2024-05-13T12:45:58+00:00 2023-06-30 346565596 Ernst & Young US LLP 2100 One PPG Place Pittsburgh PA 15222 990 2022-07-01 473884840 TGCH Inc TGCH 7242233335 350 Bonar Avenue Waynesburg PA 15370 Alisa R Rucker Chief Financial Officer 7242233004 2024-05-13 false Alisa Rucker 999009999 Eileen Webb P01641852 4126447800 2022 2023-04-26 12:10:37Z Washington Health System Greene Terry Wiltrout 350 Bonar Avenue Waynesburg PA 15370 18108938 false X https://whs.org/locations-practices/greene/ X 2015 PA WASHINGTON HEALTH SYSTEM GREENE IS A COMMUNITY HOSPITAL DEDICATED TO IMPROVING HEALTH / PROVIDING PATIENT CARE TO ALL PERSONS WITHOUT REGARD TO RACE, COLOR, RELIGION, SEX, NATIONAL ORIGIN, DISABILITY OR ABILITY TO PAY. 10 8 173 24 458934 0 1244496 191015 17754632 16327928 0 0 543997 902391 19543125 17421334 0 0 0 0 10297670 10527156 0 0 0 8444673 9421040 18742343 19948196 800782 -2526862 17849308 14910186 4164915 3742827 13684393 11167359 X WASHINGTON HEALTH SYSTEM GREENE IS A SECULAR, NOT-FOR-PROFIT COMMUNITY HOSPITAL DEDICATED TO IMPROVING THE HEALTH STATUS OF THE COMMUNITY AND PROVIDING QUALITY PATIENT CARE TO ALL PERSONS WITHOUT REGARD TO RACE, COLOR, RELIGION, SEX, NATIONAL ORIGIN, DISABILITY OR ABILITY TO PAY. false false 7057108 0 5646921 OUR EMERGENCY ROOM PROVIDED OVER 11,000 VISITS DURING THE YEAR. SERVICES WERE RENDERED REGARDLESS OF THE PATIENT'S ABILITY TO PAY. ALL QUALITY MEASURES REQUIRED BY MEDICARE AND MAJOR INSURANCE CARRIERS WERE MET. 22% OF THE VISITS WERE MEDICARE; 45% OF THE VISITS WERE MEDICAL ASSISTANCE. 7053733 0 4345384 A WIDE VARIETY OF OUTPATIENT SERVICES WERE PROVIDED TO THE COMMUNITY INCLUDING LAB, RADIOLOGY, SURGICAL, OBSERVATION, BEHAVIORAL HEALTH, AND THERAPEUTIC SERVICES. OVER 19,000 OUTPATIENT VISITS WERE PERFORMED DURING THE YEAR. SERVICES WERE RENDERED REGARDLESS OF THE PATIENT'S ABILITY TO PAY. ALL QUALITY MEASURES REQUIRED BY MEDICARE AND MAJOR INSURANCE CARRIERS WERE MET. 50% OF THE OUTPATIENT VISITS WERE MEDICARE; 19% OF THE OUTPATIENT VISITS WERE MEDICAL ASSISTANCE. 1783174 0 6367411 INPATIENT ACUTE SERVICES WERE PROVIDED TO 380 PATIENTS IN THE COMMUNITY. WASHINGTON HEALTH SYSTEM GREENE PROVIDES A WIDE ARRAY OF MEDICAL AND SURGICAL SERVICES. SPECIALTIES INCLUDE UROLOGY, GASTROENTEROLOGY, ORTHOPEDICS AND GENERAL SURGERY. SERVICES WERE RENDERED REGARDLESS OF A PATIENT'S ABILITY TO PAY. ALL QUALITY MEASURES REQUIRED BY MEDICARE AND MAJOR INSURANCE CARRIERS WERE MET. 72% OF THE INPATIENT CASES WERE MEDICARE; 15% OF THE PATIENT CASES WERE MEDICAL ASSISTANCE. 249010 0 64118 OTHER PROGRAM SERVICES INCLUDE ACTIVITIES PERFORMED BY THE HOSPITAL TO DO BUSINESS IN THE COMMUNITY AND PROVIDE VALUABLE COMMUNITY BENEFITS. ACTIVITIES IN THIS CATEGORY INCLUDE RENTAL ACTIVITIES AND OPERATION OF AN EMPLOYEE CAFETERIA. 249010 64118 16143025 true true false false false false false false false true false true true true false false true false false false false false false false false true true false false true false false false false false false false false false false false false false true true true false false true 38 0 true 173 true true true false false false false false false false false false false false X 10 8 false false false false true true true true true false false false true true true true true true true true false PA X Terry Wiltrout 7242233005 155 Wilson Avenue Washington PA 15301 ARTHUR GABRIEL VICE-CHAIRPERSON 1.0 4.0 X X 0 0 0 BROOK WARD CEO 4.0 48.0 X X 0 789435 27092 DANIEL MILLER CHAIRPERSON 1.0 4.0 X X 0 0 0 MARK BACKERIS DO SECRETARY 1.0 3.0 X X 0 0 0 ROBERT YOUNG TREASURER 1.0 4.0 X X 0 0 0 CHARLES R GUTHRIE BOARD MEMBER 1.0 1.0 X 0 0 0 HOWARD GOLDBERG MD BOARD MEMBER 1.0 41.0 X 0 534532 26894 MARY BETH BROWN BOARD MEMBER 1.0 2.0 X 0 0 0 MIKE LAUDERBAUGH BOARD MEMBER 1.0 2.0 X 0 0 0 SARAH WHITE DO BOARD MEMBER 1.0 1.0 X 0 0 0 TERRY WILTROUT PRESIDENT 20.0 20.0 X 0 260683 25116 Bridget Trump Director of Nursing 40.0 0.0 X 154328 0 21064 Hillari Boyd Administrative Nursing Supervisor 40.0 0.0 X 180013 0 18599 Karen Shaffer Administrative Nursing Supervisor 40.0 0.0 X 168760 0 17049 Michelle Sims Administrative Nursing Supervisor 40.0 0.0 X 141346 0 10251 Sondra Lemley Registered Nurse 40.0 0.0 X 193623 0 2903 838070 1584650 148968 9 false true false EmCare Inc 100 Witmer Rd Suite 220 Horsham PA 19044 Physician Services 951725 Maxim Staffing 12558 Collections Center Drive Chicago IL 60693 Staffing 326905 Smartcare 1059 Willow Road Vandergrift PA 15690 Staffing Services 206943 Valley National Security 506 Main Street Bentleyville PA 15314 Security Services 155566 Cura Hospitality PO Box 743676 Atlanta GA 303743676 Cafeteria Services 139283 8 0 0 0 191015 0 0 0 191015 Hospital IP and OP Services 900099 16327928 16261017 66911 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16327928 0 0 0 0 0 0 0 0 0 0 0 0 761199 0 636533 0 124666 0 124666 0 0 124666 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 41241 51071 -9830 -9830 0 0 Cafeteria Sales 900099 427601 73747 353854 0 Joint Venture-Ambulance & Chair 900099 289796 0 0 289796 0 0 0 0 70158 31989 38169 0 787555 17421334 16356923 458934 414462 X 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8809351 6730344 2079007 0 262975 200913 62062 0 917727 701143 216584 0 537103 410347 126756 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4984652 4154045 830607 0 0 0 0 0 416737 318387 98350 0 0 0 0 0 0 0 0 0 28359 21666 6693 0 9171 7007 2164 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 987984 754820 233164 0 504595 450000 54595 0 Medical Supplies 1421689 1421689 0 0 Medicaid Assessment 664510 664510 0 0 Repairs & Maintenance 221064 168893 52171 0 182279 139261 43018 0 19948196 16143025 3805171 0 0 0 0 0 5800457 2288482 0 0 0 0 1171850 1461640 0 0 0 0 851577 568381 341533 331051 71475 251825 12009753 5203546 6904660 6806207 0 0 0 2237776 2455375 0 0 469980 747225 17849308 14910186 1654329 1813079 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2510586 1929748 4164915 3742827 X 13684393 11167359 0 0 0 0 0 0 0 0 13684393 11167359 17849308 14910186 X -2526862 0 0 0 0 9828 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 628400 628400 0 8335979 3656888 4679091 0 41625 13176 28449 0 3003749 1533482 1470267 0 0 0 0 6806207 Investment in Affiliates 2455375 C 2455375 Right of use assets - Operating Leases 307225 Other Long-Term Assets 440000 747225 0 Due to Third Party Payers 1622523 Operating Lease Liabilities 307225 1929748 true true X true X true X true true false false 14506 0 14506 0.0007 4829661 2381287 2448374 0.1227 0 0 0 0.0 0 0 4844167 2381287 2462880 0.1235 0 0 0 0.0 0 0 0 0.0 0 0 0 0.0 0 0 0 0.0 0 0 0 0.0 0 0 0 0 0 0.0 0 0 4844167 2381287 2462880 0.1235 0 0 0 0.0 0 0 0 0.0 0 0 0 0.0 0 0 0 0.0 0 0 0 0.0 0 0 0 0.0 0 0 0 0.0 0 0 0 0.0 0 0 0 0.0 0 0 0 0 0 0.0 1079630 0 5773899 8656090 -2882191 X true true 1 1 Washington Health System Greene 350 Bonar Avenue Waynesburg PA 15370 https://whs.org/locations-practices/greene/ 852101 X X X Washington Health System Greene 1 false false true X X X X X X X X X 21 true true false true X https://whs.org/patient-guests/quality-and-safety/ X true 21 true https://whs.org/patient-guests/quality-and-safety/ false true X 200.0 400.0 X X X true true X X X true X https://whs.org/patient-guests/ X https://whs.org/patient-guests/ X https://whs.org/patient-guests/ X X X X X X true X false true X false false Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - Washington Health System Greene. IN ORDER TO TAKE INTO ACCOUNT INPUT FROM THE COMMUNITY THAT THE HOSPITAL SERVES, THE ASSESSMENT INCLUDED A RANDOM COMMUNITY SURVEY AS WELL AS COMMUNITY FEEDBACK MEETINGS AND SURVEYS WITH THE FOLLOWING COMMUNITY GROUPS: PATIENT AND FAMILY CENTERED CARE COMMITTEE OF WASHINGTON HEALTH SYSTEM WASHINGTON PHYSICIAN HOSPITAL ORGANIZATION Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - The Washington Hospital. A hospital located in Washington, PA Schedule H, Part V, Section B, Line 6a Facility , 2 Facility , 2 - Penn Highlands Mon Valley Hospital. A hospital located in Monongahela, PA Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - Washington Health System Greene. THE NEEDS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT WERE REVIEWED AND PRIORITIZED BASED ON MAGNITUDE OF THE NEED, POTENTIAL IMPACT ON THE COMMUNITY HEALTH, COST, ENVIRONMENTAL FACTORS AND PRACTICALITY. AN IMPLEMENTATION PLAN WAS DEVELOPED AND APPROVED BY THE BOARD OF TRUSTEES. THE HOSPITAL WILL FOCUS THE IMPLEMENTATION ON TREATING TWO OF THE TOP NEEDS, REDUCTION OF THE COLORECTAL CANCER DEATH RATE AND REDUCTION OF THE LUNG CANCER DEATH RATE. THE FOLLOWING ARE SOME OF THE HEALTH NEEDS NOT BEING ADDRESSED IN THE INITIAL IMPLEMENTATION STRATEGY: YEARS OF POTENTIAL LIFE LOST DRUG OVERDOSE DEATHS CORONARY HEART DISEASE DEATHS COPD DEATHS BREAST CANCER DEATHS 0 Schedule H, Part I, Line 7 COLUMN F - BAD DEBT BAD DEBT EXPENSE IS NOT INCLUDED IN THE EXPENSES IN THE LINE 7 PERCENT OF TOTAL EXPENSES CALCULATION. Schedule H, Part V, Section B, Line 20 INDICATE EFFORTS MADE BEFORE BEFORE ANY ACTIONS LINE 20 WAS LEFT BLANK BECAUSE NONE OF THE ACTIONS DESCRIBED IN LINE 19 ARE PERMITTED UNDER OUR POLICY. Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance THE HOSPITAL'S COST-TO-CHARGE RATIOS WERE USED TO CALCULATE ALL AMOUNTS REPORTED ON LINE 7. ALTHOUGH WORKSHEET 2 WAS NOT USED TO CALCULATE THIS RATIO, WE PREPARED A SIMILAR CALCULATION THAT WE FEEL IS MORE DETAILED. SIMILAR TO WORKSHEET 2, WE STARTED WITH OUR OVERALL COST-TO-CHARGE RATIO AND ADJUSTED FOR THE COMMUNITY BENEFITS INCLUDED IN PART I AND THE MEDICAID PROVIDER TAXES WE PAID. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount THE HOSPITAL FOLLOWS AICPA GUIDANCE IN REPORTING BAD DEBT AS A DEDUCTION FROM NET PATIENT SERVICE REVENUE. ACCOUNTS ARE DEEMED TO BE BAD DEBT AFTER ALL REASONABLE COLLECTION EFFORTS ARE APPLIED. THE HOSPITAL HAS A GENEROUS INTEREST-FREE PAYMENT PLAN POLICY AND DOES NOT CLASSIFY ACCOUNTS ON A PAYMENT PLAN AS BAD DEBT. ANY ACCOUNTS THAT ARE DETERMINED TO BE CHARITY CARE ARE EXCLUDED FROM BAD DEBT TOTALS. ANY DISCOUNT OR SETTLEMENTS PROVIDED TO PATIENTS ARE ALSO EXCLUDED FROM BAD DEBT TOTALS. THE AMOUNT DUE FROM A PATIENT IS WRITTEN OFF TO BAD DEBT ONCE THE ACCOUNT IS DEEMED UNCOLLECTABLE. THE HOSPITAL CONVERTS ALL BAD DEBT ACCOUNTS TO GROSS CHARGES AND APPLIES AN OVERALL COST-TO-CHARGE RATIO TO DETERMINE THE COST OF BAD DEBT REPORTED ON PART III, LINE 2. Schedule H, Part III, Line 3 Bad Debt Expense Methodology ALTHOUGH WE RECOGNIZE THE POSSIBILITY THAT SOME OF THE BAD DEBT COSTS COULD QUALIFY UNDER OUR CHARITY CARE POLICY, WE HAVE NO REASONABLE WAY TO DETERMINE THOSE AMOUNTS. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote THE AUDITED FINANCIAL STATEMENTS OF THE HOSPITAL DESCRIBES BAD DEBT AS FOLLOWS: GENERALLY, PATIENTS WHO ARE COVERED BY THIRD-PARTY PAYERS ARE RESPONSIBLE FOR RELATED DEDUCTIBLES AND COINSURANCE, WHICH VARY IN AMOUNT. THE HEALTH SYSTEM ALSO PROVIDES SERVICES TO UNINSURED PATIENTS AND OFFERS THOSE UNINSURED PATIENTS A DISCOUNT, EITHER BY POLICY OR LAW, FROM STANDARD CHARGES. THE HEALTH SYSTEM ESTIMATES THE TRANSACTION PRICE FOR PATIENTS WITH DEDUCTIBLES AND COINSURANCE AND FROM THOSE WHO ARE UNINSURED BASED ON HISTORICAL EXPERIENCE AND CURRENT MARKET CONDITIONS. THE INITIAL ESTIMATE OF THE TRANSACTION PRICE IS DETERMINED BY REDUCING THE STANDARD CHARGE BY ANY CONTRACTUAL ADJUSTMENTS, DISCOUNTS AND IMPLICIT PRICE CONCESSIONS BASED ON HISTORICAL COLLECTION EXPERIENCE. SUBSEQUENT CHANGES TO THE ESTIMATE OF THE TRANSACTION PRICE ARE GENERALLY RECORDED AS ADJUSTMENTS TO PATIENT CARE SERVICE REVENUE IN THE PERIOD OF THE CHANGE. SUBSEQUENT CHANGES THAT ARE DETERMINED TO BE THE RESULT OF AN ADVERSE CHANGE IN THE PATIENT'S ABILITY TO PAY ARE RECORDED AS BAD DEBT EXPENSE. FOOTNOTES: FOOTNOTE 2, "PATIENT AND UNINSURED PAYERS" IS FOUND ON PAGE 18 OF THE AUDITED FINANCIAL STATEMENTS Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs THE MEDICARE COSTS ARE CALCULATED USING COST-TO-CHARGE RATIOS THAT HAVE BEEN CALCULATED BASED ON THE DEPARTMENT WHERE THE SERVICES WERE PROVIDED. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance THE HOSPITAL HAS A WRITTEN BAD DEBT POLICY IT FOLLOWS FOR ALL PATIENTS. IF A PATIENT IS DETERMINED TO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE, THE ACCOUNT IS EXCLUDED FROM THE NORMAL COLLECTION PROCESS. THOSE ACCOUNTS ARE HANDLED UNDER THE SEPARATE CHARITY CARE POLICY. IF AN ACCOUNT IS SET UP ON A PAYMENT PLAN, ONLY THE CURRENT MONTHLY PAYMENT AMOUNT IS PURSUED UNDER THE COLLECTION POLICY. Schedule H, Part V, Section B, Line 16a FAP website - Washington Health System Greene: Line 16a URL: https://whs.org/patient-guests/; Schedule H, Part V, Section B, Line 16b FAP Application website - Washington Health System Greene: Line 16b URL: https://whs.org/patient-guests/; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - Washington Health System Greene: Line 16c URL: https://whs.org/patient-guests/; Schedule H, Part VI, Line 2 Needs assessment THE PRIMARY METHOD THAT THE HOSPITAL USES TO ASSESS THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES IS THROUGH ASSESSING THE TOTAL NUMBER OF PHYSICIANS PROVIDING MEDICAL SERVICES TO THE AREAS SERVED. THE QUALITATIVE STANDARD DOES NOT FACTOR THE ECONOMIC OR FINANCIAL BENEFITS TO THE HOSPITAL OF ANY RECRUITMENT OF PHYSICIANS IN ADDRESSING THE CONTINUUM OF NEED. THE ASSESSMENT FOCUSES ON COMMUNITY NEED AS A DETERMINING FACTOR IN ASSESSING THE APPROPRIATENESS OF PHYSICIAN RECRUITMENT INITIATIVES. THE APPROACH TO EVALUATING PHYSICIAN NEED IS BASED ON THE FOLLOWING FACTORS: -DEFINING THE DEMOGRAPHIC PROFILE AND PAYOR MIX OF THE HOSPITAL'S SERVICE AREA. -RESEARCHING UNIQUE SERVICE AREA FACTORS THAT MIGHT INFLUENCE THE DEMAND FOR HEALTHCARE SERVICES WITHIN THE AREA. -IDENTIFYING THE TOTAL NUMBER OF PHYSICIANS BY SPECIALTY IN THE DEFINED SERVICE AREA. -DEVELOPING A PROFILE OF THE CURRENT MEDICAL STAFF. -UTILIZING SIX ESTABLISHED PHYSICIAN NEEDS ASSESSMENT MODELS TO IDENTIFY POTENTIAL PHYSICIAN SURPLUSES OR DEFICITS IN EACH MEDICAL SPECIALTY. -EXAMINING RESULTS OF THE MEDICAL STAFF SURVEY AND PHYSICIAN FOCUS INTERVIEWS TO DETERMINE THE PERCEIVED RECRUITMENT NEEDS OF THE HOSPITAL'S EXISTING STAFF PHYSICIANS AND TO IDENTIFY MEDICAL COMMUNITY CONCERNS. -CONDUCT A COMMUNITY SURVEY TO INTEGRATE PERCEIVED SHORTAGES INTO RECOMMENDATIONS. -EVALUATING RESULTS OF THE ABOVE EFFORTS IN THE CONTEXT OF OUR MEDICAL STAFFING AND CONSULTING EXPERIENCE. OTHER WAYS TO ASSESS THE COMMUNITIES' HEALTH NEEDS INCLUDES CONDUCTING VARIOUS HEALTH SCREENINGS, SEMINARS AND EDUCATION SESSIONS HELD FOR THE GENERAL PUBLIC. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance THE HOSPITAL ATTEMPTS TO INFORM ALL UNINSURED PATIENTS OF AVAILABLE PROGRAMS TO ASSIST THEM IN OBTAINING HEALTH CARE SERVICES. INPATIENT: ANY PATIENT ADMITTED TO THE HOSPITAL WITHOUT INSURANCE IS PROVIDED ASSISTANCE IN APPLYING FOR THE STATE MEDICAL ASSISTANCE PROGRAM. A HOSPITAL REPRESENTATIVE WILL EXPLAIN THE STATE PROGRAMS TO THE PATIENT AND ASSIST IN THE PREPARATION OF THE APPLICATION AND GATHERING OF INFORMATION, IF APPLICABLE. IF THE PATIENT DOES NOT QUALIFY FOR ASSISTANCE, THE REPRESENTATIVE INFORMS HIM / HER OF THE HOSPITAL'S CHARITY CARE PROGRAM. OUTPATIENT: CERTAIN OUTPATIENT AREAS (EMERGENCY ROOM, REGISTRATION) HAVE SIGNS THAT LET PATIENTS KNOW THE HOSPITAL HAS A CHARITY CARE PROGRAM. SOME AREAS ALSO HAVE MEDICAL ASSISTANCE APPLICATIONS ON HAND TO GIVE TO PATIENTS. CONSISTENT WITH THE HOSPITAL MISSION, ALL PATIENTS REQUIRING IMMEDIATE CARE ARE TREATED WITHOUT REGARD TO THEIR ABILITY TO PAY. ALL PATIENTS: FOR PATIENTS THAT ARE UNINSURED OR UNDER INSURED, A HOSPITAL REPRESENTATIVE IS AVAILABLE TO DISCUSS OPTIONS FOR PAYMENT WITH THE PATIENT. WHEN APPROPRIATE, PAYMENT FOR ELECTIVE SERVICES IS DISCUSSED UPFRONT AND IF THE PATIENT IS ABLE TO PAY, IS COLLECTED IN ADVANCE OF SERVICE. EFFORTS ARE MADE TO COLLECT PATIENT LIABILITIES IN CERTAIN AREAS SUCH AS OPSU AND ADMISSIONS. INSURANCE COPAYS ARE ATTEMPTED TO BE COLLECTED IN THE EMERGENCY DEPARTMENT IN ACCORDANCE WITH EMTALA REGULATIONS. WHEN THERE IS A BALANCE DUE (SELF-PAY OR BALANCE AFTER INSURANCE) AND NO COLLECTION WAS MADE IN ADVANCE OF OR AT THE TIME OF SERVICE, A STATEMENT WILL BE SENT TO PATIENTS PROVIDING A PHONE NUMBER FOR THEM TO CALL AND DISCUSS PAYMENT OPTIONS. IF THE PATIENT DOES NOT CALL OR MAKE PAYMENT, A HOSPITAL REPRESENTATIVE WILL CALL HIM / HER TO DISCUSS THE AMOUNT DUE AND TO DETERMINE IF THEY ARE ELIGIBLE FOR ANY PROGRAMS OR INSURANCES OR TO MAKE PAYMENT ARRANGEMENTS THAT CAN HELP THE PATIENT. AT ANY POINT IN THE CONVERSATION, IF THE PATIENT SAYS HE / SHE CANNOT AFFORD TO PAY THE BILL, THE PATIENT IS OFFERED A CHARITY CARE APPLICATION. ONCE THE CHARITY CARE APPLICATION IS COMPLETE, IF THE PATIENT DOES NOT QUALIFY BUT CONTINUES TO EXPRESS CONCERNS ABOUT BEING ABLE TO PAY HIS / HER BILL, THE ACCOUNT IS REVIEWED FOR THE POSSIBILITY OF A DISCOUNT OR AN AFFORDABLE PAYMENT PLAN. THE HOSPITAL STRIVES TO ACCOMMODATE EVERY PATIENT'S FINANCIAL SITUATION IF POSSIBLE. THE HOSPITAL'S CHARITY CARE PROGRAM PROVIDES FOR FREE OR DISCOUNTED CARE BASED ON FEDERAL POVERTY GUIDELINES (FPG). DEPENDING ON INCOME LEVEL, INDIVIDUALS WITHOUT INSURANCE CAN QUALIFY FOR DISCOUNTS RANGING BETWEEN 60-100%. INDIVIDUALS WITH INSURANCE CAN QUALIFY FOR DISCOUNTS RANGING BETWEEN 10-100%. ALL BILLS FOR PATIENTS WITHOUT INSURANCE COVERAGE ARE DISCOUNTED TO THE AVERAGE OF OUR TOP COMMERCIAL PAYORS. DISCOUNTS RANGE FROM 30% TO 60% DEPENDING ON THE TYPE OF SERVICE PROVIDED. Schedule H, Part VI, Line 4 Community information WASHINGTON HEALTH SYSTEM GREENE (WHSG) IS A 23 BED ACUTE CARE GENERAL HOSPITAL LOCATED IN WAYNESBURG, PENNSYLVANIA. THE HOSPITAL SERVES THE SURROUNDING COMMUNITIES WITH A TOTAL PATIENT DRAW OF OVER 34,000 RESIDENTS LIVING IN 18 ZIP CODES. THE SERVICE AREA EXTENDS TO THE WESTERN AND SOUTHERN BORDERS OF PENNSYLVANIA. THERE ARE THREE OTHER GENERAL ACUTE CARE HOSPITALS THAT SERVE PORTIONS OF WHSG'S GEOGRAPHIC AREA. THE GEOGRAPHIC AREA OF SERVICE IS QUITE LARGE AND HAS A SUBSTANTIAL RURAL COMPONENT. SEVERAL AREAS WITHIN WHSG'S SERVICE AREA ARE DESIGNATED AS MEDICALLY UNDERSERVED AND / OR AREAS WITH A HEALTH CARE PROFESSIONAL SHORTAGE. APPROXIMATELY 27% OF THE PATIENTS SERVED ARE MEDICAL ASSISTANCE AND ABOUT 3% ARE UNINSURED. HOUSEHOLD INCOME / ECONOMIC FACTORS CAN HAVE A SIGNIFICANT IMPACT ON THE GENERAL HEALTH OF A SERVICE AREA. LOWER HOUSEHOLD INCOME MAY REFLECT LOWER PRIMARY CARE UTILIZATION AND HIGHER CRITICAL CARE UTILIZATION. VARIOUS STUDIES AND ARTICLES ALSO SUGGEST GREATER RELIANCE ON HOSPITAL EMERGENCY ROOMS FOR NON-EMERGENCY DIAGNOSIS AND TREATMENT IN LOW-INCOME AREAS. THE HOSPITAL'S SERVICE AREA MAY HAVE SOME HOUSEHOLD INCOME RELATED FACTORS THAT WOULD DRIVE AN ADDITIONAL NEED FOR PHYSICIAN SERVICES WITHIN PORTIONS OF THE COMMUNITY. APPROXIMATELY 13% OF THE HOUSEHOLDS WITHIN THE PRIMARY SERVICE AREA ARE AT OR BELOW THE POVERTY LEVEL. A LACK OF AVAILABLE RESOURCES TO THE INDIGENT MAY INCREASE VOLUMES IN THE EMERGENCY ROOM, AS PATIENTS LACKING PRIMARY CARE ACCESS OFTEN SEEK ROUTINE CARE THROUGH EMERGENCY SERVICES. Schedule H, Part VI, Line 5 Promotion of community health WASHINGTON HEALTH SYSTEM GREENE STRIVES TO PROMOTE COMMUNITY HEALTH IN MANY AREAS. THE HOSPITAL HAS AN OPEN MEDICAL STAFF. ALL APPLICANTS WHO MEET THE REQUIREMENTS ARE GRANTED MEDICAL STAFF PRIVILEGES. THE HOSPITAL ACTIVELY RECRUITS PHYSICIANS IN AREAS IDENTIFIED AS HAVING A NEED IN THE COMMUNITY. THE HOSPITAL'S BOARD OF TRUSTEES IS COMPRISED OF COMMUNITY LEADERS WHO RESIDE IN THE COMMUNITIES WE SERVE AND WHOSE INSIGHT AND EXPERIENCE IS INVALUABLE IN PROVIDING DIRECTION TO THE HOSPITAL IN PROMOTING THE COMMUNITY HEALTH. THE HOSPITAL PROVIDES MANY SCREENING AND EDUCATIONAL PROGRAMS IN THE COMMUNITY. THE HOSPITAL PARTICIPATES IN REGIONAL EMERGENCY PREPAREDNESS AND IS ACTIVE IN ENSURING WE CAN RESPOND TO A COMMUNITY EMERGENCY. Schedule H, Part VI, Line 6 Affiliated health care system WHS Greene is part of the Washington Health System. The goal of the system is to provide integrated healthcare centered around patients and families. WHS Greene's role is to provide healthcare services in the Greene county area of the system. WHS Greene is the only hospital in this county and provides a full array of inpatient and outpatient services to the community it serves. false false false false false false false false false BROOK WARD CEO 0 616828 0 117960 0 54647 0 8700 0 18392 0 816527 0 0 HOWARD GOLDBERG MD BOARD MEMBER 0 416558 0 90974 0 27000 0 10000 0 16894 0 561426 0 0 TERRY WILTROUT PRESIDENT 0 200472 0 33211 0 27000 0 6249 0 18867 0 285799 0 0 Michelle Sims Administrative Nursing Supervisor 135410 0 218 0 5718 0 2614 0 7637 0 151597 0 0 0 Bridget Trump Director of Nursing 143628 0 2570 0 8130 0 4331 0 16733 0 175392 0 0 0 Sondra Lemley Registered Nurse 183747 0 193 0 9683 0 2313 0 590 0 196526 0 0 0 Hillari Boyd Administrative Nursing Supervisor 171377 0 212 0 8424 0 2545 0 16054 0 198612 0 0 0 Karen Shaffer Administrative Nursing Supervisor 168579 0 181 0 0 0 2169 0 14880 0 185809 0 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation THE CEO'S AND PRESIDENT'S COMPENSATION IS DETERMINED BY THE WASHINGTON HOSPITAL, A RELATED ORGANIZATION. THE PERSONNEL COMMITTEE OF THE WASHINGTON HOSPITAL BOARD OF TRUSTEES IS CHARGED WITH DETERMINING THE COMPENSATION OF THESE OFFICERS. AN INDEPENDENT CONSULTANT'S REVIEW OF EXECUTIVE SALARIES IS THE PRIMARY TOOL USED TO MAKE THEIR DETERMINATION (THE MOST RECENT CONSULTING REVIEW WAS IN JUNE 2023). THE RESULTS OF MANAGEMENT'S SURVEY AND COMPARISON DATA WILL ALSO BE TAKEN INTO CONSIDERATION. ALL ACTIVITIES OF THE PERSONNEL COMMITTEE ARE REPORTED TO THE BOARD OF TRUSTEES. Form 990, Part III, Line 4d Description of other program services (Expenses $ 249,010 including grants of $ 0)(Revenue $ 64,118) OTHER PROGRAM SERVICES INCLUDE ACTIVITIES PERFORMED BY THE HOSPITAL TO DO BUSINESS IN THE COMMUNITY AND PROVIDE VALUABLE COMMUNITY BENEFITS. ACTIVITIES IN THIS CATEGORY INCLUDE RENTAL ACTIVITIES AND OPERATION OF AN EMPLOYEE CAFETERIA. Form 990, Part VI, Line 6 Classes of members or stockholders THE PARENT CORPORATION OF WASHINGTON HEALTH SYSTEM GREENE IS WASHINGTON HEALTH CARE SERVICES, INC. THE PARENT CORPORATION HAS THE FOLLOWING POWERS OVER THE BOARD OF TRUSTEES OF THE HOSPITAL: 1. THE POWER TO RATIFY THE SELECTION OF MEMBERS OF THE BOARD OF TRUSTEES OF WASHINGTON HEALTH SYSTEM GREENE. 2. THE POWER TO APPROVE ANY AMENDMENT, CHANGE, SUSPENSION OR REPEAL OF THE ARTICLES OF INCORPORATION OF WASHINGTON HEALTH SYSTEM GREENE, OR OF THE BYLAWS. 3. THE POWER TO NULLIFY ANY ACTION OF THE BOARD OF TRUSTEES OF WASHINGTON HEALTH SYSTEM GREENE WHICH THE BOARD OF TRUSTEES OF THE PARENT CORPORATION DETERMINES TO BE AN ULTRA VIRES ACT; THAT IS, ANY ACT OUTSIDE THE SCOPE OF THE LEGITIMATE POWERS OR BEYOND THE PURPOSE OF WASHINGTON HEALTH SYSTEM GREENE. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body THE PARENT CORPORATION OF WASHINGTON HEALTH SYSTEM GREENE IS WASHINGTON HEALTH CARE SERVICES, INC. THE PARENT CORPORATION HAS THE POWER TO RATIFY THE SELECTION OF MEMBERS OF THE BOARD OF TRUSTEES OF WASHINGTON HEALTH SYSTEM GREENE. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders THE PARENT CORPORATION OF WASHINGTON HEALTH SYSTEM GREENE IS WASHINGTON HEALTH CARE SERVICES, INC. THE PARENT CORPORATION HAS THE FOLLOWING POWERS OVER THE BOARD OF TRUSTEES OF THE HOSPITAL: 1. THE POWER TO RATIFY THE SELECTION OF MEMBERS OF THE BOARD OF TRUSTEES OF WASHINGTON HEALTH SYSTEM GREENE. 2. THE POWER TO APPROVE ANY AMENDMENT, CHANGE, SUSPENSION OR REPEAL OF THE ARTICLES OF INCORPORATION OF WASHINGTON HEALTH SYSTEM GREENE, OR OF THE BYLAWS. 3. THE POWER TO NULLIFY ANY ACTION OF THE BOARD OF TRUSTEES OF WASHINGTON HEALTH SYSTEM GREENE WHICH THE BOARD OF TRUSTEES OF THE PARENT CORPORATION DETERMINES TO BE AN ULTRA VIRES ACT; THAT IS, ANY ACT OUTSIDE THE SCOPE OF THE LEGITIMATE POWERS OR BEYOND THE PURPOSE OF WASHINGTON HEALTH SYSTEM GREENE. Form 990, Part VI, Line 11b Review of form 990 by governing body THE FORM 990 IS REVIEWED BY THE CFO AND BY AN INDEPENDENT OUTSIDE ACCOUNTING FIRM BEFORE BEING FILED. Form 990, Part VI, Line 12c Conflict of interest policy THE HOSPITAL'S CONFLICT OF INTEREST POLICY IS MONITORED PRIMARILY BY HOSPITAL MANAGEMENT. EACH YEAR A CONFLICT OF INTEREST STATEMENT MUST BE COMPLETED BY ALL BOARD OF TRUSTEE MEMBERS AS WELL AS CERTAIN KEY MANAGEMENT EMPLOYEES OF THE HOSPITAL. THE QUESTIONNAIRE IS DISTRIBUTED BY HOSPITAL MANAGEMENT AND ALL RESPONSES MUST BE RECEIVED. IF NECESSARY, THE ASSISTANCE OF THE BOARD CHAIRPERSON IS SOUGHT TO OBTAIN ALL RESPONSES. THE RESPONSES ARE INITIALLY REVIEWED BY HOSPITAL MANAGEMENT. ANY EXCEPTIONS OR POTENTIAL CONFLICTS ARE REVIEWED BY THE PRESIDENT AND BOARD CHAIRPERSON. ANY NECESSARY ACTION IS DETERMINED BY THE CHAIRPERSON AND ADDRESSED AT THE BOARD LEVEL. GREAT CARE IS TAKEN BY THE BOARD CHAIRPERSON TO ENSURE THAT AN INDEPENDENT BOARD IS IN PLACE. IN THE EVENT THAT A CONFLICT EXISTS, THAT PERSON IS PROHIBITED FROM PARTICIPATING IN ANY RELATED DECISION MAKING ON THAT ISSUE. Form 990, Part VI, Line 15a Process to establish compensation of top management official THE EXECUTIVE COMPENSATION COMMITTEE DETERMINES THE COMPENSATION OF THE EXECUTIVES. AN INDEPENDENT CONSULTANT'S REVIEW OF EXECUTIVE SALARIES IS THE PRIMARY TOOL USED TO MAKE THEIR DETERMINATION (THE MOST RECENT CONSULTING REVIEW WAS IN JUNE 2023). THE RESULTS OF MANAGEMENT'S SURVEY AND COMPARISON DATA WILL ALSO BE TAKEN INTO CONSIDERATION. ALL ACTIVITIES OF THE EXECUTIVE COMPENSATION COMMITTEE ARE REPORTED TO THE BOARD OF TRUSTEES. Form 990, Part VI, Line 15b Process to establish compensation of other employees THE BOARD OF TRUSTEES ELECTS A PERSONNEL COMMITTEE TO HANDLE COMPENSATION, BENEFITS AND EMPLOYEE RELATED ISSUES RELATED TO THE HOSPITAL. THE GENERAL COMPENSATION PROCESS FOR ALL EMPLOYEES STARTS WITH HOSPITAL MANAGEMENT COMPILING SURVEY AND COMPARISON INFORMATION AND MAKING RECOMMENDATIONS FOR SALARY ADJUSTMENTS TO THE PERSONNEL COMMITTEE. THE PERSONNEL COMMITTEE REVIEWS THAT INFORMATION ANNUALLY, HAS DISCUSSIONS WITH HOSPITAL MANAGEMENT AND ULTIMATELY APPROVES OR DENIES THE RECOMMENDATIONS FOR SALARY ADJUSTMENTS. Form 990, Part VI, Line 19 Required documents available to the public THE HOSPITAL MAKES FORM 990 AVAILABLE TO THE PUBLIC BY REQUEST. THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE NOT ROUTINELY AVAILABLE TO THE PUBLIC. Form 990, Part VIII, Line 11d Other Miscellaneous Revenue MISC - Total Revenue: 70158, Related or Exempt Function Revenue: 31989, Unrelated Business Revenue: 38169, Revenue Excluded from Tax Under Sections 512, 513, or 514: 0; Form 990, Part IX, Line 11g Other Fees Physician Services - Total Expense: 1075100, Program Service Expense: 821376, Management and General Expenses: 253724, Fundraising Expenses: 0; Information System Fees - Total Expense: 544300, Program Service Expense: 415845, Management and General Expenses: 128455, Fundraising Expenses: 0; Equipment Fees & Services - Total Expense: 47411, Program Service Expense: 36222, Management and General Expenses: 11189, Fundraising Expenses: 0; Lab Services - Total Expense: 147949, Program Service Expense: 113033, Management and General Expenses: 34916, Fundraising Expenses: 0; Agency Employees - Total Expense: 1465133, Program Service Expense: 1465133, Management and General Expenses: 0, Fundraising Expenses: 0; Linens - Total Expense: 44554, Program Service Expense: 34039, Management and General Expenses: 10515, Fundraising Expenses: 0; Repairs & Maintenance Svcs - Total Expense: 130040, Program Service Expense: 99351, Management and General Expenses: 30689, Fundraising Expenses: 0; Security Services - Total Expense: 152156, Program Service Expense: 116247, Management and General Expenses: 35909, Fundraising Expenses: 0; Billing & Collection Services - Total Expense: 7811, Program Service Expense: 5968, Management and General Expenses: 1843, Fundraising Expenses: 0; Cafeteria Fees - Total Expense: 130686, Program Service Expense: 99844, Management and General Expenses: 30842, Fundraising Expenses: 0; Other - Total Expense: 1239512, Program Service Expense: 946987, Management and General Expenses: 292525, Fundraising Expenses: 0; Form 990, Part XI, Line 9 Other changes in net assets or fund balances Auxiliary Loss - 9828; Form 990, Part VI, Line 2 Family or Business Relationship THE HOSPITAL'S BOARD OF TRUSTEES IS MADE UP OF HIGHLY RESPECTED LEADERS IN THE COMMUNITY. BOARD MEMBERS ARE SELECTED AND VOTED ON BY THE ENTIRE BOARD. THE HOSPITAL DOES NOT COMPENSATE OR SELECT BOARD MEMBERS. THE HOSPITAL HAS A CONFLICT OF INTEREST POLICY AND QUERIES BOARD MEMBERS, OFFICERS AND KEY EMPLOYEES EACH YEAR ABOUT ANY BUSINESS OR FAMILY RELATIONSHIPS. THERE HAVE BEEN NO FAMILY RELATIONSHIPS REPORTED. ALTHOUGH NOT CLASSIFIED AS BUSINESS RELATIONSHIPS FOR THIS PURPOSE, NORMAL ARMS LENGTH BUSINESS TRANSACTIONS DO EXIST BETWEEN SOME BOARD MEMBERS. THE BUSINESS TRANSACTIONS ARE GENERALLY IRRELEVANT AND IMMATERIAL TO THE OPERATIONS OF THE HOSPITAL. THE HOSPITAL DOES NOT RECEIVE ANY BENEFITS FROM THE RELATIONSHIPS THAT EXIST AMONG BOARD MEMBERS NOR DOES IT INFLUENCE THE RELATIONSHIPS IN ANY WAY. Washington Healthcare Services Inc 155 Wilson Avenue Washington PA 15301 251509768 Health System Parent PA 501(c)(3) Type II NA false The Washington Hospital 155 Wilson Avenue Washington PA 15301 250965600 Hospital PA 501(c)(3) 3 WHCS true The Washington Hospital Foundation 155 Wilson Avenue Washington PA 15301 251708215 Support the Health System PA 501(c)(3) Type II WHCS true Ambulance and Chair EMS Inc 75 Braden Street Washington PA 153014001 251275075 Emergency Medical Services PA 501(c)(3) 10 NA false Washington Physician Services Org 155 Wilson Avenue Washington PA 15301 251780139 Physician Offices PA NA C Corporation false Phoenix-Washington Inc 800 Manor Drive Washington PA 15301 251492898 Substance Treatment PA NA C Corporation false Health Futures Inc 155 Wilson Avenue Washington PA 15301 251533189 Urgent Care PA NA C Corporation false false false true false false false false false false false false false false false false true false false false The Washington Hospital Foundation C 191015 Actual Amount The Washington Hospital P 1751432 Actual Amount