2013-05-10T14:08:04-05:00 2012-06-30 520783935 SMITH ELLIOTT KEARNS & COMPANY LLC 804 WAYNE AVENUE CHAMBERSBURG PA 17201 990 2011-07-01 231360854 WAYNESBORO HOSPITAL WAYN 7177653410 501 EAST MAIN STREET WAYNESBORO PA 17268 PATRICK W O'DONNELL 7172677106 2013-05-01 1 GREGORY P HALL CPA P00156653 7172633910 2011 2016-02-25 16:41:14Z PATRICK W O'DONNELL 501 EAST MAIN STREET WAYNESBORO PA 17268 67936702 0 X N/A X 1922 PA THE WAYNESBORO HOSPITAL IS A REGIONAL NONPROFIT HEALTH CARE ORGANIZATION COMMITTED TO THE IMPROVEMENT OF THE HEALTH AND WELL-BEING OF THE PEOPLE IN SOUTH-CENTRAL PENNSYLVANIA. 13 11 590 0 231001 0 263467 217978 65074572 65258974 1744409 1621023 1225716 761269 68308164 67859244 0 0 0 0 35818935 35970170 0 0 0 21294283 21756383 57113218 57726553 11194946 10132691 79456933 85396587 8665865 10412007 70791068 74984580 THE WAYNESBORO HOSPITAL IS A REGIONAL NON-PROFIT HEALTH CARE ORGANIZATION COMMITTED TO THE IMPROVEMENT OF THE HEALTH AND WELL-BEING OF THE PEOPLE IN SOUTH CENTRAL PENNSYLVANIA. 0 0 46901400 65677511 THE WAYNESBORO HOSPITAL PROVIDES NEEDED MEDICAL CARE TO THE COMMUNITY REGARDLESS OF ANY PATIENT'S ABILITY TO PAY. HEALTH CARE SERVICES INCLUDE INPATIENT ROUTINE, INPATIENT ANCILLARY AND OUTPATIENT CARE. ALL MANAGEMENT AND GENERAL EXPENSES ARE CONSIDERED PROGRAM RELATED. 46901400 1 1 0 0 0 0 0 0 0 1 1 1 0 0 1 1 1 1 0 0 1 0 0 0 0 0 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 25 0 1 590 1 1 1 1 CJ 0 0 0 0 0 0 0 0 X 13 11 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 PA X X PATRICK W O'DONNELL CFO 7172673000 112 NORTH SEVENTH STREET CHAMBERSBURG PA 17201 RICHARD MARKS 0.80 X X 0 0 0 PAUL D GUNDER 0.70 X X 0 0 0 DENNIS SHOCKEY 0.50 X X 0 0 0 PATRICK O'DONNELL 4.00 X X 45831 412480 92359 NORMAN B EPSTEIN 6.00 X X 146442 829840 98560 JOHN BLUBAUGH 0.60 X 0 0 0 FRANK ERVIN 0.60 X 0 0 0 JEAN LESSARD MD 0.30 X 0 0 0 KATHRYN REIHARD MD 0.70 X 0 0 0 JAMES ROCK 0.60 X 0 0 0 PAUL SCHEMEL 0.70 X 0 0 0 LISA WARD 0.60 X 0 0 0 BONNIE ZEHLER 0.60 X 0 0 0 THOMAS ANDERSON 8.00 X 79445 317781 41693 PATRICIA BABAROWICZ 4.00 X 18658 167922 51378 KENNETH L SHUR 40.00 X 225847 0 37404 SHERRI STAHL 8.00 X 48870 195478 44860 MICHELE ZEIGLER 8.00 X 51978 207910 55902 JEFF CARTY 40.00 X 193631 0 36333 JILL KELLER 40.00 X 154030 0 32159 MELISSA DUBROW 40.00 X 143910 0 29073 SCOTT CARD 40.00 X 258696 0 28917 ELIZABETH COOK 40.00 X 255458 0 30593 VICKI ELLIS 40.00 X 269911 0 28302 BRUCE FOSTER 40.00 X 327939 0 29568 NORBERT MATHAIS 40.00 X 429305 0 29462 2649951 2131411 666563 18 0 1 0 THE CHAMBERSBURG HOSPITAL 112 N SEVENTH STREET CHAMBERSBURG PA 17201 PHYSICAL THERAPY SERVICES, LABORATORY SE 1434867 ROBINWOOD ORTHOPEDIC SERVICES 11110 MEDICAL CAMPUS ROAD HAGERSTOWN MD 21742 SURGERY ON-CALL 407503 SUMMIT PHYSICIAN SERVICES 785 FIFTH AVENUE CHAMBERSBURG PA 17201 PHYSICIAN SERVICES 334342 ELLSWORTH ELECTRIC 131 SUNSET BLVD WEST CHAMBERSBURG PA 17201 ELECTRICAL SERVICES 246240 QUEST DIAGNOSTICS 12436 COLLECTIONS CENTER DRIVE CHICAGO IL 60693 LAB TESTING SERVICES 202446 9 16589 201389 217978 PATIENT REVENUE 621990 65258974 65258974 65258974 1296576 1296576 189189 77458 111731 111731 111731 247883 76564 0 0 247883 76564 324447 324447 CAFETERIA 900099 238327 238327 COURIER AND LAB SERVIC 621500 231001 231001 MISC. OPERATING REVENU 900099 84251 84251 95959 95959 649538 67859244 65677511 231001 1732754 1324725 1324725 25694279 21940003 3754276 1233676 1001771 231905 5848270 4748919 1099351 1869220 1517846 351374 27700 21145 6555 2986874 2280041 706833 84623 64597 20026 152056 116072 35984 628448 479728 148720 77803 59391 18412 30723 23453 7270 6876 3929 2947 2735022 1444012 1291010 622327 475056 147271 BAD DEBT EXPENSE 5935043 5935043 SUPPLIES 5713155 4361157 1351998 PROFESSIONAL SERVICES 1376055 1376055 EQUIPMENT RENTAL AND RE 1101253 840645 260608 278425 212537 65888 57726553 46901400 10825153 0 1420 1420 3752922 6817106 22550 19478 6035617 6954267 335832 315524 776335 790118 61988145 42904547 18159722 19083598 11199169 13205130 36249589 35455590 2923777 2754356 79456933 85396587 6053109 7472635 595000 2017756 2939372 8665865 10412007 X 68271633 72614886 2519435 2369694 70791068 74984580 79456933 85396587 X 10132691 -5939179 X X 0 1 1 X 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 6174336 109424 6567209 6096545 77791 756758 450000 7381094 5498442 98262 499841 6096545 6290104 80824 -872486 5498442 0.96000 0.04000 1 0 333802 2184775 2518577 2483074 15163745 9776803 7870016 40431131 32438456 7992675 1391618 689288 702330 19083598 CASH AND MONEY FUNDS 450829 F FIXED INCOME 24857306 F REAL ASSETS 10113077 F PENSION TRUST 34378 F 35455590 ADVANCES FROM THIRD PARTY PAYORS 252800 PAYABLE UNDER THIRD PARTY CONTRATUAL AGREEMENT 2640218 PENSION PAYROLL DEDUCTION 46354 2939372 67859244 57726553 10132691 -427802 -5511377 -5939179 4193512 67829124 0 67829124 30120 30120 67859244 57726553 0 57726553 0 57726553 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: WHEN TAX RETURNS ARE FILED, IT IS HIGHLY CERTAIN THAT SOME POSITIONS TAKEN WOULD BE SUSTAINED UPON EXAMINATION BY THE TAXING AUTHORITIES, WHILE OTHERS ARE SUBJECT TO UNCERTAINTY ABOUT THE MERITS OF THE POSITION TAKEN OR THE AMOUNT OF THE POSITION THAT WOULD BE ULTIMATELY SUSTAINED. THE BENEFIT OF A TAX POSITION IS RECOGNIZED IN THE FINANCIAL STATEMENTS IN THE PERIOD DURING WHICH, BASED ON ALL AVAILABLE EVIDENCE, MANAGEMENT BELIEVES IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINED UPON EXAMINATION, INCLUDING THE RESOLUTION OF APPEALS OR LITIGATION PROCESSES, IF ANY. TAX POSITIONS TAKEN ARE NOT OFFSET OR AGGREGATED WITH OTHER POSITIONS. TAX POSITIONS THAT MEET THE MORE-LIKELY-THAN-NOT RECOGNITION THRESHOLD ARE MEASURED AS THE LARGEST AMOUNT OF TAX BENEFIT THAT IS MORE THAN 50 PERCENT LIKELY OF BEING REALIZED UPON SETTLEMENT WITH THE APPLICABLE TAXING AUTHORITY. THE PORTION OF THE BENEFITS ASSOCIATED WITH TAX POSITIONS TAKEN THAT EXCEEDS THE AMOUNT MEASURED AS DESCRIBED ABOVE WOULD BE REFLECTED AS A LIABILITY FOR UNRECOGNIZED TAX BENEFITS IN THE ACCOMPANYING BALANCE SHEET ALONG WITH ANY ASSOCIATED INTEREST AND PENALTIES THAT WOULD BE PAYABLE TO THE TAXING AUTHORITIES UPON EXAMINATION. INTEREST AND PENALTIES ASSOCIATED WITH UNRECOGNIZED TAX BENEFITS WOULD BE CLASSIFIED AS EXPENSES AGAINST OTHER OPERATING REVENUE IN THE STATEMENT OF OPERATIONS. AT JUNE 30, 2012 AND 2011 THERE WAS NO LIABILITY FOR UNRECOGNIZED TAX BENEFITS. PART XI, LINE 8 - OTHER ADJUSTMENTS: DECREASE IN PERPETUAL TRUSTS HELD BY THIRD PARTIES: -167,997. TRANSFER TO AFFILIATE ORG. - SUMMIT PHYSICIAN SERVICES: -5,343,380. TOTAL TO SCHEDULE D, PART XI, LINE 8: -5,511,377. PART XII, LINE 4B - OTHER ADJUSTMENTS: RESTRICTED INVESTMENT INCOME 30,120. CENTRAL AMERICA AND THE CARIBBEAN 0 0 ALTERNATIVE INVESTMENT VEHICLE. 4818222 0 0 0 0 0 0 4818222 0 4818222 0 0 1 0 0 0 1 1 X 1 X 250.000000000000 1 X 1 1 0 1 1 739120 739120 0.01280 7251852 3752477 3499375 0.06060 7990972 3752477 4238495 0.07340 7 2256 65723 65723 0.00110 2 12 17447 17447 0.00030 3 508 17310 17310 0.00030 1 13 2776 51598 51598 0.00090 26 5552 152078 152078 0.00260 26 5552 8143050 3752477 4390573 0.07600 0 5935043 11377582 15984693 -4607111 X 1 1 1 1 WAYNESBORO HOSPITAL

501 EAST MAIN STREET WAYNESBORO PA 17268

X WAYNESBORO HOSPITAL 1 1 1 125.000000000000 1 250.000000000000 1 X X X 1 1 X X X X X X 1 X 1 X X X 1 X 0 0 PART I, LINE 3C: THE ORGANIZATION USES FEDERAL POVERTY GUIDELINES (FPG) TO DETERMINE CHARITY CARE. PART I, LINE 7: NOTE 1. TO THE FINANCIAL STATEMENTS: PATIENT RECEIVABLESTHE HOSPITAL PROVIDES CREDIT IN THE NORMAL COURSE OF ITS BUSINESS TO PATIENTS. PATIENT RECEIVABLES ARE GENERALLY DUE 60 DAYS AFTER BILLED. AN ALLOWANCE FOR DOUBTFUL ACCOUNTS IS CARRIED FOR PATIENT ACCOUNTS THAT MAY BECOME UNCOLLECTIBLE IN FUTURE PERIODS. THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IS BASED ON MANAGEMENT'S JUDGMENT OF UNCOLLECTIBLE ACCOUNTS, HISTORICAL TRENDS AND OTHER INFORMATION. PATIENT RECEIVABLES ARE CHARGED AGAINST THE ALLOWANCE WHEN, IN THE JUDGMENT OF MANAGEMENT, IT IS UNLIKELY THEY WILL BE COLLECTED. BAD DEBT AMOUNTS ARE REPORTED AT GROSS CHARGES.THE SHORTFALL FOR MEDICARE IS NOT INCLUDED IN OUR COMMUNITY BENEFIT REPORTING. A COST TO CHARGE RATIO WAS USED TO CALCULATE THE MEDICARE ALLOWABLE COST. RCC=((NET PATIENT REVENUE/(TOTAL OPERATING REV+(OTHER OPR REV -+ DERIVATIVE GAIN/LOSS))*TOTAL OPERATING EXPENSE)/GROSS PT REVALL PATIENTS ARE SUBJECT TO THE DEBT COLLECTION POLICY REGARDLESS OF THEIR ABILITY TO PAY. PART II: WAYNESBORO HOSPITAL WORKS TO STRENGTHEN OUR COMMUNITY THROUGH HEALTH EDUCATION EFFORTS FOR CHILDREN AND ADULTS, HEALTH FAIRS PROVIDING DIAGNOSTIC TESTING, EDUCATING COMMUNITY GROUPS ON SPECIFIC HEALTH TOPICS, FUNDING LOCAL COMMUNITY ORGANIZATIONS THROUGH THE SUMMIT ENDOWMENT PROGRAM, PROVIDING RESOURCES FOR THE "HEALTHY COMMUNITIES PARTNERSHIP" PROGRAM, PARTICIPATING IN LOCAL CIVIC ORGANZIATIONS, SPONSORING EVENTS HELD BY LOCAL CHARTIABLE ORGANIZATIONS, AND SUPPORTING WORKFORCE DEVELOPMENT INITIATIVES THROUGH SUMMIT HEALTH'S SCHOOL LIAISON DEPARTMENT. PART III, LINE 4: THE HOSPITAL PROVIDES CREDIT IN THE NORMAL COURSE OF ITS BUSINESS TO PATIENTS. PATIENT RECEIVABLES ARE GENERALLY DUE 60 DAYS AFTER BILLED. AN ALLOWANCE FOR DOUBTFUL ACCOUNTS IS CARRIED FOR PATIENT ACCOUNTS THAT MAY BECOME UNCOLLECTIBLE IN FUTURE PERIODS. THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IS BASED ON MANAGEMENT'S JUDGMENT OF UNCOLLECTIBLE ACCOUNTS, HISTORICAL TRENDS AND OTHER INFORMATION. PATIENT RECEIVABLES ARE CHARGED AGAINST THE ALLOWANCE WHEN, IN THE JUDGMENT OF MANAGEMENT, IT IS UNLIKELY THEY WILL BE COLLECTED.THE COST TO CHARGE RATIO WAS USE TO CALCULATE THE COST OF BAD DEBT EXPENSE. THIS RATIO IS CALCULATED AS FOLLOWS: [NET PATIENT REVENUE DIVIDED BY THE TOTAL OPERATING REVENUE MULTIPLIED BY THE TOTAL OPERATING EXPENSE] DIVIDED BY THE GROSS PATIENT REVENUE. PART III, LINE 8: THE INFORMATION WAS OBTAINED USING THE COST METHODS USED IN PREPARING THE MEDICARE COST REPORTS. THE SHORTFALL ABOVE RELATES TO OUR MISSION OF PROVIDING SERVICES TO MEMBERS OF OUR COMMUNITY. WAYNESBORO HOSPITAL PART V, SECTION B, LINE 19D: A SLIDING SCALE IS USED TO DETERMINE THE DISCOUNTED RATE. ANYONE WHO QUALIFIES RECEIVES A MINIMUM OF 25% OFF CHARGES. PART VI, LINE 2: HEALTH NEEDS OF FRANKLIN COUNTY RESIDENTS AND SURROUNDING COMMUNITIES ARE ASSESSED THROUGH NUMEROUS RESEARCH METHODS INCLUDING CONDUCTING COMMUNITY HEALTH NEEDS ASSESSMENT (SURVEY FORMAT) IN SPRING 2009, A REVIEW OF REGIONAL HEALTH DATA AND INTERVIEWS WITH KEY COMMUNITY ORGANIZATIONS INCLUDING SCHOOLS, AREA AGENCY ON AGING, PA DEPARTMENT OF HEALTH, FRANKLIN COUNTY HUMAN SERVICES AND THE HEALTHY COMMUNITIES PARTNERSHIP. PART VI, LINE 3: PATIENTS ARE MADE AWARE OF THE CHARITY PROGRAM AND OTHER BILLING ASSISTANCE SERVICES AT REGISTRATION, DURING EMERGENCY ROOM VISITS, AND NOTICES PLACED IN SERVICE AREAS. BILLING STATEMENTS ALSO INFORM PATIENTS OF CHARITY CARE AND OTHER BILLING ASSISTANCE PROGRAMS. PART VI, LINE 4: WAYNESBORO HOSPITAL PRIMARILY SERVES COMMUNITY MEMBERS FROM FRANKLIN AND FULTON COUNTY, PA, AND NEARBY COMMUNITIES IN WASHINGTON COUNTY, MD. ACCORDING TO U.S. CENSUS DATA, FRANKLIN COUNTY RESIDENTS HAVE A SLIGHTLY LOWER INCOME AND ARE SLIGHTLY OLDER THAN THE STATE AVERAGE. FOR A HEALTH SYSTEM, THIS TYPICALLY RESULTS IN AN INCREASED NEED FOR HEALTHCARE SERVICES. PART VI, LINE 5: WAYNESBORO HOSPITAL SUPPORTS LOCAL NON-PROFIT ORGANIZATIONS WITH FINANCIAL GRANTS FROM THE SUMMIT ENDOWMENT. PART VI, LINE 6: THE HOSPITAL IS PART OF SUMMIT HEALTH, A REGIONAL NETWORK OF HOSPITALS AND HEALTHCARE PROVIDERS THAT ARE SERVED BY THE ORGANIZATION'S COMMUNITY HEALTH DEPARTMENT. THIS DEPARTMENT'S MISSION IS TO IMPROVE THE HEALTH OF THE COMMUNITY THROUGH EDUCATION, DETECTION AND PREVENTION PROGRAMS INCLUDING HEALTH FAIRS, SCREENINGS, AND SEMINARS. THIS MISSION IS COMPLETED ON BEHALF OF WAYNESBORO HOSPITAL AND ALL OTHER SUMMIT HEATLH AFFILIATES. PART OF THIS MISSION IS COMPLETED THROUGH COLLABORATION WITH OTHER COMMUNITY ORGANIZATIONS INCLUDING THE PA DEPARTMENT OF HEALTH. 1 FLU VACCINATIONS 452 9227 COST PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: ALL FUNDING DECISIONS ARE MADE BY THE SUMMIT ENDOWMENT COMMITTEE, A COMMITTEE OF THE SUMMIT HEALTH BOARD. THE ENDOWMENT MANAGER PROCESSES GRANT APPLICATIONS, ASSISTS GRANTEES IN DEVELOPING SOUND PROGRAM EVALUATION METHODOLOGIES, RECEIVES AND SUMMARIZES PERIODIC REPORTS, AND VISITS PROGRAM SITES, REPORTING ALL ACTIVITIES TO THE SUMMIT ENDOWMENT COMMITTEE. AS WELL, ENDOWMENT COMMITTEE MEETING MINUTES ARE SHARED WITH WAYNESBORO HOSPITAL, CHAMBERSBURG HOSPITAL AND SUMMIT HEALTH BOARDS. X X 1 1 X X X X X 0 1 0 0 0 0 0 1 0 PATRICK O'DONNELL 33288 299595 9574 86164 2969 26721 7516 67641 1720 15482 55067 495603 0 0 NORMAN B EPSTEIN 110319 625141 29700 168300 6423 36399 11279 63914 3505 19862 161226 913616 0 0 THOMAS ANDERSON 63167 252669 11340 45360 4938 19752 5400 21598 2939 11756 87784 351135 0 0 PATRICIA BABAROWICZ 14063 126569 3250 29250 1345 12103 4473 40258 665 5982 23796 214162 0 0 KENNETH L SHUR 174539 0 38745 0 12563 0 12787 0 24617 0 263251 0 0 0 SHERRI STAHL 38589 154356 7380 29518 2901 11604 6033 24132 2939 11756 57842 231366 0 0 MICHELE ZEIGLER 40376 161505 7766 31063 3836 15342 7121 28486 4059 16236 63158 252632 0 0 JEFF CARTY 149567 0 28810 0 15254 0 11197 0 25136 0 229964 0 0 0 JILL KELLER 138686 0 8000 0 7344 0 9144 0 23015 0 186189 0 0 0 MELISSA DUBROW 128116 0 7897 0 7897 0 8329 0 20744 0 172983 0 0 0 SCOTT CARD 252495 0 6000 0 201 0 13306 0 15611 0 287613 0 0 0 ELIZABETH COOK 250634 0 0 0 4824 0 14700 0 15893 0 286051 0 0 0 VICKI ELLIS 260383 0 0 0 9528 0 12359 0 15943 0 298213 0 0 0 BRUCE FOSTER 323992 0 0 0 3947 0 14700 0 14868 0 357507 0 0 0 NORBERT MATHAIS 415857 0 0 0 13448 0 14700 0 14762 0 458767 0 0 0 PART I, LINE 1A THE ORGANIZATION REIMBURSES THE COO FOR DUES ASSOCIATED WITH A SOCIAL CLUB. THE OFFICER RECEIVES AN ALLOWANCE THAT CAN BE CONSIDERED A DISCRETIONARY SPENDING ACCOUNT. THE MONIES ARE IN LIEU OF AN AUTOMOBILE ALLOWANCE, TO PURCHASE ADDITIONAL LIFE INSURANCE, ETC. THESE MONIES ARE INCLUDED IN COMPENSATION AS REPORTED IN THE COMPENSATION OF OFFICERS TABLE. RESULTS FITNESS CLUB MEMBERSHIP IS AVAILABLE FREE OF CHARGE FOR ANY OFFICER AND ACTIVE BOARD MEMBER. PART I, LINE 4B NORMAN EPSTEIN - NO PAYMENT PATRICK W. O'DONNELL - NO PAYMENT THOMAS ANDERSON - NO PAYMENT PAT BARBAROWICZ - NO PAYMENT JOHN MCELWEE - NO PAYMENT PART I, LINE 7 INCENTIVE COMPENSATION IS BASED ON PRE-DETERMINED, MEASURABLE GOALS APPROVED BY THE BOARD OF DIRECTORS' EXECUTIVE COMPENSATION COMMITTEE. THE MEASURABLE GOALS ARE BASED ON QUALITY, COMMUNITY ACCESS TO CARE, PATIENT SAFETY AND LEADERSHIP. FORM 990, PART VI, SECTION A, LINE 6 SUMMIT HEALTH, A 501(C)(3) ENTITY, IS A MEMBER OF THIS ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A SUMMIT HEALTH, A 501(C)(3) ENTITY, ELECTS THE GOVERNING BODY OF THIS ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7B SUMMIT HEALTH, A 501(C)(3) ENTITY, HAS CERTAIN RESERVE POWERS OF THIS ORGANIZATION FORM 990, PART VI, SECTION B, LINE 11 THE ORGANIZATION'S 990 IS REVIEWED BY THE AUDIT COMMITEE AND UPON APPROVAL RECOMMENDED TO THE FULL BOARD OF DIRECTORS FOR SUBMISSION TO THE IRS. FORM 990, PART VI, SECTION B, LINE 12C MEMBERS ARE ASKED TO ANNUALLY DISCLOSE ANY CONFLICTS OF INTEREST THEY MAY HAVE. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION IS DISCUSSED WITH A COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS. THIS IS PERFORMED IN CONCERT WITH A COMPENSATION CONSULTANT WHO ASSISTS THIS COMMITTEE IN SETTING THE COMPENSATION FOR THESE INDIVIDUALS. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. THESE DOCUMENTS ARE HELD IN THE FINANCE DEPARTMENT OF THE WAYNESBORO HOSPITAL. HOSPITAL BYLAWS AND ALL POLICIES AND PROCEDURES ARE FOUND ON THE WAYNESBORO HOSPITAL INTRANET. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -427,802. DECREASE IN PERPETUAL TRUSTS HELD BY THIRD PARTIES: -167,997. TRANSFER TO AFFILIATE ORG. - SUMMIT PHYSICIAN SERVICES: -5,343,380. TOTAL TO FORM 990, PART XI, LINE 5: -5,939,179. FORM 990, PART XII, LINE 2C THE ORGANIZATIONS PROCESS REGARDING THE COMMITTEE THAT OVERSEES THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT HAS NOT CHANGED SINCE THE PRIOR YEAR. SUMMIT HEALTH 112 NORTH SEVENTH STREET CHAMBERSBURG PA 17201 251515371 MANAGE AND ADMINISTER THE LOCAL AND REGIONAL NETWORK OF HEALTHCARE PROVIDERS PA 501(C)(3) LINE 7 SUMMIT HEALTH 0 THE CHAMBERSBURG HOSPITAL 112 NORTH SEVENTH STREET CHAMBERSBURG PA 17201 230465970 SERVE THE HEALTH CARE NEEDS OF FRANKLIN COUNTY PA AND THE SURROUNDING COMMUN PA 501(C)(3) LINE 3 SUMMIT HEALTH 0 CHAMBERSBURG HEALTH SERVICES 260 NORTH SEVENTH STREET CHAMBERSBURG PA 17201 251515376 SERVE THE HEALTH CARE NEEDS OF FRANKLIN COUNTY PA AND THE SURROUNDING COMMUN PA 501(C)(3) LINE 11A, I SUMMIT HEALTH 0 SUMMIT PHYSICIAN SERVICES 601 NORLAND AVENUE CHAMBERSBURG PA 17201 251716306 PROVIDES APPROPRIATE PHYSICIAN MANPOWER FOR VARIOUS FAMILY PRACTICES SERVING PA 501(C)(3) LINE 11A, I SUMMIT HEALTH 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 1 0 0 0