EVANGELICAL COMMUNITY HOSPITAL: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization: EVANGELICAL COMMUNITY HOSPITAL (EIN 24-0795411)
Tax period: 2010-07-01 to 2011-06-30
Filed: 2012-04-20
IRS object ID: 201221119349300502
Schema version: 2010v3.4
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	2012-04-20T07:53:32-05:00	Timestamp
Tax Period End Date	2011-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

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	2010-07-01	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	2012-04-18	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	JULIUS GREEN	Name
Phone	5703236023	Phone

Field	Value	IRS element (for citing)
Tax Year	2010	TaxYear
Build TS	2016-02-24 21:20:13Z	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	156786174	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	20	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	18	NbrIndependentVotingMembers
Total Nbr Employees	1371	TotalNbrEmployees
Total Nbr Volunteers	614	TotalNbrVolunteers
Total Gross UBI	4043887	TotalGrossUBI
Net Unrelated Business Txbl Income	813791	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	2786638	ContributionsGrantsPriorYear
Contributions Grants Current Year	3490178	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	114538362	ProgramServiceRevenuePriorYear
Program Service Revenue CY	122053729	ProgramServiceRevenueCY
Investment Income Prior Year	2591073	InvestmentIncomePriorYear
Investment Income Current Year	3770727	InvestmentIncomeCurrentYear
Other Revenue Prior Year	3000785	OtherRevenuePriorYear
Other Revenue Current Year	3348102	OtherRevenueCurrentYear
Total Revenue Prior Year	122916858	TotalRevenuePriorYear
Total Revenue Current Year	132662736	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	22000	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	56950	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	56875722	SalariesEtcPriorYear
Salaries Etc Current Year	58431004	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	568162	TotalFundrsngExpCurrentYear
Other Expense Prior Year	52750551	OtherExpensePriorYear
Other Expenses Current Year	57488181	OtherExpensesCurrentYear
Total Expenses Prior Year	109648273	TotalExpensesPriorYear
Total Expenses Current Year	115976135	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	13268585	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	16686601	RevenuesLessExpensesCY
Total Assets BOY	177099609	TotalAssetsBOY
Total Assets EOY	219250555	TotalAssetsEOY
Total Liabilities BOY	58486321	TotalLiabilitiesBOY
Total Liabilities EOY	81402247	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	118613288	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	137848308	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	EVANGELICAL COMMUNITY HOSPITAL, A NON-PROFIT HEALTH CARE PROVIDER, SERVES UNION, SNYDER AND NORTHUMBERLAND COUNTIES AS WELL AS SURROUNDING COMMUNITIES. THE HOSPITAL PROVIDES A BROAD RANGE OF HEALTH CARE SERVICES THAT ARE CONSISTENTLY HIGH QUALITY, COMPASSIONATE, ACCESSIBLE AND COST-EFFECTIVE. IN PARTNERSHIP WITH A STRONG AND DIVERSE MEDICAL STAFF, THE HOSPITAL PROMOTES A HEALTHY LIFESTYLE AND PROVIDES ADVANCED MEDICAL CARE IN AN ATMOSPHERE THAT IS CARING AND COMPASSIONATE. THIS IS ACCOMPLISHED BY MAINTAINING A CHALLENGING, ENERGIZED WORK ENVIRONMENT FOR OUR VALUED EMPLOYEES WHO EXEMPLIFY OUR CORE VALUES: QUALITY SERVICE, COMPASSION, RESPECT, PROFESSIONALISM, INTEGRITY, COOPERATION AND CREATIVITY.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	97043232	Expense
Grants	56950	Grants
Revenue	119680890	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 127 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	97043232	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	1	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	1	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	1	RelatedOrgControlledEntity
Transaction Related Entity	1	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	63	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	1371	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	20	NbrVotingGoverningBodyMembers
Number Independent Voting Members	18	NumberIndependentVotingMembers
Family Or Business Relationship	1	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	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	0	LocalChapters
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	0	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	EVANGELICAL COMMUNITY HOSPITAL	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 (38 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
MARTHA BARRICK
CHAIRPERSON	1.00	X	X	0	0	0
JOHN GRIFFITH
VICE CHAIRPERSON	1.00	X	X	0	0	0
TIM APPLE
DIRECTOR	1.00	X		0	0	0
JULIE BARNA DMD
DIRECTOR	1.00	X		0	0	0
CAROL GRAYBEAL
DIRECTOR	1.00	X		0	0	0
BROOKS GRONLUND
DIRECTOR	1.00	X		0	0	0
ROBERT GRONLUND
DIRECTOR	1.00	X		0	0	0
ROGER HADDON JR
DIRECTOR	1.00	X		0	0	0
JOHN MECKLEY ESQ
DIRECTOR	1.00	X		0	0	0
JAMES MORGAN JR MD
DIRECTOR	1.00	X		0	0	0
R DAVID MYERS
DIRECTOR	1.00	X		0	0	0
FREDRIK PAULSEN JR
DIRECTOR	1.00	X		0	0	0
JULIA REDCAY DO
DIRECTOR	1.00	X		0	0	0
W GALE REISH MD
DIRECTOR	1.00	X		0	0	0
SUSAN FORGETT RHEAM CPA
DIRECTOR	1.00	X		0	0	0
JOHN E RICE MD
DIRECTOR	1.00	X		0	0	0
NORMAN RICH
DIRECTOR	1.00	X		0	0	0
HENRY A TRUSLOW IV
DIRECTOR	1.00	X		0	0	0
MICHAEL WIMER
DIRECTOR	1.00	X		0	0	0
P RONALD ZUG
DIRECTOR	1.00	X		0	0	0
CHRISTOPHER D OLSON DO
EX-OFFICIO	1.00	X		0	0	0
JEANETTE WILLIAMS
EX-OFFICIO	1.00	X		0	0	0
SARA KIRKLAND
DIRECTOR EMERITUS	1.00	X		0	0	0
JOHN MATHIAS
DIRECTOR EMERITUS	1.00	X		0	0	0
JAMES APPLE
DIRECTOR EMERITUS	1.00	X		0	0	0
MICHAEL N O'KEEFE
PRESIDENT/CEO	40.00	X	X	361161	0	101125
JAMES A STOPPER
CHIEF FINANCIAL OFFICER	40.00		X	122892	0	34410
J LAWRENCE GINSBURG
VP MEDICAL AFFAIRS	40.00			545654	0	152783	X
KENDRA A AUCKER
CHIEF OPERATING OFFICER	40.00			199727	0	55924	X
TAMI RADECKE
VP COMMUNITY RELATIONS/CHIEF DEVELOPMENT OFFICER	40.00			153131	0	42877	X
PAUL TARVES
VP NURSING	40.00			188181	0	52691	X
MARK K KRAMMES
CHIEF CRNA	48.00			229986	0	64396		X
SANDRA S WALKER
NURSE ANESTHETIST	49.00			223992	0	62718		X
LORI K GOODLING
NURSE ANESTHETIST	48.00			218136	0	61078		X
RAYMOND J TOMASZEWSKI
NURSE ANESTHETIST	48.00			214621	0	60094		X
COLLEEN FRITZ
NURSE ANESTHETIST	47.00			212351	0	59458		X
CHRISTINE M MARTIN
CFO/TREASURER (UNTIL 2/19/10)	40.00			79985	0	22396			X
RICHARD E SMITH JR
FORMER VP STRATEGIC PLAN & BUS DEV (UNTIL 8/2010)	40.00			170927	0	47859			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	2840759	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	795413	TotalOtherCompensation
Number Individuals GT100 K	25	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
3033 NORTH FRONT ST SUITE 201	HARRISBURG	PA	17110	CONSTRUCTION	7191859
AFS ENERGY SYSTEMS
420 OAK STREET PO BOX 170	LEMOYNE	PA	17043	CONSTRUCTION	926250
BURT HILL STANTEC ARCHITECTURE INC
13980 COLLECTIONS CENTER DRIVE	CHICAGO	IL	60693	ARCHITECT	826947
THE ADVISORY BOARD COMPANY
PO BOX 79461	BALTIMORE	MD	21279	MANAGEMENT SERVICES	582500
DIVERSIFIED CLINICAL SERVICES
PO BOX 636981	CINCINNATI	OH	45263	MANAGEMENT SERVICES	546665

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	89	NumberOfContractorsGT100K
Federated Campaigns	6500	FederatedCampaigns
Fundraising Events	107260	FundraisingEvents
Government Grants	227400	GovernmentGrants
All Other Contributions	3149018	AllOtherContributions
Noncash Contributions	67389	NoncashContributions
Total Contributions	3490178	TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
NET PATIENT SERVICE RE	621400	119044169	119044169
LABORATORY SERVICES	621500	3009560		3009560

Field	Value	IRS element (for citing)
Total Program Service Revenue	122053729	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	2273775	TotalRevenueColumn
Exclusion	$2,273,775	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	1868671	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	2173697	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	-305026	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	-305026	TotalRevenueColumn
Exclusion	-$305,026	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	23280189	Securities
Other	108926	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	21696886	Securities
Other	195277	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	1583303	Securities
Other	-86351	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	1496952	TotalRevenueColumn
Exclusion	$1,496,952	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	73610	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	107260	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	54225	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	19385	TotalRevenueColumn
Exclusion	$19,385	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Gaming	1278	GrossIncomeGaming
Gaming Direct Expenses	3353	GamingDirectExpenses

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	-2075	TotalRevenueColumn
Exclusion	-$2,075	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Unrelated Business RevenueUnrelatedBusinessRevenue	ExclusionExclusionAmount
BILLING AND CODING FEE	541900	562327	562327
CAFETERIA AND VENDING	722210	558151		$558,151
ADMINISTRATIVE FEE INC	541900	472000	472000

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	2043340	TotalRevenueColumn
Related Or Exempt Function Income	636721	RelatedOrExemptFunctionIncome
Exclusion	$1,406,619	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	3635818	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	132662736	TotalRevenueColumn
Related Or Exempt Function Income	119680890	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	4043887	UnrelatedBusinessRevenue
Exclusion	$5,447,781	ExclusionAmount

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	56950	Total
Program Services	56950	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	2466967	Total
Program Services	690751	ProgramServices
Management And General	1776216	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	43869834	Total
Program Services	37160758	ProgramServices
Management And General	6486412	ManagementAndGeneral
Fundraising	222664	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	1385300	Total
Program Services	1140872	ProgramServices
Management And General	237688	ManagementAndGeneral
Fundraising	6740	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	7518571	Total
Program Services	6501412	ProgramServices
Management And General	977811	ManagementAndGeneral
Fundraising	39348	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	3190332	Total
Program Services	2627418	ProgramServices
Management And General	547393	ManagementAndGeneral
Fundraising	15521	Fundraising

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	266901	Total
Management And General	263113	ManagementAndGeneral
Fundraising	3788	Fundraising

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	133178	Total
Program Services	43190	ProgramServices
Management And General	89988	ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	307753	Total
Program Services	7650	ProgramServices
Management And General	300103	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	8609567	Total
Program Services	6221517	ProgramServices
Management And General	2261862	ManagementAndGeneral
Fundraising	126188	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	493473	Total
Program Services	28629	ProgramServices
Management And General	444583	ManagementAndGeneral
Fundraising	20261	Fundraising

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	26998484	Total
Program Services	24241217	ProgramServices
Management And General	2717583	ManagementAndGeneral
Fundraising	39684	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	1133292	Total
Program Services	171642	ProgramServices
Management And General	961650	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	1758328	Total
Program Services	1758328	ProgramServices

Travel Travel

Field	Value	IRS element (for citing)
Total	116321	Total
Program Services	102108	ProgramServices
Management And General	10290	ManagementAndGeneral
Fundraising	3923	Fundraising

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	175673	Total
Program Services	118262	ProgramServices
Management And General	49385	ManagementAndGeneral
Fundraising	8026	Fundraising

Interest Interest

Field	Value	IRS element (for citing)
Total	1527439	Total
Program Services	1527439	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	6220758	Total
Program Services	6220758	ProgramServices

Insurance Insurance

Field	Value	IRS element (for citing)
Total	192467	Total
Program Services	192467	ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Management And GeneralManagementAndGeneral	Program ServicesProgramServices
FEDERAL TAXES	280000	280000
BAD DEBT	6222471		6222471
MA MODERNIZATION PAYMEN	1192647		1192647
BILLING AND COLLECTION	369000	358379	10621
LOSS ON REFINANCING	286495	286495

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	1203934	Total
Program Services	806125	ProgramServices
Management And General	315790	ManagementAndGeneral
Fundraising	82019	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	115976135	Total
Program Services	97043232	ProgramServices
Management And General	18364741	ManagementAndGeneral
Fundraising	568162	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	1465	BOY
EOY	1545	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	22663582	BOY
EOY	21459829	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	1026948	BOY
EOY	1285223	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	9961572	BOY
EOY	10755446	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	1744377	BOY
EOY	1654714	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	2540533	BOY
EOY	2792321	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	1456765	BOY
EOY	2136929	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	164540945	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	78509436	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	73726892	BOY
EOY	86031509	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	57366549	BOY
EOY	83071772	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	1939694	BOY
EOY	2479998	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	4671232	BOY
EOY	7581269	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	177099609	BOY
EOY	219250555	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	12872502	BOY
EOY	16092996	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	33945000	BOY
EOY	51755000	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	11668819	BOY
EOY	13554251	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	58486321	BOY
EOY	81402247	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	113040176	BOY
EOY	130964510	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	1401450	BOY
EOY	1696335	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	4171662	BOY
EOY	5187463	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	118613288	BOY
EOY	137848308	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	177099609	BOY
EOY	219250555	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	16686601	ReconcilationRevenueExpenses
Reconcilation Other Changes	2548419	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
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	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 Minus1 Year CurrentYearMinus1Year

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 Minus2 Years CurrentYearMinus2Years

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	0.57300	BoardDesignatedEOYBalance
Permanent Endowment EOY Balance	0.42700	PermanentEndowmentEOYBalance
Term Endowment EOY Balance	0.00000	TermEndowmentEOYBalance
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	3402982	OtherCostOrOtherBasis
Book Value	3402982	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	70203750	OtherCostOrOtherBasis
Depreciation	25688734	Depreciation
Book Value	44515016	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	4277948	OtherCostOrOtherBasis
Depreciation	2310734	Depreciation
Book Value	1967214	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	68607931	OtherCostOrOtherBasis
Depreciation	50509968	Depreciation
Book Value	18097963	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	18048334	OtherCostOrOtherBasis
Book Value	18048334	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	86031509	TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (8 entries)

DescriptionDescription	AmountAmount
BLUE CROSS CURRENT FINANCING ADVANCE	$1,057,200
ACCRUED POSTRETIREMENT BENEFIT COSTS	$5,394,555
ESTIMATED MEDICAL MALPRACTICE CLAIMS LIABILITY	$586,949
CHARITABLE GIFT ANNUITIES PAYABLE	$713,587
DEFERRED COMPENSATION	$1,892,625
ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS	$1,247,201
CAPITAL LEASE OBLIGATION	$1,332,847
ENVIRONMENTAL REMEDIATION LIABILITY	$1,329,287

Field	Value	IRS element (for citing)
Total Of Amounts	13554251	TotalOfAmounts
Total Revenue	132662736	TotalRevenue
Total Expenses	115976135	TotalExpenses
Excess Or Deficit For Year	16686601	ExcessOrDeficitForYear
Net Unrealized GL On Investments	4066555	NetUnrealizedGLOnInvestments
Other	-$1,518,136	OtherAmount
Total Adjustments	2548419	TotalAdjustments
Excess Or Deficit Per FS	19235020	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	138757225	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	4066555	NetUnrealizedGainsInvestments
Other Revenues	518215	OtherRevenues
Revenue Not Rptd F990	4584770	RevenueNotRptdF990
Revenue Subtotal	134172455	RevenueSubtotal
Investment Expenses Not Included	300103	InvestmentExpensesNotIncluded
Other Revenues Not Included	-1809822	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	-1509719	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	132662736	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	119522205	TotExpensesEtcAuditedFinclStmt
Other Expenses Included	3846173	OtherExpensesIncluded
Expenses Not Rptd F990	3846173	ExpensesNotRptdF990
Expenses Subtotal	115676032	ExpensesSubtotal
Investment Expenses Not Included2	300103	InvestmentExpensesNotIncluded2
Expenses Not Rptd On Fin Stmt	300103	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	115976135	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (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:	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 2011 OR 2010.
PART XI, LINE 8 - OTHER ADJUSTMENTS:		CHANGE IN VALUE OF SPLIT-INTEREST AGREEMENT 29,255. VALUATION GAIN 593,717. POSTRETIREMENT BENEFIT LIABILITY ADJUSTMENT -191,108. EQUITY TRANSFER TO AFFILIATE -1,950,000.
PART XII, LINE 2D - OTHER ADJUSTMENTS:		CHANGES IN VALUE OF SPLIT INTEREST AGREEMENT 29,255. VALUATION GAIN 593,717. POSTRETIREMENT BENEFIT LIABILITY ADJUSTMENT -191,108. LOSS ON DISPOSAL OF PROPERTY AND EQUIPMENT 86,351.
PART XII, LINE 4B - OTHER ADJUSTMENTS:		RENTAL EXPENSES -2,173,697. SPECIAL EVENTS EXPENSE -57,578. REFUND OF INCOME TAX NETTED AGAINST EXPENSE ON FINANCIAL STATEMENTS 421,453.
PART XIII, LINE 2D - OTHER ADJUSTMENTS:		RENTAL EXPENSES 2,173,697. SPECIAL EVENTS EXPENSE 57,578. EQUITY TRANSFER TO AFFILIATE 1,950,000. LOSS ON DISPOSAL OF PROPERTY AND EQUIPMENT 86,351. REFUND OF INCOME TAX NETTED AGAINST EXPENSE ON FINANCIAL STATEMENTS -421,453.

Schedule G IRS990ScheduleG

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	GOLF TOURNAMENT	NameOfEvent1
Gross Receipts Event1	66240	GrossReceiptsEvent1
Charitable Contributions Event1	38086	CharitableContributionsEvent1
Gross Revenue Event1	28154	GrossRevenueEvent1
Cash Prizes Event1	395	CashPrizesEvent1
Non Cash Prizes Event1	10636	NonCashPrizesEvent1
Name Of Event2	EVAN GALA	NameOfEvent2
Gross Receipts Event2	107365	GrossReceiptsEvent2
Charitable Contributions Event2	61909	CharitableContributionsEvent2
Gross Revenue Event2	45456	GrossRevenueEvent2
Non Cash Prizes Event2	43194	NonCashPrizesEvent2
Total Number Of Other Events	1	TotalNumberOfOtherEvents
Gross Receipts Other Events	7265	GrossReceiptsOtherEvents
Charitable Contrib Other Events	7265	CharitableContribOtherEvents
Gross Receipts Total	180870	GrossReceiptsTotal
Charitable Contributions Total	107260	CharitableContributionsTotal
Gross Revenue Total Events	73610	GrossRevenueTotalEvents
Cash Prizes Total Events	395	CashPrizesTotalEvents
Non Cash Prizes Total Events	53830	NonCashPrizesTotalEvents
Direct Expense Summary Events	54225	DirectExpenseSummaryEvents
Net Income Summary	19385	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	1478	PersonsServed
Total Community Benefit Expense	217566	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	217566	NetCommunityBenefitExpense
Percent Of Total Expense	0.00200	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Persons Served	20303	PersonsServed
Total Community Benefit Expense	9211729	TotalCommunityBenefitExpense
Direct Offsetting Revenue	5359258	DirectOffsettingRevenue
Net Community Benefit Expense	3852471	NetCommunityBenefitExpense
Percent Of Total Expense	0.03510	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Persons Served	793	PersonsServed
Total Community Benefit Expense	92975	TotalCommunityBenefitExpense
Net Community Benefit Expense	92975	NetCommunityBenefitExpense
Percent Of Total Expense	0.00080	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Persons Served	22574	PersonsServed
Total Community Benefit Expense	9522270	TotalCommunityBenefitExpense
Direct Offsetting Revenue	5359258	DirectOffsettingRevenue
Net Community Benefit Expense	4163012	NetCommunityBenefitExpense
Percent Of Total Expense	0.03790	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	35	NumberOfActivitiesOrPrograms
Persons Served	5042	PersonsServed
Total Community Benefit Expense	150368	TotalCommunityBenefitExpense
Direct Offsetting Revenue	601	DirectOffsettingRevenue
Net Community Benefit Expense	149767	NetCommunityBenefitExpense
Percent Of Total Expense	0.00140	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	13	NumberOfActivitiesOrPrograms
Persons Served	285	PersonsServed
Total Community Benefit Expense	360235	TotalCommunityBenefitExpense
Net Community Benefit Expense	360235	NetCommunityBenefitExpense
Percent Of Total Expense	0.00330	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Total Community Benefit Expense	1250	TotalCommunityBenefitExpense
Net Community Benefit Expense	1250	NetCommunityBenefitExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	49	NumberOfActivitiesOrPrograms
Persons Served	5327	PersonsServed
Total Community Benefit Expense	511853	TotalCommunityBenefitExpense
Direct Offsetting Revenue	601	DirectOffsettingRevenue
Net Community Benefit Expense	511252	NetCommunityBenefitExpense
Percent Of Total Expense	0.00470	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	49	NumberOfActivitiesOrPrograms
Persons Served	27901	PersonsServed
Total Community Benefit Expense	10034123	TotalCommunityBenefitExpense
Direct Offsetting Revenue	5359859	DirectOffsettingRevenue
Net Community Benefit Expense	4674264	NetCommunityBenefitExpense
Percent Of Total Expense	0.04260	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	4	NumberOfActivitiesOrPrograms
Persons Served	150	PersonsServed
Total Community Building Expense	3333	TotalCommunityBuildingExpense
Net Community Building Expense	3333	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Environmental Improvements EnvironmentalImprovements

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Total Community Building Expense	1772	TotalCommunityBuildingExpense
Net Community Building Expense	1772	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	12	NumberOfActivitiesOrPrograms
Persons Served	190	PersonsServed
Total Community Building Expense	18569	TotalCommunityBuildingExpense
Net Community Building Expense	18569	NetCommunityBuildingExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	18	NumberOfActivitiesOrPrograms
Persons Served	128	PersonsServed
Total Community Building Expense	839271	TotalCommunityBuildingExpense
Direct Offsetting Revenue	149415	DirectOffsettingRevenue
Net Community Building Expense	689856	NetCommunityBuildingExpense
Percent Of Total Expense	0.00630	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	35	NumberOfActivitiesOrPrograms
Persons Served	468	PersonsServed
Total Community Building Expense	862945	TotalCommunityBuildingExpense
Direct Offsetting Revenue	149415	DirectOffsettingRevenue
Net Community Building Expense	713530	NetCommunityBuildingExpense
Percent Of Total Expense	0.00650	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$3,107,480	BadDebtExpenseAmount
Amount Attributable To	217566	AmountAttributableTo
Amount Reimbursed By Medicare	27324581	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	35912698	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-8588117	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	NOT REQUIRED	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber

Form990 Schedule H Part VI Form990ScheduleHPartVI (11 entries)

ExplanationExplanation	IdentifierIdentifier	Return ReferenceReturnReference
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 $6,222,471. NET UNREIMBURSED MEDICAID EXPENSE DECREASED FROM $5,327,387 IN FY 2010 TO $3,852,471 IN FY 2011 MAINLY AS A RESULT OF PAYMENTS RECEIVED FROM THE COMMONWEALTH OF PA UNDER THE MEDICAL ASSISTANCE PAYMENT MODERNIZATION ACT 49 OF 2010. THIS ACT MODERNIZES PENNSYLVANIA'S INPATIENT FEE-FOR-SERVICE HOSPITAL PAYMENT SYSTEM, ESTABLISHES ENHANCED HOSPITAL PAYMENTS THROUGH THE STATE'S MEDICAL ASSISTANCE MANAGED CARE PROGRAM, AND SECURES ADDITIONAL MATCHING MEDICAID FUNDS THROUGH THE ESTABLISHMENT OF THE QUALITY CARE ASSESSMENT, A FEE PAID BY HOSPITALS THAT ALLOWS THE STATE TO ACCESS ADDITIONAL FEDERAL DOLLARS. ACT 49 COVERS FYS 2011-2013 ONLY. AT THIS TIME, THERE ARE NO PROVISIONS FOR THESE PAYMENTS TO CONTINUE PAST FY 2013 AND FY 2013 PAYMENTS CAN BE SUBSTANTIALLY REDUCED FROM CURRENT LEVELS. TOTAL COMMUNITY BENEFITS AS A PERCENTAGE OF TOTAL EXPENSES AMOUNTED TO 6.45% IN FY 2010 AND 4.91% IN FY 2011. HAD THE HOSPITAL NOT RECEIVED THESE PAYMENTS, FY 2011 WOULD HAVE REFLECTED A COMMUNITY BENEFITS PERCENTAGE OF 5.55%
PART II: AS A COMMUNITY AND HEALTH RESOURCE FOR MORE THAN 85 YEARS, EVANGELICAL COMMUNITY HOSPITAL HAS CONTINUALLY DEMONSTRATED ITS COMMITMENT TO THE CENTRAL SUSQUEHANNA VALLEY BY TAKING CARE OF PATIENTS NEEDING TREATMENT IN THE HOSPITAL, 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 CARE, HEALTH EDUCATION, HEALTH SCREENINGS, HEALTH FAIRS, SAFETY INSPECTIONS, RECYCLING EVENTS, 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: A COMMUNITY BENEFIT COMMITTEE WAS FORMED IN 2010 TO DEVELOP NEW WAYS OF IDENTIFYING AND ADDRESSING HEALTH NEEDS IN OUR REGION. THE COMMITTEE HAS DEVELOPED A PROCESS FOR THE DOCUMENTING AND TRACKING OF COMMUNITY BENEFIT DELIVERED BY EACH OF THE 1,200 EMPLOYEES WORKING AT THE HOSPITAL. EXTENDING THE HOSPITAL'S OUTREACH TO THOSE WHO CANNOT AFFORD CARE, OR WHO HAVE DIFFICULTY ACCESSING CARE, IS A KEY OBJECTIVE OF THIS COMMITTEE. THE COMMITTEE CONSISTS OF MEMBERS FROM THE HOSPITAL'S BOARD OF DIRECTORS, EXECUTIVE 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. THIS YEAR THE HOSPITAL'S COMMUNITY BENEFIT COMMITTEE WORKED WITH UNION-SNYDER COMMUNITY ACTION CENTER ON A REGIONAL 2011 IMPLEMENTATION INITIATIVE. THE COMMUNITY BENEFIT COMMITTEE HAS A STRATEGIC PLAN TO ADDRESS THE NEEDS AS IDENTIFIED IN THE ASSESSMENT AND PRIORITIZED ITS PROGRAMS TO ADDRESS UNMET NEEDS. HOSPITAL EXECUTIVES, ITS BOARD OF DIRECTORS, AND ITS MANAGERS HAVE BEEN PROVIDED EDUCATIONAL PRESENTATIONS ON THE RESULTS OF THE 2009 COMMUNITY HEALTH NEEDS ASSESSMENT AND THE WAYS IN WHICH THE HOSPITAL IS WORKING TO MEET THESE NEEDS.PROGRAMS AND SERVICES THAT HAVE BEEN DEVELOPED TO ADDRESS COMMUNITY NEEDS INCLUDE: HEALTH EDUCATION AND IMMUNIZATIONS IN LOCAL INDUSTRIES, BUSINESSES AND SCHOOLS; COMMUNITY RECYCLING EVENT, INTERNSHIP PROGRAMS FOR HIGH SCHOOL AND COLLEGE STUDENTS, FREE OR REDUCED CARE FOR PATIENTS WHO CANNOT AFFORD CARE, PHONE CALLS TO LOCAL WOMEN ENCOURAGING THEM TO GET A MAMMOGRAM, HEALTH SCREENINGS FOR MEN AND WOMEN, HEALTH FAIRS TO EDUCATE THE COMMUNITY ON AVAILABLE RESOURCES AND HOW TO ACCESS CARE, BREAST CANCER AND CARDIAC AND HEART DISEASE AWARENESS AND EDUCATION.IN 2011, OUR CHILD SAFETY SEAT PROGRAM REPLACED 61 FAULTY SEATS AT NO COST TO OUR PATIENTS, OUR MEN'S AND WOMEN'S HEALTH SCREENINGS SERVED MORE THAN 144 MEN AND WOMEN WHO COMPLETED A YEARLY PHYSICAL EXAM FOR MINIMAL FEE (CHARITY CARE WAS PROVIDE FOR THOSE WHO COULD NOT AFFORD THE FEE); 113 BIKE HELMETS WERE DISTRIBUTED TO CHILDREN AND YOUTH IN THE COMMUNITY AT NO CHARGE; HOSPITAL PERSONNEL PROVIDED MORE THAN 25 NO-COST HEALTH-FOCUSED LECTURES TO RESIDENTS OF THE COMMUNITY. THE SEVENTH ANNUAL TELL-A-FRIEND MAMMATHON, A JOINT EFFORT BETWEEN EVANGELICAL COMMUNITY HOSPITAL'S THYRA M. HUMPHREYS CENTER FOR BREAST HEALTH AND THE AMERICAN CANCER SOCIETY, PLACED 5,366 CALLS AND SPOKE TO 1,511 WOMEN AND LEFT 1,564 MESSAGES ABOUT THE IMPORTANCE OF EARLY DETECTION. DURING THE EVENT, 153 WOMEN MADE APPOINTMENTS AT THE CENTER FOR BREAST HEALTH FOR THEIR ANNUAL MAMMOGRAM, AND 956 MADE A COMMITMENT TO SCHEDULE THEIR EXAMS AT THE CENTER OF ANOTHER FACILITY OF THEIR CHOICE.CANCER AWARENESS AND EDUCATION IS EXTREMELY IMPORTANT. THE FOLLOWING PROGRAMS WERE OFFERED IN 2010; THE CORRESPONDING NUMBER BESIDE THE PROGRAM DOCUMENTS THE NUMBER OF PEOPLE SERVED:- LOOK GOOD, FEEL BETTER (1-3 WOMEN MONTHLY)- CANCER SUPPORT GROUP (TWO MONTHLY GROUPS WITH 5-6 PARTICIPANTS EACH)- HOSPITAL'S EMPLOYEE HEALTH FAIR (275 EMPLOYEES AND FAMILY MEMBERS RECEIVED EDUCATION ON BREAST CANCER AWARENESS, SMOKING CESSATION, EARLY DETECTION AND PREVENTATIVE HEALTH ACTIVITIES.- BREAST CANCER SURVIVOR LECTURE (54 PARTICIPANTS)- I CAN COPE SURVIVOR PROGRAM (10 PARTICIPANTS)- COPING WITH THE HOLIDAYS PROGRAM (12 PARTICIPANTS)- BREAST CANCER EDUCATION WITH AMERICAN CANCER SOCIETY (40 PARTICIPANTS)- SURVIVORSHIP LECTURE (98 PARTICIPANTS)- LIFE AFTER LOSS BEREAVEMENT SUPPORT GROUP (8 PARTICIPANTS)OTHER HEALTH EDUCATION AND PREVENTION ACTIVITIES INCLUDE:- MONTHLY SUPPORT GROUPS (629 PARTICIPANTS)- HEALTH SCREENINGS FOR THE UN- AND UNDERINSURED (0 PARTICIPANTS IN 2011)- TALK WITH THE DOC LECTURE SERIES (304 PARTICIPANTS)- NAVIGATING MEDICARE OPTIONS (116 PARTICIPANTS)- BROWN BAG SEMINARS (150 PARTICIPANTS)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 2011, MORE THAN 2,510 STUDENTS IN THE LOCAL SCHOOLS PARTICIPATED IN THE GERM CITY PROGRAM AND WERE EDUCATED ON PROPER HAND WASHING TECHNIQUES.THE HOSPITAL'S "SPEAKER'S BUREAU" OFFERS PRESENTATIONS AND LECTURES TO HELP EDUCATE THE REGION ON THE MOST PRESSING HEALTH CARE NEEDS AND THE WAYS IN WHICH THE HOSPITAL IS MEETING THOSE NEEDS. IN 2011, MORE THAN 3 PRESENTATIONS WERE PROVIDED IN THE COMMUNITY BY HOSPITAL EMPLOYEES AT NO COST TO THE PARTICIPANTS OR ORGANIZING GROUP.
PART III, LINE 4: ACCOUNTS RECEIVABLE ARE REPORTED AT NET REALIZABLE VALUE. ACCOUNTS ARE WRITTEN OFF WHEN THEY ARE DETERMINED TO BE UNCOLLECTIBLE BASED UPON MANAGEMENT'S ASSESSMENT OF INDIVIDUAL ACCOUNTS. 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 DOCUMENTATIONS 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 AND 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 VI, LINE 2: IN 2009, EVANGELICAL COMMUNITY HOSPITAL PARTICIPATED IN A FIVE-COUNTY (SNYDER, UNION, MONTOUR, NORTHUMBERLAND AND COLUMBIA) COMMUNITY HEALTH NEEDS ASSESSMENT. THE ASSESSMENT WAS CONDUCTED 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. IN MAY 2009, THE OVERSIGHT COMMITTEE SELECTED GEISINGER HEALTH RESEARCH TO CONDUCT THE ASSESSMENT AND REPORT ON THE FINDINGS. THE ASSESSMENT CONSISTED OF FOCUS GROUPS, COMMUNITY INTERVIEWS, AND SURVEYS DISTRIBUTED TO A CLUSTERED RANDOMIZED SAMPLE OF RESIDENTS IN THE FIVE-COUNTY AREA. FROM THE SURVEY DISTRIBUTION, 3,300 WERE RETURNED (A 36% RESPONSE RATE). FOCUS GROUP AND COMMUNITY INTERVIEWS CONSISTED OF HOSPITAL STAKEHOLDERS, BUSINESS AND NONPROFIT LEADERS, COUNTY AND GOVERNMENT OFFICIALS, AS WELL AS LEADERS FROM FAITH-BASED ORGANIZATIONS, SCHOOLS AND UNIVERSITIES. THE 2009 NEEDS ASSESSMENT REPORT MAY BE FOUND ON THE ACTION HEALTH WEBSITE AT: HTTP://ACTIONHEALTHPA.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/.FOCUS GROUP FINDINGS VARIED SOMEWHAT AMONG THE DIFFERENT COMMUNITIES WITHIN THE FIVE-COUNTY AREA. CONSISTENT FINDINGS ACROSS THE REGION INCLUDE:1) MEDICAL AND SPECIALTY CARE - RESIDENTS HAVE DIFFICULTY NAVIGATING THE COMPLEX HEALTHCARE INDUSTRY AND SYSTEMS, ESPECIALLY IN FINDING THE NEEDED SPECIALTY CARE. SURVEY PARTICIPANTS NOTED THAT THERE IS LIMITED CARE AVAILABLE FOR THOSE WHO ARE UNINSURED OR UNDERINSURED.2) DENTAL CARE - RESIDENTS IDENTIFIED THE NEED TO FIND ADEQUATE DENTAL CARE FOR LOW-INCOME RESIDENTS OR FOR THOSE WHO DO NOT HAVE INSURANCE. THERE ARE A FEW AREA DENTISTS WHO ACCEPT STATE-ASSISTANCE (MEDICAID/CHIP) AS A FORM OF PAYMENT FOR DENTAL CARE AND THERE IS NO DENTAL CARE FOR LOW-INCOME ADULTS. CHILDREN WITH STATE FUNDED INSURANCE MUST OFTEN OBTAIN THEIR DENTAL CARE OUTSIDE THE REGION, NECESSITATING TRAVEL WHICH MAYBE A PROBLEM FOR FAMILIES WITH NO DEPENDABLE TRANSPORTATION.3) MENTAL HEALTH AND SUBSTANCE ABUSE - TREATMENT FOR MENTAL HEALTH AND SUBSTANCE ABUSE IS VERY LIMITED. INPATIENT MENTAL HEALTH SERVICES ARE ALSO LIMITED AND RESIDENTS DO NOT KNOW HOW TO ACCESS OR NAVIGATE THE MENTAL HEALTH SYSTEM IN OUR REGION.4) SOCIAL AND SUPPORT SERVICES - RESIDENTS DO NOT SEEM TO KNOW WHERE TO GO TO OBTAIN INFORMATION ABOUT AVAILABILITY OF ALL KINDS OF SOCIAL AND SUPPORT SERVICES. THERE IS ALSO LIMITED COORDINATION OF INFORMATION AND SERVICES BETWEEN AGENCIES AND ORGANIZATIONS.5) HOMELESSNESS - THERE IS LIMITED ACCESS TO SHELTERS FOR THE HOMELESS OR FOR THOSE IN NEED OF TRANSITIONAL HOUSING.6) CONSUMER EDUCATION - THERE IS A GREAT NEED FOR CONSUMER EDUCATION AND PROMOTION OF: HEALTH LITERACY, HEALTH AND WELLNESS, PARENTING EDUCATION, AND PREVENTATIVE CARE.7) PUBLIC TRANSPORTATION - WHILE THE FOCUS GROUP PARTICIPANTS ACKNOWLEDGED THE TREMENDOUS WORK OF THE UNION-SNYDER TRANSPORTATION AUTHORITY (USTA) AND OTHER SIMILAR TRANSPORT SYSTEMS, THERE WAS GENERAL AGREEMENT THAT THERE IS A NEED FOR EXPANDED PUBLIC TRANSPORTATION.8) FOOD - PARTICIPANTS CITED THAT FOOD PANTRIES ARE DIFFICULT TO LOCATE AND MAY BE LIMITED IN THEIR ABILITY TO MEET THE INCREASING COMMUNITY DEMANDS FOR FOOD.9) AFFORDABLE CHILD CARE - PARTICIPANTS EXPRESSED CONCERN REGARDING LACK OF 24-HOUR CHILD CARE. 24-HOUR CARE IS NEEDED DUE TO RESIDENTS WHO WORK SECOND OR THIRD SHIFTS.10) EDUCATION FOR SPECIAL GROUPS - PARTICIPANTS NOTED THAT THERE ARE DEMOGRAPHIC GROUPS WITH UNIQUE NEEDS AND THAT A ONE-SIZE-FITS-ALL APPROACH IS NOT OPTIMAL TO MEET THESE NEEDS. PARTICIPANTS RECOMMENDED THAT SPECIAL PROGRAMS BE DEVELOPED FOR UNMET NEEDS OF THE FOLLOWING GROUPS: SENIORS, NON-ENGLISH SPEAKERS, GRANDPARENTS RAISING GRANDCHILDREN, AND ADOLESCENTS.11) LACK OF HEALTH INSURANCE - DUE TO RISING UNEMPLOYMENT, HEALTH INSURANCE COVERAGE IS LACKING. IN ADDITION, IT WAS NOTED THAT RESIDENTS OF THE MIDDLE CLASS ARE LACKING IN THEIR ABILITY TO ACCESS ASSISTANCE WHILE UNEMPLOYED, SUCH AS FOOD AND UTILITY ASSISTANCE.12) DOMESTIC VIOLENCE - WITH THE INCREASE OF UNEMPLOYMENT THERE HAS BEEN A REPORTED INCREASE IN DOMESTIC VIOLENCE. SURVEY PARTICIPANTS RECOMMENDED AN INCREASE IN THE OFFERING OF STRESS MANAGEMENT AND OTHER PROACTIVE STRATEGIES TO REDUCE DOMESTIC VIOLENCE.13) TOBACCO USE - THERE IS A CONTINUED NEED FOR AFFORDABLE TOBACCO CESSATION PROGRAMS IN THE REGION.14) LIMITED COMPUTER ACCESS - THIS WAS NOTED AS A SIGNIFICANT BARRIER TO FINDING APPROPRIATE HEALTHCARE OPTIONS, FOR NAVIGATING THE HEALTHCARE SYSTEM, AND IN ACCESSING HEALTH INFORMATION, AS WELL AS HEALTH AND SOCIAL SERVICES.IN ADDITION, THE 2009 COMMUNITY HEALTH NEEDS ASSESSMENT REVEALED THE MOST PREVALENT CHRONIC HEALTH CONDITIONS IN OUR COMMUNITY AS: - DIABETES- HIGH BLOOD PRESSURE- HEART DISEASE AS A MEMBER OF ACTION HEALTH AND THE COMMUNITY HEALTH NEEDS ASSESSMENT OVERSIGHT COMMITTEE, EVANGELICAL COMMUNITY HOSPITAL HAS TAKEN AN ACTIVE ROLE IN THE ASSESSMENT PROCESS AND PARTICIPATES ACTIVELY ON THE COMMITTEE. FOLLOWING THE REVIEW OF THE 2009 COMMUNITY HEALTH NEEDS ASSESSMENT REPORT, THE HOSPITAL HAS DEVELOPED THREE STANDING TASKFORCES LED BY EDUCATORS IN THE COMMUNITY HEALTH EDUCATION OFFICE. THE SOLE PURPOSE OF THE TASKFORCES IS TO ADDRESS THREE CRITICAL UNMET COMMUNITY NEEDS: 1) NAVIGATING THE HEALTHCARE SYSTEM; 2) REDUCING OBESITY; AND 3) DECREASING TOBACCO USE. PROGRAMMING IN CLINICAL DEPARTMENTS, PATIENT PROCESSES, AND OUTREACH EFFORTS TO THE COMMUNITY WILL BE MODIFIED TO FOCUS ON MEETING THE IDENTIFIED UNMET NEEDS AND WAYS IN WHICH EVANGELICAL COMMUNITY HOSPITAL CAN BRING ABOUT SYSTEMIC CHANGE.IN OCTOBER 2011, A NEW ACTION HEALTH COMMUNITY HEALTH NEEDS ASSESSMENT OVERSIGHT COMMITTEE WAS FORMED AND EVANGELICAL COMMUNITY HOSPITAL HAS DESIGNATED TWO MANAGEMENT LEVEL INDIVIDUALS TO SERVE ON THIS COMMITTEE. THE COMMITTEE HAS BEGUN ITS WORK TO ASSESS THE NEEDS OF THE COMMUNITY THROUGH A 2012 COMMUNITY NEEDS ASSESSMENT.
PART VI, LINE 3: AS A COMMUNITY HOSPITAL, EVANGELICAL IS DEDICATED TO IMPROVING THE HEALTH AND WELL-BEING OF ALL ITS CONSTITUENTS. THROUGH THE FINANCIAL ASSISTANCE PROGRAM, MEDICAL CARE IS PROVIDED REGARDLESS OF A PATIENT'S ABILITY TO PAY, INSUFFICIENT HEALTH INSURANCE OR WHETHER A GOVERNMENT-SPONSORED PROGRAM COVERS THE FULL COST OF SERVICES. AND AS THE COUNTRY'S ECONOMIC FUTURE REMAINS UNCERTAIN, EVANGELICAL WILL CONTINUE TO PROVIDE CARE FOR THOSE WHO NEED IT. EVANGELICAL WILL PROVIDE SERVICES AT NO CHARGE OR REDUCED CHARGES TO THOSE WHO ARE FINANCIALLY UNABLE TO PAY FOR THOSE SERVICES. EVANGELICAL WILL NOT ARBITRARILY RESTRICT THE PROVISIONS OF HEALTH SERVICES TO CERTAIN INDIVIDUALS OR GROUPS.EVANGELICAL COMMUNITY HOSPITAL'S REGISTRATION DEPARTMENT REPRESENTATIVES INFORM OUR UNINSURED OR UNDER INSURED PATIENTS, OF OUR FINANCIAL ASSISTANCE PROGRAM. FINANCIAL ASSISTANCE APPLICATIONS ARE OFFERED TO THESE PATIENTS AND IN ADDITION, THEY HAVE THE OPPORTUNITY TO CALL OUR FINANCIAL COUNSELOR. THE FINANCIAL COUNSELOR DISCUSSES THE AVAILABILITY OF VARIOUS GOVERNMENT BENEFITS SUCH AS MEDICAID OR STATE PROGRAMS TO ASSIST THE PATIENT WITH QUALIFICATIONS FOR THESE PROGRAMS. THE FINANCIAL COUNSELOR WILL ALSO ASSIST THE PATIENT IN COMPLETING THE PROPER PAPERWORK FOR ASSISTANCE. THE FINANCIAL COUNSELORS AND CASE MANAGEMENT STAFF WORK CLOSELY TO IDENTIFY AND ASSIST ELIGIBLE PATIENTS. OUR SELF-PAY VENDOR ALSO INFORMS THE PATIENT THAT EVANGELICAL HAS A FINANCIAL ASSISTANCE PROGRAM AND A FINANCIAL COUNSELOR WHO WILL SEND THEM AN APPLICATION IF REQUESTED. OUR THIRD PARTY VENDOR WORKS ON BEHALF OF THE ORGANIZATION TO FOLLOW THE HOSPITAL'S POLICIES REGARDING PATIENT NOTIFICATION AND THE AVAILABILITY OF FINANCIAL ASSISTANCE. EVANGELICAL'S FINANCIAL ASSISTANCE POLICY IS POSTED ON THE EVANGELICAL WEBSITE (HTTP://WWW.EVANHOSPITAL.COM/SERVICES/COMMUNITY_RESOURCES/CHARITY_CARE) ALONG WITH AN APPLICATION FOR PATIENTS TO COMPLETE FOR FINANCIAL ASSISTANCE. EVANGELICAL COMMUNITY HOSPITAL WILL MAKE AVAILABLE A WRITTEN NOTICE TO EACH PATIENT OR THEIR REPRESENTATIVE OF THE EXISTENCE, CRITERIA AND MECHANISM FOR RECEIVING FINANCIAL ASSISTANCE. THE HOSPITAL WILL CREATE AND MAINTAIN RECORDS DEMONSTRATING THAT THE REQUIRED CRITERIA AND MECHANISM ARE ESTABLISHED (HOSPITAL WILL RECORD ANY AND ALL REQUESTS FOR FINANCIAL ASSISTANCE, THE DISPOSITION AND THE DOLLAR AMOUNT OF EVANGELICAL'S FINANCIAL ASSISTANCE PROGRAM PROVIDED). IN ALL INSTANCES, PATIENT CONFIDENTIALITY WILL BE PROTECTED.ELIGIBILITY WILL BE DETERMINED BY COMPARING HOUSEHOLD FAMILY INCOME AGAINST THE INCOME POVERTY GUIDELINES. INCOME IS DEFINED AS THE TOTAL ANNUAL CASH RECEIPTS BEFORE TAXES FROM ALL SOURCES.AN INDIVIDUAL NOTICE OF AVAILABILITY OF EVANGELICAL'S FINANCIAL ASSISTANCE PROGRAM WILL BE GIVEN TO EACH PATIENT OR THEIR REPRESENTATIVE PRIOR TO SERVICES BEING RENDERED, WITH THE EXCEPTION OF EMERGENCY SERVICES. THESE NOTICES SHALL BE AVAILABLE IN ALL REGISTRATION AREAS OF THE HOSPITAL AND SHALL INCLUDE THE MOST CURRENT AVAILABLE "HOUSEHOLD INCOME GUIDELINES" AS PUBLISHED IN THE FEDERAL REGISTER.THE PATIENT ACCOUNTS DIRECTOR OR HIS/HER DESIGNEE SHALL REVIEW ALL APPLICATIONS FOR THE EVANGELICAL FINANCIAL ASSISTANCE PROGRAM. IT IS THE APPLICANT'S RESPONSIBILITY TO PROVIDE PROOF OF INCOME. WHEN LANGUAGE IS A BARRIER, EVANGELICAL OFFERS A SPECIAL INTERPRETER CONFERENCING TELEPHONE SERVICE. INTERPRETATION SERVICES ARE AVAILABLE FOR A MULTITUDE OF PATIENT/CAREGIVER INTERACTIONS. WHEN A NON-ENGLISH SPEAKING PATIENT, NO MATTER HIS OR HER NATIVE TONGUE, CALLS IN TO THE HOSPITAL, HE OR SHE WILL BE ABLE TO BE UNDERSTOOD THROUGH A TELEPHONE INTERPRETER. THIS IS AVAILABLE FOR OUTBOUND CALLS TO THE PATIENT AS WELL. THE PROCESS CONTRIBUTES TO IMPROVED PATIENT CARE AND CLINICAL OUTCOMES AND MAKES A VITAL DIFFERENCE IN THE QUALITY OF SERVICE EVANGELICAL IS ABLE TO PROVIDE TO 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 127 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 31,500 VISITS IN 2010. ECH HAS EARNED THE PATIENT SAFETY EXCELLENCE AWARD FOUR OF THE PAST FIVE YEARS FROM HEALTHGRADES (A LEADING NATIONAL INDEPENDENT HEALTHCARE RATINGS ORGANIZATION) WHICH PUTS ECH IN THE TOP 5% OF ALL HOSPITALS IN THE COUNTRY FOR PATIENT SAFETY, SHARING THIS DISTINCTION WITH ONLY 242 OTHERS. 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 MOST NATIONAL DATA COLLECTION EFFORTS THE REGION IS PRIMARILY A RURAL REGION. THIS IS CONFIRMED IN RESPONDENT REPORTS FROM THE NEEDS ASSESSMENT. ABOUT 61% OF RESPONDENTS IN THE REGION DESCRIBED THEIR PLACE OF RESIDENCE AS RURAL.MANY PARTICIPANTS RESPONDING TO THE COMMUNITY NEEDS ASSESSMENT REPORTED SIGNIFICANT BARRIERS TO ACCESSING HEALTH CARE IN THEIR COMMUNITIES. THESE WERE PRIMARILY RELATED TO LACK OF HEALTH CARE COVERAGE, LACK OF UNDERSTANDING ABOUT HOW TO NAVIGATE THE HEALTHCARE SYSTEM AND WHERE TO GO FOR HELP, TRANSPORTATION, LOW INCOME AND LOCATING HEALTH CARE PROVIDERS AND PAYING FOR SERVICES-PARTICULARLY DENTAL CARE. CITY-DATA.COM FOR UNION COUNTY INDICATES THAT THE POPULATION CONSISTS OF: WHITE NON-HISPANIC (87.6%), BLACK (6.9%), HISPANIC (3.9%), TWO OR MORE RACES (1.4%) THE MEDIAN RESIDENT AGE IS 35.8. 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 (97.4%), HISPANIC (1.0%), BLACK (0.8%) 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 (96.6%), BLACK (1.5%), HISPANIC (1.1%), TWO OR MORE RACES (0.6%) 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 COMMUNITY NEEDS ASSESSMENT SUMMARIZED THE FOLLOWING REGARDING THE DEMOGRAPHICS AND NEEDS OF OUR COMMUNITY: NEARLY 39% OF RESPONDENTS WERE SENIOR CITIZENS; MORE THAN HALF OF RESPONSES REPRESENT HOUSEHOLDS WITH INCOME OF $40,000 PER YEAR OR LESS; ABOUT ONE-THIRD OF AREA RESIDENTS REPORT THAT THEIR FINANCIAL CIRCUMSTANCES ARE SOMEWHAT OR MUCH WORSE OFF COMPARED TO TWO YEARS AGO; WHILE THE EDUCATIONAL LEVELS OF AREA RESIDENTS ARE GENERALLY QUITE HIGH DUE TO THE PRESENCE OF OCCUPATIONS THAT REQUIRE HIGHER LEVELS OF EDUCATION, ABOUT 1 OUT OF 9 ADULTS IN THE REGION DO NOT HAVE A HIGH SCHOOL DIPLOMA. THOSE WITHOUT A HIGH SCHOOL DIPLOMA HAVE A SIGNIFICANTLY INCREASED RISK FOR UNEMPLOYMENT, LOW INCOME, AND HOUSING ISSUES. MOST RESIDENTS HAVE LIVED IN THE AREA FOR TEN OR MORE YEARS. ABOUT 8.2% HAVE MOVED TWO OR MORE TIMES IN THE PAST TWO YEARS. ABOUT TWO-THIRDS OF HOUSEHOLDS IN THE REGION HAVE A COMPUTER IN THEIR HOME. AMONG THOSE WITH A COMPUTER, 74.0% USE THE COMPUTER DAILY. SENIOR HOUSEHOLDS ARE THE LEAST LIKELY TO REPORT HAVING A COMPUTER OR USING A COMPUTER REGULARLY. COMMUNITY COHESION - 91% OF AREA RESIDENTS INDICATED THAT THEY FEEL SAFE OR VERY SAFE AT HOME. SENIOR RESIDENTS ARE SOMEWHAT LESS LIKELY TO FEEL SAFE IN THEIR NEIGHBORHOODS. RESIDENTS WHO DO NOT FEEL SAFE IN THEIR NEIGHBORHOOD ARE LESS LIKELY TO ASK FOR ASSISTANCE SUCH AS A RIDE TO AN APPOINTMENT. TOBACCO AND ALCOHOL USE - ABOUT 16% OF AREA ADULTS USE TOBACCO PRODUCTS. TWO-THIRDS OF THESE INDIVIDUALS HAVE ATTEMPTED TO STOP USING TOBACCO. MOST ADULTS IN THE REGION HAVE USED ALCOHOL AT SOME TIME IN THEIR LIVES. ABOUT 6% OF ADULTS REPORTED ALCOHOL USE CONSISTENT WITH BINGE DRINKING DURING THE PAST THIRTY DAYS. ONE THIRD OF THOSE WHO REPORTED DRINKING FIVE OR MORE DRINKS THE LAST TIME ALCOHOL WAS CONSUMED HAD PROBLEMS ASSOCIATED WITH DRINKING SUCH AS FAMILY OR LEGAL PROBLEMS. NEARLY 60% OF THESE INDIVIDUALS BELIEVED THAT THEY HAD A DRINKING PROBLEM AND NEARLY HALF OF THOSE WHO DRANK FIVE OR MORE DRINKS THE LAST TIME THEY DRANK WERE UNABLE TO GET HELP WHEN SOUGHT DURING THE PAST YEAR. PREVENTION AND HEALTHY LIFESTYLES - GENERALLY, THERE IS A NEED FOR INCREASED COMPLIANCE WITH PREVENTION AND HEALTHY LIFESTYLE PRACTICES. IT APPEARS THAT INDIVIDUALS WITH A CHRONIC HEALTH CONDITION ARE LIKELY TO HAVE HAD MANY OF THE SCREENING AND PREVENTION PROCEDURES THAT ARE INDICATED. HOWEVER, AMONG THOSE WITHOUT A DIAGNOSED HEALTH CONDITION, AND AMONG THOSE WHO ARE UNDER AGE 65 YEARS, THERE IS A MUCH LOWER RATE OF COMPLIANCE WITH RECOMMENDED EVALUATIONS AND PREVENTION ACTIVITIES. SEE SCHEDULE O FOR CONTINUATION
PART VI, LINE 6: EVANGELICAL COMMUNITY HOSPITAL HAS A TOTAL OF 127 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 ARE 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 AREAS;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) PROVIDES FINANCIAL SUPPORT TO OTHER NONPROFIT ORGANIZATIONS FOR THE PURPOSE OF HEALTH PROMOTION AND COLLABORATING TO MEET UNMET NEEDS IN THE COMMUNITY.7) THE HOSPITAL'S COMMUNITY HEALTH EDUCATION DEPARTMENT 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 EDUCATION STAFF OFFERS: HEALTH SCREENINGS, HEALTH FAIRS, LECTURES, SUPPORT GROUPS, FLU SHOTS, AND SAFETY INSPECTIONS. IN FISCAL YEAR 2011, THE COMMUNITY HEALTH EDUCATION STAFF PROVIDED MORE THAN 1439 FLU VACCINATIONS AND MORE THAN 1000 CHILDREN AND PARENTS ATTENDED THE ANNUAL CHILDREN'S HEALTH FAIR.ANY SURPLUS FUNDS ARE REINVESTED IN THE CAPITAL OF THE HOSPITAL, USED FOR TECHNOLOGY PURCHASES FOR THE LATEST MEDICAL EQUIPMENT, AND HELD FOR FUTURE USES FOR CARE OF THE INDIGENT.
PART VI, LINE 7: 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 SERVICESORGANIZATION PROVIDES HEALTHCARE SERVICES IN THE FORM OF PRIMARY AND SPECIALTY CARE PHYSICIANS TO THE COMMUNITY. HOMECARE PRODUCTS PROVIDES DURABLE MEDICAL EQUIPMENT AND OXYGEN TO THE SUPPORT THE COMMUNITY NEEDS.
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 (2 entries)

Type Of GrantTypeOfGrant	Number Of RecipientsNumberOfRecipients	Amount Of Cash GrantAmountOfCashGrant	Method Of ValuationMethodOfValuation	Description Of Non Cash AssistanceDescriptionOfNonCashAssistance
NURSING SCHOLARSHIPS	19	36950	CASH	N/A
JOHNS FAMILY SCHOLARSHIPS	4	20000	CASH	N/A

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	1	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	0	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (12 entries)

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
361161	0	0	0	0	0	36558	0	64567	0	462286	0	0	0
JAMES A STOPPER
122892	0	0	0	0	0	0	0	34410	0	157302	0	0	0
J LAWRENCE GINSBURG
545654	0	0	0	0	0	41326	0	111457	0	698437	0	0	0
KENDRA A AUCKER
199727	0	0	0	0	0	14235	0	41689	0	255651	0	0	0
TAMI RADECKE
153131	0	0	0	0	0	14721	0	28156	0	196008	0	0	0
PAUL TARVES
188181	0	0	0	0	0	16520	0	36171	0	240872	0	0	0
MARK K KRAMMES
229986	0	0	0	0	0	0	0	64396	0	294382	0	0	0
SANDRA S WALKER
223992	0	0	0	0	0	0	0	62718	0	286710	0	0	0
LORI K GOODLING
218136	0	0	0	0	0	0	0	61078	0	279214	0	0	0
RAYMOND J TOMASZEWSKI
214621	0	0	0	0	0	0	0	60094	0	274715	0	0	0
COLLEEN FRITZ
212351	0	0	0	0	0	0	0	59458	0	271809	0	0	0
RICHARD E SMITH JR
170927	0	0	0	0	0	13321	0	34538	0	218786	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII

Field	Value	IRS element (for citing)
Return Reference	PART I, LINES 4A-B	ReturnReference
Explanation	RICHARD E. SMITH, JR. RECEIVED $48,750 OF SEVERENCE PAYMENTS.	Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
UNION COUNTY HOSPITAL AUTHORITY
232739624	906460CT5	2004-08-01	23463224	SERIES OF 2004 BONDS - FUND CONSTRUCTION & RENOVATIONS PROJECTS	0	0	0
UNION COUNTY HOSPITAL AUTHORITY
232739624		2011-03-03	29960888	SERIES OF 2011 BONDS - FUND CONSTRUCTION & REFUND OUTSTANDING 2009 BONDS	0	0	0

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

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	Amount UnspentAmountUnspent
2140000	23474907	1753500	771220	15232482	5717705	2004	1	1	1	1
	29719008	2252124	377544		11245154		1	0	1	1	15844186

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

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	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
0	0	0	0	0.00000	0.00320	0.00320	1
0	0	0	0	0.00000	0.00320	0.00320	1

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiled	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Gross Proceeds InvestedGrossProceedsInvested	Exception To RebateExceptionToRebate
0	0	0	0	0	0
0	0	0	0	0	0

Form990 Schedule K Part V Form990ScheduleKPartV

Field	Value	IRS element (for citing)
Identifier	SCHEDULE K, PART II, LINE 3:	Identifier
Explanation	TOTAL PROCEEDS OF ISSUE FOR BOND A IS LESS THAN THE ISSUE PRICE LISTED IN PART I DUE TO THE UNDERWRITER'S DISCOUNT OF $189,280 OFFSET BY INVESTMENT EARNINGS OF $200,963. TOTAL PROCEEDS OF ISSUE FOR BOND B IS 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	426965	JOHN D. GRIFFITH LEASES PROPERTY TO THE HOSPITAL AT AN ARM'S LENGTH TRANSACTION.	0
JAMES W MORGAN JR MD
DIRECTOR OF THE BOARD	305158	THE HOSPITAL PAYS DR. MORGAN'S PRACTICE FOR MEDICAL DIRECTORSHIPS THAT ARE SERVED BY DOCTORS WITHIN HIS PRACTICE.	0

Schedule M IRS990ScheduleM

Other Non Cash Contributions Table OtherNonCashContributionsTable (4 entries)

Non Cash CheckboxNonCashCheckbox	DescriptionDescription	Number Of ContributionsNumberOfContributions	Noncash Contribs Rptd F990NoncashContribsRptdF990	Method Of Determining RevenuesMethodOfDeterminingRevenues
X	ADVERTISEMENT SPACE	1	5661	FMV
X	SPORTING EVENT	1	1368	FMV
X	ACCOMODATIONS	1	8400	FMV
X	FUNDRAISING PRIZES	286	51960	FMV

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 (7 entries)

IdentifierIdentifier	ExplanationExplanation	Return ReferenceReturnReference
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 B, LINE 11	FORM 990 WAS REVIEWED BY THE FINANCE DEPARTMENT WITH THE AUDIT COMMITTEE 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.
	A CONFLICT OF INTEREST STATEMENT IS REQUIRED TO BE SIGNED ANNUALLY BY ALL VOTING BOARD MEMBERS, UPPER MANAGMENT, 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 12C
	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, VICE PRESIDENT - SUBSIDIARY OPERATIONS. THE COMMITTEE HAS ENGAGED AN INDEPENDENT COMPENSATION CONSULTANT TO PROVIDE INFORMATION AND ADVICE TO THE COMMITTEE, INCLUDING BUT NOT LIMITED TO, PROVIDING INDEPENDENT COMPENSATION COMPARABILITY DATA FOR FUNCTIONALLY COMPARABLE POSITIONS IN SIMILARLY SITUATED HOSPITALS. THE DATA IS PROVIDED ON AN ANNUAL BASIS AND IS REVIEWED BY THE COMMITTEE, ALONG WITH OTHER INFORMATION, PRIOR TO APPROVING ANY CHANGES TO COMPENSATION. THE INDEPENDENCE OF THE COMMITTEE'S MEMBERS IS REVIEWED AND VERIFIED PRIOR TO THE START OF THE ANNUAL COMPENSATION REVIEW PROCESS. SHOULD A CONFLICT PRESENT, THOSE INDIVIDUALS WITH ACTUAL OR PERCEIVED CONFLICTS ABSTAIN FROM VOTING UNTIL SUCH TIME AS THE CONFLICT CAN BE RESOLVED OR A REPLACEMENT MEMBER IS APPOINTED TO THE COMMITTEE. THE COMMITTEE'S DELIBERATIONS AND DECISIONS ARE GUIDED BY A WRITTEN COMPENSATION PHILOSOPHY AND DOCUMENTED THROUGH WRITTEN MINUTES TAKEN DURING EACH MEETING. THE MINUTES INCLUDE, AMONG OTHER THINGS, THE WRITTEN MATERIALS DISTRIBUTED OR PRESENTED DURING THE MEETING AND THE SPECIFIC DECISIONS TAKEN AT THE MEETING.	FORM 990, PART VI, SECTION B, LINE 15
	GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.	FORM 990, PART VI, SECTION C, LINE 19
CHANGES IN NET ASSETS OR FUND BALANCES:	NET UNREALIZED GAINS ON INVESTMENTS: 4,066,555. CHANGE IN VALUE OF SPLIT-INTEREST AGREEMENT 29,255. VALUATION GAIN 593,717. POSTRETIREMENT BENEFIT LIABILITY ADJUSTMENT -191,108. EQUITY TRANSFER TO AFFILIATE -1,950,000. TOTAL TO FORM 990, PART XI, LINE 5: 2,548,419.	FORM 990, PART XI, LINE 5:
	ADDITIONALLY, THOSE WHO HAVE NO HEALTH INSURANCE ARE LESS LIKELY TO HAVE THESE PREVENTION AND SCREENING PROCEDURES: * INFLUENZA VACCINES WERE MORE LIKELY AMONG SENIORS AND THOSE WITH INSURANCE. * LESS THAN TWO-THIRDS OF ADULTS WHO DO NOT HAVE HYPERTENSION (HIGH BLOOD PRESSURE) REPORTED A BLOOD PRESSURE CHECK IN THE PAST YEAR. * MOST YOUNG ADULTS DID NOT PLAN TO GET THE H1N1 VACCINE DURING THE HEIGHT OF THE INFLUENZA OUTBREAK. * ABOUT 37% OF AREA ADULTS DO NOT EXERCISE REGULARLY EACH WEEK. AN ADDITIONAL ONE-THIRD EXERCISE ONE TO THREE DAYS EACH WEEK. WHILE THE REMAINING 31% EXERCISE FOUR OR MORE DAYS EACH WEEK. * MOST RESIDENTS REPORT WALKING AS THEIR USUAL EXERCISE. THUS, PROMOTING HEALTHY WALKABLE COMMUNITIES SHOULD BE AN IMPORTANT PUBLIC HEALTH AGENDA ITEM FOR THE REGION. * HOUSEHOLD INCOME WAS ASSOCIATED WITH THE ABILITY TO AFFORD A HEALTHY DIET. NEARLY 7% OF LOW INCOME FAMILIES ARE OFTEN OR VERY OFTEN UNABLE TO AFFORD A HEALTHY DIET. HOUSEHOLDS WITH CHILDREN WERE MORE LIKELY TO REPORT THAT THEY COULD NOT AFFORD FRESH FRUITS AND VEGETABLES. HEALTH STATUS THE MOST PREVALENT CHRONIC HEALTH CONDITIONS REPORTED BY ADULTS INCLUDED: HIGH BLOOD PRESSURE ARTHRITIS DIABETES ANXIETY AND DEPRESSION HEART DISEASE HIGH BLOOD PRESSURE IS MOST PREVALENT AMONG ADULTS OVER THE AGE OF 44 YEARS, WHILE ANXIETY AND DEPRESSION IS MOST PREVALENT AMONG 18-44 YEAR OLDS. ABOUT 13% OF RESPONDENTS MET CRITERIA FOR SERIOUS PSYCHOLOGICAL DISTRESS. THESE INDIVIDUALS MAY HAVE NEED FOR TREATMENT FOR CONDITIONS SUCH AS DEPRESSION OR ANXIETY. ACCESS TO HEALTH CARE AND HEALTH INFORMATION ABOUT 90% OF AREA RESIDENTS HAVE A USUAL SOURCE OF HEALTH CARE. HOWEVER, AMONG THOSE RESIDENTS WHO DO NOT HAVE HEALTH INSURANCE, NEARLY 41% REPORTED THAT THEY DID NOT HAVE A USUAL SOURCE OF CARE. MORE THAN 5% OF AREA RESIDENTS ARE UNABLE TO AFFORD PRESCRIBED MEDICINES OFTEN OR VERY OFTEN. UNINSURANCE STATUS REDUCES THE LIKELIHOOD THAT A RESIDENT OF THE AREA WILL HAVE SEEN A HEALTH CARE PROVIDER IN THE PAST TWO YEARS. MOST AREA RESIDENTS OBTAIN HEALTH INFORMATION FROM THEIR HEALTH CARE PROVIDER. HOWEVER, MORE THAN 40% OBTAIN SOME HEALTH INFORMATION FROM THE INTERNET. COMMUNITY PROBLEMS THE MOST SIGNIFICANT COMMUNITY PROBLEMS NOTED BY AREA RESIDENTS INCLUDED: UNEMPLOYMENT DOMESTIC VIOLENCE CHILD ABUSE DRUG ABUSE UNDERAGE DRINKING AFFORDABLE CHILDCARE PERSONAL AND HOUSEHOLD NEEDS DURING THE PAST YEAR AMONG THE SERVICES OR ASSISTANCE THAT AREA RESIDENTS WERE REPORTED HAVING DIFFICULTY ACCESSING WAS: * PAYING FOR PRESCRIPTION MEDICATION, MENTAL HEALTH SERVICES, DENTAL CARE, AND MEDICAL CARE. * FINDING MENTAL HEALTH CARE, SUBSTANCE ABUSE TREATMENT, DENTAL CARE, MEDICAL CARE AND CHILDCARE. * LOCATING OR APPLYING FOR SOCIAL SERVICES, FOOD PANTRY AND OTHER FOOD ASSISTANCE, HEATING ASSISTANCE, LEGAL ASSISTANCE, AND ADULT ACCESS. CONCLUSION THEMES ACROSS THE FOCUS GROUPS, INTERVIEWS AND SURVEYS WERE SIMILAR. THERE IS CONSIDERABLE WORK TO BE DONE BY AREA AGENCIES AND THE ORGANIZATION. THERE IS A SIGNIFICANT NEED FOR HEALTH AND WELLNESS EDUCATION AND SUPPORT AND PROMOTION OF WELLNESS EDUCATION AND PHYSICAL ACTIVITY. A VERY CLEAR NEED IS PRESENT IN HELPING AREA RESIDENTS NAVIGATE THE HEALTH CARE AND SOCIAL SERVICE SYSTEM. THERE IS NO CLEAR ROAD MAP FOR AREA RESIDENTS IN LOCATING SERVICES. FOR EXAMPLE, THERE IS NOT A LISTING IN THE PHONE BOOK OR ON THE INTERNET FOR FOOD BANKS. THE GREATEST NEEDS APPEAR TO BE IN OBTAINING HEALTH AND DENTAL CARE FOR LOW INCOME AND UNINSURED RESIDENTS. THE PROBLEM IS A MULTI-LEVEL PROBLEM THAT BEGINS WITH LOCATING PROVIDERS AND IS CLOSELY FOLLOWED BY NEGOTIATING PAYMENT STRATEGIES FOR SERVICES. IT IS UNLIKELY THAT THESE PROBLEMS CAN BE RESOLVED BY ONE ORGANIZATION BUT MAY OFFER OPPORTUNITIES FOR PARTNERSHIP ACROSS MANY ORGANIZATIONS. PREVENTION AND EDUCATION FOR SUBSTANCE USE DISORDERS AND TOBACCO USE IS ONE OF MANY ISSUES THAT WILL REQUIRE THE DEVELOPMENT OF STRATEGIES FOR REACHING MANY DIFFERENT CONSTITUENCIES. A FREQUENTLY NOTED CONCERN IN THE FOCUS GROUPS WAS THAT A MINORITY POPULATION WAS NOT REACHED BY EXISTING SERVICES. THESE POPULATIONS INCLUDED SENIORS, TEENS, IMMIGRANT POPULATIONS, AND OTHERS. EDUCATION FOR CONSUMER ISSUES AS WELL AS HEALTH ISSUES CANNOT BE ASSUMED TO BE "ONE SIZE FITS ALL" AND MUST BE TAILORED TO POPULATIONS OF NEED. EVANGELICAL IS COLLABORATING WITH AREA HOSPITALS THROUGH "ACTION HEALTH" ALONG WITH SEVERAL COMMUNITY ORGANIZATIONS TO USE THIS DATA TO DEVELOP PARTNERSHIPS FOR MEETING THE NEEDS OF AREA RESIDENTS. OUR STRATEGIC PLAN CALLS FOR EXPANDING PROGRAMS AND SERVICES TO ADDRESS COMMUNITY NEEDS AND GROWING OUTREACH EFFORTS TO UNDER SERVED COMMUNITIES.	FORM 990, SCHEDULE H, PART VI, LINE 4

Schedule R IRS990ScheduleR

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

Field	Value	IRS element (for citing)
Business Name Line1	EVANGELICAL AMBULATORY SURGICAL CENTER LLC	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 Activity	HEALTHCARE	PrimaryActivity
Legal Domicile State	PA	LegalDomicileState
Direct Controlling Entity NA	N/A	DirectControllingEntityNA
Predominant Income Type	INVESTMENT	PredominantIncomeType
Share Of Total Income	101438	ShareOfTotalIncome
Share Of EOY Assets	852085	ShareOfEOYAssets
Disproportionate Allocations	0	DisproportionateAllocations
General Or Managing Partner	0	GeneralOrManagingPartner
Percentage Ownership	0.50000	PercentageOwnership

Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Direct Controlling Entity NADirectControllingEntityNA	Type Of EntityTypeOfEntity	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Percentage OwnershipPercentageOwnership	Business Name Line1DirectControllingEntityName/BusinessNameLine1
CENTRAL SUSQUEHANNA HEALTHCARE PROVIDERS INC
ONE HOSPITAL DRIVE	LEWISBURG	PA	17837	232452170	MEDICAL SERVICES	PA	N/A	C	-6837	165623	0.50000
ECH PHARMACY & HOMECARE PRODUCTS INC
ONE HOSPITAL DRIVE	LEWISBURG	PA	17837	232353576	SALES OF MEDICAL DRUGS AND SUPPLIES	PA		C	1973630	1992417		EVANGELICAL MEDICAL SERVICE ORGANIZATION
EVANGELICAL MEDICAL SERVICE ORGANIZATION
ONE HOSPITAL DRIVE	LEWISBURG	PA	17837	232809429	MEDICAL SERVICES	PA	N/A	C	15557102	8897370	1.00000

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
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	1	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	0	OtherTransferToOtherOrg
Other Transfer From Other Org	0	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (8 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
EVANGELICAL MEDICAL SERVICES ORGANIZATION
D	73617	CASH
EVANGELICAL MEDICAL SERVICES ORGANIZATION
B	1950000	CASH
EVANGELICAL COMMUNITY HOSPITAL PHARMACY & HOME CARE PRODUCTS INC
D	78050	CASH
EVANGELICAL MEDICAL SERVICES ORGANIZATION
P	1148685	CASH
EVANGELICAL COMMUNITY HOSPITAL PHARMACY & HOME CARE PRODUCTS INC
I	128000	CASH
EVANGELICAL MEDICAL SERVICES ORGANIZATION
I	345322	CASH
EVANGELICAL COMMUNITY HOSPITAL PHARMACY & HOME CARE PRODUCTS INC
N	57456	HOURS SPENT WORKING FOR AFFILIATE
EVANGELICAL MEDICAL SERVICES ORGANIZATION
N	442402	HOURS SPENT WORKING FOR AFFILIATE