TY 2021 Form 990

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)
(1) J DONALD STEELE JR...................................................................... CHAIR	1.00 ................. 0.10	X	X	0	0
(2) TIMM A MOYER...................................................................... VICE CHAIR	1.00 ................. 0.10	X	X	0	0
(3) ADANMA C AKUJIEZE...................................................................... DIRECTOR	1.00 ................. 0.10	X		0	0
(4) TIMOTHY J APPLE...................................................................... DIRECTOR	1.00 ................. 0.10	X		0	0
(5) SUSAN FETTERMAN RN MSN MBA FACHE...................................................................... DIRECTOR	1.00 ................. 0.10	X		0	0
(6) ROGER S HADDON JR...................................................................... DIRECTOR	1.00 ................. 0.10	X		0	0
(7) JEFFREY J KAPSAR...................................................................... DIRECTOR	1.00 ................. 0.10	X		0	0
(8) AMANDA G KESSLER ESQ...................................................................... DIRECTOR	1.00 ................. 0.10	X		0	0
(9) SHAWN P MCGLAUGHLIN MD...................................................................... DIRECTOR	40.00 .................	X		776,250	31,474
(10) JOHN E MECKLEY ESQ...................................................................... DIRECTOR	1.00 ................. 0.10	X		0	0
(11) CHRISTOPHER J MOTTO MD...................................................................... DIRECTOR	1.00 ................. 43.00	X		513,043	18,275
(12) JULIA E REDCAY DO...................................................................... DIRECTOR	1.00 ................. 39.00	X		366,485	23,129
(13) MATTHEW W REISH MD...................................................................... DIRECTOR	1.00 ................. 39.00	X		966,025	34,865
(14) LESLIE P TEMPLE...................................................................... DIRECTOR	1.00 ................. 0.10	X		0	0
(15) DAVID M ZELECHOSKI MD...................................................................... DIRECTOR	1.00 ................. 39.00	X		248,290	20,893
(16) KENDRA A AUCKER...................................................................... PRESIDENT/CHIEF EXECUTIVE	40.00 ................. 1.00		X	774,072	165,987
(17) JAMES A STOPPER...................................................................... TREASURER/CHIEF FINANCIAL	40.00 ................. 1.00		X	467,026	68,056

(A) Name and business address	(B) Description of services	(C) Compensation
QUALIVIS LLC DEPT 3847 PO BOX 123847 DALLAS,TX75312	CONTRACT LABOR	12,869,722
QUANDEL CONSTRUCTION 2601 MARKET PL STE 200 HARRISBURG,PA17110	CONSTRUCTION SERVICES	4,511,438
RENOVO SOLUTIONS 4 EXECUTIVE CIRCLE IRVINE,CA92614	PREVENTATIVE MAINTENANCE-EQUIPMENT	1,655,797
KING & SPALDING LLC PO BOX 116133 ATLANTA,GA306386133	LEGAL SERVICES	1,546,266
CONSILIO LLC DEPT CH 17174 PALATINE,IL600557174	LEGAL AND CONSULTING SERVICES	956,064
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 33

- TIN:

SCHEDULE A
(Form 990)

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.
right arrow

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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

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 12, check only one box.)

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

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990).)

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 agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 33 1/3% 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 33 1/3% 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. See section 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 on lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

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

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

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

Cat. No. 11285F

Schedule A (Form 990) 2021

Page 2

Part II

Support Schedule for Organizations Described in Sections 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 failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2017	(b) 2018	(c) 2019	(d) 2020	(e) 2021	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
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) 2017	(b) 2018	(c) 2019	(d) 2020	(e) 2021	(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. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10

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

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here ........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2021 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2020 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2021. 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—2020. If the organization did not check a 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—2021. 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 VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2020. 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 VI 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) 2021

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 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) 2017	(b) 2018	(c) 2019	(d) 2020	(e) 2021	(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) 2017	(b) 2018	(c) 2019	(d) 2020	(e) 2021	(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 on 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 VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2021 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2020 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2021 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2020 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2021. 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—2020. 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) 2021

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If “Yes,” complete Part I of Schedule L (Form 990).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined on line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990) 2021

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described on lines 11b and 11c below, the governing body of a supported organization?

11a

A family member of a person described on 11a above?

11b

A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the officers, directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in line 2 above, did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer lines 2a and 2b below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described on line 2a, above constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer lines 3a and 3b below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations?If "Yes" or "No", provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990) 2021

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by 0.035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990) 2021

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes	1
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity	2
3 Administrative expenses paid to accomplish exempt purposes of supported organizations	3
4 Amounts paid to acquire exempt-use assets	4
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI)	5
6 Other distributions (describe in Part VI). See instructions	6
7Total annual distributions. Add lines 1 through 6.	7
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions	8
9 Distributable amount for 2021 from Section C, line 6	9
10 Line 8 amount divided by Line 9 amount	10

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2021	(iii) Distributable Amount for 2021
1 Distributable amount for 2021 from Section C, line 6
2 Underdistributions, if any, for years prior to 2021 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2021:
a From 2016.......
b From 2017.......
c From 2018.......
d From 2019.......
e From 2020.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2021 distributable amount
i Carryover from 2016 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2021 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2021 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2021, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2021. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2022. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2017.....
b Excess from 2018.....
c Excess from 2019.....
d Excess from 2020.....
e Excess from 2021.....

Schedule A (Form 990) (2021)

Schedule A (Form 990) 2021

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

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

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2021

Name of the 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, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) 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), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions 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 an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled 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. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't 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 on line H of its Form 990-EZ
or on its Form 990PF, Part I, line 2, to certify that it doesn't 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) (2021)

Schedule B (Form 990) (2021) Page 2

Name of organization EVANGELICAL COMMUNITY HOSPITAL

Part I Contributors	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990) (2021)

Schedule B (Form 990) (2021)

Page 3

Name of organization EVANGELICAL COMMUNITY HOSPITAL		Employer identification number 24-0795411

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(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) (2021)

Schedule B (Form 990) (2021)

Page 4


Name of organization EVANGELICAL COMMUNITY HOSPITAL			Employer identification number 24-0795411
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. 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.) $ Use duplicate copies of Part III if additional space is needed.

(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) (2021)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527

SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

Attach to Form 990 or Form 990-EZ.
SchCMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public
Inspection

If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

EVANGELICAL COMMUNITY HOSPITAL

Employer identification number

24-0795411

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV. See instructions for definition of “political campaign activities."

Political campaign activity expenditures. See instructions .................................................................... SchCMd Bullet

Volunteer hours for political campaign activities. See instructions ..................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b........... SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6

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

Cat. No. 50084S

Schedule C (Form 990) 2021

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ........................
c	Total lobbying expenditures (add lines 1a and 1b) ............................................................
d	Other exempt purpose expenditures ...............................................................................
e	Total exempt purpose expenditures (add lines 1c and 1d) ..................................................
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................................................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ...................................................................................................................	Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2018	(b) 2019	(c) 2020	(d) 2021	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990) 2021

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes|No

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? ...........................................................................................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Publications, or published or broadcast statements? ...........................................................

Grants to other organizations for lobbying purposes? ..........................................................

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Other activities? ...................................................................................................................

Yes

8,875

Total. Add lines 1c through 1i ....................................................................................................

8,875

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members ......................................................................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................

Taxable amount of lobbying and political expenditures. See Instructions .........................................

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
PART II-B, LINE 1:	A PERCENTAGE OF ANNUAL HAP AND AHA DUES WERE USED FOR LOBBYING; THIS AMOUNTED TO $8,875 FOR THE FISCAL YEAR ENDING JUNE 30, 2022.

Schedule C (Form 990) 2021

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," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
SchDMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

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" on Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of 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 can 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" on 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 education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 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 7/25/06, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax 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, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, 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 section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, 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" on Form 990, Part IV, line 8.

If the organization elected, as permitted under FASB ASC 958, 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 XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under FASB ASC 958, 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)

Revenue included on 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 FASB ASC 958 relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

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

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

Cat. No. 52283D

Schedule D (Form 990) 2021

Page 2

Part III

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

Using the organization’s acquisition, 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 XIII.

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" on 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


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
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, for escrow or custodial account liability? ...

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....

Part V

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

		(a) Current year	(b) Prior year	(c) Two years back	(d) Three years back	(e) Four years back

1a	Beginning of year balance ....	11,172,454	9,222,267	8,760,698	8,165,164	7,862,290
b	Contributions ...	93,722	10,660	22,134	20,575	25,625
c	Net investment earnings, gains, and losses	-1,509,692	2,063,099	590,484	741,483	436,912
d	Grants or scholarships ...	14,000	22,200	18,795	20,331	22,500
e	Other expenditures for facilities and programs ...	169,946	75,872	94,907	113,399	104,484
f	Administrative expenses ....	25,510	25,500	37,347	32,794	32,679
g	End of year balance ......	9,547,028	11,172,454	9,222,267	8,760,698	8,165,164

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

74.000 %

Permanent endowment SchDMd Bullet

26.000 %

Term endowment SchDMd Bullet

0 %

The percentages on lines 2a, 2b, and 2c should equal 100%.

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)

Yes

(ii) Related organizations .................

3a(ii)

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

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

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....	26,714,160		26,714,160
b	Buildings ....	202,665,509	62,990,971	139,674,538
c	Leasehold improvements	14,770,657	5,302,356	9,468,301
d	Equipment ....	114,632,970	77,141,156	37,491,814
e	Other .....	20,154,503	2,052,826	18,101,677
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				231,450,490

Schedule D (Form 990) 2021

Page 3

Part VII

Investments - Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. 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........
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

Investments - Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

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

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1)BENEFICIAL INTEREST IN PERPETUAL TRUSTS				3,784,944
(2)BENEFICIAL INTEREST IN CHARITABLE REMAINDER TRUSTS				244,664
(3)DUE FROM AFFILIATES				7,724,990
(4)MALPRACTICE RECEIVABLE - INS				958,365
(5)RIGHT OF USE ASSET				8,755,693
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				21,468,656

Part X

Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	23,873,402
2. Liability for uncertain tax positions. In Part XIII, 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 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2021

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......			1	246,486,716
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a	-15,992,270
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d	-13,059,807
e	Add lines 2a through 2d .....................			2e	-29,052,077
3	Subtract line 2e from line 1..................			3	275,538,793
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
b	Other (Describe in Part XIII.) ...........	4b	-5,741,192
c	Add lines 4a and 4b....................			4c	-5,741,192
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	269,797,601

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........			1	258,254,617
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 XIII.) ............	2d	42,499,040
e	Add lines 2a through 2d....................			2e	42,499,040
3	Subtract line 2e from line 1...................			3	215,755,577
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
b	Other (Describe in Part XIII.) ............	4b	13,031,309
c	Add lines 4a and 4b.....................			4c	13,031,309
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......			5	228,786,886

Part XIII

Supplemental Information

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, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference	Explanation
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.
PART XI, LINE 2D - OTHER ADJUSTMENTS:	BAD DEBT EXPENSE NETTED AGAINST REVENUE ON AFS -12,505,673. INVESTMENT EXPENSES NETTED AGAINST REVENUE ON AFS -525,636. POSTRETIREMENT BENEFIT LIABILITY ADJUSTMENT 1,039,493. NET ASSETS RELEASED FROM RESTRICTIONS -84,116. VALUATION GAIN/(LOSS) -928,422. CHANGE IN VALUE OF SPLIT-INTEREST AGREEMENT -55,453.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	RENTAL EXPENSES -5,680,760. SPECIAL EVENTS EXPENSE -60,432.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	EQUITY TRANSFER WITH AFFILIATES 36,757,848. RENTAL EXPENSES 5,680,760. SPECIAL EVENTS EXPENSE 60,432.
PART XII, LINE 4B - OTHER ADJUSTMENTS:	BAD DEBT EXPENSE NETTED AGAINST REVENUE ON AFS 12,505,673. INVESTMENT EXPENSES NETTED AGAINST REVENUE ON AFS 525,636.

Schedule D (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE G (Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information Regarding
Fundraising or Gaming Activities

Complete if the organization answered "Yes" on 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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

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" on Form 990, Part IV, line 17.

Form 990-EZ filers are not required to complete this part.

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 email 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?

YesNo

If "Yes," list the 10 highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization.

(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
			Yes	No
	PRIDE PHILANTHROPY 1397 CHESTNUT COVE TRAIL 20988 JASPER, GA30143	CAMPAIGN CONSULTANT		No	0	48,000	-48,000
	PROCOPIA 1106 NORTH SHERIDAN AVENUE PITTSBURGH, PA15206	GRANT WRITING CONSULTANT		No	0	8,250	-8,250
	DELTA DEVELOPMENT GROUP INC 225 GRANDVIEW AVENUE SUITE 301 CAMP HILL, PA17011	GRANT WRITING CONSULTANT		No	0	30,000	-30,000







Total . . . . . . . . . . . . . . . . . . . .						86,250	-86,250

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

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

Cat. No. 50083H

Schedule G (Form 990) 2021

Page 2

Part II

Fundraising Events. Complete if the organization answered "Yes" on Form 990, Part IV, line 18, or reported more than $15,000 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000.

		(a) Event #1 EVANGELICAL GOLF CLASSIC (event type)	(b) Event #2 COOKIN' MEN/FASSANO (event type)	(c) Other events 1 (total number)	(d) Total events (add col. (a) through col. (c))
1	Gross receipts . . . . .	78,193	72,155	153,335	303,683
2	Less: Contributions . . . .	59,211	72,155	153,335	284,701
3	Gross income (line 1 minus line 2) . . . . . .	18,982			18,982

4	Cash prizes . . . . .	1,893			1,893
5	Noncash prizes . . . .	2,010			2,010
6	Rent/facility costs . . . .	8,544	1,505	265	10,314
7	Food and beverages . . .	4,832	2,323	10,694	17,849
8	Entertainment . . . .		850	7,000	7,850
9	Other direct expenses . . .	3,695	2,282	14,539	20,516
10	Direct expense summary. Add lines 4 through 9 in column (d) . . . . . . . . . .				60,432
11	Net income summary. Subtract line 10 from line 3, column (d). . . . . . . . . .				-41,450

Part III

Gaming. Complete if the organization answered "Yes" on 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))
1	Gross revenue . . . . .

2	Cash prizes . . . . .
3	Noncash prizes . . . .
4	Rent/facility costs . . . .
5	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. Subtract line 7 from line 1, column (d). . . . . . . . . right arrow

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

Is the organization licensed to conduct 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:

Schedule G (Form 990) 2021

Page 3

Does the organization conduct 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

Indicate the percentage of gaming activity conducted in:

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

13a

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

13b

Enter 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 of the third party:

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

Supplemental Information. Provide the explanations required by Part I, line 2b, columns (iii) and (v); and Part III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also provide any additional information. See instructions.

Return Reference	Explanation

Schedule G (Form 990) 2021

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" on Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

EVANGELICAL COMMUNITY HOSPITAL

Employer identification number

24-0795411

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

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

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

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

Yes

100% 150% 200% Other %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

Yes

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

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

Yes

If "Yes," did 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.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(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	Financial Assistance at cost (from Worksheet 1) . . .		1,219	265,627		265,627	0.120 %
b	Medicaid (from Worksheet 3, column a) . . . . .	1	26,063	24,281,885	8,894,537	15,387,348	7.120 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .	1	49	13,863		13,863	0.010 %
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	2	27,331	24,561,375	8,894,537	15,666,838	7.250 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	7,090	22,320	439,732	34,040	405,692	0.190 %
f	Health professions education (from Worksheet 5) . . .	247	1,276	50,317		50,317	0.020 %
g	Subsidized health services (from Worksheet 6) . . . .
h	Research (from Worksheet 7) .
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	56		268,897		268,897	0.120 %
j	Total. Other Benefits . .	7,393	23,596	758,946	34,040	724,906	0.330 %
k	Total. Add lines 7d and 7j .	7,395	50,927	25,320,321	8,928,577	16,391,744	7.580 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2021

Schedule H (Form 990) 2021

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support	165	1,688	19,611	19,611	0.010 %
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building	1	23	314	314	0 %
7	Community health improvement advocacy
8	Workforce development
9	Other
10	Total	166	1,711	19,925	19,925	0.010 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

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

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

1,180,753

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

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

43,376,140

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

62,292,164

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

-18,916,024

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

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(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) 2021

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?1Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)					Other (describe)
1	EVANGELICAL COMMUNITY HOSPITAL ONE HOSPITAL DRIVE LEWISBURG,PA17837 570201	X	X	X	INPATIENT REHABILITATION, HOSPICE

Schedule H (Form 990) 2021

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

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

	EVANGELICAL COMMUNITY HOSPITAL
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 21

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Yes

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): WWW.EVANHOSPITAL.COM/HEALTH-AND-WELLNESS

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 21

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): WWW.EVANHOSPITAL.COM/HEALTH-AND-WELLNESS

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2021

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	EVANGELICAL COMMUNITY HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 100.000000000000%
and FPG family income limit for eligibility for discounted care of 200.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

WWW.EVANHOSPITAL.COM/FOR-PATIENTS/FINANCIAL-ASSISTANCE-PROGRAM-GUIDELINES

The FAP application form was widely available on a website (list url):

WWW.EVANHOSPITAL.COM/FOR-PATIENTS/FINANCIAL-ASSISTANCE-PROGRAM-GUIDELINES

A plain language summary of the FAP was widely available on a website (list url):
WWW.EVANHOSPITAL.COM/FOR-PATIENTS/FINANCIAL-ASSISTANCE-PROGRAM-GUIDELINES

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2021

Page 6

Part VFacility Information (continued)

Billing and Collections

	EVANGELICAL COMMUNITY HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required 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?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2021

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	EVANGELICAL COMMUNITY HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

During the tax year, did the hospital facility charge any FAP-eligible individual 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? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2021

Page 8

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
EVANGELICAL COMMUNITY HOSPITAL	PART V, SECTION B, LINE 5: COMMUNITY ENGAGEMENT WAS AN INTEGRAL PART OF THE 2021 CHNA. A VIRTUAL TOWN HALL WAS HELD IN AUGUST 2020 TO ANNOUNCE THE ONSET OF THE CHNA AND ENCOURAGE BROAD STAKEHOLDER PARTICIPATION. A KEY INFORMANT SURVEY WAS SENT TO NEARLY 1,000 COMMUNITY STAKEHOLDERS TO SOLICIT INPUT ON HEALTH DISPARITIES, OPPORTUNITIES FOR COLLABORATION, COVID-19 RESPONSE, COMMUNITY HEALTH PRIORITIES, AMONG OTHER INSIGHTS. CONTINUED COMMUNITY ENGAGEMENT ACTIVITIES ARE PLANNED TO ENSURE ONGOING DIALOGUE AND A FORUM FOR ADDRESSING COMMUNITY HEALTH NEEDS.
EVANGELICAL COMMUNITY HOSPITAL	PART V, SECTION B, LINE 6A: THE 2021 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED IN PARTNERSHIP WITH EVANGELICAL COMMUNITY HOSPITAL, GEISINGER, AND ALLIED SERVICES INTEGRATED HEALTH SYSTEM. THE STUDY AREA INCLUDED 15 COUNTIES ACROSS CENTRAL AND NORTHEASTERN PENNSYLVANIA, WHICH REPRESENTED THE HEALTH SYSTEMS' COLLECTIVE SERVICE AREAS. COLLABORATION IN THIS WAY CONSERVES VITAL COMMUNITY RESOURCES WHILE FOSTERING A PLATFORM FOR "COLLECTIVE IMPACT" THAT ALIGNS COMMUNITY EFFORTS TOWARD A COMMON GOAL OR ACTION. TO DISTINGUISH UNIQUE SERVICE AREAS AMONG HOSPITALS, REGIONAL RESEARCH AND REPORTING WAS DEVELOPED.
EVANGELICAL COMMUNITY HOSPITAL	PART V, SECTION B, LINE 6B: ALLIED SERVICES INTEGRATED HEALTH SYSTEM
EVANGELICAL COMMUNITY HOSPITAL	PART V, SECTION B, LINE 11: FISCAL YEAR 2022 IS ECH'S FIRST YEAR FOR REPORTING ON OUR 2021 CHNA KEY IDENTIFIED NEEDS. THOSE NEEDS OF OUR COMMUNITY WERE IDENTIFIED AS 1.) ACCESS TO CARE; 2.) BEHAVIORAL HEALTH; 3.) CHRONIC DISEASE PREVENTION AND MANAGEMENT. THIS PLAN PROVIDED A ROADMAP FOR OUR HOSPITAL TO MEET SPECIFIC NEEDS WITHIN OUR SERVICE AREA. ALL IDENTIFIED NEEDS ARE BEING ADDRESSED.DURING FISCAL YEAR 2022 THE HOSPITAL BEGAN ITS FOCUS ON THE NEW ASSESSMENT AND THE KEY NEEDS. ALTHOUGH THE TOP THREE PRIORITIES REMAINED THE SAME, SOME NEW INITIATIVES HAVE BEEN DEVELOPED TO FOCUS ON FOR THE NEXT THREE YEARS OF THE IMPLEMENTATION PLAN.1. ACCESS TO CAREACTION ITEM 1: PROVIDE FREE OR REDUCED-FEE HEALTH SCREENINGS AND PREVENTIVE PROGRAMS, SUCH AS SKIN CANCER SCREENINGS, BLOOD SUGAR TESTING, BLOOD PRESSURE CHECKS, COMPREHENSIVE BLOOD SCREENINGS, AND MORE.EVANGELICAL COMMUNITY HOSPITAL OFFERED THE FOLLOWING FREE OR REDUCED-FEE SCREENINGS AT VARIOUS TIMES AND LOCATIONS THROUGHOUT THE COMMUNITY IN FY2022: COMMUNITY HEALTH AND WELLNESS FY2022COMPREHENSIVE BLOOD SCREENINGS 1473COMMUNITY HEALTH SCREENINGS (MEN'S, WOMEN'S, HEART) 150SKIN SCREENINGS 237HEARING SCREENS 27BLOOD PRESSURE/BLOOD SUGAR SCREENS 736HEEL SCAN/BONE DENSITY CLINICS 28FREEDOM FROM SMOKING 9HEALTH COACHING 25 ACTION ITEM 2: CONTINUE TO FOCUS ON COLLABORATIVE EFFORTS WITH COMMUNITY-BASED AGENCIES, PROVIDING PROGRAMS, CLASSES AND SPECIAL EVENTS THROUGH THE JOINT VENTURE PARTNERSHIP AT THE MILLER CENTER FOR RECREATION AND WELLNESS (MCRW)DURING FY22 EVANGELICAL COMMUNITY HOSPITAL DISTRIBUTED 19 FOOD BOXES TO PATIENTS IDENTIFIED AS FOOD INSECURE. THE FOOD HUB THROUGH THE SNYDER-UNION COMMUNITY ACTION AGENCY PROVIDE THE FOOD BOXES UPON REQUEST.DURING FY22, COMMUNITY HEALTH OF EVANGELICAL OFFICE SPACE MOVED TO MCRW. ADDITIONALLY, MCRW BECAME THE PRIMARY HOME OF COMMUNITY HEALTH PROGRAMING DURING FY22. DURING FY22 SEVERAL SPECIAL EVENTS WERE HELD FOR OUR COMMUNITY FOCUSING ON TWO KEY DEMOGRAPHIC POPULATIONS. THE SENIOR HEALTH AND FITNESS DAY AND DIABETES AWARENESS DAY EVENTS BROUGHT MULTIPLE COMMUNITY AGENCIES TOGETHER TO INFORM AND EDUCATE THE COMMUNITY ON A VARIETY OF PROGRAMS AND RESOURCES AVAILABLE. IN TOTAL CLOSE TO 200 COMMUNITY MEMBERS ATTENDED THESE INFORMATIVE EVENTS. ACTION ITEM 3: WORK WITH THE NURSE-FAMILY PARTNERSHIP PROGRAM FOR AT-RISK, YOUNG, EXPECTANT WOMEN TO IMPROVE PREGNANCY OUTCOMES, CHILD HEALTH AND DEVELOPMENT, AND ECONOMIC SELF-SUFFICIENCY FOR THE FAMILY.EVANGELICAL MADE 61 REFERRALS TO THE NURSE FAMILY PARTNERSHIP IN FISCAL YEAR 2022. 57 WERE ENROLLED IN THE PROGRAM AND TO DATE, 11 HAVE GRADUATED FROM THE PROGRAM. THIS COLLABORATIVE PROGRAM INVOLVES A NURSE MAKING HOME VISITS OVER 30 MONTHS FROM BEFORE BIRTH UNTIL THE BABY IS AGE TWO. MORE THAN 30 YEARS OF RANDOMIZED, CONTROLLED TRIALS SHOW THAT FAMILIES WHO PARTICIPATE IN THE NURSE-FAMILY PARTNERSHIP MODEL FARE BETTER THAN THOSE NOT IN THE PROGRAM. ACTION ITEM 4: EVANGELICAL REGIONAL MOBILE MEDICAL SERVICES (ERMMS) CONTINUES ITS COMMITMENT OF EMS SERVICE TO OUR REGIONAL COMMUNITY. IN FY22, ERMMS CONTINUES TO ENGAGE WITH LOCAL MUNICIPALITIES TO ENSURE EACH HAS A SUSTAINABLE EMS SYSTEM INCLUDING FINDING OPPORTUNITIES FOR ERMMS TO PROVIDE EMS COVERAGE BEYOND OUR CURRENT FLEET OF 6 MOBILE INTENSIVE CARE UNITS, 4 BLS UNITS AND 1 MEDIC UNIT. ADDITIONALLY, COLLABORATION WITH LOCAL FIRE DEPARTMENTS AND QUICK RESPONSE SERVICES IS AN AREA OF FOCUS ALLOWING FOR FASTER MEDICAL RESPONSE OUTSIDE THE LOCAL POPULATION CENTERS. ERMMS STAFF RESPONDS TO AN AVERAGE OF 1,050 CALLS EACH MONTH. THE WHEELCHAIR VAN DEPLOYED IN FY 21 CONTINUES SERVICE ENSURING THAT PATIENTS HAVE TRANSPORTATION TO APPOINTMENTS, PROCEDURES AND WHEN IT IS TIME TO RETURN HOME FOLLOWING A HOSPITALIZATION. THE WHEELCHAIR VAN AVERAGES 74 TRANSPORTS EACH MONTH. ACTION ITEM 5: UTILIZE MOBILE HEALTH OF EVANGELICAL TO REACH POPULATIONS THAT ARE IN AREAS LACKING PRIMARY CARE AND HEALTH SCREENING OPTIONS LOCALLYFUNDED ENTIRELY THROUGH BUSINESS AND COMMUNITY DONATIONS, MOBILE HEALTH OF EVANGELICAL SEEKS TO IMPROVE ACCESS TO HEALTHCARE BY OVERCOMING THE BARRIERS OF TRANSPORTATION, DISTANCE, AND COST OF CARE. THE 38-FOOT UNIT FEATURES A WELCOME/REGISTRATION AREA, BLOOD DRAW AREA, AND TWO EXAM ROOMS. OFFERED SERVICES INCLUDE PRIMARY AND SPECIALTY CARE, DENTAL HYGIENE, AND HEALTH EDUCATION. SELECT SERVICES ARE PROVIDED FREE OF CHARGE.IN FY22 MOBILE HEALTH OF EVANGELICAL WAS PLACED BACK IN SERVICE TO SUPPORT ITS MISSION, AFTER NEARLY A TWO-YEAR DEPLOYMENT FOR COVID-19 TESTING. SERVICE VOLUMES IN FY2022 WERE: MOBILE HEALTH OF EVANGELICAL FY2022COMPREHENSIVE BLOOD SCREENINGS 41BLOOD PRESSURE/BLOOD SUGAR SCREENINGS 101HEEL SCAN/BONE DENSITY CLINICS 45ORAL HEALTH (FLUORIDE APPLICATIONS AND ORAL HEALTH EDUCATION) 77GENERAL HEALTH CHECK-UPS 38SPORTS PHYSICALS 175COMMUNITY EVENTS 1,246ACTION ITEM 5: THE HOSPITAL COMPLETED THE PRIME (PATIENT ROOM MODERNIZATION AND ENHANCEMENT) PROJECT IN JUNE OF 2021 AND WAS FULLY OPERATIONAL BY THE START OF FY2022. ACTION ITEM 6: DURING FY22 A POST COVID-19 REHABILITATION PROGRAM WAS DEVELOPED TO ASSIST PATIENTS AND COMMUNITY MEMBERS DEALING WITH LASTING EFFECTS COVID-19 MAY HAVE HAD ON THEM PHYSICALLY, MEDICALLY, EMOTIONALLY, AND MENTALLY. PHYSICAL REHABILITATION SERVICES HAD 16 REFERRALS. 5 PATIENTS SAW PHYSICAL THERAPY ONLY, 7 SAW BOTH PHYSICAL THERAPY (PT) AND OCCUPATIONAL THERAPY (OT), 1 ONLY SAW OT, 2 SAW PT, OT AND SPEECH THERAPY AND 1 SAW ALL THREE PT, OT AND SPEECH THERAPY. PULMONARY REHABILITATION SAW A TOTAL OF 9 PATIENTS.2. BEHAVIORAL HEALTHACTION ITEM 1: SERVE AS THE COUNTY/REGIONAL CENTRALIZED COORDINATING ENTITY (CCE) FOR SNYDER, UNION AND NORTHUMBERLAND COUNTIES TO PROVIDE FREE NALOXONE TO ALL FIRST RESPONDERS. THE HOSPITAL PROVIDED 56 INDIVIDUALS WITH NARCAN TRAINING, PROVIDED 57 KITS THROUGH COMMUNITY NARCAN DRIVE THROUGH DISTRIBUTION EVENTS AND DISTRIBUTED OVER 940 OPIOID REVERSAL KITS TO VARIOUS FIRST RESPONDERS, AGENCIES ACTING AS FIRST RESPONDERS AND INDIVIDUALS WHO MAY NEED TO ACT AS A FIRST RESPONDER. ACTION ITEM 2: SUPPORT AND PARTICIPATE IN THE EFFORTS BY LOCAL OPIOID COALITIONS IN SNYDER, UNION AND NORTHUMBERLAND COUNTIES. THE HOSPITAL CONTINUES TO COLLABORATE WITH AND SUPPORT BOTH NORTHUMBERLAND AND SNYDER-UNION OPIOID COALITIONS THROUGH COMMUNITY NARCAN DISTRIBUTIONS, EDUCATIONAL PROGRAMS, AND ATTENDANCE AT LOCAL EVENTS. DURING FISCAL YEAR 2022 COLUMBIA MONTOUR OPIOID COALITION JOINED FORCES WITH BOTH NORTHUMBERLAND AND SNYDER COUNITES COALITIONS TO CREATE A REGIONAL COALITION TO COMBINE EFFORTS AND CREATE A LARGER FOOTPRINT TO EDUCATE, SUPPORT AND RAISE AWARENESS OF THE SUBSTANCE USE EPIDEMIC IN OUR REGION.THE COMMUNITY HEALTH AND WELLNESS DEPARTMENT OFFERED SIX (6) COMMUNITY NARCAN DISTRIBUTION EVENTS THROUGHOUT THE HOSPITAL'S SERVICE AREA. OVER 120 KITS WERE DISTRIBUTED TO COMMUNITY MEMBERS IN NEED.3. CHRONIC DISEASE PREVENTION AND MANAGEMENTACTION ITEM 1: DEVELOP PROGRAMS AND EVENTS FOCUSED ON DIABETES EDUCATION AND PREVENTION EVANGELICAL OFFERS A FREE DIABETES RESOURCE PROGRAM ACCREDITED THROUGH THE DIABETES EDUCATION ACCREDITATION PROGRAM (DEAP) OF THE AMERICAN ASSOCIATION OF DIABETES EDUCATORS (AADE). PROGRAM CLASSES ARE TAUGHT BY A REGISTERED NURSE/CERTIFIED DIABETES EDUCATOR. COVERED TOPICS INCLUDE INTRODUCTION TO DIABETES; DIETARY MANAGEMENT; COMPLICATION PREVENTION; HOME BLOOD GLUCOSE MONITORING; AND MEDICATION OPTIONS. IN FY22 THIS PROGRAM WAS NOT OFFERED DUE TO RESIGNATION OF THE PROGRAM COORDINATOR. THE PROGRAM WILL RESUME WHEN A REGISTERED NURSE/CERTIFIED DIABETES EDUCATOR IS HIRED. IN THE SPRING OF 2022, THE COMMUNITY HEALTH AND WELLNESS TEAM OFFERED A FREE DIABETES WELLNESS HEALTH FAIR. VARIOUS VENDORS ATTENDED TO PROVIDE EDUCATION AND COMMUNITY RESOURCES TO OUR COMMUNITY MEMBERS. OVER 110 COMMUNITY MEMBERS WERE IN ATTENDANCE FOR THIS EVENT. SCREENINGS OFFERED WERE DIABETIC FOOT CARE, BLOOD PRESSURE SCREENS, FINGER STICK GLUCOSE TESTING AND BODY COMPOSITION ANALYSIS. ACTION ITEM 2: CONTINUE TO PROMOTE AND EDUCATE THE COMMUNITY ABOUT A VARIETY OF HEALTH SCREENINGS.THROUGH VARIOUS SCREENING EVENTS AND GRANT FUNDS EVANGELICAL OFFERED 263 LOW DOSE CT SCANS AND SCHEDULED 124 APPOINTMENTS, 219 MAMMOGRAMS AND 94 IFOB SCREENING KITS WERE DISTRIBUTED IN IN FY2022. ACTION ITEM 3: OFFER A VARIETY OF ADULT AND SCHOOL AGED WELLNESS PROGRAMS TO AIMED TO PROMOTE A HEALTHY LIFESTYLE AND REDUCE THE RISK FOR CHRONIC HEALTH CONDITIONS.IN FY2022 A NEW ACTIVE AGING PROGRAM WAS LAUNCHED, WELLNESS 360. THIS PROGRAM FOCUSES ON ADULTS 55 AND OLDER TO PROVIDE EDUCATION AND EARLY ACCESS TO PROGRAMS AND EVENTS SPECIFIC TO THEIR DEMOGRAPHIC. SOME OF THE PROGRAMS OFFERED WERE: FINANCIAL HEALTH, BONE HEALTH, MOVEMENT, MUSCLE AND METABOLISM AND FUTURE PLANNING, ESSENTIAL DOCUMENTS
EVANGELICAL COMMUNITY HOSPITAL	PART V, SECTION B, LINE 13H: MEDICAL ASSISTANCE DENIAL
EVANGELICAL COMMUNITY HOSPITAL	PART V, SECTION B, LINE 16J: POLICY IS PRESENTED TO PATIENTS BY HRSI WHEN WORKING WITH PATIENTS ON MEDICAL ASSISTANCE APPLICATIONS. HRSI IS A THIRD PARTY USED BY EVANGELICAL COMMUNITY HOSPITAL TO WORK WITH PATIENTS FOR OBTAINING FINANCIAL ASSISTANCE.

Schedule H (Form 990) 2021

Page 9

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care 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) 2021

Page 10

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs 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.

Form and Line Reference	Explanation
PART I, LINE 6A:	THE COMMUNITY BENEFIT REPORT IS AVAILABLE ON THE HOSPITAL'S WEBSITE OR UPON REQUEST.
PART I, LINE 7:	THE HOSPITAL USED THE COST-TO-CHARGE RATIO TO DETERMINE THE AMOUNTS INCLUDED IN LINE 7.
PART I, LN 7 COL(F):	THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 24B, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $12,774,409.
PART II, COMMUNITY BUILDING ACTIVITIES:	AS A COMMUNITY AND HEALTH RESOURCE FOR MORE THAN 90 YEARS, EVANGELICAL COMMUNITY HOSPITAL HAS CONTINUALLY DEMONSTRATED ITS COMMITMENT TO THE CENTRAL SUSQUEHANNA VALLEY BY TAKING CARE OF PATIENTS NEEDING TREATMENT, AND BY ITS OUTREACH TO THE COMMUNITY. BEYOND THE DAILY CARE OF PATIENTS, THE HOSPITAL EXTENDS ITS REACH TO PROVIDE PREVENTION AND WELLNESS EDUCATION TO RESIDENTS OF THE VALLEY. OUTREACH INCLUDES CHARITY-CARE FOR THOSE WHO CANNOT AFFORD MEDICAL TREATMENT, HEALTH SCREENINGS TARGETING THE UN/UNDER-INSURED, HEALTH EDUCATION FOCUSING ON HEALTHY LIFESTYLE CHANGES, CHILD SAFETY SEAT INSPECTIONS, SCHOOL AGED HEALTH INITIATIVES, AND LECTURES ON HEALTH CONCERNS AND TOPICS. MANY OF THESE PROGRAMS ARE PROVIDED AT MINIMAL OR NO COST AND ARE SUBSIDIZED USING HOSPITAL RESOURCES.
PART III, LINE 2:	THE COSTING METHODOLOGY USED IN DETERMINING BAD DEBT EXPENSE AT COST 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.
PART III, LINE 3:	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. 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 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 TO 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 RESPONSES TO PART III SECTION A ABOVE.
PART VI, LINE 2:	IN 2021 EVANGELICAL COMMUNITY HOSPITAL (ECH) COMPLETED ANOTHER COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THE ASSESSMENT WAS CONDUCTED BY BAKER TILLY IN PARTNERSHIP WITH GEISINGER AND ALLIED SERVICES AS A REGIONAL COLLABORATIVE EFFORT TO ASSESS THE NEEDS OF OUR COMMUNITY. THIS ASSESSMENT WAS A REGIONAL APPROACH WITH EVANGELICAL SERVICES AREA BEING PART OF THE CENTRAL REGION WHICH IS COMPRISED OF THE FOLLOWING COUNTIES: CLINTON, COLUMBIA, LYCOMING, MONTOUR, NORTHUMBERLAND, SCHUYLKILL, SNYDER, AND UNION. THE ASSESSMENT WAS COMPLETED IN FEBRUARY OF 2021 AND ADOPTED BY THE EVANGELICAL BOARD OF DIRECTORS IN MARCH 2021. SEE PART V SECTION B FOR FURTHER DETAILS.
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 THECOUNTRY'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'S REGISTRATION DEPARTMENT REPRESENTATIVES INFORM OUR UNINSURED OR UNDER INSURED PATIENTS, OF OUR FINANCIAL ASSISTANCE PROGRAM. FINANCIAL ASSISTANCE APPLICATIONS ARE OFFERED TO THESE PATIENT AND IN ADDITION, THEY HAVE THE OPPORTUNITY TO CALL OUR FINANCIAL COUNSELOR. THE FINANCIAL COUNSELOR DISCUSSES THE AVAILABILITY OF VARIOUS GOVERNMENT BENEFITS SUCH AS MEDICAID OR STATE PROGRAMS TO ASSIST THE PATIENT WITH QUALIFICATIONS FOR THESE PROGRAMS. THE FINANCIAL COUNSELOR WILL ALSO ASSIST THE PATIENT IN COMPLETING THE PROPER PAPERWORK FOR ASSISTANCE. THE FINANCIAL COUNSELORS AND CASE MANAGEMENT STAFF WORK CLOSELY TO IDENTIFY AND ASSIST ELIGIBLE PATIENTS. OUR SELF-PAY VENDOR ALSO INFORM THE PATIENT THAT EVANGELICAL HAS A FINANCIAL ASSISTANCE PROGRAM AND A FINANCIAL COUNSELOR WHO WILL SEND THEM AN APPLICATION IF REQUESTED. OUR CUSTOMER SERVICE DEPARTMENT 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/PATIENTS/INSURANCE/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, PENNSYLVANIA (UNION COUNTY), THE HEART OF CENTRAL PENNSYLVANIA. THE HOSPITAL IS CONVENIENTLY LOCATED OFF INTERSTATE 80 ON U.S. ROUTE 15. THE HOSPITAL SERVES THE RESIDENTS OF UNION, SNYDER, NORTHUMBERLAND, AND LOWER LYCOMING COUNTIES AS WELL AS SURROUNDING AREAS. ECH IS THE SECOND LARGEST EMPLOYER IN UNION COUNTY WITH MORE THAN 1,900 EMPLOYEES. IN ADDITION TO A BUSY EMERGENCY, THE HOSPITAL INTRODUCED A NEW URGENT CARE PRACTICE IN 2016 THAT ANSWERS THE NEEDS OF PATIENTS WHO HAVE URGENT MEDICAL NEEDS THAT DO NOT RISE TO THE LEVEL OF EMERGENCY CARE. FOR THE PATIENT THIS MEANS SHORTER WAIT TIMES AND LOWER TREATMENT COSTS FOR THOSE CONDITIONS.THE PRIMARY SERVICE AREA OF RESIDENTS OF ECH INCLUDES:17086, 17730, 17749, 17772, 17777, 17801, 17847, 17850, 17857, 17865, 17812, 17813, 17827, 17831, 17833, 17842, 17843, 17853, 17861, 17862, 17864, 17870, 17876, 17810, 17835, 17837, 17844, 17845, 17855, 17856, 17883, 17885, 17886, 17887, 17889OUR SECONDARY SERVICE AREA IS FROM THE FOLLOWING ZIP CODES:16820, 16872, 16882, 17014, 17017, 17045, 17049, 17062, 17080, 17737, 17747, 17752, 17756, 17821, 17823, 17830, 17832, 17834, 17836, 17840, 17841, 17851, 17860, 17866, 17867, 17868, 17872, 17877, 17881, 17884, 17701, 17702, 17703, 17754 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, GEISINGER - SHAMOKIN AREA COMMUNITY HOSPITAL, UPMC SUSQUEHANNA, AND GEISINGER - BLOOMSBURG HOSPITAL. ACCORDING TO THE MOST RECENT DATA FROM THE COMMUNITY HEATH NEEDS ASSESSMENT OUR REGION IS DESCRIBED AS PRIMARILY RURAL IN NATURE. THIS DATA WAS REAFFIRMED DURING THE ASSESSMENT PROCESS THROUGH COMMUNITY LEADERS AND KEY STAKEHOLDER INTERVIEWS AND FOCUS GROUP DISCUSSIONS. FURTHERMORE, WITH THE RURAL NATURE OF OUR AREA AND THE LACK OF A COORDINATED AND INTEGRATED TRANSPORTATION SYSTEM THIS LIMITS COMMUNITY MEMBERS TO ACCESSIBLE HEALTH CARE AND RECREATIONAL OPPORTUNITIES. WITH THE LIMITATIONS OF ACCESSIBILITY TO HEALTHCARE AND HEALTHY OPTIONS LEADS TO UNHEALTHY LIFESTYLES AND OVERUSE OF OUR EMERGENCY DEPARTMENT SERVICES.CITY-DATA.COM FOR UNION COUNTY INDICATES THAT THE POPULATION CONSISTS OF: WHITE NON-HISPANIC (84.2%), BLACK (602%), HISPANIC (5.9%), TWO OR MORE RACES (1.4%), AND ASIAN (1.7%)THE MEDIAN RESIDENT AGE IS 39.5ESTIMATED MEDIAN HOUSEHOLD INCOME IN 2019: $61,052 RESIDENTS WITH INCOME BELOW THE POVERTY LEVEL IN 2019: 11.4%POPULATION WITHOUT HEALTH INSURANCE COVERAGE IN 2018: 7.8% CHILDREN UNDER 19 WITHOUT HEALTH INSURANCE COVERAGE IN 2018: 7.3% 89.0% OF RESIDENTS OF UNION COUNTY SPEAK ENGLISH AT HOME4.3% OF RESIDENTS SPEAK SPANISH AT HOME5.0% OF RESIDENTS SPEAK OTHER INDO-EUROPEAN LANGUAGE AT HOME1.2% OF RESIDENTS SPEAK ASIAN OR PACIFIC ISLAND LANGUAGE AT HOME0.3% OF RESIDENTS SPEAK OTHER LANGUAGES AT HOMECITY-DATA.COM FOR SNYDER COUNTY INDICATES THE POPULATION CONSISTS OF:WHITE NON-HISPANIC (94.8%), HISPANIC (2.3%), BLACK (0.9%), TWO OR MORE RACES (1.2%), AND ASIAN (0.7%)THE MEDIAN RESIDENT AGE IS 40.2ESTIMATED MEDIAN HOUSEHOLD INCOME IN 2019: $60,639RESIDENTS WITH INCOME BELOW THE POVERTY LEVEL IN 2019: 10.1%POPULATION WITHOUT HEALTH INSURANCE COVERAGE IN 2018: 9.2% CHILDREN UNDER 19 WITHOUT HEALTH INSURANCE COVERAGE IN 2018: 7.8% 90.6% OF RESIDENTS OF SNYDER COUNTY SPEAK ENGLISH AT HOME1.8% OF RESIDENTS SPEAK SPANISH AT HOME6.8% OF RESIDENTS SPEAK OTHER INDO-EUROPEAN LANGUAGE AT HOME0.4% OF RESIDENTS SPEAK ASIAN OR PACIFIC ISLAND LANGUAGE AT HOME0.2% OF RESIDENTS SPEAK OTHER LANGUAGES AT HOME CITY-DATA.COM FOR NORTHUMBERLAND COUNTY INDICATES THAT THE POPULATION CONSISTS OF: WHITE NON-HISPANIC (92.1%), BLACK (2.4%), HISPANIC (3.7%), AND TWO OR MORE RACES (1.0%), AND ASIAN (0.4%)ESTIMATED MEDIAN HOUSEHOLD INCOME IN 2019: $47,349THE MEDIAN RESIDENT AGE IS 44.1RESIDENTS WITH INCOME BELOW THE POVERTY LEVEL IN 2019: 13.1%POPULATION WITHOUT HEALTH INSURANCE COVERAGE IN 2018: 6.9% CHILDREN UNDER 19 WITHOUT HEALTH INSURANCE COVERAGE IN 2018: 5.0% 96% OF RESIDENTS OF NORTHUMBERLAND COUNTY SPEAK ENGLISH AT HOME1.8% OF RESIDENTS SPEAK SPANISH AT HOME1.6% OF RESIDENTS SPEAK OTHER INDO-EUROPEAN LANGUAGE AT HOME0.3% OF RESIDENTS SPEAK ASIAN OR PACIFIC ISLAND LANGUAGE AT HOME0.1% OF RESIDENTS SPEAK OTHER LANGUAGES AT HOMEECH OPERATES AN EMERGENCY DEPARTMENT THAT IS OPEN TO ALL PERSONS REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES. ECH HAS 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 LOOKS FOR OPPORTUNITIES TO WORK WITH HEALTHCARE FACILITIES, SUCH AS GEISINGER MEDICAL CENTER, TO PROVIDE THE BEST MEDICAL CARE FOR OUR PATIENTS. ECH WORKS WITH THE FOLLOWING HIGHER EDUCATION INSTITUTIONS (I.E. COLLEGES, TECHNICAL SCHOOL AND INTERMEDIATE UNITS): PENN COLLEGE, CENTRAL SUSQUEHANNA INTERMEDIATE UNIT, BLOOMSBURG UNIVERSITY, AND SUN-AREA VO-TECH. WE WORK WITH THESE HIGHER EDUCATION INSTITUTIONS TO ENGAGE IN TRAINING AND EDUCATION OF HEALTH CARE PROFESSIONALS. ECH PROVIDES FINANCIAL AID TO SUPPORT STUDENTS CHOOSING THE HEALTHCARE NURSING PROFESSION THROUGH THE MAE KEEFER SCHOLARSHIP FUND, THE CRYSTAL D. SNYDER NURSING SCHOLARSHIP FUND, AND ON THE CLINICAL SIDE THE JOHN FAMILY HEALTH CAREERS SCHOLARSHIP FUNDS ARE MADE AVAILABLE.ECH PARTICIPATES WITH THE FOLLOWING MAJOR HEALTH PLANS: CAPITAL BLUE CROSS, GEISINGER HEALTH PLAN, HIGHMARK, AETNA, AETNA BETTER HEALTH, KEYSTONE HEALTH PLAN CENTRAL, AMERIHEALTH NE, UPMC, HUMANA (MEDICARE ONLY), UHC/OPTUM VA COMMUNITY CARE NETWORK, HUMANA MILITARY TRICARE, GATEWAY HEALTH, VIBRA HEALTH PLAN, PA HEALTH & WELLNESS, DEVON, PRIME HEALTH SERVICES, THREE RIVERS PROVIDER NETWORK, MEDICAID AND MEDICARE.KEY FINDINGS:THE ECH STUDY AREA IS PROJECTED TO DECLINE IN POPULATION 1.5% BY THE YEAR 2025. ONLY SNYDER AND UNION COUNTIES ARE SHOWING SLIGHT INCREASE PROJECTIONS. THE ECH STUDY AREA SHOWS A RATE OF OLDER RESIDENTS (AGED 65 AND OLDER) AT 24.7%; THIS IS HIGHER THAN STATE (19.3%) AND NATIONAL (16.6%) NORMS. THE AVERAGE ANNUAL HOUSEHOLD INCOME FOR ECH STUDY AREA IS JUST ABOVE $52,800, WHICH IS BELOW STATE AND NATIONAL NORMS (AROUND $60,000 FOR BOTH). THE ECH STUDY AREA REPORTS 11.9% OF THE RESIDENTS HAVING LESS THAN A HIGH SCHOOL DIPLOMA; THIS IS DOWN FROM THE PREVIOUS CHNA PERCENTAGE OF 15.67% BUT STILL HIGHER THAN THE STATE RATE (8.7%) AND SLIGHTLY HIGHER THAN NATIONAL PERCENTAGE (11.3%)PORT TREVORTON REPORTS THE HIGHEST RATE OF RESIDENTS WITHOUT HIGH SCHOOL DIPLOMAS (31.6%), BUT A 2% IMPROVEMENT FROM THE PREVIOUS CHNAWEST MILTON AND BEAVER SPRINGS REPORTS THE HIGHEST RATE OF RESIDENTS LIVING IN POVERTY AT 17.8% AND 17.5% RESPECTIVELYNORTHUMBERLAND COUNTY REPORTS THE LARGEST RISE IN ADULT OBESITY FOR THE ECH STUDY AREA COUNTIES, GOING FROM 35% TO 39.1%.BOTH YOUTH AND ADULT OBESITY MEASURES ARE HIGHER IN THE CENTRAL REGION AS COMPARED TO THE STATE AND NATIONAL NUMBERSCOLUMBIA, NORTHUMBERLAND, SCHUYLKILL AND SNYDER COUNTIES HAVE THE HIGHEST NUMBERS.STATEWIDE VAPING AMONG OUR YOUTH POPULATION IS AT 19%. ALL OUR SERVICE AREA COUNTIES ARE HIGHER THAN THE STATE AVERAGE WITH THE EXCEPTION OF UNION COUNTY (15.2%). SNYDER COUNTY DID NOT HAVE DATA TO REPORT.BEHAVIORAL HEALTH, MENTAL HEALTH AND SUBSTANCE USE IS INCREASING ACROSS THE CENTRAL REGION.IN THE CENTRAL REGION, EXCEPT FOR SNYDER AND UNION COUNTIES, ALL COUNTIES HAVE A HIGHER RATE OF MENTAL HEALTH DISORDERS THAN ACROSS THE STATE. NORTHUMBERLAND COUNTY HAS THE HIGHEST.OPIOID OVERDOSE DEATHS WERE ONLY REPORTED IN 2 OF OUR SERVICE AREA COUNTIES, NORTHUMBERLAND, AND SCHUYLKILL. NORTHUMBERLAND COUNTY (28.8) IS WELL ABOVE THE STATE RATE OF 25.1. ADULT EXCESSIVE DRINKING INCREASED IN ALL CENTRAL REGION COUNTIES MARGINALLY WITH THE EXCEPTION OF UNION COUNTY WHO SAW NEARLY A 3-POINT INCREASE, LEADING THE REGION AT 22% OF ADULTS.
PART VI, LINE 5:	THE HOSPITAL CONTINUES TO FOCUS ON DEVELOPING NEW WAYS OF IDENTIFYING AND ADDRESSING HEALTH NEEDS IN OUR REGION. THE HOSPITAL UTILIZES AN INTERNAL DOCUMENTATION PROCESS DEVELOPED TO CAPTURE COMMUNITY BENEFIT OUTREACH DELIVERED BY THE MAJORITY OF ITS EMPLOYEES. COMMUNITY BENEFIT LEADERS WORKS COOPERATIVELY WITH DEPARTMENTS OF THE HOSPITAL AND OTHER ORGANIZATIONS IN THE COMMUNITY TO ADDRESS UNMET NEEDS. THE HOSPITAL ALSO PRODUCES AN ANNUAL REPORT WHICH OUTLINES OUR COMMUNITY BENEFIT EFFORTS. CANCER AWARENESS AND EDUCATION IS EXTREMELY IMPORTANT. THE FOLLOWING PROGRAMS WERE OFFERED IN FY22; THE CORRESPONDING NUMBER BESIDE THE PROGRAM DOCUMENTS THE NUMBER OF PEOPLE SERVED. THE IMPACT OF COVID 19 IS STILL EVIDENT IN PROGRAMS AND EVENTS WE WERE ABLE TO OFFER IN FY22. TO THIS POINT SOME OF OUR PROGRAMS AND EVENTS HAD TO BE CANCELED OR LIMITED IN NUMBERS. OTHER HEALTH EDUCATION AND PREVENTION ACTIVITIES INCLUDE:MONTHLY SUPPORT GROUPS APPROXIMATELY 224 PARTICIPANTS (REPORTED)FREE HEART HEALTH SCREENINGS - 60COMPREHENSIVE BLOOD SCREENINGS - 1473 PARTICIPANTSMEN'S HEALTH SCREEN 29WOMEN'S HEALTH SCREEN - 61HUNTER'S HEALTH SCREEN - DISCONTINUEDFREE SKIN SCREENINGS - 237LOW DOSE CT SCAN SCREENING - 263 REFERRALS 124 SCHEDULEDBLOOD DRAW SERVICES A COMMUNITY CLINIC - DISCONTINUED CHILD SAFETY SEAT INSPECTIONS 62; REPLACEMENTS 13 FREE T-DAP VACCINATION FOR NEW DADS AND GRANDPARENTS - DISCONTINUEDYOUTH BIKE HELMET GIVEAWAY PROGRAM 158FREEDOM FROM SMOKING CESSATION PROGRAM - 9PROPER 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/BUG LIGHT PROGRAM USES AN ENTERTAINING TECHNIQUE TO STRESS THE IMPORTANCE OF FREQUENT, EFFECTIVE HAND WASHING AND SEE IMMEDIATE RESULTS. OVER 1850 YOUTH WERE EDUCATED ON THIS IMPORTANT HEALTHY BEHAVIOR. IN ADDITION TO GERM CITY/BUG LIGHT PROGRAMS WE WERE ABLE TO GET BACK INTO THE SCHOOLS TO OFFER THE FOLLOWING PROGRAMS, ALSO FOCUSING ON HEALTHY BEHAVIORS: HEALTHY BEHAVIORS, POISON PREVENTION, MYPLATE, HYGIENE 101, ONLINE SAFETY, OUTDOOR/SUMMER SAFETY, HANDS ONLY CPR, STRESS/EMPATHY, TOBACCO/SMOKING/VAPING/JUULING EDUCATION AND MORE. A TOTAL OF 14,574 STUDENTS WERE EDUCATED THROUGH THESE AND OTHER PROGRAMS.EVANGELICAL COMMUNITY HOSPITAL IS A NON-PROFIT ORGANIZATION THAT EMPLOYS 1,900 INDIVIDUALS AND HAS MORE THAN 170 EMPLOYED AND NON-EMPLOYED PHYSICIANS ON STAFF. THE FACILITY IS LICENSED TO ACCOMMODATE 131 OVERNIGHT PATIENTS IN PRIVATE ROOMS DESIGNED FOR HEALING, PATIENT SAFETY, AND POSITIVE PATIENT EXPERIENCE. OUR CLINICAL STAFF, INCLUDES LAB TECHNICIANS, NURSES, NURSING ASSISTANCES, PHYSICAL, OCCUPATIONAL AND SPEECH THERAPISTS, RADIOLOGY TECHNICIANS, PHLEBOTOMISTS, AND SUPPORT PERSONNEL. EACH OF THESE PROFESSIONALS IS HIGHLY TRAINED TO DELIVER QUALITY AND SAFE CARE TO INPATIENTS AND OUTPATIENTS THE HOSPITAL PROVIDES A COMPREHENSIVE ARRAY OF SERVICES IN BOTH INPATIENT AND OUTPATIENT SETTINGS AND SERVES RESIDENTS THROUGHOUT THE CENTRAL SUSQUEHANNA VALLEY, INCLUDING THOSE LIVING IN SNYDER, UNION, NORTHUMBERLAND, AND LYCOMING COUNTIES.THE HOSPITAL ALSO HAS:1. AN OPEN MEDICAL STAFF WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE SUSQUEHANNA VALLEY REGION;2. A BOARD OF DIRECTORS WHO GOVERN THE ORGANIZATION. THE BOARD IS COMPRISED OF COMMUNITY AND BUSINESS LEADERS, AND PHYSICIANS REPRESENTING THE GEOGRAPHIC AREA OF OUR REGION;3. AN EMERGENCY DEPARTMENT THAT IS OPEN TO ALL PERSONS IN NEED REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES;4. A HOSPICE PROGRAM THAT PROVIDES END-OF-LIFE CARE TO ALL PERSONS REGARDLESS OF THEIR ABILITY TO PAY FOR CARE;5. THE ADDITION OF MOBILE HEALTH OF EVANGELICAL IN FEBRUARY 2018. COMMUNITY HEALTH AND WELLNESS STAFF CONTINUE TO PROVIDE OUTREACH TO RESIDENTS THROUGH FREE OR LOW-COST SCREENING EVENTS, HEALTH FAIRS, SPEAKING ENGAGEMENTS, COMMUNITY EVENTS AND MORE. 6. 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;7. A HISTORY OF PROVIDING FINANCIAL SUPPORT TO OTHER NONPROFIT ORGANIZATIONS FOR THE PURPOSE OF HEALTH PROMOTION AND IN COLLABORATING TO MEET UNMET NEEDS IN THE COMMUNITY.8. OUR THYRA M. HUMPHREY CENTER FOR BREAST HEALTH PROVIDES FREE AND/OR REDUCED FEE BREAST IMAGING SERVICES SPECIFICALLY TARGETING OUR UN/UNDERINSURED POPULATION. EXTENSIVE TELEPHONE EDUCATION/COUNSELING SERVICES ARE PROVIDED TO NEWLY DIAGNOSED PATIENTS THROUGH OUR NAVIGATION PROGRAM AT NO CHARGE TO THE PATIENT.9. A COMMUNITY HEALTH AND WELLNESS DEPARTMENT THAT IS FUNDED USING HOSPITAL RESOURCES. THE DEPARTMENT INITIATES AND ORGANIZES PREVENTION, WELLNESS AND HEALTH EDUCATION LECTURES, EVENTS AND ACTIVITIES DEVELOPED FOR THE SOLE PURPOSE OF IMPROVING THE HEALTH OF THOSE IN OUR REGION. THE COMMUNITY HEALTH AND WELLNESS TEAM OFFERS HEALTH SCREENINGS, HEALTH FAIRS, LECTURES, SUPPORT GROUPS, AND CHILD SAFETY SEAT INSPECTIONS. IN FY22, THE COMMUNITY HEALTH AND WELLNESS DEPARTMENT CERTIFIED OVER 2409 IN FIRST AID AND CPR, INCLUDING 96 YOUTH, WHO ATTENDED OUR SAFE SITTER BABYSITTING PROGRAM.
PART VI, LINE 6:	THE ORGANIZATION IS PART OF AN AFFILIATED HEALTH CARE SYSTEM DUE TO THE HOSPITAL HAVING COMMON GOVERNANCE AND CONTROL FOR EVANGELICAL MEDICAL SERVICES ORGANIZATION. EVANGELICAL MEDICAL SERVICES ORGANIZATION PROVIDES HEALTHCARE SERVICES IN THE FORM OF PRIMARY AND SPECIALTY CARE PHYSICIANS TO THE COMMUNITY.
PART VI, LINE 7, REPORTS FILED WITH STATES	PA
PART V, SECTION B LINE 11 CONTINUED:	HEALTH AND WELLNESS PROGRAMS FY2022:YOUTH EDUCATIONAL PROGRAMS -14574ADULT/COMMUNITY EDUCATIONAL PROGRAMS - 1096WORKSITE SITE WELLNESS HEALTH PROMOTION PROGRAMS - 406EVANGELICAL KNOWS THAT STAYING FIT, DISEASE PREVENTION, AND NECESSARY INTERVENTION ARE ESSENTIAL TOOLS IN HELPING INDIVIDUALS ACHIEVE THEIR HEALTH AND WELLNESS GOALS. DURING FY2022 THE FOLLOWING PROGRAMS WE WERE OFFERED, EVEN WITH COVID 19 LIMITATIONS STILL PROMINENT:FREEDOM FROM SMOKING: A SEVEN-WEEK SESSION TO LEARN TO OVERCOME TOBACCO ADDICTION WITH THE HELP OF A CERTIFIED EDUCATOR.AMERICAN HEART ASSOCIATION CPR AND FIRST AID COURSESSAFE SITTER: A ONE-DAY COMPREHENSIVE BABYSITTING COURSE FOR CHILDREN AGES 11 AND OLDER.SAFE AT HOME: A 90-MINUTE PROGRAM FOR STUDENTS IN GRADES 4 THROUGH 6 THAT ENCOURAGES THEIR FIRST STEPS TO BECOMING INDEPENDENCE BY TEACHING THEM HOW TO PRACTICE SAFE HABITS AND PREVENT UNSAFE SITUATIONSEDUCATIONAL PROGRAMS FOR CHILDREN: FREE PROGRAMS WITH TOPICS THAT COVER NUTRITION, HOW TO HAVE A HEALTHY HEART, HANDS ONLY CPR, THE DANGERS OF TOBACCO PRODUCTS, SUMMER SAFETY, STRESS MANAGEMENT, PERSONAL HYGIENE, BIKE HELMET SAFETY, AND ONLINE SAFETY.CHILDBIRTH EDUCATION CLASSES: FREE OR REDUCED-FEE PROGRAMS WITH TOPICS THAT COVER PREPARED CHILDBIRTH, NEWBORN CARE, PRENATAL BREASTFEEDING, AND CHILD SAFETY SEAT INSPECTIONS.THE PLAIN COMMUNITY PROGRAM CONTINUES TO BE A HIGHLY UTILIZED PROGRAMFY2022 UTILIZATION OF PLAIN COMMUNITY PROGRAM:ECH - ENCOUNTERS - CHARGES:FY2020 - 2,483 - $9,626,525FY2021 - 2607 - $11,523,982FY2022 - 2870 - 13,171,520 EMSO - ENCOUNTERS - CHARGE:FY2020 - 1,662 - $1,662,014FY2021 - 3115 - $1,703,097FY2022 - 1060 - $597,999PRIMARY CHNA IMPLEMENTATION PLAN GOALS :IN ADDITION TO THE ACTION ITEMS THAT DIRECTLY ADDRESS THE THREE PRIMARY IDENTIFIED COMMUNITY HEALTH NEEDS, TWO PRIMARY GOALS THAT INTEGRATE NEW PROGRAMMING AND INNOVATIVE WAYS OF ADDRESSING COMMUNITY HEALTH NEEDS WERE ROLLED OUT IN FY2022: PRIMARY GOAL #1EVANGELICAL AIMS TO IMPROVE ACCESS TO LIFESTYLE FOCUSED CHRONIC DISEASE PREVENTION PROGRAMS AND EDUCATION BY MAKING HEALTH COACHING SERVICES MORE ACCESSIBLE IN THE ECH SERVICE AREA BY JUNE 30, 2024. IN FY2022, COMMUNITY HEALTH AND WELLNESS (CHW) TEAM WORKED WITH THE EMSO PRIMARY CARE SERVICE LINE TO DEVELOP A WORKFLOW FOR HEALTH COACHING REFERRALS. THIS COLLABORATION ALLOWS PROVIDERS TO REFER PATIENTS WHO IDENTIFY AS HAVING LIFESTYLE AND OR SOCIAL DETERMINANT OF HEALTH (SDOH) NEEDS TO CONNECT WITH A HEALTH COACH THAT IS SPECIALLY TRAINED IN ASSISTING INDIVIDUALS WITH IMPROVING LIFESTYLE BEHAVIORS THAT INFLUENCE HEALTH OUTCOMES AND/OR CONNECTING INDIVIDUALS WITH SDOH RESOURCES. FROM IN FY2022, THIS PROGRAM WAS PILOTED WITH ONE PRIMARY CARE PHYSICIAN. THROUGH THE PILOT, SIX PATIENTS WERE REFERRED TO HEALTH COACHING SERVICES. PRIMARY GOAL #2EVANGELICAL AIMS TO IMPROVE ACCESS TO FRESH, LOCAL PRODUCE AND EDUCATION AROUND HEALTHY SUSTAINABLE FOOD OPTIONS WITH THE GOAL OF IMPROVING YOUTH OBESITY IN THE ECH SERVICE AREA BY JUNE 30, 2024. IN FY2022 THE COMMUNITY HEALTH AND WELLNESS TEAM WORKED ALONGSIDE DREAMCATCHER FARM LEADERSHIP TO DEVELOP A CURRICULUM FOR IMPLEMENTATION OF A PROGRAM WITHIN LOCAL SCHOOL DISTRICTS THAT FOCUSES ON NUTRITION EDUCATION AND THE IMPORTANCE/HEALTH BENEFITS OF EATING A HEALTHY AND WELL-BALANCED DIET. THE PROGRAM ALSO INTEGRATES THE EVANGELICAL DREAMCATCHER FARM FRESH LOCAL FOOD PROJECT, WHICH AFFORDED THE CHILDREN AN OPPORTUNITY TO VISIT THE FARM AND PLANT/HARVEST THEIR OWN LETTUCE. IN FY22 THE PROGRAM IMPACTED 225 CHILDREN FROM THE SHIKELLAMY SCHOOL DISTRICT, WHICH IS A GEOGRAPHIC AREA IN NEED, AS INDICATED BY THE 2021 CHNA.

Schedule H (Form 990) 2021

Additional Data

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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," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2021

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 Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient

that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC 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 noncash assistance	(h) Purpose of grant or assistance
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
(11)
(12)

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

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

Cat. No. 50055P

Schedule I (Form 990) 2021

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance	(b) Number of recipients	(c) Amount of cash grant	(d) Amount of noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash assistance

(1) NURSING SCHOLARSHIPS	22	74,000	0	N/A	N/A
(1)
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.

Return Reference	Explanation
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) 2021

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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" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

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 on 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 on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .....

Yes

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

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

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 on 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? .............

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), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on 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," on line 5a or 5b, describe in Part III.

For persons listed on 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," on line 6a or 6b, describe in Part III.

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

Yes

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

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

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

Cat. No. 50053T

Schedule J (Form 990) 2021

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on 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) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2, 1099-MISC compensation, and/or 1099-NEC			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on prior Form 990
(A) Name and Title		(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)
1MATTHEW W REISH MD DIRECTOR	(i) (ii)	964,725 ------------- 0	1,300 ------------- 0	0 ------------- 0	19,530 ------------- 0	15,335 ------------- 0	1,000,890 ------------- 0	0 ------------- 0
2KENDRA A AUCKER PRESIDENT/CHIEF EXECUTIVE	(i) (ii)	667,414 ------------- 0	91,658 ------------- 0	15,000 ------------- 0	144,092 ------------- 0	21,895 ------------- 0	940,059 ------------- 0	0 ------------- 0
3SHAWN P MCGLAUGHLIN MD DIRECTOR	(i) (ii)	774,950 ------------- 0	1,300 ------------- 0	0 ------------- 0	15,691 ------------- 0	15,783 ------------- 0	807,724 ------------- 0	0 ------------- 0
4JOHN F DEVINE VP MEDICAL AFFAIRS	(i) (ii)	484,686 ------------- 0	60,372 ------------- 0	0 ------------- 0	56,096 ------------- 0	1,218 ------------- 0	602,372 ------------- 0	0 ------------- 0
5WILLIAM P ANDERSON SECRETARY/CHIEF OPERATING	(i) (ii)	330,277 ------------- 0	174,438 ------------- 0	0 ------------- 0	63,348 ------------- 0	16,489 ------------- 0	584,552 ------------- 0	0 ------------- 0
6JAMES A STOPPER TREASURER/CHIEF FINANCIAL	(i) (ii)	401,701 ------------- 0	65,325 ------------- 0	0 ------------- 0	50,961 ------------- 0	17,095 ------------- 0	535,082 ------------- 0	0 ------------- 0
7CHRISTOPHER J MOTTO MD DIRECTOR	(i) (ii)	511,743 ------------- 0	1,300 ------------- 0	0 ------------- 0	9,945 ------------- 0	8,330 ------------- 0	531,318 ------------- 0	0 ------------- 0
8RACHEL V SMITH VP PEOPLE & CULTURE	(i) (ii)	331,184 ------------- 0	36,660 ------------- 0	83,080 ------------- 0	35,583 ------------- 0	1,612 ------------- 0	488,119 ------------- 0	83,080 ------------- 0
9TAMARA F PERSING VP PATIENT CARE SRVC/CHIEF NURSING O	(i) (ii)	292,366 ------------- 0	43,680 ------------- 0	0 ------------- 0	41,836 ------------- 0	20,958 ------------- 0	398,840 ------------- 0	0 ------------- 0
10JULIA E REDCAY DO DIRECTOR	(i) (ii)	365,185 ------------- 0	1,300 ------------- 0	0 ------------- 0	7,487 ------------- 0	15,642 ------------- 0	389,614 ------------- 0	0 ------------- 0
11DALE E MOYER VP INFORMATION SYSTEMS	(i) (ii)	239,977 ------------- 0	36,240 ------------- 0	0 ------------- 0	35,101 ------------- 0	20,958 ------------- 0	332,276 ------------- 0	0 ------------- 0
12ANGELA K LAHR VP CLINICAL OPERATIONS	(i) (ii)	219,613 ------------- 0	28,700 ------------- 0	0 ------------- 0	30,859 ------------- 0	20,958 ------------- 0	300,130 ------------- 0	0 ------------- 0
13STACIE T GAUL AVP SUPPORT SRVC & CAPITAL PLNNG	(i) (ii)	150,772 ------------- 0	112,179 ------------- 0	0 ------------- 0	1,127 ------------- 0	16,368 ------------- 0	280,446 ------------- 0	0 ------------- 0
14DAVID M ZELECHOSKI MD DIRECTOR	(i) (ii)	246,990 ------------- 0	1,300 ------------- 0	0 ------------- 0	5,110 ------------- 0	15,783 ------------- 0	269,183 ------------- 0	0 ------------- 0
15RANDALL S STRAUSSER DIRECTOR PHARMACY SERVICES	(i) (ii)	170,716 ------------- 0	1,300 ------------- 0	0 ------------- 0	6,357 ------------- 0	16,109 ------------- 0	194,482 ------------- 0	0 ------------- 0
16WILLIAM R FRANQUET AVP REVENUE CYCLE	(i) (ii)	149,110 ------------- 0	12,845 ------------- 0	0 ------------- 0	5,862 ------------- 0	16,100 ------------- 0	183,917 ------------- 0	0 ------------- 0
17KIMBERLY A WHEELAND AVP SURGICAL SERVICES	(i) (ii)	157,555 ------------- 0	12,988 ------------- 0	0 ------------- 0	5,850 ------------- 0	505 ------------- 0	176,898 ------------- 0	0 ------------- 0
18CHRISTAL E DIXON AVP NURSING	(i) (ii)	138,886 ------------- 0	11,488 ------------- 0	0 ------------- 0	5,289 ------------- 0	8,008 ------------- 0	163,671 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2021

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference	Explanation
PART I, LINE 1A	KENDRA A. AUCKER, PRESIDENT/CEO, HAS A FLEXIBLE BENEFIT ALLOWANCE PER HER CONTRACT. THE EXPENSES AVAILABLE FOR REIMBURSEMENT UNDER THIS ALLOWANCE ARE: AUTOMOBILE ALLOWANCE AND AUTO EXPENSES; SUPPLEMENTAL LTD PREMIUMS; AND CLUB MEMBERSHIPS. THE AMOUNT PROVIDED WAS INCLUDED IN TAXABLE COMPENSATION AND REPORTED ON HER W-2.
PART I, LINE 4B	THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN AND RECEIVED THE FOLLOWING DISTRIBUTIONS IN CALENDAR YEAR 2021: - KENDRA A. AUCKER: NO DISTRIBUTION - JOHN F. DEVINE: NO DISTRIBUTION - JAMES A. STOPPER: NO DISTRIBUTION - WILLIAM P. ANDERSON: NO DISTRIBUTION - DALE E. MOYER: NO DISTRIBUTION - TAMARA F. PERSING: NO DISTRIBUTION - RACHEL SMITH: $83,080 - ANGELA LAHR: NO DISTRIBUTION
PART I, LINE 7	THE EXECUTIVE TEAM IS ELIGIBLE TO RECEIVE A BONUS (BASED ON A % OF SALARY) WHEN THEIR INDIVIDUAL GOALS ARE MET FOR THE YEAR. GOALS ARE SET FOR EACH INDIVIDUAL BASED ON FINANCIAL AND OPERATIONAL RESULTS. THESE GOALS ARE REVIEWED AND APPROVED BY THE EXECUTIVE COMPENSATION COMMITTEE.

Schedule J (Form 990) 2021

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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 Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

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 - SERIES 2018A	23-2739624		06-21-2018	17,371,471	SEE PART VI		X		X		X
B	UNION COUNTY HOSPITAL AUTHORITY - SERIES 2018B	23-2739624	906460DK3	06-21-2018	55,541,980	SEE PART VI		X		X		X
C	UNION COUNTY HOSPITAL AUTHORITY - SERIES 2018C	23-2739624	906460DR8	06-21-2018	19,365,000	SEE PART VI		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	3,002,931		825,000		1,560,000
2 Amount of bonds legally defeased ..............
3 Total proceeds of issue ..................	17,371,471		55,541,980		19,365,000
4 Gross proceeds in reserve funds .............
5 Capitalized interest from proceeds .............
6 Proceeds in refunding escrows ...............
7 Issuance costs from proceeds ...............	95,753		213,434		93,078
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............			55,020,462
11 Other spent proceeds .............	17,275,718		308,084		19,271,922
12 Other unspent proceeds .............
13 Year of substantial completion .............	2018		2020		2018
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue of tax-exempt bonds (or, if issued prior to 2020, a current refunding issue)? ........	X			X	X
15 Were the bonds issued as part of an advance refunding issue of taxable bonds (or, if issued prior to 2020, an advance refunding issue)? ........		X		X	X
16 Has the final allocation of proceeds been made? ..........	X			X	X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X		X

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

Cat. No. 50193E

Schedule K (Form 990) 2021

Page 2

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		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............		X		X		X
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............		X		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?
c Are there any research agreements that may result in private business use of bond-financed property? .............		X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any 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 %		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 %		0.670 %		0.320 %
6 Total of lines 4 and 5 .............	0.320 %		0.670 %		0.320 %
7 Does the bond issue meet the private security or payment test? ...		X		X		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........	X		X		X

Part Ⅳ

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X		X		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......		X		X		X
b Exception to rebate? ........	X		X		X
c No rebate due? .........		X		X		X
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....		X	X		X

Schedule K (Form 990) 2021

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X		X
b Name of provider ..........
c Term of hedge .........
d Was the hedge superintegrated? ......
e Was the hedge terminated? ........
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X		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? ........
6 Were any gross proceeds invested beyond an available temporary period?		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X		X		X

Part Ⅴ

Procedures To Undertake Corrective Action

---------------------------------------------------------------------------------------------------------------	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X		X		X

Part Ⅵ

Supplemental Information. Provide additional information for responses to questions on Schedule K. (See instructions).

Return Reference

Explanation

SCHEDULE K, PART I, BOND ISSUES:

(A) ISSUER NAME: UNION COUNTY HOSPITAL AUTHORITY - SERIES OF 2018A HOSPITAL REVENUE BONDS (F) DESCRIPTION OF PURPOSE: REFINANCE OF 2013 HOSPITAL REVENUE BONDS AND PAYMENT OF ISSUANCE COSTS. (A) ISSUER NAME: UNION COUNTY HOSPITAL AUTHORITY- SERIES OF 2018B HOSPITAL REVENUE BONDS (F) DESCRIPTION OF PURPOSE: CONSTRUCTION/RENOVATION PROJECTS (INCLUDING PATIENT BED TOWER) AND PAYMENT OF ISSUANCE COSTS. (A) ISSUER NAME: UNION COUNTY HOSPITAL AUTHORITY- SERIES OF 2018C HOSPITAL REVENUE BONDS (F) DESCRIPTION OF PURPOSE: REFINANCE OF 2011 HOSPITAL REVENUE BONDS AND PAYMENT OF ISSUANCE COSTS.

Schedule K (Form 990) 2021

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Schedule L
(Form 990)

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, line 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

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), section 501(c)(4), and section 501(c)(29) 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	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by 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-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

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






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

Part III

Grants or Assistance Benefiting 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 assistance	(d) Type of assistance	(e) Purpose of assistance

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

Cat. No. 50056A

Schedule L (Form 990) 2021

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	SEE PART V	208,232	SEE PART V		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference	Explanation
SCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS:	(A) NAME OF PERSON: JOHN D. GRIFFITH(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: SERVES AS AN EMERITIS DIRECTOR ON THE BOARD OF DIRECTORS(D) JOHN D. GRIFFITH LEASES PROPERTY TO THE HOSPITAL IN AN ARM'S LENGTH TRANSACTION.

Schedule L (Form 990) 2021

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SCHEDULE O
(Form 990)

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 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2021

Open to Public
Inspection

Name of the organization

EVANGELICAL COMMUNITY HOSPITAL

Employer identification number

24-0795411

Return Reference	Explanation
FORM 990, PART VI, SECTION B, LINE 11B	A FULL COPY OF THE FORM 990 WAS REVIEWED BY THE AUDIT COMMITTEE OF THE BOARD DURING AN AUDIT COMMITTEE MEETING PRIOR TO FILING. THEY HAVE THE OPPORTUNUITY TO ASK QUESTIONS AND CHANGES CAN BE MADE AS A RESULT IF NECESSARY BEFORE THE RETURN IS FILED. A FULL COPY OF THE 990 IS THEN MADE AVAILABLE TO ALL BOARD MEMBERS BEFORE FILING WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12C	A CONFLICT OF INTEREST STATEMENT IS REQUIRED TO BE SIGNED ANNUALLY BY ALL VOTING BOARD MEMBERS, UPPER MANAGEMENT, AND KEY EMPLOYEES. THE HUMAN RESOURCES (HR) 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: EXECUTIVE VICE PRESIDENT/CHIEF OPERATING OFFICER, SENIOR VICE PRESIDENT/CHIEF FINANCIAL OFFICER, VICE PRESIDENT OF MEDICAL AFFAIRS, CHIEF NURSING OFFICER/VICE PRESIDENT OF PATIENT CARE SERVICES, CHIEF INFORMATION OFFICER, VICE PRESIDENT OF PEOPLE & CULTURE, VICE PRESIDENT OF PHYSICIAN & CLINIC PRACTICES, VICE PRESIDENT CLINICAL OPERATIONS, ASSOCIATE VICE PRESIDENT/CHIEF DEVELOPMENT OFFICER, ASSOCIATE VICE PRESIDENT SURGICAL SERVICES, ASSOCIATE VICE PRESIDENT QUALITY, SAFETY AND RISK, ASSOCIATE VICE PRESIDENT NURSING, CONTROLLER, ASSOCIATE VICE PRESIDENT REVENUE CYCLE, AVP SURGICAL GROUP AND PRACTICE OPERATIONS, ASSOCIATE VICE PRESIDENT MEDICINE GROUP AND PRACTICE OPERATIONS, ASSOCIATE VICE PRESIDENT ASSOCIATE VICE PRESIDENT, SUPPORT SERVICES AND CAPITAL PLANNING. THE COMMITTEE HAS ENGAGED AN INDEPENDENT COMPENSATION CONSULTANT TO PROVIDE INFORMATION AND ADVICE TO THE COMMITTEE, INCLUDING BUT NOT LIMITED TO, PROVIDING INDEPENDENT COMPENSATION COMPARABILITY DATA FOR FUNCTIONALLY COMPARABLE POSITIONS IN SIMILARLY SITUATED HOSPITALS. THE DATA IS PROVIDED ON AN ANNUAL BASIS AND IS REVIEWED BY THE COMMITTEE, ALONG WITH OTHER INFORMATION, PRIOR TO APPROVING ANY CHANGES TO COMPENSATION. THE INDEPENDENCE OF THE COMMITTEE'S MEMBERS IS REVIEWED AND VERIFIED PRIOR TO THE START OF THE ANNUAL COMPENSATION REVIEW PROCESS. SHOULD A CONFLICT PRESENT, THOSE INDIVIDUALS WITH ACTUAL OR PERCEIVED CONFLICTS ABSTAIN FROM VOTING UNTIL SUCH TIME AS THE CONFLICT CAN BE RESOLVED OR A REPLACEMENT MEMBER IS APPOINTED TO THE COMMITTEE. THE COMMITTEE'S DELIBERATIONS AND DECISIONS ARE GUIDED BY A WRITTEN COMPENSATION PHILOSOPHY AND DOCUMENTED THROUGH WRITTEN MINUTES TAKEN DURING EACH MEETING. THE MINUTES INCLUDE, AMONG OTHER THINGS, THE WRITTEN MATERIALS DISTRIBUTED OR PRESENTED DURING THE MEETING AND THE SPECIFIC DECISIONS TAKEN AT THE MEETING. THE LAST REVIEW TOOK PLACE IN 2021.
FORM 990, PART VI, SECTION C, LINE 19	GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART VI, LINE 1:	THE EXECUTIVE COMMITTEE OF THE BOARD IS COMPRISED OF THE CHAIRPERSON, THE VICE-CHAIRPERSON OF THE BOARD, THE IMMEDIATE PAST CHAIRPERSON OF THE BOARD, THE CHAIR OF THE FINANCE COMMITTEE, AND THE PRESIDENT OF THE MEDICAL STAFF. NO PERSON IS ELIGIBLE TO SERVE ON THE EXECUTIVE COMMITTEE IN MORE THAN ONE CAPACITY. IN THE EVENT THAT ANY PERSON IS ELIGIBLE TO SERVE ON THE EXECUTIVE COMMITTEE IN MORE THAN ONE CAPACITY, THE CHAIRPERSON SHALL NOMINATE ANOTHER BOARD MEMBER TO SERVE ON THE EXECUTIVE COMMITTEE. THE EXECUTIVE COMMITTEE SHALL INCLUDE AT LEAST ONE PHYSICIAN WHO IS A BOARD MEMBER. THE PRESIDENT SHALL SERVE AS AN EX-OFFICIO MEMBER OF THE EXECUTIVE COMMITTEE WITHOUT A VOTE. THE EXECUTIVE COMMITTEE IS EMPOWERED TO ACT FOR THE BOARD IN THE GOVERNANCE OF ECH BETWEEN REGULAR MEETINGS OF THE BOARD, WHEN SUCH ACTION IS REQUIRED FOR THE TIMELY CONDUCT OF ECH BUSINESS, EXCEPT THE FOLLOWING: 1) SUCH POWERS AS MAY BY LAW OR THESE BYLAWS BE REQUIRED TO BE EXERCISED BY THE BOARD; 2) SUCH POWERS AS THE BOARD MAY BY RESOLUTION EXPRESSLY RESERVE TO ITSELF; 3) THE PURCHASE OR SALE OF REAL PROPERTY; 4) HIRING OR TERMINATING THE EMPLOYMENT OF THE PRESIDENT; 5) AMENDING OR REVISING THE BOARD APPROVED BUDGET; 6) TAKING ANY ACTION WHICH IS A "FUNDAMENTAL CHANGE" WITHIN THE MEANING OF CHAPTER 59 OF THE NONPROFIT CORPORATION LAW OF 1988 (OR ANY SIMILAR SUCCESSOR STATUTE); 7) THE BORROWING OF MONEY; AND 8) COMMITMENTS OR EXPENDITURES GREATER THAN $500,000.
FORM 990, PART IX, LINE 11G	BILLING & COLLECTIONS: PROGRAM SERVICE EXPENSES 197,866. MANAGEMENT AND GENERAL EXPENSES 947,115. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,144,981. CONSULTING FEES: PROGRAM SERVICE EXPENSES 211,648. MANAGEMENT AND GENERAL EXPENSES 1,012,373. FUNDRAISING EXPENSES 45,236. TOTAL EXPENSES 1,269,257. CONTRACTED LABOR: PROGRAM SERVICE EXPENSES 24,091,832. MANAGEMENT AND GENERAL EXPENSES 381,448. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 24,473,280. PROFESSIONAL FEES/MEDICAL DIRECTOR: PROGRAM SERVICE EXPENSES 1,112,821. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,112,821. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 1,877,383. MANAGEMENT AND GENERAL EXPENSES 1,291,204. FUNDRAISING EXPENSES 65,040. TOTAL EXPENSES 3,233,627.
FORM 990, PART XI, LINE 9:	EQUITY TRANSFER TO AFFILIATE -36,757,848. POSTRETIREMENT BENEFIT LIABILITY ADJUSTMENT 1,039,493. NET ASSETS RELEASED FROM RESTRICTIONS -84,116. VALUATION GAIN (LOSS) -928,422. CHANGE IN VALUE OF SPLIT INTEREST AGREEMENT -55,453.

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

Cat. No. 51056K

Schedule O (Form 990) 2021

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SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

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

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

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 (if applicable) 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
(1) PLAZA 15 REALTY LLC 1 HOSPITAL DRIVE LEWISBURG,PA17837 83-4309247	REAL ESTATE	PA	1,995,633	27,174,756	EVANGELICAL COMMUNITY HOSPITAL
(2) EVANGELICAL REGIONAL MOBILE MEDICAL SERVICES 1 HOSPITAL DRIVE LEWISBURG,PA17837 84-1973047	MOBILE MEDICAL SERVICES	PA	3,461,808	3,941,102	EVANGELICAL COMMUNITY HOSPITAL

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 entity?
(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
(1)THE MILLER CENTER FOR RECREATION AND WELLNESS 120 HARDWOOD DRIVE LEWISBURG,PA17837 47-3104877	RECREATION AND WELLNESS CENTER	PA	501(C)(3)	PF	EVANGELICAL COMMUNITY HOSPITAL	Yes

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

Cat. No. 50135Y

Schedule R (Form 990) 2021

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 V-UBI 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 V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership
(1) EVANGELICAL-GEISINGER HEALTH LLC 100 N ACADEMY AVENUE DANVILLE,PA178224031 46-0567687	HEALTHCARE	PA	N/A	RELATED	111,409	867,921		No			No	50.000 %
(2) KEYSTONE ACCOUNTABLE CARE ORG LLC 100 N ACADEMY AVENUE DANVILLE,PA17822 45-5484165	HEALTHCARE	PA	N/A	RELATED	1,232,798	770,175		No			No	10.000 %

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	(i) Section 512(b)(13) controlled entity?
(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	Yes	No
(1) EVANGELICAL MEDICAL SERVICE ORGANIZATION ONE HOSPITAL DRIVE LEWISBURG,PA17837 23-2809429	MEDICAL SERVICES	PA	EVANGELICAL COMMUNITY HOSPITAL	C	51,411,948	49,798,573	100.000 %	Yes

Schedule R (Form 990) 2021

Page 3

Part V

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

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

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, or (iv) rent from a controlled entity .....................

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

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

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

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

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

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

Yes

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

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

m Performance of services or membership or fundraising solicitations by related organization(s) .................

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

Yes

o Sharing of paid employees with related organization(s) ............................

Yes

p Reimbursement paid to related organization(s) for expenses ............................

Yes

q Reimbursement paid by related organization(s) for expenses ............................

r Other transfer of cash or property to related organization(s) ............................

Yes

s Other transfer of cash or property from related 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 related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) EVANGELICAL MEDICAL SERVICES ORGANIZATION	J	798,142	CASH
(2) EVANGELICAL MEDICAL SERVICES ORGANIZATION	O	1,653,880	HOURS SPENT WORKING FOR AFFILIATE
(3) EVANGELICAL MEDICAL SERVICES ORGANIZATION	P	2,461,290	CASH
(4) EVANGELICAL MEDICAL SERVICES ORGANIZATION	R	36,757,848	CASH

Schedule R (Form 990) 2021

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

Schedule R (Form 990) 2021

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R. See instructions.

Return Reference	Explanation

Schedule R (Form 990) 2021

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	15
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	10
5	Total number of individuals employed in calendar year 2021 (Part V, line 2a) ......	5	1,807
6	Total number of volunteers (estimate if necessary) .............	6	60
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	9,952,302
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	693,323

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	2,582,291	7,655,555
9	Program service revenue (Part VIII, line 2g) .........	228,003,242	243,783,232
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	9,474,992	5,679,180
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	11,537,921	12,679,634
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	251,598,446	269,797,601
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	72,200	74,000
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)	98,972,460	105,356,644
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	28,163	86,250
b	Total fundraising expenses (Part IX, column (D), line 25) 726,210
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	107,105,706	123,269,992
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	206,178,529	228,786,886
19	Revenue less expenses. Subtract line 18 from line 12.......	45,419,917	41,010,715
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	456,844,436	427,125,912
21	Total liabilities (Part X, line 26).............	166,284,584	148,333,961
22	Net assets or fund balances. Subtract line 21 from line 20.....	290,559,852	278,791,951

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 182,523,862 including grants of $ 74,000 ) (Revenue $ 244,021,135 )
	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 131 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. CONTINUED ON SCHEDULE O.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 expenses182,523,862

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)				(D) Reportable compensation from the organization (W-2/1099-MISC/1099-NEC)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and title
(18) WILLIAM P ANDERSON........................................................................ SECRETARY/CHIEF OPERATING	40.00 .......................	X			504,715	0	79,837
(19) CHRISTAL E DIXON........................................................................ AVP NURSING	40.00 .......................		X		150,374	0	13,297
(20) ANGELA K LAHR........................................................................ VP CLINICAL OPERATIONS	40.00 .......................		X		248,313	0	51,817
(21) KIMBERLY A WHEELAND........................................................................ AVP SURGICAL SERVICES	40.00 .......................		X		170,543	0	6,355
(22) TAMARA F PERSING........................................................................ VP PATIENT CARE SRVC/CHIEF NURSING OFF	40.00 .......................		X		336,046	0	62,794
(23) STACIE T GAUL........................................................................ AVP SUPPORT SRVC & CAPITAL PLNNG	40.00 .......................		X		262,951	0	17,495
(24) JOHN F DEVINE........................................................................ VP MEDICAL AFFAIRS	40.00 .......................			X	545,058	0	57,314
(25) RACHEL V SMITH........................................................................ VP PEOPLE & CULTURE	40.00 .......................			X	450,924	0	37,195
(26) DALE E MOYER........................................................................ VP INFORMATION SYSTEMS	40.00 .......................			X	276,217	0	56,059
(27) RANDALL S STRAUSSER........................................................................ DIRECTOR PHARMACY SERVICES	40.00 .......................			X	172,016	0	22,466
(28) WILLIAM R FRANQUET........................................................................ AVP REVENUE CYCLE	40.00 .......................			X	161,955	0	21,962

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	7,390,303	0	789,270

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c	284,701
d	Related organizations		1d
e	Government grants (contributions)		1e	5,497,421

f	All other contributions, gifts, grants, and similar amounts not included above		1f	1,873,433

g	Noncash contributions included in lines 1a - 1f:$		1g	2,040

h Total. Add lines 1a-1f.......		7,655,555

		Business Code
2a	NET PATIENT SERVICE REVENUE	621400	243,783,232	243,783,232
b
c
d
e
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		243,783,232

3 Investment income (including dividends, interest, and othersimilar amounts) ......			3,491,400			3,491,400
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents		4,802,547	6a
b	Less: rental expenses		5,680,760	6b
c	Rental income or (loss)		-878,213	6c
d	Net rental income or (loss).......			-878,213			-878,213
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	39,512	34,300,683	7a
b	Less: cost or other basis and sales expenses	205,800	31,946,615	7b
c	Gain or (loss)	-166,288	2,354,068	7c
d	Net gain or (loss).........			2,187,780			2,187,780
8a	Gross income from fundraising events (not including $ 284,701of contributions reported on line 1c). See Part IV, line 18 ....
			8a	18,982
b	Less: direct expenses ...		8b	60,432
c	Net income or (loss) from fundraising events..			-41,450			-41,450
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a
b	Less: cost of goods sold ..		10b
c	Net income or (loss) from sales of inventory..
Business Code			Miscellaneous Revenue
11a	LABORATORY SERVICES		621500	3,597,544		3,597,544
b	BILLING FEES FROM AFFILIATE		541900	1,768,758		1,768,758
c	CAFETERIA AND VENDING SALES		722210	510,900			510,900
d	All other revenue ....			7,722,095	237,903	4,586,000	2,898,192
e	Total. Add lines 11a–11d ......			13,599,297
12	Total revenue. See instructions.....			269,797,601	244,021,135	9,952,302	8,168,609

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........	74,000	74,000
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........	6,411,254	3,000,340	3,410,914
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........	75,599,991	58,826,945	16,493,406	279,640
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	2,071,213	1,830,885	231,131	9,197
9	Other employee benefits .......	15,423,220	12,405,749	2,973,357	44,114
10	Payroll taxes ...........	5,850,966	4,530,848	1,300,184	19,934
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	944,356	-195	944,551
c	Accounting ...........	131,378	6,750	124,628
d	Lobbying ...........	8,875		8,875
e	Professional fundraising services. See Part IV, line 17	86,250			86,250
f	Investment management fees ......	788,577	14,850	773,727
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	31,233,966	27,491,550	3,632,140	110,276
12	Advertising and promotion ....	574,592	17,944	556,648
13	Office expenses .......	41,166,367	39,845,622	1,285,279	35,466
14	Information technology ......	11,632,950	1,914,950	9,637,937	80,063
15	Royalties ..
16	Occupancy ...........	3,186,383	2,746,424	439,959
17	Travel ............	227,017	221,209	4,997	811
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	60,697	40,220	17,524	2,953
20	Interest ...........	3,746,303	3,746,303
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	13,665,447	11,123,229	2,516,533	25,685
23	Insurance ...	1,168,963	1,134,243	34,720
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	FEDERAL TAXES	162,955		162,955
b	BAD DEBT EXPENSE	12,774,409	12,774,409
c	EMPLOYEE & PHYSICIAN RE	496,829		496,829
d	HOUSEKEEPING	442,533	442,533
e	All other expenses	857,395	335,054	490,520	31,821
25	Total functional expenses. Add lines 1 through 24e	228,786,886	182,523,862	45,536,814	726,210
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			4,945	1	5,265
2	Savings and temporary cash investments .........			41,392,310	2	13,078,840
3	Pledges and grants receivable, net ......			1,806,564	3	1,177,768
4	Accounts receivable, net .............			22,300,209	4	22,882,723
5	Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
					6
7	Notes and loans receivable, net ...........			1,233,000	7	1,541,919
8	Inventories for sale or use ............			5,906,062	8	6,339,135
9	Prepaid expenses and deferred charges ......			4,996,712	9	5,461,491
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	378,937,799
b	Less: accumulated depreciation	10b	147,487,309	220,454,276	10c	231,450,490
11	Investments—publicly traded securities .			123,022,147	11	111,185,447
12	Investments—other securities. See Part IV, line 11 .....			12,659,219	12	12,534,178
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			23,068,992	15	21,468,656
16	Total assets. Add lines 1 through 15 (must equal line 33)...			456,844,436	16	427,125,912

17	Accounts payable and accrued expenses .....	44,674,139	17	23,932,448
18	Grants payable ...		18
19	Deferred revenue .........	193,621	19	192,557
20	Tax-exempt bond liabilities .........	87,217,096	20	85,458,026
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
			22
23	Secured mortgages and notes payable to unrelated third parties ..	8,434,122	23	14,877,528
24	Unsecured notes and loans payable to unrelated third parties ..		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	25,765,606	25	23,873,402
26	Total liabilities. Add lines 17 through 25..	166,284,584	26	148,333,961

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	280,660,725	27	270,789,734
28	Net assets with donor restrictions ...........	9,899,127	28	8,002,217
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	290,559,852	32	278,791,951
33	Total liabilities and net assets/fund balances ........	456,844,436	33	427,125,912