2012-05-10T12:38:57-07:00 2011-06-30 Argy Wiltse & Robinson PC 8405 Greensboro Drive McLean VA 22102 990 2010-07-01 232730785 WELLSPAN MEDICAL GROUP WELL 7178513055 PO BOX 2767 YORK PA 17405 Michael F O'Connor 2012-05-10 DAVID TRIMNER 7038930600 2010 2016-02-24 21:20:13Z Bruce M Bartels PO Box 2767 York PA 174052767 212866179 false false X WWW.WELLSPAN.ORG X 1993 PA WellSpan Medical Group, in coordination with York Hospital and Gettysburg Hospital, provides medical and surgical care to patients in and around York and Adams County, Pennsylvania without regard to the ability to pay. 10 0 1631 31 1490075 15963807 19981014 171590493 191282689 170140 86513 982125 1490075 188706565 212840291 2300 5255 0 155787118 170728567 0 0 36345855 41937595 192135273 212671417 -3428708 168874 31119410 31673702 17104318 17318837 14015092 14354865 WellSpan Medical Group, in coordination with York Hospital and Gettysburg Hospital, provides medical and surgical care to patients in and around York and Adams County, Pennsylvania without regard to the ability to pay. The organization also provides teaching and clinical supervision to York Hospital and Gettysburg Hospital. false false 199410994 5255 191282689 WellSpan Medical Group, which does not contemplate pecuniary gain or profit, incidental or otherwise, was formed for the purposes of furthering the charitable purposes of WellSpan Health and promoting the provision of health care services in South Central Pennsylvania, including York and Adams Counties, by providing clinically effective health care services, including professional health care services, in a cost effective manner in settings appropriate to patient and payor needs under a variety of health care financing arrangements; enhancing the continuity and quality of health care services provided to patients; ensuring the continued local patient access to health care services; enhancing the health status of the communities served by WellSpan Health; effectively responding to changing payor requirements; achieving excellence in clinical innovations, service, quality, cost and outcomes; and achieving operating efficiencies, such as containing and reducing costs and avoiding unnecessary duplication of services and equipment, thereby utilizing resources more effectively.See Attached Federal Supplemental Information: WellSpan Health - 2011 Community Benefit Report 199410994 true true false false false false false false false true true false false false true true false true false false false false false false false false false true false true false false false false false false true true false false false false false false false false true false false false false true 0 0 false 1631 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 10 0 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 174029081 X Thomas R McGann MD 40.00 X X 452134 0 327327 Thomas DiPasquale MD 40.00 X 924652 0 54040 Sukumar Puvvala 40.00 X 865846 0 44653 Ridge Salter MD 40.00 X X 194110 0 48091 Rajesh Singal MD 40.00 X 267486 0 54016 Neal Friedman MD 1.00 X 0 291891 53764 Michael F O'Connor 1.00 X 0 510284 351706 Michael A Wilson MD 0.00 X 189615 0 49311 Lee Maddox 40.00 X 476788 0 72504 Larry L Shears II MD 40.00 X 797167 0 61781 Jan Herrold 1.00 X 0 0 0 Jack Jensen 40.00 X 187548 0 46374 Howard Goldberg MD 40.00 X 833996 0 52552 Dale Voorheis 1.00 X 0 0 0 Cindy Shi MD 40.00 X 850859 0 73681 Charles H Chodroff MD 1.00 X 0 482432 330058 Catherine M Heilman MD 40.00 X 169356 0 45226 Bruce M Bartels 1.00 X X 0 933031 592637 Brad J Cooper MD 40.00 X X 164863 0 44959 6374420 2217638 2302680 334 true true false Star Building Services Inc 106 Quigley Boulevard PO Box 11410 Wilmington DE 19850 Janitorial Services 266785 Nighthawk Radiology Services PO Box 673398 Detroit MI 482673398 MRI Reading 1039884 Medical Dental Bureau of York & Adams 263 East Market Street York PA 17403 Telephone Answering 198179 Emdeon Business Services 12016 Collections Center Drive Chicago IL 60693 Collection Services 278448 American Healthcare Services Association PO Box 945 Traverse City MI 49685 Medical Services 179739 10 19975000 6014 19981014 Teaching Services 611600 2885893 2885893 Health Care Services 621110 188396796 188396796 191282689 112401 112401 0 0 0 25888 -25888 -25888 -25888 0 0 0 NICU Coverage Memorial 900004 350995 350995 Billing Services 900004 607259 607259 BHS Outside Revenue 900004 254465 254465 277356 277356 1490075 212840291 191282689 1490075 86513 5255 5255 0 0 0 2444032 1771321 672711 0 130861734 125353892 5507842 12061070 11581479 479591 18603019 16880935 1722084 6758712 6151953 606759 846432 846432 1837 1212 625 709671 698659 11012 0 0 0 5762256 5154094 608162 105558 103239 2319 1127552 1001625 125927 1721329 778381 942948 0 7788832 7436084 352748 633932 526581 107351 0 411338 334328 77010 0 0 3999111 3709034 290077 3863746 3785380 78366 Utilities 1172802 1123309 49493 Taxes & Licenses 690754 509512 181242 Dues and Subscriptions 765475 474112 291363 Direct Supplies 5851809 5851809 Bad Debts 5335526 5335526 1149635 843274 306361 212671417 199410994 13260423 0 11256 441822 0 15082871 15865333 0 0 0 363345 389314 195555 684035 30844795 16562853 13467742 14281942 0 0 0 0 2009897 0 31119410 31673702 4010759 16961987 140388 13093559 216462 17104318 17318837 X 14003815 14337739 11277 17126 14015092 14354865 31119410 31673702 X 168874 170899 X false true true X true true X 20020802 20103257 24012385 15963807 19981014 100081265 92185189 116976840 143725089 171590493 191282689 715760300 0 0 0 112205991 137080097 167737474 187554300 211263703 815841565 0 0 815841565 920550 130773 193829 148609 112401 1506162 0 920550 130773 193829 148609 112401 1506162 0 0 113126541 137210870 167931303 187702909 211376104 817347727 0.99820 0.99660 0.00180 0.00340 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 11277 6014 165 17126 10958 3807 3488 11277 26945 12385 28372 10958 1.00000 false false false 9029729 3768854 5260875 21815066 12793999 9021067 14281942 AP Intercompany 216462 216462 212840291 212671417 168874 170899 170899 339773 193030176 170899 170899 192859277 19981014 19981014 212840291 212671252 212671252 165 165 212671417 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, 2011. Part XIII, Line 4b Part XIII, Line 4b: Other revenue amounts included on 990 but not included in F/S Restricted Assets Expenditures $165 Part XII, Line 4b Part XII, Line 4b: Other revenue amounts included on 990 but not included in F/S Grant-York Hospital $15479000 Grant-Gettyburg Hospital $4496000 Restricted Contributions $6014 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 X 0 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 Thomas R McGann MD 338461 106750 6923 292663 34664 779461 106750 Thomas DiPasquale MD 821485 103167 12804 41236 978692 Sukumar Puvvala 638760 227086 13014 31639 910499 Ridge Salter MD 175884 18226 17742 30349 242201 Rajesh Singal MD 211476 56010 22393 31623 321502 Neal Friedman MD 252272 39619 22393 31371 345655 Michael F O'Connor 372511 129850 7923 315293 36413 861990 129850 Michael A Wilson MD 158006 31609 17331 31980 238926 Lee Maddox 476788 22393 50111 549292 Larry L Shears II MD 608000 189167 22393 39388 858948 Jack Jensen 161541 26007 17142 29232 233922 Howard Goldberg MD 699927 134069 12631 39921 886548 Cindy Shi MD 617220 233639 22393 51288 924540 Charles H Chodroff MD 354870 120400 7162 294363 35695 812490 120400 Catherine M Heilman MD 147544 21812 15479 29747 214582 Bruce M Bartels 683242 227181 22608 551693 40944 1525668 222075 Brad J Cooper MD 140352 24511 15068 29891 209822 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. Thomas DiPasquale MD Recruit./Retention X 215128 66432 false true true Joel W Winer MD Recruit./Retention X 296206 126945 false true true 193377 York College Director Jan Herrold 424146 Scholarships and grants Apple Automotive Group Officer Voorheis 477028 Car Sales and Maintenance false The Stewart Companies Officer Voorheis 202051 YHP employee health admin false Talpier Inc Officer Voorheis 287286 Rental of Property false Brenda Singal Family Mem. Singal 143894 Employee of WMG false David Zelis Family Mem. Salter 222323 Employee of WMG false 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 7a Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body The Board of Directors shall consist of ten persons, not counting the Executive Director (who shall serve ex officio without the right to vote). Five Directors shall be physicians employed by the Corporation, at least three of whom shall be engaged in primary care practice. Primary care practice for purposes of this Section shall include family practice, general practice, general internal medicine and general pediatrics. Five Directors shall be persons nominated by the Board of Directors of the Member. The person serving from time to time as the Chief Executive Officer of the Member shall be one of the five System Directors. 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. Client Note 1 - WellSpan Health - 2011 Community Benefit ReportCare for AllWellSpan Health includes: Gettysburg Hospital o York 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 NetworkOur Charitable Community MissionWorking as one to improve health through exceptional care for all, lifelong wellness and healthy communities.How We Help -- Every member of our community deserves the care they need.At 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 78,000 individuals who live without 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 to 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.10 Initiatives we support that help care for the uninsured"HealthConnect, a mobile health care program that provides basic primary care services and helps individuals find a medical home. This program benefits those individuals who lack sufficient health insurance. Our progress:o1,330 visitso937 new patientso219 referrals to a medical home"Healthy 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:o$30 million of care provided to more than 8,309 memberso8,309 members enrolledo52,730 prescriptions filled"Community 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:o179 adults and 250 children completed applications for public insurance programs"Family First Health's Hannah Penn Health Center, a partnership of 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:o4,813 acute and preventive medical visitso1,775 dental visits in calendar year 2010"Family 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:oActively supported the start-up of the center and its ability to attract 5,908 patients during the past year."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 the adults and children who lack sufficient health insurance. Our progress:o27,056 primary care visitso21,778 obstetrics & gynecology visits"Thomas Hart Family Practice Center, which is staffed by resident and faculty physicians at York Hospital and provides acute, chronic, preventive and obstetric care. This program benefits the adults and children, many of whom lack sufficient health insurance. Our progress:o27,900 visits"The George W. T. Bentzel, DDS Dental Center, which is staffed by licensed dentists and residents from the York Hospital Dental Residency Program. This program benefits adults and children, many of whom lack sufficient dental insurance. Our progress:o13,930 outpatient visits"Hoodner Dental Center benefits individuals who lack sufficient dental insurance and who qualify for Medical Assistance or the Healthy York Network. Our progress:o6,252 visits"Adams County Dental Health Services, sponsored by the Oral Health Task Force of Healthy Adams County, Harrisburg Area Community College and Head Start. Children who lack dental insurance benefit from this program. Our progress:o670 visitsThe net cost of care provided in 2011:"Charity Care: $18.4 million in free care to patients who participated in our charity care program"Medicare: $61.5 million in cost greater than what was paid by Medicare"Medicaid: $61.1 million in cost greater than what was paid by Medicaid"Uncompensated Care: $23.4 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: $5.7 million in free community education and outreach to children and at-risk groups "Medical, Dental and Pharmaceutical Care: $12.1 million to support services that provided discounted medical, dental and pharmaceutical care to people in needAt 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.9 Community Health Initiatives WellSpan Supports:"Healthy Adams County, a collaborative partnership of community members dedicated to continuing assessment, development and promotion of efforts toward improving physical, mental and social well-being. Issues addressed by this partnership include medical and dental access, affordable housing, Latino outreach, teen pregnancy, healthy food, child abuse, behavioral health, domestic violence, physical fitness, tobacco prevention, health literacy, child safety, breast cancer awareness, AIDS awareness. Our progress in 2010-11:oThe fifth annual Adams County Health Summit, which included nearly 113 health and human services professionals and community residents.oHealthy Adams County continued to work with Family First Health's Gettysburg Center by helping to create an advisory board to assist in further defining service needs in the surrounding community as well as developing new ways to promote the center.oThe Adams Coalition to Prevent Teen Pregnancy held several educational programs for teens, parents and other community members. They also provided support for the annual 7th grade Young Women's and Men's conference and organized several fundraisers throughout the year.oThe Adams County Breast Cancer Coalition held an educational dinner regarding breast health, women of color program as well as various other educational events. They also educated the community about free mammogram funds that are available in Adams County. Each year, the Coalition raises funds to donate to several initiatives regarding breast cancer awareness and research. oThe Adams County Food Policy Council printed and distributed the 2011 Local Foods Guide. Members of the Institution Buying Local Committee visited a local distributor to begin research on developing a plan to create easier access to local foods for local institutions. The Access Committee with the help of a local grower developed the Fair Share Project, which provides vouchers for families who can not afford fresh fruits and vegetablesoThe AIDS Service Providers Network held their Annual Conference: Responding to AIDS on March 4, and had approximately 35 attendees. oThe Breastfeeding Task Force received a WellSpan Community Partnership Grant to host a lunch for successful breastfeeding WIC mothers held on Mother's Day 2011. Other grant activities will be conducted in the summer of 2011.oThe Domestic Violence Task Force held domestic violence training facilitated by nationally known speaker Lt. Mark Wynn. They also assisted Gettysburg High School in hosting the Yellow Dress play for 11th and 12th grade classes on April 7. The task force obtained a grant from the Adams County Community Foundation to conduct a Digital Stalking Training. The task force began work on revising the domestic violence and sexual assault protocols for the County. oThe Adams County Health Literacy T 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 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 Health Care Services PO Box 2767 York PA 174052767 232400237 Health-related activitiesin 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 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 pntrshp 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. managed care risk contract. 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 1015618 3400931 0.15260 Wellspan Pharmacy Inc PO Box 2767 York PA 174052767 232374072 Dispenses Rx & provides IV therapy PA C Corp false false true false false false true false false true true true false false true false false false