2024-05-13T16:34:17-05:00 2023-06-30 390859910 BAKER TILLY US LLP 1570 FRUITVILLE PIKE SUITE 400 LANCASTER PA 17601 990 2022-07-01 240795411 EVANGELICAL COMMUNITY HOSPITAL EVAN 5705222741 ONE HOSPITAL DRIVE LEWISBURG PA 17837 JAMES A STOPPER CHIEF FINANCIAL OFFICER 5705222741 2024-05-09 1 JAMES STOPPER XXX-XX-XXXX 1 KERRI N BOGDA CPA P00760402 7177404863 2024-05-09 X 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z KENDRA A AUCKER ONE HOSPITAL DRIVE LEWISBURG PA 17837 341566907 0 X WWW.EVANHOSPITAL.COM X 1926 PA PROVIDE HEALTH CARE SERVICES TO THE PUBLIC AND TO BE THE COMMUNITY'S HEALTH CARE PROVIDER OF CHOICE. 15 10 1816 73 10073631 583297 7655555 2506287 243783232 235030308 5679180 7143585 12679634 14909953 269797601 259590133 74000 66500 0 0 105356644 106101042 86250 86250 743666 123269992 120442157 228786886 226695949 41010715 32894184 427125912 403966673 148333961 144574155 278791951 259392518 X WE PROVIDE EXCEPTIONAL HEALTHCARE, ACCESSIBLE TO ALL, IN THE SAFEST AND MOST COMPASSIONATE ATMOSPHERE POSSIBLE. OUR VISION: WE WILL BE OUR COMMUNITY'S HEALTHCARE PROVIDER OF CHOICE BY PATIENTS, PHYSICIANS, AND EMPLOYEES. 0 0 173835216 66500 235242939 MEETING THE HEALTHCARE NEEDS OF THE COMMUNITY IS AT THE HEART OF EVANGELICAL COMMUNITY HOSPITAL'S MISSION AS A NOT-FOR-PROFIT CHARITABLE ORGANIZATION. THE HOSPITAL'S RESOURCES PROVIDE FOR LONG-TERM INITIATIVES SUCH AS RECRUITMENT AND RETENTION OF OUTSTANDING MEDICAL PROFESSIONALS, ENHANCED TECHNOLOGIES, AND NEW FACILITIES AND SERVICES.THE HOSPITAL IS LICENSED TO ACCOMMODATE 131 OVERNIGHT PATIENTS, 12 ACUTE REHABILITATION UNIT PATIENTS AND 18 NEWBORN BABIES. IT IS A NOT-FOR-PROFIT COMMUNITY HOSPITAL OFFERING A FULL CONTINUUM OF CARE. SERVICES RANGE FROM COMPREHENSIVE DIAGNOSTIC TESTS TO DELICATE MICROSURGERY AND FROM SPECIFIC TREATMENT PROGRAMS TO NUMEROUS OUTPATIENT SERVICES. CONTINUED ON SCHEDULE O.IN ADDITION TO PROVIDING HOSPITAL-BASED MEDICAL SERVICES, EVANGELICAL PROVIDES A NUMBER OF COMMUNITY-BASED SERVICES DESIGNED TO IMPROVE THE HEALTH OF AREA RESIDENTS. MANY OF THE EMPLOYEES AND MEDICAL STAFF LEAD HEALTH EDUCATION AND SCREENINGS AS WELL AS SUPPORT GROUPS FOR INDIVIDUALS IN THE COMMUNITY LIVING WITH SERIOUS OR CHRONIC HEALTH CONDITIONS. WHETHER THROUGH CHARITABLE CARE, SUBSIDIZED HOSPITAL PROGRAMS AND SERVICES, OR COMMUNITY HEALTH EDUCATION, EVANGELICAL STRIVES TO RESPOND TO THE VALLEY'S MOST PRESSING HEALTH NEEDS. 173835216 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 0 0 1 0 0 0 0 0 1 1 0 1 1 0 1 1 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 103 0 1816 1 1 1 0 0 0 0 1 1 0 0 0 0 0 0 X 15 10 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 PA X JAMES A STOPPER CPA CFO 5705222000 ONE HOSPITAL DRIVE LEWISBURG PA 17837 J DONALD STEELE JR CHAIR 1.00 0.10 X X 0 0 0 TIMM A MOYER VICE CHAIR 1.00 0.10 X X 0 0 0 ADANMA C AKUJIEZE DIRECTOR 1.00 0.10 X 0 0 0 TIMOTHY J APPLE DIRECTOR 1.00 0.10 X 0 0 0 SUSAN FETTERMAN RN MSN MBA FACHE DIRECTOR 1.00 0.10 X 0 0 0 ROGER S HADDON JR DIRECTOR 1.00 0.10 X 0 0 0 JEFFREY J KAPSAR DIRECTOR 1.00 0.10 X 0 0 0 AMANDA G KESSLER ESQ DIRECTOR 1.00 0.10 X 0 0 0 JOHN E MECKLEY ESQ DIRECTOR 1.00 0.10 X 0 0 0 CHRISTOPHER J MOTTO MD DIRECTOR 1.00 43.00 X 495586 0 17452 PHILIP R PETERSON MD DIRECTOR 1.00 39.00 X 393570 0 23238 JULIA E REDCAY DO DIRECTOR 1.00 39.00 X 205292 0 18892 MATTHEW W REISH MD DIRECTOR 1.00 39.00 X 1031913 0 35417 LESLIE P TEMPLE DIRECTOR 1.00 0.10 X 0 0 0 DAVID M ZELECHOSKI MD DIRECTOR 1.00 39.00 X 250793 0 20557 SHAWN P MCGLAUGHLIN MD DIRECTOR (UNTIL 11/2022) 40.00 0.00 X 783190 0 31222 KENDRA A AUCKER PRESIDENT/CHIEF EXECUTIVE 40.00 1.00 X 882017 0 115691 JAMES A STOPPER TREASURER/CHIEF FINANCIAL 40.00 1.00 X 608743 0 69366 WILLIAM P ANDERSON SECRETARY/CHIEF OPERATING 40.00 0.00 X 435166 0 63373 CHRISTAL E DIXON AVP NURSING 40.00 0.00 X 161162 0 13964 ANGELA K LAHR VP CLINICAL OPERATIONS 40.00 0.00 X 360416 0 56166 KIMBERLY A WHEELAND AVP SURGICAL SERVICES 40.00 0.00 X 179082 0 7488 TAMARA F PERSING VP PATIENT CARE SRVC/CHIEF 40.00 0.00 X 347629 0 65516 STACIE T GAUL AVP SUPPORT SRVC & CAPITAL 40.00 0.00 X 172210 0 20304 JOHN F DEVINE VP MEDICAL AFFAIRS 40.00 0.00 X 706397 0 61148 DALE E MOYER VP INFORMATION SYSTEMS 40.00 0.00 X 447233 0 46001 RACHEL V SMITH VP PEOPLE & CULTURE 40.00 0.00 X 407711 0 54572 RANDALL S STRAUSSER DIRECTOR PHARMACY SERVICES 40.00 0.00 X 193818 0 23502 WILLIAM STAMM RN 40.00 0.00 X 187075 0 37627 8249003 0 781496 148 0 1 0 QUALIVIS LLC DEPT 3847 PO BOX 123847 DALLAS TX 753120847 CONTRACT LABOR 18865732 ALEXANDER BUILDING CONSTRUCTION CO 315 VAUGHN ST HARRISBURG PA 17110 CONSTRUCTION 3508897 HYBRIDGE SOLUTIONS INC PO BOX 1077 INMAN SC 29349 CONSULTING 2352099 ALLSCRIPTS LLC 24630 NETWORK PL CHICAGO IL 606731246 SOFTWARE MAINTENANCE 2274858 RENOVO SOLUTIONS LLC 4 EXECUTIVECIR STE 185 IRVINE CA 92614 PREVENTATIVE MAINTENANCE 2084156 63 335243 738122 1432922 6524 2506287 NET PATIENT SERVICE REVENUE 621400 235030308 235030308 235030308 4021354 4021354 5104246 6121508 -1017262 -1017262 -1017262 78897455 11250 75757998 28476 3139457 -17226 3122231 3122231 25441 335243 68792 -43351 -43351 LABORATORY SERVICES 621500 3600000 3600000 BILLING FEES FROM AFFILIATE 541900 1822631 1822631 CAFETERIA AND VENDING SALES 722210 552539 552539 9995396 212631 4651000 5131765 15970566 259590133 235242939 10073631 11767276 X 66500 66500 7089378 3383950 3705428 78032360 59929575 17816494 286291 1959484 1650551 300012 8921 12976923 9624610 3303235 49078 6042897 4596631 1426902 19364 836770 827770 9000 161879 6807 155072 6505 6505 86250 86250 678244 15100 663144 27020290 21405546 5553258 61486 664617 14842 649775 41463224 39940529 1508104 14591 13044030 1946018 11011762 86250 3089476 2645247 444229 280216 252430 22168 5618 106771 34932 69607 2232 3722005 3722005 14210764 11065204 3119875 25685 1179917 1139971 39946 FEDERAL TAXES 148424 148424 BAD DEBT EXPENSE 11246939 11246939 EMPLOYEE & PHYSICIAN RE 716511 716511 HOUSEKEEPING 493935 493935 1371640 653894 628846 88900 226695949 173835216 52117067 743666 5265 5951 13078840 18421000 1177768 545766 22882723 29543376 1541919 1242937 6339135 6006277 5461491 5036859 392302369 163050381 231450490 229251988 111185447 81478219 12534178 12607469 21468656 19826831 427125912 403966673 23932448 21521161 192557 202297 85458026 83643971 14877528 17961262 23873402 21245464 148333961 144574155 X 270789734 251525172 8002217 7867346 278791951 259392518 427125912 403966673 X 32894184 1270531 -53564148 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 6505 6505 0 PART II-B, LINE 1: A PERCENTAGE OF ANNUAL HAP AND AHA DUES WERE USED FOR LOBBYING; THIS AMOUNTED TO $6,505 FOR THE FISCAL YEAR ENDING JUNE 30, 2023. 9547028 231122 408139 16500 5993409 24825 4151555 11172454 93722 -1509692 14000 169946 25510 9547028 9222267 10660 2063099 22200 75872 25500 11172454 8760698 22134 590484 18795 94907 37347 9222267 8165164 20575 741483 20331 113399 32794 8760698 0.35000 0.65000 0.00000 1 0 29891113 29891113 206428198 69474479 136953719 14770657 6380525 8390132 127491500 84841366 42650134 13720901 2354011 11366890 229251988 BLUE CROSS CURRENT FINANCING ADVANCE 352396 ACCRUED POSTRETIREMENT BENEFIT COSTS 2947247 ESTIMATED MEDICAL MALPRACTICE CLAIMS LIABILITY 1594361 CHARITABLE GIFT ANNUITIES PAYABLE 391120 DEFERRED COMPENSATION 2945981 CAPITAL LEASE OBLIGATIONS 9802534 ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS 2672299 DUE TO AFFILIATES 539526 21245464 255947911 1270531 -11103053 -9832522 265780433 -6190300 -6190300 259590133 275347344 60123368 60123368 215223976 11471973 11471973 226695949 PART V, LINE 4: ENDOWMENT FUNDS WILL BE USED TO SUPPORT VARIOUS HOSPITAL PROGRAMS SUCH AS FUNDING HELPLINE SERVICES, COMMUNITY HEALTH EDUCATION, HOSPICE SERVICES, PRE-HOSPITAL SERVICES, FAMILY PLACE (OB SERVICES), PROVIDE NURSING SCHOLARSHIPS AND TO PROVIDE FOOD, SERVICE, OR CARE FOR PEOPLE WHO DO NOT HAVE THE MEANS TO PAY FOR THE SERVICE. PART XI, LINE 2D - OTHER ADJUSTMENTS: BAD DEBT EXPENSE NETTED AGAINST REVENUE ON AFS -11,065,532. INVESTMENT EXPENSES NETTED AGAINST REVENUE ON AFS -406,441. POSTRETIREMENT BENEFIT LIABILITY ADJUSTMENT 289,279. NET ASSETS RELEASED FROM RESTRICTIONS -57,841. VALUATION GAIN/(LOSS) 140,940. CHANGE IN VALUE OF SPLIT-INTEREST AGREEMENT -3,458. PART XI, LINE 4B - OTHER ADJUSTMENTS: RENTAL EXPENSES -6,121,508. SPECIAL EVENTS EXPENSE -68,792. PART XII, LINE 2D - OTHER ADJUSTMENTS: EQUITY TRANSFER WITH AFFILIATES 53,933,068. RENTAL EXPENSES 6,121,508. SPECIAL EVENTS EXPENSE 68,792. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE NETTED AGAINST REVENUE ON AFS 11,065,532. INVESTMENT EXPENSES NETTED AGAINST REVENUE ON AFS 406,441. X X X X X X X 1 PRIDE PHILANTHROPY 1397 CHESTNUT COVE TRAIL 20988 JASPER GA 30143 CAMPAIGN CONSULTANT 0 0 48000 0 PROCOPIA 1106 NORTH SHERIDAN AVENUE PITTSBURGH PA 15206 GRANT WRITING CONSULTANT 0 0 8250 0 DELTA DEVELOPMENT GROUP INC 225 GRANDVIEW AVENUE SUITE 301 CAMP HILL PA 17011 GRANT WRITING CONSULTANT 0 0 30000 0 86250 PA EVANGELICAL GOLF CLASSIC 96585 76964 19621 559 1854 9917 5103 0 15128 COOKIN' MEN/FASSANO 81849 76029 5820 0 66 0 3550 0 2508 1 182250 182250 0 0 840 11674 2649 14944 360684 335243 25441 559 1920 10757 20327 2649 32580 68792 -43351 1 1 1 X 1 X 1 1 1 0 1 1 0 668 129973 129973 0.00060 1 21508 22002007 7516778 14485229 0.06720 1 17 5002 5002 0.00000 2 22193 22136982 7516778 14620204 0.06780 6270 38840 468868 3420 465448 0.00220 7 244 214214 214214 0.00100 67 0 389107 389107 0.00180 6344 39084 1072189 3420 1068769 0.00500 6346 61277 23209171 7520198 15688973 0.07280 37987 37987 0.00020 83 1077 10 0 3265 3265 0.00000 93 1077 41252 41252 0.00020 1 2274335 76837733 115467897 -38630164 X 1 1 1 1 EVANGELICAL COMMUNITY HOSPITAL ONE HOSPITAL DRIVE LEWISBURG PA 17837 570201 X X X INPATIENT REHABILITATION, HOSPICE EVANGELICAL COMMUNITY HOSPITAL 1 0 0 1 X X X X X X X X X 21 1 1 1 1 X WWW.EVANHOSPITAL.COM/HEALTH-AND-WELLNESS X 1 21 1 WWW.EVANHOSPITAL.COM/HEALTH-AND-WELLNESS 0 1 X 100.000000000000 200.000000000000 X X 1 1 X X X 1 X WWW.EVANHOSPITAL.COM/FOR-PATIENTS/FINANCIAL-ASSISTANCE-PROGRAM-GUIDELINES X WWW.EVANHOSPITAL.COM/FOR-PATIENTS/FINANCIAL-ASSISTANCE-PROGRAM-GUIDELINES X WWW.EVANHOSPITAL.COM/FOR-PATIENTS/FINANCIAL-ASSISTANCE-PROGRAM-GUIDELINES X X X X X X X 1 X 0 X X X X 1 X 0 0 EVANGELICAL COMMUNITY HOSPITAL PART V, SECTION B, LINE 5: COMMUNITY ENGAGEMENT WAS AN INTEGRAL PART OF THE 2021 CHNA. A VIRTUAL TOWN HALL WAS HELD IN AUGUST 2020 TO ANNOUNCE THE ONSET OF THE CHNA AND ENCOURAGE BROAD STAKEHOLDER PARTICIPATION. A KEY INFORMANT SURVEY WAS SENT TO NEARLY 1,000 COMMUNITY STAKEHOLDERS TO SOLICIT INPUT ON HEALTH DISPARITIES, OPPORTUNITIES FOR COLLABORATION, COVID-19 RESPONSE, COMMUNITY HEALTH PRIORITIES, AMONG OTHER INSIGHTS. CONTINUED COMMUNITY ENGAGEMENT ACTIVITIES ARE PLANNED TO ENSURE ONGOING DIALOGUE AND A FORUM FOR ADDRESSING COMMUNITY HEALTH NEEDS. EVANGELICAL COMMUNITY HOSPITAL PART V, SECTION B, LINE 6A: THE 2021 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED IN PARTNERSHIP WITH EVANGELICAL COMMUNITY HOSPITAL, GEISINGER, AND ALLIED SERVICES INTEGRATED HEALTH SYSTEM. THE STUDY AREA INCLUDED 15 COUNTIES ACROSS CENTRAL AND NORTHEASTERN PENNSYLVANIA, WHICH REPRESENTED THE HEALTH SYSTEMS' COLLECTIVE SERVICE AREAS. COLLABORATION IN THIS WAY CONSERVES VITAL COMMUNITY RESOURCES WHILE FOSTERING A PLATFORM FOR "COLLECTIVE IMPACT" THAT ALIGNS COMMUNITY EFFORTS TOWARD A COMMON GOAL OR ACTION. TO DISTINGUISH UNIQUE SERVICE AREAS AMONG HOSPITALS, REGIONAL RESEARCH AND REPORTING WAS DEVELOPED. EVANGELICAL COMMUNITY HOSPITAL PART V, SECTION B, LINE 6B: ALLIED SERVICES INTEGRATED HEALTH SYSTEM EVANGELICAL COMMUNITY HOSPITAL PART V, SECTION B, LINE 11: FISCAL YEAR 2023 IS ECH'S SECOND YEAR FOR REPORTING ON OUR 2021 CHNA KEY IDENTIFIED NEEDS. THOSE NEEDS OF OUR COMMUNITY WERE IDENTIFIED AS 1.) ACCESS TO CARE; 2.) BEHAVIORAL HEALTH; 3.) CHRONIC DISEASE PREVENTION AND MANAGEMENT. THIS PLAN PROVIDED A ROADMAP FOR OUR HOSPITAL TO MEET SPECIFIC NEEDS WITHIN OUR SERVICE AREA. BELOW ARE THE IDENTIFIED NEEDS AND THE ACTION STEPS OF HOW THE HOSPITAL ADDRESSED THESE NEEDS IN FISCAL YEAR 2023.1. ACCESS TO CAREACTION ITEM 1: PROVIDE FREE OR REDUCED-FEE HEALTH SCREENINGS AND PREVENTIVE PROGRAMS, SUCH AS SKIN CANCER SCREENINGS, BLOOD SUGAR TESTING, BLOOD PRESSURE CHECKS, COMPREHENSIVE BLOOD SCREENINGS, AND MORE. IN FISCAL YEAR 2023 FREE VARICOSE AND SPIDER VEIN SCREENINGS WERE REINTRODUCED.EVANGELICAL COMMUNITY HOSPITAL OFFERED THE FOLLOWING FREE OR REDUCED-FEE SCREENINGS AT VARIOUS TIMES AND LOCATIONS THROUGHOUT THE COMMUNITY IN FY2023: COMMUNITY HEALTH AND WELLNESS FY2023COMPREHENSIVE BLOOD SCREENINGS 1408COMMUNITY HEALTH SCREENINGS (MEN'S, WOMEN'S, HEART) 130SKIN SCREENINGS 346HEARING SCREENS 76BLOOD PRESSURE/BLOOD SUGAR SCREENS 901HEEL SCAN/BONE DENSITY CLINICS 113FREEDOM FROM SMOKING 6HEALTH COACHING 9VARICOSE AND SPIDER VEIN SCREEINGS 66ACTION ITEM 2: CONTINUE TO FOCUS ON COLLABORATIVE EFFORTS WITH COMMUNITY-BASED AGENCIES, PROVIDING PROGRAMS, CLASSES AND SPECIAL EVENTS THROUGH THE JOINT VENTURE PARTNERSHIP AT THE MILLER CENTER FOR RECREATION AND WELLNESS (MCRW)DURING FY2023 EVANGELICAL COMMUNITY HOSPITAL DISTRIBUTED 37 FOOD BOXES TO PATIENTS IDENTIFIED AS FOOD INSECURE. THE FOOD HUB THROUGH THE SNYDER-UNION COMMUNITY ACTION AGENCY PROVIDE THE FOOD BOXES UPON REQUEST.DURING FY2023 THE SENIOR HEALTH AND FITNESS DAY EVENT AGAIN BROUGHT MULTIPLE COMMUNITY AGENCIES TOGETHER TO INFORM AND EDUCATE THE COMMUNITY ON A VARIETY OF PROGRAMS AND RESOURCES AVAILABLE. IN TOTAL CLOSE TO 200 COMMUNITY MEMBERS ATTENDED THIS INFORMATIVE EVENT. DURING FY2023 THE COMMUNITY HEALTH AND WELLNESS DEPARTMENT REINTRODUCED THE CHILDREN'S HEALTH FAIR TO THE COMMUNITY. APPROXIMATELY THIRTY-FIVE COMMUNITY ORGANIZATIONS ATTENDED PROVIDING HEALTH AND WELLNESS EDUCATIONAL MATERIALS OR HANDS ON ACTIVITIES FOR OVER 500 YOUTH AND THEIR FAMILIES.ACTION ITEM 3: WORK WITH THE NURSE-FAMILY PARTNERSHIP PROGRAM FOR AT-RISK, YOUNG, EXPECTANT WOMEN TO IMPROVE PREGNANCY OUTCOMES, CHILD HEALTH AND DEVELOPMENT, AND ECONOMIC SELF-SUFFICIENCY FOR THE FAMILY.EVANGELICAL MADE 72 REFERRALS TO THE NURSE FAMILY PARTNERSHIP IN FY2023. TWENTY ONE (21) WERE ENROLLED IN THE PROGRAM AND TO DATE, FOUR HAVE GRADUATED FROM THE PROGRAM. THIS COLLABORATIVE PROGRAM INVOLVES A NURSE MAKING HOME VISITS OVER 30 MONTHS FROM BEFORE BIRTH UNTIL THE BABY IS AGE TWO. MORE THAN 30 YEARS OF RANDOMIZED, CONTROLLED TRIALS SHOW THAT FAMILIES WHO PARTICIPATE IN THE NURSE-FAMILY PARTNERSHIP MODEL FARE BETTER THAN THOSE NOT IN THE PROGRAM. ACTION ITEM 4: EVANGELICAL REGIONAL MOBILE MEDICAL SERVICES (ERMMS) CONTINUES ITS COMMITMENT OF EMS SERVICE TO OUR REGIONAL COMMUNITY. IN FY2023, ERMMS CONTINUES TO ENGAGE WITH LOCAL MUNICIPALITIES TO ENSURE EACH HAS A SUSTAINABLE EMS SYSTEM INCLUDING FINDING OPPORTUNITIES FOR ERMMS TO PROVIDE EMS COVERAGE BEYOND OUR CURRENT FLEET OF SIX (6) MOBILE INTENSIVE CARE UNITS, FOUR (4) BLS UNITS AND ONE (1) MEDIC UNIT. ADDITIONALLY, COLLABORATION WITH LOCAL FIRE DEPARTMENTS AND QUICK RESPONSE SERVICES IS AN AREA OF FOCUS ALLOWING FOR FASTER MEDICAL RESPONSE OUTSIDE THE LOCAL POPULATION CENTERS. ERMMS STAFF RESPONDS TO AN AVERAGE OF 1,061 CALLS EACH MONTH. THE WHEELCHAIR VAN DEPLOYED IN FY2021 CONTINUES TO ENSURE THAT PATIENTS HAVE TRANSPORTATION TO APPOINTMENTS, PROCEDURES AND WHEN IT IS TIME TO RETURN HOME FOLLOWING A HOSPITALIZATION, MEETING A CRITICAL NEED FOR TRANSPORTATION AND ENSURING ACCESS TO MEDICAL CARE. THE WHEELCHAIR VAN AVERAGES 52 TRANSPORTS EACH MONTH. ACTION ITEM 5: UTILIZE MOBILE HEALTH OF EVANGELICAL TO REACH POPULATIONS THAT ARE IN AREAS LACKING PRIMARY CARE AND HEALTH SCREENING OPTIONS LOCALLYFUNDED ENTIRELY THROUGH BUSINESS AND COMMUNITY DONATIONS, MOBILE HEALTH OF EVANGELICAL SEEKS TO IMPROVE ACCESS TO HEALTHCARE BY OVERCOMING THE BARRIERS OF TRANSPORTATION, DISTANCE, AND COST OF CARE. DURING FY2022 A RELATIONSHIP WAS FORGED WITH PENNSYLVANIA STATE UNIVERSITY OF MEDICINE (PSU COM). IN FY23, THROUGH THIS PARTNERSHIP, MOBILE HEALTH OF EVANGELICAL'S MOBILE UNIT WAS UTILIZED THREE DAYS PER MONTH BY THE PSU COM RESIDENTS AND MEDICAL STUDENTS TO SERVE RURAL AREAS OF CENTRE COUNTY AND GIVE MEDICAL STUDENTS THE OPPORTUNITY TO GAIN CLINICAL EXPERIENCES IN A MOBILE HEALTH CLINICAL SETTING.MOBILE HEALTH OF EVANGELICAL SERVICE VOLUMES IN FY2023 WERE:MOBILE HEALTH OF EVANGELICAL FY2023LIPID POINT OF CARE SCREENING 117BLOOD PRESSURE/BLOOD SUGAR SCREENINGS 302HEEL SCAN/BONE DENSITY CLINICS 46ORAL HEALTH (FLUORIDE APPLICATIONS AND ORAL HEALTH EDUCATION) 41SPORTS PHYSICALS 178COMMUNITY EVENTS 9802. BEHAVIORAL HEALTHACTION ITEM 1: CONTINUE TO SERVE AS THE COUNTY/REGIONAL CENTRALIZED COORDINATING ENTITY (CCE) FOR SNYDER, UNION AND NORTHUMBERLAND COUNTIES TO PROVIDE FREE NALOXONE TO ALL FIRST RESPONDERS AND INDIVIDUALS HAVING TO ACT AS A FIRST RESPONDER. IN FY2023 THE HOSPITAL PROVIDED 14 NARCAN TRAININGS, EDUCATING 373 INDIVIDUALS AND DISTRIBUTED OVER 1600 OPIOID REVERSAL KITS TO VARIOUS FIRST RESPONDERS, AGENCIES ACTING AS FIRST RESPONDERS AND INDIVIDUALS WHO MAY NEED TO ACT AS A FIRST RESPONDER. ACTION ITEM 2: SUPPORT AND PARTICIPATE IN THE EFFORTS BY LOCAL OPIOID COALITIONS IN SNYDER, UNION, MONTOUR, COLUMBIA AND NORTHUMBERLAND COUNTIES. THE HOSPITAL CONTINUES TO COLLABORATE WITH AND SUPPORT THE EDUCATIONAL OUTREACH EFFORTS OF THE 5-COUNTY SUSQUEHANNA VALLEY RECOVERY COALITION THROUGH COMMUNITY NARCAN DISTRIBUTIONS, EDUCATIONAL PROGRAMS, AND ATTENDING MEETING AND LOCAL EVENTS. IN FY2023 THE COMMUNITY HEALTH AND WELLNESS DEPARTMENT PARTICIPATED IN FOUR (4) COMMUNITY NARCAN DISTRIBUTION EVENTS THROUGHOUT THE HOSPITAL'S SERVICE AREA. OVER 92 KITS WERE DISTRIBUTED TO COMMUNITY MEMBERS IN NEED.ACTION ITEM 3: EVALUATE THE USAGE AND EFFECTIVENESS OF OUR TELE-PSYCHIATRIC PROGRAM.EVANGELICAL CONTINUES TO PROVIDE TELE-PSYCH SERVICES FOR INPATIENT AND EMERGENCY DEPARTMENT PATIENTS. DURING FY2023 A TOTAL OF 564 EMERGENCY DEPARTMENT AND 162 INPATIENT VISITS WERE COMPLETED.AVERAGE RESPONSE TIMES ARE FIVE (5) HOURS FOR INPATIENT AND 3 HOURS FOR EMERGENCY DEPARTMENT PATIENTS.3. CHRONIC DISEASE PREVENTION AND MANAGEMENTACTION ITEM 1: DEVELOP PROGRAMS AND EVENTS FOCUSED ON DIABETES EDUCATION AND PREVENTION. EVANGELICAL OFFERS A FREE DIABETES RESOURCE PROGRAM ACCREDITED THROUGH THE DIABETES EDUCATION ACCREDITATION PROGRAM (DEAP) OF THE AMERICAN ASSOCIATION OF DIABETES EDUCATORS (AADE). PROGRAM CLASSES ARE TAUGHT BY A REGISTERED NURSE/CERTIFIED DIABETES EDUCATOR. COVERED TOPICS INCLUDE INTRODUCTION TO DIABETES; DIETARY MANAGEMENT; COMPLICATION PREVENTION; HOME BLOOD GLUCOSE MONITORING; AND MEDICATION OPTIONS. IN FY2023 A TOTAL OF 210 PATIENTS PARTICIPATED IN THIS PROGRAM. ACTION ITEM 2: CONTINUE TO PROMOTE AND EDUCATE THE COMMUNITY ABOUT A VARIETY OF HEALTH SCREENINGS.DURING FY2023, THROUGH VARIOUS SCREENING EVENTS AND GRANT FUNDS EVANGELICAL OFFERED 526 LOW DOSE CT SCANS AND SCHEDULED 258 APPOINTMENTS, PROVIDED 174 MAMMOGRAMS/PREVENTATIVE SCREENING ULTRASOUNDS AND 72 IFOB COLORECTAL SCREENING KITS WERE DISTRIBUTED. ACTION ITEM 3: OFFER A VARIETY OF ADULT AND SCHOOL AGED WELLNESS PROGRAMS AIMED TO PROMOTE A HEALTHY LIFESTYLE AND REDUCE THE RISK FOR CHRONIC HEALTH CONDITIONS.IN FY2023 THE ACTIVE AGING PROGRAM, WELLNESS 360, CONTINUED TO GROW AND OFFER A WIDE VARIETY OF HEALTH AND WELLNESS EDUCATIONAL PROGRAMS, SPECIAL EVENTS AND SCREENINGS. SOME OF THE NEW PROGRAMS OFFERED WERE: WALK WITH A HEALTH COACH, POLLINATORS AND NATIVE PLANTS, LET'S COOK FOR WEIGHT MANAGEMENT, MAINTAINING BALANCE AND PREVENTING FALLS AND PREDIABETES: ARE YOU AT RISK?.EVANGELICAL'S HEALTH AND WELLNESS PROGRAMS REACHED OVER 28,000 YOUTH AND ADULTS IN FY2023. EVANGELICAL COMMUNITY HOSPITAL PART V, SECTION B, LINE 13H: MEDICAL ASSISTANCE DENIAL EVANGELICAL COMMUNITY HOSPITAL PART V, SECTION B, LINE 16J: POLICY IS PRESENTED TO PATIENTS BY HRSI WHEN WORKING WITH PATIENTS ON MEDICAL ASSISTANCE APPLICATIONS. HRSI IS A THIRD PARTY USED BY EVANGELICAL COMMUNITY HOSPITAL TO WORK WITH PATIENTS FOR OBTAINING FINANCIAL ASSISTANCE. PART I, LINE 6A: THE COMMUNITY BENEFIT REPORT IS AVAILABLE ON THE HOSPITAL'S WEBSITE OR UPON REQUEST. PART I, LINE 7: THE HOSPITAL USED THE COST-TO-CHARGE RATIO TO DETERMINE THE AMOUNTS INCLUDED IN LINE 7. PART I, LN 7 COL(F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 24B, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $11,246,939. PART II, COMMUNITY BUILDING ACTIVITIES: AS A COMMUNITY AND HEALTH RESOURCE FOR MORE THAN 90 YEARS, EVANGELICAL COMMUNITY HOSPITAL HAS CONTINUALLY DEMONSTRATED ITS COMMITMENT TO THE CENTRAL SUSQUEHANNA VALLEY BY TAKING CARE OF PATIENTS NEEDING TREATMENT, AND BY ITS OUTREACH TO THE COMMUNITY. BEYOND THE DAILY CARE OF PATIENTS, THE HOSPITAL EXTENDS ITS REACH TO PROVIDE PREVENTION AND WELLNESS EDUCATION TO RESIDENTS OF THE VALLEY. OUTREACH INCLUDES CHARITY-CARE FOR THOSE WHO CANNOT AFFORD MEDICAL TREATMENT, HEALTH SCREENINGS TARGETING THE UN/UNDER-INSURED, HEALTH EDUCATION FOCUSING ON HEALTHY LIFESTYLE CHANGES, CHILD SAFETY SEAT INSPECTIONS, SCHOOL AGED HEALTH INITIATIVES, AND LECTURES ON HEALTH CONCERNS AND TOPICS. MANY OF THESE PROGRAMS ARE PROVIDED AT MINIMAL OR NO COST AND ARE SUBSIDIZED USING HOSPITAL RESOURCES. PART III, LINE 2: THE COSTING METHODOLOGY USED IN DETERMINING BAD DEBT EXPENSE AT COST IS BAD DEBT EXPENSE TIMES THE COST TO CHARGE RATIO. IN DETERMINING BAD DEBT EXPENSE, PATIENT LIABILITIES ARE NET OF THIRD-PARTY PAYMENTS AND ANY PATIENT PAYMENTS. PART III, LINE 3: WE BELIEVE THAT A PORTION OF OUR BAD DEBTS RESULTS FROM SERVICES PROVIDED TO PATIENTS WHO MEET THE CHARITY CARE GUIDELINES BUT WERE UNABLE OR UNWILLING TO PROVIDE THE APPROPRIATE DOCUMENTATIONS TO ALLOW THAT CLASSIFICATION. THESE WOULD BE CLASSIFIED AS BAD DEBT EXPENSE TIMES THE COST TO CHARGE RATIO TO ARRIVE AT COST. EVANGELICAL COMMUNITY HOSPITAL PROVIDES CARE TO ALL PATIENTS WHO NEED IT, REGARDLESS OF THEIR ABILITY TO PAY. THIS IS PART OF THE HOSPITAL'S MISSION. PART III, LINE 4: ACCOUNTS RECEIVABLE ARE REPORTED AT NET REALIZABLE VALUE. ACCOUNTS ARE WRITTEN OFF WHEN THEY ARE DETERMINED TO BE UNCOLLECTIBLE BASED UPON MANAGEMENT'S ASSESSMENT OF INDIVIDUAL ACCOUNTS. THE ALLOWANCE FOR DOUBTFUL COLLECTIONS ARE ESTIMATED BASED UPON A PERIODIC REVIEW OF THE ACCOUNTS RECEIVABLE AGING, PAYOR CLASSIFICATIONS AND APPLICATION OF HISTORICAL WRITE-OFF PERCENTAGES. THE COSTING METHODOLOGY USED IN DETERMINING BAD DEBTS EXPENSE AT COST AND ESTIMATED AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE ATTRIBUTED TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY IS BAD DEBT EXPENSE TIMES THE COST TO CHARGE RATIO. IN DETERMINING BAD DEBT EXPENSE, PATIENT LIABILITIES ARE NET OF THIRD-PARTY PAYMENTS AND ANY PATIENT PAYMENTS. THE METHOD THE ORGANIZATION USES TO DETERMINE THE AMOUNT THAT REASONABLY COULD BE ATTRIBUTED TO PATIENTS WHO LIKELY WOULD QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S CHARITY CARE POLICY, BUT DID NOT ADEQUATELY COMPLETE THE CHARITY CARE PAPERWORK. WE BELIEVE THAT A PORTION OF OUR BAD DEBTS RESULTS FROM SERVICES PROVIDED TO PATIENTS WHO MEET THE CHARITY CARE GUIDELINES BUT WERE UNABLE OR UNWILLING TO PROVIDE THE APPROPRIATE DOCUMENTATIONS TO ALLOW THAT CLASSIFICATION. THESE WOULD BE CLASSIFIED AS BAD DEBT EXPENSE TIMES THE COST TO CHARGE RATIO TO ARRIVE AT COST. THE ORGANIZATION ACCOUNTS FOR DISCOUNTS AND PAYMENTS ON PATIENT ACCOUNTS AS A REDUCTION OF REVENUE/ACCOUNTS RECEIVABLE AND ARE NOT COMPONENTS OF BAD DEBT EXPENSE. EVANGELICAL COMMUNITY HOSPITAL PROVIDES CARE TO ALL PATIENTS WHO NEED IT, REGARDLESS OF THEIR ABILITY TO PAY. THIS IS PART OF THE HOSPITAL'S MISSION. PART III, LINE 8: THE HOSPITAL CONTINUES TO PROVIDE CARE TO ALL PRESENTING AND ADMITTED PATIENTS, REGARDLESS OF ABILITY TO PAY. NOTWITHSTANDING THE COSTS TO PROVIDE CARE, RECEIVING "LESS" THAN WHAT IT COSTS TO PROVIDE ADEQUATE CARE TO MEDICARE COVERED LIVES DOES THE HOSPITAL A DISSERVICE. THIS SHORTFALL SHOULD COUNT AS A COMMUNITY BENEFIT. THE HOSPITAL USES THE COST-TO-CHARGE RATIO TO DETERMINE THE MEDICARE ALLOWABLE COSTS. PART III, LINE 9B: IN ACCORDANCE WITH THE COLLECTION POLICY, BAD DEBT ACCOUNTS WILL BE ELIGIBLE FOR A CHARITY CARE DISCOUNT IF THE PATIENT MEETS CHARITY CARE POLICY GUIDELINES. THE PATIENT WILL NEED TO SUPPLY INCOME INFORMATION IN ORDER TO DETERMINE ELIGIBILITY FOR CHARITY CARE PER POLICY. ALSO SEE RESPONSES TO PART III SECTION A ABOVE. PART VI, LINE 2: IN 2021 EVANGELICAL COMMUNITY HOSPITAL (ECH) COMPLETED ANOTHER COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THE ASSESSMENT WAS CONDUCTED BY BAKER TILLY IN PARTNERSHIP WITH GEISINGER AND ALLIED SERVICES AS A REGIONAL COLLABORATIVE EFFORT TO ASSESS THE NEEDS OF OUR COMMUNITY. THIS ASSESSMENT WAS A REGIONAL APPROACH WITH EVANGELICAL SERVICES AREA BEING PART OF THE CENTRAL REGION WHICH IS COMPRISED OF THE FOLLOWING COUNTIES: CLINTON, COLUMBIA, LYCOMING, MONTOUR, NORTHUMBERLAND, SCHUYLKILL, SNYDER, AND UNION. THE ASSESSMENT WAS COMPLETED IN FEBRUARY OF 2021 AND ADOPTED BY THE EVANGELICAL BOARD OF DIRECTORS IN MARCH 2021. SEE PART V SECTION B FOR FURTHER DETAILS. PART VI, LINE 3: AS A COMMUNITY HOSPITAL, EVANGELICAL IS DEDICATED TO IMPROVING THE HEALTH AND WELL-BEING OF ALL ITS CONSTITUENTS. THROUGH THE FINANCIAL ASSISTANCE PROGRAM, MEDICAL CARE IS PROVIDED REGARDLESS OF A PATIENT'S ABILITY TO PAY, INSUFFICIENT HEALTH INSURANCE OR WHETHER A GOVERNMENT-SPONSORED PROGRAM COVERS THE FULL COST OF SERVICES. AND AS THE COUNTRY'S ECONOMIC FUTURE REMAINS UNCERTAIN, EVANGELICAL WILL CONTINUE TO PROVIDE CARE FOR THOSE WHO NEED IT. EVANGELICAL WILL PROVIDE SERVICES AT NO CHARGE OR REDUCED CHARGES TO THOSE WHO ARE FINANCIALLY UNABLE TO PAY FOR THOSE SERVICES. EVANGELICAL WILL NOT ARBITRARILY RESTRICT THE PROVISIONS OF HEALTH SERVICES TO CERTAIN INDIVIDUALS OR GROUPS. EVANGELICAL'S REGISTRATION DEPARTMENT REPRESENTATIVES INFORM OUR UNINSURED OR UNDER INSURED PATIENTS, OF OUR FINANCIAL ASSISTANCE PROGRAM. FINANCIAL ASSISTANCE APPLICATIONS ARE OFFERED TO THESE PATIENT AND IN ADDITION, THEY HAVE THE OPPORTUNITY TO CALL OUR FINANCIAL COUNSELOR. THE FINANCIAL COUNSELOR DISCUSSES THE AVAILABILITY OF VARIOUS GOVERNMENT BENEFITS SUCH AS MEDICAID OR STATE PROGRAMS TO ASSIST THE PATIENT WITH QUALIFICATIONS FOR THESE PROGRAMS. THE FINANCIAL COUNSELOR WILL ALSO ASSIST THE PATIENT IN COMPLETING THE PROPER PAPERWORK FOR ASSISTANCE. THE FINANCIAL COUNSELORS AND CASE MANAGEMENT STAFF WORK CLOSELY TO IDENTIFY AND ASSIST ELIGIBLE PATIENTS. OUR SELF-PAY VENDOR ALSO INFORM THE PATIENT THAT EVANGELICAL HAS A FINANCIAL ASSISTANCE PROGRAM AND A FINANCIAL COUNSELOR WHO WILL SEND THEM AN APPLICATION IF REQUESTED. OUR CUSTOMER SERVICE DEPARTMENT WORKS ON BEHALF OF THE ORGANIZATION TO FOLLOW THE HOSPITAL'S POLICIES REGARDING PATIENT NOTIFICATION AND THE AVAILABILITY OF FINANCIAL ASSISTANCE. EVANGELICAL'S FINANCIAL ASSISTANCE POLICY IS POSTED ON THE EVANGELICAL WEBSITE (HTTP://WWW.EVANHOSPITAL.COM/PATIENTS/INSURANCE/CHARITY-CARE) ALONG WITH AN APPLICATION FOR PATIENTS TO COMPLETE FOR FINANCIAL ASSISTANCE.EVANGELICAL COMMUNITY HOSPITAL WILL MAKE AVAILABLE A WRITTEN NOTICE TO EACH PATIENT OR THEIR REPRESENTATIVE OF THE EXISTENCE, CRITERIA AND MECHANISM FOR RECEIVING FINANCIAL ASSISTANCE. THE HOSPITAL WILL CREATE AND MAINTAIN RECORDS DEMONSTRATING THAT THE REQUIRED CRITERIA AND MECHANISM ARE ESTABLISHED (HOSPITAL WILL RECORD ANY AND ALL REQUESTS FOR FINANCIAL ASSISTANCE, THE DISPOSITION AND THE DOLLAR AMOUNT OF EVANGELICAL'S FINANCIAL ASSISTANCE PROGRAM PROVIDED). IN ALL INSTANCES, PATIENT CONFIDENTIALITY WILL BE PROTECTED. ELIGIBILITY WILL BE DETERMINED BY COMPARING HOUSEHOLD FAMILY INCOME AGAINST THE INCOME POVERTY GUIDELINES. INCOME IS DEFINED AS THE TOTAL ANNUAL CASH RECEIPTS BEFORE TAXES FROM ALL SOURCES. AN INDIVIDUAL NOTICE OF AVAILABILITY OF EVANGELICAL'S FINANCIAL ASSISTANCE PROGRAM WILL BE GIVEN TO EACH PATIENT OR THEIR REPRESENTATIVE PRIOR TO SERVICES BEING RENDERED, WITH THE EXCEPTION OF EMERGENCY SERVICES. THESE NOTICES SHALL BE AVAILABLE IN ALL REGISTRATION AREAS OF THE HOSPITAL AND SHALL INCLUDE THE MOST CURRENT AVAILABLE ""HOUSEHOLD INCOME GUIDELINES"" AS PUBLISHED IN THE FEDERAL REGISTER. THE PATIENT ACCOUNTS DIRECTOR OR HIS/HER DESIGNEE SHALL REVIEW ALL APPLICATIONS FOR THE EVANGELICAL FINANCIAL ASSISTANCE PROGRAM. IT IS THE APPLICANT'S RESPONSIBILITY TO PROVIDE PROOF OF INCOME. WHEN LANGUAGE IS A BARRIER, EVANGELICAL OFFERS A SPECIAL INTERPRETER CONFERENCING TELEPHONE SERVICE. INTERPRETATION SERVICES ARE AVAILABLE FOR A MULTITUDE OF PATIENT/CAREGIVER INTERACTIONS. WHEN A NON-ENGLISH SPEAKING PATIENT, NO MATTER HIS OR HER NATIVE TONGUE, CALLS IN TO THE HOSPITAL, HE OR SHE WILL BE ABLE TO BE UNDERSTOOD THROUGH A TELEPHONE INTERPRETER. THIS IS AVAILABLE FOR OUTBOUND CALLS TO THE PATIENT AS WELL. THE PROCESS CONTRIBUTES TO IMPROVED PATIENT CARE AND CLINICAL OUTCOMES AND MAKES A VITAL DIFFERENCE IN THE QUALITY OF SERVICE EVANGELICAL IS ABLE TO PROVIDE TO NON-ENGLISH SPEAKING PATIENTS. PART VI, LINE 4: EVANGELICAL COMMUNITY HOSPITAL (ECH) IS LOCATED IN LEWISBURG, PENNSYLVANIA (UNION COUNTY), THE HEART OF CENTRAL PENNSYLVANIA. THE HOSPITAL IS CONVENIENTLY LOCATED OFF INTERSTATE 80 ON U.S. ROUTE 15. THE HOSPITAL SERVES THE RESIDENTS OF UNION, SNYDER, NORTHUMBERLAND, AND LOWER LYCOMING COUNTIES AS WELL AS SURROUNDING AREAS. ECH IS THE SECOND LARGEST EMPLOYER IN UNION COUNTY WITH MORE THAN 1,900 EMPLOYEES. IN ADDITION TO A BUSY EMERGENCY, THE HOSPITAL INTRODUCED A NEW URGENT CARE PRACTICE IN 2016 THAT ANSWERS THE NEEDS OF PATIENTS WHO HAVE URGENT MEDICAL NEEDS THAT DO NOT RISE TO THE LEVEL OF EMERGENCY CARE. FOR THE PATIENT THIS MEANS SHORTER WAIT TIMES AND LOWER TREATMENT COSTS FOR THOSE CONDITIONS. THE PRIMARY SERVICE AREA OF RESIDENTS OF ECH INCLUDES:17730, 17749, 17772, 17777, 17801, 17847, 17850, 17857, 17865, 17812, 17827, 17829, 17831, 17833, 17842, 17843, 17853, 17861, 17862, 17870, 17876, 17810, 17835, 17837, 17844, 17845, 17855, 17856, 17880, 17883, 17885, 17886, 17887, 17889OUR SECONDARY SERVICE AREA IS FROM THE FOLLOWING ZIP CODES:16820, 16872, 16882, 17014, 17017, 17045, 17049, 17062, 17080, 17086, 17720, 17737, 17740, 17747, 17752, 17756, 17813, 17815, 17821, 17823, 17830, 17832, 17834, 17836, 17840, 17841, 17851, 17860, 17864, 17866, 17867, 17868, 17872, 17877, 17881, 17882, 17884, 17701, 17702, 17703, 17754 THE REGION IS HOME TO SEVERAL COLLEGES, UNIVERSITIES, AND TECHNICAL SCHOOLS AS WELL AS STRONG PUBLIC-SCHOOL SYSTEMS. IT HAS A VERY DIVERSE HISTORY AND RURAL APPEAL YET FEATURES BUSINESS AND HEALTHCARE FACILITIES USING THE LATEST ADVANCES IN SCIENCE AND TECHNOLOGY. ADDITIONAL HOSPITALS IN OUR REGION CONSIST OF GEISINGER MEDICAL CENTER, GEISINGER - SHAMOKIN AREA COMMUNITY HOSPITAL, UPMC SUSQUEHANNA, AND GEISINGER - BLOOMSBURG HOSPITAL. ACCORDING TO THE MOST RECENT DATA FROM THE COMMUNITY HEATH NEEDS ASSESSMENT OUR REGION IS DESCRIBED AS PRIMARILY RURAL IN NATURE. THIS DATA WAS REAFFIRMED DURING THE ASSESSMENT PROCESS THROUGH COMMUNITY LEADERS AND KEY STAKEHOLDER INTERVIEWS AND FOCUS GROUP DISCUSSIONS. FURTHERMORE, WITH THE RURAL NATURE OF OUR AREA AND THE LACK OF A COORDINATED AND INTEGRATED TRANSPORTATION SYSTEM THIS LIMITS COMMUNITY MEMBERS TO ACCESSIBLE HEALTH CARE AND RECREATIONAL OPPORTUNITIES. WITH THE LIMITATIONS OF ACCESSIBILITY TO HEALTHCARE AND HEALTHY OPTIONS LEADS TO UNHEALTHY LIFESTYLES AND OVERUSE OF OUR EMERGENCY DEPARTMENT SERVICES.CITY-DATA.COM FOR UNION COUNTY INDICATES THAT THE POPULATION CONSISTS OF: WHITE NON-HISPANIC (83.4%), BLACK (6.5%), HISPANIC (6.5%), TWO OR MORE RACES (1.3%), AND ASIAN (1.8%)THE MEDIAN RESIDENT AGE IS 39.7ESTIMATED MEDIAN HOUSEHOLD INCOME IN 2019: $63,059 RESIDENTS WITH INCOME BELOW THE POVERTY LEVEL IN 2021: 12.8%POPULATION WITHOUT HEALTH INSURANCE COVERAGE IN 2018: 7.8% CHILDREN UNDER 19 WITHOUT HEALTH INSURANCE COVERAGE IN 2018: 7.3% 89.2% OF RESIDENTS OF UNION COUNTY SPEAK ENGLISH AT HOME3.9% OF RESIDENTS SPEAK SPANISH AT HOME5.5% OF RESIDENTS SPEAK OTHER INDO-EUROPEAN LANGUAGE AT HOME1.0% OF RESIDENTS SPEAK ASIAN OR PACIFIC ISLAND LANGUAGE AT HOME0.3% OF RESIDENTS SPEAK OTHER LANGUAGES AT HOMECITY-DATA.COM FOR SNYDER COUNTY INDICATES THE POPULATION CONSISTS OF:WHITE NON-HISPANIC (93.9%), HISPANIC (2.4%), BLACK (0.8%), TWO OR MORE RACES (2.1%), AND ASIAN (0.6%)THE MEDIAN RESIDENT AGE IS 40.4ESTIMATED MEDIAN HOUSEHOLD INCOME IN 2021: $64,227RESIDENTS WITH INCOME BELOW THE POVERTY LEVEL IN 2021: 9.3%POPULATION WITHOUT HEALTH INSURANCE COVERAGE IN 2018: 9.2% CHILDREN UNDER 19 WITHOUT HEALTH INSURANCE COVERAGE IN 2018: 7.8% 92.3% OF RESIDENTS OF SNYDER COUNTY SPEAK ENGLISH AT HOME1.2% OF RESIDENTS SPEAK SPANISH AT HOME5.9% OF RESIDENTS SPEAK OTHER INDO-EUROPEAN LANGUAGE AT HOME0.4% OF RESIDENTS SPEAK ASIAN OR PACIFIC ISLAND LANGUAGE AT HOME0.2% OF RESIDENTS SPEAK OTHER LANGUAGES AT HOME CITY-DATA.COM FOR NORTHUMBERLAND COUNTY INDICATES THAT THE POPULATION CONSISTS OF: WHITE NON-HISPANIC (90.1%), BLACK (2.3%), HISPANIC (4.3%), AND TWO OR MORE RACES (2.5%), AND ASIAN (0.3%)ESTIMATED MEDIAN HOUSEHOLD INCOME IN 2021: $50,751THE MEDIAN RESIDENT AGE IS 44.6RESIDENTS WITH INCOME BELOW THE POVERTY LEVEL IN 2021: 10.9%POPULATION WITHOUT HEALTH INSURANCE COVERAGE IN 2018: 6.9% CHILDREN UNDER 19 WITHOUT HEALTH INSURANCE COVERAGE IN 2018: 5.0% 96.6% OF RESIDENTS OF NORTHUMBERLAND COUNTY SPEAK ENGLISH AT HOME1.6% OF RESIDENTS SPEAK SPANISH AT HOME1.5% OF RESIDENTS SPEAK OTHER INDO-EUROPEAN LANGUAGE AT HOME0.2% OF RESIDENTS SPEAK ASIAN OR PACIFIC ISLAND LANGUAGE AT HOME0.1% OF RESIDENTS SPEAK OTHER LANGUAGES AT HOMEECH OPERATES AN EMERGENCY DEPARTMENT THAT IS OPEN TO ALL PERSONS REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES. ECH HAS OPEN MEDICAL STAFF WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE AREA. ECH HAS A BOARD OF DIRECTORS IN WHICH INDEPENDENT COMMUNITY PERSONS ARE REPRESENTED. ECH LOOKS FOR OPPORTUNITIES TO WORK WITH HEALTHCARE FACILITIES, SUCH AS GEISINGER MEDICAL CENTER, TO PROVIDE THE BEST MEDICAL CARE FOR OUR PATIENTS. ECH WORKS WITH THE FOLLOWING HIGHER EDUCATION INSTITUTIONS (I.E. COLLEGES, TECHNICAL SCHOOL AND INTERMEDIATE UNITS): PENN COLLEGE, CENTRAL SUSQUEHANNA INTERMEDIATE UNIT, BLOOMSBURG UNIVERSITY, AND SUN-AREA VO-TECH. WE WORK WITH THESE HIGHER EDUCATION INSTITUTIONS TO ENGAGE IN TRAINING AND EDUCATION OF HEALTH CARE PROFESSIONALS. ECH PROVIDES FINANCIAL AID TO SUPPORT STUDENTS CHOOSING THE HEALTHCARE NURSING PROFESSION THROUGH THE MAE KEEFER SCHOLARSHIP FUND, THE CRYSTAL D. SNYDER NURSING SCHOLARSHIP FUND, AND ON THE CLINICAL SIDE THE JOHN FAMILY HEALTH CAREERS SCHOLARSHIP FUNDS ARE MADE AVAILABLE.ECH PARTICIPATES WITH THE FOLLOWING MAJOR HEALTH PLANS: CAPITAL BLUE CROSS, GEISINGER HEALTH PLAN, HIGHMARK, AETNA, AETNA BETTER HEALTH, KEYSTONE HEALTH PLAN CENTRAL, AMERIHEALTH NE, UPMC, HUMANA (MEDICARE ONLY), UHC/OPTUM VA COMMUNITY CARE NETWORK, HUMANA MILITARY TRICARE, GATEWAY HEALTH, VIBRA HEALTH PLAN, PA HEALTH & WELLNESS, DEVON, PRIME HEALTH SERVICES, THREE RIVERS PROVIDER NETWORK, MEDICAID AND MEDICARE.KEY FINDINGS:THE ECH STUDY AREA IS PROJECTED TO DECLINE IN POPULATION 1.5% BY THE YEAR 2025. ONLY SNYDER AND UNION COUNTIES ARE SHOWING SLIGHT INCREASE PROJECTIONS. THE ECH STUDY AREA SHOWS A RATE OF OLDER RESIDENTS (AGED 65 AND OLDER) AT 24.7%; THIS IS HIGHER THAN STATE (19.3%) AND NATIONAL (16.6%) NORMS. THE AVERAGE ANNUAL HOUSEHOLD INCOME FOR ECH STUDY AREA IS JUST ABOVE $52,800, WHICH IS BELOW STATE AND NATIONAL NORMS (AROUND $60,000 FOR BOTH). THE ECH STUDY AREA REPORTS 11.9% OF THE RESIDENTS HAVING LESS THAN A HIGH SCHOOL DIPLOMA; THIS IS DOWN FROM THE PREVIOUS CHNA PERCENTAGE OF 15.67% BUT STILL HIGHER THAN THE STATE RATE (8.7%) AND SLIGHTLY HIGHER THAN NATIONAL PERCENTAGE (11.3%)PORT TREVORTON REPORTS THE HIGHEST RATE OF RESIDENTS WITHOUT HIGH SCHOOL DIPLOMAS (31.6%), BUT A 2% IMPROVEMENT FROM THE PREVIOUS CHNAWEST MILTON AND BEAVER SPRINGS REPORTS THE HIGHEST RATE OF RESIDENTS LIVING IN POVERTY AT 17.8% AND 17.5% RESPECTIVELYNORTHUMBERLAND COUNTY REPORTS THE LARGEST RISE IN ADULT OBESITY FOR THE ECH STUDY AREA COUNTIES, GOING FROM 35% TO 39.1%.BOTH YOUTH AND ADULT OBESITY MEASURES ARE HIGHER IN THE CENTRAL REGION AS COMPARED TO THE STATE AND NATIONAL NUMBERSCOLUMBIA, NORTHUMBERLAND, SCHUYLKILL AND SNYDER COUNTIES HAVE THE HIGHEST NUMBERS.STATEWIDE VAPING AMONG OUR YOUTH POPULATION IS AT 19%. ALL OUR SERVICE AREA COUNTIES ARE HIGHER THAN THE STATE AVERAGE WITH THE EXCEPTION OF UNION COUNTY (15.2%). SNYDER COUNTY DID NOT HAVE DATA TO REPORT.BEHAVIORAL HEALTH, MENTAL HEALTH AND SUBSTANCE USE IS INCREASING ACROSS THE CENTRAL REGION.IN THE CENTRAL REGION, EXCEPT FOR SNYDER AND UNION COUNTIES, ALL COUNTIES HAVE A HIGHER RATE OF MENTAL HEALTH DISORDERS THAN ACROSS THE STATE. NORTHUMBERLAND COUNTY HAS THE HIGHEST.OPIOID OVERDOSE DEATHS WERE ONLY REPORTED IN 2 OF OUR SERVICE AREA COUNTIES, NORTHUMBERLAND, AND SCHUYLKILL. NORTHUMBERLAND COUNTY (28.8) IS WELL ABOVE THE STATE RATE OF 25.1. ADULT EXCESSIVE DRINKING INCREASED IN ALL CENTRAL REGION COUNTIES MARGINALLY WITH THE EXCEPTION OF UNION COUNTY WHO SAW NEARLY A 3-POINT INCREASE, LEADING THE REGION AT 22% OF ADULTS. PART VI, LINE 5: AS A COMMUNITY AND HEALTH RESOURCE FOR MORE THAN 90 YEARS, EVANGELICAL COMMUNITY HOSPITAL HAS CONTINUALLY DEMONSTRATED ITS COMMITMENT TO THE CENTRAL SUSQUEHANNA VALLEY BY TAKING CARE OF PATIENTS NEEDING TREATMENT, AND BY ITS OUTREACH TO THE COMMUNITY. BEYOND THE DAILY CARE OF PATIENTS, THE HOSPITAL EXTENDS ITS REACH TO PROVIDE PREVENTION AND WELLNESS EDUCATION TO RESIDENTS OF THE VALLEY. OUTREACH INCLUDES CHARITY-CARE FOR THOSE WHO CANNOT AFFORD MEDICAL TREATMENT, HEALTH SCREENINGS TARGETING THE UN/UNDER-INSURED, HEALTH EDUCATION FOCUSING ON HEALTHY LIFESTYLE CHANGES, CHILD SAFETY SEAT INSPECTIONS, SCHOOL AGED HEALTH INITIATIVES, AND LECTURES ON HEALTH CONCERNS AND TOPICS. MANY OF THESE PROGRAMS ARE PROVIDED AT MINIMAL OR NO COST AND ARE SUBSIDIZED USING HOSPITAL RESOURCES.THE HOSPITAL CONTINUES TO FOCUS ON DEVELOPING NEW WAYS OF IDENTIFYING AND ADDRESSING HEALTH NEEDS IN OUR REGION. THE HOSPITAL UTILIZES AN INTERNAL DOCUMENTATION PROCESS DEVELOPED TO CAPTURE COMMUNITY BENEFIT OUTREACH DELIVERED BY THE MAJORITY OF ITS EMPLOYEES. COMMUNITY BENEFIT LEADERS WORKS COOPERATIVELY WITH DEPARTMENTS OF THE HOSPITAL AND OTHER ORGANIZATIONS IN THE COMMUNITY TO ADDRESS UNMET NEEDS. THE HOSPITAL ALSO PRODUCES AN ANNUAL REPORT WHICH OUTLINES OUR COMMUNITY BENEFIT EFFORTS. THE FOLLOWING PROGRAMS WERE ALSO OFFERED IN FY2023; THE CORRESPONDING NUMBER BESIDE THE PROGRAM DOCUMENTS THE NUMBER OF PEOPLE SERVED. OTHER HEALTH EDUCATION AND PREVENTION ACTIVITIES INCLUDE:BARIATRIC SUPPORT GROUP APPROXIMATELY 217 PARTICIPANTS (REPORTED)FREE HEART HEALTH SCREENING - 63COMPREHENSIVE BLOOD SCREENINGS - 1408 PARTICIPANTSMEN'S HEALTH SCREEN DISCONTINUED IN FY2023WOMEN'S HEALTH SCREEN - 67FREE SKIN SCREENINGS - 346LOW DOSE CT SCAN SCREENINGS - 526 REFERRALS 258 SCHEDULEDCHILD SAFETY SEAT INSPECTIONS 73; REPLACEMENTS 8 YOUTH BIKE HELMET GIVEAWAY PROGRAM 165FREEDOM FROM SMOKING CESSATION PROGRAM 6FREE HEARING SCREENINGS 76FREE VARICOSE AND SPIDER VEIN SCREENINGS - 66PROPER HAND WASHING IS ESSENTIAL FOR PEOPLE OF ALL AGES TO LIMIT AND PROHIBIT THE SPREAD OF DISEASE AND GERMS. EVANGELICAL COMMUNITY HOSPITAL'S GERM CITY/BUG LIGHT PROGRAM USES AN ENTERTAINING TECHNIQUE TO STRESS THE IMPORTANCE OF FREQUENT, EFFECTIVE HAND WASHING AND SEE IMMEDIATE RESULTS. OVER 1850 YOUTH WERE EDUCATED ON THIS IMPORTANT HEALTHY BEHAVIOR. IN ADDITION TO GERM CITY/BUG LIGHT PROGRAMS WE OFFER THE FOLLOWING PROGRAMS, FOCUSING OF HEALTHY BEHAVIORS, IN THE SCHOOLS OR TO SCHOOL AGED CHILDREN THROUGHOUT THE YEAR: LIVING A HEALTHY LIFESTYLE, POISON PREVENTION, MYPLATE, PERSONAL HYGIENE, CYBER SAFETY, SUN'S OUT KID'S OUT SUMMER SAFETY, HANDS ONLY CPR, STRESS/EMPATHY, E-CIGARETTES JUULING/VAPING/TOBACCO FREE KIDS AND MORE. A TOTAL OF 25,329 STUDENTS WERE EDUCATED THROUGH THESE AND OTHER PROGRAMS.EVANGELICAL COMMUNITY HOSPITAL IS A NON-PROFIT ORGANIZATION THAT EMPLOYS 1,900 INDIVIDUALS AND HAS MORE THAN 170 EMPLOYED AND NON-EMPLOYED PHYSICIANS ON STAFF. THE FACILITY IS LICENSED TO ACCOMMODATE 131 OVERNIGHT PATIENTS IN PRIVATE ROOMS DESIGNED FOR HEALING, PATIENT SAFETY, AND POSITIVE PATIENT EXPERIENCE. OUR CLINICAL STAFF, INCLUDES LAB TECHNICIANS, NURSES, NURSING ASSISTANCES, PHYSICAL, OCCUPATIONAL AND SPEECH THERAPISTS, RADIOLOGY TECHNICIANS, PHLEBOTOMISTS, AND SUPPORT PERSONNEL. EACH OF THESE PROFESSIONALS IS HIGHLY TRAINED TO DELIVER QUALITY AND SAFE CARE TO INPATIENTS AND OUTPATIENTS THE HOSPITAL PROVIDES A COMPREHENSIVE ARRAY OF SERVICES IN BOTH INPATIENT AND OUTPATIENT SETTINGS AND SERVES RESIDENTS THROUGHOUT THE CENTRAL SUSQUEHANNA VALLEY, INCLUDING THOSE LIVING IN SNYDER, UNION, NORTHUMBERLAND, AND LYCOMING COUNTIES.THE HOSPITAL ALSO HAS:1. AN OPEN MEDICAL STAFF WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE SUSQUEHANNA VALLEY REGION.2. A BOARD OF DIRECTORS WHO GOVERN THE ORGANIZATION. THE BOARD IS COMPRISED OF COMMUNITY AND BUSINESS LEADERS, AND PHYSICIANS REPRESENTING THE GEOGRAPHIC AREA OF OUR REGION.3. AN EMERGENCY DEPARTMENT THAT IS OPEN TO ALL PERSONS IN NEED REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES.4. A HOSPICE PROGRAM THAT PROVIDES END-OF-LIFE CARE TO ALL PERSONS REGARDLESS OF THEIR ABILITY TO PAY FOR CARE.5. THE ADDITION OF MOBILE HEALTH OF EVANGELICAL IN FEBRUARY 2018. COMMUNITY HEALTH AND WELLNESS STAFF CONTINUE TO PROVIDE OUTREACH TO RESIDENTS THROUGH FREE OR LOW-COST SCREENING EVENTS, HEALTH FAIRS, SPEAKING ENGAGEMENTS, COMMUNITY EVENTS AND MORE. 6. A BIOETHICS COMMITTEE COMPRISED OF VOLUNTEERS WHO ARE PHYSICIANS, NURSES, SOCIAL SERVICE WORKERS, PASTORAL CAREGIVERS, EDUCATORS, AND OTHER PROFESSIONALS. THEY DISCUSS AND ADDRESS ETHICAL ISSUES AND DILEMMAS THAT ARE PRESENTED FOR REVIEW.7. A HISTORY OF PROVIDING FINANCIAL SUPPORT TO OTHER NONPROFIT ORGANIZATIONS FOR THE PURPOSE OF HEALTH PROMOTION AND IN COLLABORATING TO MEET UNMET NEEDS IN THE COMMUNITY.8. OUR THYRA M. HUMPHREY CENTER FOR BREAST HEALTH PROVIDES FREE AND/OR REDUCED FEE BREAST IMAGING SERVICES SPECIFICALLY TARGETING OUR UN/UNDERINSURED POPULATION. EXTENSIVE TELEPHONE EDUCATION/COUNSELING SERVICES ARE PROVIDED TO NEWLY DIAGNOSED PATIENTS THROUGH OUR NAVIGATION PROGRAM AT NO CHARGE TO THE PATIENT.9. A COMMUNITY HEALTH AND WELLNESS DEPARTMENT THAT IS FUNDED USING HOSPITAL RESOURCES. THE DEPARTMENT INITIATES AND ORGANIZES PREVENTION, WELLNESS AND HEALTH EDUCATION LECTURES, EVENTS AND ACTIVITIES DEVELOPED FOR THE SOLE PURPOSE OF IMPROVING THE HEALTH OF THOSE IN OUR REGION. THE COMMUNITY HEALTH AND WELLNESS TEAM OFFERS HEALTH SCREENINGS, HEALTH FAIRS, LECTURES, SUPPORT GROUPS, AND CHILD SAFETY SEAT INSPECTIONS. IN FY2023, THE COMMUNITY HEALTH AND WELLNESS DEPARTMENT CERTIFIED OVER 2836 IN FIRST AID AND CPR, INCLUDING 81 YOUTH, WHO ATTENDED OUR SAFE SITTER BABYSITTING PROGRAM. PART VI, LINE 6: THE ORGANIZATION IS PART OF AN AFFILIATED HEALTH CARE SYSTEM DUE TO THE HOSPITAL HAVING COMMON GOVERNANCE AND CONTROL FOR EVANGELICAL MEDICAL SERVICES ORGANIZATION. EVANGELICAL MEDICAL SERVICES ORGANIZATION PROVIDES HEALTHCARE SERVICES IN THE FORM OF PRIMARY AND SPECIALTY CARE PHYSICIANS TO THE COMMUNITY. PART VI, LINE 7, REPORTS FILED WITH STATES PA PART V, SECTION B LINE 11 CONTINUED: HEALTH AND WELLNESS PROGRAMS FY2023:YOUTH EDUCATIONAL PROGRAMS -25,329ADULT/COMMUNITY EDUCATIONAL PROGRAMS - 2,195WORKSITE SITE WELLNESS HEALTH PROMOTION PROGRAMS - 558EVANGELICAL KNOWS THAT STAYING FIT, DISEASE PREVENTION, AND NECESSARY INTERVENTION ARE ESSENTIAL TOOLS IN HELPING INDIVIDUALS ACHIEVE THEIR HEALTH AND WELLNESS GOALS. DURING FY2023 THE FOLLOWING PROGRAMS WERE OFFERED:FREEDOM FROM SMOKING: A SEVEN-WEEK SESSION TO LEARN TO OVERCOME TOBACCO ADDICTION WITH THE HELP OF A CERTIFIED EDUCATOR.AMERICAN HEART ASSOCIATION CPR AND FIRST AID COURSESSAFE SITTER: A ONE-DAY COMPREHENSIVE BABYSITTING COURSE FOR CHILDREN AGES 11 AND OLDER.SAFE AT HOME: A 90-MINUTE PROGRAM FOR STUDENTS IN GRADES 4 THROUGH 6 THAT ENCOURAGES THEIR FIRST STEPS TO BECOMING INDEPENDENCE BY TEACHING THEM HOW TO PRACTICE SAFE HABITS AND PREVENT UNSAFE SITUATIONS.EDUCATIONAL PROGRAMS FOR CHILDREN: FREE PROGRAMS WITH TOPICS THAT COVER NUTRITION, HOW TO HAVE A HEALTHY HEART, HANDS ONLY CPR, THE DANGERS OF TOBACCO PRODUCTS, SUMMER SAFETY, STRESS MANAGEMENT, PERSONAL HYGIENE, BIKE HELMET SAFETY, AND ONLINE SAFETY.CHILDBIRTH EDUCATION CLASSES: LOW-COST PROGRAMS WITH TOPICS THAT COVER CHILDBIRTH, CARING FOR A NEWBORN, PRENATAL BREASTFEEDING, AND CHILD SAFETY SEAT INSPECTIONS.THE PLAIN COMMUNITY PROGRAM CONTINUES TO BE A HIGHLY UTILIZED PROGRAM.FY2023 UTILIZATION OF PLAIN COMMUNITY PROGRAM:ECH ENCOUNTERS CHARGESFY2021 2607 $11,523,982FY2022 2870 13,171,520FY2023 2227 11,529,583EMSO ENCOUNTERS CHARGESFY2021 3115 $1,703,097FY2022 1060 $597,999FY2023 3054 1,730,930PRIMARY CHNA IMPLEMENTATION PLAN GOALS IN ADDITION TO THE ACTION ITEMS THAT DIRECTLY ADDRESS THE THREE PRIMARY IDENTIFIED COMMUNITY HEALTH NEEDS, WE CONTINUE TO FOCUS ON THE TWO PRIMARY GOALS THAT INTEGRATE NEW AND INNOVATIVE PROGRAMMING TO ADDRESS COMMUNITY HEALTH NEEDS IN FY2023: PRIMARY GOAL #1EVANGELICAL AIMS TO IMPROVE ACCESS TO LIFESTYLE FOCUSED CHRONIC DISEASE PREVENTION PROGRAMS AND EDUCATION BY MAKING HEALTH COACHING SERVICES MORE ACCESSIBLE IN THE ECH SERVICE AREA BY JUNE 30, 2024. IN FY2023, COMMUNITY HEALTH AND WELLNESS (CHW) TEAM WORKED WITH THE EMSO PRIMARY CARE SERVICE LINE TO DEVELOP A WORKFLOW FOR HEALTH COACHING REFERRALS. THIS COLLABORATION ALLOWS PROVIDERS TO REFER PATIENTS WHO IDENTIFY AS HAVING LIFESTYLE AND OR SOCIAL DETERMINANT OF HEALTH (SDOH) NEEDS TO CONNECT WITH A HEALTH COACH THAT IS SPECIALLY TRAINED IN ASSISTING INDIVIDUALS WITH IMPROVING LIFESTYLE BEHAVIORS THAT INFLUENCE HEALTH OUTCOMES AND/OR CONNECTING INDIVIDUALS WITH SDOH RESOURCES. IN FY2023, THIS PROGRAM EXPANDED INTO ALL ECH PRIMARY CARE OFFICE AND EXTERNAL HEALTHCARE PROVIDERS. WITH THE TRANSITION TO EPIC, REFERRALS CAN BE SENT TO COMMUNITY HEALTH AND WELLNESS DIRECTLY. PRIMARY GOAL #2EVANGELICAL AIMS TO IMPROVE ACCESS TO FRESH, LOCAL PRODUCE AND EDUCATION AROUND HEALTHY SUSTAINABLE FOOD OPTIONS WITH THE GOAL OF IMPROVING YOUTH OBESITY IN THE ECH SERVICE AREA BY JUNE 30, 2024. IN FY2023 THE COMMUNITY HEALTH AND WELLNESS TEAM AND DREAMCATCHER FARM LEADERSHIP EXPANDED ON THE FARM TO SCHOOL CURRICULUM BY ADDING EDUCATIONAL PROGRAMS FROM A DIARY FARMER AND A BEE FARMER. THE PROGRAM ONCE AGAIN INTEGRATED THE EVANGELICAL DREAMCATCHER FARM FRESH LOCAL FOOD PROJECT, WHICH AFFORDED THE CHILDREN AN OPPORTUNITY TO VISIT THE FARM AND PLANT/HARVEST THEIR OWN LETTUCE. IN FY2023 THE PROGRAM IMPACTED 210 CHILDREN FROM THE SHIKELLAMY SCHOOL DISTRICT, WHICH IS A GEOGRAPHIC AREA IN NEED, AS INDICATED BY THE 2021 CHNA. 1 NURSING SCHOLARSHIPS 24 66500 0 N/A N/A PART I, LINE 2: APPLICANTS MUST APPLY FOR NURSING AND TRAINING DEPARTMENT SCHOLARSHIPS. APPLICATIONS ARE REVIEWED BY A COMMITTEE TO DETERMINE IF THE APPLICANTS MEET THE ELIGIBILITY REQUIREMENTS. APPLICANTS ARE REVIEWED BASED ON COMMUNITY SERVICE AND/OR EXTRA CURRICULAR ACTIVITIES, ACADEMIC STANDING, QUALITY OF ESSAY, FINANCIAL NEED, ETC. X 1 0 X X X X 0 1 0 0 0 0 0 1 0 MATTHEW W REISH MD DIRECTOR 1031913 0 0 0 0 0 20516 0 14901 0 1067330 0 0 0 KENDRA A AUCKER PRESIDENT/CHIEF EXECUTIVE 704967 0 160873 0 16177 0 93756 0 21935 0 997708 0 0 0 SHAWN P MCGLAUGHLIN MD DIRECTOR (UNTIL 11/2022) 783190 0 0 0 0 0 15873 0 15349 0 814412 0 0 0 JOHN F DEVINE VP MEDICAL AFFAIRS 507205 0 73048 0 126144 0 59930 0 1218 0 767545 0 126144 0 JAMES A STOPPER TREASURER/CHIEF FINANCIAL 414618 0 73000 0 121125 0 52711 0 16655 0 678109 0 121125 0 CHRISTOPHER J MOTTO MD DIRECTOR 495586 0 0 0 0 0 9989 0 7463 0 513038 0 0 0 WILLIAM P ANDERSON SECRETARY/CHIEF OPERATING 357066 0 78100 0 0 0 47318 0 16055 0 498539 0 0 0 DALE E MOYER VP INFORMATION SYSTEMS 258713 0 47849 0 140671 0 24795 0 21206 0 493234 0 140671 0 RACHEL V SMITH VP PEOPLE & CULTURE 247285 0 77346 0 83080 0 37709 0 16863 0 462283 0 83080 0 PHILIP R PETERSON MD DIRECTOR 393570 0 0 0 0 0 8015 0 15223 0 416808 0 0 0 ANGELA K LAHR VP CLINICAL OPERATIONS 253188 0 40817 0 66411 0 34960 0 21206 0 416582 0 66411 0 TAMARA F PERSING VP PATIENT CARE SRVC/CHIEF 293110 0 54519 0 0 0 44518 0 20998 0 413145 0 0 0 DAVID M ZELECHOSKI MD DIRECTOR 250793 0 0 0 0 0 5208 0 15349 0 271350 0 0 0 WILLIAM STAMM RN 186885 0 190 0 0 0 6622 0 31005 0 224702 0 0 0 JULIA E REDCAY DO DIRECTOR 205292 0 0 0 0 0 4311 0 14581 0 224184 0 0 0 RANDALL S STRAUSSER DIRECTOR PHARMACY SERVICES 175337 0 18481 0 0 0 7345 0 16157 0 217320 0 0 0 STACIE T GAUL AVP SUPPORT SRVC & CAPITAL 160027 0 12183 0 0 0 4148 0 16156 0 192514 0 0 0 KIMBERLY A WHEELAND AVP SURGICAL SERVICES 164460 0 14622 0 0 0 6452 0 1036 0 186570 0 0 0 CHRISTAL E DIXON AVP NURSING 147517 0 13645 0 0 0 6060 0 7904 0 175126 0 0 0 PART I, LINE 1A KENDRA A. AUCKER, PRESIDENT/CEO, HAS A FLEXIBLE BENEFIT ALLOWANCE PER HER CONTRACT. THE EXPENSES AVAILABLE FOR REIMBURSEMENT UNDER THIS ALLOWANCE ARE: AUTOMOBILE ALLOWANCE AND AUTO EXPENSES; SUPPLEMENTAL LTD PREMIUMS; AND CLUB MEMBERSHIPS. THE AMOUNT PROVIDED WAS INCLUDED IN TAXABLE COMPENSATION AND REPORTED ON HER W-2. PART I, LINE 4B THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN AND RECEIVED THE FOLLOWING DISTRIBUTIONS IN CALENDAR YEAR 2022: - KENDRA A. AUCKER: NO DISTRIBUTION - JOHN F. DEVINE: $126,144 - JAMES A. STOPPER: $121,125 - WILLIAM P. ANDERSON: NO DISTRIBUTION - DALE E. MOYER: $140,671 - TAMARA F. PERSING: NO DISTRIBUTION - RACHEL SMITH: $83,080 - ANGELA LAHR: 66,411 PART I, LINE 7 THE EXECUTIVE TEAM IS ELIGIBLE TO RECEIVE A BONUS (BASED ON A % OF SALARY) WHEN THEIR INDIVIDUAL GOALS ARE MET FOR THE YEAR. GOALS ARE SET FOR EACH INDIVIDUAL BASED ON FINANCIAL AND OPERATIONAL RESULTS. THESE GOALS ARE REVIEWED AND APPROVED BY THE EXECUTIVE COMPENSATION COMMITTEE. A UNION COUNTY HOSPITAL AUTHORITY - SERIES 2018A 232739624 2018-06-21 17371471 SEE PART VI 0 0 0 B UNION COUNTY HOSPITAL AUTHORITY - SERIES 2018B 232739624 906460DK3 2018-06-21 55541980 SEE PART VI 0 0 0 C UNION COUNTY HOSPITAL AUTHORITY - SERIES 2018C 232739624 906460DR8 2018-06-21 19365000 SEE PART VI 0 0 0 A 4109058 17371471 95753 17275718 2018 1 0 1 1 B 825000 55541980 213434 55020462 308084 2020 0 0 0 1 C 2120000 19365000 93078 19271922 2018 1 1 1 1 A 0 0 0 0 0.00000 0.00320 0.00320 0 0 1 B 0 0 0 0 0.00000 0.00670 0.00670 0 0 1 C 0 0 0 0 0.00000 0.00320 0.00320 0 0 1 A 0 0 1 0 0 0 0 0 1 B 0 0 1 0 1 0 0 0 1 C 0 0 1 0 1 0 0 0 1 A 1 B 1 C 1 SCHEDULE K, PART I, BOND ISSUES: (A) ISSUER NAME: UNION COUNTY HOSPITAL AUTHORITY - SERIES OF 2018A HOSPITAL REVENUE BONDS (F) DESCRIPTION OF PURPOSE: REFINANCE OF 2013 HOSPITAL REVENUE BONDS AND PAYMENT OF ISSUANCE COSTS. (A) ISSUER NAME: UNION COUNTY HOSPITAL AUTHORITY- SERIES OF 2018B HOSPITAL REVENUE BONDS (F) DESCRIPTION OF PURPOSE: CONSTRUCTION/RENOVATION PROJECTS (INCLUDING PATIENT BED TOWER) AND PAYMENT OF ISSUANCE COSTS. (A) ISSUER NAME: UNION COUNTY HOSPITAL AUTHORITY- SERIES OF 2018C HOSPITAL REVENUE BONDS (F) DESCRIPTION OF PURPOSE: REFINANCE OF 2011 HOSPITAL REVENUE BONDS AND PAYMENT OF ISSUANCE COSTS. KENDRA AUCKER CEO SPLIT DOLLAR LIFE INSURANCE POLICY X 940156 964756 0 1 1 ANGELA LAHR VICE PRESIDENT SPLIT DOLLAR LIFE INSURANCE POLICY X 338055 341255 0 1 1 RACHEL SMITH VICE PRESIDENT SPLIT DOLLAR LIFE INSURANCE POLICY X 127500 128707 0 1 1 1434718 FORM 990, PART VI, SECTION A, LINE 2 TIM APPLE - CURRENT BOARD MEMBER AND JIM APPLE - EMERITUS BOARD MMEBER HAVE A FAMILY RELATIONSHIP. MATT REISH - EMPLOYEE/BOARD MEMBER AND GALE REISH - EMERITUS BOARD MEMBER HAVE A FAMILY RELATIONSHIP. FORM 990, PART VI, SECTION B, LINE 11B A FULL COPY OF THE FORM 990 WAS REVIEWED BY THE AUDIT COMMITTEE OF THE BOARD DURING AN AUDIT COMMITTEE MEETING PRIOR TO FILING. THEY HAVE THE OPPORTUNUITY TO ASK QUESTIONS AND CHANGES CAN BE MADE AS A RESULT IF NECESSARY BEFORE THE RETURN IS FILED. A FULL COPY OF THE 990 IS THEN MADE AVAILABLE TO ALL BOARD MEMBERS BEFORE FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C A CONFLICT OF INTEREST STATEMENT IS REQUIRED TO BE SIGNED ANNUALLY BY ALL VOTING BOARD MEMBERS, UPPER MANAGEMENT, AND KEY EMPLOYEES. THE HUMAN RESOURCES (HR) DEPARTMENT MONITORS COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY BY VERIFYING ALL FORMS ARE COMPLETED AND SIGNED. HR MAINTAINS COPIES OF ALL COMPLETED CONFLICT OF INTEREST STATEMENTS. MEMBERS WITH CONFLICTS ARE REQUIRED TO ABSTAIN FROM VOTING OR BEING A PART OF ACTIVE DISCUSSIONS WHERE THEY ARE IN DIRECT CONFLICT. ANYONE IN VIOLATION OF THE CONFLICT OF INTEREST POLICY IS ASKED TO STEP DOWN FROM THE BOARD. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD'S EXECUTIVE COMPENSATION COMMITTEE, WHICH IS COMPOSED SOLELY OF INDEPENDENT MEMBERS OF THE BOARD, HAS ADOPTED AND FOLLOWS A PROCESS FOR REVIEWING AND DETERMINING THE COMPENSATION OF THE CEO AND THE EXECUTIVE MANAGEMENT TEAM. THE EXECUTIVE MANAGEMENT TEAM CONSISTS OF THE FOLLOWING POSITIONS: EXECUTIVE VICE PRESIDENT/CHIEF OPERATING OFFICER, SENIOR VICE PRESIDENT/CHIEF FINANCIAL OFFICER, VICE PRESIDENT OF MEDICAL AFFAIRS, CHIEF NURSING OFFICER/VICE PRESIDENT OF PATIENT CARE SERVICES, CHIEF INFORMATION OFFICER, VICE PRESIDENT OF PEOPLE & CULTURE, VICE PRESIDENT OF PHYSICIAN & CLINIC PRACTICES, VICE PRESIDENT CLINICAL OPERATIONS, ASSOCIATE VICE PRESIDENT/CHIEF DEVELOPMENT OFFICER, ASSOCIATE VICE PRESIDENT SURGICAL SERVICES, ASSOCIATE VICE PRESIDENT QUALITY, SAFETY AND RISK, ASSOCIATE VICE PRESIDENT NURSING, CONTROLLER, ASSOCIATE VICE PRESIDENT REVENUE CYCLE, AVP SURGICAL GROUP AND PRACTICE OPERATIONS, ASSOCIATE VICE PRESIDENT MEDICINE GROUP AND PRACTICE OPERATIONS, ASSOCIATE VICE PRESIDENT ASSOCIATE VICE PRESIDENT, SUPPORT SERVICES AND CAPITAL PLANNING. THE COMMITTEE HAS ENGAGED AN INDEPENDENT COMPENSATION CONSULTANT TO PROVIDE INFORMATION AND ADVICE TO THE COMMITTEE, INCLUDING BUT NOT LIMITED TO, PROVIDING INDEPENDENT COMPENSATION COMPARABILITY DATA FOR FUNCTIONALLY COMPARABLE POSITIONS IN SIMILARLY SITUATED HOSPITALS. THE DATA IS PROVIDED ON AN ANNUAL BASIS AND IS REVIEWED BY THE COMMITTEE, ALONG WITH OTHER INFORMATION, PRIOR TO APPROVING ANY CHANGES TO COMPENSATION. THE INDEPENDENCE OF THE COMMITTEE'S MEMBERS IS REVIEWED AND VERIFIED PRIOR TO THE START OF THE ANNUAL COMPENSATION REVIEW PROCESS. SHOULD A CONFLICT PRESENT, THOSE INDIVIDUALS WITH ACTUAL OR PERCEIVED CONFLICTS ABSTAIN FROM VOTING UNTIL SUCH TIME AS THE CONFLICT CAN BE RESOLVED OR A REPLACEMENT MEMBER IS APPOINTED TO THE COMMITTEE. THE COMMITTEE'S DELIBERATIONS AND DECISIONS ARE GUIDED BY A WRITTEN COMPENSATION PHILOSOPHY AND DOCUMENTED THROUGH WRITTEN MINUTES TAKEN DURING EACH MEETING. THE MINUTES INCLUDE, AMONG OTHER THINGS, THE WRITTEN MATERIALS DISTRIBUTED OR PRESENTED DURING THE MEETING AND THE SPECIFIC DECISIONS TAKEN AT THE MEETING. THE LAST REVIEW TOOK PLACE IN 2022. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VI, LINE 1: THE EXECUTIVE COMMITTEE OF THE BOARD IS COMPRISED OF THE CHAIRPERSON, THE VICE-CHAIRPERSON OF THE BOARD, THE IMMEDIATE PAST CHAIRPERSON OF THE BOARD, THE CHAIR OF THE FINANCE COMMITTEE, AND THE PRESIDENT OF THE MEDICAL STAFF. NO PERSON IS ELIGIBLE TO SERVE ON THE EXECUTIVE COMMITTEE IN MORE THAN ONE CAPACITY. IN THE EVENT THAT ANY PERSON IS ELIGIBLE TO SERVE ON THE EXECUTIVE COMMITTEE IN MORE THAN ONE CAPACITY, THE CHAIRPERSON SHALL NOMINATE ANOTHER BOARD MEMBER TO SERVE ON THE EXECUTIVE COMMITTEE. THE EXECUTIVE COMMITTEE SHALL INCLUDE AT LEAST ONE PHYSICIAN WHO IS A BOARD MEMBER. THE PRESIDENT SHALL SERVE AS AN EX-OFFICIO MEMBER OF THE EXECUTIVE COMMITTEE WITHOUT A VOTE. THE EXECUTIVE COMMITTEE IS EMPOWERED TO ACT FOR THE BOARD IN THE GOVERNANCE OF ECH BETWEEN REGULAR MEETINGS OF THE BOARD, WHEN SUCH ACTION IS REQUIRED FOR THE TIMELY CONDUCT OF ECH BUSINESS, EXCEPT THE FOLLOWING: 1) SUCH POWERS AS MAY BY LAW OR THESE BYLAWS BE REQUIRED TO BE EXERCISED BY THE BOARD; 2) SUCH POWERS AS THE BOARD MAY BY RESOLUTION EXPRESSLY RESERVE TO ITSELF; 3) THE PURCHASE OR SALE OF REAL PROPERTY; 4) HIRING OR TERMINATING THE EMPLOYMENT OF THE PRESIDENT; 5) AMENDING OR REVISING THE BOARD APPROVED BUDGET; 6) TAKING ANY ACTION WHICH IS A "FUNDAMENTAL CHANGE" WITHIN THE MEANING OF CHAPTER 59 OF THE NONPROFIT CORPORATION LAW OF 1988 (OR ANY SIMILAR SUCCESSOR STATUTE); 7) THE BORROWING OF MONEY; AND 8) COMMITMENTS OR EXPENDITURES GREATER THAN $500,000. FORM 990, PART IX, LINE 11G BILLING & COLLECTIONS: PROGRAM SERVICE EXPENSES 182,097. MANAGEMENT AND GENERAL EXPENSES 1,248,829. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,430,926. CONSULTING FEES: PROGRAM SERVICE EXPENSES 126,309. MANAGEMENT AND GENERAL EXPENSES 2,277,283. FUNDRAISING EXPENSES 25,809. TOTAL EXPENSES 2,429,401. CONTRACTED LABOR: PROGRAM SERVICE EXPENSES 18,086,192. MANAGEMENT AND GENERAL EXPENSES 526,715. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 18,612,907. PROFESSIONAL FEES/MEDICAL DIRECTOR: PROGRAM SERVICE EXPENSES 978,159. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 978,159. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 2,032,789. MANAGEMENT AND GENERAL EXPENSES 1,500,431. FUNDRAISING EXPENSES 35,677. TOTAL EXPENSES 3,568,897. FORM 990, PART XI, LINE 9: EQUITY TRANSFER TO AFFILIATE -53,933,068. POSTRETIREMENT BENEFIT LIABILITY ADJUSTMENT 289,279. NET ASSETS RELEASED FROM RESTRICTIONS -57,841. VALUATION GAIN (LOSS) 140,940. CHANGE IN VALUE OF SPLIT INTEREST AGREEMENT -3,458. 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