2013-05-13T14:25:33-07:00 2012-06-30 BDO USA LLP 8405 Greensboro Drive McLean VA 22102 990 2011-07-01 231352222 YORK HOSPITAL YORK 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 1298121290 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. 11 6 5524 750 12247339 1045126 6033738 5066271 793753683 791992737 18204394 18165755 9545900 9747895 827537715 824972658 42457412 36392508 0 342609235 342767664 742572 0 852314 407333266 381041399 793142485 760201571 34395230 64771087 911412815 947313445 384511616 392983152 526901199 554330293 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 654735128 36392508 793915919 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 Thompson 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 - 2012 Community Benefit Report 654735128 true true false false false false false false false true true true false false true true true 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 1 0 true 5524 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 11 6 false false false false true true true true true false false false true true true true true true true true false false PA X DAVID RIZZUTO 7178513055 3350 WHITEFORD ROAD YORK PA 17402 X William Dannehl 1.00 X X 0 0 0 N Daniel Waltersdorff 1.00 X X 0 0 0 Debra Stock 1.00 X 0 0 0 Jean Treuthart 1.00 X 0 0 0 William Landis 1.00 X 0 379684 56245 Gary Stewart Jr 1.00 X 0 0 0 William M Unwin MD 1.00 X 0 0 0 Steve Hovis 1.00 X 0 0 0 Bruce M Bartels 1.00 X X 0 4307133 635755 Joe Crosswhite 1.00 X X 0 0 0 Cathy P Carpenter 1.00 X 0 0 0 Keith Noll 40.00 X 357003 0 297093 Michael F O'Connor 1.00 X 0 545763 347807 Raymond Rosen 40.00 X 290226 0 51117 James T Amsterdam MD 40.00 X 500954 0 55604 Peter M Hartmann MD 40.00 X 420759 0 54597 Paul B Iannini MD 40.00 X 420136 0 47254 Steven Schirk MD 40.00 X 316060 0 55423 David A Kramer MD 40.00 X 337525 0 53234 Richard Seim 0.00 X 0 520134 309883 2642663 5752714 1964012 364 true true false Quest Diagnostics Inc 12436 Collections Center Drive Chicago IL 606932436 Lab Services 2259746 HCSC Laundry PO Box 25092 Lehigh Valley PA 180025092 Laundry Services 1809910 Cozen OConner 1900 Market Street Philadelphia PA 191033508 Legal Services 2059709 Cardiac Diagnostics PO Box 62303 Baltimore MD 21264 Physician Services 1049013 Anesthesia Associates 110 Pine Grove Commons York PA 17405 Physician Services 5256620 36 2228858 348032 2489381 5066271 W/O - Free Care 621500 -29296811 -29296811 W/O - Bad Debt 621500 -38297009 -38297009 Patient Services 621500 859586557 850255477 9331080 791992737 15123707 15123707 0 0 450584 450584 450584 450584 476077533 113147 473144971 3661 2932562 109486 3042048 3042048 0 0 0 Snack/Coffee Bar & Cafe 722210 2380368 2380368 Engineering Services 541900 1263178 345934 99843 817401 Contracted Labor 621110 2162858 2162858 3490907 1577248 653558 1260101 9297311 824972658 784584839 12247339 23074209 36392508 36392508 0 0 0 995439 341343 654096 0 247144151 236633728 10510423 20180147 19272472 907675 57548456 54966103 2582353 16899471 16139167 760304 60261732 60261732 2749677 64678 2684999 955823 955823 0 0 1952646 1952646 90362555 89934376 428179 147088 147088 2792002 2792002 18000257 18000257 0 6200401 6200401 815099 756436 58663 0 673644 617858 55786 13359853 13359853 0 28946463 25749788 3196675 7780161 7780161 Equipment Rentals 1517743 958310 559433 Utilities 9839822 9747535 92287 Repair & Maintenence 9873892 9873892 Supplies 120376907 120110681 266226 4435634 2896748 686572 852314 760201571 654735128 104614129 852314 0 30729076 61016161 0 106650125 110266287 0 0 0 3107953 4703082 2826569 3132606 527912304 304854075 227852091 223058229 330465419 306772851 200926110 201008915 0 0 8855472 37355314 911412815 947313445 15280126 16157087 3415358 8560451 275787881 265183347 11495464 12138866 78532787 90943401 384511616 392983152 X 510554274 538231609 9201655 9417381 7145270 6681303 526901199 554330293 911412815 947313445 X 64771087 -37341993 X false true true X true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 16346925 3706817 -689858 3265200 16098684 18295151 3937629 2208589 8094444 16346925 17082786 3707220 459887 2754742 18495151 0.41500 0.58500 true true true 487109 487109 265365607 113851737 151513870 11295234 9239575 2055659 247864682 181762763 66101919 2899672 2899672 223058229 201008915 Total Other Noncurrent Liabili 42848804 Post Retirement Benefit Obligations 18892874 Note Payable - WRRRG 603339 Accrued Vacation 15140579 Accrued Payroll 9918227 Accrued Asbestos Removal Exp 1510807 Accrd Payroll W/H 2028771 90943401 824972658 760201571 64771087 -35266046 -2075947 -37341993 27429094 786409227 -34576189 -34576189 820985416 3987242 3987242 824972658 720855946 720855946 39345625 39345625 760201571 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 $16890000 Grant-WellSpan Health $18910000 Restricted Assets Expenditures $0 Revenue netted against expense $1592979 Contributions netted against expense $0 Expense netted against revenue $1952646 Part XII, Line 4b Part XII, Line 4b: Other revenue amounts included on 990 but not included in F/S Restricted Contributions(Net) $441617 Revenue netted against expense $1592979 Expense netted against revenue $1952646 Part XI, Line 8 Part XI, Line 8: Other Changes in Net Assets or Fund Balances Net assets released from restriction-PPE $372533 Change in Accrued Pension Liability $ -2448480 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 17331 13740204 13740204 0.01810 116154 102225911 60015467 42210444 0.05550 133485 115966115 60015467 55950648 0.07360 69 24299 1520608 51892 1468716 0.00190 14 1423 360238 4640 355598 0.00050 14 164433 14845930 6216445 8629485 0.01140 5 80 741530 741530 0.00100 4 5798 139563 139563 0.00020 106 196033 17607869 6272977 11334892 0.01500 106 329518 133573984 66288444 67285540 0.08860 1 271 1922 1922 1 485500 485500 0.00060 2 24 1808 1808 11 15664 42251 1764 40487 0.00010 3 123 71835 71835 0.00010 18 16082 603316 1764 601552 0.00080 true 17961297 1562633 256011061 292681692 -36670631 X true true WRRRG Risk Retention Group 0.66710 1 0 York Hospital

1001 S George Street York PA 17405

X X X X X X York Hospital 1 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 33 Shrewsbury Professional Building

73 East Forrest Avenue Suite 210 Shrewsbury PA 17361

Rehab Hanover Family Medicine-Workfirst

100 Frederick Street Suite 101 Hanover PA 17331

Work First ALSU-Stewartstown

86 North Main Street Stewartstown PA 17363

ALS Unit 608 Cleveland Avenue

608 Cleveland Avenue York PA 17401

Transcription Prospect Commerce Center

1803 Mt Rose Ave York PA 17403

Trans Lab Yorktowne Medical Center

2350 Freedom Way York PA 17402

PFT Westgate Lab

1550 Kenneth Rd Westgate Plaza York PA 17408

Lab Services Valley Green Medical Center

1790 Old Trail Road Etters PA 17319

Lab Services Indian Rock Site

915 Indian Rock Dam Rd York PA 17404

Indian Rock Helipad East York Site

2250 E Market St York PA 17402

Imaging, Work First Stonebridge Business Park

13515 Wolfe Rd Ste D New Freedom PA 17349

Imaging, Lab Services Dover Health Center

4020 Carlisle Road Dover PA 17315

Imaging, Lab Services, Sleep Center 235 Rosedale Drive

235 Rosedale Drive Manchester PA 17345

Rehab ALSU- Red Lion

312 Horace Mann Ave Red Lion PA 17356

ALS Unit ALSU- Dover

3700 Davidsburg Rd Dover PA 17315

ALS Unit 2319 South George Street

2319 South George Street York PA 17403

Rehab, Imaging Windsor Health Center

3065 Windsor Road Red Lion PA 17356

Imaging, Lab Adams Health Center

40 V-Twin Dr Gettysburg PA 17325

Workfirst, Preventive Cardiology, Pulmonary Littlestown Dialysis Building

43 S Columbus Ave Littlestown PA 17340

Dialysis 207 Blooming Grove Road

207 Blooming Grove Road Hanover PA 17331

Rehab, Imaging Adams Center

1575 Bannister St York PA 17404

Preventive Cardiology, Rehab medicine St Charles Way

228 St Charles Way York PA 17402

Neuroscience Admin, Pain Center Stony Brook Health Center

4222 Lincoln Highway York PA 17406

Lab Services Cross Keys Internal Medicine

2900 Carlisle Pike New Oxford PA 17350

Lab services Apple Hill Womens Special Services & Imaging

35 Monument Road York PA 17403

Infusion, Women's Imaging, Radiology Technology Hayshire Health Center

2775 N George St York PA 17402

Imaging, Lab Services East Berlin Site

105 Fourth St East Berlin PA 17316

Imaging, lab services Loretta Claiborne Building

605 S George St York PA 17401

Dental Clinic, OB/GYN Clinic, Community Health Center St Charles Way

298 St Charles Way York PA 17402

Diabetes Self Management, Edgar Square

1101 Edgar St York PA 17403

BHS, Community Health Improvement, Crisis Intervention, Specialty Clinics Midhill Professional Center

1399 S Queen St York PA 17403

Wound Care Queensgate Towne Center

2015 Springwood Rd York PA 17403

Lab Services, Childbirth & Family Ed., Rehab Apple Hill

25 Monument Road York PA 17403

Cardiac Rehab, EKG/Cardiac Stress Testing, Infusion Services, Lab, Maternal Fetal Medicine, Nuclear 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. 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, 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. 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 - 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 York County Coalition - has engaged more than 200 community members in community health improvement initiatives. Examples of past initiatives include: attempt to develop a county-wide health department; encourage water supply fluoridation; partnerships with county parks and the local library system to improve pediatric physical activity, and; improve chronic disease rates through grant support from the Robert Wood Johnson Foundation. Additional programs led by our organization assist young people with developing skills for lifelong health and safety, such as sponsoring an annual leadership conference for 7th grade girls, supporting the local Safe Kids Coalition that focuses on pediatric unintentional injury prevention, and providing 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 York Health Foundation, York Hospital's philanthropic organization, raised $4,225,279, of which approximately 48% supports activities and patient care at York Hospital. 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. The County 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 - 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 Healthy York 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 York County was completed in 1994. Since that time, we've competed health assessments in 1997, 2000, 2005, 2008 and 2012. These are lead by the regional health coalition, Healthy York County Coalition, that we support and are done collaboratively with other hospitals and community partners. The assessments evaluate the health of York County as a whole, and often target specific geographic or demographic segments for further study - such as the City of York or Youth. 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 York Hospital Board members, dedicates a meeting on 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 organization's as well as our own with more data-driven picture 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 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 Medicaire are generally less than York Hospital's costs of providing the service. Part III, Line 4 - Bad Debt Expense YH 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 I, Line 6a - Related Organization Community Benefit Report Community Benefit Information is included in the Community Benefit Report for WellSpan Health. true York Suburban School District 850 Southern Road York PA 17403 236005956 501(c)(3) 30000 0 General Support York City School District 31 N Persing Avenue York PA 17401 236004284 501(c)(3) 30000 0 General Support WellSpan Medical Group PO Box 2767 York PA 17405 232730785 501(c)(3) 16890000 0 General Support WellSpan Health PO Box 2767 York PA 17405 222517863 501(c)(3) 18910000 0 General Support Spring Garden Township 558 S Ogontz Street York PA 17403 236003037 501(c)(3) 5500 0 General Support Nightinggale Awards of PA 6 Clouser Road Mechanicsburg PA 17055 232567118 501(c)(3) 6150 0 General Support Family First Health 116 S George Street York PA 17401 237118262 501(c)(3) 114583 0 School based clinic City of York 50 W King Street York PA 17405 236001908 501(c)(3) 320000 0 General Support/New Police Cruisers American Heart Association 610 Community Way Lancaster PA 17603 135613797 501(c)(3) 10000 0 Heart Ball & Heart Walk 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 true true X X X X X false true false false false false false false false false William Landis 354483 25201 18302 37943 435929 Steven Schirk MD 293611 16643 5806 18302 37121 371483 Richard Seim 386356 118470 15308 273142 36741 830017 118470 Raymond Rosen 246555 38881 4790 18302 32815 341343 Peter M Hartmann MD 360804 53379 6576 18302 36295 475356 Paul B Iannini MD 324120 82558 13458 18302 28952 467390 Michael F O'Connor 415093 122430 8240 306582 41225 893570 122430 Keith Noll 277823 72930 6250 263042 34051 654096 72930 James T Amsterdam MD 425233 67344 8377 18302 37302 556558 David A Kramer MD 314090 17347 6088 18302 34932 390759 Bruce M Bartels 733794 221916 3351423 543822 91933 4942888 216810 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. See Schedule O X Harrisburg Area Community College Officer Treuthart 284153 Employee Tuition false Talpier Associates Officer Stewart 226083 Property Rental false Donette Lasher Family Member Noll 195902 Employee of YH false M & T Bank Regional Pres. Crosswhite 421566 Provider of Banking Serv 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. Part V line 1a Part V line 1a - Most 1099s are issued through WellSpan Health, the parent company. 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 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 Corpoation'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 int he 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 encubrance (including a confession of judgement) 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 particiation 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 7a 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 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.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. 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 facilities to affiliates PA 501(c)(3) 11 Type 1 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 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 to uninsured 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 false Gettysburg Hospital PO Box 2767 York PA 174052767 231352220 Health Care Services PA 501(c)(3) 3 NA false 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 Coord mngd care risk contracting 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 4683638 14993786 0.66710 Wellspan Pharmacy Inc PO Box 2767 York PA 174052767 232374072 Dispenses Rx & provides IV therapy PA N/A C corp false true true false false false true false true true true true false false true true false false