2024-05-09T09:36:29-05:00 2023-06-30 920460586 PWC US TAX LLP 655 NEW YORK AVENUE NW - SUITE 1100 WASHINGTON DC 20001 990 2022-07-01 231352220 GETTYSBURG HOSPITAL GETT 7178513055 PO BOX 2767 YORK PA 174052767 LAURA BUCZKOWSKI EXECUTIVE VP & CFO 7178513055 2024-05-09 1 LAURA BUCZKOWSKI 999009999 0 TRAVIS L PATTON P00369623 2024141000 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z ROXANNA GAPSTUR PO BOX 2767 YORK PA 174052767 411332587 0 X WWW.WELLSPAN.ORG X 1919 PA PROVIDE QUALITY HEALTH CARE SERVICES FOR THE PEOPLE OF ADAMS COUNTY, PA AND NORTHERN MD. 19 10 1121 105 852080 281726 3444582 2374545 336002057 352630437 16824054 1437336 466230 924318 356736923 357366636 69750 186436 0 0 80795587 80098493 0 0 0 198670753 209408455 279536090 289693384 77200833 67673252 454958689 507160350 64332290 57180835 390626399 449979515 X THE 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. 0 0 219914550 186436 351778357 LOCATED 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/. 219914550 1 1 0 1 0 0 0 0 0 1 1 1 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 0 0 1121 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 19 10 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 1 1 1 PA X DAVID P RIZZUTO 7178513055 3350 WHITEFORD ROAD YORK PA 174029081 LAURA BUCZKOWSKI EXECUTIVE VP & CFO - WELLSPAN HEALTH 1.00 40.00 X X 0 944343 74025 EDWARD MACKLE MD DIRECTOR 1.00 40.00 X 0 601608 88786 MICHAEL COGLIANO VP & PRESIDENT - GETTYSBURG HOSPITAL 40.00 0.00 X X 367397 0 69458 DAVID DOUD DO DIRECTOR 1.00 40.00 X 0 430418 67413 EDIE JARDINE DIRECTOR 1.00 3.00 X 0 0 0 ROXANNA GAPSTUR PHD RN PRESIDENT & CEO - WELLSPAN HEALTH 1.00 40.00 X X 0 2303962 87487 JULIE RAMSEY DIRECTOR 1.00 3.00 X 0 0 0 DENIS ONIEAL VICE CHAIRMAN 1.00 3.00 X X 0 0 0 CHERYL PLUMMER CHAIR 1.00 3.00 X X 0 0 0 STEPHEN HOLOVIAK DIRECTOR 1.00 6.00 X 0 0 0 KEVIN LORENTSEN MD DIRECTOR (RES. DEC. '22) 1.00 40.00 X 0 664608 77148 HORACE MARTIN MD DIRECTOR 1.00 3.00 X 0 0 0 MICHAEL SEIM SR VP & CHIEF QUALITY OFFICER 1.00 40.00 X X 0 904525 71367 SHERRI STAHL VICE PRESIDENT 1.00 40.00 X X 0 625252 64958 FARAAZ YOUSUF EXEC. VP & COO (UNTIL 11/22) 1.00 40.00 X X 0 987746 44958 JULIANNE CRAIG DIRECTOR 1.00 3.00 X 0 0 0 DAVID LOVETT DIRECTOR 1.00 3.00 X 0 0 0 PATRICIA GREEN-RODGERS DIRECTOR 1.00 3.00 X 0 0 0 AMY NELSON SECRETARY/SR VP & GENERAL COUNSEL 1.00 40.00 X X 0 661328 88489 WILLIAM HAPPEL DIRECTOR 1.00 5.00 X 0 0 0 ED SCHUURMAN PA DIRECTOR 1.00 40.00 X 0 190734 54603 ANGELA JOHNSTON VP - PATIENT CARE SERVICES 40.00 0.00 X 267798 0 75818 MELISSA HESS SENIOR DIRECTOR OPERATIONS 40.00 0.00 X 204434 0 54232 JASMINKA LOLIC PHARMACIST 40.00 0.00 X 210291 0 54453 MICHELLE WILLIAMS REGIONAL DIR. - PHARMACEUTICAL CARE 40.00 0.00 X 236430 0 43789 AMANDA NYE SR. DIR. - SYSTEM NURSING OPERATIONS 40.00 0.00 X 187084 0 59027 MONIQUE HOLZER DIRECTOR OPERATIONS - PERIOPERATIVE SERVICES 40.00 0.00 X 191866 0 36741 CHERYL STAUB NURSING OPERATIONS DIRECTOR 40.00 0.00 X 196614 0 57445 1861914 8314524 1170197 113 0 1 0 HEALTHTRUST WORKFORCE SOLUTIONS 6565 N MACARTHUR BLVD STE 325 IRVING TX 75039 STAFFING SERVICES 8195907 QUEST DIAGNOSTICS PO BOX 912512 PASADENA CA 91110 LAB SERVICES 1658858 NEW HEALTHWORKS INC 515 OLD SWEDE ROAD DOUGLASSVILLE PA 19518 TEMPORARY HELP 764062 HSSC LAUNDRY PO BOX 8016 LANCASTER PA 17604 HOUSEKEEPING SERVICES 683769 MERCY SPECIALIZED BILLING SERVICE PO BOX 505125 ST LOUIS MO 63150 BILLING SERVICES 413506 11 465135 1744807 164603 2374545 PATIENT SERVICES 621500 352630437 351778357 852080 352630437 3198538 3198538 32000 32000 377558 410069 -32511 -32511 -32511 51755378 7302 53555882 0 -1800504 7302 -1793202 -1793202 CAFETERIA SALES 722210 229378 229378 CRISIS INTERVENTION 900099 183760 183760 FEDERAL INCOME TAX 900099 176708 176708 366983 366983 956829 357366636 351778357 852080 2361654 X 109751 109751 76685 76685 1059959 1059959 57611583 57510538 101045 3278252 3152371 125881 13804718 10618170 3186548 4343981 4021235 322746 64474045 64474045 99228 99228 12411 12411 55928189 55928189 36212 36212 527499 497556 29943 316727 315172 1555 5416263 5213903 202360 43121 39936 3185 26983 23895 3088 1232553 1232553 7196755 7182635 14120 2153318 2153318 MEDICAL SUPPLIES 52605732 52605732 BAD DEBT EXPENSE 10829604 10829604 REPAIRS & MAINTENANCE 4034982 3968330 66652 TAXES & LICENSES 3700737 3700737 774096 698028 76068 289693384 219914550 69778834 0 791285 767583 12063722 852732 88439 86839 34312819 37048470 2805695 3225734 215289 292240 142077990 84316185 48049730 57761805 220918159 237265817 27925484 30928313 21159422 22278763 4196708 4456665 82431937 112195389 454958689 507160350 10749090 10050513 5146115 1095771 35455722 34513164 945000 0 12036363 11521387 64332290 57180835 X 368181027 426479719 22445372 23499796 390626399 449979515 454958689 507160350 X 67673252 17949164 -26269300 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 12411 12411 0 PART II-B, LINE 1: A PORTION OF THE DUES PAID TO THE HOSPITAL ASSOCIATION OF PENNSYLVANIA AND THE AMERICAN HOSPITAL ASSOCIATION INCLUDE LOBBYING ($2,071 AND $10,340). 22445372 398791 1099384 443751 23499796 26125837 216509 -3639108 257866 22445372 21480994 285864 4437857 78878 26125837 22078580 64009 -268143 393452 21480994 21460976 141700 650346 174442 22078580 0.00000 0.00730 0.99270 0 1 1 140421 140421 73271565 42565597 30705968 1846746 1660268 186478 55219706 40090320 15129386 11599552 11599552 57761805 PRIVATE EQUITY LIMITED PARTNERSHIP 22167124 F REAL ESTATE LIMITED PARTNERSHIP 8761189 F 30928313 INTERCOMPANY RECEIVABLE 112195389 112195389 DERIVATIVE VALUATION 1783426 LEASE PAYABLE 1230305 TAXABLE BOND LIABILITIES 7641099 INTERCOMPANY PAYABLE 866557 11521387 X 338231487 17949164 -37494382 -19545218 357776705 -410069 -410069 357366636 278878371 410069 410069 278468302 11225082 11225082 289693384 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. 1 1 X 1 X 300.000000000000 1 X 1 1 0 1 1 1494273 0 1494273 0.00540 32164524 12916267 19248257 0.06900 33658797 12916267 20742530 0.07440 14 2203 158288 30689 127599 0.00050 1 140197 0 140197 0.00050 1 163642 0 163642 0.00060 5 2648 242178 0 242178 0.00090 21 4851 704305 30689 673616 0.00250 21 4851 34363102 12946956 21416146 0.07690 1 104 849 0 849 0.00000 8 1071 214959 550 214409 0.00080 2 53 211049 0 211049 0.00080 11 1228 426857 550 426307 0.00160 1 3309940 52297 90141684 109896689 -19755005 X 1 1 3 1 GETTYSBURG HOSPITAL 147 GETTYS STREET GETTYSBURG PA 17325 WWW.WELLSPAN.ORG 01300100 X X X A 2 WELLSPAN HEALTH & SURGERY CENTER 1227 BALTIMORE STREET GETTYSBURG PA 17325 WWW.WELLSPAN.ORG 50471501 X A 3 WELLSPAN SURGICAL CENTER 236 WEST STREET GETTYSBURG PA 17325 WWW.WELLSPAN.ORG 22551501 X A GETTYSBURG HOSPITAL 0 0 1 X X X X X X X X X 21 1 1 1 1 X WWW.WELLSPAN.ORG X VARIOUS COALITION WEBSITES - PART VI, LINE 5 EXPLANATION X X 1 21 1 WWW.WELLSPAN.ORG 0 1 X 300.000000000000 350.000000000000 X X X X X X X 1 1 X X X X 1 X WWW.WELLSPAN.ORG X WWW.WELLSPAN.ORG X WWW.WELLSPAN.ORG X X X X X X X 1 X 0 X X X X 1 X 0 0 PART V, SECTION B FACILITY 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. 12 1 - WELLSPAN SURGICAL CENTER OUTPATIENT DEPA 236 WEST STREET GETTYSBURG PA 173252509 SURGERY CENTER 2 - WELLSPAN SURGERY CENTER OUTPATIENT DEPAR 1227 BALTIMORE STREET HANOVER PA 173314406 SURGERY CENTER 3 - WELLSPAN ASPERS HEALTH 2060 CARLISLE ROAD ASPERS PA 173049707 IMAGING SERVICES, PHLEBOTOMY, REHABILITATION 4 - WELLSPAN REHABILITATION AT FAIRFIELD TOW 4910 FAIRFIELD ROAD FAIRFIELD PA 173209510 REHABILITATION SERVICES 5 - WELLSPAN REHABILITATION DEATRICK COMMONS 16 DEATRICK DRIVE GETTYSBURG PA 173256963 REHABILITATION SERVICES 6 - WELLSPAN REHABILITATION AT HERRS RIDGE H 820 CHAMBERSBURG ROAD GETTYSBURG PA 173253310 REHABILITATION SERVICES 7 - WELLSPAN ADAMS HEALTH CENTER 40 V TWIN DRIVE GETTYSBURG PA 173257875 PHLEBOTOMY SERVICES, RADIATION ONCOLOGY, DIABETES EDUCATION AND IMAGING 8 - WELLSPAN INFUSION SERVICES HANOVER 671 WILSON AVENUE HANOVER PA 173319519 OUTPATIENT CHEMOTHERAPY AND INFUSION 9 - WELLSPAN IMAGING SERVICES 455 SOUTH WASHINGTON STREET GETTYSBURG PA 173252516 IMAGING, MATERNAL FETAL MEDICINE, UROLOGY 10 - WELLSPAN CARDIOLOGY PREVENTATIVE MEDICIN 450 SOUTH WASHINGTON STREET GETTYSBURG PA 173252500 CARDIOLOGY SERVICES 11 - WELLSPAN IMAGING SERVICES 450 SOUTH WASHINGTON STREET GETTYSBURG PA 173252500 IMAGING SERVICES 12 - WELLSPAN ANTICOAGULATION SERVICES 2060 CARLISLE ROAD ASPERS PA 173049707 ANTICOAGULATION SERVICES 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 STATES PA 1 FAMILY FIRST HEALTH 116 S GEORGE ST SUITE 200 YORK PA 17401 237118262 501(C)(3) 57000 0 GENERAL SUPPORT GETTYSBURG COLLEGE 300 NORTH WASHINGTON STREET GETTYSBURG PA 17325 231352641 501(C)(3) 10000 0 GENERAL SUPPORT GETTYSBURG BOROUGH 59 EAST HIGH STREET GETTYSBURG PA 17325 236002866 LOCAL GOVERNMENT 35751 0 GENERAL SUPPORT 3 0 PRESCRIPTION FOR CARING PROGRAM 247 76685 PART I, LINE 2: ALL 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. X X X X 0 1 0 0 0 0 0 0 0 ROXANNA GAPSTUR PHD RN PRESIDENT & CEO - WELLSPAN HEALTH 0 1523876 0 780000 0 86 0 13477 0 74010 0 2391449 0 0 FARAAZ YOUSUF EXEC. VP & COO (UNTIL 11/22) 0 563091 0 401869 0 22786 0 3087 0 41871 0 1032704 0 0 LAURA BUCZKOWSKI EXECUTIVE VP & CFO - WELLSPAN HEALTH 0 694583 0 249750 0 10 0 16892 0 57133 0 1018368 0 0 MICHAEL SEIM SR VP & CHIEF QUALITY OFFICER 0 660561 0 243904 0 60 0 15485 0 55882 0 975892 0 0 AMY NELSON SECRETARY/SR VP & GENERAL COUNSEL 0 477341 0 173900 0 10087 0 38242 0 50247 0 749817 0 0 KEVIN LORENTSEN MD DIRECTOR (RES. DEC. '22) 0 510913 0 92490 0 61205 0 16679 0 60469 0 741756 0 0 EDWARD MACKLE MD DIRECTOR 0 531688 0 60361 0 9559 0 36600 0 52186 0 690394 0 0 SHERRI STAHL VICE PRESIDENT 0 456491 0 168451 0 310 0 20177 0 44781 0 690210 0 0 DAVID DOUD DO DIRECTOR 0 382825 0 47593 0 0 0 18605 0 48808 0 497831 0 0 MICHAEL COGLIANO VP & PRESIDENT - GETTYSBURG HOSPITAL 296209 0 64966 0 6222 0 21934 0 47524 0 436855 0 0 0 ANGELA JOHNSTON VP - PATIENT CARE SERVICES 219518 0 48135 0 145 0 29861 0 45957 0 343616 0 0 0 MICHELLE WILLIAMS REGIONAL DIR. - PHARMACEUTICAL CARE 218023 0 18357 0 50 0 17278 0 26511 0 280219 0 0 0 JASMINKA LOLIC PHARMACIST 204236 0 5980 0 75 0 27503 0 26950 0 264744 0 0 0 MELISSA HESS SENIOR DIRECTOR OPERATIONS 184253 0 16526 0 3655 0 12015 0 42217 0 258666 0 0 0 CHERYL STAUB NURSING OPERATIONS DIRECTOR 178131 0 14788 0 3695 0 11828 0 45617 0 254059 0 0 0 AMANDA NYE SR. DIR. - SYSTEM NURSING OPERATIONS 169611 0 14036 0 3437 0 14363 0 44664 0 246111 0 0 0 ED SCHUURMAN PA DIRECTOR 0 146898 0 41153 0 2683 0 10258 0 44345 0 245337 0 0 MONIQUE HOLZER DIRECTOR OPERATIONS - PERIOPERATIVE 171055 0 17200 0 3611 0 10986 0 25755 0 228607 0 0 0 PART I, LINE 4B THE 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). A GENERAL AUTHORITY OF SOUTHCENTRAL PENNSYLVANIA 232982233 84129NHL6 2014-11-10 9038981 REFUND BONDS & EXPANSION 0 0 0 B GENERAL AUTHORITY OF SOUTHCENTRAL PENNSYLVANIA 232982233 2018-03-13 3163344 REFUND 2008A BONDS 0 0 0 C GENERAL AUTHORITY OF SOUTHCENTRAL PENNSYLVANIA 232982233 2018-09-04 2658598 REFUND 2008A BONDS 0 0 0 D GENERAL AUTHORITY OF SOUTHCENTRAL PENNSYLVANIA 277334160 2019-04-03 12467797 REFUND BONDS & EXPANSION 0 0 0 A 1694454 7200876 9092909 7044761 336555 53928 79875 3888947 4733604 2016 1 1 1 1 B 2121382 3163344 9393 3153951 2018 0 1 1 1 C 249425 2658598 7712 2650886 2018 0 1 1 1 D 699027 12467797 20122 83281 11558424 805970 2019 1 1 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 C 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 D 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 1 0 0 0 0 0 0 1 B 0 0 1 0 1 0 0 0 1 C 0 0 1 0 1 0 0 0 1 D 0 0 0 0 1 0 0 0 1 A 1 B 1 C 1 D 1 SCHEDULE K, PART I, COLUMN (E) - ISSUE PRICE WELLSPAN 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 3 THE TOTAL PROCEEDS ARE NOT IDENTICAL TO PART I, COLUMN (E) BECAUSE OF INVESTMENT EARNINGS. SCHEDULE K, PART III, LINE 4 & 5 - PRIVATE BUSINESS USE THE ENTITY, IN CONJUNCTION WITH BOND COUNSEL, MONITORS ACTIVITIES THAT MAY RESULT IN PRIVATE BUSINESS USE. THERE WERE NONE FOUND. A GENERAL AUTHORITY OF SOUTHCENTRAL PENNSYLVANIA 232982233 84129NMG1 2019-04-03 19290983 REFUND BONDS ISSUED 11/12/2008 0 0 0 A 19290983 89793 19201190 2019 1 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 1 0 1 0 0 0 1 A 1 FORM 990, PART VI, SECTION A, LINE 6 WELLSPAN HEALTH, A NOT-FOR-PROFIT CORPORATION, IS THE SOLE MEMBER. FORM 990, PART VI, SECTION A, LINE 7A THE 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 7B THE 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 11B MANAGEMENT PROVIDED AN ELECTRONIC COPY OF THE FORM 990 TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY, PRIOR TO ITS FILING WITH THE IRS. THE ORGANIZATION'S FINANCE MANAGEMENT TEAM PROVIDED A PRESENTATION TO THE AUDIT COMMITTEE ON THE ORGANIZATION'S 990 RETURN. FORM 990, PART VI, SECTION B, LINE 12C OFFICERS, 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 15B THE 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 19 GOVERNING DOCUMENTS, POLICIES, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G OUTSIDE 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. APPLE HILL SURGICAL CENTER INC PO BOX 2767 YORK PA 174052767 222842253 SOLE GP IN LP. OPERATING SURGICAL CENTER PA 501(C)(3) LINE 10 WELLSPAN HEALTH CARE SERVICES 0 CHAMBERSBURG HEALTH SERVICES PO BOX 2767 YORK PA 174052767 251515376 HEALTH CARE SERVICES PA 501(C)(3) LINE 12A, I WELLSPAN SUMMIT HEALTH 0 CHAMBERSBURG HOSPITAL PO BOX 2767 YORK PA 174052767 230465970 HEALTH CARE SERVICES PA 501(C)(3) LINE 3 WELLSPAN SUMMIT HEALTH 0 CHAMBERSBURG HOSPITAL WORKER'S COMPENSATION TRUST PO BOX 2767 YORK PA 174052767 256450683 WORKERS COMPENSATION TRUST PA 501(C)(4) CHAMBERSBURG HOSPITAL 0 EPHRATA COMMUNITY HEALTH FOUNDATION PO BOX 2767 YORK PA 174052767 800940005 FUNDRAISING FOR EPHRATA HOSPITAL PA 501(C)(3) LINE 12A, I EPHRATA COMMUNITY HOSPITAL 0 EPHRATA COMMUNITY HOSPITAL PO BOX 2767 YORK PA 174052767 231370484 HEALTH CARE SERVICES PA 501(C)(3) LINE 3 WELLSPAN HEALTH 0 GETTYSBURG HOSPITAL FOUNDATION PO BOX 2767 YORK PA 174052767 232251358 FUNDRAISING FOR GETTYSBURG HOSPITAL PA 501(C)(3) LINE 12A, I GETTYSBURG HOSPITAL 1 GOOD SAMARITAN HEALTH SERVICES FOUNDATION OF LEBANON PA PO BOX 2767 YORK PA 174052767 232356151 FUNDRAISING FOR GOOD SAMARITAN PA 501(C)(3) LINE 12A, I GOOD SAMARITAN HOSPITAL 0 GOOD SAMARITAN PHYSICIAN SERVICES PO BOX 2767 YORK PA 174052767 251832359 MEDICAL AND SURGICAL CARE PA 501(C)(3) LINE 10 GOOD SAM HEALTH SERVICES FOUNDATION 0 HEALTHY COMMUNITY PHARMACY INC PO BOX 2767 YORK PA 174052767 200519121 REDUCED RATE PRESCRIPTION DRUGS TO UNINSURED PA 501(C)(3) LINE 12A, I WELLSPAN HEALTH CARE SERVICES 0 PHILHAVEN PO BOX 2767 YORK PA 174052767 231548822 HEALTH CARE SERVICES PA 501(C)(3) LINE 3 WELLSPAN HEALTH 0 SUMMIT HEALTH FOUNDATION PO BOX 2767 YORK PA 174052767 831196554 FUNDRAISING FOR HEALTH CARE SYSTEM PA 501(C)(3) LINE 12B, II WELLSPAN SUMMIT HEALTH 0 SUMMIT PHYSICIAN SERVICES PO BOX 2767 YORK PA 174052767 251716306 MEDICAL AND SURGICAL CARE PA 501(C)(3) LINE 10 WELLSPAN SUMMIT HEALTH 0 THE GOOD SAMARITAN HOSPITAL OF LEBANON PENNSYLVANIA PO BOX 2767 YORK PA 174052767 230794160 HEALTH CARE SERVICES PA 501(C)(3) LINE 3 WELLSPAN HEALTH 0 VNA COMMUNITY SERVICES PO BOX 2767 YORK PA 174052767 232338591 HOME PERSONAL CARE SERVICES FOR ELDERLY AND DISABLED PA 501(C)(3) LINE 10 WELLSPAN SURGERY & REHABILITATION HOSPITAL 0 VNA HOME HEALTH SERVICES PO BOX 2767 YORK PA 174052767 231352573 HOME HEALTH AND HOSPICE CARE SERVICES PA 501(C)(3) LINE 10 WELLSPAN SURGERY & REHABILITATION HOSPITAL 0 WAYNESBORO HOSPITAL PO BOX 2767 YORK PA 174052767 231360854 HEALTH CARE SERVICES PA 501(C)(3) LINE 3 WELLSPAN SUMMIT HEALTH 0 WELLSPAN HEALTH PO BOX 2767 YORK PA 174052767 222517863 INTEGRATED HEALTH SYSTEM PA 501(C)(3) LINE 12C, III-FI N/A 0 WELLSPAN HEALTH CARE SERVICES PO BOX 2767 YORK PA 174052767 232400237 HEALTH CARE SERVICES PA 501(C)(3) LINE 12B, II WELLSPAN HEALTH 0 WELLSPAN MEDICAL GROUP PO BOX 2767 YORK PA 174052767 232730785 MEDICAL AND SURGICAL CARE PA 501(C)(3) LINE 10 WELLSPAN HEALTH 0 WELLSPAN PROPERTIES INC PO BOX 2767 YORK PA 174052767 222842252 LEASES FACILITIES TO AFFILIATES PA 501(C)(3) LINE 12B, II WELLSPAN HEALTH CARE SERVICES 0 WELLSPAN SUMMIT HEALTH PO BOX 2767 YORK PA 174052767 251515371 INTEGRATED HEALTH SYSTEM PA 501(C)(3) LINE 7 WELLSPAN HEALTH 0 WELLSPAN SURGERY & REHABILITATION HOSPITAL PO BOX 2767 YORK PA 174052767 232899911 SURGERY AND REHABILITATION HOSPITAL PA 501(C)(3) LINE 3 WELLSPAN HEALTH 0 YORK HEALTH FOUNDATION PO BOX 2767 YORK PA 174052767 233050192 FUNDRAISING FOR WELLSPAN ENTITIES PA 501(C)(3) LINE 12C, III-FI WELLSPAN HEALTH 0 YORK HOSPITAL PO BOX 2767 YORK PA 174052767 231352222 COMMUNITY TEACHING HOSPITAL PA 501(C)(3) LINE 3 WELLSPAN HEALTH 0 APPLE HILL SURGICAL CENTER PARTNERS PO BOX 2767 YORK PA 174052767 232489452 SURGICAL CENTER PA WELLSPAN HEALTH 0 0 CHERRY TREE CANCER CENTER LLP PO BOX 2767 YORK PA 174052767 232915628 RADIATION PA WELLSPAN HEALTH CARE SERVICES 0 0 CUMBERLAND VALLEY MOBILE SERVICES 5 S MAIN ST SUGARLOAF PA 18249 200884014 MOBILE HEALTH SERVICES PA CHAMBERSBURG HEALTH SERVICES 0 0 LITTLESTOWN HEALTH CARE PARTNERSHIP 300 WEST KING STREET LITTLESTOWN PA 17340 232880464 LEASE FACILITY PA WELLSPAN HEALTH CARE SERVICES 0 0 SUMMIT SURGERY CENTER LP PO BOX 2767 YORK PA 174052767 251845303 PHYSICIAN SERVICES PA CHAMBERSBURG HEALTH SERVICES 0 0 SURGERY CENTER ASSOCIATES LLC PO BOX 2767 YORK PA 174052767 251845304 PHYSICIAN SERVICES PA CHAMBERSBURG HEALTH SERVICES 0 0 THE REHAB CENTER 855 SPRINGDALE DRIVE SUITE 20 EXTON PA 19341 251687903 PHYSICAL THERAPY REHABILITATION PA EPHRATA HOSPITAL 0 0 WELLSPAN SCA HOLDINGS LLC 569 BROOKWOOD VLG SUITE 901 BIRMINGHAM AL 35209 882731487 INVESTMENTS MD WELLSPAN HEALTH CARE SERVICES 0 0 APPLE HILL CONDOMINIUM ASSOCIATION PO BOX 2767 YORK PA 174052767 232504543 CONDOMINIUM ASSOCIATION PA WELLSPAN HEALTH CARE SERVICES C 0 CUMBERLAND VALLEY HEALTH NETWORK INC PO BOX 2767 YORK PA 174052767 232775583 HEALTH NETWORK PA WELLSPAN SUMMIT HEALTH C 0 EPHRATA HEALTH PAVILION CONDOMINIUM ASSOCIATION PO BOX 2767 YORK PA 174052767 475367279 CONDOMINIUM ASSOCIATION PA EPHRATA HOSPITAL C 0 EPHRATA MEDICAL OFFICE CONDOMINIUM ASSOCIATION PO BOX 2767 YORK PA 174052767 232526873 CONDOMINIUM ASSOCIATION PA N/A C 0 GOOD SAMARITAN PHYSICIAN HOSPITAL ORGANIZATION OF LEBANON PA PO BOX 2767 YORK PA 174052767 251769419 HEALTH CARE SERVICES PA THE GOOD SAMARITAN HOSPITAL OF LEBANON PENNSYLVANIA C 0 GSH REALTY INC PO BOX 2767 YORK PA 174052767 232446622 NON-RESIDENTIAL REAL ESTATE PA WELLSPAN HEALTH CARE SERVICES C 0 NORTHERN LANCASTER COUNTY PHYSICIAN HOSPITAL ALLIANCE PO BOX 2767 YORK PA 174052767 232421885 COORD PHYS & HOSPITAL PA EPHRATA HOSPITAL C 0 QUEST BEHAVIORAL HEALTH PO BOX 2767 YORK PA 174052767 232910565 HEALTH CARE NETWORK SERVICE PA WELLSPAN HEALTH C 0 WELLSPAN HEARING CENTER INC PO BOX 2767 YORK PA 174052767 231954338 HEARING AID PRACTICE PA WELLSPAN HEALTH CARE SERVICES C 0 WELLSPAN PHARMACY INC PO BOX 2767 YORK PA 174052767 232374072 DISPENSES RX & PROVIDES IV THERAPY PA WELLSPAN HEALTH CARE SERVICES C 0 WELLSPAN PROVIDER NETWORK PO BOX 2767 YORK PA 174052767 232907828 COORDINATE MANAGED CARE RISK CONTRACTS PA WELLSPAN HEALTH C 0 WELLSPAN RECIPROCAL RISK RETENTION GROUP PO BOX 2767 YORK PA 174052767 200048457 RISK RETENTION GROUP PA WELLSPAN HEALTH C 5319882 0.13200 0 YORK HEALTH PLAN PO BOX 2767 YORK PA 174052767 232664989 PREFERRED PROVIDER ORGANIZATION PA WELLSPAN HEALTH C 0 0 0 1 1 0 0 0 1 0 1 1 1 1 0 0 1 0 1 0 GETTYSBURG HOSPITAL FOUNDATION C 465135 COST GETTYSBURG HOSPITAL FOUNDATION M 285727 COST