EVANGELICAL COMMUNITY HOSPITAL: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization: EVANGELICAL COMMUNITY HOSPITAL (EIN 24-0795411)
Tax period: 2009-07-01 to 2010-06-30
Filed: 2011-02-12
IRS object ID: 201130439349300803
Schema version: 2009v1.7
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	2011-02-12T08:06:26-06:00	Timestamp
Tax Period End Date	2010-06-30	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	2009-07-01	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	2011-02-10	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Phone	5703236023	Phone

Field	Value	IRS element (for citing)
Tax Year	2009	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	142644800	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c	X	Organization501c
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	22	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	20	NbrIndependentVotingMembers
Total Nbr Employees	1374	TotalNbrEmployees
Total Nbr Volunteers	614	TotalNbrVolunteers
Total Gross UBI	2661072	TotalGrossUBI
Net Unrelated Business Txbl Income	741637	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	1307743	ContributionsGrantsPriorYear
Contributions Grants Current Year	2786638	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	112483659	ProgramServiceRevenuePriorYear
Program Service Revenue CY	114538362	ProgramServiceRevenueCY
Investment Income Prior Year	-3586368	InvestmentIncomePriorYear
Investment Income Current Year	2591073	InvestmentIncomeCurrentYear
Other Revenue Prior Year	3095626	OtherRevenuePriorYear
Other Revenue Current Year	3000785	OtherRevenueCurrentYear
Total Revenue Prior Year	113300660	TotalRevenuePriorYear
Total Revenue Current Year	122916858	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	47580	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	22000	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	59591819	SalariesEtcPriorYear
Salaries Etc Current Year	56875722	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	585356	TotalFundrsngExpCurrentYear
Other Expense Prior Year	51253688	OtherExpensePriorYear
Other Expenses Current Year	52750551	OtherExpensesCurrentYear
Total Expenses Prior Year	110893087	TotalExpensesPriorYear
Total Expenses Current Year	109648273	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	2407573	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	13268585	RevenuesLessExpensesCY
Total Assets BOY	162652471	TotalAssetsBOY
Total Assets EOY	177099609	TotalAssetsEOY
Total Liabilities BOY	55675897	TotalLiabilitiesBOY
Total Liabilities EOY	58486321	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	106976574	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	118613288	NetAssetsOrFundBalancesEOY
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	1	SignificantChange
Expense	93246911	Expense
Revenue	113261962	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	93246911	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	0	LobbyingActivities
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	1	TermOrPermanentEndowments
Balance Sheet Amounts Reported	1	BalanceSheetAmountsReported
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
Grants To Organizations	1	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
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	71	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	1374	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
Nbr Voting Governing Body Members	22	NbrVotingGoverningBodyMembers
Number Independent Voting Members	20	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	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
James Apple
Director emeritus	1.00	X	0	0	0
Martha Barrick
chairperson	1.00	X	0	0	0
Carol Graybeal
Director	1.00	X	0	0	0
JOHN Griffith
VICE CHAIRPERSON	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
James Morgan Jr MD
Director	1.00	X	0	0	0
Fredrik Paulsen Jr
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
Norman Rich
Director	1.00	X	0	0	0
DOUGLAS SPOTTS MD
Director	1.00	X	0	0	0
Michael Wimer
Director	1.00	X	0	0	0
MARK VAN BLARGAN ESQ
SOLICITOR	1.00	X	0	0	0
SARA KIRKLAND
DIRECTOR EMERITUS	1.00	X	0	0	0
Henry A Truslow IV
Director	1.00	X	0	0	0
JOHN MATHIAS
DIRECTOR EMERITUS	1.00	X	0	0	0
Julie Barna DMD
Director	1.00	X	0	0	0
tim apple
director	1.00	X	0	0	0
brooks gronlund
director	1.00	X	0	0	0
john meckley esq
director	1.00	X	0	0	0
julia redcay DO
director	1.00	X	0	0	0
john e rice md
director	1.00	X	0	0	0
russell stankiiewicz md
ex-officio	1.00	X	0	0	0
jeanette williams
ex-officio	1.00	X	0	0	0
MICHAEL N O'KEEFE
PRESIDENT/CEO	40.00		259789	0	78976	X
CHRISTINE M MARTIN
CFO/TREASURER	40.00		175600	0	53382	X
james a stopper
controller/ interim cfo	40.00		94604	0	28760	X
J LAWRENCE GINSBURG
VP MEDICAL AFFAIRS	40.00		329001	0	100016		X
Richard E Smith Jr
Chief Operating Officer	40.00		156165	0	47474		X
kendra A aucker
VP Subsidiary Operations	40.00		158532	0	48194		X
MARK K KRAMMES
CHIEF CRNA	47.00		237441	0	72182			X
LORI K GOODLING
NURSE ANESTHETIST	47.00		221665	0	67386			X
RAYMOND J TOMASZEWSKI
NURSE ANESTHETIST	46.00		205363	0	62430			X
BRADLEY P BOWER
NURSE ANESTHETIST	44.00		202589	0	61587			X
sandra s walker
NURSE ANESTHETIST	48.00		229115	0	69651			X
MICHAEL P PIERCE
Former VP HUMAN RESOURCE	40.00		68512	0	0				X
SCOTT W PETERSON
Former CIO	40.00		267711	0	0				X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	2537575	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	690038	TotalOtherCompensation
Number Individuals GT100 K	21	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	1663766
BURT HILL
PO BOX 360248M	PITTSBURGH	PA	15251	ARCHITECT	1242034
CHART SERVICES
PO BOX 6305	BRATTLEBORO	VT	053026305	MANAGEMENT SERVICES	917211
zartman construction
3000 point township dr	northumberland	PA	17857	construction	659969
Coresource Inc
PO Box 34707	Newark	NJ	071894707	MANAGEMENT SERVICES	451914

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	118	NumberOfContractorsGT100K
Federated Campaigns	10500	FederatedCampaigns
Fundraising Events	118111	FundraisingEvents
Government Grants	64931	GovernmentGrants
All Other Contributions	2593096	AllOtherContributions
Noncash Contributions	89261	NoncashContributions
Total Contributions	2786638	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	112997907	112997907
LABORATORY SERVICES	621500	1540455		1540455

Field	Value	IRS element (for citing)
Total Program Service Revenue	114538362	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	1995659	TotalRevenueColumn
Exclusion	$1,995,659	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	1982200	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	2200324	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	-218124	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	-218124	TotalRevenueColumn
Exclusion	-$218,124	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	17971433	Securities
Other	82459	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	17261378	Securities
Other	197100	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	710055	Securities
Other	-114641	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	595414	TotalRevenueColumn
Exclusion	$595,414	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	53973	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	118111	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	65804	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	-11831	TotalRevenueColumn
Exclusion	-$11,831	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Gaming	1925	GrossIncomeGaming
Gaming Direct Expenses	3336	GamingDirectExpenses

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	-1411	TotalRevenueColumn
Exclusion	-$1,411	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Unrelated Business RevenueUnrelatedBusinessRevenue	ExclusionExclusionAmount
BILLING AND CODING FEE	541900	554801	554801
ADMINISTRATIVE FEE INC	541900	543333	543333
CAFETERIA AND VENDING	722210	529014		$529,014

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	1605003	TotalRevenueColumn
Related Or Exempt Function Income	643490	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	22483	UnrelatedBusinessRevenue
Exclusion	$939,030	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	3232151	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	122916858	TotalRevenueColumn
Related Or Exempt Function Income	113641397	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	2661072	UnrelatedBusinessRevenue
Exclusion	$3,827,751	ExclusionAmount

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	22000	Total
Program Services	22000	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	1533154	Total
Program Services	429618	ProgramServices
Management And General	1103536	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	42285193	Total
Program Services	35878807	ProgramServices
Management And General	6189899	ManagementAndGeneral
Fundraising	216487	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	1307099	Total
Program Services	1089011	ProgramServices
Management And General	211577	ManagementAndGeneral
Fundraising	6511	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	8607420	Total
Program Services	7370150	ProgramServices
Management And General	1192603	ManagementAndGeneral
Fundraising	44667	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	3142856	Total
Program Services	2618473	ProgramServices
Management And General	508727	ManagementAndGeneral
Fundraising	15656	Fundraising

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	1082433	Total
Program Services	1082433	ProgramServices

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	292641	Total
Management And General	292641	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	171199	Total
Program Services	54515	ProgramServices
Management And General	116684	ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	280945	Total
Program Services	7650	ProgramServices
Management And General	273295	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	4259968	Total
Program Services	2782503	ProgramServices
Management And General	1327149	ManagementAndGeneral
Fundraising	150316	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	446354	Total
Program Services	29509	ProgramServices
Management And General	403636	ManagementAndGeneral
Fundraising	13209	Fundraising

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	24906007	Total
Program Services	22528456	ProgramServices
Management And General	2343717	ManagementAndGeneral
Fundraising	33834	Fundraising

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	2259677	Total
Program Services	2259677	ProgramServices

Travel Travel

Field	Value	IRS element (for citing)
Total	159800	Total
Program Services	143328	ProgramServices
Management And General	12646	ManagementAndGeneral
Fundraising	3826	Fundraising

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	135777	Total
Program Services	92756	ProgramServices
Management And General	35439	ManagementAndGeneral
Fundraising	7582	Fundraising

Interest Interest

Field	Value	IRS element (for citing)
Total	1391024	Total
Program Services	1391024	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	6390037	Total
Program Services	6390037	ProgramServices

Insurance Insurance

Field	Value	IRS element (for citing)
Total	1059268	Total
Program Services	1059268	ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral	FundraisingFundraising
BAD DEBT	4949924	4949924
LiCENSES & fees	3372561	2350607	1021854	100
federal & state taxes	271150		271150
contRAST MEDIA	241251	241251
EMPLOYEE & PHYSICIAN RE	212764	382	212382

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	867771	Total
Program Services	475532	ProgramServices
Management And General	299071	ManagementAndGeneral
Fundraising	93168	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	109648273	Total
Program Services	93246911	ProgramServices
Management And General	15816006	ManagementAndGeneral
Fundraising	585356	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

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

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	33331421	BOY
EOY	22663582	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	137224	BOY
EOY	1026948	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	10656452	BOY
EOY	9961572	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	1766403	BOY
EOY	1744377	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	2578134	BOY
EOY	2540533	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	1551902	BOY
EOY	1456765	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	146180407	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	72453515	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	72628026	BOY
EOY	73726892	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	32615713	BOY
EOY	57366549	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	2921881	BOY
EOY	1939694	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	4463850	BOY
EOY	4671232	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	162652471	BOY
EOY	177099609	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	11949777	BOY
EOY	12872502	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	35075000	BOY
EOY	33945000	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	8651120	BOY
EOY	11668819	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	55675897	BOY
EOY	58486321	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	102912714	BOY
EOY	113040176	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	349508	BOY
EOY	1401450	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	3714352	BOY
EOY	4171662	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	106976574	BOY
EOY	118613288	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	162652471	BOY
EOY	177099609	EOY

Field	Value	IRS element (for citing)
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	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 Minus1 Year CurrentYearMinus1Year

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	0.67000	BoardDesignatedEOYBalance
Permanent Endowment EOY Balance	0.33000	PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs	0	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	0	EndowmentsHeldByRelatedOrgs

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	3225844	OtherCostOrOtherBasis
Book Value	3225844	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	69539159	OtherCostOrOtherBasis
Depreciation	23738669	Depreciation
Book Value	45800490	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	3607878	OtherCostOrOtherBasis
Depreciation	2121441	Depreciation
Book Value	1486437	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	63391998	OtherCostOrOtherBasis
Depreciation	46593405	Depreciation
Book Value	16798593	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	6415528	OtherCostOrOtherBasis
Book Value	6415528	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	73726892	TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (7 entries)

DescriptionDescription	AmountAmount
BLUE CROSS CURRENT FINANCING ADVANCE	$1,057,200
ACCRUED POSTRETIREMENT BENEFIT COSTS	$5,192,589
ESTIMATED MEDICAL MALPRACTICE CLAIMS LIABILITY	$582,512
CHARITABLE GIFT ANNUITIES PAYABLE	$765,608
DEFERRED COMPENSATION	$1,664,598
Estimated third-party payor settlements	$1,032,995
capital lease obligation	$1,373,317

Field	Value	IRS element (for citing)
Total Of Amounts	11668819	TotalOfAmounts
Total Revenue	122916858	TotalRevenue
Total Expenses	109648273	TotalExpenses
Excess Or Deficit For Year	13268585	ExcessOrDeficitForYear
Net Unrealized GL On Investments	1661303	NetUnrealizedGLOnInvestments
Other	-$3,293,174	OtherAmount
Total Adjustments	-1631871	TotalAdjustments
Excess Or Deficit Per FS	11636714	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	126026156	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	1661303	NetUnrealizedGainsInvestments
Other Revenues	-821469	OtherRevenues
Revenue Not Rptd F990	839834	RevenueNotRptdF990
Revenue Subtotal	125186322	RevenueSubtotal
Other Revenues Not Included	-2269464	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	-2269464	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	122916858	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	114389442	TotExpensesEtcAuditedFinclStmt
Other Expenses Included	5014464	OtherExpensesIncluded
Expenses Not Rptd F990	5014464	ExpensesNotRptdF990
Expenses Subtotal	109374978	ExpensesSubtotal
Investment Expenses Not Included2	273295	InvestmentExpensesNotIncluded2
Expenses Not Rptd On Fin Stmt	273295	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	109648273	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (6 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Part V, Line 4:	Description of Intended Use of Endowment Funds:	ENDOWMENT FUNDS WILL BE USED TO SUPPORT VARIOUS HOSPITAL PROGRAMS SUCH AS FUNDING HELPLINE SERVICES, COMMUNITY HEALTH EDUCATION, HOSPICE SERVICES, PRE-HOSPITAL SERVICES, FAMILY PLACE (OB SERVICES), PROVIDE NURSING SCHOLARSHIPS AND TO PROVIDE FOOD, SERVICE, OR CARE FOR PEOPLE WHO DO NOT HAVE THE MEANS TO PAY FOR THE SERVICE.
Part X:	Description of Uncertain Tax Positions Under FIN 48:	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 2010.
Part XI, Line 8 - Other Adjustments:		CHANGE IN VALUE OF SPLIT-INTEREST AGREEMENT: 12004. VALUATION GAIN: 324394. POSTRETIREMENT BENEFIT LIABILITY ADJUSTMENT: -884572. EQUITY TRANSFER TO AFFILIATE: -2745000.
Part XII, Line 2d - Other Adjustments:		Changes in Value of Split Interest Agreement: 12004. VALUATION GAIN: 324394. Investment Fees: -273295. POSTRETIREMENT BENEFIT LIABILITY ADJUSTMENT: -884572.
Part XII, Line 4b - Other Adjustments:		RENTAL EXPENSES: -2200324. Special Events Expense: -69140.
Part XIII, Line 2d - Other Adjustments:		RENTAL EXPENSES: 2200324. Special Events Expense: 69140. EQUITY TRANSFER TO AFFILIATE: 2745000.

Schedule G IRS990ScheduleG

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	Golf Tournament	NameOfEvent1
Gross Receipts Event1	72097	GrossReceiptsEvent1
Charitable Contributions Event1	39416	CharitableContributionsEvent1
Gross Revenue Event1	32681	GrossRevenueEvent1
Cash Prizes Event1	755	CashPrizesEvent1
Non Cash Prizes Event1	10937	NonCashPrizesEvent1
Name Of Event2	Evan Gala	NameOfEvent2
Gross Receipts Event2	81666	GrossReceiptsEvent2
Charitable Contributions Event2	60374	CharitableContributionsEvent2
Gross Revenue Event2	21292	GrossRevenueEvent2
Non Cash Prizes Event2	54112	NonCashPrizesEvent2
Total Number Of Other Events	1	TotalNumberOfOtherEvents
Gross Receipts Other Events	18321	GrossReceiptsOtherEvents
Charitable Contrib Other Events	18321	CharitableContribOtherEvents
Gross Receipts Total	172084	GrossReceiptsTotal
Charitable Contributions Total	118111	CharitableContributionsTotal
Gross Revenue Total Events	53973	GrossRevenueTotalEvents
Cash Prizes Total Events	755	CashPrizesTotalEvents
Non Cash Prizes Total Events	65049	NonCashPrizesTotalEvents
Direct Expense Summary Events	65804	DirectExpenseSummaryEvents
Net Income Summary	-11831	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	0	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	1	ExpensesExceededBudget
Unable To Provide Care	0	UnableToProvideCare
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	1	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Persons Served	1930	PersonsServed
Total Community Benefit Expense	329492	TotalCommunityBenefitExpense
Direct Offsetting Revenue	7282	DirectOffsettingRevenue
Net Community Benefit Expense	322210	NetCommunityBenefitExpense
Percent Of Total Expense	0.00310	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Persons Served	20218	PersonsServed
Total Community Benefit Expense	8920999	TotalCommunityBenefitExpense
Direct Offsetting Revenue	3593612	DirectOffsettingRevenue
Net Community Benefit Expense	5327387	NetCommunityBenefitExpense
Percent Of Total Expense	0.05090	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Persons Served	796	PersonsServed
Total Community Benefit Expense	90430	TotalCommunityBenefitExpense
Net Community Benefit Expense	90430	NetCommunityBenefitExpense
Percent Of Total Expense	0.00090	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Persons Served	22944	PersonsServed
Total Community Benefit Expense	9340921	TotalCommunityBenefitExpense
Direct Offsetting Revenue	3600894	DirectOffsettingRevenue
Net Community Benefit Expense	5740027	NetCommunityBenefitExpense
Percent Of Total Expense	0.05490	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	47	NumberOfActivitiesOrPrograms
Persons Served	10773	PersonsServed
Total Community Benefit Expense	111214	TotalCommunityBenefitExpense
Direct Offsetting Revenue	14730	DirectOffsettingRevenue
Net Community Benefit Expense	96484	NetCommunityBenefitExpense
Percent Of Total Expense	0.00090	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	16	NumberOfActivitiesOrPrograms
Persons Served	243	PersonsServed
Total Community Benefit Expense	266326	TotalCommunityBenefitExpense
Direct Offsetting Revenue	22000	DirectOffsettingRevenue
Net Community Benefit Expense	244326	NetCommunityBenefitExpense
Percent Of Total Expense	0.00230	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	100	PersonsServed
Total Community Benefit Expense	1327	TotalCommunityBenefitExpense
Net Community Benefit Expense	1327	NetCommunityBenefitExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Persons Served	35	PersonsServed
Total Community Benefit Expense	5730	TotalCommunityBenefitExpense
Net Community Benefit Expense	5730	NetCommunityBenefitExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	66	NumberOfActivitiesOrPrograms
Persons Served	11151	PersonsServed
Total Community Benefit Expense	384597	TotalCommunityBenefitExpense
Direct Offsetting Revenue	36730	DirectOffsettingRevenue
Net Community Benefit Expense	347867	NetCommunityBenefitExpense
Percent Of Total Expense	0.00330	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	66	NumberOfActivitiesOrPrograms
Persons Served	34095	PersonsServed
Total Community Benefit Expense	9725518	TotalCommunityBenefitExpense
Direct Offsetting Revenue	3637624	DirectOffsettingRevenue
Net Community Benefit Expense	6087894	NetCommunityBenefitExpense
Percent Of Total Expense	0.05820	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	6	NumberOfActivitiesOrPrograms
Persons Served	11	PersonsServed
Total Community Building Expense	7570	TotalCommunityBuildingExpense
Direct Offsetting Revenue	2708	DirectOffsettingRevenue
Net Community Building Expense	4862	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	2197	TotalCommunityBuildingExpense
Net Community Building Expense	2197	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	19	NumberOfActivitiesOrPrograms
Persons Served	2200	PersonsServed
Total Community Building Expense	16677	TotalCommunityBuildingExpense
Net Community Building Expense	16677	NetCommunityBuildingExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	23	NumberOfActivitiesOrPrograms
Persons Served	970	PersonsServed
Total Community Building Expense	861657	TotalCommunityBuildingExpense
Direct Offsetting Revenue	225598	DirectOffsettingRevenue
Net Community Building Expense	636059	NetCommunityBuildingExpense
Percent Of Total Expense	0.00610	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	49	NumberOfActivitiesOrPrograms
Persons Served	3181	PersonsServed
Total Community Building Expense	888101	TotalCommunityBuildingExpense
Direct Offsetting Revenue	228306	DirectOffsettingRevenue
Net Community Building Expense	659795	NetCommunityBuildingExpense
Percent Of Total Expense	0.00630	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$2,439,020	BadDebtExpenseAmount
Amount Attributable To	657668	AmountAttributableTo
Amount Reimbursed By Medicare	39831809	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	49296673	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-9464864	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

Form990 Schedule H Part V Form990ScheduleHPartV

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, Home Health, Hospice	Other

Form990 Schedule H Part VI Form990ScheduleHPartVI

Field	Value	IRS element (for citing)
Income Based Criteria	Part I, Line 3c:	IncomeBasedCriteria
Bad Debt Footnote	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.	BadDebtFootnote
Needs Assessment	Part VI, Line 2: Evangelical Community Hospital participated in a five county (Snyder, Union, Montour, Northumberland, Columbia) community health needs assessment conducted by ACTION Health (represented by five area community hospitals, including Evangelical Community Hospital, and two universities). In February of 2009, ACTION Health formed a Needs Assessment Committee. In May of 2009, the committee selected Geisinger Center for Health Research to conduct the assessment. The assessment consisted of focus groups, community interviews, and a clustered randomized sample of county residents. 3,300 surveys were returned, with a response rate of 36%. Focus group and community interviews consisted of Hospital Stakeholders, and leaders within each county from the following organizations: government, non-profit organizations, faith based organizations, schools, universities, and private businesses. The Community Needs Assessment is made available to the community on the ACTION health website http://actionhealthpa.org/blog/community-health-needs-assessment).Focus group findings varied somewhat from county to county and community to community. However, a number of findings were consistent across the region:1. Medical care and specialty care: residents have difficulty navigating the health care system. This includes finding appropriate health care, particularly specialty care. Moreover, participants noted that there is limited care available for those who are uninsured or who are under insured. 2. Dental care for area residents is limited. Particularly problematic for low-income residents and for those who do not have dental insurance. There are few area dentists who accept state-assistance (Medicaid/CHIPS) 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 receive their dental care outside of the region, necessitating travel which may be a problem for families with no dependable transportation. 3. Mental health and substance abuse treatment is limited. There is limited availability of specialty services for substance abuse particularly. Inpatient mental health services are limited and residents often do not know how to navigate the mental health care system. 4. There is a general agreement that area residents do not know where to go to obtain information about availability of all kinds of social and support services. Moreover, there is only limited coordination of information and services between agencies and organizations. 5. Limited access to homeless shelters and transitional housing support. 6. Need for health and consumer education and promotion of consumer literacy, health and wellness education, parenting, and prevention programs. 7. Need for expanded public transportation. While focus group participants acknowledged the tremendous work of the Union-Snyder Transportation Authority (USTA) and other similar transportation systems, there were general agreement that there remains a need for expanded public transportation. 8. Limited food resources. Participants noted that food pantries are difficult to locate and may be limited in their ability to meet the increasing demands for additional food support in the community. 9. Need for affordable child care and child care for all work shifts. There was significant concern at some focus group locations regarding the lack of 24-hour child care due to shift work required in some employment settings. 10. Services and education designed for special groups including seniors, adolescents, grandparents raising grand children, non-English-speaking seniors. Participants noted that these demographic groups have unique needs that may not be met by "one-size fits all" approaches currently in place. The development of special programs for unique groups that reach out to these individuals may improve access.11. Rising unemployment was noted as the economic downturn reached this area. The central concern for focus group members was the increasing population without health insurance and a middle class that was not schooled in accessing assistance, such as food pantry and utility assistance. 12. Increase in domestic violence. Again, in the current economic environment members expressed concerns about the increased reporting of domestic violence. There was an expressed need for education strategies to promote stress management and other strategies for reducing interpersonal violence. 13. Reduction in tobacco use, but continued need for affordable tobacco cessation programs. Members suggested that tobacco cessation programs should be available in workplaces such as food sales environment and programs should be developed to target particular demographic groups. 14. Computer access was viewed as potentially increasing disparity. Many use the computer to access health information, social services and other resources. Addressing computer access may include providing training for the use of the computer to navigate health and human services. Evangelical Community Hospital has been a very active member of ACTION Health and now participates actively in ACTION Health Community Health Needs Assessment Committee. This committee is a coalition of leaders that assist in making necessary program changes to promote a healthier community and address identified needs of the community. Evangelical Community Hospital's Community Benefit Committee works cooperatively with others in the community to address the specific health needs identified in the health assessment. The committee consists of hospital employees with diverse expertise from social services to fundraising, direct patient care to community health education. The Community Benefit Committee has developed a strategic plan to address the needs as identified in the assessment and has prioritized the hospital's community programs to address these needs. The Committee is leading the way for Evangelical's future in outreach, aid and support. Hospital personnel were informed of the community needs and prioritized programs conducted in the hospital and the community to assist with addressing these needs. The ACTION Health organization will be conducting the next needs assessment in 2012.	NeedsAssessment
Patient Education Assistance	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 patient 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.	PatientEducationAssistance
Community Information	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 colleges: 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	CommunityInformation
Community Building Activities	Part VI, Line 5: As a fixture in the community for more than eight decades, Evangelical Community Hospital has proven its commitment to the Central Susquehanna Valley. Beyond the daily care and healing of patients, the Hospital extends its reach outside its walls to provide prevention and wellness education to the wider community. Outreach includes charity care, health education, subsidized programs and other benefits that support community partnerships. The Community Benefit Committee was formed in 2010 to track the ways the Hospital gives back and to seek out new and interesting ways to extend its reach. Members with diverse expertise, from social services to fundraising, direct patient care to community health education, the Committee is leading the way for Evangelical's future in outreach, aid and support. Some of the programs included but are not limited to the following:H1N1 prevention, education and immunizations for the business and school community;Community Recycling Event;Opportunity for future healthcare leaders to complete internship programs;Reminder phone calls to community women to schedule their mammograms and programs for those under and uninsured women;In 2010, our Child Safety Seat program replaced 58 faulty seats at no cost to our patients;our Men's and Women's Health Screenings served over 200 men and women who completed a yearly physical exam for minimal fee; scholarships were awarded to those who could not afford the fee; and 250 bike helmets were distributed in the community at no charge. Grant was given to Evangelical for Emergency Preparedness in the amount of $45,196. This will be used for disaster planning and medical equipment and supplies for Disaster Preparedness at Evangelical. The grant will be used to train staff in disaster preparedness. An ample supply of tamiflu was purchased in 2010 to combat the H1N1 influenza. Additionally monies were used to renovate the Haz-Mat Room in the Emergency Department. The Center for Breast Health received $25,000 in grant monies to contact women in the Lycoming County area and encourage them to schedule their mammogram. The grant was funded by the Williamsport Lycoming Community Foundation. This money will also help to provide free mammograms to uninsured or underinsured women in Lycoming County. Additionally, The Center received the Susan G. Komen Grant, in the amount of $20,000 to help meet the needs of the underinsured women in our community that qualified for a mammogram or diagnostic breast studies. More than 200 women participated in this program. The American Cancer Society provided the hospital with $1000 grant for the I Can Cope for the Breast Cancer Survivor. The Hospital's Cancer Committee identified lack of area resources for "cancer survivors". The I Can Cope program provided the twenty women with a 4-week program in educating them on community resources and living with breast cancer. In 2010, Evangelical Community Hospital has kicked off a multi-million-dollar construction project that will expand and renovate its current operating rooms to accommodate some of the most up-to-date and advanced surgical technologies. The expansion also will include an addition to the Hospital's cardiovascular services and support to introduce interventional cardiac procedures at Evangelical Community Hospital. Grants to support this project included the following: The Stabler Foundation $200,000; Charles Foundation $25,000; Ralph and Josephine Smith Fund at the First Community Foundation; $25,000. The new surgical suite will be built bringing the total number of operating rooms from six to eight. Each of the eight rooms will be 63 percent larger than the current ORs. Space currently occupied by the existing operating rooms will be renovated and will provide for much-needed support services such as locker rooms, physician consultation areas, and storage.In 2009, the Hospital introduced some new surgical procedures including an ear, nose, and throat (ENT) procedure called balloon sinuplasty for sinusitis sufferers, total laparoscopic hysterectomies for gynecological patients, and gastric banding surgery for severely overweight patients. Within the next few months we will begin performing radiation seed implant surgery for prostate cancer patients. In total our surgeons performed 5,574 procedures in 2009. The Central Susquehanna Valley United Way and Lou Harris Funds granted the hospital $6,000, towards hospice patient care and funds for families who were unable to pay for their care. The Sixth 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 over 6,400 calls. During the event, 197 women made appointments at the Center for Breast Health for their annual mammogram, and nearly 2,000 made a commitment to schedule their exams either at the Center or at another facility. Roche Pharmaceuticals provided $2,000 to assist with the program costs. State Farm and Evangelical work together each year to educate families and inspect child safety seats through their Child Seat Safety Program Day held at our local shopping mall. $1,800 was given to Evangelical to replace more than eighteen outdated and unsafe seats to families as well as provide them with educational materials.Evangelical Community Hospital was pleased to be the first hospital in the nation, and the first organization in Pennsylvania, to offer Germ City. "Germ City: Clean Hands, Healthy People" uses an entertaining technique to help children, parents and teachers look differently at an invisible problem: germs. The hands-on experience lets everyone examine the effects of improper hand washing in a new light. The focal point of the Germ City program is a large, walk-through tunnel equipped with black lights. Participants apply black-light-sensitive lotion and enter the tunnel, seeing pretend germs on their hands. After initial observation, participants wash their hands normally, re-visit Germ City, and assess the effectiveness. Sometimes they are pleased with their hand washing; other times they are not. It's a "hands-on" experience. Everyone has an opportunity to learn about the importance of frequent, effective hand washing and see immediate results. More than 4,000 students in the local schools were educated on proper hand washing and traveled through Germ City.$25,000 was given to the hospital from The Degenstein Foundation. The monies were use for hospital medical equipment-glide scope, stretcher, bladder scanner, and reference materials for health care professional education.PPL Electric Company gave the Hospital a $24,000 grant for improvements in the hospital security system and to purchase the C-Cure 9000 Security Management System. This technology will be used to restrict access to certain areas of the hospital.	CommunityBuildingActivities
Other Information	Part VI, Line 6: Evangelical has a total of 127 patient beds and 18 bassinets. There are nearly 200 physicians on the Medical Staff, and nearly 900 clinical employees, including lab technicians, nurses and nursing assistants, physical, occupational and speech therapists, radiology technicians, phlebotomist, and countless other personnel, highly trained and expertly skilled to give you the best possible care, both on an inpatient and outpatient basis. The hospital:1. Has an open medical staff with privileges available to all qualified physicians in the area. Evangelical has nearly 200 employed and non-employed physicians on its medical staff. 2. Has a governing body in which independent persons representative of the community 3. Operates an Emergency Department that is open to all persons regardless of their ability to pay for services.4. Is affiliated with health care facilities, such as Geisinger Medical Center, to provide the best medical care for our patients.5. Has a Board of Directors made up of people who reside within the community they serve and volunteer their time because of their concern for the hospital and the community7. Created a Bio ethics Committee which is composed of volunteer members of the medical field, nursing, social service, pastoral care staffs and other health care professionals within the Hospital, as well as volunteers from the community at large8. Supports the hospital plant by using surplus funds through the operational and capital budget process to enhance/maintain the facility to meet current governmental required safety codes.9. Fundraises through the hospital's development department. The fundraising provides programming such as the Child Safety Seat program along with the major renovations such as Surgical and Cardiac expansion project. 10. "Speakers Bureau" is to provide the community with an opportunity to become better acquainted with our physicians and staff members and to become better educated in health-oriented topics. Members of Evangelical's "Speakers Bureau" are available to provide a wide range of interesting programs regarding health information, health care advances, or health education and career opportunities for any group, large or small, service club, church group or business organization. Our speakers include physicians, nurses, social workers, therapists and other Hospital staff members. 11. Evangelical Community Hospital participates with five area community hospitals, including Evangelical Community Hospital, and two universities to identify community needs and addresses the community concerns. 11. "Community Health Education" at Evangelical Community Hospital is devoted to prevention, early intervention and health education--the forerunners of health care today. "Community Health Education" provides an array of health screenings, health fairs, lectures and support groups. We offer programs for people of all ages including children, parents, parents-to-be and grandparents. Evangelical is committed to "taking care of our community" and believes that by enhancing awareness and creating an environment that supports good health practices, we can make a difference in many lives today and in the future. Among our many activities in a year, "Community Health Education" provided more than 2,500 flu vaccinations. 1,400 children and their families attended the Annual Children's Health Fair. These are only a few of the activities held each year to not only make community members' lives healthier and fuller but also to help save them. Through our programs we are able to identify persons at risk for a stroke, heart attack, diabetes, prostate cancer and breast cancer, as well as other health risks or injuries.12. The Thyra M. Humphreys Center for Breast Health at Evangelical Community Hospital is a comprehensive, multi disciplinary breast care program, offering a full spectrum of clinical and support services, from screening and diagnosis to treatment and counseling. The Center provides innovative, integrated, high quality care delivered in an atmosphere that has been designed with women in mind.	OtherInformation
Affiliated Health Care System	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 Pharmacy & Homecare Products. Evangelical Medical Services Organization provide healthcare services in the form of Primary and Specialty Care physician's to the community. Homecare Pharmacy provided an outpatient pharmacy service to the community until it's closure in October 2009. Homecare Products provide durable medical equipment and oxygen to the support the community needs.	AffiliatedHealthCareSystem
Reports Filed With States	PA	ReportsFiledWithStates

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	1	RecordsMaintained
No Grant More Than5000	X	NoGrantMoreThan5000

Form990 Schedule I Part III Form990ScheduleIPartIII

Field	Value	IRS element (for citing)
Type Of Grant	NURSING SCHOLARSHIPS	TypeOfGrant
Number Of Recipients	11	NumberOfRecipients
Amount Of Cash Grant	20500	AmountOfCashGrant
Method Of Valuation	FMV	MethodOfValuation
Description Of Non Cash Assistance	N/A	DescriptionOfNonCashAssistance

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 (11 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
259789	0	0	0	0	0	38272	0	40704	0	338765	0	0	0
CHRISTINE M MARTIN
175600	0	0	0	0	0	23768	0	29614	0	228982	0	0	0
J LAWRENCE GINSBURG
329001	0	0	0	0	0	44622	0	55394	0	429017	0	0	0
Richard E Smith Jr
156165	0	0	0	0	0	20698	0	26776	0	203639	0	0	0
kendra A aucker
158532	0	0	0	0	0	8386	0	39808	0	206726	0	0	0
MARK K KRAMMES
237441	0	0	0	0	0	0	0	72182	0	309623	0	0	0
LORI K GOODLING
221665	0	0	0	0	0	0	0	67386	0	289051	0	0	0
RAYMOND J TOMASZEWSKI
205363	0	0	0	0	0	0	0	62430	0	267793	0	0	0
BRADLEY P BOWER
202589	0	0	0	0	0	0	0	61587	0	264176	0	0	0
sandra s walker
229115	0	0	0	0	0	0	0	69651	0	298766	0	0	0
SCOTT W PETERSON
267711	0	0	0	0	0	0	0	0	0	267711	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII

Field	Value	IRS element (for citing)
Return Reference	Part I, Line 4a	ReturnReference
Explanation	Scott W. Peterson received $77,303 of severence payments. Michael P. Pierce received $ 53,568 of payment from a supplemental nonqualified retirement plan. Scott W. Peterson received $135,716 of payment from a supplemental nonqualified retirement plan.	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
union county hospital authority
232739624	906460CU2	2009-05-01	12795000	SERIES OF 2009 BONDS - FUND CONSTRUCTION & RENOVATIONS PROJECTS	0	0
union county hospital authority
232739624	906460CT5	2004-08-01	23660000	SERIES OF 2004 BONDS - FUND CONSTRUCTION & RENOVATIONS PROJECTS	0	0

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Total ProceedsTotalProceeds	Amount DefeasedAmountDefeased	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind	Amount In Reserve FundAmountInReserveFund	Capital ExpendituresCapitalExpenditures
12795000	12795000	2001	1	0	1	1
23660000	6868000	2004	1	1	1	1	1753500	15038500

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Any Research AgreementsAnyResearchAgreements	Bond Counsel Routinely EngagedBondCounselRoutinelyEngaged	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	0.00000	0.00320	0.00320	1
0	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	1	0	0	0	0
0	0	0	0	0	0

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (4 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
JOHN D GRIFFITH
DIRECTOR OF THE BOARD	420530	JOHN D. GRIFFITH LEASES PROPERTY TO THE HOSPITAL AT AN ARM'S LENGTH TRANSACTION.	0
JAMES W MORGAN JR MD
DIRECTOR OF THE BOARD	245975	PAYMENT OF COMPENSATION	0
MARK VAN BLARGAN ESQ
SOLICITOR	235000	MARK VAN BLARGAN WORKS AT MCNEES, WALLACE AND NURICK WHO PROVIDE LEGAL SERVICES TO THE HOSPITAL. THESE TRANSACTIONS ARE PROVIDED ON AN ARM'S LENGTH BASIS.	0
(no name)
			0

Schedule M IRS990ScheduleM

Works Of Art WorksOfArt

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	1	NumberOfContributions
Noncash Contribs Rptd F990	5000	NoncashContribsRptdF990
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenues

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	2	15313	FMV
X	flowers	2	12500	FMV
X	Accomodations	1	8400	fmv
X	Fundraising prizes	176	48048	fmV

Field	Value	IRS element (for citing)
Number Of8283 Received	0	NumberOf8283Received
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	Return ReferenceReturnReference	ExplanationExplanation
Form 990, Part III, line 3	Changes in Program Services	Home Health ceased operations in November 2009.
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.
Form 990, Part VI, Section B, line 12c		A CONFLICT OF INTEREST STATEMENT IS REQUIRED TO BE SIGNED ANNUALLY BY ALL VOTING BOARD MEMBERS, UPPER 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 A BEING A PART OF ACTIVE DISCUSSIONS WHERE THEY ARE IN DIRECT CONFLICT. ANYONE IN VIOLATION OF THE CONFLICT OF INTEREST POLICY IS ASKED TO STEP DOWN FROM THE BOARD.
Form 990, Part VI, Section B, line 15		The Board's Executive Compensation Committee, which is composed solely of independent members of the Board, has adopted and follows a process for reviewing and determining the compensation of the CEO and the executive management team. The executive management team consists of the following positions: Chief Operating Officer, Chief Financial Officer, Vice President of Medical Affairs, Vice President, Nursing, Vice President, Development, Vice President, Human Resources, Chief Information Officer, 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 C, line 19		Governing documents, conflict of interest policy and financial statements are made available to the public upon request.
		FORM 990, SCHEDULE H, PART VI, LINE 4 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 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.

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	192187	ShareOfTotalIncome
Share Of EOY Assets	907003	ShareOfEOYAssets
Disproportionate Allocations	0	DisproportionateAllocations
General Or Managing Partner	0	GeneralOrManagingPartner

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	17698	173700	0.50000
ECH PHARMACY & HOMECARE PRODUCTS INC
oNE HOSPITAL DRIVE	lEWISBURG	PA	17837	232353576	SALES OF MEDICAL DRUGS AND SUPPLIES	PA		C	332961	2762497		EVANGELICAL MEDICAL SERVICE ORGANIZATION
EVANGELICAL MEDICAL SERVICE ORGANIZATION
oNE HOSPITAL DRIVE	lEWISBURG	PA	17837	232809429	MEDICAL SERVICES	PA	N/A	C	15456544	7676576	1.00000

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	0	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	1	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	0	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	1	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	0	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 (4 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved
EVANGELICAL MEDICAL SERVICES ORGANIZATION
D	72338
EVANGELICAL MEDICAL SERVICES ORGANIZATION
B	2745000
EVANGELICAL COMMUNITY HOSPITAL PHARMACY & HOME CARE PRODUCTS INC
D	92365
EVANGELICAL MEDICAL SERVICES ORGANIZATION
P	2258610