2016-05-12T07:50:28-07:00 2015-06-30 WELLSPAN HEALTH 3350 WHITEFORD ROAD YORK PA 17403 990 2014-07-01 231352220 GETTYSBURG HOSPITAL GETT 7178513055 PO BOX 2767 YORK PA 17405 Michael F O'Connor CFO 2016-05-12 false DAVID P RIZZUTO P01210563 7178513095 2014 2016-08-17 19:52:53Z Kevin Mosser PO Box 2767 York PA 17405 237613001 false false X WWW.WELLSPAN.ORG X 1919 PA 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. 14 8 908 274 948291 161360 690017 480568 139334856 163602713 7860155 3264132 753595 797170 148638623 168144583 7922000 7912765 0 56757656 54777489 0 331186 69394693 83320524 134074349 146010778 14564274 22133805 211837028 233231291 49136103 51371491 162700925 181859800 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. false false 119326955 7912765 164380315 Located in historic Gettysburg, Pennsylvania, Gettysburg Hospital has been serving the communities of Adams county and northern Maryland for more than 80 years.Beyond the acute care hospital, it has grown to be a comprehensive health-care provider with family health centers across the region, a very special maternity center, heart center, home health services, preventive health education and screening programs, and 24-hour emergency services.Gettysburg Hospital is this area's resource for meeting health and wellness needs. As a WellSpan Health hospital, Gettysburg Hospital and all of its facilities serve the community with the highest quality of care, compassion, and excellenceSee Attached Federal Supplemental Information: WellSpan Health - 2015 Community Benefit Report 119326955 true true false false false false false false false true true true false true true true false true false false false false false false false false true true true false true true false false false false false false false false true false false false false false false true true true false false true 3 0 true 908 true true true false false false false false false 0 false false false false false false false false false false X 14 8 false false false false true true true true true false false true true true true true true true true true true PA X DAVID RIZZUTO 7178513055 3350 WHITEFORD ROAD YORK PA 174029081 X Kevin Mosser Director/CEO-WS 1.00 40.00 X X 0 899660 735222 Edward Mackle MD Director 40.00 0.00 X 656599 0 61276 James Williams Director 1.00 0.00 X 0 0 0 Eric Flynn Director 1.00 0.00 X 0 0 0 Megan Shreve Chairman 1.00 0.00 X X 0 0 0 Cynthia A Ford Director 1.00 0.00 X 0 0 0 Douglas E Eyer MD Director 2.00 0.00 X 10000 0 765 William Steinour MD Treasurer 40.00 0.00 X X 327606 0 54830 Orville G McBeth Jr MD Director 1.00 40.00 X 0 235806 53929 Julie Ramsey Director 1.00 0.00 X 0 0 0 R Hal Baker Director 1.00 40.00 X 0 452493 341484 Wayne Hill Vice-Chair 1.00 0.00 X X 0 0 0 Robin Fitzpatrick Director 1.00 0.00 X 0 0 0 Shannon Harvey Secretary 1.00 0.00 X X 0 0 0 Jane Hyde Pres ex-officio 40.00 0.00 X 340838 0 257395 Michael F O'Connor CFO - WellSpan 1.00 40.00 X 0 615092 448974 Joseph Edgar VP Operations 40.00 0.00 X 232506 0 52937 Filip Trojanowski Anesthesiologist 40.00 0.00 X 350241 0 39881 Mark A Resciniti MD Anesthesiologist 40.00 0.00 X 371600 0 57309 Bradley Heffner MD Anesthesiologist 40.00 0.00 X 354527 0 56891 Charles Marley JrDO VP Medical Affairs 40.00 0.00 X 357663 0 41858 Mitchell E Zuckerman MD Anesthesiologist 40.00 0.00 X 379482 0 43146 Bruce Bartels Former CEO - WSH 0.00 0.00 X 0 281520 29161 3381062 2484571 2275058 53 true true false Quest Diagnostics Inc 12436 Collections Center Drive Chicago IL 60693 Lab & Pre-employment 599390 HCSC Laundry PO Box 25092 Lehigh Valley PA 18002 Laundry Service 341276 Mobile PETCT Associates LLC 43 Leopard Road Suite 200 Paoli PA 19301 Diagnostic Imaging 231090 Century Link PO Box 96064 Charlotte NC 282960064 Network Access Fees 259023 Gettysburg Diagnostics PO Box 10848 Lancaster PA 176050848 Radiologist Services 165000 9 442637 13118 24813 480568 EHR Incentive Program(MU) 621500 1383853 1383853 Net Patient Service 621500 179652785 178797454 855331 W/O -Financial Assistance 621500 -4985790 -4985790 W/O-Bad Debt 621500 -12448135 -12448135 163602713 1583657 1583657 -1344637 -1344637 0 307326 386370 -79044 -79044 -5652 -73392 72099681 7479 69082048 3017633 7479 3025112 3025112 0 0 0 Corner Cafe 722210 208588 208588 Gift Shop Sales 453220 250433 250433 Other Operating Revenue 900099 225232 225232 191961 93349 98612 876214 168144583 163524984 948291 3190740 X 7912765 7912765 0 0 0 1994752 1396519 598233 0 37941841 37490051 451790 2467843 2438457 29386 9559289 9445462 113827 2813764 2780259 33505 19376214 19376214 4176 4176 38231 38231 0 0 0 22002935 21924621 78314 42998 40776 2222 20338593 20335745 2848 5465086 5465086 0 2560155 2524731 35424 71528 67219 4309 0 19419 18876 543 1664541 1664541 0 4818037 4818037 1223115 1223115 Repair & Maintenance 2687106 2656866 30240 Utilities 1497541 1493968 3573 Reimbursed Expenses 331186 331186 Equipment Rentals 293301 293301 886362 801646 84716 146010778 119326955 26352637 331186 373438 520202 22054047 41510595 0 21959066 23709064 0 0 0 937169 1141008 3293148 3363150 104193435 63325352 42751335 40868083 29984295 28154715 70184424 72906732 0 3241864 3229437 17058242 17828305 211837028 233231291 1928235 2118922 1147163 2491071 31249167 33789229 4292111 2436510 10519427 10535759 49136103 51371491 X 145125710 163398289 17575215 18461511 162700925 181859800 211837028 233231291 X 22133805 -3855379 880449 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 17575215 349287 807282 270273 18461511 15200653 648190 1902998 176626 17575215 13866389 177857 1309972 153565 15200653 13835967 242032 53561 265171 13866389 9889081 126547 3922083 101744 13835967 1.00000 false true true 140421 140421 54841059 22728952 32112107 1609697 1016555 593142 11120695 10393752 726943 36481563 29186093 7295470 40868083 72906732 Una Bond Issue Costs - 2014 issue 79847 Unamortized Bond Issue Costs 74538 17828305 Accrued Payroll and Payroll Taxes 1942335 Accrued Sales Tax 2122 Accrued Vacation 2078266 Derivative Valuation 5819620 Due to Affiliates 668626 Note Payable - WRRRG 24790 10535759 X 165081798 -3855379 -3855379 168937177 -792594 -792594 168144583 139382385 139382385 6628393 6628393 146010778 Part V, Line 4: Intended uses of the endowment fund. The funds were used to improve the health and welfare of the residents of York and Adams counties of Pennsylvania. Part X : FIN48 Footnote In June 2006, the Financial Accounting Standards Board (FASB) issued Interpretation NO. 48, Accounting for Uncertainty in Income Taxes-an interpretation of FASB Statement NO. 109, Accounting for Income Taxes (FIN 48), which creates a single model to address uncertainty in tax positions and clarifies the accounting for income taxes by prescribing the minimum recognition threshold a tax position is required to meet before being recognized in the financial statements. Under the requirements of FIN 48, tax-exempt organizations could now be required to record an obligation as the result of a tax position they have historically taken or various tax exposure items. Prior to FIN 48, the determination of when to record a liability for tax exposure was based on whether a liability was considered probable and reasonably estimable in accordance with SFAS No.5, Accounting for Contingencies. On July 1, 2007, the parent company, WellSpan Health, adopted FIN 48. WellSpan Health determined that it does not have any uncertain tax positions through June 30, 2015. Part XII, Line 4b: Other revenue amounts included on 990 but not included in F/S Grant - WellSpan Medical Group $4600000 Grant - WellSpan Health $2900000 Revenue netted against expense $859400 Expenses netted against revenue $-1731007 true true X true X true X true true true false true true 2689 1883313 1883313 0.01290 23811 17736559 8546000 9190559 0.06290 26500 19619872 8546000 11073872 0.07580 40 9211 779440 140328 639112 0.00440 2 28 997 425 572 2 3876 123944 24500 99444 0.00070 3 271890 271890 0.00190 47 13115 1176271 165253 1011018 0.00700 47 39615 20796143 8711253 12084890 0.08280 1 9033 9033 0.00010 1 9033 9033 0.00010 true 4655602 46556 46645000 62950230 -16305230 X true true WellSpan RRRG Risk Retention Group 0.13200 2 1 Gettysburg Hospital 147 Gettys Street Gettysburg PA 17325 http://www.wellspan.org 01300100 X X X A 2 WellSpan Surgical Center 236 West Street Gettysburg PA 17325 http://www.wellspan.org 22551501 X Ambulatory Surgical Center A A false false true X X X X X X X X 12 true true false true X www.wellspan.org X www.healthyadamscounty.org X X true 12 true www.wellspan.org true false true X 200.0000 300.0000 X X X X X true true true X www.wellspan.org X www.wellspan.org X X X true X false X true X false false Part V, Line 5 - Account Input from Persons Who Represent the Community Community stakeholder engagement has been vital to the Community Health Needs Assessment (CHNA) process since its inception in Adams County in 1996. Led by Healthy Adams County, the local health coalition, each of the five CHNAs (1996, 2000, 2005, 2008, and 2012) conducted have included diverse representation in the survey development, data review and analysis, results distribution, and community health priority identification components of the CHNA process. Representation has included stakeholders from health and human services agencies, government entities, local businesses, community-based organizations, higher education institutions, and community members at-large. WellSpan-Gettysburg Hospital, as an entity of WellSpan Health, financially supports and partners with Healthy Adams County partners to conduct the CHNA, disseminate its results, and integrate evidence-strategies that impact the identified needs into its annual planning process. Whether at stakeholder meetings or larger public forums, stakeholder input is necessary to ensure that the community and its needs are appropriately represented throughout the CHNA process. Additional details of how community members were engaged is included in Part VI-Needs Assessment. Part V, Line 6a - List Other Hospital Facilities that Jointly Conducted Needs Assessment York Hospital and WellSpan Surgery and Rehabilitation Hospital Part V, Line 7d - Description of Making Needs Assessment Widely Available Data acquired through the 2012 CHNA process was the most robust to-date and enabled WellSpan to better integrate its results into the system-wide and entity-level planning processes. The system-wide Community Benefit Council, comprised of representation from each entity, and service line and corporate leadership, reviewed the CHNA results and identified four key priorities: adult overweight/obesity; avoidance of healthcare care due to cost; depression, and; tobacco use. Evidence-based strategies to address these four priorities was outlined in the corresponding Community Health Improvement Plan (CHIP). CHNA results were communicated to Adams County community members at a public forum in June 2012, are available on the Healthy Adams County (www.healthyadamscounty.org) and WellSpan Health (www.wellspan.org) websites, and also may be obtained upon request. In addition, the corresponding WellSpan Community Health Improvement Plan is available on WellSpans website. Part V, Line 11 - Explanation of Needs Not Addressed and Reasons Why Public health research recommends that a root cause approach be utilized to address many chronic disease, diabetes, respiratory ailments, and overweight/obesity. A focus on improving healthy eating and physical activity behaviors and reducing tobacco use has demonstrated efficacy in reducing the impact of various chronic conditions. A few cardiovascular indicators were ranked high by Community Benefit Council members, but not selected as priorities. These include those who have high blood pressure and high cholesterol, and those who have been told that they have heart disease, heart attack, or stroke risk indicators. Council members felt that the root causes of these conditions - unhealthy eating, physical inactivity, and tobacco use - were already part of the selected priorities - adult overweight/obesity and tobacco use. Part V, Line 16i - Other Means Hospital Facility Publicized the Policy Our organization maintains its commitment to improving access to care, based on the community health needs assessment's prioritization of medical, dental and oral health access as high. A key element of our strategy in addressing this need is to reach beyond simply informing patients about our patient assistance policies to proactively identifying patients without access and connecting them to available public and community programs. Outreach is evident through Community Health Workers and health coaches, who actively seek out patients and community members and focus on meeting them where they are, working through both medical and social needs. WellSpan also sponsors case managers within Healthy Community Network (HCN) to support patient enrollment in public programs (i.e., Medicaid), health insurance marketplace options or in its own HCN discounted care program, which is based on the charity care guidelines of health care providers. In this time of healthcare reform, Healthy Community Network focuses on communicating changes clearly to members and provides support in directing members to the health insurance marketplace and other resources. Finally, through a multi-year initiative to ensure awareness among all people who qualify for charity care and financial assistance, our website has been updated, our enrollment processes and late bill communications have been simplified, the provision and availability of financial support resources at high visibility care sites has improved, and our partnership with our local Federally Qualified Health Center (FQHC) for early identification and qualification of patients has been strengthened. 9 Aspers Health Center 2060 Carlisle Road Gettysburg PA 17304 Imaging Services, Lab Services, Coumadin Clinic, Rehabilitation Adams Health Center 40 V-Twin Dr Gettysburg PA 17325 Lab, Oncology, Diabetes Education, Imaging, Physical Medicine Rehab, Sleep Lab, Neurodiagnostic Lab Towne Center 4910 Fairfield Rd Fairfield PA 17320 Coumadin Clinic, Rehab, Lab Services Washington Street Health Center 450 S Washington St Gettysburg PA 17325 Imaging, Pre-hospital Assessment Services, Coumadin Clinic,Maternal Fetal Medicine West Street Plaza 236 West Street Gettysburg PA 17325 Outpatient Surgery, Pain Management ALSU-Littlestown 40 E King St Littlestown PA 17340 Advanced Life Support Deatrick Commons Complex 18 Deatrick Drive Gettysburg PA 17325 Imaging, Rehabilitation Thurmont Professional Center 52 Water St Thurmont MD 21788 Lab Services Herrs Ridge 820 Chambersburg Rd Gettysburg PA 17325 Rehabilitation Part I, Line 6a - Related Organization Community Benefit Report Community Benefit Information is included in the Community Benefit Report for WellSpan Health. Part III, Line 2 - Methodology Used To Estimate Bad Debt Expense 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 - Methodology of Estimated Amount & Rationale for Including in Community Benefit 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 - Bad Debt Expense The Company provides an allowance for doubtful accounts for estimated losses resulting from the unwillingness or inability of patients to make payments for services. The allowance is determined by analyzing specific amounts and historical data and trends. Patient accounts receivable are charged off against the allowance for doubtful accounts when management determines that recovery is unlikely and the Company ceases collection efforts. Losses have been consistent with management's expectations in all material respects. Part III, Line 8 - Explanation Of Shortfall As Community Benefit Gettysburg Hospital maintains records to identify and monitor the level of charity care and community service it provides. These records include the amount of charges forgone based on established rates for services and supplies furnished under its charity care and community service policies and the estimated cost of those services. Payments from Medicare are generally less than Gettysburg Hospital's costs of providing the service. Part III, Line 9b - Provisions On Collection Practices For Qualified Patients Guidelines for suggested minimum number of phone attempts and letters to be sent before the account is turned over to an outside collection agency are included in the Patient Administrative Services Policy. 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 - Needs Assessment WellSpan Health-Gettysburg Hospital has a long history of understanding and responding to the needs of the community and populations it serves. This commitment was strengthened in 1996 when, in partnership with Healthy Adams County, the county health coalition, it conducted its first Community Health Needs Assessment (CHNA). Four subsequent assessments have been conducted (2000, 2005, 2008 and 2012), and the next one is planned for 2015. A CHNA is one method for collecting diverse information on a community and involves surveying a large quantity of residents on health, lifestyle behaviors, finances, access to health services, and other related topics. The WellSpan CHNA process, including survey development, data collection and analysis, and result dissemination, is led by both county-level health coalitions. These entities receive financial support from WellSpan Health and its entities, as well as other community stakeholders. Although not new to WellSpan and the communities it serves, the Patient Protection and Affordable Care Act of 2010 (PPACA) required that all non-profit, tax exempt hospitals in the United States conduct a Community Health Needs Assessment every three years, determine health priorities, and prepare a multi-year strategic plan to address selected priorities. WellSpans nearly two decade history of conducting CHNAs has ably prepared it to respond to these new requirements. As in prior years, the Executive Directors of Healthy Adams County and the Healthy York County Coalition co-led the 2012 CHNA. Conducting a community-wide CHNA requires input from diverse stakeholders in the community and commitment to the overall process. The following community organizations partnered to provide guidance and support to the 2012 CHNA: Adams-Hanover Counseling Services, Family First Health, Gettysburg College, Hanover Hospital,Memorial Hospital,United Way Adams County, United Way of York County, WellSpan Health, York City Health Bureau,York College of Pennsylvania, and York County Community Foundation Additional support was provided through a contract with the Floyd Institute for Public Policy at Franklin and Marshall College. Dr. Berwood Yost, Institute Director and Project Consultant for the 2012 CHNA, has an extensive background conducting and analyzing community and corporate surveys, and was well-positioned to lead the 2012 Adams and York County CHNA. This collaboration of community stakeholders: determined the battery of survey questions to be asked; discussed data collection methodology, including sample size and method of obtaining data reviewed the raw data and supporting charts and graphs, and; identified the priority setting process to be utilized in community forums. Since the 2012 CHNA planning committee represented a wide range of community organizations services, it was important that the CHNA capture the interests of all partners without burdening the community with too many questions. Committee members initially listed topics of interest and reviewed related questions primarily derived from the Behavioral Risk Factor Surveillance System (BRFSS). These questions were previously validated and utilized by the Centers for Disease Control and Prevention (CDC) in national and state-wide survey instruments. Selected questions were then organized into four key areas access, health behaviors, health conditions, and prevention behaviors as determined by the CHNA planning committee. A total of 809 Adams County adults were interviewed between September 26 and November 9, 2011, and served as a representative sample of the adult, non-institutionalized population in Adams County. Supplemental data was compiled to expand upon the data collected from interviewees and enabled the development of a comprehensive CHNA. Example of additional data collected included: demographic information from the U.S. Census Bureau; trending data related to lifestyle and health derived from the Pennsylvania Department of Health (DOH); vital statistics related to birth and death rates, also from the Pennsylvania Department of Health, and; healthcare quality and cost data from the Pennsylvania Health Care Cost Containment Council (PHC4). Data analyzed by the Floyd Institute for Public Policy included breakdowns by age, gender, geographic area, race/ethnicity, and income level. Additional cross-tabulations were conducted to demonstrate the complexities of some of the most striking CHNA results, such as the influence of disparities on particular variables. Results were shared with the CHNA planning committee in PowerPoint presentation and written reporting formats. Subsequent reports were modified slightly before dissemination at community forums in June 2012 and their availability on the website of both health coalitions.WellSpan Health is fortunate in that many community members are interested in the current and future health of Adams County. In order to facilitate community support on key health issues, the 2012 CHNA planning committee reviewed the CHNA results and developed an initial list of community health priorities, based on: * Who is affected? (The prevalence and reach of the health issue or concern); * How will we react? (The ability of the community to respond to the priority); * How many people can we help? (The number of potential community members influenced by the priority); * What happens if we dont respond? (The consequences of not responding to the priority), and; * What disparities exist and how can we ensure that the disparities will be addressed?A similar approach was used by WellSpan Health and its Community Benefit Council when identifying community health priorities for the integrated healthcare system. Council members reviewed the CHNA results and ranked key indicators in each of the four focus areas access, health behaviors, health conditions, and prevention behaviors according to the same questions listed above. In addition, Council members were made aware of the health priorities selected by the community at-large in order to identify opportunities to support community-wide efforts to address key issues. Part VI - Patient Education of Eligibility for Assistance For more than a decade, our organization has been working to improve access to care - based on the community health assessment's prioritization of medical, dental and oral health access as high. A key element of our strategy in addressing this need is to reach beyond simply informing patients about our patient assistance policies to proactively identifying patients without access and connecting them to available public and community programs. WellSpan sponsors case managers within Healthy York Network (HYN) to support patient enrollment in public programs (i.e., Medicaid), health insurance marketplace options or in its own HYN discounted care program, which is based on the charity care guidelines of health care providers. In this time of healthcare reform, Healthy York Network has focused on communicating changes clearly to members and has provided support in directing members to the health insurance marketplace and other resources. Patient education is also provided by identifying special resources for at risk populations, including members of racial and ethnic minority communities, and supporting lay Community Health Workers to guide people toward enrollment options. Finally, through a multi-year initiative to ensure awareness among all people who qualify for charity care and financial assistance, our website has been updated, our enrollment processes and late bill communications have been simplified, the provision and availability of financial support resources at high visibility care sites has improved, and our partnership with our local Federally Qualified Health Center (FQHC) for early identification and qualification of patients has been strengthened. Part VI - Community Information To the casual observer, our service area could be described as one community. The combined population of York and Adams counties is over 545,000 people. This population is expected to increase by 4% or 21,000 people over the next five years. The York/Adams population is growing older. While the 18-44 age group comprises the largest segment of the population, this group will experience nominal growth through 2017. Most growth will occur in the 45-64 (4% or 6,300 people) and the 65+ (18% or 14,000 people) age groups. This shift is occurring as the baby boom generation ages, as people live longer due to healthy lifestyles and medical advances, and as retirees move from the Baltimore/Washington metro area to Southern York and Adams counties to find a safer, lower cost lifestyle. Although the overall population growth projected for the York/Adams area over the next five years is moderate, the changing demographic profile of the population will result in elevated incidence rates for both acute and chronic disorders that present themselves ever increasingly as the population ages. Adams County is situated along the Mason-Dixon line in south-central Pennsylvania. Harrisburg, the state capital, is located 36 miles north of Gettysburg, the county seat. The outer suburbs of Washington, DC and Baltimore are within an hours drive from many county communities. Surrounding Counties include Cumberland, Franklin and York in Pennsylvania, and Carroll and Frederick Counties in Maryland.Generally and historically, employment rates are better than state and national averages but the composition of the workforce contains more manufacturing, production and tourism related business. An assessment of general health status is gathered as part of Community Health Assessments. The percent of adult in Adams County rating their health as fair or poor was 16.4%. Our in-depth knowledge of the community, gathered through community health assessments and focused studies during the past 15 years, however, show that our service area is not made up of one community but of many, with social and health factors that are significantly impacting its health. These at-risk populations include Mexican migrant workers as well as households with females as the head who are earning significantly less in median wage than males. The number of uninsured has remained stable at approximately 6% of the population but continues to be a major barrier to access to oral health, medical care and pharmaceuticals, and the incidence of chronic disease in on the rise. Part VI - Explanation Of How Organization Furthers Its Exempt Purpose Historically, WellSpan Health-Gettysburg Hospital has taken planned steps to build community capacity that addresses complex health issues, as identified by the Community Health Needs Assessment (CHNA). Through financial and management support of a county health coalition, Healthy Adams County, hundreds of Adams County community members have been engaged in community health improvement initiatives. Some examples of past collaborative efforts include: supporting the establishment of a Federally Qualified Health Center (FQHC) to increase primary and dental care capacity for undeserved individuals; improving adolescent health and decreasing teenage pregnancy rates through targeted task force initiatives; sponsoring gender-specific leadership conferences for middle school students; increasing awareness of domestic violence through community awareness and education, and; supporting tobacco cessation opportunities for female inmates at the county correctional facility. The geographic and population size of Adams County lends itself well to collaborative community health efforts, many of which have lasted for numerous years. One example of a recent collaborative that addresses one risk factor - unhealthy eating of an identified community health priority adult overweight/obesity is the Adams County Food Policy Council. This Healthy Adams County-affiliated task force has demonstrated continued success in improving the availability of fresh, healthy and affordable produce to underserved community members through its Healthy Options program. In response to results from the 2012 CHNA, WellSpan-Gettysburg Hospital and Healthy Adams County partnered with community organizations across Adams and neighboring York County to address the increasing prevalence of depression in the region. Feeling Blue, an online depression awareness campaign (www.feeling-blue.com), was launched in November 2014 and continues to demonstrate increased online traffic (viewer hits). The campaign is designed to encourage individuals who are feeling blue or suffering from mild depression to engage in non-medical means of managing their symptoms (i.e., healthy eating, increased physical activity, social support). WellSpan-Gettysburg Hospital, through Healthy Adams County, has also developed a comprehensive approach to educating Adams County residents about end-of-life planning and care, or Horizon Planning as it is termed locally. Through end-of-life documentary screenings, community dialogues, and resource guide distribution, both organizations seek to create a comfortable environment to share information and create a community conversation about this important issue. Numerous Adams County residents have participated in these events and have obtained valuable information to assist them with personal end-of-life decision-making.As a charitable, community-based healthcare organization, our commitment to improving the lives and well-being of the 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 four health priorities identified in the 2012 CHNA adult overweight/obesity; access to care; depression, and; tobacco use. One example of this commitment may be found in the relationship that has been developed between our bilingual Latino Health Educator and Latinos residing and working in Adams County. Often feeling disconnected with healthcare due to cultural and language barriers, the Latino Health Educator has bridged this gap by understanding and responding to the needs of this growing population, which constitutes approximately 6.6% of the community. Access to healthcare was a significant concern among Latinos, especially with the advent of government exchanges in late 2012. The Latino Health Educator, in partnership with community organizations, instituted education and outreach initiatives to ensure that Adams County Latinos are connected with available resources, including referrals to Healthy Community Network, a regional collaborative that facilitates access to discounted health care services and prescription medication for qualifying individuals who lack health insurance. In addition, the Latino Health Educator managed an annual Binational Health Fair to educate Latinos about key community health issues, maintained a child passenger safety seat inspection station, and supported tobacco cessation and weight management programs, with a focus on the Latino community.Community members are also vital to furthering our exempt purpose by actively volunteering their time and donating financial resources to health-related initiatives. During the fiscal year, approximately 2,000 individuals volunteered more than 170,000 hours of service across WellSpan Health. The value of those volunteer hours totals in excess of $3.9 million. In addition, the Gettysburg Hospital Foundation received $1.32 million in donations, grants and bequests to support its community-based mission. Examples of supported initiatives include: offering a community-based healthy dining program, car seats, and newborn sleeps sacks through the Childrens Help Fund; creating a healing garden at WellSpan-Gettysburg Hospital through the Patient Experience Fund, and; assisting patients in financial distress through the Adams County Cancer Patient Help Fund and Mammography Help Fund. Part VI - Affilated Health Care System Roles and Promotion WellSpan Health is an integrated health system serving the Adams-York-Northern Lancaster county region. As a community-based, not-for-profit organization, WellSpan is dedicated to improving the health and well-being of the people it serves. WellSpan will assume a leadership role and develop partnerships with other organizations to: improve access to coordinated, high-quality, cost-effective health care services, educate the health care providers of tomorrow, promote healthy lifestyles and lifelong wellness, and make its local communities healthier, more desirable places to live, work, and play. Gettysburg Hospital works with other parts of the system to provide a comprehensive approach to meeting community needs. WellSpan Health includes: Gettysburg Hospital, York Hospital, WellSpan Surgery and Rehabilitation Hospital, Ephrata Community Hospital, Apple Hill Surgical Center, VNA Home Health, WellSpan Medical Group, Northern Lancaster County Medical Group, Physician Specialists of Northern Lancaster County Medical Group, WellSpan Population Health Services, WellSpan Pharmacy, Gettysburg Hospital Foundation, York Health Foundation, Ephrata Community Health Foundation, WellSpan Provider Network and Healthy York Network/Healthy Community Pharmacy. Gettysburg Hospital's community benefit report is contained in a report prepared by their parent organization, WellSpan Health. See Attached Federal Supplemental Information: WellSpan Health - 2015 Community Benefit Report Part VI - States Where Community Benefit Report Filed PA true Adams County Community Founda 68 E Middle St Gettysburg PA 17325 261404848 501(c)(3) 250000 0 Community contribution Family First Health Suite 200 116 S George St York PA 17401 237118262 501(c)(3) 140000 0 Op. Support Gettysburg Ctr Healthy Adams BicyclePedestr 596 Orchard Rd Orrtanna PA 17353 141951798 501(c)(3) 10000 0 Healthy Adams Bicycle Ped Prtnr Don WellSpan Health 3350 Whiteford Road York PA 17402 222517863 501(c)(3) 2900000 0 General Support Wellspan Medical Group 3350 Whiteford Road York PA 17402 232730785 501(c)(3) 4600000 0 General Support 5 0 Grantmaker's Description of How Grants are Used All WellSpan non-research grant activities must be coordinated through the York Health Foundation and Gettysburg Hospital Foundation to insure that grant projects are implemented, evaluated, and monitored in accordance with applicable granting agency regulations, with WellSpan policies and procedures, and are consistent with the strategies and priorities of the organization. WellSpan has defined the processes by which grants are identified, developed, reviewed, approved, and monitored by the organization. This policy covers non-research grants applied for and received by an entity of WellSpan Health. It does not cover grants made by the organization. Research grants are defined as those that involve "a systematic investigation designed to develop or contribute to generalizable knowledge (45CFR 46.102(d))" and are overseen by Emig Research Center (Policy #619 Extramural Research Funding) X X X X X false true false false false false false false false false Bradley Heffner MD Anesthesiologist 321081 33446 15436 41455 411418 Bruce Bartels Former CEO - WSH 281520 17825 11336 310681 281520 Charles Marley JrDO VP Medical Affairs 299116 52768 5779 17825 24033 399521 Edward Mackle MD Director 326927 327131 2541 17825 43451 717875 Filip Trojanowski Anesthesiologist 316795 33446 15600 24281 390122 Jane Hyde Pres ex-officio 276578 64260 230805 26590 598233 64260 Joseph Edgar VP Operations 197298 35208 16252 36685 285443 Kevin Mosser Director/CEO-WS 726260 173400 689292 45930 1634882 173400 Mark A Resciniti MD Anesthesiologist 338154 33446 17825 39484 428909 Michael F O'Connor CFO - WellSpan 464812 150280 403631 45343 1064066 150280 Mitchell E Zuckerman MD Anesthesiologist 339486 33446 6550 17825 25321 422628 Orville G McBeth Jr MD Director 218636 17170 16483 37446 289735 R Hal Baker Director 349133 103360 298048 43436 793977 103360 William Steinour MD Treasurer 327606 17825 37005 382436 A See Schedule O A true Jolene Eyer RN BSN Eyer Family 58929 Employee of GH false Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder WellSpan Health, a not for profit corporation, is the sole member. Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body The Board of Directors initially shall consist of no fewer than twelve and no more than sixteen persons, which shall include:(1) The following two "Positional Directors": the then-current President of the Hospital, and the then-current President of the Medical Staff, each of whom shall be subject to ratification by the Member notwithstanding such positions held.(2) Three "Medical Staff Directors," each of whom shall be nominated by the Medical Staff and appointed by the Member.(3) The balance of directors shall be "At-large Directors", who shall be appointed by the Member at the annual meeting of the Member. At-large Directors shall include no fewer than two persons from the Member's Board of Directors or the member's senior management staff; provided, however, that no more than two At-large Directors shall be from the Member's senior management staff.All directors shall be selected for their experience, relevant areas of interest and expertise, and ability and willingness to participate effectively in fulfilling the Board of Director's responsibilities and to do so free from any conflicting interests. Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders Except as otherwise provided in the Articles of Incorporation or the Bylaws, the affairs of the Hospital shall be managed and directed by its Board of Directors, which shall have responsibility for the control and management of the property, funds, and operations of the Hospital. The Board of Directors shall have full power and authority to do and perform any and all acts and functions that are not inconsistent with the laws governing the operations of the Hospital or the Bylaws or the Articles of Incorporation; provided, however, that except as otherwise provided in the Articles of Incorporation or the Bylaws, the Member may initiate and implement any of the following actions, and if any such action is initiated by the Hospital, such action shall not become effective unless approved by the Member;(a) The adoption, amendment, or revocation of the Hospital's Articles of Incorporation or Bylaws; provided, however, that the Member shall not amend such Articles of Incorporation or Bylaws with respect to changes to the name "Gettysburg Hospital" or with respect to the appointment,term, or removal of the Hospital's directors, without the approval of the Hospital Board of Directors and the Member shall not have the right to overrule the Hospital Board of Directors' approval.(b)The termination, liquidation, reorganization, division, conversion, or dissolution of the Hospital, or the merger, consolidation, or combination of the hospital with another entity; provided, however, that the Member shall not approve the merger of the Hospital into another Member affiliate without the approval of the Hospital Board of Directors and the Member shall not have the right to overrule the Hospital Board of Directors' disapproval; and, further provided, that the Member's action with respect to this subject matter shall require the affirmative vote of at least two-thirds of the Board of Directors of the Member then in office.(c)Any change or transfer of the Member's membership interest in the Hospital, or the creation or issuance of any additional membership interests in the Hospital.(d)The investment of the Hospital's assets other than in accordance with the Member's investment policy; or, in the absence of a current Member investment policy, any investment other than in the ordinary course of business (provided such ordinary course investment is in federally-insured interest-bearing bank accounts, short term direct U.S. obligations, short-term certificates of deposit of domestic banks, or highly rated money market funds).(e)The incurrence by the Hospital of indebtedness in excess of such amounts as may be reasonably designated by the Member from time to time, except pursuant to a budget approved by the Member or ordinary course indebtedness such as routine trade payables, in amounts less than the amounts designated by the Member. (f) The conveyance, transfer, lease, or sale of any of the Hospital's assets with a fair market value in excess of such aggregate amount as may be designated by the Member from time to time, except pursuant to a budget approved by the Member or the conveyance, transfer, lease, or sale of any of the Hospital's assets to the Member or another affiliate. (g)The making of any capital expenditure or the incurrence of any capital obligations by or on behalf of the Hospital in excess of such annual aggregate amount as may be designated by the Member from time to time, except pursuant to a budget approved by the Member. (h) The incurrence of any non-ordinary course obligation (whether actual or contingent) by the Hospital to guarantee or be responsible for the debts or obligations of any person in excess of such amounts as may be designated by the Member from time to time, except pursuant to a budget approved by the Member. (i)The approval of the Hospital's operating and capital budgets, or any material changes thereto. And other provisions described in the Bylaws. Form 990, Part VI, Line 11b: Form 990 Review Process Management provided an electronic copy of the form 990 to each voting member of the organization's governing body, prior to its filing with the IRS. The organization's finance management team provided a presentation to the Audit Committee on the organization's 990 return. Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts Officers, directors, and key employees fill out a WellSpan Health Conflict of Interest Disclosure Statement questionnaire annually. The questionnaire is administered by the Internal Audit Department of WellSpan Health, the Parent Company.There shall be full disclosure by any Director having a business or personal interest or relationship which may be in conflict with the interests of the Corporation. After such disclosure the Director shall abide by the determination of the Board of Directors as to whether a conflict exists, the extent to which, if at all, the Director will be permitted to be present during the Board of Directors' discussion of the matter in which the Director may be interested, and whether the Director will be permitted to participate in such discussion and cast a vote in such matter. Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees The Compensation Committee of WellSpan Health is responsible for rewarding and reinforcing key executives for the achievement of annual and long-term performance objectives. The Compensation Committee shall consist of not more than six (6) persons, of whom two (2) shall be the Chairman and Vice Chairman of the Board of the Corporation, and the remaining members shall be such other persons as may be appointed by the Chairman of the Board of the Corporation, with the approval of the Board of Directors; provided, however, that the Compensation Committee shall not include any persons who are employed by the System. The Chairman of the Board of Gettysburg Hospital shall participate. The role of the Compensation Committee is to set the Executive Compensation Philosophy for the system and ensure adherence, evaluate performance and establish compensation for the WellSpan President, evaluate team performance of the executive team and establish awards, review and approve senior executive base salary ranges, and oversee employed physician compensation programs. The Committee will approve salary ranges for each executive position and review incumbent salaries annually. The Committee will be responsible for reviewing the President's salary each year, and if warranted, authorizing an adjustment to maintain competitiveness. The President will have the authority to make salary adjustments for subordinate positions. The Committee is responsible for approving and authorizing payment of the performance awards. The Committee will approve and authorize payment of the President's performance awards. Integrated Healthcare Strategies, Inc., based in Minneapolis Minnesota is the external consultant to the committee. This consultant focuses exclusively on executive and physician compensation in the health care industry. In summary, the executive and physician compensation review process consists of the following: 1) Cash compensation reviewed annually 2) Cash compensation reviewed by external consultant biennially 3) external total compensation (cash, incentives, benefits, perquisites) reviewed by external consultant periodically 4) Process is integrated with compensation analysis for other WellSpan positions 5) Committee decisions are documented in minutes maintained in Human Resources. Form 990, Part VI, Line 19: Other Organization Documents Publicly Available Governing documents, policies, and financial statements are available upon request. Other Changes In Net Assets Or Fund Balances - Other Increases Change in Net Assets of Foundation = $795626 Other Changes In Net Assets Or Fund Balances - Other Increases Net assets released from restriction-PPE = $73167 Other Changes In Net Assets Or Fund Balances - Other Increases Unrealized Gain on restricted assets = $11656 Schedule K -Tax-Exempt Bonds $412,230,0000 of Revenue Bonds for WellSpan Health Obligated Group, Series 2008A, 2008B, 2008C and 2008D were issued 11/12/2008 by General Authority of Southcentral Pennsylvania. The purpose of this bond issue was to refund bonds issued 5/13/2002, 5/17/2005, 6/16/2005, and 6/5/2007. WellSpan Health, the parent organization, allocated portions of the proceeds of this tax-exempt bond issue to York Hospital (23-1352222), Gettysburg Hospital (23-1352220), WellSpan Properties (22-2842252), and WellSpan Specialty Services (23-2899911). In order to remain consistent with the reporting on Form 8038, all outstanding liabilities associated with this tax-exempt bond issue is reported on the WellSpan Health (22-2517863) Schedule K. As of 6/30/15, the allocation of the Debt Capital program was as follows: York Hospital $169,208,505 (60.56%), WellSpan Properties $33,905,407 (12.13%), WellSpan Health $5,274,606 (1.89%), WellSpan Specialty Services $46,131,343 (16.51%) and Gettysburg Hospital $24,900,139 (8.91%). These amounts are reported on the respective balance sheets (Part X Line 20)for each of these entities.The 11/12/2008 issue included reissuance of all unspent proceeds from the refunded 2007 bond issue. Total proceeds of issue includes the original 11/12/2008 issue plus investment earnings on transferred proceeds and the short investment of proceeds between date of issue and payoff on 12/1/2008.$213,430,000 of Revenue bonds for Wellspan Health Obligated Group, Series 2014A were issued November 11, 2014 by General Authority of South Central Pennsylvania. The purpose of this bond issue was revenue refund for bonds issued 06/23/1993 and 11/12/2008. WellSpan Health, the parent organization, allocated portions of the proceeds of this tax exempt bond issue to York Hospital (23-1352222), Gettysburg Hospital (23-1352220), WellSpan Properties (22-2842252) and WellSpan Specialty Services (23-2899911). In order to remain consistent with the reporting on Form 8038, all outstanding liabilities associated with this tax-exempt bond issue is reported on the WellSpan Health (22-2517863) Schedule K.As of 6/30/15, the allocation of the Debt Capital program including issue premium was as follows: York Hospital $173,540,565, Gettysburg Hospital $9,023,241, WellSpan Properties $31,253,869 and WellSpan Specialty Services $15,872,524. These amounts are reported on the respective balance sheets for each of these entities.On May 22, 2015, the Lancaster Municipal Authority issued $36,572,083 of Revenue bonds, Series 2015A, to an Obligated Group consisting of York Hospital, Gettysburg Hospital and Ephrata Community Hospital. The purpose of this bond issue was to refund bonds issued on behalf of Ephrata Community Hospital, including the Lancaster Municipal Authority Revenue Notes Series 2009, 2010A, 2012, and 2013. In order to remain consistent with the reporting on Form 8038, all outstanding liabilities associated with this tax-exempt bond issue is reported on the WellSpan Health (22-2517863) Schedule K.As of 6/30/15, the $35,063,990 of outstanding liability is reported on the Ephrata Community Hospital return balance sheet. Apple Hill Surgical Center Inc PO Box 2767 York PA 174052767 222842253 Sole GP in limited ptnrshp operating surgical center PA 501(c)(3) 9 NA false Gettysburg Hospital Foundation PO Box 2767 York PA 174052767 232251358 Fundraising for Gettysburg Hospital PA 501(c)(3) 11 Type 1 NA true Healthy Community Pharmacy Inc PO Box 2767 York PA 174052767 200519121 Reduced rate prescription drugs PA 501(c)(3) 11 Type 1 NA false VNA Community Services PO Box 2767 York PA 174052767 232338591 Home personal care services for elderly and disabled PA 501(c)(3) 9 NA false VNA Home Health Services PO Box 2767 York PA 174052767 231352573 Home health and hospice care services PA 501(c)(3) 9 NA false WellSpan Health PO Box 2767 York PA 174052767 222517863 Integrated Health System PA 501(c)(3) 11 Type 1 NA false WellSpan Health Care Services PO Box 2767 York PA 174052767 232400237 Health-related activities in the service area PA 501(c)(3) 11 Type 1 NA false WellSpan Medical Group PO Box 2767 York PA 174052767 232730785 Medical and surgical care PA 501(c)(3) 9 NA false York Health Foundation PO Box 2767 York PA 174052767 233050192 Charitable contributions for WellSpan entities PA 501(c)(3) 11 Type 3 NA false York Hospital PO Box 2767 York PA 174052767 231352222 Community teaching hospital PA 501(c)(3) 3 NA false WellSpan Specialty Services PO Box 2767 York PA 174052767 232899911 Mgmt support for hospice & home health care services PA 501(c)(3) 11 Type 1 NA false Wellspan Properties Inc PO Box 2767 York PA 174052767 222842252 Leases outpatient facilities to affiliates PA 501(c)(3) 11 Type 1 NA false Ephrata Community Hospital PO Box 2767 York PA 174052767 231370484 Health care services PA 501(c)(3) 3 NA false Ephrata Community Health Foundation PO Box 2767 York PA 174052767 800940005 Fundraising for Ehprata Hospital PA 501(c)(3) 11 Type 1 Ephrata Community Hospital false Northern Lancaster County Medical Group PO Box 2767 York PA 174052767 203033058 Medical and surgical care PA 501(c)(3) 11 Type II Ephrata Community Hospital false Phys Spec of North Lanc Co Med Gr PO Box 2767 York PA 174052767 452537633 Physician Practices PA 501(c)(3) 11 Type II Northern Lancaster County Medical Group false Apple Hill Surgical Center Partners PO Box 2767 York PA 174052767 232489452 Surgical Cn PA NA false false Central PA Alliance Laboratories LLC PO Box 2767 York PA 174052767 232910950 Ref. Lab PA NA false false Littlestown Health Care Partners 300 West King Street Littlestown PA 17340 232880464 Lease facility PA NA false false Cherry Tree Cancer Center LLP PO Box 2767 York PA 174052767 232915628 Radiation PA NA false false The Rehab Center 855 Springdale Drive Suite 20 Exton PA 19341 251687903 Physical Therapy Rehab PA Ephrata Hospital false false Wellspan Pharmacy Inc PO Box 2767 York PA 174052767 232374072 Dispenses pharm. & provides IV therapy PA N/A C Corp false Wellspan Reciprocal Risk Retention Group PO Box 2767 York PA 174052767 200048457 Risk Retention Group PA NA C Corp 1340219 3142649 0.13200 false York Health Plan PO Box 2767 York PA 174052767 232664989 Preferred Provider Organization PA NA C Corp false WellSpan Provider Network PO Box 2767 York PA 174052767 232907828 Coordinate managed care risk contracts PA NA C Corp false Apple Hill Condominium Association PO Box 2767 York PA 174052767 232504543 Condo Mgmt Association PA N/A Homeowner Assoc false North Lanc Co Phys Hosp Alliance PO Box 2767 York PA 174052767 232421885 Coord Phys & Hospital PA NA C corp false false false false false true true false false false true true true true false false true false false false