHEY AND SUMMER CONCERT SERIES IN MAY-OCTOBER. THE MARKET INCREASES COMMUNITY ACCESS TO LOCALLY GROWN FRUITS AND VEGETABLES, OPPORTUNITIES FOR WELLNESS PARTNERSHIPS AND HEALTH EDUCATION PROVIDED BY PSH STAFF EACH WEEK. TO DATE, PSH HAS REACHED 90,352 PEOPLE THROUGH THE FARMERS MARKET PROGRAM. CHRONIC DISEASE AND RISK FACTOR PREVENTION AND PHYSICAL ACTIVITY SEE YEAR 3 GOALS AND OBJECTIVES ABOVE. KEY ACCOMPLISHMENTS: * DURING THIS FISCAL YEAR, THE CHRONIC DISEASE AND RISK FACTOR PREVENTION TASK FORCE AND PHYSICAL ACTIVITY TASK FORCE JOINED FORCES TO FORM THE PHYSICAL WELL-BEING TASK FORCE TO FOSTER ADDITIONAL COLLABORATION AMONG THESE GROUPS AND PLAN THE NEXT IMPLEMENTATION STRATEGY. * ONGOING WELLNESS AND DISEASE PREVENTION EFFORTS EXPANDED OVER THE THREE-YEAR PERIOD, AND REACHED 591,807 PEOPLE ACROSS ALL HOSPITALS IN FY 2025. * COMMUNITY HEALTH FEEDBACK EVALUATION SURVEY RESULTS O TOTAL NUMBER OF SURVEYS COMPLETED WITHIN THE THREE YEARS OF THE PLAN WAS 674 ON 29 VARIOUS TOPICS. O IN YEAR THREE ALONE, 322 SURVEYS WERE COMPLETED DEMONSRATING INCREASE USE FROM ADDITIONAL PROGRAMS AND EXPANSION EACH YEAR OF THE PLAN. O THE SHORT, ENGLISH SURVEY WAS THE MOST USED. O FOUR DIFFERENT GROUPS THAT EDUCATED ON ONE PARTICULAR HEALTH CONDITION REGULARLY USED OUR EVALUATION FRAMEWORK AND SURVEYS TO DEVELOP THEIR OWN SURVEY SPECIFIC TO THEIR EDUCATION. FROM OUR SURVEY, A STROKE SPECIFIC SURVEY, SENSORY REGULATION SURVEY, EMPOWERED RELIEF SURVEY AND HELLO GAME SURVEY WAS CREATED. O THE FRAMEWORK WAS SPLIT BETWEEN MEASURING TWO CATEGORIES- THE FIRST BEING PARTICIPANT'S ENGAGEMENT AND PARTICIPATION IN THE EVENT. THE SURVEY QUESTIONS WE SELECTED TO MEASURE THIS ARE SHOWN HERE. MOST USEFUL METHOD OF LEARNING IS PRESENTATION (88%) WITH GROUP DISCUSSION BEING SECOND (57%). MOST INDIVIDUALS PREFER TO RECEIVE EDUCATIONAL MATERIAL IN PERSON (63%), WITH EMAIL BEING SECOND MOST SELECTED OPTION (33%). O THE SECOND CATEGORY MEASURED WITH THE FRAMEWORK WAS PARTICIPANTS' LEARNING AND FUTURE ACTION STEPS. THESE NUMBERS HAVE ALL INCREASED OVER THREE YEARS. 98% SAID THEY LEARNED SOMETHING NEW AND 90% WERE VERY LIKELY TO PARTICIPATE IN A SIMILAR ACTIVITY IN THE FUTURE. THE MAJORITY OF PARTICIPANTS PLAN TO EITHER USE THE INFORMATION THEY LEARNED TO IMPROVE THEIR OWN HEALTH (55%) OR DISCUSS IT WITH A FRIEND/FAMILY MEMBER/COLLEAGUE/PROVIDER (51%) SHOWING HOW OUR EDUCATIOAL EVENTS CAN IMPACT THE HEALTH OF EVEN THOSE IN THE COMMUNITY WHO DID NOT ATTEND THE EVENT THEMSELVES. Schedule H, Part V, Section B, Line 11 Facility , 7 Facility , 7 - ACCOMPLISHMENTS CONTINUED. * ALL PHYSICAL ACTIVITY PROGRAMMING CONTINUTED INTO YEAR THREE OF THE PLAN - HIGHLIGHTS FROM MEETINGS MINUTES. CUMULATIVE PSH PHYSICAL ACTIVITY PROGRAMMING IN FY 2025 REACHED 89,074 PARTICIPANTS. * WALKING PROGRAMS STORY WAS FEATURED IN THE ANNUAL COMMUNITY BENEFIT REPORT. KEY NUMBERS AND OUTCOME HIGHLIGHTS INCLUDE: O THE STORYWALKS IN DAUPHIN COUNTY UPDATED SEASONAL BOOKS AND SIGNS, AND EXPANDED FROM ONE TO TWO RURAL LOCATIONS: DETWEILER PARK AND LYKENS GLEN PARK, REACHING OVER 11,000 (11,036) PARTICIPANTS (REPORTED BY TRAIL COUNTERS) IN FY 2025. SCANNABLE SURVEYS COMPLETED SHOWED 95.7% FELT THE STORYWALK PROVIDED AN OPTION FOR MORE PHYSICAL ACTIVITY; AND 95.7% WANTED TO SEE MORE STORYWALKS. O WALK WITH A DOC EVENTS IN READING (12-WEEK SERIES) AND DAUPHIN COUNTY (8 MONTHLY EVENTS) REACHED OVER 200 (204) PEOPLE IN FY 2025. THE BURG RAN AN ARTICLE TO PROMOTE DAUPHIN COUNTY WALK WITH A DOC IN MARCH, 2025. ESTIMATED 5,000 PEOPLE REACHED BY THE ARTICLE. O DAUPHIN COUNTY WALK WITH A DOC EXPANDED THIS YEAR AND IS NOW ORGANIZED BY CAPITAL AREA GREENBELT ASSOCIATION, DAUPHIN COUNTY PARKS & RECREATION, PENBROOK BOROUGH, PENN STATE HEALTH AND SUSQUEHANNA TOWNSHIP PARKS & RECREATION AND FOCUSSES TOPICS ON THE PRIORITIES IDENTIFIED IN THE PENN STATE HEALTH 2025 COMMUNITY HEALTH NEEDS ASSESSMENT. * PHYSICAL ACTIVITY PROGRAMING AND BUILT ENVIRONMENT PROJCTS EXPANDED OVER THREE YEARS AND ARE OFFERED IN ALL SIX COUNTIES. NEW EXAMPLES INCLUDE: O SUSTAINABLE LAND MANAGEMENT AND WALKING TRAILS: IN PARTNERSHIP WITH LANDSTUDIES, INC., WE'VE INTRODUCED NATIVE MEADOWS AT HMC THAT BRIGHTEN THE CAMPUS AND SUPPORT POLLINATORS LIKE BEES AND BUTTERFLIES. EARLY BLOOMS SUCH AS PENSTEMON DIGITALIS AND COREOPSIS HELP WILDLIFE, WHILE THE MEADOWS MANAGE STORMWATER AND IMPROVE SOIL HEALTH. WITH WALKING PATHS, EDUCATIONAL SIGNS AND PEACEFUL SPOTS TO PAUSE, THESE MEADOWS OFFER A PLACE TO RECHARGE- JUST STEPS FROM THE HOSPITAL. IT'S ONE MORE WAY WE'RE CREATING A HEALTHIER ENVIRONMENT FOR OUR COMMUNITY. THIS EDUCATIONAL PROJECT ENCOURAGES PHYSICAL ACTIVITY, BOOSTS PARTICIPANTS' MENTAL HEALTH AND BENEFITS THE HEALTH OF THE ENVIRONMENT. O NEPORT SCHOOL DISTRICT GARDENS = ONE ADDITIONAL SCHOOL PHYSICAL ACTIVITY OPPORTUNITY TO BUILD AND MAINTAIN GARDEN, AND FUTURE EDUCATION WILL TIE IN A MENTAL WELL-BEING MESSAGE AS WELL. * SECONDARY DATA ON OUR SIX-COUNTY SERVICE REGION SHOWED THAT: O THE PERCENT OF ADULTS WITH A ROUTINE CHECKUP IN THE PAST YEAR INCREASED (SLIGHTLY BUT STILL AN INCREASE) IN BERKS AND LEBANON COUNTIES. (CDC BRFSS PLACES PROJECT, 2024). O ACCORDING TO THE 2025 COUNTY HEALTH RANKINGS, THE PERCENT OF ADULTS WHO REPORT NO LEISURE TIME PHYSICAL ACTIVITY (AGE 20+) DECREASED IN ALL COUNTIES. 0 Schedule H, Part VI, Line 7 COMMUNITY BENEFIT REPORT STATE FILINGS NOT APPLICABLE IN THE STATE OF PENNSYLVANIA. Schedule H, Part I, Line 3c AS WELL AS USING THE FEDERAL POVERTY GUIDELINES, THE PATIENT'S AVAILABLE ASSETS AND ALL OTHER FINANCIAL RESOURCES AVAILABLE TO THE PATIENT ARE TAKEN INTO CONSIDERATION WHEN DETERMINING FREE OR DISCOUNTED CARE. PATIENTS WHOSE FAMILY INCOME EXCEEDS 300% OF THE FPG MAY BE ELIGIBLE TO RECEIVE DISCOUNTED RATES ON A CASE-BY-CASE BASIS BASED ON THEIR SPECIFIC CIRCUMSTANCES, SUCH AS CATASTROPHIC ILLNESS. Schedule H, Part V, Section B LINE 13A FINANCIAL ASSISTANCE GUIDELINES ARE BASED ON 300% OF THE FEDERAL POVERTY GUIDELINES (FPG) PUBLISHED ANNUALLY IN THE FEDERAL REGISTER. CARE IS DISCOUNTED 100% UP TO 300% OF THE FPG. DESIGNATED PERSONNEL WILL ACCESS THE FEDERAL REGISTER AND UPDATE THE FINANCIAL ASSISTANCE GUIDELINES ANNUALLY. THE DISCOUNT IS BASED ON FAMILY SIZE AND ANNUAL INCOME. Schedule H, Part I, Line 6a Community benefit report prepared by related organization PENN STATE HEALTH, A RELATED PARTY, PREPARES A COMMUNITY BENEFIT REPORT THAT INCLUDES PENN STATE HEALTH LANCASTER MEDICAL CENTER JO AND MAKES IT AVAILABLE TO THE PUBLIC. Schedule H, 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. Schedule H, Part II 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 FY2025, THE PENN STATE HEALTH SYSTEM SERVED 1,299,026 COMMUNITY MEMBERS WITH 174,656 EMPLOYEE HOURS AND 43,720 VOLUNTEER HOURS, RESULTING IN $11,361,879 IN COMMUNITY HEALTH SERVICES PROVIDED TO THE COMMUNITIES. A PORTION OF THE COMMUNITY HEALTH IMPROVEMENT SERVICES IS PRESENTED IN PART I, LINE 7. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount 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. Schedule H, Part III, Line 3 Bad Debt Expense Methodology 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. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote PAGE 10, FOOTNOTE FOR NET PATIENT SERVICE REVENUE. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs 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 MEDICALLY NECESSARY CARE TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY. 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. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance 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. Schedule H, Part V, Section B, Line 16a FAP website - PENN STATE HEALTH LANCASTER MED CENTER: Line 16a URL: www.pennstatehealth.org/patients-visitors/billing-medical-records/financial-assistance; Schedule H, Part V, Section B, Line 16b FAP Application website - PENN STATE HEALTH LANCASTER MED CENTER: Line 16b URL: www.pennstatehealth.org/patients-visitors/billing-medical-records/financial-assistance; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - PENN STATE HEALTH LANCASTER MED CENTER: Line 16c URL: www.pennstatehealth.org/patients-visitors/billing-medical-records/financial-assistance; Schedule H, Part VI, Line 2 Needs assessment COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA): SEE CHNA INFORMATION OCCASIONALLY ADDITIONAL ASSESSMENTS ARE CONDUCTED BY DISEASE SPECIFIC DEPARTMENTS, INSTITUTES, AND PROGRAMS. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: WE BELIEVE THAT RECEIVING HEALTHCARE IS A BASIC HUMAN RIGHT. THE PENN STATE HEALTH LANCASTER 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 PENN STATE HEALTH LANCASTER 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 PENN STATE HEALTH LANCASTER MEDICAL CENTER'S OWN ASSISTANCE PLAN THAT CAN PAY ALL OR A SIGNIFICANT PORTION OF HOSPITAL BILLS. Schedule H, Part VI, Line 4 Community information THE 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. FOR ADDITIONAL DEMOGRAPHIC INFORMATION SEE FULL CHNA REPORT. Schedule H, Part VI, Line 5 Promotion of community health PENN 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 PENN STATE HEALTH LANCASTER MEDICAL CENTER IS AS FOLLOWS: - CARE MANAGEMENT UBER/LYFT SUPPORT - COMMUNITY HEALTH WORKERS - UNITED WAY PARTNERSHIP - PROVIDED SUPPORT AT NEW HOPE MINISTRIES, BREADS AND THREADS MARKET - COMMUNITY GARDENS - PERRY COUNTY/MILLERSTOWN GARDEN & PERRY COUNTY KIDS GARDEN CLUB - COMMUNITY RELATIONS DEPARTMENT CHARITABLE PURPOSE SPONSORSHIPS - COMMUNITY RELATIONS DEPARTMENT OUTREACH AND BOARD SERVICE - FINANCE COMMUNITY ADMINISTRATION - FINANCIAL COUNSELING AND INSURANCE ENROLLMENT - INCLUDING CHIP - FOOD PANTRY HEALTH EDUCATION - NEW HOPE, BREAD OF LIFE OUTREACH, PROJECT SHARE - HEALTH FAIRS AND SUPPORT GROUPS - HIGI - MEDICATION SUPPORT TO UNDER-RESOURCED PATIENTS - PHARMACY TO GO MEDS - NEW HOPE FOOD PANTRY HEALTH EDUCATION, ASCVD CARDIOVASCULAR SCREENING AND FOOD DRIVE - NURSING DEPARTMENT COMMUNITY OUTREACH - OR SUPPLY & LOGISTICS COMMUNITY DONATIONS - PHARMACY TO GO MEDICATION SUPPORT - PRAPARE TOOL AND CHARITABLE SUPPORT TO ADDRESS SOCIAL DETERMINANTES OF HEALTH - STROKE OUTREACH - STUDENT SHADOWING - TRAUMA INFORMED CARE - UBER CHARGES TO SUPPORT TRANSPORTATION COSTS FOR UNDER-RESOURCED PATIENTS TO ALLOW THEM TO RECEIVE NECESSARY CARE. - UNITED WAY CAMPAIGN, UNITED WAY DAY OF CARING AND STUFF THE BUS EVENT Schedule H, Part VI, Line 6 Affiliated health care system AFFILIATED HEALTH CARE SYSTEM PENN STATE HEALTH LANCASTER 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. true East Hempfield Township 1700 Nissley Road Landisville PA 17538 236000356 GOV 170000 PROGRAM SUPPORT 1 0 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds IF A REQUEST FOR A CHARITABLE CONTRIBUTION OR GRANT IS APPROVED, THE COMMUNITY RELATIONS DEPARTMENT SENDS AN EMAIL WITH TH FOLLOWING DETAILS: -RECIPIENT IS ASKED TO PROVIDE AN INVOICE FOR PAYMENT, PROVIDING THE EXACT AMOUNT REQUESTED AND DETAILS FOR WHAT IT WILL BE SPENT ON. -THE APPROPRIATE LOGOS AND BRANDING ELEMENTS ARE PROVIDED FOR ANY MESSAGING. -THE FOLLOWING STATEMENT IS INCLUDED: "PENN STATE HEALTH (OR ITS AFFILIATE) IS PROUD TO SPONSOR PROGRAMS THAT SERVE OUR COMMUNITY. THIS ACTIVITY IS CONSISTENT WITH, AND SUPPORTIVE OF, OUR MISSION BY PROVIDING COMMUNITY BENEFIT WITHIN THE COMMUNITIES WE SERVE. ACCORDINGLY, YOU SHOULD CONSIDER THIS DONATION TO BE RESTRICTED TO ITS INTENDED PURPOSE. WE APPRECIATE YOUR SERVICE AND ARE EXCITED TO SUPPORT YOU IN THIS EFFORT!" THE SPONSORSHIPS ARE MONITORED BY THE ORGANIZATION'S COMMUNITY RELATIONS PERSONNEL TO ENSURE THE FUNDS ARE SPENT AS INTENDED AND THE ORGANIZATION MAY REQUEST WRITTEN DOCUMENTATION AND RECEIPTS AS SUBSTANTIATION. ORGANIZATION PERSONNEL ATTEND MANY OF THE EVENTS/CAUSES WE SPONSOR, WORK/ENGAGE ACTIVELY WITH THESE NON-PROFIT ORGANIZATIONS THROUGHOUT THE YEAR, AND TYPICALLY RECEIVE CONFIRMATION LETTERS FROM THE ORGANIZATIONS AS WAYS TO ASSURE OUR CONTRIBUTIONS ARE USED FOR THEIR INTENDED PURPOSES. true true false false false false false true false DEBORAH ADDO DIRECTOR & CHAIR / PSH PRESIDENT & COO 0 972726 0 458918 0 118019 0 144734 0 10709 0 1705106 0 0 PAULA TINCH DIRECTOR / PSH CFO & EVP - PART YEAR 0 814835 0 376957 0 199585 0 26070 0 20923 0 1438370 0 0 JOSEPH FRANK PRESIDENT 496589 0 84680 0 39940 0 26070 0 10334 0 657613 0 0 0 KENNETH WOOD DIRECTOR / EVP & SYSTEM CMO 0 727485 0 228114 0 24066 0 89815 0 20563 0 1090043 0 0 JUDITH HLAFCSAK DIRECTOR/PSH CHIEF OF STAFF 0 473469 0 227231 0 229504 0 26070 0 10587 0 966861 0 0 DARON KAHN DIRECTOR 0 382352 0 119938 0 9561 0 26070 0 2020 0 539941 0 0 ALLISON BARRETT DIRECTOR 0 344645 0 157488 0 1385 0 26070 0 0 0 529588 0 0 MICHAEL REIHART DIRECTOR/PHYSICIAN - PART YEAR 0 306181 0 20000 0 162000 0 26070 0 28207 0 542458 0 0 STEPHEN MASSINI PSH CEO - PART YEAR 0 1136520 0 707558 0 731025 0 638691 0 21422 0 3235216 0 0 EDWARD CHABALOWSKI TREAS/VP/CFO - PART YEAR 0 223912 0 50386 0 136996 0 23174 0 16694 0 451162 0 0 RANDY MORRIS TREASURER/EVP & CFO 0 331034 0 52062 0 17679 0 26070 0 20668 0 447513 0 0 ROSS DARROW VICE PRESIDENT, TREASURER 0 295418 0 49433 0 17904 0 26070 0 28258 0 417083 0 0 CLAIRE MOONEY SVP AND CHIEF OPERATING OFFICER - PART YEAR 260837 0 40944 0 4258 0 21748 0 23870 0 351657 0 0 0 NICOLE LEHMAN SECRETARY (PSU EMP) 0 285408 0 0 0 0 0 81622 0 18739 0 385769 0 0 BARABARA ZUPPA VP CHIEF NURSING OFFICER 223885 0 26755 0 8290 0 19251 0 20468 0 298649 0 0 0 Mark Jarowenko VP OF MEDICAL AFFAIRS 347097 0 40677 0 19826 0 26070 0 20644 0 454314 0 0 0 Angela Sonon SR DIRECTOR OF QUALITY/MEDICAL AFFAIRS 209172 0 30720 0 10976 0 18205 0 18930 0 288003 0 0 0 Kara Smith REGISTERED NURSE 167196 0 69726 0 4236 0 17221 0 31812 0 290191 0 0 0 Georgina Danowski REGISTERED NURSE 142390 0 68042 0 4758 0 12632 0 0 0 227822 0 0 0 PATRICIA HOAK REGISTERED NURSE 149924 0 21068 0 23952 0 9882 0 890 0 205716 0 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation 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. Schedule J, Part I, Line 4a Severance or change-of-control payment THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS DURING THE CALENDAR YEAR ENDING WITHIN THIS FISCAL YEAR ENDED JUNE 30, 2025: - STEPHEN MASSINI - $304,920 - EDWARD CHABALOWSKI - $63,252 Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan DURING THE CALENDAR YEAR ENDING WITHIN THIS FISCAL YEAR ENDED JUNE 30, 2025, CERTAIN DIRECTORS AND OFFICERS PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. THE BELOW LISTED INDIVIDUALS 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. - JOSEPH FRANK - $17,566 - JUDY HLAFCSAK - $24,083 - STEPHEN MASSINI - $114,302 - PAULA TINCH - $46,018 DURING THE CALENDAR YEAR ENDING WITHIN THIS FISCAL YEAR ENDED JUNE 30, 2025, CERTAIN DIRECTORS AND 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 ADDO - $118,664 - KENNETH WOOD - $63,745 Schedule J, Part I, Line 7 Non-fixed payments BONUSES, PAID BY THE FILING ORGANIZATION OR 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. Form 990, Part V, Line 1a FORM 1096 FOR THE FILING ORGANIZATION IS PROCESSED AND REPORTED BY ITS RELATED ORGANIZATION PENN STATE HEALTH (EIN: 47-3769205). Form 990, Part VI, Line 6 Classes of members or stockholders THE FILING ORGANIZATION'S SOLE MEMBER IS PENN STATE HEALTH, A PENNSYLVANIA NONPROFIT CORPORATION. Form 990, Part VI, Line 7a Members or stockholders 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, Line 7b Decisions requiring approval by members or stockholders PURSUANT TO SPECIFICATIONS DEFINED IN THE BYLAWS THE CORPORATE MEMBERS HAVE RESERVED POWERS. NOT WITH STANDING 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; (T) TO ELECT TO EXERCISE, IN ITS DISCRETION, THE POWERS RESERVED TO THE CORPORATION BY ITS SUBSIDIARIES OR HELD BY THE CORPORATION AND/OR ITS SUBSIDIARIES WITH RESPECT TO JOINT VENTURES, IN WHICH CASE THE ACTION OF THE SOLE MEMBER SHALL TAKE PRECEDENCE OVER ANY ACTION OF THE BOARD OF DIRECTORS OF THIS CORPORATION; AND (U) 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, 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, 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 ONLINE 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, Line 15b Process to establish compensation of other employees THE FILING ORGANIZATION IS PART OF A MULTI-ENTITY HEALTH SYSTEM AND MAY OR MAY NOT DESIGNATE ONE OR MORE OF ITS EMPLOYEES AS A CEO (OR PRESIDENT), OFFICER, OR KEY EMPLOYEE. IF THE FILING ORGANIZATION DOES NOT DESIGNATE INDIVIDUALS TO THESE ROLES, THE ROLE IS HANDLED BY AN INDIVIDUAL FROM THE PARENT ENTITY, PENN STATE HEALTH, OR AN AFFILIATE. PENN STATE HEALTH HAS ESTABLISHED A SYSTEM-WIDE PROCESS FOR ESTABLISHING COMPENSATION AS FOLLOWS: ANNUALLY, THE COMPENSATION COMMITTEE OF THE PARENT BOARD ENGAGES AN INDEPENDENT COMPENSATION CONSULTANT TO CONDUCT A COMPENSATION ANALYSIS FOR THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER (CEO), OFFICERS, AND KEY EMPLOYEES. AS PART OF THE ANALYSIS, THE INDEPENDENT COMPENSATION CONSULTANT IDENTIFIES, GATHERS, AND ANALYZES, APPROPRIATE COMPARABILITY DATA UPON WHICH THE COMMITTEE AND THE FULL BOARD WILL RELY TO ASSESS THE REASONABLENESS OF THE TOTAL PROPOSED COMPENSATION (INCLUDING BENEFITS) OF THE CEO, OFFICERS, AND KEY EMPLOYEES. ONCE THE COMPENSATION ANALYSIS IS COMPLETE AND DOCUMENTED IN REPORTS, THE REPORTS ARE PROVIDED TO THE BOARD FOR REVIEW AND CONSIDERATION, TOGETHER WITH WRITTEN OPINIONS FROM THE COMPENSATION CONSULTANT THAT THE PROPOSED COMPENSATION ARRANGEMENTS FOR THE CEO, OFFICERS, AND KEY EMPLOYEES ARE REASONABLE WITHIN THE MEANING OF TREASURY REGULATION 53.4958-4(B)(1)(II)(A). WITH INPUT FROM THE COMPENSATION COMMITTEE, THE FULL BOARD MAKES ANNUAL DECISIONS WITH RESPECT TO COMPENSATION FOR THE CEO, OFFICERS, AND KEY EMPLOYEES BASED UPON THE DATA IN THE REPORT AND THE OPINION OF THE COMPENSATION CONSULTANT THAT THE PROPOSED COMPENSATION IS REASONABLE. THESE DECISIONS, THE BASIS FOR THESE DECISIONS, THE BOARD MEMBERS' NAMES WHO VOTE ON COMPENSATION, AND THAT NONE OF THE BOARD MEMBERS HAVE A CONFLICT OF INTEREST WITH RESPECT TO THESE COMPENSATION ARRANGEMENTS IS ALL CONTEMPORANEOUSLY DOCUMENTED IN THE MINUTES. Form 990, Part VI, 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 PENNSYLVANIA STATE UNIVERSITY AND ITS SUBSIDIARIES (WHICH INCLUDES PENN STATE HEALTH AND ITS AFFILIATES) ARE AVAILABLE AT WWW.PSU.EDU. Form 990, Part VII, Section A 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 IX, Line 11g Other Fees PHYSICIAN FEES: - Total Expense: 177600, Program Service Expense: , Management and General Expenses: 177600, Fundraising Expenses: ; CONTRACT LABOR: - Total Expense: 7369755, Program Service Expense: 6694064, Management and General Expenses: 675691, Fundraising Expenses: ; CLINCAL SERVICES: - Total Expense: 10476294, Program Service Expense: 10455798, Management and General Expenses: 20496, Fundraising Expenses: ; PURCHASED SERVICES: - Total Expense: 7655457, Program Service Expense: 1393480, Management and General Expenses: 6261977, Fundraising Expenses: ; CONSULTING FEES: - Total Expense: 219544, Program Service Expense: 58708, Management and General Expenses: 160836, Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances TRANSFER TO AFFILIATE - CLINIC SUPPORT - -9559017; Total - -9559017; FORM 990, PART VI, LINES 13 & 14 WHISTLEBLOWER POLICY AND DOCUMENT RETENTION/DESTRUCTION POLICY THE FILING ORGANIZATION FOLLOWS THE WHISTLEBLOWER POLICY AND DOCUMENT RETENTION AND DESTRUCTION POLICY OF A RELATED ORGANIZATION. ST JOSEPH REGIONAL HEALTH NETWORK 100 CRYSTAL A DRIVE MC CA210 HERSHEY PA 17033 231352211 HEALTHCARE PA 501(c)(3) 3 PSH true ST JOSEPH MEDICAL CENTER FOUNDATION 100 CRYSTAL A DRIVE MC CA210 HERSHEY PA 17033 232649362 FUNDRAISING PA 501(c)(3) Type I SJRHN true ST JOSEPH MEDICAL GROUP 100 CRYSTAL A DRIVE MC CA210 HERSHEY PA 17033 208544021 HEALTHCARE PA 501(c)(3) 10 PSH true THE PENNSYLVANIA STATE UNIVERSITY ONE OLD MAIN UNIVERSITY PARK PA 16802 246000376 EDUCATION PA 115 NA false PENN STATE HEALTH 100 CRYSTAL A DRIVE MC CA210 HERSHEY PA 17033 473769205 HEALTHCARE PA 501(c)(3) Type I PSU true THE MILTON S HERSHEY MEDICAL CENTER 100 CRYSTAL A DRIVE MC CA210 HERSHEY PA 17033 251854772 HEALTHCARE PA 501(c)(3) 3 PSH true PENN STATE HEALTH HAMPDEN MEDICAL CENTER 100 CRYSTAL A DRIVE MC CA210 HERSHEY PA 17033 851608328 HEALTHCARE PA 501(c)(3) 3 PSH true PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER 100 CRYSTAL A DRIVE MC CA210 HERSHEY PA 17033 231512747 HEALTHCARE PA 501(c)(3) 3 PSH true HOLY SPIRIT CORPORATION 100 CRYSTAL A DRIVE MC CA210 HERSHEY PA 17033 232214540 REAL ESTATE PA 501(c)(2) PSHHSMC true PENNSYLVANIA PSYCHIATRIC INSTITUTE 100 CRYSTAL A DRIVE MC CA210 HERSHEY PA 17033 261699000 HEALTHCARE PA 501(c)(3) 3 MSHMC true PENNSYLVANIA PSYCHIATRIC MEDICAL SERVICES 100 CRYSTAL A DRIVE MC CA210 HERSHEY PA 17033 822969322 HEALTHCARE PA 501(c)(3) 3 PPI true HERSHEY OUTPATIENT SURGERY CENTER LP 15305 DALLAS PKWY ADDISON TX 75001 200469951 HEALTHCARE PA NITTANY HLTH false false SCOL HOLDINGS LLC 5000 COLLEGE BLVD STE 400 OVERLAND PARK KS 66211 871736200 HEALTHCARE KS NITTANY HLTH false false Lancaster Orthopedic Group Surgery Center LLC 413 GRANITE RUN DRIVE LANCASTER PA 17601 854269989 HEALTHCARE PA PSH false false NITTANY HEALTH INC 100 CRYSTAL A DRIVE MC CA210 HERSHEY PA 17033 251769611 HEALTHCARE PA PSH C Corporation false false false false true false false false false false false false false false true true false false true true Schedule R, Part VII 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.