SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet Attach to Form 990. MediumBullet See separate instructions.
MediumBullet Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
ENDLESS MOUNTAINS HEALTH SYSTEMS INC
 
Employer identification number

23-2720289
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .
1a
Yes
 
b
If "Yes," was it a written policy? .......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
%
b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: . . . . . . . .
3b
Yes
 
%
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .
5b
Yes
 
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .
5c
 
No
6a
Did the organization prepare a community benefit report during the tax year? . . . . . . . . .
6a
 
No
b
If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .
6b
 
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
 (a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Financial Assistance at cost
(from Worksheet 1) . . . 		    28,050   28,050 0.170 %
b Medicaid (from Worksheet 3, column a) . . . . .     34,295   34,295 0.200 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . .            
d Total Financial Assistance and Means-Tested Government Programs . . . . .     62,345   62,345 0.370 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4).     23,435   23,435 0.140 %
f Health professions education (from Worksheet 5) . . .            
g Subsidized health services (from Worksheet 6) . . . .     284,292 93,021 191,271 1.140 %
h Research (from Worksheet 7) .            
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .     2,000   2,000 0.010 %
j Total. Other Benefits . .     309,727 93,021 216,706 1.290 %
k Total. Add lines 7d and 7j .     372,072 93,021 279,051 1.660 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue 		(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing            
2 Economic development            
3 Community support            
4 Environmental improvements            
5 Leadership development and
training for community members		            
6 Coalition building            
7 Community health improvement advocacy            
8 Workforce development            
9 Other            
10 Total            
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
766,716
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
115,007
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
 
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
 
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
 
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

9b

Yes

 
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(a) Name of entity (b) Description of primary
activity of entity 		(c) Organization's
profit % or stock
ownership % 		(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership % 		(e) Physicians'
profit % or stock
ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)
How many hospital facilities did the organization operate during the tax year?1
Name, address, primary website address, and state license number 		Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital ResearchGrp Facility ER-24Hours ER-Other Other (Describe) Facility reporting group
1 ENDLESS MOUNTAINS HEALTH SYSTEMS INC
3 GROW AVENUE
MONTROSE,PA18801 		X X     X   X      
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
ENDLESS MOUNTAINS HEALTH SYSTEMS INC
Name of hospital facility or facility reporting group  
If reporting on Part V, Section B for a single hospital facility only: line number of
hospital facility (from Schedule H, Part V, Section A) 		1
Yes No
Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)
1 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9....................... 1 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
2 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
3 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted................. 3 Yes  
4 Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities
in Part VI.................................. 		4   No
5 Did the hospital facility make its CHNA report widely available to the public?.............. 5 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
6 If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply
as of the end of the tax year):
a
b
c
d
e
f
g
h
i
7 Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If "No," explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs........... 7   No
8a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ................................ 8a   No
b If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? .......... 8b    
c If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Financial Assistance Policy Yes No
9 Did the hospital facility have in place during the tax year a written financial assistance policy that:
Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 9 Yes  
10 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 10 Yes  
If "Yes," indicate the FPG family income limit for eligibility for free care: 100.000000000000%
If "No," explain in Part VI the criteria the hospital facility used.
11 Used FPG to determine eligibility for providing discounted care?................. 11 Yes  
If "Yes," indicate the FPG family income limit for eligibility for discounted care: 200.000000000000%
If "No," explain in Part VI the criteria the hospital facility used.
12 Explained the basis for calculating amounts charged to patients?................. 12 Yes  
If "Yes," indicate the factors used in determining such amounts (check all that apply):
a
b
c
d
e
f
g
h
i
13 Explained the method for applying for financial assistance?................... 13 Yes  
14 Included measures to publicize the policy within the community served by the hospital facility?........ 14 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
Billing and Collections
15 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?........ 15 Yes  
16 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
17 Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 17 Yes  
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

18 Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):
a
b
c
d
e
Policy Relating to Emergency Medical Care
Yes No
19 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 19 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)
20 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
21 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 21   No
If "Yes," explain in Part VI.
22 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual?.......................... 22   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B.Provide descriptions required for Part V, Section B, lines 1j, 3, 4, 5d, 6i, 7, 10, 11, 12i, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22. If applicable, provide separate descriptions for each facility in a facility reporting group, designated by "Facility A," "Facility B," etc.
Form and Line Reference Explanation
ENDLESS MOUNTAINS HEALTH SYSTEMS, INC. PART V, SECTION B, LINE 3: ENDLESS MOUNTAIN HEALTH SYSTEMS LED A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT(CHNA) TO EVALUATE THE HEALTH NEEDS OF INDIVIDUALS LIVING IN THE HOSPITAL SERVICE AREA WITHIN SUSQUEHANNA COUNTY, PENNSYLVANIA. THE PURPOSE OF THE 2013 ASSESSMENT WAS TO GATHER INFORMATION ABOUT LOCAL HEALTH NEEDS AND HEALTH BEHAVIORS. THE ASSESSMENT EXAMINED A VARIETY OF INDICATORS INCLUDING RISKY HEALTH BEHAVIORS AND CHRONIC HEALTH CONDITIONS.THE CHNA WAS COMPRISED OF BOTH QUANTITATIVE AND QUALITATIVE RESEARCH COMPONENTS. A BRIEF SYNOPSIS OF THE RESEARCH COMPONENTS IS INCLUDED BELOW:QUANTITATIVE DATA:-A SECONDARY STATISTICAL DATA PROFILE DEPICTING POPULATION AND HOUSEHOLD STATISTICS, EDUCATION AND ECONOMIC MEASURES, MORBIDITY AND MORTALITY RATES, INCIDENCE RATES, AND OTHER HEALTH STATISTICS FOR SUSQUEHANNA COUNTY WAS COMPILED.QUALITATIVE DATA:-KEY INFORMANT INTERVIEWS WERE CONDUCTED WITH KEY COMMUNITY LEADERS. IN TOTAL, 28 PEOPLE PARTICIPATED, REPRESENTING A VARIETY OF SECTORS INCLUDING PUBLIC HEALTH AND MEDICAL SERVICES, NON-PROFIT AND SOCIAL ORGANIZATIONS, CHILDREN AND YOUTH AGENCIES, AND THE BUSINESS COMMUNITY. THE ORGANIZATIONS INCLUDED THE FOLLOWING: MONTROSE RESTORATION COMMITTEE, BSST AREA AGENCY ON AGING, SUSQUEHANN COUNTY REDEVELOPMENT AUTHORITY, NEPA COMMUNITY HEALTH CARE, PENN STATE EXTENSION, TREHAB, MONTROSE AREA SCHOOL DISTRICT, UNITED WAY OF SUSQUEHANNA COUNTY, SUSQUEHANNA COUNTY SHERIFF'S OFFICE, SUSQUEHANNA COUNTY CHILDREN & YOUTH SERVICES, COMMUNITY FOUNDATION OF THE ENDLESS MOUNTAINS, MATERNAL & FAMILY HEALTH SERVICES, NHS NORTHEASTERN PA, AND ELK LAKE SCHOOL.COMMUNITY ENGAGEMENT AND FEEDBACK WERE AN INTEGRAL PART OF THE CHNA PROCESS. ENDLESS MOUNTAIN HEALTH SYSTEM SOUGHT COMMUNITY INPUT THROUGH THE KEY INFORMANT INTERVIEWS WITH COMMUNITY STAKEHOLDERS. PUBLIC HEALTH AND HEALTHCARE PROFESSIONALS SHARED KNOWLEDGE AND EXPERTISE ABOUT HEALTH ISSUES, AND LEADERS AND REPRESENTATIVES OF NON-PROFIT AND COMMUNITY-BASED ORGANIZATIONS PROVIDED INSIGHT ON THE COMMUNITY SERVED BY ENDLESS MOUNTAIN HEALTH SYSTEM INCLUDING MEDICALLY UNDERSERVED, LOW INCOME, AND MINORITY POPULATIONS.
ENDLESS MOUNTAINS HEALTH SYSTEMS, INC. PART V, SECTION B, LINE 7: AS NOTED IN PART VI, LINE 2, THE FOUR PRIORITY AREAS IDENTIFIED WERE: ACCESS TO HEALTH CARE, CHRONIC HEALTH ISSUES & CHRONIC HEALTH RISK FACTORS, MENTAL & BEHAVIORAL HEALTH, AND MATERNAL & CHILD HEALTH. ENDLESS MOUNTAINS HEALTH SYSTEMS EXAMINED THE KEY FINDINGS OF THE SECONDARY DATA PROFILE AND THE KEY INFORMANT STUDY TO SELECT COMMUNITY HEALTH PRIORITIES. ENDLESS MOUNTAIN HEALTH SYSTEMS PLANS TO FOCUS COMMUNITY HEALTH IMPROVEMENT EFFORTS ON THE FOLLOWING HEALTH PRIORITIES OVER THE NEXT THREE-YEAR CYCLE: ACCESS TO HEALTH CARE, CHRONIC HEALTH ISSUES & CHRONIC HEALTH RISK FACTORS. WHILE THESE TWO AREAS WERE PRIORITIZED AND ADOPTED BY ENDLESS MOUNTAIN HEALTH SYSTEMS AS PART OF ITS IMPLEMENTATION PLAN, THE HEALTH SYSTEM CONTINUES TO WORK ACROSS THE OTHER IDENTIFIED COMMUNITY NEEDS. AS THE NEEDS IDENTIFIED ARE NOT MUTUALLY EXCLUSIVE FROM ONE ANOTHER, IT IS THE HEALTH SYSTEM'S THOUGHT THAT BY ADEQUATELY ADDRESSING THE TWO PRIORITIZED AREAS, THE OTHER NEEDS WILL BE INDIRECTLY IMPACTED AS WELL.
ENDLESS MOUNTAINS HEALTH SYSTEMS, INC. PART V, SECTION B, LINE 20D: THE FACILITY CHARGES ALL PATIENTS THE SAME AMOUNT. ANY DISCOUNTS ARE APPLIED TO GROSS CHARGES.
ENDLESS MOUNTAINS HEALTH SYSTEMS, INC. PART V, SECTION B, LINE 22: IT IS OUR POLICY TO CHARGE ALL PATIENTS THE SAME RATE REGARDLESS OF INSURANCE OR SELF-PAY STATUS.
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care facilities did the organization operate during the tax year?  
Name and address Type of Facility (describe)
1
2
3
4
5
6
7
8
9
10
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VI
Supplemental Information
Provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Form and Line Reference Explanation
PART I, LINE 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 $284,292.
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 $1,299,519.
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: COST IS BASED ON THE OVERALL COST-TO-CHARGE RATIOS DEVELOPED FROM THE HCFA 2552-96.
PART III, LINE 3: DISCOUNTS AND PAYMENTS ARE NETTED AGAINST ANY CHARGES BEFORE THE ACCOUNT IS WRITTEN OFF TO BAD DEBT.
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: DUE TO EMHS' STATUS AS A CRITICAL ACCESS HOSPITAL (CAH), THERE IS NO SHORTFALL FOR MC REIMBURSEMENT PURPOSES. HCFA 2552-96.
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 MOUNTAIN HEALTH SYSTEMS AND ITS PARTNERS TO TAKE AN IN-DEPTH LOOK AT ITS GREATER COMMUNITY. THE FINDINGS FROM THE ASSESSMENT WERE UTILITZED BY ENDLESS MOUNTAIN HEALTH SYSTEM TO PRIORITIZE PUBLIC HEALTH ISSUES AND DEVELOP A COMMUNITY HEALTH IMPLEMENTATION PLAN FOCUSED ON MEETING COMMUNITY NEEDS. ENDLESS MOUNTAIN 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.A SURVEY WAS CONDUCTED AMONG AREA "KEY INFORMANTS". KEY INFORMANTS WERE DEFINED AS COMMUNITY STAKEHOLDERS WITH EXPERT KNOWLEDGE INCLUDING PUBLIC HEALTH AND HEALTH CARE PROFESSIONALS, SOCIAL SERVICE PROVIDERS, NON-PROFIT LEADERS, BUSINESS LEADERS, FAITH-BASED ORGANIZATIONS, AND OTHER AREA AUTHORITIES.HOLLERAN STAFF WORKED CLOSELY WITH ENDLESS MOUNTAIN HEALTH SYSTEMS TO IDENTIFY KEY INFORMANT PARTICIPANTS AND TO DEVELOP THE KEY INFORMANT SURVEY TOOL. THE QUESTIONNAIRE FOCUSED ON GATHERING QUALITATIVE FEEDBACK REGARDING PERCEPTIONS OF COMMUNITY NEEDS AND STRENGTHS ACROSS 3 KEY DOMAINS:- KEY HEALTH ISSUES- HEALTH CARE ACCESS- CHALLENGES & SOLUTIONSHOLLERAN GATHERED ONLINE QUESTIONNAIRES DURING NOVEMBER AND DECEMBER 2013. STUDY PARTICIPANTS REPRESENTED A VARIETY OF SECTORS INCLUDING PUBLIC HEALTH AND MEDICAL SERVICES, NON-PROFIT AND SOCIAL ORGANIZATIONS, CHILDREN AND YOUTH AGENCIES, FAITH-BASED ORGANIZATIONS, AND THE BUSINESS COMMUNITY. RESULTS REFLECT THE PERCEPTIONS OF SOME COMMUNITY LEADERS, BUT MAY NOT NECESSARILY REPRESENT ALL COMMUNITY LEADERS WITHIN THE SUSQUEHANNA COUNTY COMMUNITY.THE FIRST SECTION OF THE SURVEY FOCUSED ON THE KEY HEALTH ISSUES FACING THE COMMUNITY. INDIVIDUALS WERE ASKED TO SELECT THE TOP FIVE HEALTH ISSUES THAT THEY PERCEIVED AS BEING THE MOST SIGNIFICANT. THE FIVE ISSUES THAT WERE MOST FREQUENTLY SELECTED WERE:- OVERWEIGHT/OBESITY- ACCESS TO HEALTHCARE- CANCER- MENTAL HEALTH/SUICIDE- SUBSTANCE ABUSE/ALCOHOL ABUSETHE SECOND SECTION OF THE SURVEY CONCERNED THE ABILITY OF LOCAL RESIDENTS TO ACCESS HEALTH CARE SERVICES SUCH AS PRIMARY CARE PROVIDERS, MEDICAL SPECIALISTS, DENTISTS, TRANSPORTATION, MEDICAID PROVIDERS, AND BILINGUAL PROVIDERS.AFTER RATING AVAILABILITY OF HEALTH CARE SERVICES, THE INFORMANTS WERE ASKED ABOUT THE MOST SIGNIFICANT BARRIERS THAT KEEP PEOPLE IN THE COMMUNITY FROM ACCESSING HEALTH CARE WHEN THEY NEED IT. THE BARRIERS THAT WERE MOST FREQUENTLY SELECTED WERE:- INABILITY TO PAY OUT OF POCKET EXPENSES (CO-PAYS, PRESCRIPTIONS, ETC.)- LACK OF HEALTH INSURANCE COVERAGE- LACK OF TRANSPORTATIONINFORMANTS WERE THEN ASKED WHETHER THEY THOUGHT THERE WERE SPECIFIC POPULATIONS WHO ARE NOT BEING ADEQUATELY SERVED BY LOCAL HEALTH SERVICES.NEXT, THE INFORMANTS WERE ASKED TO SELECT WHERE THEY THINK MOST UNINSURED AND UNDERINSURED INDIVIDUALS GO WHEN THEY ARE IN NEED OF MEDICAL CARE.IN THE LAST PORTION OF SECTION TWO, RESPONDENTS WERE ASKED TO IDENTIFY KEY RESOURCES OR SERVICES THEY FELT WOULD BE NEEDED TO IMPROVE ACCESS TO HEALTH CARE FOR RESIDENTS IN THE COMMUNITY.THE FINAL SECTION OF THE SURVEY FOCUSED ON CHALLENGES TO MAINTAINING HEALTHY LIFESTYLES, PERCEPTIONS OF CURRENT HEALTH INITIATIVES, AND RECOMMENDATIONS FOR IMPROVING THE HEALTH OF THE COMMUNITY. WHEN ASKED WHAT CHALLENGES PEOPLE IN THE COMMUNITY FACE IN TRYING TO MAINTAIN HEALTHY LIFESTYLES LIKE EXERCISING AND EATING HEALTHY, PARTICIPANTS SUGGESTED THE FOLLOWING COMMON CHALLENGES:- COST/ACCESS- EDUCATION/KNOWLEDGE- TIME/CONVENIENCE- MOTIVATION/EFFORTIN CONCLUSION, WHILE THE RESEARCH COMPONENTS FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT YIELD DIFFERENT PERSPECTIVES AND INFORMATION, SOME COMMON THEMES EMERGED. THE FOLLOWING LIST OUTLINES KEY HEALTH ISSUES THAT WERE IDENTIFIED:- ACCESS TO HEALTH CARE- CHRONIC HEALTH ISSUES & CHRONIC HEALTH RISK FACTORS- MENTAL & BEHAVIORAL HEALTH- MATERNAL & CHILD HEALTH
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 AND PARTS OF WYOMING, BRADFORD, LACKAWANNA COUNTIES IN PENNSYLVANIA AS WELL AS PORTIONS OF BROOME COUNTY NY. SUSQUEHANNA COUNTY'S POPULATION OF OVER 65 RESIDENTS IS 18.3% WITH 11.9% OF THE RESIDENTS LIVING BELOW THE POVERTY LEVEL (BASED ON 2013 US DEPARTMENT OF HEALTH AND HUMAN SERVICES).
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: N/A
PART VI, LINE 7, REPORTS FILED WITH STATES PA
SCHEDULE H, PART VI, IMPLEMENTATION PLAN ENDLESS MOUNTAINS HEALTH SYSTEMS' IMPLEMENTATION STRATEGY ILLUSTRATES THE HOSPITAL'S SPECIFIC PROGRAMS AND RESOURCES THAT WILL SUPPORT ONGOING EFFORTS TO ADDRESS THE IDENTIFIED COMMUNITY HEALTH PRIORITIES. THIS WORK WILL BE SUPPORTED BY COMMUNITY-WIDE EFFORTS AND LEADERSHIP FROM THE EXECUTIVE TEAM AND BOARD OF DIRECTORS. THE GOAL STATEMENTS, RELATED OBJECTIVES AND STRATEGIES, AND INVENTORY OF EXISTING COMMUNITY ASSETS AND RESOURCES FOR EACH OF THE FOUR PRIORITY AREAS ARE LISTED BELOW.PRIORITY ISSUE GOAL: INCREASE PROVIDERS OF PRIMARY AND SPECIATLY CARE TO CREATE ADDITIONAL ACCESS FOR INDIVIDUALS WHO HAVE BARRIERS TO ACCESS. ALSO INCREASE ACCESS TO COUNSELING FOR HEALTHCARE COVERAGE.OBJECTIVES:- RECRUIT PRIMARY CARE PROVIDER(S) TO REDUCE THE RATIO OF PROVIDERS TO POPULATION. - INCREASE ACCESS TO INFORMATION AND COUNSELING FOR UNINSURED RESIDENTS BY PROVIDING ADDITIONAL COUNSELING RESOURCES.KEY INDICATORS:- REDUCE PRIMARY CARE PHYSICIAN DENSITY FROM THE CURRENT RATE OF 2,887:1 TO A RATE OF 2,393:1 WITHIN 18 MONTHS BY THE ADDITION OF TWO PRIMARY CARE PROVIDERS.- PROVIDE APPLICATION COUNSELING AND ASSISTANCE TO UNINSURED RESIDENTS AT LEAST EIGHT HOURS PER WEEK. STRATEGIES:- RECRUIT ADDITIONAL PRIMARY CARE PROVIDERS AND UTILIZE MID-LEVEL PROVIDERS IN THE DELIVERY OF PRIMARY CARE SERVICES. UTILIZE THE HPSA DESIGNATION AS A RECRUITING TOOL FOR NHSC PROVIDERS.- PARTNER WITH REGIONAL FQHC TO PROVIDE CERTIFICED APPLICATION COUNSELORS TO INDIVIDUALS WHO ARE WITHOUT INSURANCE SO THAT THEY MAY TAKE ADVANTAGE OF GOVERNMENT PROGRAMS.PRIORITY ISSUE GOAL: REDUCE OBESITY PREVALENCE WITHIN THE COMMUNITYOBJECTIVES:- PROVIDE COUNSELING TO THOSE INDIVIDUALS IDENTIFIED AS BEING OBESE USING THE SUSQUEHANNA COUNTY OBESITY REDUCTION EFFORT (SCORE)FORMAT. - WORK WITH PRIMARY CARE PROVIDERS TO IDENTIFY RESIDENTS WHO WOULD BENEFIT FROM SCORE.KEY INDICATORS:- PROVIDE AT LEAST ONE SCORE CLASS QUARTERLY WITH A MINIMUM OF SEVEN PARTICIPANTS.- ATTAIN A SUCCESSFUL COMPLETION RATE OF THE PROGRAM OF AT LEAST 80 PERCENT.STRATEGIES:- PROVIDE PHYSICIAN EDUCATION AND COLLABORATION WITH SCORE PROGRAM PERSONNEL TO IDENTIFY, REFER, AND MONITOR PROGRESS OF RESIDENTS IDENTIFIED AS BING OBESE.- CONDUCT PUBLIC OUTREACH ON THE HELATH IMPACT OF OBESITY AND SEEK SELF REFERRAL TO THE SCORE PROGRAM.
Schedule H (Form 990) 2013
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