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) ALEXANDRA BRETSCHNEIDER...................................................................... DIRECTOR	2.00 .................	X		0	0
(2) DAVID T PIERCE CPA...................................................................... DIRECTOR	2.00 .................	X		0	0
(3) EILEEN M JOSEPH MSCPRP...................................................................... DIRECTOR	2.00 .................	X		0	0
(4) HARRY S SHANIS PHD...................................................................... DIRECTOR	2.00 .................	X		0	0
(5) JAMES P BAKER JR...................................................................... VICE CHAIRMAN	2.00 .................	X	X	0	0
(6) JASON R MCLAUGHLINMSMSSLCS...................................................................... DIRECTOR	2.00 .................	X		0	0
(7) JON A SHAPIROMD...................................................................... DIRECTOR	2.00 .................	X		0	0
(8) JOSEPH P MCGINLEY...................................................................... DIRECTOR	2.00 .................	X		0	0
(9) KAREN D WILLIAMSMBAPHRSHRM-CP...................................................................... SECRETARY-TREASURER	2.00 .................	X	X	0	0
(10) LARRY S GERSHMAN BG-USARRET...................................................................... DIRECTOR	2.00 .................	X		0	0
(11) PARVATI THIRUMDMBAFACP...................................................................... DIRECTOR	2.00 .................	X		0	0
(12) RAFAEL A PORRATA-DORIA JR ESQ...................................................................... DIRECTOR	2.00 .................	X		0	0
(13) STEPHEN BLEYER CPA...................................................................... DIRECTOR	2.00 .................	X		0	0
(14) SUSAN E MCNAMARA...................................................................... DIRECTOR	2.00 .................	X		0	0
(15) VICTOR LIDZ PHD...................................................................... CHAIRMAN	2.00 .................	X	X	0	0
(16) WAYNE R WALKER ESQ...................................................................... ASST. SECRETARY-TREASURER	2.00 .................	X	X	0	0
(17) WILLIAM R KEENAN...................................................................... CFO	40.00 .................		X	250,767	18,465

(A) Name and business address	(B) Description of services	(C) Compensation
WS CUMBY INC 938 LINCOLN AVENUE SPRINGFIELD,PA19064	CONSTRUCTION SERVICES	5,537,245
SODEXO INC & AFFILIATES 4880 PAYSHPHERE CIRCLE CHICAGO,IL60674	HOSPITALITY SERVICES	3,211,356
MCKESSON DRUG COMPANY PO BOX 848442 DALLAS,TX75284	PHARMACY SERVICES	1,590,453
JANUS MEDICAL ASSOCIATES 745 LLANFAIR ROAD JENKINTOWN,PA19046	HEALTHCARE SERVICES	1,327,573
COMPREHENSIVE PHARMACY SERVICES LLC PO BOX 7410634 CHICAGO,IL60674	PHARMACY SERVICES	1,008,134
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 6

- 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

EAGLEVILLE HOSPITAL

Employer identification number

23-1352115

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

EAGLEVILLE HOSPITAL

Employer identification number

23-1352115

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 EAGLEVILLE 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 EAGLEVILLE HOSPITAL		Employer identification number 23-1352115

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 EAGLEVILLE HOSPITAL			Employer identification number 23-1352115
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

EAGLEVILLE HOSPITAL

Employer identification number

23-1352115

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.)		(a) Filing organization's totals	(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) ........................	31,479
c	Total lobbying expenditures (add lines 1a and 1b) ............................................................	31,479
d	Other exempt purpose expenditures ...............................................................................	32,699,176
e	Total exempt purpose expenditures (add lines 1c and 1d) ..................................................	32,730,655
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.	1,000,000
	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) .................................................	250,000
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................	0
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................	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	1,000,000	1,000,000	1,000,000	1,000,000	4,000,000

b	Lobbying ceiling amount (150% of line 2a, column(e))					6,000,000

c	Total lobbying expenditures	26,400	24,200	34,969	31,479	117,048

d	Grassroots nontaxable amount	250,000	250,000	250,000	250,000	1,000,000

e	Grassroots ceiling amount (150% of line 2d, column (e))					1,500,000

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? ...................................................................................................................

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

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

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

EAGLEVILLE HOSPITAL

Employer identification number

23-1352115

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 ....	968,902	968,902	968,902	1,096,562	1,096,562
b	Contributions ...
c	Net investment earnings, gains, and losses
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...				127,660
f	Administrative expenses ....
g	End of year balance ......	968,902	968,902	968,902	968,902	1,096,562

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

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

100.000 %

Term endowment SchDMd Bullet

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)

(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 .....	6,400		6,400
b	Buildings ....	53,504,026	8,739,399	44,764,627
c	Leasehold improvements	6,180,114	4,799,347	1,380,767
d	Equipment ....	10,644,885	7,132,078	3,512,807
e	Other .....	2,357,095	1,683,087	674,008
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				50,338,609

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)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

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
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	1,210,786
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	40,089,299
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a	-8,644,987
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d	1,133,469
e	Add lines 2a through 2d .....................			2e	-7,511,518
3	Subtract line 2e from line 1..................			3	47,600,817
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	202,737
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................			4c	202,737
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	47,803,554

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	42,547,910
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
e	Add lines 2a through 2d....................			2e	0
3	Subtract line 2e from line 1...................			3	42,547,910
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	202,737
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.....................			4c	202,737
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......			5	42,750,647

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:	THE TEMPORARILY RESTRICTED NET ASSETS INCLUDE FUNDS WHICH MAY BE USED PRIMARILY FOR EDUCATIONAL AND LIBRARY RELATED EXPENSES OF THE HOSPITAL. THE PERMANENTLY RESTRICTED NET ASSETS CONSIST OF INSTRUMENTS WHICH ARE TO BE HELD IN PERPETUITY, THE INCOME OF WHICH IS EXPENDABLE TO SUPPORT HEALTH CARE SERVICES. THE INCOME IS REPORTED AS UNRESTRICTED INCOME.
PART X, LINE 2:	THE HOSPITAL IS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC). THE HOSPITAL FILES FEDERAL FORM 990 AND NOT FORM 990T. WITH FEW EXCEPTIONS, THE HOSPITAL IS NO LONGER SUBJECT TO U.S. FEDERAL, STATE OR LOCAL INCOME TAX EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE 2019. IT IS DIFFICULT TO PREDICT THE FINAL TIMING AND RESOLUTION OF ANY PARTICULAR UNCERTAIN TAX POSITION. BASED ON THE HOSPITAL'S ASSESSMENT OF MANY FACTORS, INCLUDING PAST EXPERIENCE AND COMPLEX JUDGMENTS ABOUT FUTURE EVENTS, THE HOSPITAL DOES NOT CURRENTLY ANTICIPATE SIGNIFICANT CHANGES IN THEIR TAX POSITIONS OVER THE NEXT 12 MONTHS.
PART XI, LINE 2D - OTHER ADJUSTMENTS:	CHANGE IN FAIR VALUE OF INTEREST RATE SWAP 2,068,204. EXTRAORDINARY LOSS: ADMINISTRATIVE & SUPPORT SERVICES -934,735.

Schedule D (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

EAGLEVILLE HOSPITAL

Employer identification number

23-1352115

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 50000.0000000000 %

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? . . . . . . . . . . . . . . . . . . . . . . .

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

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? . . . . . . . . .

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

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		(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) . . .	19,709	19,709		0 %
b	Medicaid (from Worksheet 3, column a) . . . . .	32,488,198	22,176,458	10,311,740	24.230 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .	2,488,276	1,736,795	751,480	1.770 %
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	34,996,183	23,932,962	11,063,220	26.000 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).
f	Health professions education (from Worksheet 5) . . .
g	Subsidized health services (from Worksheet 6) . . . .
h	Research (from Worksheet 7) .
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .
j	Total. Other Benefits . .
k	Total. Add lines 7d and 7j .	34,996,183	23,932,962	11,063,220	26.000 %

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	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy
8	Workforce development
9	Other
10	Total

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. ......

386,271

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).....

1,530,741

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

1,955,083

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

-424,342

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)
1	EAGLEVILLE HOSPITAL 100 EAGLEVILLE ROAD EAGLEVILLE,PA194080045	X

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)

	EAGLEVILLE 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 22

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..................................

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. ............................

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): HTTP://WWW.EAGELVILLE.ORG

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 22

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

Yes

If "Yes" (list url): HTTP://WWW.EAGELVILLE.ORG

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)

	EAGLEVILLE 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 200.000000000000%
and FPG family income limit for eligibility for discounted care of 500.000000000000%

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):

HTTP://WWW.EAGELVILLE.ORG

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

HTTP://WWW.EAGELVILLE.ORG

A plain language summary of the FAP was widely available on a website (list url):
HTTP://WWW.EAGELVILLE.ORG

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

	EAGLEVILLE 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?..................

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)

	EAGLEVILLE 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
EAGLEVILLE HOSPITAL	PART V, SECTION B, LINE 5: FOR THE FY 2020-2022 COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN, EAGLEVILLE HOSPITAL RELIED UPON BEHAVIORAL HEALTH DATA COLLECTED BY THE 2017 NATIONAL SURVEY ON DRUG USE AND HEALTH, AND THE STRATEGIC PLAN RECENTLY RELEASED BY THE SUBSTANCE ABUSE AND MENTAL HEALTH ADMINISTRATION FOR THE FOUR YEAR PERIOD FY 2019 TO FY 2023. WE REMAINED COMMITTED TO WORKING CLOSELY WITH COMMUNITY LEADERS, IN THE PRESENT, TO ENHANCE AND EXPAND OPPORTUNITIES FOR REDUCING THE IMPACT OF ADDICTION AND IMPROVING THE OVERALL MENTAL HEALTH OF OUR COMMUNITY. SPECIFIC TO THE OPIOID EPIDEMIC, PRIORITY NEEDS IDENTIFIED BY THE 2018 MONTGOMERY COUNTY "OVERDOSE TASK FORCE" ARE INCLUDED IN THIS REPORT; AS IS THE RECENT WORK OF THE COUNT}/S CO-OCCURRING DISORDER COLLABORATIVE TO ADVANCE SUBSTANCE USE DISORDER TREATMENT. THESE EFFORTS ARE ON-GOING AND WILL CONTINUE AS PART OF EAGLEVILLE HOSPITAL FY 2023-2025 PLAN.FOR THE FY 2023-2025 COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN, EAGLEVILLE HOSPITAL RELIED UPON BEHAVIORAL HEALTH DATA COLLECTED BY THE 2020 NATIONAL SURVEY ON DRUG USE AND HEALTH, AND THE STRATEGIC PLAN RECENTLY RELEASED BY THE SUBSTANCE ABUSE AND MENTAL HEALTH ADMINISTRATION FOR THE FOUR YEAR PERIOD FY 2019 TO FY 2023. ADDITIONALLY, TO ENSURE THAT OUR ASSESSMENT AND PLAN REMAINED SENSITIVE TO THE NEEDS OF OUR LOCAL COMMUNITY, WE REVISITED PLANNING DOCUMENTS PREPARED BY MONTGOMERY COUNTY, PENNSYLVANIA OFFICIALS. THESE INCLUDE POSITION PAPERS HIGHLIGHTING TRANSITIONAL CONGREGATE LIVING EXPECTATIONS AND RESIDENTIAL SERVICES TRANSFORMATION. FOR FUTURE COMMUNITY HEALTH PLANNING, WE REMAIN COMMITTED TO WORKING CLOSELY WITH COMMUNITY LEADERS TO ENHANCE AND EXPAND OPPORTUNITIES FOR REDUCING THE IMPACT OF ADDICTION AND IMPROVING THE OVERALL MENTAL HEALTH OF OUR COMMUNITY.
EAGLEVILLE HOSPITAL	PART V, SECTION B, LINE 11: EAGLEVILLE HOSPITAL'S STRATEGY TO ADDRESS SIGNIFICANT NEEDSEAGLEVILLE HOSPITAL HAS IDENTIFIED THE FOLLOWING PRIMARY OPPORTUNITIES FOR IMPACTING COMMUNITY NEED IN OUR SERVICE AREA. PROGRESS ON THESE STRATEGIES AND THERE IMPLEMENTATION ARE LISTED BELOW.- COMBAT THE OPIOID CRISIS THROUGH THE EXPANSION OF TREATMENT AND RECOVERY SUPPORT SERVICES. RATIONALE: CONSUMER-FRIENDLY ACCESS TO CARE COUPLED WITH PEER SUPPORT AND REDUCED FINANCIAL BARRIERS WILL IMPROVE ACCESS TO TREATMENT. INCREASED EVENING AND WEEKEND HOURS FOR INTAKE AND ASSESSMENT WILL FURTHER MOTIVATE INDIVIDUALS AND FAMILY MEMBERS TO SEEK TREATMENT. FOR SUBSTANCE USE DISORDER (SUD) PATIENTS PRESENTING TO AREA EMERGENCY DEPARTMENTS, CONTINUED ENGAGEMENT THROUGH A WARM-HAND OFF PROCESS AREA WILL RESULT IN MORE IMMEDIATE REFERRAL FOR FORMAL TREATMENT. (PRIORITIES 1). OBJECTIVES: 1. CONTINUE TO ENSURE THAT THE NEEDIEST ARE SERVED AND SUPPORTED BY OFFERING ACCESS TO FINANCIAL COUNSELING FOR MEDICAL ASSISTANCE APPLICATIONS - EAGLEVILLE IS ONE OF THE LARGEST NON-PROFIT BEHAVIORAL HEALTH PROVIDERS IN PENNSYLVANIA SERVING THE UNEMPLOYED AND WORKING POOR. THE MEDICAL ASSISTANCE FEE FOR SERVICE, MEDICAL ASSISTANCE HEALTH CHOICES, AND SINGLE COUNTY CONTRACTS REPRESENT APPROXIMATELY 88% OF OUR PATIENT POPULATION. THE HOSPITAL EMPLOYS THREE FINANCIAL ASSISTANCE COUNSELORS TO ENSURE COVERAGE. APPROXIMATELY 400 APPLICATIONS WERE COMPLETED IN THE PAST YEAR TO ENROLL OR MAINTAIN BENEFITS FOR BEHAVIORAL HEALTH TREATMENT.2. IN MARCH, 2023 EAGLEVILLE OPENED ITS ASSESSMENT CENTER TO ADDRESS ALL BARRIERS TO IMPROVE ACCESS AND FACILITATE THE REQUIREMENTS FOR THE INTAKE AND ASSESSMENT FUNCTION APPROVED FOR MONTGOMERY COUNTY RESIDENTS SEEKING EVENING AND WEEKEND ACCESS TO EVALUATION AND TREATMENT. IN ADDITION TO THE EXPANSION OF HOURS, THE HOSPITAL WILL ADVANCE PARTNERSHIPS WITH COMMUNITY ACCESS SITES IN ADDITION TO THE SUPPORT OF GROWING TRANSPORTATION NEEDS. 3. ACTIVELY PARTNER WITH OUTSIDE ORGANIZATIONS TO FOSTER THE WARM HAND-OFF PROCESS IMMEDIATELY UPON ADMISSION TO EAGLEVILLE HOSPITAL - IN THE SPIRIT OF BUILDING ADDITIONAL PARTNERSHIPS TO BETTER SERVE OUR PATIENT COMMUNITY, EAGLEVILLE MAKES A SIGNIFICANT INVESTMENT IN STAFFING AN ACTIVE CASE MANAGEMENT DEPARTMENT AND IDENTIFYING AFTERCARE RESOURCES. EAGLEVILLE HOSPITAL'S CASE MANAGEMENT DEPARTMENT AND ADMISSIONS DEPARTMENT CONTINUE TO REACH OUT TO COMMUNITY PROVIDERS TO FORM RECIPROCAL RELATIONSHIPS IN THE COMMUNITIES WE SERVE. SINCE 2020 OUR PHILADELPHIA REFERRALS INCREASED DRAMATICALLY AND THEREFORE WE HAVE WORKED TO CONNECT WITH MORE PROVIDERS IN THE CITY, INCLUDING FEDERALLY QUALIFIED HEALTH CENTER'S (FQHCS), IN ORDER TO PROVIDE OUR PATIENTS WITH THE MOST COMPREHENSIVE, AFFORDABLE AND CONVENIENT AFTER CARE. WE HAVE ALSO PROVIDED OUR INFORMATION TO ALLOW FOR A SMOOTH TRANSFER TO HIGHER LEVEL OF CARE WHEN INDICATED. IN SPRING OF 2022, CLINICAL STAFF STARTED TO HOST ONSITE MEETINGS WITH REFERRAL SOURCES. 4. ADVANCE THE ORGANIZATIONAL STRATEGIC DIRECTION TO SUPPORT EXPANSION OF SERVICES IN THE AREAS OF SUPPORTIVE HOUSING, PRIMARY CARE AND OUTPATIENT TREATMENT THIS INITIATIVE IS CURRENTLY IN THE PLANNING PHASE.ADDITIONALLY, THE HOSPITAL'S ON-SITE PEER CENTER CONTINUES TO BE SUPPORTED AS A "VALUE-ADDED" RESOURCE FOR PATIENTS. THE CENTER IS EQUIPPED WITH SIX COMPUTER KIOSKS FOR PATIENTS TO CONNECT WITH COMMUNITY AGENCIES, SCHOOLS, AND CAREER DEVELOPMENT RESOURCES WITH THE AID OF A CERTIFIED PEER RECOVERY SPECIALIST (CRS). EIGHTEEN PATIENTS PER DAY MAY ACCESS THE CENTER. CURRENTLY THERE ARE 4 CERTIFIED RECOVERY SPECIALIST POSITIONS WHO WORK DIRECTLY WITH PATIENTS TO PROVIDED SUPPORT AND EDUCATION FROM A "LIVED EXPERIENCE" PROSPECTIVE. THE CRS WORK FROM 7AM TO 11PM SEVEN DAYS PER WEEK, AND ACTIVELY REACH OUT TO PATIENTS WHO ARE AT HIGH RISK TO LEAVE TREATMENT PREMATURELY. IN 2022 EAGLEVILLE HOSPITAL CRS STAFF CONDUCTED 1152 AMA INTERVENTIONS. THE CRS MEET WITH PATIENTS WHO MAY NOT HAVE EXPRESSED A DESIRE TO AMA, BUT ARE HIGH RISK BASED ON PAST HISTORY IN AN EFFORT TO SUPPORT PATIENTS IN COMPLETING TREATMENT.- ADDRESS SERIOUS MENTAL ILLNESS (SMI) IN CONCERT WITH SUBSTANCE USE DISORDER TREATMENT AS A BEST PRACTICE. RATIONALE: MORE SUBSTANCE USE DISORDER PATIENTS ARE PRESENTING WITH SERIOUS EMOTIONAL DISORDERS REQUIRING ADVANCEMENTS IN THE INTENSITY AND SCOPE OF CARE. TREATMENT OUTCOMES ARE IMPROVED WHEN THE ASSESSMENT AND TREATMENT OF MENTAL ILLNESS/EMOTIONAL DISORDERS AND OPIATE USE DISORDER OR OTHER SUBSTANCE USE DISORDERS OCCUR SIMULTANEOUSLY AND BY PROFESSIONALS TRAINED IN CO-OCCURRING PRINCIPLES. EDUCATIONAL RESOURCES AND TECHNICAL ASSISTANCE WILL BE BENEFICIAL TO THE SYSTEM OF CARE. (PRIORITIES 2 AND 4). OBJECTIVES: A. IMPLEMENT A PARTNERSHIP WITH AN IDENTIFIED THIRD PARTY ORGANIZATION TO PROVIDE EVIDENCE BASED PRACTICES THAT ACTIVELY ENGAGE PATIENTS IN THEIR INDIVIDUALIZED TREATMENT PLAN, MEASURE AND MANAGE OUTCOMES DURING AND POST INPATIENT DISCHARGE AND PROVIDE BENCHMARKING STRATEGIES FOR ADVANCING TREATMENT MODALITIES SPECIFIC TO THE COMMUNITY SERVED. B. PROMOTE ENGAGEMENT IN THE STATE-MANDATED 25 HOUR EDUCATIONAL PROGRAM ON CO-OCCURRING CORE COMPETENCY FOR EAGLEVILLE HOSPITAL STAFF AND THE EXTERNAL PROFESSIONAL COMMUNITY. C. ADVANCE THE USE OF EVIDENCE-BASED PRACTICES BY ASSISTING THE COUNTY'S COD COLLABORATIVE IN PROGRAM EVALUATION, STANDARD DEVELOPMENT, AND THROUGH TECHNICAL ASSISTANCE PROVIDED BY MAGELLAN BEHAVIORAL HEALTH. A: IMPLEMENT TRAUMA INFORMED CARE ACROSS THE CONTINUUM: EAGLEVILLE HOSPITAL DEVELOPED A PLAN TO HAVE ALL STAFF, INCLUDING SUPPORT STAFF TRAINED IN TRAUMA INFORMED CARE. DURING THIS TIME, 245 STAFF WERE TRAINED IN TRAUMA INFORMED CARE. THIS CONTINUES TO BE AN ONGOING EFFORT AND TRAINING IS OFFERED AT A MINIMUM, ON A MONTHLY BASIS, TO ENSURE ALL NEW STAFF RECEIVE THE TRAINING. IN ADDITION, THE NEW RESIDENTIAL PROGRAM WAS STARTED IN DEC 2021 WITH A FOCUS ON TRAUMA INFORMED CARE, INDIVIDUALIZED TREATMENT, CELEBRATING SUCCESSES.B: EAGLEVILLE HOSPITAL REGULARLY MONITORS STAFF PROGRESS TOWARDS COMPLETION OF ANNUAL CEU REQUIREMENTS TO ENSURE CONTINUED COMPLIANCE AND PROFESSIONAL GROWTH.C: IN CONCERT WITH THE VARIOUS PAYORS, EAGLEVILLE HOSPITAL IS CONTINUINUALLY ASSESSING WAYS TO ADVANCE THE USE OF EVIDENCE-BASED PRACTICES IN ITS PROGRAMS. - STRENGTHENING HEALTH PRACTITIONER TRAINING AND EDUCATION RATIONALE: THE IMPACT OF COVID-19 HAS HAD AN UNPRECEDENTED EFFECT ON THE HEALTHCARE LABOR MARKET. THIS PARADIGM SHIFT HAS CREATED A SHORTAGE OF PROFESSIONALS AND PARA-PROFESSIONALS ENTERING THE FIELD OF BEHAVIORAL HEALTH, COUPLED WITH LOW RETENTION, THREATEN THE QUALITY OF CARE AND THE EXPANSION OF RESOURCES REQUIRED TO MEET INCREASING NEEDS OF THE HEALTHCARE SYSTEM. COLLABORATION AMONG HEALTH CARE PROVIDERS, GRADUATE SCHOOL PROGRAMS, AND PROFESSIONAL CERTIFICATION BODIES IS NEEDED TO ATTRACT AND RETAIN A MORE SKILLED WORKFORCE. (PRIORITIES 3 & 5) OBJECTIVES: A. CONTINUE TO HOST FREE OR LOW COST PROFESSIONAL CONFERENCES AND SEMINARS IN COLLABORATION WITH THE PENNSYLVANIA CERTIFICATION BOARD (PCB), THE MONTGOMERY COUNTY BEHAVIORAL HEALTH ADMINISTRATION, THE DEPARTMENT OF DRUG AND ALCOHOL PROGRAMS AND LOCAL LAW ENFORCEMENT PROFESSIONALS. B. PROVIDE INTERNSHIPS AND SCHOLARSHIPS FOR BOTH UNDERGRADUATE AND GRADUATE STUDENTS AND EXISTING EMPLOYEES SEEKING DEGREES IN NURSING, SOCIAL WORK AND COUNSELING FROM AREA COLLEGES, BUILDING AN INTERNAL PIPELINE OF CANDIDATES COMMITTED TO THE FIELD WHILE SUPPORTING THE FURTHERANCE OF RETENTION. C. EXPAND THE CURRENT LEVEL OF CLINICAL INTEGRATION WITH LOCAL ACADEMIC PARTNERSHIPS INVOLVING MEDICAL STUDENTS AND RESIDENCY PROGRAMSTHE OBJECTIVES FOR STRENGTHENING HEALTH PRACTITIONER TRAINING AND EDUCATION ABOVE ARE STILL A MAJOR PRIORITY OF THE HOSPITAL AND PLAN TO CONTINUE THEM AS OUTLINED BELOW:
(CONTINUED...)	-EAGLEVILLE HOSPITAL HOSTED FREE OR MINIMAL FEE CONFERENCES AND SEMINARS FOR THE PROFESSIONAL COMMUNITY ON TOPICS SUCH AS ADDICTIONS 101, SCREENING AND ASSESSMENT, CONFIDENTIALITY, BASIC HIV, TB/STD/HEPATITIS, AMERICAN SOCIETY OF ADDICTION MEDICINE'S PLACEMENT CRITERIA, AND PRACTICAL APPLICATIONS OF CONFIDENTIALITY. MANY OFFERINGS MET COUNSELORS' NEEDS FOR MANDATORY TRAINING BY STATE STANDARDS OR LICENSING BODIES. .- EAGLEVILLE HOSPITAL IS CONTINUALLY REASSESSING THE ABILITY TO IMPLEMENT PROGRAMS PREVIOUSLY OFFERED THAT WERE IMPACTED BY PANDEMIC RELATED RESTIRCTIONS: - WAS THE HOST SITE FOR THE PENNSYLVANIA CERTIFICATION BOARD'S (PCB) ANNUAL TRAINING SERIES FOR THE DELAWARE VALLEY REGION, PROVIDING APPROXIMATELY EIGHT TRAININGS THROUGHOUT THE YEAR, WHICH WERE OPEN TO THE PROVIDER COMMUNITY TO MEET CERTIFICATION NEEDS FOR MANY PROFESSIONALS. PROGRAMS AVERAGED 40 PARTICIPANTS. - EAGLEVILLE HOSPITAL WAS THE HOST SITE FOR THE PCB'S CERTIFICATION TESTING - THE MONTGOMERY COUNTY DEPARTMENT OF BEHAVIORAL HEALTH HAS UTILIZED EAGLEVILLE HOSPITAL AS A HOST AGENCY FOR APPROXIMATELY UP TO 20 TRAININGS ANNUALLY. THESE WERE FOR MONTGOMERY COUNTY PROVIDERS AND SPANNED MANY TREATMENT RELATED ISSUES, AVERAGE ATTENDANCE WAS APPROXIMATELY 75. - EAGLEVILLE HOSPITAL HOSTED THE MONTGOMERY COUNTY TRAUMA COLLABORATIVE WHICH MET QUARTERLY AND WAS OFFERED TO ALL BEHAVIORAL HEALTH AND FORENSIC TREATMENT PROVIDERS WITHIN THE COUNTY. EAGLEVILLE TYPICALLY HOSTED FOUR OF THESE MEETINGS WHICH AVERAGED 75 PARTICIPANTS. - EAGLEVILLE WAS THE HOST SITE FOR THE WOMEN'S RE-ENTRY INITIATIVE. A GROUP DEVOTED TO HELPING WOMEN FROM PRISON RE-ENTER THE COMMUNITY AFTER THEIR SENTENCE IS COMPLETE. MEETINGS WERE QUARTERLY AND AVERAGED 50 ATTENDEES. - EAGLEVILLE HOSPITAL HOSTED THE MONTGOMERY COUNTY FAMILY SERVICES DEPARTMENT'S TRAININGS FOR THE COMMUNITY. - EAGLEVILLE HOSPITAL OFFERED MAGELLAN BEHAVIORAL HEALTH AND THEIR PROVIDER'S SPACE TO HOST BOTH COMMUNITY TRAININGS AS WELL AS "TOWN HALLS" WITH NETWORK PROVIDERS. - SUPPORTED ADVANCES IN CO-OCCURRING TREATMENT BY ANNUALLY CONDUCTING THE STATE-MANDATED, THIRTY-SIX HOUR EDUCATIONAL PROGRAM ON CO-OCCURRING CORE COMPETENCY. - PROVIDE INTERNSHIPS FOR STUDENTS SEEKING DEGREES IN SOCIAL WORK AND COUNSELING FROM AREA COLLEGES AND UNIVERSITIES.EAGLEVILLE HOSPITAL IS CURRENTLY PROVIDING INTERNSHIP EXPERIENCES FOR STUDENTS FROM MANY LOCAL COLLEGES AND UNIVERSITIES, INCLUDING BUT NOT LIMITED TO, BRYN MAWR SCHOOL OF SOCIAL WORK, LA SALLE UNIVERSITY, CHESTNUT HILL COLLEGE, PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE, DELAWARE VALLEY UNIVERSITY AND MONTGOMERY COUNTY COMMUNITY COLLEGE. EAGLEVILLE HOSPITAL PROVIDES 25 INTERNS WITH AN INTERNSHIP EXPERIENCE DURING THE YEAR. THIS EXPERIENCE WAS NOT AFFECTED BY THE PANDEMIC AND WE CONTINUED WITH INTERNSHIPS THROUGHOUT THE PAST YEAR. - PROVIDE CLINICAL ROTATIONS FOR MEDICAL, PHYSICIAN ASSISTANT AND NURSING STUDENTS.EAGLEVILLE HOSPITAL CONTINUES TO PROVIDE A TRAINING SITE FOR CLINICAL ROTATIONS FOR STUDENTS FROM THE DISCIPLINES LISTED ABOVE. EAGLEVILLE PROVIDES A CLINICAL ROTATION IN ADDICTION AND MENTAL HEALTH TREATMENT FOR THEIR STUDENTS. EAGLEVILLE PROVIDES MEETING SPACE FOR ALL THREE GROUPS. EAGLEVILLE HOSTS APPROXIMATELY 50-75 NURSING STUDENTS ANNUALLY. EAGLEVILLE HOSPITAL ALSO HAS MEDICAL STUDENTS AND PHYSICIAN ASSISTANT STUDENTS FROM TEMPLE UNIVERSITY, PHYSICIAN ASSISTANT STUDENTS FROM THOMAS JEFFERSON UNIVERSITY, AND CERTIFIED REGISTERED NURSE PRACTITIONER STUDENTS FROM LASALLE UNIVERSITY.- PROVIDE MEETING SPACE FOR COMMUNITY MEETINGSEAGLEVILLE HOSPITAL WILL CONTINUE TO PROVIDE MEETING SPACE FOR SEVERAL SELF-HELP GROUPS TO HOST THEIR WEEKLY COMMUNITY BASED MEETINGS. ALCOHOLICS ANONYMOUS, NARCOTICS ANONYMOUS, COCAINE ANONYMOUS AND NAR-ANON HOLD MEETINGS ON A NIGHTLY BASIS ON THE CAMPUS. PLANS ARE BEING DEVELOPED TO RESUME I PERSON MEETINGS BY SUMMER 2023IN THE SPIRIT OF BUILDING ADDITIONAL PARTNERSHIPS TO BETTER SERVE OUR COMMUNITY, WE WILL CONTINUE TO WELCOME OTHER SMALLER ORGANIZATIONS THE AVAILABILITY OF OUR CAMPUS WHEREVER ACCOMMODATIONS CAN BE MADE. EAGLEVILLE IS WORKING WITH MEMBERS OF THE LOCAL RECOVERY COMMUNITY TO INCREASE MEETINGS ON SITE AND OFFER USE OF EAGLEVILLE FACILITIES FOR RECOVERY BASED ACTIVITIES IDENTIFY OPPORTUNITIES TO PARTNER WITH MORE COMMUNITY ORGANIZATIONSIN THE SPIRIT OF BUILDING ADDITIONAL PARTNERSHIPS TO BETTER SERVE OUR PATIENT COMMUNITY, EAGLEVILLE MAKES A SIGNIFICANT INVESTMENT IN STAFFING AN ACTIVE CASE MANAGEMENT DEPARTMENT, AND IDENTIFYING AFTERCARE RESOURCES. EAGLEVILLE HOSPITAL'S CASE MANAGEMENT DEPARTMENT AND ADMISSIONS DEPARTMENT CONTINUE TO REACH OUT TO COMMUNITY PROVIDERS TO FORM RECIPROCAL RELATIONSHIPS IN THE COMMUNITIES WE SERVE. SINCE 2020 OUR PHILADELPHIA REFERRALS INCREASED DRAMATICALLY AND THEREFORE WE HAVE WORKED TO CONNECT WITH MORE PROVIDERS IN THE CITY, INCLUDING FEDERALLY QUALIFIED HEALTH CENTER'S (FQHCS), IN ORDER TO PROVIDE OUR PATIENTS WITH THE MOST COMPREHENSIVE, AFFORDABLE AND CONVENIENT AFTER CARE. WE HAVE ALSO PROVIDED OUR INFORMATION TO ALLOW FOR A SMOOTH TRANSFER TO HIGHER LEVEL OF CARE WHEN INDICATED. CLINICAL STAFF HAVE STARTED TO HOST ONSITE MEETINGS WITH REFERRAL SOURCES, AS WELL AS PLAN TO VISIT REFERRAL SOURCES TO BUILD A STRONGER RELATIONSHIP AND WORK TO HAVE SEAMLESS REFERRAL PLANNING FOR OUR PATIENTS.A. ENGAGE PATIENTS IN RECOVERY ORIENTED PEER SUPPORTED ACTIVITIES. THE HOSPITAL'S ON-SITE PEER CENTER CONTINUES TO BE SUPPORTED AS A "VALUE-ADDED" RESOURCE FOR PATIENTS. THE CENTER IS EQUIPPED WITH SIX COMPUTER KIOSKS FOR PATIENTS TO CONNECT WITH COMMUNITY AGENCIES, SCHOOLS, AND CAREER DEVELOPMENT RESOURCES WITH THE AID OF A CERTIFIED PEER RECOVERY SPECIALIST. EIGHTEEN PATIENTS PER DAY MAY ACCESS THE CENTER. CURRENTLY THERE ARE 4 CERTIFIED RECOVERY SPECIALIST POSITIONS WHO WORK DIRECTLY WITH PATIENTS TO PROVIDED SUPPORT AND EDUCATION FROM A "LIVED EXPERIENCE" PROSPECTIVE. THE CRS WORK FROM 7AM TO 11PM SEVEN DAYS PER WEEK, AND ACTIVELY REACH OUT TO PATIENTS WHO ARE AT HIGH RISK TO LEAVE TREATMENT PREMATURELY. IN 2022 EAGLEVILLE HOSPITAL CRS STAFF CONDUCTED 1152 AMA INTERVENTIONS. IN ADDITION, THE CRS MEET WITH PATIENTS WHO MAY NOT HAVE EXPRESSED A DESIRE TO AMA, BUT ARE HIGH RISK BASED ON PAST HISTORY IN AN EFFORT TO SUPPORT PATIENTS IN COMPLETING TREATMENT.COMMUNITY NEEDS UNABLE TO BE ADDRESSEDEAGLEVILLE HOSPITAL ACKNOWLEDGES THE BREADTH OF SERVICES AND HUMAN SERVICE NEEDS REQUIRED BY COUNTY RESIDENTS, THE HOSPITAL'S INPATIENT TREATMENT RESOURCE ARE DEDICATED TO ADDICTION AND MENTAL HEALTH TREATMENT. WHERE THE HOSPITAL CANNOT PROVIDE OUTPATIENT TREATMENT, OR LICENSED/CERTIFIED RESOURCES SUCH AS SUPPORTED EDUCATION AND SUPPORTIVE HOUSING, STAFF REMAIN AWARE OF THE NECESSITY TO PROVIDE PERSONS IN RECOVERY WITH A BROAD BASE OF COMMUNITY RESOURCES, INCLUDING RECOVERY AND HALFWAY HOUSES, CASE MANAGEMENT AND OUTPATIENT TREATMENT. PATIENTS OF ALL AGES ACCESS THESE SERVICES THROUGH A LARGE NETWORK OF REFERRAL AGENCIES. WHERE POSSIBLE, PATIENTS ARE INTRODUCED TO OPPORTUNITIES TO RECEIVE THEIR GED, AND CONNECT WITH THE LOCAL COMMUNITY COLLEGE, VOCATIONAL TRAINING IN MONTGOMERY COUNTY THROUGH SOAR (SKILLS, OPPORTUNITIES, ACHIEVEMENT, AND RESPONSIBILITY) AND OIC (OPPORTUNITIES INDUSTRIALIZATION CENTERS).THE HOSPITAL IS CAPABLE OF PROVIDING INPATIENT DETOXIFICATION AND REHABILITATION AS WELL AS INPATIENT PSYCHIATRIC CARE FOR BOTH MEN AND WOMEN. THE HOSPITAL WELCOMES THE OPPORTUNITY TO ENGAGE WITH OUTREACH STAFF EMPLOYED BY COUNTY AGENCIES FOR THE EXPRESSED PURPOSE OF TEACHING OLDER MEDICALLY ISOLATED POPULATION, SOME OF WHOM MAY NEED INPATIENT CARE AT EAGLEVILLE HOSPITAL.

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, LN 7 COL(F):	PATIENT ACCOUNTS RECEIVABLE ARE STATED AT NET REALIZABLE VALUE. THE HOSPITAL MAINTAINS ALLOWANCES FOR UNCOLLECTIBLE ACCOUNTS AND FOR ESTIMATED LOSSES RESULTING FROM PAYORS' INABILITY TO MAKE PAYMENT ON ACCOUNTS. THE HOSPITAL ESTIMATES THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED ON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, CONSIDERING HISTORICAL AND CURRENT BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. ACCOUNTS RECEIVABLE ARE CHARGED TO THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS WHEN THEY ARE DEEMED UNCOLLECTIBLE.
PART II, COMMUNITY BUILDING ACTIVITIES:	BECAUSE EAGLEVILLE HOSPITAL TAKES SERIOUSLY ITS LONG-STANDING COMMITMENT TO THIS REGION AND THOSE WHO RECEIVE CARE, THE STAFF ENGAGES IN A BROAD RANGE OF ACTIVITIES TO PROMOTE THE HEALTH OF THE COMMUNITIES SERVED. AT THE STATE LEVEL, THE HOSPITAL PARTICIPATES IN A VARIETY OF ADVOCACY AND POLICY DEVELOPMENT ACTIVITIES. HOSPITAL STAFF HAS BEEN INVOLVED IN TASK FORCES AND WORK GROUPS AT THE INVITATION OF THE PENNSYLVANIA DEPARTMENT OF HEALTH BUREAU OF DRUG AND ALCOHOL PROGRAMS, THE PENNSYLVANIA DEPARTMENT OF WELFARE OFFICE OF MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES, AND THE PENNSYLVANIA COMMISSION ON CRIME AND DELINQUENCY, IN ADDITION THE EXTENSIVE WORK WITH THE ORGANIZATIONS LISTED IN THE NEEDS ASSESSMENTSECTION.AT THE COUNTY AND LOCAL LEVELS, EAGLEVILLE HOSPITAL STAFF MEMBERS HAVE WORKED WITH THE MONTGOMERY COUNTY SUICIDE PREVENTION WORK GROUP, THE MONTGOMERY COUNTY FORENSIC WORK GROUP, THE CITY OF PHILADELPHIA FORENSIC TASK FORCE, THE CITY OF PHILADELPHIA FIR/IPP EXECUTIVE COMMITTEE, AND BOTH THE MONTGOMERY AND DELAWARE COUNTY INTEGRATED DUAL DIAGNOSIS WORK GROUPS. EAGLEVILLE PROVIDES SPEAKERS TO LOCAL SCHOOL SYSTEMS, COMMUNITY GROUPS AND TREATMENT PROVIDERS ON A VARIETY OF TOPICS RELATED TO BEHAVIORAL HEALTH CONDITIONS.EAGLEVILLE HOSPITAL RECOGNIZES THE RESPONSIBILITY THAT COMES WITH THE UNIQUE ARRAY OF CAPABILITY, EXPERIENCE, SERVICES AND IMPRESSIVE HUNDRED-YEAR HISTORY. IT IS IN THIS SPIRIT THAT EAGLEVILLE HOSPITAL CONTINUOUSLY ASSESSES THE HEALTH CARE NEEDS OF THOSE SERVED, DEVELOPSPROGRAMMING AND SERVICES TO ADDRESS THOSE NEEDS, INFORM PATIENTS OF THE AVAILABLE MEANS TO ACCESS SERVICES, PARTNER EFFECTIVELY THROUGHOUT THE COMMUNITIES AND POPULATIONS SERVED, AND HELP TO PROMOTE THE HEALTH OF THOSE COMMUNITIES THROUGH POLICY ENGAGEMENT, SHARING OF BEST PRACTICES, TRAINING AND PROFESSIONAL DEVELOPMENT.OVER THE PAST YEAR, MULTIPLE COMMUNITY NEEDS HAVE PRESENTED OPPORTUNITIES FOR EAGLEVILLE TO STEP IN AND PROVIDE MUCH NEEDED SERVICES. IN OUR ONGOING EFFORT TO BE A GOOD PARTNER TO MONTGOMERY COUNTY EMERGENCY SERVICES (MCES), WE ACTED QUICKLY ON A REQUEST TO HOUSE CAROL'S PLACE ON THE EAGLEVILLE CAMPUS. CAROL'S PLACE IS THE MCES CRISIS RESIDENTIAL PROGRAM.WITHIN THE PAST YEAR, EAGLEVILLE ALSO OPENED THE LONG TERM RESIDENTIAL TREATMENT PROGRAM, DESIGNED FOR ADULTS AGES 18 AND UP WITH SERIOUS AND PERSISTENT MENTAL ILLNESS REQUIRING A SECURE AND STRUCTURED ENVIRONMENT WITH 24 HOUR STAFFING. THE INDIVIDUALS PARTICIPATING IN THIS PROGRAM ARE OFTEN TRANSFERRED AFTER EXTENDED STAYS AT A HIGHER LEVEL OF CARE, WITH THE ULTIMATE GOAL BEING A SLOW, GENTLE TRANSITION BACK INTO THE COMMUNITY OR A LESS STRUCTURED ENVIRONMENT WHEN THE RESIDENT IS PREPARED TO BE SUCCESSFUL THERE.EAGLEVILLE WILL CONTINUE TO WORK WITH LOCAL LAW ENFORCEMENT AGENCIES TO PROVIDE IMMEDIATE ACCESS TO CARE FOR INDIVIDUALS DIVERTED FROM ARREST DUE TO SUBSTANCE USE DISORDERS THROUGH THE LAW ENFORCEMENT TREATMENT INITIATIVE (LETI PROGRAM)EAGLEVILLE HAS ALSO PARTNERED WITH SEVERAL ACUTE CARE HOSPITALS AND COMMUNITY BEHAVIORAL HEALTH TO PROVIDE A MUCH NEEDED INPATIENT TREATMENT RESOURCE FOR INDIVIDUALS SUFFERING FROM SUBSTANCE USE DISORDERS AND COMORBID MEDICAL CONDITIONS REQUIRING IV ANTIBIOTICS AND WOUND CARE.ADDITIONALLY, EAGLEVILLE AND MEMBERS OF RHD (RESOURCES FOR HUMAN DEVELOPMENT) HAVE BEEN WORKING ON A PLAN TO CONVERT THE PRICE BUILDING INTO A SUPPORTIVE LIVING PROGRAM THAT WILL SERVE INDIVIDUALS FROM MONTGOMERY COUNTY. IT WILL OFFER 24 HOUR SUPERVISION IN A RESIDENTIAL SETTING TO APPROXIMATELY 30 INDIVIDUALS. THIS PROGRAM PROVIDES SUPPORT AND SERVICES THROUGH EFFECTIVE, INNOVATIVE AND PERSON CENTERED PROGRAMS.
PART III, LINE 4:	THE HOSPITAL PROVIDES AN ALLOWANCE FOR BAD DEBTS USING THE ALLOWANCE METHOD, WHICH IS BASED ON MANAGEMENT'S JUDGEMENT CONSIDERING HISTORICAL INFORMATION. PATIENT ACCOUNTS RECEIVABLE ARE UNSECURED. ACCOUNTS PAST DUE ARE INDIVIDUALLY ANALYZED FOR COLLECTABILITY. IN ADDITION, AN ALLOWANCE IS PROVIDED FOR OTHER ACCOUNTS WHEN A SIGNIFICANT PATTERN OF UNCOLLECTIBILITY HAS OCCURRED. WHEN ALL COLLECTION EFFORTS HAVE BEEN EXHAUSTED, THE ACCOUNTS ARE WRITTEN OFF. THE HOSPITAL ALSO PROVIDES CONTRACTUAL ADJUSTMENTS FROM MAJOR THIRD PARTY PAYORS.
PART III, LINE 8:	MEDICARE COST REPORT
PART VI, LINE 2:	LOCATED IN SOUTHEASTERN PENNSYLVANIA FOR THE PAST CENTURY, EAGLEVILLE HOSPITAL IS A HIGHLY RESPECTED AND CUTTING-EDGE REGIONAL PROVIDER OF BEHAVIORAL HEALTH TREATMENT SERVICES FOR ADULTS. APPROXIMATELY NINETY PERCENT OF THE PATIENTS SERVED THAT RECEIVE PUBLIC FUNDING FOR THEIR TREATMENT ARE UNINSURED. PUBLIC FUNDING INCLUDES MEDICARE, MEDICAID AND COUNTY FUNDING FOR UNINSURED AND UNDER-INSURED INDIVIDUALS. IT IS CRITICAL THAT THE HOSPITAL REMAIN ABREAST OF THE CURRENT TRENDS IN REGIONAL BEHAVIORAL HEALTH NEEDS TO BEST SERVE THE PATIENTS BY DESIGNING RESPONSIVE AND EFFECTIVE PROGRAMS. TO ENSURE THIS KNOWLEDGE BASE, EAGLEVILLE HOSPITAL STAFF MEMBERS ACTIVELY PARTICIPATE IN THE PENNSYLVANIA REHABILITATION AND COMMUNITY PROVIDERS ASSOCIATION, THE PENNSYLVANIA CERTIFICATION BOARD, THE DRUG AND ALCOHOL SERVICE PROVIDERS ASSOCIATION OF PENNSYLVANIA.TO BEST SERVE THE MEDICARE-FUNDED POPULATION, EAGLEVILLE HOSPITAL ALSO MAINTAINS A CLOSE FOCUS ON THE BEHAVIORAL HEALTH NEEDS OF ELDERLY AND DISABLED INDIVIDUALS COVERED BY MEDICARE. THE ADMISSION DEPARTMENT HAS DEVELOPED A BROAD NETWORK OF CONTACTS WITH GENERAL HOSPITALS, PSYCHIATRIC HOSPITALS, NURSING HOMES, ASSISTED LIVING FACILITIES, GERIATRIC GROUP PRACTICES, COUNTY OFFICES ON AGING AND THE PENNSYLVANIA COALITION ON AGING. EAGLEVILLE HOSPITAL OPERATES HOSPITAL AND NON-HOSPITAL LEVEL PROGRAMS FOR BOTH SUBSTANCE USE DISORDERS AND MENTAL DISORDERS IN RESPONSE TO THE IDENTIFIED NEEDS.ALL MEDICAID RECIPIENTS IN PENNSYLVANIA PARTICIPATE IN HEALTH CHOICES, A PROGRAM STRONGLY CONCERNED WITH THE AVAILABILITY OF PROGRAMMING DESIGNED TO MEET THE NEEDS OF INDIVIDUALS WITH CO-OCCURRING SUBSTANCE USE AND MENTAL HEALTH DISORDERS. EAGLEVILLE HOSPITAL CONTINUES TO EXPAND ITS CAPABILITY TO PROVIDE INTEGRATED CO-OCCURRING DISORDERS TREATMENT IN RESPONSE TO THE IDENTIFIED NEED. EAGLEVILLE HOSPITAL RESPONDS TO REQUESTS FOR PROPOSALS ISSUED BY THE HEALTH CHOICES MANAGED CARE ORGANIZATIONS AND DEVELOPS PROGRAMMING CONSISTENT WITH THE NEEDS IDENTIFIED BY THESE ORGANIZATIONS.EAGLEVILLE HOSPITAL PERFORMS ROUTINE PATIENT SATISFACTION SURVEYS AND FOCUS GROUPS WITH THE PATIENT POPULATION. IN RESPONSE TO THESE FINDINGS, PROGRAM MODIFICATIONS OCCUR TO MEET PATIENT AND COMMUNITY NEEDS. EAGLEVILLE HOSPITAL RESPONDS TO REQUESTS FOR PROPOSALS ISSUED BY NUMEROUS SINGLE COUNTY AUTHORITIES, WHICH PROVIDE FUNDING FOR UNINSURED AND UNDER-INSURED SUBSTANCE USERS, IN RESPONSE TO NEED IDENTIFIED THROUGH THESE COUNTIES' NEEDS ASSESSMENT PROCESSES.
PART VI, LINE 3:	THE VERY NETWORKS THROUGH WHICH THE HOSPITAL STAYS INFORMED OF AND RESPONSIVE TO COMMUNITY NEEDS ALSO PROVIDE CHANNELS THROUGH WHICH PATIENT EDUCATION AND INFORMATION IS SHARED. THE HOSPITALS, NURSING HOMES, PRACTICES AND COUNTY OFFICES HAVE PROVEN EFFECTIVE PARTNERS IN HELPING EAGLEVILLE REACH INDIVIDUALS WHO CAN BENEFIT FROM EAGLEVILLE HOSPITAL'S PROGRAMS AND HELPING MAKE THOSE PATIENTS AWARE OF THE SERVICES AND THE FUNDING SOURCES AVAILABLE. EAGLEVILLE HOSPITAL PARTICIPATES IN MANY COMMUNITY BASED RESOURCE, HEALTH AND AWARENESS FAIRS TO DISTRIBUTE PROGRAM INFORMATION AND RESOURCES. IN MANY OF THESE COMMUNITY SETTINGS, COLLABORATIVE RELATIONSHIPS EMERGE WITH COMMUNITY BASED RESOURCES. THERAPEUTIC AND MEDICAL PERSONNEL PROVIDE ASSISTANCE TO PATIENTS IN NEED OF COMMUNITY RESOURCES BY IDENTIFYING AND NAVIGATING COMMUNITY RESOURCES IN RESPONSE TO PATIENT NEEDS. PATIENTS PRESENTING WITHOUT BENEFIT OF A THIRD PARTY COVERAGE OR IN NEED OF FINANCIAL ASSISTANCE ARE REFERRED TO A DESIGNATED FINANCIAL COUNSELOR WHO WORKS HAND IN HAND WITH THE PATIENT ON A ONE TO ONE BASIS TO EFFECT COVERAGE THROUGH A COUNTY, STATE OR OTHER RESOURCE OR PROVIDES DETERMINATION OF ELIGIBILITY FOR OUR CHARITY CARE PROGRAM. IN MOST CASES, THIS INVOLVES A COLLABORATIVE EFFORT WITH THE UNIT BEHAVIORAL CARE COORDINATOR AND, WITH THE PATIENT'S CONSENT, A DESIGNEE, SUCH AS A FAMILY MEMBER CONTRIBUTING INFORMATION. THE ASSIGNED FINANCIAL COUNSELOR WILL REVIEW ALL DATA, ASSESS, PROCESS, AND ORCHESTRATE SUBMISSION TO ALL APPLICABLE RESOURCES FOR FUNDING ON BEHALF OF THE PATIENT IN ACCORDANCE WITH HOSPITAL POLICIES AND THE PATIENT HANDBOOK PROVIDED AT THE TIME OF ADMISSION OR AVAILABLE ON OUR WEBSITE.
PART VI, LINE 4:	EAGLEVILLE HOSPITAL SERVES A RANGE OF GEOGRAPHIC COMMUNITIES AND PATIENT POPULATIONS. THE HOSPITAL DRAWS THE MEDICARE POPULATION PRIMARILY FROM PENNSYLVANIA, BUT ALSO REGULARLY SERVES OTHER STATES SUCH AS DELAWARE, NEW JERSEY, NEW YORK AND MARYLAND.BY DEFINITION, THE MEDICAID POPULATION TENDS TO BE CHRONICALLY SOCIO-ECONOMICALLY DISADVANTAGED. THE MAJORITY OF MEDICAID PATIENTS SERVED BY EAGLEVILLE HOSPITAL COME FROM THE CITY OF PHILADELPHIA WHILE THE SECOND LARGEST SOURCE OF ADMISSIONS IS MONTGOMERY COUNTY. THE HOSPITAL RECEIVES MANY REFERRALS FROM THE SOUTHEASTERN REGION OF PENNSYLVANIA, ALSO SERVING AS A SPECIALTY SERVICE PROVIDER THROUGHOUT THE EASTERN PART OF THE STATE BECAUSE OF THE DISTINCTIVE ABILITY TO PROVIDE HOSPITAL LEVEL SERVICES AND INTEGRATED CO-OCCURRING TREATMENT SERVICES. THE SINGLE COUNTY AUTHORITIES IN PENNSYLVANIA COUNT ON EAGLEVILLE HOSPITAL, AS VERY FEW REMAINING FACILITIES OFFER HOSPITAL LEVEL SUBSTANCE USE DISORDER TREATMENT. FOR SOME OF THESE COUNTIES, EAGLEVILLE HOSPITAL IS THE ONLY HOSPITAL LEVEL FACILITY OR INTEGRATED CO-OCCURRING FACILITY WITHIN SEVERAL HOURS' DRIVE, MAKING THE HOSPITAL A CRITICAL COMMUNITY RESOURCE. MANY OF THE INDIVIDUALS FUNDED THROUGH COUNTIES ARE ECONOMICALLY DISADVANTAGED AND MANY ALSO FACE CHRONIC DISABILITIES. THE SINGLE COUNTY AUTHORITIES RELY ON EAGLEVILLE HOSPITAL TO SERVE THESE INDIVIDUALS FROM THEIR COMMUNITIES BECAUSE EAGLEVILLE HOSPITAL IS ONE OF THE FEW SOURCES FOR HIGH QUALITY CARE PROVIDED IN A COMPETENT FASHION. FINALLY, EAGLEVILLE HOSPITAL PROVIDES CHARITY CARE WHEN FUNDING IS NOT AVAILABLE AND MEDICAL NECESSITY EXISTS. GIVEN THE GENERAL STATE OF THE ECONOMY, THIS IS AN EXPANDING POPULATION. AN INCREASING NUMBER OF PREVIOUSLY INSURED INDIVIDUALS NO LONGER HAVE THE MEANS TO PURCHASE COMMERCIAL INSURANCE YET DO NOT QUALIFY FOR MEDICARE, MEDICAID OR SINGLE COUNTY AUTHORITY FUNDING. ADDITIONALLY, THE HOSPITAL INCREASINGLY SERVES YOUNG ADULTS WITH NO HEALTH INSURANCE OR NO BEHAVIORAL HEALTH BENEFIT WHOSE FAMILIES LACK THE FINANCIAL ABILITY TO PAY.

Schedule H (Form 990) 2021

Additional Data

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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

EAGLEVILLE HOSPITAL

Employer identification number

23-1352115

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 .....

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? .........

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 ............

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)
1EUGENE J OTT CEO	(i) (ii)	326,879 ------------- 0	0 ------------- 0	0 ------------- 0	11,912 ------------- 0	29,270 ------------- 0	368,061 ------------- 0	0 ------------- 0
2ELENA KARZOVA PSYCHIATRIST	(i) (ii)	297,172 ------------- 0	0 ------------- 0	0 ------------- 0	0 ------------- 0	19,805 ------------- 0	316,977 ------------- 0	0 ------------- 0
3WILLIAM R KEENAN CFO	(i) (ii)	230,767 ------------- 0	20,000 ------------- 0	0 ------------- 0	4,258 ------------- 0	14,207 ------------- 0	269,232 ------------- 0	0 ------------- 0
4WENDY A MANEVAL CHIEF LEGAL AND REGULATORY	(i) (ii)	227,519 ------------- 0	10,000 ------------- 0	0 ------------- 0	9,406 ------------- 0	21,473 ------------- 0	268,398 ------------- 0	0 ------------- 0
5GEORGE ABRAHAM PSYCHIATRIST	(i) (ii)	231,151 ------------- 0	0 ------------- 0	0 ------------- 0	7,532 ------------- 0	10,952 ------------- 0	249,635 ------------- 0	0 ------------- 0
6MICHELLE WILLIAMS VP COUNSELING	(i) (ii)	175,308 ------------- 0	10,000 ------------- 0	0 ------------- 0	7,414 ------------- 0	28,270 ------------- 0	220,992 ------------- 0	0 ------------- 0
7RICHARD H SPIEGEL COVERAGE PHYSICIAN	(i) (ii)	199,794 ------------- 0	0 ------------- 0	0 ------------- 0	7,795 ------------- 0	9,143 ------------- 0	216,732 ------------- 0	0 ------------- 0
8MARY ELLEN MCLAUGHLIN CORPORATE COMPLIANCE OFFICER	(i) (ii)	170,368 ------------- 0	10,000 ------------- 0	0 ------------- 0	2,681 ------------- 0	10,652 ------------- 0	193,701 ------------- 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

Schedule J (Form 990) 2021

Additional Data

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Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

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
EAGLEVILLE HOSPITAL

Employer identification number
23-1352115

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	MONTGOMERY COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY	23-2245125		04-15-2020	20,000,000	FINANCE A PORTION OF THE CAPITAL PROJECT - EXPANSION OF THE HOSPITAL CAMPUS		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................
2 Amount of bonds legally defeased ..............
3 Total proceeds of issue ..................	20,000,000
4 Gross proceeds in reserve funds .............
5 Capitalized interest from proceeds .............
6 Proceeds in refunding escrows ...............
7 Issuance costs from proceeds ...............
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............	20,000,000
11 Other spent proceeds .............
12 Other unspent proceeds .............
13 Year of substantial completion .............	2021
	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
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
16 Has the final allocation of proceeds been made? ..........	X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	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
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............		X
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............		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
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 ....
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 .........
6 Total of lines 4 and 5 .............
7 Does the bond issue meet the private security or payment test? ...		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
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

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
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......	X
b Exception to rebate? ........		X
c No rebate due? .........		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

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
b Name of provider ..........	KEYBANK NATIONAL ASSOCIATION
c Term of hedge .........
d Was the hedge superintegrated? ......		X
e Was the hedge terminated? ........		X
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		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
7 Has the organization established written procedures to monitor the requirements of section 148? ...	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

Part Ⅵ

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

Return Reference	Explanation

Schedule K (Form 990) 2021

Additional Data

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Software Version:

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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

EAGLEVILLE HOSPITAL

Employer identification number

23-1352115

Return Reference	Explanation
FORM 990, PART I, LINE 1: DESCRIPTION OF ORGANIZATION'S MISSION:	TO PROVIDE COMPREHENSIVE, HIGH QUALITY SERVICES RELATED TO ADDICTION, CO-OCCURRING DISORDERS AND OTHER BEHAVIORAL HEALTH PROBLEMS THROUGH EAGLEVILLE HOSPITAL.
FORM 990, PART III, LINE I: DESCRIPTION OF ORGANIZATION'S MISSION:	THE HOSPITAL PROVIDES QUALITY INPATIENT AND RESIDENTIAL TREATMENT FOR SUBSTANCE ABUSE, MEDICAL, PSYCHOLOGICAL, PSYCHIATRIC, AND CO-OCCURRING DISORDERS. THE HOSPITAL ALSO PROVIDES RELATED RESEARCH, TRAINING AND EDUCATIONAL SERVICES TO PROFESSIONAL AND LOCAL COMMUNITIES.
FORM 990, PART VI, SECTION A, LINE 6	THE SOLE MEMBER OF THE ORGANIZATION IS EAGLEVILLE FOUNDATION.
FORM 990, PART VI, SECTION A, LINE 7A	EAGLEVILLE FOUNDATION ELECTS AND APPROVES MEMBERS OF EAGLEVILLE HOSPITAL'S GOVERNING BODY.
FORM 990, PART VI, SECTION A, LINE 7B	ALL DECISIONS OF THE ORGANIZATION'S GOVERNING BODY ARE SUBJECT TO APPROVAL BY EAGLEVILLE FOUNDATION.
FORM 990, PART VI, SECTION B, LINE 11B	THE FORM 990 IS REVIEWED IN THE AUDIT COMMITTEE AND APPROVED BY THE COMMITTEE. THE COMMITTEE THEN PROVIDES A COPY OF THE FORM 990 TO THE GOVERNING BODY FOR APPROVAL.
FORM 990, PART VI, SECTION B, LINE 12C	ALL OFFICERS, DIRECTORS AND KEY EMPLOYEES ARE REQUIRED TO SIGN A CONFLICT OF INTEREST DOCUMENT EACH YEAR. THE POLICY IS REGULARLY MONITORED BY THE COMPLIANCE OFFICE.
FORM 990, PART VI, SECTION C, LINE 19	EAGLEVILLE HOSPITAL MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART IX, LINE 11G	ADMINISTRATION CONSULTANT FEES: PROGRAM SERVICE EXPENSES 85,870. MANAGEMENT AND GENERAL EXPENSES 25,650. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 111,520. ADMISSIONS - OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 335. MANAGEMENT AND GENERAL EXPENSES 100. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 435. COMPLIANCE: PROGRAM SERVICE EXPENSES 33,497. MANAGEMENT AND GENERAL EXPENSES 10,006. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 43,503. FINANCE CONSULTANT FEES: PROGRAM SERVICE EXPENSES 774,945. MANAGEMENT AND GENERAL EXPENSES 231,477. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,006,422. HOUSEKEEPING: PROGRAM SERVICE EXPENSES 865,170. MANAGEMENT AND GENERAL EXPENSES 258,427. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,123,597. HUMAN RESOURCES: PROGRAM SERVICE EXPENSES 145,603. MANAGEMENT AND GENERAL EXPENSES 43,492. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 189,095. ISOLATION: PROGRAM SERVICE EXPENSES 170,561. MANAGEMENT AND GENERAL EXPENSES 50,947. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 221,508. INFORMATION TECHNOLOGY: PROGRAM SERVICE EXPENSES 520,343. MANAGEMENT AND GENERAL EXPENSES 155,427. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 675,770. LABORATORY: PROGRAM SERVICE EXPENSES 188,271. MANAGEMENT AND GENERAL EXPENSES 56,237. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 244,508. MARKETING: PROGRAM SERVICE EXPENSES 59,507. MANAGEMENT AND GENERAL EXPENSES 17,775. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 77,282. MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 1,022,081. MANAGEMENT AND GENERAL EXPENSES 305,297. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,327,378. NURSING: PROGRAM SERVICE EXPENSES 12,031. MANAGEMENT AND GENERAL EXPENSES 3,594. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 15,625. NURSING ADMINISTRATION: PROGRAM SERVICE EXPENSES 108,321. MANAGEMENT AND GENERAL EXPENSES 32,356. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 140,677. NUTRITION: PROGRAM SERVICE EXPENSES 1,533,684. MANAGEMENT AND GENERAL EXPENSES 458,113. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,991,797. OPERATION OF PLANT: PROGRAM SERVICE EXPENSES 222,795. MANAGEMENT AND GENERAL EXPENSES 66,549. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 289,344. PATIENT ACCOUNTING: PROGRAM SERVICE EXPENSES 197,406. MANAGEMENT AND GENERAL EXPENSES 58,965. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 256,371. PERFORMANCE IMPROVEMENT: PROGRAM SERVICE EXPENSES 4,827. MANAGEMENT AND GENERAL EXPENSES 1,442. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,269. PHARMACY: PROGRAM SERVICE EXPENSES 793,278. MANAGEMENT AND GENERAL EXPENSES 236,953. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,030,231. PSYCHIATRIST SERVICES: PROGRAM SERVICE EXPENSES 1,206,915. MANAGEMENT AND GENERAL EXPENSES 360,507. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,567,422. RADIOLOGY: PROGRAM SERVICE EXPENSES 57,552. MANAGEMENT AND GENERAL EXPENSES 17,191. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 74,743. SECURITY: PROGRAM SERVICE EXPENSES 1,565. MANAGEMENT AND GENERAL EXPENSES 468. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,033.
FORM 990, PART XI, LINE 9:	CHANGE IN FAIR VALUE OF INTEREST RATE SWAP 2,068,204. EXTRAORDINARY LOSS: ADMINISTRATIVE & SUPPORT SERVICES -934,735.
FORM 990, PART XII, LINE 2C	THE ORGANIZATION DID NOT MAKE ANY CHANGES IN ITS OVERSIGHT PROCESS DURING THE TAX YEAR.
FORM 990, PART V, LINES 7G & 7H	NOT APPLICABLE

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

Cat. No. 51056K

Schedule O (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" 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

EAGLEVILLE HOSPITAL

Employer identification number

23-1352115

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

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)EAGLEVILLE FOUNDATION PO BOX 45 100 EAGLEVILLE ROAD EAGLEVILLE,PA194080045 22-2565791	SUPPORT EAGLEVILLE HOSPITAL	PA	501(C)(3)	LINE 3		Yes
(2)EAGLEVILLE HOSPITAL WORKERS COMPENSATION TRUST PO BOX 45 100 EAGLEVILLE ROAD EAGLEVILLE,PA194080045 23-7740057	SUPPORTING ORGANIZATION OF EAGLEVILLE HOSPITAL	PA	501(C)(3)	LINE 12B, II	EAGLEVILLE 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	(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

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

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) .......................

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) .....................

Yes

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) ............................

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

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: SEE SCHEDULE O
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	16
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	16
5	Total number of individuals employed in calendar year 2021 (Part V, line 2a) ......	5	391
6	Total number of volunteers (estimate if necessary) .............	6	16
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	0
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	2,449,048	9,485,920
9	Program service revenue (Part VIII, line 2g) .........	33,649,977	33,585,006
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	1,121,034	4,060,387
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	530,275	672,242
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	37,750,334	47,803,555
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	0	0
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)	23,684,260	24,397,370
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	14,059,594	18,353,277
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	37,743,854	42,750,647
19	Revenue less expenses. Subtract line 18 from line 12.......	6,480	5,052,908
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	91,764,898	95,214,492
21	Total liabilities (Part X, line 26).............	23,042,178	28,950,383
22	Net assets or fund balances. Subtract line 21 from line 20.....	68,722,720	66,264,109

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 32,600,202 including grants of $ ) (Revenue $ 34,257,248 )
	THE PRIMARY PURPOSES OF THE CORPORATION ARE TO SPONSOR, ENCOURAGE, SUPPORT AND ADVANCE THE PROVISION AND BETTERMENT OF HEALTH CARE IN THE COMMUNITIES SERVED BY EAGLEVILLE HOSPITAL BY PROVIDING BEHAVIORAL HEALTH AND DRUG AND ALCOHOL ADDICTION SERVICES THROUGH ITS INPATIENT AND RESIDENTIAL PROGRAMS. THE HOSPITAL OPERATED 347 BEDS WITH 3,357 ADMISSIONS AND PROVIDED 60,307 TREATMENT DAYS TO INDIVIDUALS WHO NEEDED TREATMENT AND CARE. THE HOSPITAL PARTICIPATED IN MEDICAID, MEDICARE, SINGLE COUNTY AUTHORITY AND PENNSYLVANIA DEPARTMENT OF CORRECTIONS PROGRAMS.

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 expenses32,600,202

(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) MICHAEL CURRY........................................................................ CHIEF OPERATING OFFICER	40.00 .......................	X			127,093	0	0
(19) EUGENE J OTT........................................................................ CEO	40.00 .......................		X		326,879	0	41,182
(20) WENDY A MANEVAL........................................................................ CHIEF LEGAL AND REGULATORY	40.00 .......................		X		237,519	0	30,879
(21) GEORGE ABRAHAM........................................................................ PSYCHIATRIST	40.00 .......................			X	231,151	0	18,484
(22) RICHARD H SPIEGEL........................................................................ COVERAGE PHYSICIAN	40.00 .......................			X	199,794	0	16,938
(23) ELENA KARZOVA........................................................................ PSYCHIATRIST	40.00 .......................			X	297,172	0	19,805
(24) MICHELLE WILLIAMS........................................................................ VP COUNSELING	40.00 .......................			X	185,308	0	35,684
(25) MARY ELLEN MCLAUGHLIN........................................................................ CORPORATE COMPLIANCE OFFICER	40.00 .......................			X	180,368	0	13,333

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	2,036,051	0	194,770

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d
e	Government grants (contributions)		1e	9,485,920

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

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

h Total. Add lines 1a-1f.......		9,485,920

		Business Code
2a	MEDICARE/MEDICAID	524298	30,975,840	30,975,840
b	FEES FROM GOVERNMENT AGENCIES	524298	1,738,934	1,738,934
c	BLUE CROSS	524298	576,748	576,748
d	COMMERCIAL INSURANCE AND SELF-PAY	524298	293,484	293,484
e
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		33,585,006

3 Investment income (including dividends, interest, and othersimilar amounts) ......			640,377			640,377
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents			6a
b	Less: rental expenses			6b
c	Rental income or (loss)			6c
d	Net rental income or (loss).......
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory		3,420,010	7a
b	Less: cost or other basis and sales expenses		0	7b
c	Gain or (loss)		3,420,010	7c
d	Net gain or (loss).........			3,420,010			3,420,010
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..
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	TOBACCO SETTLEMENT		524298	452,432	452,432
b	DSH-PA MEDICAL ASST		524298	119,150	119,150
c	MISCELLANEOUS		524298	100,660	100,660
d	All other revenue ....
e	Total. Add lines 11a–11d ......			672,242
12	Total revenue. See instructions.....			47,803,555	34,257,248	0	4,060,387

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 ...........
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 ...........	1,416,641	892,484	524,157
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........	19,634,173	15,221,434	4,412,739
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	231,708	186,824	44,884
9	Other employee benefits .......	1,804,774	1,405,788	398,986
10	Payroll taxes ...........	1,310,074	1,047,451	262,623
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	337,917		337,917
c	Accounting ...........	108,421		108,421
d	Lobbying ...........	31,479	31,479
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	202,737		202,737
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	10,395,530	8,004,557	2,390,973
12	Advertising and promotion ....	2,491	1,928	563
13	Office expenses .......	15,526	12,018	3,508
14	Information technology ......	156,575	121,195	35,380
15	Royalties ..
16	Occupancy ...........	897,678	694,835	202,843
17	Travel ............	75,900	58,749	17,151
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....
20	Interest ...........	279,348	216,225	63,123
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	1,959,513	1,516,733	442,780
23	Insurance ...	946,956	732,978	213,978
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	DRUGS	1,098,199	1,098,199
b	DEMOLITION COSTS	634,316	634,316	0
c	SUPPLIES	457,664	354,249	103,415
d	BAD DEBT	386,272	0	386,272
e	All other expenses	366,755	368,760	-2,005
25	Total functional expenses. Add lines 1 through 24e	42,750,647	32,600,202	10,150,445	0
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 ........			970	1	970
2	Savings and temporary cash investments .........			8,109,614	2	6,815,043
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			1,955,560	4	4,625,706
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 ...........				7
8	Inventories for sale or use ............				8
9	Prepaid expenses and deferred charges ......			1,284,651	9	507,484
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	72,692,520
b	Less: accumulated depreciation	10b	22,353,911	45,093,006	10c	50,338,609
11	Investments—publicly traded securities .			34,710,893	11	29,936,986
12	Investments—other securities. See Part IV, line 11 .....				12
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			610,204	15	2,989,694
16	Total assets. Add lines 1 through 15 (must equal line 33)...			91,764,898	16	95,214,492

17	Accounts payable and accrued expenses .....	11,632,554	17	7,817,727
18	Grants payable ...		18
19	Deferred revenue .........		19
20	Tax-exempt bond liabilities .........		20
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 ..	6,271,743	23	19,921,870
24	Unsecured notes and loans payable to unrelated third parties ..	4,855,305	24	0
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	282,576	25	1,210,786
26	Total liabilities. Add lines 17 through 25..	23,042,178	26	28,950,383

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	67,753,818	27	65,295,207
28	Net assets with donor restrictions ...........	968,902	28	968,902
	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 ...........	68,722,720	32	66,264,109
33	Total liabilities and net assets/fund balances ........	91,764,898	33	95,214,492