2026-05-08T09:04:24-05:00 2025-06-30 222517863 WELLSPAN HEALTH PO BOX 2767 YORK PA 17405 990 2024-07-01 240795411 EVANGELICAL COMMUNITY HOSPITAL EVAN 5705222741 PO BOX 2767 YORK PA 174052767 LAURA BUCZKOWSKI EXECUTIVE VP & CFO 5705222741 2026-05-08 1 0 DAVID P RIZZUTO P01210563 7178513055 2026-05-08 2024 2025-03-06 01:10:19Z KENDRA AUCKER PO BOX 2767 YORK PA 174052767 326447883 0 X WWW.EVANHOSPITAL.COM X 1926 PA PROVIDE HEALTH CARE SERVICES TO THE PUBLIC AND TO BE THE COMMUNITY'S HEALTH CARE PROVIDER OF CHOICE. 16 6 1752 88 10648611 319958 1655683 2948347 261242721 278298981 6626911 6606498 10616988 6417021 280142303 294270847 963322 297745 0 0 117476214 119230073 93075 0 0 117004600 116850018 235537211 236377836 44605092 57893011 395948309 314369728 142538954 170852135 253409355 143517593 X WE PROVIDE EXCEPTIONAL HEALTHCARE, ACCESSIBLE TO ALL, IN THE SAFEST AND MOST COMPASSIONATE ATMOSPHERE POSSIBLE. OUR VISION: WE WILL BE OUR COMMUNITY'S HEALTHCARE PROVIDER OF CHOICE BY PATIENTS, PHYSICIANS, AND EMPLOYEES. 0 0 217439418 297745 274697891 MEETING THE HEALTHCARE NEEDS OF THE COMMUNITY IS AT THE HEART OF EVANGELICAL COMMUNITY HOSPITAL'S MISSION AS A NOT-FOR-PROFIT CHARITABLE ORGANIZATION. THE HOSPITAL'S RESOURCES PROVIDE FOR LONG-TERM INITIATIVES SUCH AS RECRUITMENT AND RETENTION OF OUTSTANDING MEDICAL PROFESSIONALS, ENHANCED TECHNOLOGIES, AND NEW FACILITIES AND SERVICES.THE HOSPITAL IS LICENSED TO ACCOMMODATE 131 OVERNIGHT PATIENTS, 12 ACUTE REHABILITATION UNIT PATIENTS AND 18 NEWBORN BABIES. IT IS A NOT-FOR-PROFIT COMMUNITY HOSPITAL OFFERING A FULL CONTINUUM OF CARE. SERVICES RANGE FROM COMPREHENSIVE DIAGNOSTIC TESTS TO DELICATE MICROSURGERY AND FROM SPECIFIC TREATMENT PROGRAMS TO NUMEROUS OUTPATIENT SERVICES.IN ADDITION TO PROVIDING HOSPITAL-BASED MEDICAL SERVICES, EVANGELICAL PROVIDES A NUMBER OF COMMUNITY-BASED SERVICES DESIGNED TO IMPROVE THE HEALTH OF AREA RESIDENTS. MANY OF THE EMPLOYEES AND MEDICAL STAFF LEAD HEALTH EDUCATION AND SCREENINGS AS WELL AS SUPPORT GROUPS FOR INDIVIDUALS IN THE COMMUNITY LIVING WITH SERIOUS OR CHRONIC HEALTH CONDITIONS. WHETHER THROUGH CHARITABLE CARE, SUBSIDIZED HOSPITAL PROGRAMS AND SERVICES, OR COMMUNITY HEALTH EDUCATION, EVANGELICAL STRIVES TO RESPOND TO THE VALLEY'S MOST PRESSING HEALTH NEEDS. 217439418 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 128 0 1752 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 16 6 0 0 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 1 0 PA X DAVID P RIZZUTO 7178513055 3350 WHITEFORD ROAD YORK PA 17402 ROXANNA GAPSTUR PHD RN PRESIDENT & CEO - WELLSPAN HEALTH 1.00 40.00 X X 0 3124465 52133 LAURA BUCZKOWSKI EXECUTIVE VP & CFO - WELLSPAN HEALTH 1.00 40.00 X X 0 1355384 53169 AMY NELSON SECRETARY/SR VP & GENERAL COUNSEL 1.00 40.00 X X 0 873620 74125 MARIA FASANO BHANGDIA MD DIRECTOR 40.00 0.00 X 500562 0 37967 PHILIP PETERSON MD DIRECTOR 1.00 39.00 X 414014 0 35438 ADANMA AKUJIEZE DIRECTOR 1.00 0.10 X 0 0 0 TIMOTHY APPLE DIRECTOR 1.00 0.10 X 0 0 0 SUSAN FETTERMAN RN MSN MBA DIRECTOR 1.00 0.10 X 0 0 0 JEFFREY KAPSAR CHAIR 1.00 0.10 X X 0 0 0 AMANDA KESSLER ESQ VICE CHAIR 1.00 0.10 X X 0 0 0 LESLIE TEMPLE DIRECTOR 1.00 0.10 X 0 0 0 ANTHONY AQUILINA DO DIRECTOR 1.00 40.00 X 0 1242245 52878 DAVID VEGA MD DIRECTOR 1.00 40.00 X 0 694787 57447 CYNTHIA FRUITRAIL DIRECTOR 1.00 40.00 X 0 642393 51163 MICHAEL SEIM DIRECTOR 1.00 40.00 X 0 987854 54244 KENDRA AUCKER SVP - NORTH REGION 40.00 1.00 X X 949358 0 66632 MATTHEW REISH MD DIRECTOR (RES. MARCH '25) 1.00 39.00 X 1091715 0 49370 WILLIAM ANDERSON SECRETARY/COO (UNTIL AUG. '24) 40.00 0.00 X X 726534 0 101403 JAMES STOPPER TREASURER/CFO (UNTIL JULY '24) 40.00 1.00 X X 712789 0 79013 CHRISTOPHER MOTTO MD DIRECTOR (UNTIL JULY '24) 1.00 39.00 X 491050 0 19742 JULIA REDCAY DO DIRECTOR (UNTIL JULY '24) 1.00 39.00 X 330876 0 26525 J DONALD STEELE JR CHAIR (UNTIL JULY '24) 1.00 0.10 X X 0 0 0 TIMM MOYER VICE CHAIR (UNTIL JULY '24) 1.00 0.10 X X 0 0 0 ROGER HADDON JR DIRECTOR (UNTIL JULY '24) 1.00 0.10 X 0 0 0 JOHN MECKLEY ESQ DIRECTOR (UNTIL JULY '24) 1.00 0.10 X 0 0 0 BRIAN WOLFE VP - MEDICAL GROUP 40.00 0.00 X 395748 0 101510 ALLEN FASNACHT VP & PRESIDENT - EVAN. HOSPITAL 40.00 0.00 X 178192 0 27932 ANGELA LAHR SENIOR DIRECTOR OPERATIONS 40.00 0.00 X 306081 0 34249 JOHN DEVINE DO VICE PRESIDENT MEDICAL AFFAIRS 40.00 0.00 X 605037 0 65714 TAMARA PERSING VP PAT. CARE SVCS/CHIEF NURSING OFF. 40.00 0.00 X 305542 0 21296 CHRISTAL DIXON AVP NURSING 40.00 0.00 X 261153 0 14130 RACHEL SMITH VP PEOPLE & CULTURE 40.00 0.00 X 449656 0 56343 ELIZABETH PRICE VP INFORMATION SYSTEMS 40.00 0.00 X 386029 0 76670 BRENDON NOLT PHYSICIAN ADVISOR REVENUE CYCLE 40.00 0.00 X 255287 0 41133 DALE MOYER FORMER VP INFORMATION SYSTEMS 0.00 0.00 X 317604 0 0 8677227 8920748 1250226 160 1 1 0 HEALTH CAROUSEL LLC 4000 SMITH ROAD SUITE 410 CINCINNATI OH 45209 CONTRACT LABOR 2491042 QUALIVIS LLC DEPT 3847 PO BOX 123847 DALLAS TX 753120847 CONTRACT LABOR 2455680 RENOVO SOLUTIONS LLC 4 EXECUTIVE CIRCLE SUITE 185 IRVINE CA 92614 PREVENTATIVE MAINTENANCE 2160011 EXPERIAN HEALTH INC PO BOX 846133 LOS ANGELES CA 900846133 HEALTHCARE CLAIMS MANAGEMENT 1361010 QUANTUM IMAGING & THERA ASSOCIATES INC 629 LOWTHER ROAD LEWISBERRY PA 17339 IMAGING PROFESSIONAL FEES 780835 117 2077665 100730 769952 2948347 NET PATIENT SERVICE REVENUE 621400 278298981 274697891 3601090 278298981 6723415 6723415 4517953 6580723 -2062770 -2062770 -2062770 89792 25389604 37661 25558652 52131 -169048 -116917 -116917 ADMINSTRATIVE SERVICES 561000 5141852 5141852 BILLING FEES FROM AFFILIATE 541900 1905669 1905669 CAFETERIA AND VENDING SALES 722514 591834 591834 840436 840436 8479791 294270847 274697891 10648611 5975998 297745 297745 7173674 3003859 4169815 81199837 74250225 6949612 2308231 2149048 159183 22211664 19592650 2619014 6336667 5556317 780350 85368 85368 199710 199710 17345 17345 424512 424512 18332283 17668866 663417 376217 105363 270854 1952665 1505154 447511 10780809 9235850 1544959 6575215 6460484 114731 83101 67481 15620 174454 77284 97170 3955449 3955449 9897061 9623196 273865 10296451 10296451 FEDERAL INCOME TAXES 253538 253538 MEDICAL SUPPLIES 30710435 30710435 BAD DEBT 22383412 22383412 LICENSES & FEES 224050 176213 47837 127943 70398 57545 236377836 217439418 18938418 0 4474 6115 11194578 26992384 221538 28153435 22754439 1478359 1523329 1051892 794127 5811254 5300221 4965843 2669747 136564696 9731291 215644791 126833405 90768981 92580665 12733859 12546629 10887256 23919305 11481411 395948309 314369728 21107311 32838204 201751 2610969 65106188 52892263 16209479 9809786 39914225 72700913 142538954 170852135 X 245374604 131640823 8034751 11876770 253409355 143517593 395948309 314369728 X 57893011 4411440 -7470177 -164726036 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 17345 17345 0 PART II-B, LINE 1: A PORTION OF THE DUES PAID TO THE HOSPITAL ASSOCIATION OF PENNSYLVANIA AND THE AMERICAN HOSPITAL ASSOCIATION INCLUDE LOBBYING ($1,225 AND $16,120). 4975371 6376148 645330 14500 79678 25901 11876770 4151555 611703 672073 15000 420953 24007 4975371 9547028 231122 408139 16500 5993409 24825 4151555 11172454 93722 -1509692 14000 169946 25510 9547028 9222267 10660 2063099 22200 75872 25500 11172454 0.00000 0.00000 1.00000 1 1 1 29270000 29270000 90277917 5030894 85247023 3960543 1000781 2959762 12749067 3699616 9049451 307169 307169 126833405 ACCRUED POSTRETIREMENT BENEFIT COSTS 4629386 ESTIMATED MEDICAL MALPRACTICE CLAIMS LIABILITY 3885000 CAPITAL LEASE OBLIGATIONS 8678694 DUE TO AFFILIATES 39457833 TAXABLE BOND LIABILITIES 16050000 72700913 X 110339253 4411440 -194923757 -190512317 300851570 -6580723 -6580723 294270847 220231015 6580723 6580723 213650292 22727544 22727544 236377836 PART V, LINE 4: ENDOWMENT FUNDS WILL BE USED TO SUPPORT VARIOUS HOSPITAL PROGRAMS SUCH AS FUNDING HELPLINE SERVICES, COMMUNITY HEALTH EDUCATION, HOSPICE SERVICES, PRE-HOSPITAL SERVICES, FAMILY PLACE (OB SERVICES), PROVIDE NURSING SCHOLARSHIPS AND TO PROVIDE FOOD, SERVICE, OR CARE FOR PEOPLE WHO DO NOT HAVE THE MEANS TO PAY FOR THE SERVICE. PART X, LINE 2: THE COMPANY AND MOST OF ITS SUBSIDIARIES (INCLUDING CERTAIN JOINT VENTURE ENTITIES) ARE EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED. THEIR RELATED INCOME IS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(A). SOME OF THE SUBSIDIARIES ARE TAXABLE ENTITIES, AND SOME OF THE INCOME OF THE TAX EXEMPT ENTITIES IS SUBJECT TO TAXATION AS UNRELATED BUSINESS TAXABLE INCOME. THE COMPANY AND ITS SUBSIDIARIES FILE U.S. FEDERAL INCOME TAX RETURNS, AND THEY ALSO FILE IN VARIOUS STATE AND FOREIGN JURISDICTIONS. THE COMPANY ACCOUNTS FOR UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH ASC TOPIC 740, INCOME TAXES. THE COMPANY ACCOUNTS FOR UNCERTAINTY IN INCOME TAX POSITIONS BY APPLYING A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THE COMPANY HAS DETERMINED THAT NO SIGNIFICANT UNRECOGNIZED TAX BENEFITS OR LIABILITIES EXIST AS OF JUNE 30, 2025 AND 2024. ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES, ASC TOPIC 740-10 PRESCRIBES A COMPREHENSIVE MODEL FOR HOW AN ORGANIZATION SHOULD MEASURE, RECOGNIZE, PRESENT AND DISCLOSE IN ITS FINANCIAL STATEMENTS UNCERTAIN TAX POSITIONS THAT AN ORGANIZATION HAS TAKEN OR EXPECTS TO TAKE ON A TAX RETURN. THE COMPANY IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS. THERE ARE NO CURRENT AUDITS IN PROGRESS. AS OF JUNE 30, 2025, THE COMPANY HAS NO UNCERTAIN TAX POSITIONS. FOR YEARS BEFORE 2022, THE COMPANY IS NO LONGER SUBJECT TO EXAMINATIONS FROM MAJOR TAXING JURISDICTIONS. A SUBSIDIARY OF THE COMPANY IS CLASSIFIED AS A RECIPROCAL RISK RETENTION GROUP (RRRG) FORMED UNDER THE FEDERAL LIABILITY RISK RETENTION ACT OF 1986. RRRG QUALIFIES AS AN INSURANCE COMPANY FOR FEDERAL INCOME TAX PURPOSES. RRRG IS DOMICILED IN VERMONT (VT) AND OPERATES WITHIN THE STATES OF PENNSYLVANIA (PA) AND MARYLAND (MD). VT, PA, AND MD DO NOT IMPOSE A CORPORATE INCOME TAX ON INSURANCE COMPANIES. PART XI, LINE 2D - OTHER ADJUSTMENTS: TRANSFER TO AFFILIATES -72,116,003. CHANGE IN VALUE ON POSTRETIREMENT BENEFIT LIABILITY ADJUSTMENT -75,160. CHANGE IN VALUE OF PENSION -482,889. CHANGE IN FOUNDATION 10,887,256. ASSET IMPAIRMENT -82,605,217. INVESTMENT MANAGEMENT FEES -424,512. BAD DEBT -22,383,412. MEMBER SUBSITUTION ADJUSTMENT -20,334,023. EXPENSES NETTED WITH REVENUE ON FINANCIALS -358,845. REVENUE NETTED WITH EXPENSES ON FINANCIALS 439,225. PRIOR PERIOD ADJUSTMENT -7,470,177. PART XI, LINE 4B - OTHER ADJUSTMENTS: RENT EXPENSE -6,580,723. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENT EXPENSE 6,580,723. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT 22,383,412. INVESTMENT MANAGEMENT FEES 424,512. EXPENSES NETTED WITH REVENUE ON FINANCIALS 358,845. REVENUE NETTED WITH EXPENSES ON FINANCIALS -439,225. 1 1 1 X 1 X 1 1 1 0 1 1 202159 0 202159 0.00090 18824665 7820512 11004153 0.05140 19026824 7820512 11206312 0.05230 11 33110 447558 1475 446083 0.00210 1 104823 0 104823 0.00050 2 2 566416 0 566416 0.00260 14 33112 1118797 1475 1117322 0.00520 14 33112 20145621 7821987 12323634 0.05750 1 990 73600 73600 0.00030 2 373 2102 2102 0.00000 3 1363 75702 75702 0.00030 1 3831438 60537 79589758 121372308 -41782550 X 1 1 1 1 EVANGELICAL COMMUNITY HOSPITAL ONE HOSPITAL DRIVE LEWISBURG PA 17837 570201 X X X INPATIENT REHABILITATION, HOSPICE EVANGELICAL COMMUNITY HOSPITAL 0 0 1 X X X X X X X X X 24 1 1 1 1 X WWW.WELLSPAN.ORG X 1 24 1 SEE PART V 0 1 X 100.000000000000 200.000000000000 X X 1 1 X X X 1 X SEE PART V X SEE PART V X SEE PART V X X X X X X X 1 X 0 X X X X 1 X 0 0 EVANGELICAL COMMUNITY HOSPITAL PART V, SECTION B, LINE 5: COMMUNITY ENGAGEMENT WAS AN INTEGRAL PART OF THE 2024 CHNA. INPUT WAS SOLICITED AND RECEIVED FROM INDIVIDUALS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY, AS WELL AS UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. THESE INDIVIDUALS PROVIDED PERSPECTIVES ON HEALTH NEEDS, EXISTING RESOURCES TO MEET THOSE NEEDS, AND SERVICE DELIVERY GAPS THAT CONTRIBUTE TO HEALTH DISPARITIES AND INEQUITIES.PRIMARY RESEARCH AND COMMUNITY ENGAGEMENT STUDY METHODS INCLUDED:- AN ONLINE KEY STAKEHOLDER SURVEY COMPLETED BY 180 INDIVIDUALS SERVING THE CENTRAL REGION, WHO REPRESENT HEALTHCARE PROVIDERS, SOCIAL SERVICES PROFESSIONALS, EDUCATORS, FAITH-BASED LEADERS, AND COMMUNITY LEADERS, AMONG OTHERS.- REGIONAL COMMUNITY FORUM BRINGING TOGETHER 39 DIVERSE COMMUNITY REPRESENTATIVES TO REVIEW CHNA DATA AND COLLECTIVELY DEFINE CHALLENGES AND MEANINGFUL STRATEGIES FOR IMPROVEMENT. - CONVERSATIONS WITH HEALTH SYSTEM LEADERS TO ALIGN COMMUNITY HEALTH PLANNING WITH POPULATION HEALTH MANAGEMENT AND COMMUNITY ENGAGEMENT STRATEGIES. EVANGELICAL COMMUNITY HOSPITAL PART V, SECTION B, LINE 6A: THE 2024 CHNA WAS CONDUCTED COLLABORATIVELY BY EVANGELICAL COMMUNITY HOSPITAL, GEISINGER, AND ALLIED SERVICES. THE THREE HEALTH SYSTEMS HAVE PARTNERED SINCE 2012 TO CREATE A CHNA FOR THEIR OVERLAPPING SERVICE AREAS SPANNING CENTRAL AND NORTHEAST PENNSYLVANIA. PARTNERING IN THIS WAY CONSERVES VITAL COMMUNITY RESOURCES WHILE FOSTERING A PLATFORM FOR COLLECTIVE IMPACT THAT ALIGNS COMMUNITY EFFORTS TOWARD A COMMON GOAL OR ACTION. EVANGELICAL COMMUNITY HOSPITAL PART V, SECTION B, LINE 6B: ALLIED SERVICES INTEGRATED HEALTH SYSTEM EVANGELICAL COMMUNITY HOSPITAL PART V, SECTION B, LINE 11: IN 2024 EVANGELICAL COMMUNITY HOSPITAL (ECH) COMPLETED THE CURRENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THE ASSESSMENT WAS OVERSEEN BY A PLANNING COMMITTEE OF REPRESENTATIVES OF EVANGELICAL COMMUNITY HOSPITAL, GEISINGER, AND ALLIED SERVICES, AS WELL AS A REGIONAL ADVISORY COMMITTEE OF HOSPITAL AND HEALTH SYSTEM REPRESENTATIVES. REPRESENTATIVES MET BI-WEEKLY OR MONTHLY TO LEND EXPERTISE, INSIGHT, AND COLLABORATIVE ACTION TOWARD THE CREATION OF THIS CHNA REPORT. THIS ASSESSMENT WAS A REGIONAL APPROACH WITH EVANGELICAL SERVICES AREA BEING PART OF THE CENTRAL REGION WHICH IS COMPRISED OF THE FOLLOWING COUNTIES: CLINTON, COLUMBIA, LYCOMING, MONTOUR, NORTHUMBERLAND, SCHUYLKILL, SNYDER, AND UNION. THE 2024 CHNA WAS CONDUCTED FROM JANUARY TO DECEMBER 2023, AND INCLUDED QUANTITATIVE AND QUALITATIVE RESEARCH METHODS TO DETERMINE HEALTH TRENDS AND DISPARITIES IN CENTRAL AND NORTHEAST PENNSYLVANIA. OUR PROCESS WAS IN LINE WITH IRS TAX CODE 501(R) REQUIREMENTS TO CONDUCT A CHNA EVERY THREE YEARS AS SET FORTH BY THE PATIENT PROTECTION AND AFFORDABLE CARE ACT (PPACA).THE KEY NEEDS OF OUR COMMUNITY WERE IDENTIFIED AS:1.) ACCESS TO CARE; 2.) BEHAVIORAL HEALTH; 3.) CHRONIC DISEASE PREVENTION AND MANAGEMENT. THIS PLAN PROVIDED A ROADMAP FOR OUR HOSPITAL TO MEET SPECIFIC NEEDS WITHIN OUR SERVICE AREA. THE PRIORITY AREAS ARE CONSISTENT WITH THOSE IDENTIFIED AS PART OF THE 2021 CHNA AND CONTINUE TO BE THE LEADING HEALTH ISSUES FOR RESIDENTS ACROSS THE REGION. IN DEVELOPING ITS COMMUNITY HEALTH IMPROVEMENT PLAN, EVANGELICAL SOUGHT TO TARGET UNDERLYING DISPARITIES IN SOCIAL DRIVERS OF HEALTH AND INEQUITIES THAT CONTRIBUTE TO PRIORITY AREA ISSUES. THIS FOCUS IS CONSISTENT WITH A HEALTH EQUITY APPROACH TO LOOK BEYOND THE HEALTHCARE SYSTEM TO BUILD HEALTHIER COMMUNITIES FOR ALL PEOPLE NOW AND IN THE FUTURE.THE EVANGELICAL COMMUNITY HOSPITAL CYCLE FOR THE CHNA, PRIOR TO INTEGRATION WITH WELLSPAN, WAS ONE FISCAL YEAR AHEAD OF ALL OTHER WITHIN WELLSPAN. THEREFORE, THE 2024 EVANGELICAL COMMUNITY HOSPITAL'S CHNA AND CHIP WERE IMPLEMENTED IN JULY OF 2024.SEE THE EVANGELCIAL COMMUNITY HOSPITAL HEALTH IMPROVEMENT PLAN AVAILABLE ONLINE AT: HTTPS://WWW.WELLSPAN.ORG/ABOUT-WELLSPAN/IMPROVING-HEALTHY-COMMUNITIES/COMMUNITY-BENEFIT/COMMUNITY-HEALTH-REPORT-ARCHIVE PART V, SECTION B, LINE 13H: MEDICAL ASSISTANCE DENIAL PART V, SECTION B, LINE 16A, FAP WEBSITE: WWW.EVANHOSPITAL.COM/FOR-PATIENTS/FINANCIAL-ASSISTANCE-PROGRAM-GUIDELINES PART V, SECTION B, LINE 16B, FAP APPLICATION WEBSITE: WWW.EVANHOSPITAL.COM/FOR-PATIENTS/FINANCIAL-ASSISTANCE-PROGRAM-GUIDELINES PART I, LINE 6A: THE COMMUNITY BENEFIT REPORT IS AVAILABLE ON THE HOSPITAL'S WEBSITE OR UPON REQUEST. PART I, LINE 7: THE HOSPITAL USED THE COST-TO-CHARGE RATIO TO DETERMINE THE AMOUNTS INCLUDED IN LINE 7. PART I, 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 $ 22,383,412. PART II, COMMUNITY BUILDING ACTIVITIES: ECONOMIC DEVELOPMENT:WELLSPAN IS A GOOD STEWARD IN THE COMMUNITY AND SERVES AS AN ANCHOR ORGANIZATION. ANNUALLY, WELLSPAN CONTRIBUTES FINANCIALLY TO SUPPORT LOCAL MUNICIPALITIES, SCHOOL DISTRICTS, PUBLIC SERVICE AGENCIES (FIRE AND POLICE DEPARTMENTS, FOR EXAMPLE) AND LOCAL GOVERNMENT. THESE CONTRIBUTIONS SUPPORT THE ECONOMIC DEVELOPMENT OF THE COMMUNITY, ADVANCE PUBLIC HEALTH AND SAFETY EFFORTS, AND SUPPORT NECESSARY IMPROVEMENTS AT AREA SCHOOLS. IN FY25, WELLSPAN EVANGELICAL HOSPITAL SUPPORTED A MULTITIDE OF LOCAL ORGANIZATIONS THROUGH SPONSORSHIPS, DONATIONS AND IN-KIND GIFTS. A FEW EXAMPLES INCLUDE GIFTS TO THE MIFFLINBURG HOSE COMPANY ($50,000), LEWISBURG DOWNTOWN PARTNERSHIP ($22,000), AND THE SNYDER AND UNION COUNTY LIBRARY SYSTEMS ($1,600). COALITION BUILDING:A CORE PILLAR OF WELLSPAN'S COMMUNITY-DRIVEN APPROACH INCLUDES LEANING INTO OUR ROLE AS A CONVENOR IN THE COMMUNITY. IN THE LEWISBURG COMMUNITY, THIS INCLUDES FINANCIALLY SUPPORTING LOCAL COLLABORATIONS AND PARTNERS FROM ACROSS THE COMMUNITY TO DISCUSS COMMON HEALTH GOALS AND OPPORTUNITIES. WELLSPAN'S FINANCIAL COMMITMENT INCLUDES THE EXPENSES ASSOCIATED WITH THE COMMUNITY HEALTH NEEDS ASSESSMENT/ COMMUNITY HEALTH IMPROVEMENT PLAN DISSEMINATION.WELLSPAN COLLABORATES WITH LOCAL PARKS AND LIBRARIES TO OFFER THE GET OUTDOORS PROGRAM ANNUALLY FOR CHILDREN AND FAMILIES ACROSS OUR GEOGRAPHIC FOOTPRINT. THE PROGRAM, CALLED GET OUTDOORS, AIMS TO REDUCE ACADEMIC SUMMER SLIDE AND SIMULTANEOUSLY ENCOURAGES READING AND PHYSICAL ACTIVITY. THE GET OUTDOORS UNION PROGRAM REACHED 348 CHILDREN AND FAMILIES IN ITS INAUGURAL YEAR THROUGH THE ART OF LETTERBOXING. COMMUNITY SUPPORT:WELLSPAN TEAM MEMBERS CARRY OUT WELLSPAN'S MISSION THROUGHOUT LYCOMING, NORTHUMBERLAND, SNYDER AND UNION COUNTIES BY ENGAGING IN A VARIETY OF LOCAL TASK FORCES, COALITIONS AND COMMITTEES. IN FY25, THIS COMMITMENT INCLUDED PARTICIPATION IN GROUPS CONCERNED ABOUT ADDICTION RECOVERY, DOMESTIC VIOLENCE, RURAL AND AGRICULTURAL HEALTH, CARDIOVASCULAR HEALTH, AND HOUSING, TO NAME JUST A FEW. PART III, LINE 2: THE COSTING METHODOLOGY USED IN DETERMINING BAD DEBT EXPENSE AT COST IS BAD DEBT EXPENSE TIMES THE COST TO CHARGE RATIO. IN DETERMINING BAD DEBT EXPENSE, PATIENT LIABILITIES ARE NET OF THIRD-PARTY PAYMENTS AND ANY PATIENT PAYMENTS. PART III, LINE 3: WE BELIEVE THAT A PORTION OF OUR BAD DEBTS RESULTS FROM SERVICES PROVIDED TO PATIENTS WHO MEET THE CHARITY CARE GUIDELINES BUT WERE UNABLE OR UNWILLING TO PROVIDE THE APPROPRIATE DOCUMENTATIONS TO ALLOW THAT CLASSIFICATION. THESE WOULD BE CLASSIFIED AS BAD DEBT EXPENSE TIMES THE COST TO CHARGE RATIO TO ARRIVE AT COST. EVANGELICAL COMMUNITY HOSPITAL PROVIDES CARE TO ALL PATIENTS WHO NEED IT, REGARDLESS OF THEIR ABILITY TO PAY. THIS IS PART OF THE HOSPITAL'S MISSION. PART III, LINE 4: ACCOUNTS RECEIVABLE ARE REPORTED AT NET REALIZABLE VALUE. ACCOUNTS ARE WRITTEN OFF WHEN THEY ARE DETERMINED TO BE UNCOLLECTIBLE BASED UPON MANAGEMENT'S ASSESSMENT OF INDIVIDUAL ACCOUNTS. THE ALLOWANCE FOR DOUBTFUL COLLECTIONS ARE ESTIMATED BASED UPON A PERIODIC REVIEW OF THE ACCOUNTSRECEIVABLE AGING, PAYOR CLASSIFICATIONS AND APPLICATION OF HISTORICAL WRITE-OFF PERCENTAGES. THE COSTING METHODOLOGY USED IN DETERMINING BAD DEBTS EXPENSE AT COST AND ESTIMATED AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE ATTRIBUTED TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY IS BAD DEBT EXPENSE TIMES THE COST TO CHARGE RATIO. IN DETERMINING BAD DEBT EXPENSE, PATIENT LIABILITIES ARE NET OF THIRD-PARTY PAYMENTS AND ANY PATIENT PAYMENTS. THE METHOD THE ORGANIZATION USES TO DETERMINE THE AMOUNT THAT REASONABLY COULD BE ATTRIBUTED TO PATIENTS WHO LIKELY WOULD QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S CHARITY CARE POLICY, BUT DID NOT ADEQUATELY COMPLETE THE CHARITY CARE PAPERWORK. WE BELIEVE THAT A PORTION OF OUR BAD DEBTS RESULTS FROM SERVICES PROVIDED TO PATIENTS WHO MEET THE CHARITY CARE GUIDELINES BUT WERE UNABLE OR UNWILLING TO PROVIDE THE APPROPRIATE DOCUMENTATIONS TO ALLOW THAT CLASSIFICATION. THESE WOULD BE CLASSIFIED AS BAD DEBT EXPENSE TIMES THE COST TO CHARGE RATIO TO ARRIVE AT COST. THE ORGANIZATION ACCOUNTS FOR DISCOUNTS AND PAYMENTS ON PATIENT ACCOUNTS AS A REDUCTION OFREVENUE/ACCOUNTS RECEIVABLE AND ARE NOT COMPONENTS OF BAD DEBT EXPENSE. EVANGELICAL COMMUNITY HOSPITAL PROVIDES CARE TO ALL PATIENTS WHO NEED IT, REGARDLESS OF THEIR ABILITY TO PAY. THIS IS PART OF THE HOSPITAL'S MISSION. PART III, LINE 8: THE HOSPITAL CONTINUES TO PROVIDE CARE TO ALL PRESENTING AND ADMITTED PATIENTS, REGARDLESS OF ABILITY TO PAY. NOTWITHSTANDING THE COSTS TO PROVIDE CARE, RECEIVING "LESS" THAN WHAT IT COSTS TO PROVIDE ADEQUATE CARE TO MEDICARE COVERED LIVES DOES THE HOSPITAL A DISSERVICE. THIS SHORTFALLSHOULD COUNT AS A COMMUNITY BENEFIT. THE HOSPITAL USES THE COST-TO-CHARGE RATIO TO DETERMINE THE MEDICARE ALLOWABLE COSTS. PART III, LINE 9B: IN ACCORDANCE WITH THE COLLECTION POLICY, BAD DEBT ACCOUNTS WILL BE ELIGIBLE FOR A CHARITY CARE DISCOUNT IF THE PATIENT MEETS CHARITY CARE POLICY GUIDELINES. THE PATIENT WILL NEED TO SUPPLY INCOME INFORMATION IN ORDER TO DETERMINE ELIGIBILITY FOR CHARITY CARE PER POLICY. ALSO SEERESPONSES TO PART III SECTION A ABOVE. PART VI, LINE 2: THE 2024 CHNA WAS CONDUCTED COLLABORATIVELY BY EVANGELICAL COMMUNITY HOSPITAL, GEISINGER, AND ALLIED SERVICES. THE THREE HEALTH SYSTEMS HAVE PARTNERED SINCE 2012 TO CREATE A CHNA FOR THEIR OVERLAPPING SERVICE AREAS SPANNING CENTRAL AND NORTHEAST PENNSYLVANIA. PARTNERING IN THIS WAY CONSERVES VITAL COMMUNITY RESOURCES WHILE FOSTERING A PLATFORM FOR COLLECTIVE IMPACT THAT ALIGNS COMMUNITY EFFORTS TOWARD A COMMON GOAL OR ACTION. THE CHNA FOCUSED ON THE PRIMARY SERVICE COUNTY(IES) OF EACH PARTICIPATING HOSPITAL TO IDENTIFY HEALTH TRENDS AND UNIQUE DISPARITIES WITHIN THESE COMMUNITIES. HOSPITALS WITH OVERLAPPING SERVICE AREAS WERE GROUPED INTO REGIONS FOR COMPARISONS OF HEALTH AND SOCIOECONOMIC DATA. COMMON PRIORITIES WERE DETERMINED TO ADDRESS WIDESPREAD HEALTH NEEDS. SPECIFIC STRATEGIES WERE OUTLINED IN EACH HOSPITAL'S COMMUNITY HEALTH IMPROVEMENT PLAN TO GUIDE LOCAL EFFORTS AND COLLABORATION WITH COMMUNITY PARTNERS. THE 2024 CHNA STUDY AREA INCLUDED 18 COUNTIES ACROSS CENTRAL AND NORTHEAST PENNSYLVANIA INCLUDING THOSE WITHIN THE WELLSPAN EVANGELICAL HOSPITAL FOOTPRINT- LYCOMING, NORTHUMBERLAND, SNYDER AND UNION COUNTIES. THE 2024 CHNA WAS CONDUCTED FROM JANUARY TO DECEMBER 2023 AND INCLUDED QUANTITATIVE AND QUALITATIVE RESEARCH METHODS TO DETERMINE HEALTH TRENDS AND DISPARITIES IN CENTRAL AND NORTHEAST PENNSYLVANIA. THROUGH A COMPREHENSIVE VIEW OF STATISTICAL HEALTH INDICATORS AND COMMUNITY STAKEHOLDER FEEDBACK, A PROFILE OF PRIORITY AREAS WAS DETERMINED. SECONDARY DATA, INCLUDING DEMOGRAPHIC, SOCIOECONOMIC, AND PUBLIC HEALTH INDICATORS, WERE ANALYZED FOR SERVICE AREA COUNTIES TO MEASURE KEY DATA TRENDS AND PRIORITY HEALTH ISSUES AND TO ASSESS EMERGING HEALTH NEEDS. DATA WAS COMPARED TO STATE AND NATIONAL BENCHMARKS AND HEALTHY PEOPLE 2030 (HP2030) GOALS, AS AVAILABLE, TO ASSESS AREAS OF STRENGTH AND OPPORTUNITY. ALL REPORTED DEMOGRAPHIC AND SOCIOECONOMIC DATA WERE PROVIDED BY THE US CENSUS BUREAU, AMERICAN COMMUNITY SURVEY, UNLESS OTHERWISE NOTED. PUBLIC HEALTH DATA WERE COMPILED FROM A VARIETY OF SOURCES LIKE THE PENNSYLVANIA DEPARTMENT OF HEALTH AND CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC), AMONG OTHERS. THE MOST RECENTLY AVAILABLE DATA AT THE TIME OF PUBLICATION IS USED THROUGHOUT THE REPORT. REPORTED DATA TYPICALLY LAG BEHIND "REAL TIME." THE DATA GLEANED FROM THE CHNA PROVIDED REGIONAL AND LOCALIZED PERSPECTIVE ON THE ATTRIBUTES OF THE COMMUNITY. LOCALLY, THE CHNA PROVIDED CONTEXT FOR THE COUNTIES SERVED BY WELLSPAN EVANGELICAL HOSPITAL INCLUDING, FOR EXAMPLE: - UNION COUNTY HAS A POPULATION OF 39,635 (70% CONSIDERED RURAL) WITH A MEDIAN HOUSEHOLD INCOME OF $ $66,404 AND 9.8% OF ITS RESIDENTS LIVING IN POVERTY. 9.4% OF RESIDENTS ARE UNINSURED. THE MEDIAN AGE IS 40.7 YEARS OLD. ESTIMATED MEDIAN HOUSE OR CONDO VALUE IS $240,880.- SNYDER COUNTY HAS A POPULATION OF 42,488 (63% CONSIDERED RURAL) WITH A MEDIAN HOUSEHOLD INCOME OF $70,731AND 8.7% OF ITS RESIDENTS LIVING IN POVERTY. 9.7% OF RESIDENTS ARE UNINSURED. THE MEDIAN AGE IS 40.7 YEARS OLD. ESTIMATED MEDIAN HOUSE OR CONDO VALUE IS $222,077.- NORTHUMBERLAND COUNTY HAS A POPULATION OF 90,120 (35% CONSIDERED RURAL) WITH A MEDIAN HOUSEHOLD INCOME OF $59,046 AND 11.2% OF ITS RESIDENTS LIVING IN POVERTY. % OF RESIDENTS ARE UNINSURED. THE MEDIAN AGE IS 45.2 YEARS OLD. ESTIMATED MEDIAN HOUSE OR CONDO VALUE IS $164,300.- OVER THE PAST 10 YEARS POPULATION GROWTH HAS BEEN STAGNANT IN SNYDER COUNTY WHILE NORTHUMBERLAND AND UNION COUNTIES DECLINE WITH UNION SEEING THE MOST SIGNIFICANT AT -3.9% (2010-2021). ALL COUNTIES SAW A RISE IN ADULTS AGED 65+ WITH UNION AND SNYDER SEEING RISE IN THE 20-28% RANGE. WITHIN THE AGING POPULATION WE ARE SEEING 58-61% LIVING WITH 3+ CHRONIC CONDITIONS AND 13-16% LIVING ALONE. EVEN THOUGH OUR REGION IS AGING, CHILDREN COMPRISE APPROXIMATELY 1 IN 5 RESIDENTS, REINFORCING THE POTENTIAL FOR UPSTREAM, PREVENTATIVE ACTION. COMMUNITY ENGAGEMENT WAS AN INTEGRAL PART OF THE 2024 CHNA. INPUT WAS SOLICITED AND RECEIVED FROM INDIVIDUALS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY, AS WELL AS UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. THESE INDIVIDUALS PROVIDED PERSPECTIVES ON HEALTH NEEDS, EXISTING RESOURCES TO MEET THOSE NEEDS, AND SERVICE DELIVERY GAPS THAT CONTRIBUTE TO HEALTH VARIANCES. IN 2023, THE COLLABORATING HEALTH SYSTEMS WORKED ALONGSIDE THE BUILD COMMUNITY TEAM TO UPDATE STATISTICAL DATA, DEVELOP AND ADMINISTER THE KEY STAKEHOLDER SURVEY, AND CONDUCT COMMUNITY FORUMS. FROM THIS PROCESS, THE FOLLOWING SPECIFIC HEALTH NEEDS WERE CONFIRMED AS PRIORITIES:- ACCESS TO CARE INCLUDING CONSIDERATION OF THE ABILITY TO AFFORD CARE, THE AVAILABILITY OF PROVIDERS, CULTURAL COMPETENCE, DIGITAL ACCESS, NAVIGATION CONCERNS, HEALTH INSURANCE COVERAGE, PRIMARY CARE MEDICAL HOMES AND SOCIAL NEEDS SUCH AS TRANSPORTATION.- CHRONIC DISEASE PREVENTION & MANAGEMENT INCLUDING SPECIAL ATTENTION TO THE AGING, RURAL POPULATION, THE IMPACT OF COMORBIDITIES, VARIANCES IN DISEASE INCIDENCE AND MORTALITY, SCREENING AND EARLY DETECTION, HEALTH EDUCATION, AND HEALTH BEHAVIORS SUCH AS HEALTHY EATING, PHYSICAL ACTIVITY AND TOBACCO USE. - MENTAL HEALTH & SUBSTANCE USE DISORDER INCLUDING SOLUTIONS FOCUSED ON IMPROVING THE AVAILABILITY OF PROVIDERS, MENTAL HEALTH COMORBIDITY MANAGEMENT, DEPRESSION AND STRESS, THE IMPACT OF THE COVID-19 PANDEMIC, OPIOID AND ALCOHOL USE, SOCIAL ISOLATION, MENTAL HEALTH AND ADDICTION STIGMA, AND SUICIDE PREVENTION. THE WELLSPAN BOARD OF DIRECTORS APPROVED THE 2024 COMMUNITY HEALTH NEEDS ASSESSMENT, WHICH IS MADE AVAILABLE TO THE PUBLIC ON OUR WEBPAGE- HTTPS://WWW.WELLSPAN.ORG/ABOUT-WELLSPAN/IMPROVING-HEALTHY-COMMUNITIES/COMMUNITY-BENEFIT/COMMUNITY-HEALTH-REPORT-ARCHIVE. PART VI, LINE 3: AS A COMMUNITY HOSPITAL, EVANGELICAL IS DEDICATED TO IMPROVING THE HEALTH AND WELL-BEING OF ALL ITS CONSTITUENTS. THROUGH THE FINANCIAL ASSISTANCE PROGRAM, MEDICAL CARE IS PROVIDED REGARDLESS OF A PATIENT'S ABILITY TO PAY, INSUFFICIENT HEALTH INSURANCE OR WHETHER A GOVERNMENT-SPONSORED PROGRAM COVERS THE FULL COST OF SERVICES. AND AS THE COUNTRY'S ECONOMIC FUTURE REMAINS UNCERTAIN, EVANGELICAL WILL CONTINUE TO PROVIDE CARE FOR THOSE WHO NEED IT. EVANGELICAL WILL PROVIDE SERVICES AT NO CHARGE OR REDUCED CHARGES TO THOSE WHO ARE FINANCIALLY UNABLE TO PAY FOR THOSE SERVICES. EVANGELICAL WILL NOT ARBITRARILY RESTRICT THE PROVISIONS OF HEALTH SERVICES TO CERTAIN INDIVIDUALS OR GROUPS. EVANGELICAL'S REGISTRATION DEPARTMENT REPRESENTATIVES INFORM OUR UNINSURED OR UNDER INSURED PATIENTS, OF OUR FINANCIAL ASSISTANCE PROGRAM. FINANCIAL ASSISTANCE APPLICATIONS ARE OFFERED TO THESE PATIENT AND IN ADDITION, THEY HAVE THE OPPORTUNITY TO CALL OUR FINANCIAL COUNSELOR. THE FINANCIAL COUNSELOR DISCUSSES THE AVAILABILITY OF VARIOUS GOVERNMENT BENEFITS SUCH AS MEDICAID OR STATE PROGRAMS TO ASSIST THE PATIENT WITH QUALIFICATIONS FOR THESE PROGRAMS. THE FINANCIAL COUNSELOR WILL ALSO ASSIST THE PATIENT IN COMPLETING THE PROPER PAPERWORK FOR ASSISTANCE. THE FINANCIAL COUNSELORS AND CASE MANAGEMENT STAFF WORK CLOSELY TO IDENTIFY AND ASSIST ELIGIBLE PATIENTS. OUR SELF-PAY VENDOR ALSO INFORM THE PATIENT THAT EVANGELICAL HAS A FINANCIAL ASSISTANCE PROGRAM AND A FINANCIAL COUNSELOR WHO WILL SEND THEM AN APPLICATION IF REQUESTED. OUR CUSTOMER SERVICE DEPARTMENT WORKS ON BEHALF OF THE ORGANIZATION TO FOLLOW THE HOSPITAL'S POLICIES REGARDING PATIENT NOTIFICATION AND THE AVAILABILITY OF FINANCIAL ASSISTANCE. EVANGELICAL'S FINANCIAL ASSISTANCE POLICY IS POSTED ON THE EVANGELICAL WEBSITE(HTTP://WWW.EVANHOSPITAL.COM/PATIENTS/INSURANCE/CHARITY-CARE) ALONG WITH AN APPLICATION FOR PATIENTS TO COMPLETE FOR FINANCIAL ASSISTANCE. EVANGELICAL COMMUNITY HOSPITAL WILL MAKE AVAILABLE A WRITTEN NOTICE TO EACH PATIENT OR THEIR REPRESENTATIVE OF THE EXISTENCE, CRITERIA AND MECHANISM FOR RECEIVING FINANCIAL ASSISTANCE. THE HOSPITAL WILL CREATE AND MAINTAIN RECORDS DEMONSTRATING THAT THE REQUIRED CRITERIA AND MECHANISM ARE ESTABLISHED (HOSPITAL WILL RECORD ANY AND ALL REQUESTS FOR FINANCIAL ASSISTANCE, THE DISPOSITION AND THE DOLLAR AMOUNT OF EVANGELICAL'S FINANCIAL ASSISTANCE PROGRAM PROVIDED). IN ALL INSTANCES, PATIENTCONFIDENTIALITY WILL BE PROTECTED. ELIGIBILITY WILL BE DETERMINED BY COMPARING HOUSEHOLD FAMILY INCOME AGAINST THE INCOME POVERTY GUIDELINES. INCOME IS DEFINED AS THE TOTAL ANNUAL CASH RECEIPTS BEFORE TAXES FROM ALL SOURCES. AN INDIVIDUAL NOTICE OF AVAILABILITY OF EVANGELICAL'S FINANCIAL ASSISTANCE PROGRAM WILL BE GIVEN TO EACH PATIENT OR THEIR REPRESENTATIVE PRIOR TO SERVICES BEING RENDERED, WITH THE EXCEPTION OF EMERGENCY SERVICES. THESE NOTICES SHALL BE AVAILABLE IN ALL REGISTRATION AREAS OF THE HOSPITAL AND SHALL INCLUDE THE MOST CURRENT AVAILABLE "HOUSEHOLD INCOME GUIDELINES" AS PUBLISHED IN THE FEDERAL REGISTER. THE PATIENT ACCOUNTS DIRECTOR OR HIS/HER DESIGNEE SHALL REVIEW ALL APPLICATIONS FORTHE EVANGELICAL FINANCIAL ASSISTANCE PROGRAM. IT IS THE APPLICANT'S RESPONSIBILITY TO PROVIDE PROOF OF INCOME. WHEN LANGUAGE IS A BARRIER, EVANGELICAL OFFERS A SPECIAL INTERPRETER CONFERENCING TELEPHONE SERVICE. INTERPRETATION SERVICES ARE AVAILABLE FOR A MULTITUDE OF PATIENT/CAREGIVER INTERACTIONS. WHEN A NON-ENGLISH SPEAKING PATIENT, NO MATTER HIS OR HERNATIVE TONGUE, CALLS IN TO THE HOSPITAL, HE OR SHE WILL BE ABLE TO BE UNDERSTOOD THROUGH A TELEPHONE INTERPRETER. THIS IS AVAILABLE FOR OUTBOUND CALLS TO THE PATIENT AS WELL. THE PROCESS CONTRIBUTES TO IMPROVED PATIENT CARE AND CLINICAL OUTCOMES AND MAKES A VITAL DIFFERENCE IN THE QUALITY OF SERVICE EVANGELICAL IS ABLE TO PROVIDE TO NON-ENGLISH SPEAKING PATIENTS. PART VI, LINE 4: EVANGELICAL COMMUNITY HOSPITAL (ECH) IS LOCATED IN LEWISBURG, PENNSYLVANIA (UNION COUNTY), THE HEART OF CENTRAL PENNSYLVANIA. THE HOSPITAL IS CONVENIENTLY LOCATED OFF INTERSTATE 80 ON U.S. ROUTE 15. THE HOSPITAL SERVES THE RESIDENTS OF UNION, SNYDER, NORTHUMBERLAND, AND LOWER LYCOMING COUNTIES AS WELL AS SURROUNDING AREAS. ECH IS THE SECOND LARGEST EMPLOYER IN UNION COUNTY WITH MORE THAN 1,900 EMPLOYEES.IN ADDITION TO A BUSY EMERGENCY ROOM, THE HOSPITAL INTRODUCED A NEW URGENT CARE PRACTICE IN 2016 THAT ANSWERS THE NEEDS OF PATIENTS WHO HAVE URGENT MEDICAL NEEDS THAT DO NOT RISE TO THE LEVEL OF EMERGENCY CARE. FOR THE PATIENT THIS MEANS SHORTER WAIT TIMES AND LOWER TREATMENT COSTS FOR THOSE CONDITIONS. EVANGELICAL COMMUNITY HOSPITAL IS LOCATED IN UNION COUNTY. IN ADDITION TO UNION COUNTY, THE SURROUNDING COUNTIES INCLUDE COLUMBIA, MONTOUR, NORTHUMBERLAND, SCHUYLKILL, AND SNYDER. THIS AREA IS COLLECTIVELY KNOWN AS THE CENTRAL REGION.UNION COUNTY HAS A POPULATION OF 39,635 (70% CONSIDERED RURAL) WITH A MEDIAN HOUSEHOLD INCOME OF $ $66,404 AND 9.8% OF ITS RESIDENTS LIVING IN POVERTY. 9.4% OF RESIDENTS ARE UNINSURED. THE MEDIAN AGE IS 40.7 YEARS OLD. ESTIMATED MEDIAN HOUSE OR CONDO VALUE IS $240,880.SNYDER COUNTY HAS A POPULATION OF 42,488 (63% CONSIDERED RURAL) WITH A MEDIAN HOUSEHOLD INCOME OF $70,731AND 8.7% OF ITS RESIDENTS LIVING IN POVERTY. 9.7% OF RESIDENTS ARE UNINSURED. THE MEDIAN AGE IS 40.7 YEARS OLD. ESTIMATED MEDIAN HOUSE OR CONDO VALUE IS $222,077.NORTHUMBERLAND COUNTY HAS A POPULATION OF 90,120 (35% CONSIDERED RURAL) WITH A MEDIAN HOUSEHOLD INCOME OF $59,046 AND 11.2% OF ITS RESIDENTS LIVING IN POVERTY. % OF RESIDENTS ARE UNINSURED. THE MEDIAN AGE IS 45.2 YEARS OLD. ESTIMATED MEDIAN HOUSE OR CONDO VALUE IS $164,300.OVER THE PAST 10 YEARS POPULATION GROWTH HAS BEEN STAGNANT IN SNYDER COUNTY WHILE NORTHUMBERLAND AND UNION COUNTIES DECLINE WITH UNION SEEING THE MOST SIGNIFICANT AT (-3.9%) (2010-2021). ALL COUNTIES SAW A RISE IN ADULTS AGED 65+ WITH UNION AND SNYDER SEEING RISE IN THE 20-28% RANGE. WITHIN THE AGING POPULATION WE ARE SEEING 58-61% LIVING WITH 3+ CHRONIC CONDITIONS AND 13-16% LIVING ALONE. EVEN THOUGH OUR REGION IS AGING, CHILDREN COMPRISE APPROXIMATELY 1 IN 5 RESIDENTS, REINFORCING THE POTENTIAL FOR UPSTREAM, PREVENTATIVE ACTION.THE REGION IS HOME TO SEVERAL COLLEGES, UNIVERSITIES, AND TECHNICAL SCHOOLS AS WELL AS STRONG PUBLIC-SCHOOL SYSTEMS. IT HAS A VERY DIVERSE HISTORY AND RURAL APPEAL YET FEATURES BUSINESS AND HEALTHCARE FACILITIES USING THE LATEST ADVANCES IN SCIENCE AND TECHNOLOGY. ADDITIONAL HOSPITALS IN OUR REGION CONSIST OF GEISINGER MEDICAL CENTER, GEISINGER - SHAMOKIN AREA COMMUNITY HOSPITAL, UPMC SUSQUEHANNA, AND GEISINGER - BLOOMSBURG HOSPITAL. ACCORDING TO THE MOST RECENT DATA FROM THE COMMUNITY HEATH NEEDS ASSESSMENT OUR REGION IS DESCRIBED AS PRIMARILY RURAL IN NATURE. THIS DATA WAS REAFFIRMED DURING THE ASSESSMENT PROCESS THROUGH COMMUNITY LEADERS AND KEY STAKEHOLDER INTERVIEWS AND FOCUS GROUP DISCUSSIONS. FURTHERMORE, WITH THE RURAL NATURE OF OUR AREA AND THE LACK OF A COORDINATED AND INTEGRATED TRANSPORTATION SYSTEM, THIS LIMITS COMMUNITY MEMBERS TO ACCESSIBLE HEALTH CARE AND RECREATIONAL OPPORTUNITIES. WITH THE LIMITATIONS OF ACCESSIBILITY TO HEALTHCARE AND HEALTHY OPTIONS LEADS TO UNHEALTHY LIFESTYLES AND OVERUSE OF OUR EMERGENCY DEPARTMENT SERVICES.THE GROWTH OF OLDER ADULT POPULATIONS WILL CHALLENGE COMMUNITIES TO PROVIDE ADEQUATE SUPPORT FOR AGING RESIDENTS, MANY OF WHOM LIVE ALONE AND CHOOSE TO AGE IN PLACE. CONSISTENT WITH THE STATE OVERALL, APPROXIMATELY 50%-60% OF MEDICARE BENEFICIARIES AGED 65-74 RESIDING IN THE CENTRAL REGION HAD THREE OR MORE CHRONIC CONDITIONS IN 2021, AND DISEASE PREVALENCE INCREASED WITH OLDER AGE GROUPS 75+. WITHIN THE REGION, NORTHUMBERLAND COUNTY IS AN AREA OF OPPORTUNITY FOR IMPROVING OLDER ADULT HEALTH AND WELL-BEING. APPROXIMATELY 21% OF RESIDENTS IN THE COUNTY ARE AGED 65 OR OLDER, CREATING DEMAND FOR SERVICES, AND 16% OF OLDER ADULTS LIVE ALONE, POTENTIALLY IMPEDING WELLNESS EFFORTS.MONTOUR, NORTHUMBERLAND, AND SCHUYLKILL ARE AMONG THE OLDEST COUNTIES IN THE REGION; APPROXIMATELY ONE IN FIVE RESIDENTS ARE AGED 65 OR OLDER AND MEDIAN AGES ARE NEARLY THREE YEARS OLDER THAN THE STATE MEDIAN. IT IS WORTH NOTING THAT THE POPULATION OF RESIDENTS AGED 65 OR OLDER OUTPACES THE NATIONAL ESTIMATE OF 16% IN NEARLY ALL ZIP CODES ACROSS THE REGION.CENTRAL REGION COUNTIES ARE AGING, BUT CHILDREN COMPRISE APPROXIMATELY 1 IN 5 RESIDENTS, REINFORCING THE POTENTIAL FOR UPSTREAM, PREVENTIVE ACTION. CRITICAL TO THESE UPSTREAM EFFORTS IS ADDRESSING SOCIAL DRIVERS OF HEALTH (SDOH) BARRIERS THAT HAVE HISTORICALLY DISPROPORTIONATELY AFFECTED CHILDREN. FOR EXAMPLE, WHILE POVERTY LEVELS GENERALLY DECLINED ACROSS THE REGION, APPROXIMATELY 18%-19% OF CHILDREN IN COLUMBIA, SCHUYLKILL, AND NORTHUMBERLAND COUNTIES EXPERIENCE POVERTY COMPARED TO 12%-15% OF ALL RESIDENTS. TOP HEALTH CONCERNS FOR CHILDREN IN THE CENTRAL REGION, AND STATEWIDE, INCLUDE MENTAL HEALTH ISSUES. CHILD MENTAL HEALTH WAS A GROWING CONCERN BEFORE THE PANDEMIC, AND IN 2021, APPROXIMATELY 2 IN 5 STUDENTS REPORTED FEELING CONSISTENTLY SAD OR DEPRESSED AND 1 IN 10 REPORTED AN ATTEMPTED SUICIDE.CENTRAL REGION COUNTIES ARE MAJORITY WHITE COMMUNITIES WITH LESS RACIAL DIVERSITY THAN STATE AND NATIONAL BENCHMARKS. UNION COUNTY BENEFITS FROM THE MOST POPULATION DIVERSITY WITH 13% OF RESIDENTS IDENTIFYING WITH A RACE OTHER THAN WHITE AND 6% IDENTIFYING AS LATINX (ANY RACE). UNION COUNTY IS HOME TO FEDERAL PRISONS IN ALLENWOOD AND LEWISBURG WITH AN ESTIMATED INMATE POPULATION OF NEARLY 4,000 PEOPLE. POPULATION DIVERSITY AND SOCIOECONOMIC DISPARITIES BETWEEN RACIAL GROUPS IN UNION COUNTY REFLECT, IN PART, DEEPER INSTITUTIONAL INEQUITIES. AVAILABLE DATA PROVIDED BY THE SENTENCING PROJECT REVEAL THAT BLACK AMERICANS ARE IMPRISONED AT A RATE THAT IS ROUGHLY FIVE TIMES THE RATE OF WHITE AMERICANS. LATINX INDIVIDUALS ARE INCARCERATED IN STATE PRISONS AT A RATE THAT IS 1.3 TIMES THE INCARCERATION RATE OF WHITES. CONSISTENT WITH STATE AND NATIONAL TRENDS, POPULATION DIVERSITY IS INCREASING WITHIN THE REGION, THOUGH ONLY MARGINALLY. MONTOUR COUNTY EXPERIENCED A FOUR-PERCENTAGE POINT DECLINE IN THE WHITE POPULATION FROM 2010 TO 2021, THE LARGEST OF ANY COUNTY IN THE REGION.ALL CENTRAL REGION COUNTIES HAVE LOWER MEDIAN HOUSEHOLD INCOMES THAN STATE AND NATIONAL MEDIANS, ALTHOUGH COUNTY-WIDE POVERTY LEVELS ARE ONLY ELEVATED IN COLUMBIA (15% COMPARED TO 12% AND 13% RESPECTIVELY). COLUMBIA AND SCHUYLKILL COUNTIES HAVE THE HIGHEST PERCENTAGES OF CHILDREN IN POVERTY, OUTPACING THE STATE AND THE NATION, AT 18% AND 19% RESPECTIVELY.HIGH SCHOOL GRADUATION IS ONE OF THE STRONGEST PREDICTORS OF LONGEVITY AND ECONOMIC STABILITY. WITHIN CENTRAL REGION COMMUNITIES, APPROXIMATELY 89% OF ADULTS GRADUATED HIGH SCHOOL, A SLIGHTLY LOWER PROPORTION THAN THE STATE OVERALL. OUTSIDE OF MONTOUR COUNTY, ADULTS ARE GENERALLY LESS LIKELY TO PURSUE OR ATTAIN HIGHER EDUCATION, SUCH AS A BACHELOR'S OR GRADUATE DEGREE.WHERE YOU LIVE IMPACTS THE CHOICES AVAILABLE TO YOU. THESE CHOICES IMPACT YOUR INCOME, WELLNESS, AND ULTIMATELY HOW LONG YOU LIVE. WHEN CONSIDERED WITH LIVED EXPERIENCES SUCH AS ACCESS TO QUALITY SERVICES LIKE EDUCATION AND TRANSPORTATION, PLACE-BASED CHOICES MAY ALSO INFORM PERCEPTION OF OPPORTUNITIES. IN GENERAL, CENTRAL REGION RESIDENTS ARE MORE LIKELY TO OWN THEIR HOME WHEN COMPARED TO STATE AND NATIONAL BENCHMARKS. HOMEOWNERSHIP INCREASES IN MORE RURAL COMMUNITIES. RENTAL COSTS HAVE BALLOONED ACROSS THE COUNTRY SINCE COVID-19, LEAVING MANY TO STRUGGLE TO CONTINUE TO AFFORD THEIR CURRENT RENT, WHILE ALSO HAVING LESS AND LESS OPPORTUNITY TO SAVE MONEY TO MAKE FUTURE HOME OWNERSHIP POSSIBLE. THE CENTRAL REGION IS NO EXCEPTION TO THESE TRENDS. SCHUYLKILL AND SNYDER COUNTIES HAVE THE HIGHEST PERCENTAGE OF HOMEOWNERS AND BOAST THE LOWEST PERCENTAGES OF COST-BURDENED HOMEOWNERS, MEANING THAT HOUSING COSTS ARE RELATIVELY AFFORDABLE; HOWEVER, APPROXIMATELY 20% OF HOMEOWNERS AND ONE-THIRD OR MORE OF RENTERS IN THESE COUNTIES STILL MEET THE CRITERIA OF BEING COST-BURDENED. PART VI, LINE 5: AS A COMMUNITY AND HEALTH RESOURCE FOR MORE THAN 90 YEARS, EVANGELICAL COMMUNITY HOSPITAL HAS CONTINUALLY DEMONSTRATED ITS COMMITMENT TO THE CENTRAL SUSQUEHANNA VALLEY BY TAKING CARE OF PATIENTS NEEDING TREATMENT, AND BY ITS OUTREACH TO THE COMMUNITY. BEYOND THE DAILY CARE OF PATIENTS, THE HOSPITAL EXTENDS ITS REACH TO PROVIDE PREVENTION AND WELLNESS EDUCATION TO RESIDENTS OF THE VALLEY. OUTREACH INCLUDES CHARITY-CARE FOR THOSE WHO CANNOT AFFORD MEDICAL TREATMENT, HEALTH SCREENINGS TARGETING THE UN/UNDER-INSURED, HEALTH EDUCATION FOCUSING ON HEALTHY LIFESTYLE CHANGES, CHILD SAFETY SEAT INSPECTIONS, SCHOOL AGED HEALTH INITIATIVES, AND LECTURES ON HEALTH CONCERNS AND TOPICS. MANY OF THESE PROGRAMS ARE PROVIDED AT MINIMAL OR NO COST AND ARE SUBSIDIZED USING HOSPITAL RESOURCES.THE HOSPITAL CONTINUES TO FOCUS ON DEVELOPING NEW WAYS OF IDENTIFYING AND ADDRESSING HEALTH NEEDS IN OUR REGION. THE HOSPITAL UTILIZES AN INTERNAL DOCUMENTATION PROCESS DEVELOPED TO CAPTURE COMMUNITY BENEFIT OUTREACH DELIVERED BY THE MAJORITY OF ITS EMPLOYEES. COMMUNITY BENEFIT LEADERS WORK COOPERATIVELY WITH DEPARTMENTS OF THE HOSPITAL AND OTHER ORGANIZATIONS IN THE COMMUNITY TO ADDRESS UNMET NEEDS. ACCESS TO CARE THROUGH SEVERAL PROGRAMS AND RESOURCES EVANGELICAL WILL CONTINUE TO FOCUS ON VULNERABLE AREAS OF NEED FOR IMPROVEMENT TO ACCESS TO CARE. - MOBILE HEALTH OF EVANGELICAL PROVIDED OVER 760 FREE HEALTH SCREENS AND ATTENDED 5 COMMUNITY EVENTS OFFERING HEALTH EDUCATION RESOURCES. - ERMMS EXPANDED SERVICES AND PROVIDES BASIC LIFE SUPPORT AND ADVANCED LIFE SUPPORT SERVICES TO NORTHUMBERLAND BOROUGH AND POINT TOWNSHIP, NORTHUMBERLAND COUNTY. - COMMUNITY HEALTH ALONG WITH SUPPORT FROM A MEDICAL PROVIDER BEGAN OFFERING MEMORY AND COGNITIVE SCREENINGS. 2 SCREENING EVENTS WERE HELD; 29 PEOPLE PARTICIPATED IN THE SCREENING EVENTS AND 19 WERE RECOMMENDED FOR A FOLLOW UP WITH THEIR PROVIDER. - EVANGELICAL PROVIDED 11 FOOD BOXES AND COMMUNITY RESOURCES FOR PATIENTS IN NEED.- PROVIDED EDUCATIONAL OPPORTUNITIES FOR NURSING STUDENTS FROM COMMONWEALTH UNIVERSITY, BLOOMSBURG CAMPUS. STUDENTS WERE GIVEN A VARIETY OF COMMUNITY HEALTH OUTREACH PROGRAMS TO ATTEND AND PARTICIPATE IN AS PART OF THEIR COMMUNITY BASED EDUCATIONAL JOURNEY. - EVANGELICAL CONTINUES TO STRENGTHEN RELATIONSHIPS AND PARTNERSHIPS WITHIN OUR COMMUNITY BY PARTICIPATING IN BOARD, COALITION AND/OR COMMITTEE WORK. - EVANGELICAL'S MEDICAL SERVICE PROVIDERS DELIVERED 1145 VIDEO VISITS FOR HEALTHCARE CONCERNS WITH 22 BEING NEW USERS.CHRONIC DISEASE PREVENTION AND MANAGEMENT - CONTINUE TO FOCUS ON EDUCATION, HEALTHY LIFESTYLE PROGRAMMING AND PREVENTION SCREENINGS. - COMMUNITY HEALTH PROVIDED 3,455 INDIVIDUALS WITH PREVENTATIVE SCREENINGS.- 25 PEOPLE PARTICIPATED IN TOBACCO/SMOKING CESSATION PROGRAMMING.- COMMUNITY HEALTH RECEIVED 29 HEALTH COACHING REFERRALS FROM PROVIDERS FROM ORTHOPEDICS, OBGYN AND BARIATRIC. - IMAGING SERVICES PROVIDED 450 LOW DOSE CT SCANS.- COMMUNITY HEALTH'S SCHOOL-BASED EDUCATION AND OUTREACH SERVED CLOSE TO 26,000 STUDENTS FROM PRE K TO SENIORS IN HIGH SCHOOL. PROGRAMMING INCLUDED VAPING/TOBACCO EDUCATION, HYGIENE EDUCATION, ONLINE AND CYBER SAFETY, STRESS AND RESILIENCY AND HEALTHY LIVING.- COMMUNITY HEALTH ELEVATED THE FARM TO SCHOOL PROGRAM BY ADDING 1 NEW FARMER. STUDENTS LEARNED THE VALUE OF BEE FARMING AND ITS IMPACT ON OUR ENVIRONMENT.MENTAL HEALTH AND SUBSTANCE USE DISORDER SPECIFICALLY TARGETING MENTAL HEALTH CONCERNS LIKE DEPRESSION AND ANXIETY, WHICH CAN BE LINKED TO SOCIAL DRIVERS LIKE INCOME, EMPLOYMENT, AND ENVIRONMENT AND CAN POSE RISK OF PHYSICAL HEALTH PROBLEMS BY COMPLICATING AN INDIVIDUAL'S ABILITY TO KEEP UP OTHER ASPECTS OF THEIR HEALTHCARE AND WELL-BEING. - COMMUNITY HEALTH OFFERED THE MIND MATTERS PROGRAM. THIS IS AN EVIDENCE-BASED WELLBEING PROGRAM THAT EMPOWERS YOUTH WITH SKILLS TO SUPPORT THEIR MENTAL WELLBEING. 180 6TH GRADE STUDENTS PARTICIPATED IN THE INAUGURAL PROGRAM.- COMMUNITY HEALTH CONTINUES TO OFFER FREE NARCAN KITS TO THE COMMUNITY. 436 KITS WERE DISTRIBUTED THROUGHOUT OUR SERVICES AREA.- COMMUNITY HEALTH STAFF SERVES ON THE SUSQUEHANNA VALLEY RECOVERY COALITION AND ASSIST IN THEIR WORK TO REDUCE STIGMA AND RE-ENTRY INTO THE COMMUNITY. PART VI, LINE 6: THE ORGANIZATION IS PART OF AN AFFILIATED HEALTH CARE SYSTEM DUE TO THE HOSPITAL HAVING COMMON GOVERNANCE AND CONTROL FOR EVANGELICAL MEDICAL SERVICES ORGANIZATION. EVANGELICAL MEDICAL SERVICES ORGANIZATION PROVIDES HEALTHCARE SERVICES IN THE FORM OF PRIMARY AND SPECIALTY CARE PHYSICIANS TO THE COMMUNITY. PART VI, LINE 7, REPORTS FILED WITH STATES PA 1 COMMUNITY GIVING FOUNDATION 725 W FRONT ST BERWICK PA 18603 232982141 501(C)(3) 6000 0 GENERAL SUPPORT DREAMCATCHER FARM EDUCATIONAL OUTREACH 2160 HOFFA MILL RD LEWISBURG PA 17837 461521092 501(C)(3) 100000 0 GENERAL SUPPORT FIRST COMMUNITY FOUNDATION OF PA 201 W 4TH ST WILLIAMSPORT PA 17701 246013117 501(C)(3) 32000 0 GENERAL SUPPORT THE MILLER CENTER FOR RECREATION AND WELLNESS 120 HARDWOOD DRIVE LEWISBURG PA 17837 473104877 501(C)(3) 11000 0 GENERAL SUPPORT GREEN DRAGON FOUNDATION 115 FARLEY CIR LEWISBURG PA 17837 800179894 501(C)(3) 10000 0 GENERAL SUPPORT HUMMELS WHARF FIRE CO 1869 N OLD TRAIL HUMMELS WHARF PA 17831 230716540 501(C)(3) 12000 0 GENERAL SUPPORT LEWISBURG DOWNTOWN PARTNERSHIP 328 MARKET ST LEWISBURG PA 17837 233053027 501(C)(3) 25000 0 GENERAL SUPPORT MIFFLINBURG HOSE CO NO 1 325 CHESTNUT ST MIFFLINBURG PA 17844 161654889 501(C)(3) 50000 0 GENERAL SUPPORT TRANSITIONS OF PA 120 S 3RD ST LEWISBURG PA 17837 232089699 501(C)(3) 15000 0 GENERAL SUPPORT 9 0 PART I, LINE 2: ALL WELLSPAN ENTITIES FOLLOW WELLSPAN POLICIES AND PROCEDURES REGARDING GRANT PROJECTS (MAP 1007) TO ENSURE THAT THE USE OF GRANT FUNDS ARE CONSISTENT WITH WELLSPAN'S MISSION OF WORKING AS ONE TO IMPROVE HEALTH THROUGH EXCEPTIONAL CARE FOR ALL, LIFELONG WELLNESS AND HEALTHY COMMUNITIES. COMMUNITY SUPPORT IS PROVIDED IN THE FORM OF GRANTS, WHICH SERVE HEALTH-RELATED PURPOSES AND ARE IN ALIGNMENT WITH THE WELLSPAN MISSION. ALL GRANTS ARE MADE TO ELIGIBLE 501(C)(3) ORGANIZATIONS AND INCLUDE CHURCHES, PUBLIC SCHOOLS, PUBLIC CHARITIES, PUBLIC CLINICS AND HOSPITALS, LEGAL AID SOCIETIES, VOLUNTEER SERVICES ORGANIZATIONS, AND SOME GOVERNMENTAL AGENCIES. WE MAINTAIN ADEQUATE RECORDS TO SUBSTANTIATE AMOUNTS, ELIGIBILITY, AND SELECTION CRITERIA USED FOR ALL GRANTS. X 1 0 X X X X 1 1 0 0 0 0 0 1 0 ROXANNA GAPSTUR PHD RN PRESIDENT & CEO - WELLSPAN HEALTH 0 1739595 0 1112453 0 272417 0 11203 0 40930 0 3176598 0 269264 LAURA BUCZKOWSKI EXECUTIVE VP & CFO - WELLSPAN HEALTH 0 949313 0 402918 0 3153 0 16601 0 36568 0 1408553 0 0 ANTHONY AQUILINA DO DIRECTOR 0 874016 0 365076 0 3153 0 17211 0 35667 0 1295123 0 0 MATTHEW REISH MD DIRECTOR (RES. MARCH '25) 1083215 0 0 0 8500 0 22744 0 26626 0 1141085 0 0 0 MICHAEL SEIM DIRECTOR 0 711414 0 254210 0 22230 0 18200 0 36044 0 1042098 0 20176 KENDRA AUCKER SVP - NORTH REGION 695059 0 206542 0 47757 0 40235 0 26397 0 1015990 0 0 0 AMY NELSON SECRETARY/SR VP & GENERAL COUNSEL 0 641147 0 229320 0 3153 0 40330 0 33795 0 947745 0 0 WILLIAM ANDERSON SECRETARY/COO (UNTIL AUG. '24) 305950 0 96425 0 324159 0 83731 0 17672 0 827937 0 173511 0 JAMES STOPPER TREASURER/CFO (UNTIL JULY '24) 424110 0 104291 0 184388 0 56091 0 22922 0 791802 0 132735 0 DAVID VEGA MD DIRECTOR 0 471404 0 166376 0 57007 0 24596 0 32851 0 752234 0 55908 CYNTHIA FRUITRAIL DIRECTOR 0 473623 0 167671 0 1099 0 19720 0 31443 0 693556 0 0 JOHN DEVINE DO VICE PRESIDENT MEDICAL AFFAIRS 518060 0 82621 0 4356 0 64496 0 1218 0 670751 0 0 0 MARIA FASANO BHANGDIA MD DIRECTOR 500562 0 0 0 0 0 10293 0 27674 0 538529 0 0 0 CHRISTOPHER MOTTO MD DIRECTOR (UNTIL JULY '24) 491050 0 0 0 0 0 10291 0 9451 0 510792 0 0 0 RACHEL SMITH VP PEOPLE & CULTURE 249676 0 51765 0 148215 0 33421 0 22922 0 505999 0 97240 0 BRIAN WOLFE VP - MEDICAL GROUP 300873 0 93885 0 990 0 73130 0 28380 0 497258 0 0 0 ELIZABETH PRICE VP INFORMATION SYSTEMS 192028 0 50000 0 144001 0 58567 0 18103 0 462699 0 66027 0 PHILIP PETERSON MD DIRECTOR 414014 0 0 0 0 0 8712 0 26726 0 449452 0 0 0 JULIA REDCAY DO DIRECTOR (UNTIL JULY '24) 330876 0 0 0 0 0 7091 0 19434 0 357401 0 0 0 ANGELA LAHR SENIOR DIRECTOR OPERATIONS 251684 0 51359 0 3038 0 8790 0 25459 0 340330 0 0 0 TAMARA PERSING VP PAT. CARE SVCS/CHIEF NURSING OFF. 239317 0 61712 0 4513 0 7587 0 13709 0 326838 0 0 0 DALE MOYER FORMER VP INFORMATION SYSTEMS 0 0 0 0 317604 0 0 0 0 0 317604 0 317604 0 BRENDON NOLT PHYSICIAN ADVISOR REVENUE CYCLE 255287 0 0 0 0 0 12861 0 28272 0 296420 0 0 0 CHRISTAL DIXON AVP NURSING 159049 0 15498 0 86606 0 6456 0 7674 0 275283 0 0 0 ALLEN FASNACHT VP & PRESIDENT - EVAN. HOSPITAL 157537 0 20000 0 655 0 15923 0 12009 0 206124 0 0 0 PART I, LINE 1A KENDRA A. AUCKER, PRESIDENT/CEO, HAS A FLEXIBLE BENEFIT ALLOWANCE PER HER CONTRACT. THE EXPENSES AVAILABLE FOR REIMBURSEMENT UNDER THIS ALLOWANCE ARE: AUTOMOBILE ALLOWANCE AND AUTO EXPENSES; SUPPLEMENTAL LTD PREMIUMS; AND CLUB MEMBERSHIPS. THE AMOUNT PROVIDED WAS INCLUDED IN TAXABLE COMPENSATION AND REPORTED ON HER W-2. PART I, LINES 4A-B DURING CALENDAR YEAR 2024, THE FOLLOWING INDIVIDUALS RECEIVED A SEVERANCE PAYMENT: - JAMES STOPPER, TREASURER/CHIEF FINANCIAL OFFICER: $48,134 - WILLIAM ANDERSON, SECRETARY/CHIEF OPERATING OFFICER: $149,230 - RACHEL SMITH, VP PEOPLE & CULTURE: $49,776 - ELIZABETH PRICE, VP INFORMATION SYSTEMS: $76,923 - CHRISTAL DIXON, AVP NURSING: $86,299 THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN AND RECEIVED THE FOLLOWING DISTRIBUTIONS IN CALENDAR YEAR 2024: - WILLIAM ANDERSON: $173,511 - DALE MOYER: $317,604 - ELIZABETH PRICE: $66,027 - RACHEL SMITH: $97,240 - JAMES STOPPER: $132,735 - ROXANNA GAPSTUR: $269,264 - MICHAEL SEIM: $20,176 - DAVID VEGA: $55,908 PART I, LINE 7 THE EXECUTIVE TEAM IS ELIGIBLE TO RECEIVE A BONUS (BASED ON A % OF SALARY) WHEN THEIR INDIVIDUAL GOALS ARE MET FOR THE YEAR. GOALS ARE SET FOR EACH INDIVIDUAL BASED ON FINANCIAL AND OPERATIONAL RESULTS. THESE GOALS ARE REVIEWED AND APPROVED BY THE EXECUTIVE COMPENSATION COMMITTEE. A UNION COUNTY HOSPITAL AUTHORITY - SERIES 2018B 232739624 906460DK3 2018-06-21 55541980 SEE PART VI 0 0 0 A 6271980 55541980 535398 54986582 20000 2018 0 0 1 1 A 0 0 0 0 0.00000 0.00670 0.00670 0 0 1 A 0 0 1 0 1 0 0 0 1 A 1 SCHEDULE K, PART I, BOND ISSUES: (A) ISSUER NAME: UNION COUNTY HOSPITAL AUTHORITY- SERIES OF 2018B HOSPITAL REVENUE BONDS (F) DESCRIPTION OF PURPOSE: CONSTRUCTION/RENOVATION PROJECTS (INCLUDING PATIENT BED TOWER) AND PAYMENT OF ISSUANCE COSTS. KENDRA AUCKER CEO SPLIT DOLLAR LIFE INSURANCE POLICY X 940156 1026294 0 1 1 ANGELA LAHR VICE PRESIDENT SPLIT DOLLAR LIFE INSURANCE POLICY X 338055 360914 0 1 1 RACHEL SMITH VICE PRESIDENT SPLIT DOLLAR LIFE INSURANCE POLICY X 127500 136121 0 1 1 1523329 FORM 990, PART VI, SECTION A, LINE 4 EVANGELICAL COMMUNITY HOSPITAL AMENDED ITS BY-LAWS TO ADD WELLSPAN HEALTH AS THE SOLE MEMBER OF THE CORPORATION. FORM 990, PART VI, SECTION A, LINE 6 WELLSPAN HEALTH, A NOT-FOR-PROFIT CORPORATION, IS THE SOLE MEMBER. THE MEMBER OF THE CORPORATION SHALL MEET AT ANY PLACE, DATE, AND TIME DESIGNATED BY THE MEMBER, FOR THE TRANSACTION OF THE GENERAL BUSINESS OF THE CORPORATION. ACTION OF THE MEMBER SHALL GENERALLY BE TAKEN BY A WRITTEN CONSENT IN LIEU OF A MEETING. ANY ACTION WHICH MAY BE TAKEN AT A MEETING OF THE MEMBER MAY BE TAKEN WITHOUT A MEETING IF A CONSENT OR CONSENTS IN WRITING, SETTING FORTH THE ACTION SO TAKEN, SHALL BE SIGNED BY THE MEMBER AND FILED WITH THE SECRETARY OF THE CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A THE PRIMARY PURPOSE OF THE GOVERNANCE COMMITTEE, AS ASSIGNED BY THE WELLSPAN HEALTH BOARD OF DIRECTORS, IS TO DEVELOP AND SUPPORT THE CULTURE OF HIGH-FUNCTIONING GOVERNANCE WITHIN THE WELLSPAN SYSTEM, INCLUDING THROUGH POLICIES, NOMINATIONS, COMPETENCIES OF DIRECTORS, EDUCATION, AND SELF-EVALUATIONS. THE GOVERNANCE COMMITTEE SHALL CONSIST OF NOT LESS THAN FIVE (5) NOR MORE THAN SEVEN (7) MEMBERS. NEITHER THE CHAIR OF THE WELLSPAN HEALTH BOARD OF DIRECTORS NOR PERSONS WHO ARE NOT MEMBERS OF THE WELLSPAN HEALTH BOARD OF DIRECTORS, MAY BE APPOINTED TO THE COMMITTEE. EACH GOVERNANCE COMMITTEE MEMBER SHALL BE NOMINATED BY THE GOVERNANCE COMMITTEE, AND APPOINTED BY THE WELLSPAN HEALTH BOARD OF DIRECTORS, FOR A TERM OF ONE (1) YEAR. REAPPOINTMENT OF A GOVERNANCE COMMITTEE MEMBER FOR MORE THAN ONE (1) TERM IS NOT AUTOMATIC OR PRESUMED AND SHALL BE BASED ON AN INDIVIDUAL PERFORMANCE EVALUATION OF THE GOVERNANCE COMMITTEE MEMBER (AS PERFORMED OR OVERSEEN BY THE GOVERNANCE COMMITTEE). FORM 990, PART VI, SECTION A, LINE 7B THE FOLLOWING RESPONSIBILITIES ARE SET FORTH AS A GUIDE FOR FULFILLING THE GOVERNANCE COMMITTEE'S PURPOSES IN SUCH MANNER AS THE COMMITTEE DETERMINES IS APPROPRIATE: 1. OVERSEE THE PROCESS OF SELECTING AND NOMINATING DIRECTORS AND OFFICERS FOR EACH OF THE GOVERNING BOARDS WITHIN THE WELLSPAN SYSTEM, INCLUDING ENSURING THAT DIRECTOR NOMINEES MEET THE QUALIFICATIONS REQUIRED BY THE RELEVANT BOARD COMPOSITION AND COMPETENCY GRID AND CHARACTERISTICS, BYLAWS, AND BOARD-APPROVED POLICIES AND GUIDELINES, AS APPLICABLE, AND ESTABLISH OTHER CRITERIA THAT ARE DESIRABLE FOR DIRECTORS; 2. IDENTIFY, EVALUATE AND SCREEN DIRECTOR CANDIDATES FOR EACH OF THE GOVERNING BOARDS WITHIN THE WELLSPAN SYSTEM (INCLUDING INCUMBENT DIRECTORS FOR POTENTIAL RE-NOMINATION), AND NOMINATE QUALIFIED INDIVIDUALS TO THE WELLSPAN HEALTH BOARD OF DIRECTORS FOR: (A) APPOINTMENT OR REAPPOINTMENT TO REGULAR TERMS, OR (B) APPOINTMENT TO FILL THE REMAINING TERM OF ANY GOVERNING BOARD VACANCIES; 3. REVIEW ANNUALLY THE SIZE, COMPOSITION AND LEADERSHIP OF EACH OF THE GOVERNING BOARDS WITHIN THE WELLSPAN SYSTEM, INCLUDING THE WELLSPAN HEALTH BOARD OF DIRECTORS AS A WHOLE, ITS COMMITTEES, AND ANY ADVISORY BODIES, MAKE A DETERMINATION OF WHETHER THE BOARD, ITS COMMITTEES AND ANY ADVISORY BODIES REFLECT THE APPROPRIATE BALANCE OF INDEPENDENCE, SOUND JUDGMENT, BUSINESS SPECIALIZATION, TECHNICAL SKILLS, DIVERSITY, FUNDRAISING AND DEVELOPMENT ABILITY, GEOGRAPHIC AND DEMOGRAPHIC REPRESENTATION, AND OTHER DESIRED QUALITIES, AND RECOMMEND ANY APPROPRIATE CHANGES TO THE WELLSPAN HEALTH BOARD OF DIRECTORS; 4. COORDINATE AND OVERSEE A PERIODIC SELF-EVALUATION OF THE ROLE AND PERFORMANCE OF EACH OF THE GOVERNING BOARDS WITHIN THE WELLSPAN SYSTEM, INCLUDING THE WELLSPAN HEALTH BOARD OF DIRECTORS, ITS COMMITTEES, AND ANY ADVISORY BODIES, AND EACH OF THEIR DIRECTORS AND OFFICERS; 5. DEVELOP AND RECOMMEND FOR APPROVAL BY THE WELLSPAN HEALTH BOARD OF DIRECTORS, REVIEW THE EFFECTIVENESS OF, AND RECOMMEND MODIFICATIONS AS APPROPRIATE TO, THE ORGANIZATION'S COMMITTEE STRUCTURE AND ORGANIZATIONAL DOCUMENTS, INCLUDING THE ARTICLES OF INCORPORATION, BYLAWS, BOARD-APPROVED POLICIES AND GUIDELINES, AND COMMITTEE CHARTERS; 6. THE GOVERNANCE COMMITTEE SHALL UNDERTAKE THE RESPONSIBILITY FOR BOARD EDUCATION AND BOARD RETREAT PLANNING. IN ADDITION, THE GOVERNANCE COMMITTEE SHALL COORDINATE WITH MANAGEMENT TO DEVELOP AND IMPLEMENT AN EFFECTIVE ORIENTATION PROGRAM FOR NEW DIRECTORS, INCLUDING ASSIGNMENT OF EXPERIENCED DIRECTORS AS APPROPRIATE MENTORS OF NEW DIRECTORS. 7. REVIEW EMERGING CORPORATE GOVERNANCE ISSUES AND BEST GOVERNANCE PRACTICES AND MAKE APPROPRIATE RECOMMENDATIONS TO THE WELLSPAN HEALTH BOARD OF DIRECTORS; 8. CONDUCT A PERIODIC SELF-EVALUATION OF THE PERFORMANCE OF THE COMMITTEE, INCLUDING ITS EFFECTIVENESS AND COMPLIANCE WITH THIS CHARTER, AND RECOMMEND TO THE WELLSPAN HEALTH BOARD OF DIRECTORS MODIFICATIONS AS APPROPRIATE; 9. THE GOVERNANCE COMMITTEE SHALL MAINTAIN MINUTES OF GOVERNANCE COMMITTEE MEETINGS AND RECORDS OF ITS ACTIVITIES AND SHALL REPORT PROMPTLY TO THE WELLSPAN HEALTH BOARD OF DIRECTORS ANY ACTION TAKEN BY THE GOVERNANCE COMMITTEE, ANY RECOMMENDATIONS OF THE GOVERNANCE COMMITTEE, AND ANY OTHER MATTERS THE GOVERNANCE COMMITTEE DEEMS APPROPRIATE OR THE WELLSPAN HEALTH BOARD OF DIRECTORS REQUESTS. 10. THE GOVERNANCE COMMITTEE SHALL UNDERTAKE SUCH OTHER RESPONSIBILITIES AS THE WELLSPAN HEALTH BOARD OF DIRECTORS MAY DELEGATE OR ASSIGN TO THE GOVERNANCE COMMITTEE FROM TIME TO TIME. THE GOVERNANCE COMMITTEE SHALL BE RESPONSIBLE TO, AND SUBJECT TO THE DIRECTION AND CONTROL OF, THE WELLSPAN HEALTH BOARD OF DIRECTORS. THE WELLSPAN HEALTH BOARD OF DIRECTORS SHALL BE SOLELY RESPONSIBLE FOR DELINEATING THE RESPONSIBILITIES OF THE GOVERNANCE COMMITTEE. THE GOVERNANCE COMMITTEE SHALL PERFORM ONLY SUCH FUNCTIONS AND DUTIES AS SHALL FROM TIME TO TIME BE SPECIFICALLY DELEGATED TO THE GOVERNANCE COMMITTEE BY THE WELLSPAN HEALTH BOARD OF DIRECTORS. THE GOVERNANCE COMMITTEE DOES NOT HAVE DELEGATED AUTHORITY TO TAKE FINAL AND BINDING ACTIONS ON BEHALF OF WELLSPAN HEALTH, AND THEREFORE ANY ACTIONS AND RECOMMENDATIONS OF THE COMMITTEE MUST BE APPROVED BY THE WELLSPAN HEALTH BOARD OF DIRECTORS BEFORE THEY ARE FINAL AND BINDING. IN DISCHARGING ITS ROLE, THE GOVERNANCE COMMITTEE IS EMPOWERED TO INQUIRE INTO ANY MATTER IT CONSIDERS APPROPRIATE TO CARRY OUT ITS RESPONSIBILITIES, WITH ACCESS TO ALL BOOKS, RECORDS, FACILITIES, AND PERSONNEL OF THE WELLSPAN SYSTEM. FORM 990, PART VI, SECTION B, LINE 11B MANAGEMENT PROVIDED AN ELECTRONIC COPY OF THE FORM 990 TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY, PRIOR TO ITS FILING WITH THE IRS. THE ORGANIZATION'S FINANCE MANAGEMENT TEAM PROVIDED A PRESENTATION TO THE AUDIT COMMITTEE ON THE ORGANIZATION'S 990 RETURN. FORM 990, PART VI, SECTION B, LINE 12C OFFICERS, DIRECTORS, AND KEY EMPLOYEES ARE REQUIRED TO COMPLETE A WELLSPAN HEALTH "CONFLICT OF INTEREST DISCLOSURE STATEMENT" QUESTIONNAIRE ANNUALLY. THE INTERNAL AUDIT DEPARTMENT OF WELLSPAN HEALTH ADMINISTERS THE QUESTIONNAIRES. THERE SHALL BE FULL DISCLOSURE BY A DIRECTOR HAVING A BUSINESS OR PERSONAL INTEREST OR RELATIONSHIP WHICH MAY BE IN CONFLICT WITH THE INTERESTS OF THE CORPORATION. AFTER SUCH DISCLOSURE, THE DIRECTOR SHALL ABIDE BY THE DETERMINATION OF THE BOARD OF DIRECTORS AS TO WHETHER A CONFLICT EXISTS, THE EXTENT TO WHICH, IF AT ALL, THE DIRECTOR WILL BE PERMITTED TO BE PRESENT DURING THE BOARD OF DIRECTORS' DISCUSSION OF THE MATTER IN WHICH THE DIRECTOR MAY BE INTERESTED, AND WHETHER THE DIRECTOR WILL BE PERMITTED TO PARTICIPATE IN SUCH DISCUSSION AND CAST A VOTE IN SUCH MATTER. ADDITIONALLY, ALL BOARD MEMBERS, EMPLOYEES, STUDENTS, AND VOLUNTEERS OF WELLSPAN HEALTH AND ITS RELATED ORGANIZATIONS MUST COMPLETE A "CODE OF CONDUCT" FORM TO ACKNOWLEDGE THAT HE OR SHE UNDERSTANDS THAT WE ALL HAVE AN OBLIGATION TO ACT IN WAYS THAT WILL MERIT THE TRUST, CONFIDENCE, AND RESPECT OF THE COMMUNITY WE SERVE, OTHER HEALTH CARE PROVIDERS, AND ALL OF THOSE WITH WHOM WE INTERACT. FORM 990, PART VI, SECTION B, LINE 15B THE PRIMARY PURPOSE OF WELLSPAN HEALTH COMPENSATION COMMITTEE, AS ASSIGNED BY THE WELLSPAN HEALTH BOARD OF DIRECTORS, IS TO REVIEW COMPENSATION PACKAGES OFFERED AND/OR PAID TO SENIOR SYSTEM EXECUTIVES AND PRACTICING PHYSICIANS EMPLOYED WITHIN THE SYSTEM. THE COMPENSATION COMMITTEE SHALL MONITOR AND EVALUATE THE PERFORMANCE OF THE PRESIDENT AND CEO OF WELLSPAN HEALTH AND SHALL, AT LEAST ANNUALLY, COORDINATE THE IN-PERSON PERFORMANCE REVIEW OF THE PRESIDENT AND CEO BY THE WELLSPAN HEALTH BOARD OF DIRECTORS. THE COMPENSATION COMMITTEE SHALL CONSIST OF 5-10 MEMBERS OF THE WELLSPAN HEALTH BOARD OF DIRECTORS, INCLUDING THE CHAIR AND THE VICE CHAIR. EACH COMPENSATION COMMITTEE MEMBER SHALL BE NOMINATED BY THE GOVERNANCE COMMITTEE, AND APPOINTED BY THE WELLSPAN HEALTH BOARD OF DIRECTORS, FOR A TERM OF ONE (1) YEAR. REAPPOINTMENT OF A COMPENSATION COMMITTEE MEMBER FOR MORE THAN ONE (1) TERM IS NOT AUTOMATIC OR PRESUMED AND SHALL BE BASED ON AN INDIVIDUAL PERFORMANCE EVALUATION OF THE COMPENSATION COMMITTEE MEMBER (AS PERFORMED OR OVERSEEN BY THE GOVERNANCE COMMITTEE). THE COMPENSATION COMMITTEE SHALL BE RESPONSIBLE TO, AND SUBJECT TO THE DIRECTION AND CONTROL OF, THE WELLSPAN HEALTH BOARD OF DIRECTORS. THE WELLSPAN HEALTH BOARD OF DIRECTORS SHALL BE SOLELY RESPONSIBLE FOR DELINEATING THE RESPONSIBILITIES OF THE COMPENSATION COMMITTEE. THE COMPENSATION COMMITTEE SHALL PERFORM ONLY SUCH FUNCTIONS AND DUTIES AS SHALL FROM TIME TO TIME BE SPECIFICALLY DELEGATED TO THE COMPENSATION COMMITTEE BY THE WELLSPAN HEALTH BOARD OF DIRECTORS. THE COMPENSATION COMMITTEE DOES NOT HAVE DELEGATED AUTHORITY, AND THEREFORE ANY ACTIONS AND RECOMMENDATIONS OF THE COMMITTEE MUST BE APPROVED BY THE WELLSPAN HEALTH BOARD OF DIRECTORS BEFORE THEY ARE FINAL AND BINDING. IN DISCHARGING ITS ROLE, THE COMPENSATION COMMITTEE IS EMPOWERED TO INQUIRE INTO ANY MATTER IT CONSIDERS APPROPRIATE TO CARRY OUT ITS RESPONSIBILITIES, WITH ACCESS TO ALL BOOKS, RECORDS, FACILITIES, AND PERSONNEL OF THE WELLSPAN SYSTEM. THE FOLLOWING RESPONSIBILITIES ARE SET FORTH AS A GUIDE FOR FULFILLING THE COMPENSATION COMMITTEE'S PURPOSES IN SUCH MANNER AS THE COMMITTEE DETERMINES IS APPROPRIATE: 1. SET, PERIODICALLY REVIEW AND ENSURE COMPLIANCE WITH THE EXECUTIVE COMPENSATION PHILOSOPHY FOR WELLSPAN, IN AN EFFORT TO ATTRACT AND RETAIN HIGH QUALITY EXECUTIVES, WHILE CONSIDERING COMPENSATION OFFERED TO THOSE IN COMPARABLE POSITIONS IN SIMILAR EMPLOYMENT MARKETS AS WELL AS THE SYSTEM'S NEEDS AND FINANCIAL RESOURCES. 2. RECOMMEND APPROVAL OF EXECUTIVE COMPENSATION PROGRAM ELEMENTS (INCENTIVES, SUPPLEMENTAL BENEFITS, ETC.). 3. IN CONJUNCTION WITH THE WELLSPAN HEALTH BOARD OF DIRECTORS, EVALUATE PERFORMANCE AND ESTABLISH COMPENSATION FOR THE PRESIDENT & CEO OF WELLSPAN HEALTH. 4. EVALUATE EXECUTIVE TEAM PERFORMANCE AND ESTABLISH AWARDS. 5. RECOMMEND APPROVAL OF SENIOR EXECUTIVE BASE SALARY RANGES. 6. ALIGN EXECUTIVE COMPENSATION WITH EXECUTIVE TALENT MANAGEMENT AND SUCCESSION. 7. OVERSEE EMPLOYED PHYSICIAN COMPENSATION PROGRAM. 8. THE COMPENSATION COMMITTEE SHALL MAINTAIN MINUTES OF COMPENSATION COMMITTEE MEETINGS AND RECORDS OF ITS ACTIVITIES, AND SHALL REPORT PROMPTLY TO THE WELLSPAN HEALTH BOARD OF DIRECTORS ANY ACTION TAKEN BY THE COMPENSATION COMMITTEE, ANY RECOMMENDATIONS OF THE COMPENSATION COMMITTEE, AND ANY OTHER MATTERS THE COMPENSATION COMMITTEE DEEMS APPROPRIATE TO THE WELLSPAN HEALTH BOARD OF DIRECTORS REQUESTS. 9. THE COMPENSATION COMMITTEE SHALL UNDERTAKE SUCH OTHER RESPONSIBILITIES AS THE WELLSPAN HEALTH BOARD OF DIRECTORS MAY DELEGATE OR ASSIGN TO THE COMPENSATION COMMITTEE FROM TIME TO TIME. THE COMPENSATION COMMITTEE ALSO UTILIZES THE SERVICES OF SULLIVANCOTTER, AN INDEPENDENT, THIRD-PARTY HEALTH CARE COMPENSATION CONSULTANT, TO ALIGN AND STRUCTURE WORKFORCE COMPENSATION AND BENEFIT STRATEGIES THAT SUPPORT ENTERPRISE-WIDE TRANSFORMATION AND BUSINESS PERFORMANCE. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: TRANSFERS TO AFFILIATES -72,116,003. POSTRETIREMENT BENEFIT LIABILITY ADJUSTMENT -75,160. CHANGE IN PENSION -482,889. CHANGE IN FOUNDATION 10,887,256. MEMBER SUBSITUTION ADJUSTMENT -20,334,023. ASSET IMPAIRMENT -82,605,217. 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