2022-05-13T12:41:40-07:00 2021-06-30 135381590 WellSpan Health 3350 WHITEFORD ROAD YORK PA 17402 990 2020-07-01 231370484 EPHRATA COMMUNITY HOSPITAL EPHR 7178513055 PO BOX 2767 YORK PA 17405 Laura Buczkowski SR VP & CFO 2022-05-13 false Laura Buczkowski 999009999 See Attached P01871563 7038930600 2 AAL1 IAL1 FAL1 2020 2022-09-23 18:48:47Z Roxanna Gapstur PO Box 2767 York PA 174052767 276359226 false X WWW.WELLSPAN.ORG X 1940 PA The Ephrata Community Hospital is a tax-exempt organization dedicated to providing preventive, primary, acute care, diagnostic, and rehabilitative services. 17 7 1414 526 528774 5492886 12341338 218144990 262660482 1409255 -200737 327921 265166 225375052 275066249 15647750 15000000 0 84792491 87319649 0 0 141383220 161214929 241823461 263534578 -16448409 11531671 154855390 172699244 110821578 116044545 44033812 56654699 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. false false 211340455 15000000 263071329 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/ 211340455 true true false false false false false false false true true false false true true true false true false false true false false false false false true true true false true true false false false false false false false false false false false false false false false true true true false false true 0 0 true 1414 true true true false false false false false false 0 false false false false false false false X 17 7 true false false false true true true true true false false true true true true true true false true true true PA X DAVID P RIZZUTO 7178513055 3350 WHITEFORD ROAD YORK PA 174029081 X Michael O'Connor Former Director 0.00 40.00 0 3058887 208991 John Porter Jr Former Director 0.00 40.00 0 1510410 316293 Roxanna Gapstur Pres & CEO-WSH 1.00 40.00 X X 0 1531608 72560 Douglas Arbittier Former Director 0.00 40.00 0 880492 86348 Edward Tadajweski MD Director 1.00 40.00 X 0 735560 66878 Carrie Willetts President 40.00 0.00 X X 574522 0 60510 Mike Seim Director 1.00 40.00 X X 0 514458 44526 Lloyd Goldfarb Former Director 0.00 40.00 0 375312 55266 Ill Chon VP-Med Affairs 40.00 0.00 370247 0 57434 Robert Ortmyer VP-Operations 40.00 0.00 266761 0 55613 Tina Citro President 40.00 0.00 X X 254754 0 49146 Steven Thomas Direct.-Pharm Care 40.00 0.00 210415 0 52676 Lauren Fund Manager-Pharm 40.00 0.00 205562 0 32945 Rachel Best Pharmacist Coord 40.00 0.00 167585 0 44730 Laura Buczkowski SR VP & CFO WSH 1.00 40.00 X X 0 55289 40338 Christopher Grant PsY D Director 1.00 0.00 X 0 31626 11718 Reyna Britton Secretary 1.00 0.00 X 0 0 0 Moniqua Acosta Director 1.00 0.00 X 0 0 0 Carrie Wilson Director 1.00 0.00 X 0 0 0 Robert Funk Director 1.00 0.00 X 0 0 0 Vincent Garcia Director 1.00 0.00 X 0 0 0 Robert Hoffman Director 1.00 0.00 X 0 0 0 Kimberly Kreider Umble Director 1.00 0.00 X 0 0 0 Stephen Lindsey Director 1.00 0.00 X 0 0 0 Roger Zimmerman Director 1.00 0.00 X 0 0 0 Amanda Davis-Buie Director 1.00 0.00 X 0 0 0 2049846 8693642 1255972 7 true true false Lancaster Orthopedic Group 231 Granite Run Drive Lancaster PA 17601 Orthopedic Care 545894 OnSite NeonatalPC 1000 Haddonfield-Berlin Rd Voorhees NJ 08047 NICU Physicians 762667 Quest Diagnostics PO Box 912512 Pasadena CA 911012512 Lab Services 1997656 Anesthesia & Pain Associates 4150 Barrett Blvd Ephrata PA 17522 Anesthesia Sevices 518821 TransTime Express 11820 Parklawn Drive Rockville MD 20852 Delivery Services 457718 17 134398 12083749 123191 12341338 Patient Services 621500 280001731 279484957 516774 W/O - Bad Debts 621990 -12529817 -12529817 W/O - Free Service 621990 -4811432 -4811432 262660482 64632 64632 0 0 425214 1027608 -602394 -602394 -602394 265369 -265369 -265369 -265369 0 0 0 Cafeteria/Cafe 722210 369907 369907 Other Revenue 900099 327138 327138 Work First 621300 49923 49923 120592 33786 12000 74806 867560 275066249 262554555 528774 -358418 X 15000000 15000000 0 0 0 303899 303899 0 63373190 50001001 13372189 3051863 2410972 640891 15771847 12459759 3312088 4818850 3806892 1011958 40626759 32095140 8531619 2357 2357 56377 44538 11839 0 0 0 44832922 35418008 9414914 11268 8902 2366 606831 479396 127435 0 0 1783699 1409122 374577 52126 41180 10946 0 22637 17883 4754 1851652 1462805 388847 0 10395958 8212807 2183151 2069169 1634644 434525 Supplies 45497774 35943241 9554533 Repair & Maintenance 5689638 4494814 1194824 Taxes & Licenses 3887026 3070751 816275 Utilities 2619875 2069701 550174 1208861 955000 253861 263534578 211340455 52194123 0 5972 5872 5267153 5072265 205650 140670 23845733 33896843 0 0 793703 710696 3336203 3375472 164672 343775 232353001 124092730 109228329 108260271 0 0 0 5103164 8099741 6904811 12793639 154855390 172699244 5099748 6109196 22771374 20737734 64776423 66204042 18174033 22993573 110821578 116044545 X 38317754 49691664 5716058 6963035 44033812 56654699 154855390 172699244 11531671 1089216 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 5716058 205379 1260120 218522 6963035 5536811 572485 -23658 369580 5716058 5279246 886687 -8761 620361 5536811 5380692 774279 328 876053 5279246 4133170 1506873 21321 280672 5380692 0.12300 0.87700 false true true 1528030 1528030 140303546 61757986 78545560 9800175 7893808 1906367 76567898 54440936 22126962 4153352 4153352 108260271 Bond Issue cots 368465 Due from affiliates 4859934 Net Interest in ECHF Assets 5761132 Trust Benef 785387 12793639 Accrd Payroll W/H 290599 Accrued Payroll 2118936 Accrued Vacation 3833238 Capital Lease Obligation 7838261 NOTE PAYABLE - WSH 7892427 Total Other Noncurrent Liabili 1020112 22993573 X 274588325 1715171 1715171 272873154 2193095 2193095 275066249 248759857 1027608 1027608 247732249 15802329 15802329 263534578 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 Central America and Carribbean 0 0 Investment 0 false false false false false false true true X true X 300.000000000 true X true true false false true true 1 1188 268932 268932 0.00100 1 27828 29227933 20957894 8270039 0.03140 2 29016 29496865 20957894 8538971 0.03240 4 28 1236084 154769 1081315 0.00410 1 631045 150821 480224 0.00180 4 57 148952 148952 0.00060 9 85 2016081 305590 1710491 0.00650 11 29101 31512946 21263484 10249462 0.03890 1 190500 190500 0.00070 1 85 181938 181938 0.00070 2 85 372438 372438 0.00140 true 3035448 47960 72823471 93624898 -20801427 X true true 1 1 Ephrata Community Hospital 169 Martin Avenue Ephrata PA 17522 www.wellspan.org 747105 X X X Ephrata Community Hospital 1 false false true X X X X X X X X 18 true true true true X www.wellspan.org X true 18 true www.wellspan.org true false true X 300.0000 350.0000 X X X X X X X true true X X X X true X www.wellspan.org X www.wellspan.org X www.wellspan.org X X X X X X X true X false X X X X true X false false 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. 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 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 true WellSpan Medical Group 45 Monument Road York PA 17103 232730785 501(c)(3) 15000000 0 Charitable Activities 1 0 Grantmaker's Description of How Grants are Used 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. X X X X false true false false false false false false false Carrie Willetts President 430948 143574 11619 48891 635032 52199 Douglas Arbittier Former Director 658796 208564 13132 33323 53025 966840 80734 Edward Tadajweski MD Director 734360 1200 15955 50923 802438 Ill Chon VP-Med Affairs 307007 63240 11615 45819 427681 John Porter Jr Former Director 716523 474645 319242 254700 61593 1826703 304984 Lauren Fund Manager-Pharm 202382 3180 7598 25347 238507 Lloyd Goldfarb Former Director 374137 1100 75 11643 43623 430578 Michael O'Connor Former Director 611969 404687 2042231 123405 85586 3267878 2042158 Mike Seim Director 438755 52800 22903 7015 37511 558984 18133 Rachel Best Pharmacist Coord 163469 1200 2916 6263 38467 212315 Robert Ortmyer VP-Operations 217678 44719 4364 11525 44088 322374 Roxanna Gapstur Pres & CEO-WSH 1091608 440000 11619 60941 1604168 242000 Steven Thomas Direct.-Pharm Care 190258 16393 3764 8380 44296 263091 Tina Citro President 214242 40512 8832 40314 303900 A See Schedule O Britton Consulting Svc Partner Britton 22575 Team retreats Exec coach false Arthur Funk and Sons President Funk 1767140 Construction false Beers and Hoffman Architect Hoffma 157009 Architectural design false 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 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 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 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 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 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 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 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 0.50000 false 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 false true true false true false false false false true false false true false false true false true true WellSpan Health j 69740 General Ledger WellSpan Medical Group b 15000000 General Ledger WellSpan Medical Group j 243132 General Ledger Ephrata Community Health Foundation c 134398 General Ledger Ephrata Community Health Foundation p 81028 General Ledger