2025-11-17T09:53:35-06:00 2024-12-31 390859910 BAKER TILLY ADVISORY GROUP LP 1570 FRUITVILLE PIKE SUITE 400 LANCASTER PA 17601 990 2024-01-01 232720289 ENDLESS MOUNTAINS HEALTH SYSTEMS INC ENDL 5702783801 100 HOSPITAL DRIVE MONTROSE PA 18801 LOREN STONE CHIEF EXECUTIVE OFFICER 5702783801 2025-11-16 1 1 KERRI N BOGDA P00760402 7177404863 2025-11-16 2024 2025-03-06 01:10:19Z LOREN STONE 100 HOSPITAL DRIVE MONTROSE PA 18801 21049393 0 X WWW.ENDLESSCARE.ORG X 1992 PA OPERATES A NOT-FOR-PROFIT ACUTE CARE HOSPITAL LOCATED IN MONTROSE, PENNSYLVANIA. 12 9 266 11 536505 0 351460 557388 21319827 19313383 293117 242021 810700 852755 22775104 20965547 0 0 0 0 10592075 10181779 0 0 0 14707472 15881458 25299547 26063237 -2524443 -5097690 34453341 28669749 25763780 25017169 8689561 3652580 X THE ENDLESS MOUNTAINS HEALTH SYSTEMS ("EMHS") IS A NOT-FOR-PROFIT CORPORATION COMMITTED TO THE OPERATION AND DEVELOPMENT OF A HEALTH SYSTEM WHICH WILL PROVIDE OPTIMUM CARE WITHIN THE SCOPE OF ITS ABILITIES. CONTINUED ON SCHEDULE O.THE KEY ELEMENTS IN THE EMHS PROCESS ARE QUALITY, SERVICE, SAFETY, COST, FLEXIBILITY, AND ACCESS. 0 0 22542475 0 19313383 OPERATED A NOT-FOR-PROFIT ACUTE CARE HOSPITAL WHICH PROVIDES INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES. DURING THE YEAR ENDED DECEMBER 31, 2024, PATIENT DAYS WERE 1,711, OUTPATIENT VISITS WERE 21,161 AND EMERGENCY DEPARTMENT VISITS WERE 8,253.EMHS ALSO PROVIDED CHARITY CARE TO PATIENTS WHO MET CERTAIN CRITERIA. COST OF CHARGES FORGONE FOR SERVICES RENDERED AND SUPPLIES FURNISHED UNDER THE CHARITY CARE POLICY AMOUNTED TO APPROXIMATELY $10,873 IN 2024. 22542475 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 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 12 0 266 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 12 9 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 PA X LOREN STONE CEO 5702783801 100 HOSPITAL DRIVE MONTROSE PA 18801 LYNN JOINES DIRECTOR 1.00 1.00 X 0 0 0 REXFORD CATLIN CHAIRMAN 2.00 1.00 X X 0 0 0 ERIC LEWIS VICE CHAIRMAN 1.00 0.00 X X 0 0 0 CHRIS CATERSON SECRETARY/TREASURER 10.00 0.00 X X 0 0 0 BARRY BERKOWITZ DIRECTOR 1.00 1.00 X 0 0 0 ROGER DOOLITTLE DIRECTOR 1.00 1.00 X 0 0 0 JOSEPH SPEICHER DO DIRECTOR/PHYSICIAN 50.00 0.00 X 235983 0 0 IHAB DANA MD DIRECTOR/PHYSICIAN 50.00 0.00 X 710811 0 0 LARRY SOUDER DIRECTOR 1.00 0.00 X 0 0 0 ROBERT HOUSEL DIRECTOR 2.00 0.00 X 0 0 0 JENNIFER BUTTON-WELLER DIRECTOR 1.00 0.00 X 0 0 0 LOREN STONE CHIEF EXECUTIVE OFFICER 49.00 1.00 X X 132581 0 17867 MARY MUSHALA CHIEF NURSING OFFICER 40.00 0.00 X 112993 0 7408 SHERRI ARNOLD DIR ANCILLARY SERVICES 40.00 0.00 X 113872 0 291 CARL ZUKUS CRNA 40.00 0.00 X 137875 0 4221 ANNA TEETER RN 40.00 0.00 X 145434 0 7571 VICTORIJA PAOLUCCI RN 37.50 0.00 X 201280 0 5316 1790829 0 42674 6 0 1 0 HASSAN KHALIL MD 100 HOSPITAL DRIVE MONTROSE PA 18801 MEDICAL SERVICES 714534 IHAB DANA MD 100 HOSPITAL DRIVE MONTROSE PA 18801 MEDICAL SERVICES 710811 SHASHANK BHATT MD 100 HOSPITAL DRIVE MONTROSE PA 18801 MEDICAL SERVICES 331261 KHALIFE PHARMACY SERVICES 100 HOSPITAL DRIVE MONTROSE PA 18801 PHARMACY SERVICES 236940 JOSEPH SPEICHER MD 100 HOSPITAL DRIVE MONTROSE PA 18801 MEDICAL SERVICES 235983 5 300000 239888 17500 557388 NET PATIENT SVC REV 623000 19313383 19313383 19313383 241809 241809 45260 45260 48946 83846 -34900 -34900 -34900 212 0 212 212 212 RETAIL PHARMACY REVENUE 456110 536505 536505 MA MODERNIZATION 624310 199277 199277 CAFETERIA REVENUE 722514 57398 57398 49215 49215 842395 20965547 19313383 536505 558271 X 150448 150448 7878370 6774727 1103643 1551879 1018229 533650 601082 394386 206696 1588 1588 5138889 5115542 23347 1340 1191 149 270662 240595 30067 622625 553459 69166 484394 421269 63125 810345 623814 186531 1724688 1241775 482913 533929 417006 116923 PHARMACEUTICAL 2222178 1975320 246858 MEDICAL SUPPLIES 1944757 1745052 199705 BAD DEBT EXPENSE 1159575 1159575 REPAIRS & MAINTENANCE 369682 328615 41067 596806 530332 66474 26063237 22542475 3520762 0 365 365 7457824 4424141 2207276 2050785 564061 615390 300174 291368 44145205 28258911 17432774 15886294 1355844 1400709 275838 216711 4859185 3783986 34453341 28669749 1671958 1549814 689092 689092 21336595 20899398 50008 10232 2016127 1868633 25763780 25017169 X 8477744 3200875 211817 451705 8689561 3652580 34453341 28669749 X -5097690 1727 58982 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 1588 1588 0 PART II-B, LINE 1: ENDLESS MOUNTAINS HEALTH SYSTEMS PAYS DUES TO ORGANIZATIONS, A PORTION OF WHICH IS ALLOCATED FOR LOBBYING EXPENSES. 85893 85893 33001814 19119552 13882262 10827919 9105523 1722396 229579 33836 195743 15886294 ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS 3283986 INSURANCE RECOVERIES RECEIVABLE 500000 3783986 WORKING CAPITAL ADVANCE 728830 FINANCE LEASE OBLIGATION 147296 ACCRUED MALPRACTICE LIABILITY 500000 DUE TO RELATED PARTY 247035 OTHER LIABILITIES 28761 OPERATING LEASE, RIGHT OF USE ASSET 216711 1868633 X 19950527 1727 -1100593 -1098866 21049393 -83846 -83846 20965547 24987508 83846 83846 24903662 1159575 1159575 26063237 PART X, LINE 2: THE CORPORATION AND FOUNDATION ACCOUNT FOR UNCERTAINTY IN INCOME TAXES USING A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD HAS BEEN MET. MANAGEMENT DETERMINED THAT THERE WERE NOT TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2024 AND 2023. PART XI, LINE 2D - OTHER ADJUSTMENTS: BAD DEBT EXPENSES NETTED AGAINST REVENUE ON FINANCIALS -1,159,575. OTHER NET ASSET ACTIVITY 58,982. PART XI, LINE 4B - OTHER ADJUSTMENTS: RENTAL EXPENSES -83,846. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 83,846. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSES NETTED AGAINST REVENUE ON FINANCIALS 1,159,575. 1 1 1 X 1 X 1 1 0 0 8810 8810 0.00040 8810 8810 0.00040 7532 7532 0.00030 529727 167590 362137 0.01450 5285 5285 0.00020 542544 167590 374954 0.01500 551354 167590 383764 0.01540 1 1143042 124592 3291028 3291028 X 1 1 1 1 ENDLESS MOUNTAINS HEALTH SYSTEMS INC 100 HOSPITAL DRIVE MONTROSE PA 18801 WWW.ENDLESSCARE.ORG 136701 X X X X ENDLESS MOUNTAINS HEALTH SYSTEMS INC 1 0 0 1 X X X X X X X X X 22 1 0 0 1 X HTTPS://WWW.ENDLESSCARE.ORG/ X 1 22 1 HTTPS://WWW.ENDLESSCARE.ORG/ 0 1 X 100.000000000000 200.000000000000 X 1 1 X X X 1 X ENDLESSCARE.ORG/FINANCIAL-ASSISTANCE X ENDLESSCARE.ORG/FINANCIAL-ASSISTANCE X ENDLESSCARE.ORG/FINANCIAL-ASSISTANCE X X X X X X 1 X 0 X X X X 1 X 0 0 ENDLESS MOUNTAINS HEALTH SYSTEMS, INC. PART V, SECTION B, LINE 5: EVERY THREE YEARS, EMHS CONDUCTS A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) TO BETTER UNDERSTAND AND RESPOND TO THE HEALTH AND WELLNESS CONCERNS FOR OUR COMMUNITY. THE 2022 CHNA BUILDS UPON PREVIOUS ASSESSMENTS AND WILL CONTINUE TO GUIDE OUR COMMUNITY BENEFIT AND COMMUNITY HEALTH IMPROVEMENT EFFORTS. CONSISTENT WITH PREVIOUS ASSESSMENTS, THE 2022 CHNA FOCUSED ON THE HEALTH NEEDS OF ALL RESIDENTS OF SUSQUEHANNA COUNTY.THE 2022 CHNA INCLUDED QUANTITATIVE RESEARCH METHODS AND COMMUNITY CONVERSATIONS TO DETERMINE HEALTH TRENDS AND DISPARITIES AFFECTING SUSQUEHANNA COUNTY RESIDENTS. THROUGH A COMPREHENSIVE VIEW OF STATISTICAL HEALTH INDICATORS AND COMMUNITY STAKEHOLDER FEEDBACK, A PROFILE OF PRIORITY AREAS WAS DETERMINED. THE FINDINGS WILL GUIDE HEALTHCARE SERVICES AND HEALTH IMPROVEMENT EFFORTS, AS WELL AS SERVE AS A COMMUNITY RESOURCE FOR GRANT MAKING, ADVOCACY, AND TO SUPPORT THE MANY PROGRAMS PROVIDED BY HEALTH AND SOCIAL SERVICE PARTNERS.COMMUNITY ENGAGEMENT WAS AN INTEGRAL PART OF THE 2022 CHNA. IN ASSESSING COMMUNITY HEALTH NEEDS, INPUT WAS SOLICITED AND RECEIVED FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY, AS WELL AS UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. THESE INDIVIDUALS PROVIDED WIDE PERSPECTIVES ON HEALTH TRENDS, EXPERTISE ABOUT EXISTING COMMUNITY RESOURCES AVAILABLE TO MEET THOSE NEEDS, AND INSIGHTS INTO SERVICE DELIVERY GAPS THAT CONTRIBUTE TO HEALTH DISPARITIES AND INEQUITIES.THE FOLLOWING RESEARCH METHODS WERE USED TO DETERMINE COMMUNITY HEALTH NEEDS:- AN ANALYSIS OF EXISTING SECONDARY DATA SOURCES, INCLUDING PUBLIC HEALTH STATISTICS, DEMOGRAPHIC AND SOCIAL MEASURES, AND HEALTHCARE UTILIZATION- AN ONLINE KEY STAKEHOLDER SURVEY WITH COMMUNITY REPRESENTATIVES TO SOLICIT INFORMATION ABOUT LOCAL HEALTH NEEDS AND OPPORTUNITIES FOR IMPROVEMENT- CONVERSATIONS WITH EMHS LEADERS TO ALIGN COMMUNITY HEALTH PLANNING WITH POPULATION HEALTH MANAGEMENT STRATEGIES, INCLUDING THE PENNSYLVANIA RURAL HEALTH MODEL ENDLESS MOUNTAINS HEALTH SYSTEMS, INC. PART V, SECTION B, LINE 11: ENDLESS MOUNTAINS HEALTH SYSTEMS DEVELOPED A THREE-YEAR COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) TO GUIDE COMMUNITY BENEFIT AND POPULATION HEALTH IMPROVEMENT ACTIVITIES ACROSS SUSQUEHANNA COUNTY. THE CHIP BUILDS UPON PREVIOUS HEALTH IMPROVEMENT ACTIVITIES, WHILE RECOGNIZING NEW HEALTH NEEDS IDENTIFIED IN THE 2022 CHNA, A CHANGING HEALTHCARE ENVIRONMENT, AND THE MYRIAD IMPACTS OF THE COVID-19 PANDEMIC.THE INTENT OF THE CHIP IS TO BE RESPONSIVE TO COMMUNITY NEEDS AND EXPECTATIONS AND CREATE A PLAN THAT CAN BE EFFECTIVELY EXECUTED TO LEVERAGE HOSPITAL RESOURCES, AS WELL AS COMMUNITY PARTNERS. THE 2022-2025 CHIP WILL ADDRESS THE PRIORITY AREAS OF DIABETES AND OBESITY AND MENTAL WELL-BEING. STRATEGIES AND INITIATIVES TO ADDRESS THESE AREAS WILL TARGET ACCESS TO CARE BARRIERS AS A CROSS-CUTTING ISSUE, AS WELL AS NEEDS AMONG POPULATIONS PLACED AT RISK, INCLUDING OLDER ADULTS AND YOUTH.PRIORITY AREA: DIABETES AND OBESITYGOAL: INCREASE EARLY DETECTION OF DIABETES AND OBESITY AND PROMOTE EVIDENCE-BASED CARE TO PREVENT ANDMANAGE THESE CONDITIONS.OBJECTIVES: INCREASE ACCESS TO CHRONIC DISEASE EDUCATION AND HEALTH PROMOTION, AND PARTICIPATION AMONG POPULATIONS PLACED AT RISK.INITIATIVES:- PROVIDE THE ENDLESS WEIGHS TO HEALTH PROGRAM FOR COMMUNITY-BASED HEALTHY LIFESTYLE EDUCATION- PROVIDE WALK WITH A DOC, PAIRING DISCUSSIONS ON TIMELY HEALTH TOPICS AND WELLNESS WALKS- SUPPORT AND SPONSOR COMMUNITY-BASED PRESENTATIONS AND EVENTS TO PROMOTE WELLNESS- EXPLORE PARTNERSHIPS WITH SCHOOLS AND SENIOR SERVICE PROVIDERS TO REACH POPULATIONS PLACED AT RISKOBJECTIVES: INCREASE ACCESS TO TRADITIONAL AND ALTERNATIVE (COMMUNITY- AND TECHNOLOGYBASED) PLACES PEOPLE CAN ACCESS HEALTHCARE.INITIATIVES:- OFFER AND/OR EXPAND TELEHEALTH FOR PRIMARY AND SPECIALTY CARE AND INCREASE DIGITAL EQUITY TO ACCESS SERVICES (PATIENT DEVICE ACCESS AND KNOW-HOW)- CONTINUE RECRUITMENT EFFORTS FOR PRIMARY CARE PROVIDERS- PARTNER WITH AREA HEALTHCARE PROVIDERS TO IDENTIFY AND ADDRESS SPECIALTY CARE DELIVERY GAPSOBJECTIVES: INCREASE FOOD SECURITY AMONG RESIDENTS.INITIATIVES:- PROVIDE A MONTHLY MOBILE FOOD PANTRY- CONDUCT SOCIAL DETERMINANTS OF HEALTH SCREENINGS AMONG PATIENTS, AND FACILITATE REFERRALS TO UNITED WAY 2-1-1 AND/OR AREA SOCIAL SERVICE PROVIDERSOBJECTIVES: IMPROVE CARE MANAGEMENT AND COORDINATION FOR INDIVIDUALS WITH DIABETES.INITIATIVES:- PARTICIPATE IN THE PENNSYLVANIA RURAL HEALTH MODEL TO PROVIDE PATIENT AND STAFF EDUCATION, BETTER CARE FOR PATIENTS WITH SOCIAL NEEDS AND OTHER RISK FACTORS, AND IMPLEMENT POST-DISCHARGE PROCESSES FOR CARE MANAGEMENT- TRAIN NURSING STAFF ON THE MOST CURRENT EVIDENCE-BASED DIABETES TREATMENT PRACTICESOBJECTIVES: IMPROVE SELF-MANAGEMENT SKILLS FOR INDIVIDUALS WITH OBESITY AND/OR DIABETES.INITIATIVES:- OFFER FREE MONTHLY DIABETES MANAGEMENT CLASS LED BY A CERTIFIED DIABETES EDUCATOR- PROVIDE NUTRITION COUNSELING AND SCIENCE-BASED WEIGHT MANAGEMENT CLASSESPRIORITY AREA: MENTAL WELL-BEINGGOAL: STRENGTHEN OPPORTUNITIES TO BUILD WELL-BEING ACROSS THE LIFESPAN.OBJECTIVES: INCREASE PARTICIPATION IN MENTAL HEALTH AND WELLNESS ACTIVITIES, TARGETING POPULATIONS PLACED AT RISK.INITIATIVES:- SUPPORT AND SPONSOR COMMUNITY-BASED PRESENTATIONS AND EVENTS TO PROMOTE WELLNESS- SUPPORT SCHOOL INITIATIVES TO PROVIDE ENGAGEMENT AND ENRICHMENT ACTIVITIES, AND TO DEVELOP SOLUTIONS FOR YOUTH MENTAL HEALTH SERVICES- EXPLORE PARTNERSHIPS WITH SENIOR SERVICE PROVIDERS TO SUPPORT SOCIAL ENGAGEMENT OPPORTUNITIES AND CONNECT OLDER ADULT PATIENTS WITH AVAILABLE SERVICESOBJECTIVES: INCREASE ACCESS TO TRADITIONAL AND ALTERNATIVE (COMMUNITY- AND TECHNOLOGYBASED) PLACES PEOPLE CAN ACCESS MENTAL HEALTHCARE.INITIATIVES:- PARTNER WITH COMMUNITY-BASED PROVIDERS FOR CRISIS SERVICES AND WARM HANDOFF REFERRALS FOR PATIENTS SEEN IN THE ED- PROVIDE ONSITE PSYCHIATRIC CONSULTATIONS IN PARTNERSHIP WITH COMMUNITY-BASED PROVIDERS- EXPLORE TELEHEALTH SERVICES FOR MENTAL HEALTHCARE- CONDUCT SOCIAL DETERMINANTS OF HEALTH SCREENINGS AMONG PATIENTS, AND FACILITATE REFERRALS TO UNITED WAY 2-1-1 AND/OR AREA SOCIAL SERVICE PROVIDERSOBJECTIVES: INCREASE ACCESS TO TREATMENT SERVICES FOR CO-OCCURRING SUBSTANCE USE DISORDERS.INITIATIVES:- PROVIDE A DRUG AND ALCOHOL ADDICTION TREATMENT CENTER, OFFERING MEDICATION ASSISTED TREATMENT AND REFERRALS FOR COMMUNITY-LEVEL SOCIAL SUPPORTS- PROVIDE A CERTIFIED PEER RECOVERY SPECIALIST EMBEDDED IN THE ED TO SUPPORT INDIVIDUALS WITH SUBSTANCE USE DISORDER- PROVIDE ADULT TOBACCO CESSATION CLASSES- REFER PATIENTS TO PA FREE QUITLINE FOR FREE TOBACCO CESSATION SERVICES AND NICOTINE REPLACEMENT THERAPY PART V, SECTION B, LINE 16I: EMHS DOES NOT HAVE AN LEP POPULATION WITHIN ITS SERVICE AREA, THEREFORE, THE FAP POLICY, APPLICATION, AND SUMMARY, ARE ONLY REQUIRED TO BE IN ENGLISH. PART I, LINE 7: GLOBAL COST TO CHARGE RATIO WAS UTILIZED TO COMPUTE COST OF CHARITY CARE PROVIDED. ALLOWABLE COST DIVIDED BY TOTAL CHARGES. PART I, LINE 7G: INCLUDED IN THE SUBSIDIZED HEALTH SERVICES ARE COSTS ATTRIBUTABLE TO A PHYSICIAN CLINIC. TOTAL PHYSICIAN CLINIC COSTS WERE $529,727 PART I, LN 7 COL(F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $1,159,575 PART II, COMMUNITY BUILDING ACTIVITIES: EMHS AND ITS STAFF SUPPORT LOCAL HEALTH SERVICE AND COMMUNITY SERVICE PROJECTS. THE STAFF OF EMHS CONTRIBUTE BOTH THEIR TIME AND FINANCIALLY TO THE SUSQUEHANNA COUNTY LIBRARY, AMERICAN CANCER SOCIETY, UNITED WAY, AND OTHER WORTHWHILE CAUSES. EMHS WORKS WITH LOCAL EMS PROVIDERS IN PREPARATION FOR NATURAL DISASTERS AND MASS CASUALTY SITUATIONS. EMHS SUPPORTS THE CRITICAL INCIDENT STRESS MANAGEMENT (CISM) TEAM AND PROVIDED ITS STARTUP TRAINING FUNDING. THE AT-RISK ELDERLY AND LOW-INCOME POPULATIONS OF SUSQUEHANNA COUNTY AND SURROUNDING COUNTIES IS BETTER SERVED BY HAVING EMHS AS A PARTNER WITH MULTIPLE SOCIAL SERVICE, EMERGENCY RESPONSE, AND HUMAN SERVICE AGENCIES. PART III, LINE 2: BAD DEBT EXPENSE IS CALCULATED BASED ON ACTUAL WRITE-OFFS THROUGHOUT THE YEAR AND IS ESTIMATED AT COST USING THE RATIO OF PATIENT CARE COST TO CHARGES. PART III, LINE 3: EMHS ESTIMATED THAT 11% OF THE AMOUNT OF BAD DEBT WOULD BE CONVERTED TO UNCOMPENSATED CARE, IF INDIVIDUALS APPLIED. THIS PERCENTAGE IS BASED ON THE POVERTY LEVEL TAKEN FROM THE US CENSUS. PART III, LINE 4: ACCOUNTS RECEIVABLE, PATIENTS 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 IS ESTIMATED BASED UPON A PERIODIC REVIEW OF THE ACCOUNTS RECEIVABLE AGING, PAYOR CLASSIFICATIONS AND APPLICATION OF HISTORICAL WRITE-OFF PERCENTAGES. PART III, LINE 8: ALLOWABLE COSTS WERE DETERMINED USING THE COST-TO-CHARGE RATIO FROM THE MEDICARE COST REPORT. ANY SHORTFALL IN MEDICARE REIMBURSEMENT UNDER COST IS THE PROVISION OF COMMUNITY BENEFIT TO CONTINUE TO PROVIDE CARE TO MEDICARE BENEFICIARIES. PART III, LINE 9B: COLLECTIONS ARE PURSUED UP TO THE POINT THAT A PATIENT COMPLETES AND IS APPROVED FOR CHARITY CARE. ONCE CHARITY CARE IS APPROVED, NO FURTHER COLLECTION EFFORTS ARE MADE. PART VI, LINE 2: THE COMPLETION OF THE CHNA ENABLED ENDLESS MOUNTAINS HEALTH SYSTEMS AND ITS PARTNERS TO TAKE AN IN-DEPTH LOOK AT ITS GREATER COMMUNITY. THE FINDINGS FROM THE ASSESSMENT WERE UTILIZED BY ENDLESS MOUNTAINS HEALTH SYSTEM TO PRIORITIZE PUBLIC HEALTH ISSUES AND DEVELOP A COMMUNITY HEALTH IMPLEMENTATION PLAN FOCUSED ON MEETING COMMUNITY NEEDS. ENDLESS MOUNTAINS HEALTH SYSTEMS IS COMMITTED TO THE PEOPLE IT SERVES AND THE COMMUNITIES THEY LIVE IN. HEALTHY COMMUNITIES LEAD TO LOWER HEALTH CARE COSTS, ROBUST COMMUNITY PARTNERSHIPS, AND AN OVERALL ENHANCED QUALITY OF LIFE.AN ONLINE KEY STAKEHOLDER SURVEY WAS CONDUCTED WITH COMMUNITY REPRESENTATIVES OF SUSQUEHANNA COUNTY TO SOLICIT INFORMATION ABOUT LOCAL HEALTH NEEDS AND OPPORTUNITIES FOR IMPROVEMENT. COMMUNITY REPRESENTATIVES INCLUDED HEALTHCARE AND SOCIAL SERVICE PROVIDERS; PUBLIC HEALTH EXPERTS; CIVIC, SOCIAL, AND FAITH-BASED ORGANIZATIONS; POLICY MAKERS AND ELECTED OFFICIALS; AND OTHERS REPRESENTING DIVERSE COMMUNITY POPULATIONS.A TOTAL OF 15 INDIVIDUALS RESPONDED TO THE SURVEY. APPROXIMATELY 60% OF STAKEHOLDERS SERVED SUSQUEHANNA COUNTY. OTHER GEOGRAPHIES SERVED BY STAKEHOLDERS INCLUDED LOCAL SCHOOL DISTRICTS (E.G., BLUE RIDGE, MONTROSE, SUSQUEHANNA COMMUNITY), NEIGHBORING COUNTIES (E.G., BRADFORD, SULLIVAN, TIOGA, WAYNE, WYOMING), AND SELECT TOWNSHIPS IN SUSQUEHANNA COUNTY (E.G., MESHOPPEN). MORE THAN HALF OF STAKEHOLDERS SERVED ALL POPULATIONS. AMONG STAKEHOLDERS WHO SERVED SPECIFIC POPULATION GROUPS, THE MOST SERVED POPULATIONS WERE ADOLESCENTS, CHILDREN, AND/OR PEOPLE OR FAMILIES WITH LOW INCOMES OR IN POVERTY.KEY STAKEHOLDERS WERE ASKED A SERIES OF QUESTIONS ABOUT PERCEIVED HEALTH PRIORITIES, PERSPECTIVES ON EMERGING HEALTH TRENDS, INCLUDING COVID-19, AND RECOMMENDATIONS TO ADVANCE COMMUNITY HEALTH IMPROVEMENT STRATEGIES.SEE PART V SECTION B FOR FURTHER INFORMATION ON THE 2022 CHNA. PART VI, LINE 3: PATIENTS ARE INFORMED VIA WRITTEN POSTINGS AT THE INTAKE AREA AND FACE-TO-FACE AND TELEPHONE CONSULTATION WITH FINANCIAL SUPPORT STAFF. PART VI, LINE 4: ENDLESS MOUNTAINS HEALTH SYSTEMS PROVIDES SERVICE TO RESIDENTS OF SUSQUEHANNA COUNTY. SUSQUEHANNA COUNTY IS A RURAL COMMUNITY IN NORTHEAST PENNSYLVANIA. THE COUNTY HAD A TOTAL POPULATION OF 38,434 AS OF THE 2020 CENSUS, A DECLINE OF -11.4% FROM THE 2010 CENSUS. WHILE MOST COUNTY RESIDENTS (94%) IDENTIFY AS WHITE, CONSISTENT WITH PENNSYLVANIA OVERALL, POPULATION GROWTH OCCURRED EXCLUSIVELY AMONG NON-WHITE INDIVIDUALS. THE MULTI-RACIAL POPULATION NEARLY QUADRUPLED FROM THE 2010 CENSUS. SUSQUEHANNA COUNTY IS AN AGING COMMUNITY. NEARLY 24% OF RESIDENTS ARE AGED 65 OR OLDER, AN INCREASE FROM PRIOR YEARS, AND HIGHER THAN STATE AND NATIONAL AVERAGES OF 18% AND 16%, RESPECTIVELY. THE BABY BOOMER GENERATION POPULATION AGED 55 TO 64 IS ALSO HIGHER IN SUSQUEHANNA COUNTY COMPARED TO STATE AND NATIONAL BENCHMARKS, SUGGESTING THAT HEALTH NEEDS AND SUPPORT SERVICES FOR OLDER ADULTS WILL LIKELY CONTINUE TO GROW IN COMING YEARS. WHILE THE COMMUNITY IS AGING, YOUTH UNDER AGE 18 COMPRISE NEARLY 20% OF RESIDENTS, REINFORCING THE POTENTIAL IMPACT OF UPSTREAM, PREVENTIVE INITIATIVES. EDUCATION IS THE LARGEST PREDICTOR OF POVERTY AND ONE OF THE MOST EFFECTIVE MEANS OF REDUCING INEQUALITIES. COMPARED TO THE STATE AND NATION, RESIDENTS IN SUSQUEHANNA COUNTY ARE MORE LIKELY TO HAVE ACHIEVED A HIGH SCHOOL DIPLOMA OR EQUIVALENT, BUT LESS LIKELY TO HAVE HAD COLLEGE EXPERIENCE OR A DEGREE. THE EDUCATION STATISTICS ARE CONSISTENT WITH THE OLDER POPULATION AND MORE PROMINENT BLUE COLLAR WORKFORCE. PART VI, LINE 5: EMHS HAS AN OPEN MEDICAL STAFF, A BOARD COMPOSED OF COMMUNITY MEMBERS FROM THE AREAS IT SERVES, UTILIZES INCOME TO FURTHER ITS PROVISION OF SERVICE AND ABILITY TO INCREASE THE AVAILABILITY OF MEDICAL CARE TO THE COMMUNITY. PART VI, LINE 6: EMHS OPERATES A NOT-FOR-PROFIT ACUTE CARE HOSPITAL WHICH PROVIDES INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES. EMHS ALSO PROVIDES CHARITY CARE TO PATIENTS WHO MEET CERTAIN CRITERIA. THE ONLY AFFILIATED ORGANIZATION IS ENDLESS MOUNTAINS MEDICAL CARE FOUNDATION (EMMCF). EMMCF WAS ESTABLISHED TO SOLICIT CONTRIBUTIONS FROM THE GENERAL PUBLIC SOLELY FOR THE FUNDING OF OPERATIONS AND CAPITAL ACQUISITIONS BY THE HOSPITAL. EMMCF RAISES FUNDS THROUGH A NUMBER OF ACTIVITIES, INCLUDING ANNUAL APPEALS, SPECIAL EVENTS INCLUDING A GOLF TOURNAMENT, MEMORIAL AND TRIBUTE GIVING, PRIVATE AND CORPORATE FOUNDATION GRANTS, AND PLANNED GIVING VEHICLES SUCH AS BEQUESTS. PART VI, LINE 7, REPORTS FILED WITH STATES PA X X X 0 0 0 0 0 0 0 0 0 IHAB DANA MD DIRECTOR/PHYSICIAN 710811 0 0 0 0 0 0 0 0 0 710811 0 0 0 JOSEPH SPEICHER DO DIRECTOR/PHYSICIAN 235983 0 0 0 0 0 0 0 0 0 235983 0 0 0 VICTORIJA PAOLUCCI RN 201280 0 0 0 0 0 0 0 5316 0 206596 0 0 0 ANNA TEETER RN 145434 0 0 0 0 0 0 0 7571 0 153005 0 0 0 LOREN STONE CHIEF EXECUTIVE OFFICER 132581 0 0 0 0 0 0 0 17867 0 150448 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE CEO OF THE HOSPITAL WILL REVIEW THE DRAFT 990 AND THE ENTIRE BOARD WILL RECEIVE AND REVIEW A COPY BEFORE FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C ENDLESS MOUNTAINS HEALTH SYSTEMS REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY BY BEING FAMILIAR WITH ANY CONFLICTS THAT EACH BOARD MEMBER IDENTIFIES ON HIS/HER ANNUAL CONFLICT OF INTEREST STATEMENT. THE EXECUTIVE ADMINISTRATIVE ASSISTANT ENSURES THE COMPLETION OF THE CONFLICT OF INTEREST POLICY BY THE BOARD MEMBERS AND CEO REVIEWS THE COMPLETED FORM AND EVALUATES ANY ISSUES NOTED. EACH BOARD MEMBER IS REQUIRED TO IDENTIFY ANY POTENTIAL CONFLICTS THAT MAY ARISE IN THE COURSE OF THEIR DUTY AS A DIRECTOR AND WILL NOT BE COUNTED AS A VOTE FOR THE ITEM AND WILL BE ASKED TO WITHDRAW FROM THE ROOM AND DISCUSSION AS LONG AS THE ITEM BEING DISCUSSED IS A CONFLICT. FORM 990, PART VI, SECTION B, LINE 15 WAGE SURVEYS OF COMPARABLE FACILITIES ARE USED BY THE BOARD IN DETERMINING EXECUTIVE COMPENSATION. THE ORGANIZATION REVIEWS OTHER CRITICAL ACCESS HOSPITAL 990S AND PA CRITICAL ACCESS WAGE AND SALARY SURVEY. THE ORGANIZATION USES THIS DATA TO DETERMINE FAIR MARKET VALUE OF SALARIES WHEN SALARY INCREASES ARE CONSIDERED AND ALSO AT RANDOM INTERVALS. THE PROCESS IS DOCUMENTED IN THE BOARD MINUTES AND THE EMPLOYEE PERSONNEL FILES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G CONSULTING SERVICES: PROGRAM SERVICE EXPENSES 101,049. MANAGEMENT AND GENERAL EXPENSES 461. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 101,510. CONTRACTED LABOR: PROGRAM SERVICE EXPENSES 1,706,528. MANAGEMENT AND GENERAL EXPENSES 7,789. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,714,317. OUTSIDE SERVICES: PROGRAM SERVICE EXPENSES 441,289. MANAGEMENT AND GENERAL EXPENSES 2,014. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 443,303. PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 1,581,579. MANAGEMENT AND GENERAL EXPENSES 7,218. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,588,797. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 1,285,097. MANAGEMENT AND GENERAL EXPENSES 5,865. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,290,962. FORM 990, PART XI, LINE 9: OTHER NET ASSET ACTIVITY 58,982. ENDLESS MOUNTAINS MEDICAL CARE FOUNDATION 100 HOSPITAL DRIVE MONTROSE PA 18801 232934943 PROVIDES FINANCIAL SUPPORT TO ENDLESS MOUNTAINS HEALTH SYSTEMS, INC. PA 501(C)(3) LINE 12A, I N/A 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0