2017-03-31T07:17:29-05:00 2016-06-30 390859910 BAKER TILLY VIRCHOW KRAUSE LLP 1650 MARKET STREET SUITE 4500 PHILADELPHIA PA 19103 990 2015-07-01 240795411 EVANGELICAL COMMUNITY HOSPITAL EVAN 5705222741 ONE HOSPITAL DRIVE LEWISBURG PA 17837 JAMES STOPPER CHIEF FINANCIAL OFFICER 5705222741 2017-03-30 1 JULIUS C GREEN CPA P00350393 2159720701 2015 2021-01-29 14:40:06Z KENDRA AUCKER ONE HOSPITAL DRIVE LEWISBURG PA 17837 219834851 0 X WWW.EVANHOSPITAL.COM X 1926 PA PROVIDE HEALTH CARE SERVICES TO THE PUBLIC AND TO BE THE COMMUNITY'S HEALTH CARE PROVIDER OF CHOICE. 20 14 1602 320 6704665 690691 1974449 2642560 171481635 179308219 5791811 4393934 7134452 7869163 186382347 194213876 76100 68900 0 0 78596865 79054498 0 0 490865 78790035 80177201 157463000 159300599 28919347 34913277 272520113 286080178 81341569 77140379 191178544 208939799 X 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. 0 0 127170038 68900 179530354 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. 127170038 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 0 0 0 0 1 0 1 1 0 1 1 1 0 0 0 0 0 0 0 1 0 0 1 0 0 0 1 1 1 0 0 0 1 60 0 1 1602 1 1 1 0 0 0 0 1 1 0 0 0 0 X 20 14 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 PA X JAMES STOPPER CPA 5705222000 ONE HOSPITAL DRIVE LEWISBURG PA 17837 JULIE A BARNA DMD CHAIR 1.00 0.10 X X 0 0 0 JOHN MECKLEY ESQ VICE CHAIR 1.00 0.10 X X 0 0 0 TIMOTHY J APPLE DIRECTOR 1.00 0.10 X 0 0 0 JOHN D GRIFFITH DIRECTOR 1.00 0.10 X 0 0 0 ROBERT B GRONLUND DIRECTOR 1.00 0.10 X 0 0 0 ROGER S HADDON JR DIRECTOR 1.00 0.10 X 0 0 0 AMANDA G KESSLER ESQ DIRECTOR 1.00 0.10 X 0 0 0 LINDA J KORB PHD NCPSYA DIRECTOR 1.00 0.10 X 0 0 0 TIMM A MOYER DIRECTOR 1.00 0.10 X 0 0 0 JANICE OMLOR DO DIRECTOR 1.00 39.00 X 129969 0 6983 FREDRIK B PAULSEN JR DIRECTOR 1.00 0.10 X 0 0 0 JULIA E REDCAY DO DIRECTOR 1.00 39.00 X 378491 0 26991 MATTHEW W REISH MD DIRECTOR 1.00 39.00 X 786644 0 34942 JOHN E RICE MD DIRECTOR/PHYSICIAN 1.00 39.00 X 255153 0 24686 J DONALD STEELE JR DIRECTOR 1.00 0.10 X 0 0 0 DENNIS W SWANK DIRECTOR 1.00 0.10 X 0 0 0 HENRY A TRUSLOW IV DIRECTOR 1.00 0.10 X 0 0 0 P RONALD ZUG MD DIRECTOR/PHYSICIAN 1.00 X 0 0 0 JAMES A STOPPER TREASURER/CHIEF FINANCIAL OFFICER 40.00 1.00 X X 282452 0 56682 ANGELA J HUMMEL SECRETARY/VP OF HUMAN RESOURCES 40.00 X X 162376 0 22915 KENDRA A AUCKER PRESIDENT/CHIEF EXECUTIVE OFFICER 40.00 1.00 X 393826 0 81526 J LAWRENCE GINSBURG VP MEDICAL AFFAIRS 40.00 X 480930 0 88107 PAUL E TARVES VP OF NURSING 40.00 X 205758 0 41343 DALE E MOYER CHIEF INFORMATION OFFICER 40.00 X 191978 0 43741 MARK K KRAMMES DIRECTOR OF PERI-ANESTHESIA 40.00 X 187562 0 22820 RANDALL STRAUSSER DIRECTOR OF PHARMACY SERVICES 40.00 X 157407 0 25725 COLLEN FRITZ NURSE ANESTHETIST 45.00 X 151775 0 6188 LORI K GOODLING NURSE ANESTHETIST 45.00 X 165871 0 1673 RAYMOND J TOMASZEWSKI NURSE ANESTHETIST 45.00 X 148869 0 6143 EUISHIN JUNG NURSE ANESTHETIST 40.00 X 152589 0 6934 SANDRA WALKER NURSE ANESTHETIST 40.00 X 151761 0 8723 MICHAEL N O'KEEFE FORMER PRESIDENT/CEO 0.00 X 382211 0 85608 4765622 0 591730 44 1 1 0 TRIMEDX 5451 LAKEVIEW PARKWAY SOUTH DRIVE INDIANAPOLIS IN 46268 MAINTENANCE SERVICES 2844508 QUANDEL CONSTRUCTION GROUP INC 3003 NORTH FRONT ST SUITE 2-1 HARRISBURG PA 171101224 CONSTRUCTION 2783481 INTERIOR CONSTRUCTION SPEC 339 E SOUTHERN AVE PO BOX 5128 SOUTH WILLIAMSPORT PA 17702 CONSTRUCTION 2020151 HBCS 118 LUKENS DRIVE NEW CASTLE DE 197202727 MANAGEMENT SERVICES 1028930 BESWICK LAW 22 N 2ND STREET LEWISBURG PA 17837 LEGAL SERVICES 499720 54 184170 281025 2177365 34165 2642560 NET PATIENT SERVICE REV 621400 179308219 179308219 179308219 2682118 2682118 1779395 2271235 -491840 -491840 -491840 24889604 1158 23153787 25159 1735817 -24001 1711816 1711816 83673 184170 170794 -87121 -87121 LABORATORY SERVICES 621500 4204193 4204193 BILLING FEES FROM AFFILIATE 541900 1312300 1312300 CAFETERIA AND VENDING SALES 722210 528617 528617 2403014 222135 1188172 992707 8448124 194213876 179530354 6704665 5336297 68900 68900 4636691 2007511 2629180 59023909 47301795 11482975 239139 1520660 1446906 68524 5230 9407533 7450820 1921303 35410 4465705 3541580 906945 17180 285857 285857 138990 25471 113519 8215 8215 382667 12145 370522 8935188 3907384 4940997 86807 610205 24105 586100 33545413 31207689 2315068 22656 6306047 982755 5293925 29367 1645702 1645702 149914 119119 28455 2340 229710 96521 125624 7565 2125839 2125839 12425813 12425813 356244 356244 FEDERAL TAXES 216478 216478 BAD DEBT EXPENSE 9661895 9661895 MA MODERNIZATION 1444270 1444270 REPAIRS 624288 623800 488 1084466 693774 345521 45171 159300599 127170038 31639696 490865 3803 4895 26138729 33936715 88068 24327 15764986 15943146 5722 3649366 3852503 2882229 3230958 242209799 118948388 121579743 123261411 86180451 88551227 3670701 4203948 3175259 3175259 9381056 9895789 272520113 286080178 19826297 18436161 38311 35026 43973897 42025830 515909 1093904 16987155 15549458 81341569 77140379 X 184476058 202416276 995670 1096456 5706816 5427067 191178544 208939799 272520113 286080178 X 34913277 -2614868 -14537154 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 8215 8215 0 PART II-B, LINE 1: A PERCENTAGE OF ANNUAL HAP DUES WAS USED FOR LOBBYING; THIS AMOUNTED TO $8,215 FOR THE FISCAL YEAR. 5826952 1171492 563204 13407 104824 25332 7418085 5428211 349586 177781 20915 84049 23662 5826952 4590433 322276 635909 19298 79509 21600 5428211 3717474 700530 280387 22640 67350 17968 4590433 3351677 114280 341323 15894 60316 13596 3717474 0.70670 0.29330 0 0 8619667 8619667 120263723 39263910 80999813 2216506 815293 1401213 102375778 76892980 25482798 8734125 1976205 6757920 123261411 BLUE CROSS CURRENT FINANCING ADVANCE 1057190 ACCRUED POSTRETIREMENT BENEFIT COSTS 6074720 ESTIMATED MEDICAL MALPRACTICE CLAIMS LIABILITY 1130246 CHARITABLE GIFT ANNUITIES PAYABLE 262132 DEFERRED COMPENSATION 2280971 CAPITAL LEASE OBLIGATION 1358937 ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS 2075123 DUE TO AFFILIATES 1310139 15549458 X 184471466 -2614868 -9569571 -12184439 196655905 -2442029 -2442029 194213876 166710211 17442029 17442029 149268182 10032417 10032417 159300599 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. GALA 146700 86169 60531 56872 3737 17976 9000 12827 GOLF TOURNAMENT 70907 56550 14357 2513 9050 6287 3262 1 50236 41451 8785 945 2964 35300 10061 267843 184170 83673 2513 56872 13732 27227 44300 26150 170794 -87121 1 1 1 X 1 X 1 1 0 1 1 317 104048 104048 0.00070 22759 14626432 6424077 8202355 0.05480 114 35911 35911 0.00020 23190 14766391 6424077 8342314 0.05570 59 29293 879421 74451 804970 0.00540 5 755 103971 103971 0.00070 1 11450 8825 1000 7825 0.00010 65 41498 992217 75451 916766 0.00620 65 64688 15758608 6499528 9259080 0.06190 1 90 130 130 0.00000 1 100 1866 1866 0.00000 7 996 31459 31459 0.00020 10 153 100991 100991 0.00070 19 1339 134446 134446 0.00090 1 10861574 0 31305012 42132657 -10827645 X 1 1 1 1 EVANGELICAL COMMUNITY HOSPITAL ONE HOSPITAL DRIVE LEWISBURG PA 17837 570201 X X X INPATIENT REHABILITATION, HOSPICE EVANGELICAL COMMUNITY HOSPITAL 1 0 0 1 X X X X X X X X X 15 1 1 1 1 X WWW.EVANHOSPITAL.COM/HEALTH-AND-WELLNESS X 1 15 1 WWW.EVANHOSPITAL.COM/HEALTH-AND-WELLNESS 0 0 1 X 100.000000000000 200.000000000000 X X 1 1 X X X 1 X WWW.EVANHOSPITAL.COM/PATIENTS/INSURANCE/CHARITY-CARE X WWW.EVANHOSPITAL.COM/PATIENTS/INSURANCE/CHARITY-CARE X X X 1 X 0 X X X 1 X 0 0 EVANGELICAL COMMUNITY HOSPITAL PART V, SECTION B, LINE 5: TRIPP UMBACH FACILITATED AND MANAGED A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT ON BEHALF OF EVANGELICAL COMMUNITY HOSPITAL -- RESULTING IN THE IDENTIFICATION OF COMMUNITY HEALTH NEEDS. THE ASSESSMENT PROCESS INCLUDED INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY, INCLUDING THOSE WITH SPECIAL KNOWLEDGE AND EXPERTISE OF PUBLIC HEALTH ISSUES. A SERIES OF MEETINGS WAS FACILITATED BY THE CONSULTANTS AND THE CHNA OVERSIGHT COMMITTEE CONSISTING OF LEADERSHIP FROM EVANGELICAL COMMUNITY HOSPITAL AND OTHER PARTICIPATING HOSPITALS AND ORGANIZATIONS. THIS PROCESS LASTED FROM OCTOBER 2014 UNTIL MARCH 2015. TRIPP UMBACH WORKED CLOSELY WITH THE CHNA OVERSIGHT COMMITTEE TO IDENTIFY LEADERS FROM ORGANIZATIONS THAT INCLUDED:1) PUBLIC HEALTH EXPERTISE; 2) PROFESSIONALS WITH ACCESS TO COMMUNITY HEALTH RELATED DATA; AND 3) REPRESENTATIVES OF UNDERSERVED POPULATIONS (I.E., SENIORS, LOW INCOME RESIDENTS, AND RESIDENTS THAT ARE UNINSURED). SUCH PERSONS WERE INTERVIEWED AS PART OF THE NEEDS ASSESSMENT PLANNING PROCESS. A SERIES OF 18 INTERVIEWS WERE COMPLETED WITH KEY STAKEHOLDERS IN THE EVANGELICAL COMMUNITY HOSPITAL COMMUNITY. EVANGELICAL COMMUNITY HOSPITAL PART V, SECTION B, LINE 6A: OTHER PARTICIPATING HOSPITAL FACILITIES INCLUDE GEISINGER MEDICAL CENTER, HEALTHSOUTH/GEISINGER HEALTH SYSTEM LLC, GEISINGER WYOMING VALLEY MEDICAL CENTER, GEISINGER SOUTH WILKES-BARRE, GEISINGER COMMUNITY MEDICAL CENTER, GEISINGER LEWISTOWN HOSPITAL, AND GEISINGER BLOOMSBURG HOSPITAL. EVANGELICAL COMMUNITY HOSPITAL PART V, SECTION B, LINE 6B: THE CHNA WAS CONDUCTED IN COLLABORATION WITH THE FOLLOWING COMMUNITY NON-PROFIT ORGANIZATIONS LOCATED IN THE SURROUNDING FIVE-COUNTY REGION: COLUMBIA, MONTOUR, NORTHUMBERLAND, SNYDER, AND UNION COUNTIES (ADDITIONAL ORGANIZATIONS FROM JUNIATA AND LYCOMING COUNTIES ALSO PROVIDED INPUT FOR THE PURPOSE OF THE EVANGELICAL SERVICE AREA NEEDS ASSESSMENT):A COMMUNITY CLINIC, CENTRAL PA FOOD BANK, CMSU, EVANGELICAL COMMUNITY HOSPITAL, FAMILY HEALTH COUNCIL OF CENTRAL PA-SELINSGROVE, GEISINGER HEALTH SYSTEM, GREATER SUSQUEHANNA VALLEY UNITED WAY, GREATER SUSQUEHANNA VALLEY YMCA, HANDUP FOUNDATION, HIGHER HOPE H2 CHURCH, JUNIATA COUNTY, MIDDLECREEK AREA COMMUNITY CENTER, PA DEPT. OF HEALTH, PA OFFICE OF RURAL HEALTH, PENN STATE COOPERATIVE EXTENSION, SHIKELLAMY SCHOOL DISTRICT, SNYDER COUNTY CHILDREN AND YOUTH SERVICES, SNYDER/UNION COMMUNITY ACTION AGENCY, ST. PAUL, UCC, SUM CHILD DEVELOPMENT CENTER, SUNBURY YMCA, SUSQUEHANNA UNIVERSITY, UNION-SNYDER AGENCY ON AGING INC., AND WILLIAMSPORT/LYCOMING CHAMBER OF COMMERCE. EVANGELICAL COMMUNITY HOSPITAL PART V, SECTION B, LINE 11: COMMUNITY LEADERS IDENTIFIED THE FOLLOWING TOP COMMUNITY HEALTH NEEDS THAT ARE SUPPORTED BY SECONDARY AND/OR PRIMARY DATA: 1) BEHAVIORAL HEALTH AND SUBSTANCE ABUSE; 2) HEALTH CONCERNS RELATED TO LIFESTYLE; 3) ACCESS TO HEALTHCARE; AND 4) THE IMPACT OF SOCIO ECONOMIC STATUS ON HEALTH OUTCOMES.BEHAVIORAL HEALTH & SUBSTANCE ABUSE - EVANGELICAL'S RESPONSE1. INCREASE CARE COORDINATION FOR PATIENTS WITH BEHAVIORAL HEALTH AND/OR SUBSTANCE ABUSE NEEDS THROUGH SCREENING AND REFERRAL TO INTERNAL AND/OR EXTERNAL BEHAVIORAL HEALTH AND/OR SUBSTANCE ABUSE SERVICE PROVIDERS.2. COLLABORATE WITH AREA AGENCIES TO OFFER THE EVIDENCE-BASED STRENGTHENING FAMILIES PROGRAM PROSPER. "PROSPER" IS A SEVEN-WEEK, INTERACTIVE PROGRAM TO ASSIST FAMILIES IN REDUCTION OF AGGRESSIVE BEHAVIORS, LIKELIHOOD OF SUBSTANCE ABUSE AND TOBACCO USE, INCREASE STRESS MANAGEMENT, AND CONFLICT RESOLUTION.3. SUPPORT AND REFER TO THE "CELEBRATE RECOVERY" PROGRAM, A 12 STEP FAITH-BASED PROGRAM TO ADDRESS ALL TYPES OF PROBLEMS AND ADDITIONS. INFORM AND EDUCATE ALL EMSO PHYSICIAN OFFICES, SOCIAL SERVICES, AND NURSING STAFF ABOUT THE PROGRAM AND THE REFERRAL PROCESS.4. EVALUATE THE CURRENT TELE-PSYCHIATRIC PROGRAM IN-HOUSE AND THROUGH THE EMERGENCY DEPARTMENT, RESEARCH ADDITIONAL RESOURCES AND VENDORS TO EXPAND CURRENT SERVICES TO MEET THE GROWING DEMAND.5. SUPPORT AND PARTICIPATE IN THE EFFORTS BY "COMMUNITIES THAT CARE" (CTC) TO IMPROVE AWARENESS AND QUALITY OF LIFE FOR KIDS IN OUR SERVICE AREA.6. DEVELOP A REGIONAL BEHAVIORAL HEALTH ACTION GROUP TO DISCUSS ON GOING ISSUES AND CONCERNS. COLLABORATIVELY DEVELOP POLICIES AND PROCEDURES AMONG OUR AGENCIES TO BETTER SERVE THE BEHAVIORAL HEALTH AND SUBSTANCE ABUSE POPULATION.7. WORK WITH LOCAL LAW ENFORCEMENT TO DELIVER THE OPIOID OVERDOSE REVERSAL PROJECT IN OUR SERVICE AREA. SECURE FUNDING AND EDUCATE THE COMMUNITY.HEALTH CONCERNS RELATED TO LIFESTYLE - EVANGELICAL'S RESPONSE1. CONTINUE TO OFFER A VARIETY OF EDUCATIONAL PROGRAMMING FOR THE YOUTH IN THE COMMUNITY AT NO COST. EVANGELICAL COMMUNITY HOSPITAL OFFERS A WIDE VARIETY OF EDUCATIONAL PROGRAMS GEARED TOWARD HEALTHY EATING, HYGIENE, STAYING ACTIVE, AND LIVING TOBACCO FREE. THESE PROGRAMS WILL BE OFFERED WITHIN OUR SERVICE AREA AND WILL SPECIFICALLY TARGET LOCAL SCHOOL DISTRICTS. ADDITIONAL PROGRAMMING WILL BE ADDED FOR SPECIFIC IDENTIFIED POPULATIONS, I.E. PRESCHOOLS, YMCA'S, AND OTHER FACILITIES AS REQUESTED.2. CONTINUE TO OFFER AND IMPROVE UPON OUR INTERNAL WORKSITE WELLNESS PROGRAM TO IMPROVE THE HEALTH AND WELLNESS OF OUR HOSPITAL EMPLOYEES AND THEIR FAMILY MEMBERS.3. CONTINUE TO INCREASE OUR EXTERNAL WORKSITE WELLNESS PROGRAM BY ADDING ADDITIONAL PROGRAM OFFERING AND INCREASING THE NUMBER OF BUSINESSES WE WORK WITH IN OUR SERVICE AREA.4. SERVE ON THE NORTH CENTRAL TOBACCO COALITION. CONTINUE TO SUPPORT EFFORTS AND PROGRAMS TO DECREASE THE NUMBER OF SMOKERS IN OUR SERVICE AREA.5. CONTINUE TO OFFER THE LOW DOSE CT SCANS FOR PATIENTS WHO MEET THE CRITERIA.6. CONTINUE TO OFFER TOBACCO CESSATION PROGRAM "FREEDOM FROM SMOKING".7. CONTINUE TO OFFER THE YOUTH DEVELOPMENT AND EDUCATIONAL PROGRAM, "EAT WELL, PLAY WELL, BE WELL" TO AREA YOUTH AGES 11-15.8. OFFER FREE OR LOW-COST ADULT BASED PROGRAMMING THAT WILL PROMOTE A HEALTHY LIFESTYLE AND PROVIDE EDUCATIONAL RESOURCES: QUARTERLY HEALTHY EATING SEMINARS/DEMONSTRATIONS, GROUP STRENGTH TRAINING CLASSES, YOGA, SENIOR STRONG PROGRAM, AND STRONG COLLABORATIONS WITH AREA AGENCIES TO ASSIST WITH EDUCATIONAL PROGRAMMING, I.E. AREA AGENCY ON AGING, PENN STATE COOPERATIVE EXTENSION, YMCA, ETC.9. OFFER A COMPREHENSIVE DIABETES CLINIC WITH A PLAN TO EMPLOY AN ENDOCRINOLOGIST.10. PARTICIPATE IN THE AMERICAN CANCER SOCIETY COLORECTAL SCREENING INITIATIVE, 80% BY 2018.11. CONTINUE TO OFFER A VARIETY OF FREE OR LOW-COST HEALTH SCREENINGS TO IMPROVE AWARENESS AND EDUCATION ON "KNOWING YOUR NUMBERS AND TALKING WITH YOUR HEALTHCARE PROVIDER ABOUT YOUR RESULTS AND HOW YOU CAN IMPROVE OR REDUCE YOUR RISK FACTORS.INCREASING ACCESS TO HEALTHCARE - EVANGELICAL'S RESPONSE1. CONTINUE TO PROVIDE FREE OR REDUCED-FEE MAMMOGRAPHY AND DIAGNOSTIC IMAGING FOR THE UN/UNDERINSURED POPULATION.2. CONTINUE TO OFFER A VARIETY OF HEALTH SCREENING PROGRAMS FOR THE COMMUNITY AT MINIMAL OR NO COST. CURRENTLY, EVANGELICAL COMMUNITY HOSPITAL OFFERS A WIDE VARIETY OF HEALTH SCREENS WITHIN OUR SERVICE AREA SPECIFICALLY TARGETED TO UNDER AND UNINSURED COMMUNITY MEMBERS.3. WORK DIRECTLY WITH OUR EMSO PROVIDERS TO REFER PATIENTS TO OUR HEALTH EDUCATION AND SCREENING PROGRAMS AS WELL AS OFFERING SCREENING PROGRAMS ON-SITE AT EMSO OFFICES.4. CONTINUE TO DEVELOP AND EXPAND OUR COMMUNITY HEALTH COALITION. INVITE ADDITIONAL COMMUNITY AGENCIES TO ASSIST WITH MEETING THE ISSUES SURROUNDING ACCESS, I.E. TRANSPORTATION, BEHAVIORAL HEALTH, SUBSTANCE ABUSE, ETC.5. ADD AN URGENT CARE CLINIC TO ASSIST WITH ACCESS ISSUES AND OVERCROWDING OF EMERGENCY DEPARTMENT6. ADD A MOBILE MEDICAL UNIT TO ASSIST WITH PROVIDING CARE TO INDIVIDUALS AND COMMUNITIES IN RURAL AREAS WHERE TRANSPORTATION IS A BARRIER TO CARE.7. CONTINUE WITH CURRENT PROVIDER RECRUITMENT EFFORTS TO EMPLOY NECESSARY SPECIALTY AND PRIMARY CARE PROVIDERS TO MAINTAIN OR IMPROVE PROVIDER TO PATIENT RATIOS.IMPACT OF SOCIO-ECONOMIC STATUS ON HEALTH OUTCOMES - EVANGELICAL'S RESPONSEAS A HEALTHCARE ORGANIZATION WE WILL NOT BE RESPONDING DIRECTLY TO THIS IDENTIFIED NEED AS A STAND-ALONE ISSUE, BUT ADDRESS IT WITHIN ALL THREE OF THE AFOREMENTIONED NEEDS. THROUGH THE ORGANIZATIONAL EFFORTS OF THE HOSPITAL AND COLLABORATING AGENCIES, EVANGELICAL CAN ASSIST WITH ADDRESSING THE IMPACT OF SOCIO-ECONOMIC STATUS BY:1. OFFERING EDUCATIONAL PROGRAMMING TO INCREASE AWARENESS FOR HEALTH INSURANCE OPTIONS2. IMPROVING HEALTH OUTCOMES THROUGH FREE OR LOW COST SCREENINGS AND EDUCATION3. OFFERING A FINANCIAL ASSISTANCE PROGRAM THAT WILL ASSIST PATIENTS WITH FINANCIAL BURDENS RELATED TO HEALTHCARE COSTS4. OPENING AN URGENT CARE CLINIC IN 20175. PURCHASING A MOBILE MEDICAL UNIT WILL ALLOW HEALTHCARE TO BE DELIVERED TO POCKETS OF POVERTY IN OUR COMMUNITY IN 2018 EVANGELICAL COMMUNITY HOSPITAL PART V, SECTION B, LINE 13H: MEDICAL ASSISTANCE DENIAL EVANGELICAL COMMUNITY HOSPITAL PART V, SECTION B, LINE 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. 1 1 - EVANGELICAL AMBULATORY SURGICAL CENTER 210 JPM ROAD SUITE 100 LEWISBURG PA 17837 OUTPATIENT SURGICAL CENTER 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 1 SCHOLARSHIPS 25 68900 CASH N/A PART I, LINE 2: APPLICANTS MUST APPLY FOR NURSING AND TRAINING DEPARTMENT SCHOLARSHIPS. APPLICATIONS ARE REVIEWED BY A COMMITTEE TO DETERMINE IF THE APPLICANTS MEET THE ELIGIBILITY REQUIREMENTS. APPLICANTS ARE REVIEWED BASED ON COMMUNITY SERVICE AND/OR EXTRA CURRICULAR ACTIVITIES, ACADEMIC STANDING, QUALITY OF ESSAY, FINANCIAL NEED, ETC. X 1 0 X X X X 0 1 0 0 0 0 0 1 0 JULIA E REDCAY DO DIRECTOR 368966 0 9525 0 0 0 7687 0 19304 0 405482 0 0 0 MATTHEW W REISH MD DIRECTOR 533679 0 252965 0 0 0 15901 0 19041 0 821586 0 0 0 JOHN E RICE MD DIRECTOR/PHYSICIAN 255153 0 0 0 0 0 5221 0 19465 0 279839 0 0 0 JAMES A STOPPER TREASURER/CHIEF FINANCIAL OFFICER 238584 0 43868 0 0 0 36457 0 20225 0 339134 0 0 0 ANGELA J HUMMEL SECRETARY/VP OF HUMAN RESOURCES 145485 0 16891 0 0 0 21595 0 1320 0 185291 0 0 0 KENDRA A AUCKER PRESIDENT/CHIEF EXECUTIVE OFFICER 339313 0 54513 0 0 0 61348 0 20178 0 475352 0 0 0 J LAWRENCE GINSBURG VP MEDICAL AFFAIRS 447458 0 33472 0 0 0 73723 0 14384 0 569037 0 0 0 PAUL E TARVES VP OF NURSING 185796 0 19962 0 0 0 27967 0 13376 0 247101 0 0 0 DALE E MOYER CHIEF INFORMATION OFFICER 170870 0 21108 0 0 0 26236 0 17505 0 235719 0 0 0 MARK K KRAMMES DIRECTOR OF PERI-ANESTHESIA 187562 0 0 0 0 0 7823 0 14997 0 210382 0 0 0 RANDALL STRAUSSER DIRECTOR OF PHARMACY SERVICES 157407 0 0 0 0 0 6274 0 19451 0 183132 0 0 0 COLLEN FRITZ NURSE ANESTHETIST 151775 0 0 0 0 0 0 0 6188 0 157963 0 0 0 LORI K GOODLING NURSE ANESTHETIST 165871 0 0 0 0 0 0 0 1673 0 167544 0 0 0 RAYMOND J TOMASZEWSKI NURSE ANESTHETIST 148869 0 0 0 0 0 0 0 6143 0 155012 0 0 0 EUISHIN JUNG NURSE ANESTHETIST 152589 0 0 0 0 0 6015 0 919 0 159523 0 0 0 SANDRA WALKER NURSE ANESTHETIST 151761 0 0 0 0 0 7804 0 919 0 160484 0 0 0 MICHAEL N O'KEEFE FORMER PRESIDENT/CEO 308711 0 73500 0 0 0 78337 0 7271 0 467819 0 0 0 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. A UNION COUNTY HOSPITAL AUTHORITY 232739624 2013-10-24 19694697 CAPITAL IMPROVEMENTS, REFINANCE 2004 BONDS, ISSUANCE COSTS 0 0 0 B UNION COUNTY HOSPITAL AUTHORITY 232739624 906460DJ6 2011-03-03 30235000 SERIES OF 2011 BONDS - FUND CONSTRUCTION & REFUND OUTSTANDING 2009 BONDS 0 0 0 A 1308867 19694697 207720 19486977 2013 0 1 1 1 B 6595000 29719008 2363749 377544 27089340 2012 1 0 1 1 A 0 0 0 0 0.00000 0.00320 0.00320 0 0 1 B 0 0 0 0 0.00000 0.00320 0.00320 0 0 1 A 0 0 1 0 0 0 0 0 1 B 0 0 1 0 0 0 0 0 1 A 1 B 1 SCHEDULE K, PART II, LINE 3: 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. JOHN D GRIFFITH SEE PART V 474679 SEE PART V 0 SCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS (A) NAME OF PERSON: JOHN D. GRIFFITH(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: SERVES AS A DIRECTOR ON THE BOARD OF DIRECTORS(D) JOHN D. GRIFFITH LEASES PROPERTY TO THE HOSPITAL IN AN ARM'S LENGTH TRANSACTION. X 1 2389 DONOR COST X ADVERTISING 2 19846 DONOR COST X EUROPEAN DRIVING TRIP 1 6500 DONOR COST X LASIK VISION SERVICES 1 5000 DONOR COST X FOOTBALL TICKETS 1 430 DONOR COST 0 1 0 PART I, COLUMN (B): THE NUMBER OF CONTRIBUTIONS IN COLUMN B REPRESENTS THE NUMBER OF CONTRIBUTORS FOR THE TYPE OF PROPERTY LISTED. 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. 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