TY 2010 Form 990

(A) Name and Title	(B) Average hours per week (describe hours for related organizations in Schedule O)	(C) Position (check all that apply)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) MARTHA BARRICK CHAIRPERSON	1.00	X	X
(2) JOHN GRIFFITH VICE CHAIRPERSON	1.00	X	X
(3) TIM APPLE DIRECTOR	1.00	X
(4) JULIE BARNA DMD DIRECTOR	1.00	X
(5) CAROL GRAYBEAL DIRECTOR	1.00	X
(6) BROOKS GRONLUND DIRECTOR	1.00	X
(7) ROBERT GRONLUND DIRECTOR	1.00	X
(8) ROGER HADDON JR DIRECTOR	1.00	X
(9) JOHN MECKLEY ESQ DIRECTOR	1.00	X
(10) JAMES MORGAN JR MD DIRECTOR	1.00	X
(11) R DAVID MYERS DIRECTOR	1.00	X
(12) FREDRIK PAULSEN JR DIRECTOR	1.00	X
(13) JULIA REDCAY DO DIRECTOR	1.00	X
(14) W GALE REISH MD DIRECTOR	1.00	X
(15) SUSAN FORGETT RHEAM CPA DIRECTOR	1.00	X
(16) JOHN E RICE MD DIRECTOR	1.00	X
(17) NORMAN RICH DIRECTOR	1.00	X

(A) Name and Title	(B) Average hours per week (describe hours for related organizations in Schedule O)	(C) Position (check all that apply)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) HENRY A TRUSLOW IV DIRECTOR	1.00	X					0	0
(19) MICHAEL WIMER DIRECTOR	1.00	X					0	0
(20) P RONALD ZUG DIRECTOR	1.00	X					0	0
(21) CHRISTOPHER D OLSON DO EX-OFFICIO	1.00	X					0	0
(22) JEANETTE WILLIAMS EX-OFFICIO	1.00	X					0	0
(23) SARA KIRKLAND DIRECTOR EMERITUS	1.00	X					0	0
(24) JOHN MATHIAS DIRECTOR EMERITUS	1.00	X					0	0
(25) JAMES APPLE DIRECTOR EMERITUS	1.00	X					0	0
(26) MICHAEL N O'KEEFE PRESIDENT/CEO	40.00	X	X				361,161	101,125
(27) JAMES A STOPPER CHIEF FINANCIAL OFFICER	40.00		X				122,892	34,410
(28) J LAWRENCE GINSBURG VP MEDICAL AFFAIRS	40.00			X			545,654	152,783
(29) KENDRA A AUCKER CHIEF OPERATING OFFICER	40.00			X			199,727	55,924
(30) TAMI RADECKE VP COMMUNITY RELATIONS/CHIEF DEVELOPMENT OFFICER	40.00			X			153,131	42,877
(31) PAUL TARVES VP NURSING	40.00			X			188,181	52,691
(32) MARK K KRAMMES CHIEF CRNA	48.00				X		229,986	64,396
(33) SANDRA S WALKER NURSE ANESTHETIST	49.00				X		223,992	62,718
(34) LORI K GOODLING NURSE ANESTHETIST	48.00				X		218,136	61,078
(35) RAYMOND J TOMASZEWSKI NURSE ANESTHETIST	48.00				X		214,621	60,094
(36) COLLEEN FRITZ NURSE ANESTHETIST	47.00				X		212,351	59,458
(37) CHRISTINE M MARTIN CFO/TREASURER (UNTIL 2/19/10)	40.00					X	79,985	22,396
(38) RICHARD E SMITH JR FORMER VP STRATEGIC PLAN & BUS DEV (UNTIL 8/2010)	40.00					X	170,927	47,859

(A) Name and business address	(B) Description of services	(C) Compensation
THE QUANDEL GROUP INC 3033 NORTH FRONT ST SUITE 201 HARRISBURG,PA17110	CONSTRUCTION	7,191,859
AFS ENERGY SYSTEMS 420 OAK STREET PO BOX 170 LEMOYNE,PA17043	CONSTRUCTION	926,250
BURT HILL STANTEC ARCHITECTURE INC 13980 COLLECTIONS CENTER DRIVE CHICAGO,IL60693	ARCHITECT	826,947
THE ADVISORY BOARD COMPANY PO BOX 79461 BALTIMORE,MD21279	MANAGEMENT SERVICES	582,500
DIVERSIFIED CLINICAL SERVICES PO BOX 636981 CINCINNATI,OH45263	MANAGEMENT SERVICES	546,665
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 in compensation from the organization 89

Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 10b of Part VIII.	(A) Total expenses	(B) Program service expenses	(C) Management and general expenses	(D) Fundraising expenses
1	Grants and other assistance to governments and organizations in the U.S. See Part IV, line 21
2	Grants and other assistance to individuals in the U.S. See Part IV, line 22	56,950	56,950
3	Grants and other assistance to governments, organizations, and individuals outside the U.S. See Part IV, lines 15 and 16
4	Benefits paid to or for members
5	Compensation of current officers, directors, trustees, and key employees ....	2,466,967	690,751	1,776,216
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....
7	Other salaries and wages	43,869,834	37,160,758	6,486,412	222,664
8	Pension plan contributions (include section 401(k) and section 403(b) employer contributions) ....	1,385,300	1,140,872	237,688	6,740
9	Other employee benefits .......	7,518,571	6,501,412	977,811	39,348
10	Payroll taxes ...........	3,190,332	2,627,418	547,393	15,521
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	266,901		263,113	3,788
c	Accounting ...........	133,178	43,190	89,988
d	Lobbying ...........
e	Professional fundraising. See Part IV, line 17..
f	Investment management fees ......	307,753	7,650	300,103
g	Other ..........	8,609,567	6,221,517	2,261,862	126,188
12	Advertising and promotion ....	493,473	28,629	444,583	20,261
13	Office expenses .......	26,998,484	24,241,217	2,717,583	39,684
14	Information technology ......	1,133,292	171,642	961,650
15	Royalties ..
16	Occupancy ...........	1,758,328	1,758,328
17	Travel ............	116,321	102,108	10,290	3,923
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......
19	Conferences, conventions, and meetings ....	175,673	118,262	49,385	8,026
20	Interest ...........	1,527,439	1,527,439
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization .....	6,220,758	6,220,758
23	Insurance ..............	192,467	192,467
24	Other expenses. Itemize expenses not covered above. (Expenses grouped together and labeled miscellaneous may not exceed 5% of total expenses shown on line 25 below.)
a	FEDERAL TAXES	280,000		280,000
b	BAD DEBT	6,222,471	6,222,471
c	MA MODERNIZATION PAYMEN	1,192,647	1,192,647
d	BILLING AND COLLECTION	369,000	10,621	358,379
e	LOSS ON REFINANCING	286,495		286,495
f	All other expenses	1,203,934	806,125	315,790	82,019
25	Total functional expenses. Add lines 1 through 24f	115,976,135	97,043,232	18,364,741	568,162
26	Joint costs. Check here if following SOP 98-2 (ASC 958-720). Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation

Part X Balance Sheet
	1	Cashnon-interest-bearing ..........	1,465	1	1,545
2	Savings and temporary cash investments .......	22,663,582	2	21,459,829
3	Pledges and grants receivable, net .........	1,026,948	3	1,285,223
4	Accounts receivable, net .........	9,961,572	4	10,755,446
5	Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
	Schedule L ..........		5
6	Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
	Schedule L ..........		6
7	Notes and loans receivable, net .............	1,744,377	7	1,654,714
8	Inventories for sale or use ..............	2,540,533	8	2,792,321
9	Prepaid expenses and deferred charges ............	1,456,765	9	2,136,929
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	164,540,945
b	Less: accumulated depreciation. .....	10b	78,509,436	73,726,892	10c	86,031,509
11	Investments—publicly traded securities ..........	57,366,549	11	83,071,772
12	Investments—other securities. See Part IV, line 11 ......	1,939,694	12	2,479,998
13	Investments—program-related. See Part IV, line 11 ..		13
14	Intangible assets .........		14
15	Other assets. See Part IV, line 11 ...........	4,671,232	15	7,581,269
16	Total assets. Add lines 1 through 15 (must equal line 34)...	177,099,609	16	219,250,555
	17	Accounts payable and accrued expenses .	12,872,502	17	16,092,996
18	Grants payable ..........		18
19	Deferred revenue ..........		19
20	Tax-exempt bond liabilities ..........	33,945,000	20	51,755,000
21	Escrow or custodial account liability. Complete Part IV of Schedule D..		21
22	Payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........		22
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ....		24
25	Other liabilities. Complete Part X of Schedule D.....	11,668,819	25	13,554,251
26	Total liabilities. Add lines 17 through 25.....	58,486,321	26	81,402,247
		Organizations that follow SFAS 117, check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets .....	113,040,176	27	130,964,510
28	Temporarily restricted net assets .....	1,401,450	28	1,696,335
29	Permanently restricted net assets .....	4,171,662	29	5,187,463
	Organizations that do not follow SFAS 117, check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....		30
31	Paid-in or capital surplus, or land, building or equipment fund .....		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances .....	118,613,288	33	137,848,308
34	Total liabilities and net assets/fund balances .....	177,099,609	34	219,250,555

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.

Attach to Form 990 or Form 990-EZ. right arrow

See separate instructions.

OMB No. 1545-0047

2010

Open to Public
Inspection

Name of the organization

EVANGELICAL COMMUNITY HOSPITAL

Employer identification number

24-0795411

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions

The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)

A church, convention of churches, or association of churches. section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in

section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross

receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of

its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses

acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. Seesection 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box that describes the type of supporting organization and complete lines 11e through 11h.

Type I

Type II

Type III - Functionally integrated

Type III - Other

By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).

If the organization received a written determination from the IRS that it is a Type I, Type II or Type III supporting organization, check this box ..................................................

Since August 17, 2006, has the organization accepted any gift or contribution from any of the
following persons?

(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)

Yes

and (iii) below, the governing body of the the supported organization? ................

11g(i)

(ii) a family member of a person described in (i) above? ......................

11g(ii)

(iii) a 35% controlled entity of a person described in (i) or (ii) above? ................

11g(iii)

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization in col. (i) listed in your governing document?		(v) Did you notify the organization in col. (i) of your support?		(vi) Is the organization in col. (i) organized in the U.S.?		(vii) Amount of support?
(i) Name of supported organization	(ii) EIN	Yes	No	Yes	No	Yes	No	(vii) Amount of support?


Total

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2010

Page 2

Part II

Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year(or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3..
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public Support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year(or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..
11	Total support (Add lines 7 through 10).

Gross receipts from related activities, etc. (See instructions.) ..................

First Five Years If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.......................................... right arrow

Section C. Computation of Public Support Percentage

Public Support Percentage for 2010 (line 6 column (f) divided by line 11 column (f)) .........

Public Support Percentage for 2009 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2010. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ...................... right arrow

33 1/3% support test—2009. If the organization did not check the box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2010. If the organization did not check a box on line 13, 16a, or 16b and line 14
is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported
organization .................................................. right arrow

10%-facts-and-circumstances test—2009. If the organization did not check a box on line 13, 16a, 16b, or 17a and line
15 is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly
supported organization .............................................. right arrow

Private Foundation If the organization did not check a box on line 13, 16a, 16b, 17a or 17b, check this box and see
instructions ................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2010

Page 3

Part III

Support Schedule for Organizations Described in IRC 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year(or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3	Gross receipts from activities that are not an unrelated trade or business under section 513..
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge..
6	Total. Add lines 1 through 5.
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public Support (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
13	Total support (Add lines 9, 10c, 11 and 12.).

Section C. Computation of Public Support Percentage

Public Support Percentage for 2010 (line 8 column (f) divided by line 13 column (f)) .........

Public support percentage from 2009 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2010 (line 10c column (f) divided by line 13 column (f)) ......

Investment income percentage from 2009 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2010. If the organization did not check the box on line 14, and line 15 is more than 33 1/3% and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .......... right arrow

33 1/3% support tests—2009. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private Foundation If the organization did not check a box on line 14, 19a or 19b, check this box and see instructions ..... right arrow

Schedule A (Form 990 or 990-EZ) 2010

Page 4

Part IV

Supplemental Information. Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Explanation

Schedule A (Form 990 or 990-EZ) 2010

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

OMB No. 1545-0047

2010

Name of organization

EVANGELICAL COMMUNITY HOSPITAL

Employer identification number

24-0795411

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, $5,000 or more (in money or
property) from any one contributor. Complete Parts I and II.

Special Rules

For a section 501(c)(3) organization filing Form 990 or 990-EZ, that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), and received from any one contributor, during the year, a contribution of the
greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For a section 501(c)(7), (8), or (10) organization filing Form 990, or 990-EZ, that received from any one contributor,
during the year, aggregate contributions of more than $1,000 for use exclusively for religious, charitable,
scientific, literary, or educational purposes, or the prevention of cruelty to children or animals. Complete Parts I, II, and
III.

For a section 501(c)(7), (8), or (10) organization filing Form 990, or 990-EZ, that received from any one contributor,
during the year, contributions for use exclusively for religious, charitable, etc., purposes, but these contributions did
not aggregate to more than $1,000. If this box is checked, enter here the total contributions that were received during
the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule
applies to this organization because it received nonexclusively religious, charitable, etc., contributions of $5,000 or more
during the year. ......................... Arrow Bullet

Caution. An Organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2 of its Form 990, or check the box in the heading of its
Form 990-EZ, or on line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2010)

Name of organization EVANGELICAL COMMUNITY HOSPITAL
Schedule B (Form 990, 990-EZ, or 990-PF) (2010) Page 1 of 1 of Part I
Part I	Contributors (see Instructions)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
RESTRICTED	RESTRICTED RESTRICTED RESTRICTED RESTRICTED, RESTRICTED RESTRICTED	$RESTRICTED	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Name of organization EVANGELICAL COMMUNITY HOSPITAL
Schedule B (Form 990, 990-EZ, or 990-PF) (2010) Page 1 of 1 of Part II
Part II	Noncash Property (see Instructions)
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Page 1 of 1 of Part III

Name of organization
EVANGELICAL COMMUNITY HOSPITAL

Employer identification number

24-0795411

Part III

Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
aggregating more than $1,000 for the year. (Complete columns (a) through (e) and the following line entry.)
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11, or 12.
SchDMd Bullet

Attach to Form 990. SchDMd Bullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

EVANGELICAL COMMUNITY HOSPITAL

Employer identification number

24-0795411

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .......
2	Aggregate contributions to (during year) ...
3	Aggregate grants from (during year) ...
4	Aggregate value at end of year .......

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds may be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit. ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or pleasure) Preservation of an historically importantly land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a–2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements .......................	2a
b	Total acreage restricted by conservation easements ..................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06 ........	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the taxable year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................

Yes No

Staff and volunteer hours devoted to monitoring, inspecting and enforcing conservation easements during the year SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section
170(h)(4)(B)(i) and 170(h)(4)(B)(ii)? ....................................

Yes No

In Part XIV, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116, not to report in its revenue statement and balance sheet works of
art, historical treasures, or other similar assets held for public exhibition, education or research in furtherance of public service,
provide, in Part XIV, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116, to report in its revenue statement and balance sheet works of art,
historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service,
provide the following amounts relating to these items:

(i)

Revenues included in Form 990, Part VIII, line 1 ........................ SchDMd Bullet

(ii)

Assets included in Form 990, Part X .............................. SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 relating to these items:

Revenues included in Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990

Cat. No. 52283D

Schedule D (Form 990) 2010

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s accession and other records, check any of the following that are a significant use of its collection
items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIV.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No

If "Yes," explain the arrangement in Part XIV and complete the following table:


c	Beginning balance .................................	1c
d	Additions during the year ..............................	1d
e	Distributions during the year .............................	1e
f	Ending balance ...................................	1f

Did the organization include an amount on Form 990, Part X, line 21? .....................

Yes No

If “Yes,” explain the arrangement in Part XIV.

Part V

Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.

		(a)Current Year	(b)Prior Year	(c)Two Years Back
1a	Beginning of year balance ....	2,853,652	2,701,406	2,623,000
b	Contributions ........	380,340	123,011	229,877
c	Investment earnings or losses ...	207,310	102,387	-101,037
d	Grants or scholarships .....	16,598	2,000	11,900
e	Other expenditures for facilities and programs ........	67,522	66,203	34,346
f	Administrative expenses ....	5,505	4,949	4,188
g	End of year balance ......	3,351,677	2,853,652	2,701,406

Provide the estimated percentage of the year end balance held as:

Board designated or quasi-endowment: SchDMd Bullet

57.300 %

Permanent endowment: SchDMd Bullet

42.700 %

Term endowment: SchDMd Bullet

0 %

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations ........................

3a(i)

(ii) related organizations ........................

3a(ii)

If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIV the intended uses of the organization's endowment funds.

Part VI

InvestmentsLand, Buildings, and Equipment. See Form 990, Part X, line 10.

Description of investment		(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................	3,402,982		3,402,982
b	Buildings ................	70,203,750	25,688,734	44,515,016
c	Leasehold improvements ............	4,277,948	2,310,734	1,967,214
d	Equipment ................	68,607,931	50,509,968	18,097,963
e	Other .................	18,048,334		18,048,334
Total. Add lines 1a-1e. (Column (d) should equal Form 990, Part X, column (B), line 10(c).)........				86,031,509

Schedule D (Form 990) 2010

Page 3

Part VII

InvestmentsOther Securities. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)		(b)Book value	(c) Method of valuation: Cost or end-of-year market value
(1)Financial derivatives
(2)Closely-held equity interests
Other








Total. (Column (b) should equal Form 990, Part X, col.(B) line 12.)

Part VIII

InvestmentsProgram Related. See Form 990, Part X, line 13.

(a) Description of investment type		(b) Book value	(c) Method of valuation: Cost or end-of-year market value









Total. (Column (b) should equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. See Form 990, Part X, line 15.

(a) Description				(b) Book value









Total. (Column (b) should equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities. See Form 990, Part X, line 25.

1.(a) Description of Liability		(b) Amount
Federal Income Taxes
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

Total. (Column (b) should equal Form 990, Part X, col.(B) line 25.)		13,554,251
2. Fin 48 (ASC 740) Footnote. In Part XIV, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC740).

Schedule D (Form 990) 2010

Page 4

Part XI Reconciliation of Change in Net Assets from Form 990 to Financial Statements
1	Total revenue (Form 990, Part VIII, column (A), line 12) ....................	1	132,662,736
2	Total expenses (Form 990, Part IX, column (A), line 25) .....................	2	115,976,135
3	Excess or (deficit) for the year. Subtract line 2 from line 1 .............	3	16,686,601
4	Net unrealized gains (losses) on investments ..........................	4	4,066,555
5	Donated services and use of facilities .............................	5
6	Investment expenses ...................................	6
7	Prior period adjustments ..................................	7
8	Other (Describe in Part XIV) .................................	8	-1,518,136
9	Total adjustments (net). Add lines 4 - 8 .............................	9	2,548,419
10	Excess or (deficit) for the year per financial statements. Combine lines 3 and 9 .........	10	19,235,020

Part XII Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1	Total revenue, gains, and other support per audited financial statements .......			1	138,757,225
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains on investments ..........	2a	4,066,555
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIV): ............	2d	518,215
e	Add lines 2a through 2d .....................			2e	4,584,770
3	Subtract line 2e from line 1.....................			3	134,172,455
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a	300,103
b	Other (Describe in Part XIV): ...........	4b	-1,809,822
c	Add lines 4a and 4b.......................			4c	-1,509,719
5	Total Revenue. Add lines 3 and 4c. (This should equal Form 990, Part I, line 12.) ......			5	132,662,736

Part XIII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1	Total expenses and losses per audited financial statements .............			1	119,522,205
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities ..........	2a
b	Prior year adjustments ..............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIV): ............	2d	3,846,173
e	Add lines 2a through 2d......................			2e	3,846,173
3	Subtract line 2e from line 1.....................			3	115,676,032
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a	300,103
b	Other (Describe in Part XIV): ............	4b
c	Add lines 4a and 4b.......................			4c	300,103
5	Total expenses. Add lines 3 and 4c. (This should equal Form 990, Part I, line 18.) ......			5	115,976,135

Part XIV

Supplemental Information

Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X; Part XI, line 8; Part XII, lines 2d and 4b; and Part XIII, lines 2d and 4b. Also complete this part to provide any additional information.

Identifier	Return Reference	Explanation
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 D (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE G
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information Regarding
Fundraising or Gaming Activities

Complete if the organization answered "Yes" to Form 990, Part IV, lines 17, 18, or 19,
or if the organization entered more than $15,000 on Form 990-EZ, line 6a.
right arrow

Attach to Form 990 or Form 990-EZ. right arrow

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization
EVANGELICAL COMMUNITY HOSPITAL

Employer identification number

24-0795411

Part I

Fundraising Activities. Complete if the organization answered "Yes" to Form 990, Part IV, line 17.

Indicate whether the organization raised funds through any of the following activities. Check all that apply.

a	Mail solicitations	e	Solicitation of non-government grants
b	Internet and e-mail solicitations	f	Solicitation of government grants
c	Phone solicitations	g	Special fundraising events
d	In-person solicitations

Did the organization have a written or oral agreement with any individual (including officers, directors, trustees

or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?

Yes

If “Yes,” list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization. Form 990-EZ filers are not required to complete this table.

(i) Name and address of individual or entity (fundraiser)	(ii) Activity	(iii) Did fundraiser have custody or control of contributions?		(iv) Gross receipts from activity	(v) Amount paid to (or retained by) fundraiser listed in col. (i)	(vi) Amount paid to (or retained by) organization
	(ii) Activity	Yes	No	(iv) Gross receipts from activity		(vi) Amount paid to (or retained by) organization
Total .................

List all states in which the organization is registered or licensed to solicit funds or has been notified it is exempt from registration or licensing.

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50083H

Schedule G (Form 990 or 990-EZ) 2010

Page 2

Part II

Fundraising Events. Complete if the organization answered "Yes" to Form 990, Part IV, line 18, or reported more than $15,000 on Form 990-EZ, line 6a. List events with gross receipts greater than $5,000.

		(a) Event #1 GOLF TOURNAMENT (event type)	(b) Event #2 EVAN GALA (event type)	(c) Other Events 1 (total number)	(d) Total Events (Add col. (a) through col. (c))
1	Gross receipts . . .	66,240	107,365	7,265	180,870
2	Less: Charitable contributions . . .	38,086	61,909	7,265	107,260
3	Gross income (line 1 minus line 2) . . .	28,154	45,456		73,610
4	Cash prizes . . .	395			395
5	Non-cash prizes . .	10,636	43,194		53,830
6	Rent/facility costs . .
7	Food and beverages . .
8	Entertainment . . .
9	Other direct expenses .
10	Direct expense summary. Add lines 4 through 9 in column (d) ...........				54,225
11	Net income summary. Combine lines 3 and 10 in column (d)............				19,385

Part III

Gaming. Complete if the organization answered "Yes" to Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.

(a) Bingo

(b) Pull tabs/Instant
bingo/progressive bingo

(c) Other gaming

(d) Total gaming (Add col. (a) through col. (c))

Gross revenue . . . .

Cash prizes . . . .

Non-cash prizes . . .

Rent/facility costs . . .

Other direct expenses . .

Volunteer labor . . .

	Yes
	No

	Yes
	No

	Yes
	No

Direct expense summary. Add lines 2 through 5 in column (d) ........... right arrow

Net gaming income summary. Combine lines 1 and 7 in column (d) .......... right arrow

Enter the state(s) in which the organization operates gaming activities:

Is the organization licensed to operate gaming activities in each of these states? ............

YesNo

If "No," Explain:

10a

Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? .....

YesNo

If "Yes," Explain:

Does the organization operate gaming activities with nonmembers? .................

YesNo

Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity

formed to administer charitable gaming? ...........................

YesNo

Schedule G (Form 990 or 990-EZ) 2010

Page 3

Indicate the percentage of gaming activity operated in:

The organization's facility ......................

13a

An outside facility ........................

13b

Provide the name and address of the person who prepares the organization's gaming/special events books and records:

Name

Address

15a

Does the organization have a contract with a third party from whom the organization receives gaming

revenue? ......................................

YesNo

If "Yes," enter the amount of gaming revenue received by the organization right arrow

$ and the

amount of gaming revenue retained by the third party right arrow

$ .

If "Yes," enter name and address:

Name

Address

Gaming manager information:

Name

Gaming manager compensation right arrow

Description of services provided right arrow

Director/officer Employee Independent contractor

Mandatory distributions:

Is the organization required under state law to make charitable distributions from the gaming proceeds to

retain the state gaming license? ............................

YesNo

Enter the amount of distributions required under state law distributed to other exempt organizations or spent

in the organization's own exempt activities during the tax year right arrow

Part IV

Complete this part to provide additional information for responses to quuestion on Schedule G (see instructions.)

Identifier	ReturnReference	Explanation

Schedule G (Form 990 or 990-EZ) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

EVANGELICAL COMMUNITY HOSPITAL

Employer identification number

24-0795411

Part I

Charity Care and Certain Other Community Benefits at Cost

Yes

Does the organization have a charity care policy? If "No," skip to question 6a...........

Yes

If "Yes," is it a written policy? .......................

Yes

If the organization has multiple hospitals, indicate which of the following best describes application of the charity care policy to the various hospitals.

Applied uniformly to all hospitals Applied uniformly to most hospitals Generally tailored to individual hospitals

Answer the following based on the charity care eligibility criteria that applies to the largest number of the organization's patients.

Does the organization use Federal Poverty Guidelines (FPG) to determine eligibility for providing free care to low

income individuals? If "Yes," indicate which of the following is the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other

Does the organization use FPG to determine eligibility for providing discounted care to low income individuals? If

"Yes," indicate which of the following is the family income limit for eligibility for discounted care: .....

Yes

200% 250% 300% 350% 400% Other

If the organization does not use FPG to determine eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization uses an asset test or other threshold, regardless of income, to determine eligibility for free or discounted care.

Does the organization's policy provide free or discounted care to the "medically indigent"? ......

Yes

Does the organization budget amounts for free or discounted care provided under its charity care policy? ...

Yes

If "Yes," did the organization's charity care expenses exceed the budgeted amount?.........

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discounted
care to a patient who was eligibile for free or discounted care?...............

Does the organization prepare an annual community benefit report?.............

Yes

If "Yes," does the organization make it available to the public? ..............

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Charity Care and Certain Other Community Benefits at Cost

	(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a Charity care at cost (from Worksheets 1 and 2) ..		1,478	217,566	0	217,566	0.200 %
b Unreimbursed Medicaid (from Worksheet 3, column a) .		20,303	9,211,729	5,359,258	3,852,471	3.510 %
c Unreimbursed costs—other means-tested government programs (from Worksheet 3, column b) ....		793	92,975		92,975	0.080 %
dTotal Charity Care and Means-Tested Government Programs .....		22,574	9,522,270	5,359,258	4,163,012	3.790 %
Other Benefits e Community health improvement services and community benefit operations (from (Worksheet 4) ....	35	5,042	150,368	601	149,767	0.140 %
f Health professions education (from Worksheet 5) ..	13	285	360,235		360,235	0.330 %
g Subsidized health services (from Worksheet 6) ..
h Research (from Worksheet 7)
i Cash and in-kind contributions to community groups (from Worksheet 8) ..	1		1,250		1,250	0 %
jTotal Other Benefits ...	49	5,327	511,853	601	511,252	0.470 %
kTotal. Add lines 7d and 7j. ..	49	27,901	10,034,123	5,359,859	4,674,264	4.260 %

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2010

Schedule H (Form 990) 2010

Page 2

Part II

Community Building Activities Complete this table if the organization conducted any community building activities.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support	4	150	3,333		3,333	0 %
4	Environmental improvements	1		1,772		1,772	0 %
5	Leadership development and training for community members
6	Coalition building	12	190	18,569		18,569	0.020 %
7	Community health improvement advocacy
8	Workforce development	18	128	839,271	149,415	689,856	0.630 %
9	Other
10	Total	35	468	862,945	149,415	713,530	0.650 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Does the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense (at cost).....

3,107,480

Enter the estimated amount of the organization's bad debt expense (at cost) attributable to patients eligible under the organization's charity care policy ..

217,566

Provide in Part VI the text of the footnote to the organization's financial statements that describes bad debt expense. In addition, describe the costing methodology used in determining the amounts reported on lines 2 and 3, and rationale for including a portion of bad debt amounts as community benefit.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

27,324,581

Enter Medicare allowable costs of care relating to payments on line 5.....

35,912,698

Subtract line 6 from line 5. This is the surplus or (shortfall)........

-8,588,117

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.
Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.
Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Does the organization have a written debt collection policy? ...............

Yes

If "Yes," does the organization's collection policy contain provisions on the collection practices to be followed for patients who are known to qualify for charity care or financial assistance? Describe in Part VI......

Yes

Part IV

Management Companies and Joint Ventures

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership%	(e) Physicians' profit % or stock ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2010

Page 3

Part VFacility Information

Section A. Hospital Facilities (list in order of size, measured by total revenue per facility, from largest to smallest) How many hospital facilities did the organization operate during the tax year?1 Name and address		Other (Describe)
1	EVANGELICAL COMMUNITY HOSPITAL ONE HOSPITAL DRIVE LEWISBURG,PA17837	X	X	X	INPATIENT REHABILITATION, HOSPICE

Schedule H (Form 990) 2010

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)

Name of Hospital Facility:NOT REQUIRED

Line Number of Hospital Facility (from Schedule H, Part V, Section A):1

				Yes	No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1	During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. .....................		1
	If “Yes,” indicate what the Needs Assessment describes (check all that apply):
	a	A definition of the community served by the hospital facility
	b	Demographics of the community
	c	Existing health care facilities and resources within the community that are available to respond to the health needs of the community
	d	How data was obtained
	e	The health needs of the community
	f	Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
	g	The process for identifying and prioritizing community health needs and services to meet those needs
	h	The process for consulting with persons representing the community’s interests
	i	Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
	j	Other (describe in Part VI)
2	Indicate the tax year the hospital facility last conducted a Needs Assessment: 20
3	In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted.		3
4	Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................		4
5	Did the hospital facility make its Needs Assessment widely available to the public? ...........		5
	If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
	a	Hospital facility’s website
	b	Available upon request from the hospital facility
	c	Other (describe in Part VI)
6	If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
	a	Adoption of an implementation strategy to address the health needs of the hospital facility’s community
	b	Execution of the implementation strategy
	c	Development of a community benefit plan for the facility
	d	Participation in community-wide community benefit plan
	e	Inclusion of a community benefit section in operational plans
	f	Adoption of a budget for provision of services that address the needs identified in the CHNA
	g	Prioritization of health needs in the community
	h	Prioritization of services that the hospital facility will undertake to meet health needs in its community
	i	Other (describe in Part VI)
7	Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs.		7
Financial Assistance Policy
	Did the hospital facility have in place during the tax year a written financial assistance policy that:
8	Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?		8
9	Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?..		9
	If “Yes,” indicate the FPG family income limit for eligibility for free care: %

Schedule H (Form 990) 2010

Page 5

Part VFacility Information (continued)

				Yes	No
10	Used FPG to determine eligibility for providing discounted care to low income individuals?.........		10
	If “Yes,” indicate the FPG family income limit for eligibility for discounted care: %
11	Explained the basis for calculating amounts charged to patients?.................		11
	If “Yes,” indicate the factors used in determining such amounts (check all that apply):
	a	Income level
	b	Asset level
	c	Medical indigency
	d	Insurance status
	e	Uninsured discount
	f	Medicaid/Medicare
	g	State regulation
	h	Other (describe in Part VI)
12	Explained the method for applying for financial assistance?...................		12
13	Included measures to publicize the policy within the community served by the hospital facility?.......		13
	If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
	a	The policy was posted at all times on the hospital facility’s web site
	b	The policy was attached to all billing invoices
	c	The policy was posted in the hospital facility’s emergency rooms or waiting rooms
	d	The policy was posted in the hospital facility’s admissions offices
	e	The policy was provided, in writing, to patients upon admission to the hospital facility
	f	The policy was available upon request
	g	Other (describe in Part VI)
Billing and Collections
14	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........		14
15	Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments or arrests
	e	Other (describe in Part VI)
16	Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?...................................		16
	If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments
	e	Other (describe in Part VI)
17	Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
	a	Notified patients of the financial assistance policy upon admission
	b	Notified patients of the financial assistance policy prior to discharge
	c	Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
	d	Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
	e	Other (describe in Part VI)

Schedule H (Form 990) 2010

Page 6

Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
				Yes	No
18	Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..........		18
	If “No,” indicate the reasons why (check all that apply):
	a	The hospital facility did not provide care for any emergency medical conditions
	b	The hospital facility did not have a policy relating to emergency medical care
	c	The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
	d	Other (describe in Part VI)
Charges for Medical Care
19	Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
	a	The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
	b	The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
	c	The hospital facility used the Medicare rate for those services
	d	Other (describe in Part VI)
20	Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?.........		20
	If “Yes,” explain in Part VI.
21	Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?...................................		21
	If “Yes,” explain in Part VI.

Schedule H (Form 990) 2010

Page 7

Part VFacility Information (continued)

Section C. Other Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, measured by total revenue per facility, from largest to smallest) How many non-hospital facilities did the organization operate during the tax year?
Name and address		Type of Facility (Describe)
1
2
3
4
5
6
7
8
9
10

Schedule H (Form 990) 2010

Page 8

Part VI

Supplemental Information

Complete this part to provide the following information.

1	Required descriptions. Provide the description required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; and Part V, Section B, lines 1j, 2, 4c, 6i, 7, 11i, 13i, 17l, 18l, 19e, 21d, 25, and 26.
2	Community health needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any community health needs assessments reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Identifier	ReturnReference	Explanation
		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.
REPORTS FILED WITH STATES	PART VI, LINE 7	PA

Schedule H (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990

OMB No. 1545-0047

2010

Open to Public
Inspection

Name of the organization
EVANGELICAL COMMUNITY HOSPITAL

Employer identification number
24-0795411

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21 for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Use
Part IV and Schedule I-1 (Form 990) if additional space is needed ......................... lBullet

(a) Name and address of organization or government	(b) EIN	(c) IRC Code section if applicable	(d) Amount of cash grant	(e) Amount of non-cash assistance	(f) Method of valuation (book, FMV, appraisal, other)	(g) Description of non-cash assistance	(h) Purpose of grant or assistance

Enter total number of section 501(c)(3) and government organizations ......................... Bullet Image

Enter total number of other organizations ................................ . Bullet Image

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2010

Page 2

Part III

Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Use Schedule I-1 (Form 990) if additional space is needed.

(a)Type of grant or assistance	(b)Number of recipients	(c)Amount of cash grant	(e)Method of valuation (book, FMV, appraisal, other)	(f)Description of non-cash assistance
(1) NURSING SCHOLARSHIPS	19	36,950	CASH	N/A
(2) JOHNS FAMILY SCHOLARSHIPS	4	20,000	CASH	N/A

Part IV

Supplemental Information. Complete this part to provide the information required in Part I, line 2, and any other additional information.

Identifier	Return Reference	Explanation
PROCEDURE FOR MONITORING GRANTS IN THE U.S.:	PART I, LINE 2:	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.

Schedule I (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet

Attach to Form 990. SchJMediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

EVANGELICAL COMMUNITY HOSPITAL

Employer identification number

24-0795411

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement orprovision of all the expenses described above? If "No," complete Part III to explain....

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
officers, directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? ....

Indicate which, if any, of the following the organization uses to establish the compensation of the
organization's CEO/Executive Director. Check all that apply.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? ...............

Yes

Participate in, or receive payment from, a supplemental nonqualified retirement plan? ........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? ........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.

For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 5a or 5b, describe in Part III.

For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 6a or 6b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regs. section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990

Cat. No. 50053T

Schedule J (Form 990) 2010

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use Schedule J-1 if additional space needed.

For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.

Note. The sum of columns (B)(i)-(iii) must equal the applicable column (D) or column (E) amounts on Form 990, Part VII, line 1a.

(A) Name		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported in prior Form 990 or Form 990-EZ
(A) Name		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
(1) MICHAEL N O'KEEFE	(i) (ii)	361,161 0	0 0	0 0	36,558 0	64,567 0	462,286 0	0 0
(2) JAMES A STOPPER	(i) (ii)	122,892 0	0 0	0 0	0 0	34,410 0	157,302 0	0 0
(3) J LAWRENCE GINSBURG	(i) (ii)	545,654 0	0 0	0 0	41,326 0	111,457 0	698,437 0	0 0
(4) KENDRA A AUCKER	(i) (ii)	199,727 0	0 0	0 0	14,235 0	41,689 0	255,651 0	0 0
(5) TAMI RADECKE	(i) (ii)	153,131 0	0 0	0 0	14,721 0	28,156 0	196,008 0	0 0
(6) PAUL TARVES	(i) (ii)	188,181 0	0 0	0 0	16,520 0	36,171 0	240,872 0	0 0
(7) MARK K KRAMMES	(i) (ii)	229,986 0	0 0	0 0	0 0	64,396 0	294,382 0	0 0
(8) SANDRA S WALKER	(i) (ii)	223,992 0	0 0	0 0	0 0	62,718 0	286,710 0	0 0
(9) LORI K GOODLING	(i) (ii)	218,136 0	0 0	0 0	0 0	61,078 0	279,214 0	0 0
(10) RAYMOND J TOMASZEWSKI	(i) (ii)	214,621 0	0 0	0 0	0 0	60,094 0	274,715 0	0 0
(11) COLLEEN FRITZ	(i) (ii)	212,351 0	0 0	0 0	0 0	59,458 0	271,809 0	0 0
(12) RICHARD E SMITH JR	(i) (ii)	170,927 0	0 0	0 0	13,321 0	34,538 0	218,786 0	0 0

Schedule J (Form 990) 2010

Page 3

Part III

Supplemental Information

Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 4c, 5a, 5b, 6a, 6b, 7, and 8. Also complete this part for any additional information.

Identifier	Return Reference	Explanation
	PART I, LINES 4A-B	RICHARD E. SMITH, JR. RECEIVED $48,750 OF SEVERENCE PAYMENTS.

Schedule J (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Schedule O (Form 990).
SchKMediumBullet

Attach to Form 990. SchKMediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public
Inspection

Name of the organization
EVANGELICAL COMMUNITY HOSPITAL

Employer identification number
24-0795411

Part I

Bond Issues

(a) Issuer Name		(b) Issuer EIN	(c) CUSIP #	(d) Date Issued	(e) Issue Price	(f) Description of Purpose	(g) Defeased		(h) On Behalf of Issuer		(i) Pool financing
(a) Issuer Name		(b) Issuer EIN	(c) CUSIP #	(d) Date Issued	(e) Issue Price	(f) Description of Purpose	Yes	No	Yes	No	Yes	No
A	UNION COUNTY HOSPITAL AUTHORITY	23-2739624	906460CT5	08-01-2004	23,463,224	SERIES OF 2004 BONDS - FUND CONSTRUCTION & RENOVATIONS PROJECTS		X		X		X
B	UNION COUNTY HOSPITAL AUTHORITY	23-2739624		03-03-2011	29,960,888	SERIES OF 2011 BONDS - FUND CONSTRUCTION & REFUND OUTSTANDING 2009 BONDS		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired. . . . .	2,140,000
2 Amount of bonds defeased . . . .
3 Total proceeds of issue . . . .	23,474,907		29,719,008
4 Gross proceeds in reserve funds . .	1,753,500		2,252,124
5 Capitalized interest from proceeds.
6 Proceeds in refunding escrow. . . . .
7 Issuance costs from proceeds . . .	771,220		377,544
8 Credit enhancement from proceeds.
9 Working capital expenditures from proceeds . .
10 Capital expenditures from proceeds . .	15,232,482
11 Other spent proceeds . .	5,717,705		11,245,154
12 Other unspent proceeds. . .	15,844,186		15,844,186
13 Year of substantial completion . . .	2004
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue?	X		X
15 Were the bonds issued as part of an advance refunding issue?	X			X
16 Has the final allocation of proceeds been made? . .	X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? .	X		X

Part III

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . .		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . .		X		X

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2010

Page 2

Part III

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use?		X		X
b Are there any research agreements that may result in private business use of bond-financed property? . .		X		X
c Does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts or research agreements relating to the financed property? .
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . . . . . . . . . . . .	0 %		0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .	0.320 %		0.320 %
6 Total of lines 4 and 5 . . .. . . . . .	0.320 %		0.320 %
7 Has the organization adopted management practices and procedures to ensure the post-issuance compliance of its tax-exempt bond liabilities?	X		X

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has a Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate, been filed with respect to the bond issue? . . .		X		X
2 Is the bond issue a variable rate issue?		X		X
3a Has the organization or the governmental issuer entered into a hedge with respect to the bond issue?		X		X
b Name of provider .
c Term of hedge . .
d Was the hedge superintegrated? .
e Was a hedge terminated? .
4a Were gross proceeds invested in a GIC? .		X		X
b Name of provider .
c Term of GIC . .
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? .
5 Were any gross proceeds invested beyond an available temporary period? .		X		X
6 Did the bond issue qualify for an exception to rebate? . . .		X		X

Schedule K (Form 990) 2010

Page 3

Part V

Supplemental Information

Complete this part to provide additional information for responses to questions on Schedule K (see instructions).

Identifier	Return Reference	Explanation
SCHEDULE K, PART II, LINE 3:		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.

Schedule K (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V lines 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ. MediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

EVANGELICAL COMMUNITY HOSPITAL

Employer identification number

24-0795411

Part I

Excess Benefit Transactions (section 501(c)(3) and section 501 (c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(b) Description of transaction	(c) Corrected?
1(a) Name of disqualified person	(b) Description of transaction	Yes	No

Enter the amount of tax imposed on the organization managers or disqualified persons during the year under section 4958. ......................... Bullet Image

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 26, or Form 990-EZ, Part V, line 38a.

(a) Name of interested person and purpose	(b) Loan to or from the organization?		(c)Original principal amount	(d)Balance due	(e) In default?		(f) Approved by board or committee?		(g)Written agreement?
(a) Name of interested person and purpose	To	From	(c)Original principal amount	(d)Balance due	Yes	No	Yes	No	Yes	No






Total ............... $

Part III

Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b)Relationship between interested person and the organization	(c)Amount of grant or type of assistance

For Privacy Act and Paperwork Reduction Act Notice, see the
Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2010

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) JOHN D GRIFFITH	DIRECTOR OF THE BOARD	426,965	JOHN D. GRIFFITH LEASES PROPERTY TO THE HOSPITAL AT AN ARM'S LENGTH TRANSACTION.		No
(2) JAMES W MORGAN JR MD	DIRECTOR OF THE BOARD	305,158	THE HOSPITAL PAYS DR. MORGAN'S PRACTICE FOR MEDICAL DIRECTORSHIPS THAT ARE SERVED BY DOCTORS WITHIN HIS PRACTICE.		No

Part V

Supplemental Information

Complete this part to provide additional information for responses to questions on Schedule L (see instructions).

Identifier	Return Reference	Explanation

Schedule L (Form 990 or 990-EZ) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE M
(Form 990)

Department of the Treasury

Internal Revenue Service

NonCash Contributions

Complete if the organization answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image

Attach to Form 990.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

EVANGELICAL COMMUNITY HOSPITAL

Employer identification number

24-0795411

Part I

Types of Property

	(a) Check if applicable	(b) Number of Contributions or items contributed	(c) Contribution amounts reported on Form 990, Part VIII, line 1g	(d) Method of determining contribution amounts
1 Art—Works of art ....
2 Art—Historical treasures .
3 Art—Fractional interests ..
4 Books and publications ..
5 Clothing and household goods .......
6 Cars and other vehicles ..
7 Boats and planes ....
8 Intellectual property ...
9 Securities—Publicly traded .
10 Securities—Closely held stock .
11 Securities—Partnership, LLC, or trust interests ....
12 Securities—Miscellaneous ..
13 Qualified conservation contribution—Historic structures .....
14 Qualified conservation contribution—Other ...
15 Real estate—Residential .
16 Real estate—Commercial ..
17 Real estate—Other ...
18 Collectibles .....
19 Food inventory ...
20 Drugs and medical supplies .
21 Taxidermy ......
22 Historical artifacts ....
23 Scientific specimens ..
24 Archeological artifacts ...
25 Other ( ADVERTISEMENT SPACE )	X	1	5,661	FMV
26 Other ( SPORTING EVENT )	X	1	1,368	FMV
27 Other ( ACCOMODATIONS )	X	1	8,400	FMV
28 Other ( FUNDRAISING PRIZES )	X	286	51,960	FMV

Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement ...

Yes

30a

During the year, did the organization receive by contribution any property reported in Part I, lines 1-28 that it

must hold for at least three years from the date of the initial contribution, and which is not required to be used

for exempt purposes for the entire holding period? ..................

30a

If "Yes," describe the arrangement in Part II.

Does the organization have a gift acceptance policy that requires the review of any non-standard contributions?

32a

Does the organization hire or use third parties or related organizations to solicit, process, or sell non-cash

contributions? ............................

32a

If "Yes," describe in Part II.

If the organization did not report revenues in column (c) for a type of property for which column (a) is checked,

describe in Part II.

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 51227J

Schedule M (Form 990) 2010

Page 2

Part II

Supplemental Information. Complete this part to provide the information required by Part I, lines 30b,
32b, and 33. Also complete this part for any additional information.

Identifier	Return Reference	Explanation

Schedule M (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.

OMB No. 1545-0047

2010

Open to Public
Inspection

Name of the organization

EVANGELICAL COMMUNITY HOSPITAL

Employer identification number

24-0795411

Identifier	Return Reference	Explanation
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.
	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 OR BEING A PART OF ACTIVE DISCUSSIONS WHERE THEY ARE IN DIRECT CONFLICT. ANYONE IN VIOLATION OF THE CONFLICT OF INTEREST POLICY IS ASKED TO STEP DOWN FROM THE BOARD.
	FORM 990, PART VI, SECTION B, LINE 15	THE BOARD'S EXECUTIVE COMPENSATION COMMITTEE, WHICH IS COMPOSED SOLELY OF INDEPENDENT MEMBERS OF THE BOARD, HAS ADOPTED AND FOLLOWS A PROCESS FOR REVIEWING AND DETERMINING THE COMPENSATION OF THE CEO AND THE EXECUTIVE MANAGEMENT TEAM. THE EXECUTIVE MANAGEMENT TEAM CONSISTS OF THE FOLLOWING POSITIONS: CHIEF OPERATING OFFICER, CHIEF FINANCIAL OFFICER, VICE PRESIDENT OF MEDICAL AFFAIRS, VICE PRESIDENT - NURSING, VICE PRESIDENT - DEVELOPMENT, VICE PRESIDENT - HUMAN RESOURCES, CHIEF INFORMATION OFFICER, 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.
CHANGES IN NET ASSETS OR FUND BALANCES:	FORM 990, PART XI, LINE 5:	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, 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 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.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

EVANGELICAL COMMUNITY HOSPITAL

Employer identification number

24-0795411

Part I

Identification of Disregarded Entities (Complete if the organization answered "Yes" on Form 990, Part IV, line 33.)

(a) Name, address, and EIN of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled organization
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2010

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) EVANGELICAL AMBULATORY SURGICAL CENTER LLC 210 JPM ROAD LEWISBURG,PA17837 23-3021240	HEALTHCARE	PA	N/A	INVESTMENT	101,438	852,085		No			No	50.000 %

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership
(1) CENTRAL SUSQUEHANNA HEALTHCARE PROVIDERS INC ONE HOSPITAL DRIVE LEWISBURG,PA17837 23-2452170	MEDICAL SERVICES	PA	N/A	C	-6,837	165,623	50.000 %
(2) ECH PHARMACY & HOMECARE PRODUCTS INC ONE HOSPITAL DRIVE LEWISBURG,PA17837 23-2353576	SALES OF MEDICAL DRUGS AND SUPPLIES	PA	EVANGELICAL MEDICAL SERVICE ORGANIZATION	C	1,973,630	1,992,417
(3) EVANGELICAL MEDICAL SERVICE ORGANIZATION ONE HOSPITAL DRIVE LEWISBURG,PA17837 23-2809429	MEDICAL SERVICES	PA	N/A	C	15,557,102	8,897,370	100.000 %

Schedule R (Form 990) 2010

Page 3

Part V

Transactions With Related Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35, 35A, or 36.)

Note. Complete line 1 if any entity is listed in Parts II, III or IV.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest (ii) annuities (iii) royalties (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .

b Gift, grant, or capital contribution to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

c Gift, grant, or capital contribution from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

d Loans or loan guarantees to or for other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

e Loans or loan guarantees by other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

f Sale of assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g Purchase of assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

h Exchange of assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

i Lease of facilities, equipment, or other assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

j Lease of facilities, equipment, or other assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .

k Performance of services or membership or fundraising solicitations for other organization(s) . . . . . . . . . . . . . . . . . . . . . .

l Performance of services or membership or fundraising solicitations by other organization(s) . . . . . . . . . . . . . . . . . . . . . .

m Sharing of facilities, equipment, mailing lists, or other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

n Sharing of paid employees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

o Reimbursement paid to other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

p Reimbursement paid by other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

q Other transfer of cash or property to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

r Other transfer of cash or property from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of other organization	(b) Transaction type(a-r)	(c) Amount involved	(d) Method of determining amount involved
(1) EVANGELICAL MEDICAL SERVICES ORGANIZATION	D	73,617	CASH
(2) EVANGELICAL MEDICAL SERVICES ORGANIZATION	B	1,950,000	CASH
(3) EVANGELICAL COMMUNITY HOSPITAL PHARMACY & HOME CARE PRODUCTS INC	D	78,050	CASH
(4) EVANGELICAL MEDICAL SERVICES ORGANIZATION	P	1,148,685	CASH
(5) EVANGELICAL COMMUNITY HOSPITAL PHARMACY & HOME CARE PRODUCTS INC	I	128,000	CASH
(6) EVANGELICAL MEDICAL SERVICES ORGANIZATION	I	345,322	CASH
(7) EVANGELICAL COMMUNITY HOSPITAL PHARMACY & HOME CARE PRODUCTS INC	N	57,456	HOURS SPENT WORKING FOR AFFILIATE
(8) EVANGELICAL MEDICAL SERVICES ORGANIZATION	N	442,402	HOURS SPENT WORKING FOR AFFILIATE

Schedule R (Form 990) 2010

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 37.)

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Are all partners section 501(c)(3) organizations?		(e) Share of end-of-year assets	(f) Disproprtionate allocations?		(g) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(h) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(e) Share of end-of-year assets	Yes	No	(g) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2010

Page 5

Part VII

Supplemental Information

Complete this part to provide additional information for responses to questions on Schedule R (see instructions).

Identifier	Return Reference	Explanation

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: PROVIDE HEALTH CARE SERVICES TO THE PUBLIC AND TO BE THE COMMUNITY'S HEALTH CARE PROVIDER OF CHOICE.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ....	3	20
4	Number of independent voting members of the governing body (Part VI, line 1b) ....	4	18
5	Total number of individuals employed in calendar year 2010 (Part V, line 2a) ...	5	1,371
6	Total number of volunteers (estimate if necessary) ....	6	614
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ..	7a	4,043,887
b	Net unrelated business taxable income from Form 990-T, line 34 ..	7b	813,791

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	2,786,638	3,490,178
9	Program service revenue (Part VIII, line 2g) .........	114,538,362	122,053,729
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	2,591,073	3,770,727
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	3,000,785	3,348,102
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	122,916,858	132,662,736
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	22,000	56,950
14	Benefits paid to or for members (Part IX, column (A), line 4) ....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	56,875,722	58,431,004
16a	Professional fundraising fees (Part IX, column (A), line 11e)....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 568,162
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f)....	52,750,551	57,488,181
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	109,648,273	115,976,135
19	Revenue less expenses. Subtract line 18 from line 12......	13,268,585	16,686,601
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16)............	177,099,609	219,250,555
21	Total liabilities (Part X, line 26)............	58,486,321	81,402,247
22	Net assets or fund balances. Subtract line 21 from line 20 .....	118,613,288	137,848,308

Sign Here

	Signature of officer	Date

	Type or print name and title.

Paid Preparer's Use Only	Preparer's signature	Date	Check if self- employed	Preparer’s taxpayer identification number (see instructions)
	Firm’s name (or yours if self-employed), address, and ZIP + 4			EIN
				Phone no.


4a	(Code: ) (Expenses $ 97,043,232 including grants of $ 56,950 ) (Revenue $ 119,680,890 )
	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.

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services. (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses$ 97,043,232

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	2,840,759	0	795,413

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512, 513, or 514
1a	Federated campaigns..1a		6,500
b	Membership dues....1b
c	Fundraising events....1c		107,260
d	Related organizations...1d
e	Government grants (contributions)1e		227,400

f	All other contributions, gifts, grants, and similar amounts not included above1f		3,149,018
g	Noncash contributions included in lines 1a-1f:$ 67,389
h	Total. Add lines 1a-1f.......			3,490,178
			Business Code
2a	NET PATIENT SERVICE RE		621,400	119,044,169	119,044,169
b	LABORATORY SERVICES		621,500	3,009,560		3,009,560
c
d
e
f	All other program service revenue .
g	Total. Add lines 2a–2f........			122,053,729
3	Investment income (including dividends, interest
	and other similar amounts).....			2,273,775			2,273,775
4	Income from investment of tax-exempt bond proceeds..
5	Royalties............
		(i) Real	(ii) Personal
6a	Gross Rents	1,868,671
b	Less: rental expenses	2,173,697
c	Rental income or (loss)	-305,026
d	Net rental income or (loss).......			-305,026			-305,026
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	23,280,189	108,926
b	Less: cost or other basis and sales expenses	21,696,886	195,277
c	Gain or (loss)	1,583,303	-86,351
d	Net gain or (loss)..........			1,496,952			1,496,952
8a	Gross income from fundraising events (not including $ 107,260 of contributions reported on line 1c). See Part IV, line 18 ...
	a		73,610
b	Less: direct expenses ...b		54,225
c	Net income or (loss) from fundraising events..			19,385			19,385
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a		1,278
b	Less: direct expenses ...b		3,353
c	Net income or (loss) from gaming activities...			-2,075			-2,075
10a	Gross sales of inventory, less returns and allowances .
	a
b	Less: cost of goods sold ..b
c	Net income or (loss) from sales of inventory..
Miscellaneous Revenue			Business Code
11a	BILLING AND CODING FEE		541,900	562,327		562,327
b	CAFETERIA AND VENDING		722,210	558,151			558,151
c	ADMINISTRATIVE FEE INC		541,900	472,000		472,000
d	All other revenue ....			2,043,340	636,721		1,406,619
e	Total. Add lines 11a–11d ......			3,635,818
12	Total revenue. See Instructions....			132,662,736	119,680,890	4,043,887	5,447,781


				(A) Beginning of year		(B) End of year
1	Cashnon-interest-bearing ..........			1,465	1	1,545
2	Savings and temporary cash investments .......			22,663,582	2	21,459,829
3	Pledges and grants receivable, net .........			1,026,948	3	1,285,223
4	Accounts receivable, net .........			9,961,572	4	10,755,446
5	Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
	Schedule L ..........				5
6	Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
	Schedule L ..........				6
7	Notes and loans receivable, net .............			1,744,377	7	1,654,714
8	Inventories for sale or use ..............			2,540,533	8	2,792,321
9	Prepaid expenses and deferred charges ............			1,456,765	9	2,136,929
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	164,540,945
b	Less: accumulated depreciation. .....	10b	78,509,436	73,726,892	10c	86,031,509
11	Investments—publicly traded securities ..........			57,366,549	11	83,071,772
12	Investments—other securities. See Part IV, line 11 ......			1,939,694	12	2,479,998
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets .........				14
15	Other assets. See Part IV, line 11 ...........			4,671,232	15	7,581,269
16	Total assets. Add lines 1 through 15 (must equal line 34)...			177,099,609	16	219,250,555
17	Accounts payable and accrued expenses .			12,872,502	17	16,092,996
18	Grants payable ..........				18
19	Deferred revenue ..........				19
20	Tax-exempt bond liabilities ..........			33,945,000	20	51,755,000
21	Escrow or custodial account liability. Complete Part IV of Schedule D..				21
22	Payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........				22
23	Secured mortgages and notes payable to unrelated third parties ..				23
24	Unsecured notes and loans payable to unrelated third parties ....				24
25	Other liabilities. Complete Part X of Schedule D.....			11,668,819	25	13,554,251
26	Total liabilities. Add lines 17 through 25.....			58,486,321	26	81,402,247
	Organizations that follow SFAS 117, check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets .....			113,040,176	27	130,964,510
28	Temporarily restricted net assets .....			1,401,450	28	1,696,335
29	Permanently restricted net assets .....			4,171,662	29	5,187,463
	Organizations that do not follow SFAS 117, check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....				30
31	Paid-in or capital surplus, or land, building or equipment fund .....				31
32	Retained earnings, endowment, accumulated income, or other funds				32
33	Total net assets or fund balances .....			118,613,288	33	137,848,308
34	Total liabilities and net assets/fund balances .....			177,099,609	34	219,250,555