2023-05-12T14:37:32-05:00 2022-06-30 390859910 BAKER TILLY US LLP 1570 FRUITVILLE PIKE SUITE 400 LANCASTER PA 17601 990 2021-07-01 240795411 EVANGELICAL COMMUNITY HOSPITAL EVAN 5705222741 ONE HOSPITAL DRIVE LEWISBURG PA 17837 JAMES A STOPPER CHIEF FINANCIAL OFFICER 5705222741 2023-05-09 1 JAMES STOPPER 999009999 KERRI N BOGDA CPA P00760402 7177404863 2023-05-09 X 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z KENDRA A AUCKER ONE HOSPITAL DRIVE LEWISBURG PA 17837 307691208 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 1807 60 9952302 693323 2582291 7655555 228003242 243783232 9474992 5679180 11537921 12679634 251598446 269797601 72200 74000 0 0 98972460 105356644 28163 86250 726210 107105706 123269992 206178529 228786886 45419917 41010715 456844436 427125912 166284584 148333961 290559852 278791951 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 182523862 74000 244021135 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. 182523862 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 0 0 1 0 0 0 0 0 1 1 0 1 1 0 1 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1 1 0 0 1 94 0 1807 1 1 1 0 0 0 0 1 1 0 0 0 0 0 0 X 15 10 0 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 SHAWN P MCGLAUGHLIN MD DIRECTOR 40.00 X 776250 0 31474 JOHN E MECKLEY ESQ DIRECTOR 1.00 0.10 X 0 0 0 CHRISTOPHER J MOTTO MD DIRECTOR 1.00 43.00 X 513043 0 18275 JULIA E REDCAY DO DIRECTOR 1.00 39.00 X 366485 0 23129 MATTHEW W REISH MD DIRECTOR 1.00 39.00 X 966025 0 34865 LESLIE P TEMPLE DIRECTOR 1.00 0.10 X 0 0 0 DAVID M ZELECHOSKI MD DIRECTOR 1.00 39.00 X 248290 0 20893 KENDRA A AUCKER PRESIDENT/CHIEF EXECUTIVE 40.00 1.00 X 774072 0 165987 JAMES A STOPPER TREASURER/CHIEF FINANCIAL 40.00 1.00 X 467026 0 68056 WILLIAM P ANDERSON SECRETARY/CHIEF OPERATING 40.00 X 504715 0 79837 CHRISTAL E DIXON AVP NURSING 40.00 X 150374 0 13297 ANGELA K LAHR VP CLINICAL OPERATIONS 40.00 X 248313 0 51817 KIMBERLY A WHEELAND AVP SURGICAL SERVICES 40.00 X 170543 0 6355 TAMARA F PERSING VP PATIENT CARE SRVC/CHIEF NURSING OFF 40.00 X 336046 0 62794 STACIE T GAUL AVP SUPPORT SRVC & CAPITAL PLNNG 40.00 X 262951 0 17495 JOHN F DEVINE VP MEDICAL AFFAIRS 40.00 X 545058 0 57314 RACHEL V SMITH VP PEOPLE & CULTURE 40.00 X 450924 0 37195 DALE E MOYER VP INFORMATION SYSTEMS 40.00 X 276217 0 56059 RANDALL S STRAUSSER DIRECTOR PHARMACY SERVICES 40.00 X 172016 0 22466 WILLIAM R FRANQUET AVP REVENUE CYCLE 40.00 X 161955 0 21962 7390303 0 789270 121 0 1 0 QUALIVIS LLC DEPT 3847 PO BOX 123847 DALLAS TX 75312 CONTRACT LABOR 12869722 QUANDEL CONSTRUCTION 2601 MARKET PL STE 200 HARRISBURG PA 17110 CONSTRUCTION SERVICES 4511438 RENOVO SOLUTIONS 4 EXECUTIVE CIRCLE IRVINE CA 92614 PREVENTATIVE MAINTENANCE-EQUIPMENT 1655797 KING & SPALDING LLC PO BOX 116133 ATLANTA GA 306386133 LEGAL SERVICES 1546266 CONSILIO LLC DEPT CH 17174 PALATINE IL 600557174 LEGAL AND CONSULTING SERVICES 956064 33 284701 5497421 1873433 2040 7655555 NET PATIENT SERVICE REVENUE 621400 243783232 243783232 243783232 3491400 3491400 4802547 5680760 -878213 -878213 -878213 34300683 39512 31946615 205800 2354068 -166288 2187780 2187780 18982 284701 60432 -41450 -41450 LABORATORY SERVICES 621500 3597544 3597544 BILLING FEES FROM AFFILIATE 541900 1768758 1768758 CAFETERIA AND VENDING SALES 722210 510900 510900 7722095 237903 4586000 2898192 13599297 269797601 244021135 9952302 8168609 X 74000 74000 6411254 3000340 3410914 75599991 58826945 16493406 279640 2071213 1830885 231131 9197 15423220 12405749 2973357 44114 5850966 4530848 1300184 19934 944356 -195 944551 131378 6750 124628 8875 8875 86250 86250 788577 14850 773727 31233966 27491550 3632140 110276 574592 17944 556648 41166367 39845622 1285279 35466 11632950 1914950 9637937 80063 3186383 2746424 439959 227017 221209 4997 811 60697 40220 17524 2953 3746303 3746303 13665447 11123229 2516533 25685 1168963 1134243 34720 FEDERAL TAXES 162955 162955 BAD DEBT EXPENSE 12774409 12774409 EMPLOYEE & PHYSICIAN RE 496829 496829 HOUSEKEEPING 442533 442533 857395 335054 490520 31821 228786886 182523862 45536814 726210 4945 5265 41392310 13078840 1806564 1177768 22300209 22882723 1233000 1541919 5906062 6339135 4996712 5461491 378937799 147487309 220454276 231450490 123022147 111185447 12659219 12534178 23068992 21468656 456844436 427125912 44674139 23932448 193621 192557 87217096 85458026 8434122 14877528 25765606 23873402 166284584 148333961 X 280660725 270789734 9899127 8002217 290559852 278791951 456844436 427125912 X 41010715 -15992270 -36786346 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 8875 8875 0 PART II-B, LINE 1: A PERCENTAGE OF ANNUAL HAP AND AHA DUES WERE USED FOR LOBBYING; THIS AMOUNTED TO $8,875 FOR THE FISCAL YEAR ENDING JUNE 30, 2022. 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 7862290 25625 436912 22500 104484 32679 8165164 0.74000 0.26000 0.00000 1 0 26714160 26714160 202665509 62990971 139674538 14770657 5302356 9468301 114632970 77141156 37491814 20154503 2052826 18101677 231450490 BENEFICIAL INTEREST IN PERPETUAL TRUSTS 3784944 BENEFICIAL INTEREST IN CHARITABLE REMAINDER TRUSTS 244664 DUE FROM AFFILIATES 7724990 MALPRACTICE RECEIVABLE - INS 958365 RIGHT OF USE ASSET 8755693 21468656 BLUE CROSS CURRENT FINANCING ADVANCE 704793 ACCRUED POSTRETIREMENT BENEFIT COSTS 3367854 ESTIMATED MEDICAL MALPRACTICE CLAIMS LIABILITY 1440340 CHARITABLE GIFT ANNUITIES PAYABLE 406182 DEFERRED COMPENSATION 2623261 CAPITAL LEASE OBLIGATIONS 9019069 ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS 2457028 DUE TO AFFILIATES 3854875 23873402 246486716 -15992270 -13059807 -29052077 275538793 -5741192 -5741192 269797601 258254617 42499040 42499040 215755577 13031309 13031309 228786886 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 -12,505,673. INVESTMENT EXPENSES NETTED AGAINST REVENUE ON AFS -525,636. POSTRETIREMENT BENEFIT LIABILITY ADJUSTMENT 1,039,493. NET ASSETS RELEASED FROM RESTRICTIONS -84,116. VALUATION GAIN/(LOSS) -928,422. CHANGE IN VALUE OF SPLIT-INTEREST AGREEMENT -55,453. PART XI, LINE 4B - OTHER ADJUSTMENTS: RENTAL EXPENSES -5,680,760. SPECIAL EVENTS EXPENSE -60,432. PART XII, LINE 2D - OTHER ADJUSTMENTS: EQUITY TRANSFER WITH AFFILIATES 36,757,848. RENTAL EXPENSES 5,680,760. SPECIAL EVENTS EXPENSE 60,432. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE NETTED AGAINST REVENUE ON AFS 12,505,673. INVESTMENT EXPENSES NETTED AGAINST REVENUE ON AFS 525,636. X X X X X X X 1 PRIDE PHILANTHROPY 1397 CHESTNUT COVE TRAIL 20988 JASPER GA 30143 CAMPAIGN CONSULTANT 0 0 48000 -48000 PROCOPIA 1106 NORTH SHERIDAN AVENUE PITTSBURGH PA 15206 GRANT WRITING CONSULTANT 0 0 8250 -8250 DELTA DEVELOPMENT GROUP INC 225 GRANDVIEW AVENUE SUITE 301 CAMP HILL PA 17011 GRANT WRITING CONSULTANT 0 0 30000 -30000 86250 -86250 PA EVANGELICAL GOLF CLASSIC 78193 59211 18982 1893 2010 8544 4832 3695 COOKIN' MEN/FASSANO 72155 72155 1505 2323 850 2282 1 153335 153335 265 10694 7000 14539 303683 284701 18982 1893 2010 10314 17849 7850 20516 60432 -41450 1 1 1 X 1 X 1 1 1 0 1 1 1219 265627 265627 0.00120 1 26063 24281885 8894537 15387348 0.07120 1 49 13863 13863 0.00010 2 27331 24561375 8894537 15666838 0.07250 7090 22320 439732 34040 405692 0.00190 247 1276 50317 50317 0.00020 56 268897 268897 0.00120 7393 23596 758946 34040 724906 0.00330 7395 50927 25320321 8928577 16391744 0.07580 165 1688 19611 19611 0.00010 1 23 314 314 0.00000 166 1711 19925 19925 0.00010 1 1180753 43376140 62292164 -18916024 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 2022 IS ECH'S FIRST 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. ALL IDENTIFIED NEEDS ARE BEING ADDRESSED.DURING FISCAL YEAR 2022 THE HOSPITAL BEGAN ITS FOCUS ON THE NEW ASSESSMENT AND THE KEY NEEDS. ALTHOUGH THE TOP THREE PRIORITIES REMAINED THE SAME, SOME NEW INITIATIVES HAVE BEEN DEVELOPED TO FOCUS ON FOR THE NEXT THREE YEARS OF THE IMPLEMENTATION PLAN.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.EVANGELICAL COMMUNITY HOSPITAL OFFERED THE FOLLOWING FREE OR REDUCED-FEE SCREENINGS AT VARIOUS TIMES AND LOCATIONS THROUGHOUT THE COMMUNITY IN FY2022: COMMUNITY HEALTH AND WELLNESS FY2022COMPREHENSIVE BLOOD SCREENINGS 1473COMMUNITY HEALTH SCREENINGS (MEN'S, WOMEN'S, HEART) 150SKIN SCREENINGS 237HEARING SCREENS 27BLOOD PRESSURE/BLOOD SUGAR SCREENS 736HEEL SCAN/BONE DENSITY CLINICS 28FREEDOM FROM SMOKING 9HEALTH COACHING 25 ACTION 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 FY22 EVANGELICAL COMMUNITY HOSPITAL DISTRIBUTED 19 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 FY22, COMMUNITY HEALTH OF EVANGELICAL OFFICE SPACE MOVED TO MCRW. ADDITIONALLY, MCRW BECAME THE PRIMARY HOME OF COMMUNITY HEALTH PROGRAMING DURING FY22. DURING FY22 SEVERAL SPECIAL EVENTS WERE HELD FOR OUR COMMUNITY FOCUSING ON TWO KEY DEMOGRAPHIC POPULATIONS. THE SENIOR HEALTH AND FITNESS DAY AND DIABETES AWARENESS DAY EVENTS 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 THESE INFORMATIVE EVENTS. 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 61 REFERRALS TO THE NURSE FAMILY PARTNERSHIP IN FISCAL YEAR 2022. 57 WERE ENROLLED IN THE PROGRAM AND TO DATE, 11 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 FY22, 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 6 MOBILE INTENSIVE CARE UNITS, 4 BLS UNITS AND 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 1,050 CALLS EACH MONTH. THE WHEELCHAIR VAN DEPLOYED IN FY 21 CONTINUES SERVICE ENSURING THAT PATIENTS HAVE TRANSPORTATION TO APPOINTMENTS, PROCEDURES AND WHEN IT IS TIME TO RETURN HOME FOLLOWING A HOSPITALIZATION. THE WHEELCHAIR VAN AVERAGES 74 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. THE 38-FOOT UNIT FEATURES A WELCOME/REGISTRATION AREA, BLOOD DRAW AREA, AND TWO EXAM ROOMS. OFFERED SERVICES INCLUDE PRIMARY AND SPECIALTY CARE, DENTAL HYGIENE, AND HEALTH EDUCATION. SELECT SERVICES ARE PROVIDED FREE OF CHARGE.IN FY22 MOBILE HEALTH OF EVANGELICAL WAS PLACED BACK IN SERVICE TO SUPPORT ITS MISSION, AFTER NEARLY A TWO-YEAR DEPLOYMENT FOR COVID-19 TESTING. SERVICE VOLUMES IN FY2022 WERE: MOBILE HEALTH OF EVANGELICAL FY2022COMPREHENSIVE BLOOD SCREENINGS 41BLOOD PRESSURE/BLOOD SUGAR SCREENINGS 101HEEL SCAN/BONE DENSITY CLINICS 45ORAL HEALTH (FLUORIDE APPLICATIONS AND ORAL HEALTH EDUCATION) 77GENERAL HEALTH CHECK-UPS 38SPORTS PHYSICALS 175COMMUNITY EVENTS 1,246ACTION ITEM 5: THE HOSPITAL COMPLETED THE PRIME (PATIENT ROOM MODERNIZATION AND ENHANCEMENT) PROJECT IN JUNE OF 2021 AND WAS FULLY OPERATIONAL BY THE START OF FY2022. ACTION ITEM 6: DURING FY22 A POST COVID-19 REHABILITATION PROGRAM WAS DEVELOPED TO ASSIST PATIENTS AND COMMUNITY MEMBERS DEALING WITH LASTING EFFECTS COVID-19 MAY HAVE HAD ON THEM PHYSICALLY, MEDICALLY, EMOTIONALLY, AND MENTALLY. PHYSICAL REHABILITATION SERVICES HAD 16 REFERRALS. 5 PATIENTS SAW PHYSICAL THERAPY ONLY, 7 SAW BOTH PHYSICAL THERAPY (PT) AND OCCUPATIONAL THERAPY (OT), 1 ONLY SAW OT, 2 SAW PT, OT AND SPEECH THERAPY AND 1 SAW ALL THREE PT, OT AND SPEECH THERAPY. PULMONARY REHABILITATION SAW A TOTAL OF 9 PATIENTS.2. BEHAVIORAL HEALTHACTION ITEM 1: SERVE AS THE COUNTY/REGIONAL CENTRALIZED COORDINATING ENTITY (CCE) FOR SNYDER, UNION AND NORTHUMBERLAND COUNTIES TO PROVIDE FREE NALOXONE TO ALL FIRST RESPONDERS. THE HOSPITAL PROVIDED 56 INDIVIDUALS WITH NARCAN TRAINING, PROVIDED 57 KITS THROUGH COMMUNITY NARCAN DRIVE THROUGH DISTRIBUTION EVENTS AND DISTRIBUTED OVER 940 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 AND NORTHUMBERLAND COUNTIES. THE HOSPITAL CONTINUES TO COLLABORATE WITH AND SUPPORT BOTH NORTHUMBERLAND AND SNYDER-UNION OPIOID COALITIONS THROUGH COMMUNITY NARCAN DISTRIBUTIONS, EDUCATIONAL PROGRAMS, AND ATTENDANCE AT LOCAL EVENTS. DURING FISCAL YEAR 2022 COLUMBIA MONTOUR OPIOID COALITION JOINED FORCES WITH BOTH NORTHUMBERLAND AND SNYDER COUNITES COALITIONS TO CREATE A REGIONAL COALITION TO COMBINE EFFORTS AND CREATE A LARGER FOOTPRINT TO EDUCATE, SUPPORT AND RAISE AWARENESS OF THE SUBSTANCE USE EPIDEMIC IN OUR REGION.THE COMMUNITY HEALTH AND WELLNESS DEPARTMENT OFFERED SIX (6) COMMUNITY NARCAN DISTRIBUTION EVENTS THROUGHOUT THE HOSPITAL'S SERVICE AREA. OVER 120 KITS WERE DISTRIBUTED TO COMMUNITY MEMBERS IN NEED.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 FY22 THIS PROGRAM WAS NOT OFFERED DUE TO RESIGNATION OF THE PROGRAM COORDINATOR. THE PROGRAM WILL RESUME WHEN A REGISTERED NURSE/CERTIFIED DIABETES EDUCATOR IS HIRED. IN THE SPRING OF 2022, THE COMMUNITY HEALTH AND WELLNESS TEAM OFFERED A FREE DIABETES WELLNESS HEALTH FAIR. VARIOUS VENDORS ATTENDED TO PROVIDE EDUCATION AND COMMUNITY RESOURCES TO OUR COMMUNITY MEMBERS. OVER 110 COMMUNITY MEMBERS WERE IN ATTENDANCE FOR THIS EVENT. SCREENINGS OFFERED WERE DIABETIC FOOT CARE, BLOOD PRESSURE SCREENS, FINGER STICK GLUCOSE TESTING AND BODY COMPOSITION ANALYSIS. ACTION ITEM 2: CONTINUE TO PROMOTE AND EDUCATE THE COMMUNITY ABOUT A VARIETY OF HEALTH SCREENINGS.THROUGH VARIOUS SCREENING EVENTS AND GRANT FUNDS EVANGELICAL OFFERED 263 LOW DOSE CT SCANS AND SCHEDULED 124 APPOINTMENTS, 219 MAMMOGRAMS AND 94 IFOB SCREENING KITS WERE DISTRIBUTED IN IN FY2022. ACTION ITEM 3: OFFER A VARIETY OF ADULT AND SCHOOL AGED WELLNESS PROGRAMS TO AIMED TO PROMOTE A HEALTHY LIFESTYLE AND REDUCE THE RISK FOR CHRONIC HEALTH CONDITIONS.IN FY2022 A NEW ACTIVE AGING PROGRAM WAS LAUNCHED, WELLNESS 360. THIS PROGRAM FOCUSES ON ADULTS 55 AND OLDER TO PROVIDE EDUCATION AND EARLY ACCESS TO PROGRAMS AND EVENTS SPECIFIC TO THEIR DEMOGRAPHIC. SOME OF THE PROGRAMS OFFERED WERE: FINANCIAL HEALTH, BONE HEALTH, MOVEMENT, MUSCLE AND METABOLISM AND FUTURE PLANNING, ESSENTIAL DOCUMENTS 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 $12,774,409. 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 THECOUNTRY'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:17086, 17730, 17749, 17772, 17777, 17801, 17847, 17850, 17857, 17865, 17812, 17813, 17827, 17831, 17833, 17842, 17843, 17853, 17861, 17862, 17864, 17870, 17876, 17810, 17835, 17837, 17844, 17845, 17855, 17856, 17883, 17885, 17886, 17887, 17889OUR SECONDARY SERVICE AREA IS FROM THE FOLLOWING ZIP CODES:16820, 16872, 16882, 17014, 17017, 17045, 17049, 17062, 17080, 17737, 17747, 17752, 17756, 17821, 17823, 17830, 17832, 17834, 17836, 17840, 17841, 17851, 17860, 17866, 17867, 17868, 17872, 17877, 17881, 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 (84.2%), BLACK (602%), HISPANIC (5.9%), TWO OR MORE RACES (1.4%), AND ASIAN (1.7%)THE MEDIAN RESIDENT AGE IS 39.5ESTIMATED MEDIAN HOUSEHOLD INCOME IN 2019: $61,052 RESIDENTS WITH INCOME BELOW THE POVERTY LEVEL IN 2019: 11.4%POPULATION WITHOUT HEALTH INSURANCE COVERAGE IN 2018: 7.8% CHILDREN UNDER 19 WITHOUT HEALTH INSURANCE COVERAGE IN 2018: 7.3% 89.0% OF RESIDENTS OF UNION COUNTY SPEAK ENGLISH AT HOME4.3% OF RESIDENTS SPEAK SPANISH AT HOME5.0% OF RESIDENTS SPEAK OTHER INDO-EUROPEAN LANGUAGE AT HOME1.2% 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 (94.8%), HISPANIC (2.3%), BLACK (0.9%), TWO OR MORE RACES (1.2%), AND ASIAN (0.7%)THE MEDIAN RESIDENT AGE IS 40.2ESTIMATED MEDIAN HOUSEHOLD INCOME IN 2019: $60,639RESIDENTS WITH INCOME BELOW THE POVERTY LEVEL IN 2019: 10.1%POPULATION WITHOUT HEALTH INSURANCE COVERAGE IN 2018: 9.2% CHILDREN UNDER 19 WITHOUT HEALTH INSURANCE COVERAGE IN 2018: 7.8% 90.6% OF RESIDENTS OF SNYDER COUNTY SPEAK ENGLISH AT HOME1.8% OF RESIDENTS SPEAK SPANISH AT HOME6.8% 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 (92.1%), BLACK (2.4%), HISPANIC (3.7%), AND TWO OR MORE RACES (1.0%), AND ASIAN (0.4%)ESTIMATED MEDIAN HOUSEHOLD INCOME IN 2019: $47,349THE MEDIAN RESIDENT AGE IS 44.1RESIDENTS WITH INCOME BELOW THE POVERTY LEVEL IN 2019: 13.1%POPULATION WITHOUT HEALTH INSURANCE COVERAGE IN 2018: 6.9% CHILDREN UNDER 19 WITHOUT HEALTH INSURANCE COVERAGE IN 2018: 5.0% 96% OF RESIDENTS OF NORTHUMBERLAND COUNTY SPEAK ENGLISH AT HOME1.8% OF RESIDENTS SPEAK SPANISH AT HOME1.6% OF RESIDENTS SPEAK OTHER INDO-EUROPEAN LANGUAGE AT HOME0.3% 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: 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. CANCER AWARENESS AND EDUCATION IS EXTREMELY IMPORTANT. THE FOLLOWING PROGRAMS WERE OFFERED IN FY22; THE CORRESPONDING NUMBER BESIDE THE PROGRAM DOCUMENTS THE NUMBER OF PEOPLE SERVED. THE IMPACT OF COVID 19 IS STILL EVIDENT IN PROGRAMS AND EVENTS WE WERE ABLE TO OFFER IN FY22. TO THIS POINT SOME OF OUR PROGRAMS AND EVENTS HAD TO BE CANCELED OR LIMITED IN NUMBERS. OTHER HEALTH EDUCATION AND PREVENTION ACTIVITIES INCLUDE:MONTHLY SUPPORT GROUPS APPROXIMATELY 224 PARTICIPANTS (REPORTED)FREE HEART HEALTH SCREENINGS - 60COMPREHENSIVE BLOOD SCREENINGS - 1473 PARTICIPANTSMEN'S HEALTH SCREEN 29WOMEN'S HEALTH SCREEN - 61HUNTER'S HEALTH SCREEN - DISCONTINUEDFREE SKIN SCREENINGS - 237LOW DOSE CT SCAN SCREENING - 263 REFERRALS 124 SCHEDULEDBLOOD DRAW SERVICES A COMMUNITY CLINIC - DISCONTINUED CHILD SAFETY SEAT INSPECTIONS 62; REPLACEMENTS 13 FREE T-DAP VACCINATION FOR NEW DADS AND GRANDPARENTS - DISCONTINUEDYOUTH BIKE HELMET GIVEAWAY PROGRAM 158FREEDOM FROM SMOKING CESSATION PROGRAM - 9PROPER 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 WERE ABLE TO GET BACK INTO THE SCHOOLS TO OFFER THE FOLLOWING PROGRAMS, ALSO FOCUSING ON HEALTHY BEHAVIORS: HEALTHY BEHAVIORS, POISON PREVENTION, MYPLATE, HYGIENE 101, ONLINE SAFETY, OUTDOOR/SUMMER SAFETY, HANDS ONLY CPR, STRESS/EMPATHY, TOBACCO/SMOKING/VAPING/JUULING EDUCATION AND MORE. A TOTAL OF 14,574 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 FY22, THE COMMUNITY HEALTH AND WELLNESS DEPARTMENT CERTIFIED OVER 2409 IN FIRST AID AND CPR, INCLUDING 96 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 FY2022:YOUTH EDUCATIONAL PROGRAMS -14574ADULT/COMMUNITY EDUCATIONAL PROGRAMS - 1096WORKSITE SITE WELLNESS HEALTH PROMOTION PROGRAMS - 406EVANGELICAL KNOWS THAT STAYING FIT, DISEASE PREVENTION, AND NECESSARY INTERVENTION ARE ESSENTIAL TOOLS IN HELPING INDIVIDUALS ACHIEVE THEIR HEALTH AND WELLNESS GOALS. DURING FY2022 THE FOLLOWING PROGRAMS WE WERE OFFERED, EVEN WITH COVID 19 LIMITATIONS STILL PROMINENT: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 SITUATIONSEDUCATIONAL 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: FREE OR REDUCED-FEE PROGRAMS WITH TOPICS THAT COVER PREPARED CHILDBIRTH, NEWBORN CARE, PRENATAL BREASTFEEDING, AND CHILD SAFETY SEAT INSPECTIONS.THE PLAIN COMMUNITY PROGRAM CONTINUES TO BE A HIGHLY UTILIZED PROGRAMFY2022 UTILIZATION OF PLAIN COMMUNITY PROGRAM:ECH - ENCOUNTERS - CHARGES:FY2020 - 2,483 - $9,626,525FY2021 - 2607 - $11,523,982FY2022 - 2870 - 13,171,520 EMSO - ENCOUNTERS - CHARGE:FY2020 - 1,662 - $1,662,014FY2021 - 3115 - $1,703,097FY2022 - 1060 - $597,999PRIMARY CHNA IMPLEMENTATION PLAN GOALS :IN ADDITION TO THE ACTION ITEMS THAT DIRECTLY ADDRESS THE THREE PRIMARY IDENTIFIED COMMUNITY HEALTH NEEDS, TWO PRIMARY GOALS THAT INTEGRATE NEW PROGRAMMING AND INNOVATIVE WAYS OF ADDRESSING COMMUNITY HEALTH NEEDS WERE ROLLED OUT IN FY2022: 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 FY2022, 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. FROM IN FY2022, THIS PROGRAM WAS PILOTED WITH ONE PRIMARY CARE PHYSICIAN. THROUGH THE PILOT, SIX PATIENTS WERE REFERRED TO HEALTH COACHING SERVICES. 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 FY2022 THE COMMUNITY HEALTH AND WELLNESS TEAM WORKED ALONGSIDE DREAMCATCHER FARM LEADERSHIP TO DEVELOP A CURRICULUM FOR IMPLEMENTATION OF A PROGRAM WITHIN LOCAL SCHOOL DISTRICTS THAT FOCUSES ON NUTRITION EDUCATION AND THE IMPORTANCE/HEALTH BENEFITS OF EATING A HEALTHY AND WELL-BALANCED DIET. THE PROGRAM ALSO INTEGRATES 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 FY22 THE PROGRAM IMPACTED 225 CHILDREN FROM THE SHIKELLAMY SCHOOL DISTRICT, WHICH IS A GEOGRAPHIC AREA IN NEED, AS INDICATED BY THE 2021 CHNA. 1 NURSING SCHOLARSHIPS 22 74000 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 964725 0 1300 0 0 0 19530 0 15335 0 1000890 0 0 0 KENDRA A AUCKER PRESIDENT/CHIEF EXECUTIVE 667414 0 91658 0 15000 0 144092 0 21895 0 940059 0 0 0 SHAWN P MCGLAUGHLIN MD DIRECTOR 774950 0 1300 0 0 0 15691 0 15783 0 807724 0 0 0 JOHN F DEVINE VP MEDICAL AFFAIRS 484686 0 60372 0 0 0 56096 0 1218 0 602372 0 0 0 WILLIAM P ANDERSON SECRETARY/CHIEF OPERATING 330277 0 174438 0 0 0 63348 0 16489 0 584552 0 0 0 JAMES A STOPPER TREASURER/CHIEF FINANCIAL 401701 0 65325 0 0 0 50961 0 17095 0 535082 0 0 0 CHRISTOPHER J MOTTO MD DIRECTOR 511743 0 1300 0 0 0 9945 0 8330 0 531318 0 0 0 RACHEL V SMITH VP PEOPLE & CULTURE 331184 0 36660 0 83080 0 35583 0 1612 0 488119 0 83080 0 TAMARA F PERSING VP PATIENT CARE SRVC/CHIEF NURSING O 292366 0 43680 0 0 0 41836 0 20958 0 398840 0 0 0 JULIA E REDCAY DO DIRECTOR 365185 0 1300 0 0 0 7487 0 15642 0 389614 0 0 0 DALE E MOYER VP INFORMATION SYSTEMS 239977 0 36240 0 0 0 35101 0 20958 0 332276 0 0 0 ANGELA K LAHR VP CLINICAL OPERATIONS 219613 0 28700 0 0 0 30859 0 20958 0 300130 0 0 0 STACIE T GAUL AVP SUPPORT SRVC & CAPITAL PLNNG 150772 0 112179 0 0 0 1127 0 16368 0 280446 0 0 0 DAVID M ZELECHOSKI MD DIRECTOR 246990 0 1300 0 0 0 5110 0 15783 0 269183 0 0 0 RANDALL S STRAUSSER DIRECTOR PHARMACY SERVICES 170716 0 1300 0 0 0 6357 0 16109 0 194482 0 0 0 WILLIAM R FRANQUET AVP REVENUE CYCLE 149110 0 12845 0 0 0 5862 0 16100 0 183917 0 0 0 KIMBERLY A WHEELAND AVP SURGICAL SERVICES 157555 0 12988 0 0 0 5850 0 505 0 176898 0 0 0 CHRISTAL E DIXON AVP NURSING 138886 0 11488 0 0 0 5289 0 8008 0 163671 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 2021: - KENDRA A. AUCKER: NO DISTRIBUTION - JOHN F. DEVINE: NO DISTRIBUTION - JAMES A. STOPPER: NO DISTRIBUTION - WILLIAM P. ANDERSON: NO DISTRIBUTION - DALE E. MOYER: NO DISTRIBUTION - TAMARA F. PERSING: NO DISTRIBUTION - RACHEL SMITH: $83,080 - ANGELA LAHR: NO DISTRIBUTION 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 3002931 17371471 95753 17275718 2018 1 0 1 1 B 825000 55541980 213434 55020462 308084 2020 0 0 0 1 C 1560000 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. JOHN D GRIFFITH SEE PART V 208232 SEE PART V 0 SCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: (A) NAME OF PERSON: JOHN D. GRIFFITH(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: SERVES AS AN EMERITIS DIRECTOR ON THE BOARD OF DIRECTORS(D) JOHN D. GRIFFITH LEASES PROPERTY TO THE HOSPITAL IN AN ARM'S LENGTH TRANSACTION. 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 2021. 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 197,866. MANAGEMENT AND GENERAL EXPENSES 947,115. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,144,981. CONSULTING FEES: PROGRAM SERVICE EXPENSES 211,648. MANAGEMENT AND GENERAL EXPENSES 1,012,373. FUNDRAISING EXPENSES 45,236. TOTAL EXPENSES 1,269,257. CONTRACTED LABOR: PROGRAM SERVICE EXPENSES 24,091,832. MANAGEMENT AND GENERAL EXPENSES 381,448. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 24,473,280. PROFESSIONAL FEES/MEDICAL DIRECTOR: PROGRAM SERVICE EXPENSES 1,112,821. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,112,821. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 1,877,383. MANAGEMENT AND GENERAL EXPENSES 1,291,204. FUNDRAISING EXPENSES 65,040. TOTAL EXPENSES 3,233,627. FORM 990, PART XI, LINE 9: EQUITY TRANSFER TO AFFILIATE -36,757,848. POSTRETIREMENT BENEFIT LIABILITY ADJUSTMENT 1,039,493. NET ASSETS RELEASED FROM RESTRICTIONS -84,116. VALUATION GAIN (LOSS) -928,422. CHANGE IN VALUE OF SPLIT INTEREST AGREEMENT -55,453. 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