2014-05-12T14:19:07-05:00 2013-06-30 231980475 KREISCHER MILLER 100 WITMER ROAD SUITE 350 HORSHAM PA 190442369 990 2012-07-01 231352115 EAGLEVILLE HOSPITAL EAGL 6105396000 PO BOX 45 100 EAGLEVILLE ROAD EAGLEVILLE PA 194080045 MAUREEN KING POLLOCK 6105396000 2014-05-06 1 MARY-ANN F SCHALLER P00125034 2154414600 2012 2015-11-30 17:44:51Z MAUREEN KING POLLOCK PO BOX 45 100 EAGLEVILLE ROAD EAGLEVILLE PA 194080045 34193178 0 X WWW.EAGLEVILLEHOSPITAL.ORG X 1909 PA 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. 10 10 516 50 0 0 2452269 2443048 31943965 30076900 440027 1195855 736855 477375 35573116 34193178 0 0 0 0 23392091 23279956 0 0 0 9141373 9225764 32533464 32505720 3039652 1687458 43258424 50191791 3196755 5575897 40061669 44615894 TO PROVIDE COMPREHENSIVE, HIGH QUALITY SERVICES RELATED TO ADDICTION, CO-OCCURRING DISORDERS AND OTHER BEHAVIORAL HEALTH PROBLEMS THROUGH EAGLEVILLE HOSPITAL. 0 0 30557991 30076900 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 326 BEDS WITH 4,085 ADMISSIONS AND PROVIDED 89,172 TREATMENT DAYS TO INDIVIDUALS WHO NEEDED TREATMENT AND CARE. THE HOSPITAL PARTICIPATED IN MEDICAID, MEDICARE, SINGLE COUNTY AUTHORITY AND PENNSYLVANIA DEPARTMENT OF CORRECTIONS PROGRAMS. 30557991 1 1 0 1 0 0 0 0 0 1 1 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 40 0 1 516 1 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X ALFRED SALVITTI CFO 6105396000 PO BOX 45 100 EAGLEVILLE RD EAGLEVILLE PA 19408 HARRY S SHANIS PHD 2.00 X 0 0 0 EDWARD G FITZERALD JR ESQ 2.00 X 0 0 0 LARRY S GERSHMAN BG-USARRET 2.00 X 0 0 0 RAFAEL A PORRATA-DORIA JR ESQ 2.00 X 0 0 0 SUSAN E MCNAMARA 2.00 X 0 0 0 ANNARITA GENTILEMSS 2.00 X 0 0 0 JON A SHAPIROMD 2.00 X 0 0 0 DAVID J BARNHART 2.00 X 0 0 0 HENRY C FADER ESQ 2.00 X 0 0 0 MAUREEN KING POLLOCK 40.00 X 224869 0 7740 ALFRED P SALVITTI 40.00 X 161198 0 14188 ALLEN N TANNENBAUM PHD 2.00 X 0 0 0 DAVID T PIERCE 2.00 X 0 0 0 ROBERT S WILSON DO 40.00 X 229459 0 30240 HANI ZAKI 40.00 X 261404 0 30240 JOSEPH DIVINCENZO 40.00 X 209997 0 18140 RICHARD SPIEGEL 40.00 X 165727 0 865 1252654 0 101413 20 0 1 0 OMNICARE 600 ALLENDALE ROAD KING OF PRUSSIA PA 19406 PHARMACY SERVICES 1508717 SODEXO 4880 PAYSPHERE CIRCLE CHICAGO IL 60674 FACILITIES MANAGEMENT 1144057 ADDIS GROUP 2500 RENAISSANCE BLVD KING OF PRUSSIA PA 19446 RISK MANAGEMENT 711840 12 2443048 2443048 MEDICARE/MEDICAID 524298 25590897 25590897 FEES FROM GOVERNMENT AGENCIES 900099 2479954 2479954 BLUE CROSS 524298 935748 935748 COMMERCIAL INSURANCE AND SELF-PAY 524298 576854 576854 SELF PAY 524298 493447 493447 30076900 1195855 1195855 MISCELLANEOUS 900099 216291 216291 DSH-PA MEDICAL ASST 900099 119329 119329 TOBACCO SETTLEMENT 900099 97500 97500 44255 44255 477375 34193178 30076900 0 1673230 18934296 17798238 1136058 266447 250460 15987 2726801 2563193 163608 1352412 1271267 81145 25782 24235 1547 85700 80558 5142 369351 349802 19549 88854 83523 5331 41571 39077 2494 13538 12726 812 882541 829589 52952 719876 676683 43193 PURCHASED SERVICES 2939867 2763475 176392 SUPPLIES 1883531 1770519 113012 BAD DEBT EXPENSE 761407 715723 45684 UTILITIES 552974 519796 33178 860772 809127 51645 32505720 30557991 1947729 0 6300 6300 1809364 4849556 4578691 3987248 16553 56362 31955113 23828101 6743553 8127012 29749730 32752075 354233 413238 43258424 50191791 2811688 3294873 1835739 385067 445285 3196755 5575897 X 38880990 43514552 211777 132440 968902 968902 40061669 44615894 43258424 50191791 X 1687458 3056851 -190084 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 26400 26400 32482099 32508499 1000000 250000 0 0 1000000 1000000 1000000 1000000 4000000 6000000 33000 86400 39200 26400 185000 250000 250000 250000 250000 1000000 1500000 1180679 4780 1185459 1177458 3221 1180679 1174875 2583 1177458 1153986 36136 -15247 1174875 1170454 -16468 1153986 0.81730 0.18270 0 0 6400 6400 11930160 9077816 2852344 9915860 6941411 2974449 6894407 6025036 869371 3208286 1783838 1424448 8127012 VANGUARD:INVESTMENTS-BONDS 263493 F PMA:INVESTMENTS-OPERATING 14522090 F PMA:INVESTMENTS-BOARD DESIGNATED 16201626 F PMA:INVESTMENTS ENDOWMENT 1764866 F 32752075 PATIENTS' PERSONAL FUNDS 2837 WORKER'S COMPENSATION CLAIMS 288632 THIRD PARTY SETTLEMENT 153816 445285 X 34203958 10780 10780 34193178 0 34193178 32508499 2779 2779 32505720 0 32505720 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: 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. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: 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 2010. 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 ITS TAX POSITION OVER THE NEXT 12 MONTHS. PART XI, LINE 2D - OTHER ADJUSTMENTS: CONTRIBUTIONS INCORRECTLY INCLUDED ON AFFILIATE'S BOOKS 10,780. PART XII, LINE 2D - OTHER ADJUSTMENTS: EXPENSES INCORRECTLY INCLUDED ON AFFILIATE'S BOOKS 2,779. 1 1 1 X 1 X 500.000000000000 1 0 1 1 25601 25601 21669243 20579550 1089693 0.03430 2481756 2479953 1803 0.00010 24176600 23085104 1091496 0.03440 24176600 23085104 1091496 0.03440 1 418774 0 5628703 5718808 -90105 X 1 1 1 1 EAGLEVILLE HOSPITAL

PO BOX 45 100 EAGLEVILLE ROAD EAGLEVILLE PA 194080045

X EAGLEVILLE HOSPITAL 1 1 X X X X X X X X X 12 1 1 1 X X X X 0 0 1 1 200.000000000000 1 500.000000000000 1 X X X X X X 1 1 X X 1 0 X X X 1 X 0 0 PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 761407. PART II: 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 ASSESSMENT SECTION.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.IN ADDITION TO GOING OUT INTO THE COMMUNITY, THE HOSPITAL INVITES THE COMMUNITY IN. EAGLEVILLE HOSPITAL OFFERS A GREAT DEAL BY SHARING EXPERTISE AS WELL AS THE EXCELLENT TRAINING FACILITIES AND STAFF. THE HOSPITAL HAS HOSTED A MAJOR REGIONAL CONFERENCE ON TRAUMA AND SUBSTANCE USE DISORDERS; PROVIDED CORE TRAINING FOR CO-OCCURRING COMPETENCE FOR A SIGNIFICANT NUMBER OF PROVIDER STAFF FROM TREATMENT FACILITIES IN THE COUNTY, IN PARTNERSHIP WITH THE MONTGOMERY COUNTY OFFICE OF BEHAVIORAL HEALTH; OFFER AN ONGOING TRAINING SERIES TO ASSIST CLINICIANS IN THEIR PROFESSIONAL DEVELOPMENT; AND PROVIDE INTERNSHIP PLACEMENTS FOR STUDENTS AT LOCAL COLLEGES AND UNIVERSITIES. 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, DEVELOPS PROGRAMMING 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. PART III, LINE 4: THE HOSPITAL PROVIDES AN ALLOWANCE FOR BAD DEBTS USING THE ALLOWANCE METHOD, WHICH IS BASED ON MANAGEMENT'S JUDGEMENT CONSIDERING HISTORIAL INFORMATION. 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 EAGLEVILLE HOSPITAL PART V, SECTION B, LINE 3: INFORMATION ON THE HEALTH STATUS AND HEALTH CARE NEEDS OF THE RESIDENTS OF THE HOSPITAL SERVICE AREA WAS ALSO COLLECTED THROUGH COMMUNITY MEETINGS WITH RESIDENTS, PUBLIC HEALTH REPRESENTATIVES, SERVICE PROVIDERS, AND ADVOCATES KNOWLEDGEABLE ABOUT COMMUNITY HEALTH. THESE MEETINGS WERE GUIDED BY A SET OF WRITTEN QUESTIONS. TWO MEETINGS WERE HELD AT EAGLEVILLE HOSPITAL. THE FIRST MEETING WAS HELD ON JULY 9, 2012 WITH 31 EAGLEVILLE HOSPITAL PATIENTS. THE SECOND MEETING WAS HELD ON JULY 31, 2012 WITH NINE COMMUNITY LEADERS, PROVIDERS, AND PUBLIC HEALTH REPRESENTATIVES.MEETINGS WERE ALSO HELD AT ADDITIONAL COMMUNITY LOCATIONS: THE ABINGTON PUBLIC LIBRARY (JUNE 4, 2012), LANSDALE HOSPITAL (JUNE 6, 2012), THE NORRISTOWN POLICE ATHLETIC LEAGUE (JUNE 19, 2012), AND GRAND VIEW HOSPITAL (JULY 31, 2012). EAGLEVILLE HOSPITAL PART V, SECTION B, LINE 4: ABINGTON MEMORIAL HOSPITALLANSDALE HOSPITALTHE CHILDREN'S HOSPITAL OF PHILADELPHIACROZER-CHESTER MEDICAL CENTERDELAWARE COUNTY MEMORIAL HOSPITALSPRINGFIELD HOSPITALTAYLOR HOSPITALDOYLESTOWN HOSPITALEAGLEVILLE HOSPITALEINSTEIN MEDICAL CENTER PHILADELPHIAEINSTEIN MEDICAL CENTER ELKINS PARKEINSTEIN MEDICAL CENTER MONTGOMERYMOSSREHABBELMONT BEHAVIORAL HEALTH CENTER FOR COMPREHENSIVE TREATMENTGRAND VIEW HOSPITALHOLY REDEEMER HOSPITALMERCY FITZGERALD HOSPITALMERCY PHILADELPHIA HOSPITALMERCY SUBURBAN HOSPITALNAZARETH HOSPITALST. MARY MEDICAL CENTERTEMPLE UNIVERSITY HOSPITALJEANES HOSPITALFOX CHASE CANCER CENTEREPISCOPAL HOSPITALHOSPITAL OF THE UNIVERSITY OF PENNSYLVANIAPENNSYLVANIA HOSPITALPENN PRESBYERIAN MEDICAL CENTER EAGLEVILLE HOSPITAL PART V, SECTION B, LINE 7: BASED UPON THE HOUSEHOLD SURVEY AND SEVERAL COMMUNITY FOCUS GROUPS CONDUCTED BY PHMC RESEARCHERS FOR EAGLEVILLE AND OTHER NEARBY HOSPITALS, SIX KEY AREAS WERE IDENTIFIED AS PRIORITY NEEDS OF THE LOCAL COMMUNITY. THESE INCLUDE THE FOLLOWING:1. IMPROVED ACCESS TO PRIMARY AND PREVENTIVE CARE, PARTICULARLY FOR WOMEN.2. ACCESS TO DENTAL CARE.3. ACCESS TO BEHAVIORAL HEALTH PARTICULARLY FOR WOMEN, OLDER ADULTS, THOSE WITH A HISTORY OF TRAUMA, AND THOSE COVERED BY MEDICAID.4. CARE FOR INDIVIDUALS WITH MULTIPLE HEALTH CARE NEEDS ON MEDICAL ASSISTANCE.5. PRESCRIPTION DRUG COVERAGE PARTICULARLY FOR THE POOR AND FOR THOSE WITH MULTIPLE PHYSICAL HEALTH AND BEHAVIORAL HEALTH CONCERNS.6. INCREASED EDUCATIONAL PROGRAMS TO ADDRESS SUBSTANCE ABUSE PREVENTION AND INTERVENTION, AND SMOKING CESSATION.TWO COMMUNITY MEETINGS CONDUCTED SPECIFICALLY IN THIS STUDY FOR EAGLEVILLE HOSPITAL ADDITIONALLY IDENTIFIED FOUR AREAS OF NEED, INCLUDING:7. IMPROVED MENTAL HEALTH SERVICES (REFERRING TO DEPRESSION SCREENINGS, LOW COST TREATMENT, AND COMMUNITY SERVICES FOR PERSONS WITH CO-OCCURRING ADDICTION AND MENTAL HEALTH CONDITIONS).8. REMOVAL OF BARRIERS FOR MEDICAL ASSISTANCE RECIPIENTS WHO NEED TRANSITIONAL, AFTERCARE SERVICES AND RECOVERY SUPPORTS FOLLOWING TREATMENT FOR ADDICTION.9. DEVELOPMENT OF TREATMENT OPTIONS IN RESPONSE TO THE INCREASING PREVALENCE OF SUBSTANCE ABUSE AMONG ADOLESCENTS AND YOUNG ADULTS (AGES 14-25).10. BETTER LINKAGE BETWEEN MENTAL HEALTH AND PHYSICAL HEALTH CARE THROUGH CARE INTEGRATION AND THROUGH SHARING OF ELECTRONIC HEALTH RECORDS.MANY OF THESE PRIORITY UNMET NEEDS ARE ALREADY BEING ADDRESSED IN THE SERVICE AREA BY THE HOSPITAL, OTHER HEALTH CARE PROVIDERS, GOVERNMENT, AND LOCAL NON-PROFITS. IN ADDITION, MANY OF THESE UNMET NEEDS ARE NOT WITHIN THE HOSPITALS MISSION.OUR RESPONSE TO COMMUNITY NEEDTHE FINDINGS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT ARE REAFFIRMING AND MUCH ALIGNED TO EAGLEVILLE HOSPITALS 2013-2016 STRATEGIC PLAN TO CONTINUE OUR MISSION TO TREAT BEHAVIORAL HEALTH DISORDERS AND TO SERVE SPECIAL POPULATIONS. CURRENT RESOURCES ARE DEVOTED TO THE PARTICULAR NEEDS OF WOMEN AND OLDER ADULTS AND THOSE COVERED BY MEDICAID (#3). BY FOCUSING ON HOLISTIC CARE, THE HOSPITAL EMPLOYS MEDICAL AND PSYCHIATRIC PHYSICIANS TO MEET THE MULTIPLE HEALTH CARE NEEDS OF OUR PATIENTS, WITHIN THE SCOPE OF OUR CAPABILITIES (#4).THE HOSPITAL ENJOYS RECOGNITION AS ONE OF THE FIRST TREATMENT FACILITIES WITHIN THE COMMONWEALTH TO PROVIDE CO-OCCURRING TREATMENT FOR THE SUBSTANCE USER WITH MENTAL ILLNESS (#7). THE PROFILE OF CURRENT PATIENTS SERVED BY THE HOSPITAL REFLECTS A HIGH PERCENTAGE OF YOUNG ADULTS WITH OPIATE ADDICTION, AGES 18-25 (#9). BY PARTNERING WITH THE GENERAL MEDICAL COMMUNITY, OTHER BEHAVIORAL HEALTH PROVIDERS, AND A BROAD ARRAY OF SOCIAL SERVICE AGENCIES, EAGLEVILLE INTENDS TO STRENGTHEN ITS COMMITMENT TO THIS SAME POPULATION OF PERSONS WITH CHRONIC SUBSTANCE USE DISORDERS AND MENTAL ILLNESS WHO ARE DISENFRANCHISED AND HAVE LIMITED RESOURCES.THE HOSPITAL CONCURS THAT ACCESS TO PRIMARY MEDICAL CARE, DENTAL SERVICES, AND PRESCRIPTION DRUG COVERAGE (#1, 2, 5) IS A GROWING CONCERN IN THE GENERAL COMMUNITY AND PARTICULARLY AMONG OUR PATIENTS. THE HOSPITAL STRIVES TO CONNECT PATIENTS TO EXISTING COMMUNITY RESOURCES THROUGH REFERRAL TO PRIMARY CARE PHYSICIANS, FEDERALLY QUALIFIED HEALTH CENTERS, ACUTE CARE HOSPITALS, AND DENTAL CLINICS, AS THESE SERVICES ARE NOT WITHIN OUR SCOPE OF CARE. EXPANSION OF COVERAGE THROUGH THE FEDERAL AND STATE INSURANCE MARKETPLACES WILL IMPROVE THE COMMUNITYS OPPORTUNITY TO ACCESS SERVICES, INCLUDING PRESCRIPTION DRUG COVERAGE.WHERE EAGLEVILLE HOSPITAL WILL CONTINUE TO ADDRESS THE COMMUNITYS IDENTIFIED NEED FOR BEHAVIORAL HEALTH SERVICES, ITS LEADERSHIP AND STAFF WILL RESPOND TO THE FOLLOWING THREE PRIORITY CONCERNS WHICH RELATE TO ITS CORE MISSION: INCREASED EDUCATIONAL PROGRAMS IN SUBSTANCE ABUSE (#6) IMPROVED ACCESS TO AFTERCARE AND RECOVERY SUPPORTS FOLLOWING ADDICTION TREATMENT (#8) BETTER LINKAGE BETWEEN MENTAL HEALTH AND PHYSICAL CARE, INTEGRATION OF CARE, AND SHARING OF ELECTRONIC HEALTH RECORDS (#10). 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 RECEIVE PUBLIC FUNDING FOR THEIR TREATMENT OR 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 DRUG AND ALCOHOL COALITION, THE PENNSYLVANIA COMMUNITY PROVIDERS ASSOCIATION, THE PENNSYLVANIA CERTIFICATION BOARD, THE DRUG AND ALCOHOL SERVICE PROVIDERS ASSOCIATION OF PENNSYLVANIA, THE PENNSYLVANIA ASSOCIATION OF DRUG COURT PROFESSIONALS AND THE PENNSYLVANIA FORENSIC INTERAGENCY TASK FORCE.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 COMMUNITY RELATIONS 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.THE GERIATRIC PSYCHIATRY SERVICE PROVIDES CARE TO INDIVIDUALS AGES 55 AND ABOVE SUFFERING FROM MENTAL DISORDERS. PATIENTS ADMITTED TO THE SUBSTANCE USE DISORDER SERVICES INCLUDE ELDERLY INDIVIDUALS WITH SUBSTANCE USE DISORDERS AND THOSE WITH CHRONIC DISABILITIES. MANY ALSO HAVE PHYSICAL HEALTH CONDITIONS THAT COMPLICATE TREATMENT AND THEY MAY NEED HOSPITAL LEVEL CARE. EAGLEVILLE IS UNIQUELY POSITIONED TO PROVIDE THE FULL RANGE OF SERVICES THAT THE GERIATRIC POPULATION CAN REQUIRE. 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. X X 0 0 0 0 0 0 0 0 0 MAUREEN KING POLLOCK 199869 0 25000 0 0 0 0 0 7740 0 232609 0 0 0 ALFRED P SALVITTI 161198 0 0 0 0 0 0 0 14188 0 175386 0 0 0 ROBERT S WILSON DO 229459 0 0 0 0 0 22500 0 7740 0 259699 0 0 0 HANI ZAKI 261404 0 0 0 0 0 22500 0 7740 0 291644 0 0 0 JOSEPH DIVINCENZO 209997 0 0 0 0 0 10400 0 7740 0 228137 0 0 0 RICHARD SPIEGEL 165727 0 0 0 0 0 865 0 0 0 166592 0 0 0 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 11 THE 990 IS PRESENTED TO THE AUDIT COMMITTEE AND IS AVAILABLE TO ALL BOARD MEMBERS. FORM 990, PART VI, SECTION B, LINE 12C ALL OFFICERS, DIRECTORS AND KEY EMPLOYEES ARE REQUIRED TO SIGN A 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. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: ASSETS INCORRECTLY INCLUDED ON AFFILIATE'S BOOKS -190,084. 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 LINE 7G & 7H NOT APPLICABLE EAGLEVILLE FOUNDATION PO BOX 45 100 EAGLEVILLE ROAD EAGLEVILLE PA 194080045 222565791 SUPPORT EAGLEVILLE HOSPITAL PA 501(C)(3) 7 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 1 0 0 0