2013-04-29T13:14:50-05:00 2012-06-30 231980475 KREISCHER MILLER 100 WITMER ROAD SUITE 350 HORSHAM PA 190442369 990 2011-07-01 231352115 EAGLEVILLE HOSPITAL EAGL 6105396000 PO BOX 45 100 EAGLEVILLE ROAD EAGLEVILLE PA 194080045 MAUREEN KING POLLOCK 6105396000 2013-04-22 1 MARY-ANN F SCHALLER P00125034 2154414600 2011 2016-03-07 17:11:31Z MAUREEN KING POLLOCK PO BOX 45 100 EAGLEVILLE ROAD EAGLEVILLE PA 194080045 35846944 0 X WWW.EAGLEVILLEHOSPITAL.ORG X 1909 PA THE HOSPITAL PROVIDES QUALITY INPATIENT AND RESIDENTIAL TREATMENT FOR SUBSTANCE ABUSE, MEDICAL, PSYCHOLOGICAL, PSYCHIATRIC, AND CO-OCCURRING DISORDERS. THE HOSPITAL ALSO PROVIDES RELATED RESEARCH, TRAINING AND EDUCATIONAL SERVICES TO PROFESSIONAL AND LOCAL COMMUNITIES. 10 10 515 48 0 0 2456044 2452269 29100572 31943965 1414564 440027 637350 736855 33608530 35573116 0 0 0 0 20435460 23392091 0 0 0 8569568 9141373 29005028 32533464 4603502 3039652 40192124 43258424 2797667 3196755 37394457 40061669 TO PROVIDE COMPREHENSIVE, HIGH QUALITY SERVICES RELATED TO ADDICTION, CO-OCCURRING DISORDERS AND OTHER BEHAVIORAL HEALTH PROBLEMS THROUGH EAGLEVILLE HOSPITAL. 0 0 30581457 31943965 THE PRIMARY PURPOSES OF THE CORPORATION ARE TO SPONSOR, ENCOURAGE, SUPPORT AND ADVANCE THE PROVISION AND BETTERMENT OF HEALTH CARE IN THE COMMUNITIES SERVED BY EAGLEVILLE HOSPITAL BY PROVIDING BEHAVIORAL HEALTH AND DRUG AND ALCOHOL ADDICTION SERVICES THROUGH ITS INPATIENT AND RESIDENTIAL PROGRAMS. THE HOSPITAL OPERATED 326 BEDS WITH 4,085 ADMISSIONS AND PROVIDED 89,172 TREATMENT DAYS TO INDIVIDUALS WHO NEEDED TREATMENT AND CARE. THE HOSPITAL PARTICIPATED IN MEDICAID, MEDICARE, SINGLE COUNTY AUTHORITY AND PENNSYLVANIA DEPARTMENT OF CORRECTIONS PROGRAMS. 30581457 1 1 0 1 0 0 0 0 0 1 1 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 1 40 0 1 515 1 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X ALFRED SALVITTI CFO 6105396000 PO BOX 45 100 EAGLEVILLE RD EAGLEVILLE PA 19408 HARRY S SHANIS PHD 2.00 X 0 0 0 EDWARD G FITZERALD JR ESQ 2.00 X 0 0 0 LARRY S GERSHMAN BG-USARRET 2.00 X 0 0 0 RAFAEL A PORRATA-DORIA JR ESQ 2.00 X 0 0 0 SUSAN E MCNAMARA 2.00 X 0 0 0 ANNARITA GENTILEMSS 2.00 X 0 0 0 JON A SHAPIROMD 2.00 X 0 0 0 DAVID J BARNHART 2.00 X 0 0 0 HENRY C FADER ESQ 2.00 X 0 0 0 MAUREEN KING POLLOCK 40.00 X 241002 0 7000 ALFRED P SALVITTI 40.00 X 161198 0 28996 ALLEN N TANNENBAUM PHD 2.00 X 0 0 0 DAVID T PIERCE 2.00 X 0 0 0 ROBERT S WILSON DO 50.00 X 206577 0 15263 HANI ZAKI 40.00 X 253685 0 17147 GARY SAGET MD 40.00 X 249604 0 16984 GIAMPAOLO GALLO 40.00 X 208075 0 15323 1320141 0 100713 21 0 1 0 OMNICARE 900 OMNICARE CENTER 201 E FOURTH CINCINNATI OH 45202 PHARMACY SERVICES 1508717 SODEXO 4880 PAYSPHERE CIRCLE CHICAGO IL 60674 FACILITIES MANAGEMENT 1144057 MIDDLESTATE MANAGEMENT PO BOX 1287 LANSDALE PA 19446 GERO-PSYCH. MANAGEMENT 250000 ATLANTIC DIAGNOSTIC LABS 3520 PROGRESS DRIVE BENSALEM PA 19020 LAB SERVICES 159608 17 2449048 3221 2452269 MEDICARE/MEDICAID 524298 27077806 27077806 FEES FROM GOVERNMENT A 900099 2416624 2416624 BLUE CROSS 524298 1428172 1428172 COMMERCIAL INSURANCE A 524298 886870 886870 SELF PAY 524298 134493 134493 31943965 713855 713855 273828 -273828 -273828 -273828 MISCELLANEOUS 900099 342429 342429 DSH-PA MEDICAL ASST 900099 209056 209056 TOBACCO SETTLEMENT 900099 145591 145591 39779 39779 736855 35573116 31943965 0 1176882 19228158 18074469 1153689 261268 245592 15676 2557248 2403813 153435 1345417 1264692 80725 80479 75650 4829 78239 73545 4694 327822 308153 19669 88292 82994 5298 38406 36102 2304 844356 793695 50661 736019 691858 44161 PURCHASED SERVICES 2872623 2700266 172357 SUPPLIES 2017956 1896879 121077 BAD DEBT EXPENSE 682181 641250 40931 UTILITIES 562147 528418 33729 812853 764081 48772 32533464 30581457 1952007 0 6300 6300 2148686 1809364 4355744 4578691 39720 16553 29689113 22945560 6564363 6743553 26532796 29749730 544515 354233 40192124 43258424 2480562 2811688 317105 385067 2797667 3196755 X 36216999 38880990 208556 211777 968902 968902 37394457 40061669 40192124 43258424 X 3039652 -372440 X X 0 1 1 X 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 39200 39200 32560264 32599464 1000000 250000 0 0 1000000 1000000 1000000 1000000 4000000 6000000 35750 33000 86400 39200 194350 250000 250000 250000 250000 1000000 1500000 1177458 3221 1180679 1174875 2583 1177458 1153986 36136 -15247 1174875 1170454 -16468 1153986 0.82060 0.17940 0 0 6400 6400 11906954 9038471 2868483 8571861 6632878 1938983 6562611 5513160 1049451 2641287 1761051 880236 6743553 VANGUARD:INVESTMENTS-BONDS 279791 F PMA:INVESTMENTS-OPERATING 12971372 F PMA:INVESTMENTS-BOARD DESIGNATED 13973085 F PMA:INVESTMENTS ENDOWMENT 1525472 F VANGUARD: MONEY MARKET 1000010 F 29749730 PATIENTS' PERSONAL FUNDS 992 WORKER'S COMPENSATION CLAIMS 230259 THIRD PARTY SETTLEMENT 153816 385067 35573116 32533464 3039652 -372440 -372440 2667212 35573116 0 35573116 0 35573116 32533464 0 32533464 0 32533464 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: THE TEMPORARILY RESTRICTED NET ASSETS INCLUDE FUNDS WHICH MAY BE USED PRIMARILY FOR EDUCATIONAL AND LIBRARY RELATED EXPENSES OF THE HOSPITAL. THE PERMANENTLY RESTRICTED NET ASSETS CONSIST OF INSTRUMENTS WHICH ARE TO BE HELD IN PERPETUITY, THE INCOME OF WHICH IS EXPENDABLE TO SUPPORT HEALTH CARE SERVICES. THE INCOME IS REPORTED AS UNRESTRICTED INCOME. 1 1 1 X 1 X 500.000000000000 1 0 0 93040 93040 21885093 21460314 424779 0.01330 2550941 2416625 134316 0.00420 24529074 23969979 559095 0.01750 24529074 23969979 559095 0.01750 1 375199 0 6313280 6773927 -460647 X 1 1 1 1 EAGLEVILLE HOSPITAL

PO BOX 45 100 EAGLEVILLE ROAD EAGLEVILLE PA 194080045

X EAGLEVILLE HOSPITAL 1 0 1 1 200.000000000000 1 500.000000000000 1 X X X X X X 1 1 X X X 1 0 X X X 1 X 0 0 PART I, LINE 7, COLUMN (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 $ 682181. PART II: BECAUSE EAGLEVILLE HOSPITAL TAKES SERIOUSLY ITS LONG-STANDING COMMITMENT TO THIS REGION AND THOSE WHO RECEIVE CARE, THE STAFF ENGAGES IN A BROAD RANGE OF ACTIVITIES TO PROMOTE THE HEALTH OF THE COMMUNITIES SERVED. AT THE STATE LEVEL, THE HOSPITAL PARTICIPATES IN A VARIETY OF ADVOCACY AND POLICY DEVELOPMENT ACTIVITIES. HOSPITAL STAFF HAS BEEN INVOLVED IN TASK FORCES AND WORK GROUPS AT THE INVITATION OF THE PENNSYLVANIA DEPARTMENT OF HEALTH BUREAU OF DRUG AND ALCOHOL PROGRAMS, THE PENNSYLVANIA DEPARTMENT OF WELFARE OFFICE OF MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES, AND THE PENNSYLVANIA COMMISSION ON CRIME AND DELINQUENCY, IN ADDITION THE EXTENSIVE WORK WITH THE ORGANIZATIONS LISTED IN THE NEEDS ASSESSMENT SECTION.AT THE COUNTY AND LOCAL LEVELS, EAGLEVILLE HOSPITAL STAFF MEMBERS HAVE WORKED WITH THE MONTGOMERY COUNTY SUICIDE PREVENTION WORK GROUP, THE MONTGOMERY COUNTY FORENSIC WORK GROUP, THE CITY OF PHILADELPHIA FORENSIC TASK FORCE, THE CITY OF PHILADELPHIA FIR/IPP EXECUTIVE COMMITTEE, AND BOTH THE MONTGOMERY AND DELAWARE COUNTY INTEGRATED DUAL DIAGNOSIS WORK GROUPS. EAGLEVILLE PROVIDES SPEAKERS TO LOCAL SCHOOL SYSTEMS, COMMUNITY GROUPS AND TREATMENT PROVIDERS ON A VARIETY OF TOPICS RELATED TO BEHAVIORAL HEALTH CONDITIONS.IN ADDITION TO GOING OUT INTO THE COMMUNITY, THE HOSPITAL INVITES THE COMMUNITY IN. EAGLEVILLE HOSPITAL OFFERS A GREAT DEAL BY SHARING EXPERTISE AS WELL AS THE EXCELLENT TRAINING FACILITIES AND STAFF. THE HOSPITAL HAS HOSTED A MAJOR REGIONAL CONFERENCE ON TRAUMA AND SUBSTANCE USE DISORDERS; PROVIDED CORE TRAINING FOR CO-OCCURRING COMPETENCE FOR A SIGNIFICANT NUMBER OF PROVIDER STAFF FROM TREATMENT FACILITIES IN THE COUNTY, IN PARTNERSHIP WITH THE MONTGOMERY COUNTY OFFICE OF BEHAVIORAL HEALTH; OFFER AN ONGOING TRAINING SERIES TO ASSIST CLINICIANS IN THEIR PROFESSIONAL DEVELOPMENT; AND PROVIDE INTERNSHIP PLACEMENTS FOR STUDENTS AT LOCAL COLLEGES AND UNIVERSITIES. EAGLEVILLE HOSPITAL RECOGNIZES THE RESPONSIBILITY THAT COMES WITH THE UNIQUE ARRAY OF CAPABILITY, EXPERIENCE, SERVICES AND IMPRESSIVE HUNDRED-YEAR HISTORY. IT IS IN THIS SPIRIT THAT EAGLEVILLE HOSPITAL CONTINUOUSLY ASSESSES THE HEALTH CARE NEEDS OF THOSE SERVED, DEVELOPS PROGRAMMING AND SERVICES TO ADDRESS THOSE NEEDS, INFORM PATIENTS OF THE AVAILABLE MEANS TO ACCESS SERVICES, PARTNER EFFECTIVELY THROUGHOUT THE COMMUNITIES AND POPULATIONS SERVED, AND HELP TO PROMOTE THE HEALTH OF THOSE COMMUNITIES THROUGH POLICY ENGAGEMENT, SHARING OF BEST PRACTICES, TRAINING AND PROFESSIONAL DEVELOPMENT. PART III, LINE 4: THE HOSPITAL PROVIDES AN ALLOWANCE FOR BAD DEBTS USING THE ALLOWANCE METHOD, WHICH IS BASED ON MANAGEMENT'S JUDGEMENT CONSIDERING HISTORIAL INFORMATION. ACCOUNTS RECEIVABLE ARE UNSECURED. ACCOUNTS PAST DUE ARE INDIVIDUALLY ANALYZED FOR COLLECTABILITY. IN ADDITION, AN ALLOWANCE IS PROVIDED FOR OTHER ACCOUNTS WHEN A SIGNIFICANT PATTERN OF UNCOLLECTIBILITY HAS OCCURRED. WHEN ALL COLLECTION EFFORTS HAVE BEEN EXHAUSTED, THE ACCOUNTS ARE WRITTEN OFF. THE HOSPITAL ALSO PROVIDES CONTRACTUAL ADJUSTMENTS FROM MAJOR THIRD PARTY PAYORS. PART III, LINE 8: MEDICARE COST REPORT PART VI, LINE 2: LOCATED IN SOUTHEASTERN PENNSYLVANIA FOR THE PAST CENTURY, EAGLEVILLE HOSPITAL IS A HIGHLY RESPECTED AND CUTTING-EDGE REGIONAL PROVIDER OF BEHAVIORAL HEALTH TREATMENT SERVICES FOR ADULTS. APPROXIMATELY NINETY PERCENT OF THE PATIENTS SERVED RECEIVE PUBLIC FUNDING FOR THEIR TREATMENT OR ARE UNINSURED. PUBLIC FUNDING INCLUDES MEDICARE, MEDICAID AND COUNTY FUNDING FOR UNINSURED AND UNDER-INSURED INDIVIDUALS. IT IS CRITICAL THAT THE HOSPITAL REMAIN ABREAST OF THE CURRENT TRENDS IN REGIONAL BEHAVIORAL HEALTH NEEDS TO BEST SERVE THE PATIENTS BY DESIGNING RESPONSIVE AND EFFECTIVE PROGRAMS. TO ENSURE THIS KNOWLEDGE BASE, EAGLEVILLE HOSPITAL STAFF MEMBERS ACTIVELY PARTICIPATE IN THE PENNSYLVANIA DRUG AND ALCOHOL COALITION, THE PENNSYLVANIA COMMUNITY PROVIDERS ASSOCIATION, THE PENNSYLVANIA CERTIFICATION BOARD, THE DRUG AND ALCOHOL SERVICE PROVIDERS ASSOCIATION OF PENNSYLVANIA, THE PENNSYLVANIA ASSOCIATION OF DRUG COURT PROFESSIONALS AND THE PENNSYLVANIA FORENSIC INTERAGENCY TASK FORCE.TO BEST SERVE THE MEDICARE-FUNDED POPULATION, EAGLEVILLE HOSPITAL ALSO MAINTAINS A CLOSE FOCUS ON THE BEHAVIORAL HEALTH NEEDS OF ELDERLY AND DISABLED INDIVIDUALS COVERED BY MEDICARE. THE COMMUNITY RELATIONS DEPARTMENT HAS DEVELOPED A BROAD NETWORK OF CONTACTS WITH GENERAL HOSPITALS, PSYCHIATRIC HOSPITALS, NURSING HOMES, ASSISTED LIVING FACILITIES, GERIATRIC GROUP PRACTICES, COUNTY OFFICES ON AGING AND THE PENNSYLVANIA COALITION ON AGING. EAGLEVILLE HOSPITAL OPERATES HOSPITAL AND NON-HOSPITAL LEVEL PROGRAMS FOR BOTH SUBSTANCE USE DISORDERS AND MENTAL DISORDERS IN RESPONSE TO THE IDENTIFIED NEEDS.ALL MEDICAID RECIPIENTS IN PENNSYLVANIA PARTICIPATE IN HEALTH CHOICES, A PROGRAM STRONGLY CONCERNED WITH THE AVAILABILITY OF PROGRAMMING DESIGNED TO MEET THE NEEDS OF INDIVIDUALS WITH CO-OCCURRING SUBSTANCE USE AND MENTAL HEALTH DISORDERS. EAGLEVILLE HOSPITAL CONTINUES TO EXPAND ITS CAPABILITY TO PROVIDE INTEGRATED CO-OCCURRING DISORDERS TREATMENT IN RESPONSE TO THE IDENTIFIED NEED. EAGLEVILLE HOSPITAL RESPONDS TO REQUESTS FOR PROPOSALS ISSUED BY THE HEALTH CHOICES MANAGED CARE ORGANIZATIONS AND DEVELOPS PROGRAMMING CONSISTENT WITH THE NEEDS IDENTIFIED BY THESE ORGANIZATIONS. EAGLEVILLE HOSPITAL PERFORMS ROUTINE PATIENT SATISFACTION SURVEYS AND FOCUS GROUPS WITH THE PATIENT POPULATION. IN RESPONSE TO THESE FINDINGS, PROGRAM MODIFICATIONS OCCUR TO MEET PATIENT AND COMMUNITY NEEDS.EAGLEVILLE HOSPITAL RESPONDS TO REQUESTS FOR PROPOSALS ISSUED BY NUMEROUS SINGLE COUNTY AUTHORITIES, WHICH PROVIDE FUNDING FOR UNINSURED AND UNDER-INSURED SUBSTANCE USERS, IN RESPONSE TO NEED IDENTIFIED THROUGH THESE COUNTIES' NEEDS ASSESSMENT PROCESSES. PART VI, LINE 3: THE VERY NETWORKS THROUGH WHICH THE HOSPITAL STAYS INFORMED OF AND RESPONSIVE TO COMMUNITY NEEDS ALSO PROVIDE CHANNELS THROUGH WHICH PATIENT EDUCATION AND INFORMATION IS SHARED. THE HOSPITALS, NURSING HOMES, PRACTICES AND COUNTY OFFICES HAVE PROVEN EFFECTIVE PARTNERS IN HELPING EAGLEVILLE REACH INDIVIDUALS WHO CAN BENEFIT FROM EAGLEVILLE HOSPITAL'S PROGRAMS AND HELPING MAKE THOSE PATIENTS AWARE OF THE SERVICES AND THE FUNDING SOURCES AVAILABLE. EAGLEVILLE HOSPITAL PARTICIPATES IN MANY COMMUNITY BASED RESOURCE, HEALTH AND AWARENESS FAIRS TO DISTRIBUTE PROGRAM INFORMATION AND RESOURCES. IN MANY OF THESE COMMUNITY SETTINGS, COLLABORATIVE RELATIONSHIPS EMERGE WITH COMMUNITY BASED RESOURCES. THERAPEUTIC AND MEDICAL PERSONNEL PROVIDE ASSISTANCE TO PATIENTS IN NEED OF COMMUNITY RESOURCES BY IDENTIFYING AND NAVIGATING COMMUNITY RESOURCES IN RESPONSE TO PATIENT NEEDS. PATIENTS PRESENTING WITHOUT BENEFIT OF A THIRD PARTY COVERAGE OR IN NEED OF FINANCIAL ASSISTANCE ARE REFERRED TO A DESIGNATED FINANCIAL COUNSELOR WHO WORKS HAND IN HAND WITH THE PATIENT ON A ONE TO ONE BASIS TO EFFECT COVERAGE THROUGH A COUNTY, STATE OR OTHER RESOURCE OR PROVIDES DETERMINATION OF ELIGIBILITY FOR OUR CHARITY CARE PROGRAM. IN MOST CASES, THIS INVOLVES A COLLABORATIVE EFFORT WITH THE UNIT BEHAVIORAL CARE COORDINATOR AND, WITH THE PATIENT'S CONSENT, A DESIGNEE, SUCH AS A FAMILY MEMBER CONTRIBUTING INFORMATION. THE ASSIGNED FINANCIAL COUNSELOR WILL REVIEW ALL DATA, ASSESS, PROCESS, AND ORCHESTRATE SUBMISSION TO ALL APPLICABLE RESOURCES FOR FUNDING ON BEHALF OF THE PATIENT IN ACCORDANCE WITH HOSPITAL POLICIES AND THE PATIENT HANDBOOK PROVIDED AT THE TIME OF ADMISSION OR AVAILABLE ON OUR WEBSITE. PART VI, LINE 4: EAGLEVILLE HOSPITAL SERVES A RANGE OF GEOGRAPHIC COMMUNITIES AND PATIENT POPULATIONS. THE HOSPITAL DRAWS THE MEDICARE POPULATION PRIMARILY FROM PENNSYLVANIA, BUT ALSO REGULARLY SERVES OTHER STATES SUCH AS DELAWARE, NEW JERSEY, NEW YORK AND MARYLAND.THE GERIATRIC PSYCHIATRY SERVICE PROVIDES CARE TO INDIVIDUALS AGES 55 AND ABOVE SUFFERING FROM MENTAL DISORDERS. PATIENTS ADMITTED TO THE SUBSTANCE USE DISORDER SERVICES INCLUDE ELDERLY INDIVIDUALS WITH SUBSTANCE USE DISORDERS AND THOSE WITH CHRONIC DISABILITIES. MANY ALSO HAVE PHYSICAL HEALTH CONDITIONS THAT COMPLICATE TREATMENT AND THEY MAY NEED HOSPITAL LEVEL CARE. EAGLEVILLE IS UNIQUELY POSITIONED TO PROVIDE THE FULL RANGE OF SERVICES THAT THE GERIATRIC POPULATION CAN REQUIRE. BY DEFINITION, THE MEDICAID POPULATION TENDS TO BE CHRONICALLY SOCIO-ECONOMICALLY DISADVANTAGED. THE MAJORITY OF MEDICAID PATIENTS SERVED BY EAGLEVILLE HOSPITAL COME FROM THE CITY OF PHILADELPHIA WHILE THE SECOND LARGEST SOURCE OF ADMISSIONS IS MONTGOMERY COUNTY. THE HOSPITAL RECEIVES MANY REFERRALS FROM THE SOUTHEASTERN REGION OF PENNSYLVANIA, ALSO SERVING AS A SPECIALTY SERVICE PROVIDER THROUGHOUT THE EASTERN PART OF THE STATE BECAUSE OF THE DISTINCTIVE ABILITY TO PROVIDE HOSPITAL LEVEL SERVICES AND INTEGRATED CO-OCCURRING TREATMENT SERVICES.THE SINGLE COUNTY AUTHORITIES IN PENNSYLVANIA COUNT ON EAGLEVILLE HOSPITAL, AS VERY FEW REMAINING FACILITIES OFFER HOSPITAL LEVEL SUBSTANCE USE DISORDER TREATMENT. FOR SOME OF THESE COUNTIES, EAGLEVILLE HOSPITAL IS THE ONLY HOSPITAL LEVEL FACILITY OR INTEGRATED CO-OCCURRING FACILITY WITHIN SEVERAL HOURS' DRIVE, MAKING THE HOSPITAL A CRITICAL COMMUNITY RESOURCE. MANY OF THE INDIVIDUALS FUNDED THROUGH COUNTIES ARE ECONOMICALLY DISADVANTAGED AND MANY ALSO FACE CHRONIC DISABILITIES. THE SINGLE COUNTY AUTHORITIES RELY ON EAGLEVILLE HOSPITAL TO SERVE THESE INDIVIDUALS FROM THEIR COMMUNITIES BECAUSE EAGLEVILLE HOSPITAL IS ONE OF THE FEW SOURCES FOR HIGH QUALITY CARE PROVIDED IN A COMPETENT FASHION.FINALLY, EAGLEVILLE HOSPITAL PROVIDES CHARITY CARE WHEN FUNDING IS NOT AVAILABLE AND MEDICAL NECESSITY EXISTS. GIVEN THE GENERAL STATE OF THE ECONOMY, THIS IS AN EXPANDING POPULATION. AN INCREASING NUMBER OF PREVIOUSLY INSURED INDIVIDUALS NO LONGER HAVE THE MEANS TO PURCHASE COMMERCIAL INSURANCE YET DO NOT QUALIFY FOR MEDICARE, MEDICAID OR SINGLE COUNTY AUTHORITY FUNDING. ADDITIONALLY, THE HOSPITAL INCREASINGLY SERVES YOUNG ADULTS WITH NO HEALTH INSURANCE OR NO BEHAVIORAL HEALTH BENEFIT WHOSE FAMILIES LACK THE FINANCIAL ABILITY TO PAY. X X 0 0 0 0 0 0 0 0 0 MAUREEN KING POLLOCK 216002 0 25000 0 0 0 0 0 7000 0 248002 0 0 0 ALFRED P SALVITTI 161198 0 0 0 0 0 21996 0 7000 0 190194 0 0 0 ROBERT S WILSON DO 206577 0 0 0 0 0 8263 0 7000 0 221840 0 0 0 HANI ZAKI 253685 0 0 0 0 0 10147 0 7000 0 270832 0 0 0 GARY SAGET MD 249604 0 0 0 0 0 9984 0 7000 0 266588 0 0 0 GIAMPAOLO GALLO 208075 0 0 0 0 0 8323 0 7000 0 223398 0 0 0 HENRY C FADER ESQ SOLICITOR OF EAGLEVILLE HOSPITAL AND PARTNER AT PEPPER HAMILTON LAW FIRM 34454 LEGAL SERVICES PROVIDED TO THE ORGANIZATION. 0 FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE ORGANIZATION IS EAGLEVILLE FOUNDATION. FORM 990, PART VI, SECTION A, LINE 7A EAGLEVILLE FOUNDATION ELECTS AND APPROVES MEMBERS OF EAGLEVILLE HOSPITAL'S GOVERNING BODY. FORM 990, PART VI, SECTION A, LINE 7B ALL DECISIONS OF THE ORGANIZATION'S GOVERNING BODY ARE SUBJECT TO APPROVAL BY EAGLEVILLE FOUNDATION. FORM 990, PART VI, SECTION B, LINE 11 THE 990 IS PRESENTED TO THE AUDIT COMMITTEE AND IS AVAILABLE TO ALL BOARD MEMBERS. FORM 990, PART VI, SECTION B, LINE 12C ALL OFFICERS, DIRECTORS AND KEY EMPLOYEES ARE REQUIRED TO SIGN A DOCUMENT EACH YEAR. THE POLICY IS REGULARLY MONITORED BY THE COMPLIANCE OFFICE. FORM 990, PART VI, SECTION C, LINE 19 EAGLEVILLE HOSPITAL MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -372,440. FORM 990, PART XII LINE 2C: THE ORGANIZATION DID NOT MAKE ANY CHANGES IN ITS OVERSIGHT PROCESS DURING THE TAX YEAR. FORM 990, PART V LINE 7G & 7H: NOT APPLICABLE EAGLEVILLE FOUNDATION PO BOX 45 100 EAGLEVILLE ROAD EAGLEVILLE PA 194080045 222565791 SUPPORT EAGLEVILLE HOSPITAL PA 501(C)(3) 7 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 1 0 0 0