2016-05-12T07:45:58-07:00 2015-06-30 WELLSPAN HEALTH 3350 WHITEFORD ROAD YORK PA 17403 990 2014-07-01 231352222 YORK HOSPITAL YORK 7178513055 PO BOX 2767 YORK PA 17405 Michael F O'Connor CFO 2016-05-12 false DAVID P RIZZUTO P01210563 7178513095 2014 2016-08-17 19:52:53Z Kevin Mosser MD PO Box 2767 York PA 174052767 1368510568 false false X WWW.WELLSPAN.ORG X 1880 PA York Hospital is a premier community teaching hospital providing quality, cost-effective health care services strongly supporting excellence in education, and offering essential services without regard for an individual's ability to pay. 12 8 5510 928 11196711 1687784 5195903 2300108 838052769 914201980 95429455 21726568 9772437 8303752 948450564 946532408 42887104 44506387 0 337911179 328557411 0 863665 444382110 471205912 825180393 844269710 123270171 102262698 1153113621 1327666301 356642699 447609928 796470922 880056373 York Hospital is a premier community teaching hospital providing quality, cost-effective health care services strongly supporting excellence in education, and offering essential services without regard for an individual's ability to pay. false false 688990017 44506387 916567702 WellSpan York Hospital is the region's leader in advanced specialty care. What began in 1880 has become a 572-bed community teaching hospital that employs more then 4,800 people and serves a population of more than 520,000 in south central Pennsylvania. WellSpan York Hospital offers services and programs that feature highly skilled clinical staff, life-saving technology and state-of-the-art facilities to address some of the most complex medical, surgical and behavioral conditions.WellSpan York Hospital has been designated as a Bariatric Center for Excellence by the American Society for Metabolic and Bariatric Surgery; recognized as one of the Best Regional Hospitals in its Best Hospitals publication; named a Top 100 Hospital by Thomson Reuters, a leading source of health care information, on seven occasions. In addition WellSpan York Hospital has been designated as a Robotic Epicenter by Intuitive Surgical, accredited as a Level 1 Regional Resource Trauma Center, designated as a Primary Stroke Center by the Joint Commission, and designated as a Magnet Hospital by The American Nurses Credentialing Center. WellSpan York Hospital is a nationally recognized teaching hospital with seven residency programs, five allied health schools and other training programs. More than 690 physicians and other professionals belong to WellSpan York Hospital's medical and dental staff.See Attached Federal Supplemental Information: WellSpan Health - 2015 Community Benefit Report 688990017 true true false false false false false false false true true true false true true true false true false false false false false false false false true true true false true true false false false false false false false false true true false false false false false true false false false false true 0 0 false 5510 true true true false false false false false false 0 false false false false false false false false false false X 12 8 false false false false true true true true true false false true true true true true true true true false PA X DAVID RIZZUTO 7178513055 3350 WHITEFORD ROAD YORK PA 17402 X Todd Marsteller Secr/Treas 1.00 0.00 X X 0 0 0 Joe Crosswhite Chairman 1.00 0.00 X X 0 0 0 Pamela Gunter-Smith Director 1.00 0.00 X 0 0 0 Steve Hovis Director 1.00 0.00 X 0 0 0 K Michael Hughes DO Director 1.00 0.00 X 0 0 0 Gary Stewart Jr Director 1.00 0.00 X 0 0 0 William Landis MD Director 1.00 40.00 X 0 389539 57007 Jean Treuthart Director 1.00 0.00 X 0 0 0 Kevin Mosser MD Dir/ CEO WSH 1.00 40.00 X X 0 899660 735222 William Dannehl Vice-Chair 1.00 0.00 X X 0 0 0 Todd Butz Director 1.00 40.00 X 0 229014 58701 Mary Weaver Director 1.00 0.00 X 0 0 0 Michael F O'Connor CFO-WellSpan H. 1.00 40.00 X 0 615092 448974 Keith Noll President 40.00 0.00 X 518357 0 385697 Raymond Rosen VP Operations 40.00 0.00 X 313033 0 54770 Allen Miller Dir Behav Hlth 40.00 0.00 X 311916 0 52466 Peter M Hartmann MD VP Med Affairs 40.00 0.00 X 456091 0 58339 Steven Delaveris MD VP-Service Line 40.00 0.00 X 516686 0 56605 Jadwiga Wojcicka Chief Med Physic 40.00 0.00 X 293226 0 40937 Bruce Bushwick Chair-Family Med 40.00 0.00 X 290858 0 55955 Richard Seim Former President 0.00 0.00 X 0 561444 189283 Bruce Bartels Former CEO WellSpan Health 0.00 0.00 X 0 281520 29161 2700167 2976269 2223117 274 true true false Anesthesia Associates 110 Pine Grove Commons York PA 17405 Physician Services 5104383 York Laboratory Associates 1001 S George Street York PA 17403 Lab Services 6613408 Quest Diagnostics Inc 12436 Collections Center Drive Chicago IL 606932436 Lab Services 2250723 HCSC Laundry PO Box 25092 Lehigh Valley PA 180025092 Laundry Services 1805183 Cardiac Diagnostic Associates 25 Monument Drive Suite 200 York PA 17362 Physician Services 1424927 35 1908221 391887 2300108 EHR Incentive Program(MU) 621500 3157091 3157091 Patient Services 621500 974960747 965620270 9340477 W/O - Bad Debt 621500 -38042145 -38042145 W/O -Financial Assistance 621500 -25873713 -25873713 914201980 14339417 14339417 -11759127 -11759127 0 469727 469727 469727 469727 440609692 514746 421051631 926529 19558061 -411783 19146278 19146278 0 0 0 Contracted Labor 621110 1316485 351996 964489 Medical Education 611710 1518819 1494400 24419 Snack/Coffee Bar & Cafe 722210 2524700 2524700 2474021 519326 891745 1062950 7834025 946532408 907227225 11196711 25808364 X 44506387 44506387 0 0 0 1271857 367803 904054 0 234484716 227732660 6752056 14936014 14455976 480038 60081173 58132693 1948480 17783651 17206380 577271 137380515 137380515 95193 25745 69448 207388 207388 0 0 90000 90000 124837496 123983936 853560 74241 74241 2608023 2608023 0 0 6714599 6714599 578900 544298 34602 0 314721 300573 14148 12800737 12800737 0 27328622 25013947 2314675 7571209 7571209 Supplies 126480418 126021180 459238 Utilities 9097564 8279103 818461 Repair & Maintenance 7655111 7273517 381594 Equipment Rentals 2712065 2712065 4659110 2664945 1130500 863665 844269710 688990017 154416028 863665 0 79017450 78692355 0 124265457 140285593 0 0 0 5866282 5786567 1748294 1613499 567098710 347682692 206061806 219416018 223732207 281647426 422323914 465679736 0 0 90098211 134545107 1153113621 1327666301 15124937 17696719 11544965 10276561 250506271 341605537 6070609 3450900 73395917 74580211 356642699 447609928 X 778282020 861160485 10215010 11179149 7973892 7716739 796470922 880056373 1153113621 1327666301 X 102262698 -22380821 3703574 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 18188902 1640924 248151 1182089 18895888 16978760 3970974 1858994 4619826 18188902 16098684 2883009 1115144 3118077 16978760 16346925 3706817 -689858 3265200 16098684 18295151 3937629 2208589 8094444 16346925 0.40840 0.59160 true true true 487109 487109 288573615 149173941 139399674 12652584 10007449 2645135 240515192 188501302 52013890 24870210 24870210 219416018 465679736 Due from affiliates 26792540 Intangible Assets 2132144 Notes Receivable 98590879 Total Other noncurrent assets 7029544 134545107 Accrd Payroll W/H 985872 Accrued Asbestos Removal Exp 1510807 Accrued Payroll 11414736 Accrued Vacation 13854120 Note Payable - WRRRG 125285 Post Retirement Benefit Obligations 18434085 Total Other Noncurrent Liabili 28255306 74580211 X 934508793 -22449738 -2458267 -24908005 959416798 -12884390 -12884390 946532408 810070570 11759127 11759127 798311443 45958267 45958267 844269710 Part V, Line 4: Intended uses of the endowment fund. The funds were used to improve the health and welfare of the residents of York and Adams counties of Pennsylvania. Part X : FIN48 Footnote In June 2006, the Financial Accounting Standards Board (FASB) issued Interpretation NO. 48, Accounting for Uncertainty in Income Taxes-an interpretation of FASB Statement NO. 109, Accounting for Income Taxes (FIN 48), which creates a single model to address uncertainty in tax positions and clarifies the accounting for income taxes by prescribing the minimum recognition threshold a tax position is required to meet before being recognized in the financial statements. Under the requirements of FIN 48, tax-exempt organizations could now be required to record an obligation as the result of a tax position they have historically taken or various tax exposure items. Prior to FIN 48, the determination of when to record a liability for tax exposure was based on whether a liability was considered probable and reasonably estimable in accordance with SFAS No.5, Accounting for Contingencies. On July 1, 2007, the parent company, WellSpan Health, adopted FIN 48. WellSpan Health determined that it does not have any uncertain tax positions through June 30, 2015. Part XII, Line 2d: Other expenses and losses per audited F/S Loss on Debt Refinancing $11759127 Part XII, Line 4b: Other revenue amounts included on 990 but not included in F/S Grant-WellSpan Medical Group $21000000 Grant-WellSpan Health $22500000 Expense Netted with Revenue $2458267 true true X true X true X true true false false true true 12474 10996328 10996328 0.01300 124116 122118488 74590000 47528488 0.05630 136590 133114816 74590000 58524816 0.06930 59 18997 1311601 180058 1131543 0.00130 8 394 417986 4000 413986 0.00050 2 160405 18433225 8771551 9661674 0.01140 1 2364345 1145816 1218529 0.00140 5 2318 131405 131405 0.00020 75 182114 22658562 10101425 12557137 0.01480 75 318704 155773378 84691425 71081953 0.08410 1 840287 840287 0.00100 1 99 2779 2779 11 18364 35160 1364 33796 1 17 33671 33671 14 18480 911897 1364 910533 0.00100 true 16167912 255453 286450000 299071520 -12621520 X true true WRRRG Risk Retention Group 0.66710 1 1 York Hospital 1001 S George Street York PA 17405 http://www.wellspan.org 250301 X X X X X X York Hospital 1 false false true X X X X X X X X 12 true true false true X www.wellspan.org X www.healthyyork.org X X true 12 true www.wellspan.org true false true X 200.0000 300.0000 X X X X X true true X X X X true X http://www.wellspan.org X http://www.wellspan.org X X X true X false X true X false false Part V, Line 5 - Account Input from Persons Who Represent the Community Community stakeholder engagement has been vital to the Community Health Needs Assessment (CHNA) process since its inception in York County in 1994. Led by Healthy York County, the local health coalition, each of the five CHNAs conducted have included diverse representation in the survey development, data review and analysis, results distribution, and community health priority identification components of the CHNA process. Representation has included stakeholders from health and human services agencies, government entities, local businesses, community-based organizations, higher education institutions, and community members at-large. York Hospital, as an entity of WellSpan Health, partners to conduct the CHNA, disseminate its results, and integrate evidence-strategies that impact the identified needs into its annual planning process. Whether at stakeholder meetings or larger public forums, stakeholder input is necessary to ensure that the community and its needs are appropriately represented throughout the CHNA process. Additional details of how community members were engaged is included in Part VI-Needs Assessment. Part V, Line 6a - List Other Hospital Facilities that Jointly Conducted Needs Assessment Gettysburg Hospital and WellSpan Surgery and Rehabilitation Hospital Part V, Line 7d - Description of Making Needs Assessment Widely Available Data acquired through the 2012 CHNA process was the most robust to-date and enabled WellSpan to better integrate its results into the system-wide and entity-level planning processes. The system-wide Community Benefit Council, comprised of representation from each entity, and service line and corporate leadership, reviewed the CHNA results and identified four key priorities: adult overweight/obesity; avoidance of healthcare care due to cost; depression, and; tobacco use. Evidence-based strategies to address these four priorities was outlined in the corresponding Community Health Improvement Plan (CHIP). CHNA results were communicated to York County community members at a public forum in June 2012, 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. In addition, the corresponding WellSpan Community Health Improvement Plan is available on the WellSpan Health website. Part V, Line 11 - Explanation of Needs Not Addressed and Reasons Why Public health research recommends that a root cause approach be utilized to address many chronic disease, diabetes, respiratory ailments, and overweight/obesity. A focus on improving healthy eating and physical activity behaviors and reducing tobacco use has demonstrated efficacy in reducing the impact of various chronic conditions. A few cardiovascular indicators were ranked high by Community Benefit Council members, but not selected as priorities. These include those who have high blood pressure and high cholesterol, and those who have been told that they have heart disease, heart attack, or stroke risk indicators. Council members felt that the root causes of these conditions - unhealthy eating, physical inactivity, and tobacco use - were already part of the selected priorities - adult overweight/obesity and tobacco use. Part V, Line 16i - Other Means Hospital Facility Publicized the Policy Our organization maintains its commitment to improving access to care, based on the community health needs assessment's prioritization of medical, dental and oral health access as high. A key element of our strategy in addressing this need is to reach beyond simply informing patients about our patient assistance policies to proactively identifying patients without access and connecting them to available public and community programs. Outreach is evident through Community Health Workers and health coaches, who actively seek out patients and community members and focus on meeting them where they are, working through both medical and social needs. WellSpan also sponsors case managers within Healthy Community Network (HCN) to support patient enrollment in public programs (i.e., Medicaid), health insurance marketplace options or in its own HCN discounted care program, which is based on the charity care guidelines of health care providers. In this time of healthcare reform, Healthy Community Network focuses on communicating changes clearly to members and provides support in directing members to the health insurance marketplace and other resources. Finally, through a multi-year initiative to ensure awareness among all people who qualify for charity care and financial assistance, our website has been updated, our enrollment processes and late bill communications have been simplified, the provision and availability of financial support resources at high visibility care sites has improved, and our partnership with our local Federally Qualified Health Center (FQHC) for early identification and qualification of patients has been strengthened. 32 Apple Hill 25 Monument Road York PA 17403 Cardiac Rehab, EKG/Cardiac Stress Testing, Infusion Services, Lab, Maternal Fetal Medicine, Nuclear Queensgate Towne Center 2015 Springwood Rd York PA 17403 Lab Services, Childbirth & Family Ed., Rehab Midhill Professional Center 1399 S Queen St York PA 17403 Wound Care Edgar Square 1101 Edgar St York PA 17403 BHS, Community Health Improvement, Crisis Intervention, Specialty Clinics St Charles Way 298 St Charles Way York PA 17402 Diabetes Self Management, Loretta Claiborne Building 605 S George St York PA 17401 Dental Clinic, OB/GYN Clinic, Community Health Center East Berlin Site 105 Fourth St East Berlin PA 17316 Imaging, lab services Hayshire Health Center 2775 N George St York PA 17402 Imaging, Lab Services Apple Hill Womens Special Services & Imaging 35 Monument Road York PA 17403 Infusion, Women's Imaging, Radiology Technology Stony Brook Health Center 4222 Lincoln Highway York PA 17406 Lab Services St Charles Way 228 St Charles Way York PA 17402 Neuroscience Admin, Pain Center Adams Center 1575 Bannister St York PA 17404 Preventive Cardiology, Rehab medicine 207 Blooming Grove Road 207 Blooming Grove Road Hanover PA 17331 Rehab, Imaging Littlestown Dialysis Building 43 S Columbus Ave Littlestown PA 17340 Dialysis Adams Health Center 40 V-Twin Dr Gettysburg PA 17325 Workfirst, Preventive Cardiology, Pulmonary Windsor Health Center 3065 Windsor Road Red Lion PA 17356 Imaging, Lab ALSU- Dover 3700 Davidsburg Rd Dover PA 17315 ALS Unit ALSU- Red Lion 312 Horace Mann Ave Red Lion PA 17356 ALS Unit 235 Rosedale Drive 235 Rosedale Drive Manchester PA 17345 Rehab Dover Health Center 4020 Carlisle Road Dover PA 17315 Imaging, Lab Services, Sleep Center Stonebridge Business Park 13515 Wolfe Rd Ste D New Freedom PA 17349 Imaging, Lab Services East York Site 2250 E Market St York PA 17402 Imaging, Work First Indian Rock Site 915 Indian Rock Dam Rd York PA 17404 Indian Rock Helipad Valley Green Medical Center 1790 Old Trail Road Etters PA 17319 Lab Services Westgate Lab 1550 Kenneth Rd Westgate Plaza York PA 17408 Lab Services Yorktowne Medical Center 2350 Freedom Way York PA 17402 PFT Prospect Commerce Center 1803 Mt Rose Ave York PA 17403 Trans Lab 608 Cleveland Avenue 608 Cleveland Avenue York PA 17401 Transcription ALSU-Stewartstown 86 North Main Street Stewartstown PA 17363 ALS Unit Hanover Family Medicine-Workfirst 100 Frederick Street Suite 101 Hanover PA 17331 Work First Shrewsbury Professional Building 73 East Forrest Avenue Suite 210 Shrewsbury PA 17361 Rehab Hanover Lab Collection Center 1150 Carlisle St Hanover PA 17331 Lab Services 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 - Needs Assessment WellSpan Health and its entities, including WellSpan Surgery & Rehabilitation Hospital) have a long history of understanding and responding to the needs of the community and populations it serves. This commitment was strengthened in 1994 when, in partnership with the Healthy York County Coalition, the county health coalition, WellSpan conducted its first Community Health Needs Assessment (CHNA). Four subsequent assessments have been conducted (2000, 2005, 2008 and 2012), and the next one is planned for 2015. A CHNA is one method for collecting diverse information on a community and involves surveying a large quantity of residents on health, lifestyle behaviors, finances, access to health services, and other related topics. The WellSpan CHNA process, including survey development, data collection and analysis, and result dissemination, is led by both county-level health coalitions. These entities receive financial support from WellSpan Health and its entities, as well as other community stakeholders. Although not new to WellSpan and the communities it serves, the Patient Protection and Affordable Care Act of 2010 (PPACA) required that all non-profit, tax exempt hospitals in the United States conduct a Community Health Needs Assessment every three years, determine health priorities, and prepare a multi-year strategic plan to address selected priorities. WellSpans nearly two decade history of conducting CHNAs has ably prepared it to respond to these new requirements. As in prior years, the Executive Directors of Healthy Adams County and the Healthy York County Coalition co-led the 2012 CHNA. Conducting a community-wide CHNA requires input from diverse stakeholders in the community and commitment to the overall process. The following community organizations partnered to provide guidance and support to the 2012 CHNA: Adams-Hanover Counseling Services, Family First Health, Gettysburg College, Hanover Hospital, Memorial Hospital, United Way Adams County, United Way of York County, WellSpan Health, York City Health Bureau, York College of Pennsylvania,and York County Community Foundation Additional support was provided through a contract with the Floyd Institute for Public Policy at Franklin and Marshall College. Dr. Berwood Yost, Institute Director and Project Consultant for the 2012 CHNA, has an extensive background conducting and analyzing community and corporate surveys, and was well-positioned to lead the 2012 Adams and York County CHNA. This collaboration of community stakeholders: determined the battery of survey questions to be asked; discussed data collection methodology, including sample size and method of obtaining data reviewed the raw data and supporting charts and graphs, and; identified the priority setting process to be utilized in community forums. Since the 2012 CHNA planning committee represented a wide range of community organizations services, it was important that the CHNA capture the interests of all partners without burdening the community with too many questions. Committee members initially listed topics of interest and reviewed related questions primarily derived from the Behavioral Risk Factor Surveillance System (BRFSS). These questions were previously validated and utilized by the Centers for Disease Control and Prevention (CDC) in national and state-wide survey instruments. Selected questions were then organized into four key areas access, health behaviors, health conditions, and prevention behaviors as determined by the CHNA planning committee. A total of 1004 York County adults were interviewed between September 26 and November 9, 2011, and served as a representative sample of the adult, non-institutionalized population in Adams County. Supplemental data was compiled to expand upon the data collected from interviewees and enabled the development of a comprehensive CHNA. Example of additional data collected included: demographic information from the U.S. Census Bureau; trending data related to lifestyle and health derived from the Pennsylvania Department of Health (DOH); vital statistics related to birth and death rates, also from the Pennsylvania Department of Health, and; healthcare quality and cost data from the Pennsylvania Health Care Cost Containment Council (PHC4). Data analyzed by the Floyd Institute for Public Policy included breakdowns by age, gender, geographic area, race/ethnicity, and income level. Additional cross-tabulations were conducted to demonstrate the complexities of some of the most striking CHNA results, such as the influence of disparities on particular variables. Results were shared with the CHNA planning committee in PowerPoint presentation and written reporting formats. Subsequent reports were modified slightly before dissemination at community forums in June 2012 and their availability on the website of both health coalitions.WellSpan Health is fortunate in that many community members are interested in the current and future health of York County. In order to facilitate community support on key health issues, the 2012 CHNA planning committee reviewed the CHNA results and developed an initial list of community health priorities, based on: * Who is affected? (The prevalence and reach of the health issue or concern); * How will we react? (The ability of the community to respond to the priority); * How many people can we help? (The number of potential community members influenced by the priority); * What happens if we dont respond? (The consequences of not responding to the priority), and; * What disparities exist and how can we ensure that the disparities will be addressed?A similar approach was used by WellSpan Health and its Community Benefit Council when identifying community health priorities for the integrated healthcare system. Council members reviewed the CHNA results and ranked key indicators in each of the four focus areas access, health behaviors, health conditions, and prevention behaviors according to the same questions listed above. In addition, Council members were made aware of the health priorities selected by the community at-large in order to identify opportunities to support community-wide efforts to address key issues. Part VI - Patient Education of Eligibility for Assistance For more than a decade, our organization has been working to improve access to care - based on the community health assessment's prioritization of medical, dental and oral health access as high. A key element of our strategy in addressing this need is to reach beyond simply informing patients about our patient assistance policies to proactively identifying patients without access and connecting them to available public and community programs. WellSpan sponsors case managers within Healthy York Network (HYN) to support patient enrollment in public programs (i.e., Medicaid), health insurance marketplace options or in its own HYN discounted care program, which is based on the charity care guidelines of health care providers. In this time of healthcare reform, Healthy York Network has focused on communicating changes clearly to members and has provided support in directing members to the health insurance marketplace and other resources. Patient education is also provided by identifying special resources for at risk populations, including members of racial and ethnic minority communities, and supporting lay Community Health Workers to guide people toward enrollment options. Finally, through a multi-year initiative to ensure awareness among all people who qualify for charity care and financial assistance, our website has been updated, our enrollment processes and late bill communications have been simplified, the provision and availability of financial support resources at high visibility care sites has improved, and our partnership with our local Federally Qualified Health Center (FQHC) for early identification and qualification of patients has been strengthened. Part VI - Community Information To the casual observer, our service area could be described as one community. The combined population of York and Adams counties is over 545,000 people. This population is expected to increase by 4% or 21,000 people over the next five years. The York/Adams population is growing older. While the 18-44 age group comprises the largest segment of the population, this group will experience nominal growth through 2017. Most growth will occur in the 45-64 (4% or 6,300 people) and the 65+ (18% or 14,000 people) age groups. This shift is occurring as the baby boom generation ages, as people live longer due to healthy lifestyles and medical advances, and as retirees move from the Baltimore/Washington metro area to Southern York and Adams counties to find a safer, lower cost lifestyle. Although the overall population growth projected for the York/Adams area over the next five years is moderate, the changing demographic profile of the population will result in elevated incidence rates for both acute and chronic disorders that present themselves ever increasingly as the population ages. York County is situated in south-central Pennsylvania, and is bordered by Adams and Cumberland counties to the west and north respectively, and the Susquehanna River and Lancaster County to the east. Northeast of the river lies Dauphin County and the southern border is the Mason-Dixon line which forms the border with Maryland and its northernmost counties of Carroll, Baltimore and Harford. York County is approximately 911 square miles or 583,040 acres and is comprised of 72 municipalities; 35 townships, 36 boroughs and one (1) city.Generally and historically, employment rates are better than state and national averages but the composition of the workforce contains more manufacturing, production and tourism related business. An assessment of general health status is gathered as part of Community Health Assessments. The percent of adults in York County rating their health as fair or poor was 14.0%. Our in-depth knowledge of the community, gathered through community health assessments and focused studies during the past 15 years, however, show that our service area is not made up of one community but of many, with social and health factors that are significantly impacting its health. The number of uninsured has remained stable at approximately 6.5% but continues to be a major barrier to access to oral health, medical care and pharmaceuticals, and the incidence of chronic disease in on the rise. Part VI - Explanation Of How Organization Furthers Its Exempt Purpose Historically, WellSpan Health and its entities have taken planned steps to build community capacity that addresses complex health issues, as identified by the Community Health Needs Assessment (CHNA). Through financial and management support of a county health coalition, the Healthy York County Coalition (HYCC), more than 200 York County community members have been engaged in community health improvement initiatives. HYCC consists of three committees Access and Empowerment; Community Engagement, and; Prevention and Wellness, each of which continue to attract new community members, leaders, and professionals. These committees foster partnerships and collaboration between entities to ensure that efforts to address and impact identified community health needs are coordinated and successful. In response to results from the 2012 CHNA, WellSpan Surgery & Rehabilitation Hospital and the Healthy York County Coalition partnered with community organizations across York and neighboring Adams County to address the increasing prevalence of depression in the region. Feeling Blue, an online depression awareness campaign (www.feeling-blue.com), was launched in November 2014 and continues to demonstrate increased online traffic (viewer hits). The campaign is designed to encourage individuals who are feeling blue or suffering from mild depression to engage in non-medical means of managing their symptoms (i.e., healthy eating, increased physical activity, social support). WellSpan Health and its entities, through the Healthy York County Coalition, also developed a comprehensive approach to educating York County residents about end-of-life planning and care, or Horizon Planning as it is termed locally. Through end-of-life documentary screenings, community dialogues, and educational resource distribution, both organizations seek to create a comfortable environment to share information and create a community conversation about this important issue. Hundreds of York County residents have participated in community-focused events and have obtained valuable information to assist them with personal end-of-life decision-making.As a charitable, community-based healthcare organization, our commitment to improving the lives and well-being of the people and communities we serve is evident in our mission statement: Working as one to improve health through exceptional care for all, lifelong wellness, and healthier communities. Employees live out this mission statement every day by engaging in community benefit activities that address community needs, especially the four health priorities identified in the 2012 CHNA adult overweight/obesity; access to care; depression, and; tobacco use. One example of this commitment may be found in the development and implementation of the 10Lb. Throwdown, a 10-week community challenge that encourages participants to lose or maintain a healthy weight through healthier eating and increased physical activity. The initiative was created to address the growing issue of adult overweight/obesity, and utilizes a core website (www.10poundthrowdown.com) on which may be found an online weight tracker, physical activity program (Make the Most of the Coast), and tips that promote a healthier lifestyle. More than 1900 community members across three southcentral Pennsylvania counties Adams, Lancaster, and Lebanon participated in the 2015 iteration of the 10Lb. Throwdown Lastly, WellSpan Health continues to address tobacco use by providing community-based cessation and prevention services throughout York and Adams counties, as one component of a grant from the American Lung Association (ALA). Community members are also vital to furthering our exempt purpose by actively volunteering their time and donating financial resources to health-related initiatives. During the fiscal year, approximately 2,000 individuals volunteered more than 170,000 hours of service across WellSpan Health. The value of those volunteer hours totals in excess of $3.9 million. In addition, the York Health Foundation, raised nearly $4.078 million to support initiatives such as: behavioral health support at select primary care offices; implementation of countywide tobacco prevention and cessation services; training for additional SAFE (Sexual Assault Forensic Exam) nurses to care for victims of abuse, and; funding to assist with rent, food, transportation and utility needs of cancer patients. Part VI - Affilated Health Care System Roles and Promotion WellSpan Health is an integrated health system serving the Adams-York-Northern Lancaster county region. As a community-based, not-for-profit organization, WellSpan is dedicated to improving the health and well-being of the people it serves. WellSpan will assume a leadership role and develop partnerships with other organizations to: improve access to coordinated, high-quality, cost-effective health care services, educate the health care providers of tomorrow, promote healthy lifestyles and lifelong wellness, and make its local communities healthier, more desirable places to live, work, and play. York Hospital works with other parts of the system to provide a comprehensive approach to meeting community needs.WellSpan Health includes: Gettysburg Hospital, York Hospital, WellSpan Surgery and Rehabilitation Hospital, Ephrata Community Hospital, Apple Hill Surgical Center, VNA Home Health, WellSpan Medical Group, Northern Lancaster County Medical Group, Physician Specialists of Northern Lancaster County Medical Group, WellSpan Population Health Services, WellSpan Pharmacy, Gettysburg Hospital Foundation, York Health Foundation, Ephrata Community Health Foundation, WellSpan Provider Network and Healthy York Network/Healthy Community Pharmacy. York Hospital's community benefit report is contained in a report prepared by their parent organization, WellSpan Health. See Attached Federal Supplemental Information: WellSpan Health - 2015 Community Benefit Report Part VI - States Where Community Benefit Report Filed PA true American Heart Association 400 Preston Ave Charlottesville VA 22903 135613797 501(c)(3) 10000 0 Sponsorship City of York 50 W King Street York PA 17405 236001908 GOVERNMENT 801337 0 General Support Family First Health 116 S George Street York PA 17401 237118262 501(c)(3) 93750 0 School based clinic Nightinggale Awards of PA 6 Clouser Road Mechanicsburg PA 17055 232567118 501(c)(3) 5750 0 General Support Spring Garden Township 558 S Ogontz Street York PA 17403 236003037 GOVERNMENT 5500 0 General Support WellSpan Health PO Box 2767 York PA 17405 222517863 501(c)(3) 22500000 0 General Support WellSpan Medical Group PO Box 2767 York PA 17405 232730785 501(c)(3) 21000000 0 General Support York Co Community Foundation 14 West Market St York PA 17401 236299868 501(c)(3) 50000 0 Support York County EMS Services York Suburban School District 850 Southern Road York PA 17403 236005956 GOVERNMENT 33450 0 General Support 9 0 Grantmaker's Description of How Grants are Used All WellSpan non-research grant activities must be coordinated through the York Health Foundation and Gettysburg Hospital Foundation to insure that grant projects are implemented, evaluated, and monitored in accordance with applicable granting agency regulations, with WellSpan policies and procedures, and are consistent with the strategies and priorities of the organization. WellSpan has defined the processes by which grants are identified, developed, reviewed, approved, and monitored by the organization. This policy covers non-research grants applied for and received by an entity of WellSpan Health. It does not cover grants made by the organization. Research grants are defined as those that involve "a systematic investigation designed to develop or contribute to generalizable knowledge (45CFR 46.102(d))" and are overseen by Emig Research Center (Policy #619 Extramural Research Funding) X X X X X false true false false false false false false false false Allen Miller Dir Behav Hlth 277913 34003 13884 38582 364382 Bruce Bartels Former CEO WellSpan Health 281520 17825 11336 310681 281520 Bruce Bushwick Chair-Family Med 290858 17825 38130 346813 Jadwiga Wojcicka Chief Med Physic 266868 26358 17825 23112 334163 Keith Noll President 370925 139740 7692 347099 38598 904054 139740 Kevin Mosser MD Dir/ CEO WSH 726260 173400 689292 45930 1634882 173400 Michael F O'Connor CFO-WellSpan H. 464812 150280 403631 45343 1064066 150280 Peter M Hartmann MD VP Med Affairs 380751 68068 7272 17825 40514 514430 Raymond Rosen VP Operations 263002 44873 5158 17825 36945 367803 Richard Seim Former President 268771 127840 164833 159048 30235 750727 127840 Steven Delaveris MD VP-Service Line 431983 75646 9057 15039 41566 573291 Todd Butz Director 229014 16008 42693 287715 William Landis MD Director 359539 30000 17825 39182 446546 A See Schedule O A true Donette Lasher Family Member Noll 218629 Employee of YH false Stewart Properties cos Officer Stewart 587117 construction, rental false Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder WellSpan Health, a not for profit corporation, is the sole member.The Member of the Corporation shall meet at any place, date, and time designated by the Member, for the transaction of the general business of the Corporation. Action of the Member shall generally be taken by a written consent in lieu of a meeting.Any action which may be taken at a meeting of the Member may be taken without a meeting if a consent or consents in writing, setting forth the action so taken, shall be signed by the Member and filed with the Secretary of the Corporation. Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body The Board of Directors of the Corporation shall be elected as provided herein by the Board of Directors of the Member. The Member shall determine annually the number of directors which shall in no event be less than ten nor more than fifteen persons. Nominations for the Directors to be elected by the Member shall be made only by the Nominating Committee for Directors, except for vacancies in the Board of Directors occuring by death, resignation, disqualification, removal or otherwise, may, upon the recommendation of the Executive Committee, be filled by appointment by the Member to serve until the next annual meeting of the Member, at which time the Member may elect a Director to fill such vacancy for the remainder of the unexpired term thereof. Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders The member may, with respect to the Corporation, initiate and implement any of the following actions, and it any of the following actions are otherwise initiated by the Corporation, such action shall not become effective unless approved by the Member:a) The adoption, amendment,or revocation of the Corporation's Articles of Incorporation or Bylaws. b) The termination, liquidation, reorganization, division, conversion, or dissolution of the Corporation, or the merger, consolidation, or combination of the Corporation with another person. c) Any change or transfer of the Member's membership interest in the Corporation, or the creation or issuance of any additional membership interests in the Corporation. d) The investment of the Corporation's assets other than in accordance with the Member's current investment policy; or, in the absence of a current Member investment policy, any investment other than in the ordinary course of business, which shall consist of federally-insured interest-bearing bank accounts, short-term direct U.S. obligations, short-term certificates of deposit of domestic banks, or highly-rated money market funds. e) The incurrence by the Corporation of indebtedness in excess of such amounts as may be reasonably designated by the Member from time to time, except pursuant to a budget approved by the Member. This is not meant to restrict the Corporation's day-to-day business, in amounts less than the amounts designated by the Member, such as routine trade and accounts payable or obligations. f) The conveyance, transfer, lease, or sale of any of the Corporation's assets with fair market value in excess of such aggregate amount as may be designated by the Member from time to time, except pursuant to a budget approved by the Member, or the conveyance, transfer, lease or sale of any of the Corporation's assets to the Member or another System Affiliate. g) The making of any capital expenditure or the incurrence of any capital obligations by or on behalf of the Corporation in excess of such annual aggregate amount as may be designated by the Member from time to time, except pursuant to a budget approved by the Member. h) The incurrence of any obligation (whether actual or contingent) by the Corporation to guarantee or be responsible for the debts or obligations of any person in excess of such amounts as may be designated by the Member from time to time, except pursuant to a budget approved by the Member. This is not meant to restrict the Corporation's ability to incur obligations in the ordinary course of the Corporation's day-to-day business, in amounts less than the amounts designated by the Member. i) The approval of the Corporation's operating and capital budgets, or any material changes thereto. j) The voluntary granting of any lien or encumbrance (including a confession of judgment) with respect to the Corporation's assets, except in the ordinary course of business.k) The surrender of or material change to any permit, approval, or license of the Corporation. l) The selection of the Corporation's outside auditors, general legal counsel, or investment advisors. m) The requirement that the Member make any capital contribution to the Corporation. n) The ratification of appointments and reappointments to the Corporation's Board of Directors. o) The approval of the Corporation's strategic and operating plans, or any changes thereto. p) The approval of the Corporation's statements of purpose, vision, or mission, or any changes thereto. q) The creation by the Corporation of any new lines of business, sites of business, subsidiary corporations, or partnerships or other joint ventures, or any material changes in existing services, or participation in any key strategic relationship outside the System. This is not meant to restrict the Corporation's right to enhance and expand its current lines of business. r) All health care services contracting by the Corporation that could materially impact the System. Form 990, Part VI, Line 11b: Form 990 Review Process Management provided an electronic copy of the form 990 to each voting member of the organization's governing body, prior to its filing with the IRS. The organization's finance management team provided a presentation to the Audit Committee on the organization's 990 return. Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts Officers, directors, and key employees fill out a WellSpan Health Conflict of Interest Disclosure Statement questionnaire annually. The questionnaire is administered by the Internal Audit Department of WellSpan Health, the Parent Company.There shall be full disclosure by any Director having a business or personal interest or relationship which may be in conflict with the interests of the Corporation. After such disclosure the Director shall abide by the determination of the Board of Directors as to whether a conflict exists, the extent to which, if at all, the Director will be permitted to be present during the Board of Directors' discussion of the matter in which the Director may be interested, and whether the Director will be permitted to participate in such discussion and cast a vote in such matter. Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees The Compensation Committee of WellSpan Health is responsible for rewarding and reinforcing key executives for the achievement of annual and long-term performance objectives. The Compensation Committee shall consist of not more than six (6) persons, of whom two (2) shall be the Chairman and Vice Chairman of the Board of the Corporation, and the remaining members shall be such other persons as may be appointed by the Chairman of the Board of the Corporation, with the approval of the Board of Directors; provided, however, that the Compensation Committee shall not include any persons who are employed by the System. The Chairman of the Board of Gettysburg Hospital shall participate. The role of the Compensation Committee is to set the Executive Compensation Philosophy for the system and ensure adherence, evaluate performance and establish compensation for the WellSpan President, evaluate team performance of the executive team and establish awards, review and approve senior executive base salary ranges, and oversee employed physician compensation programs. The Committee will approve salary ranges for each executive position and review incumbent salaries annually. The Committee will be responsible for reviewing the President's salary each year, and if warranted, authorizing an adjustment to maintain competitiveness. The President will have the authority to make salary adjustments for subordinate positions. The Committee is responsible for approving and authorizing payment of the performance awards. The Committee will approve and authorize payment of the President's performance awards. Integrated Healthcare Strategies, Inc., based in Minneapolis Minnesota is the external consultant to the committee. This consultant focuses exclusively on executive and physician compensation in the health care industry. In summary, the executive and physician compensation review process consists of the following: 1) Cash compensation reviewed annually 2) Cash compensation reviewed by external consultant biennially 3) external total compensation (cash, incentives, benefits, perquisites) reviewed by external consultant periodically 4) Process is integrated with compensation analysis for other WellSpan positions 5) Committee decisions are documented in minutes maintained in Human Resources. Form 990, Part VI, Line 19: Other Organization Documents Publicly Available Governing documents, policies, and financial statements are available upon request. Other Changes In Net Assets Or Fund Balances - Other Increases change in Net Assets of Foundation = $179232 Other Changes In Net Assets Or Fund Balances - Other Increases Change in Pension Liability = $1883418 Other Changes In Net Assets Or Fund Balances - Other Increases Restricted Contributions = $1640924 Part V line 1a Part V line 1a - Most 1099s are issued through WellSpan Health, the parent company. Schedule K -Tax-Exempt Bonds $412,230,0000 of Revenue Bonds for WellSpan Health Obligated Group, Series 2008A, 2008B, 2008C and 2008D were issued 11/12/2008 by General Authority of Southcentral Pennsylvania. The purpose of this bond issue was to refund bonds issued 5/13/2002, 5/17/2005, 6/16/2005, and 6/5/2007. WellSpan Health, the parent organization, allocated portions of the proceeds of this tax-exempt bond issue to York Hospital (23-1352222), Gettysburg Hospital (23-1352220), WellSpan Properties (22-2842252), and WellSpan Specialty Services (23-2899911). In order to remain consistent with the reporting on Form 8038, all outstanding liabilities associated with this tax-exempt bond issue is reported on the WellSpan Health (22-2517863) Schedule K. As of 6/30/15, the allocation of the Debt Capital program was as follows: York Hospital $169,208,505 (60.56%), WellSpan Properties $33,905,407 (12.13%), WellSpan Health $5,274,606 (1.89%), WellSpan Specialty Services $46,131,343 (16.51%) and Gettysburg Hospital $24,900,139 (8.91%). These amounts are reported on the respective balance sheets (Part X Line 20)for each of these entities.The 11/12/2008 issue included reissuance of all unspent proceeds from the refunded 2007 bond issue. Total proceeds of issue includes the original 11/12/2008 issue plus investment earnings on transferred proceeds and the short investment of proceeds between date of issue and payoff on 12/1/2008.$213,430,000 of Revenue bonds for Wellspan Health Obligated Group, Series 2014A were issued November 11, 2014 by General Authority of South Central Pennsylvania. The purpose of this bond issue was revenue refund for bonds issued 06/23/1993 and 11/12/2008. WellSpan Health, the parent organization, allocated portions of the proceeds of this tax exempt bond issue to York Hospital (23-1352222), Gettysburg Hospital (23-1352220), WellSpan Properties (22-2842252) and WellSpan Specialty Services (23-2899911). In order to remain consistent with the reporting on Form 8038, all outstanding liabilities associated with this tax-exempt bond issue is reported on the WellSpan Health (22-2517863) Schedule K.As of 6/30/15, the allocation of the Debt Capital program including issue premium was as follows: York Hospital $173,540,565, Gettysburg Hospital $9,023,241, WellSpan Properties $31,253,869 and WellSpan Specialty Services $15,872,524. These amounts are reported on the respective balance sheets for each of these entities.On May 22, 2015, the Lancaster Municipal Authority issued $36,572,083 of Revenue bonds, Series 2015A, to an Obligated Group consisting of York Hospital, Gettysburg Hospital and Ephrata Community Hospital. The purpose of this bond issue was to refund bonds issued on behalf of Ephrata Community Hospital, including the Lancaster Municipal Authority Revenue Notes Series 2009, 2010A, 2012, and 2013. In order to remain consistent with the reporting on Form 8038, all outstanding liabilities associated with this tax-exempt bond issue is reported on the WellSpan Health (22-2517863) Schedule K.As of 6/30/15, the $35,063,990 of outstanding liability is reported on the Ephrata Community Hospital return balance sheet. Apple Hill Surgical Center Inc PO Box 2767 York PA 174052767 222842253 Sole GP in limited ptnrshp. operating surgical center PA 501(c)(3) 9 NA false Gettysburg Hospital PO Box 2767 York PA 174052767 231352220 Health Care Services PA 501(c)(3) 3 NA false Gettysburg Hospital Foundation PO Box 2767 York PA 174052767 232251358 Fundraising for Gettysburg Hospital PA 501(c)(3) 11 Type 1 NA false Healthy Community Pharmacy Inc PO Box 2767 York PA 174052767 200519121 Reduced rate prescription drugs to uninsured PA 501(c)(3) 11 Type 1 NA false VNA Community Services PO Box 2767 York PA 174052767 232338591 Home personal care services for elderly and disabled PA 501(c)(3) 9 NA false VNA Home Health Services PO Box 2767 York PA 174052767 231352573 Home Health and hospice care services PA 501(c)(3) 9 NA false Wellspan Health PO Box 2767 York PA 174052767 222517863 Integrated Health System PA 501(c)(3) 11 Type 1 NA false Wellspan Health Care Services PO Box 2767 York PA 174052767 232400237 Health-related activities in the service area PA 501(c)(3) 11 Type 1 NA false Wellspan Medical Group PO Box 2767 York PA 174052767 232730785 Medical and surgical care PA 501(c)(3) 9 NA false York Health Foundation PO Box 2767 York PA 174052767 233050192 Charitable contributions for Wellspan entities PA 501(c)(3) 11 Type 3 NA false WellSpan Specialty Services PO Box 2767 York PA 174052767 232899911 Mgmt. hospice/home health care services PA 501(c)(3) 11 Type 1 NA false Wellspan Properties Inc PO Box 2767 York PA 174052767 222842252 Leases facilities to affiliates PA 501(c)(3) 11 Type 1 NA false Ephrata Community Hospital PO Box 2767 York PA 174052767 231370484 Health care services PA 501(c)(3) 3 NA false Ephrata Community Health Foundation PO Box 2767 York PA 174052767 800940005 Fundraising for Ephrata Hospital PA 501(c)(3) 11 Type 1 Ephrata Community Hospital false Northern Lancaster County Medical Group PO Box 2767 York PA 174052767 203033058 Medical and surgical care PA 501(c)(3) 11 Type II Ephrata Community Hospital false Phys Spec of North Lanc Co Med Gr PO Box 2767 York PA 174052767 452537633 Physician Practices PA 501(c)(3) 11 Type II Northern Lancaster County Medical Group false Apple Hill Surgical Center Partners PO Box 2767 York PA 174052767 232489452 Surgical Cn PA NA false false Central PA Alliance Laboratories LLC PO Box 2767 York PA 174052767 232910950 Ref. Lab PA NA false false Littlestown Health Care Partners 300 West King Street Littlestown PA 17340 232880464 Lease facility PA NA false false Cherry Tree Cancer Center LLP PO Box 2767 York PA 174052767 232915628 Radiation PA NA false false The Rehab Center 855 Springdale Drive Suite 20 Exton PA 19341 251687903 Physical Therapy Rehab PA Ephrata Hospital false false Wellspan Pharmacy Inc PO Box 2767 York PA 174052767 232374072 Dispenses Rx & provides IV therapy PA N/A C corp false Wellspan Reciprocal Risk Retention Group PO Box 2767 York PA 174052767 200048457 Risk Retention Group PA NA C Corp 6773184 15882279 0.66710 false York Health Plan PO Box 2767 York PA 174052767 232664989 Preferred Provider Organization PA NA C corp false WellSpan Provider Network PO Box 2767 York PA 174052767 232907828 Coord mngd care risk contracting PA NA C Corp false Apple Hill Condominium Association PO Box 2767 York PA 174052767 232504543 Condo Mgmt Association PA N/A Homeowner Assoc false North Lanc Co Phys Hosp Alliance PO Box 2767 York PA 174052767 232421885 Coord Phys & Hospital PA NA C corp false false false true false true false false false false true true true true false true true false true true York Health Foundation l 1797