EPHRATA COMMUNITY HOSPITAL: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- EPHRATA COMMUNITY HOSPITAL (EIN 23-1370484)
- Tax period
- 2014-07-01 to 2015-06-30
- Filed
- 2016-05-12
- IRS object ID
- 201631339349301718
- Schema version
- 2014v6.0
- 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 G
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-05-12T07:50:49-07:00 | ReturnTs |
| Tax Period End | 2015-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
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 | 17403 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-07-01 | 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 | Michael F O'Connor | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Signature | 2016-05-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | DAVID P RIZZUTO | PreparerPersonNm |
| PTIN | P01210563 | PTIN |
| Phone | 7178513095 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-08-17 19:52:53Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Kevin Mosser MD | PrincipalOfficerNm |
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 | $214,832,559 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| All Affiliates Included | false | AllAffiliatesIncludedInd |
| 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 | 18 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 1660 | TotalEmployeeCnt |
| Total Volunteers | 172 | TotalVolunteersCnt |
| Total Gross UBI | $1,150,242 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $249,637 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $749,886 | PYContributionsGrantsAmt |
| CY Contributions Grants | $608,953 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $174,341,686 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $188,198,891 | CYProgramServiceRevenueAmt |
| PY Investment Income | $4,257,666 | PYInvestmentIncomeAmt |
| CY Investment Income | $2,187,017 | CYInvestmentIncomeAmt |
| PY Other Revenue | $911,011 | PYOtherRevenueAmt |
| CY Other Revenue | $1,122,295 | CYOtherRevenueAmt |
| PY Total Revenue | $180,260,249 | PYTotalRevenueAmt |
| CY Total Revenue | $192,117,156 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $14,599,700 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $6,413,846 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $92,390,450 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $86,075,728 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $351,668 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $75,392,599 | PYOtherExpensesAmt |
| CY Other Expenses | $94,778,538 | CYOtherExpensesAmt |
| PY Total Expenses | $182,382,749 | PYTotalExpensesAmt |
| CY Total Expenses | $187,268,112 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$2,122,500 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $4,849,044 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $144,403,932 | TotalAssetsBOYAmt |
| Total Assets EOY | $143,963,114 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $81,198,414 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $77,040,431 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $63,205,518 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $66,922,683 | 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 | $143,952,072 | ExpenseAmt |
| Grant | $6,413,846 | GrantAmt |
| Revenue | $188,670,143 | RevenueAmt |
| Desc | Ephrata Community Hospital is an acute care hospital providing care for residents of northern Lancaster County and surrounding communities. For the fiscal year that ended June 30, 2015, program services included 6,858 inpatient acute, sub-acute, behavioral health, acute rehab and newborn admissions, for a total of 26,615 patient bed days.Additionally, outpatient services included 297,707 patient visits. These services included 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, prenatal care through our healthy beginnings plus.See Attached 2015 WellSpan Health Community Benefit Report | Desc |
| Total Program Service Expenses | $143,952,072 | 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 |
| Temp Or Permanent Endowments | Yes (true) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (true) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | 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 | Yes (true) | 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 | Yes (true) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| 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 | 200 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 1660 | 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 | Yes (true) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (true) | QuidProQuoContriDisclInd |
| 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 |
| DAF Excess Business Holdings | false | DAFExcessBusinessHoldingsInd |
| Taxable Distributions | false | TaxableDistributionsInd |
| Distribution To Donor | false | DistributionToDonorInd |
| Org Filed In Lieu Of Form1041 | false | OrgFiledInLieuOfForm1041Ind |
| Licensed More Than One State | false | LicensedMoreThanOneStateInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 18 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 13 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | 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 | Yes (true) | 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 (28 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| R Fred Groff III | |||||||||
| Chairman | 2.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| William C Funk DMD | |||||||||
| Vice Chair | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Leon Ray Burkholder | |||||||||
| Director | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Edward G Camerino MD | |||||||||
| Director | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Charles M Evans MD | |||||||||
| Assist Sec | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| P Joshua Gluck | |||||||||
| Director | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Lloyd G Goldfarb MD | |||||||||
| Director | 1.00 | 40.00 | Yes (X) | $0 | $357,345 | $35,550 | |||
| Aaron L Groff Jr | |||||||||
| Assist Treas | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Ronald L Miller | |||||||||
| Treasurer | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Richard C Lewis | |||||||||
| Director | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Kevin Mosser MD | |||||||||
| Dir/CEO WSH | 1.00 | 40.00 | Yes (X) | Yes (X) | $0 | $899,660 | $735,222 | ||
| Maria Royce | |||||||||
| Director | 1.00 | 40.00 | Yes (X) | $0 | $340,779 | $277,839 | |||
| Gilbert L Sager | |||||||||
| Director | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Earl D Shirk | |||||||||
| Director | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Dean A Stoesz | |||||||||
| Director | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Chris Theodoran DO | |||||||||
| Director | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Linda H Weaver | |||||||||
| Secretary | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Dale Whitebloom DO | |||||||||
| Director | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| John M Porter Jr | |||||||||
| Pres-Ex Officio | 40.00 | 0.00 | Yes (X) | $605,169 | $0 | $502,574 | |||
| Michael F O'Connor | |||||||||
| CFO-WellSpan | 1.00 | 40.00 | Yes (X) | $0 | $615,092 | $448,974 | |||
| Robert F Graupensperger | |||||||||
| VP & CIO | 40.00 | 0.00 | $276,335 | $0 | $52,405 | Yes (X) | |||
| Mark Jacobson DO | |||||||||
| Sr VP for Medical Affairs | 40.00 | 0.00 | $341,718 | $0 | $40,724 | Yes (X) | |||
| John A Holmes | |||||||||
| VP-Contracting | 40.00 | 0.00 | $290,263 | $0 | $25,801 | Yes (X) | |||
| Peter C Cote | |||||||||
| Medical Director | 40.00 | 0.00 | $555,160 | $0 | $36,000 | Yes (X) | |||
| Wilfred A Layne MD | |||||||||
| Physician | 40.00 | 0.00 | $459,835 | $0 | $30,323 | Yes (X) | |||
| Steven W Zebert DO | |||||||||
| Physician | 40.00 | 0.00 | $328,123 | $0 | $35,966 | Yes (X) | |||
| Giridhar U Adiga | |||||||||
| Physician | 40.00 | 0.00 | $397,115 | $0 | $25,992 | Yes (X) | |||
| Harris Baderak | |||||||||
| Medical Director | 40.00 | 0.00 | $343,531 | $0 | $28,772 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,597,249 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,212,876 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $2,276,142 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 79 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | 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 |
|---|---|---|---|---|---|
| Keystone Rehabilitation Systems Inc | |||||
| PO Box 1289 | Indiana | PA | 15701 | Physical Therapy | $686,220 |
| CMC Billing Services | |||||
| 2121 Noblestown Road | Pittsburgh | PA | 15205 | Billing/Collection | $803,985 |
| Onsite Neonatal PC | |||||
| 1000 Haddonfield-Berlin Rd Ste 210 | Voorhees | NJ | 08047 | NICU Physicians | $718,200 |
| Central PA Alliance Laboratories | |||||
| PO Box 2767 | York | PA | 17405 | Lab Testing | $704,018 |
| Medical Information Technology | |||||
| PO Box 74569 | Chicago | IL | 60696 | Software Services | $597,121 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 29 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $183,389 | FundraisingAmt |
| Government Grants | $17,065 | GovernmentGrantsAmt |
| All Other Contributions | $408,499 | AllOtherContributionsAmt |
| Total Contributions | $608,953 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| EHR Incentive Program(MU) | 621500 | $1,777,284 | $1,777,284 | |
| Patient Services | 621500 | $202,270,249 | $201,167,614 | $1,102,635 |
| W/O - Bad Debts | 621990 | -$7,525,927 | -$7,525,927 | |
| W/O - Free Service | 621990 | -$8,322,715 | -$8,322,715 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $188,198,891 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,554,635 | TotalRevenueColumnAmt |
| Exclusion | $1,554,635 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$303,946 | TotalRevenueColumnAmt |
| Exclusion | -$303,946 | ExclusionAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $881,437 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,028,089 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -$146,652 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$146,652 | TotalRevenueColumnAmt |
| Exclusion | -$146,652 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $22,542,918 | SecuritiesAmt |
| Other | $6,754 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $21,441,917 | SecuritiesAmt |
| Other | $171,427 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,101,001 | SecuritiesAmt |
| Other | -$164,673 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $936,328 | TotalRevenueColumnAmt |
| Exclusion | $936,328 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $85,461 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $183,389 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $73,970 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $11,491 | TotalRevenueColumnAmt |
| Exclusion | $11,491 | ExclusionAmt |
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 | $463,022 | $463,022 | |
| Gift Shop Sales | 453220 | $135,034 | $135,034 | |
| Work First | 621300 | $329,047 | $329,047 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $330,353 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $142,205 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $47,607 | UnrelatedBusinessRevenueAmt |
| Exclusion | $140,541 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,257,456 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $192,117,156 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $187,567,508 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $1,150,242 | UnrelatedBusinessRevenueAmt |
| Exclusion | $2,790,453 | 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 | $6,413,846 | TotalAmt |
| Program Services | $6,413,846 | 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 | $2,134,989 | TotalAmt |
| Program Services | $1,027,246 | ProgramServicesAmt |
| Management And General | $1,107,743 | ManagementAndGeneralAmt |
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 | $62,219,695 | TotalAmt |
| Program Services | $49,134,855 | ProgramServicesAmt |
| Management And General | $12,993,726 | ManagementAndGeneralAmt |
| Fundraising | $91,114 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,321,905 | TotalAmt |
| Program Services | $1,809,840 | ProgramServicesAmt |
| Management And General | $508,778 | ManagementAndGeneralAmt |
| Fundraising | $3,287 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,930,448 | TotalAmt |
| Program Services | $11,637,733 | ProgramServicesAmt |
| Management And General | $3,271,576 | ManagementAndGeneralAmt |
| Fundraising | $21,139 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,468,691 | TotalAmt |
| Program Services | $3,483,179 | ProgramServicesAmt |
| Management And General | $979,185 | ManagementAndGeneralAmt |
| Fundraising | $6,327 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,500,000 | TotalAmt |
| Management And General | $7,500,000 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35,438 | TotalAmt |
| Management And General | $35,438 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $126,562 | TotalAmt |
| Management And General | $126,562 | 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 | $21,978,019 | TotalAmt |
| Program Services | $19,289,875 | ProgramServicesAmt |
| Management And General | $2,687,138 | ManagementAndGeneralAmt |
| Fundraising | $1,006 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $306,570 | TotalAmt |
| Program Services | $228,889 | ProgramServicesAmt |
| Management And General | $77,681 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,116,544 | TotalAmt |
| Program Services | $3,116,544 | ProgramServicesAmt |
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 | $3,608,646 | TotalAmt |
| Program Services | $3,037,364 | ProgramServicesAmt |
| Management And General | $557,595 | ManagementAndGeneralAmt |
| Fundraising | $13,687 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $428,585 | TotalAmt |
| Program Services | $291,036 | ProgramServicesAmt |
| Management And General | $137,049 | ManagementAndGeneralAmt |
| Fundraising | $500 | FundraisingAmt |
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 | $135,664 | TotalAmt |
| Program Services | $89,948 | ProgramServicesAmt |
| Management And General | $45,621 | ManagementAndGeneralAmt |
| Fundraising | $95 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,435,477 | TotalAmt |
| Management And General | $1,435,477 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,340,684 | TotalAmt |
| Program Services | $10,340,684 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,042,599 | TotalAmt |
| Program Services | $28,148 | ProgramServicesAmt |
| Management And General | $2,014,451 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| Supplies | $29,498,842 | $27,181,990 | $2,288,884 | $27,968 |
| Repair & Maintenance | $4,186,730 | $2,252,598 | $1,934,132 | |
| Taxes & Licenses | $2,986,259 | $546,477 | $2,439,782 | |
| Equipment Rentals | $2,889,722 | $2,889,722 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,162,197 | TotalAmt |
| Program Services | $1,152,098 | ProgramServicesAmt |
| Management And General | $2,823,554 | ManagementAndGeneralAmt |
| Fundraising | $186,545 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $187,268,112 | TotalAmt |
| Program Services | $143,952,072 | ProgramServicesAmt |
| Management And General | $42,964,372 | ManagementAndGeneralAmt |
| Fundraising | $351,668 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,905 | BOYAmt |
| EOY | $6,046 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,690,713 | BOYAmt |
| EOY | $14,778,179 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $596,433 | BOYAmt |
| EOY | $266,896 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,713,032 | BOYAmt |
| EOY | $23,540,894 | 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) |
|---|---|---|
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,382,703 | BOYAmt |
| EOY | $5,779,897 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,920,174 | BOYAmt |
| EOY | $1,112,647 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $152,275,030 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $88,857,208 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $68,457,575 | BOYAmt |
| EOY | $63,417,822 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,753,637 | BOYAmt |
| EOY | $6,714,453 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,137,666 | BOYAmt |
| EOY | $22,751,342 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,711,094 | BOYAmt |
| EOY | $5,594,938 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $144,403,932 | BOYAmt |
| EOY | $143,963,114 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,148,794 | BOYAmt |
| EOY | $3,392,223 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,467,883 | BOYAmt |
| EOY | $1,503,835 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $43,085,833 | BOYAmt |
| EOY | $36,502,125 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $238,387 | BOYAmt |
| EOY | $6,030,999 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,257,517 | BOYAmt |
| EOY | $29,611,249 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $81,198,414 | BOYAmt |
| EOY | $77,040,431 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $61,405,053 | BOYAmt |
| EOY | $62,805,706 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,066,558 | BOYAmt |
| EOY | $3,414,958 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $733,907 | BOYAmt |
| EOY | $702,019 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $63,205,518 | BOYAmt |
| EOY | $66,922,683 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $144,403,932 | BOYAmt |
| EOY | $143,963,114 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $4,849,044 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$1,298,441 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $166,562 | OtherChangesInNetAssetsAmt |
| 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 | $1,800,465 | BeginningYearBalanceAmt |
| Contributions | $3,175,941 | ContributionsAmt |
| Investment Earnings Or Losses | -$33,693 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $825,736 | OtherExpendituresAmt |
| End Year Balance | $4,116,977 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,854,473 | BeginningYearBalanceAmt |
| End Year Balance | $1,800,465 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,386,248 | BeginningYearBalanceAmt |
| End Year Balance | $1,854,473 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,200,869 | BeginningYearBalanceAmt |
| End Year Balance | $3,386,248 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,042,657 | BeginningYearBalanceAmt |
| End Year Balance | $1,200,869 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 0.17100 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.82900 | 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 | $1,615,872 | OtherCostOrOtherBasisAmt |
| Book Value | $1,615,872 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $76,521,285 | OtherCostOrOtherBasisAmt |
| Depreciation | $38,321,204 | DepreciationAmt |
| Book Value | $38,200,081 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $9,328,806 | OtherCostOrOtherBasisAmt |
| Depreciation | $6,095,348 | DepreciationAmt |
| Book Value | $3,233,458 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $62,466,085 | OtherCostOrOtherBasisAmt |
| Depreciation | $44,440,656 | DepreciationAmt |
| Book Value | $18,025,429 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,342,982 | OtherCostOrOtherBasisAmt |
| Book Value | $2,342,982 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $63,417,822 | TotalBookValueLandBuildingsAmt |
| Total Book Value Securities | $22,751,342 | TotalBookValueSecuritiesAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)
| DescDesc | AmtAmt |
|---|---|
| Accrd Payroll W/H | $249,905 |
| Accrued Payroll | $2,619,017 |
| Accrued Vacation | $3,266,732 |
| Due to Affiliates | $21,635,174 |
| Insurance Reserve | $250,000 |
| Total Other Noncurrent Liabili | $1,590,421 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $29,611,249 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $191,909,940 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$1,296,636 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $1,028,089 | OtherRevenueAmt |
| Revenue Not Reported | -$268,547 | RevenueNotReportedAmt |
| Revenue Subtotal | $192,178,487 | RevenueSubtotalAmt |
| Other Revenues Not Included | -$61,331 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | -$61,331 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $192,117,156 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $181,929,651 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $1,028,089 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $1,028,089 | ExpensesNotReportedAmt |
| Expenses Subtotal | $180,901,562 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $6,366,550 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $6,366,550 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $187,268,112 | 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, 2015. |
| Part XI, Line 2d: Other revenue amounts included in F/S but not included on form 990 | Expenses netted against revenue (rental) $1028089 |
| Part XII, Line 2d: Other expenses and losses per audited F/S | Expenses netted against Revenue (rental) $1028089 |
| Part XII, Line 4b: Other revenue amounts included on 990 but not included in F/S | Grant-Phys. Spec. of NLCMG $6155730 Revenue netted against Expense $270496 Expense netted against Revenue $-303946 Grant-WellSpan Medical Group $244270 |
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 | $315,010 | RegionTotalExpendituresAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Spent | $315,010 | SubtotalSpentAmt |
| Total Spent | $315,010 | TotalSpentAmt |
| Transfer To Foreign Corp | false | TransferToForeignCorpInd |
| Interest In Foreign Trust | false | InterestInForeignTrustInd |
| Foreign Corp Ownership | Yes (true) | ForeignCorpOwnershipInd |
| Passive Foreign Investmest Co | false | PassiveForeignInvestmestCoInd |
| Foreign Partnership | false | ForeignPartnershipInd |
| Boycott Countries | false | BoycottCountriesInd |
Schedule G IRS990ScheduleG
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agrmt Prof Fundraising Acty | false | AgrmtProfFundraisingActyInd |
| Licensed States | PA | LicensedStatesCd |
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | Golf Tournament | Event1Nm |
| Gross Receipts Event1 | $131,715 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $95,643 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $36,072 | GrossRevenueEvent1Amt |
| Non Cash Prizes Event1 | $5,098 | NonCashPrizesEvent1Amt |
| Rent Facility Costs Event1 | $22,534 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $17,481 | FoodAndBeverageEvent1Amt |
| Other Direct Expenses Event1 | $1,061 | OtherDirectExpensesEvent1Amt |
| Event2 | Starlight Gala | Event2Nm |
| Gross Receipts Event2 | $110,876 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $87,746 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $23,130 | GrossRevenueEvent2Amt |
| Rent Facility Costs Event2 | $1,000 | RentFacilityCostsEvent2Amt |
| Food And Beverage Event2 | $11,579 | FoodAndBeverageEvent2Amt |
| Entertainment Event2 | $2,000 | EntertainmentEvent2Amt |
| Other Direct Expenses Event2 | $4,126 | OtherDirectExpensesEvent2Amt |
| Other Events Total | 1 | OtherEventsTotalCnt |
| Gross Receipts Other Events | $26,121 | GrossReceiptsOtherEventsAmt |
| Gross Revenue Other Events | $26,121 | GrossRevenueOtherEventsAmt |
| Oth Direct Expnss Other Events | $8,989 | OthDirectExpnssOtherEventsAmt |
| Gross Receipts Total | $268,712 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $183,389 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $85,323 | GrossRevenueTotalEventsAmt |
| Non Cash Prizes Total Events | $5,098 | NonCashPrizesTotalEventsAmt |
| Rent Fclty Costs Total Events | $23,534 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $29,060 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $2,000 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $14,176 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $73,868 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $11,455 | NetIncomeSummaryAmt |
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 |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (true) | 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) |
|---|---|---|
| Total Community Benefit Expns | $2,763,141 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,763,141 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01480 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $16,507,055 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,283,943 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $12,223,112 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06530 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $19,270,196 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,283,943 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $14,986,253 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08010 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $81,909 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $81,909 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $145,355 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $145,355 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00080 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,954,579 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,960,157 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $994,422 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00530 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,181,843 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,960,157 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,221,686 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00650 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $23,452,039 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,244,100 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $16,207,939 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08660 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $2,498,607 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $33,731 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $58,357,997 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $75,365,755 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$17,007,758 | MedicareSurplusOrShortfallAmt |
| 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | 12 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (true) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | false | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | www.wellspan.org | OwnWebsiteURLTxt |
| Other Website | Yes (X) | OtherWebsiteInd |
| Other Website URL | www.wellspan.org | OtherWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 12 | 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 | 200.0000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300.0000 | 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 |
| 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 Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| None Made | Yes (X) | NoneMadeInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Lowest Negotiated Rates | Yes (X) | LowestNegotiatedRatesInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part V, Line 5 - Account Input from Persons Who Represent the Community | The Community Health Needs Assessment (CHNA) for WellSpan-Ephrata Community Hospital was conducted in partnership with the Lancaster Health Improvement Partnership (LHIP) and its partner organizations. Public health experts and various community stakeholders provided comments and recommendations based on county data and the clients they represented. Input was gathered at meetings and through interviews and focus groups. 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. |
| Part V, Line 6a - List Other Hospital Facilities that Jointly Conducted Needs Assessment | Lancaster General Hospital, Lancaster Rehabilitation Hospital, Women & Babies Hospital |
| Part V, Line 11 - Explanation of Needs Not Addressed and Reasons Why | In reviewing the top twenty indicators detected in the CHNA, many are related to the root causes of chronic diseases that are addressed by our two adopted focus areas. There are other areas that are not addressed by the hospital's action plan. Some indicators go beyond the scope of a community hospital's services, such as workers who drive alone to work, unemployed workers in civilian labor force, and households without a vehicle. In these cases the hospital would lack an effective approach to elicit any meaningful impact. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 15 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (15 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 |
| Ephrata Diagnostic Center | ||||
| 446 North Reading Road | Ephrata | PA | 17522 | Imaging/Lab/Occupational Medicine |
| Center for Health at Garden Spot Villa | ||||
| 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 |
| Community Medical & Diagnostic Center | ||||
| 30 West Swartzville Road | Reinholds | PA | 17569 | Imaging/Lab |
| Crossroads Center for Health | ||||
| 4131 Oregon Pike | Ephrata | PA | 17522 | Lab/Imaging/Therapy |
| Meadowbrook Center for Health | ||||
| 337 West Main Street | Leola | PA | 17540 | Lab/Imaging/Therapy |
| Brossman Center for Health | ||||
| 136 Lake Street | Ephrata | PA | 17522 | Cardiology/Therapy |
| Pain Management Center of Ephrata | ||||
| 4150 Barrett Boulevard | Ephrata | PA | 17522 | Pain Management |
| Rothsville Medical Center | ||||
| 2320 Rothsville Road | Lititz | PA | 17543 | Lab/Pulmonary Rehab |
| Cornerstone Medical Center | ||||
| 6 West Newport Road | Lititz | PA | 17543 | Imaging/Lab/Therapy |
| Cocalico Center for Health | ||||
| 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 Center | ||||
| 217 Granite Run Drive | Lancaster | PA | 17603 | Sleep Studies |
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 - Needs Assessment | A formal Community Health Needs Assessment (CHNA) that included data gathering and analysis, and action plan/report generation was initiated in 2012. The CHNA was a joint effort with Lancaster General Health and the findings were presented to the community at the 2012 Health Summit, a collaborative effort of the Lancaster Health Improvement Partnership (LHIP) and the Lancaster Business Group on Health. Findings from the CHNA are available on the WellSpan Health website (www.wellspan.org). |
| Part VI - Patient Education of Eligibility for Assistance | Ephrata Community Hospital informs and educates patients and persons who are billed for patient care about their eligibility for assistance for federal, state, or local government programs via the following ways:During the pre-service process, the financial counselors verify all financial information with the patient and/or guardian. At that time, the financial counselor will then educate of patient of their potential financial responsibility and make numerous recommendations to assist them in satisfying this portion. One of these avenues is to recommend our ECH Cares Charity Program and to refer them to obtain Medical Assistance via our in-house MA Counselor. The financial counselor will offer these options also if the patient is a true self pay and has no insurance coverage.When the patient presents at any of our registration sites, they are also informed of our offerings of our ECH Cares Charity Program as well as the convenience of having an MA counselor available for them to speak with at our hospital.In addition, Access Associates also have information readily available to them to assist walk-in patients who may be underinsured or uninsured. When the service we offer is estimated to cost $1,000 or more, and the patient is either underinsured or uninsured, we discuss the paths Medical Assistance process and have that patient sign a limited power of attorney. We also provide an ECH Cares brochure at hat time and briefly explain the application process, and that the MA vendor will assist them with this application as well as the MA application. These conversations are documented with proper follow-up.Signage is posted in the ER Department hallway, informing patients of the hospital's financial policy. Verbiage on the statements and on our website informs the patients of the availability of the various avenues to help them with their obligation. Customer service agents have scripting to inform the patients of the availability of the various avenues available to them. |
| Part VI - Community Information | The mission of Ephrata Community Hospital is to meet the primary and acute care needs, as well as the need for diagnostic and rehabilitative services within the communities that we serve. Independently developed to serve local needs, the primary purpose of the hospital is to assure community access to quality, compassionate and cost-efficient healthcare. With a qualified and diversified medical staff, Ephrata Community Hospital cares for the needs of patients of all ages with courtesy and professional expertise.Ephrata Community Hospital serves the northern Lancaster County community as well as parts of southern Berks County, Eastern Lebanon County and western Chester County. Many of the patients using services offered by Ephrata Community Hospital reside in the following zip codes: 17039KLEINFELTERSVILLE, PA17501AKRON, PA17505BIRD IN HAND, PA17506BLUE BALL, PA17507BOWMANSVILLE, PA17508BROWNSTOWN, PA17517DENVER, PA17519EAST EARL, PA17522EPHRATA, PA17528GOODVILLE, PA17529GORDONVILLE, PA17533HOPELAND, PA17540LEOLA, PA17543LITITZ, PA17557NEW HOLLAND, PA17564PENRYN, PA17567REAMSTOWN, PA17569REINHOLDS, PA17578STEVENS, PA17580TALMAGE, PA17581TERRE HILL, PA17585WITMER, PA19501ADAMSTOWN, PAThe community served includes the boroughs of Ephrata, New Holland, Denver, Adamstown and Lititz as well as surrounding townships. Although predominantly suburban, the region served also includes a significant portion of Lancaster Countys farming community. Ephrata Community Hospital serves this increasingly diverse population through a main facility in Ephrata Borough and freestanding outpatient centers in Stevens, Ephrata, New Holland, Leola, Lititz, Rothsville, Brownstown and Adamstown. Additionally, the hospital operates a freestanding Cancer Center in Ephrata.Ephrata Community Hospital is the only nonprofit inpatient facility in northern Lancaster County. Heart of Lancaster Regional Medical Center, a for-profit facility is located in Lititz, 9 miles to the West. Lancaster General Hospital is located in the City of Lancaster 13 miles south of Ephrata, and the Reading Hospital Medical Center is 18 miles north of Ephrata. The Pennsylvania Department of Healths Lancaster Health Profile for 2013 indicates that 13.5% of the Countys population is eligible for Medical Assistance. The continuing economic downturn and ongoing unemployment and underemployment in this region contribute to this 1.8% increase in Medical Assistance eligibility experienced since 2009. The Pennsylvania Department of Labor and Industry reported an average 2011 unemployment rate for Lancaster County at 6.8%. Higher unemployment than what was traditionally experienced in this region has resulted in increased levels of uninsured individuals in this region (demographic and workforce data specific for Ephrata Community Hospitals primary service area is not publicly reported by state or federal agencies, but the Lancaster County-wide data applies to the areas served through this hospital).Within Lancaster Countys population, the Pennsylvania Department of Health reports that heart disease, cancer, stroke, respiratory disease and diabetes are among the top ten leading disease-related causes of death. Ephrata Community Hospital offers services and programs specifically targeting these diseases. For example, The Ephrata Cancer Center has earned commendations from the American College of Surgeons Commission on Cancer for the full complement of services available in this community. The Joint Commission has also awarded Ephrata Community Hospital disease-specific certification in Heart Failure and Stroke Care. Through pulmonary rehabilitation, cardiac rehabilitation and diabetes education programs, a multidisciplinary team of professionals helps patients to manage chronic conditions to avoid more costly interventions and to enhance the patients quality of life.The community served by Ephrata Community Hospital also includes one of the largest settlements of plain Mennonite and Amish families in the United States. The Plain Population does not utilize commercial or governmental payers for healthcare services, and is therefore considered a self-pay population. Ephrata Community Hospital continues to develop services, facilities and payment packages to assist this demographic segment in accessing both preventive and acute care services. |
| Part VI - Explanation Of How Organization Furthers Its Exempt Purpose | 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; immunizations; community health fair participation, and; health education through newsletters and local television media. Many of these programs are offered for free or at a minimal cost to the participant. One example of a unique community-based partnership in which WellSpan-Ephrata Community Hospital is seeking to engage local children is implementation of the GO Ephrata! summer physical activity program. Through a partnership with the Ephrata Public Library and its Summer Reading Club, WellSpan-Ephrata Community Hospital seeks to encourage children and their families to be physically active during the summer months by participating in an adaptation of letterboxing, an international hobby where participants use written clues to find items hidden in various places. Planning for the 2015 GO Ephrata! program began in fall 2014 and results will be available in September 2015. WellSpan-Ephrata Community Hospital serves as a resource for students considering a healthcare career as well as those enrolled in healthcare training programs. Job shadowing opportunities and clinical training placements are available within hospital departments. In addition, the Ephrata Community Health Foundation assists in raising funds to support community health and clinical initiatives of WellSpan-Ephrata Community Hospital. Initiatives for which funds were raised include: the Healthy Beginnings Plus program which provides prenatal services to low-income women, and for wellness programs targeting childhood obesity and pre-diabetes, and promoting healthier lifestyles. Historically, WellSpan Health and its entities have taken planned steps to build community capacity that addresses complex health issues, as identified by the Community Health Needs Assessment (CHNA). Through financial and management support of a county health coalition, the Healthy York County Coalition (HYCC), more than 200 York County community members have been engaged in community health improvement initiatives. HYCC consists of three committees Access and Empowerment; Community Engagement, and; Prevention and Wellness, each of which continue to attract new community members, leaders, and professionals. These committees foster partnerships and collaboration between entities to ensure that efforts to address and impact identified community health needs are coordinated and successful. In response to results from the 2012 CHNA, WellSpan Surgery & Rehabilitation Hospital and the Healthy York County Coalition partnered with community organizations across York and neighboring Adams County to address the increasing prevalence of depression in the region. Feeling Blue, an online depression awareness campaign (www.feeling-blue.com), was launched in November 2014 and continues to demonstrate increased online traffic (viewer hits). The campaign is designed to encourage individuals who are feeling blue or suffering from mild depression to engage in non-medical means of managing their symptoms (i.e., healthy eating, increased physical activity, social support). WellSpan Health and its entities, through the Healthy York County Coalition, also developed a comprehensive approach to educating York County residents about end-of-life planning and care, or Horizon Planning as it is termed locally. Through end-of-life documentary screenings, community dialogues, and educational resource distribution, both organizations seek to create a comfortable environment to share information and create a community conversation about this important issue. Hundreds of York County residents have participated in community-focused events and have obtained valuable information to assist them with personal end-of-life decision-making.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 four health priorities identified in the 2012 CHNA adult overweight/obesity; access to care; depression, and; tobacco use. One example of this commitment may be found in the development and implementation of the 10Lb. Throwdown, a 10-week community challenge that encourages participants to lose or maintain a healthy weight through healthier eating and increased physical activity. The initiative was created to address the growing issue of adult overweight/obesity, and utilizes a core website (www.10poundthrowdown.com) on which may be found an online weight tracker, physical activity program (Make the Most of the Coast), and tips that promote a healthier lifestyle. More than 1900 community members across three southcentral Pennsylvania counties Adams, Lancaster, and Lebanon participated in the 2015 iteration of the 10Lb. Throwdown Lastly, WellSpan Health continues to address tobacco use by providing community-based cessation and prevention services throughout York and Adams counties, as one component of a grant from the American Lung Association (ALA). Community members are also vital to furthering our exempt purpose by actively volunteering their time and donating financial resources to health-related initiatives. During the fiscal year, approximately 2,000 individuals volunteered more than 170,000 hours of service across WellSpan Health. The value of those volunteer hours totals in excess of $3.9 million. In addition, the York Health Foundation, raised nearly $4.078 million to support initiatives such as: behavioral health support at select primary care offices; implementation of countywide tobacco prevention and cessation services; training for additional SAFE (Sexual Assault Forensic Exam) nurses to care for victims of abuse, and; funding to assist with rent, food, transportation and utility needs of cancer patients. |
| Part VI - Affilated Health Care System Roles and Promotion | WellSpan Health is an integrated health system serving the Adams-York-Northern Lancaster county region. 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. Ephrata Community Hospital works with other parts of the system to provide a comprehensive approach to meeting community needs.WellSpan Health includes: Gettysburg Hospital, York Hospital, WellSpan Surgery and Rehabilitation Hospital, Ephrata Community Hospital, Apple Hill Surgical Center, VNA Home Health, WellSpan Medical Group, Northern Lancaster County Medical Group, Physician Specialists of Northern Lancaster County Medical Group, WellSpan Population Health Services, WellSpan Pharmacy, Gettysburg Hospital Foundation, York Health Foundation, Ephrata Community Health Foundation, WellSpan Provider Network and Healthy York Network/Healthy Community Pharmacy. Ephrata Community Hospital's community benefit report is contained in a report prepared by their parent organization, WellSpan Health. See Attached Federal Supplemental Information: WellSpan Health - 2015 Community Benefit Report |
| Part VI - States Where Community Benefit Report Filed | PA |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Purpose Of GrantPurposeOfGrantTxt | Valuation Method UsedValuationMethodUsedDesc | Non Cash AssistanceNonCashAssistanceDesc |
|---|---|---|---|---|---|---|---|---|---|---|
| Northern Lancaster County | ||||||||||
| Medical Group-169 Martin Ave | Ephrata | PA | 17522 | 203033058 | 501(c)(3) | $6,155,730 | $0 | Charitable Activities | ||
| WellSpan Medical Group | ||||||||||
| 45 Monument Road | York | PA | 17103 | 232730785 | 501(c)(3) | $244,270 | $0 | Charitable Activities | ||
| Welsh Mountain Revenue Center | ||||||||||
| 584 Springville Rd | New Holland | PA | 17557 | 231909490 | 501(c)(3) | $0 | $12,221 | Charitable Activities | FMV | Forgiveness of Rent |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 3 | 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 | The organization only provides grants or assistance to other charitable organizations. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| 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 |
| Rebuttable Presumption Proc | false | RebuttablePresumptionProcInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Giridhar U Adiga | |||||||||||||
| Physician | $371,635 | $25,000 | $480 | $9,664 | $16,328 | $423,107 | |||||||
| Harris Baderak | |||||||||||||
| Medical Director | $327,841 | $11,500 | $4,190 | $12,862 | $15,910 | $372,303 | |||||||
| John A Holmes | |||||||||||||
| VP-Contracting | $227,307 | $59,574 | $3,382 | $12,224 | $13,577 | $316,064 | |||||||
| John M Porter Jr | |||||||||||||
| Pres-Ex Officio | $494,880 | $106,635 | $3,654 | $443,197 | $59,377 | $1,107,743 | |||||||
| Kevin Mosser MD | |||||||||||||
| Dir/CEO WSH | $726,260 | $173,400 | $689,292 | $45,930 | $1,634,882 | $173,400 | |||||||
| Lloyd G Goldfarb MD | |||||||||||||
| Director | $338,547 | $15,918 | $20,800 | $14,750 | $392,895 | $2,880 | |||||||
| Maria Royce | |||||||||||||
| Director | $249,623 | $86,360 | $238,781 | $39,058 | $618,618 | $86,360 | $4,796 | ||||||
| Mark Jacobson DO | |||||||||||||
| Sr VP for Medical Affairs | $300,718 | $41,000 | $17,825 | $22,899 | $382,442 | ||||||||
| Michael F O'Connor | |||||||||||||
| CFO-WellSpan | $464,812 | $150,280 | $403,631 | $45,343 | $1,064,066 | $150,280 | |||||||
| Peter C Cote | |||||||||||||
| Medical Director | $510,793 | $40,545 | $3,822 | $18,382 | $17,618 | $591,160 | |||||||
| Robert F Graupensperger | |||||||||||||
| VP & CIO | $235,835 | $40,500 | $11,022 | $41,383 | $328,740 | ||||||||
| Steven W Zebert DO | |||||||||||||
| Physician | $318,623 | $9,500 | $20,280 | $15,686 | $364,089 | ||||||||
| Wilfred A Layne MD | |||||||||||||
| Physician | $434,355 | $25,000 | $480 | $11,525 | $18,798 | $490,158 | |||||||
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 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part VI | FormAndLineReferenceDesc |
| Explanation | On November 9, 2009, Ephrata Community Hospital (ECH) entered into an Agreement with the Lancaster Municipal Authority, whereby, the Authority issued, on behalf of the Hospital, a $23,930 tax-exempt Revenue Note, Series of 2009. The proceeds of the 2009 Note were used to refund the 2006 Bonds and pay the costs of the issuance of the 2009 Note. The debt was refinanced on May 22, 2015On February 1, 2010, ECH entered into an Agreement with the Lancaster Municipal Authority whereby, the Authority issued, on behalf of the Hospital, a $4,750 tax-exempt Revenue Note, Series of 2010A. The proceeds of the 2010A Note were used to refund the 1997 Bonds and pay the costs of the issuance of the 2010A Note. The debt was refinanced on May 22, 2015In April 2012, ECH entered into an Agreement with the Lancaster Municipal Authority whereby, the Authority issued, on behalf of the Hospital, a $9,938 tax-exempt Revenue Note, Series of 2012. The proceeds of the 2012 Note were used to refund the 2010B Note, pay the costs of the issuance of the 2012A Note, and to finance certain construction and renovation expenses. The debt was refinanced on May 22, 2015In January 2013, ECH entered into an Agreement with the Lancaster Municipal Authority whereby, the Authority issued, on behalf of the Hospital, a $9,862 tax-exempt Revenue Note, Series of 2013. The proceeds of the 2013 Note were used to finance certain construction and renovation expenses. The debt was refinanced on May 22, 2015On May 22, 2015, the Lancaster Municipal Authority issued $36,572,083 of Revenue 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. In order 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 6/30/15, the $35,063,990 of outstanding liability is reported on the Ephrata Community Hospital return balance sheet. | ExplanationTxt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| Marcia Stoesz | |||
| Family membe | $49,897 | ECH employee | false |
| Thomas Theodoran | |||
| Family Membe | $13,140 | ECH Employee | false |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 pursant 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 pursant 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 Chairman of the Board of Gettysburg Hospital shall participate. 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. |
| Other Changes In Net Assets Or Fund Balances - Other Increases | change in Net Assets of Foundation = $198450 |
| Other Changes In Net Assets Or Fund Balances - Other Decreases | Unrealized Loss on Restricted Assets = -$31888 |
| Schedule K -Tax-Exempt Bonds | $412,230,0000 of Revenue Bonds for WellSpan Health Obligated Group, Series 2008A, 2008B, 2008C and 2008D were issued 11/12/2008 by General Authority of Southcentral Pennsylvania. The purpose of this bond issue was to refund bonds issued 5/13/2002, 5/17/2005, 6/16/2005, and 6/5/2007. 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), and WellSpan Specialty Services (23-2899911). In order 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 6/30/15, the allocation of the Debt Capital program was as follows: York Hospital $169,208,505 (60.56%), WellSpan Properties $33,905,407 (12.13%), WellSpan Health $5,274,606 (1.89%), WellSpan Specialty Services $46,131,343 (16.51%) and Gettysburg Hospital $24,900,139 (8.91%). These amounts are reported on the respective balance sheets (Part X Line 20)for each of these entities.The 11/12/2008 issue included reissuance of all unspent proceeds from the refunded 2007 bond issue. Total proceeds of issue includes the original 11/12/2008 issue plus investment earnings on transferred proceeds and the short investment of proceeds between date of issue and payoff on 12/1/2008.$213,430,000 of Revenue bonds for Wellspan Health Obligated Group, Series 2014A were issued November 11, 2014 by General Authority of South Central Pennsylvania. 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) and WellSpan Specialty Services (23-2899911). In order 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 6/30/15, the allocation of the Debt Capital program including issue premium was as follows: York Hospital $173,540,565, Gettysburg Hospital $9,023,241, WellSpan Properties $31,253,869 and WellSpan Specialty Services $15,872,524. These amounts are reported on the respective balance sheets for each of these entities.On May 22, 2015, the Lancaster Municipal Authority issued $36,572,083 of Revenue 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. In order 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 6/30/15, the $35,063,990 of outstanding liability is reported on the Ephrata Community Hospital return balance sheet. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (16 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) | 9 | NA | false |
| Gettysburg Hospital | ||||||||||
| PO Box 2767 | York | PA | 174052767 | 231352220 | Health care services | PA | 501(c)(3) | 3 | NA | false |
| Gettysburg Hospital Foundation | ||||||||||
| PO Box 2767 | York | PA | 174052767 | 232251358 | Fundraising for Gettysburg Hospital | PA | 501(c)(3) | 11 Type 1 | NA | false |
| Healthy Community Pharmacy Inc | ||||||||||
| PO Box 2767 | York | PA | 174052767 | 200519121 | Reduced rate prescription drugs to unins | PA | 501(c)(3) | 11 Type 1 | NA | false |
| VNA Community Services | ||||||||||
| PO Box 2767 | York | PA | 174052767 | 232338591 | Home personal care services for elderly | PA | 501(c)(3) | 9 | NA | false |
| VNA Home Health Services | ||||||||||
| PO Box 2767 | York | PA | 174052767 | 231352573 | Home health and hospice care services | PA | 501(c)(3) | 9 | NA | false |
| WellSpan Health | ||||||||||
| PO Box 2767 | York | PA | 174052767 | 222517863 | Integrated Health System | PA | 501(c)(3) | 11 Type 1 | NA | false |
| WellSpan Health Care Services | ||||||||||
| PO Box 2767 | York | PA | 174052767 | 232400237 | Health-related activities in the service | PA | 501(c)(3) | 11 Type 1 | NA | false |
| WellSpan Medical Group | ||||||||||
| PO Box 2767 | York | PA | 174052767 | 232730785 | Medical and surgical care | PA | 501(c)(3) | 9 | NA | false |
| York Health Foundation | ||||||||||
| PO Box 2767 | York | PA | 174052767 | 233050192 | Charitable contributions for WellSpan en | PA | 501(c)(3) | 11 Type 3 | NA | false |
| York Hospital | ||||||||||
| PO Box 2767 | York | PA | 174052767 | 231352222 | Community teaching hospital | PA | 501(c)(3) | 3 | NA | false |
| WellSpan Specialty Services | ||||||||||
| PO Box 2767 | York | PA | 174052767 | 232899911 | Mgmt. hospice/home health | PA | 501(c)(3) | 11 Type 1 | NA | false |
| WellSpan Properties | ||||||||||
| PO Box 2767 | York | PA | 174052767 | 222842252 | Leases facilities to affiliates | PA | 501(c)(3) | 11 Type 1 | NA | false |
| Ephrata Community Health Foundation | ||||||||||
| PO Box 2767 | York | PA | 174052767 | 800940005 | Funraising for Ephrata Hospital | PA | 501(c)(3) | 11 Type 1 | Ephrata Community Hospital | false |
| Northern Lancaster County Medical Group | ||||||||||
| PO Box 2767 | York | PA | 174052767 | 203033058 | Medical and surgical care | PA | 501(c)(3) | 11 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) | 11 Type II | Northern Lancaster County Medical Group | Yes (true) |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (5 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 | AHSCI | 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 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (6 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 | Direct Controlling NADirectControllingNACd | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|
| WellSpan Pharmacy Inc | |||||||||||
| PO Box 2767 | York | PA | 174052767 | 232374072 | Dispense Rx's & prov | PA | WHCS | C corp | false | ||
| WellSpan Reciprocal Risk Retention Group | |||||||||||
| PO Box 2767 | York | PA | 174052767 | 200048457 | Risk Retention Group | PA | C corp | false | N/A | ||
| York Health Plan | |||||||||||
| PO Box 2767 | York | PA | 174052767 | 232664989 | Preferred Provider O | PA | C corp | false | N/A | ||
| WellSpan Provider Network | |||||||||||
| PO Box 2767 | York | PA | 174052767 | 232907828 | Coordinate managed care | PA | C corp | false | N/A | ||
| Apple Hill Condominium Association | |||||||||||
| PO Box 2767 | York | PA | 174052767 | 232504543 | Condo Mgmt Associati | PA | Homeowners Assoc | false | N/A | ||
| North Lanc Co Phys Hosp Alliance | |||||||||||
| PO Box 2767 | York | PA | 174052767 | 232421885 | Coordinate Phys & Hospital | PA | NA | C Corp | false | 0.50000 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | Yes (true) | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | 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 | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |