EPHRATA COMMUNITY HOSPITAL: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization: EPHRATA COMMUNITY HOSPITAL (EIN 23-1370484)
Tax period: 2020-07-01 to 2021-06-30
Filed: 2022-05-13
IRS object ID: 202221339349306487
Schema version: 2020v4.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule D
Schedule F
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2022-05-13T12:41:40-07:00	ReturnTs
Tax Period End	2021-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	135381590	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	WellSpan Health	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	3350 WHITEFORD ROAD	AddressLine1Txt
City	YORK	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	17402	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2020-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	231370484	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	EPHRATA COMMUNITY HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	EPHR	BusinessNameControlTxt
Phone	7178513055	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 2767	AddressLine1Txt
City	YORK	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	17405	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Laura Buczkowski	PersonNm
Person Title	SR VP & CFO	PersonTitleTxt
Signature	2022-05-13	SignatureDt
Discuss With Paid Preparer	false	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	Laura	PersonFirstNm
Person Last	Buczkowski	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	See Attached	PreparerPersonNm
PTIN	P01871563	PTIN
Phone	7038930600	PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	2	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd
Federated Assurance Level	FAL1	FederatedAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2020	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Roxanna Gapstur	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO Box 2767	AddressLine1Txt
City	York	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	174052767	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$276,359,226	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.WELLSPAN.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1940	FormationYr
Legal Domicile State	PA	LegalDomicileStateCd
Activity Or Mission	The Ephrata Community Hospital is a tax-exempt organization dedicated to providing preventive, primary, acute care, diagnostic, and rehabilitative services.	ActivityOrMissionDesc
Voting Members Governing Body	17	VotingMembersGoverningBodyCnt
Voting Members Independent	7	VotingMembersIndependentCnt
Total Employee	1414	TotalEmployeeCnt
Total Volunteers	526	TotalVolunteersCnt
Total Gross UBI	$528,774	TotalGrossUBIAmt
PY Contributions Grants	$5,492,886	PYContributionsGrantsAmt
CY Contributions Grants	$12,341,338	CYContributionsGrantsAmt
PY Program Service Revenue	$218,144,990	PYProgramServiceRevenueAmt
CY Program Service Revenue	$262,660,482	CYProgramServiceRevenueAmt
PY Investment Income	$1,409,255	PYInvestmentIncomeAmt
CY Investment Income	-$200,737	CYInvestmentIncomeAmt
PY Other Revenue	$327,921	PYOtherRevenueAmt
CY Other Revenue	$265,166	CYOtherRevenueAmt
PY Total Revenue	$225,375,052	PYTotalRevenueAmt
CY Total Revenue	$275,066,249	CYTotalRevenueAmt
PY Grants And Similar Paid	$15,647,750	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$15,000,000	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$84,792,491	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$87,319,649	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$141,383,220	PYOtherExpensesAmt
CY Other Expenses	$161,214,929	CYOtherExpensesAmt
PY Total Expenses	$241,823,461	PYTotalExpensesAmt
CY Total Expenses	$263,534,578	CYTotalExpensesAmt
PY Revenues Less Expenses	-$16,448,409	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$11,531,671	CYRevenuesLessExpensesAmt
Total Assets BOY	$154,855,390	TotalAssetsBOYAmt
Total Assets EOY	$172,699,244	TotalAssetsEOYAmt
Total Liabilities BOY	$110,821,578	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$116,044,545	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$44,033,812	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$56,654,699	NetAssetsOrFundBalancesEOYAmt
Mission	The mission of the Ephrata Community Hospital:1)To assure community access to health care services that are high in quality, compassionate and cost-effective.2)To partner with employees, physicians, volunteers, and other health care organizations to meet the health care needs of the communities we serve.3)To combine advanced medical technology with professional, personalized care.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$211,340,455	ExpenseAmt
Grant	$15,000,000	GrantAmt
Revenue	$263,071,329	RevenueAmt
Desc	Ephrata Community Hospital is an acute care hospital providing care for residents of northern Lancaster County and surrounding communities.Program services included inpatient acute, sub-acute, behavioral health, acute rehab and newborn admissions.Additionally, outpatient services include imaging studies (x-ray, ultrasound, MRI, CT, mammography), lab testing, physical, occupational and speech therapy, non-invasive cardiology procedures, including echocardiograms and EKG's, behavioral health counseling, radiation and medical oncology, emergency department visits, and prenatal care through our "Healthy Beginnings Plus" program.See WellSpan Health - 2021 Community Benefit Report located at https://www.wellspan.org/about/wellspan-in-the-community/2021-community-benefit-report/	Desc
Total Program Service Expenses	$211,340,455	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	false	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (true)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	1414	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Form8282 Filed	0	Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Form8899 Filedind	false	Form8899Filedind
Form1098 C Filed	false	Form1098CFiledInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	17	GoverningBodyVotingMembersCnt
Independent Voting Member	7	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	false	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	PA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	DAVID P RIZZUTO	PersonNm
Phone	7178513055	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3350 WHITEFORD ROAD	AddressLine1Txt
City	YORK	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	174029081	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd
Michael O'Connor
Former Director	0.00	40.00	$0	$3,058,887	$208,991
John Porter Jr
Former Director	0.00	40.00	$0	$1,510,410	$316,293
Roxanna Gapstur
Pres & CEO-WSH	1.00	40.00	$0	$1,531,608	$72,560	Yes (X)	Yes (X)
Douglas Arbittier
Former Director	0.00	40.00	$0	$880,492	$86,348
Edward Tadajweski MD
Director	1.00	40.00	$0	$735,560	$66,878	Yes (X)
Carrie Willetts
President	40.00	0.00	$574,522	$0	$60,510	Yes (X)	Yes (X)
Mike Seim
Director	1.00	40.00	$0	$514,458	$44,526	Yes (X)	Yes (X)
Lloyd Goldfarb
Former Director	0.00	40.00	$0	$375,312	$55,266
Ill Chon
VP-Med Affairs	40.00	0.00	$370,247	$0	$57,434
Robert Ortmyer
VP-Operations	40.00	0.00	$266,761	$0	$55,613
Tina Citro
President	40.00	0.00	$254,754	$0	$49,146	Yes (X)	Yes (X)
Steven Thomas
Direct.-Pharm Care	40.00	0.00	$210,415	$0	$52,676
Lauren Fund
Manager-Pharm	40.00	0.00	$205,562	$0	$32,945
Rachel Best
Pharmacist Coord	40.00	0.00	$167,585	$0	$44,730
Laura Buczkowski
SR VP & CFO WSH	1.00	40.00	$0	$55,289	$40,338	Yes (X)	Yes (X)
Christopher Grant PsY D
Director	1.00	0.00	$0	$31,626	$11,718	Yes (X)
Reyna Britton
Secretary	1.00	0.00	$0	$0	$0	Yes (X)
Moniqua Acosta
Director	1.00	0.00	$0	$0	$0	Yes (X)
Carrie Wilson
Director	1.00	0.00	$0	$0	$0	Yes (X)
Robert Funk
Director	1.00	0.00	$0	$0	$0	Yes (X)
Vincent Garcia
Director	1.00	0.00	$0	$0	$0	Yes (X)
Robert Hoffman
Director	1.00	0.00	$0	$0	$0	Yes (X)
Kimberly Kreider Umble
Director	1.00	0.00	$0	$0	$0	Yes (X)
Stephen Lindsey
Director	1.00	0.00	$0	$0	$0	Yes (X)
Roger Zimmerman
Director	1.00	0.00	$0	$0	$0	Yes (X)
Amanda Davis-Buie
Director	1.00	0.00	$0	$0	$0	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,049,846	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$8,693,642	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,255,972	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	7	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
Lancaster Orthopedic Group
231 Granite Run Drive	Lancaster	PA	17601	Orthopedic Care	$545,894
OnSite NeonatalPC
1000 Haddonfield-Berlin Rd	Voorhees	NJ	08047	NICU Physicians	$762,667
Quest Diagnostics
PO Box 912512	Pasadena	CA	911012512	Lab Services	$1,997,656
Anesthesia & Pain Associates
4150 Barrett Blvd	Ephrata	PA	17522	Anesthesia Sevices	$518,821
TransTime Express
11820 Parklawn Drive	Rockville	MD	20852	Delivery Services	$457,718

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	17	CntrctRcvdGreaterThan100KCnt
Related Organizations	$134,398	RelatedOrganizationsAmt
Government Grants	$12,083,749	GovernmentGrantsAmt
All Other Contributions	$123,191	AllOtherContributionsAmt
Total Contributions	$12,341,338	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
Patient Services	621500	$280,001,731	$279,484,957	$516,774
W/O - Bad Debts	621990	-$12,529,817	-$12,529,817
W/O - Free Service	621990	-$4,811,432	-$4,811,432

Field	Value	IRS element (for citing)
Total Program Service Revenue	$262,660,482	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$64,632	TotalRevenueColumnAmt
Exclusion	$64,632	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$425,214	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$1,027,608	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$602,394	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$602,394	TotalRevenueColumnAmt
Exclusion	-$602,394	ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$265,369	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$265,369	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$265,369	TotalRevenueColumnAmt
Exclusion	-$265,369	ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Cafeteria/Cafe	722210	$369,907	$369,907
Other Revenue	900099	$327,138		$327,138
Work First	621300	$49,923		$49,923

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$120,592	TotalRevenueColumnAmt
Related Or Exempt Func Income	$33,786	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$12,000	UnrelatedBusinessRevenueAmt
Exclusion	$74,806	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$867,560	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$275,066,249	TotalRevenueColumnAmt
Related Or Exempt Func Income	$262,554,555	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$528,774	UnrelatedBusinessRevenueAmt
Exclusion	-$358,418	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$15,000,000	TotalAmt
Program Services	$15,000,000	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$303,899	TotalAmt
Program Services	$303,899	ProgramServicesAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$63,373,190	TotalAmt
Program Services	$50,001,001	ProgramServicesAmt
Management And General	$13,372,189	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$3,051,863	TotalAmt
Program Services	$2,410,972	ProgramServicesAmt
Management And General	$640,891	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$15,771,847	TotalAmt
Program Services	$12,459,759	ProgramServicesAmt
Management And General	$3,312,088	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$4,818,850	TotalAmt
Program Services	$3,806,892	ProgramServicesAmt
Management And General	$1,011,958	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$40,626,759	TotalAmt
Program Services	$32,095,140	ProgramServicesAmt
Management And General	$8,531,619	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$2,357	TotalAmt
Management And General	$2,357	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$56,377	TotalAmt
Program Services	$44,538	ProgramServicesAmt
Management And General	$11,839	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$44,832,922	TotalAmt
Program Services	$35,418,008	ProgramServicesAmt
Management And General	$9,414,914	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$11,268	TotalAmt
Program Services	$8,902	ProgramServicesAmt
Management And General	$2,366	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$606,831	TotalAmt
Program Services	$479,396	ProgramServicesAmt
Management And General	$127,435	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$1,783,699	TotalAmt
Program Services	$1,409,122	ProgramServicesAmt
Management And General	$374,577	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$52,126	TotalAmt
Program Services	$41,180	ProgramServicesAmt
Management And General	$10,946	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$22,637	TotalAmt
Program Services	$17,883	ProgramServicesAmt
Management And General	$4,754	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$1,851,652	TotalAmt
Program Services	$1,462,805	ProgramServicesAmt
Management And General	$388,847	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$10,395,958	TotalAmt
Program Services	$8,212,807	ProgramServicesAmt
Management And General	$2,183,151	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$2,069,169	TotalAmt
Program Services	$1,634,644	ProgramServicesAmt
Management And General	$434,525	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Supplies	$45,497,774	$35,943,241	$9,554,533
Repair & Maintenance	$5,689,638	$4,494,814	$1,194,824
Taxes & Licenses	$3,887,026	$3,070,751	$816,275
Utilities	$2,619,875	$2,069,701	$550,174

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,208,861	TotalAmt
Program Services	$955,000	ProgramServicesAmt
Management And General	$253,861	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$263,534,578	TotalAmt
Program Services	$211,340,455	ProgramServicesAmt
Management And General	$52,194,123	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$5,972	BOYAmt
EOY	$5,872	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$5,267,153	BOYAmt
EOY	$5,072,265	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$205,650	BOYAmt
EOY	$140,670	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$23,845,733	BOYAmt
EOY	$33,896,843	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$793,703	BOYAmt
EOY	$710,696	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$3,336,203	BOYAmt
EOY	$3,375,472	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$164,672	BOYAmt
EOY	$343,775	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$232,353,001	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$124,092,730	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$109,228,329	BOYAmt
EOY	$108,260,271	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$5,103,164	BOYAmt
EOY	$8,099,741	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$6,904,811	BOYAmt
EOY	$12,793,639	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$154,855,390	BOYAmt
EOY	$172,699,244	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$5,099,748	BOYAmt
EOY	$6,109,196	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$22,771,374	BOYAmt
EOY	$20,737,734	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$64,776,423	BOYAmt
EOY	$66,204,042	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$18,174,033	BOYAmt
EOY	$22,993,573	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$110,821,578	BOYAmt
EOY	$116,044,545	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$38,317,754	BOYAmt
EOY	$49,691,664	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$5,716,058	BOYAmt
EOY	$6,963,035	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$44,033,812	BOYAmt
EOY	$56,654,699	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$154,855,390	BOYAmt
EOY	$172,699,244	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$11,531,671	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$1,089,216	NetUnrlzdGainsLossesInvstAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$5,716,058	BeginningYearBalanceAmt
Contributions	$205,379	ContributionsAmt
Investment Earnings Or Losses	$1,260,120	InvestmentEarningsOrLossesAmt
Other Expenditures	$218,522	OtherExpendituresAmt
End Year Balance	$6,963,035	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$5,536,811	BeginningYearBalanceAmt
Contributions	$572,485	ContributionsAmt
Investment Earnings Or Losses	-$23,658	InvestmentEarningsOrLossesAmt
Other Expenditures	$369,580	OtherExpendituresAmt
End Year Balance	$5,716,058	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$5,279,246	BeginningYearBalanceAmt
Contributions	$886,687	ContributionsAmt
Investment Earnings Or Losses	-$8,761	InvestmentEarningsOrLossesAmt
Other Expenditures	$620,361	OtherExpendituresAmt
End Year Balance	$5,536,811	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$5,380,692	BeginningYearBalanceAmt
Contributions	$774,279	ContributionsAmt
Investment Earnings Or Losses	$328	InvestmentEarningsOrLossesAmt
Other Expenditures	$876,053	OtherExpendituresAmt
End Year Balance	$5,279,246	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$4,133,170	BeginningYearBalanceAmt
Contributions	$1,506,873	ContributionsAmt
Investment Earnings Or Losses	$21,321	InvestmentEarningsOrLossesAmt
Other Expenditures	$280,672	OtherExpendituresAmt
End Year Balance	$5,380,692	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	0.12300	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.87700	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (true)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (true)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,528,030	OtherCostOrOtherBasisAmt
Book Value	$1,528,030	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$140,303,546	OtherCostOrOtherBasisAmt
Depreciation	$61,757,986	DepreciationAmt
Book Value	$78,545,560	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$9,800,175	OtherCostOrOtherBasisAmt
Depreciation	$7,893,808	DepreciationAmt
Book Value	$1,906,367	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$76,567,898	OtherCostOrOtherBasisAmt
Depreciation	$54,440,936	DepreciationAmt
Book Value	$22,126,962	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,153,352	OtherCostOrOtherBasisAmt
Book Value	$4,153,352	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$108,260,271	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
Bond Issue cots	$368,465
Due from affiliates	$4,859,934
Net Interest in ECHF Assets	$5,761,132
Trust Benef	$785,387

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$12,793,639	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDesc	AmtAmt
Accrd Payroll W/H	$290,599
Accrued Payroll	$2,118,936
Accrued Vacation	$3,833,238
Capital Lease Obligation	$7,838,261
NOTE PAYABLE - WSH	$7,892,427
Total Other Noncurrent Liabili	$1,020,112

Field	Value	IRS element (for citing)
Total Liability	$22,993,573	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$274,588,325	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$1,715,171	NetUnrealizedGainsInvstAmt
Revenue Not Reported	$1,715,171	RevenueNotReportedAmt
Revenue Subtotal	$272,873,154	RevenueSubtotalAmt
Other Revenues Not Included	$2,193,095	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$2,193,095	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$275,066,249	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$248,759,857	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$1,027,608	OtherExpensesIncludedAmt
Expenses Not Reported	$1,027,608	ExpensesNotReportedAmt
Expenses Subtotal	$247,732,249	ExpensesSubtotalAmt
Other Expenses Not Included	$15,802,329	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$15,802,329	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$263,534,578	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part V, Line 4: Intended uses of the endowment fund.	The funds are to be used to improve the health and welfare of the patients of Ephrata Community Hospital.
Part X : FIN48 Footnote	In June 2006, the Financial Accounting Standards Board (FASB) issued Interpretation No. 48, Accounting for Uncertainty in Income Taxes-an interpretation of Fasb Statement No. 109, Accounting for income Taxes (FIN 48), which creates a single model to address uncertainty in tax positions and clarifies the accounting for income taxes by prescribing the minimum recognition threshold a tax position is required to meet before being recognized in the financial statements. Under the requirements of FIN 48, tax-exempt organizations could now be required to record an obligation as a result of a tax position they have historically taken or various tax exposure items. Prior to FIN 48, the determination of when to record a liability for tax exposure was based on whether a liability was considered probable and reasonably estimable in accordance with SFAS No. 5, Accounting for Contingencies. On July 1, 2007, the parent company, WellSpan Health, adopted FIN 48. WellSpan Health determined that it does not have any uncertain tax positions through June 30, 2021.
Part XI, Line 4b: Other revenue amounts included on 990 but not included in F/S	Restricted Contributions(Net) $115719 Revenue netted against expense $802329 Net assets released $247439 Rental Expenses $1027608
Part XII, Line 2d: Other expenses and losses per audited F/S	Rental Expenses $1027608
Part XII, Line 4b: Other revenue amounts included on 990 but not included in F/S	Revenue netted against Expense $802329 Grant-WellSpan Medical Group $15000000

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

Field	Value	IRS element (for citing)
Region	Central America and Carribbean	RegionTxt
Offices	0	OfficesCnt
Employee	0	EmployeeCnt
Type Of Activities Conducted	Investment	TypeOfActivitiesConductedTxt
Region Total Expenditures	$0	RegionTotalExpendituresAmt

Field	Value	IRS element (for citing)
Transfer To Foreign Corp	false	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	false	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	false	PassiveForeignInvestmestCoInd
Foreign Partnership	false	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	300.000000000	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	1188	PersonsServedCnt
Total Community Benefit Expns	$268,932	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$268,932	NetCommunityBenefitExpnsAmt
Total Expense	0.00100	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	27828	PersonsServedCnt
Total Community Benefit Expns	$29,227,933	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$20,957,894	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,270,039	NetCommunityBenefitExpnsAmt
Total Expense	0.03140	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	29016	PersonsServedCnt
Total Community Benefit Expns	$29,496,865	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$20,957,894	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,538,971	NetCommunityBenefitExpnsAmt
Total Expense	0.03240	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	4	ActivitiesOrProgramsCnt
Persons Served	28	PersonsServedCnt
Total Community Benefit Expns	$1,236,084	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$154,769	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,081,315	NetCommunityBenefitExpnsAmt
Total Expense	0.00410	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$631,045	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$150,821	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$480,224	NetCommunityBenefitExpnsAmt
Total Expense	0.00180	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	4	ActivitiesOrProgramsCnt
Persons Served	57	PersonsServedCnt
Total Community Benefit Expns	$148,952	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$148,952	NetCommunityBenefitExpnsAmt
Total Expense	0.00060	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	9	ActivitiesOrProgramsCnt
Persons Served	85	PersonsServedCnt
Total Community Benefit Expns	$2,016,081	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$305,590	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,710,491	NetCommunityBenefitExpnsAmt
Total Expense	0.00650	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	11	ActivitiesOrProgramsCnt
Persons Served	29101	PersonsServedCnt
Total Community Benefit Expns	$31,512,946	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$21,263,484	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,249,462	NetCommunityBenefitExpnsAmt
Total Expense	0.03890	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$190,500	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$190,500	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	85	PersonsServedCnt
Total Community Benefit Expns	$181,938	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$181,938	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	85	PersonsServedCnt
Total Community Benefit Expns	$372,438	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$372,438	NetCommunityBenefitExpnsAmt
Total Expense	0.00140	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$3,035,448	BadDebtExpenseAmt
Bad Debt Expense Attributable	$47,960	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$72,823,471	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$93,624,898	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$20,801,427	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Ephrata Community Hospital	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	169 Martin Avenue	AddressLine1Txt
City	Ephrata	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	17522	ZIPCd

Field	Value	IRS element (for citing)
Website Address	www.wellspan.org	WebsiteAddressTxt
State License	747105	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	Ephrata Community Hospital	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
CHNA Conducted	18	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	www.wellspan.org	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	18	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	www.wellspan.org	StrategyWebsiteURLTxt
Strategy Attached	Yes (true)	StrategyAttachedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	300.0000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	350.0000	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	www.wellspan.org	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	www.wellspan.org	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	www.wellspan.org	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr Prvt	Yes (X)	LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Facility: Ephrata Community Hospital - Part V, Section B, Line 5	The healthcare environment in Lancaster County and its associated historical partnerships has resulted in WellSpan Ephrata Community Hospital participating in two separate Community Health Needs Assessment (CHNA) processes in Lancaster County. First, WellSpan-Ephrata Community Hospital maintained its partnership with Live Well Lancaster and its partner organizations to conduct an ongoing CHNA across the county. Using the Conduent-Healthy Communities Initiative model (HCI), these entities regularly collect available secondary data on diverse topics, including community demographics; health behaviors and conditions; vital statistics, and community conditions (i.e., air and water quality).Public health experts and various community stakeholders review this data and provide comments and recommendations based on county data and the clients they represent. The individuals consulted with represent diverse sectors of the Lancaster County community including: mental health; city and county government; health care organizations; the state health department; nursing homes; public health entities; homeless facilities; pregnancy services; faith-based; low-income service agencies; the local chamber of commerce; chronic disease and health-related organizations (HIV prevention; cancer prevention; immunization), and; racial/ethnic community-based organizations.In addition, to better understand the health needs of its service market, WellSpan Ephrata Community Hospital conducted a CHNA with other WellSpan Health entities across its region, with a focus on the primary market served by WellSpan-Ephrata Community Hospital. Information collected through the CHNA was then shared with diverse community stakeholders to educate about current needs, identify areas of focus, and garner collective support for future strategy development and implementation. Community organizations represented included: Ephrata Area School District; the Northern Lancaster County Chamber of Commerce; Ephrata Community Hospital Foundation; Good Samaritan Shelter; WellSpan Philhaven; WellSpan Medical Group; Cocalico School District; the Northern Lancaster County Hub including Ephrata Area Social Services and Real Life Community Services; the Ephrata Public Library, and Welsh Mountain Federally Qualified Health Center (FQHC).
Facility: Ephrata Community Hospital - Part V, Section B, Line 6a	County-wide CHNA Lancaster Behavioral Health Hospital, Lancaster General Hospital, Lancaster Rehabilitation Hospital, UPMC Lititz, WellSpan Ephrata Community Hospital. Ephrata market-specific CHNA: Gettysburg Hospital (Adams); The Good Samaritan Hospital of Lebanon Pennsylvania; WellSpan Surgery and Rehabilitation Hospital; and York Hospital (York).
Facility: Ephrata Community Hospital - Part V, Section B, Line 11	See attached 2019 WellSpan Health Community Health Improvement Plan, also available online at www.wellspan.org in Community Benefits section.
Facility: Ephrata Community Hospital - Part V, Section B, Line 13h	WellSpan Health is committed to caring for all the members of its communities, regardless of their ability to pay. In recent years, overall charity care has decreased slightly as more people have obtained health insurance coverage through the Affordable Care Act and the expansion of Pennsylvanias Medical Assistance (Medicaid) program. WellSpan is proud to be a leading partner in the Healthy Community Network, which works to address the needs of uninsured and underinsured individuals in our community. In addition, the health system recently enhanced its financial assistance policy and the discounts that it provides on services. For example, if a patients income is less than 300 percent of the federal poverty level, that patient would be eligible for a 100 percent discount on the services provided. Additionally, significant discounts are available for patients whose income is between 300 percent and 350 percent of the federal poverty level. For more information on WellSpans Financial Assistance program, visit www.WellSpan.org/FinancialAssistance.
Facility: Ephrata Community Hospital - Part V, Section B, Line 16j	In an effort to make patients, families and others in our communities aware of the newly expanded Financial Assistance Policy, WellSpan broadly publicized its policy via promotional signage and the distribution of easy-to-read informational materials at registration sites throughout our communities. WellSpan provided information on the Financial Assistance Policy on its billing statements and included information in patient discharge materials. In addition, the materials and information are easily accessible via WellSpans website at www.WellSpan.org/FinancialAssistance. The site reflects WellSpans newly enhanced policy, as well as informational and application materials. It was also publicized via WellSpans on-hold phone messaging system and in its direct-to-consumer community newsletter/magazine, which is distributed by mail, email and on-line. In addition, WellSpan placed posters and signage at its various sites of care to publicize its Financial Assistance Policy. Printed copies of WellSpan Healths entire financial assistance policy and the plain language summary of the policy, both of which are available in English and Spanish, may be obtained at no cost by visiting or calling one of the WellSpan patient financial services offices.The Financial Assistance Policy, Financial Assistance Application and Financial Assistance Policy Plain Language Summary are all available in Spanish.

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (17 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
Ephrata Cancer Center
460 North Reading Road	Ephrata	PA	17522	Medical & Radiology Oncology/Pet Scanning
WellSpan Reading Road Health Center
446 North Reading Road	Ephrata	PA	17522	Imaging/Lab/Occupational Medicine
WellSpan Garden Spot Health Center
435 South Kinzer Avenue	New Holland	PA	17557	Cardiology/Lab/Imaging/Quick Care/Therapy/Occupational Medicine
Ephrata Health Pavilion
175 Martin Avenue	Ephrata	PA	17522	Wound care & Hyperbaric/Women's Center
WellSpan Adamstown Health Center
30 West Swartzville Road	Reinholds	PA	17569	Imaging/Lab
WellSpan Crossroads Health Center
4131 Oregon Pike	Ephrata	PA	17522	Lab/Imaging/Therapy
WellSpan Meadowbrook Health Center
337 West Main Street	Leola	PA	17540	Lab/Imaging/Therapy
WellSpan Brossman Health Center
136 Lake Street	Ephrata	PA	17522	Cardiology/Therapy
Pain Management Center-Ephrata WellSpan Health
4150 Barrett Boulevard	Ephrata	PA	17522	Pain Management & Radiology
WellSpan Rothsville Health Center
2320 Rothsville Road	Lititz	PA	17543	Lab/Pulmonary Rehab
Cornerstone Medical Center
6 West Newport Road	Lititz	PA	17543	Imaging/Lab/Therapy
WellSpan Cocalico Health Center
63-71 West Church Street	Stevens	PA	17578	Therapy/sleep studies/Wellness/Weight Loss
Medical Office Building
157-181 North Reading Road	Ephrata	PA	17522	Cardiology/Health Beginnings Plus
Ephrata Medical Lab-Adamstown
2580 North Reading Road	Adamstown	PA	19501	Lab
Sleep Centers-Lancaster Co - WellSpan Health
217 Granite Run Drive	Lancaster	PA	17603	Sleep Studies
WellSpan Georgetown Road Health Services
1135 Georgetown Road	Christiana	PA	17509	Imaging and Lab
WellSpan Granite Run Health Center
268 Granite Run Drive	Lancaster	PA	17601	Lab/Imaging/Therapy

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 3c - Charity Care Eligibility Criteria (FPG Is Not Used)	Patients 401% of poverty level and greater do not qualify for financial assistance. Patients/guarantors who complete an application for Financial Assistance whose gross income falls between 351-400% of the FPL level and meet all other Financial Assistance qualifications (MAP 118) will be eligible for a 40% discount of self-pay balances.
Part I, Line 6a - Related Organization Community Benefit Report	Community Benefit Information is included in the Community Benefit Report for WellSpan Health.
Part III, Line 2 - Methodology Used To Estimate Bad Debt Expense	The number was calculated using the cost to charge ratio factor applied against actual patient bad debt write-offs. These numbers are included after all efforts have been exhausted to determine if the patient meets our charity care write-off policy based on federal poverty levels.
Part III, Line 3 - Methodology of Estimated Amount & Rationale for Including in Community Benefit	The estimate of bad debt attributable to charity care policy was calculated by dividing the bad debt amount that was originally coded bad debt but later found to qualify as charity care by the amount coded to the charity care write-off codes. This ratio is applied to the bad debt cost factor expense.
Part III, Line 4 - Bad Debt Expense	Ephrata Community Hospital provides an allowance for doubtful accounts for estimated losses resulting from the unwillingness or inability of patients to make payments for services. The allowance is determined by analyzing specific accounts and historical data and trends. Patient accounts receivable are charged off against the allowance for doubtful accounts, when management determines that recovery is unlikely, and ECH ceases collection efforts. Losses have been consistent with management's expectations in all material respects.
Part III, Line 8 - Explanation Of Shortfall As Community Benefit	Ephrata Community Hospital maintains records to identify and monitor the level of charity care and community service it provides. These records include the amount of charges forgone based on established rates for services and supplies furnished under its charity care and community service policies and the estimated cost of these services. Payments from Medicare are generally less than Ephrata Community Hospital's costs of providing the service.
Part III, Line 9b - Provisions On Collection Practices For Qualified Patients	Guidelines for suggested minimum number of phone attempts and letters to be sent before the account is turned over to an outside collection agency are included in the Patient Administrative Services Policy. Upon final PARO (Payment Assistance Rank Ordering) scoring, if a patient qualifies for presumptive charity, their account would not be forwarded to any third party collections. It shall be the policy of Patient Administrative Services to recommend accounts to Bad Debt on a timely basis. Inpatient/Outpatient accounts will go to bad debt automatically after the account has been in the financial class Pending Bad Debt for 30 days. All accounts must follow the approved limits for refunds and write offs, as established in Policy PF-102, before being transferred. The primary agencies will work the accounts for 6 months or until they feel it is uncollectable and return the account. The accounts are forwarded to secondary agencies from the primary agencies Closed and Return Reports. The financial class is changed to Bad Debt Other after the Closed and Return Reports are received from the Secondary Agency. The agencies must get written approval from the manager in the relatively rare instance of legal action being taken to collect the debt.
Part VI, Line 2 - Needs Assessment	As noted, WellSpan-Ephrata Community Hospital participated in the completion of two Community Health Needs Assessments (CHNA) in the 2018 tax year. The first, a county-wide CHNA, was conducted in partnership with Live Well Lancaster and its partner organizations using the Conduent-Healthy Communities Initiative (HCI) model. These entities regularly collect available secondary data on diverse topics including community demographics; health behaviors and conditions; vital statistics, and; community conditions (i.e., air and water quality), and share it with community members through its organizational websites. The current county-wide CHNA may be found on the WellSpan Health website (www.wellspan.org). In addition, results were shared annually shared at the Lancaster Health Summit, a partnership between Live Well Lancaster and the Central PA Business Group on Health.After its affiliation with WellSpan Health, a regional health care system, WellSpan-Ephrata Community Hospital (WECH) also adopted a second, parallel CHNA process to better understand the health needs of its service market specifically. The CHNA marks the second CHNA conducted in this manner. The methodology, analysis and priority setting processes mirror the other WellSpan Health entities regionally. Information collected through the CHNA was then shared with diverse community stakeholders to educate about current needs, identify areas of focus, and garner collective support for future strategy development and implementation. Community organizations represented included: Ephrata Area School District; the Northern Lancaster County Chamber of Commerce; Ephrata Community Hospital Foundation; Good Samaritan Shelter; WellSpan Philhaven; WellSpan Medical Group; Cocalico School District; the Northern Lancaster County Hub including Ephrata Area Social Services and Real Life Community Services; the Ephrata Public Library and; Welsh Mountain Federally Qualified Health Center (FQHC). Through the consulting support of the Floyd Institute for Public Policy at Franklin and Marshall College. a representative sample of 500 adult residents in the greater Ephrata (Northern Lancaster County) area were interviewed between March 26 and May 13, 2018 using survey questions derived from the Behavioral Risk Factor Surveillance System (BRFSS), a validated survey tool utilized by the Centers for Disease Control and Prevention (CDC), and organized into four categories: healthcare access, behavioral risk, health conditions, and prevention behaviors and context. Supplemental secondary data from the Robert Wood Johnson Foundation (RWJF) annual County Health Rankings and from the Pennsylvania Department of Health was compiled and integrated into the 2018 CHNA.Data collected and analyzed by the Floyd Institute for Public Policy included breakdowns by age, gender, geographic area, race/ethnicity, and income level, and enabled the development of charts/graphs focused on: quantity of residents affected; health risks and disability-adjusted life years; correlates of obesity and depression (two significant health priorities); health disparities, and social determinants of health impact. This information is included in the 2018 Community Health Needs Assessment Summary Report available at www.wellspan.org.CHNA results and related priorities identified by WellSpan- Ephrata Community Hospital and its community partners were shared with the system-wide Planning Committee at WellSpan Health, a Committee comprised of community members and leaders that represent each of WellSpans primary entities and service areas, in addition to corporate leadership. Planning Committee members reviewed the CHNA data, and designated system-wide priorities as: Care for all, including a focus on access to care and health equity; Behavioral health and lifelong wellness, which would incorporate behavioral health, substance use and addiction and lifelong wellness, and healthy communities and social determinants of health, which provide a deeper dive into community engagement, social determinants of health and violence prevention. The identified priorities and associated data were subsequently presented to the WellSpan- Ephrata Community Hospital Board for their adoption. Board members discussed the data and identified priorities within the context of existing staffing and financial resources, current and future entity initiatives, and community partnership opportunities to address systemic community change. The final CHNA report, along with the WellSpan Community Health Improvement Plan (CHIP) was presented in June 2019 to the Planning Committee, at which time correlations were observed between the CHNA, CHIP and the WellSpan 2025 Strategic Plan.
Part VI, Line 5 - Promotion of Community Health	As a charitable, community-based healthcare organization, our commitment to improving the lives and well-being of the people and communities we serve is evident in our mission statement: working as one to improve health through exceptional care for all, lifelong wellness, and healthier communities. Employees live out this mission statement every day by engaging in community benefit activities that address community needs, especially the health priorities identified in the 2018 CHNA - access to care and health equity behavioral health, substance use and addiction, and lifelong wellness, and community engagement, social determinants of health and violence prevention. Through its various locations in the greater Ephrata community, WellSpan Ephrata Community Hospital provides a range of wellness and health education programs designed to address key CHNA findings and to promote healthy lifestyles and disease prevention. These programs include health screenings; diabetes education; nutrition and weight management counseling; tobacco cessation; CPR and first aid instruction; support groups; community health fair participation, and health education programs. Many of these programs are offered for free or at a minimal cost to the participant. In addition to the educational and health promoting programs offered by WellSpan Ephrata Community Hospital, the hospital has an evident commitment to building and strengthening community partnerships, enhancing access to healthcare services for community members, and supporting the lifelong wellness of northern Lancaster County. One of many exemplary community partnerships in the northern Lancaster County region includes WellSpan Ephrata Community Hospitals relationship with the Ephrata Public Library. This partnership continues to grow and expand and is a catalyst for change in the community. One example of a unique community-based partnership between WellSpan-Ephrata Community Hospital and Ephrata Public Library includes the implementation of the GO Lancaster! summer physical activity program. The Ephrata Public Library and its Summer Reading Club, along with WellSpan-Ephrata Community Hospital, annually encourage children and their families to be physically active during the summer months by participating in an adaptation of letterboxing, which engages children and their families in an adaptation of letterboxing, where participants use written clues to find hidden posts in county parks. This program expanded to include the Adamstown Library in 2019 with plans to further expand to include entire county in 2022.Additionally, WellSpan Ephrata Community Hospital has been an active participant with the Ephrata Public Library and other community partners to develop the Northern Lancaster County Hub. This hub serves as a resource center for residents desiring connections with community and social service organizations, many of which are located in Lancaster City, approximately 16 miles away. The Hub provides a wide array of services including food assistance, health care, career help, literacy services, counseling, housing support and other services to residents of Ephrata, Denver, and nearby communities. This initiative has been supported financially by WellSpan Health Community Partnership Grant funds. Opioid use, as in other communities across the United States, has become a crisis in the Ephrata area. WellSpan Ephrata Community Hospital staff participate with a regional Opioid Awareness coalition, a multi-sector collaborative seeking to create coordinated messaging, outreach and management of opioid users in southcentral Pennsylvania. The program aims to reduce opioid use and overdoses. Regionally, WellSpan has also developed and expanded its Medication Assisted Treatment (MAT) program, by serving 667 patients in 2021. The program combines the use of medication and behavioral therapy. Access to high quality healthcare remains a regional focus for WellSpan, as observed in Lancaster County by the organizations support of the Union Community Care, an FQHC that met needs in Lancaster and Lebanon counties for 34,000 patients. Regionally, WellSpan also supports thousands of uninsured and underinsured community members with its Healthy Community Network program and provides financial assistance for prescriptions so that those facing financial hardship will not need to avoid medications because of cost. Additionally, WellSpan Ephrata Community Hospital participated in system-wide initiatives to address the shared community health priorities for the entire WellSpan footprint. These efforts included behavioral health specific efforts, advanced care planning and adult overweight/obesity, for example. WellSpan-Ephrata Community Hospital supported the education of greater Ephrata area residents about end-of-life planning and care, or Horizon Planning as it is termed locally and continues to offer the Early Bird Walkers for older adults. WellSpan-Ephrata Community Hospital employees and community members engaged in the 9th annual 10 Pound Throwdown in 2021. The 10 Pound Throwdown is a 10-week community challenge that encourages participants to lose or maintain a healthy weight through healthier eating and increased physical activity. Developed in 2013 to address the growing issue of adult overweight/obesity, the initiative utilizes a core website (www.10poundthrowdown.com). In 2020, the 10 Pound Throwdown engaged 9,500 community members across four southcentral Pennsylvania counties -Adams, Franklin, Lancaster, Lebanon, and York. WellSpan Ephrata Community Hospital primary care practices in northern Lancaster County participated in the Market Bucks program to address food insecurity and increase the consumption of fruits and vegetables. This program reaches those with an elevated Body Mass Index (BMI) who also experience a comorbidity associated with diet. The program provides fruit and vegetable vouchers to be redeemed at local farmers markets and encourages healthy eating. Market Bucks boasts an astounding 86% redemption rate and contributed $50,000 to the regional economy in addition to demonstrating increased fruit and vegetable consumption for the 474 participants in 2021. Additional examples of how WellSpan Ephrata Community Hospital fulfilled its community mission in the greater Ephrata (Northern Lancaster County) area may be found in the 2021 WellSpan Community Benefit Report- available online at www.wellspan.org. CHNA results were also made available to the public on the WellSpan Health (www.wellspan.org) website and may also be obtained upon request.
Part VI, Line 6 - Affilated Health Care System	WellSpan Health is an integrated health system serving the communities of southcentral Pennsylvania and northern Maryland. As a community-based, not-for-profit organization, WellSpan is dedicated to improving the health and well-being of the people it serves. WellSpan will assume a leadership role and develop partnerships with other organizations to improve access to coordinated, high-quality, cost-effective health care services, educate the health care providers of tomorrow, promote healthy lifestyles and lifelong wellness, and make its local communities healthier, more desirable places to live, work, and play. WellSpan Ephrata Community Hospital works with other parts of the system to provide a comprehensive approach to meeting community needs.WellSpan Health includes: WellSpan Gettysburg Hospital, WellSpan York Hospital, WellSpan Surgery and Rehabilitation Hospital, WellSpan Ephrata Community Hospital, WellSpan The Good Samaritan Hospital of Lebanon Pennsylvania, WellSpan Philhaven, Chambersburg Hospital, Waynesboro Hospital, Apple Hill Surgical Center, Summit Surgery Center, WellSpan VNA Home Health, WellSpan Medical Group, Northern Lancaster County Medical Group, Physician Specialists of Northern Lancaster County Medical Group, Good Samaritan Physician Services, Summit Physician Services, Chambersburg Health Services, WellSpan Population Health Services, WellSpan Pharmacy, Gettysburg Hospital Foundation, York Health Foundation, Ephrata Community Health Foundation, Good Samaritan Health Services Foundation, Summit Health Foundation, WellSpan Summit Health, WellSpan Provider Network, GSH Services, and WellSpan Medical Equipment.Ephrata Community Hospital's community benefit report is contained in a report prepared by their parent organization, WellSpan Health. See WellSpan Health - 2021 Community Benefit Report athttps://www.wellspan.org/about/wellspan-in-the-community/2021-community-benefit-report/
Part VI, Line 7 - States Filing of Community Benefit Report	PA

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	WellSpan Medical Group	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	45 Monument Road	AddressLine1Txt
City	York	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	17103	ZIPCd

Field	Value	IRS element (for citing)
Recipient EIN	232730785	RecipientEIN
IRC Section	501(c)(3)	IRCSectionDesc
Cash Grant	$15,000,000	CashGrantAmt
Non Cash Assistance	$0	NonCashAssistanceAmt
Purpose Of Grant	Charitable Activities	PurposeOfGrantTxt

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Grantmaker's Description of How Grants are Used	FormAndLineReferenceDesc
Explanation	All WellSpan entities follow WellSpan policies and procedures regarding grant projects to ensure that the use of grant funds are consistent with WellSpan's commitment to endeavor to improve the health status of the communities that we serve.The WellSpan foundations are supporting organizations and substantially all of the grants and other assistance they make furthers the exempt purposes of their "supported organizations", each of which are exempt affiliated organizations within the WellSpan Health system. Because the supported organizations identify the projects and exempt activities that will be funded by the foundations' grants and other assistance, and because there is a cross-over between the respective governing bodies and management of the foundations and their supported organizations, the foundations are able to effectively monitor that the grants they make are used for their intended purposes.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt
Carrie Willetts
President	$430,948	$143,574	$11,619	$48,891	$635,032	$52,199
Douglas Arbittier
Former Director							$658,796	$208,564	$13,132	$33,323	$53,025	$966,840	$80,734
Edward Tadajweski MD
Director							$734,360	$1,200		$15,955	$50,923	$802,438
Ill Chon
VP-Med Affairs	$307,007	$63,240	$11,615	$45,819	$427,681
John Porter Jr
Former Director							$716,523	$474,645	$319,242	$254,700	$61,593	$1,826,703	$304,984
Lauren Fund
Manager-Pharm	$202,382		$7,598	$25,347	$238,507									$3,180
Lloyd Goldfarb
Former Director							$374,137	$1,100	$75	$11,643	$43,623	$430,578
Michael O'Connor
Former Director							$611,969	$404,687	$2,042,231	$123,405	$85,586	$3,267,878	$2,042,158
Mike Seim
Director							$438,755	$52,800	$22,903	$7,015	$37,511	$558,984	$18,133
Rachel Best
Pharmacist Coord	$163,469	$1,200	$6,263	$38,467	$212,315									$2,916
Robert Ortmyer
VP-Operations	$217,678	$44,719	$11,525	$44,088	$322,374									$4,364
Roxanna Gapstur
Pres & CEO-WSH							$1,091,608	$440,000		$11,619	$60,941	$1,604,168	$242,000
Steven Thomas
Direct.-Pharm Care	$190,258	$16,393	$8,380	$44,296	$263,091									$3,764
Tina Citro
President	$214,242	$40,512	$8,832	$40,314	$303,900

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	See Schedule O	BusinessNameLine1Txt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
Britton Consulting Svc
Partner Britton	$22,575	Team retreats Exec coach	false
Arthur Funk and Sons
President Funk	$1,767,140	Construction	false
Beers and Hoffman
Architect Hoffma	$157,009	Architectural design	false

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et	Reyna Britton serves as a director on the East Region Board of Directors. Her husband, Duane Britton serves on the Planning Committee as Vice Chair.
Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder	Effective 10/1/2013, WellSpan Health, a not for profit corporation, is the sole member.
Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body	The Board of Directors of the Corporation shall be elected as provided herein by the Board of Directors of the Member. The Member shall determine annually the number of Directors, which shall in no event be less than ten persons, nor more than twenty-five persons. Nominations for Directors other than the Designated Directors specified in Specified in Section 5.2 of the Bylaws shall be made by the Board of Directors to the Member's Nominating Committee for Directors.
Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders	The Member may, with respect to the Corporation, initiate and implement any of the following actions, and if any of the following actions are otherwise initiated by the Corporation, such action shall not become effective unless approved by the Member:(a)The adoption, amendment, or revocation of the Corporation's Articles of Incorporation or Bylaws (b)The termination, liquidation, reorganization, division, conversion, or dissolution of the Corporation, or the merger, consolidation, or combination of the Corporation with another person; provided however, that in accordance with Section 3.9(b) of the Affiliation Agreement, the Member shall not cause the Corporation to be merged with or into any other entity and it shall maintain the Corporation's status as a separate corporation for a period of at least three years after the effective date of the Affiliation, unless otherwise consented by the Boards of the Member and the Corporation (c) Any change or transfer of the Member's membership interest in the Corporation, or the creation or issuance of any additional membership interests in the Corporation (d) The investment of the Corporation's assets other than in accordance with the Member's current investment policy, any investment other than in the ordinary course of business, which shall consist of federally-insured interest-bearing bank accounts, short-term direct U.S. obligations, short term certificates of deposit of domestic banks, or highly-rated money market funds (e) The incurrence by the Corporation of indebtedness in excess of such amounts as may be reasonably designated by the Member from time to time, except pursuant to a budget approved by the Member. This is not meant to restrict the Corporation's ability to incur indebtedness in the ordinary course of the Corporation's day-to-day business, in amounts less than the amounts designated by the Member, such as routine trade and accounts payable obligations (f) The conveyance, transfer, lease, or sale of any of the Corporation's assets with a fair market value in excess of such aggregate amount as may be designated by the Member from time, except pursuant to a budget approved by the member, or the conveyance, transfer, lease or sale of any of the Corporation's assets to the Member or another System Affiliate; provided, however, that in accordance with Section 3.9(e) of the Affiliation Agreement, the member shall not cause the Corporation to sell all or substantially all of its assets for a period of ten years after the effective date of the Affiliation, unless it has received prior approval by the Board of Directors of the Corporation (g)The making of any capital expenditure or the incurrence of any capital obligations by or on behalf of the Corporation in excess of such annual aggregate amount as may be designated by the Member from time to time, except pursuant to a budget approved by the Member (h)The incurrence of any obligation (whether actual or contingent) by the Corporation to guarantee or be responsible for the debts or obligations of any person in excess of such amounts as may be designated by the Member from time to time, except pursuant to a budget approved by the Member. This is not meant to restrict the Corporation's ability to incur obligations in the ordinary course of the Corporation's day-to-day business, in amount less than the amounts designated by the Member. (i)The approval of the Corporation's operating and capital budgets, or any material changes thereto. (j)The voluntary granting of any lien or encumbrance (including a confession of judgment)with respect of the Corporation's assets, except in the ordinary course of business (k) The surrender of or material change to any permit, approval, or license of the Corporation; provided, however, that in accordance with Section 3.9 of the Affiliation Agreement, the Member shall maintain the Corporation's separate licensure and separate medical staff for a period of at least three after the effective date of the Affiliation (l)The selection of the Corporation's outside financial auditors, general legal counsel, or investment advisors (m)The requirement that the Member make any capital contribution to the Corporation (n)The appointment and reappointment of the individuals to serve on the Corporation's Board of Directors, and their removal as set forth in Section 5.3 of these Bylaws (o)The approval of the Corporation's strategic and operating plans, or any changes thereto. (p) The approval of the Corporation's statements of purpose, vision, or mission, or any changes thereto. (q) The creation by the Corporation of any new lines of business, sites of business, subsidiary corporations, or partnerships or other joint ventures, or any material changes in existing services, or participation in any key strategic relationship outside the System. This is not meant to restrict the Corporation's right to enhance and expand its current lines of business (r) All health care services contracting by the Corporation that could materially impact the System.
Form 990, Part VI, Line 11b: Form 990 Review Process	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, Line 12c: Explanation of Monitoring and Enforcement of Conflicts	Officers, directors, and key employees fill out a WellSpan Health Conflict of Interest Disclosure Statement questionnaire annually. The questionnaire is administered by the Internal Audit Department of WellSpan Health, the Parent Company.There shall be full disclosure by any 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.
Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees	The Compensation Committee of WellSpan Health is responsible for rewarding and reinforcing key executives for the achievement of annual and long-term performance objectives. The Compensation Committee shall consist of not more than six (6) persons, of whom two (2) shall be the Chairman and Vice Chairman of the Board of the Corporation, and the remaining members shall be such other persons as may be appointed by the Chairman of the Board of the Corporation, with the approval of the Board of Directors; provided, however, that the Compensation Committee shall not include any persons who are employed by the System. The role of the Compensation Committee is to set the Executive Compensation Philosophy for the system and ensure adherence, evaluate performance and establish compensation for the WellSpan President, evaluate team performance of the executive team and establish awards, review and approve senior executive base salary ranges, and oversee employed physician compensation programs. The Committee will approve salary ranges for each executive position and review incumbent salaries annually. The Committee will be responsible for reviewing the President's salary each year, and if warranted, authorizing an adjustment to maintain competitiveness. The President will have the authority to make salary adjustments for subordinate positions. The Committee is responsible for approving and authorizing payment of the performance awards. The Committee will approve and authorize payment of the President's performance awards. Integrated Healthcare Strategies, Inc., based in Minneapolis Minnesota is the external consultant to the committee. This consultant focuses exclusively on executive and physician compensation in the health care industry. In summary, the executive and physician compensation review process consists of the following: 1) Cash compensation reviewed annually 2) Cash compensation reviewed by external consultant biennially 3) external total compensation (cash, incentives, benefits, perquisites) reviewed by external consultant periodically 4) Process is integrated with compensation analysis for other WellSpan positions 5) Committee decisions are documented in minutes maintained in Human Resources.
Form 990, Part VI, Line 19: Other Organization Documents Publicly Available	Governing documents, policies and financial statements are available upon request.
Schedule K -Tax-Exempt Bonds	1.2014 GENERAL AUTHORITY OF SOUTHCENTRAL PENNSYLVANIA REVENUE REFUNDING BONDS, SERIES A:On November 11, 2014, the General Authority of Southcentral Pennsylvania issued $213,430,000 of Revenue Refunding bonds, Series 2014A for WellSpan Health Obligated Group. The purpose of this bond issue was revenue refund for bonds issued 06/23/1993 and 11/12/2008. WellSpan Health, the parent organization, allocated portions of the proceeds of this tax-exempt bond issue to York Hospital (23-1352222), Gettysburg Hospital (23-1352220), WellSpan Properties (22-2842252), WellSpan Surgery & Rehabilitation Hospital (23-2899911), and Ephrata Community Hospital (23-1370484). To remain consistent with the reporting on Form 8038, all outstanding liabilities associated with this tax-exempt bond issue is reported on the WellSpan Health (22-2517863) Schedule K. As of 6/30/21, the allocation of the Debt Capital program including issue premium of $47,545,967 was as follows:York Hospital: $27,890,452Gettysburg Hospital: $1,922,543WellSpan Properties: $6,845,852WellSpan Surgery & Rehabilitation Hospital: $3,377,167Ephrata Community Hospital: $7,509,953These amounts are reported on the respective balance sheets for each of these entities.An Arbitrage Rebate and Yield Restriction Liability Calculation was performed for the period of November 10, 2014, to November 10, 2019. No rebate was due._______________________________________________________________________________2.2015 LANCASTER MUNICIPAL AUTHORITY BANK LOAN, SERIES A:On May 22, 2015, the Lancaster Municipal Authority issued $36,572,083 of Revenue Refunding bonds, Series 2015A, to an Obligated Group consisting of York Hospital, Gettysburg Hospital and Ephrata Community Hospital. The purpose of this bond issue was to refund bonds issued on behalf of Ephrata Community Hospital, including the Lancaster Municipal Authority Revenue Notes Series 2009, 2010A, 2012, and 2013. To remain consistent with the reporting on Form 8038, all outstanding liabilities associated with this tax-exempt bond issue is reported on the WellSpan Health (22-2517863) Schedule K.As of 6/30/21, the $27,600,768 of outstanding liability is reported on the Ephrata Community Hospital return balance sheet._______________________________________________________________________________3.2019 GENERAL AUTHORITY OF SOUTHCENTRAL PENNSYLVANIA REVENUE REFUNDING BONDS, SERIES A & B:On April 19, 2019, the General Authority of Southcentral Pennsylvania issued $331,502,627 of Revenue Refunding bonds, Series 2019A and 2019B for WellSpan Health Obligated Group. The purpose of this bond issue was revenue refund for bonds issued 11/12/2008. WellSpan Health, the parent organization, allocated portions of the proceeds of this tax-exempt bond issue to York Hospital (23-1352222), Chambersburg Hospital (23-0465970), WellSpan Properties (22-2842252), Chambersburg Health Services (25-1515376), The Good Samaritan Hospital of Lebanon Pennsylvania (23-1794160), Waynesboro Hospital (23-1360854), Summit Physician Services (25-1716306), Gettysburg Hospital (23-1352220), WellSpan Surgery & Rehabilitation Hospital (23-2899911) and Ephrata Community Hospital (23-1370484). To remain consistent with the reporting on Form 8038, all outstanding liabilities associated with this tax-exempt bond issue is reported on the WellSpan Health (22-2517863) Schedule K. As of 6/30/21, the allocation of the Debt Capital program of $324,770,019 was as follows:York Hospital: $109,820,502Waynesboro Hospital: $455,712Chambersburg Hospital: $110,975,751Chambersburg Health Services: $18,656,026Summit Physician Services: $983,590WellSpan Properties: $66,683,198Gettysburg Hospital: $12,384,727Ephrata Community Hospital: $3,372,694The Good Samaritan Hospital of Lebanon Pennsylvania: $42,216WellSpan Surgery & Rehabilitation Hospital: $1,395,603These amounts are reported on the respective balance sheets for each of these entities._______________________________________________________________________________4.2019 GENERAL AUTHORITY OF SOUTHCENTRAL PENNSYLVANIA REVENUE REFUNDING BONDS, SERIES C-E:On April 3, 2019, the General Authority of Southcentral Pennsylvania issued $212,690,000 of Revenue Refunding bonds Series 2019C, 2019D and 2019E for WellSpan Health Obligated Group. The purpose of this bond issue was revenue refund for bonds issued 11/12/2008. WellSpan Health, the parent organization, allocated portions of the proceeds of this tax-exempt bond issue to York Hospital (23-1352222), Gettysburg Hospital (23-1352220), WellSpan Properties (22-2842252), WellSpan Surgery & Rehabilitation Hospital (23-2899911), The Good Samaritan Hospital of Lebanon Pennsylvania (23-1794160) and WellSpan Health (22-2517863). To remain consistent with the reporting on Form 8038, all outstanding liabilities associated with this tax-exempt bond issue is reported on the WellSpan Health (22-2517863) Schedule K. As of 6/30/21, the allocation of the Debt Capital program of $212,690,000 was as follows: York Hospital: $123,530,352Gettysburg Hospital: $19,290,983WellSpan Properties: $22,545,140WellSpan Surgery & Rehabilitation Hospital: $35,731,920The Good Samaritan Hospital of Lebanon Pennsylvania: $1,722,789WellSpan Health: $9,868,816These amounts are reported on the respective balance sheets for each of these entities._______________________________________________________________________________5.2014 FRANKLIN COUNTY INDUSTIAL AUTHORITY REVENUE REFUNDING BONDS, SERIES A & C:On April 30, 2014, the Franklin County Industrial Authority issued $35,795,000 of Healthcare Revenue Refunding bonds, Series 2014A & 2014C for the WellSpan Health Obligated Group. WellSpan Health, the parent organization, allocated portions of the proceeds of this tax-exempt bond issue to Waynesboro Hospital (23-1360854), Chambersburg Hospital (23-0465970) and Chambersburg Health Services (25-1515376). To remain consistent with the reporting on Form 8038, all outstanding liabilities associated with this tax-exempt bond issue is reported on the WellSpan Health (22-2517863) Schedule K.As of 6/30/21, the allocation of the Debt Capital program of $25,493,770 was as follows: Waynesboro Hospital: $6,390,449Chambersburg Hospital: $18,577,321Chambersburg Health Services: $526,000These amounts are reported on the respective balance sheets for each of these entities.______________________________________________________________________________6.2017 BANK LOANS / REISSUE BONDS ISSUED 11/12/2008:On March 13, 2018, the General Authority of Southcentral Pennsylvania issued $34,877,000 of Revenue bonds, Series 2017A Notes (taxable) for WellSpan Health Obligated Group. Such notes were applied to refund 2008A Bonds. Also, on September 4, 2018, the General Authority of Southcentral Pennsylvania issued $29,312,000 of Revenue Bonds, Series 2017B (tax-exempt bonds) for WellSpan Health Obligated Group.Such notes were applied to refund 2008A Bonds.WellSpan Health, the parent organization, allocated portions of the proceeds of this tax-exempt bond issue to York Hospital (23-1352222), Gettysburg Hospital (23-1352220), WellSpan Properties (22-2842252), WellSpan Surgery & Rehabilitation Hospital (23-2899911), and The Good Samaritan Hospital of Lebanon Pennsylvania (23-1794160). To remain consistent with the reporting on Form 8038, all outstanding liabilities associated with this tax-exempt bond issue is reported on the WellSpan Health (22-2517863) Schedule K.As of 6/30/21, the allocation of the Debt Capital program of $50,807,000 was as follows: York Hospital: $29,508,705Gettysburg Hospital: $4,608,195WellSpan Properties: $5,385,542WellSpan Surgery & Rehabilitation Hospital: $8,535,576The Good Samaritan Hospital of Lebanon Pennsylvania: $411,536WellSpan Health: $2,357,446These amounts are reported on the respective balance sheets for each of these entities.
Signature Block - Paid Preparer Presentation	Paid Preparer ExplanationDue to a software limitation, we wish to clarify that WellSpan Health is the ERO.The paid preparer is:BDO USA, LLP13-53815908401 Greensboro Drive, Suite 800McLean, VA 22102(703) 893-0600The preparers name is Marc Berger, PTIN P018715633

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (26 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
Apple Hill Surgical Center Inc
PO Box 2767	York	PA	174052767	222842253	Sole GP in limited ptnrshp. operating su	PA	501(c)(3)	10	WellSpan Health Care Services	false
Gettysburg Hospital
PO Box 2767	York	PA	174052767	231352220	Health care services	PA	501(c)(3)	3	WellSpan Health	false
Gettysburg Hospital Foundation
PO Box 2767	York	PA	174052767	232251358	Fundraising for Gettysburg Hospital	PA	501(c)(3)	12 Type I	Gettysburg Hospital	false
Healthy Community Pharmacy Inc
PO Box 2767	York	PA	174052767	200519121	Reduced rate prescription drugs to unins	PA	501(c)(3)	12 Type I	WellSpan Health Care Services	false
VNA Community Services
PO Box 2767	York	PA	174052767	232338591	Home personal care services for elderly	PA	501(c)(3)	10	WellSpan Specialty Services	false
VNA Home Health Services
PO Box 2767	York	PA	174052767	231352573	Home health services	PA	501(c)(3)	10	WellSpan Specialty Services	false
WellSpan Health
PO Box 2767	York	PA	174052767	222517863	Integrated Health System	PA	501(c)(3)	12 Type III	NA	false
WellSpan Health Care Services
PO Box 2767	York	PA	174052767	232400237	Health-related activities in the service	PA	501(c)(3)	12 Type II	WellSpan Health	false
WellSpan Medical Group
PO Box 2767	York	PA	174052767	232730785	Medical and surgical care	PA	501(c)(3)	10	WellSpan Health	false
York Health Foundation
PO Box 2767	York	PA	174052767	233050192	Charitable contributions for WellSpan en	PA	501(c)(3)	12 Type III	WellSpan Health	false
York Hospital
PO Box 2767	York	PA	174052767	231352222	Community teaching hospital	PA	501(c)(3)	3	WellSpan Health	false
Wellspan Surgery & Rehab Hospital
PO Box 2767	York	PA	174052767	232899911	Surgery and Rehabilitation Hospital	PA	501(c)(3)	3	WellSpan Health	false
WellSpan Properties
PO Box 2767	York	PA	174052767	222842252	Leases facilities to affiliates	PA	501(c)(3)	12 Type II	WellSpan Health Care Services	false
Ephrata Community Health Foundation
PO Box 2767	York	PA	174052767	800940005	Fundraising for Ephrata Hospital	PA	501(c)(3)	12 Type I	Ephrata Community Hospital	false
Northern Lancaster County Medical Group
PO Box 2767	York	PA	174052767	203033058	Medical and surgical care	PA	501(c)(3)	12 Type II	Ephrata Community Hospital	Yes (true)
Phys Spec of North Lanc Co Med Gr
PO Box 2767	York	PA	174052767	452537633	Physician Practices	PA	501(c)(3)	12 Type II	Northern Lancaster County Medical Group	Yes (true)
Good Samaritan Hosptial
PO Box 2767	York	PA	174052767	230794160	Health Care Services	PA	501(c)(3)	3	WellSpan Health	false
Philhaven
PO Box 2767	York	PA	174052767	231549922	Health Care Services	PA	501(c)(3)	3	WellSpan Health	false
Good Samaritan Health Services
PO Box 2767	York	PA	174052767	232356151	Fundraising for Good Samartian	PA	501(c)(3)	12 Type I	Good Samaritan Hospital	false
Good Samaritan Physician Services
PO Box 2767	York	PA	174052767	251832359	Medical and Surgical Cases	PA	501(c)(3)	10	Good Sam Health Services Foundation	false
WellSpan Summit Health
PO Box 2767	York	PA	174052767	251515371	Integrated Health System	PA	501(c)(3)	7	WellSpan Health	false
Waynesboro Hospital
PO Box 2767	York	PA	174052767	231360854	Health Care Services	PA	501(c)(3)	3	WellSpan Summit Health	false
Chambersburg Hospital
PO Box 2767	York	PA	174052767	230465970	Health Care Services	PA	501(c)(3)	3	WellSpan Summit Health	false
Summit Physician Services
PO Box 2767	York	PA	174052767	251716306	Medical and surgucal care	PA	501(c)(3)	3	WellSpan Summit Health	false
Summit Health Foundation
PO Box 2767	York	PA	174052767	831196554	Fundraising for Health Care System	PA	501(c)(3)	12 Type II	WellSpan Summit Health	false
Chambersburg Health Services
PO Box 2767	York	PA	174052767	251515376	Health Care Services	PA	501(c)(3)	12 Type I	WellSpan Summit Health	false

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (8 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
Apple Hill Surgical Center Partners
PO Box 2767	York	PA	174052767	232489452	Surgical Center	PA	NA	false	false
Central PA Alliance Laboratories LLC
PO Box 2767	York	PA	174052767	232910950	Ref. Lab	PA	NA	false	Yes (true)	0.10000
Littlestown Health Care Partners
300 West King Street	Littlestown	PA	17340	232880464	Lease facility	PA	NA	false	false
Cherry Tree Cancer Center LLP
PO Box 2767	York	PA	174052767	232915628	Radiation	PA	NA	false	false
The Rehab Center
855 Springdale Drive Suite 20	Exton	PA	19341	251687903	Physical Therapy Rehab	PA	Ephrata Hospital	false	Yes (true)	0.51000
Surgery Center Associates
785 5th Ave	Chambersburg	PA	17201	251845304	Physician services	PA	Chambersburg Health	false	false
Summit Surgery Center
785 5th Avenue	Chambersburg	PA	17201	251845303	Physician services	PA	Chambersburg Health	false	false
Cumberland Valley Mobile Services
5 South Main Street	Sugarloaf	PA	18249	200884014	Health care	PA	Chambersburg Health	false	false

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (8 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	OwnershipOwnershipPct
WellSpan Pharmacy Inc
PO BOX 2767	York	PA	174052767	232374072	Dispense Rx's & prov	PA	NA	C corp	false
WellSpan Reciprocal Risk Retention Group
PO BOX 2767	York	PA	174052767	200048457	Risk Retention Group	PA	NA	C corp	false
York Health Plan
PO BOX 2767	York	PA	174052767	232664989	Preferred Provider O	PA	NA	C corp	false
WellSpan Provider Network
PO BOX 2767	York	PA	174052767	232907828	Coordinate managed care	PA	NA	C corp	false
Apple Hill Condominium Association
PO BOX 2767	York	PA	174052767	232504543	Condo Mgmt Associati	PA	NA	Homeowners Assoc	false
North Lanc Co Phys Hosp Alliance
PO BOX 2767	York	PA	174052767	232421885	Coordinate Phys & Hospital	PA	NA	C corp	false	0.50000
GSH Realty Inc
PO BOX 2767	York	PA	174052767	251832359	Non-res. real estate	PA	WSH Care Services	C corp	false
Ephrata Health Pavilion Condo Assoc
PO BOX 2767	York	PA	174052767	475367279	Condo Assoc	PA	Ephrata Hospital	C corp	false

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	Yes (true)	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (5 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
WellSpan Health
j	$69,740	General Ledger
WellSpan Medical Group
b	$15,000,000	General Ledger
WellSpan Medical Group
j	$243,132	General Ledger
Ephrata Community Health Foundation
c	$134,398	General Ledger
Ephrata Community Health Foundation
p	$81,028	General Ledger