EVANGELICAL COMMUNITY HOSPITAL: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization: EVANGELICAL COMMUNITY HOSPITAL (EIN 24-0795411)
Tax period: 2017-07-01 to 2018-06-30
Filed: 2019-03-29
IRS object ID: 201940889349300524
Schema version: 2017v2.3
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule G
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-03-29T13:06:02-05:00	ReturnTs
Tax Period End	2018-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	390859910	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	BAKER TILLY VIRCHOW KRAUSE LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	1650 MARKET STREET SUITE 4500	AddressLine1Txt
City	PHILADELPHIA	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	191037341	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2017-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	240795411	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	EVANGELICAL COMMUNITY HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	EVAN	BusinessNameControlTxt
Phone	5705222741	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	ONE HOSPITAL DRIVE	AddressLine1Txt
City	LEWISBURG	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	17837	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	JAMES A STOPPER	PersonNm
Person Title	CHIEF FINANCIAL OFFICER	PersonTitleTxt
Phone	5705222741	PhoneNum
Signature	2019-03-29	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	JULIUS C GREEN CPA	PreparerPersonNm
PTIN	P00350393	PTIN
Phone	2159720701	PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	96.89.178.154	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2019-03-29	IPDt
IP Tm	08:43:47	IPTm
IP Timezone	ED	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	DA39A3EE5E6B4B0D3255BFEF95601890AFD80709	AtSubmissionCreationDeviceId
At Submission Filing Device Id	9D0D8DD59390B7764A3ECE0F40BBFE3618018605	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2017	TaxYr
Build TS	2019-02-21 02:37:17Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	KENDRA A AUCKER	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	ONE HOSPITAL DRIVE	AddressLine1Txt
City	LEWISBURG	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	17837	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$255,462,405	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.EVANHOSPITAL.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1926	FormationYr
Legal Domicile State	PA	LegalDomicileStateCd
Activity Or Mission	PROVIDE HEALTH CARE SERVICES TO THE PUBLIC AND TO BE THE COMMUNITY'S HEALTH CARE PROVIDER OF CHOICE.	ActivityOrMissionDesc
Voting Members Governing Body	19	VotingMembersGoverningBodyCnt
Voting Members Independent	12	VotingMembersIndependentCnt
Total Employee	1648	TotalEmployeeCnt
Total Volunteers	210	TotalVolunteersCnt
Total Gross UBI	$8,016,504	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$467,282	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,641,054	PYContributionsGrantsAmt
CY Contributions Grants	$2,835,759	CYContributionsGrantsAmt
PY Program Service Revenue	$185,736,263	PYProgramServiceRevenueAmt
CY Program Service Revenue	$199,758,596	CYProgramServiceRevenueAmt
PY Investment Income	$5,737,874	PYInvestmentIncomeAmt
CY Investment Income	$4,886,646	CYInvestmentIncomeAmt
PY Other Revenue	$6,959,177	PYOtherRevenueAmt
CY Other Revenue	$7,732,274	CYOtherRevenueAmt
PY Total Revenue	$200,074,368	PYTotalRevenueAmt
CY Total Revenue	$215,213,275	CYTotalRevenueAmt
PY Grants And Similar Paid	$55,000	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$55,000	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$84,707,719	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$88,793,334	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$97,764	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$628,670	CYTotalFundraisingExpenseAmt
PY Other Expenses	$80,540,698	PYOtherExpensesAmt
CY Other Expenses	$89,218,044	CYOtherExpensesAmt
PY Total Expenses	$165,303,417	PYTotalExpensesAmt
CY Total Expenses	$178,164,142	CYTotalExpensesAmt
PY Revenues Less Expenses	$34,770,951	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$37,049,133	CYRevenuesLessExpensesAmt
Total Assets BOY	$300,189,218	TotalAssetsBOYAmt
Total Assets EOY	$369,234,196	TotalAssetsEOYAmt
Total Liabilities BOY	$72,650,094	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$127,332,725	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$227,539,124	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$241,901,471	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	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.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$139,427,685	ExpenseAmt
Grant	$55,000	GrantAmt
Revenue	$200,163,588	RevenueAmt
Desc	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, 12 ACUTE REHABILITATION UNIT PATIENTS AND 18 NEWBORN BABIES. IT IS A NOT-FOR-PROFIT COMMUNITY HOSPITAL OFFERING A FULL CONTINUUM OF CARE. SERVICES RANGE FROM COMPREHENSIVE DIAGNOSTIC TESTS TO DELICATE MICROSURGERY AND FROM SPECIFIC TREATMENT PROGRAMS TO NUMEROUS OUTPATIENT SERVICES.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	$139,427,685	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	Yes (1)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	Yes (1)	ProfessionalFundraisingInd
Fundraising Activities	Yes (1)	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	Yes (1)	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	Yes (1)	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (1)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	64	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	1648	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (1)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (1)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	19	GoverningBodyVotingMembersCnt
Independent Voting Member	12	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	Yes (1)	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	PA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	JAMES A STOPPER CPA CFO	PersonNm
Phone	5705222000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	ONE HOSPITAL DRIVE	AddressLine1Txt
City	LEWISBURG	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	17837	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (32 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
JOHN E MECKLEY ESQ
CHAIR	1.00	0.10	Yes (X)	Yes (X)	$0	$0	$0
BROOKS R GRONLUND
VICE CHAIR	1.00	0.10	Yes (X)	Yes (X)	$0	$0	$0
JAMES A STOPPER CPA
TREASURER/CHIEF FINANCIAL OFFICER	40.00	1.00	Yes (X)	Yes (X)	$363,386	$0	$57,299
WILLIAM P ANDERSON
SECRETARY/CHIEF OPERATING OFFICER	40.00		Yes (X)	Yes (X)	$185,006	$0	$29,285
TIMOTHY J APPLE
DIRECTOR	1.00	0.10	Yes (X)		$0	$0	$0
JULIE A BARNA DMD
DIRECTOR	1.00	0.10	Yes (X)		$0	$0	$0
ROGER S HADDON JR
DIRECTOR	1.00	0.10	Yes (X)		$0	$0	$0
MARK D HUBER
DIRECTOR	1.00	0.10	Yes (X)		$0	$0	$0
JEFFREY J KAPSAR
DIRECTOR	1.00	0.10	Yes (X)		$0	$0	$0
AMANDA G KESSLER ESQ
DIRECTOR	1.00	0.10	Yes (X)		$0	$0	$0
LINDA J KORB PHD NCPSYA
DIRECTOR	1.00	0.10	Yes (X)		$0	$0	$0
SHAWN P MCGLAUGHLIN MD
DIRECTOR	40.00		Yes (X)		$578,850	$0	$25,154
TIMM A MOYER
DIRECTOR	1.00	0.10	Yes (X)		$0	$0	$0
JANICE OMLOR DO
DIRECTOR	1.00	39.00	Yes (X)		$494,579	$0	$33,318
JULIA E REDCAY DO
DIRECTOR	1.00	39.00	Yes (X)		$372,201	$0	$20,328
MATTHEW W REISH MD
DIRECTOR	1.00	39.00	Yes (X)		$868,585	$0	$23,902
J DONALD STEELE JR
DIRECTOR	1.00	0.10	Yes (X)		$0	$0	$0
DENNIS W SWANK
DIRECTOR	1.00	0.10	Yes (X)		$0	$0	$0
DAVID M ZELECHOSKI MD
DIRECTOR	1.00	1.00	Yes (X)		$219,539	$0	$28,007
P RONALD ZUG MD
DIRECTOR (UNTIL 10/17)	1.00		Yes (X)		$0	$0	$0
HENRY A TRUSLOW IV
DIRECTOR (UNTIL 12/17)	1.00	0.10	Yes (X)		$0	$0	$0
KENDRA A AUCKER
PRESIDENT/CHIEF EXECUTIVE OFFICER	40.00	1.00		Yes (X)	$747,112	$0	$129,577
JOHN F DEVINE
VP MEDICAL AFFAIRS	40.00				$466,927	$0	$64,265	Yes (X)
PAUL E TARVES
VP OF NURSING ADMINISTRATION	40.00				$207,051	$0	$2,416	Yes (X)
DALE E MOYER
VP OF INFORMATION SYSTEM	40.00				$219,822	$0	$43,693	Yes (X)
ANGELA J HUMMEL
VP OF HUMAN RESOURCES	40.00				$217,538	$0	$28,346	Yes (X)
ANGELA LAHR
AVP CLINICAL OPERATIONS	40.00				$147,890	$0	$28,836		Yes (X)
RANDALL STRAUSSER
DIRECTOR OF PHARMACY SERVICES	40.00				$158,652	$0	$19,979		Yes (X)
JOSHUA TITUS
PHARMACIST	40.00				$157,021	$0	$10,233		Yes (X)
ALAN GRISWOLD
PHARMACIST	40.00				$156,011	$0	$12,726		Yes (X)
JOSHUA MILLER
PHARMACIST	40.00				$149,585	$0	$12,479		Yes (X)
MICHAEL N O'KEEFE
FORMER PRESIDENT/CEO	0.00				$523,728	$0	$0			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$6,233,483	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$569,843	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	51	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
QUANDEL CONSTRUCTION GROUP
3003 N FRONT ST STE 201	HARRISBURG	PA	171101224	CONSTRUCTION	$2,984,735
TRIMEDX LLC
PO BOX 636129	CINCINNATI	OH	452636129	MAINTENANCE SERVICES	$2,816,076
INTERIOR CONSTRUCTION SPEC
393 E SOUTHERN AVE	S WILLIAMSPORT	PA	17702	CONSTRUCTION	$1,751,643
ZARTMAN CONSTRUCTION
3000 POINT TOWNSHIP DRIVE	NORTHUMBERLAND	PA	178578864	CONSTRUCTION	$1,238,507
HBCS
118 LUKENS DRIVE RIVEREDGE PARK	NEW CASTLE	DE	197202727	COLLECTION SERVICES	$1,172,731

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	59	CntrctRcvdGreaterThan100KCnt
Fundraising	$203,857	FundraisingAmt
Government Grants	$252,345	GovernmentGrantsAmt
All Other Contributions	$2,379,557	AllOtherContributionsAmt
Noncash Contributions	$21,099	NoncashContributionsAmt
Total Contributions	$2,835,759	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	NET PATIENT SERVICE REVENUE	Desc
Business	621400	BusinessCd
Total Revenue Column	$199,758,596	TotalRevenueColumnAmt
Related Or Exempt Func Income	$199,758,596	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$199,758,596	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,666,769	TotalRevenueColumnAmt
Exclusion	$2,666,769	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$2,128,265	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$4,056,612	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$1,928,347	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$1,928,347	TotalRevenueColumnAmt
Exclusion	-$1,928,347	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$38,225,871	SecuritiesAmt
Other	$45,988	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$36,025,869	SecuritiesAmt
Other	$26,113	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$2,200,002	SecuritiesAmt
Other	$19,875	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,219,877	TotalRevenueColumnAmt
Exclusion	$2,219,877	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$94,710	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$203,857	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$140,536	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$45,826	TotalRevenueColumnAmt
Exclusion	-$45,826	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
LABORATORY SERVICES	621500	$2,708,904	$2,708,904
BILLING FEES FROM AFFILIATE	541900	$1,876,600	$1,876,600
CAFETERIA AND VENDING SALES	722210	$676,816		$676,816

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,444,127	TotalRevenueColumnAmt
Related Or Exempt Func Income	$404,992	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$3,431,000	UnrelatedBusinessRevenueAmt
Exclusion	$608,135	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$9,706,447	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$215,213,275	TotalRevenueColumnAmt
Related Or Exempt Func Income	$200,163,588	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$8,016,504	UnrelatedBusinessRevenueAmt
Exclusion	$4,197,424	ExclusionAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$55,000	TotalAmt
Program Services	$55,000	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$6,571,097	TotalAmt
Program Services	$3,075,053	ProgramServicesAmt
Management And General	$3,496,044	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$62,511,096	TotalAmt
Program Services	$49,658,478	ProgramServicesAmt
Management And General	$12,579,383	ManagementAndGeneralAmt
Fundraising	$273,235	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,654,818	TotalAmt
Program Services	$1,522,427	ProgramServicesAmt
Management And General	$123,467	ManagementAndGeneralAmt
Fundraising	$8,924	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$13,215,296	TotalAmt
Program Services	$10,603,419	ProgramServicesAmt
Management And General	$2,574,795	ManagementAndGeneralAmt
Fundraising	$37,082	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$4,841,027	TotalAmt
Program Services	$3,772,275	ProgramServicesAmt
Management And General	$1,048,478	ManagementAndGeneralAmt
Fundraising	$20,274	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$502,141	TotalAmt
Management And General	$501,841	ManagementAndGeneralAmt
Fundraising	$300	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$122,219	TotalAmt
Program Services	$6,750	ProgramServicesAmt
Management And General	$115,469	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$9,376	TotalAmt
Management And General	$9,376	ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$97,764	TotalAmt
Fundraising	$97,764	FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$446,487	TotalAmt
Program Services	$11,945	ProgramServicesAmt
Management And General	$434,542	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$8,633,047	TotalAmt
Program Services	$4,936,572	ProgramServicesAmt
Management And General	$3,615,448	ManagementAndGeneralAmt
Fundraising	$81,027	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$566,779	TotalAmt
Program Services	$17,379	ProgramServicesAmt
Management And General	$549,400	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$35,734,726	TotalAmt
Program Services	$33,991,799	ProgramServicesAmt
Management And General	$1,715,092	ManagementAndGeneralAmt
Fundraising	$27,835	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$9,476,355	TotalAmt
Program Services	$1,635,330	ProgramServicesAmt
Management And General	$7,806,533	ManagementAndGeneralAmt
Fundraising	$34,492	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$465,943	TotalAmt
Program Services	$465,943	ProgramServicesAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$145,516	TotalAmt
Program Services	$112,932	ProgramServicesAmt
Management And General	$31,267	ManagementAndGeneralAmt
Fundraising	$1,317	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$165,808	TotalAmt
Program Services	$91,586	ProgramServicesAmt
Management And General	$69,965	ManagementAndGeneralAmt
Fundraising	$4,257	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$1,897,788	TotalAmt
Program Services	$1,897,788	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$12,052,729	TotalAmt
Program Services	$12,052,729	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$964,040	TotalAmt
Program Services	$964,040	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Management And GeneralManagementAndGeneralAmt	Program ServicesProgramServicesAmt
FEDERAL TAXES	$150,016	$150,016
BAD DEBT EXPENSE	$12,834,563		$12,834,563
LOSS ON REFINANCING	$2,887,920	$2,887,920
MA MODERNIZATION	$465,213		$465,213

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,697,378	TotalAmt
Program Services	$1,256,464	ProgramServicesAmt
Management And General	$398,751	ManagementAndGeneralAmt
Fundraising	$42,163	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$178,164,142	TotalAmt
Program Services	$139,427,685	ProgramServicesAmt
Management And General	$38,107,787	ManagementAndGeneralAmt
Fundraising	$628,670	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$5,205	BOYAmt
EOY	$5,335	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$35,308,181	BOYAmt
EOY	$41,318,606	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$7,785	BOYAmt
EOY	$1,186,889	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$15,244,228	BOYAmt
EOY	$16,384,028	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$4,367,994	BOYAmt
EOY	$4,495,761	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$3,772,597	BOYAmt
EOY	$4,308,268	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$247,727,282	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$115,716,604	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$127,740,101	BOYAmt
EOY	$132,010,678	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$95,286,553	BOYAmt
EOY	$149,241,471	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$4,751,307	BOYAmt
EOY	$5,172,985	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,175,259	BOYAmt
EOY	$3,175,259	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$10,530,008	BOYAmt
EOY	$11,934,916	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$300,189,218	BOYAmt
EOY	$369,234,196	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$16,567,182	BOYAmt
EOY	$19,453,665	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$30,051	BOYAmt
EOY	$29,307	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$39,996,978	BOYAmt
EOY	$92,278,451	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
EOY	$325,000	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$1,488,804	BOYAmt
EOY	$611,542	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$14,567,079	BOYAmt
EOY	$14,634,760	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$72,650,094	BOYAmt
EOY	$127,332,725	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$220,660,240	BOYAmt
EOY	$233,995,290	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,163,067	BOYAmt
EOY	$2,086,124	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$5,715,817	BOYAmt
EOY	$5,820,057	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$227,539,124	BOYAmt
EOY	$241,901,471	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$300,189,218	BOYAmt
EOY	$369,234,196	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$37,049,133	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$1,478,696	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$24,165,482	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$9,376	OtherActivitiesAmt
Total Lobbying Expenditures	$9,376	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	A PERCENTAGE OF ANNUAL HAP AND AHA DUES WERE USED FOR LOBBYING; THIS AMOUNTED TO $9,376 FOR THE FISCAL YEAR ENDING JUNE 30, 2018.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$5,428,211	BeginningYearBalanceAmt
Contributions	$349,586	ContributionsAmt
Investment Earnings Or Losses	$177,781	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$20,915	GrantsOrScholarshipsAmt
Other Expenditures	$84,049	OtherExpendituresAmt
Administrative Expenses	$23,662	AdministrativeExpensesAmt
End Year Balance	$5,826,952	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$4,590,433	BeginningYearBalanceAmt
Contributions	$322,276	ContributionsAmt
Investment Earnings Or Losses	$635,909	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$19,298	GrantsOrScholarshipsAmt
Other Expenditures	$79,509	OtherExpendituresAmt
Administrative Expenses	$21,600	AdministrativeExpensesAmt
End Year Balance	$5,428,211	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.72220	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.27780	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.00000	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	Yes (1)	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	0	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$8,669,217	OtherCostOrOtherBasisAmt
Book Value	$8,669,217	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$125,699,503	OtherCostOrOtherBasisAmt
Depreciation	$45,689,556	DepreciationAmt
Book Value	$80,009,947	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$12,758,160	OtherCostOrOtherBasisAmt
Depreciation	$1,509,262	DepreciationAmt
Book Value	$11,248,898	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$92,407,040	OtherCostOrOtherBasisAmt
Depreciation	$66,590,643	DepreciationAmt
Book Value	$25,816,397	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$8,193,362	OtherCostOrOtherBasisAmt
Depreciation	$1,927,143	DepreciationAmt
Book Value	$6,266,219	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$132,010,678	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDesc	AmtAmt
BLUE CROSS CURRENT FINANCING ADVANCE	$1,057,190
ACCRUED POSTRETIREMENT BENEFIT COSTS	$5,317,100
ESTIMATED MEDICAL MALPRACTICE CLAIMS LIABILITY	$1,858,863
CHARITABLE GIFT ANNUITIES PAYABLE	$204,403
DEFERRED COMPENSATION	$1,797,857
CAPITAL LEASE OBLIGATION	$343,314
ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS	$2,616,378
DUE TO AFFILIATES	$1,439,655

Field	Value	IRS element (for citing)
Total Liability	$14,634,760	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$208,224,935	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$1,478,696	NetUnrealizedGainsInvstAmt
Other Revenue	-$12,664,184	OtherRevenueAmt
Revenue Not Reported	-$11,185,488	RevenueNotReportedAmt
Revenue Subtotal	$219,410,423	RevenueSubtotalAmt
Other Revenues Not Included	-$4,197,148	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	-$4,197,148	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$215,213,275	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$193,862,588	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$28,959,237	OtherExpensesIncludedAmt
Expenses Not Reported	$28,959,237	ExpensesNotReportedAmt
Expenses Subtotal	$164,903,351	ExpensesSubtotalAmt
Other Expenses Not Included	$13,260,791	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$13,260,791	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$178,164,142	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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:	CHANGE IN VALUE OF SPLIT-INTEREST AGREEMENT 1,264. VALUATION GAIN 88,636. POSTRETIREMENT BENEFIT LIABILITY ADJUSTMENT 503,302. INVESTMENT EXPENSES -426,228. BAD DEBT EXPENSE -12,834,563. NET ASSETS RELEASED FROM RESTRICTIONS 3,405.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	RENTAL EXPENSES -4,056,612. SPECIAL EVENTS EXPENSE -140,536.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	RENTAL EXPENSES 4,056,612. SPECIAL EVENTS EXPENSE 140,536. EQUITY TRANSFER TO AFFILIATE 24,762,089.
PART XII, LINE 4B - OTHER ADJUSTMENTS:	INVESTMENT EXPENSES 426,228. BAD DEBT EXPENSE 12,834,563.

Schedule G IRS990ScheduleG

Field	Value	IRS element (for citing)
Mail Solicitations	Yes (X)	MailSolicitationsInd
Email Solicitations	Yes (X)	EmailSolicitationsInd
Phone Solicitations	Yes (X)	PhoneSolicitationsInd
In Person Solicitations	Yes (X)	InPersonSolicitationsInd
Solicitation Of Non Govt Grants	Yes (X)	SolicitationOfNonGovtGrantsInd
Solicitation Of Govt Grants	Yes (X)	SolicitationOfGovtGrantsInd
Special Fundraising Events	Yes (X)	SpecialFundraisingEventsInd
Agrmt Prof Fundraising Acty	Yes (1)	AgrmtProfFundraisingActyInd

Fundraiser Activity Info FundraiserActivityInfoGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	ActivityActivityTxt	Fundraiser Control Of FundsFundraiserControlOfFundsInd	Gross ReceiptsGrossReceiptsAmt	Retained By ContractorRetainedByContractorAmt	Net To OrganizationNetToOrganizationAmt
PRIDE PHILANTHROPY
1397 CHESTNUT COVE TRAIL 20988	JASPER	GA	30143	CAMPAIGN CONSULTANT	0	$0	$84,000	$0
PROCOPIA
1106 NORTH SHERIDAN AVENUE	PITTSBURGH	PA	15206	GRANT WRITING CONSULTANT	0	$0	$7,563	$0
JAMES E CONNELL & ASSOCIATES
15 PINEWALD DRIVE PO BOX 3335	PINEHURST	NC	283743335	PLANNED GIVING CONSULTANT	0	$0	$6,201	$0

Field	Value	IRS element (for citing)
Total Retained By Contractors	$97,764	TotalRetainedByContractorsAmt
Licensed States	PA	LicensedStatesCd

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	GALA	Event1Nm
Gross Receipts Event1	$161,100	GrossReceiptsEvent1Amt
Charitable Contri Event1	$99,702	CharitableContriEvent1Amt
Gross Revenue Event1	$61,398	GrossRevenueEvent1Amt
Non Cash Prizes Event1	$47,030	NonCashPrizesEvent1Amt
Rent Facility Costs Event1	$557	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$16,873	FoodAndBeverageEvent1Amt
Entertainment Event1	$9,000	EntertainmentEvent1Amt
Other Direct Expenses Event1	$16,594	OtherDirectExpensesEvent1Amt
Event2	COOKIN' MEN/FASANO LECTURE	Event2Nm
Gross Receipts Event2	$74,937	GrossReceiptsEvent2Amt
Charitable Contri Event2	$58,395	CharitableContriEvent2Amt
Gross Revenue Event2	$16,542	GrossRevenueEvent2Amt
Food And Beverage Event2	$6,007	FoodAndBeverageEvent2Amt
Entertainment Event2	$5,300	EntertainmentEvent2Amt
Other Direct Expenses Event2	$16,456	OtherDirectExpensesEvent2Amt
Other Events Total	1	OtherEventsTotalCnt
Gross Receipts Other Events	$62,530	GrossReceiptsOtherEventsAmt
Charitable Contri Other Events	$45,760	CharitableContriOtherEventsAmt
Gross Revenue Other Events	$16,770	GrossRevenueOtherEventsAmt
Cash Prizes Other Events	$1,960	CashPrizesOtherEventsAmt
Rent Fclty Costs Other Events	$9,690	RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events	$6,244	FoodAndBeverageOtherEventsAmt
Oth Direct Expnss Other Events	$4,825	OthDirectExpnssOtherEventsAmt
Gross Receipts Total	$298,567	GrossReceiptsTotalAmt
Charitable Contributions Tot	$203,857	CharitableContributionsTotAmt
Gross Revenue Total Events	$94,710	GrossRevenueTotalEventsAmt
Cash Prizes Total Events	$1,960	CashPrizesTotalEventsAmt
Non Cash Prizes Total Events	$47,030	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$10,247	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$29,124	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$14,300	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$37,875	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$140,536	DirectExpenseSummaryEventsAmt
Net Income Summary	-$45,826	NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent100	Yes (X)	Percent100Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent200 D	Yes (X)	Percent200DInd
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	843	PersonsServedCnt
Total Community Benefit Expns	$232,861	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$232,861	NetCommunityBenefitExpnsAmt
Total Expense	0.00140	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	23419	PersonsServedCnt
Total Community Benefit Expns	$16,636,574	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,304,974	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,331,600	NetCommunityBenefitExpnsAmt
Total Expense	0.05640	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	83	PersonsServedCnt
Total Community Benefit Expns	$28,047	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$28,047	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Persons Served	24345	PersonsServedCnt
Total Community Benefit Expns	$16,897,482	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,304,974	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,592,508	NetCommunityBenefitExpnsAmt
Total Expense	0.05800	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	42	ActivitiesOrProgramsCnt
Persons Served	31760	PersonsServedCnt
Total Community Benefit Expns	$1,089,124	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$49,446	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,039,678	NetCommunityBenefitExpnsAmt
Total Expense	0.00630	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	5	ActivitiesOrProgramsCnt
Persons Served	2444	PersonsServedCnt
Total Community Benefit Expns	$187,665	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$187,665	NetCommunityBenefitExpnsAmt
Total Expense	0.00110	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt

Research ResearchGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	2764	PersonsServedCnt
Total Community Benefit Expns	$116,650	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$116,650	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	48	ActivitiesOrProgramsCnt
Persons Served	36968	PersonsServedCnt
Total Community Benefit Expns	$1,393,439	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$49,446	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,343,993	NetCommunityBenefitExpnsAmt
Total Expense	0.00810	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	48	ActivitiesOrProgramsCnt
Persons Served	61313	PersonsServedCnt
Total Community Benefit Expns	$18,290,921	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,354,420	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,936,501	NetCommunityBenefitExpnsAmt
Total Expense	0.06610	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	19	PersonsServedCnt
Total Community Benefit Expns	$398	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$398	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	497	PersonsServedCnt
Total Community Benefit Expns	$867	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$867	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	4	ActivitiesOrProgramsCnt
Persons Served	1198	PersonsServedCnt
Total Community Benefit Expns	$7,325	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,325	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	150	PersonsServedCnt
Total Community Benefit Expns	$2,500	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,500	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	12	ActivitiesOrProgramsCnt
Persons Served	1216	PersonsServedCnt
Total Community Benefit Expns	$203,018	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$203,018	NetCommunityBenefitExpnsAmt
Total Expense	0.00120	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	21	ActivitiesOrProgramsCnt
Persons Served	3080	PersonsServedCnt
Total Community Benefit Expns	$214,108	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$214,108	NetCommunityBenefitExpnsAmt
Total Expense	0.00120	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$8,328,473	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$33,537,462	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$48,058,836	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$14,521,374	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	EVANGELICAL COMMUNITY HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	ONE HOSPITAL DRIVE	AddressLine1Txt
City	LEWISBURG	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	17837	ZIPCd

Field	Value	IRS element (for citing)
State License	570201	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd
Other	INPATIENT REHABILITATION, HOSPICE	OtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	EVANGELICAL COMMUNITY HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	15	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	WWW.EVANHOSPITAL.COM/HEALTH-AND-WELLNESS	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	15	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	WWW.EVANHOSPITAL.COM/HEALTH-AND-WELLNESS	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	100.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	200.000000000000	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	WWW.EVANHOSPITAL.COM/PATIENTS/INSURANCE/CHARITY-CARE	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	WWW.EVANHOSPITAL.COM/PATIENTS/INSURANCE/CHARITY-CARE	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	WWW.EVANHOSPITAL.COM/PATIENTS/INSURANCE/CHARITY-CARE	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
FAP Translated	Yes (X)	FAPTranslatedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Prospective Medicare Medicaid	Yes (X)	ProspectiveMedicareMedicaidInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
EVANGELICAL COMMUNITY HOSPITAL	PART V, SECTION B, LINE 5: TRIPP UMBACH FACILITATED AND MANAGED A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT ON BEHALF OF EVANGELICAL COMMUNITY HOSPITAL -- RESULTING IN THE IDENTIFICATION OF COMMUNITY HEALTH NEEDS. THE ASSESSMENT PROCESS INCLUDED INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY, INCLUDING THOSE WITH SPECIAL KNOWLEDGE AND EXPERTISE OF PUBLIC HEALTH ISSUES. A SERIES OF MEETINGS WAS FACILITATED BY THE CONSULTANTS AND THE CHNA OVERSIGHT COMMITTEE CONSISTING OF LEADERSHIP FROM EVANGELICAL COMMUNITY HOSPITAL AND OTHER PARTICIPATING HOSPITALS AND ORGANIZATIONS. THIS PROCESS LASTED FROM OCTOBER 2014 UNTIL MARCH 2015. TRIPP UMBACH WORKED CLOSELY WITH THE CHNA OVERSIGHT COMMITTEE TO IDENTIFY LEADERS FROM ORGANIZATIONS THAT INCLUDED:1) PUBLIC HEALTH EXPERTISE; 2) PROFESSIONALS WITH ACCESS TO COMMUNITY HEALTH RELATED DATA; AND 3) REPRESENTATIVES OF UNDERSERVED POPULATIONS (I.E., SENIORS, LOW INCOME RESIDENTS, AND RESIDENTS THAT ARE UNINSURED). SUCH PERSONS WERE INTERVIEWED AS PART OF THE NEEDS ASSESSMENT PLANNING PROCESS. A SERIES OF 18 INTERVIEWS WERE COMPLETED WITH KEY STAKEHOLDERS IN THE EVANGELICAL COMMUNITY HOSPITAL COMMUNITY.
EVANGELICAL COMMUNITY HOSPITAL	PART V, SECTION B, LINE 6A: OTHER PARTICIPATING HOSPITAL FACILITIES INCLUDE GEISINGER MEDICAL CENTER, HEALTHSOUTH/GEISINGER HEALTH SYSTEM LLC, GEISINGER WYOMING VALLEY MEDICAL CENTER, GEISINGER SOUTH WILKES-BARRE, GEISINGER COMMUNITY MEDICAL CENTER, GEISINGER LEWISTOWN HOSPITAL, AND GEISINGER BLOOMSBURG HOSPITAL.
EVANGELICAL COMMUNITY HOSPITAL	PART V, SECTION B, LINE 6B: THE CHNA WAS CONDUCTED IN COLLABORATION WITH THE FOLLOWING COMMUNITY NON-PROFIT ORGANIZATIONS LOCATED IN THE SURROUNDING FIVE-COUNTY REGION: COLUMBIA, MONTOUR, NORTHUMBERLAND, SNYDER, AND UNION COUNTIES (ADDITIONAL ORGANIZATIONS FROM JUNIATA AND LYCOMING COUNTIES ALSO PROVIDED INPUT FOR THE PURPOSE OF THE EVANGELICAL SERVICE AREA NEEDS ASSESSMENT):A COMMUNITY CLINIC, CENTRAL PA FOOD BANK, CMSU, EVANGELICAL COMMUNITY HOSPITAL, FAMILY HEALTH COUNCIL OF CENTRAL PA-SELINSGROVE, GEISINGER HEALTH SYSTEM, GREATER SUSQUEHANNA VALLEY UNITED WAY, GREATER SUSQUEHANNA VALLEY YMCA, HANDUP FOUNDATION, HIGHER HOPE H2 CHURCH, JUNIATA COUNTY, MIDDLECREEK AREA COMMUNITY CENTER, PA DEPT. OF HEALTH, PA OFFICE OF RURAL HEALTH, PENN STATE COOPERATIVE EXTENSION, SHIKELLAMY SCHOOL DISTRICT, SNYDER COUNTY CHILDREN AND YOUTH SERVICES, SNYDER/UNION COMMUNITY ACTION AGENCY, ST. PAUL, UCC, SUM CHILD DEVELOPMENT CENTER, SUNBURY YMCA, SUSQUEHANNA UNIVERSITY, UNION-SNYDER AGENCY ON AGING INC., AND WILLIAMSPORT/LYCOMING CHAMBER OF COMMERCE.
EVANGELICAL COMMUNITY HOSPITAL	PART V, SECTION B, LINE 11: COMMUNITY LEADERS IDENTIFIED THE FOLLOWING TOP COMMUNITY HEALTH NEEDS THAT ARE SUPPORTED BY SECONDARY AND/OR PRIMARY DATA: 1) BEHAVIORAL HEALTH AND SUBSTANCE ABUSE; 2) HEALTH CONCERNS RELATED TO LIFESTYLE; 3) ACCESS TO HEALTHCARE; AND 4) THE IMPACT OF SOCIO ECONOMIC STATUS ON HEALTH OUTCOMES.BEHAVIORAL HEALTH & SUBSTANCE ABUSE - EVANGELICAL'S RESPONSE1. INCREASE CARE COORDINATION FOR PATIENTS WITH BEHAVIORAL HEALTH AND/OR SUBSTANCE ABUSE NEEDS THROUGH SCREENING AND REFERRAL TO INTERNAL AND/OR EXTERNAL BEHAVIORAL HEALTH AND/OR SUBSTANCE ABUSE SERVICE PROVIDERS.2. COLLABORATE WITH AREA AGENCIES TO OFFER THE EVIDENCE-BASED STRENGTHENING FAMILIES PROGRAM PROSPER. "PROSPER" IS A SEVEN-WEEK, INTERACTIVE PROGRAM TO ASSIST FAMILIES IN REDUCTION OF AGGRESSIVE BEHAVIORS, LIKELIHOOD OF SUBSTANCE ABUSE AND TOBACCO USE, INCREASE STRESS MANAGEMENT, AND CONFLICT RESOLUTION.3. SUPPORT AND REFER TO THE "CELEBRATE RECOVERY" PROGRAM, A 12 STEP FAITH-BASED PROGRAM TO ADDRESS ALL TYPES OF PROBLEMS AND ADDITIONS. INFORM AND EDUCATE ALL EMSO PHYSICIAN OFFICES, SOCIAL SERVICES, AND NURSING STAFF ABOUT THE PROGRAM AND THE REFERRAL PROCESS.4. EVALUATE THE CURRENT TELE-PSYCHIATRIC PROGRAM IN-HOUSE AND THROUGH THE EMERGENCY DEPARTMENT, RESEARCH ADDITIONAL RESOURCES AND VENDORS TO EXPAND CURRENT SERVICES TO MEET THE GROWING DEMAND.5. SUPPORT AND PARTICIPATE IN THE EFFORTS BY "COMMUNITIES THAT CARE" (CTC) TO IMPROVE AWARENESS AND QUALITY OF LIFE FOR KIDS IN OUR SERVICE AREA.6. DEVELOP A REGIONAL BEHAVIORAL HEALTH ACTION GROUP TO DISCUSS ON GOING ISSUES AND CONCERNS. COLLABORATIVELY DEVELOP POLICIES AND PROCEDURES AMONG OUR AGENCIES TO BETTER SERVE THE BEHAVIORAL HEALTH AND SUBSTANCE ABUSE POPULATION.7. WORK WITH LOCAL LAW ENFORCEMENT TO DELIVER THE OPIOID OVERDOSE REVERSAL PROJECT IN OUR SERVICE AREA. SECURE FUNDING AND EDUCATE THE COMMUNITY.HEALTH CONCERNS RELATED TO LIFESTYLE - EVANGELICAL'S RESPONSE1. CONTINUE TO OFFER A VARIETY OF EDUCATIONAL PROGRAMMING FOR THE YOUTH IN THE COMMUNITY AT NO COST. EVANGELICAL COMMUNITY HOSPITAL OFFERS A WIDE VARIETY OF EDUCATIONAL PROGRAMS GEARED TOWARD HEALTHY EATING, HYGIENE, STAYING ACTIVE, AND LIVING TOBACCO FREE. THESE PROGRAMS WILL BE OFFERED WITHIN OUR SERVICE AREA AND WILL SPECIFICALLY TARGET LOCAL SCHOOL DISTRICTS. ADDITIONAL PROGRAMMING WILL BE ADDED FOR SPECIFIC IDENTIFIED POPULATIONS, I.E. PRESCHOOLS, YMCA'S, AND OTHER FACILITIES AS REQUESTED.2. CONTINUE TO OFFER AND IMPROVE UPON OUR INTERNAL WORKSITE WELLNESS PROGRAM TO IMPROVE THE HEALTH AND WELLNESS OF OUR HOSPITAL EMPLOYEES AND THEIR FAMILY MEMBERS.3. CONTINUE TO INCREASE OUR EXTERNAL WORKSITE WELLNESS PROGRAM BY ADDING ADDITIONAL PROGRAM OFFERING AND INCREASING THE NUMBER OF BUSINESSES WE WORK WITH IN OUR SERVICE AREA.4. SERVE ON THE NORTH CENTRAL TOBACCO COALITION. CONTINUE TO SUPPORT EFFORTS AND PROGRAMS TO DECREASE THE NUMBER OF SMOKERS IN OUR SERVICE AREA.5. CONTINUE TO OFFER THE LOW DOSE CT SCANS FOR PATIENTS WHO MEET THE CRITERIA.6. CONTINUE TO OFFER TOBACCO CESSATION PROGRAM "FREEDOM FROM SMOKING".7. CONTINUE TO OFFER THE YOUTH DEVELOPMENT AND EDUCATIONAL PROGRAM, "EAT WELL, PLAY WELL, BE WELL" TO AREA YOUTH AGES 11-15.8. OFFER FREE OR LOW-COST ADULT BASED PROGRAMMING THAT WILL PROMOTE A HEALTHY LIFESTYLE AND PROVIDE EDUCATIONAL RESOURCES: QUARTERLY HEALTHY EATING SEMINARS/DEMONSTRATIONS, GROUP STRENGTH TRAINING CLASSES, YOGA, SENIOR STRONG PROGRAM, AND STRONG COLLABORATIONS WITH AREA AGENCIES TO ASSIST WITH EDUCATIONAL PROGRAMMING, I.E. AREA AGENCY ON AGING, PENN STATE COOPERATIVE EXTENSION, YMCA, ETC.9. OFFER A COMPREHENSIVE DIABETES CLINIC WITH A PLAN TO EMPLOY AN ENDOCRINOLOGIST.10. PARTICIPATE IN THE AMERICAN CANCER SOCIETY COLORECTAL SCREENING INITIATIVE, 80% BY 2018.11. CONTINUE TO OFFER A VARIETY OF FREE OR LOW-COST HEALTH SCREENINGS TO IMPROVE AWARENESS AND EDUCATION ON "KNOWING YOUR NUMBERS AND TALKING WITH YOUR HEALTHCARE PROVIDER ABOUT YOUR RESULTS AND HOW YOU CAN IMPROVE OR REDUCE YOUR RISK FACTORS.INCREASING ACCESS TO HEALTHCARE - EVANGELICAL'S RESPONSE1. CONTINUE TO PROVIDE FREE OR REDUCED-FEE MAMMOGRAPHY AND DIAGNOSTIC IMAGING FOR THE UN/UNDERINSURED POPULATION.2. CONTINUE TO OFFER A VARIETY OF HEALTH SCREENING PROGRAMS FOR THE COMMUNITY AT MINIMAL OR NO COST. CURRENTLY, EVANGELICAL COMMUNITY HOSPITAL OFFERS A WIDE VARIETY OF HEALTH SCREENS WITHIN OUR SERVICE AREA SPECIFICALLY TARGETED TO UNDER AND UNINSURED COMMUNITY MEMBERS.3. WORK DIRECTLY WITH OUR EMSO PROVIDERS TO REFER PATIENTS TO OUR HEALTH EDUCATION AND SCREENING PROGRAMS AS WELL AS OFFERING SCREENING PROGRAMS ON-SITE AT EMSO OFFICES.4. CONTINUE TO DEVELOP AND EXPAND OUR COMMUNITY HEALTH COALITION. INVITE ADDITIONAL COMMUNITY AGENCIES TO ASSIST WITH MEETING THE ISSUES SURROUNDING ACCESS, I.E. TRANSPORTATION, BEHAVIORAL HEALTH, SUBSTANCE ABUSE, ETC.5. ADD AN URGENT CARE CLINIC TO ASSIST WITH ACCESS ISSUES AND OVERCROWDING OF EMERGENCY DEPARTMENT6. ADD A MOBILE MEDICAL UNIT TO ASSIST WITH PROVIDING CARE TO INDIVIDUALS AND COMMUNITIES IN RURAL AREAS WHERE TRANSPORTATION IS A BARRIER TO CARE.7. CONTINUE WITH CURRENT PROVIDER RECRUITMENT EFFORTS TO EMPLOY NECESSARY SPECIALTY AND PRIMARY CARE PROVIDERS TO MAINTAIN OR IMPROVE PROVIDER TO PATIENT RATIOS.IMPACT OF SOCIO-ECONOMIC STATUS ON HEALTH OUTCOMES - EVANGELICAL'S RESPONSEAS A HEALTHCARE ORGANIZATION WE WILL NOT BE RESPONDING DIRECTLY TO THIS IDENTIFIED NEED AS A STAND-ALONE ISSUE, BUT ADDRESS IT WITHIN ALL THREE OF THE AFOREMENTIONED NEEDS. THROUGH THE ORGANIZATIONAL EFFORTS OF THE HOSPITAL AND COLLABORATING AGENCIES, EVANGELICAL CAN ASSIST WITH ADDRESSING THE IMPACT OF SOCIO-ECONOMIC STATUS BY:1. OFFERING EDUCATIONAL PROGRAMMING TO INCREASE AWARENESS FOR HEALTH INSURANCE OPTIONS2. IMPROVING HEALTH OUTCOMES THROUGH FREE OR LOW COST SCREENINGS AND EDUCATION3. OFFERING A FINANCIAL ASSISTANCE PROGRAM THAT WILL ASSIST PATIENTS WITH FINANCIAL BURDENS RELATED TO HEALTHCARE COSTS4. OPENING AN URGENT CARE CLINIC IN 20175. PURCHASING A MOBILE MEDICAL UNIT WILL ALLOW HEALTHCARE TO BE DELIVERED TO POCKETS OF POVERTY IN OUR COMMUNITY IN 2018.
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.

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 6A:	THE COMMUNITY BENEFIT REPORT IS AVAILABLE ON THE HOSPITAL'S WEBSITE OR UPON REQUEST.
PART I, LINE 7:	THE HOSPITAL USED THE COST-TO-CHARGE RATIO TO DETERMINE THE AMOUNTS INCLUDED IN LINE 7.
PART I, LN 7 COL(F):	THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 24B, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $12,834,563.
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:	PATIENT 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. IN EVALUATING THE COLLECTABILITY OF PATIENT ACCOUNTS RECEIVABLE, THE CORPORATION ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE CORPORATION ANALYZES CONTRACTUAL AMOUNTS DUE AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS, THE CORPORATION RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE BILLED RATES AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.THE CORPORATION'S ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR SELF-PAY PATIENTS INCREASED TO 80% OF SELF-PAY ACCOUNTS RECEIVABLE AT JUNE 30, 2018, FROM 79% OF SELF-PAY ACCOUNTS RECEIVABLE AT JUNE 30, 2017. IN ADDITION, THE CORPORATION'S SELF-PAY ACCOUNT WRITE-OFFS (NET OF RECOVERIES) WERE APPROXIMATELY $12,276,000 AND $12,176,000 IN 2018 AND 2017, RESPECTIVELY. THE WRITE-OFFS ARE COMPARABLE FROM 2017 TO 2018. THE CORPORATION DID NOT SIGNIFICANTLY CHANGE ITS PATIENT FINANCIAL ASSISTANCE POLICY IN 2018 OR 2017. THE CORPORATION DOES NOT MAINTAIN A MATERIAL ALLOWANCE FOR DOUBTFUL ACCOUNTS FROM THIRD-PARTY PAYORS, NOR DID IT HAVE SIGNIFICANT WRITE-OFFS FROM THIRD-PARTY PAYORS.
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 2018 IS ECH'S SECOND YEAR OF REPORTING ON OUR IDENTIFIED NEEDS. DURING THIS ASSESSMENT, THE 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 YEAR TWO OF THE 2015 IMPLEMENTATION PLAN:1. ADDRESSING NEEDS RELATED TO BEHAVIORAL HEALTH AND SUBSTANCE ABUSE:- THE CURRENT TELE-PSYCH SERVICE IS BEING UTILIZED APPROXIMATELY 15 TIMES PER QUARTER FOR THE ED AND APPROXIMATELY 6 TIMES A QUARTER FOR INPATIENT. RESPONSE TIMES ARE WITHIN THE EXPECTED RANGE (WITHIN 2 HOURS).- OPIOID REVERSAL KIT (NALOXONE) EDUCATION CONTINUES IN THE COMMUNITY WITH FAMILY/FRIENDS OF AT RISK PERSONS AS WELL AS FOR EMS, FIRE AND POLICE. SOME AREA BUSINESSES, SPECIFICALLY HOTEL STAFF HAVE RECEIVED EDUCATION. COMMUNITY HEALTH AND WELLNESS DEPARTMENT IS CURRENTLY RESPONSIBLE FOR THE DISTRIBUTION OF THE KITS AND IS WORKING ON AN EDUCATIONAL PROGRAM TO PROVIDE COMMUNITY AGENCIES AND BUSINESSES.- THE 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.- COMMUNITY HEALTH AND WELLNESS STAFF CONTINUE TO SUPPORT THE COMMUNITY THAT CARES (CTC) IN THE SHIKELLAMY SCHOOL DISTRICT. ONCE THE GRANT FUNDING HAS EXPIRED THE CTC WILL TRANSITION TO A UNITED WAY SUPPORTED PROGRAM. COMMUNITY HEALTH AND WELLNESS WILL CONTINUE TO SUPPORT EFFORTS. COMMUNITY HEALTH AND WELLNESS STAFF COULD NOT ATTEND THE "PROSPER" TRAINING DUE TO SCHEDULING CONFLICTS. POSSIBLE TRAINING OPPORTUNITIES MAY COME IN THE FUTURE.- HOSPITAL STAFF PARTICIPATED IN BOTH THE NORTHUMBERLAND COUNTY OPIOID COALITION AND THE SNYDER/UNION COUNTY OPIOID COALITION. CH&W STAFF WAS TRAINED TO EDUCATE FAMILY MEMBERS AND/OR FRIENDS OF THOSE ADDICTED TO OPIOIDS ON HOW TO ADMINISTER NALOXONE AND HOW TO RECOGNIZE SIGNS AND SYMPTOMS OF AN OVERDOSE.- ECH IS RESPONDING TO FOOD INSECURITY BY ASKING DIRECT FOOD AVAILABILITY QUESTIONS.2. REDUCING THE IMPACT OF HEALTH CONCERNS RELATED TO LIFESTYLE:- NEW WORKSITE WELLNESS CLIENTS HAVE INCREASED BY THREE.- AN ENDOCRINOLOGIST STARTED EMPLOYMENT SPRING OF 2018.- THE ORGANIZATION CONTINUES TO FOCUS ON INCREASING COLON SCREENINGS. WITH THE PURCHASE OF CENTRAL PENN GI, THE ABILITY TO IMPROVE THE VARIOUS SCREENING OPTIONS SHOULD OCCUR. THE CANCER COMMITTEE WILL BE USING COLON CANCER SCREENING TO ADDRESS STANDARD 4.2, "SCREENING PROGRAMS".- ADDITIONAL EDUCATION AND OUTREACH HAS BEEN DONE TO PRIMARY CARE OFFICES WITHIN THE SERVICE AREA REGARDING THE LOW DOSE CT LUNG SCREENING PROGRAM. TO DATE THIS FISCAL YEAR, 25 REFERRALS WERE RECEIVED, COMPARED TO 8 LAST FISCAL YEAR TO DATE.3. INCREASING ACCESS TO HEALTHCARE:- AT THIS TIME, ECH IS NOT WORKING ON ANY NEW INITIATIVES WITH THE PLAIN COMMUNITY. PROGRAMMING THROUGH THE USE OF THE MOBILE MEDICAL UNIT WILL TARGET AREAS WHERE THIS POPULATION LIVES. PRIMARY CARE AND COMMUNITY OUTREACH PROGRAMS HAVE BEEN SCHEDULED FOR THESE SPECIFIC AREAS.- THE PLAIN COMMUNITY DISCOUNT WAS RE-EVALUATED AND PRICING HAS BEEN ADJUSTED AS OF 6/1/2018 TO BE COMPETITIVE WITH OTHER INSTITUTIONS OFFERING DISCOUNTS AS WELL. THE PLAIN COMMUNITY PROGRAM HAS SEEN A 6.4% INCREASE IN UTILIZATION OF THE PROGRAM AND A 24.1% INCREASE IN GROSS REVENUE FROM LAST FISCAL YEAR TO THIS FISCAL YEAR TO DATE.- FY18 UTILIZATION OF PLAIN COMMUNITY PROGRAM:ECH ENCOUNTERS CHARGESFY2017: 2,266 $6,855,403FY2018: 2,268 $8,309,429EMSO ENCOUNTERS CHARGESFY2017: 2,221 $799,977FY2018: 2,662 $1,351,370- AREAS IDENTIFIED TO TARGET WITH MOBILE HEALTH OF EVANGELICAL ARE SPRING MILLS, LOGANTON, MCALISTERVILLE, MONTGOMERY, WASHINGTONVILLE, RUSH TOWNSHIP, SHAMOKIN, SUNBURY, BEAVER SPRINGS, PORT TREVORTON, LAURELTON, AND MILLMONT.- MOBILE HEALTH OF EVANGELICAL WAS ESTABLISHED AND PRIMARY CARE, CARDIAC AND WOMEN'S HEALTH VISITS HAVE BEEN MADE TO A VARIETY OF LOCATIONS THAT WERE IDENTIFIED AS A PRIORITY FOR THE FIRST YEAR OF SERVICE IN THE PRO FORMA.4. THE IMPACT OF SOCIO-ECONOMIC STATUS ON HEALTH OUTCOMES:-- THE "ASK ME 3" PROGRAM WAS RE-DESIGNED AND PROVIDED TO AREA COMMUNITY GROUPS. THE PROGRAM TEACHES PEOPLE HOW TO BE A RESPONSIBLE PATIENT.- CH&W OFFERED 3,300 PREVENTATIVE SCREENINGS TO THE COMMUNITY, PROVIDED SCHOOL BASED EDUCATIONAL PROGRAMMING TO OVER 22,000 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.- CH&W HAS ALSO UTILIZED THE MOBILE MEDICAL UNIT TO OFFER VARIOUS HEALTH SCREENINGS TO THE IDENTIFIED PRIORITY AREAS.
PART VI, LINE 3:	AS A COMMUNITY HOSPITAL, EVANGELICAL IS DEDICATED TO IMPROVING THE HEALTH AND WELL-BEING OF ALL ITS CONSTITUENTS. THROUGH THE FINANCIAL ASSISTANCE PROGRAM, MEDICAL CARE IS PROVIDED REGARDLESS OF A PATIENT'S ABILITY TO PAY, INSUFFICIENT HEALTH INSURANCE OR WHETHER A GOVERNMENT-SPONSORED PROGRAM COVERS THE FULL COST OF SERVICES. AND AS 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 ALLSOURCES. 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 HEALTHSYSTEM ASSOCIATION OF PENNSYLVANIA, ECH'S TOTAL IMPACT ON THE REGIONAL ECONOMY TOPS MORE THAN $240 MILLION. ECH IS A 132 OVERNIGHT LICENSED-BED, 12 ACUTE REHAB, AND 18 BASSINET CARE COMMUNITY HOSPITAL WITH OVER 1,400 EMPLOYEES. ECH HAS A BUSY EMERGENCY DEPARTMENT WITH OVER 32,508 VISITS IN FISCAL YEAR 2017. 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, 17889.OUR 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 39.1ESTIMATED MEDIAN HOUSEHOLD INCOME IN 2016: $53,231RESIDENTS 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 HOME4.3% OF RESIDENTS SPEAK SPANISH AT HOME4.0% OF RESIDENTS SPEAK OTHER INDO-EUROPEAN LANGUAGE AT HOME1.1% OF RESIDENTS SPEAK ASIAN OR PACIFIC ISLAND LANGUAGE AT HOME0.6% OF RESIDENTS SPEAK OTHER LANGUAGES AT HOME.CITY-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 39.5ESTIMATED MEDIAN HOUSEHOLD INCOME IN 2015: $52,983RESIDENTS 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 HOME2.3% OF RESIDENTS SPEAK SPANISH AT HOME7.9% OF RESIDENTS SPEAK OTHER INDO-EUROPEAN LANGUAGE AT HOME0.4% OF RESIDENTS SPEAK ASIAN OR PACIFIC ISLAND LANGUAGE AT HOMEOF RESIDENTS SPEAK OTHER LANGUAGES AT HOME.CITY-DATA.COM FOR NORTHUMBERLAND COUNTY INDICATES THAT THE POPULATION CONSISTS OF:WHITE NON-HISPANIC (92.8%), BLACK (3.3%), HISPANIC (2.5%), AND TWO OR MORE RACES (0.7%)ESTIMATED MEDIAN HOUSEHOLD INCOME IN 2016: $47,736THE MEDIAN RESIDENT AGE IS 44.7RESIDENTS 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 HOME1.3% OF RESIDENTS SPEAK SPANISH AT HOME2.2% OF RESIDENTS SPEAK OTHER INDO-EUROPEAN LANGUAGE AT HOME0.2% OF RESIDENTS SPEAK ASIAN OR PACIFIC ISLAND LANGUAGE AT HOME0.2% OF RESIDENTS SPEAK OTHER LANGUAGES AT HOME.ECH 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 FY18: THE CORRESPONDING NUMBER BESIDE THE PROGRAM DOCUMENTS THE NUMBER OF PEOPLE SERVED.LOOK GOOD, FEEL BETTER - 7 PARTICIPANTSI CAN COPE SURVIVOR PROGRAM - 65 PARTICIPANTSLIFE AFTER LOSS BEREAVEMENT SUPPORT GROUP - 8 PARTICIPANTSOTHER HEALTH EDUCATION AND PREVENTION ACTIVITIES INCLUDE:MONTHLY SUPPORT GROUPS - 100 PARTICIPANTS (REPORTED)FREE HEART HEALTH SCREENINGS - 79 PARTICIPANTSCOMPREHENSIVE BLOOD SCREENINGS - 1160 PARTICIPANTSMEN'S HEALTH SCREEN - 35 PARTICIPANTSWOMEN'S HEALTH SCREEN - 101 PARTICIPANTSHUNTER'S HEALTH SCREEN - 54 PARTICIPANTSLOW DOSE CT SCAN SCREENING - 54 REFERRALS 40 QUALIFIEDBLOOD DRAW SERVICES A COMMUNITY CLINIC - 62 PARTICIPANTSCHILD SAFETY SEAT REPLACEMENT - 58 FAULTY SEATSFREE CHILD PASSENGER SEAT INSPECTIONS - 288 INSPECTIONSFREE T-DAP VACCINATION FOR NEW DADS AND GRANDPARENTS - 74 VACCINATIONS GIVENYOUTH BIKE HELMET GIVEAWAY PROGRAM - 205 HELMETS GIVENPROPER 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 FY18, MORE THAN 2,717 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 22,220 STUDENTS WERE EDUCATED THROUGH THESE AND OTHER PROGRAMS.EVANGELICAL EMPLOYS OVER 1,400 INDIVIDUALS AND 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 PROVIDED OUTREACH TO OVER 950 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 FY18, THE COMMUNITY HEALTH AND WELLNESS STAFF PROVIDED OVER 660 FLU VACCINATIONS AND CERTIFIED MORE THAN 3,868 IN FIRST AID AND CPR, INCLUDING 98 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

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	SCHOLARSHIPS	GrantTypeTxt
Recipient	15	RecipientCnt
Cash Grant	$55,000	CashGrantAmt
Valuation Method Used	CASH	ValuationMethodUsedDesc
Non Cash Assistance	N/A	NonCashAssistanceDesc

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	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.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Discretionary Spending Acct	Yes (X)	DiscretionarySpendingAcctInd
Written Policy Ref T And E Expnss	Yes (1)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	0	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (1)	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (18 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JAMES A STOPPER CPA
TREASURER/CHIEF FINANCIAL OFFICER	$299,073	$0	$64,313	$0	$0	$0	$43,077	$0	$14,222	$0	$420,685	$0	$0	$0
WILLIAM P ANDERSON
SECRETARY/CHIEF OPERATING OFFICER	$172,135	$0	$12,871	$0	$0	$0	$15,484	$0	$13,801	$0	$214,291	$0	$0	$0
SHAWN P MCGLAUGHLIN MD
DIRECTOR	$578,850	$0	$0	$0	$0	$0	$11,641	$0	$13,513	$0	$604,004	$0	$0	$0
JANICE OMLOR DO
DIRECTOR	$489,579	$0	$5,000	$0	$0	$0	$9,860	$0	$23,458	$0	$527,897	$0	$0	$0
JULIA E REDCAY DO
DIRECTOR	$360,528	$0	$11,673	$0	$0	$0	$6,998	$0	$13,330	$0	$392,529	$0	$0	$0
MATTHEW W REISH MD
DIRECTOR	$550,452	$0	$318,133	$0	$0	$0	$10,841	$0	$13,061	$0	$892,487	$0	$0	$0
DAVID M ZELECHOSKI MD
DIRECTOR	$219,539	$0	$0	$0	$0	$0	$4,549	$0	$23,458	$0	$247,546	$0	$0	$0
KENDRA A AUCKER
PRESIDENT/CHIEF EXECUTIVE OFFICER	$503,066	$0	$116,608	$0	$127,438	$0	$112,803	$0	$16,774	$0	$876,689	$0	$127,438	$0
JOHN F DEVINE
VP MEDICAL AFFAIRS	$421,346	$0	$45,581	$0	$0	$0	$50,043	$0	$14,222	$0	$531,192	$0	$0	$0
PAUL E TARVES
VP OF NURSING ADMINISTRATION	$46,524	$0	$13,563	$0	$146,964	$0	$2,316	$0	$100	$0	$209,467	$0	$146,964	$0
DALE E MOYER
VP OF INFORMATION SYSTEM	$185,603	$0	$34,219	$0	$0	$0	$27,859	$0	$15,834	$0	$263,515	$0	$0	$0
ANGELA J HUMMEL
VP OF HUMAN RESOURCES	$187,478	$0	$30,060	$0	$0	$0	$27,121	$0	$1,225	$0	$245,884	$0	$0	$0
ANGELA LAHR
AVP CLINICAL OPERATIONS	$134,804	$0	$13,086	$0	$0	$0	$5,426	$0	$23,410	$0	$176,726	$0	$0	$0
RANDALL STRAUSSER
DIRECTOR OF PHARMACY SERVICES	$158,652	$0	$0	$0	$0	$0	$6,466	$0	$13,513	$0	$178,631	$0	$0	$0
JOSHUA TITUS
PHARMACIST	$157,021	$0	$0	$0	$0	$0	$3,612	$0	$6,621	$0	$167,254	$0	$0	$0
ALAN GRISWOLD
PHARMACIST	$156,011	$0	$0	$0	$0	$0	$6,132	$0	$6,594	$0	$168,737	$0	$0	$0
JOSHUA MILLER
PHARMACIST	$149,585	$0	$0	$0	$0	$0	$5,858	$0	$6,621	$0	$162,064	$0	$0	$0
MICHAEL N O'KEEFE
FORMER PRESIDENT/CEO	$0	$0	$0	$0	$523,728	$0	$0	$0	$0	$0	$523,728	$0	$523,728	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 1A	KENDRA A. AUCKER, PRESIDENT/CEO, HAS A FLEXIBLE BENEFIT ALLOWANCE PER HER CONTRACT. THE EXPENSES AVAILABLE FOR REIMBURSEMENT UNDER THIS ALLOWANCE ARE: AUTOMOBILE ALLOWANCE AND AUTO EXPENSES; SUPPLEMENTAL LTD PREMIUMS; AND CLUB MEMBERSHIPS. THE AMOUNT PROVIDED WAS INCLUDED IN TAXABLE COMPENSATION AND REPORTED ON HER W-2.
PART I, LINE 4B	THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLMENTAL NONQUALIFIED RETIREMENT PLAN AND RECEIVED THE FOLLOWING DISTRIBUTIONS IN CALENDAR YEAR 2017: KENDRA A. AUCKER - $127,438 PAUL E. TARVES - $146,964 MICHAEL N. O'KEEFE - $523,728 THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLMENTAL NONQUALIFIED RETIREMENT PLAN, BUT DID NOT RECEIVE A DISTRIBUTION IN CALENDAR YEAR 2017: JAMES A. STOPPER WILLIAM P. ANDERSON JOHN F. DEVINE TAMARA F. PERSING DALE E. MOYER ANGELA J. HUMMEL
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.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd	CUSIPCUSIPNum
UNION COUNTY HOSPITAL AUTHORITY
A	232739624	2018-06-21	$17,371,471	SEE PART VI	0	0	0
UNION COUNTY HOSPITAL AUTHORITY
B	232739624	2018-06-21	$55,541,980	SEE PART VI	0	0	0	906460DK3
UNION COUNTY HOSPITAL AUTHORITY
C	232739624	2018-06-21	$19,365,000	SEE PART VI	0	0	0	906460DR8

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCd	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Capital ExpendituresCapitalExpendituresAmt	UnspentUnspentAmt
A	$17,371,471	$95,753	$17,275,718	2018	Yes (1)	0	Yes (1)	Yes (1)
B	$55,541,980	$213,434	$308,084		0	0	0	Yes (1)	$1,394,858	$53,625,604
C	$19,365,000	$93,078	$19,271,922	2018	Yes (1)	Yes (1)	Yes (1)	Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCd	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	0.00320	0.00320	Yes (1)
B	0.00670	0.00670	Yes (1)
C	0.00320	0.00320	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCd	Exception To RebateExceptionToRebateInd	Variable Rate IssueVariableRateIssueInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	Yes (1)	0	Yes (1)
B	Yes (1)	Yes (1)	Yes (1)
C	Yes (1)	Yes (1)	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)
C	Yes (1)

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE 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

Field	Value	IRS element (for citing)
Person	JLAWRENCE GINSBURG	PersonNm
Relationship With Org	FORMER BOARD OF DIRECTOR	RelationshipWithOrgTxt
Loan Purpose	MORTGAGE NOTE	LoanPurposeTxt
Loan To Organization	Yes (X)	LoanToOrganizationInd
Original Principal	$475,000	OriginalPrincipalAmt
Balance Due	$325,000	BalanceDueAmt
Default	0	DefaultInd
Board Or Committee Approval	Yes (1)	BoardOrCommitteeApprovalInd
Written Agreement	Yes (1)	WrittenAgreementInd

Field	Value	IRS element (for citing)
Total Balance Due	$325,000	TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	JOHN D GRIFFITH	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	SEE PART V	RelationshipDescriptionTxt
Transaction	$336,039	TransactionAmt
Transaction	SEE PART V	TransactionDesc
Sharing Of Revenues	0	SharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS	FormAndLineReferenceDesc
Explanation	(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.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 3	MANAGEMENT SERVICES FOR THE WOUND AND HYBERBARIC OXYGEN THERAPY ("HBOT") DEPARTMENT WERE OUTSOURCED TO DIVERSIFIED CLINICAL SERVICES.
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:	CHANGE IN VALUE OF SPLIT-INTEREST AGREEMENT 1,264. VALUATION GAIN 88,636. POSTRETIREMENT BENEFIT LIABILITY ADJUSTMENT 503,302. NET TRANSFERS WITH AFFILIATES -24,762,089. NET ASSETS RELEASED FROM RESTRICTIONS 3,405.

Schedule R IRS990ScheduleR

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
EVANGELICAL-GEISINGER HEALTH LLC
100 N ACADEMY AVENUE	DANVILLE	PA	178224031	460567687	HEALTHCARE	PA	N/A	RELATED	$87,471	$1,031,041	0	0	0.50000
KEYSTONE ACCOUNTABLE CARE ORG LLC
100 N ACADEMY AVENUE	DANVILLE	PA	17822	455484165	HEALTHCARE	PA	N/A	RELATED	-$625,667	$84,114	0	0	0.10000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	EVANGELICAL MEDICAL SERVICE ORGANIZATION	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	ONE HOSPITAL DRIVE	AddressLine1Txt
City	LEWISBURG	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	17837	ZIPCd

Field	Value	IRS element (for citing)
EIN	232809429	EIN
Primary Activities	MEDICAL SERVICES	PrimaryActivitiesTxt
Legal Domicile State	PA	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	EVANGELICAL COMMUNITY HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Entity Type	C	EntityTypeTxt
Share Of Total Income	$47,497,244	ShareOfTotalIncomeAmt
Share Of EOY Assets	$31,626,662	ShareOfEOYAssetsAmt
Ownership	1.00000	OwnershipPct
Controlled Organization	Yes (1)	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	0	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (1)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
EVANGELICAL MEDICAL SERVICES ORGANIZATION
R	$24,762,089	CASH
EVANGELICAL MEDICAL SERVICES ORGANIZATION
P	$3,811,724	CASH
EVANGELICAL MEDICAL SERVICES ORGANIZATION
O	$1,445,386	HOURS SPENT WORKING FOR AFFILIATE
EVANGELICAL MEDICAL SERVICES ORGANIZATION
J	$964,183	CASH