2022-05-06T06:59:33-05:00 2021-06-30 390859910 BAKER TILLY US LLP 1570 FRUITVILLE PIKE SUITE 400 LANCASTER PA 17601 990 2020-07-01 240795411 EVANGELICAL COMMUNITY HOSPITAL EVAN 5705222741 ONE HOSPITAL DRIVE LEWISBURG PA 17837 JAMES A STOPPER CHIEF FINANCIAL OFFICER 5705222741 2022-04-21 1 JAMES STOPPER 999009999 KERRI N BOGDA CPA P00760402 7177404863 X 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z KENDRA A AUCKER ONE HOSPITAL DRIVE LEWISBURG PA 17837 287349543 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. 12 7 1766 42 10227580 527006 20959661 2582291 193247494 228003242 5631809 9474992 9335145 11537921 229174109 251598446 72164 72200 0 0 88774356 98972460 97434 28163 539190 89031356 107105706 177975310 206178529 51198799 45419917 455729514 456844436 160884105 166284584 294845409 290559852 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 163860912 72200 228298364 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. 163860912 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 97 0 1766 1 1 1 0 0 0 0 1 1 0 0 0 0 0 0 X 12 7 0 0 1 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 TIMOTHY J APPLE CHAIR 1.00 0.10 X X 0 0 0 JOHN D STEELE JR VICE CHAIR 1.00 0.10 X 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 854750 0 33951 JOHN E MECKLEY ESQ DIRECTOR 1.00 0.10 X 0 0 0 TIMM A MOYER DIRECTOR 1.00 0.10 X 0 0 0 CHRISTOPHER J MOTTO MD DIRECTOR 1.00 43.00 X 502208 0 18641 JULIA E REDCAY DO DIRECTOR 1.00 39.00 X 381825 0 24198 MATTHEW W REISH MD DIRECTOR 1.00 39.00 X 1012112 0 31872 DAVID M ZELECHOSKI MD DIRECTOR 1.00 39.00 X 232595 0 21487 LINDA J KORB PHD NCPSYA DIRECTOR (UNTIL 11/20) 1.00 0.10 X 0 0 0 KENDRA A AUCKER PRESIDENT/CHIEF EXECUTIVE OFFICER 40.00 1.00 X 804138 0 164736 JAMES A STOPPER TREASURER/CHIEF FINANCIAL OFFICER 40.00 1.00 X 599500 0 68859 WILLIAM P ANDERSON SECRETARY/CHIEF OPERATING OFFICER 40.00 X 485062 0 79301 CHRISTAL E DIXON AVP NURSING 40.00 X 151591 0 12345 ANGELA K LAHR VP CLINICAL OPERATIONS 40.00 X 204570 0 49674 KIMBERLY A WHEELAND AVP SURGICAL SERVICES 40.00 X 174101 0 6609 TAMARA F PERSING VP OF NURSING ADMINISTRATION 40.00 X 382354 0 61956 STACIE T GAUL AVP CAP PLAN PROJ & FACILITIES 40.00 X 155217 0 18384 KATHRYN M GIORGINI HOSPITALIST/PALLIATIVE CARE 40.00 X 281092 0 37661 JOHN F DEVINE VP MEDICAL AFFAIRS 40.00 X 568556 0 58761 RACHEL V SMITH VP PEOPLE & CULTURE 40.00 X 273909 0 35864 DALE E MOYER VP INFORMATION SYSTEMS 40.00 X 272846 0 56723 RANDALL S STRAUSSER DIRECTOR PHARMACY SERVICES 40.00 X 173294 0 23468 WILLIAM R FRANQUET AVP REVENUE CYCLE 40.00 X 166344 0 22563 7676064 0 827053 79 0 1 0 QUANDEL CONSTRUCTION 2601 MARKET PL STE 200 HARRISBURG PA 17110 CONSTRUCTION SERVICES 27309599 RENOVO SOLUTIONS 4 EXECUTIVE CIRCLE IRVINE CA 92614 PREVENTATIVE MAINTENANCE-EQUIPMENT 1653734 ZARTMAN CONSTRUCTION 3000 POINT TOWNSHIP DRIVE NORTHUMBERLAND PA 178578864 CONSTRUCTION SERVICES 995778 FUSION MEDICAL STAFFING PO BOX 82674 LINCOLN NE 685012674 CONTRACT STAFFING SERVICES 952721 KING & SPALDING LLC PO BOX 116133 ATLANTA GA 306386133 LEGAL SERVICES 640740 38 90008 36109 2456174 2921 2582291 NET PATIENT SERVICE REVENUE 621400 228003242 228003242 228003242 4495040 4495040 4729565 5445998 -716433 -716433 -716433 35113152 145318 30134454 144064 4978698 1254 4979952 4979952 20684 90008 26581 -5897 -5897 LABORATORY SERVICES 621500 3284676 3284676 BILLING FEES FROM AFFILIATE 541900 1953904 1953904 CAFETERIA AND VENDING SALES 722210 386337 386337 6635334 295122 4989000 1351212 12260251 251598446 228298364 10227580 10490211 72200 72200 6696755 3431326 3265429 73208708 57778785 15186091 243832 2059828 1760654 290402 8772 11574364 8450267 3081168 42929 5432805 4179584 1235607 17614 2090240 8420 2081451 369 117673 10000 107673 23003 23003 28163 28163 767557 18595 748962 15015120 11555361 3331918 127841 534915 8882 526033 41217761 40125690 1086365 5706 11190751 1877446 9269640 43665 3062127 2654405 407722 209280 203593 5660 27 52709 25229 27470 10 2679586 2679586 12060624 11731581 329043 1170957 1131238 39719 FEDERAL TAXES 182279 182279 BAD DEBT EXPENSE 14247133 14247133 EQUIPMENT RENTAL & MAIN 632676 632676 HOUSEKEEPING 446591 446591 1404724 831670 552792 20262 206178529 163860912 41778427 539190 5343 4945 65721007 41392310 2184500 1806564 18592208 22300209 1233000 5349085 5906062 5976703 4996712 361498549 141044273 214300587 220454276 112773541 123022147 11175199 12659219 8659784 10991557 23068992 455729514 456844436 47145224 44674139 221070 193621 88802393 87217096 10411343 8434122 14304075 25765606 160884105 166284584 X 285461670 280660725 9383739 9899127 294845409 290559852 455729514 456844436 X 45419917 11641167 -61346641 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 23003 23003 0 PART II-B, LINE 1: A PERCENTAGE OF ANNUAL HAP AND AHA DUES WERE USED FOR LOBBYING; THIS AMOUNTED TO $23,003 FOR THE FISCAL YEAR ENDING JUNE 30, 2021. 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 7418085 185221 425034 23000 112547 30503 7862290 0.74000 0.26000 0.00000 1 0 23292407 23292407 196775909 57985764 138790145 14812903 4224186 10588717 118158159 76983524 41174635 8459171 1850799 6608372 220454276 BENEFICIAL INTEREST IN PERPETUAL TRUSTS 4713367 BENEFICIAL INTEREST IN CHARITABLE REMAINDER TRUSTS 300116 DUE FROM AFFILIATES 7224891 MALPRACTICE RECEIVABLE - INS 840703 RIGHT OF USE ASSET 9989915 23068992 BLUE CROSS CURRENT FINANCING ADVANCE 1057190 ACCRUED POSTRETIREMENT BENEFIT COSTS 4500054 ESTIMATED MEDICAL MALPRACTICE CLAIMS LIABILITY 1322642 CHARITABLE GIFT ANNUITIES PAYABLE 417331 DEFERRED COMPENSATION 2842364 CAPITAL LEASE OBLIGATIONS 10139197 ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS 3445506 DUE TO AFFILIATES 2041322 25765606 255192244 11641167 -13519948 -1878781 257071025 -5472579 -5472579 251598446 259477801 68034190 68034190 191443611 14734918 14734918 206178529 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 -14,231,498. INVESTMENT EXPENSES NETTED AGAINST REVENUE ON AFS -503,420. POSTRETIREMENT BENEFIT LIABILITY ADJUSTMENT 435,447. NET ASSETS RELEASED FROM RESTRICTIONS -68,646. VALUATION GAIN/(LOSS) 799,277. CHANGE IN VALUE OF SPLIT-INTEREST AGREEMENT 48,892. PART XI, LINE 4B - OTHER ADJUSTMENTS: RENTAL EXPENSES -5,445,998. SPECIAL EVENTS EXPENSE -26,581. PART XII, LINE 2D - OTHER ADJUSTMENTS: EQUITY TRANSFER WITH AFFILIATES 50,254,781. IMPAIRMENT LOSS 8,659,784. GEISINGER CONTRIBUTIONS REFUNDED 3,647,046. RENTAL EXPENSES 5,445,998. SPECIAL EVENTS EXPENSE 26,581. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE NETTED AGAINST REVENUE ON AFS 14,231,498. INVESTMENT EXPENSES NETTED AGAINST REVENUE ON AFS 503,420. X X X X X X X 1 PRIDE PHILANTHROPY 1397 CHESTNUT COVE TRAIL 20988 JASPER GA 30143 CAMPAIGN CONSULTANT 0 0 12000 -12000 PROCOPIA 1106 NORTH SHERIDAN AVENUE PITTSBURGH PA 15206 GRANT WRITING CONSULTANT 0 0 7563 -7563 DELTA DEVELOPMENT GROUP INC 225 GRANDVIEW AVENUE SUITE 301 CAMP HILL PA 17011 GRANT WRITING CONSULTANT 0 0 5000 -5000 24563 -24563 PA EVANGELICAL GOLF CLASSIC 66126 45442 20684 1971 8844 6987 4029 VIRTUAL COOKIN' MEN 44566 44566 4750 110692 90008 20684 1971 8844 6987 8779 26581 -5897 1 1 1 X 1 X 1 1 1 0 1 1 1139 329155 329155 0.00170 1 25403 20000750 7997812 12002938 0.06250 1 46 16677 16677 0.00010 2 26588 20346582 7997812 12348770 0.06430 1024 6076 103780 19078 84702 0.00040 394 1889 72879 72879 0.00040 52 264866 264866 0.00140 1470 7965 441525 19078 422447 0.00220 1472 34553 20788107 8016890 12771217 0.06650 1 10 196 196 0.00000 67 1457 16595 16595 0.00010 1 27 196 196 0.00000 1 8 161 161 0.00000 2 31 294 294 0.00000 72 1533 17442 17442 0.00010 1 2688794 44269731 60730184 -16460453 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 18 1 1 1 1 X WWW.EVANHOSPITAL.COM/HEALTH-AND-WELLNESS X 1 18 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 2018 CHNA. WEBINARS WERE HELD IN OCTOBER AND NOVEMBER 2017 TO ANNOUNCE THE ONSET OF THE CHNA AND ENCOURAGE BROAD PARTICIPATION ACROSS THE REGION. THROUGHOUT OCTOBER AND NOVEMBER 2017, A KEY INFORMANT SURVEY WAS SENT TO APPROXIMATELY 1,000 REPRESENTATIVES OF HEALTH AND HUMAN SERVICE ORGANIZATIONS, RELIGIOUS INSTITUTIONS, CIVIC ASSOCIATIONS, BUSINESSES, ELECTED OFFICIALS AND OTHER COMMUNITY REPRESENTATIVES. PARTNER FORUMS WERE HELD THROUGHOUT THE REGION IN JANUARY 2018 TO BRING TOGETHER THESE PARTNERS TO REVIEW RESEARCH FINDINGS AND PROVIDE FEEDBACK ON THE MOST PRESSING COMMUNITY HEALTH NEEDS. IN MARCH AND APRIL 2018, FOCUS GROUPS WITH SENIORS WERE HELD TO BETTER UNDERSTAND CHALLENGES AND OPPORTUNITIES TO IMPROVING HEALTH AMONG HIGH RISK POPULATIONS. COMMUNITY FORUMS ARE PLANNED FOR FALL 2018 TO PRESENT CHNA FINDINGS ANDIMPLEMENTATION PLANS TO COMMUNITY RESIDENTS AND PROVIDE A FORUM FOR DIALOGUE ABOUT ADDRESSING COMMUNITY HEALTH NEEDS. EVANGELICAL COMMUNITY HOSPITAL PART V, SECTION B, LINE 6A: THE 2018 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED IN PARTNERSHIP WITH EVANGELICAL COMMUNITY HOSPITAL, ALLIED SERVICES INTEGRATED HEALTH SYSTEM, AND GEISINGER. THE STUDY AREA INCLUDED 19 COUNTIES ACROSS CENTRAL, NORTHEASTERN, AND SOUTH CENTRAL PENNSYLVANIA WHICH REPRESENT THE COLLECTIVE SERVICE AREAS OF THE COLLABORATING HOSPITALS. TO DISTINGUISH UNIQUE SERVICE AREAS AMONG HOSPITALS AND FOSTER COOPERATION WITH LOCAL COMMUNITY PARTNERS TO IMPACT HEALTH NEEDS, REGIONAL RESEARCH AND LOCAL 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: ACCORDING TO THIS MOST RECENT ASSESSMENT THE KEY IDENTIFIED NEEDS ARE AS FOLLOWED: 1. ADDRESSING NEEDS RELATED TO BEHAVIORAL HEALTH AND SUBSTANCE ABUSEWE CONTINUE TO MONITOR OUR TELE-PSYCH SERVICE UTILIZATION. DURING THIS FISCAL YEAR THESE SERVICES WERE UTILIZED AN AVERAGE OF 29 TIMES PER QUARTER FOR THE ED AND APPROXIMATELY 16 TIMES A QUARTER FOR INPATIENT. RESPONSE TIMES CONTINUE TO BE WITHIN THE EXPECTED RANGE (WITHIN 2 HOURS).OPIOID REVERSAL KITS (NALOXONE) AND EDUCATION CONTINUES TO BE OFFERED TO VARIOUS ORGANIZATIONS AND INDIVIDUALS THROUGHOUT OUR THREE-COUNTY SERVICE AREA. THE COMMUNITY HEALTH AND WELLNESS DEPARTMENT DEVELOPED AND HAD APPROVED AN EDUCATIONAL PRESENTATION TO INCREASE RESPONSE TIMES FOR GETTING REQUESTED KITS IN HAND. EVANGELICAL MEDICAL SERVICES ORGANIZATION (EMSO) CONTINUES TO OFFER DEPRESSION SCREENING AND MAKE RECOMMENDATIONS REGARDING THE FINDINGS. WITH OUR CURRENT EHR THERE ARE LIMITATIONS TO TRACKING THE DATA THEY CAN EXTRACT RELATED SPECIFICALLY TO REFERRALS. THE COMMUNITY THAT CARES (CTC) IN THE SHIKELLAMY SCHOOL DISTRICT TRANSITIONED TO A UNITED WAY SUPPORTED PROGRAM. COMMUNITY HEALTH AND WELLNESS (CHW) ATTENDS MONTHLY MEETINGS AND PROVIDES SUPPORT THROUGH PROGRAMMING. DURING THIS FISCAL YEAR TWO CHW STAFF ATTENDED A STRENGTHENING FAMILIES TRAINING PROGRAM AND WILL ASSIST WITH PROGRAMMING IN THE FALL.HOSPITAL STAFF PARTICIPATED IN BOTH THE NORTHUMBERLAND COUNTY OPIOID COALITION AND THE SNYDER/UNION COUNTY OPIOID COALITION. COMMUNITY HEALTH AND WELLNESS PROVIDES NALOXONE TRAINING AND FREE NALOXONE KITS. 220 KITS WERE DISTRIBUTED IN FY19 AND OVER 250 EXPIRED KITS WERE REPLACED.ECH IS RESPONDING TO FOOD INSECURITY BY ASKING DIRECT FOOD AVAILABILITY QUESTIONS AND IF PATIENTS ARE IDENTIFIED AS FOOD INSECURE WE ARE OFFERING THEM A ONE TIME FOOD BOX ALONG WITH LITERATURE FOR THE LOCAL FOOD BANK.2. REDUCING THE IMPACT OF HEALTH CONCERNS RELATED TO LIFESTYLENEW WORKSITE WELLNESS CLIENTS HAVE INCREASED BY NINE WITH TWO HAVING COMMITTED TO YEAR-ROUND PROGRAMMING.ENDOCRINOLOGY OF EVANGELICAL WAS ESTABLISHED IN MARCH 2018. DURING THIS FISCAL YEAR WE HAVE SEEN 4050 PATIENTS.ECH PROVIDED FOUR FREE SKIN CANCER SCREENINGS. WE HAD 61 PARTICIPANTS TAKE PART IN THE SCREENINGS. OUT OF THE 61 SCREENED 36 WERE BROUGHT BACK IN FOR BIOPSY. FROM THE BIOPSIES 18 WERE DIAGNOSED PRECANCEROUS; 2 BASAL CELL; 2 SQUAMOUS AND 13 DYSPLASTIC NEVI. THE CANCER COMMITTEE WILL BE USING SKIN CANCER SCREENINGS TO ADDRESS STANDARD 4.2, "SCREENING PROGRAMS".ECH CONTINUES TO OFFER THE LOW DOSE CT LUNG SCREENING PROGRAM. DURING THIS FISCAL YEAR, THERE WERE 95 REFERRALS WITH 76 QUALIFYING.3. INCREASING ACCESS TO HEALTHCAREMOBILE HEALTH OF EVANGELICAL CONTINUES TO FOCUS RURAL AREAS AND OFFERING LOST COST OR FREE HEALTH SCREENS SUCH AS BLOOD SCREENS, BLOOD PRESSURE SCREENINGS, GLUCOSE SCREENING AND HEEL BONE DENSITY SCREENINGS. A TOTAL OF 54 VISITS WERE MADE REACHING 610 SCREENING PARTICIPANTS. SOME OF THE AREAS OF SERVICE WERE; BERWICK, SELINSGROVE, SPRING MILLS, LOGANTON, BEAVER SPRINGS, PORT TREVORTON AND MONTGOMERY.4. THE IMPACT OF SOCIO-ECONOMIC STATUS ON HEALTH OUTCOMESIN COLLABORATION WITH THE GREATER SUSQUEHANNA VALLEY UNITED WAY WE OFFERED A PROGRAM TITLED EVERY BABY NEEDS A LAPTOP. THIS FREE PROGRAM IS DESIGNED TO ASSIST AND EDUCATE PARENTS ON THE IMPORTANCE OF READING, TALKING AND SINGING TO YOUR BABY TO ASSIST WITH LEARNING AND BRAIN DEVELOPMENT. CH&W OFFERED OVER 3,000 PREVENTATIVE SCREENINGS TO THE COMMUNITY, PROVIDED SCHOOL BASED EDUCATIONAL PROGRAMMING TO OVER 23,000 STUDENTS, REACHING MORE THAN 33,000 INDIVIDUALS.ECH HAS ESTABLISHED A PLAN TO PROVIDE FOOD BOXES TO PATIENTS WHO ARE IDENTIFIED AS FOOD INSECURE. THE FOOD BOXES WILL BE DISTRIBUTED THROUGH THE HOSPITAL TO HOME PROGRAM. DURING FY19 39 FOOD BOXES WERE DISTRIBUTED TO PATIENTS IDENTIFYING AS FOOD INSECURE.SEE RESPONSE TO SCHEDULE H PART VI, LINE 2 FOR ACTIVITIES IN FY 2021 ADDRESSING THESE IDENTIFIED NEEDS. 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 $14,247,133. 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 APRIL OF 2018 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, SULLIVAN AND UNION. EVANGELICAL'S NEEDS ASSESSMENT INCLUDED A FIVE-COUNTY REGION CONSISTING OF SNYDER, UNION, NORTHUMBERLAND, LYCOMING AND JUNIATA COUNTIES. THE ASSESSMENT WAS COMPLETED IN APRIL OF 2018 AND ADOPTED BY THE EVANGELICAL BOARD OF DIRECTORS IN MAY 2018. FISCAL YEAR 2021 IS ECH'S FINAL YEAR FOR REPORTING ON OUR 2018 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 THREE KEY IDENTIFIED NEEDS, THE ACTION STEPS AND HOW THE HOSPITAL ADDRESSED THESE NEEDS FOR THE 2018 IMPLEMENTATION PLAN.DURING FISCAL YEAR 2021 THE HOSPITAL BEGAN PLANNING FOR THE NEXT THREE-YEAR COMMUNITY HEALTH NEEDS ASSESSMENT. AGAIN, EVANGELICAL CHOSE TO COMPLETE THE ASSESSMENTS AS A REGIONAL COLLABORATIVE EFFORT WITH GEISINGER AND ALLIED HEALTH SERVICES. BAKER TILLY WAS CHOSEN AGAIN AS THE CONSULTING FIRM TO CONDUCT THE ASSESSMENT.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 FY2021: COMPREHENSIVE BLOOD SCREENINGS: 1332COMMUNITY HEALTH SCREENINGS (MEN'S, WOMEN'S, HUNTERS, HEART): CANCELED DUE TO COVID 19 RESTRICTIONSSKIN SCREENINGS: 321BLOOD PRESSURE/BLOOD SUGAR SCREENS: 89*HEEL SCAN/BONE DENSITY CLINICS: 6**FY2021 PROGRAMMING WAS SIGNIFICANTLY REDUCED DUE TO THE COVID-19 PANDEMIC. ACTION ITEM 2: EXPAND THE FREE FOOD BOX PROGRAM TO INCLUDE THE USE OF HOSPITAL TO HOME TO ASSIST WITH PROVIDING FOOD BOXES FOR PATIENTS THAT IDENTIFY AS FOOD INSECURE. - DURING FY21 EVANGELICAL COMMUNITY HOSPITAL DISTRIBUTED ONLY 11 FOOD BOXES TO PATIENTS IDENTIFIED AS FOOD INSECURE. THE PANDEMIC RESTRICTIONS AND REDEPLOYMENTS CAUSED A DRASTIC REDUCTION IN FOOD BOX DISTRIBUTIONS. CONVERSATIONS WITH THE FOOD HUB THROUGH THE SNYDER-UNION COMMUNITY ACTION AGENCY HAVE BEGUN TO USE THEM AS OUR REFERRAL SOURCE ONCE ALL OUR RESOURCES HAVE BEEN EXHAUSTED. 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 42 REFERRALS TO THE NURSE FAMILY PARTNERSHIP IN FISCAL YEAR 2021. 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) BEGAN OPERATION ON OCTOBER 1, 2019 AS A WHOLLY OWNED SUBSIDIARY OF EVANGELICAL COMMUNITY HOSPITAL. THIS IS IN RESPONSE TO THE GROWING CHALLENGES FACING INDEPENDENT VOLUNTEER AMBULANCE SERVICES. - DURING FY21 EVANGELICAL CAN NOW PROVIDE EMERGENCY AMBULANCE SERVICE AT OUR AMBULANCE STATION IN PORT TREVORTON AS WELL AS MIFFLINBURG, HUMMEL'S WHARF AND AT EVANGELICAL COMMUNITY HOSPITAL. - IN FY21 ERMMS ADDED ANOTHER OWNED OR STAFFED MOBILE INTENSIVE CARE UNITS, BRINGING THE TOTAL TO 6. - SINCE THE FORMATION OF EVANGELICAL REGIONAL MOBILE MEDICAL SERVICES, THEY HAVE RESPONDED TO 1,050 CALLS ON AVERAGE PER MONTH. - AS PART OF ERMMS COMMITMENT TO PATIENT CARE THROUGHOUT THE GREATER SUSQUEHANNA VALLEY, A WHEELCHAIR VAN WAS DEPLOYED INTO THE FLEET OF TRANSPORT UNITS. A HEALTHCARE TRANSPORTATION GAP HAS BEEN A LONG-STANDING CONCERN IN OUR REGION. SINCE THIS UNIT WAS PLACED INTO SERVICE, THE WHEELCHAIR VAN HAS PROVIDED TRANSPORTATION OVER 300 TIMES. ACTION ITEM 5: UTILIZE MOBILE HEALTH OF EVANGELICAL TO REACH POPULATIONS THAT ARE IN AREAS LACKING PRIMARY CARE AND HEALTH SCREENING OPTIONS LOCALLY.- FUNDED 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.- AS A RESULT OF THE COVID 19 PANDEMIC, MOBILE HEALTH OF EVANGELICAL WAS FULLY REDEPLOYED AS THE HOSPITAL'S ALTERNATE TEST SITE FOR COVID - 19. NO COMMUNITY SERVICES WERE OFFERED IN FY2021.COMPREHENSIVE BLOOD SCREENINGS: 0BLOOD PRESSURE/BLOOD SUGAR SCREENINGS: 0HEEL SCAN/BONE DENSITY CLINICS: 0ORAL HEALTH: 0GENERAL HEALTH CHECK-UPS: CANCELED DUE TO PANDEMIC2. 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 64 INDIVIDUALS WITH NARCAN TRAINING, PROVIDED 120 KITS THROUGH COMMUNITY NARCAN DRIVE THROUGH DISTRIBUTION EVENTS AND DISTRIBUTED OVER 880 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: EVALUATE THE USAGE AND EFFECTIVENESS OF OUR TELE-PSYCHIATRIC PROGRAM - EVANGELICAL CONTINUES TO PROVIDE TELE-PSYCH SERVICES FOR INPATIENT AND EMERGENCY DEPARTMENT PATIENTS- DURING FY2021 EVANGELICAL EMERGENCY DEPARTMENT PROVIDED TELE-PSYCH SERVICES, ON AVERAGE, 16 TIMES FOR INPATIENT AND 86 IN THE EMERGENCY DEPARTMENT QUARTERLY.- AVERAGE RESPONSE TIMES ARE 4 HOURS FOR INPATIENT AND 2 HOURS FOR EMERGENCY DEPARTMENT. - DURING FY2021 WE SAW AN INCREASE IN PSYCH HOLDS IN THE ED. THE AVERAGE HOLD TIME WAS OVER 9 HOURS.ACTION ITEM 3: SUPPORT AND PARTICIPATE IN THE EFFORTS BY LOCAL OPIOID COALITIONS IN SNYDER, UNION AND NORTHUMBERLAND COUNTIES. - IN LATE 2018, THE NORTHUMBERLAND AND SNYDER-UNION OPIOID COALITIONS JOINED FORCES WITH THE COLUMBIA-MONTOUR COALITION TO FORM UNITED IN RECOVERY. INDIVIDUALLY AND COLLECTIVELY, THE COALITIONS WORK TO BRING DIVERSE ORGANIZATIONS AND INDIVIDUALS TOGETHER TO EDUCATE, CHANGE POLICIES, EXPAND ACCESS, AND IMPROVE TREATMENT FOR OPIOID ADDICTION. IN RESPONSE TO COVID-19, THE COALITIONS ESTABLISHED A RESOURCE AND INFORMATION WEBSITE FOR VIRTUAL RECOVERY AND BASIC NEEDS. EVANGELICAL COMMUNITY HEALTH AND WELLNESS STAFF SERVE AS REPRESENTATIVES ON BOTH NORTHUMBERLAND AND SNYDER-UNION OPIOID COALITIONS.- 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. - THE COMMUNITY HEALTH AND WELLNESS DEPARTMENT OFFERED FOUR DRIVE THROUGH NARCAN DISTRIBUTIONS THROUGHOUT THE HOSPITAL'S SERVICE AREA. OVER 70 KITS WERE DISTRIBUTED TO COMMUNITY MEMBERS IN NEED.ACTION ITEM 4: WORK TO IMPROVE AND INCREASE ACCESS TO OPIOID AWARENESS AND EDUCATION MATERIALS AND REFERRALS TO TREATMENT. - EVANGELICAL SECURED $653,200 IN US DEPARTMENT OF LABOR NATIONAL HEALTH EMERGENCY DISLOCATED WORKER DEMONSTRATION GRANT FUNDING FOR A MULTI-LEVEL APPROACH TO EDUCATE ITS ENTIRE PROFESSIONAL STAFF ABOUT BEST TREATMENT PRACTICES AND ELIMINATING STIGMA RELATED TO OPIOID USE DISORDER. AS PART OF THE GRANT FUNDING, MORE THAN HALF OF THE EVANGELICAL WORKFORCE WAS TRAINED IN REDUCING STIGMA AND BIAS, AND SIX CLINICIANS AND NURSES COMPLETED THE CHEMICAL DEPENDENCY CERTIFICATION PROGRAM THROUGH THE PENNSYLVANIA COLLEGE OF TECHNOLOGY.- DURING FISCAL YEAR 2021, 335 REFERRALS WERE MADE TO OUR CRS. OF THOSE REFERRALS 272 REFUSED ANY FORM OF TREATMENT, 17 WENT TO AN INPATIENT REHABILITATION TREATMENT PROGRAM, 34 AGREED TO OUTPATIENT REHABILITATION TREATMENT AND 14 BEGAN MAT SERVICES.- ACCORDING TO THE STATISTICS THE HOSPITAL IS AVERAGING A 17% REFERRAL TO ACTION RATE ON AVERAGE. 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. 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 INFORMS THE PATIENT THAT EVANGELICAL HAS A FINANCIAL ASSISTANCE PROGRAM AND A FINANCIAL COUNSELOR WHO WILL SEND THEM AN APPLICATION IF REQUESTED. OUR THIRD PARTY VENDOR 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 1,400 EMPLOYEES. ECH IS A 131 OVERNIGHT LICENSED-BED, 12 ACUTE REHAB, AND 18 BASSINET CARE COMMUNITY HOSPITAL WITH OVER 1,400 EMPLOYEES. ECH HAS A BUSY EMERGENCY DEPARTMENT WITH OVER 27,271 VISITS IN FISCAL YEAR 2021. IN ADDITION TO EMERGENCY CARE, 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 OVER USE 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. WE HAVE 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 PROFESSION THROUGH THE MAE KEEFER SCHOLARSHIP FUND, THE CRYSTAL D. SNYDER NURSING SCHOLARSHIP FUND, AND THE JOHN FAMILY HEALTH CAREERS SCHOLARSHIP FUND FOR CLINICAL SERVICES.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 GROW IN POPULATION 0.5% BY THE YEAR 2022. SNYDER COUNTY SHOWING THE LARGEST PROJECTED GROWTH AT 2.2% THE ECH STUDY AREA SHOWS A RATE OF OLDER RESIDENTS (AGED 65 AND OLDER) AT 20.22%; THIS IS HIGHER THAN STATE (18.1%) AND NATIONAL (15.6%) NORMS. THE AVERAGE ANNUAL HOUSEHOLD INCOME FOR ECH STUDY AREA IS JUST ABOVE $52,000; WHICH IS BELOW STATE AND NATIONAL NORMS (AROUND $56,000 FOR BOTH). THE ECH STUDY AREA REPORTS 15.67% OF THE RESIDENTS HAVING LESS THAN A HIGH SCHOOL DIPLOMA; THIS IS HIGHER THAN THE STATE RATE (10.1%)PORT TREVORTON REPORTS THE HIGHEST RATE OF RESIDENTS WITHOUT HIGH SCHOOL DIPLOMAS (33.4%)MONTANDON REPORTS THE HIGHEST RATE OF RESIDENTS LIVING IN POVERTY AT 17.6%IN OUR STUDY AREA, CLINTON COUNTY SHOWS THE HIGHEST RATE OF PEOPLE LIVING IN POVERTY AT 16.4%. IN THE ECH SERVICE AREA, LYCOMING AND NORTHUMBERLAND SHOW THE HIGHEST RATES AT 14.5% AND 13.8% RESPECTIVELY.NORTHUMBERLAND COUNTY REPORTS THE LARGEST RISE IN ADULT OBESITY FOR THE ECH STUDY AREA COUNTIES; GOING FROM 31.7% TO 35%.UNION COUNTY SAW A DECLINE IN ADULT OBESITY GOING FROM 30.2% TO 28%SNYDER COUNTY SAW A DECLINE IN DIABETES AMONG ADULTS GOING FROM 9.2% TO 8.5%ALL COUNTIES SAW AN INCREASE IN CHILDHOOD OBESITY AMONG STUDENTS 7-12 GRADE 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 IMPACT OF COVID 19 IS EVIDENT IN PROGRAMS AND EVENTS WE WERE ABLE TO OFFER IN 2021. TO THIS POINT SOME OF OUR PROGRAMS AND EVENTS HAD TO BE CANCELED. THE FOLLOWING PROGRAMS WERE OFFERED IN FY21 (THE CORRESPONDING NUMBER BESIDE THE PROGRAM DOCUMENTS THE NUMBER OF PEOPLE SERVED):- I CAN COPE SURVIVOR PROGRAM: CANCELED DUE TO COVID 19- LIFE AFTER LOSS BEREAVEMENT SUPPORT GROUP: CANCELED DUE TO COVID 19 OTHER HEALTH EDUCATION AND PREVENTION ACTIVITIES INCLUDE:MONTHLY SUPPORT GROUPS: APPROXIMATELY 20 PARTICIPANTS (REPORTED)FREE HEART HEALTH SCREENINGS: CANCELED DUE TO COVID 19COMPREHENSIVE BLOOD SCREENINGS: 1332 PARTICIPANTSMEN'S HEALTH SCREEN: CANCELED DUE TO COVID 19WOMEN'S HEALTH SCREEN: CANCELED DUE TO COVID 19HUNTER'S HEALTH SCREEN: CANCELED DUE TO COVID 19FREE SKIN SCREENINGS: 321LOW DOSE CT SCAN SCREENING: 203 REFERRALS 160 SCHEDULEDBLOOD DRAW SERVICES A COMMUNITY CLINIC: CANCELED DUE TO COVID 19 CHILD SAFETY SEAT INSPECTIONS: 56; REPLACEMENTS: 24 FREE T-DAP VACCINATION FOR NEW DADS AND GRANDPARENTS: CANCELED DUE TO COVID 19YOUTH BIKE HELMET GIVEAWAY PROGRAM: 89FREEDOM 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. IN FY21, DUE TO THE PANDEMIC WE WERE NOT ABLE TO GET INTO THE SCHOOLS TO PRESENT THIS PROGRAM. WE WERE, HOWEVER ABLE TO OFFER ADDITIONAL PROGRAMS FOCUSING ON HEALTHY BEHAVIORS WERE PRESENTED TO LOCAL SCHOOL DISTRICTS. SOME OF THESE PROGRAMS INCLUDE: HEARTPOWER, MYPLATE, HYGIENE 101, ONLINE SAFETY, OUTDOOR/SUMMER SAFETY, HANDS ONLY CPR, STRESS/EMPATHY, TOBACCO/SMOKING/VAPING/JUULING EDUCATION AND MORE. A TOTAL OF 2,132 STUDENTS WERE EDUCATED THROUGH THESE AND OTHER PROGRAMS.THE HOSPITAL IS LICENSED TO ACCOMMODATE 131 OVERNIGHT PATIENTS, 12 ACUTE REHAB PATIENTS, AND 18 BASSINETS. 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 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 FY21, THE COMMUNITY HEALTH AND WELLNESS STAFF CERTIFIED OVER 2,880 IN FIRST AID AND CPR, INCLUDING 43 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 VI, LINE 2 CONTINUED: 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 THE SPRING OF 2021 THE COMMUNITY HEALTH AND WELLNESS TEAM IN COLLABORATION WITH ENDOCRINOLOGY OF EVANGELICAL OFFERED A FREE A1C SCREENING FOR PATIENTS MEETING CERTAIN CRITERIA. APPROXIMATELY 200 CALLS WERE MADE TO PATIENTS. THE SCREENING EVENT TOOK PLACE ON MAY 12, 2021. WE SCHEDULED 21 APPOINTMENTS AND HAD 16 PATIENTS COMPLETE THE TESTING 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 203 LOW DOSE CT SCANS AND SCHEDULED 160 APPOINTMENTS, 131 MAMMOGRAMS AND 13 IFOB SCREENING KITS IN FY2021. 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 FY2021, EVANGELICAL'S HEALTH AND WELLNESS PROGRAMS ONLY REACHED A LITTLE OVER XX YOUTH AND ADULTS IN OUR COMMUNITY LARGELY DUE TO THE RESTRICTIONS OF COVID 19.YOUTH EDUCATIONAL PROGRAMS: 3,103ADULT/COMMUNITY EDUCATIONAL PROGRAMS: 1,022WORKSITE SITE WELLNESS HEALTH PROMOTION PROGRAMS: 265*FY2021 PROGRAMMING WAS SIGNIFICANTLY REDUCED DUE TO THE COVID-19 PANDEMIC. - EVANGELICAL KNOWS THAT STAYING FIT, DISEASE PREVENTION, AND NECESSARY INTERVENTION ARE ESSENTIAL TOOLS IN HELPING INDIVIDUALS ACHIEVE THEIR HEALTH AND WELLNESS GOALS. THE HOSPITAL WAS LIMITED TO WHAT PROGRAMS COULD BE OFFERED IN FY21 DUE TO THE COVID 19 RESTRICTIONS. PROGRAMS WE WERE STILL ABLE TO OFFER ARE LISTED BELOW:1) FREEDOM FROM SMOKING: A SEVEN-WEEK SESSION TO LEARN TO OVERCOME TOBACCO ADDICTION WITH THE HELP OF A CERTIFIED EDUCATOR.2) SAFE SITTER: A ONE-DAY COMPREHENSIVE BABYSITTING COURSE FOR CHILDREN AGES 11 AND OLDER.3) 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 SITUATIONS4) 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.5) CHILDBIRTH EDUCATION CLASSES: FREE OR REDUCED-FEE PROGRAMS WITH TOPICS THAT COVER PREPARED CHILDBIRTH, NEWBORN CARE, PRENATAL BREASTFEEDING, AND CHILD SAFETY SEAT INSPECTIONS.6) THE PLAIN COMMUNITY PROGRAM CONTINUES TO BE A HIGHLY UTILIZED PROGRAMFY21 UTILIZATION OF PLAIN COMMUNITY PROGRAM:ECH - ENCOUNTERS - CHARGESFY2019 - 2,638 - $9,843,948FY2020 - 2,483 - $9,626,525FY2021 - 2607 - $11,523,982EMSO - ENCOUNTERS - CHARGESFY2019 - 3,359 - $1,690,042FY2020 - 1,662 - $1,662,014FY2021 - 3115 - $1,703,097 1 NURSING SCHOLARSHIPS 41 72200 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 788839 0 223273 0 0 0 15667 0 16205 0 1043984 0 0 0 KENDRA A AUCKER PRESIDENT/CHIEF EXECUTIVE OFFICER 651415 0 137723 0 15000 0 142138 0 22598 0 968874 0 0 0 SHAWN P MCGLAUGHLIN MD DIRECTOR 854750 0 0 0 0 0 17281 0 16670 0 888701 0 0 0 JAMES A STOPPER TREASURER/CHIEF FINANCIAL OFFICER 392108 0 77238 0 130154 0 50945 0 17914 0 668359 0 130154 0 JOHN F DEVINE VP MEDICAL AFFAIRS 501441 0 67106 0 9 0 57075 0 1686 0 627317 0 0 0 WILLIAM P ANDERSON SECRETARY/CHIEF OPERATING OFFICER 309606 0 60538 0 114918 0 61927 0 17374 0 564363 0 114918 0 CHRISTOPHER J MOTTO MD DIRECTOR 492208 0 10000 0 0 0 9897 0 8744 0 520849 0 0 0 TAMARA F PERSING VP OF NURSING ADMINISTRATION 271338 0 48351 0 62665 0 40296 0 21660 0 444310 0 62665 0 JULIA E REDCAY DO DIRECTOR 376825 0 5000 0 0 0 7688 0 16510 0 406023 0 0 0 DALE E MOYER VP INFORMATION SYSTEMS 238421 0 34425 0 0 0 35063 0 21660 0 329569 0 0 0 KATHRYN M GIORGINI HOSPITALIST/PALLIATIVE CARE 281092 0 0 0 0 0 5785 0 31876 0 318753 0 0 0 RACHEL V SMITH VP PEOPLE & CULTURE 234527 0 39382 0 0 0 34178 0 1686 0 309773 0 0 0 ANGELA K LAHR VP CLINICAL OPERATIONS 184833 0 19737 0 0 0 28014 0 21660 0 254244 0 0 0 DAVID M ZELECHOSKI MD DIRECTOR 232595 0 0 0 0 0 4817 0 16670 0 254082 0 0 0 RANDALL S STRAUSSER DIRECTOR PHARMACY SERVICES 173294 0 0 0 0 0 6778 0 16690 0 196762 0 0 0 WILLIAM R FRANQUET AVP REVENUE CYCLE 152506 0 13838 0 0 0 5915 0 16648 0 188907 0 0 0 KIMBERLY A WHEELAND AVP SURGICAL SERVICES 160109 0 13992 0 0 0 6095 0 514 0 180710 0 0 0 STACIE T GAUL AVP CAP PLAN PROJ & FACILITIES 143098 0 12119 0 0 0 1219 0 17165 0 173601 0 0 0 CHRISTAL E DIXON AVP NURSING 139215 0 12376 0 0 0 3978 0 8367 0 163936 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 SUPPLMENTAL NONQUALIFIED RETIREMENT PLAN AND RECEIVED THE FOLLOWING DISTRIBUTIONS IN CALENDAR YEAR 2020: - KENDRA A. AUCKER: NO DISTRIBUTION - JOHN F. DEVINE: $9 - JAMES A. STOPPER: $ 130,154 - WILLIAM P. ANDERSON: 114,918 - DALE E. MOYER: NO DISTRIBUTION - TAMARA F. PERSING: 62,665 - RACHEL SMITH: NO DISTRIBUTION - 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 1931788 17371471 95753 17275718 2018 1 0 1 1 B 825000 55541980 213434 55020462 308084 0 0 0 1 C 1020000 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 375109 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 A, LINE 4 FOLLOWING CHANGES WERE MADE TO THE BY-LAWS TO IDENTIFY THE CHANGE OF DEVELOPMENT COMMITTEE TO THE PHILANTHROPY COUNCIL: - GEISINGER CAN HAVE 30% OF THE BOD. - GEISINGER HAD TO APPROVE ANY CHANGES TO THE ECH BYLAWS. - GEISINGER WAS TO BE CONSULTED BEFORE A NEW PRESIDENT COULD BE APPOINTED. - WHAT COMMITTEES GEISINGER HAD TO HAVE AN APPOINTEE ON. 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 XI, LINE 9: EQUITY TRANSFER TO AFFILIATE -50,254,781. POSTRETIREMENT BENEFIT LIABILITY ADJUSTMENT 435,447. NET ASSETS RELEASED FROM RESTRICTIONS -68,646. VALUATION GAIN (LOSS) 799,277. CHANGE IN VALUE OF SPLIT INTEREST AGREEMENT 48,892. GOODWILL IMPAIRMENT LOSS -8,659,784. REFUNDED CONTRIBUTIONS -3,647,046. 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