2019-03-29T13:06:02-05:00 2018-06-30 390859910 BAKER TILLY VIRCHOW KRAUSE LLP 1650 MARKET STREET SUITE 4500 PHILADELPHIA PA 191037341 990 2017-07-01 240795411 EVANGELICAL COMMUNITY HOSPITAL EVAN 5705222741 ONE HOSPITAL DRIVE LEWISBURG PA 17837 JAMES A STOPPER CHIEF FINANCIAL OFFICER 5705222741 2019-03-29 1 JULIUS C GREEN CPA P00350393 2159720701 96.89.178.154 2019-03-29 08:43:47 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 9D0D8DD59390B7764A3ECE0F40BBFE3618018605 2017 2019-02-21 02:37:17Z KENDRA A AUCKER ONE HOSPITAL DRIVE LEWISBURG PA 17837 255462405 0 X WWW.EVANHOSPITAL.COM X 1926 PA PROVIDE HEALTH CARE SERVICES TO THE PUBLIC AND TO BE THE COMMUNITY'S HEALTH CARE PROVIDER OF CHOICE. 19 12 1648 210 8016504 467282 1641054 2835759 185736263 199758596 5737874 4886646 6959177 7732274 200074368 215213275 55000 55000 0 0 84707719 88793334 0 97764 628670 80540698 89218044 165303417 178164142 34770951 37049133 300189218 369234196 72650094 127332725 227539124 241901471 X WE PROVIDE EXCEPTIONAL HEALTHCARE, ACCESSIBLE TO ALL, IN THE SAFEST AND MOST COMPASSIONATE ATMOSPHERE POSSIBLE. OUR VISION: WE WILL BE OUR COMMUNITY'S HEALTHCARE PROVIDER OF CHOICE BY PATIENTS, PHYSICIANS, AND EMPLOYEES. 0 0 139427685 55000 200163588 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. 139427685 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 0 0 1 0 0 0 0 0 1 1 0 1 1 0 1 1 1 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 1 1 1 0 0 1 64 0 1 1648 1 1 1 0 0 0 0 1 1 0 0 0 0 X 19 12 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 PA X JAMES A STOPPER CPA CFO 5705222000 ONE HOSPITAL DRIVE LEWISBURG PA 17837 JOHN E MECKLEY ESQ CHAIR 1.00 0.10 X X 0 0 0 BROOKS R GRONLUND VICE CHAIR 1.00 0.10 X X 0 0 0 JAMES A STOPPER CPA TREASURER/CHIEF FINANCIAL OFFICER 40.00 1.00 X X 363386 0 57299 WILLIAM P ANDERSON SECRETARY/CHIEF OPERATING OFFICER 40.00 X X 185006 0 29285 TIMOTHY J APPLE DIRECTOR 1.00 0.10 X 0 0 0 JULIE A BARNA DMD DIRECTOR 1.00 0.10 X 0 0 0 ROGER S HADDON JR DIRECTOR 1.00 0.10 X 0 0 0 MARK D HUBER DIRECTOR 1.00 0.10 X 0 0 0 JEFFREY J KAPSAR DIRECTOR 1.00 0.10 X 0 0 0 AMANDA G KESSLER ESQ DIRECTOR 1.00 0.10 X 0 0 0 LINDA J KORB PHD NCPSYA DIRECTOR 1.00 0.10 X 0 0 0 SHAWN P MCGLAUGHLIN MD DIRECTOR 40.00 X 578850 0 25154 TIMM A MOYER DIRECTOR 1.00 0.10 X 0 0 0 JANICE OMLOR DO DIRECTOR 1.00 39.00 X 494579 0 33318 JULIA E REDCAY DO DIRECTOR 1.00 39.00 X 372201 0 20328 MATTHEW W REISH MD DIRECTOR 1.00 39.00 X 868585 0 23902 J DONALD STEELE JR DIRECTOR 1.00 0.10 X 0 0 0 DENNIS W SWANK DIRECTOR 1.00 0.10 X 0 0 0 DAVID M ZELECHOSKI MD DIRECTOR 1.00 1.00 X 219539 0 28007 P RONALD ZUG MD DIRECTOR (UNTIL 10/17) 1.00 X 0 0 0 HENRY A TRUSLOW IV DIRECTOR (UNTIL 12/17) 1.00 0.10 X 0 0 0 KENDRA A AUCKER PRESIDENT/CHIEF EXECUTIVE OFFICER 40.00 1.00 X 747112 0 129577 JOHN F DEVINE VP MEDICAL AFFAIRS 40.00 X 466927 0 64265 PAUL E TARVES VP OF NURSING ADMINISTRATION 40.00 X 207051 0 2416 DALE E MOYER VP OF INFORMATION SYSTEM 40.00 X 219822 0 43693 ANGELA J HUMMEL VP OF HUMAN RESOURCES 40.00 X 217538 0 28346 ANGELA LAHR AVP CLINICAL OPERATIONS 40.00 X 147890 0 28836 RANDALL STRAUSSER DIRECTOR OF PHARMACY SERVICES 40.00 X 158652 0 19979 JOSHUA TITUS PHARMACIST 40.00 X 157021 0 10233 ALAN GRISWOLD PHARMACIST 40.00 X 156011 0 12726 JOSHUA MILLER PHARMACIST 40.00 X 149585 0 12479 MICHAEL N O'KEEFE FORMER PRESIDENT/CEO 0.00 X 523728 0 0 6233483 0 569843 51 1 1 0 QUANDEL CONSTRUCTION GROUP 3003 N FRONT ST STE 201 HARRISBURG PA 171101224 CONSTRUCTION 2984735 TRIMEDX LLC PO BOX 636129 CINCINNATI OH 452636129 MAINTENANCE SERVICES 2816076 INTERIOR CONSTRUCTION SPEC 393 E SOUTHERN AVE S WILLIAMSPORT PA 17702 CONSTRUCTION 1751643 ZARTMAN CONSTRUCTION 3000 POINT TOWNSHIP DRIVE NORTHUMBERLAND PA 178578864 CONSTRUCTION 1238507 HBCS 118 LUKENS DRIVE RIVEREDGE PARK NEW CASTLE DE 197202727 COLLECTION SERVICES 1172731 59 203857 252345 2379557 21099 2835759 NET PATIENT SERVICE REVENUE 621400 199758596 199758596 199758596 2666769 2666769 2128265 4056612 -1928347 -1928347 -1928347 38225871 45988 36025869 26113 2200002 19875 2219877 2219877 94710 203857 140536 -45826 -45826 LABORATORY SERVICES 621500 2708904 2708904 BILLING FEES FROM AFFILIATE 541900 1876600 1876600 CAFETERIA AND VENDING SALES 722210 676816 676816 4444127 404992 3431000 608135 9706447 215213275 200163588 8016504 4197424 55000 55000 6571097 3075053 3496044 62511096 49658478 12579383 273235 1654818 1522427 123467 8924 13215296 10603419 2574795 37082 4841027 3772275 1048478 20274 502141 501841 300 122219 6750 115469 9376 9376 97764 97764 446487 11945 434542 8633047 4936572 3615448 81027 566779 17379 549400 35734726 33991799 1715092 27835 9476355 1635330 7806533 34492 465943 465943 145516 112932 31267 1317 165808 91586 69965 4257 1897788 1897788 12052729 12052729 964040 964040 FEDERAL TAXES 150016 150016 BAD DEBT EXPENSE 12834563 12834563 LOSS ON REFINANCING 2887920 2887920 MA MODERNIZATION 465213 465213 1697378 1256464 398751 42163 178164142 139427685 38107787 628670 5205 5335 35308181 41318606 7785 1186889 15244228 16384028 4367994 4495761 3772597 4308268 247727282 115716604 127740101 132010678 95286553 149241471 4751307 5172985 3175259 3175259 10530008 11934916 300189218 369234196 16567182 19453665 30051 29307 39996978 92278451 325000 1488804 611542 14567079 14634760 72650094 127332725 X 220660240 233995290 1163067 2086124 5715817 5820057 227539124 241901471 300189218 369234196 X 37049133 1478696 -24165482 X 0 1 X 1 0 X 0 0 0 0 0 0 0 0 1 9376 9376 0 PART II-B, LINE 1: 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. 7862290 25625 436912 22500 104484 32679 8165164 7418085 185221 425034 23000 112547 30503 7862290 5826952 1171492 563204 13407 104824 25332 7418085 5428211 349586 177781 20915 84049 23662 5826952 4590433 322276 635909 19298 79509 21600 5428211 0.72220 0.27780 0.00000 1 0 8669217 8669217 125699503 45689556 80009947 12758160 1509262 11248898 92407040 66590643 25816397 8193362 1927143 6266219 132010678 BLUE CROSS CURRENT FINANCING ADVANCE 1057190 ACCRUED POSTRETIREMENT BENEFIT COSTS 5317100 ESTIMATED MEDICAL MALPRACTICE CLAIMS LIABILITY 1858863 CHARITABLE GIFT ANNUITIES PAYABLE 204403 DEFERRED COMPENSATION 1797857 CAPITAL LEASE OBLIGATION 343314 ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS 2616378 DUE TO AFFILIATES 1439655 14634760 208224935 1478696 -12664184 -11185488 219410423 -4197148 -4197148 215213275 193862588 28959237 28959237 164903351 13260791 13260791 178164142 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. X X X X X X X 1 PRIDE PHILANTHROPY 1397 CHESTNUT COVE TRAIL 20988 JASPER GA 30143 CAMPAIGN CONSULTANT 0 0 84000 0 PROCOPIA 1106 NORTH SHERIDAN AVENUE PITTSBURGH PA 15206 GRANT WRITING CONSULTANT 0 0 7563 0 JAMES E CONNELL & ASSOCIATES 15 PINEWALD DRIVE PO BOX 3335 PINEHURST NC 283743335 PLANNED GIVING CONSULTANT 0 0 6201 0 97764 PA GALA 161100 99702 61398 47030 557 16873 9000 16594 COOKIN' MEN/FASANO LECTURE 74937 58395 16542 6007 5300 16456 1 62530 45760 16770 1960 9690 6244 4825 298567 203857 94710 1960 47030 10247 29124 14300 37875 140536 -45826 1 1 1 X 1 X 1 1 1 0 1 1 0 843 232861 0 232861 0.00140 0 23419 16636574 7304974 9331600 0.05640 0 83 28047 0 28047 0.00020 24345 16897482 7304974 9592508 0.05800 42 31760 1089124 49446 1039678 0.00630 5 2444 187665 0 187665 0.00110 0 0 0 0 0 0 0 0 1 2764 116650 0 116650 0.00070 48 36968 1393439 49446 1343993 0.00810 48 61313 18290921 7354420 10936501 0.06610 0 0 0 0 0 0 0 0 2 19 398 0 398 0.00000 0 0 0 0 2 497 867 0 867 0.00000 4 1198 7325 0 7325 0.00000 1 150 2500 0 2500 0.00000 12 1216 203018 0 203018 0.00120 0 0 0 0 21 3080 214108 214108 0.00120 1 8328473 0 33537462 48058836 -14521374 X 1 1 1 1 EVANGELICAL COMMUNITY HOSPITAL ONE HOSPITAL DRIVE LEWISBURG PA 17837 570201 X X X INPATIENT REHABILITATION, HOSPICE EVANGELICAL COMMUNITY HOSPITAL 1 0 0 1 X X X X X X X X X 15 1 1 1 1 X WWW.EVANHOSPITAL.COM/HEALTH-AND-WELLNESS X 1 15 1 WWW.EVANHOSPITAL.COM/HEALTH-AND-WELLNESS 0 1 X 100.000000000000 200.000000000000 X X 1 1 X X X 1 X WWW.EVANHOSPITAL.COM/PATIENTS/INSURANCE/CHARITY-CARE X WWW.EVANHOSPITAL.COM/PATIENTS/INSURANCE/CHARITY-CARE X WWW.EVANHOSPITAL.COM/PATIENTS/INSURANCE/CHARITY-CARE X X X X 1 X 0 X 1 X 0 0 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. 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 1 SCHOLARSHIPS 15 55000 CASH N/A PART I, LINE 2: APPLICANTS MUST APPLY FOR NURSING AND TRAINING DEPARTMENT SCHOLARSHIPS. APPLICATIONS ARE REVIEWED BY A COMMITTEE TO DETERMINE IF THE APPLICANTS MEET THE ELIGIBILITY REQUIREMENTS. APPLICANTS ARE REVIEWED BASED ON COMMUNITY SERVICE AND/OR EXTRA CURRICULAR ACTIVITIES, ACADEMIC STANDING, QUALITY OF ESSAY, FINANCIAL NEED, ETC. X 1 0 X X X X 0 1 0 0 0 0 0 1 0 JAMES A STOPPER CPA TREASURER/CHIEF FINANCIAL OFFICER 299073 0 64313 0 0 0 43077 0 14222 0 420685 0 0 0 WILLIAM P ANDERSON SECRETARY/CHIEF OPERATING OFFICER 172135 0 12871 0 0 0 15484 0 13801 0 214291 0 0 0 SHAWN P MCGLAUGHLIN MD DIRECTOR 578850 0 0 0 0 0 11641 0 13513 0 604004 0 0 0 JANICE OMLOR DO DIRECTOR 489579 0 5000 0 0 0 9860 0 23458 0 527897 0 0 0 JULIA E REDCAY DO DIRECTOR 360528 0 11673 0 0 0 6998 0 13330 0 392529 0 0 0 MATTHEW W REISH MD DIRECTOR 550452 0 318133 0 0 0 10841 0 13061 0 892487 0 0 0 DAVID M ZELECHOSKI MD DIRECTOR 219539 0 0 0 0 0 4549 0 23458 0 247546 0 0 0 KENDRA A AUCKER PRESIDENT/CHIEF EXECUTIVE OFFICER 503066 0 116608 0 127438 0 112803 0 16774 0 876689 0 127438 0 JOHN F DEVINE VP MEDICAL AFFAIRS 421346 0 45581 0 0 0 50043 0 14222 0 531192 0 0 0 PAUL E TARVES VP OF NURSING ADMINISTRATION 46524 0 13563 0 146964 0 2316 0 100 0 209467 0 146964 0 DALE E MOYER VP OF INFORMATION SYSTEM 185603 0 34219 0 0 0 27859 0 15834 0 263515 0 0 0 ANGELA J HUMMEL VP OF HUMAN RESOURCES 187478 0 30060 0 0 0 27121 0 1225 0 245884 0 0 0 ANGELA LAHR AVP CLINICAL OPERATIONS 134804 0 13086 0 0 0 5426 0 23410 0 176726 0 0 0 RANDALL STRAUSSER DIRECTOR OF PHARMACY SERVICES 158652 0 0 0 0 0 6466 0 13513 0 178631 0 0 0 JOSHUA TITUS PHARMACIST 157021 0 0 0 0 0 3612 0 6621 0 167254 0 0 0 ALAN GRISWOLD PHARMACIST 156011 0 0 0 0 0 6132 0 6594 0 168737 0 0 0 JOSHUA MILLER PHARMACIST 149585 0 0 0 0 0 5858 0 6621 0 162064 0 0 0 MICHAEL N O'KEEFE FORMER PRESIDENT/CEO 0 0 0 0 523728 0 0 0 0 0 523728 0 523728 0 PART I, LINE 1A KENDRA A. AUCKER, PRESIDENT/CEO, HAS A FLEXIBLE BENEFIT ALLOWANCE PER HER CONTRACT. THE EXPENSES AVAILABLE FOR REIMBURSEMENT UNDER THIS ALLOWANCE ARE: AUTOMOBILE ALLOWANCE AND AUTO EXPENSES; SUPPLEMENTAL LTD PREMIUMS; AND CLUB MEMBERSHIPS. THE AMOUNT PROVIDED WAS INCLUDED IN TAXABLE COMPENSATION AND REPORTED ON HER W-2. PART I, LINE 4B THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLMENTAL NONQUALIFIED RETIREMENT PLAN AND RECEIVED THE FOLLOWING DISTRIBUTIONS IN CALENDAR YEAR 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. A UNION COUNTY HOSPITAL AUTHORITY 232739624 2018-06-21 17371471 SEE PART VI 0 0 0 B UNION COUNTY HOSPITAL AUTHORITY 232739624 906460DK3 2018-06-21 55541980 SEE PART VI 0 0 0 C UNION COUNTY HOSPITAL AUTHORITY 232739624 906460DR8 2018-06-21 19365000 SEE PART VI 0 0 0 A 17371471 95753 17275718 2018 1 0 1 1 B 55541980 213434 1394858 308084 53625604 0 0 0 1 C 19365000 93078 19271922 2018 1 1 1 1 A 0 0 0 0 0.00000 0.00320 0.00320 0 0 1 B 0 0 0 0 0.00000 0.00670 0.00670 0 0 1 C 0 0 0 0 0.00000 0.00320 0.00320 0 0 1 A 0 0 1 0 0 0 0 0 1 B 0 0 1 0 1 0 0 0 1 C 0 0 1 0 1 0 0 0 1 A 1 B 1 C 1 SCHEDULE K, PART I, BOND ISSUES: (A) ISSUER NAME: UNION COUNTY HOSPITAL AUTHORITY - SERIES OF 2018A HOSPITAL REVENUE BONDS (F) DESCRIPTION OF PURPOSE: REFINANCE OF 2013 HOSPITAL REVENUE BONDS AND PAYMENT OF ISSUANCE COSTS. (A) ISSUER NAME: UNION COUNTY HOSPITAL AUTHORITY- SERIES OF 2018B HOSPITAL REVENUE BONDS (F) DESCRIPTION OF PURPOSE: CONSTRUCTION/RENOVATION PROJECTS (INCLUDING PATIENT BED TOWER) AND PAYMENT OF ISSUANCE COSTS. (A) ISSUER NAME: UNION COUNTY HOSPITAL AUTHORITY- SERIES OF 2018C HOSPITAL REVENUE BONDS (F) DESCRIPTION OF PURPOSE: REFINANCE OF 2011 HOSPITAL REVENUE BONDS AND PAYMENT OF ISSUANCE COSTS. JLAWRENCE GINSBURG FORMER BOARD OF DIRECTOR MORTGAGE NOTE X 475000 325000 0 1 1 325000 JOHN D GRIFFITH SEE PART V 336039 SEE PART V 0 SCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS (A) NAME OF PERSON: JOHN D. GRIFFITH(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: SERVES AS AN EMERITIS DIRECTOR ON THE BOARD OF DIRECTORS(D) JOHN D. GRIFFITH LEASES PROPERTY TO THE HOSPITAL IN AN ARM'S LENGTH TRANSACTION. FORM 990, PART VI, SECTION A, LINE 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. EVANGELICAL-GEISINGER HEALTH LLC 100 N ACADEMY AVENUE DANVILLE PA 178224031 460567687 HEALTHCARE PA N/A RELATED 87471 1031041 0 0 0.50000 KEYSTONE ACCOUNTABLE CARE ORG LLC 100 N ACADEMY AVENUE DANVILLE PA 17822 455484165 HEALTHCARE PA N/A RELATED -625667 84114 0 0 0.10000 EVANGELICAL MEDICAL SERVICE ORGANIZATION ONE HOSPITAL DRIVE LEWISBURG PA 17837 232809429 MEDICAL SERVICES PA EVANGELICAL COMMUNITY HOSPITAL C 47497244 31626662 1.00000 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 1 0 EVANGELICAL MEDICAL SERVICES ORGANIZATION R 24762089 CASH EVANGELICAL MEDICAL SERVICES ORGANIZATION P 3811724 CASH EVANGELICAL MEDICAL SERVICES ORGANIZATION O 1445386 HOURS SPENT WORKING FOR AFFILIATE EVANGELICAL MEDICAL SERVICES ORGANIZATION J 964183 CASH