EVANGELICAL COMMUNITY HOSPITAL: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
EVANGELICAL COMMUNITY HOSPITAL (EIN 24-0795411)
Tax period
2014-07-01 to 2015-06-30
Filed
2016-04-28
IRS object ID
201611199349300006
Schema version
2014v6.0
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 ReturnHeader

FieldValueIRS element (for citing)
Return2016-04-28T09:19:55-05:00ReturnTs
Tax Period End2015-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN390859910PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BAKER TILLY VIRCHOW KRAUSE LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11650 MARKET STREET SUITE 4500AddressLine1Txt
CityPHILADELPHIACityNm
State AbbreviationPAStateAbbreviationCd
ZIP19103ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN240795411EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1EVANGELICAL COMMUNITY HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlEVANBusinessNameControlTxt
Phone5705222741PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1ONE HOSPITAL DRIVEAddressLine1Txt
CityLEWISBURGCityNm
State AbbreviationPAStateAbbreviationCd
ZIP17837ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJAMES STOPPERPersonNm
Person TitleCFOPersonTitleTxt
Phone5705222741PhoneNum
Signature2016-04-15SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJULIUS C GREEN CPA JDPreparerPersonNm
PTINP00350393PTIN
Phone2159720701PhoneNum
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-08-17 19:52:53ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerKENDRA AUCKERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1ONE HOSPITAL DRIVEAddressLine1Txt
CityLEWISBURGCityNm
State AbbreviationPAStateAbbreviationCd
ZIP17837ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$211,189,872GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.EVANHOSPITAL.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1926FormationYr
Legal Domicile StatePALegalDomicileStateCd
Activity Or MissionPROVIDE HEALTH CARE SERVICES TO THE PUBLIC AND TO BE THE COMMUNITY'S HEALTH CARE PROVIDER OF CHOICE.ActivityOrMissionDesc
Voting Members Governing Body17VotingMembersGoverningBodyCnt
Voting Members Independent14VotingMembersIndependentCnt
Total Employee1619TotalEmployeeCnt
Total Volunteers476TotalVolunteersCnt
Total Gross UBI$5,237,349TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$654,417NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$2,477,137PYContributionsGrantsAmt
CY Contributions Grants$1,974,449CYContributionsGrantsAmt
PY Program Service Revenue$162,075,899PYProgramServiceRevenueAmt
CY Program Service Revenue$171,481,635CYProgramServiceRevenueAmt
PY Investment Income$5,125,488PYInvestmentIncomeAmt
CY Investment Income$5,791,811CYInvestmentIncomeAmt
PY Other Revenue$5,765,700PYOtherRevenueAmt
CY Other Revenue$7,134,452CYOtherRevenueAmt
PY Total Revenue$175,444,224PYTotalRevenueAmt
CY Total Revenue$186,382,347CYTotalRevenueAmt
PY Grants And Similar Paid$77,100PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$76,100CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$75,745,702PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$78,596,865CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$459,514CYTotalFundraisingExpenseAmt
PY Other Expenses$77,728,313PYOtherExpensesAmt
CY Other Expenses$78,790,035CYOtherExpensesAmt
PY Total Expenses$153,551,115PYTotalExpensesAmt
CY Total Expenses$157,463,000CYTotalExpensesAmt
PY Revenues Less Expenses$21,893,109PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$28,919,347CYRevenuesLessExpensesAmt
Total Assets BOY$261,612,869TotalAssetsBOYAmt
Total Assets EOY$272,520,113TotalAssetsEOYAmt
Total Liabilities BOY$81,614,982TotalLiabilitiesBOYAmt
Total Liabilities EOY$81,341,569TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$179,997,887NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$191,178,544NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionWE 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 Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$128,432,817ExpenseAmt
Grant$76,100GrantAmt
Revenue$171,743,628RevenueAmt
DescMEETING 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$128,432,817TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (1)BusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control Ent0TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document43IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee1619EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members17GoverningBodyVotingMembersCnt
Independent Voting Member14IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org DocumentsYes (1)ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldPAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JAMES STOPPER CPABusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5705222000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1ONE HOSPITAL DRIVEAddressLine1Txt
CityLEWISBURGCityNm
State AbbreviationPAStateAbbreviationCd
ZIP17837ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
MICHAEL N O'KEEFE UNTIL 63015
PRESIDENT/CEO (NON-VOTING)40.001.00Yes (X)Yes (X)$403,880$0$104,717
JOHN D GRIFFITH
DIRECTOR1.000.10Yes (X)$0$0$0
TIM APPLE
DIRECTOR1.000.10Yes (X)$0$0$0
JULIE BARNA DMD
VICE CHAIR1.000.10Yes (X)Yes (X)$0$0$0
BROOKS GRONLUND
DIRECTOR1.000.10Yes (X)$0$0$0
ROBERT L GRONLUND
DIRECTOR1.000.10Yes (X)$0$0$0
ROGER S HADDON JR
CHAIR1.000.10Yes (X)Yes (X)$0$0$0
AMANDA KESSLER ESQ
DIRECTOR1.000.10Yes (X)$0$0$0
LINDA KORB PHD NCPSYA
DIRECTOR1.000.10Yes (X)$0$0$0
JOHN MECKLEY ESQ
DIRECTOR1.000.10Yes (X)$0$0$0
FREDRIK B PAULSEN JR
DIRECTOR1.000.10Yes (X)$0$0$0
JANICE OMLOR DO
DIRECTOR1.000.10Yes (X)$0$0$0
W GALE REISH MD
DIRECTOR1.000.10Yes (X)$0$0$0
J DONALD STEELE JR
DIRECTOR1.000.10Yes (X)$0$0$0
JOHN E RICE MD
DIRECTOR/PHYSICIAN1.0039.10Yes (X)$233,700$0$26,317
DENNIS SWANK
DIRECTOR1.000.10Yes (X)$0$0$0
HENRY A TRUSLOW IV
DIRECTOR1.000.10Yes (X)$0$0$0
P RONALD ZUG MD
DIRECTOR/PHYSICIAN1.0039.10Yes (X)$57,223$0$5,184
KENDRA A AUCKER
PRESIDENT/CEO (NON-VOTING)40.001.00Yes (X)$280,987$0$61,711
JAMES A STOPPER
TREASURER/CFO40.001.00Yes (X)$283,017$0$45,918
J LAWRENCE GINSBURG
VP MEDICAL AFFAIRS40.00$632,212$0$81,401Yes (X)
PAUL E TARVES
VP OF NURSING40.00$195,088$0$46,886Yes (X)
DALE E MOYER
CHIEF INFORMATION OFFICER40.00$178,768$0$46,674Yes (X)
MARK K KRAMMES
DIR OF PERI-ANESTHESIA40.00$240,698$0$29,900Yes (X)
SANDRA S WALKER
NURSE ANESTHETIST45.00$211,405$0$8,977Yes (X)
LORI K GOODLING
NURSE ANESTHETIST45.00$205,426$0$8,771Yes (X)
BRADLEY P BOWER
NURSE ANESTHETIST43.00$185,378$0$28,828Yes (X)
RAYMOND J TOMASZEWSKI
NURSE ANESTHETIST45.00$191,278$0$29,290Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,299,060TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$524,574TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K120IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
QUANDEL CONSTRUCTION GROUP INC
3003 NORTH FRONT ST SUITE 2-1HARRISBURGPA171101224CONSTRUCTION$1,487,232
HBCS
118 LUKENS DRIVENEW CASTLEDE197202727MANAGEMENT SERVICES$1,186,364
INTERIOR CONSTRUCTION SPEC
339 E SOUTHERN AVE PO BOX 5128SOUTH WILLIAMSPORTPA17702CONSTRUCTION$891,481
PARIS COMPANIES
PO BOX 1043 67 HOOVER AVEDUBOISPA158011043LAUNDRY SERVICES$659,856
RPI CONSULTANTS
101 N HAVEN STE 201BALTIMOREMD21224CONSULTING SERVICES$641,478
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K114CntrctRcvdGreaterThan100KCnt
Fundraising$151,105FundraisingAmt
Government Grants$314,399GovernmentGrantsAmt
All Other Contributions$1,508,945AllOtherContributionsAmt
Noncash Contributions$33,836NoncashContributionsAmt
Total Contributions$1,974,449TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
ECH NET PATIENT SERVICE REV621400$171,052,259$171,052,259
EASC NET PATIENT SERVICE REVENUE621400$429,376$429,376
FieldValueIRS element (for citing)
Total Program Service Revenue$171,481,635TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,516,965TotalRevenueColumnAmt
Exclusion$2,516,965ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$2,222,746RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$2,401,856RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real-$179,110RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$179,110TotalRevenueColumnAmt
Exclusion-$179,110ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$25,545,971SecuritiesAmt
Other$2,250OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$22,273,278SecuritiesAmt
Other$97OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$3,272,693SecuritiesAmt
Other$2,153OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,274,846TotalRevenueColumnAmt
Exclusion$3,274,846ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$80,600FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$151,105ContriRptFundraisingEventAmt
Fundraising Direct Expenses$132,294FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$51,694TotalRevenueColumnAmt
Exclusion-$51,694ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
LABORATORY SERVICES621500$3,427,137$3,427,137
BILLING FEES FROM AFFILIATE541900$1,165,988$1,165,988
CAFETERIA AND VENDING MACHINE SAL722210$500,509$500,509

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,271,622TotalRevenueColumnAmt
Related Or Exempt Func Income$261,993RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$644,224UnrelatedBusinessRevenueAmt
Exclusion$1,365,405ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$7,365,256OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$186,382,347TotalRevenueColumnAmt
Related Or Exempt Func Income$171,743,628RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$5,237,349UnrelatedBusinessRevenueAmt
Exclusion$7,426,921ExclusionAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$76,100TotalAmt
Program Services$76,100ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$3,379,432TotalAmt
Program Services$774,786ProgramServicesAmt
Management And General$2,604,646ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$59,317,044TotalAmt
Program Services$49,483,685ProgramServicesAmt
Management And General$9,651,715ManagementAndGeneralAmt
Fundraising$181,644FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,381,305TotalAmt
Program Services$1,355,471ProgramServicesAmt
Management And General$21,446ManagementAndGeneralAmt
Fundraising$4,388FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$10,176,732TotalAmt
Program Services$8,415,608ProgramServicesAmt
Management And General$1,727,052ManagementAndGeneralAmt
Fundraising$34,072FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$4,342,352TotalAmt
Program Services$3,596,721ProgramServicesAmt
Management And General$733,270ManagementAndGeneralAmt
Fundraising$12,361FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$325,571TotalAmt
Management And General$324,958ManagementAndGeneralAmt
Fundraising$613FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$144,106TotalAmt
Program Services$29,443ProgramServicesAmt
Management And General$114,663ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$5,653TotalAmt
Management And General$5,653ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$391,403TotalAmt
Program Services$11,945ProgramServicesAmt
Management And General$379,458ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$9,129,661TotalAmt
Program Services$3,924,709ProgramServicesAmt
Management And General$5,112,293ManagementAndGeneralAmt
Fundraising$92,659FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$664,991TotalAmt
Program Services$18,564ProgramServicesAmt
Management And General$646,427ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$7,065,849TotalAmt
Program Services$4,497,906ProgramServicesAmt
Management And General$2,552,017ManagementAndGeneralAmt
Fundraising$15,926FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$4,938,093TotalAmt
Program Services$1,005,912ProgramServicesAmt
Management And General$3,905,123ManagementAndGeneralAmt
Fundraising$27,058FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$2,802,843TotalAmt
Program Services$2,802,843ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$140,353TotalAmt
Program Services$101,112ProgramServicesAmt
Management And General$36,884ManagementAndGeneralAmt
Fundraising$2,357FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$219,184TotalAmt
Program Services$113,927ProgramServicesAmt
Management And General$100,935ManagementAndGeneralAmt
Fundraising$4,322FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$2,277,868TotalAmt
Program Services$2,277,868ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$11,005,146TotalAmt
Program Services$11,005,146ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$748,581TotalAmt
Program Services$748,581ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmtProgram ServicesProgramServicesAmt
FEDERAL TAXES$271,207$271,207
MEDICAL SUPPLIES$24,051,196$43,556$24,007,640
BAD DEBT EXPENSE$10,910,528$10,910,528
MA MODERNIZATION$1,296,591$1,296,591

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$2,401,211TotalAmt
Program Services$1,977,731ProgramServicesAmt
Management And General$339,366ManagementAndGeneralAmt
Fundraising$84,114FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$157,463,000TotalAmt
Program Services$128,432,817ProgramServicesAmt
Management And General$28,570,669ManagementAndGeneralAmt
Fundraising$459,514FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$2,570BOYAmt
EOY$3,803EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$24,058,903BOYAmt
EOY$26,138,729EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$449,410BOYAmt
EOY$88,068EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$14,319,684BOYAmt
EOY$15,764,986EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$1,370,070BOYAmt
EOY$5,722EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$3,525,864BOYAmt
EOY$3,649,366EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$2,613,212BOYAmt
EOY$2,882,229EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$238,304,362LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$116,724,619LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$118,731,707BOYAmt
EOY$121,579,743EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$83,686,070BOYAmt
EOY$86,180,451EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$3,205,125BOYAmt
EOY$3,670,701EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$3,175,259BOYAmt
EOY$3,175,259EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$6,474,995BOYAmt
EOY$9,381,056EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$261,612,869BOYAmt
EOY$272,520,113EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$17,369,328BOYAmt
EOY$19,826,297EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$28,492BOYAmt
EOY$38,311EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$45,894,698BOYAmt
EOY$43,973,897EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$594,424BOYAmt
EOY$515,909EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$17,728,040BOYAmt
EOY$16,987,155EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$81,614,982BOYAmt
EOY$81,341,569EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$172,260,702BOYAmt
EOY$184,476,058EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,863,475BOYAmt
EOY$995,670EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$5,873,710BOYAmt
EOY$5,706,816EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$179,997,887BOYAmt
EOY$191,178,544EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$261,612,869BOYAmt
EOY$272,520,113EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$28,919,347ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$2,890,362NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$14,848,328OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$5,653OtherActivitiesAmt
Total Lobbying Expenditures$5,653TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationA PERCENTAGE OF ANNUAL HAP DUES WAS USED FOR LOBBYING; THIS AMOUNTED TO $5,653 FOR THE FISCAL YEAR.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,853,652BeginningYearBalanceAmt
Contributions$380,340ContributionsAmt
Investment Earnings Or Losses$207,310InvestmentEarningsOrLossesAmt
Grants Or Scholarships$16,598GrantsOrScholarshipsAmt
Other Expenditures$67,522OtherExpendituresAmt
Administrative Expenses$5,505AdministrativeExpensesAmt
End Year Balance$3,351,677EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.64400BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.35600PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,580,048OtherCostOrOtherBasisAmt
Book Value$7,580,048BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$114,364,658OtherCostOrOtherBasisAmt
Depreciation$36,621,923DepreciationAmt
Book Value$77,742,735BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,216,506OtherCostOrOtherBasisAmt
Depreciation$742,143DepreciationAmt
Book Value$1,474,363BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$103,660,804OtherCostOrOtherBasisAmt
Depreciation$76,650,646DepreciationAmt
Book Value$27,010,158BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$10,482,346OtherCostOrOtherBasisAmt
Depreciation$2,709,907DepreciationAmt
Book Value$7,772,439BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$121,579,743TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDescAmtAmt
BLUE CROSS CURRENT FINANCING ADVANCE$1,057,190
ACCRUED POSTRETIREMENT BENEFIT COSTS$6,770,928
ESTIMATED MEDICAL MALPRACTICE CLAIMS LIABILITY$1,088,008
CHARITABLE GIFT ANNUITIES PAYABLE$248,127
DEFERRED COMPENSATION$2,048,728
CAPITAL LEASE OBLIGATION$1,530,546
ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS$3,121,898
DUE TO AFFILIATES$1,121,730
FieldValueIRS element (for citing)
Total Liability$16,987,155TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$159,887,821TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$2,890,362NetUnrealizedGainsInvstAmt
Other Revenue-$25,758,856OtherRevenueAmt
Revenue Not Reported-$28,649,218RevenueNotReportedAmt
Revenue Subtotal$188,537,039RevenueSubtotalAmt
Investment Expenses Not Incld$379,458InvestmentExpensesNotIncldAmt
Other Revenues Not Included-$2,534,150OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt-$2,154,692RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$186,382,347TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$148,707,164TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$2,534,150OtherExpensesIncludedAmt
Expenses Not Reported$2,534,150ExpensesNotReportedAmt
Expenses Subtotal$146,173,014ExpensesSubtotalAmt
Investment Expenses Not Incld2$379,458InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$10,910,528OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$11,289,986ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$157,463,000TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 2015 OR 2014. 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, 2011 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 -12,276. VALUATION LOSS -191,483. POSTRETIREMENT BENEFIT LIABILITY ADJUSTMENT -444,569. PROVISION FOR BAD DEBT (NETTED ON F/S) -10,910,528. EQUITY TRANSFER TO AFFILIATE -14,200,000.
PART XI, LINE 4B - OTHER ADJUSTMENTS:RENTAL EXPENSES -2,401,856. SPECIAL EVENTS EXPENSE -132,294.
PART XII, LINE 2D - OTHER ADJUSTMENTS:RENTAL EXPENSES 2,401,856. SPECIAL EVENTS EXPENSE 132,294.
PART XII, LINE 4B - OTHER ADJUSTMENTS:PROVISION FOR BAD DEBT (NETTED ON F/S) 10,910,528.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event12015 GALAEvent1Nm
Gross Receipts Event1$151,627GrossReceiptsEvent1Amt
Charitable Contri Event1$92,395CharitableContriEvent1Amt
Gross Revenue Event1$59,232GrossRevenueEvent1Amt
Non Cash Prizes Event1$60,902NonCashPrizesEvent1Amt
Rent Facility Costs Event1$7,490RentFacilityCostsEvent1Amt
Food And Beverage Event1$14,934FoodAndBeverageEvent1Amt
Entertainment Event1$6,500EntertainmentEvent1Amt
Other Direct Expenses Event1$11,314OtherDirectExpensesEvent1Amt
Event22014 GOLF TOURNAMENTEvent2Nm
Gross Receipts Event2$57,745GrossReceiptsEvent2Amt
Charitable Contri Event2$41,942CharitableContriEvent2Amt
Gross Revenue Event2$15,803GrossRevenueEvent2Amt
Cash Prizes Event2$2,625CashPrizesEvent2Amt
Rent Facility Costs Event2$8,415RentFacilityCostsEvent2Amt
Food And Beverage Event2$5,735FoodAndBeverageEvent2Amt
Other Direct Expenses Event2$6,278OtherDirectExpensesEvent2Amt
Other Events Total1OtherEventsTotalCnt
Gross Receipts Other Events$22,333GrossReceiptsOtherEventsAmt
Charitable Contri Other Events$16,768CharitableContriOtherEventsAmt
Gross Revenue Other Events$5,565GrossRevenueOtherEventsAmt
Non Cash Prizes Other Events$2,895NonCashPrizesOtherEventsAmt
Rent Fclty Costs Other Events$1,713RentFcltyCostsOtherEventsAmt
Entertainment Other Events$300EntertainmentOtherEventsAmt
Oth Direct Expnss Other Events$3,193OthDirectExpnssOtherEventsAmt
Gross Receipts Total$231,705GrossReceiptsTotalAmt
Charitable Contributions Tot$151,105CharitableContributionsTotAmt
Gross Revenue Total Events$80,600GrossRevenueTotalEventsAmt
Cash Prizes Total Events$2,625CashPrizesTotalEventsAmt
Non Cash Prizes Total Events$63,797NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$17,618RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$20,669FoodAndBeverageTotalEventsAmt
Entertainment Total Events$6,800EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$20,785OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$132,294DirectExpenseSummaryEventsAmt
Net Income Summary-$51,694NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent100Yes (X)Percent100Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent200 DYes (X)Percent200DInd
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Persons Served339PersonsServedCnt
Total Community Benefit Expns$127,822TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$127,822NetCommunityBenefitExpnsAmt
Total Expense0.00090TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Persons Served19336PersonsServedCnt
Total Community Benefit Expns$12,999,835TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$5,416,885DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,582,950NetCommunityBenefitExpnsAmt
Total Expense0.05170TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Persons Served139PersonsServedCnt
Total Community Benefit Expns$54,754TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$54,754NetCommunityBenefitExpnsAmt
Total Expense0.00040TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Persons Served19814PersonsServedCnt
Total Community Benefit Expns$13,182,411TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$5,416,885DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,765,526NetCommunityBenefitExpnsAmt
Total Expense0.05300TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs72ActivitiesOrProgramsCnt
Persons Served24623PersonsServedCnt
Total Community Benefit Expns$871,531TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$97,726DirectOffsettingRevenueAmt
Net Community Benefit Expns$773,805NetCommunityBenefitExpnsAmt
Total Expense0.00530TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs6ActivitiesOrProgramsCnt
Persons Served75PersonsServedCnt
Total Community Benefit Expns$84,506TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$30,000DirectOffsettingRevenueAmt
Net Community Benefit Expns$54,506NetCommunityBenefitExpnsAmt
Total Expense0.00040TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Total Community Benefit Expns$15,935TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$15,935NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs79ActivitiesOrProgramsCnt
Persons Served24698PersonsServedCnt
Total Community Benefit Expns$971,972TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$127,726DirectOffsettingRevenueAmt
Net Community Benefit Expns$844,246NetCommunityBenefitExpnsAmt
Total Expense0.00580TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs79ActivitiesOrProgramsCnt
Persons Served44512PersonsServedCnt
Total Community Benefit Expns$14,154,383TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$5,544,611DirectOffsettingRevenueAmt
Net Community Benefit Expns$8,609,772NetCommunityBenefitExpnsAmt
Total Expense0.05880TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Activities Or Programs7ActivitiesOrProgramsCnt
Persons Served329PersonsServedCnt
Total Community Benefit Expns$12,679TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$12,679NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Persons Served1095PersonsServedCnt
Total Community Benefit Expns$5,794TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$5,794NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Activities Or Programs8ActivitiesOrProgramsCnt
Persons Served635PersonsServedCnt
Total Community Benefit Expns$21,431TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$21,431NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs12ActivitiesOrProgramsCnt
Persons Served547PersonsServedCnt
Total Community Benefit Expns$122,566TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$15,881DirectOffsettingRevenueAmt
Net Community Benefit Expns$106,685NetCommunityBenefitExpnsAmt
Total Expense0.00070TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs29ActivitiesOrProgramsCnt
Persons Served2606PersonsServedCnt
Total Community Benefit Expns$162,470TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$15,881DirectOffsettingRevenueAmt
Net Community Benefit Expns$146,589NetCommunityBenefitExpnsAmt
Total Expense0.00090TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$4,918,095BadDebtExpenseAmt
Reimbursed By Medicare$28,204,627ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$41,823,056CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$13,618,429MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1EVANGELICAL COMMUNITY HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1ONE HOSPITAL DRIVEAddressLine1Txt
CityLEWISBURGCityNm
State AbbreviationPAStateAbbreviationCd
ZIP17837ZIPCd
FieldValueIRS element (for citing)
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd
OtherINPATIENT REHABILITATION, HOSPICEOtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1EVANGELICAL COMMUNITY HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Information GapsYes (X)InformationGapsInd
CHNA Conducted12CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.EVANHOSPITAL.COM/HEALTH-AND-WELLNESSOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt12ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLWWW.EVANHOSPITAL.COM/HEALTH-AND-WELLNESSStrategyWebsiteURLTxt
Strategy Attached0StrategyAttachedInd
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care100.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care200.000000000000FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP Notice DisplayedYes (X)FAPNoticeDisplayedInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Collection Activities0CollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
EVANGELICAL COMMUNITY HOSPITALPART V, SECTION B, LINE 5: IN 2012, EVANGELICAL COMMUNITY HOSPITAL PARTICIPATED IN A FIVE-COUNTY (SNYDER, UNION, MONTOUR, NORTHUMBERLAND AND COLUMBIA) COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) LED BY ACTION HEALTH. TRIPP UMBACH WAS SELECTED TO CONDUCT THE ASSESSMENT AND REPORT ON THE FINDINGS. THE ASSESSMENT CONSISTED OF INTERVIEWS WITH KEY COMMUNITY STAKEHOLDERS AND FOCUS GROUPS. FOCUS GROUP PARTICIPANTS FOR EVANGELICAL'S SERVICE AREAS CONSISTED OF HEALTHCARE PROVIDERS, RESIDENTS FROM THE LATINO COMMUNITY AND UN/UNDER-INSURED RESIDENTS. KEY COMMUNITY STAKEHOLDER INTERVIEWS CONSISTED OF LEADERS FROM ORGANIZATIONS SUCH AS AGENCY ON AGING, PA DEPARTMENT OF HEALTH, AMERICAN CANCER SOCIETY, FAITH-BASED ORGANIZATIONS, LOCAL SCHOOLS AND UNIVERSITIES, BUSINESSES AND NONPROFIT ORGANIZATIONS.
EVANGELICAL COMMUNITY HOSPITALPART V, SECTION B, LINE 6A: IN 2012, EVANGELICAL COMMUNITY HOSPITAL PARTICIPATED IN A FIVE-COUNTY (SNYDER, UNION, MONTOUR, NORTHUMBERLAND AND COLUMBIA) COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THE ASSESSMENT PROCESS WAS LED BY ACTION HEALTH, AN ORGANIZATION THAT FOSTERS COLLABORATION BETWEEN HOSPITALS AND LOCAL EDUCATIONAL INSTITUTIONS FOR THE PURPOSE OF MEETING THE HEALTH NEEDS OF THE COMMUNITY. THE OTHER FACILITIES THAT WERE INVOLVED WERE GEISINGER, GEISINGER-SHAMOKIN AREA COMMUNITY HOSPITAL, BLOOMSBURG HOSPITAL AND BLOOMSBURG UNIVERSITY.
EVANGELICAL COMMUNITY HOSPITALPART V, SECTION B, LINE 11: IN 2012, EVANGELICAL COMMUNITY HOSPITAL PARTICIPATED IN A FIVE-COUNTY (SNYDER, UNION, MONTOUR, NORTHUMBERLAND AND COLUMBIA) COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THE ASSESSMENT PROCESS WAS LED BY ACTION HEALTH, AN ORGANIZATION THAT FOSTERS COLLABORATION BETWEEN HOSPITALS AND LOCAL EDUCATIONAL INSTITUTIONS FOR THE PURPOSE OF MEETING THE HEALTH NEEDS OF THE COMMUNITY. DURING THIS REPORTING PERIOD, EVANGELICAL HAS CONTINUED TO OFFER FREE OR LOW COST HEALTH SCREENINGS AND EDUCATIONAL PROGRAMS THAT FOCUS ON IMPROVING ACCESS TO HEALTHCARE AND IMPROVING HEALTHY BEHAVIORS. NEW PROGRAMS AND HEALTH SCREENS HAVE BEEN DEVELOPED AS NEEDS ARISE. THE HOSPITAL HAS BEEN WORKING ON THE SAME ACTION PLAN THAT WAS APPROVED IN JUNE OF 2013. THIS PLAN PROVIDED A ROADMAP FOR OUR HOSPITAL TO MEET SPECIFIC NEEDS WITHIN OUR FOUR COUNTY SERVICE AREA. BELOW ARE THE THREE KEY IDENTIFIED NEEDS, THE HOSPITAL'S RESPONSE ACCORDING TO OUR IMPLEMENTATION PLAN AND OUR ACCOMPLISHMENTS AS WELL AS WHAT IS IN PROCESS.SEE CONTINUED BELOW.
EVANGELICAL COMMUNITY HOSPITALPART V, SECTION B, LINE 13H: MEDICAL ASSISTANCE DENIAL
EVANGELICAL COMMUNITY HOSPITALPART 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.
EVANGELICAL COMMUNITY HOSPITALPART V, SECTION B, LINE 22D: PATIENTS ARE CHARGED THE FULL AMOUNT AND THEN CHARITY CARE DISCOUNT IS APPLIED AS AN ADJUSTMENT. EVANGELICAL COMMUNITY HOSPITAL'S POLICY IS TO PROVIDE EMERGENCY CARE TO STABILIZE PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY. AN INDIVIDUAL NOTICE OF AVAILABILITY OF EVANGELICAL COMMUNITY HOSPITAL CHARITY CARE PROGRAM WILL BE GIVEN TO EACH PATIENT OR THEIR REPRESENTATIVE PRIOR TO SERVICES BEING RENDERED, WITH THE EXCEPTION OF EMERGENCY SERVICES.EVANGELICAL COMMUNITY HOSPITAL WILL PROVIDE SERVICES AT NO CHARGE OR REDUCED CHARGES TO THOSE WHO ARE FINANCIALLY UNABLE TO PAY FOR THOSE SERVICES. ELIGIBILITY WILL BE DETERMINED BY COMPARING HOUSEHOLD FAMILY INCOME AGAINST THE INCOME POVERTY GUIDELINES. INCOME IS DEFINED AS THE TOTAL ANNUAL CASH RECEIPTS BEFORE TAXES FROM ALL SOURCES.
PART V SECTION B LINE 11:1. IMPROVING ACCESS TO HEALTHCARE FOR UN/UNDER INSURED RESIDENTS - NEED FOR INCREASED ACCESS TO AFFORDABLE HEALTH INSURANCE AND INCREASED NUMBER OF HEALTHCARE PROVIDERS IN GENERAL AND SPECIFICALLY, HEALTHCARE PROVIDERS THAT WILL ACCEPT STATE FUNDED MEDICAL INSURANCE.A)CONTINUE TO OFFER A VARIETY OF HEALTH SCREENING PROGRAMS FOR THE COMMUNITY AT MINIMAL OR NO COST. CURRENTLY THE HOSPITAL OFFERS SEVERAL HEALTH SCREENINGS THROUGHOUT OUR SERVICE AREA. WE FOCUS ON LOW OR NO COST AND TARGET THOSE THAT ARE UN OR UNDER INSURED. PROGRESS: COLLABORATIVE EFFORTS WITH THE DEPARTMENT OF HEALTH, AREA AGENCY ON AGING AND A COMMUNITY CLINIC, A FREE, HIGH QUALITY HEALTHCARE CLINIC FOR THE UNINSURED, HAVE PROVEN TO BE SUCCESSFUL AND IN HIGH DEMAND. WE CONTINUE TO OFFER MULTIPLE HEALTH SCREENS MONTHLY. MOST RECENTLY WE BROUGHT BACK THE "HUNTERS HEALTH SCREEN" THAT FOCUSES HEAVILY ON CARDIAC AND STROKE RISK FACTORS.B)COLLABORATE WITH THE HOSPITAL'S EMPLOYED PHYSICIAN NETWORK, THE EVANGELICAL MEDICAL SERVICE ORGANIZATION (EMSO), FAMILY PRACTICE CENTERS AND EVANGELICAL'S HOSPITALISTS TO DEVELOP AND DEPLOY THE "YOUR WELLNESS PRESCRIPTION PAD". PROGRESS: CONTINUOUS COMMUNICATION WITH COMMUNITY HEALTH AND WELLNESS AND EMSO PRIMARY CARE OFFICES TO RAISE AWARENESS OF EDUCATIONAL RESOURCES AND PROGRAMMING AVAILABLE, I.E. COMPREHENSIVE BLOOD SCREENS, WHY WEIGHT, SMOKING CESSATION ETC. C)DEVELOP A COMMUNITY HEALTH COALITION.PROGRESS: COALITION CONTINUES TO MEET AND INCREASE MEMBERSHIP. THE COALITION MEMBERS ASSISTED WITH THE 2015 CHNA AND PROVIDED INPUT FOR THE HOSPITAL'S ACTION PLAN.D)EXPAND THE OUTREACH OF THE HOSPITAL'S "FREE OR REDUCED-FEE MAMMOGRAPHY PROGRAM" TO REACH HIGH-RISK WOMEN (E.G., MINORITY POPULATIONS, AMISH AND MENNONITES, AND THOSE WITHOUT INSURANCE). PROGRESS: THIS PROGRAM CONTINUES TO EXPAND. WE CONTINUE TO PROVIDE FREE MAMMOGRAPHY SCREENING AND ARE ABLE TO OFFER ASSISTANCE FOR RECOMMENDED DIAGNOSTIC FOLLOW-UPS. E)DEVELOP AND EXPAND A NEW SURVIVORSHIP ASSISTANCE PROGRAM FOR CANCER SURVIVORS. PROGRESS: OUR SURVIVORSHIP PROGRAM CONTINUES TO ADD VIABLE PROGRAMMING TO MEET THE NEEDS OF OUR CANCER SURVIVORS. THIS YEAR WE ADDED A WOMEN'S SUPPORT GROUP, INCREASED OUR "SURVIVEWELL" SERIES FROM ONE TO TWO ANNUALLY, AND HAVE ADDED AN ANNUAL LECTURE/DAY CONFERENCE EVENT. IN 2015 EVANGELICAL OFFICIAL ADOPTED A CANCER SERVICE LINE.F)DEVELOP AND EXECUTE OUTREACH EFFORTS TO IMPROVE ACCESS TO CARE AT EVANGELICAL COMMUNITY HOSPITAL AND THE LARGER HEALTH SERVICES NETWORK:A. IMPLEMENTATION OF A CALL CENTER FOR PHYSICIAN AND SERVICE REFERRALSB. DEVELOP OUTREACH EFFORTS TO ENCOURAGE USE OF EMERGENCY DEPARTMENT'S NEW "ERGENT CARE" TO REDUCE THE WAITING TIME TO RECEIVE CARE FOR EMERGENT ILLNESSES AND INJURIES. PROGRESS: THE CALL CENTER HAS PROVEN TO BE A BENEFIT. WE AVERAGE APPROXIMATELY 85 CALLS A MONTH WITH APPROXIMATELY 75% WANTING REFERRALS FOR A PHYSICIAN. DURING THIS REPORTING YEAR TIMES OF OPERATION AND STAFFING HAD TO BE INCREASED DUE TO VOLUMES AND NEED.G)DEVELOP AN ACCESS TO CARE TEAM COMPRISED OF KEY PERSONNEL FROM HOSPITAL SERVICE AREAS WITH THE GOAL TO ENHANCE OUR ABILITY TO PROVIDE BETTER ACCESS TO CARE. THEY INCLUDE: MANAGED CARE, REGISTRATION, FINANCE, PATIENT ACCOUNTS, COMMUNITY HEALTH, EMSO, EMERGENCY DEPARTMENT, OUTPATIENT CASE MANAGEMENT COORDINATOR, NURSING, SOCIAL SERVICES, AND MARKETING & PUBLIC RELATIONS.2. IMPROVING HEALTHY BEHAVIORS: NEED FOR INCREASED AWARENESS AND EDUCATION, MOTIVATION AND/OR INCENTIVES FOR RESIDENTS WHO PRACTICE HEALTHY BEHAVIORS AND INCREASE ACCESS TO HEALTHY OPTIONS IN THE REGION.A)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. PROGRESS: WE CONTINUE TO INCREASE OUR VISIBILITY IN THE NUMEROUS SCHOOL DISTRICTS AND CHILDCARE FACILITIES IN OUR AREA. WE HAVE DEVELOPED TWO NEW EDUCATIONAL PROGRAMS FOR OUR YOUTH INITIATIVES, SUMMER SAFETY AND STRESS EDUCATION. WE HAVE ALSO BROUGHT BACK THE "SAFE SITTER" PROGRAMB)DEVELOP AND IMPLEMENT A WALKING PROGRAM FOR THE YOUTH. THE WALKING PROGRAM WILL PROMOTE TAKING HEALTHIER STEPS FOR STAYING ACTIVE. THIS PROGRAM WILL BE OFFERED TO LOCAL SCHOOL DISTRICTS AS A BEFORE SCHOOL PROGRAM. THROUGH THE WALKING PROGRAM WE WILL OFFER MATERIAL ON HEALTHY EATING AND LIVING TOBACCO FREE TO ALL SCHOOL DISTRICTS WITHIN THE HOSPITAL'S FOOTPRINT. PROGRESS: COMPLETED LAST REPORTING CYCLE. WE CONTINUE TO SUPPORT GIRLS ON THE RUN. THIS INTERNATIONAL PROGRAM FOCUSES ON SEVERAL ASPECTS THAT OUR WALKING PROGRAM PLANNED TO INCORPORATE.C)DEVELOP AND IMPLEMENT 10,000 STEPS PROGRAM INTO THE GREATER SUSQUEHANNA VALLEY. THIS PROGRAM WILL PROMOTE GOOD HEALTH AND HELP PARTICIPANTS DEVELOP A FITNESS REGIME BY ENCOURAGING THEM TO STRIVE FOR 10,000 STEPS A DAY (THE EQUIVALENT OF WALKING ROUGHLY FIVE MILES). A PERSON WHO WALKS AT LEAST 10,000 STEPS A DAY COULD BURN 2,000 TO 3,500 EXTRA CALORIES PER WEEK. PROGRESS: COMPLETED LAST REPORTING PERIOD. DURING THIS REPORTING YEAR WE IMPLEMENTED AND SENIOR STRONG PROGRAM. THIS PROGRAM WAS DEVELOPED TO MEET THE HEALTH AND WELLNESS NEEDS OF OUR SENIOR POPULATION. WE HOSTED A NATIONAL SENIOR HEALTH AND WELLNESS EVENT IN COLLABORATION WITH AND AREA NURSING AND LONG TERM CARE FACILITY. WE OFFER MONTHLY WELLNESS PROGRAMS STRICTLY FOR THIS DEMOGRAPHIC. D)DEVELOP AND IMPLEMENT A NEW EDUCATIONAL PROGRAM TO OFFER LOCAL YMCA'S AND SUMMER/DAY CAMPS TO EDUCATE STUDENTS ON THE IMPORTANCE OF HEALTHY EATING, BEING ACTIVE, AND LIVING TOBACCO FREE. PROGRESS: WE DEVELOPED AND PILOTED A 10 WEEK YOUTH WELLNESS PROGRAM TITLED EAT WELL, PLAY WELL, LIVE WELL. THE PROGRAM CONSISTED OF PRE AND POST SCREENING THAT INCLUDED EDUCATIONAL KNOWLEDGE ON LIFESTYLE TOPICS, PHYSICAL ACTIVITY ASSESSMENT, BLOOD PRESSURE, BODY COMPOSITION, RESTING HEART RATE AND BLOOD SUGAR TESTING. THE PROGRAM WAS OFFERED TO YOUTH AGES OF 12-14 ENROLLED IN A COUNSELOR IN TRAINING PROGRAM AT THE SUNBURY YMCA. WE HAD 22 PARTICIPANTS START THE PROGRAM WITH 14 ACTUALLY COMPLETING THE POST ASSESSMENTS. OVERALL WE NOTED IMPROVEMENTS IN ALL CATEGORIES THAT WERE ASSESSED. OVER A 70% IMPROVEMENT OF BLOOD PRESSURE, BLOOD SUGAR AND RESTING HEART RATE WAS ACHIEVED. E) PARTNER WITH CLINICAL OUTCOMES GROUP, INC. IN SUNBURY AND THE PA DEPARTMENT OF HEALTH TO PROMOTE YOUNG LUNGS AT PLAY, A PROGRAM DESIGNED TO PROVIDE AWARENESS OF THE EFFECTS OF SECOND-HAND SMOKE ON CHILDREN AND YOUTH. THE HOSPITAL WILL HELP BRING THIS PROGRAM INTO PARKS, RECREATIONAL FACILITIES, BOROUGHS, TOWNSHIP AND COUNTIES BY PRESENTING YOUNG LUNGS AT PLAY WHEN NEEDED. PROGRESS: WE CONTINUE TO ADVOCATE FOR AREA FACILITIES, BOROUGHS, TOWNSHIPS ETC. TO ADOPT THE YOUNG LUNGS AT PLAY. WE ALSO HAVE ADOPTED A NEW SMOKING CESSATION PROGRAM, FREEDOM FROM SMOKING. A COMMUNITY HEALTH AND WELLNESS RN EDUCATOR ATTENDED A DAY LONG TRAINING AND WE ARE CURRENTLY OFFERING THE PROGRAM TO OUR COMMUNITY. F) DEVELOP AN IMPROVING HEALTHY BEHAVIORS TEAM COMPRISED OF KEY PERSONNEL FROM HOSPITAL SERVICE AREAS WITH THE EXPECTATION TO ENHANCE OUR COMMUNITY'S EDUCATION, ACCESS AND AWARENESS OF HEALTHY BEHAVIORS. TEAM PARTICIPANTS WOULD INCLUDE PERSONNEL FROM: ADMINISTRATION, CENTER FOR BREAST HEALTH, NUTRITIONAL SERVICES, FINANCE, CARDIAC REHABILITATION, COMMUNITY HEALTH, OUTPATIENT CLINIC, PULMONARY SERVICES, FITNESS CENTER, CENTER FOR ORTHOPEDICS, DIABETIC EDUCATION, REHABILITATION SERVICES, WOMEN'S ADVISORY GROUP, AND MARKETING/PR
PART V SECTION B LINE 11:3. COMMUNITY DEVELOPMENT, SPECIFICALLY TRANSPORTATION- BECAUSE OF THE RURAL NATURE OF OUR REGION, THE LACK OF TRANSPORTATION AND LIMITED TRANSLATION SERVICES CREATE MAJOR BARRIERS FOR COMMUNITY MEMBERS TO ACCESS HEALTHCARE AND OTHER PRIMARY HEALTH RESOURCES IN OUR AREA.THE ISSUE OF ENSURING ADEQUATE PUBLIC TRANSPORTATION FOR VALLEY RESIDENTS IS A CONCERN FOR EVANGELICAL COMMUNITY HOSPITAL, ESPECIALLY AS THE LACK OF TRANSPORTATION CREATES SIGNIFICANT BARRIERS FOR SOME RESIDENTS WHEN ATTEMPTING TO ACCESS HEALTHCARE. RESIDENTS MAY HAVE THE ABILITY TO SCHEDULE APPOINTMENTS WITH HEALTHCARE PROVIDERS, BUT MAY NEED TO CANCEL THOSE SAME APPOINTMENTS DUE TO THEIR INABILITY TO FIND ADEQUATE TRANSPORTATION TO AND FROM AN APPOINTMENT. THIS PRACTICE DISCOURAGES HEALTHCARE PROVIDERS' (PHYSICIANS AND DENTISTS) ACCEPTANCE OF STATE-FUNDED HEALTH INSURANCES DUE TO THE INABILITY OF THE UN/UNDER-INSURED TO KEEP THEIR SCHEDULED APPOINTMENTS.IN RESPONSE TO THIS IDENTIFIED NEED, HOSPITAL ADMINISTRATION HAS PROVIDED TIME DURING BUSINESS HOURS FOR A MEMBER OF THE COMMUNITY HEALTH AND WELLNESS DEPARTMENT TO SERVE ON THE REGIONAL NORTH CENTRAL PA PUBLIC TRANSPORTATION TASK FORCE. THE REPRESENTATIVE HAS BEEN SERVING AS A MEMBER OF THIS COMMITTEE SINCE 2012. IN ADDITION, KEY PERSONNEL IN SOCIAL SERVICES, CASE MANAGEMENT AND THE EMERGENCY DEPARTMENT ARE WORKING TOGETHER TO ADDRESS TRANSPORTATION ISSUES AS THEY RELATE TO PATIENTS WHO COME TO THE HOSPITAL FOR EMERGENT OR SCHEDULED CARE, BUT ARE UNABLE TO RETURN HOME DUE TO THE LACK OF TRANSPORTATION. A SPECIAL FUND HAS BEEN ESTABLISHED FOR THIS PURPOSE MAKING TAXI-FARE AVAILABLE TO THESE PATIENTS WHEN NEEDED. IN ADDITION, THE REPRESENTATIVES OF THE HOSPITAL WILL CONTINUE TO ADVOCATE AND SUPPORT EFFORTS IN OUR COMMUNITY TO ADDRESS AND SOLVE THE MOST URGENT TRANSPORTATION NEEDS IN THE VALLEY, ESPECIALLY AS THEY RELATE TO THOSE WHO HAVE DIFFICULTY ACCESSING HEALTHCARE DUE TO LACK OF TRANSPORTATION. HOWEVER, A SPECIAL SUBCOMMITTEE OF THE COMMUNITY BENEFITS COMMITTEE, SUCH AS THOSE FOR IMPROVING ACCESS TO HEALTHCARE OR IMPROVING HEALTHY BEHAVIORS, WILL NOT BE DEVELOPED AND STAFFED FOR THE PURPOSE OF ADDRESSING TRANSPORTATION NEEDS.THIS THIRD AND FINAL MOST PRESSING NEED IDENTIFIED THROUGH THE 2012 CHNA WAS THE NEED FOR ADEQUATE PUBLIC TRANSPORTATION - THIS HAS NOT BEEN FULLY ADDRESSED BY THE HOSPITAL.
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Business Name Line1EVANGELICAL AMBULATORY SURGICAL CENTERBusinessNameLine1Txt

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CityLEWISBURGCityNm
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FacilityOUTPATIENT SURGICAL CENTERFacilityTxt

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 $10,910,528.
PART II, COMMUNITY BUILDING ACTIVITIES:AS A COMMUNITY AND HEALTH RESOURCE FOR MORE THAN 88 YEARS, EVANGELICAL COMMUNITY HOSPITAL HAS CONTINUALLY DEMONSTRATED ITS COMMITMENT TO THE CENTRAL SUSQUEHANNA VALLEY BY TAKING CARE OF PATIENTS NEEDING TREATMENT, AND BY ITS OUTREACH TO THE COMMUNITY. BEYOND THE DAILY CARE OF PATIENTS, THE HOSPITAL EXTENDS ITS REACH TO PROVIDE PREVENTION AND WELLNESS EDUCATION TO RESIDENTS OF THE VALLEY. OUTREACH INCLUDES CHARITY-CARE FOR THOSE WHO CANNOT AFFORD MEDICAL TREATMENT, HEALTH SCREENINGS TARGETING THE UN/UNDER-INSURED, HEALTH EDUCATION FOCUSING ON HEALTHY LIFESTYLE CHANGES, CHILD SAFETY SEAT INSPECTIONS, SCHOOL AGED HEALTH INITIATIVES, AND LECTURES ON HEALTH CONCERNS AND TOPICS. MANY OF THESE PROGRAMS ARE PROVIDED AT MINIMAL OR NO COST, AND ARE SUBSIDIZED USING HOSPITAL RESOURCES.
PART III, LINE 2:THE COSTING METHODOLOGY USED IN DETERMINING BAD DEBT EXPENSE AT COST IS BAD DEBT EXPENSE TIMES THE COST TO CHARGE RATIO. IN DETERMINING BAD DEBT EXPENSE, PATIENT LIABILITIES ARE NET OF THIRD-PARTY PAYMENTS AND ANY PATIENT PAYMENTS.
PART III, LINE 3:WE BELIEVE THAT A PORTION OF OUR BAD DEBTS RESULTS FROM SERVICES PROVIDED TO PATIENTS WHO MEET THE CHARITY CARE GUIDELINES BUT WERE UNABLE OR UNWILLING TO PROVIDE THE APPROPRIATE DOCUMENTATIONS TO ALLOW THAT CLASSIFICATION. THESE WOULD BE CLASSIFIED AS BAD DEBT EXPENSE TIMES THE COST TO CHARGE RATIO TO ARRIVE AT COST. EVANGELICAL COMMUNITY HOSPITAL PROVIDES CARE TO ALL PATIENTS WHO NEED IT, REGARDLESS OF THEIR ABILITY TO PAY. THIS IS PART OF THE HOSPITAL'S MISSION.
PART III, LINE 4:ACCOUNTS RECEIVABLE- PATIENTS ARE REPORTED AT NET REALIZABLE VALUE. THE ORGANIZATION ACCOUNTS FOR DISCOUNTS AND PAYMENTS ON PATIENT ACCOUNTS AS A REDUCTION OF REVENUE/ACCOUNTS RECEIVABLE AND ARE NOT COMPONENTS OF BAD DEBT EXPENSE. ACCOUNTS ARE WRITTEN OFF WHEN THEY ARE DETERMINED TO BE UNCOLLECTIBLE BASED UPON MANAGEMENT'S ASSESSMENT OF INDIVIDUAL ACCOUNTS. THE ALLOWANCE FOR DOUBTFUL COLLECTIONS ARE ESTIMATED BASED UPON A PERIODIC REVIEW OF THE ACCOUNTS RECEIVABLE AGING, PAYOR CLASSIFICATIONS AND APPLICATION OF HISTORICAL WRITE-OFF PERCENTAGES.
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 COMMUNITY BENEFIT COMMITTEE OF 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. THE COMMITTEE CONSISTS OF MEMBERS FROM THE HOSPITAL'S BOARD OF DIRECTORS, EXECUTIVE OPERATING TEAM, MANAGEMENT STAFF, AS WELL AS FRONT-LINE CLINICAL AND ADMINISTRATIVE EMPLOYEES. THE COMMUNITY BENEFIT COMMITTEE WORKS COOPERATIVELY WITH DEPARTMENTS OF THE HOSPITAL AND OTHER ORGANIZATIONS IN THE COMMUNITY TO ADDRESS UNMET NEEDS. CANCER AWARENESS AND EDUCATION IS EXTREMELY IMPORTANT. THE FOLLOWING PROGRAMS WERE OFFERED IN FY15; THE CORRESPONDING NUMBER BESIDE THE PROGRAM DOCUMENTS THE NUMBER OF PEOPLE SERVED.PROGRAM INDIVIDUALS SERVEDLOOK GOOD, FEEL BETTER 1- 2 PARTICIPANTS/SESSIONHOSPITAL'S EMPLOYEE HEALTH FAIR (EDUCATION ON BREAST CANCER AWARENESS, SMOKING CESSATION, EARLY DETECTION AND PREVENTATIVE HEALTH ACTIVITIES.) APPROXIMATELY 200 EMPLOYEES AND FAMILY MEMBERSCOUPLES RETREAT 5 COUPLES (10 PARTICIPANTS)I CAN COPE SURVIVOR PROGRAM 100 PARTICIPANTSCOPING WITH THE HOLIDAYS PROGRAM 14 PARTICIPANTSFREE SKIN CANCER SCREENINGS 47 PARTICIPANTSCOMMUNITY EVENT TO SUPPORT BREAST CANCER - LILLIE SHOCKNEY 85 PARTICIPANTSLIFE AFTER LOSS BEREAVEMENT SUPPORT GROUP 18 PARTICIPANTSOTHER HEALTH EDUCATION AND PREVENTION ACTIVITIES INCLUDE:PROGRAM INDIVIDUALS SERVEDMONTHLY SUPPORT GROUPS 748 PARTICIPANTSFREE HEART HEALTH SCREENINGS 93 PARTICIPANTSCOMPREHENSIVE BLOOD SCREENINGS 796 PARTICIPANTSMEN'S HEALTH SCREEN 41 PARTICIPANTSWOMEN'S HEALTH SCREEN 89 PARTICIPANTSHUNTER'S HEALTH SCREEN 49 PARTICIPANTSBLOOD DRAW SERVICES A COMMUNITY CLINIC 124 PARTICIPANTSCHILD SAFETY SEAT REPLACEMENT 50 FAULTY SEATSFREE CHILD PASSENGER SEAT INSPECTIONS 490 INSPECTIONSFREE T-DAP VACCINATION FOR NEW DADS AND GRANDPARENTS 186 VACCINATIONS GIVENYOUTH BIKE HELMET GIVEAWAY PROGRAM 172 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 FY15, MORE THAN 3927 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 TOBACCOS EDUCATION. A TOTAL OF 3,691 STUDENTS WERE EDUCATED THROUGH THESE PROGRAMS.
PART VI, LINE 3:AS A COMMUNITY HOSPITAL, EVANGELICAL IS DEDICATED TOIMPROVING THE HEALTH AND WELL-BEING OF ALL ITS CONSTITUENTS. THROUGH THEFINANCIAL ASSISTANCE PROGRAM, MEDICAL CARE IS PROVIDED REGARDLESS OF APATIENT'S ABILITY TO PAY, INSUFFICIENT HEALTH INSURANCE OR WHETHER AGOVERNMENT-SPONSORED PROGRAM COVERS THE FULL COST OF SERVICES. AND AS THECOUNTRY'S ECONOMIC FUTURE REMAINS UNCERTAIN, EVANGELICAL WILL CONTINUE TOPROVIDE CARE FOR THOSE WHO NEED IT.EVANGELICAL WILL PROVIDE SERVICES AT NO CHARGE OR REDUCED CHARGES TO THOSEWHO ARE FINANCIALLY UNABLE TO PAY FOR THOSE SERVICES.EVANGELICAL WILL NOT ARBITRARILY RESTRICT THE PROVISIONS OF HEALTHSERVICES TO CERTAIN INDIVIDUALS OR GROUPS.EVANGELICAL COMMUNITY HOSPITAL'S REGISTRATION DEPARTMENT REPRESENTATIVESINFORM OUR UNINSURED OR UNDER INSURED PATIENTS, OF OUR FINANCIALASSISTANCE 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 FINANCIALCOUNSELOR WILL ALSO ASSIST THE PATIENT IN COMPLETING THE PROPER PAPERWORKFOR ASSISTANCE.THE FINANCIAL COUNSELORS AND CASE MANAGEMENT STAFF WORK CLOSELY TOIDENTIFY AND ASSIST ELIGIBLE PATIENTS. OUR SELF-PAY VENDOR ALSO INFORMSTHE PATIENT THAT EVANGELICAL HAS A FINANCIAL ASSISTANCE PROGRAM AND AFINANCIAL COUNSELOR WHO WILL SEND THEM AN APPLICATION IF REQUESTED. OURTHIRD PARTY VENDOR WORKS ON BEHALF OF THE ORGANIZATION TO FOLLOW THEHOSPITAL'S POLICIES REGARDING PATIENT NOTIFICATION AND THE AVAILABILITYOF FINANCIAL ASSISTANCE. EVANGELICAL'S FINANCIAL ASSISTANCE POLICY ISPOSTED ON THE EVANGELICAL WEBSITE(HTTP://WWW.EVANHOSPITAL.COM/PATIENTS/INSURANCE/CHARITY-CARE)ALONG WITH AN APPLICATION FOR PATIENTS TO COMPLETE FOR FINANCIALASSISTANCE.EVANGELICAL COMMUNITY HOSPITAL WILL MAKE AVAILABLE A WRITTEN NOTICE TOEACH PATIENT OR THEIR REPRESENTATIVE OF THE EXISTENCE, CRITERIA ANDMECHANISM 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'SFINANCIAL 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 ASSISTANCEPROGRAM WILL BE GIVEN TO EACH PATIENT OR THEIR REPRESENTATIVE PRIOR TOSERVICES BEING RENDERED, WITH THE EXCEPTION OF EMERGENCY SERVICES. THESENOTICES SHALL BE AVAILABLE IN ALL REGISTRATION AREAS OF THE HOSPITAL ANDSHALL INCLUDE THE MOST CURRENT AVAILABLE "HOUSEHOLD INCOME GUIDELINES" AS PUBLISHED IN THE FEDERAL REGISTER.THE PATIENT ACCOUNTS DIRECTOR OR HIS/HER DESIGNEE SHALL REVIEW ALLAPPLICATIONS 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 INTERPRETERCONFERENCING TELEPHONE SERVICE. INTERPRETATION SERVICES ARE AVAILABLE FORA MULTITUDE OF PATIENT/CAREGIVER INTERACTIONS. WHEN A NON-ENGLISH SPEAKINGPATIENT, NO MATTER HIS OR HER NATIVE TONGUE, CALLS IN TO THE HOSPITAL, HEOR SHE WILL BE ABLE TO BE UNDERSTOOD THROUGH A TELEPHONE INTERPRETER.THIS IS AVAILABLE FOR OUTBOUND CALLS TO THE PATIENT AS WELL. THE PROCESSCONTRIBUTES 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, PA (UNION COUNTY), THE HEART OF CENTRAL PA. THE HOSPITAL IS CONVENIENTLY LOCATED OFF INTERSTATE 80 ON U.S. ROUTE 15. ECH SERVES THE RESIDENTS OF UNION, SNYDER & NORTHUMBERLAND COUNTIES AND SURROUNDING AREAS. ECH IS THE 3RD LARGEST EMPLOYER IN UNION COUNTY WITH MORE THAN 1,200 EMPLOYEES. ACCORDING TO THE HOSPITAL AND HEALTHSYSTEM ASSOCIATION OF PENNSYLVANIA, ECH'S TOTAL IMPACT ON THE REGIONAL ECONOMY TOPS MORE THAN $180 MILLION. ECH IS A 132 LICENSED-BED ACUTE CARE COMMUNITY HOSPITAL WITH OVER 1,200 EMPLOYEES AND NEARLY 200 MEDICAL STAFF MEMBERS. ECH HAS A BUSY EMERGENCY DEPARTMENT WITH OVER 33,558 VISITS IN 2015. THE PRIMARY SERVICE AREA OF RESIDENTS OF ECH INCLUDES: 17810, 17812, 17843, 17813, 17730, 17827, 17829, 17831, 17876, 17833, 17835, 17837, 17749, 17842, 17844, 17845, 17847, 17850, 17853, 17855, 17856, 17857, 17861, 17862, 17864, 17865, 17086, 17870, 17801, 17880, 17882, 17772, 17883, 17777, 17886, 17887, 17885, 17889. OUR SECONDARY SERVICE AREA IS FROM THE FOLLOWING ZIP CODES: 16820, 17866, 17014, 17017, 17821, 17823, 17830, 17737, 17834, 17836, 17045, 17840, 17747, 17832, 17049, 17841, 17062, 17752, 17851, 17756, 17860, 17080, 16872, 17867, 17868, 17872, 17877, 17881, 17884, 16882. THE REGION IS HOME TO SEVERAL COLLEGES, UNIVERSITIES AND TECHNICAL SCHOOLS AS WELL AS STRONG PUBLIC SCHOOL SYSTEMS. IT HAS A VERY DIVERSE HISTORY AND RURAL APPEAL, YET FEATURES BUSINESS AND HEALTHCARE FACILITIES USING THE LATEST ADVANCES IN SCIENCE AND TECHNOLOGY. ADDITIONAL HOSPITALS IN OUR REGION CONSIST OF GEISINGER MEDICAL CENTER, SUNBURY COMMUNITY HOSPITAL (FOR-PROFIT SYSTEM), SHAMOKIN AREA COMMUNITY HOSPITAL, SUSQUEHANNA HEALTH SYSTEM, AND BLOOMSBURG HOSPITAL. ACCORDING TO THE MOST RECENT DATA FROM THE NEEDS ASSESSMENT, THE REGION IS PRIMARILY RURAL IN NATURE. THIS DATA WAS REAFFIRMED DURING THE ASSESSMENT PROCESS THROUGH COMMUNITY LEADERS AND KEY STAKEOLDER INTERVIEWS AND FOCUS GROUP DISCUSSIONS. FURTHERMORE WITH THE RURAL NATURE OF OUR AREA AND THE LACK OF A COORDINATED AND INTEGRATED TRANSPORTATION SYSTEM 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 38.0. ESTIMATED 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 HOME; 3.7% OF RESIDENTS SPEAK SPANISH AT HOME; 5.7% OF RESIDENTS SPEAK OTHER INDO-EUROPEAN LANGUAGE AT HOME; 0.8% OF RESIDENTS SPEAK ASIAN OR PACIFIC ISLAND LANGUAGE AT HOME; 0.2% OF RESIDENTS SPEAK OTHER LANGUAGES AT HOME.CITY-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 39. ESTIMATED MEDIAN HOUSEHOLD INCOME IN 2013: $47,035; RESIDENTS 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 HOME; 1.5% OF RESIDENTS SPEAK SPANISH AT HOME; 6.3% OF RESIDENTS SPEAK OTHER INDO-EUROPEAN LANGUAGE AT HOME; 0.2% OF RESIDENTS SPEAK ASIAN OR PACIFIC ISLAND LANGUAGE AT HOME; 0.1% OF RESIDENTS SPEAK OTHER LANGUAGES AT HOME.CITY-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: $41,011; THE 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 HOME; 1.5% OF RESIDENTS SPEAK SPANISH AT HOME; 2.6% OF RESIDENTS SPEAK OTHER INDO-EUROPEAN LANGUAGE AT HOME; 0.3% OF RESIDENTS SPEAK ASIAN OR PACIFIC ISLAND LANGUAGE AT HOME; 0.1% OF RESIDENTS SPEAK OTHER LANGUAGES AT HOME.ECH OPERATES AN EMERGENCY DEPARTMENT THAT IS OPEN TO ALL PERSONS REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES. WE HAVE OPEN MEDICAL STAFF WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE AREA. ECH HAS A BOARD OF DIRECTORS IN WHICH INDEPENDENT COMMUNITY PERSONS ARE REPRESENTED. ECH IS AFFILIATED WITH HEALTHCARE FACILITIES, SUCH AS GEISINGER MEDICAL CENTER, TO PROVIDE THE BEST MEDICAL CARE FOR OUR PATIENTS. ECH WORKS WITH THE FOLLOWING HIGHER EDUCATION INSTITUTIONS (I.E. COLLEGES, TECHNICAL SCHOOL AND INTERMEDIATE UNITS): PENN COLLEGE, CENTRAL SUSQUEHANNA INTERMEDIATE UNIT, BLOOMSBURG UNIVERSITY, AND SUN-AREA VO-TECH. WE WORK WITH THESE HIGHER EDUCATION INSTITUTIONS TO ENGAGE IN TRAINING AND EDUCATION OF HEALTH CARE PROFESSIONALS. ECH PROVIDES FINANCIAL AID TO SUPPORT STUDENTS CHOOSING THE HEALTHCARE PROFESSION THROUGH THE MAE KEEFER 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 $64,000.16.6% OF ECH'S SERVICE AREA IS REPORTED AS NOT HAVING A HIGH SCHOOL DIPLOMA. THIS IS FOUR POINTS HIGHER THAT THE STATE AVERAGE OF 12.6%. ACCORDING TO THE COUNTY HEALTH RANKINGS ECH SHOWS A POOR RANKING IN THE FOLLOWING CATEGORIES: EMPLOYMENT, EDUCATION, AND DIET/EXERCISE. WE KNOW THAT THESE THREE FACTORS ARE HIGHLY CORRELATED: I.E. POOR EMPLOYMENT CAN LEAD TO LOWER INCOME WHICH CAN THEN LEAD TO FEWER OPTIONS FOR GOOD EDUCATIONAL OPPORTUNITIES AND THEREFORE POORER HEALTH DECISIONS IN TERMS OF DIET AND EXERCISE. WHEN COMPARED TO THE REST OF THE STATE AND EVEN THE UNITED STATES AS A WHOLE, ECH SHOWS VERY LITTLE DIVERSITY WITH ONLY 5.1% OF THE POPULATION IDENTIFYING AS A RACE/ETHNICITY OTHER THAN WHITE NON-HISPANIC. PENNSYLVANIA IS AT 19.6% AND THE UNITED STATES IS AT 35%.SUNBURY AND ALLENWOOD SCORED THE HIGHEST IN THE COMMUNITY NEED INDEX, MEANING THEY HAVE THE MOST BARRIERS TO COMMUNITY HEALTH CARE ACCESS. SUNBURY SHOWED VERY HIGH RATES OF INDIVIDUALS LIVING IN POVERTY; 65 AND OLDER (11%), FAMILIES WITH MARRIED INDIVIDUALS WITH CHILDREN (17%), AND FAMILIES WITH SINGLE INDIVIDUALS WITH CHILDREN (50%). ALLENWOOD SHOWS THE HIGHEST UNEMPLOYMENT RATE AT 17%, BUT THIS COULD BE MISLEADING DUE TO A FEDERAL PRISON BEING LOCATED IN THAT TOWN. TURBOTVILLE SHOWS THE LOWEST UNEMPLOYMENT RATE (4%) AND THE LOWEST RATE OF INDIVIDUALS LIVING IN POVERTY; 65 AND OLDER (9%), MARRIED WITH CHILDREN LIVING IN POVERTY (5%) AND SINGLE LIVING WITH CHILDREN IN POVERTY (8%). ACCORDING TO THE COUNTY HEALTH RANKINGS (PENNSYLVANIA'S COUNTIES ARE RANKED 1 THROUGH 67. 1 BEING THE BEST SCORE AND 67 BEING THE WORST) UNION AND SNYDER COUNTIES RANKED IN THE TOP 5 FOR HEALTH OUTCOMES WHILE NORTHUMBERLAND COUNTY RANKED IN THE BOTTOM 15 FOR HEALTH OUTCOMES. UNION COUNTY WAS NAMED THE HEALTHIEST COUNTY AND RANKED NUMBER ONE IN QUALITY OF CARE ACCORDING TO THE 2011 COUNTY HEALTH RANKINGS. CONSEQUENTLY, UNION COUNTY RANKED IN THE BOTTOM FIVE FOR ITS BUILT ENVIRONMENT WHICH REFERS TO ACCESS TO RECREATIONAL FACILITIES, LIMITED ACCESS TO HEALTHY FOODS AND NUMBER OF FAST FOOD RESTAURANTS. TOBACCO USE IN ECH'S SERVICE AREA RANKED AS FOLLOWS; NORTHUMBERLAND COUNTY WAS 54 OUT OF 67 COUNTIES, UNION COUNTY WAS 38 OUT OF 67 AND SNYDER COUNTY CAME IN AT THE LOWEST WITH A RANKING OF 16 OUT OF 67. WITH REGARD TO ALCOHOL USE ECH'S SERVICE AREA RANKED AS FOLLOWS; NORTHUMBERLAND COUNTY, 38 OUT OF 67, UNION COUNTY, 19 OUT OF 67, AND SNYDER COUNTY RANKED NUMBER 1 OUT OF 67.
PART VI, LINE 5:EVANGELICAL COMMUNITY HOSPITAL HAS A TOTAL OF 132 PATIENT BEDS AND 18 BASSINETS. THERE ARE NEARLY 200 PHYSICIANS ON STAFF, AND NEARLY 900 CLINICAL EMPLOYEES, INCLUDING 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) 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 SAFETY INSPECTIONS. THE HOSPITAL IS SUPPORTIVE OF ITS EMPLOYEES TO BE INVOLVED IN THE COMMUNITY ORGANIZATIONS TO SUPPORT AND TO BE A PART OF ADDRESSING THE NEEDS OF THE COMMUNITY. SURPLUS FUNDS OF THE HOSPITAL ARE USED TO DEVELOP EMPLOYEES AND FURTHER EDUCATE STAFF TO KEEP UP WITH THE EVER CHANGING HEALTHCARE TECHNOLOGY AND NEW TREATMENT PLANS FOR DISEASES, AS WELL AS CAPITAL NEEDS OF THE ORGANIZATION TO KEEP THE NECESSARY NEW MEDICAL EQUIPMENT AVAILABLE TO BETTER TREAT THE PATIENTS OF THE COMMUNITY.
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 STATESPA

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeSCHOLARSHIPSGrantTypeTxt
Recipient25RecipientCnt
Cash Grant$76,100CashGrantAmt
Valuation Method UsedCASHValuationMethodUsedDesc
Non Cash AssistanceN/ANonCashAssistanceDesc

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationAPPLICANTS 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

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
MICHAEL N O'KEEFE UNTIL 63015
PRESIDENT/CEO (NON-VOTING)$377,924$0$25,000$0$956$0$90,575$0$14,142$0$508,597$0$0$0
JOHN E RICE MD
DIRECTOR/PHYSICIAN$233,700$0$0$0$0$0$4,792$0$21,525$0$260,017$0$0$0
KENDRA A AUCKER
PRESIDENT/CEO (NON-VOTING)$238,839$0$42,148$0$0$0$39,847$0$21,864$0$342,698$0$0$0
JAMES A STOPPER
TREASURER/CFO$215,136$0$32,519$0$35,362$0$32,445$0$13,473$0$328,935$0$0$0
J LAWRENCE GINSBURG
VP MEDICAL AFFAIRS$413,172$0$31,831$0$187,209$0$66,863$0$14,538$0$713,613$0$0$0
PAUL E TARVES
VP OF NURSING$177,155$0$17,933$0$0$0$26,949$0$19,937$0$241,974$0$0$0
DALE E MOYER
CHIEF INFORMATION OFFICER$162,309$0$16,459$0$0$0$24,989$0$21,685$0$225,442$0$0$0
MARK K KRAMMES
DIR OF PERI-ANESTHESIA$240,698$0$0$0$0$0$8,375$0$21,525$0$270,598$0$0$0
SANDRA S WALKER
NURSE ANESTHETIST$211,405$0$0$0$0$0$8,435$0$542$0$220,382$0$0$0
LORI K GOODLING
NURSE ANESTHETIST$205,426$0$0$0$0$0$2,073$0$6,698$0$214,197$0$0$0
BRADLEY P BOWER
NURSE ANESTHETIST$185,378$0$0$0$0$0$7,303$0$21,525$0$214,206$0$0$0
RAYMOND J TOMASZEWSKI
NURSE ANESTHETIST$191,278$0$0$0$0$0$7,765$0$21,525$0$220,568$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 4BTHE FOLLOWING INDIVIDUALS RECEIVED A DISTRIBUTION FROM A SUPPLMENTAL NONQUALIFIED RETIREMENT PLAN: MICHAEL O'KEEFE - $956 J. LAWRENCE GINSBURG - $187,209 JAMES STOPPER - $35,362 THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLMENTAL NONQUALIFIED RETIREMENT PLAN: MICHAEL O'KEEFE - $81,372 J. LAWRENCE GINSBURG - $53,086 KENDRA AUCKER - $30,064 PAUL TARVES - $19,599 ANGELA HUMMEL - $13,477 DALE MOYER - $18,184 JAMES STOPPER - $23,989
PART I, LINE 7THE 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 ReferenceBondReferenceCdBond Issuer EINBondIssuerEINBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingIndCUSIPCUSIPNum
UNION COUNTY HOSPITAL AUTHORITY
A2327396242013-10-24$19,694,697CAPITAL IMPROVEMENTS, REFINANCE 2004 BONDS, ISSUANCE COSTS000
UNION COUNTY HOSPITAL AUTHORITY
B2327396242011-03-03$30,235,000SERIES OF 2011 BONDS - FUND CONSTRUCTION & REFUND OUTSTANDING 2009 BONDS000906460DJ6

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtOther Spent ProceedsOtherSpentProceedsAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndIn Reserve FundInReserveFundAmt
A$745,800$19,694,697$207,720$19,486,97720130Yes (1)Yes (1)Yes (1)
B$5,210,000$29,719,008$377,544$27,089,3402012Yes (1)0Yes (1)Yes (1)$2,252,124

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A00000.000000.003200.0032000Yes (1)
B00000.000000.003200.0032000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A00Yes (1)00000Yes (1)
B00Yes (1)00000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE K, PART II, LINE 3:FormAndLineReferenceDesc
ExplanationTOTAL 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

FieldValueIRS element (for citing)
PersonJOHN D GRIFFITHPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionSEE PART VRelationshipDescriptionTxt
Transaction$458,571TransactionAmt
TransactionSEE PART VTransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTE PERSONSFormAndLineReferenceDesc
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 AT AN ARM'S LENGTH TRANSACTION.ExplanationTxt

Schedule M IRS990ScheduleM

Food Inventory FoodInventoryGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution1ContributionCnt
Noncash Contributions Rpt F990$1,449NoncashContributionsRptF990Amt
Method Of Determining RevenuesDONOR COSTMethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp (6 entries)

Non Cash CheckboxNonCashCheckboxIndDescDescContributionContributionCntNoncash Contributions Rpt F990NoncashContributionsRptF990AmtMethod Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)ADVERTISING2$9,135DONOR COST
Yes (X)EUROPEAN DRIVING TRIP1$6,500DONOR COST
Yes (X)LANDSCAPING SERVICES1$6,000DONOR COST
Yes (X)FLORAL ARRANGEMENTS1$5,060DONOR COST
Yes (X)TWO TRIPS TO SAN MARCO ISLAND, FLORIDA1$5,000DONOR COST
Yes (X)FOOTBALL TICKETS W/ PARKING PASS1$692DONOR COST
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (1)ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, COLUMN (B):FormAndLineReferenceDesc
ExplanationNUMBER OF CONTRIBUTIONS IN COLUMN B REPRESENTS THE NUMBER OF CONTRIBUTORS FOR THE TYPE OF PROPERTY LISTED.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2ROBERT GRONLUND IS THE FATHER OF BROOKS GRONLUND AND BOTH SERVE ON THE BOARD.
FORM 990, PART VI, SECTION A, LINE 3MANAGEMENT SERVICES FOR THE WOUND AND HYBERBARIC OXYGEN THERAPY ("HBOT") DEPARTMENT WERE OUTSOURCED TO DIVERSIFIED CLINICAL SERVICES.
FORM 990, PART VI, SECTION A, LINE 4THE BY LAWS WERE AMENDED DURING THE YEAR (1) TO EXPAND THE EX-OFFICIO MEMBERS OF THE BOARD TO INCLUDE THE PRESIDENT-ELECT OF THE MEDICAL STAFF (EX-OFFICIO) AND (2) TO REPLACE THE CURRENT LIMITATION ON EMPLOYEES SERVING ON OUR BOARD CONTAINED IN SECTION 4.2 OF THE BYLAWS WITH A REQUIREMENT THAT A MAJORITY OF THE BOARD BE "INDEPENDENT" AS DEFINED BY THE APPROPRIATE IRS REGULATIONS.
FORM 990, PART VI, SECTION B, LINE 11FORM 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 12CA 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 15THE 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 2015.
FORM 990, PART VI, SECTION C, LINE 19GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART VI, LINE 1THE 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 -12,276. VALUATION LOSS -191,483. POSTRETIREMENT BENEFIT LIABILITY ADJUSTMENT -444,569. NET TRANSFERRS WITH AFFILIATES -14,200,000.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1EVANGELICAL AMBULATORY SURGICAL CENTERBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1210 JPM ROADAddressLine1Txt
CityLEWISBURGCityNm
State AbbreviationPAStateAbbreviationCd
ZIP17837ZIPCd
FieldValueIRS element (for citing)
EIN233021240EIN
Primary ActivitiesHEALTHCARE - SURGERYPrimaryActivitiesTxt
Legal Domicile StatePALegalDomicileStateCd
Total Income$503,450TotalIncomeAmt
End Of Year Assets$746,321EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1EVANGELICAL COMMUNITY HOSPITALBusinessNameLine1Txt

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPct
EVANGELICAL-GEISINGER HEALTH LLC
100 N ACADEMY AVENUEDANVILLEPA178224031460567687HEALTHCAREPAN/ARELATED$166,925$815,690000.50000
KEYSTONE ACCOUNTABLE CARE ORG LLC
100 N ACADEMY AVENUEDANVILLEPA17822455484165HEALTHCAREPAN/ARELATED-$322,373$122,313000.30000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationInd
CENTRAL SUSQUEHANNA HEALTHCARE PROVIDERS INC
ONE HOSPITAL DRIVELEWISBURGPA17837232452170MEDICAL SERVICESPAEVANGELICAL COMMUNITY HOSPITALC$36,660$196,4660.500000
EVANGELICAL MEDICAL SERVICE ORGANIZATION
ONE HOSPITAL DRIVELEWISBURGPA17837232809429MEDICAL SERVICESPAEVANGELICAL COMMUNITY HOSPITALC$33,459,654$23,129,6221.000000
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
EVANGELICAL MEDICAL SERVICES ORGANIZATION
R$14,200,000CASH
EVANGELICAL MEDICAL SERVICES ORGANIZATION
P$952,995CASH
EVANGELICAL MEDICAL SERVICES ORGANIZATION
O$814,064HOURS SPENT WORKING FOR AFFILIATE
EVANGELICAL MEDICAL SERVICES ORGANIZATION
J$726,975CASH

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