2016-05-12T07:50:49-07:00 2015-06-30 WELLSPAN HEALTH 3350 WHITEFORD ROAD YORK PA 17403 990 2014-07-01 231370484 EPHRATA COMMUNITY HOSPITAL EPHR 7178513055 PO BOX 2767 YORK PA 17405 Michael F O'Connor CFO 2016-05-12 true DAVID P RIZZUTO P01210563 7178513095 2014 2016-08-17 19:52:53Z Kevin Mosser MD PO Box 2767 York PA 174052767 214832559 false false X WWW.WELLSPAN.ORG X 1940 PA The Ephrata Community Hospital is a tax exempt organization dedicated to providing preventive, primary, acute care, diagnostic and rehabilitative services. 18 13 1660 172 1150242 249637 749886 608953 174341686 188198891 4257666 2187017 911011 1122295 180260249 192117156 14599700 6413846 0 92390450 86075728 0 351668 75392599 94778538 182382749 187268112 -2122500 4849044 144403932 143963114 81198414 77040431 63205518 66922683 The mission of the Ephrata Community Hospital:1)To assure community access to health care services that are high in quality, compassionate and cost-effective.2)To partner with employees, physicians, volunteers, and other health care organizations to meet the health care needs of the communities we serve.3)To combine advanced medical technology with professional, personalized care. false false 143952072 6413846 188670143 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 143952072 true true false false false false false false false true true true false false true true false true false false true false false false true false true true true false true true false false false false false false false false true false false false false false false true true true false false true 200 0 true 1660 true true true false false false false true true false 0 false false false false false false false false false false X 18 13 false false false false true true true true true false false true true true true true true true true true true PA X DAVID P RIZZUTO 7178513055 3350 WHITEFORD ROAD YORK PA 174029081 X R Fred Groff III Chairman 2.00 0.00 X X 0 0 0 William C Funk DMD Vice Chair 1.00 0.00 X X 0 0 0 Leon Ray Burkholder Director 1.00 0.00 X 0 0 0 Edward G Camerino MD Director 1.00 0.00 X 0 0 0 Charles M Evans MD Assist Sec 1.00 0.00 X X 0 0 0 P Joshua Gluck Director 1.00 0.00 X 0 0 0 Lloyd G Goldfarb MD Director 1.00 40.00 X 0 357345 35550 Aaron L Groff Jr Assist Treas 1.00 0.00 X X 0 0 0 Ronald L Miller Treasurer 1.00 0.00 X X 0 0 0 Richard C Lewis Director 1.00 0.00 X 0 0 0 Kevin Mosser MD Dir/CEO WSH 1.00 40.00 X X 0 899660 735222 Maria Royce Director 1.00 40.00 X 0 340779 277839 Gilbert L Sager Director 1.00 0.00 X 0 0 0 Earl D Shirk Director 1.00 0.00 X 0 0 0 Dean A Stoesz Director 1.00 0.00 X 0 0 0 Chris Theodoran DO Director 1.00 0.00 X 0 0 0 Linda H Weaver Secretary 1.00 0.00 X X 0 0 0 Dale Whitebloom DO Director 1.00 0.00 X 0 0 0 John M Porter Jr Pres-Ex Officio 40.00 0.00 X 605169 0 502574 Michael F O'Connor CFO-WellSpan 1.00 40.00 X 0 615092 448974 Robert F Graupensperger VP & CIO 40.00 0.00 X 276335 0 52405 Mark Jacobson DO Sr VP for Medical Affairs 40.00 0.00 X 341718 0 40724 John A Holmes VP-Contracting 40.00 0.00 X 290263 0 25801 Peter C Cote Medical Director 40.00 0.00 X 555160 0 36000 Wilfred A Layne MD Physician 40.00 0.00 X 459835 0 30323 Steven W Zebert DO Physician 40.00 0.00 X 328123 0 35966 Giridhar U Adiga Physician 40.00 0.00 X 397115 0 25992 Harris Baderak Medical Director 40.00 0.00 X 343531 0 28772 3597249 2212876 2276142 79 false true false Keystone Rehabilitation Systems Inc PO Box 1289 Indiana PA 15701 Physical Therapy 686220 CMC Billing Services 2121 Noblestown Road Pittsburgh PA 15205 Billing/Collection 803985 Onsite Neonatal PC 1000 Haddonfield-Berlin Rd Ste 210 Voorhees NJ 08047 NICU Physicians 718200 Central PA Alliance Laboratories PO Box 2767 York PA 17405 Lab Testing 704018 Medical Information Technology PO Box 74569 Chicago IL 60696 Software Services 597121 29 183389 17065 408499 608953 EHR Incentive Program(MU) 621500 1777284 1777284 Patient Services 621500 202270249 201167614 1102635 W/O - Bad Debts 621990 -7525927 -7525927 W/O - Free Service 621990 -8322715 -8322715 188198891 1554635 1554635 -303946 -303946 0 881437 1028089 -146652 -146652 -146652 22542918 6754 21441917 171427 1101001 -164673 936328 936328 85461 183389 73970 11491 11491 0 0 Cafeteria/Cafe 722210 463022 463022 Gift Shop Sales 453220 135034 135034 Work First 621300 329047 329047 330353 142205 47607 140541 1257456 192117156 187567508 1150242 2790453 X 6413846 6413846 0 0 0 2134989 1027246 1107743 0 62219695 49134855 12993726 91114 2321905 1809840 508778 3287 14930448 11637733 3271576 21139 4468691 3483179 979185 6327 7500000 7500000 35438 35438 126562 126562 0 0 0 21978019 19289875 2687138 1006 306570 228889 77681 3116544 3116544 0 0 3608646 3037364 557595 13687 428585 291036 137049 500 0 135664 89948 45621 95 1435477 1435477 0 10340684 10340684 2042599 28148 2014451 Supplies 29498842 27181990 2288884 27968 Repair & Maintenance 4186730 2252598 1934132 Taxes & Licenses 2986259 546477 2439782 Equipment Rentals 2889722 2889722 4162197 1152098 2823554 186545 187268112 143952072 42964372 351668 40905 6046 8690713 14778179 596433 266896 20713032 23540894 0 0 0 5382703 5779897 2920174 1112647 152275030 88857208 68457575 63417822 8753637 6714453 26137666 22751342 0 0 2711094 5594938 144403932 143963114 6148794 3392223 1467883 1503835 43085833 36502125 238387 6030999 30257517 29611249 81198414 77040431 X 61405053 62805706 1066558 3414958 733907 702019 63205518 66922683 144403932 143963114 X 4849044 -1298441 166562 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1800465 3175941 -33693 825736 4116977 1854473 1800465 3386248 1854473 1200869 3386248 1042657 1200869 0.17100 0.82900 false true true 1615872 1615872 76521285 38321204 38200081 9328806 6095348 3233458 62466085 44440656 18025429 2342982 2342982 63417822 22751342 Accrd Payroll W/H 249905 Accrued Payroll 2619017 Accrued Vacation 3266732 Due to Affiliates 21635174 Insurance Reserve 250000 Total Other Noncurrent Liabili 1590421 29611249 X 191909940 -1296636 1028089 -268547 192178487 -61331 -61331 192117156 181929651 1028089 1028089 180901562 6366550 6366550 187268112 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 Central America and Carribbean 0 0 Investment 315010 315010 315010 false false true false false false false PA Golf Tournament 131715 95643 36072 5098 22534 17481 1061 Starlight Gala 110876 87746 23130 1000 11579 2000 4126 1 26121 26121 8989 268712 183389 85323 5098 23534 29060 2000 14176 73868 11455 true true X true X true X true true true false true true 2763141 2763141 0.01480 16507055 4283943 12223112 0.06530 19270196 4283943 14986253 0.08010 81909 81909 0.00040 145355 145355 0.00080 3954579 2960157 994422 0.00530 4181843 2960157 1221686 0.00650 23452039 7244100 16207939 0.08660 true 2498607 33731 58357997 75365755 -17007758 true true 1 1 Ephrata Community Hospital 169 Martin Avenue Ephrata PA 17522 www.wellspan.org 747105 X X X false false true X X X X X X X X 12 true true false true X www.wellspan.org X www.wellspan.org X true 12 true www.wellspan.org true false true X 200.0000 300.0000 X X X X X true true X X X X true X www.wellspan.org X www.wellspan.org X X true X false X true X false false 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. 15 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 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 true Northern Lancaster County Medical Group-169 Martin Ave Ephrata PA 17522 203033058 501(c)(3) 6155730 0 Charitable Activities WellSpan Medical Group 45 Monument Road York PA 17103 232730785 501(c)(3) 244270 0 Charitable Activities Welsh Mountain Revenue Center 584 Springville Rd New Holland PA 17557 231909490 501(c)(3) 0 12221 FMV Forgiveness of Rent Charitable Activities 3 0 Grantmaker's Description of How Grants are Used The organization only provides grants or assistance to other charitable organizations. X X X X X false true false false false false false false false false Giridhar U Adiga Physician 371635 25000 480 9664 16328 423107 Harris Baderak Medical Director 327841 11500 4190 12862 15910 372303 John A Holmes VP-Contracting 227307 59574 3382 12224 13577 316064 John M Porter Jr Pres-Ex Officio 494880 106635 3654 443197 59377 1107743 Kevin Mosser MD Dir/CEO WSH 726260 173400 689292 45930 1634882 173400 Lloyd G Goldfarb MD Director 338547 15918 2880 20800 14750 392895 Maria Royce Director 249623 86360 4796 238781 39058 618618 86360 Mark Jacobson DO Sr VP for Medical Affairs 300718 41000 17825 22899 382442 Michael F O'Connor CFO-WellSpan 464812 150280 403631 45343 1064066 150280 Peter C Cote Medical Director 510793 40545 3822 18382 17618 591160 Robert F Graupensperger VP & CIO 235835 40500 11022 41383 328740 Steven W Zebert DO Physician 318623 9500 20280 15686 364089 Wilfred A Layne MD Physician 434355 25000 480 11525 18798 490158 A See Schedule O Part VI 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. Marcia Stoesz Family membe 49897 ECH employee false Thomas Theodoran Family Membe 13140 ECH Employee false 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. 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 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 true 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 true 0.10000 Littlestown Health Care Partners 300 West King Street Littlestown PA 17340 232880464 Lease facility PA NA false false Cherry Tree Cancer Center LLP PO Box 2767 York PA 174052767 232915628 Radiation PA NA false false The Rehab Center 855 Springdale Drive Suite 20 Exton PA 19341 251687903 Physical Therapy Rehab PA Ephrata Hospital false true 0.51000 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 N/A C corp false York Health Plan PO Box 2767 York PA 174052767 232664989 Preferred Provider O PA N/A C corp false WellSpan Provider Network PO Box 2767 York PA 174052767 232907828 Coordinate managed care PA N/A C corp false Apple Hill Condominium Association PO Box 2767 York PA 174052767 232504543 Condo Mgmt Associati PA N/A Homeowners Assoc false North Lanc Co Phys Hosp Alliance PO Box 2767 York PA 174052767 232421885 Coordinate Phys & Hospital PA NA C Corp 0.50000 false false false false false false false true false false false false true true false false true false false false