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WellSpan Health

WellSpan Health is a nonprofit, physician-led integrated headquartered in , serving communities across south-central and northern with a focus on delivering high-quality, patient-centered care. Founded in 1880 as York Hospital, it has grown into a comprehensive network that includes nine hospitals—seven facilities and two specialty hospitals—over 250 patient care locations, and more than 3,000 physicians and advanced practice providers, supported by a workforce of over 23,000 team members. The system's mission is to improve through exceptional for all, lifelong , and healthy communities, emphasizing preventive services, behavioral , and chronic disease management. WellSpan operates a multispecialty medical group, a Level I and comprehensive center, a cancer institute, programs, home services through its century-old visiting nurse association, and employer solutions, handling over 2.3 million patient visits annually. It serves a diverse population in counties including , Adams, , , , and Lycoming, contributing more than $6.6 billion to the regional economy in 2024 while providing $346 million in community benefits such as uncompensated and programs. WellSpan has earned national recognition for its quality and innovation, including the 2024 American Hospital Association Quest for Quality Prize, rankings by Healthgrades and U.S. News & World Report for clinical excellence, and Forbes' America's Best Employers by State in 2025. The organization prioritizes health equity, with initiatives like its Restorative Pain Program for chronic pain management and NCQA Health Equity Accreditation, reflecting its commitment to addressing social determinants of health in underserved areas.

History

Founding and early years

York Hospital and Dispensary was established in 1880 in downtown , by local businessman Samuel Small to address the community's need for accessible healthcare. Small, recognizing the lack of a general hospital for the public, rallied supporters and secured funding to create a small facility focused on serving local residents with basic and an outpatient for those unable to afford private medical services. This not-for-profit institution began operations as a modest , emphasizing charitable care for the and indigent population in south-central . In the late 19th and early 20th centuries, the hospital underwent gradual expansions to accommodate increasing patient volumes and evolving medical needs. Additions to the original building on West College Avenue included more beds and specialized areas for surgical procedures and , while the service expanded to provide free or low-cost outpatient treatments, vaccinations, and consultations, serving thousands annually. By the 1920s, overcrowding prompted a major relocation project; in 1929, the hospital moved to a larger on South George Street, which allowed for modern infrastructure, additional wings, and enhanced capacity to support regional healthcare demands. The institution continued to grow throughout the mid-20th century, transitioning from a standalone to a coordinated network of services. In the and , amid broader healthcare reforms, York Hospital evolved into the York Health System, integrating physician practices, outpatient clinics, and administrative functions under a unified structure. This culminated in the formation of WellSpan Health in as a not-for-profit integrated delivery network, which adopted its current name in 2000 and built on the 1994 establishment of WellSpan Medical Group to coordinate care across south-central and prioritize community-based services such as preventive health and local access to specialists.

Major mergers and expansions

WellSpan Health's growth trajectory accelerated in the late with the merger of the Health System and Hospital in 1999, which expanded its footprint in south-central . This affiliation integrated Hospital, a 76-bed facility serving Adams County and northern , into the system, enhancing regional access to services. In 2000, the combined entity rebranded as WellSpan Health, formalizing its structure as a unified integrated delivery network. The system continued its expansion through strategic acquisitions in the 2010s. On October 1, 2013, WellSpan acquired Ephrata Community Hospital, a 99-bed facility in , marking its entry into northern County and bolstering inpatient and outpatient services in a growing suburban area. This move added key specialties like and orthopedics to WellSpan's portfolio. In 2015, WellSpan merged with Good Samaritan Hospital in , a 141-bed facility, effective July 1, which extended its reach into County and strengthened its position as the dominant provider in central . The affiliation preserved Good Samaritan's name and local governance while integrating it into WellSpan's broader network, facilitating shared resources for emergency and surgical care. WellSpan further diversified its services in 2016 by integrating Philhaven, a leading behavioral health provider, on January 1, creating WellSpan Philhaven and combining Philhaven's 55 programs and 1,100 staff with WellSpan's existing behavioral health offerings. This partnership enhanced integrated mental health services across multiple counties, addressing rising demand for psychiatric and addiction treatment. By 2018, WellSpan acquired the Summit Health network, including Chambersburg and Waynesboro hospitals, effective November 1, adding urgent care centers and expanding into Franklin County. This deal incorporated two hospitals and multiple outpatient sites, significantly broadening ambulatory and emergency access in underserved rural areas. In 2024, WellSpan merged with Evangelical Community Hospital in Lewisburg, effective July 8, renaming it WellSpan Evangelical Community Hospital and adding a 131-bed facility with associated clinics, thereby extending services into Union County and adjacent regions. This acquisition enhanced cardiovascular, , and programs while increasing WellSpan's total hospital count to nine. Amid these mergers, WellSpan invested heavily in , notably a $427 million expansion at York Hospital announced in 2023 and advancing through 2025. The project features an eight-story surgical and critical care tower adding 248,000 square feet of new space and 32,000 square feet of renovated areas, increasing the campus's inpatient beds to over 600 and boosting ICU capacity by more than 60 percent to 96 beds. Scheduled for completion in early 2027, it includes advanced operating rooms and facilities. Concurrently, construction updates in 2025 highlighted progress on new small-format hospitals in , Newberry, and , each with 10 inpatient beds and 24/7 emergency departments, projected to open in early 2026 and further decentralize care across central .

Organization and facilities

Network of hospitals and locations

WellSpan Health operates a network of nine hospitals serving south-central and northern . The flagship is WellSpan York Hospital in , which is undergoing expansion, planned to reach more than 600 inpatient beds upon completion in 2027, making it one of the largest hospitals in the state and a key center for advanced care. Other hospitals include WellSpan Gettysburg Hospital in , serving Adams County; WellSpan Ephrata Community Hospital in Ephrata, focused on Lancaster County needs; WellSpan Good Samaritan Hospital in ; WellSpan Chambersburg Hospital and WellSpan Waynesboro Hospital in Franklin County; WellSpan Evangelical Community Hospital in Lewisburg, addressing needs in Northumberland, Snyder, , and Lycoming counties; WellSpan Surgery & Rehabilitation Hospital in , specializing in post-surgical recovery; and WellSpan Philhaven Hospital in Mount Gretna, providing inpatient psychiatric services. These facilities collectively support acute, rehabilitative, and specialized care across the region. Complementing the hospitals, the system includes more than 250 patient care locations such as offices, urgent care centers, imaging laboratories, and rehabilitation facilities, enabling broad access to outpatient services. WellSpan's geographic coverage spans Adams, , , , Lycoming, Northumberland, Snyder, Union, and York counties in , along with northern communities, serving more than 1.5 million patients annually. This integrated footprint was strengthened by the 2018 acquisition of , which expanded urgent care options in Franklin County and surrounding areas.

Leadership and governance

WellSpan Health operates as a , having maintained this status since its formal establishment in 1994 as a community-based dedicated to reinvesting resources into improving and rather than generating profits for shareholders. This governance model emphasizes mission-driven decisions that prioritize community benefit, including charitable care and initiatives, aligning with its 501(c)(3) tax-exempt designation. The executive leadership team is headed by Roxanna L. Gapstur, , , who serves as President and , bringing over 25 years of experience in healthcare operations, clinical affairs, and strategic growth. Key executives include Anthony Aquilina, DO, Executive and , overseeing clinical and physician integration; Laura Buczkowski, Executive and , managing financial operations and resource allocation; and Ashley Zinn, Senior and , focusing on workforce development and . Recent appointments in 2025, such as Donna Fortson as Senior and and Andrew Walker as Senior of Finance in May, and Ashley Zinn as Senior and in October, reflect ongoing enhancements to financial and operational . The comprises a diverse group of leaders, physicians, and stakeholders who guide strategic decisions to advance WellSpan's mission. As of 2025, the board is chaired by Joe Crosswhite, with Richard Broadbent serving as Vice Chair and Hilda Shirk as Chair Emeritus; other members include Mandy Arnold, Elaine Bonneau, and recent additions like Roger Haddon, a executive, and Timm Moyer, a co-founder, ensuring representation from local and sectors. The board's structure includes regional sub-boards for central and northern areas, with leadership transitions in January 2025 appointing figures like Cheryl Thompson as Central Region Chair to support localized governance. Governance has evolved through recent integrations, including the July 2024 affiliation with Evangelical Community Hospital, which prompted updates like the November 2025 appointment of Allen Fasnacht as and of WellSpan Evangelical Community Hospital to streamline post-merger operations. In September 2025, WellSpan expanded its collaboration with General Catalyst's Health Assurance Transformation Company (HATCo), becoming its first transformation partner to co-develop technologies for care navigation and workforce automation, aiming to reclaim over 400,000 clinical hours annually while aligning with not-for-profit goals of efficient, innovative care delivery.

Clinical services

Inpatient and emergency care

WellSpan Health provides comprehensive across its network of nine hospitals, focusing on acute treatments for a range of conditions. At major facilities such as WellSpan York Hospital and WellSpan Chambersburg Hospital, inpatient services include advanced surgical procedures utilizing state-of-the-art equipment and robotic systems for specialties like , gynecology, and . Critical care units support complex cases, with WellSpan York Hospital featuring a Level 1 Regional Resource and a 44-bed Level 3 (NICU). Maternity services emphasize family-centered care, including private birthing suites and specialized support programs; WellSpan Chambersburg Hospital's Maternity Center, for instance, has been recognized as a Gold Level Safe Sleep Facility and a Keystone 10 breastfeeding support site. Oncology inpatient care is available at WellSpan York Hospital, where the facility is rated high performing for treating leukemia, lymphoma, and myeloma by U.S. News & World Report. Emergency services operate 24/7 at six hospitals within the network, staffed by over 120 dedicated healthcare professionals, including board-certified physicians, and support staff to address urgent needs such as heart attacks, strokes, and injuries. WellSpan York Hospital's , as the system's Level 1 Regional Resource , manages over 2,000 trauma cases annually and serves more than one million residents across , Adams, and counties. Across the system, departments handle a high volume of visits, with WellSpan York Hospital recording over 94,000 visits in FY24. Specialized inpatient programs enhance care in key areas, including with and high in heart attack and management at WellSpan York Hospital; through a certified Comprehensive Center offering neuroendovascular procedures; and orthopedics with advanced replacement and spine surgery capabilities. These programs integrate multidisciplinary teams for coordinated inpatient treatment. Post-2025, the ongoing $427 million expansion at WellSpan York Hospital, which topped out in September 2025, will add 21 advanced surgical suites—including three hybrid operating rooms for complex vascular, neuro, and cardiac cases—and increase overall inpatient bed capacity to more than 600 by 2027, significantly boosting surgical and critical care resources. Seamless inpatient care is supported by the integration of electronic health records (EHR) across all WellSpan sites, enabling real-time access to patient data and facilitating transitions from to inpatient settings. This system-wide EHR , completed in phases starting in 2020, harmonizes from legacy platforms to improve coordination and reduce errors in delivery.

Outpatient and specialty programs

WellSpan Health provides a comprehensive array of outpatient services designed to deliver accessible, non-acute care through its extensive network across South-Central Pennsylvania. encompasses , , , and geriatric services, addressing common illnesses like colds and flu, chronic conditions such as and , and preventive measures including immunizations and annual physicals. Patients can access same-day or next-day appointments for acute needs, with coordinated care facilitated by electronic health records and a team-based approach involving nurse navigators. Urgent care options complement this by offering walk-in services for minor injuries, infections, and allergies at multiple dedicated centers, typically with wait times of 20-60 minutes and online spot reservations available at select sites. Diagnostic and rehabilitation services support outpatient treatment at over 600 locations system-wide, emphasizing convenience and integration with . Imaging modalities include X-rays, 3D mammography, MRI, scans, scans, , and , available at numerous WellSpan Imaging offices to aid in timely diagnoses. Laboratory services, provided through WellSpan Services, handle routine testing and are embedded in many health centers for seamless outpatient workflows. Rehabilitation programs, including , are offered at facilities like the WellSpan & Rehabilitation Hospital and collaborative sites with NovaCare, focusing on post-injury recovery and chronic condition management without inpatient admission. Specialty programs enhance outpatient care with targeted interventions in , , and . The WellSpan Cancer delivers outpatient cancer services at five locations, utilizing advanced technologies like Da Vinci robotic surgery and for diagnosis and treatment, supported by nurse navigators and multidisciplinary teams. Breast cancer screening has advanced through a mobile unit operational since 2021, which has screened over 4,600 women and identified nearly 40 early detections, with 2025 initiatives incorporating to boost early-stage detection by 4% as part of efforts to reduce access barriers in underserved communities. Colon efforts saw over 15,000 patients tested in fiscal year 2022-23, reflecting a 9% annual increase and emphasizing noninvasive options to promote early intervention. clinics operate at dozens of regional sites, providing diagnostic assessments, risk evaluations via online tools, and specialized care for conditions like arrhythmias and using innovations such as 4D CT scanners in outpatient cath labs. services, delivered by board-certified specialists, treat metabolic disorders including , thyroid conditions, and pituitary issues through personalized plans, diabetes education programs accredited by the , and pediatric options for growth-related concerns. Pharmacy and home services are integrated into outpatient visits to ensure continuity of care, with WellSpan at health centers offering prescriptions, immunizations, and medication reconciliation using patient health records. , including home-based intravenous options for chronic conditions, is managed by clinical pharmacists available 24/7, in coordination with physicians and agencies to provide sterile compounded products and monitoring without requiring stays.

Residency and medical education

WellSpan Health supports graduate medical education through a network of ACGME-accredited residency programs, primarily centered at WellSpan York Hospital, a key teaching facility with nine such programs. These include (with 36 residents), , , , obstetrics and gynecology, , , and transitional year, among others, providing comprehensive training in core clinical specialties. Additional residencies operate at WellSpan Good Samaritan Hospital (a 7-7-7 program) and the newly approved site at WellSpan Chambersburg Hospital, set to begin in 2025. The system trains residents and fellows across these programs, fostering hands-on experience in diverse clinical settings. Affiliations with institutions such as and enhance educational opportunities, including medical student rotations and collaborative curricula. WellSpan's educational infrastructure includes the Kinsley Family Foundation Medical Simulation Center at York Hospital, a multidisciplinary facility supporting advanced simulation-based training for residents in procedural skills and team-based scenarios. The AACME-accredited Office of delivers ongoing to more than 1,200 physicians and providers system-wide, offering , conferences, and online modules focused on evidence-based practices. Recent expansions have strengthened these offerings, including the launch of a four-year residency program in 2024 with six residents per year to bolster behavioral health workforce development. The 2024 affiliation with Evangelical Community Hospital further integrates additional clinical sites, incorporating prior training resources to expand residency rotations and capacity across the broader network.

Behavioral health services

WellSpan Health's behavioral health services are primarily delivered through its integration with Philhaven, a nonprofit behavioral health organization that joined the system on January 1, 2016, forming a comprehensive network spanning south-central . This affiliation expanded WellSpan's capabilities to include inpatient psychiatric units at the WellSpan Philhaven campus in Mount Gretna, outpatient counseling at multiple locations, and 24/7 through dedicated access centers. The services address a range of conditions, including , anxiety, , , and substance use disorders, with a focus on personalized treatment plans that incorporate , medication management, and support groups. Key offerings include specialized support for and developmental disabilities through the WellSpan Philhaven Center for Autism and Developmental Disabilities (CADD), which provides multidisciplinary evaluations, (ABA) therapy, social skills groups, psychiatric care, and family counseling from infancy through adulthood. recovery programs feature intensive outpatient treatment, residential rehabilitation, and relapse prevention for substance use disorders, often integrated with networks. For children and adolescents, pediatric behavioral health services encompass therapy for conditions like attention-deficit/hyperactivity disorder (ADHD) and anxiety, delivered in outpatient settings, schools, homes, or virtually to promote early intervention. Collectively, these services serve approximately 64,000 patients annually across the region (as of 2022) across inpatient and outpatient modalities. WellSpan has emphasized in its behavioral approach, particularly through the Specialized Treatment and Recovery Team (START) launched in 2020, which offers low-barrier access to psychiatric services, , and trauma-focused recovery for individuals aged 12 and older, including those involved in the justice system. Telepsychiatry expansions have accelerated access, with partnerships such as those with KeyCare in 2024 and Concert Health enabling virtual , , and same-day consultations, reducing wait times by up to 19% system-wide by 2025. These virtual initiatives, supported by a $7 million expansion at Philhaven adding 24 inpatient beds (completed 2022) and a $30 million investment adding 56 beds at York Hospital's behavioral unit (phased completion through 2025), have enhanced crisis response capabilities. In December 2024, WellSpan completed the first phase of the new behavioral unit at York Hospital, with full completion expected by fall 2025. A core aspect of WellSpan's behavioral health model is its integration with , achieved through collaborative care programs where behavioral health specialists co-locate with primary care providers to screen for needs during routine visits, monitor symptoms remotely, and coordinate holistic treatment plans that address both physical and emotional well-being. This approach, supported by mobile crisis teams and community training initiatives reaching over 2,000 individuals annually, has contributed to efforts reducing emergency room utilization for behavioral health patients, with goals to decrease visits by 10% as outlined in the 2025 Community Health Improvement Plan.

Community impact

Charitable care and uncompensated services

WellSpan Health provides substantial charitable care and uncompensated services to support underserved populations in south-central and northern . In 2024, the organization delivered $57.5 million in financial assistance, including $23.6 million in charitable care, to nearly 9,500 patients, encompassing free or discounted services for those qualifying under its financial assistance policy, which offers discounts ranging from 20% to 100% based on income relative to the federal level. This program proactively assists patients to prevent billing, with over 8,900 individuals receiving support without ever receiving an invoice, and includes more than 600 preventive screenings to promote early intervention. Additionally, WellSpan extended $57.5 million in broader financial assistance to enhance access for low-income patients across its network. Beyond charitable care, uncompensated services totaled $61.2 million in FY2024, covering care for patients unable to pay who did not qualify for or enroll in the program, often including write-offs reclassified as needed for eligible cases. These efforts are complemented by targeted programs such as $8.7 million in medical, dental, and pharmaceutical services, including prescription aid to alleviate costs for thousands in the service area, and mobile health initiatives like a mammogram coach that has boosted screening rates in underserved communities. WellSpan's financial assistance policy allows backdating eligibility up to one year and accommodates documentation challenges for vulnerable groups, such as the homeless, ensuring broad reach. These commitments reflect WellSpan's role in addressing care gaps, particularly for patients, who represent a significant portion of its payor mix with governmental sources accounting for 65% of gross revenues and a $289.9 million shortfall in FY2024 underscoring the scale of low-income service provision. By facilitating access to essential services, WellSpan contributes to a $6.6 billion infusion into the regional economy in 2024 through improved health outcomes and employment support for 23,000 team members.

Health equity initiatives and community programs

WellSpan Health conducts triennial Community Health Needs Assessments (CHNAs) to identify and address key health disparities in its service areas across south-central . The 2025 CHNA report, developed in partnership with local coalitions, highlights priorities such as improving access to cancer screenings and services, based on data from patient records, community surveys, and provider input. As part of its initiatives, WellSpan earned accreditation from the (NCQA) for in 2023, the first health system in to achieve this recognition, with the three-year term extending through 2026. This accreditation underscores WellSpan's efforts to analyze clinical performance and consumer experience data to reduce disparities. The organization also implements mandatory diversity, equity, and inclusion (DEI) training programs for staff, which have been nationally recognized for fostering inclusive care environments. Additionally, in September 2025, WellSpan expanded its collaboration with General Catalyst's Health Assurance Transformation Corporation (HATCo) to co-develop AI-driven technologies aimed at personalizing and transforming care delivery models, particularly for underserved populations. WellSpan's community programs emphasize preventive and equitable care, including the Spotlight on Children's Health initiative, launched to promote physical, emotional, and developmental well-being for youth from birth through adolescence by addressing social determinants like safe environments and access to services. The actively advocates for policy changes at state and local levels to support child health and broader equity goals, such as expanding preventive screenings and resources. Annual Community Impact Reports detail these efforts, incorporating large-scale surveys—such as those yielding over 1,400 responses in recent cycles—to gauge community needs and track progress on equity-focused strategies. In June 2025, WellSpan committed $3.5 million over three years to 12 organizations addressing housing challenges for vulnerable populations. In October 2025, it contributed $275,000 to the Central Food Bank to provide 1 million meals amid rising food insecurity. These initiatives have yielded measurable outcomes, including reduced disparities in cancer screening rates following 2025 efforts. For instance, rates among people of color improved by 6.31% from 2022 to 2023, with continued gains reported in the 2025 Community Impact Report, preventing an estimated 15 deaths. Similarly, rates rose by 8.73% for diverse populations over the same period, contributing to over 15,000 screenings system-wide and narrowing gaps identified in prior CHNAs.

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