STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

GETTYSBURG HOSPITAL: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
GETTYSBURG HOSPITAL (EIN 23-1352220)
Tax period
2022-07-01 to 2023-06-30
Filed
2024-05-09
IRS object ID
202421309349302022
Schema version
2022v5.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2024-05-09T09:36:29-05:00ReturnTs
Tax Period End2023-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN920460586PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PWC US TAX LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1655 NEW YORK AVENUE NW - SUITE 1100AddressLine1Txt
CityWASHINGTONCityNm
State AbbreviationDCStateAbbreviationCd
ZIP20001ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN231352220EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1GETTYSBURG HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlGETTBusinessNameControlTxt
Phone7178513055PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 2767AddressLine1Txt
CityYORKCityNm
State AbbreviationPAStateAbbreviationCd
ZIP174052767ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonLAURA BUCZKOWSKIPersonNm
Person TitleEXECUTIVE VP & CFOPersonTitleTxt
Phone7178513055PhoneNum
Signature2024-05-09SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstLAURAPersonFirstNm
Person LastBUCZKOWSKIPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info Curr0IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonTRAVIS L PATTONPreparerPersonNm
PTINP00369623PTIN
Phone2024141000PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerROXANNA GAPSTURPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 2767AddressLine1Txt
CityYORKCityNm
State AbbreviationPAStateAbbreviationCd
ZIP174052767ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$411,332,587GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.WELLSPAN.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1919FormationYr
Legal Domicile StatePALegalDomicileStateCd
Activity Or MissionPROVIDE QUALITY HEALTH CARE SERVICES FOR THE PEOPLE OF ADAMS COUNTY, PA AND NORTHERN MD.ActivityOrMissionDesc
Voting Members Governing Body19VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee1121TotalEmployeeCnt
Total Volunteers105TotalVolunteersCnt
Total Gross UBI$852,080TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$281,726NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$3,444,582PYContributionsGrantsAmt
CY Contributions Grants$2,374,545CYContributionsGrantsAmt
PY Program Service Revenue$336,002,057PYProgramServiceRevenueAmt
CY Program Service Revenue$352,630,437CYProgramServiceRevenueAmt
PY Investment Income$16,824,054PYInvestmentIncomeAmt
CY Investment Income$1,437,336CYInvestmentIncomeAmt
PY Other Revenue$466,230PYOtherRevenueAmt
CY Other Revenue$924,318CYOtherRevenueAmt
PY Total Revenue$356,736,923PYTotalRevenueAmt
CY Total Revenue$357,366,636CYTotalRevenueAmt
PY Grants And Similar Paid$69,750PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$186,436CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$80,795,587PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$80,098,493CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$198,670,753PYOtherExpensesAmt
CY Other Expenses$209,408,455CYOtherExpensesAmt
PY Total Expenses$279,536,090PYTotalExpensesAmt
CY Total Expenses$289,693,384CYTotalExpensesAmt
PY Revenues Less Expenses$77,200,833PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$67,673,252CYRevenuesLessExpensesAmt
Total Assets BOY$454,958,689TotalAssetsBOYAmt
Total Assets EOY$507,160,350TotalAssetsEOYAmt
Total Liabilities BOY$64,332,290TotalLiabilitiesBOYAmt
Total Liabilities EOY$57,180,835TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$390,626,399NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$449,979,515NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE GETTYSBURG HOSPITAL IS A TAX-EXEMPT ORGANIZATION DEDICATED TO PROVIDING HIGH QUALITY HEALTH CARE SERVICES FOR THE PEOPLE WHO LIVE, WORK, TRAVEL THROUGH, AND VACATION IN ADAMS COUNTY, PENNSYLVANIA AND NORTHERN MARYLAND.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$219,914,550ExpenseAmt
Grant$186,436GrantAmt
Revenue$351,778,357RevenueAmt
DescLOCATED IN HISTORIC GETTYSBURG, PENNSYLVANIA, GETTYSBURG HOSPITAL HAS BEEN SERVING THE COMMUNITIES OF ADAMS COUNTY AND NORTHERN MARYLAND FOR MORE THAN 100 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. GETTYSBURG HOSPITAL BEGAN PROVIDING PATIENT CARE IN 1921 AS THE ANNIE WARNER HOSPITAL. TODAY, IT IS A NATIONALLY RECOGNIZED ACUTE CARE COMMUNITY HOSPITAL PROVIDING PATIENT-CENTERED SERVICES AND PROGRAMS THAT FEATURE HIGHLY SKILLED CLINICAL STAFF, LIFE-SAVING TECHNOLOGY AND MODERN FACILITIES TO ADDRESS COMPLEX MEDICAL, SURGICAL AND EMERGENCY CONDITIONS.SEE WELLSPAN HEALTH - 2023 COMMUNITY BENEFIT REPORT LOCATED AT HTTPS://WWW.WELLSPAN.ORG/ABOUT/WELLSPAN-IN-THE-COMMUNITY/2023-COMMUNITY-BENEFIT-REPORT/.Desc
Total Program Service Expenses$219,914,550TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee1121EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members19GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldPAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1DAVID P RIZZUTOBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7178513055PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13350 WHITEFORD ROADAddressLine1Txt
CityYORKCityNm
State AbbreviationPAStateAbbreviationCd
ZIP174029081ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
LAURA BUCZKOWSKI
EXECUTIVE VP & CFO - WELLSPAN HEALTH1.0040.00Yes (X)Yes (X)$0$944,343$74,025
EDWARD MACKLE MD
DIRECTOR1.0040.00Yes (X)$0$601,608$88,786
MICHAEL COGLIANO
VP & PRESIDENT - GETTYSBURG HOSPITAL40.000.00Yes (X)Yes (X)$367,397$0$69,458
DAVID DOUD DO
DIRECTOR1.0040.00Yes (X)$0$430,418$67,413
EDIE JARDINE
DIRECTOR1.003.00Yes (X)$0$0$0
ROXANNA GAPSTUR PHD RN
PRESIDENT & CEO - WELLSPAN HEALTH1.0040.00Yes (X)Yes (X)$0$2,303,962$87,487
JULIE RAMSEY
DIRECTOR1.003.00Yes (X)$0$0$0
DENIS ONIEAL
VICE CHAIRMAN1.003.00Yes (X)Yes (X)$0$0$0
CHERYL PLUMMER
CHAIR1.003.00Yes (X)Yes (X)$0$0$0
STEPHEN HOLOVIAK
DIRECTOR1.006.00Yes (X)$0$0$0
KEVIN LORENTSEN MD
DIRECTOR (RES. DEC. '22)1.0040.00Yes (X)$0$664,608$77,148
HORACE MARTIN MD
DIRECTOR1.003.00Yes (X)$0$0$0
MICHAEL SEIM
SR VP & CHIEF QUALITY OFFICER1.0040.00Yes (X)Yes (X)$0$904,525$71,367
SHERRI STAHL
VICE PRESIDENT1.0040.00Yes (X)Yes (X)$0$625,252$64,958
FARAAZ YOUSUF
EXEC. VP & COO (UNTIL 11/22)1.0040.00Yes (X)Yes (X)$0$987,746$44,958
JULIANNE CRAIG
DIRECTOR1.003.00Yes (X)$0$0$0
DAVID LOVETT
DIRECTOR1.003.00Yes (X)$0$0$0
PATRICIA GREEN-RODGERS
DIRECTOR1.003.00Yes (X)$0$0$0
AMY NELSON
SECRETARY/SR VP & GENERAL COUNSEL1.0040.00Yes (X)Yes (X)$0$661,328$88,489
WILLIAM HAPPEL
DIRECTOR1.005.00Yes (X)$0$0$0
ED SCHUURMAN PA
DIRECTOR1.0040.00Yes (X)$0$190,734$54,603
ANGELA JOHNSTON
VP - PATIENT CARE SERVICES40.000.00$267,798$0$75,818Yes (X)
MELISSA HESS
SENIOR DIRECTOR OPERATIONS40.000.00$204,434$0$54,232Yes (X)
JASMINKA LOLIC
PHARMACIST40.000.00$210,291$0$54,453Yes (X)
MICHELLE WILLIAMS
REGIONAL DIR. - PHARMACEUTICAL CARE40.000.00$236,430$0$43,789Yes (X)
AMANDA NYE
SR. DIR. - SYSTEM NURSING OPERATIONS40.000.00$187,084$0$59,027Yes (X)
MONIQUE HOLZER
DIRECTOR OPERATIONS - PERIOPERATIVE SERVICES40.000.00$191,866$0$36,741Yes (X)
CHERYL STAUB
NURSING OPERATIONS DIRECTOR40.000.00$196,614$0$57,445Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,861,914TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$8,314,524TotReportableCompRltdOrgAmt
Total Other Compensation$1,170,197TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K113IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
HEALTHTRUST WORKFORCE SOLUTIONS
6565 N MACARTHUR BLVD STE 325IRVINGTX75039STAFFING SERVICES$8,195,907
QUEST DIAGNOSTICS
PO BOX 912512PASADENACA91110LAB SERVICES$1,658,858
NEW HEALTHWORKS INC
515 OLD SWEDE ROADDOUGLASSVILLEPA19518TEMPORARY HELP$764,062
HSSC LAUNDRY
PO BOX 8016LANCASTERPA17604HOUSEKEEPING SERVICES$683,769
MERCY SPECIALIZED BILLING SERVICE
PO BOX 505125ST LOUISMO63150BILLING SERVICES$413,506
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K11CntrctRcvdGreaterThan100KCnt
Related Organizations$465,135RelatedOrganizationsAmt
Government Grants$1,744,807GovernmentGrantsAmt
All Other Contributions$164,603AllOtherContributionsAmt
Total Contributions$2,374,545TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPATIENT SERVICESDesc
Business621500BusinessCd
Total Revenue Column$352,630,437TotalRevenueColumnAmt
Related Or Exempt Func Income$351,778,357RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$852,080UnrelatedBusinessRevenueAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$352,630,437TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,198,538TotalRevenueColumnAmt
Exclusion$3,198,538ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$32,000TotalRevenueColumnAmt
Exclusion$32,000ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$377,558RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$410,069RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real-$32,511RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$32,511TotalRevenueColumnAmt
Exclusion-$32,511ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$51,755,378SecuritiesAmt
Other$7,302OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$53,555,882SecuritiesAmt
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$1,800,504SecuritiesAmt
Other$7,302OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$1,793,202TotalRevenueColumnAmt
Exclusion-$1,793,202ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
CAFETERIA SALES722210$229,378$229,378
CRISIS INTERVENTION900099$183,760$183,760
FEDERAL INCOME TAX900099$176,708$176,708

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$366,983TotalRevenueColumnAmt
Exclusion$366,983ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$956,829OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$357,366,636TotalRevenueColumnAmt
Related Or Exempt Func Income$351,778,357RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$852,080UnrelatedBusinessRevenueAmt
Exclusion$2,361,654ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$109,751TotalAmt
Program Services$109,751ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$76,685TotalAmt
Program Services$76,685ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,059,959TotalAmt
Management And General$1,059,959ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$57,611,583TotalAmt
Program Services$57,510,538ProgramServicesAmt
Management And General$101,045ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$3,278,252TotalAmt
Program Services$3,152,371ProgramServicesAmt
Management And General$125,881ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$13,804,718TotalAmt
Program Services$10,618,170ProgramServicesAmt
Management And General$3,186,548ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$4,343,981TotalAmt
Program Services$4,021,235ProgramServicesAmt
Management And General$322,746ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$64,474,045TotalAmt
Management And General$64,474,045ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$99,228TotalAmt
Management And General$99,228ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$12,411TotalAmt
Management And General$12,411ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$55,928,189TotalAmt
Program Services$55,928,189ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$36,212TotalAmt
Program Services$36,212ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$527,499TotalAmt
Program Services$497,556ProgramServicesAmt
Management And General$29,943ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$316,727TotalAmt
Program Services$315,172ProgramServicesAmt
Management And General$1,555ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$5,416,263TotalAmt
Program Services$5,213,903ProgramServicesAmt
Management And General$202,360ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$43,121TotalAmt
Program Services$39,936ProgramServicesAmt
Management And General$3,185ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$26,983TotalAmt
Program Services$23,895ProgramServicesAmt
Management And General$3,088ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,232,553TotalAmt
Program Services$1,232,553ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$7,196,755TotalAmt
Program Services$7,182,635ProgramServicesAmt
Management And General$14,120ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$2,153,318TotalAmt
Program Services$2,153,318ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$52,605,732$52,605,732
BAD DEBT EXPENSE$10,829,604$10,829,604
REPAIRS & MAINTENANCE$4,034,982$3,968,330$66,652
TAXES & LICENSES$3,700,737$3,700,737

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$774,096TotalAmt
Program Services$698,028ProgramServicesAmt
Management And General$76,068ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$289,693,384TotalAmt
Program Services$219,914,550ProgramServicesAmt
Management And General$69,778,834ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$791,285BOYAmt
EOY$767,583EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$12,063,722BOYAmt
EOY$852,732EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$88,439BOYAmt
EOY$86,839EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$34,312,819BOYAmt
EOY$37,048,470EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$2,805,695BOYAmt
EOY$3,225,734EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$215,289BOYAmt
EOY$292,240EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$142,077,990LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$84,316,185LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$48,049,730BOYAmt
EOY$57,761,805EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$220,918,159BOYAmt
EOY$237,265,817EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$27,925,484BOYAmt
EOY$30,928,313EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$21,159,422BOYAmt
EOY$22,278,763EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$4,196,708BOYAmt
EOY$4,456,665EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$82,431,937BOYAmt
EOY$112,195,389EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$454,958,689BOYAmt
EOY$507,160,350EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$10,749,090BOYAmt
EOY$10,050,513EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$5,146,115BOYAmt
EOY$1,095,771EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$35,455,722BOYAmt
EOY$34,513,164EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$945,000BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$12,036,363BOYAmt
EOY$11,521,387EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$64,332,290BOYAmt
EOY$57,180,835EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$368,181,027BOYAmt
EOY$426,479,719EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$22,445,372BOYAmt
EOY$23,499,796EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$390,626,399BOYAmt
EOY$449,979,515EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$454,958,689BOYAmt
EOY$507,160,350EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$67,673,252ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$17,949,164NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$26,269,300OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$12,411OtherActivitiesAmt
Total Lobbying Expenditures$12,411TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationA PORTION OF THE DUES PAID TO THE HOSPITAL ASSOCIATION OF PENNSYLVANIA AND THE AMERICAN HOSPITAL ASSOCIATION INCLUDE LOBBYING ($2,071 AND $10,340).ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$22,445,372BeginningYearBalanceAmt
Contributions$398,791ContributionsAmt
Investment Earnings Or Losses$1,099,384InvestmentEarningsOrLossesAmt
Other Expenditures$443,751OtherExpendituresAmt
End Year Balance$23,499,796EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$26,125,837BeginningYearBalanceAmt
Contributions$216,509ContributionsAmt
Investment Earnings Or Losses-$3,639,108InvestmentEarningsOrLossesAmt
Other Expenditures$257,866OtherExpendituresAmt
End Year Balance$22,445,372EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$21,480,994BeginningYearBalanceAmt
Contributions$285,864ContributionsAmt
Investment Earnings Or Losses$4,437,857InvestmentEarningsOrLossesAmt
Other Expenditures$78,878OtherExpendituresAmt
End Year Balance$26,125,837EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$22,078,580BeginningYearBalanceAmt
Contributions$64,009ContributionsAmt
Investment Earnings Or Losses-$268,143InvestmentEarningsOrLossesAmt
Other Expenditures$393,452OtherExpendituresAmt
End Year Balance$21,480,994EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$21,460,976BeginningYearBalanceAmt
Contributions$141,700ContributionsAmt
Investment Earnings Or Losses$650,346InvestmentEarningsOrLossesAmt
Other Expenditures$174,442OtherExpendituresAmt
End Year Balance$22,078,580EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.00730PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.99270TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$140,421OtherCostOrOtherBasisAmt
Book Value$140,421BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$73,271,565OtherCostOrOtherBasisAmt
Depreciation$42,565,597DepreciationAmt
Book Value$30,705,968BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,846,746OtherCostOrOtherBasisAmt
Depreciation$1,660,268DepreciationAmt
Book Value$186,478BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$55,219,706OtherCostOrOtherBasisAmt
Depreciation$40,090,320DepreciationAmt
Book Value$15,129,386BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$11,599,552OtherCostOrOtherBasisAmt
Book Value$11,599,552BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$57,761,805TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (2 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
PRIVATE EQUITY LIMITED PARTNERSHIP$22,167,124F
REAL ESTATE LIMITED PARTNERSHIP$8,761,189F
FieldValueIRS element (for citing)
Total Book Value Securities$30,928,313TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescINTERCOMPANY RECEIVABLEDesc
Book Value$112,195,389BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$112,195,389TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
DERIVATIVE VALUATION$1,783,426
LEASE PAYABLE$1,230,305
TAXABLE BOND LIABILITIES$7,641,099
INTERCOMPANY PAYABLE$866,557
FieldValueIRS element (for citing)
Total Liability$11,521,387TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$338,231,487TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$17,949,164NetUnrealizedGainsInvstAmt
Other Revenue-$37,494,382OtherRevenueAmt
Revenue Not Reported-$19,545,218RevenueNotReportedAmt
Revenue Subtotal$357,776,705RevenueSubtotalAmt
Other Revenues Not Included-$410,069OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt-$410,069RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$357,366,636TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$278,878,371TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$410,069OtherExpensesIncludedAmt
Expenses Not Reported$410,069ExpensesNotReportedAmt
Expenses Subtotal$278,468,302ExpensesSubtotalAmt
Other Expenses Not Included$11,225,082OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$11,225,082ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$289,693,384TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, LINE 4:THE FUNDS WERE USED TO IMPROVE THE HEALTH AND WELFARE OF THE RESIDENTS OF YORK AND ADAMS COUNTIES OF PENNSYLVANIA.
PART X, LINE 2:THE COMPANY AND MOST OF ITS SUBSIDIARIES (INCLUDING CERTAIN JOINT VENTURE ENTITIES) ARE EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED. THEIR RELATED INCOME IS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(A). SOME OF THE SUBSIDIARIES ARE TAXABLE ENTITIES, AND SOME OF THE INCOME OF THE TAX-EXEMPT ENTITIES IS SUBJECT TO TAXATION AS UNRELATED BUSINESS TAXABLE INCOME. THE COMPANY AND ITS SUBSIDIARIES FILE U.S. FEDERAL INCOME TAX RETURNS, AND THEY ALSO FILE IN VARIOUS STATE AND FOREIGN JURISDICTIONS. THE COMPANY ACCOUNTS FOR UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH ASC TOPIC 740, INCOME TAXES. THE COMPANY ACCOUNTS FOR UNCERTAINTY IN INCOME TAX POSITIONS BY APPLYING A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THE COMPANY HAS DETERMINED THAT NO SIGNIFICANT UNRECOGNIZED TAX BENEFITS OR LIABILITIES EXIST AS OF JUNE 30, 2023 AND 2022. ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES, ASC TOPIC 740-10 PRESCRIBES A COMPREHENSIVE MODEL FOR HOW AN ORGANIZATION SHOULD MEASURE, RECOGNIZE, PRESENT AND DISCLOSE IN ITS FINANCIAL STATEMENTS UNCERTAIN TAX POSITIONS THAT AN ORGANIZATION HAS TAKEN OR EXPECTS TO TAKE ON A TAX RETURN. THE COMPANY IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS. THERE ARE NO CURRENT AUDITS IN PROGRESS. AS OF JUNE 30, 2023, THE COMPANY HAS NO UNCERTAIN TAX POSITIONS. A SUBSIDIARY OF THE COMPANY IS CLASSIFIED AS A RECIPROCAL RISK RETENTION GROUP (RRRG) FORMED UNDER THE FEDERAL LIABILITY RISK RETENTION ACT OF 1986. RRRG QUALIFIES AS AN INSURANCE COMPANY FOR FEDERAL INCOME TAX PURPOSES. RRRG IS DOMICILED IN VERMONT (VT) AND OPERATES WITHIN THE STATES OF PENNSYLVANIA (PA) AND MARYLAND (MD). VT, PA, AND MD DO NOT IMPOSE A CORPORATE INCOME TAX ON INSURANCE COMPANIES.
PART XI, LINE 2D - OTHER ADJUSTMENTS:CHANGE IN FV DERIVATIVE 1,211,359. GRANTS -109,751. CHANGE IN FOUNDATION NET ASSETS 1,119,341. MANAGEMENT FEES -285,727. BAD DEBT -10,829,604. TRANSFER TO WELLSPAN HEALTH -18,000,000. TRANSFER TO WELLSPAN MEDICAL GROUP -10,600,000.
PART XI, LINE 4B - OTHER ADJUSTMENTS:RENTAL EXPENSES -410,069.
PART XII, LINE 2D - OTHER ADJUSTMENTS:RENTAL EXPENSES 410,069.
PART XII, LINE 4B - OTHER ADJUSTMENTS:GRANTS 109,751. MANAGEMENT FEES 285,727. BAD DEBT 10,829,604.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other300.000000000000FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,494,273TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,494,273NetCommunityBenefitExpnsAmt
Total Expense0.00540TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$32,164,524TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$12,916,267DirectOffsettingRevenueAmt
Net Community Benefit Expns$19,248,257NetCommunityBenefitExpnsAmt
Total Expense0.06900TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$33,658,797TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$12,916,267DirectOffsettingRevenueAmt
Net Community Benefit Expns$20,742,530NetCommunityBenefitExpnsAmt
Total Expense0.07440TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs14ActivitiesOrProgramsCnt
Persons Served2203PersonsServedCnt
Total Community Benefit Expns$158,288TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$30,689DirectOffsettingRevenueAmt
Net Community Benefit Expns$127,599NetCommunityBenefitExpnsAmt
Total Expense0.00050TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Total Community Benefit Expns$140,197TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$140,197NetCommunityBenefitExpnsAmt
Total Expense0.00050TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Total Community Benefit Expns$163,642TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$163,642NetCommunityBenefitExpnsAmt
Total Expense0.00060TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs5ActivitiesOrProgramsCnt
Persons Served2648PersonsServedCnt
Total Community Benefit Expns$242,178TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$242,178NetCommunityBenefitExpnsAmt
Total Expense0.00090TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs21ActivitiesOrProgramsCnt
Persons Served4851PersonsServedCnt
Total Community Benefit Expns$704,305TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$30,689DirectOffsettingRevenueAmt
Net Community Benefit Expns$673,616NetCommunityBenefitExpnsAmt
Total Expense0.00250TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs21ActivitiesOrProgramsCnt
Persons Served4851PersonsServedCnt
Total Community Benefit Expns$34,363,102TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$12,946,956DirectOffsettingRevenueAmt
Net Community Benefit Expns$21,416,146NetCommunityBenefitExpnsAmt
Total Expense0.07690TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served104PersonsServedCnt
Total Community Benefit Expns$849TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$849NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Activities Or Programs8ActivitiesOrProgramsCnt
Persons Served1071PersonsServedCnt
Total Community Benefit Expns$214,959TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$550DirectOffsettingRevenueAmt
Net Community Benefit Expns$214,409NetCommunityBenefitExpnsAmt
Total Expense0.00080TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Persons Served53PersonsServedCnt
Total Community Benefit Expns$211,049TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$211,049NetCommunityBenefitExpnsAmt
Total Expense0.00080TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs11ActivitiesOrProgramsCnt
Persons Served1228PersonsServedCnt
Total Community Benefit Expns$426,857TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$550DirectOffsettingRevenueAmt
Net Community Benefit Expns$426,307NetCommunityBenefitExpnsAmt
Total Expense0.00160TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$3,309,940BadDebtExpenseAmt
Bad Debt Expense Attributable$52,297BadDebtExpenseAttributableAmt
Reimbursed By Medicare$90,141,684ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$109,896,689CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$19,755,005MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities3HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (3 entries)

FacilityFacilityNumAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdWebsite AddressWebsiteAddressTxtState LicenseStateLicenseNumLicensed HospitalLicensedHospitalIndGeneral Medical And SurgicalGeneralMedicalAndSurgicalIndEmergency Room24 HrsEmergencyRoom24HrsIndFacility Reporting GroupFacilityReportingGroupCd
GETTYSBURG HOSPITAL
1147 GETTYS STREETGETTYSBURGPA17325WWW.WELLSPAN.ORG01300100Yes (X)Yes (X)Yes (X)A
WELLSPAN HEALTH & SURGERY CENTER
21227 BALTIMORE STREETGETTYSBURGPA17325WWW.WELLSPAN.ORG50471501Yes (X)A
WELLSPAN SURGICAL CENTER
3236 WEST STREETGETTYSBURGPA17325WWW.WELLSPAN.ORG22551501Yes (X)A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1GETTYSBURG HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted21CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.WELLSPAN.ORGOwnWebsiteURLTxt
Other WebsiteYes (X)OtherWebsiteInd
Other Website URLVARIOUS COALITION WEBSITES - PART VI, LINE 5 EXPLANATIONOtherWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Rpt Available Thru Other MethodYes (X)RptAvailableThruOtherMethodInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt21ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLWWW.WELLSPAN.ORGStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care300.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care350.000000000000FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLWWW.WELLSPAN.ORGFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLWWW.WELLSPAN.ORGFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLWWW.WELLSPAN.ORGFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr PrvtYes (X)LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, SECTION BFACILITY REPORTING GROUP A
FACILITY REPORTING GROUP A CONSISTS OF:- FACILITY 1: GETTYSBURG HOSPITAL, - FACILITY 2: WELLSPAN HEALTH & SURGERY CENTER, - FACILITY 3: WELLSPAN SURGICAL CENTER
GROUP A-FACILITY 1 -- GETTYSBURG HOSPITAL PART V, SECTION B, LINE 5:COMMUNITY STAKEHOLDER ENGAGEMENT HAS BEEN VITAL TO THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROCESS SINCE IT BEGAN IN YORK COUNTY IN 1994. COUNTY HEALTH COALITIONS ACROSS THE REGION, INCLUDING HEALTHY ADAMS COUNTY, HEALTHY FRANKLIN COUNTY, HEALTHY YORK, HEALTHY COMMUNITY NETWORK, NORTHERN LANCASTER COUNTY HUB, AND THE COMMUNITY HEALTH COUNCIL OF LEBANON COUNTY HAVE BEEN INSTRUMENTAL IN THE COMPLETION OF WELLSPAN'S COMMUNITY HEALTH NEEDS ASSESSMENT. THE COALITION LEADERS HAVE BEEN ACTIVELY ENGAGED THROUGHOUT THE PROCESS AND HAVE PROVIDED EXPERTISE AND GUIDANCE WHILE ALSO ENSURING THEIR LEADERSHIP AND COMMUNITY PARTNERS ARE HEARD AND ENGAGED IN THE NEEDS ASSESSMENT PROCESS. ADDITIONALLY, A DIVERSE GROUP OF STAKEHOLDERS INCLUDING COMMUNITY NOT-FOR-PROFIT AGENCIES, ELECTED OFFICIALS, FEDERALLY QUALIFIED HEALTH CENTERS, AND PUBLIC HEALTH EXPERTS, WERE ACTIVELY ENGAGED IN THE PROCESS.
GROUP A-FACILITY 1 -- GETTYSBURG HOSPITAL PART V, SECTION B, LINE 6A:WELLSPAN'S COMMUNITY HEALTH NEEDS ASSESSMENT IS PREPARED BY THE PARENT ORGANIZATION, WELLSPAN HEALTH, AND INCLUDES COLLECTIVE EFFORTS OF ALL ENTITIES UNDER THE PARENT ORGANIZATION. HOSPITALS:1. YORK HOSPITAL2. GETTYSBURG HOSPITAL3. CHAMBERSBURG HOSPITAL4. WAYNESBORO HOSPITAL5. EPHRATA COMMUNITY HOSPITAL6. THE GOOD SAMARITAN HOSPITAL OF LEBANON, PENNSYLVANIA7. WELLSPAN SURGERY & REHABILITATION HOSPITAL8. PHILHAVENFOUNDATIONS:1. YORK HEALTH FOUNDATION2. SUMMIT HEALTH FOUNDATION3. GETTYSBURG HOSPITAL FOUNDATION4. EPHRATA COMMUNITY HEALTH FOUNDATION5. GOOD SAMARITAN HEALTH SERVICES FOUNDATIONMEDICAL SERVICES:1. APPLE HILL SURGICAL CENTER, INC.2. CHAMBERSBURG HEALTH SERVICES3. SUMMIT PHYSICIAN SERVICES4. VNA HOME HEALTH SERVICES5. WELLSPAN HEALTH CARE SERVICES6. WELLSPAN MEDICAL GROUP7. WELLSPAN SUMMIT HEALTH8. GOOD SAMARITAN PHYSICIAN SERVICES9. HEALTHY COMMUNITY PHARMACY10. VNA COMMUNITY SERVICES
GROUP A-FACILITY 1 -- GETTYSBURG HOSPITAL PART V, SECTION B, LINE 6B:COUNTY HEALTH COALITIONS ACROSS THE REGION, INCLUDING HEALTHY ADAMS COUNTY, HEALTHY FRANKLIN COUNTY, HEALTHY YORK, THE NORTHERN LANCASTER COUNTY HUB, AND THE COMMUNITY HEALTH COUNCIL OF LEBANON COUNTY HAVE BEEN INSTRUMENTAL IN THE COMPLETION OF WELLSPAN'S COMMUNITY HEALTH NEEDS ASSESSMENT. THE COALITION LEADERS HAVE BEEN ACTIVELY ENGAGED THROUGHOUT THE PROCESS AND HAVE PROVIDED EXPERTISE AND GUIDANCE WHILE ALSO ENSURING THEIR LEADERSHIP AND COMMUNITY PARTNERS ARE HEARD AND ENGAGED IN THE NEEDS ASSESSMENT PROCESS. FEDERALLY QUALIFIED HEALTH CENTERS ACROSS WELLSPAN'S REGION WERE ALSO CONTRIBUTING PARTNERS, INCLUDING FAMILY FIRST HEALTH, KEYSTONE HEALTH, AND UNION COMMUNITY CARE.
GROUP A-FACILITY 1 -- GETTYSBURG HOSPITAL PART V, SECTION B, LINE 7D:WITH EACH ITERATION OF THE CHNA PROCESS, WELLSPAN AND ITS COMMUNITY PARTNERS CONTINUE TO REFINE AND ENHANCE THE SYSTEM BY WHICH IT OBTAINS DATA, SHARED IT WITH KEY COMMUNITY, HOSPITAL ENTITIES, AND SYSTEM LEADERS, AND INTEGRATED IT INTO THE SYSTEM-WIDE AND ENTITY-LEVEL PLANNING PROCESSES. THE CHNA RESULTS AND RELATED PRIORITIES IDENTIFIED WERE SHARED WITH WELLSPAN HEALTH'S REGIONAL BOARDS OF DIRECTORS AND THE SYSTEM-WIDE LEADERSHIP TEAMS. THIS STAKEHOLDER GROUP IS COMPRISED OF COMMUNITY MEMBERS AND LEADERS THAT REPRESENT EACH OF WELLSPAN'S PRIMARY ENTITIES AND SERVICE AREAS, IN ADDITION TO EXECUTIVE LEADERSHIP. COLLECTIVE INPUT WAS USED TO ESTABLISH SYSTEM-WIDE PRIORITIES. THE ESTABLISHED COMMUNITY-DRIVEN COUNTY HEALTH COALITIONS AND WELLSPAN SPECIFIC PRIORITIES AND ASSOCIATED DATA WERE PRESENTED TO THE WELLSPAN HEALTH BOARD FOR THEIR ADOPTION. EACH COUNTY HEALTH COALITION HOSTED A PUBLIC FORUM IN SUMMER/ FALL 2022 TO COMMUNICATE THE CHNA RESULTS AND IDENTIFY PRIORITIES TO HUNDREDS OF COMMUNITY MEMBERS ACROSS THE REGION. DURING THE FORUMS, COMMUNITY MEMBERS DISCUSSED THE OPPORTUNITIES AND RISKS ASSOCIATED WITH EACH PRIORITY, AS WELL AS HOW THE ORGANIZATION WHICH THEY REPRESENT CAN HAVE AN IMPACT ON EACH PRIORITY. IN ADDITION TO THESE VENUES, CHNA RESULTS ARE AVAILABLE ON EACH COALITION'S WEBSITE, AS WELL AS WELLSPAN HEALTH'S WEBSITE AND MAY ALSO BE OBTAINED UPON REQUEST. THE CORRESPONDING WELLSPAN COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) IS ALSO AVAILABLE ON THE WELLSPAN HEALTH WEBSITE.
GROUP A-FACILITY 1 -- GETTYSBURG HOSPITAL PART V, SECTION B, LINE 11:WELLSPAN'S THREE-YEAR COMMUNITY HEALTH IMPROVEMENT PLAN PROVIDES A FRAMEWORK FOR THE ORGANIZATION'S PROGRAMS AND ACTIVITIES THAT PROMOTE HEALTH AND WELLNESS IN RESPONSE TO THE NEEDS IDENTIFIED IN THE CHNA REPORTS. THESE AREAS OF FOCUS MEET AT LEAST ONE, AND OFTEN SEVERAL, OF THE COMMUNITY BENEFIT GUIDELINES OF A NONPROFIT HEALTH SYSTEM, AS OUTLINED BY THE CATHOLIC HEALTH ASSOCIATION: IMPROVING ACCESS TO HEALTHCARE SERVICES; ENHANCING THE HEALTH OF THE COMMUNITY; ADVANCING MEDICAL OR HEALTHCARE KNOWLEDGE OR RELIEVING OR REDUCING THE BURDEN OF GOVERNMENT OR OTHER COMMUNITY EFFORTS. SPECIFIC PRIORITIES ARE THEN INCORPORATED INTO WELLSPAN'S ANNUAL OPERATING PLAN AND BUDGET.WHILE THIS PLAN INCLUDES AN ARRAY OF GOALS AND OBJECTIVES FOR BROAD PRIORITY AREAS, IT DOES NOT ADDRESS ALL HEALTH-RELATED ISSUES IDENTIFIED THROUGH THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS. WELLSPAN USES THE FOLLOWING CRITERIA TO DETERMINE WHEN NOT TO ADDRESS AN IDENTIFIED NEED IN OUR FORMAL COMMUNITY HEALTH IMPROVEMENT PLAN:1. EFFORTS SPECIFIC TO AN ISSUE ARE ALREADY UNDERWAY AND WILL CONTINUE, THEREFORE A CALL-OUT IN THE COMMUNITY HEALTH IMPROVEMENT PLAN IS UNNECESSARY.2. ISSUE APPEARS TO BE EMERGING AND WARRANTS MONITORING, BUT NOT AFFECTING THE COMMUNITY IN A MANNER THAT REQUIRES IMMEDIATE ACTION.3. A COMMUNITY-WIDE OR PARTNER SPECIFIC APPROACH WOULD BE MORE EFFECTIVE IN ADDRESSING THE NEED.SEE THE WELLSPAN HEALTH COMMUNITY HEALTH IMPROVEMENT PLAN AVAILABLE ONLINE AT: HTTPS://WWW.WELLSPAN.ORG/ABOUT/WELLSPAN-IN-THE-COMMUNITY/.
GROUP A-FACILITY 1 -- GETTYSBURG HOSPITAL PART V, SECTION B, LINE 13H:WELLSPAN HEALTH IS COMMITTED TO CARING FOR ALL THE MEMBERS OF ITS COMMUNITIES, REGARDLESS OF THEIR ABILITY TO PAY. IN RECENT YEARS, OVERALL CHARITY CARE HAS DECREASED SLIGHTLY AS MORE PEOPLE HAVE OBTAINED HEALTH INSURANCE COVERAGE THROUGH THE AFFORDABLE CARE ACT AND THE EXPANSION OF PENNSYLVANIA'S MEDICAL ASSISTANCE (MEDICAID) PROGRAM. WELLSPAN IS PROUD TO BE A LEADING PARTNER IN THE HEALTHY COMMUNITY NETWORK, WHICH WORKS TO ADDRESS THE NEEDS OF UNINSURED AND UNDERINSURED INDIVIDUALS IN OUR COMMUNITY. IN ADDITION, THE HEALTH SYSTEM RECENTLY ENHANCED ITS FINANCIAL ASSISTANCE POLICY AND THE DISCOUNTS THAT IT PROVIDES ON SERVICES. FOR MORE INFORMATION ON WELLSPAN'S FINANCIAL ASSISTANCE PROGRAM, VISIT HTTPS://WWW.WELLSPAN.ORG/PATIENTS-VISITORS/PATIENT-GUIDE/BILLING-INSURANCE/FINANCIAL-ASSISTANCE/.
GROUP A-FACILITY 1 -- GETTYSBURG HOSPITAL PART V, SECTION B, LINE 16J:IN AN EFFORT TO MAKE PATIENTS, FAMILIES AND OTHERS IN OUR COMMUNITIES AWARE OF THE NEWLY EXPANDED FINANCIAL ASSISTANCE POLICY (FAP), WELLSPAN BROADLY PUBLICIZED ITS POLICY VIA PROMOTIONAL SIGNAGE AND THE DISTRIBUTION OF EASY-TO-READ INFORMATIONAL MATERIALS AT REGISTRATION SITES THROUGHOUT OUR COMMUNITIES. WELLSPAN PROVIDED INFORMATION ON THE FAP ON ITS BILLING STATEMENTS AND INCLUDED INFORMATION IN PATIENT DISCHARGE MATERIALS. IN ADDITION, THE MATERIALS AND INFORMATION ARE EASILY ACCESSIBLE VIA WELLSPAN'S WEBSITE AT WWW.WELLSPAN.ORG. THE SITE REFLECTS WELLSPAN'S NEWLY ENHANCED POLICY, AS WELL AS INFORMATIONAL AND APPLICATION MATERIALS. IT WAS ALSO PUBLICIZED VIA WELLSPAN'S ON-HOLD PHONE MESSAGING SYSTEM AND IN ITS DIRECT-TO-CONSUMER COMMUNITY NEWSLETTER/MAGAZINE, WHICH IS DISTRIBUTED BY MAIL, EMAIL AND ON-LINE. IN ADDITION, WELLSPAN PLACED POSTERS AND SIGNAGE AT ITS VARIOUS SITES OF CARE TO PUBLICIZE THE FAP. PRINTED COPIES OF WELLSPAN HEALTH'S POLICY AND THE PLAIN LANGUAGE SUMMARY OF THE POLICY, BOTH OF WHICH ARE AVAILABLE IN ENGLISH AND SPANISH, MAY BE OBTAINED AT NO COST BY VISITING OR CALLING ONE OF THE WELLSPAN PATIENT FINANCIAL SERVICES OFFICES.THE FINANCIAL ASSISTANCE POLICY, FINANCIAL ASSISTANCE APPLICATION, AND THE FINANCIAL ASSISTANCE POLICY PLAIN LANGUAGE SUMMARY ARE ALL AVAILABLE IN ENGLISH AND SPANISH.
FieldValueIRS element (for citing)
Facility12FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (12 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - WELLSPAN SURGICAL CENTER OUTPATIENT DEPA
236 WEST STREETGETTYSBURGPA173252509SURGERY CENTER
2 - WELLSPAN SURGERY CENTER OUTPATIENT DEPAR
1227 BALTIMORE STREETHANOVERPA173314406SURGERY CENTER
3 - WELLSPAN ASPERS HEALTH
2060 CARLISLE ROADASPERSPA173049707IMAGING SERVICES, PHLEBOTOMY, REHABILITATION
4 - WELLSPAN REHABILITATION AT FAIRFIELD TOW
4910 FAIRFIELD ROADFAIRFIELDPA173209510REHABILITATION SERVICES
5 - WELLSPAN REHABILITATION DEATRICK COMMONS
16 DEATRICK DRIVEGETTYSBURGPA173256963REHABILITATION SERVICES
6 - WELLSPAN REHABILITATION AT HERRS RIDGE H
820 CHAMBERSBURG ROADGETTYSBURGPA173253310REHABILITATION SERVICES
7 - WELLSPAN ADAMS HEALTH CENTER
40 V TWIN DRIVEGETTYSBURGPA173257875PHLEBOTOMY SERVICES, RADIATION ONCOLOGY, DIABETES EDUCATION AND IMAGING
8 - WELLSPAN INFUSION SERVICES HANOVER
671 WILSON AVENUEHANOVERPA173319519OUTPATIENT CHEMOTHERAPY AND INFUSION
9 - WELLSPAN IMAGING SERVICES
455 SOUTH WASHINGTON STREETGETTYSBURGPA173252516IMAGING, MATERNAL FETAL MEDICINE, UROLOGY
10 - WELLSPAN CARDIOLOGY PREVENTATIVE MEDICIN
450 SOUTH WASHINGTON STREETGETTYSBURGPA173252500CARDIOLOGY SERVICES
11 - WELLSPAN IMAGING SERVICES
450 SOUTH WASHINGTON STREETGETTYSBURGPA173252500IMAGING SERVICES
12 - WELLSPAN ANTICOAGULATION SERVICES
2060 CARLISLE ROADASPERSPA173049707ANTICOAGULATION SERVICES

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3C:PATIENTS/GUARANTORS WHO COMPLETE AN APPLICATION FOR FINANCIAL ASSISTANCE, WHOSE GROSS INCOME FALLS BETWEEN 351-400% OF THE FEDERAL POVERTY LEVEL (FPL), AND MEET ALL OTHER FINANCIAL ASSISTANCE QUALIFICATIONS, WILL BE ELIGIBLE FOR A 40% DISCOUNT ON SELF-PAY BALANCES. PATIENTS WHO HAVE GROSS INCOME IN EXCESS OF 400% OF FPL DO NOT QUALIFY FOR FINANCIAL ASSISTANCE.
PART I, LINE 6A:COMMUNITY BENEFIT INFORMATION IS INCLUDED IN THE COMMUNITY BENEFIT REPORT FOR WELLSPAN HEALTH ON THE WELLSPAN HEALTH WEBSITE AT WWW.WELLSPAN.ORG
PART I, LINE 7, COLUMN (F):THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 10,829,604.
PART II, COMMUNITY BUILDING ACTIVITIES:COMMUNITY SUPPORT:WELLSPAN TEAM MEMBERS CARRY OUT WELLSPAN'S MISSION THROUGHOUT ADAMS COUNTY BY ENGAGING IN A VARIETY OF LOCAL TASK FORCES, COALITIONS AND COMMITTEES. IN FY23, THIS COMMITMENT INCLUDED PARTICIPATION IN GROUPS CONCERNED ABOUT BROADBAND ACCESS, FARMWORKER HOUSING, MEETING THE NEEDS OF OUR LATINO COMMUNITY MEMBERS, TO NAME JUST A FEW. COALITION BUILDING:A CORE PILLAR OF WELLSPAN'S COMMUNITY-DRIVEN APPROACH INCLUDES LEANING INTO OUR ROLE AS A CONVENOR IN THE COMMUNITY. IN THE GETTYSBURG COMMUNITY, THIS INCLUDES FINANCIALLY SUPPORTING THE HEALTHY ADAMS COUNTY COALITION, A COLLABORATIVE GROUP THAT BRINGS TOGETHER STAKEHOLDERS FROM ACROSS THE COMMUNITY TO DISCUSS COMMON HEALTH GOALS AND OPPORTUNITIES. WELLSPAN'S FINANCIAL COMMITMENT INCLUDES THE SALARY AND BENEFIT EXPENSES FOR THE EXECUTIVE DIRECTOR AND ADMINISTRATIVE ASSISTANT POSITIONS AS WELL AS EXPENSES ASSOCIATED WITH THE COMMUNITY HEALTH NEEDS ASSESSMENT/ COMMUNITY HEALTH IMPROVEMENT PLAN DISSEMINATION AND GENERAL PROGRAMMING EXPENSES, TOTALING ROUGHLY $214,000 IN FY23.WORKFORCE DEVELOPMENT:WELLSPAN SUPPORTS A ROBUST UNPAID INTERNSHIP PROGRAM THAT HOSTS AN AVERAGE OF 700 STUDENTS ANNUALLY, CONTRIBUTING AN AVERAGE OF MORE THAN 16,000 HOURS WITH OUR TEAMS ACROSS THE ENTIRETY OF WELLSPAN'S FOOTPRINT- INCLUDING MORE THAN 6,600 HOURS FOR 50 STUDENTS THIS YEAR AT GETTYSBURG HOSPITAL. OUR TEAM MEMBERS CONTRIBUTE THEIR TIME TO ADVANCE STUDENTS' KNOWLEDGE- OFTEN GOING ABOVE AND BEYOND THEIR NORMAL RESPONSIBILITIES. THE COMMUNITY BENEFIT CONTRIBUTION FOR THIS PROGRAM INCLUDES STAFF TIME MENTORING INTERNS THAT EXCEEDS THEIR NORMAL JOB EXPECTATIONS. WELLSPAN BELIEVES STRONGLY IN FOSTERING A LEARNING ENVIRONMENT FOR COLLEGE STUDENTS LOOKING TO EXPLORE CAREERS IN HEALTHCARE.SEVERAL YEARS AGO, WELLSPAN LAUNCHED THE PROJECT SEARCH COLLABORATIVE TRAINING PROGRAM FOR YOUNG ADULTS WITH DISABILITIES WHERE STUDENTS RECEIVE ON-THE-JOB TRAINING FOR CAREERS IN HEALTHCARE. IN FY23, THREE STUDENTS AT GETTYSBURG HOSPITAL WERE SUPERVISED BY STAFF MEMBERS WHO COMMITTED AN ESTIMATED 1,363 HOURS BEYOND THEIR NORMAL RESPONSIBILITIES TO SUPPORT THE STUDENTS (CONTRIBUTING ROUGHLY $47,092 IN COMMUNITY BENEFIT).
PART III, LINE 2:THE NUMBER WAS CALCULATED USING THE COST TO CHARGE RATIO FACTOR APPLIED AGAINST ACTUAL PATIENT BAD DEBT WRITE-OFFS. THESE NUMBERS ARE INCLUDED AFTER ALL EFFORTS HAVE BEEN EXHAUSTED TO DETERMINE IF THE PATIENT MEETS OUR CHARITY CARE WRITE-OFF POLICY BASED ON FEDERAL POVERTY LEVELS.
PART III, LINE 3:THE ESTIMATE OF BAD DEBT ATTRIBUTABLE TO CHARITY CARE POLICY WAS CALCULATED BY DIVIDING THE BAD DEBT AMOUNT THAT WAS ORIGINALLY CODED BAD DEBT BUT LATER FOUND TO QUALIFY AS CHARITY CARE BY THE AMOUNT CODED TO THE CHARITY CARE WRITE-OFF CODES. THIS RATIO IS APPLIED TO THE BAD DEBT COST FACTOR EXPENSE.
PART III, LINE 4:GETTYSBURG HOSPITAL 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 III, LINE 8: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 MEDICARE ARE GENERALLY LESS THAN GETTYSBURG HOSPITAL'S COSTS OF PROVIDING THE SERVICE.
PART III, LINE 9B:GUIDELINES FOR SUGGESTED MINIMUM NUMBER OF PHONE ATTEMPTS AND LETTERS TO BE SENT BEFORE THE ACCOUNT IS TURNED OVER TO AN OUTSIDE COLLECTION AGENCY ARE INCLUDED IN THE PATIENT ADMINISTRATIVE SERVICES POLICY. UPON FINAL PARO (PAYMENT ASSISTANCE RANK ORDERING) SCORING, IF A PATIENT QUALIFIES FOR PRESUMPTIVE CHARITY, THEIR ACCOUNT WOULD NOT BE FORWARDED TO ANY THIRD PARTY COLLECTIONS. IT SHALL BE THE POLICY OF PATIENT ADMINISTRATIVE SERVICES TO RECOMMEND ACCOUNTS TO BAD DEBT ON A TIMELY BASIS. INPATIENT/OUTPATIENT ACCOUNTS WILL GO TO BAD DEBT AUTOMATICALLY AFTER THE ACCOUNT HAS BEEN IN THE FINANCIAL CLASS PENDING BAD DEBT FOR 30 DAYS. ALL ACCOUNTS MUST FOLLOW THE APPROVED LIMITS FOR REFUNDS AND WRITE OFFS, AS ESTABLISHED IN POLICY PF-102, BEFORE BEING TRANSFERRED. THE PRIMARY AGENCIES WILL WORK THE ACCOUNTS FOR 6 MONTHS OR UNTIL THEY FEEL IT IS UNCOLLECTABLE AND RETURN THE ACCOUNT. THE ACCOUNTS ARE FORWARDED TO SECONDARY AGENCIES FROM THE PRIMARY AGENCIES CLOSED AND RETURN REPORTS. THE FINANCIAL CLASS IS CHANGED TO BAD DEBT OTHER AFTER THE CLOSED AND RETURN REPORTS ARE RECEIVED FROM THE SECONDARY AGENCY. THE AGENCIES MUST GET WRITTEN APPROVAL FROM THE MANAGER IN THE RELATIVELY RARE INSTANCE OF LEGAL ACTION BEING TAKEN TO COLLECT THE DEBT.
PART VI, LINE 2:THE 2022 WELLSPAN COMMUNITY HEALTH NEEDS ASSESSMENT PROVIDES A REPRESENTATIVE ANALYSIS OF PERTINENT COMMUNITY HEALTH ISSUES IN THE SOUTH CENTRAL PENNSYLVANIA. THE ASSESSMENT INCLUDES THE ENTIRETY OF FRANKLIN, ADAMS, YORK AND LEBANON COUNTIES AS WELL AS SPECIFIC GEOGRAPHIC AREAS WITHIN LANCASTER COUNTY. THIS GEOGRAPHIC FOCUS ENCOMPASSES THE WELLSPAN SERVICE AREA AND THE PATIENTS, COVERED LIVES, AND COMMUNITIES WITHIN THE FIVE-COUNTY REACH OF OUR ORGANIZATION. A LOCAL EMPHASIS PERMITS WELLSPAN'S SEVEN ACUTE CARE HOSPITALS AND ONE BEHAVIORAL HEALTH HOSPITAL TO ACT ON UNIQUE COUNTY ATTRIBUTES WHILE MAINTAINING A REGIONAL PERSPECTIVE OF COMMUNITY HEALTH ISSUES CHALLENGING OUR PATIENTS, NEIGHBORS AND COMMUNITIES. WELLSPAN'S 2022 COMMUNITY HEALTH NEEDS ASSESSMENT LEVERAGED DATA FROM MULTIPLE DATA SOURCES, INCLUDING: 1. WELLSPAN HEALTH PATIENT DATA. 2. WELLSPAN HEALTH'S PROVIDER SURVEY. 3. LOCAL, STATE AND NATIONAL DATA SOURCES. 4. REPRESENTATIVE AND SPECIAL POPULATIONS COMMUNITY SURVEY. 5. SPECIAL POPULATIONS DATA COLLECTION. IN ADDITION TO OUR ROUTINE DATA COLLECTION METHODS, WHICH PROVIDE A COMMUNITY-WIDE PERSPECTIVE OF STRENGTHS AND CHALLENGES, A PLAIN COMMUNITY SURVEY, FOCUS GROUPS AND KEY INFORMANT INTERVIEWS, AND OFF-CYCLE EXPLORATORY DATA COLLECTION HAVE PERMITTED AN OPPORTUNITY TO LEARN ABOUT GROUPS WITHIN OUR COMMUNITY WHO HAVE BEEN MARGINALIZED AND UNDERREPRESENTED IN SIMILAR ASSESSMENTS. MANY COMMUNITY MEMBERS ARE DISPROPORTIONATELY AT RISK OF POOR HEALTH OUTCOMES BECAUSE OF HEALTH INEQUITIES. OUR COMMUNITY HEALTH NEEDS ASSESSMENT STRATEGY ALIGNS WITH WELLSPAN'S ORGANIZATIONAL APPROACHES TO ADDRESS DIVERSITY AND INCLUSION AND HEALTH EQUITY. FOR EXAMPLE, EACH INDICATOR WAS CONSIDERED WITH A GEOGRAPHIC, AGE, RACE, LANGUAGE, GENDER AND INCOME/ POVERTY LENS TO IDENTIFY DISPARITIES AMONG SEGMENTS OF OUR COMMUNITY. THE COMMUNITY HEALTH NEEDS ASSESSMENT ALSO GATHERED DATA ABOUT SUBGROUPS WITHIN OUR COMMUNITY WHO HAVE TRADITIONALLY BEEN UNDERSERVED THROUGH HEALTHCARE INCLUDING (BUT NOT LIMITED TO) HISPANIC/LATINO, BLACK/AFRICAN AMERICAN, PLAIN COMMUNITY, INDIVIDUALS LIVING IN POVERTY, SENIORS, AND CHILDREN. THE DATA COLLECTION METHODS OF THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) BUILT ON FOUNDATIONAL WORK FROM PREVIOUS WELLSPAN COMMUNITY HEALTH NEEDS ASSESSMENT PROCESSES AND WERE EXPANDED TO BE MORE INCLUSIVE AND INNOVATIVE. DATA COLLECTION WAS FACILITATED BY THE CENTER FOR OPINION RESEARCH AT FRANKLIN AND MARSHALL COLLEGE, LED BY BERWOOD YOST, DIRECTOR OF THE CENTER AND PROJECT CONSULTANT FOR THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT. A DIVERSE GROUP OF STAKEHOLDERS THROUGHOUT THE REGION WERE ACTIVELY ENGAGED IN THE NEEDS ASSESSMENT PROCESS, INCLUDING LOCAL HEALTH COALITIONS, COMMUNITY NOT-FOR-PROFIT AGENCIES, ELECTED OFFICIALS, FEDERALLY QUALIFIED HEALTH CENTERS, PUBLIC HEALTH EXPERTS, ETC. BASED ON THE COMMUNITY HEALTH NEEDS ASSESSMENT RESULTS, WELLSPAN'S THREE-YEAR STRATEGIES AND PRIORITIES WITHIN ITS COMMUNITY HEALTH IMPROVEMENT PLAN WILL INCLUDE: - CARE FOR ALL: ENSURE ACCESS AND QUALITY OF CARE FOR PATIENTS BY IDENTIFYING AND REDUCING DISPARITIES AND BARRIERS TO CARE. - MENTAL WELL-BEING: SUPPORT PERSONAL WELL-BEING AND WHOLE PERSON HEALTH BY MAKING IT EASIER FOR PEOPLE TO RECOGNIZE AND GET SUPPORT FOR MENTAL HEALTH AND ADDICTION ISSUES. - SOCIAL DETERMINANTS OF HEALTH: DEVELOP AND IMPLEMENT NEW APPROACHES FOR COLLABORATING WITH COMMUNITY-BASED ORGANIZATIONS TO IMPACT THE MOST PRESSING SOCIAL DETERMINANTS OF HEALTH (SDOH) IMPACTING OUR PATIENTS AND THE COMMUNITY. - HEALTHY COMMUNITIES: CREATE HEALTHY, SAFE COMMUNITIES AND ENSURE OUR YOUNGEST COMMUNITY MEMBERS AND NEXT GENERATION CAN THRIVE AND GROW. WELLSPAN HAS EVOLVED ITS COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS OVER TIME AND REMAINS COMMITTED TO ENSURING DATA INTEGRITY AND A SOUND SCIENTIFIC APPROACH. NEVERTHELESS, THERE ARE LIMITATIONS TO OUR PROCESS. WE HAVE MINIMIZED THE RISK OF INCOMPLETE OR INACCURATE DATA WHENEVER POSSIBLE BUT REMAIN COGNIZANT OF THE FOLLOWING LIMITATIONS: 1. LAGGING DATA: UTILIZING SECONDARY DATA SOURCES MEANS EMBRACING THE LIMITATIONS OF THOSE SOURCES. 2. INTERNAL PATIENT DATA: UTILIZING WELLSPAN PATIENT DATA MAY HAVE AN INHERENT BIAS OF NOT INCLUDING THOSE WHO CANNOT AFFORD CARE AND ARE THEREFORE NOT CAPTURED IN OUR RECORDS. 3. SURVEY SAMPLE SIZES: FOR A VARIETY OF REASONS, WE ARE NOT ABLE TO SURVEY EVERY MEMBER OF OUR COMMUNITY. OUR HEALTH SYSTEM AND COMMUNITY EXPERIENCED GREAT HARDSHIPS OVER THE PAST COUPLE YEARS DUE TO THE PANDEMIC. THE ENORMITY OF THE COVID-19 IMPACT WARRANTS A REALISTIC APPROACH TO ADDRESSING COMMUNITY NEEDS IN AN OUTCOMES-FOCUSED MANNER. THIS IS AN UNPRECEDENTED TIME, AND OUR COMMUNITIES HAVE NOT YET RECOVERED FROM THE INTENSITY OF THE PANDEMIC'S INFLUENCES. THE WELLSPAN BOARD OF DIRECTORS APPROVED THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT, WHICH IS MADE AVAILABLE TO THE PUBLIC ON OUR WEBSITE AT: HTTPS://WWW.WELLSPAN.ORG/ABOUT/WELLSPAN-IN-THE-COMMUNITY/. IN ADDITION TO THE PLACEMENT OF THE CHNA ON THE WEBSITE, THERE WERE COMMUNITY LEVEL FORUMS IN THE COUNTY OF EACH WELLSPAN FACILITY WHICH PUBLICLY RELEASED THE DATA, SUMMARIZED THE FINDINGS, AND ARTICULATED WELLSPAN'S INTENTION TO ADDRESS THE IDENTIFIED NEEDS.
PART VI, LINE 3:IN ACCORDANCE WITH THE WELLSPAN HEALTH FINANCIAL ASSISTANCE POLICY (FAP), PATIENTS/RESPONSIBLE PARTIES WILL BE NOTIFIED OF THE AVAILABLE OPTIONS FOR FINANCIAL ASSISTANCE PER IRS REGULATION 501(R). METHODS OF NOTIFICATION INCLUDE, BUT ARE NOT LIMITED TO: 1. POSTING OF LEGIBLE SIGNAGE2. DEVELOPMENT OF A PLAIN LANGUAGE SUMMARY3. DISTRIBUTING INFORMATIONAL BROCHURES AT HOSPITAL AND OFFICE REGISTRATION AREAS4. DISTRIBUTING INFORMATIONAL BROCHURES THROUGHOUT ITS COMMUNITIES5. A COPY OF THE FINANCIAL ASSISTANCE POLICY PLAIN LANGUAGE SUMMARY OFFERED DURING THE REGISTRATION/DISCHARGE PROCESS6. CONSPICUOUS NOTICE REGARDING THE FINANCIAL ASSISTANCE POLICY PRINTED ON ALL ACCOUNT STATEMENTS7. COPY OF THE FINANCIAL ASSISTANCE POLICY PLAIN LANGUAGE SUMMARY PROVIDED WITH LAST BILLING STATEMENT THE WELLSPAN FAP CAN BE FOUND ONLINE AT:HTTPS://WWW.WELLSPAN.ORG/MEDIA/2783971/118-WSH-FINANCIAL-ASSISTANCE-POLICY-71322.PDF
PART VI, LINE 4:GETTYSBURG HOSPITAL IS LOCATED IN AND PRIMARILY SERVES THE RESIDENTS OF ADAMS COUNTY.ADAMS COUNTY IS HOME TO ROUGHLY 102,470 COMMUNITY MEMBERS WITH A MEDIAN HOUSEHOLD INCOME OF $67,253 AND 7.8% OF THE COMMUNITY LIVING IN POVERTY. GETTYSBURG TYPICALLY REPRESENTS THE URBAN CENTER OF ADAMS COUNTY WHERE POVERTY IS SLIGHTLY MORE CONCENTRATED. RACIAL ETHNIC DIVERSITY IN ADAMS COUNTY, CONSISTING MOSTLY OF HISPANIC/ LATINO COMMUNITY MEMBERS, IS OBSERVED THE MOST NORTH OF GETTYSBURG IN THE RURAL AREAS OF BIGLERVILLE, ASPERS AND YORK SPRINGS. THE MEDIAN AGE OF RESIDENTS IN ADAMS COUNTY IS 43.9 AND ROUGHLY 19.8% OF RESIDENTS ARE OVER THE AGE OF 65 (HIGHER THAN THE STATE WITH 17.8% OF STATE RESIDENTS BEING OVER 65). BOTH THE MEDIAN AGE AND THE PERCENT OF RESIDENTS OVER 65 ARE HIGHER IN ADAMS COUNTY THAN ALL NEIGHBORING COUNTIES. THE MAJORITY OF HOUSING UNITS ARE OWNER OCCUPIED (78.0%) AND THE MEDIAN VALUE OF HOMES EXCEED THE STATE, FRANKLIN COUNTY, LEBANON COUNTY AND YORK COUNTY MEDIAN VALUE ($205,800). ADAMS COUNTY RANKS #11 IN THE ROBERT WOOD JOHNSON'S COUNTY HEALTH RANKINGS, SCORING #11 IN HEALTH OUTCOMES AND #9 IN HEALTH FACTORS. COMPARATIVELY, THIS MAKES ADAMS COUNTY ONE OF THE HEALTHIER COUNTIES IN OUR REGION, BUT DATA SHOWS THAT ADAMS COUNTY RESIDENTS HAVE HEALTH ISSUES STRONGLY ASSOCIATED WITH OBESITY AND ASSOCIATED INDICATORS SUCH AS POOR EATING, A LACK OF PHYSICAL ACTIVITIES, AND POOR MENTAL HEALTH. DATA SHOWS THAT HEALTH LITERACY AND SOCIAL AND EMOTIONAL SUPPORTS ARE AN ISSUE FOR SOME RESIDENTS. ADDITIONALLY, ADAMS COUNTY HAS THE LOWEST RATE OF HOUSEHOLDS WITH BROADBAND INTERNET ACCESS (40%). ON THE OTHER HAND, HEALTH ACCESS AND SUBSTANCE USE, SMOKING, AND BINGE DRINKING DO NOT APPEAR AS A SIGNIFICANT PROBLEM IN THIS COMMUNITY. IN ADAMS COUNTY, COMPARED TO OUR PREVIOUS COMMUNITY HEALTH NEEDS ASSESSMENT, FEWER PEOPLE RESPONDING TO THE 2022 SURVEY SAID THEY RECEIVED THE EMOTIONAL SUPPORT THEY NEEDED OR PARTICIPATED IN ANY STRENGTH TRAINING, WHILE MORE ARE OVERWEIGHT OR OBESE. COMPARED TO RESPONDENTS IN THE NEIGHBORING COUNTIES, MORE ADAMS COUNTY RESIDENTS REPORT IN THE RECENT SURVEY THAT THEY HAVE HEALTH INSURANCE (96%), THOUGH FEWER RESIDENTS REPORTED HAVING A ROUTINE CHECK-UP WITHIN THE LAST 12 MONTHS (84%). MORE RESIDENTS THAN THE NEIGHBORING COUNTIES REPORTED HAVING A HIGH DEDUCTIBLE HEALTH PLAN (28%). ADAMS COUNTY RESIDENTS ARE LESS LIKELY TO HAVE SEEN A DENTIST WITHIN THE LAST YEAR (66%) WITH LACK OF DENTAL INSURANCE BEING THE COMMON REASON WHY, AND MORE THAN A QUARTER OF RESIDENTS (26%) REPORTED ONE OR MORE ECONOMIC HARDSHIPS.EVERY THREE YEARS, WE PARTNER WITH LIKE-MINDED COMMUNITY PARTNERS AND LOCAL COALITIONS TO CONDUCT COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNA) FOR WHICH WE SURVEY COMMUNITY MEMBERS ABOUT THEIR HEALTH, LIFESTYLE BEHAVIORS, FINANCES, ACCESS TO HEALTH SERVICES AND OTHER RELATED TOPICS. WE USE THESE CHNA REPORTS TO IDENTIFY SPECIFIC COMMUNITY NEEDS AND DEVELOP STRATEGIES TO ADDRESS THEM.THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT PROVIDES INSIGHT ON THE HEALTH OF OUR COMMUNITIES, FROM BIRTH THROUGH ADVANCED AGE, ACROSS THE WELLSPAN HEALTH FIVE COUNTY REGION, INCLUDING ADAMS, FRANKLIN, LEBANON, YORK, AS WELL AS GEOGRAPHIC REGIONS WITHIN LANCASTER COUNTY.DIFFERENCES AMONG OUR GEOGRAPHIC COMMUNITIES OFTEN DO NOT DEMONSTRATE AS SIGNIFICANT A DIFFERENCE AS OBSERVED IN ATTRIBUTES SUCH AS RACE/ETHNICITY, GENDER, AGE, INCOME AND THE EXPERIENCE OF DEPRESSION, TRAUMA, OR DISCRIMINATION. IN SOME CIRCUMSTANCES HOWEVER, UNIQUE ATTRIBUTES IDENTIFIED FROM OUR COMMUNITY HEALTH NEEDS ASSESSMENT DATA SPECIFIC TO EACH COUNTY POINT TO OBVIOUS AREAS FOR IMPROVEMENT. THIS INFORMATION IS IMPORTANT AS WELLSPAN ANTICIPATES THE IMPLEMENTATION OF THE 2023-2025 COMMUNITY HEALTH IMPROVEMENT PLAN.A COUNTY-BY-COUNTY DEMOGRAPHIC ASSESSMENT IS CONTAINED WITHIN THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT REPORT, AVAILABLE ON OUR WEBSITE AT:HTTPS://WWW.WELLSPAN.ORG/ABOUT/WELLSPAN-IN-THE-COMMUNITY/
PART VI, LINE 5:AS A CHARITABLE, COMMUNITY-BASED HEALTHCARE ORGANIZATION, OUR COMMITMENT TO IMPROVING THE LIVES AND WELL-BEING OF ALL PEOPLE AND COMMUNITIES WE SERVE IS EVIDENT IN OUR MISSION STATEMENT: "WORKING AS ONE TO IMPROVE HEALTH THROUGH EXCEPTIONAL CARE FOR ALL, LIFELONG WELLNESS, AND HEALTHIER COMMUNITIES." EMPLOYEES LIVE OUT THIS MISSION STATEMENT EVERY DAY BY ENGAGING IN COMMUNITY BENEFIT ACTIVITIES THAT ADDRESS COMMUNITY NEEDS, ESPECIALLY THE HEALTH PRIORITIES IDENTIFIED IN THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT. MANY OF WELLSPAN'S EFFORTS TO ADVANCE COMMUNITY HEALTH PRIORITIES ARE OUTLINED IN OUR COMMUNITY BENEFIT REPORT, PUBLISHED ONLINE AT HTTPS://WWW.WELLSPAN.ORG/ABOUT/WELLSPAN-IN-THE-COMMUNITY/. WELLSPAN IS AN HONORED COMMUNITY PARTNER WITH THE FOLLOWING HEALTH COALITIONS:- HEALTHY ADAMS COUNTY - WWW.HEALTHYADAMSCOUNTY.ORG- HEALTHY FRANKLIN COUNTY - WWW.HEALTHYFRANKLINCOUNTY.ORG- HEALTHY YORK COALITION - WWW.HEALTHYYORK.ORG- HEALTHY COMMUNITY NETWORK - WWW.HEALTHYCOMMUNITYNETWORK.ORG- NORTHERN LANCASTER COUNTY HUB - WWW.NORTHERNLANCASTERHUB.ORG- COMMUNITY HEALTH COUNCIL OF LEBANON COUNTY - WWW.COMMUNITYHEALTHCOUNCIL.COMTHESE COALITIONS PLAY AN IMPORTANT ROLE IN WELLSPAN'S COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROCESS. THIS YEAR, WELLSPAN COLLABORATED WITH OUR COALITIONS AND OTHER PARTNERS TO COMPLETE THE 2022 CHNA. THIS DATA WAS USED TO DESIGN WELLSPAN'S 2023-2025 COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP).THROUGH OUR COLLABORATION WITH THE COALITIONS AND OTHERS, WE IDENTIFIED CORE THEMES AND AREAS FOR IMPROVEMENT INCLUDING HEALTH EQUITY, SOCIAL DETERMINANTS OF HEALTH AND LIFELONG WELLNESS. EACH COUNTY COALITION HOSTED ITS OWN PUBLIC HEALTH FORUM EVENT, TO REVIEW THE IDENTIFIED NEEDS AND STRATEGIC PRIORITY AREAS FOR THE COMING YEARS AND ENGAGE NEW PARTNERS AND VOLUNTEERS TO HELP ADVANCE THE HEALTHCARE AGENDA FOR OUR COMMUNITIES.BELOW ARE SOME EXAMPLES OF EFFORTS ACROSS THE GETTYSBURG HOSPITAL SERVICE AREA IN THE LAST YEAR: - WELLSPAN FUNDED THE EXECUTIVE DIRECTOR POSITION FOR THE HEALTHY ADAMS COALITION.- ADAMS COUNTY FOOD POLICY COUNCIL IMPLEMENTED HEALTHY OPTIONS, A FOOD VOUCHER PROGRAM, TO 614 LOW-INCOME RESIDENTS. FRUIT AND VEGGIE BUCKS SERVED 372 SNAP RECIPIENTS AND THEIR FAMILIES FOR A TOTAL OF 951 PEOPLE. RECIPIENTS RECEIVED A 50% DISCOUNT ON FRUITS AND VEGETABLES AT KENNIE'S MARKETS FROM OCTOBER THROUGH MAY. THE COUNCIL ALSO HELPED 350 FAMILIES AND 360 SENIORS IN NEED INCREASE THEIR ACCESS TO HEALTHY FOOD THROUGH THE ADAMS COUNTY FARMERS MARKET DOUBLE DOLLARS PROGRAM. MUCH OF THE FUNDING FOR THESE OUTREACH PROGRAMS CAME FROM GRANTS RECEIVED FROM THE GETTYSBURG HOSPITAL FOUNDATION.- WELLSPAN IMPROVED ITS FINANCIAL ASSISTANCE PROGRAM TO EXTEND FINANCIAL SUPPORT TO PATIENTS EARNING UP TO 400% OF THE FEDERAL POVERTY LEVEL (FROM THE PREVIOUS MAXIMUM OF 300%). FINANCIAL SUPPORT IS ALSO OFFERED VIA THEHEALTHY COMMUNITY NETWORKPROGRAM FOR UNINSURED OR UNDERINSURED PATIENTS.- ENGAGED 750 CHILDREN AND FAMILY MEMBERS IN GET OUTDOORS ADAMS PROGRAM, A PARTNERSHIP WITH THE COUNTY LIBRARY AND PARKS.- AWARDED $57,000 TO FOUR NON-PROFIT ORGANIZATIONS UNDER THE COMMUNITY GRANTS PROGRAM TO FUEL PROJECTS FOCUSED ON ADVANCING MENTAL WELLNESS, CHILDREN'S HEALTH AND FOOD SECURITY.- SERVED 825 INDIVIDUALS IN TOBACCO CESSATION EDUCATION AND SERVICES- PROVIDED BEHAVIORAL HEALTH SCREENING AND EDUCATION TO 65 PEOPLE.
PART VI, LINE 6:WELLSPAN HEALTH IS AN INTEGRATED HEALTH SYSTEM SERVING THE COMMUNITIES OF SOUTHCENTRAL PENNSYLVANIA AND NORTHERN MARYLAND. 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. EACH OF OUR HOSPITALS WORK WITH OTHER PARTS OF THE SYSTEM TO PROVIDE A COMPREHENSIVE APPROACH TO MEETING COMMUNITY NEEDS.WELLSPAN HEALTH INCLUDES: HOSPITALS:1. YORK HOSPITAL2. GETTYSBURG HOSPITAL3. CHAMBERSBURG HOSPITAL4. WAYNESBORO HOSPITAL5. EPHRATA COMMUNITY HOSPITAL6. THE GOOD SAMARITAN HOSPITAL OF LEBANON, PENNSYLVANIA7. WELLSPAN SURGERY & REHABILITATION HOSPITAL8. PHILHAVENFOUNDATIONS:1. YORK HEALTH FOUNDATION2. SUMMIT HEALTH FOUNDATION3. GETTYSBURG HOSPITAL FOUNDATION4. EPHRATA COMMUNITY HEALTH FOUNDATION5. GOOD SAMARITAN HEALTH SERVICES FOUNDATIONMEDICAL SERVICES:1. APPLE HILL SURGICAL CENTER, INC.2. CHAMBERSBURG HEALTH SERVICES3. SUMMIT PHYSICIAN SERVICES4. VNA HOME HEALTH SERVICES5. WELLSPAN HEALTH CARE SERVICES6. WELLSPAN MEDICAL GROUP7. WELLSPAN SUMMIT HEALTH8. GOOD SAMARITAN PHYSICIAN SERVICES9. HEALTHY COMMUNITY PHARMACY10. VNA COMMUNITY SERVICESWELLSPAN'S COMMUNITY BENEFIT REPORT IS PREPARED BY THE PARENT ORGANIZATION, WELLSPAN HEALTH, AND INCLUDES COLLECTIVE EFFORTS OF ALL ENTITIES UNDER THE PARENT ORGANIZATION. SEE WELLSPAN HEALTH'S CURRENT COMMUNITY BENEFIT REPORT, COMMUNITY HEALTH NEEDS ASSESSMENT, AND COMMUNITY HEALTH IMPROVEMENT PLAN AT HTTPS://WWW.WELLSPAN.ORG/ABOUT/WELLSPAN-IN-THE-COMMUNITY/.
PART VI, LINE 7, REPORTS FILED WITH STATESPA

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtPurpose Of GrantPurposeOfGrantTxt
FAMILY FIRST HEALTH
116 S GEORGE ST SUITE 200YORKPA17401237118262501(C)(3)$57,000$0GENERAL SUPPORT
GETTYSBURG COLLEGE
300 NORTH WASHINGTON STREETGETTYSBURGPA17325231352641501(C)(3)$10,000$0GENERAL SUPPORT
GETTYSBURG BOROUGH
59 EAST HIGH STREETGETTYSBURGPA17325236002866LOCAL GOVERNMENT$35,751$0GENERAL SUPPORT
FieldValueIRS element (for citing)
Total501c3 Org3Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypePRESCRIPTION FOR CARING PROGRAMGrantTypeTxt
Recipient247RecipientCnt
Cash Grant$76,685CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationALL WELLSPAN ENTITIES FOLLOW WELLSPAN POLICIES AND PROCEDURES REGARDING GRANT PROJECTS (MAP 107) TO ENSURE THAT THE USE OF GRANT FUNDS ARE CONSISTENT WITH WELLSPAN'S MISSION OF WORKING AS ONE TO IMPROVE HEALTH THROUGH EXCEPTIONAL CARE FOR ALL, LIFELONG WELLNESS AND HEALTHY COMMUNITIES. COMMUNITY SUPPORT IS PROVIDED IN THE FORM OF GRANTS, WHICH SERVE HEALTH-RELATED PURPOSES AND ARE IN ALIGNMENT WITH THE WELLSPAN MISSION. ALL GRANTS ARE MADE TO ELIGIBLE 501(C)(3) ORGANIZATIONS AND INCLUDE CHURCHES, PUBLIC SCHOOLS, PUBLIC CHARITIES, PUBLIC CLINICS AND HOSPITALS, LEGAL AID SOCIETIES, VOLUNTEER SERVICES ORGANIZATIONS, AND SOME GOVERNMENTAL AGENCIES. WE MAINTAIN ADEQUATE RECORDS TO SUBSTANTIATE AMOUNTS, ELIGIBILITY, AND SELECTION CRITERIA USED FOR ALL GRANTS.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (18 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
ROXANNA GAPSTUR PHD RN
PRESIDENT & CEO - WELLSPAN HEALTH$0$1,523,876$0$780,000$0$86$0$13,477$0$74,010$0$2,391,449$0$0
FARAAZ YOUSUF
EXEC. VP & COO (UNTIL 11/22)$0$563,091$0$401,869$0$22,786$0$3,087$0$41,871$0$1,032,704$0$0
LAURA BUCZKOWSKI
EXECUTIVE VP & CFO - WELLSPAN HEALTH$0$694,583$0$249,750$0$10$0$16,892$0$57,133$0$1,018,368$0$0
MICHAEL SEIM
SR VP & CHIEF QUALITY OFFICER$0$660,561$0$243,904$0$60$0$15,485$0$55,882$0$975,892$0$0
AMY NELSON
SECRETARY/SR VP & GENERAL COUNSEL$0$477,341$0$173,900$0$10,087$0$38,242$0$50,247$0$749,817$0$0
KEVIN LORENTSEN MD
DIRECTOR (RES. DEC. '22)$0$510,913$0$92,490$0$61,205$0$16,679$0$60,469$0$741,756$0$0
EDWARD MACKLE MD
DIRECTOR$0$531,688$0$60,361$0$9,559$0$36,600$0$52,186$0$690,394$0$0
SHERRI STAHL
VICE PRESIDENT$0$456,491$0$168,451$0$310$0$20,177$0$44,781$0$690,210$0$0
DAVID DOUD DO
DIRECTOR$0$382,825$0$47,593$0$0$0$18,605$0$48,808$0$497,831$0$0
MICHAEL COGLIANO
VP & PRESIDENT - GETTYSBURG HOSPITAL$296,209$0$64,966$0$6,222$0$21,934$0$47,524$0$436,855$0$0$0
ANGELA JOHNSTON
VP - PATIENT CARE SERVICES$219,518$0$48,135$0$145$0$29,861$0$45,957$0$343,616$0$0$0
MICHELLE WILLIAMS
REGIONAL DIR. - PHARMACEUTICAL CARE$218,023$0$18,357$0$50$0$17,278$0$26,511$0$280,219$0$0$0
JASMINKA LOLIC
PHARMACIST$204,236$0$5,980$0$75$0$27,503$0$26,950$0$264,744$0$0$0
MELISSA HESS
SENIOR DIRECTOR OPERATIONS$184,253$0$16,526$0$3,655$0$12,015$0$42,217$0$258,666$0$0$0
CHERYL STAUB
NURSING OPERATIONS DIRECTOR$178,131$0$14,788$0$3,695$0$11,828$0$45,617$0$254,059$0$0$0
AMANDA NYE
SR. DIR. - SYSTEM NURSING OPERATIONS$169,611$0$14,036$0$3,437$0$14,363$0$44,664$0$246,111$0$0$0
ED SCHUURMAN PA
DIRECTOR$0$146,898$0$41,153$0$2,683$0$10,258$0$44,345$0$245,337$0$0
MONIQUE HOLZER
DIRECTOR OPERATIONS - PERIOPERATIVE$171,055$0$17,200$0$3,611$0$10,986$0$25,755$0$228,607$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 4BFormAndLineReferenceDesc
ExplanationTHE WELLSPAN HEALTH SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) WAS ADOPTED AND MADE EFFECTIVE ON DECEMBER 19TH, 2008. THE OBJECTIVE OF THE EXECUTIVE BENEFITS PROGRAM IS TO PROVIDE AN EXECUTIVE BENEFITS PROGRAM THAT IS COMPETITIVE WITH NATIONAL NORMS IN THE HEALTHCARE INDUSTRY FOR SIMILARLY SIZED ORGANIZATIONS ENABLING WELLSPAN HEALTH TO RECRUIT AND RETAIN TOP EXECUTIVE TALENT. TIER I EXECUTIVES ARE ELIGIBLE TO PARTICIPATE IN THE PLAN. A DESCRIPTION OF THE TARGETED BENEFIT OF THE PLAN IS AS FOLLOWS: 1) PROVIDE AN EMPLOYER SPONSORED RETIREMENT BENEFIT THAT REPLACES 60% OF AVERAGE PRE-RETIREMENT (5 YEARS) BASE COMPENSATION THROUGH A COMBINED APPROACH UTILIZING WELLSPAN'S RETIREMENT PLAN, 50% OF SOCIAL SECURITY, SPLIT-DOLLAR LIFE INSURANCE BENEFIT, AND SUPPLEMENTAL EXECUTIVE RETIREMENT BENEFIT. 2) PROVIDES A MINIMUM BENEFIT AFTER 10 YEARS OF SERVICE. 3) PROVIDES THE FULL TARGETED BENEFIT AFTER 25 YEARS OF SERVICE. 4) BENEFIT IS VESTED WHEN ELIGIBLE EXECUTIVE REACHES AGE 65. THE BENEFIT IS ALSO VESTED UPON DEATH, DISABILITY, JOB ELIMINATION AND "TERMINATION FOR GOOD REASON". 5) CREDITED SERVICE GRANTED ON A 1:2 BASIS FOR PREVIOUS SERVICE IN AN ELIGIBLE TIER II POSITION. 6) TARGETED BENEFIT IS TO BE CALCULATED USING A 15 YEAR CERTAIN PAYOUT. 7) PAYOUT WILL BE IN A LUMP SUM. 8) PAYOUT WILL BE TAXABLE WHEN VESTED. DURING THE CALENDAR YEAR 2022, THERE WERE NO DISTRIBUTIONS FROM THE SERP. THE WELLSPAN HEALTH DEFINED CONTRIBUTION DEFERRED COMPENSATION PLAN WAS ADOPTED AND MADE EFFECTIVE AS OF JULY 1, 2017. THIS PLAN WILL REPLACE THE SERP. AS PART OF THE TRANSITION, EACH PARTICIPANT IN THE SERP WAS GIVEN A ONE-TIME CHOICE TO BE GRANDFATHERED IN THE SERP OR TRANSFER TO THE NEW WELLSPAN HEALTH DEFINED CONTRIBUTION DEFERRED COMPENSATION PLAN. THE OBJECTIVE OF THE WELLSPAN HEALTH DEFINED CONTRIBUTION DEFERRED COMPENSATION PLAN IS TO ATTRACT AND RETAIN EXECUTIVE AND UPPER-LEVEL MANAGEMENT EMPLOYEES OF OUTSTANDING ABILITY. TIERS I, II, III AND A SELECT GROUP OF TIER IV EMPLOYEES ARE ELIGIBLE TO PARTICIPATE IN THE PLAN. A DESCRIPTION OF THE TARGETED BENEFIT OF THE PLAN IS AS FOLLOWS: 1)PROVIDE AN UNFUNDED DEFERRED COMPENSATION BENEFIT TO A SELECT GROUP OF MANAGEMENT AND HIGHLY COMPENSATED EMPLOYEES. 2)PLAN ACCOUNT CONTRIBUTIONS ARE CREDITED EACH YEAR TO A SUBACCOUNT, BASED UPON VARIOUS TIER LEVELS; TIER I, 22%, TIER II, 17%, TIER III, 12%, AND TIER IV, 8%. 3)PARTICIPANT ACCOUNTS ARE CREDITED INTEREST EACH YEAR BY APPLICATION OF THE 30-YEAR U.S. TREASURY RATE ON JUNE 30 OF THE PLAN YEAR THEN ENDING, PLUS ONE PERCENT (1%). 4)PARTICIPANT VESTING OCCURS ON THE EARLIER OF: A)JUNE 30TH OF THE FOURTH PLAN YEAR: 25% PER YEAR B)PARTICIPANT REACHES AGE 65. C)UPON DEATH, DISABILITY, JOB ELIMINATION AND "TERMINATION FOR GOOD REASON". 5)NON-ELECTIVE EMPLOYER CONTRIBUTIONS ARE ALSO PERMITTED. 6)PLAN DISTRIBUTIONS TO BE ADMINISTERED PER THE PLAN DOCUMENT. DURING THE CALENDAR YEAR 2022, THERE WERE NO DISTRIBUTIONS FROM THE WELLSPAN HEALTH DEFINED CONTRIBUTION DEFERRED COMPENSATION PLAN. ADDITIONALLY, ANY VESTED PORTION OF CONTRIBUTIONS MADE TO THE PLAN WHICH ARE NO LONGER SUBJECT TO THE RISK OF FORFEITURE, ARE REFLECTED IN SCHEDULE J, PART II, COLUMN B(III).ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
GENERAL AUTHORITY OF SOUTHCENTRAL PENNSYLVANIA
A23298223384129NHL62014-11-10$9,038,981REFUND BONDS & EXPANSION000
GENERAL AUTHORITY OF SOUTHCENTRAL PENNSYLVANIA
B2329822332018-03-13$3,163,344REFUND 2008A BONDS000
GENERAL AUTHORITY OF SOUTHCENTRAL PENNSYLVANIA
C2329822332018-09-04$2,658,598REFUND 2008A BONDS000
GENERAL AUTHORITY OF SOUTHCENTRAL PENNSYLVANIA
D2773341602019-04-03$12,467,797REFUND BONDS & EXPANSION000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$1,694,454$7,200,876$9,092,909$7,044,761$336,555$53,928$79,875$3,888,947$4,733,6042016Yes (1)Yes (1)Yes (1)Yes (1)
B$2,121,382$3,163,344$9,393$3,153,95120180Yes (1)Yes (1)Yes (1)
C$249,425$2,658,598$7,712$2,650,88620180Yes (1)Yes (1)Yes (1)
D$699,027$12,467,797$20,122$83,281$11,558,424$805,9702019Yes (1)Yes (1)Yes (1)Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A00000.000000.000000.0000000Yes (1)
B00000.000000.000000.0000000Yes (1)
C00000.000000.000000.0000000Yes (1)
D00000.000000.000000.0000000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A0Yes (1)000000Yes (1)
B00Yes (1)0Yes (1)000Yes (1)
C00Yes (1)0Yes (1)000Yes (1)
D0000Yes (1)000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)
CYes (1)
DYes (1)

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE K, PART I, COLUMN (E) - ISSUE PRICEWELLSPAN HEALTH, THE PARENT ORGANIZATION, ALLOCATED PORTIONS OF THE PROCEEDS OF THIS TAX-EXEMPT BOND ISSUE TO MEMBERS OF THE OBLIGATED GROUP. THE AMOUNT ON SCHEDULE K, PART I, COLUMN (E) AND PART II, LINE 3 REPRESENTS THE ENTITY'S ALLOCATED PORTION OF THE TOTAL BOND PROCEEDS, AS SHOWN ON FORM 8038, PART III, LINE 21(B). ALL ITEMS IN PART II HAVE ALSO BEEN ALLOCATED.
SCHEDULE K, PART II, LINE 3THE TOTAL PROCEEDS ARE NOT IDENTICAL TO PART I, COLUMN (E) BECAUSE OF INVESTMENT EARNINGS.
SCHEDULE K, PART III, LINE 4 & 5 - PRIVATE BUSINESS USETHE ENTITY, IN CONJUNCTION WITH BOND COUNSEL, MONITORS ACTIVITIES THAT MAY RESULT IN PRIVATE BUSINESS USE. THERE WERE NONE FOUND.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1GENERAL AUTHORITY OF SOUTHCENTRAL PENNSYLVANIABusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN232982233BondIssuerEIN
CUSIP84129NMG1CUSIPNum
Bond Issued2019-04-03BondIssuedDt
Issue Price$19,290,983IssuePriceAmt
PurposeREFUND BONDS ISSUED 11/12/2008PurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Total Proceeds$19,290,983TotalProceedsAmt
Issuance Costs From Proceeds$89,793IssuanceCostsFromProceedsAmt
Other Spent Proceeds$19,201,190OtherSpentProceedsAmt
Substantial Completion2019SubstantialCompletionYr
Refunding Tax Exempt BondsYes (1)RefundingTaxExemptBondsInd
Refunding Taxable Bonds0RefundingTaxableBondsInd
Final Allocation MadeYes (1)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease Arrangements0AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop0MgmtContractBondFincdPropInd
Any Research Agreements0AnyResearchAgreementsInd
Private Bus Use By Others0.00000PrivateBusUseByOthersPct
Private Bus Concerning UBI0.00000PrivateBusConcerningUBIPct
Total Private Business Use0.00000TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdYes (1)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due Yet0RebateNotDueYetInd
Exception To RebateYes (1)ExceptionToRebateInd
No Rebate Due0NoRebateDueInd
Variable Rate IssueYes (1)VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (1)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (1)ProceduresCorrectiveActionInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6WELLSPAN HEALTH, A NOT-FOR-PROFIT CORPORATION, IS THE SOLE MEMBER.
FORM 990, PART VI, SECTION A, LINE 7ATHE PRIMARY PURPOSE OF THE GOVERNANCE COMMITTEE, AS ASSIGNED BY THE WELLSPAN HEALTH BOARD OF DIRECTORS, IS TO DEVELOP AND SUPPORT THE CULTURE OF HIGH-FUNCTIONING GOVERNANCE WITHIN THE WELLSPAN SYSTEM, INCLUDING THROUGH POLICIES, NOMINATIONS, COMPETENCIES OF DIRECTORS, EDUCATION, AND SELF-EVALUATIONS. THE GOVERNANCE COMMITTEE SHALL CONSIST OF NOT LESS THAN FIVE (5) NOR MORE THAN SEVEN (7) MEMBERS. NEITHER THE CHAIR OF THE WELLSPAN HEALTH BOARD OF DIRECTORS NOR PERSONS WHO ARE NOT MEMBERS OF THE WELLSPAN HEALTH BOARD OF DIRECTORS, MAY BE APPOINTED TO THE COMMITTEE. EACH GOVERNANCE COMMITTEE MEMBER SHALL BE NOMINATED BY THE GOVERNANCE COMMITTEE, AND APPOINTED BY THE WELLSPAN HEALTH BOARD OF DIRECTORS, FOR A TERM OF ONE (1) YEAR. REAPPOINTMENT OF A GOVERNANCE COMMITTEE MEMBER FOR MORE THAN ONE (1) TERM IS NOT AUTOMATIC OR PRESUMED AND SHALL BE BASED ON AN INDIVIDUAL PERFORMANCE EVALUATION OF THE GOVERNANCE COMMITTEE MEMBER (AS PERFORMED OR OVERSEEN BY THE GOVERNANCE COMMITTEE).
FORM 990, PART VI, SECTION A, LINE 7BTHE FOLLOWING RESPONSIBILITIES ARE SET FORTH AS A GUIDE FOR FULFILLING THE GOVERNANCE COMMITTEE'S PURPOSES IN SUCH MANNER AS THE COMMITTEE DETERMINES IS APPROPRIATE: 1. OVERSEE THE PROCESS OF SELECTING AND NOMINATING DIRECTORS AND OFFICERS FOR EACH OF THE GOVERNING BOARDS WITHIN THE WELLSPAN SYSTEM, INCLUDING ENSURING THAT DIRECTOR NOMINEES MEET THE QUALIFICATIONS REQUIRED BY THE RELEVANT BOARD COMPOSITION AND COMPETENCY GRID AND CHARACTERISTICS, BYLAWS, AND BOARD-APPROVED POLICIES AND GUIDELINES, AS APPLICABLE, AND ESTABLISH OTHER CRITERIA THAT ARE DESIRABLE FOR DIRECTORS; 2. IDENTIFY, EVALUATE AND SCREEN DIRECTOR CANDIDATES FOR EACH OF THE GOVERNING BOARDS WITHIN THE WELLSPAN SYSTEM (INCLUDING INCUMBENT DIRECTORS FOR POTENTIAL RE-NOMINATION), AND NOMINATE QUALIFIED INDIVIDUALS TO THE WELLSPAN HEALTH BOARD OF DIRECTORS FOR: (A) APPOINTMENT OR REAPPOINTMENT TO REGULAR TERMS, OR (B) APPOINTMENT TO FILL THE REMAINING TERM OF ANY GOVERNING BOARD VACANCIES; 3. REVIEW ANNUALLY THE SIZE, COMPOSITION AND LEADERSHIP OF EACH OF THE GOVERNING BOARDS WITHIN THE WELLSPAN SYSTEM, INCLUDING THE WELLSPAN HEALTH BOARD OF DIRECTORS AS A WHOLE, ITS COMMITTEES, AND ANY ADVISORY BODIES, MAKE A DETERMINATION OF WHETHER THE BOARD, ITS COMMITTEES AND ANY ADVISORY BODIES REFLECT THE APPROPRIATE BALANCE OF INDEPENDENCE, SOUND JUDGMENT, BUSINESS SPECIALIZATION, TECHNICAL SKILLS, DIVERSITY, FUNDRAISING AND DEVELOPMENT ABILITY, GEOGRAPHIC AND DEMOGRAPHIC REPRESENTATION, AND OTHER DESIRED QUALITIES, AND RECOMMEND ANY APPROPRIATE CHANGES TO THE WELLSPAN HEALTH BOARD OF DIRECTORS; 4. COORDINATE AND OVERSEE A PERIODIC SELF-EVALUATION OF THE ROLE AND PERFORMANCE OF EACH OF THE GOVERNING BOARDS WITHIN THE WELLSPAN SYSTEM, INCLUDING THE WELLSPAN HEALTH BOARD OF DIRECTORS, ITS COMMITTEES, AND ANY ADVISORY BODIES, AND EACH OF THEIR DIRECTORS AND OFFICERS; 5. DEVELOP AND RECOMMEND FOR APPROVAL BY THE WELLSPAN HEALTH BOARD OF DIRECTORS, REVIEW THE EFFECTIVENESS OF, AND RECOMMEND MODIFICATIONS AS APPROPRIATE TO, THE ORGANIZATION'S COMMITTEE STRUCTURE AND ORGANIZATIONAL DOCUMENTS, INCLUDING THE ARTICLES OF INCORPORATION, BYLAWS, BOARD-APPROVED POLICIES AND GUIDELINES, AND COMMITTEE CHARTERS; 6. THE GOVERNANCE COMMITTEE SHALL UNDERTAKE THE RESPONSIBILITY FOR BOARD EDUCATION AND BOARD RETREAT PLANNING. IN ADDITION, THE GOVERNANCE COMMITTEE SHALL COORDINATE WITH MANAGEMENT TO DEVELOP AND IMPLEMENT AN EFFECTIVE ORIENTATION PROGRAM FOR NEW DIRECTORS, INCLUDING ASSIGNMENT OF EXPERIENCED DIRECTORS AS APPROPRIATE MENTORS OF NEW DIRECTORS. 7. REVIEW EMERGING CORPORATE GOVERNANCE ISSUES AND BEST GOVERNANCE PRACTICES AND MAKE APPROPRIATE RECOMMENDATIONS TO THE WELLSPAN HEALTH BOARD OF DIRECTORS; 8. CONDUCT A PERIODIC SELF-EVALUATION OF THE PERFORMANCE OF THE COMMITTEE, INCLUDING ITS EFFECTIVENESS AND COMPLIANCE WITH THIS CHARTER, AND RECOMMEND TO THE WELLSPAN HEALTH BOARD OF DIRECTORS MODIFICATIONS AS APPROPRIATE; 9. THE GOVERNANCE COMMITTEE SHALL MAINTAIN MINUTES OF GOVERNANCE COMMITTEE MEETINGS AND RECORDS OF ITS ACTIVITIES AND SHALL REPORT PROMPTLY TO THE WELLSPAN HEALTH BOARD OF DIRECTORS ANY ACTION TAKEN BY THE GOVERNANCE COMMITTEE, ANY RECOMMENDATIONS OF THE GOVERNANCE COMMITTEE, AND ANY OTHER MATTERS THE GOVERNANCE COMMITTEE DEEMS APPROPRIATE OR THE WELLSPAN HEALTH BOARD OF DIRECTORS REQUESTS. 10. THE GOVERNANCE COMMITTEE SHALL UNDERTAKE SUCH OTHER RESPONSIBILITIES AS THE WELLSPAN HEALTH BOARD OF DIRECTORS MAY DELEGATE OR ASSIGN TO THE GOVERNANCE COMMITTEE FROM TIME TO TIME. THE GOVERNANCE COMMITTEE SHALL BE RESPONSIBLE TO, AND SUBJECT TO THE DIRECTION AND CONTROL OF, THE WELLSPAN HEALTH BOARD OF DIRECTORS. THE WELLSPAN HEALTH BOARD OF DIRECTORS SHALL BE SOLELY RESPONSIBLE FOR DELINEATING THE RESPONSIBILITIES OF THE GOVERNANCE COMMITTEE. THE GOVERNANCE COMMITTEE SHALL PERFORM ONLY SUCH FUNCTIONS AND DUTIES AS SHALL FROM TIME TO TIME BE SPECIFICALLY DELEGATED TO THE GOVERNANCE COMMITTEE BY THE WELLSPAN HEALTH BOARD OF DIRECTORS. THE GOVERNANCE COMMITTEE DOES NOT HAVE DELEGATED AUTHORITY TO TAKE FINAL AND BINDING ACTIONS ON BEHALF OF WELLSPAN HEALTH, AND THEREFORE ANY ACTIONS AND RECOMMENDATIONS OF THE COMMITTEE MUST BE APPROVED BY THE WELLSPAN HEALTH BOARD OF DIRECTORS BEFORE THEY ARE FINAL AND BINDING. IN DISCHARGING ITS ROLE, THE GOVERNANCE COMMITTEE IS EMPOWERED TO INQUIRE INTO ANY MATTER IT CONSIDERS APPROPRIATE TO CARRY OUT ITS RESPONSIBILITIES, WITH ACCESS TO ALL BOOKS, RECORDS, FACILITIES, AND PERSONNEL OF THE WELLSPAN SYSTEM.
FORM 990, PART VI, SECTION B, LINE 11BMANAGEMENT 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, SECTION B, LINE 12COFFICERS, DIRECTORS, AND KEY EMPLOYEES ARE REQUIRED TO COMPLETE A WELLSPAN HEALTH "CONFLICT OF INTEREST DISCLOSURE STATEMENT" QUESTIONNAIRE ANNUALLY. THE INTERNAL AUDIT DEPARTMENT OF WELLSPAN HEALTH ADMINISTERS THE QUESTIONNAIRES. THERE SHALL BE FULL DISCLOSURE BY A 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. ADDITIONALLY, ALL BOARD MEMBERS, EMPLOYEES, STUDENTS, AND VOLUNTEERS OF WELLSPAN HEALTH AND ITS RELATED ORGANIZATIONS MUST COMPLETE A "CODE OF CONDUCT" FORM TO ACKNOWLEDGE THAT HE OR SHE UNDERSTANDS THAT WE ALL HAVE AN OBLIGATION TO ACT IN WAYS THAT WILL MERIT THE TRUST, CONFIDENCE, AND RESPECT OF THE COMMUNITY WE SERVE, OTHER HEALTH CARE PROVIDERS, AND ALL OF THOSE WITH WHOM WE INTERACT.
FORM 990, PART VI, SECTION B, LINE 15BTHE PRIMARY PURPOSE OF WELLSPAN HEALTH COMPENSATION COMMITTEE, AS ASSIGNED BY THE WELLSPAN HEALTH BOARD OF DIRECTORS, IS TO REVIEW COMPENSATION PACKAGES OFFERED AND/OR PAID TO SENIOR SYSTEM EXECUTIVES AND PRACTICING PHYSICIANS EMPLOYED WITHIN THE SYSTEM. THE COMPENSATION COMMITTEE SHALL MONITOR AND EVALUATE THE PERFORMANCE OF THE PRESIDENT AND CEO OF WELLSPAN HEALTH AND SHALL, AT LEAST ANNUALLY, COORDINATE THE IN-PERSON PERFORMANCE REVIEW OF THE PRESIDENT AND CEO BY THE WELLSPAN HEALTH BOARD OF DIRECTORS. THE COMPENSATION COMMITTEE SHALL CONSIST OF 5-10 MEMBERS OF THE WELLSPAN HEALTH BOARD OF DIRECTORS, INCLUDING THE CHAIR AND THE VICE CHAIR. EACH COMPENSATION COMMITTEE MEMBER SHALL BE NOMINATED BY THE GOVERNANCE COMMITTEE, AND APPOINTED BY THE WELLSPAN HEALTH BOARD OF DIRECTORS, FOR A TERM OF ONE (1) YEAR. REAPPOINTMENT OF A COMPENSATION COMMITTEE MEMBER FOR MORE THAN ONE (1) TERM IS NOT AUTOMATIC OR PRESUMED AND SHALL BE BASED ON AN INDIVIDUAL PERFORMANCE EVALUATION OF THE COMPENSATION COMMITTEE MEMBER (AS PERFORMED OR OVERSEEN BY THE GOVERNANCE COMMITTEE). THE COMPENSATION COMMITTEE SHALL BE RESPONSIBLE TO, AND SUBJECT TO THE DIRECTION AND CONTROL OF, THE WELLSPAN HEALTH BOARD OF DIRECTORS. THE WELLSPAN HEALTH BOARD OF DIRECTORS SHALL BE SOLELY RESPONSIBLE FOR DELINEATING THE RESPONSIBILITIES OF THE COMPENSATION COMMITTEE. THE COMPENSATION COMMITTEE SHALL PERFORM ONLY SUCH FUNCTIONS AND DUTIES AS SHALL FROM TIME TO TIME BE SPECIFICALLY DELEGATED TO THE COMPENSATION COMMITTEE BY THE WELLSPAN HEALTH BOARD OF DIRECTORS. THE COMPENSATION COMMITTEE DOES NOT HAVE DELEGATED AUTHORITY, AND THEREFORE ANY ACTIONS AND RECOMMENDATIONS OF THE COMMITTEE MUST BE APPROVED BY THE WELLSPAN HEALTH BOARD OF DIRECTORS BEFORE THEY ARE FINAL AND BINDING. IN DISCHARGING ITS ROLE, THE COMPENSATION COMMITTEE IS EMPOWERED TO INQUIRE INTO ANY MATTER IT CONSIDERS APPROPRIATE TO CARRY OUT ITS RESPONSIBILITIES, WITH ACCESS TO ALL BOOKS, RECORDS, FACILITIES, AND PERSONNEL OF THE WELLSPAN SYSTEM. THE FOLLOWING RESPONSIBILITIES ARE SET FORTH AS A GUIDE FOR FULFILLING THE COMPENSATION COMMITTEE'S PURPOSES IN SUCH MANNER AS THE COMMITTEE DETERMINES IS APPROPRIATE: 1. SET, PERIODICALLY REVIEW AND ENSURE COMPLIANCE WITH THE EXECUTIVE COMPENSATION PHILOSOPHY FOR WELLSPAN, IN AN EFFORT TO ATTRACT AND RETAIN HIGH QUALITY EXECUTIVES, WHILE CONSIDERING COMPENSATION OFFERED TO THOSE IN COMPARABLE POSITIONS IN SIMILAR EMPLOYMENT MARKETS AS WELL AS THE SYSTEM'S NEEDS AND FINANCIAL RESOURCES. 2. RECOMMEND APPROVAL OF EXECUTIVE COMPENSATION PROGRAM ELEMENTS (INCENTIVES, SUPPLEMENTAL BENEFITS, ETC.). 3. IN CONJUNCTION WITH THE WELLSPAN HEALTH BOARD OF DIRECTORS, EVALUATE PERFORMANCE AND ESTABLISH COMPENSATION FOR THE PRESIDENT & CEO OF WELLSPAN HEALTH. 4. EVALUATE EXECUTIVE TEAM PERFORMANCE AND ESTABLISH AWARDS. 5. RECOMMEND APPROVAL OF SENIOR EXECUTIVE BASE SALARY RANGES. 6. ALIGN EXECUTIVE COMPENSATION WITH EXECUTIVE TALENT MANAGEMENT AND SUCCESSION. 7. OVERSEE EMPLOYED PHYSICIAN COMPENSATION PROGRAM. 8. THE COMPENSATION COMMITTEE SHALL MAINTAIN MINUTES OF COMPENSATION COMMITTEE MEETINGS AND RECORDS OF ITS ACTIVITIES, AND SHALL REPORT PROMPTLY TO THE WELLSPAN HEALTH BOARD OF DIRECTORS ANY ACTION TAKEN BY THE COMPENSATION COMMITTEE, ANY RECOMMENDATIONS OF THE COMPENSATION COMMITTEE, AND ANY OTHER MATTERS THE COMPENSATION COMMITTEE DEEMS APPROPRIATE TO THE WELLSPAN HEALTH BOARD OF DIRECTORS REQUESTS. 9. THE COMPENSATION COMMITTEE SHALL UNDERTAKE SUCH OTHER RESPONSIBILITIES AS THE WELLSPAN HEALTH BOARD OF DIRECTORS MAY DELEGATE OR ASSIGN TO THE COMPENSATION COMMITTEE FROM TIME TO TIME. THE COMPENSATION COMMITTEE ALSO UTILIZES THE SERVICES OF SULLIVANCOTTER, AN INDEPENDENT, THIRD-PARTY HEALTH CARE COMPENSATION CONSULTANT, TO ALIGN AND STRUCTURE WORKFORCE COMPENSATION AND BENEFIT STRATEGIES THAT SUPPORT ENTERPRISE-WIDE TRANSFORMATION AND BUSINESS PERFORMANCE.
FORM 990, PART VI, SECTION C, LINE 19GOVERNING DOCUMENTS, POLICIES, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.
FORM 990, PART IX, LINE 11GOUTSIDE SERVICES: PROGRAM SERVICE EXPENSES 17,697,406. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 17,697,406. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 6,409,712. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,409,712. TEMPORARY PROFESSIONAL STAFF: PROGRAM SERVICE EXPENSES 313,133. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 313,133. SPECIALIST CONTRACT: PROGRAM SERVICE EXPENSES 31,507,938. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 31,507,938.
FORM 990, PART XI, LINE 9:CHANGE IN FOUNDATION NET ASSETS 1,119,341. CHANGE IN FV DERIVATIVE 1,211,359. TRANSFER TO WELLSPAN HEALTH -18,000,000. TRANSFER TO WELLSPAN MEDICAL GROUP -10,600,000.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (25 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
APPLE HILL SURGICAL CENTER INC
PO BOX 2767YORKPA174052767222842253SOLE GP IN LP. OPERATING SURGICAL CENTERPA501(C)(3)LINE 10WELLSPAN HEALTH CARE SERVICES0
CHAMBERSBURG HEALTH SERVICES
PO BOX 2767YORKPA174052767251515376HEALTH CARE SERVICESPA501(C)(3)LINE 12A, IWELLSPAN SUMMIT HEALTH0
CHAMBERSBURG HOSPITAL
PO BOX 2767YORKPA174052767230465970HEALTH CARE SERVICESPA501(C)(3)LINE 3WELLSPAN SUMMIT HEALTH0
CHAMBERSBURG HOSPITAL WORKER'S COMPENSATION TRUST
PO BOX 2767YORKPA174052767256450683WORKERS COMPENSATION TRUSTPA501(C)(4)CHAMBERSBURG HOSPITAL0
EPHRATA COMMUNITY HEALTH FOUNDATION
PO BOX 2767YORKPA174052767800940005FUNDRAISING FOR EPHRATA HOSPITALPA501(C)(3)LINE 12A, IEPHRATA COMMUNITY HOSPITAL0
EPHRATA COMMUNITY HOSPITAL
PO BOX 2767YORKPA174052767231370484HEALTH CARE SERVICESPA501(C)(3)LINE 3WELLSPAN HEALTH0
GETTYSBURG HOSPITAL FOUNDATION
PO BOX 2767YORKPA174052767232251358FUNDRAISING FOR GETTYSBURG HOSPITALPA501(C)(3)LINE 12A, IGETTYSBURG HOSPITALYes (1)
GOOD SAMARITAN HEALTH SERVICES FOUNDATION OF LEBANON PA
PO BOX 2767YORKPA174052767232356151FUNDRAISING FOR GOOD SAMARITANPA501(C)(3)LINE 12A, IGOOD SAMARITAN HOSPITAL0
GOOD SAMARITAN PHYSICIAN SERVICES
PO BOX 2767YORKPA174052767251832359MEDICAL AND SURGICAL CAREPA501(C)(3)LINE 10GOOD SAM HEALTH SERVICES FOUNDATION0
HEALTHY COMMUNITY PHARMACY INC
PO BOX 2767YORKPA174052767200519121REDUCED RATE PRESCRIPTION DRUGS TO UNINSUREDPA501(C)(3)LINE 12A, IWELLSPAN HEALTH CARE SERVICES0
PHILHAVEN
PO BOX 2767YORKPA174052767231548822HEALTH CARE SERVICESPA501(C)(3)LINE 3WELLSPAN HEALTH0
SUMMIT HEALTH FOUNDATION
PO BOX 2767YORKPA174052767831196554FUNDRAISING FOR HEALTH CARE SYSTEMPA501(C)(3)LINE 12B, IIWELLSPAN SUMMIT HEALTH0
SUMMIT PHYSICIAN SERVICES
PO BOX 2767YORKPA174052767251716306MEDICAL AND SURGICAL CAREPA501(C)(3)LINE 10WELLSPAN SUMMIT HEALTH0
THE GOOD SAMARITAN HOSPITAL OF LEBANON PENNSYLVANIA
PO BOX 2767YORKPA174052767230794160HEALTH CARE SERVICESPA501(C)(3)LINE 3WELLSPAN HEALTH0
VNA COMMUNITY SERVICES
PO BOX 2767YORKPA174052767232338591HOME PERSONAL CARE SERVICES FOR ELDERLY AND DISABLEDPA501(C)(3)LINE 10WELLSPAN SURGERY & REHABILITATION HOSPITAL0
VNA HOME HEALTH SERVICES
PO BOX 2767YORKPA174052767231352573HOME HEALTH AND HOSPICE CARE SERVICESPA501(C)(3)LINE 10WELLSPAN SURGERY & REHABILITATION HOSPITAL0
WAYNESBORO HOSPITAL
PO BOX 2767YORKPA174052767231360854HEALTH CARE SERVICESPA501(C)(3)LINE 3WELLSPAN SUMMIT HEALTH0
WELLSPAN HEALTH
PO BOX 2767YORKPA174052767222517863INTEGRATED HEALTH SYSTEMPA501(C)(3)LINE 12C, III-FI0N/A
WELLSPAN HEALTH CARE SERVICES
PO BOX 2767YORKPA174052767232400237HEALTH CARE SERVICESPA501(C)(3)LINE 12B, IIWELLSPAN HEALTH0
WELLSPAN MEDICAL GROUP
PO BOX 2767YORKPA174052767232730785MEDICAL AND SURGICAL CAREPA501(C)(3)LINE 10WELLSPAN HEALTH0
WELLSPAN PROPERTIES INC
PO BOX 2767YORKPA174052767222842252LEASES FACILITIES TO AFFILIATESPA501(C)(3)LINE 12B, IIWELLSPAN HEALTH CARE SERVICES0
WELLSPAN SUMMIT HEALTH
PO BOX 2767YORKPA174052767251515371INTEGRATED HEALTH SYSTEMPA501(C)(3)LINE 7WELLSPAN HEALTH0
WELLSPAN SURGERY & REHABILITATION HOSPITAL
PO BOX 2767YORKPA174052767232899911SURGERY AND REHABILITATION HOSPITALPA501(C)(3)LINE 3WELLSPAN HEALTH0
YORK HEALTH FOUNDATION
PO BOX 2767YORKPA174052767233050192FUNDRAISING FOR WELLSPAN ENTITIESPA501(C)(3)LINE 12C, III-FIWELLSPAN HEALTH0
YORK HOSPITAL
PO BOX 2767YORKPA174052767231352222COMMUNITY TEACHING HOSPITALPA501(C)(3)LINE 3WELLSPAN HEALTH0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (8 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerInd
APPLE HILL SURGICAL CENTER PARTNERS
PO BOX 2767YORKPA174052767232489452SURGICAL CENTERPAWELLSPAN HEALTH00
CHERRY TREE CANCER CENTER LLP
PO BOX 2767YORKPA174052767232915628RADIATIONPAWELLSPAN HEALTH CARE SERVICES00
CUMBERLAND VALLEY MOBILE SERVICES
5 S MAIN STSUGARLOAFPA18249200884014MOBILE HEALTH SERVICESPACHAMBERSBURG HEALTH SERVICES00
LITTLESTOWN HEALTH CARE PARTNERSHIP
300 WEST KING STREETLITTLESTOWNPA17340232880464LEASE FACILITYPAWELLSPAN HEALTH CARE SERVICES00
SUMMIT SURGERY CENTER LP
PO BOX 2767YORKPA174052767251845303PHYSICIAN SERVICESPACHAMBERSBURG HEALTH SERVICES00
SURGERY CENTER ASSOCIATES LLC
PO BOX 2767YORKPA174052767251845304PHYSICIAN SERVICESPACHAMBERSBURG HEALTH SERVICES00
THE REHAB CENTER
855 SPRINGDALE DRIVE SUITE 20EXTONPA19341251687903PHYSICAL THERAPY REHABILITATIONPAEPHRATA HOSPITAL00
WELLSPAN SCA HOLDINGS LLC
569 BROOKWOOD VLG SUITE 901BIRMINGHAMAL35209882731487INVESTMENTSMDWELLSPAN HEALTH CARE SERVICES00

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (13 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACdShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPct
APPLE HILL CONDOMINIUM ASSOCIATION
PO BOX 2767YORKPA174052767232504543CONDOMINIUM ASSOCIATIONPAWELLSPAN HEALTH CARE SERVICESC0
CUMBERLAND VALLEY HEALTH NETWORK INC
PO BOX 2767YORKPA174052767232775583HEALTH NETWORKPAWELLSPAN SUMMIT HEALTHC0
EPHRATA HEALTH PAVILION CONDOMINIUM ASSOCIATION
PO BOX 2767YORKPA174052767475367279CONDOMINIUM ASSOCIATIONPAEPHRATA HOSPITALC0
EPHRATA MEDICAL OFFICE CONDOMINIUM ASSOCIATION
PO BOX 2767YORKPA174052767232526873CONDOMINIUM ASSOCIATIONPAC0N/A
GOOD SAMARITAN PHYSICIAN HOSPITAL ORGANIZATION OF LEBANON PA
PO BOX 2767YORKPA174052767251769419HEALTH CARE SERVICESPATHE GOOD SAMARITAN HOSPITAL OF LEBANON PENNSYLVANIAC0
GSH REALTY INC
PO BOX 2767YORKPA174052767232446622NON-RESIDENTIAL REAL ESTATEPAWELLSPAN HEALTH CARE SERVICESC0
NORTHERN LANCASTER COUNTY PHYSICIAN HOSPITAL ALLIANCE
PO BOX 2767YORKPA174052767232421885COORD PHYS & HOSPITALPAEPHRATA HOSPITALC0
QUEST BEHAVIORAL HEALTH
PO BOX 2767YORKPA174052767232910565HEALTH CARE NETWORK SERVICEPAWELLSPAN HEALTHC0
WELLSPAN HEARING CENTER INC
PO BOX 2767YORKPA174052767231954338HEARING AID PRACTICEPAWELLSPAN HEALTH CARE SERVICESC0
WELLSPAN PHARMACY INC
PO BOX 2767YORKPA174052767232374072DISPENSES RX & PROVIDES IV THERAPYPAWELLSPAN HEALTH CARE SERVICESC0
WELLSPAN PROVIDER NETWORK
PO BOX 2767YORKPA174052767232907828COORDINATE MANAGED CARE RISK CONTRACTSPAWELLSPAN HEALTHC0
WELLSPAN RECIPROCAL RISK RETENTION GROUP
PO BOX 2767YORKPA174052767200048457RISK RETENTION GROUPPAWELLSPAN HEALTHC0$5,319,8820.13200
YORK HEALTH PLAN
PO BOX 2767YORKPA174052767232664989PREFERRED PROVIDER ORGANIZATIONPAWELLSPAN HEALTHC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other OrgYes (1)AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
GETTYSBURG HOSPITAL FOUNDATION
C$465,135COST
GETTYSBURG HOSPITAL FOUNDATION
M$285,727COST