2020-05-11T07:41:53-05:00 2019-06-30 390859910 BAKER TILLY VIRCHOW KRAUSE LLP 1570 FRUITVILLE PIKE SUITE 400 LANCASTER PA 17601 990 2018-07-01 240795411 EVANGELICAL COMMUNITY HOSPITAL EVAN 5705222741 ONE HOSPITAL DRIVE LEWISBURG PA 17837 JAMES A STOPPER CHIEF FINANCIAL OFFICER 5705222741 2020-04-17 1 KERRI N BOGDA CPA P00760402 7177404863 208.101.164.211 2020-04-17 08:17:54 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 D55C9BF7EA9CC92FF5CD8A3B56631CEAE08BA54E 2018 2021-01-29 14:40:06Z KENDRA A AUCKER ONE HOSPITAL DRIVE LEWISBURG PA 17837 275940465 0 X WWW.EVANHOSPITAL.COM X 1926 PA PROVIDE HEALTH CARE SERVICES TO THE PUBLIC AND TO BE THE COMMUNITY'S HEALTH CARE PROVIDER OF CHOICE. 22 15 1684 197 8823027 646197 2835759 20567955 199758596 206468204 4886646 7056706 7732274 8062163 215213275 242155028 55000 54311 0 0 88793334 90672434 97764 98184 733354 89218044 88996715 178164142 179821644 37049133 62333384 368393410 410791219 126491939 134111434 241901471 276679785 X WE PROVIDE EXCEPTIONAL HEALTHCARE, ACCESSIBLE TO ALL, IN THE SAFEST AND MOST COMPASSIONATE ATMOSPHERE POSSIBLE. OUR VISION: WE WILL BE OUR COMMUNITY'S HEALTHCARE PROVIDER OF CHOICE BY PATIENTS, PHYSICIANS, AND EMPLOYEES. 0 0 139365983 54311 207034274 MEETING THE HEALTHCARE NEEDS OF THE COMMUNITY IS AT THE HEART OF EVANGELICAL COMMUNITY HOSPITAL'S MISSION AS A NOT-FOR-PROFIT CHARITABLE ORGANIZATION. THE HOSPITAL'S RESOURCES PROVIDE FOR LONG-TERM INITIATIVES SUCH AS RECRUITMENT AND RETENTION OF OUTSTANDING MEDICAL PROFESSIONALS, ENHANCED TECHNOLOGIES, AND NEW FACILITIES AND SERVICES.THE HOSPITAL IS LICENSED TO ACCOMMODATE 132 OVERNIGHT PATIENTS, 9 ACUTE REHABILITATION UNIT PATIENTS AND 18 NEWBORN BABIES. IT IS A NOT-FOR-PROFIT COMMUNITY HOSPITAL OFFERING A FULL CONTINUUM OF CARE. SERVICES RANGE FROM COMPREHENSIVE DIAGNOSTIC TESTS TO DELICATE MICROSURGERY AND FROM SPECIFIC TREATMENT PROGRAMS TO NUMEROUS OUTPATIENT SERVICES. CONTINUED ON SCHEDULE O.IN ADDITION TO PROVIDING HOSPITAL-BASED MEDICAL SERVICES, EVANGELICAL PROVIDES A NUMBER OF COMMUNITY-BASED SERVICES DESIGNED TO IMPROVE THE HEALTH OF AREA RESIDENTS. MANY OF THE EMPLOYEES AND MEDICAL STAFF LEAD HEALTH EDUCATION AND SCREENINGS AS WELL AS SUPPORT GROUPS FOR INDIVIDUALS IN THE COMMUNITY LIVING WITH SERIOUS OR CHRONIC HEALTH CONDITIONS. WHETHER THROUGH CHARITABLE CARE, SUBSIDIZED HOSPITAL PROGRAMS AND SERVICES, OR COMMUNITY HEALTH EDUCATION, EVANGELICAL STRIVES TO RESPOND TO THE VALLEY'S MOST PRESSING HEALTH NEEDS. 139365983 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 0 0 1 0 0 0 0 0 1 1 0 1 1 0 1 1 1 0 0 0 0 0 1 0 0 0 1 1 0 0 0 0 1 1 1 0 0 1 83 0 1684 1 1 1 0 0 0 0 1 1 0 0 0 0 0 0 X 22 15 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 PA X JAMES A STOPPER CPA CFO 5705222000 ONE HOSPITAL DRIVE LEWISBURG PA 17837 JOHN E MECKLEY ESQ CHAIR 1.00 0.10 X X 0 0 0 TIMOTHY J APPLE VICE CHAIR 1.00 0.10 X X 0 0 0 JAMES A STOPPER CPA TREASURER/CHIEF FINANCIAL OFFICER 40.00 1.00 X X 413088 0 62064 WILLIAM P ANDERSON SECRETARY/CHIEF OPERATING OFFICER 40.00 X X 291048 0 53173 BROOKS R GRONLUND VICE CHAIR (UNTIL 06/13/19) 1.00 0.10 X X 0 0 0 ROGER S HADDON JR DIRECTOR 1.00 0.10 X 0 0 0 MARK D HUBER DIRECTOR 1.00 0.10 X 0 0 0 JEFFREY J KAPSAR DIRECTOR 1.00 0.10 X 0 0 0 AMANDA G KESSLER ESQ DIRECTOR 1.00 0.10 X 0 0 0 LINDA J KORB PHD NCPSYA DIRECTOR 1.00 0.10 X 0 0 0 TIMM A MOYER DIRECTOR 1.00 0.10 X 0 0 0 JOHN D STEELE JR DIRECTOR 1.00 0.10 X 0 0 0 SUSAN J FETTERMAN RN MSN MBA FAC DIRECTOR 1.00 X 0 0 0 FRANK D DAVIS PHD DIRECTOR 1.00 X 0 0 0 SUSAN L LANTZ MA EDD DIRECTOR 1.00 X 0 0 0 TERI J MACBRIDE DIRECTOR 1.00 X 0 0 0 CHRISTA L MARTIN PHD DIRECTOR 1.00 X 0 0 0 KARL A VOSS PHD DIRECTOR 1.00 X 0 0 0 SHAWN P MCGLAUGHLIN MD DIRECTOR 40.00 X 639108 0 27679 CHRISTOPHER J MOTTO MD DIRECTOR 1.00 43.00 X 468982 0 16362 JULIA E REDCAY DO DIRECTOR 1.00 39.00 X 367199 0 22251 DAVID M ZELECHOSKI MD DIRECTOR 1.00 39.00 X 195215 0 31167 MATTHEW W REISH MD DIRECTOR 1.00 39.00 X 870523 0 25221 JULIE A BARNA DMD DIRECTOR (UNTIL 01/2019) 1.00 0.10 X 0 0 0 DENNIS W SWANK DIRECTOR (UNTIL 01/2019) 1.00 0.10 X 0 0 0 JANICE OMLOR DO DIRECTOR (UNTIL 10/2018) 1.00 39.00 X 0 0 0 KENDRA A AUCKER PRESIDENT/CHIEF EXECUTIVE OFFICER 40.00 1.00 X 990297 0 142306 JOHN F DEVINE VP MEDICAL AFFAIRS 40.00 X 523248 0 69851 TAMARA F PERSING VP OF NURSING ADMINISTRATION 40.00 X 213327 0 57032 DALE E MOYER VP OF INFORMATION SYSTEM 40.00 X 233620 0 47814 ANGELA J HUMMEL VP OF HUMAN RESOURCES 40.00 X 389213 0 36562 RANDALL STRAUSSER DIRECTOR OF PHARMACY SERVICES 40.00 X 163319 0 22071 ANGELA LAHR AVP CLINICAL OPERATIONS 40.00 X 159338 0 23860 JOSHUA MILLER PHARMACIST (EXEMPT) 40.00 X 155421 0 13076 WILLIAM FRANQUET AVP REVENUE CYCLE 40.00 X 143383 0 21012 RUTH SPROUT ASST DIRECTOR OF PHARMACY 40.00 X 142966 0 21153 6359295 0 692654 58 0 1 0 QUANDEL CONSTRUCTION GROUP 3003 N FRONT ST STE 201 HARRISBURG PA 171101224 CONSTRUCTION 5040355 CALLISONRTKL PENNSYLVANIA CORP PO BOX 402296 ATLANTA GA 303842296 CONSULTING SERVICES 3194204 BESWICK LAW 22 N 2ND STREET LEWISBURG PA 17837 LEGAL SERVICES 1406731 INTERIOR CONSTRUCTION SPEC 393 E SOUTHERN AVE S WILLIAMSPORT PA 17702 CONSTRUCTION 1366761 TRIMEDX LLC PO BOX 636129 CINCINNATI OH 452636129 LABORATORY SERVICES 1057834 46 207317 20360638 91800 20567955 NET PATIENT SERVICE REVENUE 621400 206468204 206468204 206468204 4782372 4782372 2410479 4685944 -2275465 -2275465 -2275465 31058354 122023 28841817 64226 2216537 57797 2274334 2274334 92284 207317 193450 -101166 -101166 LABORATORY SERVICES 621500 3201082 3201082 BILLING FEES FROM AFFILIATE 541900 1923945 1923945 CAFETERIA AND VENDING SALES 722210 733698 733698 4580069 566070 3698000 315999 10438794 242155028 207034274 8823027 5729772 54311 54311 7101965 3441194 3660771 64923306 51048243 13578087 296976 1733141 1618626 106210 8305 11873964 8990339 2848830 34795 5040058 3897129 1121299 21630 1419487 1419487 119948 6750 113198 8292 8292 98184 98184 695626 11995 683631 9928851 4921143 4915084 92624 601404 25232 576172 33401102 32241748 1126726 32628 10388906 1590877 8760076 37953 3693831 3693831 171566 135178 35022 1366 226811 105626 115494 5691 1273163 1273163 10618771 10618771 669841 669841 FEDERAL TAXES 207707 207707 BAD DEBT EXPENSE 11734021 11734021 MA MODERNIZATION 1665785 1665785 EQUIPMENT RENTAL & MAIN 577217 577217 1594386 1044963 446221 103202 179821644 139365983 39722307 733354 5335 5245 41318606 37615604 1186889 2204609 16384028 18955341 4495761 5036901 4308268 4732322 295424797 124306703 132010678 171118094 149241471 145022165 5172985 6541354 3175259 8659784 11094130 10899800 368393410 410791219 19453665 28191464 29307 237522 91437665 90328839 325000 175000 611542 1018882 14634760 14159727 126491939 134111434 X 233995290 267704096 2086124 3185459 5820057 5790230 241901471 276679785 368393410 410791219 X 62333384 874610 -28429680 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 8292 8292 0 PART II-B, LINE 1: A PERCENTAGE OF ANNUAL HAP AND AHA DUES WERE USED FOR LOBBYING; THIS AMOUNTED TO $8,292 FOR THE FISCAL YEAR ENDING JUNE 30, 2019. 8165164 20575 741483 20331 113399 32794 8760698 7862290 25625 436912 22500 104484 32679 8165164 7418085 185221 425034 23000 112547 30503 7862290 5826952 1171492 563204 13407 104824 25332 7418085 5428211 349586 177781 20915 84049 23662 5826952 0.72860 0.27140 0.00000 1 0 21880302 21880302 137925039 49692631 88232408 13943526 2394234 11549292 96927494 70118418 26809076 24748436 2101420 22647016 171118094 ACCRUED POSTRETIREMENT BENEFIT COSTS 5286388 BLUE CROSS CURRENT FINANCING ADVANCE 1057190 CHARITABLE GIFT ANNUITIES PAYABLE 210799 DEFERRED COMPENSATION 1742054 DUE TO AFFILIATES 1850010 ESTIMATED MEDICAL MALPRACTICE CLAIMS LIABILITY 1418818 ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS 2594468 14159727 235651965 874610 -12257067 -11382457 247034422 -4879394 -4879394 242155028 200873651 33018229 33018229 167855422 11966222 11966222 179821644 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. X X X X X X X 1 PRIDE PHILANTHROPY 1397 CHESTNUT COVE TRAIL 20988 JASPER GA 30143 CAMPAIGN CONSULTANT 0 0 84000 0 PROCOPIA 1106 NORTH SHERIDAN AVENUE PITTSBURGH PA 15206 GRANT WRITING CONSULTANT 0 0 8250 0 JAMES E CONNELL & ASSOCIATES 15 PINEWALD DRIVE PO BOX 3335 PINEHURST NC 283743335 PLANNED GIVING CONSULTANT 0 0 5934 0 98184 PA GALA 164539 100325 64214 33914 1395 19049 6550 22518 COOKIN' MEN/FASANO LECTURE 71107 62368 8739 6672 70000 8370 1 63955 44624 19331 1960 9690 8080 5252 299601 207317 92284 1960 33914 11085 33801 76550 36140 193450 -101166 1 1 1 X 1 X 1 1 1 0 1 1 1384 259390 0 259390 0.00150 22626 16261865 7158717 9103148 0.05420 102 38928 0 38928 0.00020 24112 16560183 7158717 9401466 0.05590 49 36406 683438 76847 606591 0.00360 4 1737 53793 0 53793 0.00030 0 0 0 0 0 0 0 0 1 5050 867217 0 867217 0.00520 54 43193 1604448 76847 1527601 0.00910 54 67305 18164631 7235564 10929067 0.06500 0 0 0 0 0 0 0 0 1 100 389 0 389 0.00000 0 0 0 0 0 0 0 0 5 1262 7141 0 7141 0.00000 0 0 0 0 6 847 88038 0 88038 0.00050 0 0 0 0 12 2209 95568 95568 0.00050 1 1904573 0 63126729 85818885 -22692156 X 1 1 1 1 EVANGELICAL COMMUNITY HOSPITAL ONE HOSPITAL DRIVE LEWISBURG PA 17837 570201 X X X INPATIENT REHABILITATION, HOSPICE EVANGELICAL COMMUNITY HOSPITAL 1 0 0 1 X X X X X X X X X 18 1 1 1 1 X WWW.EVANHOSPITAL.COM/HEALTH-AND-WELLNESS X 1 18 1 WWW.EVANHOSPITAL.COM/HEALTH-AND-WELLNESS 0 1 X 100.000000000000 200.000000000000 X X 1 1 X X X 1 X WWW.EVANHOSPITAL.COM/FOR-PATIENTS/FINANCIAL-ASSISTANCE-PROGRAM-GUIDELINES X WWW.EVANHOSPITAL.COM/FOR-PATIENTS/FINANCIAL-ASSISTANCE-PROGRAM-GUIDELINES X WWW.EVANHOSPITAL.COM/FOR-PATIENTS/FINANCIAL-ASSISTANCE-PROGRAM-GUIDELINES X X X X 1 X 0 X 1 X 0 0 EVANGELICAL COMMUNITY HOSPITAL PART V, SECTION B, LINE 5: COMMUNITY ENGAGEMENT WAS AN INTEGRAL PART OF THE 2018 CHNA. WEBINARS WERE HELD IN OCTOBER AND NOVEMBER 2017 TO ANNOUNCE THE ONSET OF THE CHNA AND ENCOURAGE BROAD PARTICIPATION ACROSS THE REGION. THROUGHOUT OCTOBER AND NOVEMBER 2017, A KEY INFORMANT SURVEY WAS SENT TO APPROXIMATELY 1,000 REPRESENTATIVES OF HEALTH AND HUMAN SERVICE ORGANIZATIONS, RELIGIOUS INSTITUTIONS, CIVIC ASSOCIATIONS, BUSINESSES, ELECTED OFFICIALS AND OTHER COMMUNITY REPRESENTATIVES. PARTNER FORUMS WERE HELD THROUGHOUT THE REGION IN JANUARY 2018 TO BRING TOGETHER THESE PARTNERS TO REVIEW RESEARCH FINDINGS AND PROVIDE FEEDBACK ON THE MOST PRESSING COMMUNITY HEALTH NEEDS. IN MARCH AND APRIL 2018, FOCUS GROUPS WITH SENIORS WERE HELD TO BETTER UNDERSTAND CHALLENGES AND OPPORTUNITIES TO IMPROVING HEALTH AMONG HIGH RISK POPULATIONS. COMMUNITY FORUMS ARE PLANNED FOR FALL 2018 TO PRESENT CHNA FINDINGS ANDIMPLEMENTATION PLANS TO COMMUNITY RESIDENTS AND PROVIDE A FORUM FOR DIALOGUE ABOUT ADDRESSING COMMUNITY HEALTH NEEDS. EVANGELICAL COMMUNITY HOSPITAL PART V, SECTION B, LINE 6A: THE 2018 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED IN PARTNERSHIP WITH EVANGELICAL COMMUNITY HOSPITAL, ALLIED SERVICES INTEGRATED HEALTH SYSTEM, AND GEISINGER. THE STUDY AREA INCLUDED 19 COUNTIES ACROSS CENTRAL, NORTHEASTERN, AND SOUTH CENTRAL PENNSYLVANIA WHICH REPRESENT THE COLLECTIVE SERVICE AREAS OF THE COLLABORATING HOSPITALS. TO DISTINGUISH UNIQUE SERVICE AREAS AMONG HOSPITALS AND FOSTER COOPERATION WITH LOCAL COMMUNITY PARTNERS TO IMPACT HEALTH NEEDS, REGIONAL RESEARCH AND LOCAL REPORTING WAS DEVELOPED. EVANGELICAL COMMUNITY HOSPITAL PART V, SECTION B, LINE 6B: ALLIED SERVICES INTEGRATED HEALTH SYSTEM EVANGELICAL COMMUNITY HOSPITAL PART V, SECTION B, LINE 11: ACCORDING TO THIS MOST RECENT ASSESSMENT THE KEY IDENTIFIED NEEDS ARE AS FOLLOWED: 1. ADDRESSING NEEDS RELATED TO BEHAVIORAL HEALTH AND SUBSTANCE ABUSEWE CONTINUE TO MONITOR OUR TELE-PSYCH SERVICE UTILIZATION. DURING THIS FISCAL YEAR THESE SERVICES WERE UTILIZED AN AVERAGE OF 29 TIMES PER QUARTER FOR THE ED AND APPROXIMATELY 16 TIMES A QUARTER FOR INPATIENT. RESPONSE TIMES CONTINUE TO BE WITHIN THE EXPECTED RANGE (WITHIN 2 HOURS).OPIOID REVERSAL KITS (NALOXONE) AND EDUCATION CONTINUES TO BE OFFERED TO VARIOUS ORGANIZATIONS AND INDIVIDUALS THROUGHOUT OUR THREE-COUNTY SERVICE AREA. THE COMMUNITY HEALTH AND WELLNESS DEPARTMENT DEVELOPED AND HAD APPROVED AN EDUCATIONAL PRESENTATION TO INCREASE RESPONSE TIMES FOR GETTING REQUESTED KITS IN HAND. EVANGELICAL MEDICAL SERVICES ORGANIZATION (EMSO) CONTINUES TO OFFER DEPRESSION SCREENING AND MAKE RECOMMENDATIONS REGARDING THE FINDINGS. WITH OUR CURRENT EHR THERE ARE LIMITATIONS TO TRACKING THE DATA THEY CAN EXTRACT RELATED SPECIFICALLY TO REFERRALS. THE COMMUNITY THAT CARES (CTC) IN THE SHIKELLAMY SCHOOL DISTRICT TRANSITIONED TO A UNITED WAY SUPPORTED PROGRAM. COMMUNITY HEALTH AND WELLNESS (CHW) ATTENDS MONTHLY MEETINGS AND PROVIDES SUPPORT THROUGH PROGRAMMING. DURING THIS FISCAL YEAR TWO CHW STAFF ATTENDED A STRENGTHENING FAMILIES TRAINING PROGRAM AND WILL ASSIST WITH PROGRAMMING IN THE FALL.HOSPITAL STAFF PARTICIPATED IN BOTH THE NORTHUMBERLAND COUNTY OPIOID COALITION AND THE SNYDER/UNION COUNTY OPIOID COALITION. COMMUNITY HEALTH AND WELLNESS PROVIDES NALOXONE TRAINING AND FREE NALOXONE KITS. 220 KITS WERE DISTRIBUTED IN FY19 AND OVER 250 EXPIRED KITS WERE REPLACED.ECH IS RESPONDING TO FOOD INSECURITY BY ASKING DIRECT FOOD AVAILABILITY QUESTIONS AND IF PATIENTS ARE IDENTIFIED AS FOOD INSECURE WE ARE OFFERING THEM A ONE TIME FOOD BOX ALONG WITH LITERATURE FOR THE LOCAL FOOD BANK.2. REDUCING THE IMPACT OF HEALTH CONCERNS RELATED TO LIFESTYLENEW WORKSITE WELLNESS CLIENTS HAVE INCREASED BY NINE WITH TWO HAVING COMMITTED TO YEAR-ROUND PROGRAMMING.ENDOCRINOLOGY OF EVANGELICAL WAS ESTABLISHED IN MARCH 2018. DURING THIS FISCAL YEAR WE HAVE SEEN 4050 PATIENTS.ECH PROVIDED FOUR FREE SKIN CANCER SCREENINGS. WE HAD 61 PARTICIPANTS TAKE PART IN THE SCREENINGS. OUT OF THE 61 SCREENED 36 WERE BROUGHT BACK IN FOR BIOPSY. FROM THE BIOPSIES 18 WERE DIAGNOSED PRECANCEROUS; 2 BASAL CELL; 2 SQUAMOUS AND 13 DYSPLASTIC NEVI. THE CANCER COMMITTEE WILL BE USING SKIN CANCER SCREENINGS TO ADDRESS STANDARD 4.2, "SCREENING PROGRAMS".ECH CONTINUES TO OFFER THE LOW DOSE CT LUNG SCREENING PROGRAM. DURING THIS FISCAL YEAR, THERE WERE 95 REFERRALS WITH 76 QUALIFYING.3. INCREASING ACCESS TO HEALTHCAREMOBILE HEALTH OF EVANGELICAL CONTINUES TO FOCUS RURAL AREAS AND OFFERING LOST COST OR FREE HEALTH SCREENS SUCH AS BLOOD SCREENS, BLOOD PRESSURE SCREENINGS, GLUCOSE SCREENING AND HEEL BONE DENSITY SCREENINGS. A TOTAL OF 54 VISITS WERE MADE REACHING 610 SCREENING PARTICIPANTS. SOME OF THE AREAS OF SERVICE WERE; BERWICK, SELINSGROVE, SPRING MILLS, LOGANTON, BEAVER SPRINGS, PORT TREVORTON AND MONTGOMERY.THE PLAIN COMMUNITY PROGRAM HAS SEEN AN APPROXIMATE 22% INCREASE IN UTILIZATION OF THE PROGRAM AND ABOUT A 19% INCREASE IN GROSS REVENUE FROM LAST FISCAL YEAR TO THIS FISCAL YEAR TO DATE.FY19 UTILIZATION OF PLAIN COMMUNITY PROGRAM:ECH ENCOUNTERS CHARGESFY2017 2,266 $6,855,403FY2018 2,268 $8,309,429FY2019 2,638 $9,843,948 EMSO ENCOUNTERS CHARGESFY2017 2,221 $799,977FY2018 2,662 $1,351,370FY2019 3,359 $1,690,0424. THE IMPACT OF SOCIO-ECONOMIC STATUS ON HEALTH OUTCOMESIN COLLABORATION WITH THE GREATER SUSQUEHANNA VALLEY UNITED WAY WE OFFERED A PROGRAM TITLED EVERY BABY NEEDS A LAPTOP. THIS FREE PROGRAM IS DESIGNED TO ASSIST AND EDUCATE PARENTS ON THE IMPORTANCE OF READING, TALKING AND SINGING TO YOUR BABY TO ASSIST WITH LEARNING AND BRAIN DEVELOPMENT. CH&W OFFERED OVER 3,000 PREVENTATIVE SCREENINGS TO THE COMMUNITY, PROVIDED SCHOOL BASED EDUCATIONAL PROGRAMMING TO OVER 23,000 STUDENTS, REACHING MORE THAN 33,000 INDIVIDUALS.ECH HAS ESTABLISHED A PLAN TO PROVIDE FOOD BOXES TO PATIENTS WHO ARE IDENTIFIED AS FOOD INSECURE. THE FOOD BOXES WILL BE DISTRIBUTED THROUGH THE HOSPITAL TO HOME PROGRAM. DURING FY19 39 FOOD BOXES WERE DISTRIBUTED TO PATIENTS IDENTIFYING AS FOOD INSECURE. EVANGELICAL COMMUNITY HOSPITAL PART V, SECTION B, LINE 13H: MEDICAL ASSISTANCE DENIAL EVANGELICAL COMMUNITY HOSPITAL PART V, SECTION B, LINE 16J: POLICY IS PRESENTED TO PATIENTS BY HRSI WHEN WORKING WITH PATIENTS ON MEDICAL ASSISTANCE APPLICATIONS. HRSI IS A THIRD PARTY USED BY EVANGELICAL COMMUNITY HOSPITAL TO WORK WITH PATIENTS FOR OBTAINING FINANCIAL ASSISTANCE. PART I, LINE 6A: THE COMMUNITY BENEFIT REPORT IS AVAILABLE ON THE HOSPITAL'S WEBSITE OR UPON REQUEST. PART I, LINE 7: THE HOSPITAL USED THE COST-TO-CHARGE RATIO TO DETERMINE THE AMOUNTS INCLUDED IN LINE 7. PART I, LN 7 COL(F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 24B, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $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 STATES PA 1 NURSING SCHOLARSHIPS 11 54311 0 N/A N/A PART I, LINE 2: APPLICANTS MUST APPLY FOR NURSING AND TRAINING DEPARTMENT SCHOLARSHIPS. APPLICATIONS ARE REVIEWED BY A COMMITTEE TO DETERMINE IF THE APPLICANTS MEET THE ELIGIBILITY REQUIREMENTS. APPLICANTS ARE REVIEWED BASED ON COMMUNITY SERVICE AND/OR EXTRA CURRICULAR ACTIVITIES, ACADEMIC STANDING, QUALITY OF ESSAY, FINANCIAL NEED, ETC. X 1 0 X X X X 1 1 0 0 0 0 0 1 0 JAMES A STOPPER CPA TREASURER/CHIEF FINANCIAL OFFICER 333088 0 80000 0 0 0 45989 0 16075 0 475152 0 0 0 WILLIAM P ANDERSON SECRETARY/CHIEF OPERATING OFFICER 245048 0 46000 0 0 0 37098 0 16075 0 344221 0 0 0 SHAWN P MCGLAUGHLIN MD DIRECTOR 639108 0 0 0 0 0 12810 0 14869 0 666787 0 0 0 CHRISTOPHER J MOTTO MD DIRECTOR 444902 0 24080 0 0 0 8948 0 7414 0 485344 0 0 0 JULIA E REDCAY DO DIRECTOR 362199 0 5000 0 0 0 7073 0 15178 0 389450 0 0 0 DAVID M ZELECHOSKI MD DIRECTOR 195215 0 0 0 0 0 4117 0 27050 0 226382 0 0 0 MATTHEW W REISH MD DIRECTOR 538141 0 332382 0 0 0 10800 0 14421 0 895744 0 0 0 KENDRA A AUCKER PRESIDENT/CHIEF EXECUTIVE OFFICER 532034 0 145830 0 312433 0 123247 0 19059 0 1132603 0 297433 0 JOHN F DEVINE VP MEDICAL AFFAIRS 454248 0 69000 0 0 0 54276 0 15575 0 593099 0 0 0 TAMARA F PERSING VP OF NURSING ADMINISTRATION 186327 0 27000 0 0 0 29276 0 27756 0 270359 0 0 0 DALE E MOYER VP OF INFORMATION SYSTEM 199495 0 34125 0 0 0 29693 0 18121 0 281434 0 0 0 ANGELA J HUMMEL VP OF HUMAN RESOURCES 249235 0 38000 0 101978 0 35531 0 1031 0 425775 0 101978 0 RANDALL STRAUSSER DIRECTOR OF PHARMACY SERVICES 163319 0 0 0 0 0 6702 0 15369 0 185390 0 0 0 ANGELA LAHR AVP CLINICAL OPERATIONS 145412 0 13926 0 0 0 6130 0 17730 0 183198 0 0 0 JOSHUA MILLER PHARMACIST (EXEMPT) 155421 0 0 0 0 0 5570 0 7506 0 168497 0 0 0 WILLIAM FRANQUET AVP REVENUE CYCLE 130383 0 13000 0 0 0 5385 0 15627 0 164395 0 0 0 RUTH SPROUT ASST DIRECTOR OF PHARMACY 142966 0 0 0 0 0 6007 0 15146 0 164119 0 0 0 PART I, LINE 1A KENDRA A. AUCKER, PRESIDENT/CEO, HAS A FLEXIBLE BENEFIT ALLOWANCE PER HER CONTRACT. THE EXPENSES AVAILABLE FOR REIMBURSEMENT UNDER THIS ALLOWANCE ARE: AUTOMOBILE ALLOWANCE AND AUTO EXPENSES; SUPPLEMENTAL LTD PREMIUMS; AND CLUB MEMBERSHIPS. THE AMOUNT PROVIDED WAS INCLUDED IN TAXABLE COMPENSATION AND REPORTED ON HER W-2. PART I, LINES 4A-B ANGELA 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 7 THE EXECUTIVE TEAM IS ELIGIBLE TO RECEIVE A BONUS (BASED ON A % OF SALARY) WHEN THEIR INDIVIDUAL GOALS ARE MET FOR THE YEAR. GOALS ARE SET FOR EACH INDIVIDUAL BASED ON FINANCIAL AND OPERATIONAL RESULTS. THESE GOALS ARE REVIEWED AND APPROVED BY THE EXECUTIVE COMPENSATION COMMITTEE. A UNION COUNTY HOSPITAL AUTHORITY - SERIES 2018A 232739624 2018-06-21 17371471 SEE PART VI 0 0 0 B UNION COUNTY HOSPITAL AUTHORITY - SERIES 2018B 232739624 906460DK3 2018-06-21 55541980 SEE PART VI 0 0 0 C UNION COUNTY HOSPITAL AUTHORITY - SERIES 2018C 232739624 906460DR8 2018-06-21 19365000 SEE PART VI 0 0 0 A 960890 17371471 95753 17275718 2018 1 0 1 1 B 55541980 213434 11955499 308084 43064963 0 0 0 1 C 19365000 93078 19271922 2018 1 1 1 1 A 0 0 0 0 0.00000 0.00320 0.00320 0 0 1 B 0 0 0 0 0.00000 0.00670 0.00670 0 0 1 C 0 0 0 0 0.00000 0.00320 0.00320 0 0 1 A 0 0 1 0 0 0 0 0 1 B 0 0 1 0 1 0 0 0 1 C 0 0 1 0 1 0 0 0 1 A 1 B 1 C 1 SCHEDULE K, PART I, BOND ISSUES: (A) ISSUER NAME: UNION COUNTY HOSPITAL AUTHORITY - SERIES OF 2018A HOSPITAL REVENUE BONDS (F) DESCRIPTION OF PURPOSE: REFINANCE OF 2013 HOSPITAL REVENUE BONDS AND PAYMENT OF ISSUANCE COSTS. (A) ISSUER NAME: UNION COUNTY HOSPITAL AUTHORITY- SERIES OF 2018B HOSPITAL REVENUE BONDS (F) DESCRIPTION OF PURPOSE: CONSTRUCTION/RENOVATION PROJECTS (INCLUDING PATIENT BED TOWER) AND PAYMENT OF ISSUANCE COSTS. (A) ISSUER NAME: UNION COUNTY HOSPITAL AUTHORITY- SERIES OF 2018C HOSPITAL REVENUE BONDS (F) DESCRIPTION OF PURPOSE: REFINANCE OF 2011 HOSPITAL REVENUE BONDS AND PAYMENT OF ISSUANCE COSTS. J LAWRENCE GINSBURG SEE PART V SEE PART V X 475000 175000 0 1 1 175000 JOHN D GRIFFITH SEE PART V 343585 SEE PART V 0 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. X ADVERTISEMENT 3 67085 AT COST X AUCTION ITEMS 5 22145 AT COST X FOOD 3 2570 AT COST 0 0 0 PART I, COLUMN (B): THE NUMBER IN PART I, COLUMN B REPRESENTS THE TOTAL NUMBER OF CONTRIBUTORS. FORM 990, PART VI, SECTION B, LINE 11B A FULL COPY OF THE FORM 990 WAS REVIEWED BY THE AUDIT COMMITTEE OF THE BOARD DURING AUDIT COMMITTEE MEETING PRIOR TO FILING. THEY HAVE THE OPPORTUNUITY TO ASK QUESTIONS AND CHANGES CAN BE MADE AS A RESULT IF NECESSARY BEFORE THE RETURN IS FILED. A FULL COPY OF THE 990 IS THEN MADE AVAILABLE TO ALL BOARD MEMBERS BEFORE FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C A CONFLICT OF INTEREST STATEMENT IS REQUIRED TO BE SIGNED ANNUALLY BY ALL VOTING BOARD MEMBERS, UPPER MANAGEMENT, AND KEY EMPLOYEES. THE HUMAN RESOURCES (HR) DEPARTMENT MONITORS COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY BY VERIFYING ALL FORMS ARE COMPLETED AND SIGNED. HR MAINTAINS COPIES OF ALL COMPLETED CONFLICT OF INTEREST STATEMENTS. MEMBERS WITH CONFLICTS ARE REQUIRED TO ABSTAIN FROM VOTING OR BEING A PART OF ACTIVE DISCUSSIONS WHERE THEY ARE IN DIRECT CONFLICT. ANYONE IN VIOLATION OF THE CONFLICT OF INTEREST POLICY IS ASKED TO STEP DOWN FROM THE BOARD. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD'S EXECUTIVE COMPENSATION COMMITTEE, WHICH IS COMPOSED SOLELY OF INDEPENDENT MEMBERS OF THE BOARD, HAS ADOPTED AND FOLLOWS A PROCESS FOR REVIEWING AND DETERMINING THE COMPENSATION OF THE CEO AND THE EXECUTIVE MANAGEMENT TEAM. THE EXECUTIVE MANAGEMENT TEAM CONSISTS OF THE FOLLOWING POSITIONS: CHIEF OPERATING OFFICER, CHIEF FINANCIAL OFFICER, VICE PRESIDENT OF MEDICAL AFFAIRS, VICE PRESIDENT - NURSING, ASSOCIATED VICE PRESIDENT - DEVELOPMENT, VICE PRESIDENT - HUMAN RESOURCES, CHIEF INFORMATION OFFICER, ASSOCIATE VICE PRESIDENT - SUBSIDIARY OPERATIONS. THE COMMITTEE HAS ENGAGED AN INDEPENDENT COMPENSATION CONSULTANT TO PROVIDE INFORMATION AND ADVICE TO THE COMMITTEE, INCLUDING BUT NOT LIMITED TO, PROVIDING INDEPENDENT COMPENSATION COMPARABILITY DATA FOR FUNCTIONALLY COMPARABLE POSITIONS IN SIMILARLY SITUATED HOSPITALS. THE DATA IS PROVIDED ON AN ANNUAL BASIS AND IS REVIEWED BY THE COMMITTEE, ALONG WITH OTHER INFORMATION, PRIOR TO APPROVING ANY CHANGES TO COMPENSATION. THE INDEPENDENCE OF THE COMMITTEE'S MEMBERS IS REVIEWED AND VERIFIED PRIOR TO THE START OF THE ANNUAL COMPENSATION REVIEW PROCESS. SHOULD A CONFLICT PRESENT, THOSE INDIVIDUALS WITH ACTUAL OR PERCEIVED CONFLICTS ABSTAIN FROM VOTING UNTIL SUCH TIME AS THE CONFLICT CAN BE RESOLVED OR A REPLACEMENT MEMBER IS APPOINTED TO THE COMMITTEE. THE COMMITTEE'S DELIBERATIONS AND DECISIONS ARE GUIDED BY A WRITTEN COMPENSATION PHILOSOPHY AND DOCUMENTED THROUGH WRITTEN MINUTES TAKEN DURING EACH MEETING. THE MINUTES INCLUDE, AMONG OTHER THINGS, THE WRITTEN MATERIALS DISTRIBUTED OR PRESENTED DURING THE MEETING AND THE SPECIFIC DECISIONS TAKEN AT THE MEETING. THE LAST REVIEW TOOK PLACE IN 2016. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VI, LINE 1: THE EXECUTIVE COMMITTEE OF THE BOARD IS COMPRISED OF THE CHAIRPERSON, THE VICE-CHAIRPERSON OF THE BOARD, THE IMMEDIATE PAST CHAIRPERSON OF THE BOARD, THE CHAIR OF THE FINANCE COMMITTEE, AND THE PRESIDENT OF THE MEDICAL STAFF. NO PERSON IS ELIGIBLE TO SERVE ON THE EXECUTIVE COMMITTEE IN MORE THAN ONE CAPACITY. IN THE EVENT THAT ANY PERSON IS ELIGIBLE TO SERVE ON THE EXECUTIVE COMMITTEE IN MORE THAN ONE CAPACITY, THE CHAIRPERSON SHALL NOMINATE ANOTHER BOARD MEMBER TO SERVE ON THE EXECUTIVE COMMITTEE. THE EXECUTIVE COMMITTEE SHALL INCLUDE AT LEAST ONE PHYSICIAN WHO IS A BOARD MEMBER. THE PRESIDENT SHALL SERVE AS AN EX-OFFICIO MEMBER OF THE EXECUTIVE COMMITTEE WITHOUT A VOTE. THE EXECUTIVE COMMITTEE IS EMPOWERED TO ACT FOR THE BOARD IN THE GOVERNANCE OF ECH BETWEEN REGULAR MEETINGS OF THE BOARD, WHEN SUCH ACTION IS REQUIRED FOR THE TIMELY CONDUCT OF ECH BUSINESS, EXCEPT THE FOLLOWING: 1) SUCH POWERS AS MAY BY LAW OR THESE BYLAWS BE REQUIRED TO BE EXERCISED BY THE BOARD; 2) SUCH POWERS AS THE BOARD MAY BY RESOLUTION EXPRESSLY RESERVE TO ITSELF; 3) THE PURCHASE OR SALE OF REAL PROPERTY; 4) HIRING OR TERMINATING THE EMPLOYMENT OF THE PRESIDENT; 5) AMENDING OR REVISING THE BOARD APPROVED BUDGET; 6) TAKING ANY ACTION WHICH IS A "FUNDAMENTAL CHANGE" WITHIN THE MEANING OF CHAPTER 59 OF THE NONPROFIT CORPORATION LAW OF 1988 (OR ANY SIMILAR SUCCESSOR STATUTE); 7) THE BORROWING OF MONEY; AND 8) COMMITMENTS OR EXPENDITURES GREATER THAN $500,000. FORM 990, PART XI, LINE 9: 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. PLAZA 15 REALTY LLC 1 HOSPITAL DRIVE LEWISBURG PA 17837 834309247 REAL ESTATE PA 154164 20357547 EVANGELICAL COMMUNITY HOSPITAL EVANGELICAL-GEISINGER HEALTH LLC 100 N ACADEMY AVENUE DANVILLE PA 178224031 460567687 HEALTHCARE PA N/A RELATED 82279 1106403 0 0 0.50000 KEYSTONE ACCOUNTABLE CARE ORG LLC 100 N ACADEMY AVENUE DANVILLE PA 17822 455484165 HEALTHCARE PA N/A RELATED -741187 70254 0 0 0.10000 EVANGELICAL MEDICAL SERVICE ORGANIZATION ONE HOSPITAL DRIVE LEWISBURG PA 17837 232809429 MEDICAL SERVICES PA EVANGELICAL COMMUNITY HOSPITAL C 50294966 35170700 1.00000 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 1 0 EVANGELICAL MEDICAL SERVICES ORGANIZATION J 688370 CASH EVANGELICAL MEDICAL SERVICES ORGANIZATION O 1666754 HOURS SPENT WORKING FOR AFFILIATE EVANGELICAL MEDICAL SERVICES ORGANIZATION P 3955191 CASH EVANGELICAL MEDICAL SERVICES ORGANIZATION R 28138835 CASH