EVANGELICAL COMMUNITY HOSPITAL: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: EVANGELICAL COMMUNITY HOSPITAL (EIN 24-0795411)
Tax period: 2012-07-01 to 2013-06-30
Filed: 2014-02-12
IRS object ID: 201440439349301689
Schema version: 2012v2.1
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule D
Schedule G
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2014-02-12T15:40:58-06:00	Timestamp
Tax Period End Date	2013-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	232932984	EIN

Preparer Firm Business Name PreparerFirmBusinessName

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

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	400 MARKET STREET	AddressLine1
City	WILLIAMSPORT	City
State	PA	State
ZIP Code	17701	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	240795411	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	EVANGELICAL COMMUNITY HOSPITAL	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	EVAN	NameControl
Phone	5705222741	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	ONE HOSPITAL DRIVE	AddressLine1
City	LEWISBURG	City
State	PA	State
ZIP Code	17837	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	JAMES STOPPER CPA CFO	Name
Title	CFO	Title
Phone	5705222741	Phone
Date Signed	2014-02-07	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	JULIUS C GREEN CPA JD	Name
PTIN	P00350393	PTIN
Phone	5703236023	Phone

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2015-11-30 17:44:51Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	MICHAEL O'KEEFE	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	ONE HOSPITAL DRIVE	AddressLine1
City	LEWISBURG	City
State	PA	State
ZIP Code	17837	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	182598960	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.EVANHOSPITAL.COM	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1926	YearFormation
State Legal Domicile	PA	StateLegalDomicile
Activity Or Mission Description	PROVIDE HEALTH CARE SERVICES TO THE PUBLIC AND TO BE THE COMMUNITY'S HEALTH CARE PROVIDER OF CHOICE.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	18	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	14	NbrIndependentVotingMembers
Total Nbr Employees	1227	TotalNbrEmployees
Total Nbr Volunteers	557	TotalNbrVolunteers
Total Gross UBI	2962637	TotalGrossUBI
Net Unrelated Business Txbl Income	223651	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	2617734	ContributionsGrantsPriorYear
Contributions Grants Current Year	2807525	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	128348018	ProgramServiceRevenuePriorYear
Program Service Revenue CY	141285558	ProgramServiceRevenueCY
Investment Income Prior Year	3112616	InvestmentIncomePriorYear
Investment Income Current Year	4698335	InvestmentIncomeCurrentYear
Other Revenue Prior Year	5811058	OtherRevenuePriorYear
Other Revenue Current Year	5449885	OtherRevenueCurrentYear
Total Revenue Prior Year	139889426	TotalRevenuePriorYear
Total Revenue Current Year	154241303	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	39000	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	81000	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	63500980	SalariesEtcPriorYear
Salaries Etc Current Year	71783728	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	80850	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	464866	TotalFundrsngExpCurrentYear
Other Expense Prior Year	59894797	OtherExpensePriorYear
Other Expenses Current Year	66364805	OtherExpensesCurrentYear
Total Expenses Prior Year	123515627	TotalExpensesPriorYear
Total Expenses Current Year	138229533	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	16373799	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	16011770	RevenuesLessExpensesCY
Total Assets BOY	229634915	TotalAssetsBOY
Total Assets EOY	240301252	TotalAssetsEOY
Total Liabilities BOY	81983469	TotalLiabilitiesBOY
Total Liabilities EOY	79638326	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	147651446	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	160662926	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	WE WILL PROVIDE EXCEPTIONAL HEALTHCARE, ACCESSIBLE TO ALL, IN THE SAFEST AND MOST COMPASSIONATE ATMOSPHERE POSSIBLE. OUR VISION: WE WILL BE OUR COMMUNITY'S HEALTHCARE PROVIDER OF CHOICE BY PATIENTS, PHYSICIANS AND EMPLOYEES.	MissionDescription
Significant New Program Services	1	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	114965428	Expense
Grants	81000	Grants
Revenue	141673824	Revenue
Description	MEETING THE HEALTHCARE NEEDS OF THE COMMUNITY IS AT THE HEART OF EVANGELICAL COMMUNITY HOSPITAL'S MISSION AS A NOT-FOR-PROFIT CHARITABLE ORGANIZATION. THE HOSPITAL'S RESOURCES PROVIDE FOR LONG-TERM INITIATIVES SUCH AS RECRUITMENT AND RETENTION OF OUTSTANDING MEDICAL PROFESSIONALS, ENHANCED TECHNOLOGIES AND NEW FACILITIES AND SERVICES.THE HOSPITAL IS LICENSED TO ACCOMMODATE 130 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.	Description
Total Program Service Expense	114965428	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	0	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	1	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	0	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	1	ReportFin48Footnote
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	1	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	1	FinancialStmtAttached
Grants To Organizations	0	GrantsToOrganizations
Grants To Individuals	1	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	1	TaxExemptBonds
Invest Tax Exempt Bonds	0	InvestTaxExemptBonds
Escrow Account	0	EscrowAccount
On Behalf Of Issuer	0	OnBehalfOfIssuer
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	1	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	0	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	1	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	1	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	1	RelatedOrgControlledEntity
Transaction Related Entity	0	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	39	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	1227	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	1	QuidProQuoContributions
Quid Pro Quo Disclosure	1	QuidProQuoDisclosure
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	18	NbrVotingGoverningBodyMembers
Number Independent Voting Members	14	NumberIndependentVotingMembers
Family Or Business Relationship	1	FamilyOrBusinessRelationship
Delegation Of Management Duties	1	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	0	MembersOrStockholders
Election Of Board Members	0	ElectionOfBoardMembers
Decisions Subject To Approval	0	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	1	LocalChapters
Policies Reference Chapters	1	PoliciesReferenceChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	1	InvestmentInJointVenture
Written Policy Or Procedure	1	WrittenPolicyOrProcedure
States Where Copy Of Return Is Filed	PA	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	JAMES STOPPER CPA	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	5705222000	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	ONE HOSPITAL DRIVE	AddressLine1
City	LEWISBURG	City
State	PA	State
ZIP Code	17837	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (37 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Average Hours Per Week RelatedAverageHoursPerWeekRelated	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
MICHAEL N O'KEEFE
PRESIDENT/CEO (NON-VOTING)	40.00	1.00	X	X	404731	0	125062
JOHN GRIFFITH
CHAIRPERSON	1.00	0.10	X	X	0	0	0
TIM APPLE
DIRECTOR	1.00	0.10	X		0	0	0
JULIE BARNA DMD
DIRECTOR	1.00	0.10	X		0	0	0
MARTHA A BARRICK
DIRECTOR	1.00	0.10	X		0	0	0
BROOKS GRONLUND
DIRECTOR	1.00	0.10	X		0	0	0
ROBERT L GRONLUND
DIRECTOR	1.00	0.10	X		0	0	0
ROGER S HADDON JR
DIRECTOR	1.00	0.10	X		0	0	0
AMANDA KESSLER
DIRECTOR	1.00	0.10	X		0	0	0
JOHN MECKLEY ESQ
DIRECTOR	1.00	0.10	X		0	0	0
FREDRIK B PAULSEN JR
DIRECTOR	1.00	0.10	X		0	0	0
JULIA REDCAY DO
DIRECTOR	1.00	0.10	X		0	0	0
W GALE REISH MD
DIRECTOR	1.00	0.10	X		0	0	0
SUSAN FORGETT RHEAM CPA
DIRECTOR	1.00	0.10	X		0	0	0
JOHN E RICE MD
DIRECTOR	1.00	0.10	X		0	292711	34283
NORMAN S RICH
DIRECTOR	1.00	0.10	X		0	0	0
HENRY A TRUSLOW IV
DIRECTOR	1.00	0.10	X		0	0	0
MICHAEL R WIMER
DIRECTOR	1.00	0.10	X		0	0	0
P RONALD ZUG
DIRECTOR	1.00	0.10	X		0	169873	19532
CHRISTOPHER D OLSON DO
EX-OFFICIO (NON-VOTING)	1.00	0.10	X		0	0	0
SHARON L PEARCE
EX-OFFICIO (NON-VOTING)	1.00	0.10	X		0	0	0
SARA G KIRKLAND
DIRECTOR EMERITUS (NON-VOTING)	1.00	0.10	X		0	0	0
JOHN MATHIAS
DIRECTOR EMERITUS (NON-VOTING)	1.00	0.10	X		0	0	0
JAMES G APPLE
DIRECTOR EMERITUS (NON-VOTING)	1.00	0.10	X		0	0	0
KENDRA A AUCKER
CHIEF OPERATING OFFICER	40.00			X	259528	0	80195
JAMES A STOPPER
CHIEF FINANCIAL OFFICER	40.00	1.00		X	220042	0	67993
J LAWRENCE GINSBURG
VP MEDICAL AFFAIRS	40.00				683588	0	211229	X
PAUL E TARVES
VP OF NURSING	40.00				188680	0	58302	X
GLENN R EISENHAUER
VP, HUMAN RESOURCES	40.00				159192	0	49190	X
DALE E MOYER
CHIEF INFORMATION OFFICER	40.00				155939	0	48185	X
TAMI G RADECKE
VP COMMUNITY RELATIONS/CHIEF DEVELOPMENT OFFICER	40.00				156332	0	48306	X
MARK K KRAMMES
CHIEF CRNA	40.00				235658	0	72818		X
SANDRA S WALKER
NURSE ANESTHETIST	45.00				213602	0	66003		X
LORI K GOODLING
NURSE ANESTHETIST	45.00				208347	0	64379		X
RAYMOND J TOMASZEWSKI
NURSE ANESTHETIST	44.00				196595	0	60748		X
BRADLEY P BOWER
NURSE ANESTHETIST	43.00				191136	0	59061		X
CHRISTINE MARTIN
FORMER OFFICER	0.00				101401	0	0			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	3374771	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	462584	TotalReportableCompFrmRltdOrgs
Total Other Compensation	1065286	TotalOtherCompensation
Number Individuals GT100 K	33	NumberIndividualsGT100K
Formers Listed	1	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
THE QUANDEL GROUP INC
3003 NORTH FRONT ST SUITE 2-1	HARRISBURG	PA	17110	CONSTRUCTION	5489128
STANTEC ARCHITECTURE INC
13980 COLLECTIONS CENTER DRIVE	CHICAGO	IL	60693	ARCHITECT	529552
DIVERSIFIED CLINICAL SERVICES
PO BOX 636981	CINCINNATI	OH	45263	MANAGEMENT SERVICES	502207
T-ROSS BROTHERS CONSTRUCTION
PO BOX 70	MONTANDON	PA	17850	CONSTRUCTION	469307
EXECUTIVE HEALTH RESOURCES INC
PO BOX 822688	PHILADELPHIA	PA	191822688	MANAGEMENT SERVICES	277586

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	89	NumberOfContractorsGT100K
Fundraising Events	130455	FundraisingEvents
Related Organizations	8361	RelatedOrganizations
Government Grants	664627	GovernmentGrants
All Other Contributions	2004082	AllOtherContributions
Noncash Contributions	70589	NoncashContributions
Total Contributions	2807525	TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
ECH NET PATIENT SERVICE REV	621400	139028919	139028919
EASC NET PATIENT SERVICE REVENUE	621400	2256639	2256639

Field	Value	IRS element (for citing)
Total Program Service Revenue	141285558	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	1949576	TotalRevenueColumn
Exclusion	$1,949,576	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	1854089	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	2272859	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	-418770	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	-418770	TotalRevenueColumn
Exclusion	-$418,770	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	28724864	Securities
Other	16286	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	25966031	Securities
Other	26360	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	2758833	Securities
Other	-10074	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	2748759	TotalRevenueColumn
Exclusion	$2,748,759	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	62849	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	130455	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	92407	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	-29558	TotalRevenueColumn
Exclusion	-$29,558	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Gaming	1057	GrossIncomeGaming
Gaming Direct Expenses	0	GamingDirectExpenses

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	1057	TotalRevenueColumn
Exclusion	$1,057	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Unrelated Business RevenueUnrelatedBusinessRevenue	ExclusionExclusionAmount
LABORATORY SERVICES	621500	1861703	1861703
CAFETERIA AND VENDING MACHINE SAL	722210	688641		$688,641
BILLING FEES FROM AFFILIATE	541900	662934	662934

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	2683878	TotalRevenueColumn
Related Or Exempt Function Income	388266	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	438000	UnrelatedBusinessRevenue
Exclusion	$1,857,612	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	5897156	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	154241303	TotalRevenueColumn
Related Or Exempt Function Income	141673824	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	2962637	UnrelatedBusinessRevenue
Exclusion	$6,797,317	ExclusionAmount

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	81000	Total
Program Services	81000	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	2619110	Total
Management And General	2619110	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	52863134	Total
Program Services	44710694	ProgramServices
Management And General	7937448	ManagementAndGeneral
Fundraising	214992	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	1696137	Total
Program Services	1383438	ProgramServices
Management And General	306078	ManagementAndGeneral
Fundraising	6621	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	10773634	Total
Program Services	9273864	ProgramServices
Management And General	1454922	ManagementAndGeneral
Fundraising	44848	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	3831713	Total
Program Services	3125260	ProgramServices
Management And General	691494	ManagementAndGeneral
Fundraising	14959	Fundraising

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	100	Total
Program Services	100	ProgramServices

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	465085	Total
Program Services	1165	ProgramServices
Management And General	463920	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	135312	Total
Program Services	37530	ProgramServices
Management And General	97782	ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	142970	Total
Program Services	10300	ProgramServices
Management And General	132670	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	7482316	Total
Program Services	4494729	ProgramServices
Management And General	2883738	ManagementAndGeneral
Fundraising	103849	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	440796	Total
Program Services	15518	ProgramServices
Management And General	425278	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	6771305	Total
Program Services	5490401	ProgramServices
Management And General	1259205	ManagementAndGeneral
Fundraising	21699	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	2396281	Total
Program Services	344595	ProgramServices
Management And General	2051686	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	1977889	Total
Program Services	1977889	ProgramServices

Travel Travel

Field	Value	IRS element (for citing)
Total	68994	Total
Program Services	44574	ProgramServices
Management And General	21482	ManagementAndGeneral
Fundraising	2938	Fundraising

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	203869	Total
Program Services	110156	ProgramServices
Management And General	87084	ManagementAndGeneral
Fundraising	6629	Fundraising

Interest Interest

Field	Value	IRS element (for citing)
Total	2427998	Total
Program Services	2427998	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	8345252	Total
Program Services	8345252	ProgramServices

Insurance Insurance

Field	Value	IRS element (for citing)
Total	57969	Total
Program Services	57969	ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral	FundraisingFundraising
MEDICAL SUPPLIES	20863356	20863356
BAD DEBT EXPENSE	8897156	8897156
EQUIPMENT RENTAL & MAIN	1938561	469695	1456333	12533
MA MODERNIZATION	1297399	1297399

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	2452197	Total
Program Services	1505390	ProgramServices
Management And General	911009	ManagementAndGeneral
Fundraising	35798	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	138229533	Total
Program Services	114965428	ProgramServices
Management And General	22799239	ManagementAndGeneral
Fundraising	464866	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	1840	BOY
EOY	2150	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	14361878	BOY
EOY	10485038	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	953577	BOY
EOY	677515	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	12637256	BOY
EOY	13146488	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	1554598	BOY
EOY	1427054	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	2691288	BOY
EOY	3394595	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	2108960	BOY
EOY	2316667	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	214910654	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	95711604	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	112567581	BOY
EOY	119199050	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	70912948	BOY
EOY	76981404	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	3269127	BOY
EOY	3675408	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	8575862	BOY
EOY	8995883	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	229634915	BOY
EOY	240301252	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	16963549	BOY
EOY	17935055	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	49995000	BOY
EOY	48335000	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	2474118	BOY
EOY	1597158	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	12550802	BOY
EOY	11771113	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	81983469	BOY
EOY	79638326	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	141200675	BOY
EOY	153886825	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	1395475	BOY
EOY	1368250	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	5055296	BOY
EOY	5407851	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	147651446	BOY
EOY	160662926	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	229634915	BOY
EOY	240301252	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	16011770	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	866468	ReconciliationUnrealizedInvest
Reconcilation Other Changes	-3866758	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Consolidated	X	FinancialStatementConsolidated

Field	Value	IRS element (for citing)
Audit Committee	1	AuditCommittee
Federal Grant Audit Required	0	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

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

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule D IRS990ScheduleD

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	3717474	BeginningOfYearBalance
Contributions	700530	Contributions
Investment Earnings Or Losses	280387	InvestmentEarningsOrLosses
Grants Or Scholarships	22640	GrantsOrScholarships
Other Expenditures	67350	OtherExpenditures
Administrative Expenses	17968	AdministrativeExpenses
End Of Year Balance	4590433	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	3351677	BeginningOfYearBalance
Contributions	114280	Contributions
Investment Earnings Or Losses	341323	InvestmentEarningsOrLosses
Grants Or Scholarships	15894	GrantsOrScholarships
Other Expenditures	60316	OtherExpenditures
Administrative Expenses	13596	AdministrativeExpenses
End Of Year Balance	3717474	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	2853652	BeginningOfYearBalance
Contributions	380340	Contributions
Investment Earnings Or Losses	207310	InvestmentEarningsOrLosses
Grants Or Scholarships	16598	GrantsOrScholarships
Other Expenditures	67522	OtherExpenditures
Administrative Expenses	5505	AdministrativeExpenses
End Of Year Balance	3351677	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	2701406	BeginningOfYearBalance
Contributions	123011	Contributions
Investment Earnings Or Losses	102387	InvestmentEarningsOrLosses
Grants Or Scholarships	2000	GrantsOrScholarships
Other Expenditures	66203	OtherExpenditures
Administrative Expenses	4949	AdministrativeExpenses
End Of Year Balance	2853652	EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	2623000	BeginningOfYearBalance
Contributions	229877	Contributions
Investment Earnings Or Losses	-101037	InvestmentEarningsOrLosses
Grants Or Scholarships	11900	GrantsOrScholarships
Other Expenditures	34346	OtherExpenditures
Administrative Expenses	4188	AdministrativeExpenses
End Of Year Balance	2701406	EndOfYearBalance

Field	Value	IRS element (for citing)
Board Designated EOY Balance	0.60300	BoardDesignatedEOYBalance
Permanent Endowment EOY Balance	0.39700	PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs	0	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	0	EndowmentsHeldByRelatedOrgs

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	6859650	OtherCostOrOtherBasis
Book Value	6859650	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	106605932	OtherCostOrOtherBasis
Depreciation	30518566	Depreciation
Book Value	76087366	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	2052671	OtherCostOrOtherBasis
Depreciation	441865	Depreciation
Book Value	1610806	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	87122924	OtherCostOrOtherBasis
Depreciation	62409795	Depreciation
Book Value	24713129	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	12269477	OtherCostOrOtherBasis
Depreciation	2341378	Depreciation
Book Value	9928099	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	119199050	TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (6 entries)

DescriptionDescription	AmountAmount
BLUE CROSS CURRENT FINANCING ADVANCE	$1,057,200
ACCRUED POSTRETIREMENT BENEFIT COSTS	$5,648,952
ESTIMATED MEDICAL MALPRACTICE CLAIMS LIABILITY	$1,629,083
CHARITABLE GIFT ANNUITIES PAYABLE	$701,300
DEFERRED COMPENSATION	$2,191,524
CAPITAL LEASE OBLIGATION	$543,054

Field	Value	IRS element (for citing)
Total Of Amounts	11771113	TotalOfAmounts
Footnote In Part XIII	X	FootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt	151276280	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	866468	NetUnrealizedGainsInvestments
Other Revenues	-6196757	OtherRevenues
Revenue Not Rptd F990	-5330289	RevenueNotRptdF990
Revenue Subtotal	156606569	RevenueSubtotal
Other Revenues Not Included	-2365266	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	-2365266	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	154241303	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	138264799	TotExpensesEtcAuditedFinclStmt
Other Expenses Included	8968925	OtherExpensesIncluded
Expenses Not Rptd F990	8968925	ExpensesNotRptdF990
Expenses Subtotal	129295874	ExpensesSubtotal
Other Expenses Not Included	8933659	OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt	8933659	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	138229533	TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (6 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:	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.
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:	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 2013 OR 2012. 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, 2010 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 13,332. VALUATION GAIN 238,780. POSTRETIREMENT BENEFIT LIABILITY ADJUSTMENT 645,282. PROVISION FOR BAD DEBT (NETTED ON F/S) -8,933,659. EASC REVENUES PRIOR TO 12/19/2012 (CONSOLIDATION) 1,839,508.
PART XI, LINE 4B - OTHER ADJUSTMENTS:		RENTAL EXPENSES -2,272,859. SPECIAL EVENTS EXPENSE -92,407.
PART XII, LINE 2D - OTHER ADJUSTMENTS:		RENTAL EXPENSES 2,272,859. SPECIAL EVENTS EXPENSE 92,407. EQUITY TRANSFER TO AFFILIATE 4,450,000. EASC EXPENSES PRIOR TO 12/19/2012 (CONSOLIDATION) 2,153,659.
PART XII, LINE 4B - OTHER ADJUSTMENTS:		PROVISION FOR BAD DEBT (NETTED ON F/S) 8,933,659.

Schedule G IRS990ScheduleG

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	GOLF TOURNAMENT	NameOfEvent1
Gross Receipts Event1	58981	GrossReceiptsEvent1
Charitable Contributions Event1	42317	CharitableContributionsEvent1
Gross Revenue Event1	16664	GrossRevenueEvent1
Cash Prizes Event1	1910	CashPrizesEvent1
Rent Facility Costs Event1	9180	RentFacilityCostsEvent1
Food And Beverage Event1	5890	FoodAndBeverageEvent1
Other Direct Expenses Event1	5840	OtherDirectExpensesEvent1
Name Of Event2	EVAN GALA	NameOfEvent2
Gross Receipts Event2	123723	GrossReceiptsEvent2
Charitable Contributions Event2	80578	CharitableContributionsEvent2
Gross Revenue Event2	43145	GrossRevenueEvent2
Non Cash Prizes Event2	30775	NonCashPrizesEvent2
Rent Facility Costs Event2	2848	RentFacilityCostsEvent2
Food And Beverage Event2	13664	FoodAndBeverageEvent2
Entertainment Event2	6500	EntertainmentEvent2
Other Direct Expenses Event2	9937	OtherDirectExpensesEvent2
Total Number Of Other Events	1	TotalNumberOfOtherEvents
Gross Receipts Other Events	10600	GrossReceiptsOtherEvents
Charitable Contrib Other Events	7560	CharitableContribOtherEvents
Gross Revenue Other Events	3040	GrossRevenueOtherEvents
Non Cash Prizes Other Events	1627	NonCashPrizesOtherEvents
Food And Beverage Other Events	1356	FoodAndBeverageOtherEvents
Entertainment Other Events	300	EntertainmentOtherEvents
Other Direct Expenses Other Events	2580	OtherDirectExpensesOtherEvents
Gross Receipts Total	193304	GrossReceiptsTotal
Charitable Contributions Total	130455	CharitableContributionsTotal
Gross Revenue Total Events	62849	GrossRevenueTotalEvents
Cash Prizes Total Events	1910	CashPrizesTotalEvents
Non Cash Prizes Total Events	32402	NonCashPrizesTotalEvents
Rent Facility Costs Total Events	12028	RentFacilityCostsTotalEvents
Food And Beverage Total Events	20910	FoodAndBeverageTotalEvents
Entertainment Total Events	6800	EntertainmentTotalEvents
Other Direct Expenses Total Events	18357	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	92407	DirectExpenseSummaryEvents
Net Income Summary	-29558	NetIncomeSummary

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
FPG Reference Free Care	1	FPGReferenceFreeCare
Pcent100	X	Pcent100
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare
Pcent200 D	X	Pcent200D
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	0	ExpensesExceededBudget
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	1	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Persons Served	545	PersonsServed
Total Community Benefit Expense	311629	TotalCommunityBenefitExpense
Net Community Benefit Expense	311629	NetCommunityBenefitExpense
Percent Of Total Expense	0.00240	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Persons Served	19328	PersonsServed
Total Community Benefit Expense	10626501	TotalCommunityBenefitExpense
Direct Offsetting Revenue	5556344	DirectOffsettingRevenue
Net Community Benefit Expense	5070157	NetCommunityBenefitExpense
Percent Of Total Expense	0.03920	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Persons Served	337	PersonsServed
Total Community Benefit Expense	41224	TotalCommunityBenefitExpense
Net Community Benefit Expense	41224	NetCommunityBenefitExpense
Percent Of Total Expense	0.00030	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Persons Served	20210	PersonsServed
Total Community Benefit Expense	10979354	TotalCommunityBenefitExpense
Direct Offsetting Revenue	5556344	DirectOffsettingRevenue
Net Community Benefit Expense	5423010	NetCommunityBenefitExpense
Percent Of Total Expense	0.04190	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	111	NumberOfActivitiesOrPrograms
Persons Served	19105	PersonsServed
Total Community Benefit Expense	660088	TotalCommunityBenefitExpense
Direct Offsetting Revenue	36824	DirectOffsettingRevenue
Net Community Benefit Expense	623264	NetCommunityBenefitExpense
Percent Of Total Expense	0.00480	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	11	NumberOfActivitiesOrPrograms
Persons Served	290	PersonsServed
Total Community Benefit Expense	292116	TotalCommunityBenefitExpense
Net Community Benefit Expense	292116	NetCommunityBenefitExpense
Percent Of Total Expense	0.00230	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Total Community Benefit Expense	16361	TotalCommunityBenefitExpense
Net Community Benefit Expense	16361	NetCommunityBenefitExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	123	NumberOfActivitiesOrPrograms
Persons Served	19395	PersonsServed
Total Community Benefit Expense	968565	TotalCommunityBenefitExpense
Direct Offsetting Revenue	36824	DirectOffsettingRevenue
Net Community Benefit Expense	931741	NetCommunityBenefitExpense
Percent Of Total Expense	0.00720	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	123	NumberOfActivitiesOrPrograms
Persons Served	39605	PersonsServed
Total Community Benefit Expense	11947919	TotalCommunityBenefitExpense
Direct Offsetting Revenue	5593168	DirectOffsettingRevenue
Net Community Benefit Expense	6354751	NetCommunityBenefitExpense
Percent Of Total Expense	0.04910	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	3	NumberOfActivitiesOrPrograms
Total Community Building Expense	11522	TotalCommunityBuildingExpense
Net Community Building Expense	11522	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	12	NumberOfActivitiesOrPrograms
Persons Served	133	PersonsServed
Total Community Building Expense	13966	TotalCommunityBuildingExpense
Net Community Building Expense	13966	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	14	NumberOfActivitiesOrPrograms
Persons Served	137	PersonsServed
Total Community Building Expense	126295	TotalCommunityBuildingExpense
Net Community Building Expense	126295	NetCommunityBuildingExpense
Percent Of Total Expense	0.00100	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	29	NumberOfActivitiesOrPrograms
Persons Served	270	PersonsServed
Total Community Building Expense	151783	TotalCommunityBuildingExpense
Net Community Building Expense	151783	NetCommunityBuildingExpense
Percent Of Total Expense	0.00120	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$2,902,961	BadDebtExpenseAmount
Amount Attributable To	341072	AmountAttributableTo
Amount Reimbursed By Medicare	26018582	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	39547544	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-13528962	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	1	ProvisionForCharityCare
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	EVANGELICAL COMMUNITY HOSPITAL	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	ONE HOSPITAL DRIVE	AddressLine1
City	LEWISBURG	City
State	PA	State
ZIP Code	17837	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Er24 Hours	X	Er24Hours
Other	INPATIENT REHABILITATION, HOSPICE	Other

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	EVANGELICAL COMMUNITY HOSPITAL	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
CHNA Conducted	1	CHNAConducted
Community Definition	X	CommunityDefinition
Community Demographics	X	CommunityDemographics
Existing Resources	X	ExistingResources
How Data Obtained	X	HowDataObtained
Community Health Needs	X	CommunityHealthNeeds
Other Health Issues	X	OtherHealthIssues
Identifying Process	X	IdentifyingProcess
Consulting Process	X	ConsultingProcess
Information Gaps	X	InformationGaps
Needs Assessment Conducted	12	NeedsAssessmentConducted
Take Into Account	1	TakeIntoAccount
Other Facilities	1	OtherFacilities
CHNA Widely Available	1	CHNAWidelyAvailable
Own Website	X	OwnWebsite
On Request	X	OnRequest
Execute Implement Strategy	X	ExecuteImplementStrategy
Develop Community Plan	X	DevelopCommunityPlan
Participate Community Plan	X	ParticipateCommunityPlan
Include Operational Plans	X	IncludeOperationalPlans
Prioritize Health Needs	X	PrioritizeHealthNeeds
Prioritize Services	X	PrioritizeServices
All Needs Addressed	0	AllNeedsAddressed
Organization Incur Excise Tax	0	OrganizationIncurExciseTax
Eligibility Criteria Explained	1	EligibilityCriteriaExplained
Uses FPG Free	1	UsesFPGFree
FPG Free Percent	100.000000000000	FPGFreePercent
Uses FPG Discounted	1	UsesFPGDiscounted
FPG Discount Percent	200.000000000000	FPGDiscountPercent
Explains Basis	1	ExplainsBasis
Income Level	X	IncomeLevel
Other Factors	X	OtherFactors
Explains Application Method	1	ExplainsApplicationMethod
Includes Publicity Measures	1	IncludesPublicityMeasures
Posted In Emergency Room	X	PostedInEmergencyRoom
Posted In Admission Office	X	PostedInAdmissionOffice
Available On Request	X	AvailableOnRequest
Other Publicity	X	OtherPublicity
Actions On Nonpayment	1	ActionsOnNonpayment
Permit Report To Credit Agency	X	PermitReportToCreditAgency
Collection Activities	0	CollectionActivities
Notify Upon Admission	X	NotifyUponAdmission
Notified All Patients	X	NotifiedAllPatients
Documented Determination	X	DocumentedDetermination
Nondiscrim Emergency Care Policy	1	NondiscrimEmergencyCarePolicy
Used Other Method	X	UsedOtherMethod
Amounts Generally Billed	0	AmountsGenerallyBilled
Gross Charges	0	GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	1	NumberOfOtherFacilities

Other Facilities OtherFacilities

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	EVANGELICAL AMBULATORY SURGICAL CENTER	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	210 JPM ROAD SUITE 100	AddressLine1
City	LEWISBURG	City
State	PA	State
ZIP Code	17837	ZIPCode

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

Form990 Schedule H Part VI Form990ScheduleHPartVI (19 entries)

ExplanationExplanation	IdentifierIdentifier	Return ReferenceReturnReference
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, L7 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 $8,897,156.
PART II: AS A COMMUNITY AND HEALTH RESOURCE FOR MORE THAN 87 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.COMMUNITY BENEFIT. 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 THE 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. THE COMMUNITY BENEFIT TEAM WAS INSTRUMENTAL IN DEVELOPING AND ADOPTING THE HOSPITAL'S IMPLEMENTATION PLAN. BELOW IS A SYNOPSIS OF EACH SUB-COMMITTEE: THE PRIMARY GOALS OF THE IMPROVING HEALTHY BEHAVIOR COMMITTEE ARE:1. CONTINUE TO OFFER A VARIETY OF EDUCATIONAL PROGRAMMING FOR THE YOUTH IN THE COMMUNITY AT NO COST. EVANGELICAL COMMUNITY HOSPITAL OFFERS A WIDE VARIETY OF EDUCATIONAL PROGRAMS GEARED TOWARD HEALTHY EATING, HYGIENE, STAYING ACTIVE AND LIVING TOBACCO-FREE. THESE PROGRAMS WILL BE OFFERED WITHIN OUR SERVICE AREA AND WILL SPECIFICALLY TARGET LOCAL SCHOOL DISTRICTS. ADDITIONAL PROGRAMMING WILL BE ADDED FOR SPECIFIC IDENTIFIED POPULATIONS, I.E. PRESCHOOLS, YMCA'S, AND OTHER FACILITIES AS REQUESTED. 2. DEVELOP AND IMPLEMENT A WALKING PROGRAM FOR YOUTH OF THE SERVICE AREA. 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 EVANGELICAL WILL OFFER MATERIAL ON HEALTHY EATING AND LIVING TOBACCO FREE TO ALL SCHOOL DISTRICTS WITHIN THE HOSPITAL'S FOOTPRINT. 3. 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 - 3,500 EXTRA CALORIES PER WEEK. 4. 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. 5. 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. 6. 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 ORTHOPEADICS, DIABETIC EDUCATION, REHABILITATION SERVICES, WOMEN'S ADVISORY GROUP, AND MARKETING AND COMMUNICATIONS.THE PRIMARY GOALS OF THE IMPROVING ACCESS TO HEALTHCARE COMMITTEE ARE:1. CONTINUE TO OFFER A VARIETY OF HEALTH SCREENING PROGRAMS FOR THE COMMUNITY AT MINIMAL OR NO COST. CURRENTLY, EVANGELICAL COMMUNITY HOSPITAL OFFERS A WIDE VARIETY OF HEALTH SCREENS WITHIN OUR SERVICE AREA SPECIFICALLY TARGETED TO UN/UNDER-INSURED COMMUNITY MEMBERS. ADDITIONAL SCREENS WILL BE ADDED FOR SPECIFIC IDENTIFIED POPULATIONS, I.E. UN/UNDER-INSURED, RURALLY LOCATED, YOUTH AND MINORITY GROUPS. 2. 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". "YOUR WELLNESS PRESCRIPTION PAD" PROVIDES AN EASY WAY FOR PHYSICIANS AND MID-LEVEL PROVIDERS TO REFER OR "PRESCRIBE" EDUCATION AND PROGRAMS DEVELOPED TO ADDRESS PREVENTION OF COMMON ISSUES AND DISEASES AND ENCOURAGEMENT OF WELLNESS ACTIVITIES. 3. DEVELOP A COMMUNITY HEALTH COALITION. THE COALITION WILL BE COMPRISED OF LOCAL NONPROFIT, GOVERNMENTAL, AND COMMUNITY ORGANIZATIONS FOR THE PURPOSE OF SHARING INFORMATION, DEVELOPING CROSS-REFERRAL NETWORKS, AND ENHANCING FUNDING OPPORTUNITIES FOR THE MOST PRESSING COMMUNITY HEALTH NEEDS FACING VALLEY RESIDENTS.4. 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).5. DEVELOP AND EXPAND A NEW SURVIVORSHIP ASSISTANCE PROGRAM FOR CANCER SURVIVORS. THIS PROGRAM WILL OFFER CANCER PATIENTS RESOURCES AND SUPPORT FOR THE RELATED EMOTIONAL AND MENTAL ISSUES THAT OFTEN RESULT FROM A CANCER DIAGNOSIS, (I.E. FINANCIAL AND LEGAL COUNSELING, FAMILY AND RELATIONSHIP ISSUES, WORK/CAREER CONCERNS, AND PERSONAL ISSUES).6. 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 "ERGENTCARE" OR "FAST TRACK" PROCESS TO REDUCE THE WAITING TIME TO RECEIVE CARE FOR EMERGENT ILLNESSES AND INJURIES.7. 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 & COMMUNICATIONS.CANCER AWARENESS AND EDUCATION IS EXTREMELY IMPORTANT. THE FOLLOWING PROGRAMS WERE OFFERED IN FY13; THE CORRESPONDING NUMBER BESIDE THE PROGRAM DOCUMENTS THE NUMBER OF PEOPLE SERVED.PROGRAM INDIVIDUALS SERVEDLOOK GOOD, FEEL BETTER 1- 3 WOMEN MONTHLYCANCER SUPPORT GROUP 2 MONTHLY GROUPS, 5-6 WOMEN EACHHOSPITAL'S EMPLOYEE HEALTH FAIR (EDUCATION ON BREAST CANCER AWARENESS, SMOKING CESSATION, EARLY DETECTION AND PREVENTATIVE HEALTH ACTIVITIES.) 160 EMPLOYEES AND FAMILY MEMBERSBREAST HEALTH LECTURE 4 PARTICIPANTSI CAN COPE SURVIVOR PROGRAM 10 PARTICIPANTSCOPING WITH THE HOLIDAYS PROGRAM 18 PARTICIPANTSCOMMUNITY EVENT TO SUPPORT BREAST CANCER 250 PARTICIPANTSLIFE AFTER LOSS BEREAVEMENT SUPPORT GROUP 8 PARTICIPANTSOTHER HEALTH EDUCATION AND PREVENTION ACTIVITIES INCLUDE:PROGRAM INDIVIDUALS SERVEDMONTHLY SUPPORT GROUPS 1673 PARTICIPANTSFREE HEART HEALTH SCREENINGS 55 PARTICIPANTSTALK WITH THE DOC LECTURE SERIES 71 PARTICIPANTSMEN'S HEALTH SCREEN 53 PARTICIPANTSWOMEN'S HEALTH SCREEN 104 PARTICIPANTSCHILD SAFETY SEAT REPLACEMENT 42 FAULTY SEATSYOUTH BIKE HELMET GIVEAWAY PROGRAM 156 HELMETS GIVEN* OVER 20 EDUCATIONAL HEALTH RELATED LECTURES PROVIDED AT NO COST *PROPER 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 PROGRAM USES AN ENTERTAINING TECHNIQUE TO STRESS THE IMPORTANCE OF FREQUENT, EFFECTIVE HAND WASHING AND SEE IMMEDIATE RESULTS. IN FY13, MORE THAN 1353 STUDENTS IN THE LOCAL SCHOOLS PARTICIPATED IN THE GERM CITY PROGRAM AND WERE EDUCATED ON PROPER HAND WASHING TECHNIQUES.
PART III, LINE 4: ACCOUNTS RECEIVABLE- PATIENTS ARE REPORTED AT NET REALIZABLE VALUE. ACCOUNTS ARE WRITTEN OFF WHEN THEY ARE DETERMINED TO BE UNCOLLECTIBLE BASED UPON MANAGEMENT'S ASSESSMENT OF INDIVIDUAL ACCOUNTS. 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. THE COSTING METHODOLOGY USED IN DETERMINING BAD DEBTS EXPENSE AT COST AND ESTIMATED AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE ATTRIBUTED TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY 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. THE METHOD THE ORGANIZATION USES TO DETERMINE THE AMOUNT THAT REASONABLY COULD BE ATTRIBUTED TO PATIENTS WHO LIKELY WOULD QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S CHARITY CARE POLICY, BUT DID NOT ADEQUATELY COMPLETE THE CHARITY CARE PAPERWORK: 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 DOCUMENTATION TO ALLOW THAT CLASSIFICATION. THESE WOULD BE CLASSIFIED AS BAD DEBT EXPENSE TIMES THE COST TO CHARGE RATIO TO ARRIVE AT COST. THE ORGANIZATION ACCOUNTS FOR DISCOUNTS AND PAYMENTS ON PATIENT ACCOUNTS AS A REDUCTION OF REVENUE/ACCOUNTS RECEIVABLE. DISCOUNTS AND PAYMENTS ARE NOT COMPONENTS OF BAD DEBT EXPENSE. 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 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 RESPONSE TO PART III LINE 4 ABOVE.
PART V, SECTION B, LINE 3: 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 SERVICES AREA 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 HOSPITAL
PART V, SECTION B, LINE 4: 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 HOSPITAL
PART V, SECTION B, LINE 7: THE 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.THE ISSUE OF ENSURING ADEQUATE PUBLIC TRANSPORTATION FOR VALLEY RESIDENTS IS A CONCERN FOR THE HOSPITAL. IN RESPONSE TO THIS IDENTIFIED NEED, HOSPITAL ADMINISTRATION HAS PROVIDED TIME DURING BUSINESS HOURS FOR A MEMBER OF THE COMMUNITY BENEFIT COMMITTEE TO SERVE ON THE REGIONAL NORTH CENTRAL PA PUBLIC TRANSPORTATION TASK FORCE. 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. 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 WILL NOT BE DEVELOPED AND STAFFED FOR THE PURPOSE OF ADDRESSING TRANSPORTATION NEEDS.	EVANGELICAL COMMUNITY HOSPITAL
PART V, SECTION B, LINE 12H: MEDICAL ASSISTANCE DENIAL	EVANGELICAL COMMUNITY HOSPITAL
PART V, SECTION B, LINE 14G: 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 HOSPITAL
PART V, SECTION B, LINE 20D: PATIENTS ARE CHARGED THE FULL AMOUNT AND THEN CHARITY CARE DISCOUNT IS APPLIED AS AN ADJUSTMENT.	EVANGELICAL COMMUNITY HOSPITAL
PART VI, LINE 2: 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 FIRST STEP IN THE PROCESS WAS FOR ACTION HEALTH TO FORM A NEEDS ASSESSMENT OVERSIGHT COMMITTEE. WITH THAT IN PLACE, IN OCTOBER 2011 THE OVERSIGHT COMMITTEE SELECTED TRIPP UMBACH TO CONDUCT THE ASSESSMENT AND REPORT ON THE FINDINGS. THE ASSESSMENT CONSISTED OF THE USE OF SECONDARY DATA, INTERVIEWS WITH KEY COMMUNITY STAKEHOLDERS AND FOCUS GROUPS. FOCUS GROUP PARTICIPANTS FOR EVANGELICAL'S SERVICES AREA 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. CONSISTENT FINDINGS ACROSS THE REGION INCLUDE: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.2) IMPROVING HEALTHY BEHAVIORS NEED FOR INCREASED AWARENESS AND EDUCATION, MOTIVATION AND/OR INCENTIVES FOR RESIDENTS WHO PRACTICE HEALTHY BEHAVIORS AND INCREASED ACCESS TO HEALTHY OPTIONS IN THE REGION.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.SINCE 2012 THE ADMINISTRATION AND STAFF OF EVANGELICAL COMMUNITY HOSPITAL HAS ACTIVELY COMMITTED TO PLAYING A KEY ROLE IN ADDRESSING THE CURRENT NEEDS OF ITS COMMUNITY. TWO TASK FORCES LED BY MEMBERS OF THE COMMUNITY HEALTH AND WELLNESS TEAM AND KEY LEADERS WITHIN THE EVANGELICAL HOSPITAL SYSTEM HAVE DEVELOPED AND ARE OFFERING NEW PROGRAMMING, AS WELL AS WORKING TO IMPROVE EXISTING PROGRAMS THAT DIRECTLY IMPACT THE SURROUNDING COMMUNITY. THE SOLE PURPOSE OF THE TASK FORCES IS TO ADDRESS THE UNMET NEEDS OF RESIDENTS IN OUR COMMUNITY IN TWO OF THE THREE SPECIFIC AREAS: 1) IMPROVING ACCESS TO HEALTHCARE; AND 2) IMPROVING HEALTHY BEHAVIORS. PROGRAMMING IN CLINICAL DEPARTMENTS, PATIENT PROCESSES, AND OUTREACH EFFORTS TO THE COMMUNITY HAVE BEEN AND WILL BE MODIFIED TO FOCUS ON MEETING THE IDENTIFIED UNMET NEEDS AND WAYS IN WHICH EVANGELICAL COMMUNITY HOSPITAL CAN BRING ABOUT SYSTEMIC CHANGE.THE THIRD AND FINAL MOST PRESSING NEED IDENTIFIED THROUGH THE 2012 CHNA WAS THE NEED FOR ADEQUATE PUBLIC TRANSPORTATION. THIS NEED WAS IDENTIFIED THROUGH REVIEWING SECONDARY DATA AND PRIMARY INPUT FROM COMMUNITY STAKEHOLDERS AND RESIDENTIAL FOCUS GROUPS. 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 BENEFIT COMMITTEE 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.
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 32,911 VISITS IN 2013. ECH HAS EARNED THE PATIENT SAFETY EXCELLENCE AWARD FOUR OF THE PAST FIVE YEARS FROM HEALTHGRADES (A LEADING NATIONAL INDEPENDENT HEALTHCARE RATINGS ORGANIZATION). 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 ALONE (1.2%). THE MEDIAN RESIDENT AGE IS 38.0. ESTIMATED MEDIAN HOUSEHOLD INCOME IN 2009: $49,803 RESIDENTS WITH INCOME BELOW THE POVERTY LEVEL IN 2009: 8.8%PERSONS ENROLLED IN HOSPITAL INSURANCE AND/OR SUPPLEMENTAL MEDICAL INSURANCE (MEDICARE) IN JULY 1, 2003: 6,234 (5,612 AGED, 622 DISABLED); 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 LANGUAGE AT HOME CITY-DATA.COM FOR SNYDER COUNTY INDICATES THE POPULATION CONSISTS OF: WHITE NON-HISPANIC (96.4%), HISPANIC (1.4%), BLACK (1.0%) THE MEDIAN RESIDENT AGE IS 36.7. ESTIMATED MEDIAN HOUSEHOLD INCOME IN 2009: $44,426 RESIDENTS WITH INCOME BELOW THE POVERTY LEVEL IN 2009: 9.9%PERSONS ENROLLED IN HOSPITAL INSURANCE AND/OR SUPPLEMENTAL MEDICAL INSURANCE (MEDICARE) IN JULY 1, 2003: 6,148 (5,230 AGED, 918 DISABLED); 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 LANGUAGE AT HOMECITY-DATA.COM FOR NORTHUMBERLAND COUNTY INDICATES THAT THE POPULATION CONSISTS OF: WHITE NON-HISPANIC (95.5%), BLACK (2.0%), HISPANIC (1.8%), TWO OR MORE RACES (0.5%) ESTIMATED MEDIAN HOUSEHOLD INCOME IN 2009: $37,602; RESIDENTS WITH INCOME BELOW THE POVERTY LEVEL IN 2009: 11.9%; PERSONS ENROLLED IN HOSPITAL INSURANCE AND/OR SUPPLEMENTAL MEDICAL INSURANCE (MEDICARE) IN JULY 1, 2003: 19,762 (16,930 AGED, 2,832 DISABLED)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 LANGUAGE 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 ORGANIZATIONS: PENN COLLEGE, CENTRAL SUSQUEHANNA INTERMEDIATE UNIT, BLOOMSBURG UNIVERSITY, AND THOMAS JEFFERSON UNIVERSITY TO ENGAGE IN TRAINING AND EDUCATION OF HEALTH CARE PROFESSIONALS. ECH PROVIDES FINANCIAL AID TO SUPPORT STUDENTS CHOOSING THE NURSING PROFESSION THROUGH THE MAE KEEFER AND CRYSTAL SNYDER NURSING SCHOLARSHIP FUND.ECH PARTICIPATES WITH THE FOLLOWING MAJOR HEALTH PLANS: CAPITAL BLUE CROSS, GEISINGER HEALTH PLAN, HIGHMARK BLUESHIELD, HEALTHAMERICA/HEALTH ASSURANCE, 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. EVANGELICAL 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. AVERAGE INCOME IN ALL OF PENNSYLVANIA IS $64,000.16.6% OF EVANGELICAL'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 EVANGELICAL SHOWS A POOR RANKING IN THE FOLLOWING CATEGORIES: EMPLOYMENT, EDUCATION AND DIET AND 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, EVANGELICAL 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 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 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 EVANGELICAL'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 EVANGELICAL'S SERVICE AREA RANKED AS FOLLOWS; NORTHUMBERLAND COUNTY, 38, UNION COUNTY, 19 , AND SNYDER COUNTY, 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. IN 2012, THE COMMUNITY HEALTH AND WELLNESS STAFF PROVIDED MORE THAN 979 FLU VACCINATIONS AND MORE THAN 1550 CHILDREN ATTENDED THE ANNUAL CHILDREN'S HEALTH FAIR.EVANGELICAL COMMUNITY HOSPITAL HAS AN OPEN MEDICAL STAFF THAT SUPPORTS THE COMMUNITY HEALTH CARE NEEDS. 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 AND EVANGELICAL COMMUNITY HOSPITAL HOMECARE PRODUCTS. EVANGELICAL MEDICAL SERVICES ORGANIZATION PROVIDE HEALTHCARE SERVICES IN THE FORM OF PRIMARY AND SPECIALTY CARE PHYSICIANS TO THE COMMUNITY. HOMECARE PRODUCTS PROVIDE DURABLE MEDICAL EQUIPMENT AND OXYGEN TO THE SUPPORT THE COMMUNITY NEEDS. EVANGELICAL AMBULATORY SURGICAL CENTER IS AN OUTPATIENT SURGICAL CENTER THAT PROVIDES SERVICES TO PATIENTS OF THE COMMUNITY.
PA	REPORTS FILED WITH STATES	PART VI, LINE 7

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	1	RecordsMaintained

Form990 Schedule I Part III Form990ScheduleIPartIII

Field	Value	IRS element (for citing)
Type Of Grant	SCHOLARSHIPS	TypeOfGrant
Number Of Recipients	33	NumberOfRecipients
Amount Of Cash Grant	81000	AmountOfCashGrant
Method Of Valuation	CASH	MethodOfValuation
Description Of Non Cash Assistance	N/A	DescriptionOfNonCashAssistance

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	PROCEDURE FOR MONITORING GRANTS IN THE U.S.:	Identifier
Return Reference	PART I, LINE 2:	ReturnReference
Explanation	SCHEDULE I, PART I, LINE 2: APPLICANTS MUST APPLY FOR NURSING AND TRAINING DEPARTMENT SCHOLARSHIPS. APPLICATIONS ARE REVIEWED BY A COMMITTEE TO DETERMINE IF THE APPLICANTS MEET THE ELIGIBILITY REQUIREMENTS. APPLICANTS ARE REVIEWED BASED ON COMMUNITY SERVICE AND/OR EXTRA CURRICULAR ACTIVITIES, ACADEMIC STANDING, QUALITY OF ESSAY, FINANCIAL NEED, ETC.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	0	SeverancePayment
Supplemental Nonqual Retire Plan	1	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	1	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (16 entries)

TitleTitle	Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
MICHAEL N O'KEEFE
PRESIDENT/CEO (NON-VOTING)	319992	0	84739	0	0	0	69269	0	55793	0	529793	0	0	0
JOHN E RICE MD
DIRECTOR	0	292711	0	0	0	0	0	0	0	34283	0	326994	0	0
P RONALD ZUG
DIRECTOR	0	169423	0	0	0	450	0	0	0	19532	0	189405	0	0
KENDRA A AUCKER
CHIEF OPERATING OFFICER	206540	0	52988	0	0	0	26716	0	53479	0	339723	0	0	0
JAMES A STOPPER
CHIEF FINANCIAL OFFICER	184842	0	35200	0	0	0	9240	0	58753	0	288035	0	0	0
J LAWRENCE GINSBURG
VP MEDICAL AFFAIRS	367184	0	29145	0	287259	0	46357	0	164872	0	894817	0	224603	0
PAUL E TARVES
VP OF NURSING	164269	0	24411	0	0	0	18023	0	40279	0	246982	0	0	0
GLENN R EISENHAUER
VP, HUMAN RESOURCES	139767	0	19425	0	0	0	7105	0	42085	0	208382	0	0	0
DALE E MOYER
CHIEF INFORMATION OFFICER	141987	0	13952	0	0	0	15584	0	32601	0	204124	0	0	0
TAMI G RADECKE
VP COMMUNITY RELATIONS/CHIEF DEVELOP	137186	0	19146	0	0	0	15202	0	33104	0	204638	0	0	0
MARK K KRAMMES
CHIEF CRNA	235158	0	500	0	0	0	0	0	72818	0	308476	0	0	0
SANDRA S WALKER
NURSE ANESTHETIST	213102	0	500	0	0	0	0	0	66003	0	279605	0	0	0
LORI K GOODLING
NURSE ANESTHETIST	207847	0	500	0	0	0	0	0	64379	0	272726	0	0	0
RAYMOND J TOMASZEWSKI
NURSE ANESTHETIST	196095	0	500	0	0	0	0	0	60748	0	257343	0	0	0
BRADLEY P BOWER
NURSE ANESTHETIST	190636	0	500	0	0	0	0	0	59061	0	250197	0	0	0
CHRISTINE MARTIN
FORMER OFFICER	0	0	0	0	101401	0	0	0	0	0	101401	0	83607	0

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReference

ExplanationExplanation

PART I, LINE 4B

THE FOLLOWING INDIVIDUALS RECEIVED A DISTRIBUTION FROM A SUPPLMENTAL NONQUALIFIED RETIREMENT PLAN: J. LAWRENCE GINSBURG - $287,259 CHRISTINE MARTIN - $101,401 THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLMENTAL NONQUALIFIED RETIREMENT PLAN: MICHAEL O'KEEFE - $69,269 J. LAWRENCE GINSBURG - $46,357 KENDRA AUCKER - $26,716 PAUL TARVES - $18,023 GLENN EISENHAUER - $7,105 DALE MOYER - $15,584 TAMI RADECKE - $15,202 JAMES STOPPER - $9,240

PART I, LINE 7

THE EXECUTIVE TEAM IS ELIGIBLE TO RECEIVE A BONUS (BASED ON A % OF SALARY) WHEN THEIR INDIVIDUAL GOALS ARE MET FOR THE YEAR. GOALS ARE SET FOR EACH INDIVIDUAL BASED ON FINANCIAL AND OPERATIONAL RESULTS. THESE GOALS ARE REVIEWED AND APPROVED BY THE EXECUTIVE COMPENSATION COMMITTEE.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Bond ReferenceBondReferenceCd	Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
UNION COUNTY HOSPITAL AUTHORITY
A	232739624	906460CT5	2004-08-01	23660000	SERIES OF 2004 BONDS - FUND CONSTRUCTION & RENOVATIONS PROJECTS	0	0	0
UNION COUNTY HOSPITAL AUTHORITY
B	232739624	906460DJ6	2011-03-03	30235000	SERIES OF 2011 BONDS - FUND CONSTRUCTION & REFUND OUTSTANDING 2009 BONDS	0	0	0

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Bond ReferenceBondReferenceCd	Amount RetiredAmountRetired	Total ProceedsTotalProceeds	Amount In Reserve FundAmountInReserveFund	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Capital ExpendituresCapitalExpenditures	Other Spent ProceedsOtherSpentProceeds	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
A	2965000	23373907	1753500	771220	15232482	5717705	2004	1	1	1	1
B	2595000	29719008	2252124	377544		27089340	2012	1	0	1	1

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Any Research AgreementsAnyResearchAgreements	Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers	Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI	Total Private Business UseTotalPrivateBusinessUse	Bond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTest	Change In Use Bond Financed PropChangeInUseBondFinancedProp	Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
A	0	0	0	0	0.00000	0.00320	0.00320	0	0	1
B	0	0	0	0	0.00000	0.00320	0.00320	0	0	0

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiled	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Gross Proceeds InvestedGrossProceedsInvested	Written Proc To Monitor ReqsWrittenProcToMonitorReqs
A	1	0	0	0	0	1
B	1	0	0	0	0	0

Form990 Schedule K Part V Form990ScheduleKPartV

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Proc To Undertk Corrective Action	1	ProcToUndertkCorrectiveAction

Form990 Schedule K Part VI Form990ScheduleKPartVI

Field	Value	IRS element (for citing)
Identifier	SCHEDULE K, PART II, LINE 3:	Identifier
Explanation	TOTAL PROCEEDS OF ISSUE FOR BOND A ARE LESS THAN THE ISSUE PRICE LISTED IN PART I DUE TO THE UNDERWRITER'S DISCOUNT OF $189,280 OFFSET BY INVESTMENT EARNINGS. TOTAL PROCEEDS OF ISSUE FOR BOND B ARE LESS THAN THE ISSUE PRICE LISTED IN PART I DUE TO THE UNDERWRITER'S DISCOUNT OF $241,880.	Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
JOHN D GRIFFITH
DIRECTOR OF THE BOARD	449140	JOHN D. GRIFFITH LEASES PROPERTY TO THE HOSPITAL AT AN ARM'S LENGTH TRANSACTION.	0
JULIE A BARNA
DIRECTOR OF THE BOARD	350000	THE HOSPITAL PURCHASED REAL ESTATE FROM JULIE A. BARNA WHO IS A MEMBER OF THE BOARD OF DIRECTORS	0

Schedule M IRS990ScheduleM

Other Non Cash Contributions Table OtherNonCashContributionsTable (2 entries)

Non Cash CheckboxNonCashCheckbox	DescriptionDescription	Number Of ContributionsNumberOfContributions	Noncash Contribs Rptd F990NoncashContribsRptdF990	Method Of Determining RevenuesMethodOfDeterminingRevenues
X	FUNDRAISING PRIZES	165	60589	FMV
X	EQUIPMENT	1	10000	DONOR COST

Field	Value	IRS element (for citing)
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts	0	ReviewProcessUnusualNCGifts
Third Parties Used	0	ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
NEW PROGRAM SERVICES	FORM 990, PART III, LINE 2	THE HOSPITAL BEGAN A JOINT VENTURE WITH GEISINGER TO PROVIDE BUCKNELL UNIVERSITY EMPLOYEES AND STUDENTS A HEALTH AND WELLNESS CENTER.
	FORM 990, PART VI, SECTION A, LINE 2	JAMES APPLE IS THE FATHER OF TIM APPLE AND BOTH SERVE ON THE BOARD. ROBERT GRONLUND IS THE FATHER OF BROOKS GRONLUND AND BOTH SERVE ON THE BOARD.
	FORM 990, PART VI, SECTION A, LINE 3	MANAGEMENT SERVICES FOR THE WOUND AND HBOT DEPARTMENT WERE OUTSOURCED TO DIVERSIFIED CLINICAL SERVICES.
	FORM 990, PART VI, SECTION B, LINE 11	FORM 990 WAS REVIEWED BY THE FINANCE DEPARTMENT AND THE AUDIT COMMITTEE OF THE BOARD AT AN AUDIT COMMITTEE MEETING PRIOR TO FILING. THEY WILL HAVE THE OPPORTUNUITY TO ASK QUESTIONS AND CHANGES CAN BE MADE AS A RESULT IF NECESSARY BEFORE THE RETURN IS FILED.
	FORM 990, PART VI, SECTION B, LINE 12C	A CONFLICT OF INTEREST STATEMENT IS REQUIRED TO BE SIGNED ANNUALLY BY ALL VOTING BOARD MEMBERS, UPPER MANAGEMENT, AND KEY EMPLOYEES. THE HUMAN RESOURCES DEPARTMENT MONITORS COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY BY VERIFYING ALL FORMS ARE COMPLETED AND SIGNED. HR MAINTAINS COPIES OF ALL COMPLETED CONFLICT OF INTEREST STATEMENTS. MEMBERS WITH CONFLICTS ARE REQUIRED TO ABSTAIN FROM VOTING OR BEING A PART OF ACTIVE DISCUSSIONS WHERE THEY ARE IN DIRECT CONFLICT. ANYONE IN VIOLATION OF THE CONFLICT OF INTEREST POLICY IS ASKED TO STEP DOWN FROM THE BOARD.
	FORM 990, PART VI, SECTION B, LINE 15	THE BOARD'S EXECUTIVE COMPENSATION COMMITTEE, WHICH IS COMPOSED SOLELY OF INDEPENDENT MEMBERS OF THE BOARD, HAS ADOPTED AND FOLLOWS A PROCESS FOR REVIEWING AND DETERMINING THE COMPENSATION OF THE CEO AND THE EXECUTIVE MANAGEMENT TEAM. THE EXECUTIVE MANAGEMENT TEAM CONSISTS OF THE FOLLOWING POSITIONS: CHIEF OPERATING OFFICER, CHIEF FINANCIAL OFFICER, VICE PRESIDENT OF MEDICAL AFFAIRS, VICE PRESIDENT - NURSING, VICE PRESIDENT - DEVELOPMENT, VICE PRESIDENT - HUMAN RESOURCES, CHIEF INFORMATION OFFICER. 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 2013.
	FORM 990, PART VI, SECTION C, LINE 19	GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
	FORM 990, PART VI, LINE 1	THE EXECUTIVE COMMITTEE OF THE BOARD IS COMPRISED OF THE CHAIRPERSON, THE VICE-CHAIRPERSON OF THE BOARD, THE IMMEDIATE PAST CHAIRPERSON OF THE BOARD, THE CHAIR OF THE FINANCE COMMITTEE AND THE PRESIDENT OF THE MEDICAL STAFF. NO PERSON IS ELIGIBLE TO SERVE ON THE EXECUTIVE COMMITTEE IN MORE THAN ONCE 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.
CHANGES IN NET ASSETS OR FUND BALANCES:	FORM 990, PART XI, LINE 9:	CHANGE IN VALUE OF SPLIT-INTEREST AGREEMENT 13,332. VALUATION GAIN 238,780. POSTRETIREMENT BENEFIT LIABILITY ADJUSTMENT 645,282. EQUITY TRANSFER TO AFFILIATE -4,450,000. EASC ACTIVITY PRIOR TO CONSOLIDATION -314,152.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

Field	Value	IRS element (for citing)
Business Name Line1	EVANGELICAL AMBULATORY SURGICAL CENTER	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	210 JPM ROAD	AddressLine1
City	LEWISBURG	City
State	PA	State
ZIP Code	17837	ZIPCode

Field	Value	IRS element (for citing)
EIN	233021240	EIN
Primary Activities	HEALTHCARE - SURGERY	PrimaryActivities
Legal Domicile State	PA	LegalDomicileState
Total Income	4094413	TotalIncome
EOY Assets	1636448	EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	EVANGELICAL COMMUNITY HOSPITAL	BusinessNameLine1

Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Type Of EntityTypeOfEntity	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Percentage OwnershipPercentageOwnership	Controlled OrgControlledOrg
CENTRAL SUSQUEHANNA HEALTHCARE PROVIDERS INC
ONE HOSPITAL DRIVE	LEWISBURG	PA	17837	232452170	MEDICAL SERVICES	PA	EVANGELICAL COMMUNITY HOSPITAL	C	16134	170893	0.50000	0
ECH PHARMACY & HOMECARE PRODUCTS INC
ONE HOSPITAL DRIVE	LEWISBURG	PA	17837	232353576	SALES OF MEDICAL DRUGS AND SUPPLIES	PA	EVANGELICAL MEDICAL SERVICE ORGANIZATION	C	1881099	1671136		0
EVANGELICAL MEDICAL SERVICE ORGANIZATION
ONE HOSPITAL DRIVE	LEWISBURG	PA	17837	232809429	MEDICAL SERVICES	PA	EVANGELICAL COMMUNITY HOSPITAL	C	21970568	11729600	1.00000	0

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	0	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	0	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	0	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	0	LoansOrGuaranteesFromOtherOrg
Dividends Related Organization	0	DividendsRelatedOrganization
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	0	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	1	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	0	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	0	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	0	PerformOfServicesByOtherOrgs
Sharing Of Facilities	1	SharingOfFacilities
Sharing Of Paid Employees	1	SharingOfPaidEmployees
Reimbursement Paid To Other Org	1	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	1	OtherTransferToOtherOrg
Other Transfer From Other Org	0	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (7 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
EVANGELICAL MEDICAL SERVICES ORGANIZATION
R	4450000	CASH
EVANGELICAL MEDICAL SERVICES ORGANIZATION
P	1074234	CASH
EVANGELICAL COMMUNITY HOSPITAL PHARMACY & HOME CARE PRODUCTS INC
P	53000	CASH
EVANGELICAL MEDICAL SERVICES ORGANIZATION
O	1433927	HOURS SPENT WORKING FOR AFFILIATE
EVANGELICAL COMMUNITY HOSPITAL PHARMACY & HOME CARE PRODUCTS INC
O	110973	HOURS SPENT WORKING FOR AFFILIATE
EVANGELICAL COMMUNITY HOSPITAL PHARMACY & HOME CARE PRODUCTS INC
J	128000	CASH
EVANGELICAL MEDICAL SERVICES ORGANIZATION
J	821971	CASH