2024-05-13T12:44:35+00:00 2023-06-30 346565596 Ernst & Young US LLP 2100 One PPG Place Pittsburgh PA 15222 990 2022-07-01 250965600 The Washington Hospital WASH 7242233007 155 Wilson Avenue Washington PA 15301 Alisa R Rucker Chief Financial Officer 7242233004 2024-05-13 false Alisa Rucker 999009999 Eileen Webb P01641852 4126447800 2022 2023-04-26 12:10:37Z Brook T Ward 155 WILSON AVENUE WASHINGTON PA 15301 280394569 false X www.washingtonhospital.org X 1897 PA THE WASHINGTON HOSPITAL IS A COMMUNITY HOSPITAL DEDICATED TO IMPROVING HEALTH / PROVIDING PATIENT CARE TO ALL PERSONS WITHOUT REGARD TO RACE, COLOR, RELIGION, SEX, NATIONAL ORIGIN, DISABILITY OR ABILITY TO PAY. 10 8 1857 186 3718097 0 10063964 8195498 231940308 246583300 9945396 19040030 4256595 2742559 256206263 276561387 33766 34584 0 0 132394806 140378538 0 0 113573098 118936021 246001670 259349143 10204593 17212244 381165927 376104202 127548134 104998728 253617793 271105474 X THE WASHINGTON HOSPITAL IS A SECULAR, NOT-FOR-PROFIT COMMUNITY HOSPITAL DEDICATED TO IMPROVING THE HEALTH STATUS OF THE COMMUNITY AND PROVIDING QUALITY PATIENT CARE TO ALL PERSONS WITHOUT REGARD TO RACE, COLOR, RELIGION, SEX, NATIONAL ORIGIN, DISABILITY OR ABILITY TO PAY. false false 98941200 0 109442352 A WIDE VARIETY OF OUTPATIENT SERVICES WERE PROVIDED TO THE COMMUNITY INCLUDING LAB, RADIOLOGY, SURGICAL, OBSERVATION, EMERGENCY AND THERAPEUTIC SERVICES. APPROXIMATELY 257,000 OUTPATIENT VISITS WERE PERFORMED DURING THE YEAR. SERVICES WERE RENDERED REGARDLESS OF THE PATIENT'S ABILITY TO PAY. ALL QUALITY MEASURES REQUIRED BY MEDICARE AND MAJOR INSURANCE CARRIERS WERE MET. 15% OF THE OUTPATIENT VISITS WERE MEDICAL ASSISTANCE (MEDICAID); 43% OF THE OUTPATIENT VISITS WERE MEDICARE. 92600635 0 88097551 INPATIENT ACUTE SERVICES WERE PROVIDED TO 7,909 PATIENTS IN THE COMMUNITY. THE WASHINGTON HOSPITAL PROVIDES A WIDE ARRAY OF MEDICAL AND SURGICAL SERVICES. SURGICAL SPECIALTIES INCLUDE NEUROSURGERY, CARDIOLOGY, CARDIOTHORACIC SURGERY, ORTHOPEDICS, OBSTETRICS, GYNECOLOGY, GASTROENTEROLOGY, UROLOGY AND GENERAL SURGERY. SERVICES WERE RENDERED REGARDLESS OF A PATIENT'S ABILITY TO PAY. ALL QUALITY MEASURES REQUIRED BY MEDICARE AND MAJOR INSURANCE CARRIERS WERE MET. 19% OF THE INPATIENT CASES WERE MEDICAL ASSISTANCE (MEDICAID); 60% OF THE PATIENT CASES WERE MEDICARE. 6432254 0 5750514 THE HOSPITAL SUPPORTS A 30 BED INPATIENT BEHAVIORAL HEALTH UNIT. IT IS ONE OF THE LARGEST UNITS OF ITS KIND IN THE HOSPITAL'S EXTENDED SERVICE AREA AND SERVED 797 PATIENTS THIS YEAR. SERVICES ARE RENDERED TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THE UNIT HAS A VERY HIGH PERCENTAGE OF PATIENTS WITH MEDICAL ASSISTANCE (MEDICAID) (52%) AND 3% WHO ARE UNINSURED. 27663197 34584 45318509 OTHER PROGRAM SERVICES INCLUDE A MULTITUDE OF ACTIVITIES PERFORMED BY THE HOSPITAL TO DO BUSINESS IN THE COMMUNITY AND PROVIDE VALUABLE COMMUNITY BENEFITS. ACTIVITIES IN THIS CATEGORY INCLUDE, BUT ARE NOT LIMITED TO, A TEENAGE ABSTINENCE EDUCATION PROGRAM, A FAMILY PRACTICE RESIDENCY PROGRAM, A SCHOOL OF NURSING, A SCHOOL FOR X-RAY TECHNICIANS, HOSPICE SERVICES, CERTAIN EMERGENCY DEPARTMENT SERVICES, OPERATION OF A WELLNESS CENTER, RENTAL ACTIVITIES, AND OPERATION OF AN EMPLOYEE CAFETERIA. 27663197 34584 45318509 225637286 true true false true false false false false false true false true true true false false true false false true false false false false false true true false true true true false false false false false false false false false false false false false false false true true true false false true 134 0 true 1857 true true true false false false false false false false false false false false X 10 8 false false false false true true true true true false false false true true true true true true true true false PA X Alisa Rucker CFO 7242233004 155 Wilson Avenue Washington PA 15301 Arthur Gabriel Vice Chairperson 2.0 3.0 X X 0 0 0 BROOK T WARD CEO 40.0 12.0 X X 789435 0 27092 DANIEL MILLER Chairperson 2.0 3.0 X X 0 0 0 Mark Backeris DO Secretary 2.0 2.0 X X 0 0 0 Robert Young Treasurer 2.0 3.0 X X 0 0 0 CHARLES R GUTHRIE BOARD MEMBER 1.0 1.0 X 0 0 0 Howard Goldberg MD Board Member 1.0 41.0 X 0 534532 26894 Mary Beth Brown Board Member 1.0 2.0 X 0 0 0 Mike Lauderbaugh Board Member 1.0 2.0 X 0 0 0 Sarah White DO Board Member 1.0 1.0 X 0 0 0 ALISA R RUCKER VP FINANCE / CFO 40.0 10.0 X 497410 0 26710 KAREN BRAY VP PATIENT CARE SERVICES 40.0 5.0 X 319442 0 24545 RODNEY LOUK Executive VP / COO 40.0 10.0 X 491151 0 19654 Anne Roslonski Physician 40.0 0.0 X 336272 0 14928 Barbara McCullough VP Human Resources 40.0 5.0 X 374126 0 26088 John Six MD VP of Medical Affairs 40.0 5.0 X 480931 0 28243 Marcus Magister Physician 40.0 0.0 X 410610 0 25594 Monica Smith DO Physician 40.0 0.0 X 427805 0 23716 4127182 534532 243464 250 true true false Keystone Anesthesia Consultants 2000 Oxford Drive Suite 303 Bethel Park PA 15102 Anesthesia Services 2682622 Emcare Inc 100 Witmer Rd Suite 220 Horsham PA 19044 Physician Services 2189954 WTS 3200 Tower Oaks Blvd Suite 400 Rockville MD 20852 Wellness Services 2014860 Cura Hospitality PO Box 743676 Atlanta GA 30374 Meal Services 1342758 Quest Diagnostics PO Box 645740 Pittsburgh PA 15264 Laboratory Services 1240026 18 0 0 0 5153498 0 3042000 0 8195498 HOSPITAL IP AND OP SERVICES 900099 238827311 235859610 2967701 0 WELLNESS CENTER 713940 3474571 3474571 0 0 EDUCATION/TUITION 611600 1513618 1513618 0 0 DRUG SALES 446110 2010136 1999674 10462 0 SERVICES TO AFFILIATES 541900 428 428 0 0 757236 646837 110399 0 246583300 19035880 0 0 19035880 0 0 0 0 0 0 0 0 3381492 0 3294094 0 87398 0 87398 0 0 87398 0 4150 0 0 0 4150 4150 0 0 4150 0 0 0 0 0 0 0 0 0 0 0 0 498720 539088 -40368 -40368 0 0 CAFETERIA SALES 900099 1173973 608551 565422 0 PARKING REVENUE 812930 593238 593238 0 0 REBATES 900099 83296 83296 0 0 845022 780909 64113 0 2695529 276561387 245520364 3718097 19127428 X 0 0 34584 34584 0 0 0 0 2195439 1843071 352368 0 0 0 0 0 113134733 94976608 18158125 0 2515460 2111729 403731 0 14613243 12267817 2345426 0 7919663 6648557 1271106 0 52856 52856 0 0 654732 0 654732 0 528407 0 528407 0 79816 0 79816 0 0 0 0 0 0 0 29923147 25120482 4802665 0 1185079 994874 190205 0 3085898 2590611 495287 0 128091 107532 20559 0 0 0 0 0 4768930 4003517 765413 0 247474 207754 39720 0 0 0 0 0 0 0 0 0 1037328 1037328 0 0 0 0 0 0 12648099 10618079 2030020 0 5125753 4262366 863387 0 MEDICAL SUPPLIES 49208610 49208610 0 0 MEDICAL ASSISTANCE TAX ASSESSMENT 5832577 5832577 0 0 MAINTENANCE & REPAIRS 1458009 1223999 234010 0 SERVICE CHARGES 1297330 1089109 208221 0 1673885 1405226 268659 0 259349143 225637286 33711857 0 40528421 24192253 0 0 0 0 23425990 24592260 0 0 0 0 4051465 2696629 2134701 2031852 6188158 11166958 322346146 223369497 109403907 98976649 153926087 168731759 0 23684639 23508956 0 0 17822559 20206886 381165927 376104202 31068146 35378997 0 0 7765695 0 50130968 46205196 0 0 0 0 0 0 0 0 38583325 23414535 127548134 104998728 X 235144260 251365841 18473533 19739633 0 0 0 0 0 0 253617793 271105474 381165927 376104202 X 17212244 5945594 0 0 7765695 -13435852 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 79816 79816 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY LOBBYING COSTS REPORTED IN PART II-B LINE I CONSIST OF THE PORTION OF MEMBERSHIP DUES ATTRIBUTABLE TO LOBBYING ACTIVITIES AS WELL AS AMOUNTS PAID TO A LOBBYING FIRM FOR LEGISLATIVE ADVOCACY AND UPDATES ON HEALTHCARE ISSUES THAT MAY IMPACT THE ORGANIZATION. 0 13750673 13750673 0 176967581 129510431 47457150 0 0 0 0 0 131622492 93859066 37763426 0 5400 0 5400 98976649 Investments in Affiliates & Related Long Term Receivables 23508956 F 23508956 DEFINED BENEFIT PENSION RIGHT OF USE ASSETS-LEASES 3566840 ASSETS HELD FOR SALE 6806210 OTHER ASSETS 9833836 20206886 0 DUE TO THIRD PARTY PAYORS 5167270 POST-RETIREMENT BENEFIT OBLIGATION 1054023 INSURANCE LIABILITIES 12946618 OPERATING LEASE LIABILITIES 3566840 OTHER LIABILITIES 679784 23414535 Central America and the Caribbean Investments 3628819 0 0 0 0 0 0 3628819 0 3628819 false false true false false false Schedule F, Part I, Line 3 Method used to account for expenditures on org's financial statements CENTRAL AMERICA AND THE CARIBBEAN-Cash true true X true X true X true true true false false 418842 0 418842 0.0016 36541249 20338699 16202550 0.0625 0 0 0 0.0 0 0 36960091 20338699 16621392 0.0641 1090367 0 1090367 0.0042 17484027 10162338 7321689 0.0282 95101362 65903745 29197617 0.1126 0 0 0 0.0 74728 0 74728 0.0003 0 0 113750484 76066083 37684401 0.1453 0 0 150710575 96404782 54305793 0.2094 0 0 0 0.0 0 0 0 0.0 0 0 0 0.0 0 0 0 0.0 0 0 0 0.0 0 0 0 0.0 0 0 0 0.0 143947 0 143947 0.0006 137185 0 137185 0.0005 0 0 281132 0 281132 0.0011 false 7383724 27007477 35560728 -8553251 X true true WPHO LOCAL HEALTHCARE NETWORK 0.5 0.0061 0.4939 1 1 THE WASHINGTON HOSPITAL 155 WILSON AVENUE WASHINGTON PA 15301 www.whs.org 230201 X X X X THE WASHINGTON HOSPITAL 1 false false true X X X X X X X X X 21 true true false true X https://whs.org/patient-guests/quality-and-safety/ X true 21 true https://whs.org/patient-guests/quality-and-safety/ false true X 200.0 400.0 X X X true true X X X true X https://whs.org/patient-guests/#_tab-985f3f5e473efded214 X https://whs.org/patient-guests/#_tab-985f3f5e473efded214 X https://whs.org/patient-guests/#_tab-985f3f5e473efded214 X X X X X X true X false true X false false Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - The Washington Hospital. IN ORDER TO TAKE INTO ACCOUNT INPUT FROM THE COMMUNITY THAT THE HOSPITAL SERVES, THE ASSESSMENT INCLUDED A RANDOM COMMUNITY SURVEY AS WELL AS COMMUNITY FEEDBACK MEETINGS AND SURVEYS WITH THE FOLLOWING COMMUNITY GROUPS: PATIENT AND FAMILY CENTERED CARE COMMITTEE OF WASHINGTON HEALTH SYSTEM WASHINGTON PHYSICIAN HOSPITAL ORGANIZATION Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - The Washington Hospital. The Community Health Needs Assessment was conducted in conjunction with the following hospitals: TGCH, Inc, a hospital doing business as Washington Health System Greene and located in Waynesburg, PA Penn Highlands Mon Valley Hospital Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - The Washington Hospital. THE NEEDS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT WERE REVIEWED AND PRIORITIZED BASED ON MAGNITUDE OF THE NEED, POTENTIAL IMPACT ON THE COMMUNITY HEALTH, COST, ENVIRONMENTAL FACTORS AND PRACTICALITY. AN IMPLEMENTATION PLAN WAS DEVELOPED AND APPROVED BY THE BOARD OF TRUSTEES. THE HOSPITAL WILL FOCUS THE IMPLEMENTATION ON TREATING TWO OF THE TOP NEEDS, REDUCTION OF THE COLORECTAL CANCER DEATH RATE AND REDUCTION OF THE LUNG CANCER DEATH RATE. THE FOLLOWING ARE SOME OF THE HEALTH NEEDS NOT BEING ADDRESSED IN THE INITIAL IMPLEMENTATION STRATEGY: YEARS OF POTENTIAL LIFE LOST DRUG OVERDOSE DEATHS CORONARY HEART DISEASE DEATHS COPD DEATHS BREAST CANCER DEATHS 14 TRI-STATE SURGERY CENTER 95 LEONARD AVENUE WASHINGTON PA 15301 SURGERY CENTER WILFRED R CAMERON WELLNESS CENTER 240 WELLNESS WAY WASHINGTON PA 15301 WELLNESS CENTER WASHINGTON HOSPITAL FAMILY MEDICINE CTR 95 LEONARD AVENUE WASHINGTON PA 15301 FAMILY MEDICINE TWH LAB & RADIOLOGY CENTER 67 EAST PIKE STREET CANONSBURG PA 15317 LAB STATIONS & OUTPATIENT RADIOLOGY WOUND & SKIN HEALING CENTER 208 WELLNESS WAY WASHINGTON PA 15301 OUTPATIENT OFFICE WASHINGTON HOSPITAL FAMILY MEDICINE CTR 67 EAST PIKE STREET CANONSBURG PA 15317 FAMILY MEDICINE TWH LAB & RADIOLOGY CENTER 3415 MILLERS RUN CECIL PA 15321 LAB STATIONS & OUTPATIENT RADIOLOGY CHILDREN'S THERAPY CENTER 1000 WATERDAM PLAZA DRIVE MCMURRAY PA 15317 CHILDREN'S THERAPY DIABETES EDUCATION & MANAGEMENT PROGRAM 95 LEONARD AVENUE WASHINGTON PA 15301 OUTPATIENT OFFICE CHILDREN'S THERAPY CENTER 289 NORTH AVENUE WASHINGTON PA 15301 CHILDREN'S THERAPY TWH LAB & RADIOLOGY CENTER 343 E ROY FURMAN HIGHWAY WAYNESBURG PA 15370 LAB STATIONS & OUTPATIENT RADIOLOGY TWH LAB & RADIOLOGY CENTER 4198 WASHINGTON ROAD MCMURRAY PA 15317 LAB STATIONS & OUTPATIENT RADIOLOGY WASHINGTON HOSPITAL FAMILY MEDICINE CTR 3415 MILLERS RUN ROAD CECIL PA 15321 FAMILY MEDICINE TWH LAB & RADIOLOGY CENTER 95 LEONARD AVE WASHINGTON PA 15301 LAB STATIONS & OUTPATIENT RADIOLOGY Schedule H, Part I, Line 7 Column F - Bad Debt Expense BAD DEBT EXPENSE OF $7,383,724 IS NOT INCLUDED IN THE EXPENSES IN THE LINE 7 PERCENT OF TOTAL EXPENSES CALCULATION. Schedule H, Part V, Section B, Line 20 Indicate efforts made before before any actions LINE 20 WAS LEFT BLANK BECAUSE NONE OF THE ACTIONS DESCRIBED IN LINE 19 ARE PERMITTED UNDER OUR POLICY Schedule H, Part I, Line 7 Explanation of costing methodology used for calculating line 7 table THE HOSPITAL'S COST-TO-CHARGE RATIOS WERE USED TO CALCULATE ALL AMOUNTS REPORTED ON LINE 7. ALTHOUGH WORKSHEET 2 WAS NOT USED TO CALCULATE THIS RATIO, WE PREPARED A SIMILAR CALCULATION THAT WE FEEL IS MORE DETAILED. SIMILAR TO WORKSHEET 2, WE STARTED WITH OUR OVERALL COST-TO-CHARGE RATIO AND ADJUSTED FOR THE COMMUNITY BENEFITS INCLUDED IN PART I AND THE MEDICAID PROVIDER TAXES WE PAID. Schedule H, Part II Describe how community building activities promote the health of the community THE HOSPITAL'S COMMUNITY BUILDING ACTIVITIES CONSIST OF EMERGENCY PREPAREDNESS PREPARATION AND TRAINING, PHYSICIAN RECRUITMENT IN SPECIALTIES THAT ARE UNDER SERVED IN OUR AREA AND VOLUNTARY PAYMENTS IN LIEU OF TAXES TO THE CITY AND SCHOOL DISTRICT. THE HOSPITAL HAS DEVELOPED POLICIES AND PROCEDURES TO FOLLOW IN THE EVENT OF DIFFERENT COMMUNITY EMERGENCIES AND CONDUCTS REGULAR DRILLS TO HELP ENSURE PREPAREDNESS. THE HOSPITAL ALSO REGULARLY REVIEWS THE TYPES OF PHYSICIANS PRACTICING IN THE AREA AND ACTIVELY RECRUITS PHYSICIANS IN THOSE AREAS THAT ARE UNDER SERVED. Schedule H, Part I, Line 7g SUBSIDIZED HEALTH SERVICES PROGRAMS REPORTED AS SUBSIDIZED HEALTH SERVICES INCLUDE HOSPITAL BASED PROGRAMS WHOSE PURPOSE IS TO SERVE A MEDICAL NEED TO THE COMMUNITY, THE LARGEST BEING AN INPATIENT PSYCHIATRIC UNIT. SERVICES PROVIDED TO MEDICARE RECIPIENTS WHICH ARE NOT REPORTABLE ON THE MEDICARE COST REPORT ARE ALSO INCLUDED IN SUBSIDIZED HEALTH SERVICES. THERE ARE NO PHYSICIAN CLINICS REPORTED AS SUBSIDIZED SERVICES. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount THE HOSPITAL FOLLOWS AICPA GUIDANCE IN REPORTING BAD DEBT AS A DEDUCTION FROM NET PATIENT SERVICE REVENUE. ACCOUNTS ARE DEEMED TO BE BAD DEBT AFTER ALL REASONABLE COLLECTION EFFORTS ARE APPLIED. THE HOSPITAL HAS A GENEROUS INTEREST-FREE PAYMENT PLAN POLICY AND DOES NOT CLASSIFY ACCOUNTS ON A PAYMENT PLAN AS BAD DEBT. ANY ACCOUNTS THAT ARE DETERMINED TO BE CHARITY CARE ARE EXCLUDED FROM BAD DEBT TOTALS. ANY DISCOUNT OR SETTLEMENTS PROVIDED TO PATIENTS ARE ALSO EXCLUDED FROM BAD DEBT TOTALS. THE AMOUNT DUE FROM A PATIENT IS WRITTEN OFF TO BAD DEBT ONCE THE ACCOUNT IS DEEMED UNCOLLECTABLE. THE HOSPITAL CONVERTS ALL BAD DEBT ACCOUNTS TO GROSS CHARGES AND APPLIES AN OVERALL COST-TO-CHARGE RATIO TO DETERMINE THE COST OF BAD DEBT REPORTED ON PART III, LINE 2. Schedule H, Part III, Line 3 Bad Debt Expense Methodology ALTHOUGH WE RECOGNIZE THE POSSIBILITY THAT SOME OF THE BAD DEBT COSTS COULD QUALIFY UNDER OUR CHARITY CARE POLICY, WE HAVE NO REASONABLE WAY TO DETERMINE THOSE AMOUNTS. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote THE AUDITED FINANCIAL STATEMENTS OF THE HOSPITAL DESCRIBES BAD DEBT AS FOLLOWS: Generally, patients who are covered by third-party payers are responsible for related deductibles and coinsurance, which vary in amount. The Health System also provides services to uninsured patients and offers those uninsured patients a discount, either by policy or law, from standard charges. The Health System estimates the transaction price for patients with deductibles and coinsurance and from those who are uninsured based on historical experience and current market conditions. The initial estimate of the transaction price is determined by reducing the standard charge by any contractual adjustments, discounts and implicit price concessions based on historical collection experience. Subsequent changes to the estimate of the transaction price are generally recorded as adjustments to patient care service revenue in the period of the change. Subsequent changes that are determined to be the result of an adverse change in the patient's ability to pay are recorded as bad debt expense. FOOTNOTES: FOOTNOTE 3, "PATIENT AND UNINSURED PAYERS" IS FOUND ON PAGE 18 OF THE AUDITED FINANCIAL STATEMENTS. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs THE HOSPITAL'S SERVICE AREA HAS A VERY HIGH ELDERLY POPULATION. MEDICARE MAKES UP 60% OF THE INPATIENT PATIENT CARE DAYS AND 49% OF THE OUTPATIENT SERVICES PROVIDED BY THE HOSPITAL. AS THE LARGEST HOSPITAL IN THE COUNTY, WE PROVIDE A WIDE ARRAY OF SERVICES TO OUR COMMUNITY. OUR ELDERLY POPULATION DOES NOT HAVE TO TRAVEL TO THE NEAREST LARGE CITY HOSPITAL TO SEEK CARE FOR MOST SERVICES. MEDICARE PATIENTS GENERALLY HAVE MULTIPLE HEALTH CONDITIONS THAT CAN EASILY COMPLICATE THE CARE PROVIDED TO THEM. THE CURRENT INPATIENT PAYMENT SYSTEM PROVIDES PAYMENT FOR THE HEALTH CONDITION THAT PRECIPITATED AN ADMISSION TO THE HOSPITAL - IT DOES NOT NECESSARILY TAKE INTO ACCOUNT ALL OF THE OTHER UNDERLYING ILLNESSES THAT MUST BE TREATED OR ATTENDED TO DURING A PATIENT'S STAY. AS SUCH, TREMENDOUS RESOURCES CAN BE USED TO TREAT A MEDICARE PATIENT WITH MULTIPLE ILLNESSES YET THE HOSPITAL MAY ONLY BE PAID FOR RESOURCES ASSOCIATED WITH THE ADMITTING ILLNESS. THE HOSPITAL STRIVES TO PROVIDE ALL NEEDED CARE TO OUR PATIENTS WITHOUT CONSIDERATION OF PAYMENT SHORTFALLS. AS SUCH, WE FEEL STRONGLY THAT THE MEDICARE SHORTFALLS INCURRED BY THE HOSPITAL ARE A COMMUNITY BENEFIT. THE MEDICARE COSTS ARE CALCULATED USING COST-TO-CHARGE RATIOS THAT HAVE BEEN CALCULATED BASED ON THE DEPARTMENT WHERE THE SERVICES WERE PROVIDED. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance THE HOSPITAL HAS A WRITTEN BAD DEBT POLICY IT FOLLOWS FOR ALL PATIENTS. IF A PATIENT IS DETERMINED TO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE, THE ACCOUNT IS EXCLUDED FROM THE NORMAL COLLECTION PROCESS. THOSE ACCOUNTS ARE HANDLED UNDER THE SEPARATE CHARITY CARE POLICY. IF AN ACCOUNT IS SET UP ON A PAYMENT PLAN, ONLY THE CURRENT MONTHLY PAYMENT AMOUNT IS PURSUED UNDER THE COLLECTION POLICY. Schedule H, Part V, Section B, Line 16a FAP website - THE WASHINGTON HOSPITAL: Line 16a URL: https://whs.org/patient-guests/#_tab-985f3f5e473efded214; Schedule H, Part V, Section B, Line 16b FAP Application website - THE WASHINGTON HOSPITAL: Line 16b URL: https://whs.org/patient-guests/#_tab-985f3f5e473efded214; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - THE WASHINGTON HOSPITAL: Line 16c URL: https://whs.org/patient-guests/#_tab-985f3f5e473efded214; Schedule H, Part VI, Line 2 Needs assessment THE PRIMARY METHOD THAT THE HOSPITAL USES TO ASSESS THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES IS THROUGH ASSESSING THE TOTAL NUMBER OF PHYSICIANS PROVIDING MEDICAL SERVICES TO THE AREAS SERVED. THE QUALITATIVE STANDARD DOES NOT FACTOR THE ECONOMIC OR FINANCIAL BENEFITS TO THE HOSPITAL OF ANY RECRUITMENT OF PHYSICIANS IN ADDRESSING THE CONTINUUM OF NEED. THE ASSESSMENT FOCUSES ON COMMUNITY NEED AS A DETERMINING FACTOR IN ASSESSING THE APPROPRIATENESS OF PHYSICIAN RECRUITMENT INITIATIVES. THE APPROACH TO EVALUATING PHYSICIAN NEED IS BASED ON THE FOLLOWING FACTORS: -DEFINING THE DEMOGRAPHIC PROFILE AND PAYOR MIX OF THE HOSPITAL'S SERVICE AREA. -RESEARCHING UNIQUE SERVICE AREA FACTORS THAT MIGHT INFLUENCE THE DEMAND FOR HEALTHCARE SERVICES WITHIN THE AREA. -IDENTIFYING THE TOTAL NUMBER OF PHYSICIANS BY SPECIALTY IN THE DEFINED SERVICE AREA. -DEVELOPING A PROFILE OF THE CURRENT MEDICAL STAFF. -UTILIZING SIX ESTABLISHED PHYSICIAN NEEDS ASSESSMENT MODELS TO IDENTIFY POTENTIAL PHYSICIAN SURPLUSES OR DEFICITS IN EACH MEDICAL SPECIALTY. -EXAMINING RESULTS OF THE MEDICAL STAFF SURVEY AND PHYSICIAN FOCUS INTERVIEWS TO DETERMINE THE PERCEIVED RECRUITMENT NEEDS OF THE HOSPITAL'S EXISTING STAFF PHYSICIANS AND TO IDENTIFY MEDICAL COMMUNITY CONCERNS. -CONDUCT A COMMUNITY SURVEY TO INTEGRATE PERCEIVED SHORTAGES INTO RECOMMENDATIONS. -EVALUATING RESULTS OF THE ABOVE EFFORTS IN THE CONTEXT OF OUR MEDICAL STAFFING AND CONSULTING EXPERIENCE. OTHER WAYS TO ASSESS THE COMMUNITIES' HEALTH NEEDS INCLUDES CONDUCTING VARIOUS HEALTH SCREENINGS, SEMINARS AND EDUCATION SESSIONS HELD FOR THE GENERAL PUBLIC. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance THE HOSPITAL ATTEMPTS TO INFORM ALL UNINSURED PATIENTS OF AVAILABLE PROGRAMS TO ASSIST THEM IN OBTAINING HEALTH CARE SERVICES. INPATIENT: ANY PATIENT ADMITTED TO THE HOSPITAL WITHOUT INSURANCE IS PROVIDED ASSISTANCE IN APPLYING FOR THE STATE MEDICAL ASSISTANCE PROGRAM. A HOSPITAL REPRESENTATIVE WILL EXPLAIN THE STATE PROGRAMS TO THE PATIENT AND ASSIST IN THE PREPARATION OF THE APPLICATION AND GATHERING OF INFORMATION, IF APPLICABLE. IF THE PATIENT DOES NOT QUALIFY FOR ASSISTANCE, THE REPRESENTATIVE INFORMS HIM/HER OF THE HOSPITAL'S CHARITY CARE PROGRAM. OUTPATIENT: CERTAIN OUTPATIENT AREAS (EMERGENCY ROOM, REGISTRATION) HAVE SIGNS THAT LET PATIENTS KNOW THE HOSPITAL HAS A CHARITY CARE PROGRAM. SOME AREAS ALSO HAVE MEDICAL ASSISTANCE APPLICATIONS ON HAND TO GIVE TO PATIENTS. CONSISTENT WITH THE HOSPITAL MISSION, ALL PATIENTS REQUIRING IMMEDIATE CARE ARE TREATED WITHOUT REGARD TO THEIR ABILITY TO PAY. ALL PATIENTS: FOR PATIENTS THAT ARE UNINSURED OR UNDER INSURED, A HOSPITAL REPRESENTATIVE IS AVAILABLE TO DISCUSS OPTIONS FOR PAYMENT WITH THE PATIENT. WHEN APPROPRIATE, PAYMENT FOR ELECTIVE SERVICES IS DISCUSSED UPFRONT AND IF THE PATIENT IS ABLE TO PAY, IS COLLECTED IN ADVANCE OF SERVICE. EFFORTS ARE MADE TO COLLECT PATIENT LIABILITIES IN CERTAIN AREAS SUCH AS OPSU AND ADMISSIONS. INSURANCE COPAYS ARE ATTEMPTED TO BE COLLECTED IN THE EMERGENCY DEPARTMENT IN ACCORDANCE WITH EMTALA REGULATIONS. WHEN THERE IS A BALANCE DUE (SELF-PAY OR BALANCE AFTER INSURANCE) AND NO COLLECTION WAS MADE IN ADVANCE OF OR AT THE TIME OF SERVICE, A STATEMENT WILL BE SENT TO PATIENTS PROVIDING A PHONE NUMBER FOR THEM TO CALL AND DISCUSS PAYMENT OPTIONS. IF THE PATIENT DOES NOT CALL OR MAKE PAYMENT, A HOSPITAL REPRESENTATIVE WILL CALL HIM/HER TO DISCUSS THE AMOUNT DUE AND TO DETERMINE IF THEY ARE ELIGIBLE FOR ANY PROGRAMS OR INSURANCES OR TO MAKE PAYMENT ARRANGEMENTS THAT CAN HELP THE PATIENT. AT ANY POINT IN THE CONVERSATION, IF THE PATIENT SAYS HE/SHE CANNOT AFFORD TO PAY THE BILL, THE PATIENT IS OFFERED A CHARITY CARE APPLICATION. ONCE THE CHARITY CARE APPLICATION IS COMPLETE, IF THE PATIENT DOES NOT QUALIFY BUT CONTINUES TO EXPRESS CONCERNS ABOUT BEING ABLE TO PAY HIS/HER BILL, THE ACCOUNT IS REVIEWED FOR THE POSSIBILITY OF A DISCOUNT OR AN AFFORDABLE PAYMENT PLAN. THE HOSPITAL STRIVES TO ACCOMMODATE EVERY PATIENT'S FINANCIAL SITUATION IF POSSIBLE. THE HOSPITAL'S CHARITY CARE PROGRAM PROVIDES FOR FREE OR DISCOUNTED CARE BASED ON FEDERAL POVERTY GUIDELINES (FPG). DEPENDING ON INCOME LEVEL, INDIVIDUALS WITHOUT INSURANCE CAN QUALIFY FOR DISCOUNTS RANGING BETWEEN 60-100%. INDIVIDUALS WITH INSURANCE CAN QUALIFY FOR DISCOUNTS RANGING BETWEEN 10-100%. ALL BILLS FOR PATIENTS WITHOUT INSURANCE COVERAGE ARE DISCOUNTED TO THE AVERAGE OF OUR TOP COMMERCIAL PAYORS. DISCOUNTS RANGE FROM 30% TO 60% DEPENDING ON THE TYPE OF SERVICE PROVIDED. Schedule H, Part VI, Line 4 Community information THE WASHINGTON HOSPITAL (TWH) IS A 206 BED ACUTE CARE GENERAL HOSPITAL LOCATED IN WASHINGTON, PENNSYLVANIA. FOUNDED IN 1897, THE HOSPITAL SERVES THE SURROUNDING COMMUNITIES WITH A TOTAL PATIENT DRAW OF OVER 300,000 RESIDENTS LIVING IN 63 ZIP CODES. THE SERVICE AREA EXTENDS TO THE WESTERN AND SOUTHERN BORDERS OF PENNSYLVANIA. THERE ARE THREE OTHER GENERAL ACUTE CARE HOSPITALS THAT SERVE PORTIONS OF TWH'S GEOGRAPHIC AREA, HOWEVER, TWH IS THE LARGEST HOSPITAL PROVIDING THE BROADEST RANGE OF SERVICES TO THE COMMUNITY. TWH IS THE ONLY HOSPITAL THAT OFFERS OBSTETRICAL, CARDIOTHORACIC, ELECTROPHYSIOLOGY, INTERVENTIONAL CARDIAC PROCEDURES, ACUTE REHABILITATION, DIABETES MANAGEMENT, WOUND CARE AND CHILDREN'S THERAPY SERVICES TO THE SERVICE AREA. THE GEOGRAPHIC AREA OF SERVICE IS QUITE LARGE AND HAS A SUBSTANTIAL RURAL COMPONENT. AT LEAST THREE AREAS WITHIN TWH'S SERVICE AREA ARE DESIGNATED AS MEDICALLY UNDESERVED AND/OR AREAS WITH A HEALTH CARE PROFESSIONAL SHORTAGE. APPROXIMATELY 15% OF THE PATIENTS SERVED ARE MEDICAL ASSISTANCE AND ANOTHER 2% ARE UNINSURED. TO FURTHER SUPPORT THE LARGE GEOGRAPHIC AREA, TWH PROVIDES SPACE FOR A MEDICAL HELICOPTER TO BE STATIONED FULL TIME IN THE SERVICE AREA. HOUSEHOLD INCOME/ECONOMIC FACTORS CAN HAVE A SIGNIFICANT IMPACT ON THE GENERAL HEALTH OF A SERVICE AREA. LOWER HOUSEHOLD INCOME MAY REFLECT LOWER PRIMARY CARE UTILIZATION AND HIGHER CRITICAL CARE UTILIZATION. VARIOUS STUDIES AND ARTICLES ALSO SUGGEST GREATER RELIANCE ON HOSPITAL EMERGENCY ROOMS FOR NON-EMERGENCY DIAGNOSIS AND TREATMENT IN LOW-INCOME AREAS. THE HOSPITAL'S SERVICE AREA MAY HAVE SOME HOUSEHOLD INCOME RELATED FACTORS THAT WOULD DRIVE AN ADDITIONAL NEED FOR PHYSICIAN SERVICES WITHIN PORTIONS OF THE COMMUNITY. APPROXIMATELY 12% OF THE HOUSEHOLDS WITHIN THE PRIMARY SERVICE AREA ARE AT OR BELOW THE FEDERAL POVERTY LEVEL. A LACK OF AVAILABLE RESOURCES TO THE INDIGENT MAY INCREASE VOLUMES IN THE EMERGENCY ROOM, AS PATIENTS LACKING PRIMARY CARE ACCESS OFTEN SEEK ROUTINE CARE THROUGH EMERGENCY SERVICES. Schedule H, Part VI, Line 5 Promotion of community health THE WASHINGTON HOSPITAL STRIVES TO PROMOTE COMMUNITY HEALTH IN MANY AREAS. THE HOSPITAL HAS AN OPEN MEDICAL STAFF. ALL APPLICANTS WHO MEET THE REQUIREMENTS ARE GRANTED MEDICAL STAFF PRIVILEGES. THE HOSPITAL ACTIVELY RECRUITS PHYSICIANS IN AREAS IDENTIFIED AS HAVING A NEED IN THE COMMUNITY. THE HOSPITAL'S BOARD OF TRUSTEES IS COMPRISED OF COMMUNITY LEADERS WHO RESIDE IN THE COMMUNITIES WE SERVE AND WHOSE INSIGHT AND EXPERIENCE IS INVALUABLE IN PROVIDING DIRECTION TO THE HOSPITAL IN PROMOTING THE COMMUNITY HEALTH. THE HOSPITAL PROVIDES MANY SCREENING AND EDUCATIONAL PROGRAMS IN THE COMMUNITY. THE HOSPITAL PARTICIPATES IN REGIONAL EMERGENCY PREPAREDNESS AND IS ACTIVE IN ENSURING WE CAN RESPOND TO A COMMUNITY EMERGENCY. THE HOSPITAL OPERATES A WELLNESS CENTER TO PROMOTE FITNESS AND A HEALTHY LIFESTYLE. THE HOSPITAL FUNDS A TEEN OUTREACH PROGRAM. THIS PROGRAM PROMOTES ABSTINENCE, PREGNANCY PREVENTION AND EDUCATION TO TEENAGERS IN THE COMMUNITIES THE HOSPITAL SERVES. Schedule H, Part VI, Line 6 Affiliated health care system Washington Hospital is part of the Washington Health System. The goal of the system is to provide integrated healthcare centered around patients and families. Washington Hospital's role is that of the primary hospital and hub of the system. Washington Hospital provides a full array of inpatient and outpatient services to the residents of Washington County and the surrounding community. true Wellness Center Scholarships 47 0 34584 Retail Value FREE AND REDUCED COST MEMBERSHIPS TO OUR WELLNESS CENTER BASED ON FINANCIAL NEED Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. Grants to individuals are in the form of free and reduced cost memberships to our wellness center based on financial need. X X X X X false false false false false false false false false BROOK T WARD CEO 616828 0 117960 0 54647 0 8700 0 18392 0 816527 0 0 0 Howard Goldberg MD Board Member 0 416558 0 90974 0 27000 0 10000 0 16894 0 561426 0 0 ALISA R RUCKER VP FINANCE / CFO 388326 0 62584 0 46500 0 8700 0 18010 0 524120 0 0 0 KAREN BRAY VP PATIENT CARE SERVICES 235284 0 38658 0 45500 0 7432 0 17113 0 343987 0 0 0 RODNEY LOUK Executive VP / COO 379378 0 58741 0 53032 0 8700 0 10954 0 510805 0 0 0 Barbara McCullough VP Human Resources 300085 0 47041 0 27000 0 8700 0 17388 0 400214 0 0 0 Monica Smith DO Physician 376705 0 30600 0 20500 0 8700 0 15016 0 451521 0 0 0 John Six MD VP of Medical Affairs 401961 0 59916 0 19054 0 8700 0 19543 0 509174 0 0 0 Marcus Magister Physician 311161 0 78949 0 20500 0 8700 0 16894 0 436204 0 0 0 Anne Roslonski Physician 309729 0 8354 0 18189 0 7108 0 7820 0 351200 0 0 0 A Washington County Hospital Authority 2020A 256001043 2020-12-01 49005000 REFUND BONDS ISSUED 3/29/2007 AND 6/22/2017 AND PROJECT FUNDING false false false B Washington County Hospital Authority 2020B 256001043 2020-12-01 8185000 REFUND BONDS ISSUED 2/12/2013 false false false A 2885000 0 49005000 0 0 0 411285 0 0 0 48593715 0 2020 true false true true B 1080000 0 8185000 0 0 0 74828 0 0 0 8110172 0 2020 true false true true A false false false false 0.0 false false false B false false false false 0.0 false false false A false true false false false false false false false B false true false false false false false false false A false B false Schedule K, Part V PROCEDURES TO UNDERTAKE CORRECTIVE ACTION ALTHOUGH WE DO NOT HAVE WRITTEN PROCEDURES TO UNDERTAKE CORRECTIVE ACTION, WE BELIEVE WE ARE NOT IN VIOLATION OF ANY FEDERAL TAX REQUIREMENTS. Schedule K, Part III, Line 9 PROCEDURES TO ENSURE BONDS ARE REMEDIATED WE DO NOT HAVE WRITTEN PROCEDURES TO ENSURE THAT ALL NON QUALIFIED BONDS OF THE ISSUE ARE REMEDIATED IN ACCORDANCE WITH THE REQUIREMENTS UNDER REGULATIONS SECTIONS 1.141-12 AND 1.145-2. HOWEVER, WE BELIEVE THAT WE ARE IN FULL COMPLIANCE WITH ALL APPLICABLE REQUIREMENTS RELATED TO OUR TAX-EXEMPT BONDS. Schedule K, Part IV, Line 7 PROCEDURES TO MONITOR REQUIREMENTS OF SECTION 148 WE DO NOT HAVE WRITTEN PROCEDURES TO MONITOR THE REQUIREMENTS OF SECTION 148. HOWEVER, WE BELIEVE THAT WE ARE IN FULL COMPLIANCE WITH ALL APPLICABLE REQUIREMENTS RELATED TO OUR TAX-EXEMPT BONDS. Form 990, Part III, Line 4d Description of other program services (Expenses $ 27,663,197 including grants of $ 34,584)(Revenue $ 45,318,509) OTHER PROGRAM SERVICES INCLUDE A MULTITUDE OF ACTIVITIES PERFORMED BY THE HOSPITAL TO DO BUSINESS IN THE COMMUNITY AND PROVIDE VALUABLE COMMUNITY BENEFITS. ACTIVITIES IN THIS CATEGORY INCLUDE, BUT ARE NOT LIMITED TO, A TEENAGE ABSTINENCE EDUCATION PROGRAM, A FAMILY PRACTICE RESIDENCY PROGRAM, A SCHOOL OF NURSING, A SCHOOL FOR X-RAY TECHNICIANS, HOSPICE SERVICES, CERTAIN EMERGENCY DEPARTMENT SERVICES, OPERATION OF A WELLNESS CENTER, RENTAL ACTIVITIES, AND OPERATION OF AN EMPLOYEE CAFETERIA. Form 990, Part VI, Line 2 FAMILY OR BUSINESS RELATIONSHIP THE HOSPITAL'S BOARD OF TRUSTEES IS MADE UP OF HIGHLY RESPECTED LEADERS IN THE COMMUNITY. BOARD MEMBERS ARE SELECTED AND VOTED ON BY THE ENTIRE BOARD. THE HOSPITAL DOES NOT COMPENSATE OR SELECT BOARD MEMBERS. THE HOSPITAL HAS A CONFLICT OF INTEREST POLICY AND QUERIES BOARD MEMBERS, OFFICERS AND KEY EMPLOYEES EACH YEAR ABOUT ANY BUSINESS OR FAMILY RELATIONSHIPS. THERE HAVE BEEN NO FAMILY RELATIONSHIPS REPORTED. ALTHOUGH NOT CLASSIFIED AS BUSINESS RELATIONSHIPS FOR THIS PURPOSE, NORMAL ARMS LENGTH BUSINESS TRANSACTIONS DO EXIST BETWEEN SOME BOARD MEMBERS. THE BUSINESS TRANSACTIONS ARE GENERALLY IRRELEVANT AND IMMATERIAL TO THE OPERATIONS OF THE HOSPITAL. THE HOSPITAL DOES NOT RECEIVE ANY BENEFITS FROM THE RELATIONSHIPS THAT EXIST AMONG BOARD MEMBERS NOR DOES IT INFLUENCE THE RELATIONSHIPS IN ANY WAY. Form 990, Part VI, Line 6 Classes of members or stockholders THE PARENT CORPORATION OF THE WASHINGTON HOSPITAL IS WASHINGTON HEALTH CARE SERVICES, INC. THE PARENT CORPORATION HAS THE FOLLOWING POWERS OVER THE BOARD OF TRUSTEES OF THE HOSPITAL: 1. THE POWER TO RATIFY THE SELECTION OF MEMBERS OF THE BOARD OF TRUSTEES OF THE WASHINGTON HOSPITAL. 2. THE POWER TO APPROVE ANY AMENDMENT, CHANGE, SUSPENSION OR REPEAL OF THE ARTICLES OF INCORPORATION OF THE WASHINGTON HOSPITAL, OR OF THE BYLAWS. 3. THE POWER TO NULLIFY ANY ACTION OF THE BOARD OF TRUSTEES OF THE WASHINGTON HOSPITAL WHICH THE BOARD OF TRUSTEES OF THE PARENT CORPORATION DETERMINES TO BE AN ULTRA VIRES ACT; THAT IS, ANY ACT OUTSIDE THE SCOPE OF THE LEGITIMATE POWERS OR BEYOND THE PURPOSE OF THE WASHINGTON HOSPITAL. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body THE PARENT CORPORATION OF THE WASHINGTON HOSPITAL IS WASHINGTON HEALTH CARE SERVICES, INC. THE PARENT CORPORATION HAS THE POWER TO RATIFY THE SELECTION OF MEMBERS OF THE BOARD OF TRUSTEES OF THE WASHINGTON HOSPITAL. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders THE PARENT CORPORATION OF THE WASHINGTON HOSPITAL IS WASHINGTON HEALTH CARE SERVICES, INC. THE PARENT CORPORATION HAS THE FOLLOWING POWERS OVER THE BOARD OF TRUSTEES OF THE HOSPITAL: 1. THE POWER TO RATIFY THE SELECTION OF MEMBERS OF THE BOARD OF TRUSTEES OF THE WASHINGTON HOSPITAL. 2. THE POWER TO APPROVE ANY AMENDMENT, CHANGE, SUSPENSION OR REPEAL OF THE ARTICLES OF INCORPORATION OF THE WASHINGTON HOSPITAL, OR OF THE BYLAWS. 3. THE POWER TO NULLIFY ANY ACTION OF THE BOARD OF TRUSTEES OF THE WASHINGTON HOSPITAL WHICH THE BOARD OF TRUSTEES OF THE PARENT CORPORATION DETERMINES TO BE AN ULTRA VIRES ACT; THAT IS, ANY ACT OUTSIDE THE SCOPE OF THE LEGITIMATE POWERS OR BEYOND THE PURPOSE OF THE WASHINGTON HOSPITAL. Form 990, Part VI, Line 11b Review of form 990 by governing body PRIOR TO BEING FILED, THE FORM 990 IS REVIEWED BY THE MEMBERS OF THE FINANCE COMMITTEE AS DESIGNATED BY THE ENTIRE BOARD OF TRUSTEES. THE FINANCE COMMITTEE MEETS WITH HOSPITAL MANAGEMENT AND REVIEWS THE CONTENT OF THE FORM 990. AFTER FILING OF THE FORM 990, THE FINANCE COMMITTEE REPORTS THE REVIEW AND ANY NOTABLE ITEMS FROM THE REVIEW TO THE FULL BOARD OF TRUSTEES. Form 990, Part VI, Line 12c Conflict of interest policy THE HOSPITAL'S CONFLICT OF INTEREST POLICY IS MONITORED PRIMARILY BY HOSPITAL MANAGEMENT. EACH YEAR A CONFLICT OF INTEREST STATEMENT MUST BE COMPLETED BY ALL BOARD OF TRUSTEE MEMBERS AS WELL AS CERTAIN KEY MANAGEMENT EMPLOYEES OF THE HOSPITAL. THE QUESTIONNAIRE IS DISTRIBUTED BY HOSPITAL MANAGEMENT AND ALL RESPONSES MUST BE RECEIVED. IF NECESSARY, THE ASSISTANCE OF THE BOARD CHAIRPERSON IS SOUGHT TO OBTAIN ALL RESPONSES. THE RESPONSES ARE INITIALLY REVIEWED BY HOSPITAL MANAGEMENT. ANY EXCEPTIONS OR POTENTIAL CONFLICTS ARE REVIEWED BY THE CEO AND BOARD CHAIRPERSON. ANY NECESSARY ACTION IS DETERMINED BY THE CHAIRPERSON AND ADDRESSED AT THE BOARD LEVEL. GREAT CARE IS TAKEN BY THE BOARD CHAIRPERSON TO ENSURE THAT AN INDEPENDENT BOARD IS IN PLACE. IN THE EVENT THAT A CONFLICT EXISTS, THAT PERSON IS PROHIBITED FROM PARTICIPATING IN ANY RELATED DECISION MAKING ON THAT ISSUE. Form 990, Part VI, Line 15a Process to establish compensation of top management official THE EXECUTIVE COMPENSATION COMMITTEE DETERMINES THE COMPENSATION OF THE EXECUTIVES. AN INDEPENDENT CONSULTANT'S REVIEW OF EXECUTIVE SALARIES IS THE PRIMARY TOOL USED TO MAKE THEIR DETERMINATION (THE MOST RECENT CONSULTING REVIEW WAS IN JUN 2023). THE RESULTS OF MANAGEMENT'S SURVEY AND COMPARISON DATA WILL ALSO BE TAKEN INTO CONSIDERATION. ALL ACTIVITIES OF THE EXECUTIVE COMPENSATION COMMITTEE ARE REPORTED TO THE BOARD OF TRUSTEES. Form 990, Part VI, Line 15b Process to establish compensation of other employees THE BOARD OF TRUSTEES ELECTS A PERSONNEL COMMITTEE TO HANDLE COMPENSATION, BENEFITS AND EMPLOYEE RELATED ISSUES RELATED TO THE HOSPITAL. THE GENERAL COMPENSATION PROCESS FOR ALL EMPLOYEES STARTS WITH HOSPITAL MANAGEMENT COMPILING SURVEY AND COMPARISON INFORMATION AND MAKING RECOMMENDATIONS FOR SALARY ADJUSTMENTS TO THE PERSONNEL COMMITTEE. THE PERSONNEL COMMITTEE REVIEWS THAT INFORMATION ANNUALLY, HAS DISCUSSIONS WITH HOSPITAL MANAGEMENT AND ULTIMATELY APPROVES OR DENIES THE RECOMMENDATIONS FOR SALARY ADJUSTMENTS. Form 990, Part VI, Line 19 Required documents available to the public THE HOSPITAL MAKES FORM 990 AND 990-T AVAILABLE TO THE PUBLIC BY REQUEST. THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE NOT ROUTINELY AVAILABLE TO THE PUBLIC. Form 990, Part VIII, Line 2f Other Program Service Revenue Other - Total Revenue: 757236, Related or Exempt Function Revenue: 646837, Unrelated Business Revenue: 110399, Revenue Excluded from Tax Under Sections 512, 513, or 514: 0; Form 990, Part VIII, Line 11d Other Miscellaneous Revenue Other - Total Revenue: 845022, Related or Exempt Function Revenue: 780909, Unrelated Business Revenue: 64113, Revenue Excluded from Tax Under Sections 512, 513, or 514: 0; Form 990, Part IX, Line 11g Other Fees Information System Fees & Contracts - Total Expense: 5666406, Program Service Expense: 4756948, Management and General Expenses: 909458, Fundraising Expenses: 0; Wellness Center Fees & Costs - Total Expense: 2195176, Program Service Expense: 1842850, Management and General Expenses: 352326, Fundraising Expenses: 0; Lab Fees & Services - Total Expense: 2263317, Program Service Expense: 2263317, Management and General Expenses: 0, Fundraising Expenses: 0; Anesthesia Fees & Services - Total Expense: 2945598, Program Service Expense: 2945598, Management and General Expenses: 0, Fundraising Expenses: 0; Service Contracts - Total Expense: 5032045, Program Service Expense: 4224402, Management and General Expenses: 807643, Fundraising Expenses: 0; Other - Total Expense: 11820605, Program Service Expense: 9087367, Management and General Expenses: 2733238, Fundraising Expenses: 0; Form 990, Part XI, Line 9 Other changes in net assets or fund balances Transfers to Affiliates - -10900000; Net Assets Released From Restriction - -5112832; Change in Pension Liability - 187505; Net Restricted Contributions - 2349107; Auxiliary Loss - 40368; WASHINGTON HEALTHCARE SERVICES INC 155 WILSON AVENUE WASHINGTON PA 15301 251509768 HEALTH SYSTEM PARENT PA 501(c)(3) Type II NA false THE WASHINGTON HOSPITAL FOUNDATION 155 WILSON AVENUE WASHINGTON PA 15301 251708215 SUPPORT TWH PA 501(c)(3) Type II WHCS true TGCH Inc 350 Bonar Avenue Waynesburg PA 15370 473884840 Hospital PA 501(c)(3) 3 WHCS true Ambulance and Chair EMS Inc 75 Braden Street Washington PA 15301 251272075 Ambulance Service PA 501(c)(3) 10 NA false WASHINGTON PHYSICIANS SERVICES ORG 155 WILSON AVENUE WASHINGTON PA 15301 251780139 PHYS OFFICES PA NA C Corporation true PHOENIX-WASHINGTON INC 800 MANOR DRIVE WASHINGTON PA 15301 251492898 SUBSTANCE TRT PA NA C Corporation true HEALTH FUTURES INC 155 WILSON AVENUE WASHINGTON PA 15301 251533189 URGENT CARE PA NA C Corporation true false true true false false false false false false true false false false false false false true false false WASHINGTON HEALTH CARE SERVICES INC B 12900000 Actual Amount THE WASHINGTON HOSPITAL FOUNDATION C 5153498 Actual Amount WASHINGTON HEALTH CARE SERVICES INC C 2000000 Actual Amount WASHINGTON PHYSICIAN SERVICES ORG J 988187 Actual Amount THE WASHINGTON HOSPITAL FOUNDATION Q 571227 Actual Amount