EVANGELICAL COMMUNITY HOSPITAL: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization: EVANGELICAL COMMUNITY HOSPITAL (EIN 24-0795411)
Tax period: 2015-07-01 to 2016-06-30
Filed: 2017-03-31
IRS object ID: 201720909349300302
Schema version: 2015v3.0
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 M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2017-03-31T07:17:29-05:00	ReturnTs
Tax Period End	2016-06-30	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	19103	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2015-07-01	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 STOPPER	PersonNm
Person Title	CHIEF FINANCIAL OFFICER	PersonTitleTxt
Phone	5705222741	PhoneNum
Signature	2017-03-30	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

Field	Value	IRS element (for citing)
Tax	2015	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	KENDRA 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	$219,834,851	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	20	VotingMembersGoverningBodyCnt
Voting Members Independent	14	VotingMembersIndependentCnt
Total Employee	1602	TotalEmployeeCnt
Total Volunteers	320	TotalVolunteersCnt
Total Gross UBI	$6,704,665	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$690,691	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,974,449	PYContributionsGrantsAmt
CY Contributions Grants	$2,642,560	CYContributionsGrantsAmt
PY Program Service Revenue	$171,481,635	PYProgramServiceRevenueAmt
CY Program Service Revenue	$179,308,219	CYProgramServiceRevenueAmt
PY Investment Income	$5,791,811	PYInvestmentIncomeAmt
CY Investment Income	$4,393,934	CYInvestmentIncomeAmt
PY Other Revenue	$7,134,452	PYOtherRevenueAmt
CY Other Revenue	$7,869,163	CYOtherRevenueAmt
PY Total Revenue	$186,382,347	PYTotalRevenueAmt
CY Total Revenue	$194,213,876	CYTotalRevenueAmt
PY Grants And Similar Paid	$76,100	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$68,900	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$78,596,865	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$79,054,498	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$490,865	CYTotalFundraisingExpenseAmt
PY Other Expenses	$78,790,035	PYOtherExpensesAmt
CY Other Expenses	$80,177,201	CYOtherExpensesAmt
PY Total Expenses	$157,463,000	PYTotalExpensesAmt
CY Total Expenses	$159,300,599	CYTotalExpensesAmt
PY Revenues Less Expenses	$28,919,347	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$34,913,277	CYRevenuesLessExpensesAmt
Total Assets BOY	$272,520,113	TotalAssetsBOYAmt
Total Assets EOY	$286,080,178	TotalAssetsEOYAmt
Total Liabilities BOY	$81,341,569	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$77,140,379	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$191,178,544	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$208,939,799	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	WE WILL 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	$127,170,038	ExpenseAmt
Grant	$68,900	GrantAmt
Revenue	$179,530,354	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	$127,170,038	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	Yes (1)	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	0	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	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	Yes (1)	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	Yes (1)	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	0	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	60	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	1602	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	20	GoverningBodyVotingMembersCnt
Independent Voting Member	14	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

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	JAMES STOPPER CPA	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
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
JULIE A BARNA DMD
CHAIR	1.00	0.10	Yes (X)	Yes (X)	$0	$0	$0
JOHN MECKLEY ESQ
VICE CHAIR	1.00	0.10	Yes (X)	Yes (X)	$0	$0	$0
TIMOTHY J APPLE
DIRECTOR	1.00	0.10	Yes (X)		$0	$0	$0
JOHN D GRIFFITH
DIRECTOR	1.00	0.10	Yes (X)		$0	$0	$0
ROBERT B GRONLUND
DIRECTOR	1.00	0.10	Yes (X)		$0	$0	$0
ROGER S HADDON JR
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
TIMM A MOYER
DIRECTOR	1.00	0.10	Yes (X)		$0	$0	$0
JANICE OMLOR DO
DIRECTOR	1.00	39.00	Yes (X)		$129,969	$0	$6,983
FREDRIK B PAULSEN JR
DIRECTOR	1.00	0.10	Yes (X)		$0	$0	$0
JULIA E REDCAY DO
DIRECTOR	1.00	39.00	Yes (X)		$378,491	$0	$26,991
MATTHEW W REISH MD
DIRECTOR	1.00	39.00	Yes (X)		$786,644	$0	$34,942
JOHN E RICE MD
DIRECTOR/PHYSICIAN	1.00	39.00	Yes (X)		$255,153	$0	$24,686
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
HENRY A TRUSLOW IV
DIRECTOR	1.00	0.10	Yes (X)		$0	$0	$0
P RONALD ZUG MD
DIRECTOR/PHYSICIAN	1.00		Yes (X)		$0	$0	$0
JAMES A STOPPER
TREASURER/CHIEF FINANCIAL OFFICER	40.00	1.00	Yes (X)	Yes (X)	$282,452	$0	$56,682
ANGELA J HUMMEL
SECRETARY/VP OF HUMAN RESOURCES	40.00		Yes (X)	Yes (X)	$162,376	$0	$22,915
KENDRA A AUCKER
PRESIDENT/CHIEF EXECUTIVE OFFICER	40.00	1.00		Yes (X)	$393,826	$0	$81,526
J LAWRENCE GINSBURG
VP MEDICAL AFFAIRS	40.00				$480,930	$0	$88,107	Yes (X)
PAUL E TARVES
VP OF NURSING	40.00				$205,758	$0	$41,343	Yes (X)
DALE E MOYER
CHIEF INFORMATION OFFICER	40.00				$191,978	$0	$43,741	Yes (X)
MARK K KRAMMES
DIRECTOR OF PERI-ANESTHESIA	40.00				$187,562	$0	$22,820	Yes (X)
RANDALL STRAUSSER
DIRECTOR OF PHARMACY SERVICES	40.00				$157,407	$0	$25,725	Yes (X)
COLLEN FRITZ
NURSE ANESTHETIST	45.00				$151,775	$0	$6,188		Yes (X)
LORI K GOODLING
NURSE ANESTHETIST	45.00				$165,871	$0	$1,673		Yes (X)
RAYMOND J TOMASZEWSKI
NURSE ANESTHETIST	45.00				$148,869	$0	$6,143		Yes (X)
EUISHIN JUNG
NURSE ANESTHETIST	40.00				$152,589	$0	$6,934		Yes (X)
SANDRA WALKER
NURSE ANESTHETIST	40.00				$151,761	$0	$8,723		Yes (X)
MICHAEL N O'KEEFE
FORMER PRESIDENT/CEO	0.00				$382,211	$0	$85,608			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$4,765,622	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$591,730	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	44	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
TRIMEDX
5451 LAKEVIEW PARKWAY SOUTH DRIVE	INDIANAPOLIS	IN	46268	MAINTENANCE SERVICES	$2,844,508
QUANDEL CONSTRUCTION GROUP INC
3003 NORTH FRONT ST SUITE 2-1	HARRISBURG	PA	171101224	CONSTRUCTION	$2,783,481
INTERIOR CONSTRUCTION SPEC
339 E SOUTHERN AVE PO BOX 5128	SOUTH WILLIAMSPORT	PA	17702	CONSTRUCTION	$2,020,151
HBCS
118 LUKENS DRIVE	NEW CASTLE	DE	197202727	MANAGEMENT SERVICES	$1,028,930
BESWICK LAW
22 N 2ND STREET	LEWISBURG	PA	17837	LEGAL SERVICES	$499,720

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	54	CntrctRcvdGreaterThan100KCnt
Fundraising	$184,170	FundraisingAmt
Government Grants	$281,025	GovernmentGrantsAmt
All Other Contributions	$2,177,365	AllOtherContributionsAmt
Noncash Contributions	$34,165	NoncashContributionsAmt
Total Contributions	$2,642,560	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	NET PATIENT SERVICE REV	Desc
Business	621400	BusinessCd
Total Revenue Column	$179,308,219	TotalRevenueColumnAmt
Related Or Exempt Func Income	$179,308,219	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$179,308,219	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,682,118	TotalRevenueColumnAmt
Exclusion	$2,682,118	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$1,779,395	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$2,271,235	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$491,840	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$491,840	TotalRevenueColumnAmt
Exclusion	-$491,840	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$24,889,604	SecuritiesAmt
Other	$1,158	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$23,153,787	SecuritiesAmt
Other	$25,159	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$1,735,817	SecuritiesAmt
Other	-$24,001	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,711,816	TotalRevenueColumnAmt
Exclusion	$1,711,816	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$83,673	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$184,170	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$170,794	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$87,121	TotalRevenueColumnAmt
Exclusion	-$87,121	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
LABORATORY SERVICES	621500	$4,204,193	$4,204,193
BILLING FEES FROM AFFILIATE	541900	$1,312,300	$1,312,300
CAFETERIA AND VENDING SALES	722210	$528,617		$528,617

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,403,014	TotalRevenueColumnAmt
Related Or Exempt Func Income	$222,135	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,188,172	UnrelatedBusinessRevenueAmt
Exclusion	$992,707	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$8,448,124	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$194,213,876	TotalRevenueColumnAmt
Related Or Exempt Func Income	$179,530,354	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$6,704,665	UnrelatedBusinessRevenueAmt
Exclusion	$5,336,297	ExclusionAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$68,900	TotalAmt
Program Services	$68,900	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$4,636,691	TotalAmt
Program Services	$2,007,511	ProgramServicesAmt
Management And General	$2,629,180	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$59,023,909	TotalAmt
Program Services	$47,301,795	ProgramServicesAmt
Management And General	$11,482,975	ManagementAndGeneralAmt
Fundraising	$239,139	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,520,660	TotalAmt
Program Services	$1,446,906	ProgramServicesAmt
Management And General	$68,524	ManagementAndGeneralAmt
Fundraising	$5,230	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$9,407,533	TotalAmt
Program Services	$7,450,820	ProgramServicesAmt
Management And General	$1,921,303	ManagementAndGeneralAmt
Fundraising	$35,410	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$4,465,705	TotalAmt
Program Services	$3,541,580	ProgramServicesAmt
Management And General	$906,945	ManagementAndGeneralAmt
Fundraising	$17,180	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$285,857	TotalAmt
Management And General	$285,857	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$138,990	TotalAmt
Program Services	$25,471	ProgramServicesAmt
Management And General	$113,519	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$8,215	TotalAmt
Management And General	$8,215	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$382,667	TotalAmt
Program Services	$12,145	ProgramServicesAmt
Management And General	$370,522	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$8,935,188	TotalAmt
Program Services	$3,907,384	ProgramServicesAmt
Management And General	$4,940,997	ManagementAndGeneralAmt
Fundraising	$86,807	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$610,205	TotalAmt
Program Services	$24,105	ProgramServicesAmt
Management And General	$586,100	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$33,545,413	TotalAmt
Program Services	$31,207,689	ProgramServicesAmt
Management And General	$2,315,068	ManagementAndGeneralAmt
Fundraising	$22,656	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$6,306,047	TotalAmt
Program Services	$982,755	ProgramServicesAmt
Management And General	$5,293,925	ManagementAndGeneralAmt
Fundraising	$29,367	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$1,645,702	TotalAmt
Program Services	$1,645,702	ProgramServicesAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$149,914	TotalAmt
Program Services	$119,119	ProgramServicesAmt
Management And General	$28,455	ManagementAndGeneralAmt
Fundraising	$2,340	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$229,710	TotalAmt
Program Services	$96,521	ProgramServicesAmt
Management And General	$125,624	ManagementAndGeneralAmt
Fundraising	$7,565	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$2,125,839	TotalAmt
Program Services	$2,125,839	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$12,425,813	TotalAmt
Program Services	$12,425,813	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$356,244	TotalAmt
Program Services	$356,244	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Management And GeneralManagementAndGeneralAmt	Program ServicesProgramServicesAmt
FEDERAL TAXES	$216,478	$216,478
BAD DEBT EXPENSE	$9,661,895		$9,661,895
MA MODERNIZATION	$1,444,270		$1,444,270
REPAIRS	$624,288	$488	$623,800

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,084,466	TotalAmt
Program Services	$693,774	ProgramServicesAmt
Management And General	$345,521	ManagementAndGeneralAmt
Fundraising	$45,171	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$159,300,599	TotalAmt
Program Services	$127,170,038	ProgramServicesAmt
Management And General	$31,639,696	ManagementAndGeneralAmt
Fundraising	$490,865	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$3,803	BOYAmt
EOY	$4,895	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$26,138,729	BOYAmt
EOY	$33,936,715	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$88,068	BOYAmt
EOY	$24,327	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$15,764,986	BOYAmt
EOY	$15,943,146	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$5,722	BOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$3,649,366	BOYAmt
EOY	$3,852,503	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$2,882,229	BOYAmt
EOY	$3,230,958	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$242,209,799	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$118,948,388	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$121,579,743	BOYAmt
EOY	$123,261,411	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$86,180,451	BOYAmt
EOY	$88,551,227	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$3,670,701	BOYAmt
EOY	$4,203,948	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	$9,381,056	BOYAmt
EOY	$9,895,789	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$272,520,113	BOYAmt
EOY	$286,080,178	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$19,826,297	BOYAmt
EOY	$18,436,161	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$38,311	BOYAmt
EOY	$35,026	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$43,973,897	BOYAmt
EOY	$42,025,830	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$515,909	BOYAmt
EOY	$1,093,904	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$16,987,155	BOYAmt
EOY	$15,549,458	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$81,341,569	BOYAmt
EOY	$77,140,379	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$184,476,058	BOYAmt
EOY	$202,416,276	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$995,670	BOYAmt
EOY	$1,096,456	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$5,706,816	BOYAmt
EOY	$5,427,067	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$191,178,544	BOYAmt
EOY	$208,939,799	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$272,520,113	BOYAmt
EOY	$286,080,178	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$34,913,277	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$2,614,868	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$14,537,154	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

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

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	$8,215	OtherActivitiesAmt
Total Lobbying Expenditures	$8,215	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 DUES WAS USED FOR LOBBYING; THIS AMOUNTED TO $8,215 FOR THE FISCAL YEAR.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$3,717,474	BeginningYearBalanceAmt
Contributions	$700,530	ContributionsAmt
Investment Earnings Or Losses	$280,387	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$22,640	GrantsOrScholarshipsAmt
Other Expenditures	$67,350	OtherExpendituresAmt
Administrative Expenses	$17,968	AdministrativeExpensesAmt
End Year Balance	$4,590,433	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$3,351,677	BeginningYearBalanceAmt
Contributions	$114,280	ContributionsAmt
Investment Earnings Or Losses	$341,323	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$15,894	GrantsOrScholarshipsAmt
Other Expenditures	$60,316	OtherExpendituresAmt
Administrative Expenses	$13,596	AdministrativeExpensesAmt
End Year Balance	$3,717,474	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.70670	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.29330	PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	0	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$8,619,667	OtherCostOrOtherBasisAmt
Book Value	$8,619,667	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$120,263,723	OtherCostOrOtherBasisAmt
Depreciation	$39,263,910	DepreciationAmt
Book Value	$80,999,813	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,216,506	OtherCostOrOtherBasisAmt
Depreciation	$815,293	DepreciationAmt
Book Value	$1,401,213	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$102,375,778	OtherCostOrOtherBasisAmt
Depreciation	$76,892,980	DepreciationAmt
Book Value	$25,482,798	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$8,734,125	OtherCostOrOtherBasisAmt
Depreciation	$1,976,205	DepreciationAmt
Book Value	$6,757,920	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$123,261,411	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDesc	AmtAmt
BLUE CROSS CURRENT FINANCING ADVANCE	$1,057,190
ACCRUED POSTRETIREMENT BENEFIT COSTS	$6,074,720
ESTIMATED MEDICAL MALPRACTICE CLAIMS LIABILITY	$1,130,246
CHARITABLE GIFT ANNUITIES PAYABLE	$262,132
DEFERRED COMPENSATION	$2,280,971
CAPITAL LEASE OBLIGATION	$1,358,937
ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS	$2,075,123
DUE TO AFFILIATES	$1,310,139

Field	Value	IRS element (for citing)
Total Liability	$15,549,458	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$184,471,466	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	-$2,614,868	NetUnrealizedGainsInvstAmt
Other Revenue	-$9,569,571	OtherRevenueAmt
Revenue Not Reported	-$12,184,439	RevenueNotReportedAmt
Revenue Subtotal	$196,655,905	RevenueSubtotalAmt
Other Revenues Not Included	-$2,442,029	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	-$2,442,029	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$194,213,876	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$166,710,211	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$17,442,029	OtherExpensesIncludedAmt
Expenses Not Reported	$17,442,029	ExpensesNotReportedAmt
Expenses Subtotal	$149,268,182	ExpensesSubtotalAmt
Other Expenses Not Included	$10,032,417	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$10,032,417	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$159,300,599	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (6 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 X, LINE 2:	THE CORPORATION ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES USING A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD HAS BEEN MET. MANAGEMENT HAS DETERMINED THAT THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2016 OR 2015. THE HOSPITAL'S FEDERAL RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX (FORM 990) AND THE FEDERAL EXEMPT ORGANIZATION BUSINESS INCOME TAX RETURNS (FORM 990-T) FOR THE YEARS ENDING PRIOR TO JUNE 30, 2013 NO LONGER REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE ("IRS").
PART XI, LINE 2D - OTHER ADJUSTMENTS:	CHANGE IN VALUE OF SPLIT-INTEREST AGREEMENT -19,537. VALUATION LOSS -282,119. POSTRETIREMENT BENEFIT LIABILITY ADJUSTMENT 764,502. INVESTMENT EXPENSES -370,522. BAD DEBT EXPENSE -9,661,895.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	RENTAL EXPENSES -2,271,235. SPECIAL EVENTS EXPENSE -170,794.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	RENTAL EXPENSES 2,271,235. SPECIAL EVENTS EXPENSE 170,794. EQUITY TRANSFER TO AFFILIATE 15,000,000.
PART XII, LINE 4B - OTHER ADJUSTMENTS:	INVESTMENT EXPENSES 370,522. BAD DEBT EXPENSE 9,661,895.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	GALA	Event1Nm
Gross Receipts Event1	$146,700	GrossReceiptsEvent1Amt
Charitable Contri Event1	$86,169	CharitableContriEvent1Amt
Gross Revenue Event1	$60,531	GrossRevenueEvent1Amt
Non Cash Prizes Event1	$56,872	NonCashPrizesEvent1Amt
Rent Facility Costs Event1	$3,737	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$17,976	FoodAndBeverageEvent1Amt
Entertainment Event1	$9,000	EntertainmentEvent1Amt
Other Direct Expenses Event1	$12,827	OtherDirectExpensesEvent1Amt
Event2	GOLF TOURNAMENT	Event2Nm
Gross Receipts Event2	$70,907	GrossReceiptsEvent2Amt
Charitable Contri Event2	$56,550	CharitableContriEvent2Amt
Gross Revenue Event2	$14,357	GrossRevenueEvent2Amt
Cash Prizes Event2	$2,513	CashPrizesEvent2Amt
Rent Facility Costs Event2	$9,050	RentFacilityCostsEvent2Amt
Food And Beverage Event2	$6,287	FoodAndBeverageEvent2Amt
Other Direct Expenses Event2	$3,262	OtherDirectExpensesEvent2Amt
Other Events Total	1	OtherEventsTotalCnt
Gross Receipts Other Events	$50,236	GrossReceiptsOtherEventsAmt
Charitable Contri Other Events	$41,451	CharitableContriOtherEventsAmt
Gross Revenue Other Events	$8,785	GrossRevenueOtherEventsAmt
Rent Fclty Costs Other Events	$945	RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events	$2,964	FoodAndBeverageOtherEventsAmt
Entertainment Other Events	$35,300	EntertainmentOtherEventsAmt
Oth Direct Expnss Other Events	$10,061	OthDirectExpnssOtherEventsAmt
Gross Receipts Total	$267,843	GrossReceiptsTotalAmt
Charitable Contributions Tot	$184,170	CharitableContributionsTotAmt
Gross Revenue Total Events	$83,673	GrossRevenueTotalEventsAmt
Cash Prizes Total Events	$2,513	CashPrizesTotalEventsAmt
Non Cash Prizes Total Events	$56,872	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$13,732	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$27,227	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$44,300	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$26,150	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$170,794	DirectExpenseSummaryEventsAmt
Net Income Summary	-$87,121	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	0	ExpensesExceedBudgetInd
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)
Persons Served	317	PersonsServedCnt
Total Community Benefit Expns	$104,048	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$104,048	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Persons Served	22759	PersonsServedCnt
Total Community Benefit Expns	$14,626,432	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,424,077	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,202,355	NetCommunityBenefitExpnsAmt
Total Expense	0.05480	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Persons Served	114	PersonsServedCnt
Total Community Benefit Expns	$35,911	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$35,911	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Persons Served	23190	PersonsServedCnt
Total Community Benefit Expns	$14,766,391	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,424,077	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,342,314	NetCommunityBenefitExpnsAmt
Total Expense	0.05570	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	59	ActivitiesOrProgramsCnt
Persons Served	29293	PersonsServedCnt
Total Community Benefit Expns	$879,421	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$74,451	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$804,970	NetCommunityBenefitExpnsAmt
Total Expense	0.00540	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	5	ActivitiesOrProgramsCnt
Persons Served	755	PersonsServedCnt
Total Community Benefit Expns	$103,971	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$103,971	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	11450	PersonsServedCnt
Total Community Benefit Expns	$8,825	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,825	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	65	ActivitiesOrProgramsCnt
Persons Served	41498	PersonsServedCnt
Total Community Benefit Expns	$992,217	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$75,451	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$916,766	NetCommunityBenefitExpnsAmt
Total Expense	0.00620	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	65	ActivitiesOrProgramsCnt
Persons Served	64688	PersonsServedCnt
Total Community Benefit Expns	$15,758,608	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,499,528	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,259,080	NetCommunityBenefitExpnsAmt
Total Expense	0.06190	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	90	PersonsServedCnt
Total Community Benefit Expns	$130	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$130	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	100	PersonsServedCnt
Total Community Benefit Expns	$1,866	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,866	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	7	ActivitiesOrProgramsCnt
Persons Served	996	PersonsServedCnt
Total Community Benefit Expns	$31,459	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$31,459	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	10	ActivitiesOrProgramsCnt
Persons Served	153	PersonsServedCnt
Total Community Benefit Expns	$100,991	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$100,991	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	19	ActivitiesOrProgramsCnt
Persons Served	1339	PersonsServedCnt
Total Community Benefit Expns	$134,446	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$134,446	NetCommunityBenefitExpnsAmt
Total Expense	0.00090	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$10,861,574	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$31,305,012	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$42,132,657	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$10,827,645	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
Information Gaps	Yes (X)	InformationGapsInd
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
Strategy Attached	0	StrategyAttachedInd
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 Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP Notice Displayed	Yes (X)	FAPNoticeDisplayedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Medicare Rates	Yes (X)	MedicareRatesInd
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 16I: 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.

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	1 - EVANGELICAL AMBULATORY SURGICAL CENTER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	210 JPM ROAD SUITE 100	AddressLine1Txt
City	LEWISBURG	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	17837	ZIPCd

Field	Value	IRS element (for citing)
Facility	OUTPATIENT SURGICAL CENTER	FacilityTxt

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 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $9,661,895.
PART II, COMMUNITY BUILDING ACTIVITIES:	AS A COMMUNITY AND HEALTH RESOURCE FOR MORE THAN 89 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 PROVIDEDTO 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 THECOST TO CHARGE RATIO TO ARRIVE AT COST. EVANGELICAL COMMUNITY HOSPITALPROVIDES CARE TO ALL PATIENTS WHO NEED IT, REGARDLESS OF THEIR ABILITY TOPAY. 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 ANDPROVISION 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 PROVISIONFOR 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.
PART III, LINE 8:	THE HOSPITAL CONTINUES TO PROVIDE CARE TO ALL PRESENTING AND ADMITTED PATIENTS, REGARDLESS OF ABILITY OR 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:	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 WORK 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.
PART VI, LINE 3:	AS A COMMUNITY HOSPITAL, EVANGELICAL IS DEDICATED TO IMPROVING THE HEALTH AND WELL-BEING OF ALL ITS CONSTITUENTS. THROUGH THE FINANCIAL ASSISTANCE PROGRAM, MEDICAL CARE IS PROVIDED REGARDLESS OF A PATIENT'S ABILITY TO PAY, INSUFFICIENT HEALTH INSURANCE OR WHETHER A GOVERNMENT-SPONSORED PROGRAM COVERS THE FULL COST OF SERVICES. AS THE COUNTRY'S ECONOMIC FUTURE REMAINS UNCERTAIN, EVANGELICAL WILL CONTINUE TO PROVIDE CARE FOR THOSE WHO NEED IT. EVANGELICAL WILL PROVIDE SERVICES AT NO CHARGE OR REDUCED CHARGES TO THOSE WHO ARE FINANCIALLY UNABLE TO PAY FOR THOSE SERVICES. EVANGELICAL WILL NOT ARBITRARILY RESTRICT THE PROVISIONS OF HEALTH SERVICES TO CERTAIN INDIVIDUALS OR GROUPS.EVANGELICAL COMMUNITY HOSPITAL'S REGISTRATION DEPARTMENT REPRESENTATIVESINFORM OUR UNINSURED OR UNDER INSURED PATIENTS, OF OUR FINANCIAL ASSISTANCE PROGRAM. FINANCIAL ASSISTANCE APPLICATIONS ARE OFFERED TOTHESE PATIENTS AND IN ADDITION, THEY HAVE THE OPPORTUNITY TO CALL OURFINANCIAL COUNSELOR. THE FINANCIAL COUNSELOR DISCUSSES THE AVAILABILITY OFVARIOUS GOVERNMENT BENEFITS SUCH AS MEDICAID OR STATE PROGRAMS TO ASSISTTHE PATIENT WITH QUALIFICATIONS FOR THESE PROGRAMS. THE FINANCIAL COUNSELOR WILL ALSO ASSIST THE PATIENT IN COMPLETING THE PROPER PAPERWORKFOR ASSISTANCE. THE FINANCIAL COUNSELORS AND CASE MANAGEMENT STAFF WORK CLOSELY TO IDENTIFY AND ASSIST ELIGIBLE PATIENTS. OUR SELF-PAY VENDOR ALSO INFORMS THE PATIENT THAT EVANGELICAL HAS A FINANCIAL ASSISTANCE PROGRAM AND A FINANCIAL COUNSELOR WHO WILL SEND THEM AN APPLICATION IF REQUESTED. OUR THIRD PARTY VENDOR WORKS ON BEHALF OF THE ORGANIZATION TO FOLLOW THE HOSPITAL'S POLICIES REGARDING PATIENT NOTIFICATION AND THE AVAILABILITY OF FINANCIAL ASSISTANCE. EVANGELICAL'S FINANCIAL ASSISTANCE POLICY IS POSTED ON THE EVANGELICAL WEBSITE (HTTP://WWW.EVANHOSPITAL.COM/PATIENTS/INSURANCE/CHARITY-CARE) ALONG WITH AN APPLICATION FOR PATIENTS TO COMPLETE FOR FINANCIAL ASSISTANCE.EVANGELICAL COMMUNITY HOSPITAL WILL MAKE AVAILABLE A WRITTEN NOTICE TOEACH PATIENT OR THEIR REPRESENTATIVE OF THE EXISTENCE, CRITERIA AND MECHANISM FOR RECEIVING FINANCIAL ASSISTANCE. THE HOSPITAL WILL CREATE ANDMAINTAIN RECORDS DEMONSTRATING THAT THE REQUIRED CRITERIA AND MECHANISMARE ESTABLISHED (HOSPITAL WILL RECORD ANY AND ALL REQUESTS FOR FINANCIALASSISTANCE, THE DISPOSITION AND THE DOLLAR AMOUNT OF EVANGELICAL'S FINANCIAL ASSISTANCE PROGRAM PROVIDED). IN ALL INSTANCES, PATIENTCONFIDENTIALITY WILL BE PROTECTED.ELIGIBILITY WILL BE DETERMINED BY COMPARING HOUSEHOLD FAMILY INCOMEAGAINST THE INCOME POVERTY GUIDELINES. INCOME IS DEFINED AS THE TOTAL ANNUAL CASH RECEIPTS BEFORE TAXES FROM ALL SOURCES. AN INDIVIDUAL NOTICE OF AVAILABILITY OF EVANGELICAL'S FINANCIAL ASSISTANCE PROGRAM WILL BE GIVEN TO EACH PATIENT OR THEIR REPRESENTATIVE PRIOR TO SERVICES BEING RENDERED, WITH THE EXCEPTION OF EMERGENCY SERVICES. THESE NOTICES SHALL BE AVAILABLE IN ALL REGISTRATION AREAS OF THE HOSPITAL AND SHALL INCLUDE THE MOST CURRENT AVAILABLE "HOUSEHOLD INCOME GUIDELINES" AS PUBLISHED IN THE FEDERAL REGISTER.THE PATIENT ACCOUNTS DIRECTOR OR HIS/HER DESIGNEE SHALL REVIEW ALL APPLICATIONS FOR THE EVANGELICAL FINANCIAL ASSISTANCE PROGRAM. IT IS THEAPPLICANT'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 AVITAL DIFFERENCE IN THE QUALITY OF SERVICE EVANGELICAL IS ABLE TO PROVIDETO NON-ENGLISH SPEAKING PATIENTS.
PART VI, LINE 4:	EVANGELICAL COMMUNITY HOSPITAL (ECH) IS LOCATED IN LEWISBURG, PENNSYLVANIA (UNION COUNTY), THE HEART OF CENTRAL PA. THE HOSPITAL IS CONVENIENTLY LOCATED OFF INTERSTATE 80 ON U.S. ROUTE 15. THE HOSPITAL SERVES THE RESIDENTS OF UNION, SNYDER AND NORTHUMBERLAND COUNTIES AS WELL AS SURROUNDING AREAS. ECH IS THE THIRD LARGEST EMPLOYER IN UNION COUNTY WITH MORE THAN 1600 EMPLOYEES. ACCORDING TO THE HOSPITAL AND HEALTHSYSTEM ASSOCIATION OF PENNSYLVANIA, ECH'S TOTAL IMPACT ON THE REGIONAL ECONOMY TOPS MORE THAN $220 MILLION. ECH IS A 132 OVERNIGHT LICENSED-BED, 12 ACUTE REHAB AND 18 BASSINET CARE COMMUNITY HOSPITAL WITH OVER 1600 EMPLOYEES AND NEARLY 200 MEDICAL STAFF MEMBERS. ECH HAS A BUSY EMERGENCY DEPARTMENT WITH OVER 33,740 VISITS IN FISCAL YEAR 2016. THE PRIMARY SERVICE AREA OF RESIDENTS OF ECH INCLUDES:17806, 17730, 17749, 17772, 17777, 17801, 17847, 17850, 17857, 17865, 17812, 17813, 17827, 17831, 17833, 17842, 17843, 17853, 17861, 17862, 17864, 17870, 17876, 17810, 17835, 17837, 17844, 17845, 17855, 17856, 17883, 17885, 17886, 17887, 17889OUR SECONDARY SERVICE AREA IS FROM THE FOLLOWING ZIP CODES:16820, 16872, 16882, 17014, 17017, 17045, 17049, 17062, 17080, 17737, 17747, 17752, 17756, 17821, 17823, 17830, 17832, 17834, 17836, 17840, 17841, 17851, 17860, 17866, 17867, 17868, 17872, 17877, 17881, 17884THE 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, SUSQUEHANNA HEALTH SYSTEM, 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 (85.2%), BLACK (6.8%), HISPANIC (5.2%), TWO OR MORE RACES (1.2%), AND ASIAN (1.2%)THE MEDIAN RESIDENT AGE IS 38.0ESTIMATED MEDIAN HOUSEHOLD INCOME IN 2013: $48,120 RESIDENTS WITH INCOME BELOW THE POVERTY LEVEL IN 2013: 14.2%POPULATION WITHOUT HEALTH INSURANCE COVERAGE IN 2000: 11%CHILDREN UNDER 18 WITHOUT HEALTH INSURANCE COVERAGE IN 2000: 9%89.6% OF RESIDENTS OF UNION COUNTY SPEAK ENGLISH AT HOME3.7% OF RESIDENTS SPEAK SPANISH AT HOME5.7% OF RESIDENTS SPEAK OTHER INDO-EUROPEAN LANGUAGE AT HOME0.8% OF RESIDENTS SPEAK ASIAN OR PACIFIC ISLAND LANGUAGE AT HOME0.2% OF RESIDENTS SPEAK OTHER LANGUAGES AT HOMECITY-DATA.COM FOR SNYDER COUNTY INDICATES THE POPULATION CONSISTS OF:WHITE NON-HISPANIC (96.0%), HISPANIC (1.7%), BLACK (.9%), TWO OR MORE RACES (.7%), AND ASIAN (.5%)THE MEDIAN RESIDENT AGE IS 39ESTIMATED MEDIAN HOUSEHOLD INCOME IN 2013: $47,035RESIDENTS WITH INCOME BELOW THE POVERTY LEVEL IN 2013: 10.6%POPULATION WITHOUT HEALTH INSURANCE COVERAGE IN 2000: 9%CHILDREN UNDER 18 WITHOUT HEALTH INSURANCE COVERAGE IN 2000: 8%92.0% OF RESIDENTS OF SNYDER COUNTY SPEAK ENGLISH AT HOME1.5% OF RESIDENTS SPEAK SPANISH AT HOME6.3% OF RESIDENTS SPEAK OTHER INDO-EUROPEAN LANGUAGE AT HOME0.2% OF RESIDENTS SPEAK ASIAN OR PACIFIC ISLAND LANGUAGE AT HOME0.1% OF RESIDENTS SPEAK OTHER LANGUAGES AT HOMECITY-DATA.COM FOR NORTHUMBERLAND COUNTY INDICATES THAT THE POPULATION CONSISTS OF: WHITE NON-HISPANIC (94.3), BLACK (1.9%), HISPANIC (2.4%), AND TWO OR MORE RACES (0.8%)ESTIMATED MEDIAN HOUSEHOLD INCOME IN 2013: $41,011THE MEDIAN RESIDENT AGE IS 43 RESIDENTS WITH INCOME BELOW THE POVERTY LEVEL IN 2013: 14.1%POPULATION WITHOUT HEALTH INSURANCE COVERAGE IN 2000: 10%CHILDREN UNDER 18 WITHOUT HEALTH INSURANCE COVERAGE IN 2000: 8%95.6% OF RESIDENTS OF NORTHUMBERLAND COUNTY SPEAK ENGLISH AT HOME1.5% OF RESIDENTS SPEAK SPANISH AT HOME2.6% OF RESIDENTS SPEAK OTHER INDO-EUROPEAN LANGUAGE AT HOME 0.3% OF RESIDENTS SPEAK ASIAN OR PACIFIC ISLAND LANGUAGE AT HOME0.1% OF RESIDENTS SPEAK OTHER LANGUAGES AT HOMEECH OPERATES AN EMERGENCY DEPARTMENT THAT IS OPEN TO ALL PERSONS REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES. WE HAVE OPEN MEDICAL STAFF WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE AREA. ECH HAS A BOARD OF DIRECTORS IN WHICH INDEPENDENT COMMUNITY PERSONS ARE REPRESENTED. ECH IS AFFILIATED WITH HEALTHCARE FACILITIES, SUCH AS GEISINGER MEDICAL CENTER, TO PROVIDE THE BEST MEDICAL CARE FOR OURPATIENTS. 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 AND 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/HEALTHAMERICA, KEYSTONE HEALTH PLAN CENTRAL, 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:ANNUAL AVERAGE INCOME IN OUR SERVICE AREA IS $53,064. NORTHUMBERLAND COUNTY HAS THE LOWEST AVERAGE INCOME AT $45,871 AND THE AVERAGE INCOME IN ALL OF PENNSYLVANIA IS $64,000.
PART VI, LINE 5:	CANCER AWARENESS AND EDUCATION IS EXTREMELY IMPORTANT. THE FOLLOWING PROGRAMS WERE OFFERED IN FY16; THE CORRESPONDING NUMBER BESIDE THE PROGRAM DOCUMENTS THE NUMBER OF PEOPLE SERVED.PROGRAM INDIVIDUALS SERVEDLOOK GOOD, FEEL BETTER 1- 2 PARTICIPANTS/SESSIONCOUPLES RETREAT 6 COUPLES-12 PARTICIPANTS (ONE WAS A GUEST COUPLE)I CAN COPE SURVIVOR PROGRAM 88 PARTICIPANTSCOPING WITH THE HOLIDAYS PROGRAM 15 PARTICIPANTSFREE SKIN CANCER SCREENINGS 21 PARTICIPANTSLIFE AFTER LOSS BEREAVEMENT SUPPORT GROUP 15 PARTICIPANTSOTHER HEALTH EDUCATION AND PREVENTION ACTIVITIES INCLUDE:PROGRAM INDIVIDUALS SERVEDMONTHLY SUPPORT GROUPS 96 PARTICIPANTS (REPORTED)FREE HEART HEALTH SCREENINGS 91 PARTICIPANTSCOMPREHENSIVE BLOOD SCREENINGS 875 PARTICIPANTSMEN'S HEALTH SCREEN 43 PARTICIPANTSWOMEN'S HEALTH SCREEN 107 PARTICIPANTSHUNTER'S HEALTH SCREEN 39 PARTICIPANTSLOW DOSE CT SCAN SCREENING 13 REFERRALS 11 QUALIFIEDBLOOD DRAW SERVICES A COMMUNITY CLINIC 100 PARTICIPANTSCHILD SAFETY SEAT REPLACEMENT 36 FAULTY SEATSFREE CHILD PASSENGER SEAT INSPECTIONS 414 INSPECTIONSFREE T-DAP VACCINATION FOR NEW DADS AND GRANDPARENTS 138 VACCINATIONS GIVENYOUTH BIKE HELMET GIVEAWAY PROGRAM 204 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 FY16, MORE THAN 2848 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. THESE PROGRAMS INCLUDE: HEARTPOWER, MYPLATE, AND TOBACCO EDUCATION. A TOTAL OF 5319 STUDENTS WERE EDUCATED THROUGH THESE PROGRAMS.EVANGELICAL EMPLOYS OVER 1600 INDIVIDUALS AND HAS MORE THAN 170 EMPLOYED AND NON-EMPLOYED PHYSICIANS ON STAFF. THE HOSPITAL IS LICENSED TO ACCOMMODATE 132 OVERNIGHT PATIENTS, 12 ACUTE REHAB PATIENTS AND 18 BASSINETS. OUR CLINICAL STAFF, INCLUDES LAB TECHNICIANS, NURSES, NURSING ASSISTANCES, PHYSICAL, OCCUPATIONAL AND SPEECH THERAPISTS, RADIOLOGY TECHNICIANS, PHLEBOTOMISTS, AND SUPPORT PERSONNEL. EACH OF THESE PROFESSIONALS IS HIGHLY TRAINED TO DELIVER QUALITY AND SAFE CARE TO INPATIENTS AND OUTPATIENTS. THE HOSPITAL HAS:1. AN OPEN MEDICAL STAFF WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE SUSQUEHANNA VALLEY REGION;2. A BOARD OF DIRECTORS WHO GOVERN THE ORGANIZATION. THE BOARD IS COMPRISED OF COMMUNITY AND BUSINESS LEADERS, AND PHYSICIANS REPRESENTING THE GEOGRAPHIC AREA OF OUR REGION;3. AN EMERGENCY DEPARTMENT THAT IS OPEN TO ALL PERSONS IN NEED REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES;4. A HOSPICE PROGRAM THAT PROVIDES END-OF-LIFE CARE TO ALL PERSONS REGARDLESS OF THEIR ABILITY TO PAY FOR CARE;5. 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;6. 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.7. OUR THYRA M. HUMPHREY CENTER FOR BREAST HEALTH PROVIDES FREE AND/OR REDUCED FEE BREAST IMAGINING 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.8. 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 FY16, THE COMMUNITY HEALTH AND WELLNESS STAFF PROVIDED OVER 750 FLU VACCINATIONS AND CERTIFIED MORE THAN 3343 IN FIRST AID AND CPR, INCLUDING 94 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	25	RecipientCnt
Cash Grant	$68,900	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 (17 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
JULIA E REDCAY DO
DIRECTOR	$368,966	$0	$9,525	$0	$0	$0	$7,687	$0	$19,304	$0	$405,482	$0	$0	$0
MATTHEW W REISH MD
DIRECTOR	$533,679	$0	$252,965	$0	$0	$0	$15,901	$0	$19,041	$0	$821,586	$0	$0	$0
JOHN E RICE MD
DIRECTOR/PHYSICIAN	$255,153	$0	$0	$0	$0	$0	$5,221	$0	$19,465	$0	$279,839	$0	$0	$0
JAMES A STOPPER
TREASURER/CHIEF FINANCIAL OFFICER	$238,584	$0	$43,868	$0	$0	$0	$36,457	$0	$20,225	$0	$339,134	$0	$0	$0
ANGELA J HUMMEL
SECRETARY/VP OF HUMAN RESOURCES	$145,485	$0	$16,891	$0	$0	$0	$21,595	$0	$1,320	$0	$185,291	$0	$0	$0
KENDRA A AUCKER
PRESIDENT/CHIEF EXECUTIVE OFFICER	$339,313	$0	$54,513	$0	$0	$0	$61,348	$0	$20,178	$0	$475,352	$0	$0	$0
J LAWRENCE GINSBURG
VP MEDICAL AFFAIRS	$447,458	$0	$33,472	$0	$0	$0	$73,723	$0	$14,384	$0	$569,037	$0	$0	$0
PAUL E TARVES
VP OF NURSING	$185,796	$0	$19,962	$0	$0	$0	$27,967	$0	$13,376	$0	$247,101	$0	$0	$0
DALE E MOYER
CHIEF INFORMATION OFFICER	$170,870	$0	$21,108	$0	$0	$0	$26,236	$0	$17,505	$0	$235,719	$0	$0	$0
MARK K KRAMMES
DIRECTOR OF PERI-ANESTHESIA	$187,562	$0	$0	$0	$0	$0	$7,823	$0	$14,997	$0	$210,382	$0	$0	$0
RANDALL STRAUSSER
DIRECTOR OF PHARMACY SERVICES	$157,407	$0	$0	$0	$0	$0	$6,274	$0	$19,451	$0	$183,132	$0	$0	$0
COLLEN FRITZ
NURSE ANESTHETIST	$151,775	$0	$0	$0	$0	$0	$0	$0	$6,188	$0	$157,963	$0	$0	$0
LORI K GOODLING
NURSE ANESTHETIST	$165,871	$0	$0	$0	$0	$0	$0	$0	$1,673	$0	$167,544	$0	$0	$0
RAYMOND J TOMASZEWSKI
NURSE ANESTHETIST	$148,869	$0	$0	$0	$0	$0	$0	$0	$6,143	$0	$155,012	$0	$0	$0
EUISHIN JUNG
NURSE ANESTHETIST	$152,589	$0	$0	$0	$0	$0	$6,015	$0	$919	$0	$159,523	$0	$0	$0
SANDRA WALKER
NURSE ANESTHETIST	$151,761	$0	$0	$0	$0	$0	$7,804	$0	$919	$0	$160,484	$0	$0	$0
MICHAEL N O'KEEFE
FORMER PRESIDENT/CEO	$308,711	$0	$73,500	$0	$0	$0	$78,337	$0	$7,271	$0	$467,819	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 1A	KENDRA 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 THAT WAS 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, BUT DID NOT RECEIVE A DISTRIBUTION IN CALENDAR YEAR 2015. MICHAEL O'KEEFE J. LAWRENCE GINSBURG JAMES STOPPER KENDRA AUCKER PAUL TARVES ANGELA HUMMEL DALE MOYER
PART I, LINE 7	THE EXECUTIVE TEAM IS ELIGIBLE TO RECEIVE A BONUS (BASED ON A % OF SALARY) WHEN THEIR INDIVIDUAL GOALS ARE MET FOR THE YEAR. GOALS ARE SET FOR EACH INDIVIDUAL BASED ON FINANCIAL AND OPERATIONAL RESULTS. THESE GOALS ARE REVIEWED AND APPROVED BY THE EXECUTIVE COMPENSATION COMMITTEE.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 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	2013-10-24	$19,694,697	CAPITAL IMPROVEMENTS, REFINANCE 2004 BONDS, ISSUANCE COSTS	0	0	0
UNION COUNTY HOSPITAL AUTHORITY
B	232739624	2011-03-03	$30,235,000	SERIES OF 2011 BONDS - FUND CONSTRUCTION & REFUND OUTSTANDING 2009 BONDS	0	0	0	906460DJ6

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	In Reserve FundInReserveFundAmt
A	$1,308,867	$19,694,697	$207,720	$19,486,977	2013	0	Yes (1)	Yes (1)	Yes (1)
B	$6,595,000	$29,719,008	$377,544	$27,089,340	2012	Yes (1)	0	Yes (1)	Yes (1)	$2,363,749

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	0	0	0	0	0.00000	0.00320	0.00320	0	0	Yes (1)
B	0	0	0	0	0.00000	0.00320	0.00320	0	0	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	0	0	Yes (1)	0	0	0	0	0	Yes (1)
B	0	0	Yes (1)	0	0	0	0	0	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

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

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE K, PART II, LINE 3:	FormAndLineReferenceDesc
Explanation	TOTAL PROCEEDS OF ISSUE FOR BOND B ARE LESS THAN THE ISSUE PRICE LISTED IN PART I DUE TO THE UNDERWRITER'S DISCOUNT OF $515,992.	ExplanationTxt

Schedule L IRS990ScheduleL

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	$474,679	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 A DIRECTOR ON THE BOARD OF DIRECTORS(D) JOHN D. GRIFFITH LEASES PROPERTY TO THE HOSPITAL IN AN ARM'S LENGTH TRANSACTION.	ExplanationTxt

Schedule M IRS990ScheduleM

Food Inventory FoodInventoryGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	1	ContributionCnt
Noncash Contributions Rpt F990	$2,389	NoncashContributionsRptF990Amt
Method Of Determining Revenues	DONOR COST	MethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp (4 entries)

Non Cash CheckboxNonCashCheckboxInd	DescDesc	ContributionContributionCnt	Noncash Contributions Rpt F990NoncashContributionsRptF990Amt	Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)	ADVERTISING	2	$19,846	DONOR COST
Yes (X)	EUROPEAN DRIVING TRIP	1	$6,500	DONOR COST
Yes (X)	LASIK VISION SERVICES	1	$5,000	DONOR COST
Yes (X)	FOOTBALL TICKETS	1	$430	DONOR COST

Field	Value	IRS element (for citing)
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	Yes (1)	ReviewProcessUnusualNCGiftsInd
Third Parties Used	0	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, COLUMN (B):	FormAndLineReferenceDesc
Explanation	THE NUMBER OF CONTRIBUTIONS IN COLUMN B REPRESENTS THE NUMBER OF CONTRIBUTORS FOR THE TYPE OF PROPERTY LISTED.	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 11	FORM 990 WAS REVIEWED BY THE FINANCE DEPARTMENT AND THE AUDIT COMMITTEE OF THE BOARD AT AN AUDIT COMMITTEE MEETING PRIOR TO FILING. THEY HAVE THE OPPORTUNUITY TO ASK QUESTIONS AND CHANGES CAN BE MADE AS A RESULT IF NECESSARY BEFORE THE RETURN IS FILED.
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 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; 8) COMMITMENTS OR EXPENDITURES GREATER THAN $500,000.
FORM 990, PART XI, LINE 9:	CHANGE IN VALUE OF SPLIT-INTEREST AGREEMENT -19,537. VALUATION LOSS -282,119. POSTRETIREMENT BENEFIT LIABILITY ADJUSTMENT 764,502. NET TRANSFERS WITH AFFILIATES -15,000,000.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	EVANGELICAL AMBULATORY SURGICAL CENTER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	210 JPM ROAD	AddressLine1Txt
City	LEWISBURG	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	17837	ZIPCd

Field	Value	IRS element (for citing)
EIN	233021240	EIN
Primary Activities	HEALTHCARE - SURGERY	PrimaryActivitiesTxt
Legal Domicile State	PA	LegalDomicileStateCd
Total Income	$9,311	TotalIncomeAmt
End Of Year Assets	$0	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

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

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	$150,832	$604,786	0	0	0.50000
KEYSTONE ACCOUNTABLE CARE ORG LLC
100 N ACADEMY AVENUE	DANVILLE	PA	17822	455484165	HEALTHCARE	PA	N/A	RELATED	-$365,527	$62,764	0	0	0.10000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd	Share Of EOY AssetsShareOfEOYAssetsAmt
CENTRAL SUSQUEHANNA HEALTHCARE PROVIDERS INC
ONE HOSPITAL DRIVE	LEWISBURG	PA	17837	232452170	MEDICAL SERVICES	PA	EVANGELICAL COMMUNITY HOSPITAL	C	$176,229	0.50000	0
EVANGELICAL MEDICAL SERVICE ORGANIZATION
ONE HOSPITAL DRIVE	LEWISBURG	PA	17837	232809429	MEDICAL SERVICES	PA	EVANGELICAL COMMUNITY HOSPITAL	C	$39,508,954	1.00000	0	$24,824,421

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	$15,000,000	CASH
EVANGELICAL MEDICAL SERVICES ORGANIZATION
P	$952,995	CASH
EVANGELICAL MEDICAL SERVICES ORGANIZATION
O	$872,280	HOURS SPENT WORKING FOR AFFILIATE
EVANGELICAL MEDICAL SERVICES ORGANIZATION
J	$705,119	CASH