EVANGELICAL COMMUNITY HOSPITAL: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
EVANGELICAL COMMUNITY HOSPITAL (EIN 24-0795411)
Tax period
2018-07-01 to 2019-06-30
Filed
2020-05-11
IRS object ID
202001329349300805
Schema version
2018v3.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2020-05-11T07:41:53-05:00ReturnTs
Tax Period End2019-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN390859910PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BAKER TILLY VIRCHOW KRAUSE LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11570 FRUITVILLE PIKE SUITE 400AddressLine1Txt
CityLANCASTERCityNm
State AbbreviationPAStateAbbreviationCd
ZIP17601ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN240795411EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1EVANGELICAL COMMUNITY HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlEVANBusinessNameControlTxt
Phone5705222741PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1ONE HOSPITAL DRIVEAddressLine1Txt
CityLEWISBURGCityNm
State AbbreviationPAStateAbbreviationCd
ZIP17837ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJAMES A STOPPERPersonNm
Person TitleCHIEF FINANCIAL OFFICERPersonTitleTxt
Phone5705222741PhoneNum
Signature2020-04-17SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKERRI N BOGDA CPAPreparerPersonNm
PTINP00760402PTIN
Phone7177404863PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address208.101.164.211IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-04-17IPDt
IP Tm08:17:54IPTm
IP TimezoneEDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device IdD55C9BF7EA9CC92FF5CD8A3B56631CEAE08BA54EAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerKENDRA A AUCKERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1ONE HOSPITAL DRIVEAddressLine1Txt
CityLEWISBURGCityNm
State AbbreviationPAStateAbbreviationCd
ZIP17837ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$275,940,465GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.EVANHOSPITAL.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1926FormationYr
Legal Domicile StatePALegalDomicileStateCd
Activity Or MissionPROVIDE HEALTH CARE SERVICES TO THE PUBLIC AND TO BE THE COMMUNITY'S HEALTH CARE PROVIDER OF CHOICE.ActivityOrMissionDesc
Voting Members Governing Body22VotingMembersGoverningBodyCnt
Voting Members Independent15VotingMembersIndependentCnt
Total Employee1684TotalEmployeeCnt
Total Volunteers197TotalVolunteersCnt
Total Gross UBI$8,823,027TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$646,197NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$2,835,759PYContributionsGrantsAmt
CY Contributions Grants$20,567,955CYContributionsGrantsAmt
PY Program Service Revenue$199,758,596PYProgramServiceRevenueAmt
CY Program Service Revenue$206,468,204CYProgramServiceRevenueAmt
PY Investment Income$4,886,646PYInvestmentIncomeAmt
CY Investment Income$7,056,706CYInvestmentIncomeAmt
PY Other Revenue$7,732,274PYOtherRevenueAmt
CY Other Revenue$8,062,163CYOtherRevenueAmt
PY Total Revenue$215,213,275PYTotalRevenueAmt
CY Total Revenue$242,155,028CYTotalRevenueAmt
PY Grants And Similar Paid$55,000PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$54,311CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$88,793,334PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$90,672,434CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$97,764PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$98,184CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$733,354CYTotalFundraisingExpenseAmt
PY Other Expenses$89,218,044PYOtherExpensesAmt
CY Other Expenses$88,996,715CYOtherExpensesAmt
PY Total Expenses$178,164,142PYTotalExpensesAmt
CY Total Expenses$179,821,644CYTotalExpensesAmt
PY Revenues Less Expenses$37,049,133PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$62,333,384CYRevenuesLessExpensesAmt
Total Assets BOY$368,393,410TotalAssetsBOYAmt
Total Assets EOY$410,791,219TotalAssetsEOYAmt
Total Liabilities BOY$126,491,939TotalLiabilitiesBOYAmt
Total Liabilities EOY$134,111,434TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$241,901,471NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$276,679,785NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionWE 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.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$139,365,983ExpenseAmt
Grant$54,311GrantAmt
Revenue$207,034,274RevenueAmt
DescMEETING 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.Desc
Total Program Service Expenses$139,365,983TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional FundraisingYes (1)ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan OutstandingYes (1)LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (1)BusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document83IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee1684EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members22GoverningBodyVotingMembersCnt
Independent Voting Member15IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldPAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonJAMES A STOPPER CPA CFOPersonNm
Phone5705222000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1ONE HOSPITAL DRIVEAddressLine1Txt
CityLEWISBURGCityNm
State AbbreviationPAStateAbbreviationCd
ZIP17837ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (36 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
JOHN E MECKLEY ESQ
CHAIR1.000.10Yes (X)Yes (X)$0$0$0
TIMOTHY J APPLE
VICE CHAIR1.000.10Yes (X)Yes (X)$0$0$0
JAMES A STOPPER CPA
TREASURER/CHIEF FINANCIAL OFFICER40.001.00Yes (X)Yes (X)$413,088$0$62,064
WILLIAM P ANDERSON
SECRETARY/CHIEF OPERATING OFFICER40.00Yes (X)Yes (X)$291,048$0$53,173
BROOKS R GRONLUND
VICE CHAIR (UNTIL 06/13/19)1.000.10Yes (X)Yes (X)$0$0$0
ROGER S HADDON JR
DIRECTOR1.000.10Yes (X)$0$0$0
MARK D HUBER
DIRECTOR1.000.10Yes (X)$0$0$0
JEFFREY J KAPSAR
DIRECTOR1.000.10Yes (X)$0$0$0
AMANDA G KESSLER ESQ
DIRECTOR1.000.10Yes (X)$0$0$0
LINDA J KORB PHD NCPSYA
DIRECTOR1.000.10Yes (X)$0$0$0
TIMM A MOYER
DIRECTOR1.000.10Yes (X)$0$0$0
JOHN D STEELE JR
DIRECTOR1.000.10Yes (X)$0$0$0
SUSAN J FETTERMAN RN MSN MBA FAC
DIRECTOR1.00Yes (X)$0$0$0
FRANK D DAVIS PHD
DIRECTOR1.00Yes (X)$0$0$0
SUSAN L LANTZ MA EDD
DIRECTOR1.00Yes (X)$0$0$0
TERI J MACBRIDE
DIRECTOR1.00Yes (X)$0$0$0
CHRISTA L MARTIN PHD
DIRECTOR1.00Yes (X)$0$0$0
KARL A VOSS PHD
DIRECTOR1.00Yes (X)$0$0$0
SHAWN P MCGLAUGHLIN MD
DIRECTOR40.00Yes (X)$639,108$0$27,679
CHRISTOPHER J MOTTO MD
DIRECTOR1.0043.00Yes (X)$468,982$0$16,362
JULIA E REDCAY DO
DIRECTOR1.0039.00Yes (X)$367,199$0$22,251
DAVID M ZELECHOSKI MD
DIRECTOR1.0039.00Yes (X)$195,215$0$31,167
MATTHEW W REISH MD
DIRECTOR1.0039.00Yes (X)$870,523$0$25,221
JULIE A BARNA DMD
DIRECTOR (UNTIL 01/2019)1.000.10Yes (X)$0$0$0
DENNIS W SWANK
DIRECTOR (UNTIL 01/2019)1.000.10Yes (X)$0$0$0
JANICE OMLOR DO
DIRECTOR (UNTIL 10/2018)1.0039.00Yes (X)$0$0$0
KENDRA A AUCKER
PRESIDENT/CHIEF EXECUTIVE OFFICER40.001.00Yes (X)$990,297$0$142,306
JOHN F DEVINE
VP MEDICAL AFFAIRS40.00$523,248$0$69,851Yes (X)
TAMARA F PERSING
VP OF NURSING ADMINISTRATION40.00$213,327$0$57,032Yes (X)
DALE E MOYER
VP OF INFORMATION SYSTEM40.00$233,620$0$47,814Yes (X)
ANGELA J HUMMEL
VP OF HUMAN RESOURCES40.00$389,213$0$36,562Yes (X)
RANDALL STRAUSSER
DIRECTOR OF PHARMACY SERVICES40.00$163,319$0$22,071Yes (X)
ANGELA LAHR
AVP CLINICAL OPERATIONS40.00$159,338$0$23,860Yes (X)
JOSHUA MILLER
PHARMACIST (EXEMPT)40.00$155,421$0$13,076Yes (X)
WILLIAM FRANQUET
AVP REVENUE CYCLE40.00$143,383$0$21,012Yes (X)
RUTH SPROUT
ASST DIRECTOR OF PHARMACY40.00$142,966$0$21,153Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$6,359,295TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$692,654TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K58IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
QUANDEL CONSTRUCTION GROUP
3003 N FRONT ST STE 201HARRISBURGPA171101224CONSTRUCTION$5,040,355
CALLISONRTKL PENNSYLVANIA CORP
PO BOX 402296ATLANTAGA303842296CONSULTING SERVICES$3,194,204
BESWICK LAW
22 N 2ND STREETLEWISBURGPA17837LEGAL SERVICES$1,406,731
INTERIOR CONSTRUCTION SPEC
393 E SOUTHERN AVES WILLIAMSPORTPA17702CONSTRUCTION$1,366,761
TRIMEDX LLC
PO BOX 636129CINCINNATIOH452636129LABORATORY SERVICES$1,057,834
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K46CntrctRcvdGreaterThan100KCnt
Fundraising$207,317FundraisingAmt
All Other Contributions$20,360,638AllOtherContributionsAmt
Noncash Contributions$91,800NoncashContributionsAmt
Total Contributions$20,567,955TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescNET PATIENT SERVICE REVENUEDesc
Business621400BusinessCd
Total Revenue Column$206,468,204TotalRevenueColumnAmt
Related Or Exempt Func Income$206,468,204RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$206,468,204TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,782,372TotalRevenueColumnAmt
Exclusion$4,782,372ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$2,410,479RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$4,685,944RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real-$2,275,465RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$2,275,465TotalRevenueColumnAmt
Exclusion-$2,275,465ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$31,058,354SecuritiesAmt
Other$122,023OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$28,841,817SecuritiesAmt
Other$64,226OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$2,216,537SecuritiesAmt
Other$57,797OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,274,334TotalRevenueColumnAmt
Exclusion$2,274,334ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$92,284FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$207,317ContriRptFundraisingEventAmt
Fundraising Direct Expenses$193,450FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$101,166TotalRevenueColumnAmt
Exclusion-$101,166ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
LABORATORY SERVICES621500$3,201,082$3,201,082
BILLING FEES FROM AFFILIATE541900$1,923,945$1,923,945
CAFETERIA AND VENDING SALES722210$733,698$733,698

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,580,069TotalRevenueColumnAmt
Related Or Exempt Func Income$566,070RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$3,698,000UnrelatedBusinessRevenueAmt
Exclusion$315,999ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$10,438,794OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$242,155,028TotalRevenueColumnAmt
Related Or Exempt Func Income$207,034,274RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$8,823,027UnrelatedBusinessRevenueAmt
Exclusion$5,729,772ExclusionAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$54,311TotalAmt
Program Services$54,311ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$7,101,965TotalAmt
Program Services$3,441,194ProgramServicesAmt
Management And General$3,660,771ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$64,923,306TotalAmt
Program Services$51,048,243ProgramServicesAmt
Management And General$13,578,087ManagementAndGeneralAmt
Fundraising$296,976FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,733,141TotalAmt
Program Services$1,618,626ProgramServicesAmt
Management And General$106,210ManagementAndGeneralAmt
Fundraising$8,305FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$11,873,964TotalAmt
Program Services$8,990,339ProgramServicesAmt
Management And General$2,848,830ManagementAndGeneralAmt
Fundraising$34,795FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$5,040,058TotalAmt
Program Services$3,897,129ProgramServicesAmt
Management And General$1,121,299ManagementAndGeneralAmt
Fundraising$21,630FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,419,487TotalAmt
Management And General$1,419,487ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$119,948TotalAmt
Program Services$6,750ProgramServicesAmt
Management And General$113,198ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$8,292TotalAmt
Management And General$8,292ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$98,184TotalAmt
Fundraising$98,184FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$695,626TotalAmt
Program Services$11,995ProgramServicesAmt
Management And General$683,631ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$9,928,851TotalAmt
Program Services$4,921,143ProgramServicesAmt
Management And General$4,915,084ManagementAndGeneralAmt
Fundraising$92,624FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$601,404TotalAmt
Program Services$25,232ProgramServicesAmt
Management And General$576,172ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$33,401,102TotalAmt
Program Services$32,241,748ProgramServicesAmt
Management And General$1,126,726ManagementAndGeneralAmt
Fundraising$32,628FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$10,388,906TotalAmt
Program Services$1,590,877ProgramServicesAmt
Management And General$8,760,076ManagementAndGeneralAmt
Fundraising$37,953FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$3,693,831TotalAmt
Program Services$3,693,831ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$171,566TotalAmt
Program Services$135,178ProgramServicesAmt
Management And General$35,022ManagementAndGeneralAmt
Fundraising$1,366FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$226,811TotalAmt
Program Services$105,626ProgramServicesAmt
Management And General$115,494ManagementAndGeneralAmt
Fundraising$5,691FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,273,163TotalAmt
Program Services$1,273,163ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$10,618,771TotalAmt
Program Services$10,618,771ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$669,841TotalAmt
Program Services$669,841ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmtProgram ServicesProgramServicesAmt
FEDERAL TAXES$207,707$207,707
BAD DEBT EXPENSE$11,734,021$11,734,021
MA MODERNIZATION$1,665,785$1,665,785
EQUIPMENT RENTAL & MAIN$577,217$577,217

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,594,386TotalAmt
Program Services$1,044,963ProgramServicesAmt
Management And General$446,221ManagementAndGeneralAmt
Fundraising$103,202FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$179,821,644TotalAmt
Program Services$139,365,983ProgramServicesAmt
Management And General$39,722,307ManagementAndGeneralAmt
Fundraising$733,354FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$5,335BOYAmt
EOY$5,245EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$41,318,606BOYAmt
EOY$37,615,604EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,186,889BOYAmt
EOY$2,204,609EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$16,384,028BOYAmt
EOY$18,955,341EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$4,495,761BOYAmt
EOY$5,036,901EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$4,308,268BOYAmt
EOY$4,732,322EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$295,424,797LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$124,306,703LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$132,010,678BOYAmt
EOY$171,118,094EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$149,241,471BOYAmt
EOY$145,022,165EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$5,172,985BOYAmt
EOY$6,541,354EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$3,175,259BOYAmt
EOY$8,659,784EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$11,094,130BOYAmt
EOY$10,899,800EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$368,393,410BOYAmt
EOY$410,791,219EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$19,453,665BOYAmt
EOY$28,191,464EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$29,307BOYAmt
EOY$237,522EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$91,437,665BOYAmt
EOY$90,328,839EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$325,000BOYAmt
EOY$175,000EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$611,542BOYAmt
EOY$1,018,882EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$14,634,760BOYAmt
EOY$14,159,727EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$126,491,939BOYAmt
EOY$134,111,434EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$233,995,290BOYAmt
EOY$267,704,096EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,086,124BOYAmt
EOY$3,185,459EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$5,820,057BOYAmt
EOY$5,790,230EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$241,901,471BOYAmt
EOY$276,679,785EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$368,393,410BOYAmt
EOY$410,791,219EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$62,333,384ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$874,610NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$28,429,680OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$8,292OtherActivitiesAmt
Total Lobbying Expenditures$8,292TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationA PERCENTAGE OF ANNUAL HAP AND AHA DUES WERE USED FOR LOBBYING; THIS AMOUNTED TO $8,292 FOR THE FISCAL YEAR ENDING JUNE 30, 2019.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$8,165,164BeginningYearBalanceAmt
Contributions$20,575ContributionsAmt
Investment Earnings Or Losses$741,483InvestmentEarningsOrLossesAmt
Grants Or Scholarships$20,331GrantsOrScholarshipsAmt
Other Expenditures$113,399OtherExpendituresAmt
Administrative Expenses$32,794AdministrativeExpensesAmt
End Year Balance$8,760,698EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$7,862,290BeginningYearBalanceAmt
Contributions$25,625ContributionsAmt
Investment Earnings Or Losses$436,912InvestmentEarningsOrLossesAmt
Grants Or Scholarships$22,500GrantsOrScholarshipsAmt
Other Expenditures$104,484OtherExpendituresAmt
Administrative Expenses$32,679AdministrativeExpensesAmt
End Year Balance$8,165,164EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$7,418,085BeginningYearBalanceAmt
Contributions$185,221ContributionsAmt
Investment Earnings Or Losses$425,034InvestmentEarningsOrLossesAmt
Grants Or Scholarships$23,000GrantsOrScholarshipsAmt
Other Expenditures$112,547OtherExpendituresAmt
Administrative Expenses$30,503AdministrativeExpensesAmt
End Year Balance$7,862,290EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$5,826,952BeginningYearBalanceAmt
Contributions$1,171,492ContributionsAmt
Investment Earnings Or Losses$563,204InvestmentEarningsOrLossesAmt
Grants Or Scholarships$13,407GrantsOrScholarshipsAmt
Other Expenditures$104,824OtherExpendituresAmt
Administrative Expenses$25,332AdministrativeExpensesAmt
End Year Balance$7,418,085EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$5,428,211BeginningYearBalanceAmt
Contributions$349,586ContributionsAmt
Investment Earnings Or Losses$177,781InvestmentEarningsOrLossesAmt
Grants Or Scholarships$20,915GrantsOrScholarshipsAmt
Other Expenditures$84,049OtherExpendituresAmt
Administrative Expenses$23,662AdministrativeExpensesAmt
End Year Balance$5,826,952EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.72860BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.27140PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.00000TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgYes (1)EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$21,880,302OtherCostOrOtherBasisAmt
Book Value$21,880,302BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$137,925,039OtherCostOrOtherBasisAmt
Depreciation$49,692,631DepreciationAmt
Book Value$88,232,408BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$13,943,526OtherCostOrOtherBasisAmt
Depreciation$2,394,234DepreciationAmt
Book Value$11,549,292BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$96,927,494OtherCostOrOtherBasisAmt
Depreciation$70,118,418DepreciationAmt
Book Value$26,809,076BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$24,748,436OtherCostOrOtherBasisAmt
Depreciation$2,101,420DepreciationAmt
Book Value$22,647,016BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$171,118,094TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDescAmtAmt
ACCRUED POSTRETIREMENT BENEFIT COSTS$5,286,388
BLUE CROSS CURRENT FINANCING ADVANCE$1,057,190
CHARITABLE GIFT ANNUITIES PAYABLE$210,799
DEFERRED COMPENSATION$1,742,054
DUE TO AFFILIATES$1,850,010
ESTIMATED MEDICAL MALPRACTICE CLAIMS LIABILITY$1,418,818
ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS$2,594,468
FieldValueIRS element (for citing)
Total Liability$14,159,727TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$235,651,965TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$874,610NetUnrealizedGainsInvstAmt
Other Revenue-$12,257,067OtherRevenueAmt
Revenue Not Reported-$11,382,457RevenueNotReportedAmt
Revenue Subtotal$247,034,422RevenueSubtotalAmt
Other Revenues Not Included-$4,879,394OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt-$4,879,394RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$242,155,028TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$200,873,651TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$33,018,229OtherExpensesIncludedAmt
Expenses Not Reported$33,018,229ExpensesNotReportedAmt
Expenses Subtotal$167,855,422ExpensesSubtotalAmt
Other Expenses Not Included$11,966,222OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$11,966,222ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$179,821,644TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 -11,532,743. INVESTMENT EXPENSES -433,479. POSTRETIREMENT BENEFIT LIABILITY ADJUSTMENT -134,038. NET ASSETS RELEASED FROM RESTRICTIONS -98,145. VALUATION LOSS -54,541. CHANGE IN VALUE OF SPLIT-INTEREST AGREEMENT -4,121.
PART XI, LINE 4B - OTHER ADJUSTMENTS:RENTAL EXPENSES -4,685,944. SPECIAL EVENTS EXPENSE -193,450.
PART XII, LINE 2D - OTHER ADJUSTMENTS:EQUITY TRANSFER WITH AFFILIATES 28,138,835. RENTAL EXPENSES 4,685,944. SPECIAL EVENTS EXPENSE 193,450.
PART XII, LINE 4B - OTHER ADJUSTMENTS:BAD DEBT EXPENSE 11,532,743. INVESTMENT EXPENSES 433,479.

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Mail SolicitationsYes (X)MailSolicitationsInd
Email SolicitationsYes (X)EmailSolicitationsInd
Phone SolicitationsYes (X)PhoneSolicitationsInd
In Person SolicitationsYes (X)InPersonSolicitationsInd
Solicitation Of Non Govt GrantsYes (X)SolicitationOfNonGovtGrantsInd
Solicitation Of Govt GrantsYes (X)SolicitationOfGovtGrantsInd
Special Fundraising EventsYes (X)SpecialFundraisingEventsInd
Agrmt Prof Fundraising ActyYes (1)AgrmtProfFundraisingActyInd

Fundraiser Activity Info FundraiserActivityInfoGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdActivityActivityTxtFundraiser Control Of FundsFundraiserControlOfFundsIndGross ReceiptsGrossReceiptsAmtRetained By ContractorRetainedByContractorAmtNet To OrganizationNetToOrganizationAmt
PRIDE PHILANTHROPY
1397 CHESTNUT COVE TRAIL 20988JASPERGA30143CAMPAIGN CONSULTANT0$0$84,000$0
PROCOPIA
1106 NORTH SHERIDAN AVENUEPITTSBURGHPA15206GRANT WRITING CONSULTANT0$0$8,250$0
JAMES E CONNELL & ASSOCIATES
15 PINEWALD DRIVE PO BOX 3335PINEHURSTNC283743335PLANNED GIVING CONSULTANT0$0$5,934$0
FieldValueIRS element (for citing)
Total Retained By Contractors$98,184TotalRetainedByContractorsAmt
Licensed StatesPALicensedStatesCd

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1GALAEvent1Nm
Gross Receipts Event1$164,539GrossReceiptsEvent1Amt
Charitable Contri Event1$100,325CharitableContriEvent1Amt
Gross Revenue Event1$64,214GrossRevenueEvent1Amt
Non Cash Prizes Event1$33,914NonCashPrizesEvent1Amt
Rent Facility Costs Event1$1,395RentFacilityCostsEvent1Amt
Food And Beverage Event1$19,049FoodAndBeverageEvent1Amt
Entertainment Event1$6,550EntertainmentEvent1Amt
Other Direct Expenses Event1$22,518OtherDirectExpensesEvent1Amt
Event2COOKIN' MEN/FASANO LECTUREEvent2Nm
Gross Receipts Event2$71,107GrossReceiptsEvent2Amt
Charitable Contri Event2$62,368CharitableContriEvent2Amt
Gross Revenue Event2$8,739GrossRevenueEvent2Amt
Food And Beverage Event2$6,672FoodAndBeverageEvent2Amt
Entertainment Event2$70,000EntertainmentEvent2Amt
Other Direct Expenses Event2$8,370OtherDirectExpensesEvent2Amt
Other Events Total1OtherEventsTotalCnt
Gross Receipts Other Events$63,955GrossReceiptsOtherEventsAmt
Charitable Contri Other Events$44,624CharitableContriOtherEventsAmt
Gross Revenue Other Events$19,331GrossRevenueOtherEventsAmt
Cash Prizes Other Events$1,960CashPrizesOtherEventsAmt
Rent Fclty Costs Other Events$9,690RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events$8,080FoodAndBeverageOtherEventsAmt
Oth Direct Expnss Other Events$5,252OthDirectExpnssOtherEventsAmt
Gross Receipts Total$299,601GrossReceiptsTotalAmt
Charitable Contributions Tot$207,317CharitableContributionsTotAmt
Gross Revenue Total Events$92,284GrossRevenueTotalEventsAmt
Cash Prizes Total Events$1,960CashPrizesTotalEventsAmt
Non Cash Prizes Total Events$33,914NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$11,085RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$33,801FoodAndBeverageTotalEventsAmt
Entertainment Total Events$76,550EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$36,140OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$193,450DirectExpenseSummaryEventsAmt
Net Income Summary-$101,166NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent100Yes (X)Percent100Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent200 DYes (X)Percent200DInd
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Persons Served1384PersonsServedCnt
Total Community Benefit Expns$259,390TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$259,390NetCommunityBenefitExpnsAmt
Total Expense0.00150TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Persons Served22626PersonsServedCnt
Total Community Benefit Expns$16,261,865TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,158,717DirectOffsettingRevenueAmt
Net Community Benefit Expns$9,103,148NetCommunityBenefitExpnsAmt
Total Expense0.05420TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Persons Served102PersonsServedCnt
Total Community Benefit Expns$38,928TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$38,928NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Persons Served24112PersonsServedCnt
Total Community Benefit Expns$16,560,183TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,158,717DirectOffsettingRevenueAmt
Net Community Benefit Expns$9,401,466NetCommunityBenefitExpnsAmt
Total Expense0.05590TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs49ActivitiesOrProgramsCnt
Persons Served36406PersonsServedCnt
Total Community Benefit Expns$683,438TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$76,847DirectOffsettingRevenueAmt
Net Community Benefit Expns$606,591NetCommunityBenefitExpnsAmt
Total Expense0.00360TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs4ActivitiesOrProgramsCnt
Persons Served1737PersonsServedCnt
Total Community Benefit Expns$53,793TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$53,793NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt

Research ResearchGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served5050PersonsServedCnt
Total Community Benefit Expns$867,217TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$867,217NetCommunityBenefitExpnsAmt
Total Expense0.00520TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs54ActivitiesOrProgramsCnt
Persons Served43193PersonsServedCnt
Total Community Benefit Expns$1,604,448TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$76,847DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,527,601NetCommunityBenefitExpnsAmt
Total Expense0.00910TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs54ActivitiesOrProgramsCnt
Persons Served67305PersonsServedCnt
Total Community Benefit Expns$18,164,631TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,235,564DirectOffsettingRevenueAmt
Net Community Benefit Expns$10,929,067NetCommunityBenefitExpnsAmt
Total Expense0.06500TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served100PersonsServedCnt
Total Community Benefit Expns$389TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$389NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Activities Or Programs5ActivitiesOrProgramsCnt
Persons Served1262PersonsServedCnt
Total Community Benefit Expns$7,141TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,141NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs6ActivitiesOrProgramsCnt
Persons Served847PersonsServedCnt
Total Community Benefit Expns$88,038TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$88,038NetCommunityBenefitExpnsAmt
Total Expense0.00050TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs12ActivitiesOrProgramsCnt
Persons Served2209PersonsServedCnt
Total Community Benefit Expns$95,568TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$95,568NetCommunityBenefitExpnsAmt
Total Expense0.00050TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$1,904,573BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$63,126,729ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$85,818,885CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$22,692,156MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1EVANGELICAL COMMUNITY HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1ONE HOSPITAL DRIVEAddressLine1Txt
CityLEWISBURGCityNm
State AbbreviationPAStateAbbreviationCd
ZIP17837ZIPCd
FieldValueIRS element (for citing)
State License570201StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd
OtherINPATIENT REHABILITATION, HOSPICEOtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1EVANGELICAL COMMUNITY HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted18CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.EVANHOSPITAL.COM/HEALTH-AND-WELLNESSOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt18ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLWWW.EVANHOSPITAL.COM/HEALTH-AND-WELLNESSStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care100.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care200.000000000000FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLWWW.EVANHOSPITAL.COM/FOR-PATIENTS/FINANCIAL-ASSISTANCE-PROGRAM-GUIDELINESFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLWWW.EVANHOSPITAL.COM/FOR-PATIENTS/FINANCIAL-ASSISTANCE-PROGRAM-GUIDELINESFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLWWW.EVANHOSPITAL.COM/FOR-PATIENTS/FINANCIAL-ASSISTANCE-PROGRAM-GUIDELINESFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
FAP TranslatedYes (X)FAPTranslatedInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Prospective Medicare MedicaidYes (X)ProspectiveMedicareMedicaidInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
EVANGELICAL COMMUNITY HOSPITALPART 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 HOSPITALPART 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 HOSPITALPART V, SECTION B, LINE 6B: ALLIED SERVICES INTEGRATED HEALTH SYSTEM
EVANGELICAL COMMUNITY HOSPITALPART 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 HOSPITALPART V, SECTION B, LINE 13H: MEDICAL ASSISTANCE DENIAL
EVANGELICAL COMMUNITY HOSPITALPART 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.

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 6A:THE COMMUNITY BENEFIT REPORT IS AVAILABLE ON THE HOSPITAL'S WEBSITE OR UPON REQUEST.
PART I, LINE 7:THE HOSPITAL USED THE COST-TO-CHARGE RATIO TO DETERMINE THE AMOUNTS INCLUDED IN LINE 7.
PART I, LN 7 COL(F):THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 24B, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $11,734,021.
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 ORGANIZATION ACCOUNTS FOR DISCOUNTS AND PAYMENTS ON PATIENT ACCOUNTS AS A REDUCTION OF REVENUE/ACCOUNTS RECEIVABLE AND ARE NOT COMPONENTS OF BAD DEBT EXPENSE.
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 2015 EVANGELICAL COMMUNITY HOSPITAL (ECH) COMPLETED ANOTHER COMMUNITY HEALTH NEEDS ASSESSMENT. THE ASSESSMENT WAS CONDUCTED BY TRIPP UMBACH ALONG WITH PARTNERING HOSPITALS AND OUTSIDE COMMUNITY ORGANIZATIONS AS A REGIONAL COLLABORATIVE EFFORT TO ASSESS THE NEEDS OF OUR COMMUNITY. 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 2015 AND ADOPTED BY THE EVANGELICAL BOARD OF DIRECTORS IN NOVEMBER 2015.FISCAL YEAR 2019 IS ECH'S FINAL YEAR FOR REPORTING ON OUR 2015 CHNA IDENTIFIED NEEDS. THOSE NEEDS OF OUR COMMUNITY WERE IDENTIFIED AS 1.) ADDRESSING NEEDS RELATED TO BEHAVIORAL HEALTH AND SUBSTANCE ABUSE; 2.) REDUCING THE IMPACT OF HEALTH CONCERNS RELATED TO LIFESTYLE; 3.) THE IMPACT OF SOCIO-ECONOMIC STATUS ON HEALTH OUTCOMES AND 4.) INCREASING ACCESS TO HEALTHCARE. THIS PLAN PROVIDED A ROADMAP FOR OUR HOSPITAL TO MEET SPECIFIC NEEDS WITHIN OUR FIVE-COUNTY SERVICE AREA. BELOW ARE THE FOUR KEY IDENTIFIED NEEDS, THE ACTION STEPS AND HOW THE HOSPITAL ADDRESSED THESE NEEDS FOR OUR FINAL YEAR OF THE 2015 IMPLEMENTATION PLAN.ALSO, DURING THIS REPORTING YEAR ECH COMPLETED ITS NEXT CHNA. A DIFFERENT VENDOR WAS CHOSEN TO COMPLETE THIS ASSESSMENT, BAKER TILLY. 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. THE 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 $9,843,948EMSO 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.
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 INFORM 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. ACCORDING TO THE HOSPITAL AND HEALTH SYSTEM ASSOCIATION OF PENNSYLVANIA, ECH'S TOTAL IMPACT ON THE REGIONAL ECONOMY TOPS MORE THAN $240 MILLION.ECH IS A 132 OVERNIGHT LICENSED-BED, 9 ACUTE REHAB, AND 18 BASSINET CARE COMMUNITY HOSPITAL WITH OVER 1,800 EMPLOYEES. ECH HAS A BUSY EMERGENCY DEPARTMENT WITH OVER 30,000 VISITS IN FISCAL YEAR 2019. 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, SUNBURY COMMUNITY HOSPITAL (FOR-PROFIT SYSTEM), 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 (83.7%), BLACK (6.4%), HISPANIC (6.1%), TWO OR MORE RACES (1.8%), AND ASIAN (1.6%)- THE MEDIAN RESIDENT AGE IS 39.1- ESTIMATED MEDIAN HOUSEHOLD INCOME IN 2016: $53,231 - RESIDENTS WITH INCOME BELOW THE POVERTY LEVEL IN 2016: 10.8%- POPULATION WITHOUT HEALTH INSURANCE COVERAGE IN 2013: 12.2% - CHILDREN UNDER 19 WITHOUT HEALTH INSURANCE COVERAGE IN 2013: 6.5% - 90.0% OF RESIDENTS OF UNION COUNTY SPEAK ENGLISH AT HOME- 4.3% OF RESIDENTS SPEAK SPANISH AT HOME- 4.0% OF RESIDENTS SPEAK OTHER INDO-EUROPEAN LANGUAGE AT HOME- 1.1% OF RESIDENTS SPEAK ASIAN OR PACIFIC ISLAND LANGUAGE AT HOME- 0.6% OF RESIDENTS SPEAK OTHER LANGUAGES AT HOMECITY-DATA.COM FOR SNYDER COUNTY INDICATES THE POPULATION CONSISTS OF:- WHITE NON-HISPANIC (95.0%), HISPANIC (2.3%), BLACK (.9%), TWO OR MORE RACES (1.0%), AND ASIAN (0.8%)- THE MEDIAN RESIDENT AGE IS 39.5- ESTIMATED MEDIAN HOUSEHOLD INCOME IN 2015: $52,983- RESIDENTS WITH INCOME BELOW THE POVERTY LEVEL IN 2016: 10.8%- POPULATION WITHOUT HEALTH INSURANCE COVERAGE IN 2013: 14.1% - CHILDREN UNDER 19 WITHOUT HEALTH INSURANCE COVERAGE IN 2013: 8% - 89.1% OF RESIDENTS OF SNYDER COUNTY SPEAK ENGLISH AT HOME- 2.3% OF RESIDENTS SPEAK SPANISH AT HOME- 7.9% OF RESIDENTS SPEAK OTHER INDO-EUROPEAN LANGUAGE AT HOME- 0.4% OF RESIDENTS SPEAK ASIAN OR PACIFIC ISLAND LANGUAGE AT HOME OF RESIDENTS SPEAK OTHER LANGUAGES AT HOME CITY-DATA.COM FOR NORTHUMBERLAND COUNTY INDICATES THAT THE POPULATION CONSISTS OF: - WHITE NON-HISPANIC (92.8%), BLACK (3.3%), HISPANIC (2.5%), AND TWO OR MORE RACES (0.7%)- ESTIMATED MEDIAN HOUSEHOLD INCOME IN 2016: $47,736- THE MEDIAN RESIDENT AGE IS 44.7- RESIDENTS WITH INCOME BELOW THE POVERTY LEVEL IN 2016: 14.7%- POPULATION WITHOUT HEALTH INSURANCE COVERAGE IN 2013: 12.4% - CHILDREN UNDER 19 WITHOUT HEALTH INSURANCE COVERAGE IN 2013: 6.3% - 95.9% OF RESIDENTS OF NORTHUMBERLAND COUNTY SPEAK ENGLISH AT HOME- 1.3% OF RESIDENTS SPEAK SPANISH AT HOME- 2.2% OF RESIDENTS SPEAK OTHER INDO-EUROPEAN LANGUAGE AT HOME- 0.2% OF RESIDENTS SPEAK ASIAN OR PACIFIC ISLAND LANGUAGE AT HOME- 0.2% 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, CIGNA, AMERIHEALTH NE, MEDICAID AND MEDICARE.THE SECONDARY DATA COLLECTION FINDINGS FROM THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT SUMMARIZES THE FOLLOWING WITH REGARD TO DEMOGRAPHICS AND THE NEEDS OF THE COMMUNITY. ECH'S SERVICE AREA SHOWS A SLIGHT DECLINE IN POPULATION OVER THE PAST FIVE YEARS WHILE PENNSYLVANIA, AS A STATE, SHOWS A SLIGHT INCREASE.KEY FINDINGS:- THE ECH STUDY AREA IS PROJECTED TO GROW IN POPULATION BY 425 RESIDENTS OVER THE NEXT FIVE YEARS (2014-2019); THIS IS A RATE OF 0.3%. THIS IS CONSISTENT WITH TRENDS SEEN FOR THE STATE (PROJECTED 0.8% INCREASE IN PA POPULATION). - THE ECH STUDY AREA SHOWS A RATE OF OLDER RESIDENTS (AGED 65 AND OLDER) AT 17.7%; THIS IS HIGHER THAN STATE (16.6%) AND NATIONAL (14.2%) NORMS. AND THE RATE OF RESIDENTS AGED 65 AND OLDER IN THE ECH STUDY AREA IS PROJECTED TO RISE, FROM 17.7% TO 19.8 % OVER THE NEXT FIVE YEARS.- THE AVERAGE ANNUAL HOUSEHOLD INCOME FOR ECH STUDY AREA IS JUST ABOVE $64,000; WHICH IS BELOW STATE AND NATIONAL NORMS (AROUND $70,000 TO $71,000 RESPECTIVELY). - THE ECH STUDY AREA REPORTS 14.9% OF THE RESIDENTS HAVING LESS THAN A HIGH SCHOOL DIPLOMA; THIS IS HIGHER THAN THE STATE RATE (11.5%).- THE ECH STUDY AREA SHOWS LESS DIVERSITY AS COMPARED WITH PA AND THE UNITED STATES. ONLY 8.7% OF THE ECH STUDY AREA POPULATION IDENTIFIES AS A RACE OTHER THAN WHITE, NON-HISPANIC.- UNION COUNTY IN THE ECH STUDY AREA SHOWS THE MOST DIVERSITY WITHIN THE STUDY AREA WITH 14.9% OF THE POPULATION IDENTIFYING AS A RACE OR ETHNICITY OTHER THAN WHITE, NON-HISPANIC.- WILLIAMSPORT ZIP CODE HAS THE HIGHEST UNINSURED RATE, 13.2% AND SUNBURY ZIP CODE HAS THE HIGHEST RATE OF UNEMPLOYMENT AT 12.3%. - PORT TREVORTON REPORTS THE HIGHEST RATE OF RESIDENTS WITHOUT HIGH SCHOOL DIPLOMAS (27.4%).- AMONG RESIDENTS 65 AND OLDER MOUNT PLEASANT MILLS REPORTS THE HIGHEST RATE OF THESE RESIDENTS LIVING IN POVERTY 21.1%.- BEAVERTOWN SHOWS THE HIGHEST RATE OF POVERTY IN MARRIED PARENTS AS WELL AS SINGLE PARENTS LIVING IN POVERTY WITH THEIR CHILDREN, 27.4% AND 75.0% RESPECTIVELY.- NORTHUMBERLAND COUNTY REPORTS THE LARGEST RISE IN ADULT OBESITY FOR THE ECH STUDY AREA COUNTIES; GOING FROM 28% TO 34%.- SNYDER COUNTY SAW THE LARGEST RISE IN RESIDENTS WITH DIABETES FROM 2011 TO 2014; GOING FROM 9% TO 12%.
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 IS EXTREMELY IMPORTANT. THE FOLLOWING PROGRAMS WERE OFFERED IN FY19; THE CORRESPONDING NUMBER BESIDE THE PROGRAM DOCUMENTS THE NUMBER OF PEOPLE SERVED.- I CAN COPE SURVIVOR PROGRAM - 78 PARTICIPANTS- LIFE AFTER LOSS BEREAVEMENT SUPPORT GROUP - 13 PARTICIPANTS OTHER HEALTH EDUCATION AND PREVENTION ACTIVITIES INCLUDE:- MONTHLY SUPPORT GROUPS - 49 PARTICIPANTS (REPORTED)- FREE HEART HEALTH SCREENINGS - 59 PARTICIPANTS- COMPREHENSIVE BLOOD SCREENINGS - 1161 PARTICIPANTS- MEN'S HEALTH SCREEN - 40 PARTICIPANTS- WOMEN'S HEALTH SCREEN - 83 PARTICIPANTS- HUNTER'S HEALTH SCREEN - 53 PARTICIPANTS- FREE SKIN SCREENINGS - 61- LOW DOSE CT SCAN SCREENING - 95 REFERRALS 76 QUALIFIED- BLOOD DRAW SERVICES A COMMUNITY CLINIC - 52 PARTICIPANTS- CHILD SAFETY SEAT REPLACEMENT - 55 FAULTY SEATS- FREE CHILD PASSENGER SEAT INSPECTIONS - 331 INSPECTIONS- FREE T-DAP VACCINATION FOR NEW DADS AND GRANDPARENTS - 83 VACCINATIONS GIVEN- YOUTH BIKE HELMET GIVEAWAY PROGRAM - 110 HELMETS GIVEN- FREEDOM 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 FY19, MORE THAN 4,365 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 LESS, TOBACCO/SMOKING EDUCATION AND MORE. A TOTAL OF 23,271 STUDENTS WERE EDUCATED THROUGH THESE AND OTHER PROGRAMS.A COMMUNITY JUULING/VAPING PRESENTATION WAS HELD IN UNION COUNTY WITH 40 PEOPLE IN ATTENDANCE. THIS PRESENTATION WAS OFFERED TO INFORM AND EDUCATE PARENTS, COMMUNITY MEMBERS AND SCHOOL STAFF ABOUT THE DANGERS OF AND THE WIDE SPREAD EPIDEMIC CAUSED BY JUULING/VAPING.EVANGELICAL EMPLOYS OVER 1,900 INDIVIDUALS AND HAS MORE THAN 170 EMPLOYED AND NON-EMPLOYED PHYSICIANS ON STAFF. 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 FY19, THE COMMUNITY HEALTH AND WELLNESS STAFF PROVIDED OVER 300 FLU VACCINATIONS TO AREA BUSINESSES AND CERTIFIED MORE THAN 3,432 IN FIRST AID AND CPR, INCLUDING 87 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 PROVIDE HEALTHCARE SERVICES IN THE FORM OF PRIMARY AND SPECIALTY CARE PHYSICIANS TO THE COMMUNITY.
PART VI, LINE 7, REPORTS FILED WITH STATESPA

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeNURSING SCHOLARSHIPSGrantTypeTxt
Recipient11RecipientCnt
Cash Grant$54,311CashGrantAmt
Non Cash Assistance$0NonCashAssistanceAmt
Valuation Method UsedN/AValuationMethodUsedDesc
Non Cash AssistanceN/ANonCashAssistanceDesc

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationAPPLICANTS 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.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Discretionary Spending AcctYes (X)DiscretionarySpendingAcctInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation Required0SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (17 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JAMES A STOPPER CPA
TREASURER/CHIEF FINANCIAL OFFICER$333,088$0$80,000$0$0$0$45,989$0$16,075$0$475,152$0$0$0
WILLIAM P ANDERSON
SECRETARY/CHIEF OPERATING OFFICER$245,048$0$46,000$0$0$0$37,098$0$16,075$0$344,221$0$0$0
SHAWN P MCGLAUGHLIN MD
DIRECTOR$639,108$0$0$0$0$0$12,810$0$14,869$0$666,787$0$0$0
CHRISTOPHER J MOTTO MD
DIRECTOR$444,902$0$24,080$0$0$0$8,948$0$7,414$0$485,344$0$0$0
JULIA E REDCAY DO
DIRECTOR$362,199$0$5,000$0$0$0$7,073$0$15,178$0$389,450$0$0$0
DAVID M ZELECHOSKI MD
DIRECTOR$195,215$0$0$0$0$0$4,117$0$27,050$0$226,382$0$0$0
MATTHEW W REISH MD
DIRECTOR$538,141$0$332,382$0$0$0$10,800$0$14,421$0$895,744$0$0$0
KENDRA A AUCKER
PRESIDENT/CHIEF EXECUTIVE OFFICER$532,034$0$145,830$0$312,433$0$123,247$0$19,059$0$1,132,603$0$297,433$0
JOHN F DEVINE
VP MEDICAL AFFAIRS$454,248$0$69,000$0$0$0$54,276$0$15,575$0$593,099$0$0$0
TAMARA F PERSING
VP OF NURSING ADMINISTRATION$186,327$0$27,000$0$0$0$29,276$0$27,756$0$270,359$0$0$0
DALE E MOYER
VP OF INFORMATION SYSTEM$199,495$0$34,125$0$0$0$29,693$0$18,121$0$281,434$0$0$0
ANGELA J HUMMEL
VP OF HUMAN RESOURCES$249,235$0$38,000$0$101,978$0$35,531$0$1,031$0$425,775$0$101,978$0
RANDALL STRAUSSER
DIRECTOR OF PHARMACY SERVICES$163,319$0$0$0$0$0$6,702$0$15,369$0$185,390$0$0$0
ANGELA LAHR
AVP CLINICAL OPERATIONS$145,412$0$13,926$0$0$0$6,130$0$17,730$0$183,198$0$0$0
JOSHUA MILLER
PHARMACIST (EXEMPT)$155,421$0$0$0$0$0$5,570$0$7,506$0$168,497$0$0$0
WILLIAM FRANQUET
AVP REVENUE CYCLE$130,383$0$13,000$0$0$0$5,385$0$15,627$0$164,395$0$0$0
RUTH SPROUT
ASST DIRECTOR OF PHARMACY$142,966$0$0$0$0$0$6,007$0$15,146$0$164,119$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1AKENDRA 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, LINES 4A-BANGELA J. HUMMEL RECEIVED THE SEVERANCE PAYMENT IN THE AMOUNT OF $52,769. THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLMENTAL NONQUALIFIED RETIREMENT PLAN AND RECEIVED THE FOLLOWING DISTRIBUTIONS IN CALENDAR YEAR 2018: KENDRA A. AUCKER - $297,433 ANGELA J. HUMMEL - $101,978 THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLMENTAL NONQUALIFIED RETIREMENT PLAN, BUT DID NOT RECEIVE A DISTRIBUTION IN CALENDAR YEAR 2018: JAMES A. STOPPER WILLIAM P. ANDERSON JOHN F. DEVINE TAMARA F. PERSING DALE E. MOYER
PART I, LINE 7THE 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.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingIndCUSIPCUSIPNum
UNION COUNTY HOSPITAL AUTHORITY - SERIES 2018A
A2327396242018-06-21$17,371,471SEE PART VI000
UNION COUNTY HOSPITAL AUTHORITY - SERIES 2018B
B2327396242018-06-21$55,541,980SEE PART VI000906460DK3
UNION COUNTY HOSPITAL AUTHORITY - SERIES 2018C
C2327396242018-06-21$19,365,000SEE PART VI000906460DR8

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtOther Spent ProceedsOtherSpentProceedsAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndCapital ExpendituresCapitalExpendituresAmtUnspentUnspentAmt
A$960,890$17,371,471$95,753$17,275,7182018Yes (1)0Yes (1)Yes (1)
B$55,541,980$213,434$308,084000Yes (1)$11,955,499$43,064,963
C$19,365,000$93,078$19,271,9222018Yes (1)Yes (1)Yes (1)Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A00000.000000.003200.0032000Yes (1)
B00000.000000.006700.0067000Yes (1)
C00000.000000.003200.0032000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A00Yes (1)00000Yes (1)
B00Yes (1)0Yes (1)000Yes (1)
C00Yes (1)0Yes (1)000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)
CYes (1)

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE K, PART I, BOND ISSUES:FormAndLineReferenceDesc
Explanation(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.ExplanationTxt

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp

FieldValueIRS element (for citing)
PersonJ LAWRENCE GINSBURGPersonNm
Relationship With OrgSEE PART VRelationshipWithOrgTxt
Loan PurposeSEE PART VLoanPurposeTxt
Loan To OrganizationYes (X)LoanToOrganizationInd
Original Principal$475,000OriginalPrincipalAmt
Balance Due$175,000BalanceDueAmt
Default0DefaultInd
Board Or Committee ApprovalYes (1)BoardOrCommitteeApprovalInd
Written AgreementYes (1)WrittenAgreementInd
FieldValueIRS element (for citing)
Total Balance Due$175,000TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonJOHN D GRIFFITHPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionSEE PART VRelationshipDescriptionTxt
Transaction$343,585TransactionAmt
TransactionSEE PART VTransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE L, PART II, LOANS TO AND FROM INTERESTED PERSONS:(A) NAME OF PERSON: J. LAWRENCE GINSBURG(B) RELATIONSHIP WITH ORGANIZATION: FORMER BOARD OF DIRECTOR(C) PURPOSE OF LOAN: MORTGAGE NOTE
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.

Schedule M IRS990ScheduleM

Other Non Cash Contri Table OtherNonCashContriTableGrp (3 entries)

Non Cash CheckboxNonCashCheckboxIndDescDescContributionContributionCntNoncash Contributions Rpt F990NoncashContributionsRptF990AmtMethod Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)ADVERTISEMENT3$67,085AT COST
Yes (X)AUCTION ITEMS5$22,145AT COST
Yes (X)FOOD3$2,570AT COST
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, COLUMN (B):FormAndLineReferenceDesc
ExplanationTHE NUMBER IN PART I, COLUMN B REPRESENTS THE TOTAL NUMBER OF CONTRIBUTORS.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BA FULL COPY OF THE FORM 990 WAS REVIEWED BY THE AUDIT COMMITTEE OF THE BOARD DURING 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 12CA 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 15THE 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 19GOVERNING 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:NET TRANSFERS WITH AFFILIATES -28,138,835. POSTRETIREMENT BENEFIT LIABILITY ADJUSTMENT -134,038. NET ASSETS RELEASED FROM RESTRICTIONS -98,145. VALUATION LOSS -54,541. CHANGE IN VALUE OF SPLIT-INTEREST AGREEMENT -4,121.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1PLAZA 15 REALTY LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11 HOSPITAL DRIVEAddressLine1Txt
CityLEWISBURGCityNm
State AbbreviationPAStateAbbreviationCd
ZIP17837ZIPCd
FieldValueIRS element (for citing)
EIN834309247EIN
Primary ActivitiesREAL ESTATEPrimaryActivitiesTxt
Legal Domicile StatePALegalDomicileStateCd
Total Income$154,164TotalIncomeAmt
End Of Year Assets$20,357,547EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1EVANGELICAL COMMUNITY HOSPITALBusinessNameLine1Txt

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPct
EVANGELICAL-GEISINGER HEALTH LLC
100 N ACADEMY AVENUEDANVILLEPA178224031460567687HEALTHCAREPAN/ARELATED$82,279$1,106,403000.50000
KEYSTONE ACCOUNTABLE CARE ORG LLC
100 N ACADEMY AVENUEDANVILLEPA17822455484165HEALTHCAREPAN/ARELATED-$741,187$70,254000.10000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1EVANGELICAL MEDICAL SERVICE ORGANIZATIONBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1ONE HOSPITAL DRIVEAddressLine1Txt
CityLEWISBURGCityNm
State AbbreviationPAStateAbbreviationCd
ZIP17837ZIPCd
FieldValueIRS element (for citing)
EIN232809429EIN
Primary ActivitiesMEDICAL SERVICESPrimaryActivitiesTxt
Legal Domicile StatePALegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1EVANGELICAL COMMUNITY HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Entity TypeCEntityTypeTxt
Share Of Total Income$50,294,966ShareOfTotalIncomeAmt
Share Of EOY Assets$35,170,700ShareOfEOYAssetsAmt
Ownership1.00000OwnershipPct
Controlled OrganizationYes (1)ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
EVANGELICAL MEDICAL SERVICES ORGANIZATION
J$688,370CASH
EVANGELICAL MEDICAL SERVICES ORGANIZATION
O$1,666,754HOURS SPENT WORKING FOR AFFILIATE
EVANGELICAL MEDICAL SERVICES ORGANIZATION
P$3,955,191CASH
EVANGELICAL MEDICAL SERVICES ORGANIZATION
R$28,138,835CASH

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