2012-05-10T12:29:39-07:00 2011-06-30 Argy Wiltse & Robinson PC 8405 Greensboro Drive McLean VA 22102 990 2010-07-01 231352220 GETTYSBURG HOSPITAL GETT 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 141533752 false false X WWW.WELLSPAN.ORG X 1919 PA The Gettysburg Hospital is a privately incorporated, 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. 16 8 994 124 649102 39367 497142 429848 125523355 135564458 -558941 4344030 557038 562246 126018594 140900582 7379000 7982067 0 56626279 60560908 351609 277109 277109 59689300 63416324 124046188 132236408 1972406 8664174 132161761 162434637 42980114 51888707 89181647 110545930 The Gettysburg Hospital is a privately incorporated, 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 117119294 7982067 135477602 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 - 2011 Community Benefit Report 117119294 true true false false false false false false false true true true false true true true false true false false false false false true 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 9 0 true 994 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 16 8 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 Yu-Wen Chang MD 40.00 X 338916 0 46031 William Steinour 40.00 X 339522 0 56320 Russell Redding 1.00 X 0 0 0 Ronald L Hankey 1.00 X X 0 0 0 Orville G McBeth Jr MD 1.00 X 0 257697 53778 Mitchell E Zuckerman MD 40.00 X 349252 0 55664 Michael F O'Connor 1.00 X 0 510284 351706 Megan Shreve 1.00 X 0 0 0 Matthew Krebs 40.00 X 377668 0 57760 Mark A Resciniti MD 40.00 X 346494 0 25330 Kwadwo Baryeh 1.00 X 0 0 0 Kevin Mosser 40.00 X 349849 0 324012 Keith L Gee 1.00 X 0 278463 222484 Joseph Edgar 40.00 X 204845 0 48773 James Williams 1.00 X 0 0 0 Gregory F Reaver 1.00 X 0 0 0 Edward Mackle 1.00 X 537837 0 57660 Douglas E Eyer 12.00 X 59300 0 9956 Dora L Townsend 1.00 X X 0 0 0 Cynthia A Ford 1.00 X 0 0 0 Charles H Chodroff MD 1.00 X 0 482432 330058 Bruce M Bartels 1.00 X X 0 933031 592637 Bernard A Yannetti Jr Esq 1.00 X X 0 0 0 Angela Brooks MD 40.00 X 372876 0 56595 3276559 2461907 2288764 60 false true false Weatherby Locums Inc PO Box 972633 Dallas TX 753972633 Temporary Staffing 202648 Quest Diagnostics Inc 12436 Collections Center Drive Chicago IL 60693 Lab & Pre-employment 587481 Mobile PETCT Associates LLC 43 Leopard Road Suite 200 Paoli PA 19301 Diagnostic Imaging 249750 HCSC Laundry PO Box 25092 Lehigh Valley PA 18002 Laundry Service 256330 Century Link PO Box 96064 Charlotte NC 282960064 Network Access Fees 205938 10 429848 429848 W/O -Free Care 621500 -6135676 -6135676 Net Patient Service 621500 141700134 141111862 588272 135564458 2337113 2337113 0 0 0 2638534 1553 633170 2005364 1553 2006917 2006917 0 0 0 Other Operating Revenue 900099 72579 72579 Health Promo/Wellness 611710 92292 92292 Emergency Response-als 621500 285923 285923 111452 50622 60830 562246 140900582 135477602 649102 4344030 7982067 7982067 0 0 0 1841468 1244957 596511 0 43009571 42661305 348266 4480394 4267021 213373 8066242 8045711 20531 3163233 3151592 11641 9966327 9966327 7727 7727 25122 25122 0 277109 277109 -114768 -114768 11441068 11207282 233786 58150 57711 439 17721879 17661902 59977 3098128 3098128 0 2457049 2254768 202281 173750 137869 35881 0 79855 76585 3270 1753194 1753194 0 5594193 5594193 1848889 1848889 Utilities 1321442 1290642 30800 Miscellaneous 116184 112071 4113 Licenses/Fees 117292 112559 4733 Dues and Subscriptions 125956 91894 34062 Bad Debt 7415422 7415422 209465 151660 57805 132236408 117119294 14840005 277109 181131 142408 4253910 3702953 0 16236019 18146814 0 0 0 955960 837116 3343856 3905788 91763752 54305860 33897182 37457892 36640807 46555412 22617165 34283043 0 2041114 3328879 11994617 14074332 132161761 162434637 1565099 2417568 1317069 716853 28784920 29569036 2081075 3687936 9231951 15497314 42980114 51888707 X 79292566 96709963 9889081 13835967 89181647 110545930 132161761 162434637 X 8664174 12700109 X false true true X true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 9889081 126547 3922083 101744 13835967 8870151 223090 1021444 225604 9889081 10386416 174329 -1478000 212594 8870151 false true true 11584 11584 30490789 14822090 15668699 972622 766298 206324 11368974 9908948 1460026 48919783 28808524 20111259 37457892 34283043 Unamortized Bond Issue Costs 203420 Accounts Receivable - Intercompany 97439 14074332 7000 Notes Payable - WRRRG 121437 Due to Affiliates 6714592 Derivative Valuation 3883124 Accrued Vacation 2628792 Accrued Sales Tax 479 Accrued Payroll and Payroll Taxes 2141890 15497314 140900582 132236408 8664174 8683932 4016177 12700109 21364283 149350132 8691438 8691438 140658694 241888 241888 140900582 124119323 124119323 8117085 8117085 132236408 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 Grant - WellSpan Medical Group $4496000 Grant - WellSpan Health $3404000 Restricted Assets Expenditures $101744 Expenses netted against revenue $115341 Part XII, Line 4b Part XII, Line 4b: Other revenue amounts included on 990 but not included in F/S Restricted Contributions $126547 Expenses netted against revenue $115341 Part XI, Line 8 Part XI, Line 8: Other Changes in Net Assets or Fund Balances Gain on restricted assets held by GH Foundation $3922083 Net assets released from restriction-PPE $94094 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. X X X X X X true Gettysburg HF 147 Gettys St Gettysburg PA 17325 Solicitations true 429848 277109 152739 429848 277109 152739 PA true true X true X true X true true true false true true 4407 2774105 2774105 0.02100 19734 13101997 5333465 7768532 0.05870 24141 15876102 5333465 10542637 0.07970 72 22823 558613 37821 520792 0.00390 1 48 1403 1403 2 1837 846172 359544 486628 0.00370 3 154752 154752 0.00120 78 24708 1560940 397365 1163575 0.00880 78 48849 17437042 5730830 11706212 0.08850 2 22783 22783 0.00020 2 22783 22783 0.00020 true 3329524 236396 37744940 56901173 -19156233 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 false X true X X X X X true X false false Gettysburg Hospital 1 true X X X X X X X X 08 false true true X 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 X true X X X X X true X false false 11 Herrs Ridge

820 Chambersburg Rd Gettysburg PA 17325

Rehabilitation Thurmont Professional Center

52 Water St Thurmont MD 21788

Lab Services Deatrick Commons Complex

18 Deatrick Drive Gettysburg PA 17325

Imaging, Rehabilitation Fifth Street Building

37 39 N Fifth St Gettysburg PA 17325

Community Health Service 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 Services, Radiation Oncology, Diabetes Education, Imaging, Physical Medicine and Rehab, Sleep La 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, 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 - 2011 Community Benefit Report Part VI - Explanation Of How Organization Furthers Its Exempt Purpose As an organization, we have taken specific steps to build the capacity of our communities to support and deal with the complex issues that are identified within the community health assessments. Through our involvement and support of a regional health coalition, Healthy Adams County, more than 800 community members have participated in community health improvement initiatives. For example, these include efforts to increase access to health care by supporting the development of a federally qualified health center site, improving adolescent health and decreasing pregnancy rates through teen pregnancy taskforce and organization of an annual conference for all 7th grade boys and girls, increasing awareness of domestic violence and child abuse through education and training and the development of a model to assist offenders from the Adams County Correctional Complex in reentering the community. In addition, we've provided leadership to a local coalition York-Adams Metropolitan Response System (YAMMRS) to develop improved coordination in the event of regional disaster. This effort includes all area hospitals and health systems, county government and other nonprofit organizations such as the Red Cross. As a charitable, community-based healthcare organization, we are dedicated to improving the lives and well-being of the people and communities we serve. By partnering with individuals and other organizations, supporting their endeavors, lending our expertise and learning from one another, we are creating a healthy community. In addition to those items documented on Schedule H which describe our community benefit activities, we actively engage our community as partners in our organization and reinvest in the health of our community in many ways. This includes:Community members who lead the organization through its Board of Directors and committee structure, patients who serve on advisory groups to improve care and diverse stakeholders who join us on community-based taskforces to address complex community issues,In the hospital, as well as across our system, community members actively volunteer and generously donate funds to the organization. More than 1,032 individuals across the system volunteered a total of 93,219 hours. In Gettysburg alone, $1.3 million was donated through Gettysburg Hospital Foundation. Our hospital auxiliary remains active and continues to support the hospital through community partnerships and fundraising.We continue to support the development of a strong healthcare organization to serve growing community. Across York and Adams county, we have recruited 57 new physicians and 13 nurse practioners into the community, opened new service to meet growing needs. In Gettysburg, that includes the first full year of operations for the WellSpan Adams Health Center to increase access to advanced cancer care, rheumatology, endocrinology, diagnostic imaging, neurology and behavioral health. 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 530,000 people. This population is expected to increase by 9% or 48,500 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 2014. Most growth will occur in the 45-64 (12% or 18,000 people) and the 65+ (21% or 16,000 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 15%. 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($29,577 vs. $41,105) In both counties. The number of uninsured has remained stable at approximately 13% 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 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 and 2008. 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. Number of Hospital Faciltiy - 1 Part V, Line 5c - Description of Making Needs Assessment Widely Available The Community Health Assessment results were released in a community forum in April 2009. The Community Health Assessment results are available upon request and are also available on the Healthy York County Coalition website. Number of Hospital Faciltiy - 2 Part V, Line 4 - List Other Hospital Facilities that Jointly Conducted Needs Assessment York Hospital, WellSpan Specialty Services Number of Hospital Faciltiy - 1 Part V, Line 4 - List Other Hospital Facilities that Jointly Conducted Needs Assessment York Hospital, WellSpan Specialty Services 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. 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) 4496000 0 General Support WellSpan Health 3350 Whiteford Road York PA 17402 222517863 501(c)(3) 3404000 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) 66667 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 true true X X X X X false true false false false false false false false false Yu-Wen Chang MD 332379 6537 22393 23638 384947 William Steinour 338877 645 22393 33927 395842 Orville G McBeth Jr MD 218851 38846 22393 31385 311475 Mitchell E Zuckerman MD 312009 31185 6058 22393 33271 404916 Michael F O'Connor 372511 129850 7923 315293 36413 861990 129850 Matthew Krebs 302499 75169 22393 35367 435428 Mark A Resciniti MD 312776 33718 22393 2937 371824 Kevin Mosser 266354 77350 6145 291693 32319 673861 77350 Keith L Gee 207413 71050 188223 34261 500947 71050 Joseph Edgar 172409 27405 5031 18723 30050 253618 Edward Mackle 305738 226174 5925 22393 35267 595497 Charles H Chodroff MD 354870 120400 7162 294363 35695 812490 120400 Bruce M Bartels 683242 227181 22608 551693 40944 1525668 222075 Angela Brooks MD 272876 100000 22393 34202 429471 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 Susan Shue Family Member of Redding 85857 Employee of GH false Jolene Eyer RN BSN Family Member of Eyer 54378 Employee of GH false Adams County National Bank Chairman Ronald Hankey 113886 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. The purpose of this bond issue was to refund bonds issued 5/13/2002, 5/17/2005, 6/16/2005, and 6/5/2007. WellSpan Health, the parent organization, allocated portions of the proceeds of this tax-exempt bond issue to York Hospital (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 is reported on the WellSpan Health (22-2517863) Schedule K. As of 6/30/11, the allocation of the Debt Capital program was as follows: York Hospital $248,049,159 (63.07%), WellSpan Properties $61,817,674 (15.72%), WellSpan Health $2,532,948 (.64%), WellSpan Specialty Services $50,940,064 (12.95%) and Gettysburg Hospital $29,935,155 (7.61%). These amounts are reported on the respective balance sheets (Part X Line 20)for each of these entities.The 11/12/2008 issue included reissuance of all unspent proceeds from the refunded 2007 bond issue. Total proceeds of issue includes the original 11/12/2008 issue plus investment earnings on transferred proceeds and the short investment of proceeds between date of issue and payoff on 12/1/2008. 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 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, Board Director, is a brother-in-law of Paul Ketterman, who is a director on the Gettysburg Hospital Foundation Board. Client Note 1 - WellSpan Health - 2011 Community Benefit ReportThere are 78,000 people in York and Adams counties without health insurance. Find out how we help.At WellSpan Health we work to remove barriers to good health for every member of our community.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.In 2010, WellSpan Health provided over $100 million in care for the uninsured and underinsured. The net cost of care provided in 2010:"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 need When Susan Kittrell needed care in 2008, we provided it, regardless of her ability to pay.The last few years have been tough for Susan Kittrell of York. Three years ago after having a routine tuberculosis test, providers noticed an abnormal reading and recommended a chest x-ray. The test showed a serious health risk: a thoracic aortic aneurysm. Kittrell had open bypass surgery to repair the aneurysm, but it wasn't long after the initial surgery that she felt a burning in her spine that led her back to the hospital and into surgery for another aneurysm. This time, she required open heart surgery. Then earlier this year, physicians saw something suspicious on a chest x-ray that ended up being another aortic aneurysm. Unfortunately, this aneurysm burst during surgery and physicians had to replace part of her aorta.Kittrell's health challenges over the past few years have made it impossible for her to return to her job at Dentsply. As a result, she lost her health insurance, which made it difficult for her to afford the critical care that she needed. Fortunately, Healthy York Network (HYN) was there."If it wasn't for HYN, I don't know where I would be," says Kittrell. "After I lost my health coverage, I couldn't afford the medicines that I needed to take, let alone the surgeries that were necessary to fix the aneurysms. Thankfully, the folks at York Hospital realized my challenges and connected me with HYN." "I have been blessed with the best of care," remarks Kittrell. "I thank God everyday for WellSpan Health and HYN. They have helped me during a really difficult time and I can't express my gratitude enough." 10 Initiatives we support that help care for the uninsuredInitiatives we support Who benefits?Our progress in 2010HealthConnect, a mobile health care program that provides basic primary care services and helps individuals find a medical home Individuals who lack sufficient health insurance1,330 visits937 new patients219 referrals to a medical homeHealthy York Network and Healthy Community Pharmacy, a collaborative effort that facilitates access to discounted health care services and prescription medicationIndividuals who lack sufficient health insurance$30 million of care provided to more than 8,309 members9,077 new members enrolled52,730 prescriptions filledCommunity Health Workers, who help people navigate the health care system, enroll in public assistance programs and implement health outreach programsIndividuals who lack sufficient health insurance and people of disparate populations179 adults and 250 children completed applications for public insurance programsFamily First Health's Hannah Penn Health Center, a partnership of York Hospital, Family First Health and the City of York School DistrictUnderserved adults and children, including those who lack sufficient health insurance and those with Medicaid4,813 acute and preventive medical visits1,775 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 CountyUnderserved adults and children of Adams County, including those who lack sufficient health insurance and those with MedicaidActively supported the start-up of the center and its ability to attract 5,908 patients during the past yearYork Hospital Community Health Center, which provides primary care services, women's health care, HIV care and pediatric care for medically complex conditionsAdults and children who lack sufficient health insurance27,056 primary care visits and 21,778 obstetrics and gynecology visitsThomas Hart Family Practice Center, which is staffed by resident and faculty physicians at York Hospital and provides acute, chronic, preventive and obstetric careAdults and children, many of whom lack sufficient health insurance27,800 visitsThe George W. T. Bentzel, DDS Dental Center, which is staffed by licensed dentists and residents from the York Hospital Dental Residency ProgramAdults and children, many of whom lack sufficient dental insurance13,930 outpatient visitsHoodner Dental CenterIndividuals who lack sufficient dental insurance and who qualify for Medical Assistance or the Healthy York Network6,252 visitsAdams County Dental Health Services, sponsored by the Oral Health Task Force of Healthy Adams County, Harrisburg Area Community College and Head StartChildren who lack dental insurance670 visitsHaving an impact on our community's health means doing more than providing medical care.Preventing barriers to care from forming is key to making an impact on our community health. At 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.WellSpan partners with the York County Children's Advocacy Center to help children who have been victims of sexual abuse. It's a tragic reality that sexual abuse of children is a widespread problem across the country. A 2006 study by the Centers for Disease Control and Prevention (CDC) suggests that one in four girls, and one in six boys, are sexually abused before the age of 18. In addition to finding out how to stop the abuse before it starts, the question of how to help a child once the abuse has occurred is vital.After a child discloses the abuse, an appropriate response is extremely important to the child's healing process. In the past, there was no mechanism for coordinating the services needed to respond to such a case. Instead, a child would be shuffled between various agencies requiring the victim to retell his story multiple times, vividly reliving the pain and confusion surrounding the experience.In recent years, communities across the country, including York and Adams, have established child advocacy centers to help meet the unique needs of a vulnerable population. By coordinating between community agencies and professionals involved in the intervention system, the goal is one interview and one physical exam for the victim. Over the past year, this goal has become a reality for both the York County Children's Advocacy Center and the Adams County Children's Advocacy Center thanks to a partnership between the two community groups and WellSpan. 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