SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet Attach to Form 990.
MediumBullet Go to www.irs.gov/Form990EZ for instructions and the latest information.
OMB No. 1545-0047
2020
Open to Public Inspection
Name of the organization
YORK HOSPITAL
 
Employer identification number

23-1352222
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .
1a
Yes
 
b
If "Yes," was it a written policy? ......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: . . . . . . . .
3b
Yes
 
%
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .
5b
 
No
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .
5c
 
No
6a
Did the organization prepare a community benefit report during the tax year? . . . . . . . . .
6a
Yes
 
b
If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
 (a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Financial Assistance at cost
(from Worksheet 1) . . . 		1 2,420 2,524,865   2,524,865 0.200 %
b Medicaid (from Worksheet 3, column a) . . . . . 1 157,117 184,861,778 132,940,608 51,921,170 4.150 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . .            
d Total Financial Assistance and Means-Tested Government Programs . . . . . 2 159,537 187,386,643 132,940,608 54,446,035 4.350 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4). 18 8,936 2,343,116 209,434 2,133,682 0.170 %
f Health professions education (from Worksheet 5) . . . 2 11 526,017   526,017 0.040 %
g Subsidized health services (from Worksheet 6) . . . . 4 112,971 12,286,440 7,003,577 5,282,863 0.420 %
h Research (from Worksheet 7) . 1   947,799 25,000 922,799 0.070 %
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . . 7 407 715,159   715,159 0.060 %
j Total. Other Benefits . . 32 122,325 16,818,531 7,238,011 9,580,520 0.760 %
k Total. Add lines 7d and 7j . 34 281,862 204,205,174 140,178,619 64,026,555 5.110 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue 		(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing            
2 Economic development 1   1,055,499   1,055,499 0.080 %
3 Community support            
4 Environmental improvements            
5 Leadership development and
training for community members		            
6 Coalition building 4 3,621 18,130 900 17,230  
7 Community health improvement advocacy 1   2,686   2,686  
8 Workforce development 2 156 542,069   542,069 0.040 %
9 Other            
10 Total 8 3,777 1,618,384 900 1,617,484 0.120 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
14,428,291
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
227,967
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
346,184,742
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
423,409,473
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-77,224,731
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

9b

Yes

 
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(a) Name of entity (b) Description of primary
activity of entity 		(c) Organization's
profit % or stock
ownership % 		(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership % 		(e) Physicians'
profit % or stock
ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?1Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility) 		Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital ResearchGrp Facility ER-24Hours ER-Other Other (describe) Facility reporting group
1 WellSpan York Hospital
1001 S George Street
York,PA17405
http://www.wellspan.org
250301 		X X   X X X X      
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
WellSpan York Hospital
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		1
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 18
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 18
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): www.wellspan.org
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b Yes  
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
WellSpan York Hospital
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
www.wellspan.org
b
www.wellspan.org
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 6
Part VFacility Information (continued)

Billing and Collections
WellSpan York Hospital
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
WellSpan York Hospital
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 8
Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference Explanation
Facility: WellSpan York Hospital - Part V, Section B, Line 5 Community stakeholder engagement has been vital to the Community Health Needs Assessment (CHNA) process since it began in York County in 1994. The Healthy York County Coalition (HYCC)- a local health coalition representing the diversity of the community- has led each of the seven CHNAs that have been conducted. For the 2018 CHNA, HYCC partnered with its sister health coalition in Adams County- Healthy Adams County- to form a CHNA Planning Committee comprised of representatives from health and human service agencies, government entities, community-based organizations, higher education institutions, and other interested community members to assist with survey development, data review and analysis, and results distribution. This core committee also assisted with sharing the data and association community health priorities, once identified by Coalition leadership, to community members at a public forum on June 7th, 2018. WellSpan- York Hospital is a funding partner and governance leader within Healthy York County Coalition and served on the CHNA Planning committee. In that regard, WellSpan- York Hospital partners to conduct the CHNA, disseminate its results both among hospital leadership and in the community, and integrates evidence-based strategies that impact identified community health needs into its annual planning process. Whether in meetings with community stakeholders or system/ hospital leaders or at larger public forum, WellSpan- York Hospital is committed to obtaining community input to ensure that the CHNA and its associated implementation strategies appropriately address the identified needs of the entire community. Additional details of how community members were engaged is included in Part V1- Needs Assessment.
Facility: WellSpan York Hospital - Part V, Section B, Line 6a WellSpan Ephrata Community Hospital; WellSpan The Good Samaritan Hospital of Lebanon Pennsylvania; WellSpan Surgery and Rehabilitation Hospital, and WellSpan Gettysburg Hospital. Outside of WellSpan Health, UPMC Pinnacle Memorial and UPMC Pinnacle Hanover engaged in the CHNA process for York and Adams counties.
Facility: WellSpan York Hospital - Part V, Section B, Line 7d With each iteration of the CHNA process, WellSpan- York Hospital and its community partners continue to refine and enhance the system by which it obtains data, shared it with key community, hospital and system leaders, and integrated it into the system-wide and entity-level planning processes. In 2018, the CHNA results and related priorities identified by Healthy York County Coalition were shared with the system-wide Planning Committee and WellSpan Health. This committee is comprised of community members and leaders that represent each of WellSpans primary entities and service areas, in addition to corporate leadership. Planning Committee members reviewed the CHNA data and designated system-wide priorities as: Care for all, including a focus on access to care and health equity; Behavioral health and lifelong wellness, which would incorporate behavioral health, substance use and addiction and lifelong wellness, and healthy communities and social determinants of health, which provide a deeper dive into community engagement, social determinants of health and violence prevention. Similarly, Healthy York County Coalition selected adult overweight and obesity, depression, and the social determinants of health as priorities- these priorities built on previously developed strategies that were a result of the 2015 CHNA, and also encourage a deeper dive into the WellSpan system-wide, organizational priorities. The established Healthy York County Coalition and WellSpan specific priorities and associated data were presented to the WellSpan- York Hospital Board for their adoption. Additionally, the CHNA data was presented to multiple members of WellSpans leadership team. Healthy York County Coalition communicated the CHNA results and identified priorities to more than 100 community members at a public forum held on June 7, 2018. During that forum, community members discussed the opportunities and risk associated with each priority, as well as how the organization which they represent can have an impact on the priority. In addition to these venues, CHNA results are available on the Healthy York County Coalition www.healthyyork.org and WellSpan Health www.wellspan.org websites, and may also be obtained upon request. The corresponding WellSpan Health Community Health Improvement Plan is also available on the WellSpan Health website.
Facility: WellSpan York Hospital - Part V, Section B, Line 11 See attached 2019 WellSpan Health Community Health Improvement Plan, also available online at www.wellspan.org in Community Benefits section.
Facility: WellSpan York Hospital - Part V, Section B, Line 13h WellSpan Health is committed to caring for all the members of its communities, regardless of their ability to pay. In recent years, overall charity care has decreased slightly as more people have obtained health insurance coverage through the Affordable Care Act and the expansion of Pennsylvanias Medical Assistance (Medicaid) program. WellSpan is proud to be a leading partner in the Healthy Community Network, which works to address the needs of uninsured and underinsured individuals in our community. In addition, the health system recently enhanced its financial assistance policy and the discounts that it provides on services. For example, if a patients income is less than 300 percent of the federal poverty level, that patient would be eligible for a 100 percent discount on the services provided. Additionally, significant discounts are available for patients whose income is between 300 percent and 350 percent of the federal poverty level. For more information on WellSpans Financial Assistance program, visit www.WellSpan.org/FinancialAssistance.
Facility: WellSpan York Hospital - Part V, Section B, Line 16j In an effort to make patients, families and others in our communities aware of the newly expanded Financial Assistance Policy, WellSpan broadly publicized its policy via promotional signage and the distribution of easy-to-read informational materials at registration sites throughout our communities. WellSpan provided information on the Financial Assistance Policy on its billing statements and included information in patient discharge materials. In addition, the materials and information are easily accessible via WellSpans website at www.WellSpan.org/FinancialAssistance. The site reflects WellSpans newly enhanced policy, as well as informational and application materials. It was also publicized via WellSpans on-hold phone messaging system and in its direct-to-consumer community newsletter/magazine, which is distributed by mail, email and Web. In addition, WellSpan placed posters and signage at its various sites of care to publicize its Financial Assistance Policy. Printed copies of WellSpan Healths entire financial assistance policy and the plain language summary of the policy, both of which are available in English and Spanish, may be obtained at no cost by visiting or calling one of the WellSpan patient financial services offices.The Financial Assistance Policy, Financial Assistance Application and Financial Assistance Policy Plain Language Summary are all available in Spanish.
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 9
Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care facilities did the organization operate during the tax year?  
Name and address Type of Facility (describe)
1 York Cancer Center
Apple Hill Medical Center 25 Monume
York,PA17403 		Cancer Patient Support, Social worker, Financial Counselor, Dietician, Library, Genetic Counseling
2 WellSpan Rehab & Lab -Queensgate Towne Center
2015 Springwood Rd
York,PA17403 		Physical Therapy, Occupational Therapy, Speech Therapy, Laboratory Collection
3 WellSpan Wound Healing Center
1399 S Queen St
York,PA17403 		Wound Care, Hyperbaric Oxygen Therapy
4 WellSpan Behavioral Crisis Intervention
1101 S Edgar St Suite C
York,PA17403 		Mental Health & Substance Abuse Assessments, Crisis Counseling
5 Community Health Center &Hoodner Dental Center
605 S George St
York,PA17401 		Dental Clinic, Pediatric Care, Women's Health Care,Adult Care, Urgent Care Special Services
6 Wellspan Imaging - East Berlin
105 Fourth St
East Berlin,PA17316 		Laboratory Collection, General Radiology, Mammogram Screening, EKG
7 WellSpan Lab Services & Imaging
2775 N George St
York,PA17402 		Laboratory collection, general radiology, mammogram Screening, EKG
8 WellSpan Apple Hill Womens Imaging & Specialty Services
35 Monument Road Suites 201 202 204
York,PA17403 		Mammography, MRI/Ultrasound, Bone Density, Breast and Thyroid, Ultrasound, High Risk Pregnancy, Phys
9 WellSpan Lab Services
4222 Lincoln Highway
York,PA17406 		Laboratory collection, General Radiology, Mammogram Screening, EKG
10 WellSpan Interventional Pain Mgmt
228 St Charles Way
York,PA17402 		Interventional Pain Mgmt, Radiology Fluroscopy
11 WellSpan Rehabilitation
1575 Bannister St
York,PA17404 		Physical Therapy, Occupational Therapy, Speech Therapy
12 WellSpan Rehabilitation and Imaging
207 Blooming Grove Road
Hanover,PA17331 		Post Operative Orthopedic Rehab, Acute Rehab following injury (work/athletic), Cumulative stress inj
13 WellSpan Lab & Imaging
3065 Windsor Road
Red Lion,PA17356 		Laboratory Collection, General Radiology, Mammogram Screening
14 WellSpan Rehabilitation
235 Rosedale Drive
Manchester,PA17345 		Physical Therapy, Occupational Therapy
15 WellSpan Lab & Imaging
4020 Carlisle Road
Dover,PA17315 		Laboratory Collection, General Radiology, Mammogram Screening, EKG, Sleep Disorders
16 WellSpan Lab & Imaging Services
13515 Wolfe Rd Ste D
New Freedom,PA17349 		Laboratory Collection, General Radiology, Mammogram Screening, EKG
17 WellSpan Imaging
2250 E Market St
York,PA17402 		general Radiology, Mammogram Screening, EKG, Bone Density, Orthopedic Services
18 WellSpan Lab Services at Valley Green
1790 Old Trail Road
Etters,PA17319 		Laboratory Collection
19 WellSpan Health Lab Services at Westgate Plaza
1550 Kenneth Rd
York,PA17404 		Laboratory Collection
20 WellSpan Pulmonary Sleep Medicine & Pulmonary Rehab
2350 Freedom Way Suites 201 207
York,PA17402 		Pulmonary Function Testing, Pulmonary Rehab & Asthma Instruction
21 WellSpan Rehabilitation
73 East Forrest Avenue Suite 210
Shrewsbury,PA17361 		Physical Therapy, Occupational Therapy, Speech Therapy
22 WellSpan Lab Services & Occupational Health
1150 Carlisle St
Hanover,PA17331 		Laboratory Collection, Screenings, Physicals, Drug & Alcolhol Screening, Injury Evaluation, Immuniza
23 Apple Hill Infusion Center
25 Monument Road Suite 120
York,PA17403 		Infusion Services, Genetic Counseling
24 York Cancer Center-Radiation Therapy
Apple Hill Medical Center -25 Monum
York,PA17403 		Oncology Radiation
25 WellSpan Heart & Vasular & Nuclear Medicine- Apple Hill
25 Monument Road - Suites 190 199
York,PA17403 		Cardiac Rehavilitation, Cardiovascular Health Management Clinic, Cardiac stress testing, Echo Cardio
26 WellSpan Heart & Vascular -Bannister St
1575 Bannister Street Suite 7
York,PA17404 		Coumadin Clinic, Congestive Heart Failure Clinic, IV Diuretic Clinic, Women's Heart Program
27 WellSpan Rehabilitation - Apple Hill
25 Monument Road Suite 175
York,PA17403 		Physical Therapy, Occupational Therapy, Speech Therapy
28 WellSpan Rehabilitation - North Hanover
1000 Carlistle St Suite 1175
Hanover,PA17331 		Post Operative Orthopedic Rehab, Acute Rehab following injury (work/athletic), Cumulative stress inj
29 WellSpan Rehabilitation - Cape Horn Square
635 Lombard Road
Red Lion,PA173569054 		Physical therapy
30 WellSpan Rehabilitation- Manheim
93 Doe Run Road
Manheim,PA17545 		Physical therapy, Occupational Therapy
31 WellSpan Rehabilitation - Valley Green
1790 Old Trail Road Suite F
Etters,PA17319 		Physical therapy
32 WellSpan Imaging
37 Monument Road Suite 101
York,PA17403 		General Radiology, Fluroscopy, General Ultrasound, Vascular Ultrasound, EKG, Computed Tomography
33 WellSpan Imaging - Apple Hill
25 Monument Road Suite 290
York,PA17403 		General Radiology
34 WellSpan Imaging
2775 North George St
York,PA17406 		Laboratory Collection, General Radiology, mammogram Screening, EKG
35 WellSpan Lab Services
46 West Market St
York,PA17401 		Laboratory Collection, urine specimen collection, glucose tolerance
36 WellSpan Lab Services- Apple Hill
25 Monument Road - Suite 198
York,PA17403 		Laboratory Collection
37 WellSpan Occupational Health
2250 E Market St
York,PA17402 		Screenings, Physicals, Drug & Alcolhol Screening, Injury Evaluation, Immunizations, Occupational Hea
38 WellSpan Occupational Health - Gettysburg
455 South Washington St Suite 12
Gettysburg,PA17325 		Screenings, Physicals, Drug & Alcolhol Screening, Injury Evaluation, Immunizations, Occupational Hea
39 Thomas Hart Family Practice Center
1001 S George St
York,PA17403 		Primary Care, women's healthcare, pediatric & geriatric care, prenatal care, minor surgical procedur
40 WellSpan OB GYN & Specialty Care Clinic
1101 Edgar St
York,PA17403 		Women's Health, special procedures - lumbar puncture, PHAS- Surgery Setups thru clinics as as GYN Cl
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 10
Part VI
Supplemental Information
Provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Form and Line Reference Explanation
Part I, Line 3c - Charity Care Eligibility Criteria (FPG Is Not Used) Patients 401% of poverty level and greater do not qualify for financial assistance. Patients/guarantors who complete an application for Financial Assistance whose gross income falls between 351-400% of the FPL level and meet all other Financial Assistance qualifications (MAP 118) will be eligible for a 40% discount of self-pay balances.
Part I, Line 6a - Related Organization Community Benefit Report Community Benefit Information is included in the Community Benefit Report for WellSpan Health.
Part III, Line 2 - Methodology Used To Estimate Bad Debt Expense The number was calculated using the cost to charge ratio factor applied against actual patient bad debt write-offs. These numbers are included after all efforts have been exhausted to determine if the patient meets our charity care write-off policy based on federal poverty levels.
Part III, Line 3 - Methodology of Estimated Amount & Rationale for Including in Community Benefit The estimate of bad debt attributable to charity care policy was calculated by dividing the bad debt amount that was originally coded bad debt but later found to qualify as charity care by the amount coded to the charity care write-off codes. This ratio is applied to the bad debt cost factor expense.
Part III, Line 4 - Bad Debt Expense York 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 YH 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 York 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 York Hospital's costs of providing the service.
Part III, Line 9b - Provisions On Collection Practices For Qualified Patients Guidelines for suggested minimum number of phone attempts and letters to be sent before the account is turned over to an outside collection agency are included in the Patient Administrative Services Policy. Upon final PARO (Payment Assistance Rank Ordering) scoring, if a patient qualifies for presumptive charity, their account would not be forwarded to any third party collections. It shall be the policy of Patient Administrative Services to recommend accounts to Bad Debt on a timely basis. Inpatient/Outpatient accounts will go to bad debt automatically after the account has been in the financial class Pending Bad Debt for 30 days. All accounts must follow the approved limits for refunds and write offs, as established in Policy PF-102, before being transferred. The primary agencies will work the accounts for 6 months or until they feel it is uncollectable and return the account. The accounts are forwarded to secondary agencies from the primary agencies Closed and Return Reports. The financial class is changed to Bad Debt Other after the Closed and Return Reports are received from the Secondary Agency. The agencies must get written approval from the manager in the relatively rare instance of legal action being taken to collect the debt.
Part VI, Line 2 - Needs Assessment WellSpan Health (WellSpan) and its entities have a long history of understanding and responding to the needs of the communities and populations it serves. This commitment was strengthened in 1998 when, in partnership with the Healthy York County Coalition, WellSpan conducted its first Community Health Needs Assessment (CHNA). Six subsequent CHNAs were conducted in 2000, 2005, 2008, 2012, 2015 and 2018. These assessments- one method for collecting diverse information on a community and which involves surveying a representative sample of community members on their demographics, chronic health conditions, lifestyle behaviors, finances, access to health services, and related topics- have been administered before the Affordable Care Act (ACA) requirement. As previously noted, the WellSpan CHNA process, which includes survey development, data collection and analysis, and result dissemination, was led by both county-level health coalitions- Healthy Adams County and the Healthy York County Coalition- for Adams and York Counties. A similar process was utilized for the remaining counties of the WellSpan service area, including northern Lancaster and Lebanon counties. Healthy Adams County, Healthy York County Coalition, and its regional partner the Community Health Council of Lebanon County receive financial support from WellSpan Health and its entities, and other community stakeholders. The CHNA was developed utilizing consulting support and guidance through a contract with the Floyd Institute for Public Policy at Franklin and Marshall College. Dr. Berwood Yost, Institute Director and Project Lead has an extensive background conducting and analyzing community and corporate surveys and has been integral to the prior three CHNAs (2008, 2012 and 2015). The 2018 Adams and York CHNA is a byproduct of a collaboration of community organizations who partnered to provide guidance and support to the effort, including: County of York, Family First Health; Gettysburg College; UPMC Pinnacle Hanover; UPMC Pinnacle Memorial; York County Human Services; South Central Community Action Program (SCCAP); TrueNorth Wellness Services; United Way of York County; York City Health Bureau; York College of Pennsylvania; and York County Community Foundation. This collaboration of community stakeholders determined the survey questions to be asked of the community; discussed data collection methodology, including sample size and method of obtaining data; reviewed the raw data and supporting charts/ graphs; identified potential community health priorities; and developed the process by which the results and priorities were to be shared with the community. The 2018 CHNA planning process engaged a wide range of community organizations serving the diverse interests of all partners. The intent of the CHNA was to collect adequate valuable data and information that would satisfy the needs of all participating organizations, without burdening CHNA respondents with too many questions. Committee members reviewed questions asked in the 2015 CHNA and edited accordingly based on the current health care environment and areas of interest. Survey questions were derived from the Behavioral Risk Factor Surveillance System (BRFSS), a validated survey tool utilized by the Centers for Disease Control and Prevention (CDC), and organized into four categories: healthcare access, behavioral risk, health conditions and prevention behaviors and context. A representative sample of 799 adult residents in York County were interviewed between December 4, 2017 and February 25, 2018. Supplemental secondary data from the Robert Wood Johnson Foundation (RWJF) annual County Health Rankings and from the Pennsylvania Department of Health was compiled and integrated into the 2018 CHNA. Data collected and analyzed by the Floyd Institute for Public Policy included breakdowns by age, gender, geographic area, race/ethnicity, and income level, and enabled the development of charts/ graphs that identified: trends and disparities; quantity of residents affected; health risks and disability-adjusted life years, and social determinants of health impact. This information is included in the 2018 Community Health Needs Assessment Summary Report available at www.wellspan.org. CHNA results and related priorities identified by Healthy York County Coalition were shared with the system-wide Planning Committee at WellSpan Health, a committee comprised of community members and leaders that represent each of WellSpans primary entities and service areas, in addition to corporate leadership. Planning Committee members reviewed the CHNA data, and designated system-wide priorities as: Care for all, including a focus on access to care and health equity; Behavioral health and lifelong wellness, which would incorporate behavioral health, substance use and addiction and lifelong wellness, and healthy communities and social determinants of health, which provide a deeper dive into community engagement, social determinants of health and violence prevention. The identified priorities and associated data were subsequently presented to the WellSpan- York Hospital Board for their adoption. Board members discussed the data and identified priorities within the context of existing staffing and financial resources, current and future entity initiatives, and community partnership opportunities to address systemic community change. The final CHNA report, along with the WellSpan Community Health Improvement Plan (CHIP) was presented in June 2019 to the Planning Committee, at which time correlations were observed between the CHNA, CHIP and the WellSpan 2025 Strategic Plan.
Part VI, Line 5 - Promotion of Community Health As a charitable, community-based healthcare organization, our commitment to improving the lives and well-being of the people and communities we serve is evident in our mission statement: working as one to improve health through exceptional care for all, lifelong wellness, and healthier communities." Employees live out this mission statement every day by engaging in community benefit activities that address community needs, especially the health priorities identified in the 2018 CHNA - access to care and health equity, behavioral health, substance use and addiction, and lifelong wellness, and community engagement, social determinants of health and violence prevention. Below are a few examples of the work accomplished to address each: *Access to healthcare and medications for uninsured community members or those with high out-of-pocket costs is often financially challenging. Healthy Community Network, a collaborative between WellSpan Health, physicians and community partners to support prospective enrollment, the management and support of patients, and coordination of care, serves as a support for those individuals, offering free or discounted resources based on need. In 2021, Healthy Community Network served 2,221 community members in need of care across the region and provided financial assistance for nearly 16,000 prescriptions, allowing individuals who lack sufficient health insurance or financial means to access the medications they need.*WellSpan remains committed to the strong safety net of partnering health care services in our region. Together, we demonstrate strong community impact in health. For example, WellSpans support of both the Family First Health Hannah Penn Center and Katallasso Family Health Center enhanced its ability to provide 4,365 acute and preventive visits for underserved adults and children*In 2021, WellSpan Health encouraged community members, local employers and employees, and WellSpan staff and patients to engage in the 8th annual 10 Pound Throwdown initiative. The 10 Pound Throwdown is a 10-week community challenge that encourages participants to lose or maintain a healthy weight through healthier eating and increased physical activity. The initiative was created in 2013 to address the growing issue of adult overweight/obesity and utilizes a core website (www.10poundthrowdown.com) to encourage team participation and to offer an online weight tracker, badges to encourage healthier choices, and diverse health education resources. The 10 Pound Throwdown engaged 7,200 community members across four southcentral Pennsylvania counties -Adams, Lancaster, Lebanon, and York- in the 2021 iteration of the program. *WellSpan Health -York Hospital primary care practices in York County participated in the Market Bucks program to address food insecurity and increase the consumption of fruits and vegetables. Regionally, this program provided fruit and vegetable vouchers to 474 WellSpan patients with food insecurity challenges, which contributed nearly $50,000 to local farmers and growers. This program reaches those with an elevated Body Mass Index (BMI) who also experience a comorbidity associated with diet. Market Bucks consistently boasts an astounding 86% redemption rate, in addition to demonstrating increased fruit and vegetable consumption for participants with medical challenges. *WellSpans commitment to lifelong wellness begins with the support it provides to our youngest residents. WellSpan- York Hospital remains the lead agency for Safe Kids York County, engaged more than 2,200 community members, primarily children and families, in child safety activities on topics like abuse, bicycle, sports, pedestrian, and medication and distributed more than 198 cribs and/or car seats to families who needed help keeping their baby safe for sleep and/or in the car. *Celebrating more than a decade of promoting summertime physical activity, Get Outdoors (GO) York!, a partnership between WellSpan-York Hospital and York County Libraries, more than 5,200 families registered to participate with their children in an adaptation of letterboxing, an international hobby where participants use written clues to find items hidden in various places. *Opioid use, as in other communities across the United States, has become a crisis in York County. WellSpan remains a steadfast partner in advancing work in this area. In 2021, we actively supported the York Opioid Collaborative by helping to solicit funds and participating in the Public Health, Safety, and Data teams. WellSpan admitted 667 patients into a Medication Assisted Treatment (MAT) program, which combines the use of medications and behavioral therapy to treat people with substance use disorders. *WellSpan Health and its community partners have been working to address housing insecurity in central Pennsylvania. Three of the collaborative solutions- the Omega Bed Lease Program, Arches to Wellness and ALPHA Community Initiative- earned the Hospital and Health System Association of Pennsylvania (HAP) 2019 Living the Vision award. Through these programs, WellSpan and community partners provided 1,246 individuals emergency housing with a bridge to more sustainable solutions.*WellSpan York Hospital funded Friends and Neighbors of PA to support a Credible Messenger Program as part of the York City Group Violence Initiative. The Credible Messenger began in 2021 to work directly with gunshot victims being cared for by York Hospital to address the problems that lead to and perpetuate violence. The program also engages community stakeholders and residents on gun violence prevention.*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 2021, the Healthy York County Coalition engaged community members to explore improvements to public health infrastructure and support needs.*WellSpan-York Hospital maintains its commitment to supporting local non-projects with Community Partnership Grant funds to like-minded nonprofit organizations to address key issues and health priorities. In fiscal year 2021, nearly $200,,000 was awarded to 19 agencies in response to COVID-19 spread in the community. Other Community Partnership Grants were awarded to Healthy York Coalition, ARC of York County, Crispus Attucks Association, SpiriTrust Lutheran, and Friends and Neighbors of Pennsylvania. Additional examples of how WellSpan-York Hospital fulfilled its community mission in York County may be found in the 2021 WellSpan Community Benefit Report available online at https://www.wellspan.org/about/wellspan-in-the-community/2021-community-benefit-report/community-engagement/community-partnership-grants/ .
Part VI, Line 6 - Affilated Health Care System WellSpan Health is an integrated health system serving the communities of southcentral Pennsylvania and northern Maryland. As a community-based, not-for-profit organization, WellSpan is dedicated to improving the health and well-being of the people it serves. WellSpan will assume a leadership role and develop partnerships with other organizations to improve access to coordinated, high-quality, cost-effective health care services, educate the health care providers of tomorrow, promote healthy lifestyles and lifelong wellness, and make its local communities healthier, more desirable places to live, work, and play. WellSpan York Hospital works with other parts of the system to provide a comprehensive approach to meeting community needs.WellSpan Health includes: WellSpan Gettysburg Hospital, WellSpan York Hospital, WellSpan Surgery and Rehabilitation Hospital, WellSpan Ephrata Community Hospital, WellSpan The Good Samaritan Hospital of Lebanon Pennsylvania, WellSpan Philhaven, Chambersburg Hospital, Waynesboro Hospital, Apple Hill Surgical Center, Summit Surgery Center, WellSpan VNA Home Health, WellSpan Medical Group, Northern Lancaster County Medical Group, Physician Specialists of Northern Lancaster County Medical Group, Good Samaritan Physician Services, Summit Physician Services, Chambersburg Health Services, WellSpan Population Health Services, WellSpan Pharmacy, Gettysburg Hospital Foundation, York Health Foundation, Ephrata Community Health Foundation, Good Samaritan Health Services Foundation, Summit Health Foundation, WellSpan Summit Health, WellSpan Provider Network, GSH Services, and WellSpan Medical Equipment.WellSpan York Hospital's community benefit report is contained in a report prepared by their parent organization, WellSpan Health. See WellSpan Health - 2021 Community Benefit Report located at: https://www.wellspan.org/about/wellspan-in-the-community/2021-community-benefit-report/
Part VI, Line 7 - States Filing of Community Benefit Report PA
Schedule H (Form 990) 2020
Additional Data


Software ID: 20011551
Software Version: 2020v4.0