2021-05-14T14:29:20-05:00 2020-06-30 390859910 BAKER TILLY US LLP 1570 FRUITVILLE PIKE SUITE 400 LANCASTER PA 17601 990 2019-07-01 240795411 EVANGELICAL COMMUNITY HOSPITAL EVAN 5705222741 ONE HOSPITAL DRIVE LEWISBURG PA 17837 JAMES A STOPPER CHIEF FINANCIAL OFFICER 5705222741 2021-05-13 1 KERRI N BOGDA CPA P00760402 7177404863 2019 2022-09-23 18:48:47Z KENDRA A AUCKER ONE HOSPITAL DRIVE LEWISBURG PA 17837 291469739 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. 13 8 1761 176 8904977 668144 20567955 20959661 206468204 193247494 7056706 5631809 8062163 9335145 242155028 229174109 54311 72164 0 0 90672434 88774356 98184 97434 631920 88996715 89031356 179821644 177975310 62333384 51198799 410791219 455729514 134111434 160884105 276679785 294845409 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 138322687 72164 196956433 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 132 OVERNIGHT PATIENTS, 9 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. 138322687 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 0 0 1 0 0 0 0 0 1 1 0 1 1 0 1 1 1 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 1 1 1 0 0 1 87 0 1761 1 1 1 0 0 0 0 1 1 0 0 0 0 0 0 X 13 8 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 MATTHEW W REISH MD DIRECTOR 1.00 39.00 X 889493 0 25698 KENDRA A AUCKER PRESIDENT/CHIEF EXECUTIVE OFFICER 40.00 1.00 X 734855 0 152574 SHAWN P MCGLAUGHLIN MD DIRECTOR 40.00 X 723132 0 30019 JOHN F DEVINE VP MEDICAL AFFAIRS 40.00 X 692508 0 59318 JAMES A STOPPER CPA TREASURER/CHIEF FINANCIAL OFFICER 40.00 1.00 X 552985 0 65464 CHRISTOPHER J MOTTO MD DIRECTOR 1.00 43.00 X 475139 0 17035 BRADLEY MUDGE SURGEON 40.00 X 441913 0 22764 WILLIAM P ANDERSON SECRETARY/CHIEF OPERATING OFFICER 40.00 X 337078 0 64704 JULIA E REDCAY DO DIRECTOR 1.00 39.00 X 375816 0 22444 DALE E MOYER VP OF INFORMATION SYSTEM 40.00 X 329185 0 51354 TAMARA F PERSING VP OF NURSING ADMINISTRATION 40.00 X 265153 0 53814 KATHRYN M GIORGINI HOSPITALIST/PALLIATIVE CARE 40.00 X 257851 0 33385 DAVID M ZELECHOSKI MD DIRECTOR 1.00 39.00 X 232795 0 20684 RACHEL V SMITH VP PEOPLE & CULTURE 40.00 X 219514 0 28584 ANGELA K LAHR AVP CLINICAL OPERATIONS 40.00 X 171908 0 33224 PAUL E TARVES FORMER VP OF NURSING ADMINISTRATION 0.00 X 190353 0 0 RANDALL STRAUSSER DIRECTOR OF PHARMACY SERVICES 40.00 X 165375 0 22724 WILLIAM FRANQUET AVP REVENUE CYCLE 40.00 X 152259 0 21068 JOSHUA TITUS PHARMACIST 40.00 X 154314 0 13779 RUTH SPROUT ASST DIRECTOR OF PHARMACY 40.00 X 145283 0 21670 JOSHUA MILLER PHARMACIST 40.00 X 152409 0 13566 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 JOHN E MECKLEY ESQ 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 LINDA J KORB PHD NCPSYA DIRECTOR 1.00 0.10 X 0 0 0 TIMM A MOYER DIRECTOR 1.00 0.10 X 0 0 0 SUSAN J FETTERMAN RN MSN MBA FAC DIRECTOR (UNTIL 10/19) 1.00 X 0 0 0 MARK D HUBER DIRECTOR (UNTIL 12/19) 1.00 0.10 X 0 0 0 FRANK D DAVIS PHD DIRECTOR (UNTIL 10/19) 1.00 X 0 0 0 SUSAN L LANTZ MA EDD DIRECTOR (UNTIL 10/19) 1.00 X 0 0 0 TERI J MACBRIDE DIRECTOR (UNTIL 10/19) 1.00 X 0 0 0 CHRISTA L MARTIN PHD DIRECTOR (UNTIL 10/19) 1.00 X 0 0 0 KARL A VOSS PHD DIRECTOR (UNTIL 10/19) 1.00 X 0 0 0 7659318 0 773872 61 1 1 0 QUANDEL CONSTRUCTION 2601 MARKET PL STE 200 HARRISBURG PA 17110 CONSTRUCTION 19895517 RENOVO SOLUTIONS 4 EXECUTIVE CIRCLE IRVINE CA 92614 PREVENTATIVE MAINTENANCE-EQUIPMENT 1431748 ZARTMAN CONSTRUCTION 3000 POINT TOWNSHIP DRIVE NORTHUMBERLAND PA 178578864 CONSTRUCTION 1211392 T-ROSS BROS CONSTRUCTION RTS 147 45 MONTANDON PA 178500070 CONSTRUCTION 789975 SILVERTIP INC PO BOX 50 LEWISBURG PA 178370050 CONSTRUCTION 640740 35 202014 10585653 10171994 28350 20959661 NET PATIENT SERVICE REVENUE 621400 193247494 193247494 193247494 3985528 3985528 4519287 4949634 -430347 -430347 -430347 57226868 1657448 55424172 1813863 1802696 -156415 1646281 1646281 85536 202014 107961 -22425 -22425 LABORATORY SERVICES 621500 3398501 3398501 BILLING FEES FROM AFFILIATE 541900 1937476 1937476 CAFETERIA AND VENDING SALES 722210 595121 595121 3856819 310438 3569000 -22619 9787917 229174109 193557932 8904977 5751539 72164 72164 7610361 3572565 4037796 64119080 50972439 12888953 257688 1717327 1646367 64114 6846 10328767 7387980 2891606 49181 4998821 3886790 1093517 18514 1718683 44016 1674667 116116 6750 109366 9496 9496 97434 97434 730047 17795 712252 8848235 6420918 2358946 68371 543795 9109 534686 32850812 31863341 962102 25369 11916487 1572553 10299269 44665 3191236 2774542 416694 181543 174210 5960 1373 123782 63817 56128 3837 1126964 1126964 10532212 10203169 329043 1089283 1051501 37782 FEDERAL TAXES 51974 51974 BAD DEBT EXPENSE 13380426 13380426 MA MODERNIZATION 779820 779820 EQUIPMENT RENTAL & MAIN 519580 519580 1320865 775871 486352 58642 177975310 138322687 39020703 631920 5245 5343 37615604 65721007 2204609 2184500 18955341 18592208 5036901 5349085 4732322 5976703 344345027 130044440 171118094 214300587 145022165 112773541 6541354 11175199 8659784 8659784 10899800 10991557 410791219 455729514 28191464 47145224 237522 221070 90328839 88802393 175000 0 1018882 10411343 14159727 14304075 134111434 160884105 X 267704096 285461670 8975689 9383739 276679785 294845409 410791219 455729514 X 51198799 -1127414 -31905761 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 9496 9496 0 PART II-B, LINE 1: A PERCENTAGE OF ANNUAL HAP AND AHA DUES WERE USED FOR LOBBYING; THIS AMOUNTED TO $9,496 FOR THE FISCAL YEAR ENDING JUNE 30, 2020. 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 5826952 1171492 563204 13407 104824 25332 7418085 0.74000 0.26000 0.00000 1 0 23105120 23105120 139508874 52682495 86826379 14822664 3146017 11676647 98263981 72566505 25697476 68644388 1649423 66994965 214300587 ACCRUED POSTRETIREMENT BENEFIT COSTS 5049117 BLUE CROSS CURRENT FINANCING ADVANCE 1057190 CHARITABLE GIFT ANNUITIES PAYABLE 432876 DEFERRED COMPENSATION 2028987 DUE TO AFFILIATES 1808139 ESTIMATED MEDICAL MALPRACTICE CLAIMS LIABILITY 1360723 ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS 2567043 14304075 222196645 -1127414 -10907645 -12035059 234231704 -5057595 -5057595 229174109 204031021 38667569 38667569 165363452 12611858 12611858 177975310 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 -12,185,676. INVESTMENT EXPENSES NETTED AGAINST REVENUE ON AFS -426,182. POSTRETIREMENT BENEFIT LIABILITY ADJUSTMENT 139,382. NET ASSETS RELEASED FROM RESTRICTIONS -76,863. VALUATION LOSS -87,837. CHANGE IN VALUE OF SPLIT-INTEREST AGREEMENT -14,048. CONTRIBUTIONS FROM ACQUISITION 1,743,579. PART XI, LINE 4B - OTHER ADJUSTMENTS: RENTAL EXPENSES -4,949,634. SPECIAL EVENTS EXPENSE -107,961. PART XII, LINE 2D - OTHER ADJUSTMENTS: EQUITY TRANSFER WITH AFFILIATES 33,609,974. RENTAL EXPENSES 4,949,634. SPECIAL EVENTS EXPENSE 107,961. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE NETTED AGAINST REVENUE ON AFS 12,185,676. INVESTMENT EXPENSES NETTED AGAINST REVENUE ON AFS 426,182. X X X X X X X 1 PRIDE PHILANTHROPY 1397 CHESTNUT COVE TRAIL 20988 JASPER GA 30143 CAMPAIGN CONSULTANT 0 0 84000 -84000 PROCOPIA 1106 NORTH SHERIDAN AVENUE PITTSBURGH PA 15206 GRANT WRITING CONSULTANT 0 0 7500 -7500 JAMES E CONNELL & ASSOCIATES 15 PINEWALD DRIVE PO BOX 3335 PINEHURST NC 283743335 PLANNED GIVING CONSULTANT 0 0 5934 -5934 97434 -97434 PA GALA 161230 106560 54670 26411 1700 21084 6550 17518 GOLF CLASSIC 64660 43234 21426 1960 9600 7617 4980 1 61660 52220 9440 5104 5437 287550 202014 85536 1960 26411 11300 33805 6550 27935 107961 -22425 1 1 1 X 1 X 1 1 1 0 1 1 1873 531252 531252 0.00320 2 21105 17379182 7429334 9949848 0.06050 1 95 29296 29296 0.00020 3 23073 17939730 7429334 10510396 0.06390 608 25076 149111 11140 137971 0.00080 166 1156 43353 43353 0.00030 44 145250 145250 0.00090 818 26232 337714 11140 326574 0.00200 821 49305 18277444 7440474 10836970 0.06590 1 150 665 665 0.00000 61 2242 16208 16208 0.00010 13 107 481 481 0.00000 75 2499 17354 17354 0.00010 1 2734697 60040508 84567656 -24527148 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 1 X 0 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.THE PLAIN COMMUNITY PROGRAM HAS SEEN AN APPROXIMATE 22% INCREASE IN UTILIZATION OF THE PROGRAM AND ABOUT A 19% INCREASE IN GROSS REVENUE FROM LAST FISCAL YEAR TO THIS FISCAL YEAR TO DATE.FY19 UTILIZATION OF PLAIN COMMUNITY PROGRAM:ECH ENCOUNTERS CHARGESFY2017 2,266 $6,855,403FY2018 2,268 $8,309,429FY2019 2,638 $9,843,948 EMSO ENCOUNTERS CHARGESFY2017 2,221 $799,977FY2018 2,662 $1,351,370FY2019 3,359 $1,690,0424. 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. 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 $13,380,426. 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: DEPARTMENT TO ASSIST WITH TREATMENT REFERRALS AND WARM HANDOFFS. AS OF NOVEMBER 2020, 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 2020 IS ECH'S SECOND 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.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 FY2020: COMPREHENSIVE BLOOD SCREENINGS 790COMMUNITY HEALTH SCREENINGS (MEN'S, WOMEN'S, HUNTERS, HEART) 204SKIN SCREENINGS 89BLOOD PRESSURE/BLOOD SUGAR SCREENS 580HEEL SCAN/BONE DENSITY CLINICS 48(FY2020 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 WHO IDENTIFY AS FOOD INSECURE. DURING 2020 EVANGELICAL COMMUNITY HOSPITAL DISTRIBUTED 62 FOOD BOXES TO PATIENTS IDENTIFIED AS FOOD INSECURE. THE PROGRAM IS PROVIDED IN PARTNERSHIP WITH CASE MANAGEMENT AND HOSPITAL TO HOME.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 36 REFERRALS TO THE NURSE FAMILY PARTNERSHIP. 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: IN FY20 EVANGELICAL COMMUNITY HOSPITAL, GEISINGER, THE MILLER CENTER FOR RECREATION AND WELLNESS, AND THE GREATER SUSQUEHANNA VALLEY YMCA CAME TOGETHER TO MAKE A POSITIVE, LASTING IMPACT ON THE HEALTH AND WELLNESS OF THE REGION. EVANGELICAL AND GEISINGER FORMED THEIR FIRST JOINT VENTURE AT THE MILLER CENTER. THE CENTER WAS TRANSFERRED TO THE JOINT VENTURE BY THE MILLER FAMILY. THE NEW ENTITY IS KNOWN AS THE LEWISBURG YMCA AT THE MILLER CENTER, POWERED BY EVANGELICAL AND GEISINGER. THE NEWLY FORMED JOINT VENTURE WILL OFFER COMPREHENSIVE AND AFFORDABLE WELLNESS AND RECREATION PROGRAMS FOR ALL GENERATIONS IN THE HEART OF THE COMMUNITY.- AS OF JUNE 30, 2020, THE LEWISBURG YMCA AT THE MILLER CENTER HAD A TOTAL OF 2,635 MEMBERS. PRIOR TO THE JOINT VENTURE FORMATION, MEMBERSHIP AT THE FACILITY WAS 1,620 INCREASING MEMBERSHIP BY 1,015.- 53 MEMBERS WERE GRANTED FINANCIAL ASSISTANCE TO JOIN THE FACILITY - PRIOR TO FACILITY CLOSURE DUE TO COVID-19, THE AVERAGE FACILITY USE WAS 546 INDIVIDUAL CHECK-INS PER DAY, BEFORE THE JOINT VENTURE TRANSITION THE FACILITY WAS AVERAGING 224 CHECK-INS PER DAY. UTILIZATION OF THE FACILITY EFFECTIVELY DOUBLED.ACTION ITEM 5: 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. - THROUGH OUR COLLABORATION WITH LOCAL MUNICIPALITIES AND FIRE DEPARTMENTS, EVANGELICAL CAN PROVIDE EMERGENCY AMBULANCE SERVICE AT OUR AMBULANCE STATIONS IN MIFFLINBURG, HUMMEL'S WHARF AND AT EVANGELICAL COMMUNITY HOSPITAL. ERMMS ALSO PROVIDES EMT AND PARAMEDIC STAFF FOR WARRIOR RUN AREA FIRE DEPARTMENT, WHITE DEER TOWNSHIP VOLUNTEER FIRE DEPARTMENT, BOROUGH OF MILTON AND RELIANCE HOSE COMPANY.- ERMMS OWNS OR STAFFS 5 MOBILE INTENSIVE CARE UNITS, 3 BASIC LIFE SUPPORT AMBULANCES, 1 MEDIC UNIT, 1 NON-EMERGENT TRANSPORT AMBULANCE AND 1 WHEELCHAIR/STRETCHER VAN SERVING UNION, SNYDER AND NORTHUMBERLAND COUNTIES- SINCE THE FORMATION OF EVANGELICAL REGIONAL MOBILE MEDICAL SERVICES, THEY HAVE RESPONDED TO 1000 CALLS ON AVERAGE PER MONTH. OF THOSE CALLS, ERMMS HAD 235 RESPONSES TO CARDIAC ARRESTS AND PROVIDED STANDBY EMS SERVICES TO 33 EVENTS- AS PART OF ERMMS COMMITMENT TO PATIENT CARE THROUGHOUT THE GREATER SUSQUEHANNA VALLEY, A WHEELCHAIR VAN IS BEING INTRODUCED TO ITS FLEET OF SERVICE VEHICLES. A HEALTHCARE TRANSPORTATION GAP HAS BEEN A LONG-STANDING CONCERN IN OUR REGION. THIS ADDITION TO EVANGELICAL'S FLEET OF EMERGENCY RESPONSE VEHICLES WILL ALLOW THE OPPORTUNITY TO EXPAND AND ASSIST MORE LOCAL RESIDENTS WITH TRANSPORTATION NEEDS FOR MEDICAL CARE. ACTION ITEM 6: 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. - THE HOSPITAL ALSO PROVIDES COMPREHENSIVE HEALTH SCREENINGS AS PART OF MOBILE HEALTH OF EVANGELICAL. THE FOLLOWING FREE OR REDUCED-FEE SCREENINGS WERE OFFERED IN FY2020:COMPREHENSIVE BLOOD SCREENINGS 141BLOOD PRESSURE/BLOOD SUGAR SCREENINGS 87HEEL SCAN/BONE DENSITY CLINICS 30ORAL HEALTH 17GENERAL 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 235 INDIVIDUALS WITH NARCAN TRAINING AND DISTRIBUTED OVER 500 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- PRIOR TO APRIL 2020 WE WERE PROVIDING SERVICES, ON AVERAGE, 11 TIMES FOR INPATIENT AND 58 IN THE EMERGENCY DEPARTMENT QUARTERLY.- IN THE LAST QUARTER OF FY2020 VOLUMES INCREASED TO 35 INPATIENT AND 96 EMERGENCY DEPARTMENT.- AVERAGE RESPONSE TIMES ARE 4 HOURS FOR INPATIENT AND 2 HOURS FOR EMERGENCY DEPARTMENT. 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. 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 132 OVERNIGHT LICENSED-BED, 12 ACUTE REHAB, AND 18 BASSINET CARE COMMUNITY HOSPITAL WITH OVER 1,400 EMPLOYEES. ECH HAS A BUSY EMERGENCY DEPARTMENT WITH 28,376 VISITS IN FISCAL YEAR 2020. 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. THE LIMITATIONS OF ACCESSIBILITY TO HEALTHCARE AND HEALTHY OPTIONS LEAD 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 (90.1%), BLACK (7.0%), HISPANIC (6.9%), TWO OR MORE RACES (1.9%), AND ASIAN (1.8%)THE MEDIAN RESIDENT AGE IS 39.3ESTIMATED MEDIAN HOUSEHOLD INCOME IN 2017: $55,371 RESIDENTS WITH INCOME BELOW THE POVERTY LEVEL IN 2017: 10.5%POPULATION WITHOUT HEALTH INSURANCE COVERAGE IN 2013: 12.2% CHILDREN UNDER 19 WITHOUT HEALTH INSURANCE COVERAGE IN 2013: 6.5% 89.7% OF RESIDENTS OF UNION COUNTY SPEAK ENGLISH AT HOME4.4% OF RESIDENTS SPEAK SPANISH AT HOME4.1% OF RESIDENTS SPEAK OTHER INDO-EUROPEAN LANGUAGE AT HOME1.2% OF RESIDENTS SPEAK ASIAN OR PACIFIC ISLAND LANGUAGE AT HOME0.5% OF RESIDENTS SPEAK OTHER LANGUAGES AT HOMECITY-DATA.COM FOR SNYDER COUNTY INDICATES THE POPULATION CONSISTS OF:WHITE NON-HISPANIC (100.5%), HISPANIC (2.6%), BLACK (1.0%), TWO OR MORE RACES (1.0%), AND ASIAN (0.9%)THE MEDIAN RESIDENT AGE IS 39.7ESTIMATED MEDIAN HOUSEHOLD INCOME IN 2017: $55,113RESIDENTS WITH INCOME BELOW THE POVERTY LEVEL IN 2017: 10.4%POPULATION WITHOUT HEALTH INSURANCE COVERAGE IN 2013: 14.1% CHILDREN UNDER 19 WITHOUT HEALTH INSURANCE COVERAGE IN 2013: 8% 88% OF RESIDENTS OF SNYDER COUNTY SPEAK ENGLISH AT HOME2.3% OF RESIDENTS SPEAK SPANISH AT HOME8.3% OF RESIDENTS SPEAK OTHER INDO-EUROPEAN LANGUAGE AT HOME0.4% OF RESIDENTS SPEAK ASIAN OR PACIFIC ISLAND LANGUAGE AT HOMEOF RESIDENTS SPEAK OTHER LANGUAGES AT HOME CITY-DATA.COM FOR NORTHUMBERLAND COUNTY INDICATES THAT THE POPULATION CONSISTS OF: WHITE NON-HISPANIC (90.8%), BLACK (3.4%), HISPANIC (2.5%), AND TWO OR MORE RACES (0.7%)ESTIMATED MEDIAN HOUSEHOLD INCOME IN 2017: $44,892THE MEDIAN RESIDENT AGE IS 44.6RESIDENTS WITH INCOME BELOW THE POVERTY LEVEL IN 2017: 14.4%POPULATION WITHOUT HEALTH INSURANCE COVERAGE IN 2013: 12.4% CHILDREN UNDER 19 WITHOUT HEALTH INSURANCE COVERAGE IN 2013: 6.3% 95.7% OF RESIDENTS OF NORTHUMBERLAND COUNTY SPEAK ENGLISH AT HOME1.3% OF RESIDENTS SPEAK SPANISH AT HOME2.3% OF RESIDENTS SPEAK OTHER INDO-EUROPEAN LANGUAGE AT HOME0.2% OF RESIDENTS SPEAK ASIAN OR PACIFIC ISLAND LANGUAGE AT HOME0.2% 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 BLUESHIELD, AETNA/HEALTH AMERICA, KEYSTONE HEALTH PLAN CENTRAL, AMERIHEALTH NE, UPMC, HUMANA, UHC/OPTUM VA COMMUNITY CARE NETWORK, HUMANA MILITARY TRICARE, GATEWAY HEALTH, VIBRA HEALTH PLAN, PA HEALTH & WELLNESS, 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: AS A COMMUNITY AND HEALTH RESOURCE FOR MORE THAN 90 YEARS, EVANGELICAL COMMUNITY HOSPITAL HAS CONTINUALLY DEMONSTRATED ITS COMMITMENT TO THE CENTRAL SUSQUEHANNA VALLEY BY TAKING CARE OF PATIENTS NEEDING TREATMENT, AND BY ITS OUTREACH TO THE COMMUNITY. BEYOND THE DAILY CARE OF PATIENTS, THE HOSPITAL EXTENDS ITS REACH TO PROVIDE PREVENTION AND WELLNESS EDUCATION TO RESIDENTS OF THE VALLEY. OUTREACH INCLUDES CHARITY-CARE FOR THOSE WHO CANNOT AFFORD MEDICAL TREATMENT, HEALTH SCREENINGS TARGETING THE UN/UNDER-INSURED, HEALTH EDUCATION FOCUSING ON HEALTHY LIFESTYLE CHANGES, CHILD SAFETY SEAT INSPECTIONS, SCHOOL AGED HEALTH INITIATIVES, AND LECTURES ON HEALTH CONCERNS AND TOPICS. MANY OF THESE PROGRAMS ARE PROVIDED AT MINIMAL OR NO COST AND ARE SUBSIDIZED USING HOSPITAL RESOURCES.THE HOSPITAL CONTINUES TO FOCUS ON DEVELOPING NEW WAYS OF IDENTIFYING AND ADDRESSING HEALTH NEEDS IN OUR REGION. THE HOSPITAL UTILIZES AN INTERNAL DOCUMENTATION PROCESS DEVELOPED TO CAPTURE COMMUNITY BENEFIT OUTREACH DELIVERED BY THE MAJORITY OF ITS EMPLOYEES. COMMUNITY BENEFIT LEADERS WORKS COOPERATIVELY WITH DEPARTMENTS OF THE HOSPITAL AND OTHER ORGANIZATIONS IN THE COMMUNITY TO ADDRESS UNMET NEEDS. THE HOSPITAL ALSO PRODUCES AN ANNUAL REPORT WHICH OUTLINES OUR COMMUNITY BENEFIT EFFORTS. CANCER AWARENESS AND EDUCATION ARE EXTREMELY IMPORTANT. THE FOLLOWING PROGRAMS WERE OFFERED IN FY20; THE CORRESPONDING NUMBER BESIDE THE PROGRAM DOCUMENTS THE NUMBER OF PEOPLE SERVED. THE IMPACT OF COVID 19 IS EVIDENT IN PROGRAMS AND EVENTS WE WERE ABLE TO OFFER IN 2020. TO THIS POINT SOME OF OUR PROGRAMS AND EVENTS HAD TO BE CANCELED. I CAN COPE SURVIVOR PROGRAM - 45 PARTICIPANTSLIFE AFTER LOSS BEREAVEMENT SUPPORT GROUP CANCELED DUE TO COVID 19 OTHER HEALTH EDUCATION AND PREVENTION ACTIVITIES INCLUDE:MONTHLY SUPPORT GROUPS - 29 PARTICIPANTS (REPORTED)FREE HEART HEALTH SCREENINGS - 59 PARTICIPANTSCOMPREHENSIVE BLOOD SCREENINGS - 790 PARTICIPANTSMEN'S HEALTH SCREEN CANCELED DUE TO COVID 19WOMEN'S HEALTH SCREEN - 92 PARTICIPANTSHUNTER'S HEALTH SCREEN - 53 PARTICIPANTSFREE SKIN SCREENINGS - 89LOW DOSE CT SCAN SCREENING - 88 REFERRALS 75 QUALIFIEDBLOOD DRAW SERVICES A COMMUNITY CLINIC - 33 PARTICIPANTSCHILD SAFETY SEAT INSPECTIONS 201; REPLACEMENTS - 56 FREE T-DAP VACCINATION FOR NEW DADS AND GRANDPARENTS - 60 VACCINATIONS GIVENYOUTH BIKE HELMET GIVEAWAY PROGRAM CANCELED DUE TO COVID 19FREEDOM FROM SMOKING CESSATION PROGRAM - 8PROPER 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 FY20, MORE THAN 3064 STUDENTS IN THE LOCAL SCHOOLS PARTICIPATED IN THE GERM CITY/BUG LIGHT PROGRAM AND WERE EDUCATED ON PROPER HAND WASHING TECHNIQUES. 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 15,418 STUDENTS WERE EDUCATED THROUGH THESE AND OTHER PROGRAMS.THE HOSPITAL IS LICENSED TO ACCOMMODATE 132 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, FLU SHOTS, AND CHILD SAFETY SEAT INSPECTIONS. IN FY20, THE COMMUNITY HEALTH AND WELLNESS STAFF PROVIDED OVER 250 FLU VACCINATIONS TO AREA BUSINESSES AND CERTIFIED MORE THAN 2280 IN FIRST AID AND CPR, INCLUDING 36 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: 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. IN FY2019, A CERTIFIED RECOVERY SPECIALIST WAS EMBEDDED IN THE HOSPITAL EMERGENCY DEPARTMENT TO ASSIST WITH TREATMENT REFERRALS AND WARM HANDOFFS. AS OF NOVEMBER 2020, 112 REFERRALS HAVE BEEN MADE.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. THE EVANGELICAL COMMUNITY HEALTH AND WELLNESS TEAM ALSO DEVELOPED A PROGRAM TO ADDRESS PRE-DIABETES EDUCATION. 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 88 LOW DOSE CT SCANS AND SCHEDULED 75 APPOINTMENTS, 133 MAMMOGRAMS AND 77 IFOB SCREENING KITS IN FY2020. 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.EVANGELICAL'S HEALTH AND WELLNESS PROGRAMS REACHED NEARLY 22,000 YOUTH AND ADULTS IN THE COMMUNITY IN FY2020 YOUTH EDUCATIONAL PROGRAMS 20,559ADULT/COMMUNITY EDUCATIONAL PROGRAMS 792WORKSITE SITE WELLNESS HEALTH PROMOTION PROGRAMS 636(FY2020 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 OFFERED A WIDE RANGE OF PROGRAMS IN FY2020, INCLUDING THE FOLLOWING:- FREEDOM FROM SMOKING: A SEVEN-WEEK SESSION TO LEARN TO OVERCOME TOBACCO ADDICTION WITH THE HELP OF A CERTIFIED EDUCATOR.- SAFE 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 INDEPENDENT BY TEACHING THEM HOW TO PRACTICE SAFE HABITS AND PREVENT UNSAFE SITUATIONS- EDUCATIONAL PROGRAMS FOR CHILDREN: FREE PROGRAMS WITH TOPICS THAT COVER NUTRITION, HOW TO HAVE A HEALTHY HEART, HANDS ONLY CPR, THE DANGERS OF TOBACCO PRODUCTS, SUMMER SAFETY, STRESS MANAGEMENT, PERSONAL HYGIENE, BIKE HELMET SAFETY, AND ONLINE SAFETY.- SENIOR STRONG: DESIGNED TO HELP INDIVIDUALS AGE 55 OR OLDER LIVE AN ACTIVE, HEALTHY LIFESTYLE, THE PROGRAM INCLUDES HEALTH SCREENINGS, EXERCISE CLASSES, LECTURES ON A VARIETY OF HEALTH TOPICS, BROWN BAG MEDICINE CHECKS, AND OTHER SPECIAL EVENTS AND COURSES DESIGNED ESPECIALLY FOR SENIORS.- CHILDBIRTH EDUCATION CLASSES: FREE OR REDUCED-FEE PROGRAMS WITH TOPICS THAT COVER PREPARED CHILDBIRTH, NEWBORN CARE, PRENATAL BREASTFEEDING, AND CHILD SAFETY SEAT INSPECTIONS.- TALK WITH THE DOC AND SPEAKERS BUREAU: SEMINARS ON A VARIETY OF HEALTH TOPICS.- THE PLAIN COMMUNITY PROGRAM CONTINUES TO BE A HIGHLY UTILIZED PROGRAMFY20 UTILIZATION OF PLAIN COMMUNITY PROGRAM:ECH - ENCOUNTERS - CHARGESFY2018 - 2,268 - $8,309,429FY2019 - 2,638 - $9,843,948FY2020 - 2,483 - $9,626,525 EMSO - ENCOUNTERS - CHARGESFY2018 - 2,662 - $1,351,370FY2019 - 3,359 - $1,690,042FY2020 - 1,662 - $1,662,014 1 NURSING SCHOLARSHIPS 34 72164 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 533461 0 356032 0 0 0 10862 0 14836 0 915191 0 0 0 KENDRA A AUCKER PRESIDENT/CHIEF EXECUTIVE OFFICER 578427 0 141428 0 15000 0 132463 0 20111 0 887429 0 0 0 SHAWN P MCGLAUGHLIN MD DIRECTOR 723132 0 0 0 0 0 14735 0 15284 0 753151 0 0 0 JOHN F DEVINE VP MEDICAL AFFAIRS 497147 0 49991 0 145370 0 57092 0 2226 0 751826 0 145370 0 JAMES A STOPPER CPA TREASURER/CHIEF FINANCIAL OFFICER 357686 0 79625 0 115674 0 48954 0 16510 0 618449 0 115674 0 CHRISTOPHER J MOTTO MD DIRECTOR 447389 0 27750 0 0 0 8993 0 8042 0 492174 0 0 0 BRADLEY MUDGE SURGEON 392757 0 49156 0 0 0 7908 0 14856 0 464677 0 0 0 WILLIAM P ANDERSON SECRETARY/CHIEF OPERATING OFFICER 274288 0 62790 0 0 0 48694 0 16010 0 401782 0 0 0 JULIA E REDCAY DO DIRECTOR 370816 0 5000 0 0 0 7309 0 15135 0 398260 0 0 0 DALE E MOYER VP OF INFORMATION SYSTEM 215582 0 39856 0 73747 0 32181 0 19173 0 380539 0 73747 0 TAMARA F PERSING VP OF NURSING ADMINISTRATION 225673 0 39480 0 0 0 34269 0 19545 0 318967 0 0 0 KATHRYN M GIORGINI HOSPITALIST/PALLIATIVE CARE 247851 0 10000 0 0 0 5205 0 28180 0 291236 0 0 0 DAVID M ZELECHOSKI MD DIRECTOR 232795 0 0 0 0 0 4809 0 15875 0 253479 0 0 0 RACHEL V SMITH VP PEOPLE & CULTURE 199504 0 20010 0 0 0 26919 0 1665 0 248098 0 0 0 ANGELA K LAHR AVP CLINICAL OPERATIONS 156819 0 15089 0 0 0 14434 0 18790 0 205132 0 0 0 PAUL E TARVES FORMER VP OF NURSING ADMINISTRATION 0 0 0 0 190353 0 0 0 0 0 190353 0 190353 0 RANDALL STRAUSSER DIRECTOR OF PHARMACY SERVICES 165375 0 0 0 0 0 6920 0 15804 0 188099 0 0 0 WILLIAM FRANQUET AVP REVENUE CYCLE 138607 0 13652 0 0 0 5802 0 15266 0 173327 0 0 0 JOSHUA TITUS PHARMACIST 154314 0 0 0 0 0 6054 0 7725 0 168093 0 0 0 RUTH SPROUT ASST DIRECTOR OF PHARMACY 145283 0 0 0 0 0 6059 0 15611 0 166953 0 0 0 JOSHUA MILLER PHARMACIST 152409 0 0 0 0 0 5841 0 7725 0 165975 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 2019: KENDRA AUCKER - NO DISTRIBUTION JAMES A. STOPPER - $115,674 WILLIAM P. ANDERSON - NO DISTRIBUTION JOHN F. DEVINE - $145,370 TAMARA F. PERSING - NO DISTRIBUTION DALE E. MOYER - $73,747 TAMARA PERSING - NO DISTRIBUTION RACHEL SMITH - NO DISTRIBUTION PAUL TARVES - $190,353 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 1724419 17371471 95753 17275718 2018 1 0 1 1 B 115000 55541980 213434 48585432 308084 6435030 0 0 0 1 C 500000 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 338145 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. X AUCTION ITEMS 4 11871 AT COST X PPE AND MASKS 2 9229 AT COST X STUFFED ANIMALS 1 6900 AT COST X FOOD 1 350 AT COST 0 0 0 PART I, COLUMN (B): THE NUMBER IN COLUMN B REPRESENTS THE NUMBER OF DONORS. 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: CHIEF OPERATING OFFICER, CHIEF FINANCIAL OFFICER, VICE PRESIDENT OF MEDICAL AFFAIRS, VICE PRESIDENT - NURSING, ASSOCIATED VICE PRESIDENT - DEVELOPMENT, VICE PRESIDENT - HUMAN RESOURCES, CHIEF INFORMATION OFFICER, ASSOCIATE VICE PRESIDENT - SUBSIDIARY OPERATIONS. 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 2016. 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 WITH AFFILIATES -33,609,974. POSTRETIREMENT BENEFIT LIABILITY ADJUSTMENT 139,382. NET ASSETS RELEASED FROM RESTRICTIONS -76,863. VALUATION LOSS -87,837. CHANGE IN VALUE OF SPLIT-INTEREST AGREEMENT -14,048. CONTRIBUTIONS FROM ACQUISITION 1,743,579. 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