2013-05-13T14:11:21-07:00 2012-06-30 BDO USA LLP 8405 Greensboro Drive McLean VA 22102 990 2011-07-01 231352220 GETTYSBURG HOSPITAL GETT 7178513055 PO BOX 2767 YORK PA 17405 Michael F O'Connor 2013-05-13 false DAVID TRIMNER 7038930600 2011 2016-02-24 21:20:13Z Bruce M Bartels PO Box 2767 York PA 174052767 222845944 false false X WWW.WELLSPAN.ORG X 1919 PA The Gettysburg Hospital is a tax exempt organization dedicated to providing high quality health care services for the people who live, work, travel through and vacation in Adams County, Pennsylvania and northern Maryland. 15 6 976 90 975445 230111 429848 514879 135564458 132371841 4344030 4798849 562246 743898 140900582 138429467 7982067 6744587 0 60560908 60644054 277109 0 260133 63416324 58726685 132236408 126115326 8664174 12314141 162434637 166987262 51888707 51478319 110545930 115508943 The Gettysburg Hospital is a tax exempt organization dedicated to providing high quality health care services for the people who live, work, travel through and vacation in Adams County, Pennsylvania and northern Maryland. false false 107784305 6744587 133008356 Located in historic Gettysburg, Pennsylvania, Gettysburg Hospital has been serving the communities of Adams county and northern Maryland for more than 80 years.Beyond the acute care hospital, it has grown to be a comprehensive health-care provider with family health centers across the region, a very special maternity center, heart center, home health services, preventive health education and screening programs, and 24-hour emergency services.Gettysburg Hospital is this area's resource for meeting health and wellness needs. As a WellSpan Health hospital, Gettysburg Hospital and all of its facilities serve the community with the highest quality of care, compassion, and excellenceSee Attached Federal Supplemental Information: WellSpan Health - 2012 Community Benefit Report 107784305 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 false false false false false false false true true true false false true 2 0 true 976 true true true false false false false false false false false false 0 false false false false false false false false false false false X 15 6 true false false false true true true true true false false false true true true true true true true true true true PA X DAVID RIZZUTO 7178513055 3350 WHITEFORD ROAD YORK PA 174029081 X Megan Shreve 1.00 X X 0 0 0 Russell Redding 1.00 X X 0 0 0 Dora L Townsend 1.00 X 0 0 0 Gregory F Reaver 1.00 X 0 0 0 Orville G McBeth Jr MD 1.00 X 0 274125 51637 William Steinour 40.00 X 361563 0 51910 Douglas E Eyer 11.00 X 58212 0 4144 Ronald L Hankey 1.00 X X 0 0 0 Richard Seim 1.00 X 0 522134 309883 Cynthia A Ford 1.00 X 0 0 0 Steve Rasmussen 1.00 X X 0 0 0 Charles H Chodroff MD 1.00 X 0 505317 321575 Bruce M Bartels 1.00 X X 0 4307133 635755 James Williams 1.00 X 0 0 0 Edward Mackle 40.00 X 562096 0 56258 Jane Hyde 40.00 X 103506 0 77080 Michael F O'Connor 1.00 X 0 545763 347807 Joseph Edgar 40.00 X 211742 0 48068 Matthew Krebs 40.00 X 417583 0 36578 Mark A Resciniti MD 40.00 X 340188 0 53204 Bradley Heffner MD 40.00 X 328388 0 50222 Charles Marley JrDO 40.00 X 317487 0 40028 Mitchell E Zuckerman MD 40.00 X 339209 0 53849 Kevin Mosser 0.00 X 0 474549 365315 3039974 6629021 2503313 71 true true false Star Building Services PO Box 11410 Wilmington DE 19850 Janitorial Services 174669 Quest Diagnostics Inc 12436 Collections Center Drive Chicago IL 60693 Lab & Pre-employment 574232 Mobile PETCT Associates LLC 43 Leopard Road Suite 200 Paoli PA 19301 Diagnostic Imaging 223440 HCSC Laundry PO Box 25092 Lehigh Valley PA 18002 Laundry Service 290129 Century Link PO Box 96064 Charlotte NC 282960064 Network Access Fees 206663 7 360471 154408 514879 W/O-Bad Debt -9854774 -9854774 W/O -Free Care 621500 -6700817 -6700817 Net Patient Service 621500 148927432 148059370 868062 132371841 3402200 3402200 0 0 0 85806342 6784 84416477 1389865 6784 1396649 1396649 0 0 0 Other Operating Revenue 900099 130667 130667 Emergency Response-als 621500 266602 266602 Contract Revenue 900099 107383 107383 239246 239246 743898 138429467 132140294 975445 4798849 6744587 6744587 0 0 0 1472223 180586 1291637 0 43220764 42580538 640226 3489439 3077974 411465 9241771 9225443 16328 3219857 3170880 48977 11461278 11461278 35369 35369 31055 31055 0 0 263542 263542 11878335 11860771 17564 54094 51860 2234 14412128 14364862 47266 3423499 3423499 0 2653690 2428036 225654 185070 151879 33191 0 72087 65598 6489 1790383 1790383 0 5541018 5541018 1362752 1362752 Reimbursed Expenses 260133 260133 Equipment Rentals 288491 288491 Utilities 1485729 1455910 29819 Repair & Maintenence 3016370 3016370 511662 426367 85295 126115326 107784305 18070888 260133 142408 156326 3702953 8474115 0 18146814 19848305 0 0 0 837116 798821 3905788 3779054 100480499 58423871 37457892 42056628 46555412 42313605 34283043 32256158 0 3328879 3316854 14074332 13987396 162434637 166987262 2417568 1650079 716853 1558504 29569036 31754807 3687936 2979748 15497314 13535181 51888707 51478319 X 96709963 101642554 13835967 13866389 110545930 115508943 162434637 166987262 X 12314141 -7351128 X false true true X true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 13835967 242032 53561 265171 13866389 9889081 126547 3922083 101744 13835967 8870151 223090 1021444 225604 9889081 1.00000 false true true 11584 11584 45902948 16222386 29680562 1254659 827146 427513 11507943 10183012 1324931 41803365 31191327 10612038 42056628 32256158 Unamortized Bond Issue Costs 195596 Accounts Receivable - Intercompany 13987396 13667 Notes Payable - WRRRG 119383 Due to Affiliates 1099109 Derivative Valuation 7699768 Accrued Vacation 2463724 Accrued Sales Tax 543 Accrued Payroll and Payroll Taxes 2138987 13535181 138429467 126115326 12314141 -7381631 30503 -7351128 4963013 130236606 -7404689 -7404689 137641295 788172 788172 138429467 118810397 118810397 7304929 7304929 126115326 Part X 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, 2012. Part XIII, Line 4b Part XIII, Line 4b: Other revenue amounts included on 990 but not included in F/S Grant - WellSpan Medical Group $4610000 Grant - WellSpan Health $2090000 Expenses netted against revenue $604929 Part XII, Line 4b Part XII, Line 4b: Other revenue amounts included on 990 but not included in F/S Restricted Contributions(Net) $183243 Expenses netted against revenue $604929 Part XI, Line 8 Part XI, Line 8: Other Changes in Net Assets or Fund Balances Gain on restricted assets held by GH Foundation $30503 Part V, Line 4 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. true true X true X true X true true true false true true 4471 2803204 2803204 0.02220 21142 13256310 5162337 8093973 0.06420 25613 16059514 5162337 10897177 0.08640 66 21518 669606 26668 642938 0.00510 2 31 1766 1766 1 123516 22492 101024 0.00080 1 10000 10000 0.00010 70 21549 804888 49160 755728 0.00600 70 47162 16864402 5211497 11652905 0.09240 1 255 20869 20869 0.00020 1 503 503 2 255 21372 21372 0.00020 true 4121266 292610 38573200 54739065 -16165865 X true true WellSpan RRRG Risk Retention Group 0.13200 PHO of Gettysburg Educate & prov. health network 0.50000 0.50000 2 2 Gettysburg Hospital

147 Gettys Street Gettysburg PA 17325

X X X 1 WellSpan Surgical Center

136 West Street Gettysburg PA 17325

X Ambulatory Surgical Center WellSpan Surgical Center 2 true true 200.0000 true 300.0000 true X X X X X X X true true X X X X X X true false true X false false Gettysburg Hospital 1 true X X X X X X X X false false false X X X X X X X X true true true 200.0000 true 300.0000 true X X X X X X X true true X X X X X X true false true X false false 10 Herrs Ridge

820 Chambersburg Rd Gettysburg PA 17325

Rehabilitation Thurmont Professional Center

52 Water St Thurmont PA 21788

Lab Services Deatrick Commons Complex

18 Deatrick Drive Gettysburg PA 17325

Imaging, Rehabilitation ALSU-Littlestown

40 E King St Littlestown PA 17340

Advanced Life Support West Street Plaza

236 West Street Gettysburg PA 17325

Outpatient Surgical Center Washington Street Health Center

450 S Washington St Gettysburg PA 17325

Imaging, Pre-hospital Assessment Services, Coumadin Clinic,Maternal Fetal Medicine and Women's Servi Gettysburg Family Practice

524 South Washington St Gettysburg PA 17325

Diagnostic Scheduling Service Towne Center

4910 Fairfield Rd Fairfield PA 17320

Coumadin Clinic, Rehab, Lab Services Adams Health Center

40 V-Twin Dr Gettysburg PA 17325

Lab, Oncology, Diabetes Education, Imaging, Physical Medicine Rehab, Sleep Lab Aspers Health Center

2060 Carlisle Road Gettysburg PA 17304

Imaging Services, Lab Services, Coumadin Clinic, Rehabilitation Part VI - States Where Community Benefit Report Filed PA Part VI - Affilated Health Care System Roles and Promotion WellSpan Health is an integrated health system serving the Adams-York 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. Gettysburg 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,Apple Hill Surgical Center, VNA Home Health, WellSpan Medical Group, South Central Preferred, WellSpan Pharmacy, Gettysburg Hospital Foundation, York Health Foundation, York Provider Network and Healthy York Network/Healthy Community Pharmacy. Gettysburg Hospital's community benefit report is contained in a report prepared by their parent organization, WellSpan Health. See Attached Federal Supplemental Information: WellSpan Health - 2012 Community Benefit Report Part VI - Explanation Of How Organization Furthers Its Exempt Purpose Historically, our organization has taken planned steps to build community capacity that address complex health issues as identified by the Community Health Needs Assessments we conduct. Our involvement and support of a county health coalition - Healthy Adams County - has engaged hundreds of community members in community health improvement initiatives. Examples of past initiatives include: supporting the establishment of a Federally-Qualified Health Center (FQHC) to increase to undeserved individuals; improving adolescent health and decrease teenage pregnancy rates through targeted task force initiatives; sponsoring leadership conferences for 7th grade girls and boys; increasing awareness of domestic violence through education and community trainings, and; educating female inmates of the county correctional facility on the benefits of leading a tobacco-free lifestyle. In addition, we have provided leadership to the York-Adams Metropolitan Medical Response System (YAMMRS), a local coalition seeking to improve coordination in the event of a regional disaster. As a charitable, community-based healthcare organization, we are committed to improving the lives and well-being of the people and communities we serve. This dedication is evident in our organizational mission statement - "Working as one to improve health through exceptional care for all, lifelong wellness, and healthier communities." By partnering with individuals and other organizations, supporting their endeavors, sharing our knowledge and expertise, and learning from one another, together we are creating a healthier community. In addition to community benefit items outlined in Schedule H, we actively engage community members as organizational partners to reinvest in the health of our community by: providing Board and committee leadership opportunities; encouraging patient feedback that improves care through advisory groups, and; engaging diverse stakeholders on community-based taskforces that address complex community health issues. Both in the hospital and across our health system, community members actively volunteer their time to support activities and initiatives, and generously donate funds to the organization. During the fiscal year, approximately 1,652 individuals across the system volunteered a total of 139,000 hours of service, equivalent to approximately $3,028,000. In addition, the Gettysburg Hospital Foundation raised $713,565 to support an array of health services and programs, and the Hospital Auxiliary remains committed to also providing support through community partnerships and fundraising. 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. Adams County is situated along the Mason-Dixon line in south-central Pennsylvania. Harrisburg, the state capital, is located 36 miles north of Gettysburg, the county seat. The outer suburbs of Washington, DC and Baltimore are within an hours drive from many county communities. Surrounding Counties include Cumberland, Franklin and York in Pennsylvania, and Carroll and Frederick Counties in Maryland.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 adult in Adams County rating their health as fair or poor was 16.4%. 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. These at-risk populations include Mexican migrant workers as well as households with females as the head who are earning significantly less in median wage than males. The number of uninsured has remained stable at approximately 6% of the population 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 - 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 and proactively identify and help patients connect to the public programs, community programs as well as our own. This includes reaching out to identify "unconnected" patients through programs like Health Connect, which travels to all parts of the county and takes care of immediate medical issues, but more importantly connects patients to the various options for charity care. It includes sponsorship of HealthyYork Network (HYN), which provides case managers to support patient's enrollment in both public programs or in HYN, which utilizes the charity care guidelines of health care proverbs for discounts. It includes identifying special resources for at risk populations in the African American and Latino communities and providing Lay Community Health Workers to help assist people in enrollment processes. Finally, though a multi-year initiative to ensure all people who qualify for charity care and financial assistance are aware of it, we've updated our website with information, simplified our enrollment processes, improved education and availability of financial support resources at high visibility sites of care, simplified the letters sent to patients who are late in paying their bill and have collaborated with our local Federally Qualified Health Center for early identification and qualification of patients. Part VI - Needs Assessment In the early 1990s, our organization began developing new ways of working more closely with its communities. The first Community Health Assessment for Adams County was completed in 1997. Since that time, we've completed health assessments in 1997, 2000, 2005, 2008 and 2012. These are lead by the regional health coalition, Healthy Adams County Coalition, that we support and are done collaboratively with other community partners. The assessments evaluate the health of Adams County as a whole, and often target specific geographic or demographic segments for further study - such as the growing Latino Population. The gathering of data is one component of the health assessment process. As a community, the data is utilized as a basis of public meetings and forums to identify priorities for the community. These involve stakeholders from health and human services, government, business and other sectors. Our system-wide planning committee, which includes Gettysburg Hospital Board members and our Gettysburg Hospital Board dedicates a meeting to this topic and the priorities identified are used to define our organization's community health objectives in its annual plan.The Community Health Assessment is distributed and utilized broadly in the community and provides other organizations as well as our own with more data-driven pictures of the issues and needs facing our community. Our focus is to understand the health status and behaviors of those residing in York County, prioritize results and identify community needs, and respond to those needs through the implementation of evidence-based strategies. In the recent 2012 Assessment, 1004 York County adults were interviewed and served as a sample of the patients with whom our organization daily interacts. These individuals are geographically distributed cross 48 zip codes and represent the diversity - age, gender, race/ethnicity, educational background, and socioeconomic status - of the community our organization serves. . The 2012 CHNA process was led by a Community Health Assessment Planning Committee, a multidisciplinary collaborative comprised of at least twelve agencies interested in the health needs of the community, including:"Two acute care facilities "One integrated health care delivery system"Two county-level health coalitions"A local Federally Qualified Health Center (FQHC)"The local city health bureau"A local behavioral health counseling agency"Two local United Way branches"Area colleges and universities"A non-profit community foundationHistorically, Planning Committee members contribute in-kind staff hours to the Community Health Assessment process, utilize data to integrate priority interventions into their respective organizational plans, and assist with disseminating results to the community at-large. Except for the Healthy York County Coalition and participating colleges and universities, member organizations also financially support the community health assessment process, including a contractual agreement with an opinion research department at a local college to collect and analyze data, and generate necessary reports. Health coalition staff time spent during the assessment process and in monitoring this contract is considered an in-kind contribution.When initially convened, Planning Committee members determined deliverables to be included in a Request for Applications (RFA) to fund an entity that would conduct the assessment, analyze results, and summarize the findings. Responsibility for recent community health assessments was shared between both the Healthy York County Coalition and its sister coalition in Adams County, Healthy Adams County , to maximize economies of scale and identify shared priorities across the region. However, separate reports are generated to demonstrate respective community priorities and to meet regulatory requirements. The CHNA typically engages two components - primary data collection through implementation of the Behavioral Risk Factor Surveillance System (BRFSS) and secondary data collection available through online state or national level resources. Members of the Planning Committee partnered with the funded community health assessment entity to finalize BRFSS questions and approve the identified sample size. For the 2012 CHNA, the Planning Committee elected to correlate community health results with potential disparities (e.g. age, geographic area, poverty, race/ethnicity) to obtain additional detail about community needs. Previous health assessments have included qualitative data obtained through focus group results on key topics (e.g. behavioral health, substance abuse). In 2012, Planning Committee members elected to disseminate CHNA results and establish priorities for the community at-large and in their respective organizations at a local Health Summit held in June 2012. CHNA findings were also distributed through smaller organizational forums and in press releases. Health Summits have demonstrated efficacy to convene a larger group of interested parties including: community-based organizations (YMCA/YWCA); faith communities; healthcare insurers and providers; law enforcement agencies; local school districts; social service organizations, and; the general public to brainstorm about how to effect community change that improves health status and encourages positive health behaviors. As with past assessments, the lead researcher for the 2012 CHNA served as the keynote speaker and presented the overall results. A combination of general and breakout sessions were then employed to identify priorities and associated programmatic opportunities. The 2012 CHNA provided the most robust data, to date, and has enabled our organization to better integrate its results into our annual organizational and entity-level planning processes. Our system-wide Community Benefit Council, comprised of representation from both acute care facilities, and service line and corporate leadership, reviewed the CHNA results and identified four key priorities for the organization, including each of our three hospitals: adult overweight/obesity; avoidance of healthcare because of cost; depression, and; tobacco use. CHNA results continue to be shared at varying levels of our organization and are foundational to the creation of entity-level objectives and associated evaluation indicators in our community health implementation strategy. Since our CHNA was not finalized and made available to the public until fiscal year 2013, the implementation strategy was not developed until fiscal year 2013 and therefore will be attached to our 2012 return. 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 presumtive 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 III, Line 8 - Explanation Of Shortfall As Community Benefit Gettysburg 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 those services. Payments from Medicaire are generally less than Gettysburg Hospital's costs of providing the service. Part III, Line 4 - Bad Debt Expense The Company 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 amounts 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 the Company ceases collection efforts. Losses have been consistent with management's expectations in all material respects. Part I, Line 6a - Related Organization Community Benefit Report Community Benefit Information is included in the Community Benefit Report for WellSpan Health. true Wellspan Medical Group 3350 Whiteford Road York PA 17402 232730785 501(c)(3) 4610000 0 General Support WellSpan Health 3350 Whiteford Road York PA 17402 222517863 501(c)(3) 2090000 0 General Support Main Steet Gettysburg 571 W Middle Street Gettysburg PA 17325 232595192 501(c)(3) 10000 0 General Support Family First Health Suite 200 116 S George St York PA 17401 237118262 501(c)(3) 33333 0 Op. Support Gettysburg Ctr 4 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 true true X X X X X false true false false false false false false false false William Steinour 361563 18302 33608 413473 Richard Seim 388356 118470 15308 273142 36741 832017 118470 Orville G McBeth Jr MD 228728 45397 18302 33335 325762 Mitchell E Zuckerman MD 311764 21387 6058 18302 35547 393058 Michael F O'Connor 415093 122430 8240 306582 41225 893570 122430 Matthew Krebs 302047 115536 13656 22922 454161 Mark A Resciniti MD 312743 21387 6058 18302 34902 393392 Kevin Mosser 397329 77220 327702 37613 839864 77220 Joseph Edgar 178838 28502 4402 15817 32251 259810 Jane Hyde 68506 35000 66522 10558 180586 Edward Mackle 305634 250538 5924 18302 37956 618354 Charles Marley JrDO 269690 42509 5288 18302 21726 357515 Charles H Chodroff MD 377017 120780 7520 283362 38213 826892 120780 Bruce M Bartels 733794 221916 3351423 543822 91933 4942888 216810 Bradley Heffner MD 307001 21387 14337 35885 378610 Sch J, Part I, Line 1a Part I, Line 1a: Relevant information in regards to selections on 1a. Bruce Bartels, WellSpan CEO, received additional compensation to cover the tax on personal use of his company vehicle.Jane Hyde, President of Gettysburg Hospital, received additional compensation to cover housing expenses during her transition into her new position with WellSpan. See Schedule O X Susan Shue Family Member of Redding 87537 Employee of GH false Jolene Eyer RN BSN Family Member of Eyer 56237 Employee of GH false Adams County National Bank Chairman Ronald Hankey 107081 Checking & Trust Mgmt. false 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. WellSpan Health, the parent organization, allocated portions of the proceeds of this tax-exempt bond issue to York Hospital (22-2517863), 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 are reported on the WellSpan Health (22-2517863) Schedule K. As of 6/30/12, the allocation of the Debt Capital program was as follows: York Hospital $243,740,554 (63.07%), WellSpan Properties $60,749,589 (15.72%), WellSpan Health $2,490,198 (.64%), WellSpan Specialty Services $47,392,814 (12.26%) and Gettysburg Hospital $32,106,845 (8.31%). 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. Form 990, Part VI, Line 19 Form 990, Part VI, Line 19: Other Organization Documents Publicly Available Governing documents, policies, and financial statements are available upon request. Form 990, Part VI, Line 15b 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 subordiate 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 12c 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 questionaire annually. The questionaire 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 11 Form 990, Part VI, Line 11: 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 7b Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders Except as otherwise provided in the Articles of Incorporation or the Bylaws, the affairs of the Hospital shall be managed and directed by its Board of Directors, which shall have responsibility for the control and management of the property, funds, and operations of the Hospital. The Board of Directors shall have full power and authority to do and perform any and all acts and functions that are not inconsistent with the laws governing the operations of the Hospital or the Bylaws or the Articles of Incorporation; provided, however, that except as otherwise provided in the Articles of Incorporation or the Bylaws, the Member may initiate and implement any of the following actions, and if any such action is initiated by the Hospital, such action shall not become effective unless approved by the Member;(a) The adoption, amendment, or revocation of the Hospital's Articles of Incorporation or Bylaws; provided, however, that the Member shall not amend such Articles of Incorporation or Bylaws with respect to changes to the name "Gettysburg Hospital" or with respect to the appointment,term, or removal of the Hospital's directors, without the approval of the Hospital Board of Directors and the Member shall not have the right to overrule the Hospital Board of Directors' approval.(b)The termination, liquidation, reorganization, division, conversion, or dissolution of the Hospital, or the merger, consolidation, or combination of the hospital with another entity; provided, however, that the Member shall not approve the merger of the Hospital into another Member affiliate without the approval of the Hospital Board of Directors and the Member shall not have the right to overrule the Hospital Board of Directors' disapproval; and, further provided, that the Member's action with respect to this subject matter shall require the affirmative vote of at least two-thirds of the Board of Directors of the Member then in office.(c)Any change or transfer of the Member's membership interest in the Hospital, or the creation or issuance of any additional membership interests in the Hospital.(d)The investment of the Hospital's assets other than in accordance with the Member's investment policy; or, in the absence of a current Member investment policy, any investment other than in the ordinary course of business (provided such ordinary course investment is in federally-insured interest-bearing bank accounts, short term direct U.S. obligations, short-term certficates of deposit of domestic banks, or highly rated money market funds).(e)The incurrence by the Hospital 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 or ordinary course indebtedness such as routine trade payables, in amounts less than the amounts designated by the Member. (f) The conveyance, transfer, lease, or sale of any of the Hospital's assets with a 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 Hospital's assets to the Member or another affiliate. (g)The making of any capital expenditure or the incurrence of any capital obligations by or on behalf of the Hospital 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 non-ordinary course obligation (whether actual or contingent) by the Hospital 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. (i)The approval of the Hospital's operating and capital budgets, or any material changes thereto. And other provisions described in the Bylaws. Form 990, Part VI, Line 7a Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body The Board of Directors initially shall consist of no fewer than twelve and no more than sixteen persons, which shall include:(1) The following six "Positional Directors": the President of the Hospital; the Past President of the Medical Staff; the President of the Medical Staff; the Vice-President of the Medical Staff; an appointee of the Executive Committee of the Medical Staff; the Chairman of the Board of the Foundation, each of whom shall be subject to ratification by the Member notwithstanding such positions held.(2) "At-large Directors", who shall be appointed by the Member at the annual meeting of the Member. At-large Directors shall include no fewer than three persons who are members of the Member's Board of Directors or senior management staff of the Member; provided, however, that no more than three At-large Directors shall be from the Member's senior management staff.All directors shall be selected for their experience, relevent areas of interest and expertise, and ability and willingness to participate effectively in fulfilling the Board of Director's responsibilities and to do so free from any conflicting interests. Form 990, Part VI, Line 6 Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder WellSpan Health, a not for profit corporation, is the sole member. Form 990, Part VI, Line 2 Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et Ronald Hankey, Chairman, is a brother-in-law of Paul Ketterman, who is secretary of the Gettysburg Hospital Foundation Board. Client Note 1 - WellSpan Health - 2012 Community Benefit ReportWellSpan Health includes: WellSpan Gettysburg Hospital o WellSpan York Hospital o WellSpan Surgery and Rehabilitation Hospital o Apple Hill Surgical Center o VNA Home Health o WellSpan Medical Group o SOUTH CENTRAL Preferred o WellSpan Pharmacy o Gettysburg Hospital Foundation o York Health Foundation o York Provider NetworkWellSpan Health's Charitable, Non-Profit MissionWorking as one to improve health through exceptional care for all, lifelong wellness and healthy communities.At WellSpan Health, we are proud to be part of the communities of central Pennsylvania. That's why we are committed to understanding local health care needs and working with physicians, community leaders and area residents to establish services and programs where people live, work and play.By offering a vast array of inpatient, outpatient, home health and physician services and by partnering with other organizations and community physicians, we make it possible for people to find and access the health services that they need, without having to travel far from home.By working as one coordinated health care organization, we are transforming care through sophisticated clinical information technology and creating innovative new models as a means to create a high quality, exceptional patient experience.How We HelpEvery member of our community deserves the care they needAt WellSpan, it is our core belief that accessible health care is one of the keys to a healthy community. Yet, in York and Adams counties, there are nearly 40,000 individuals who live without adequate health insurance.This community health problem cannot be ignored and requires careful planning and forethought. Fortunately, WellSpan has done both.We take measures to care for those who have no insurance and are unable to pay. We offer discounted care to individuals whose income falls within 300 percent of federal poverty guidelines. Additionally, all uninsured patients, regardless of whether they qualify for charity care, receive discounts similar to those offered by private insurance companies. We offer free care to patients who participate in our charity care program.Together with our community partners, we support programs to take basic primary care and other services into urban and rural communities, improve access to oral health care and help people establish a "medical home" with a primary care physician.In 2012, WellSpan Health provided over $100 million in care for the uninsured and underinsured.The net cost of care provided in 2012:"Charity Care: $20.2 million in free care to patients who participated in our charity care program"Medicare: $64.8 million in cost greater than what was paid by Medicare"Medicaid: $58.8 million in cost greater than what was paid by Medicaid"Uncompensated Care: $26.2 million in services to patients who received care for which they did not pay and who did not participate in the charity care program"Community Education and Outreach: $6 million in free community education and outreach to children and at-risk groups"Medical, Dental and Pharmaceutical Care: $13.2 million to support services that provided discounted medical, dental and pharmaceutical care to people in needPrograms for the uninsured that WellSpan supported in 2012 include:oHealthConnect, a mobile health care program that provides basic primary care services and helps individuals find a medical home. This program benefits individuals who lack sufficient health insurance. Our progress:"1,312 visits"973 new patients"137 referrals to a primary care physicianoHealthy York Network and Healthy Community Pharmacy, a collaborative effort that facilitates access to discounted health care services and prescription medication. This program benefits individuals who lack sufficient health insurance. Our progress: "$33 million of care provided to more than 8,309 members "9,117 new members enrolled "52,234 prescriptions filledoCommunity Health Workers, who help people navigate the health care system, enroll in public assistance programs and implement health outreach programs. This program benefits individuals who lack sufficient health insurance and people of disparate populations. Our progress: "372 individuals were assisted with access to healthcare and enrollment in health assistance programs such as Healthy York NetworkoFamily First Health's Hannah Penn Health Center, a partnership of WellSpan York Hospital, Family First Health and the City of York School District. This program benefits underserved adults and children, including those who lack sufficient health insurance and those with Medicaid. Our progress: "3,658 acute and preventive medical visits "1,620 dental visits in calendar year 2011oWellSpan York Hospital Community Health Center, which provides primary care services, women's health care, HIV care and pediatric care for medically complex conditions. This program benefits adults and children who lack sufficient health insurance. Our progress:"22,763 primary care visits"18,670 obstetrics and gynecology visitsoThomas Hart Family Practice Center, which is staffed by resident and faculty physicians at WellSpan York Hospital and provides acute, chronic, preventive and obstetric care. The program benefits adults and children, many of whom lack sufficient health insurance. Our progress:"26,499 visitsoFamily First Health's Gettysburg Center, a federally qualified community health center that WellSpan supports to provide medical and dental services in Adams County. This program benefits underserved adults and children of Adams County, including those who lack sufficient health insurance and those with Medicaid. Our progress:"Actively supported the start-up of the center and its ability to attract 5,643 patients during the past year "Family First Health Center in Gettysburg began providing dental care to patients who are uninsured and those with MedicaidoThe George W. T. Bentzel, DDS Dental Center, which is staffed by licensed dentists and residents from the WellSpan York Hospital Dental Residency Program. This program benefits adults and children, many of whom lack sufficient dental insurance. Our progress:"14,325 outpatient visitsoHoodner Dental Center program that supports individuals who lack sufficient dental insurance and who qualify for Medical Assistance or the Healthy York Network. Our progress:"6,191 visitsHealthy CommunitiesAt WellSpan, we wholeheartedly agree with the World Health Organization's assessment that health is "a state of complete physical, mental and social well-being, not merely the absence of disease or infirmity." And we recognize the dangers and issues facing a community that cannot achieve this level of health.To help our communities become healthy places to live, work and play, we are constantly planning for the future, developing partnerships, building community assets, engaging citizens, and sponsoring initiatives. Our efforts are broad based and wide reaching, but so is the need. We believe that our progress, on all fronts, continues to make a difference.Community health initiatives WellSpan supported in 2012 include:oHealthy Adams County, a partnership of community members dedicated to continuing assessment, development and promotion of efforts toward improving physical, mental and social well-being. It addresses issues of health literacy, healthy lifestyles, oral health, quality health care for the chronically ill, and school wellness. Our progress includes:"Holding the sixth annual Adams County Health Summit, which included nearly 100 health and human services professionals and community residents "Partnering with PA Dept. of Conservation and Natural Resources and the South Mountain Partnership to hold a regional health summit in September 2012oHealthy York County Coalition, an ongoing, independent collaborative effort dedicated to improving the health and wellness of York County. It addresses health literacy, healthy lifestyles, oral health, quality health care for the chronically ill, and school wellness. Our progress includes:"The GO Explore the World! program promoted municipal, county and state parks in York County as places for children and families to be physically active. More than 10,818 passports were distributedoReach Out and Read program addressing early childhood literacy. Our progress includes:"5,488 books distributed to children ages six months to five yearsoSAFE, teams of specially trained Emergency Department nurses at WellSpan York Hospital and WellSpan Gettysburg Hospital who treat victims of sexual assault while simultaneously gathering evidence of a crime. Our progress includes:"Provided care to more than 400 patientsoCommunity Partnership Grants to address health and quality of life across south central Pennsylvania. Our progress includes grants of $238,900 provided to support:"York and Adams Counties Community Health Assessment "YorkCounts/York County Youth Development Center "National Alliance Wellspan Properties Inc PO Box 2767 York PA 174052767 222842252 Leases outpatient facilities to affiliates PA 501(c)(3) 11 Type 1 NA false WellSpan Specialty Services PO Box 2767 York PA 174052767 232899911 Mgmt support for hospice & home health care services PA 501(c)(3) 11 Type 1 NA false York Hospital PO Box 2767 York PA 174052767 231352222 Community teaching hospital PA 501(c)(3) 3 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 Medical Group PO Box 2767 York PA 174052767 232730785 Medical and surgical care PA 501(c)(3) 9 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 Health PO Box 2767 York PA 174052767 222517863 Integrated Health System PA 501(c)(3) 11 Type 1 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 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 Healthy Community Pharmacy Inc PO Box 2767 York PA 174052767 200519121 Reduced rate prescription drugs PA 501(c)(3) 11 Type 1 NA false Gettysburg Hospital Foundation PO Box 2767 York PA 174052767 232251358 Fundraising for Gettysburg Hospital PA 501(c)(3) 11 Type 1 NA true 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 Community Healthcare Imaging Partners PO Box 2767 York PA 174052767 232444154 MRI Center PA NA false false Cherry Tree Cancer Center LLP PO Box 2767 York PA 174052767 232915628 Radiation PA NA false false Littlestown Health Care Partners 300 West King Street Littlestown PA 17340 232880464 Lease facil PA NA false false Q-WH LLC PO Box 2767 York PA 174052767 208226561 GP of CHIP PA NA false false Central PA Alliance Laboratories LLC PO Box 2767 York PA 174052767 232910950 Ref. Lab PA NA false false Apple Hill Surgical Center Partners PO Box 2767 York PA 174052767 232489452 Surgical Cn PA NA false false York Provider Network PO Box 2767 York PA 174052767 232907828 Coordinate managed care risk contracts PA NA C Corp York Health Plan PO Box 2767 York PA 174052767 232664989 Preferred Provider Organization PA NA C Corp Wellspan Reciprocal Risk Retention Group PO Box 2767 York PA 174052767 200048457 Risk Retention Group PA NA C Corp 926758 2966841 0.13200 Wellspan Pharmacy Inc PO Box 2767 York PA 174052767 232374072 Dispenses pharm. & provides IV therapy PA N/A C Corp false false true false true false true false false true false true false false true false false false Gettysburg Hospital Foundation l 260133 General Ledger Gettysburg Hospital Foundation c 360471 General Ledger