2014-05-12T13:43:31-07:00 2013-06-30 BDO USA LLP 8405 Greensboro Drive McLean VA 22102 990 2012-07-01 231352222 YORK HOSPITAL YORK 7178513055 PO BOX 2767 YORK PA 17405 Michael F O'Connor 2014-05-12 false JEFFREY SCHRAGG P00234543 7178930600 2012 2015-11-30 17:44:51Z Bruce M Bartels PO Box 2767 York PA 174052767 1120950888 false false X WWW.WELLSPAN.ORG X 1880 PA York Hospital is a premier community teaching hospital providing quality, cost-effective health care services strongly supporting excellence in education, and offering essential services without regard for an individual's ability to pay. 11 6 5735 879 12601300 1279104 5066271 3362157 791992737 826422584 18165755 24856991 9747895 10192535 824972658 864834267 36392508 41233225 0 342767664 356425247 0 846713 381041399 410982959 760201571 808641431 64771087 56192836 947313445 1011352758 392983152 352637904 554330293 658714854 York Hospital is a premier community teaching hospital providing quality, cost-effective health care services strongly supporting excellence in education, and offering essential services without regard for an individual's ability to pay. false false 685452958 41233225 818567552 WellSpan York Hospital is the region's leader in advanced specialty care. What began in 1880 has become a 572-bed community teaching hospital that employs more then 4,800 people and serves a population of more than 520,000 in south central Pennsylvania. WellSpan York Hospital offers services and programs that feature highly skilled clinical staff, life-saving technology and state-of-the-art facilities to address some of the most complex medical, surgical and behavioral conditions.WellSpan York Hospital has been designated as a Bariatric Center for Excellence by the American Society for Metabolic and Bariatric Surgery; recognized as one of the Best Regional Hospitals in its Best Hospitals publication; named a Top 100 Hospital by Thomson Reuters, a leading source of health care information, on seven occasions. In addition WellSpan York Hospital has been designated as a Robotic Epicenter by Intuitive Surgical, accredited as a Level 1 Regional Resource Trauma Center, designated as a Primary Stroke Center by the Joint Commission, and designated as a Magnet Hospital by The American Nurses Credentialing Center. WellSpan York Hospital is a nationally recognized teaching hospital with seven residency programs, five allied health schools and other training programs. More than 690 physicians and other professionals belong to WellSpan York Hospital's medical and dental staff.See Attached Federal Supplemental Information: WellSpan Health - 2013 Community Benefit Report 685452958 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 true false false false false false true false false false false true 0 0 false 5735 true true false false false false false false 0 false false false false false false false false false false X 11 6 false false false false true true true true true false false true true true true true true true true false PA X DAVID RIZZUTO 7178513055 3350 WHITEFORD ROAD YORK PA 17402 X William Dannehl 1.00 0.00 X X 0 0 0 N Daniel Waltersdorff 1.00 0.00 X X 0 0 0 Laurie Anne Spagnola 1.00 0.00 X 0 0 0 Jean Treuthart 1.00 0.00 X 0 0 0 William Landis MD 1.00 0.00 X 0 0 0 Gary Stewart Jr 1.00 0.00 X 0 0 0 K Michael Hughes DO 1.00 0.00 X 0 0 0 Steve Hovis 1.00 0.00 X 0 0 0 Bruce M Bartels 1.00 40.00 X X 0 1441893 640768 Joe Crosswhite 1.00 0.00 X X 0 0 0 Cathy P Carpenter MD 1.00 0.00 X 0 0 0 Keith Noll 40.00 0.00 X 414196 0 319690 Michael F O'Connor 1.00 40.00 X 0 574340 368141 Raymond Rosen 40.00 0.00 X 299887 0 63044 James T Amsterdam MD 40.00 0.00 X 516065 0 67674 Peter M Hartmann MD 40.00 0.00 X 432818 0 78521 Aizad Dasti MD 40.00 0.00 X 321412 0 67352 Steven Schirk MD 40.00 0.00 X 326892 0 67431 Andrew Kepner MD 40.00 0.00 X 326651 0 51053 Richard Seim 0.00 40.00 X 0 1276881 345144 2637921 3293114 2068818 317 true true false Quest Diagnostics Inc 12436 Collections Center Drive Chicago IL 606932436 Lab Services 2387700 HCSC Laundry PO Box 25092 Lehigh Valley PA 180025092 Laundry Services 1780564 Cozen OConner 1900 Market Street Philadelphia PA 191033508 Legal Services Anesthesia Associates 110 Pine Grove Commons York PA 17405 Physician Services 5215444 American Healthcare Services PO Box 2767 Traverse City MI 49685 Staffing Services 2170275 38 1381224 348939 1631994 3362157 W/O -Financial Assistance 621500 -32188160 -32188160 W/O - Bad Debt 621500 -35979294 -35979294 Patient Services 621500 890068036 880286903 9781133 EHR Incentive Program(MU) 621500 4522002 4522002 826422584 14448898 14448898 0 0 465336 465336 465336 465336 266480009 44705 256116621 10363388 44705 10408093 10408093 0 0 0 Snack/Coffee Bar & Cafe 722210 2380125 2380125 Medic Unit Staffing 621990 1592261 1592261 Contracted Labor 621110 2173421 2173421 3581392 1926101 646746 1008545 9727199 864834267 818567552 12601300 30303258 X 41233225 41233225 0 0 0 1013657 362931 650726 0 253738853 243275117 10463736 27353815 26464139 889676 55320278 53044134 2276144 18998644 18204027 794617 75306993 75306993 1254955 23919 1231036 949427 949427 0 0 2116334 2116334 100890945 100591253 299692 149772 144422 5350 2603346 2603346 22494296 22494296 0 6782811 6782811 727073 678836 48237 0 564276 534363 29913 12573207 12573207 0 29356709 26598088 2758621 11278972 11278972 Equipment Rentals 1853214 1332388 520826 Repair & Maintenance 6226678 6226678 Utilities 9472049 9358408 113641 Supplies 121677886 120954335 723551 4704016 3188359 668944 846713 808641431 685452958 122341760 846713 0 61016161 63215481 0 110266287 120972899 0 0 0 4703082 5483002 3132606 1651038 535590019 317762082 223058229 217827937 306772851 314602623 201008915 220828232 0 0 37355314 66771546 947313445 1011352758 16157087 16033441 8560451 7153268 265183347 246867090 12138866 9146748 90943401 73437357 392983152 352637904 X 538231609 641736094 9417381 9812914 6681303 7165846 554330293 658714854 947313445 1011352758 X 56192836 46659111 1532614 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 16098684 2883009 1115144 3118077 16978760 16346925 3706817 -689858 3265200 16098684 18295151 3937629 2208589 8094444 16346925 17082786 3507220 459887 2754742 18295151 19437511 3382292 -3156504 2580513 17082786 0.42200 0.57800 true true true 487109 487109 275197004 125392776 149804228 11295234 9530406 1764828 244636317 182838900 61797417 3974355 3974355 217827937 220828232 Total Other noncurrent assets 6694353 Notes Receivable 54644325 Intangible Assets 1875356 Due from affiliates 3283451 66771546 Total Other Noncurrent Liabili 25389544 Post Retirement Benefit Obligations 18463727 Accrued Vacation 15529654 Accrued Payroll 10726165 Accrued Asbestos Removal Exp 1510807 Accrd Payroll W/H 1817460 73437357 X 906975794 45543967 45543967 861431827 3402440 3402440 864834267 764303923 764303923 44337508 44337508 808641431 Part XII, Line 4b Part XII, Line 4b: Other revenue amounts included on 990 but not included in F/S Grant-WellSpan Medical Group $15910000 Grant-WellSpan Health $19180000 Grant-WellSpan Health Care Services $5610000 Revenue netted against expense $3637508 Part XI, Line 4b Part XI, Line 4b: Other revenue amounts included on 990 but not included in F/S Restricted Contributions(Net) $-235068 Revenue netted against expense $3637508 Part X 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, 2013. Part V, Line 4 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. true true X true X true X true true true false true true 17509 14806554 14806554 0.01830 117548 108881896 61415355 47466541 0.05870 135057 123688450 61415355 62273095 0.07700 61 21204 1535692 44799 1490893 0.00180 13 1044 484449 10765 473684 0.00060 13 162966 17036594 8232078 8804516 0.01090 2 1000 341760 341760 0.00040 4 4658 118394 118394 0.00010 93 190872 19516889 8287642 11229247 0.01380 93 325929 143205339 69702997 73502342 0.09080 1 987625 987625 0.00120 1 100 180 180 2 61 3022 3022 11 16759 38160 1664 36496 1 87 65111 65111 0.00010 16 17007 1094098 1664 1092434 0.00130 true 16550475 554441 265512048 325546386 -60034338 X true true WRRRG Risk Retention Group 0.66710 1 1 York Hospital

1001 S George Street York PA 17405

X X X X X X York Hospital 1 true X X X X X X X X 12 true true true X X X X X X X X X X X false false false true true 200.0000 true 300.0000 true X X X X X X X true true X X X X X X true false true X false false 34 Hanover Lab Collection Center

1150 Carlisle St Hanover PA 17331

Lab Services Shrewsbury Professional Building

73 East Forrest Avenue Suite 210 Shrewsbury PA 17361

Rehab Hanover Family Medicine-Workfirst

100 Frederick Street Suite 101 Hanover PA 17331

Work First ALSU-Stewartstown

86 North Main Street Stewartstown PA 17363

ALS Unit 608 Cleveland Avenue

608 Cleveland Avenue York PA 17401

Transcription Prospect Commerce Center

1803 Mt Rose Ave York PA 17403

Trans Lab Yorktowne Medical Center

2350 Freedom Way York PA 17402

PFT Westgate Lab

1550 Kenneth Rd Westgate Plaza York PA 17408

Lab Services Valley Green Medical Center

1790 Old Trail Road Etters PA 17319

Lab Services Indian Rock Site

915 Indian Rock Dam Rd York PA 17404

Indian Rock Helipad East York Site

2250 E Market St York PA 17402

Imaging, Work First Stonebridge Business Park

13515 Wolfe Rd Ste D New Freedom PA 17349

Imaging, Lab Services Dover Health Center

4020 Carlisle Road Dover PA 17315

Imaging, Lab Services, Sleep Center 235 Rosedale Drive

235 Rosedale Drive Manchester PA 17345

Rehab ALSU- Red Lion

312 Horace Mann Ave Red Lion PA 17356

ALS Unit ALSU- Dover

3700 Davidsburg Rd Dover PA 17315

ALS Unit 2319 South George Street

2319 South George Street York PA 17403

Rehab, Imaging Windsor Health Center

3065 Windsor Road Red Lion PA 17356

Imaging, Lab Adams Health Center

40 V-Twin Dr Gettysburg PA 17325

Workfirst, Preventive Cardiology, Pulmonary Littlestown Dialysis Building

43 S Columbus Ave Littlestown PA 17340

Dialysis 207 Blooming Grove Road

207 Blooming Grove Road Hanover PA 17331

Rehab, Imaging Adams Center

1575 Bannister St York PA 17404

Preventive Cardiology, Rehab medicine St Charles Way

228 St Charles Way York PA 17402

Neuroscience Admin, Pain Center Stony Brook Health Center

4222 Lincoln Highway York PA 17406

Lab Services Cross Keys Internal Medicine

2900 Carlisle Pike New Oxford PA 17350

Lab services Apple Hill Womens Special Services & Imaging

35 Monument Road York PA 17403

Infusion, Women's Imaging, Radiology Technology Hayshire Health Center

2775 N George St York PA 17402

Imaging, Lab Services East Berlin Site

105 Fourth St East Berlin PA 17316

Imaging, lab services Loretta Claiborne Building

605 S George St York PA 17401

Dental Clinic, OB/GYN Clinic, Community Health Center St Charles Way

298 St Charles Way York PA 17402

Diabetes Self Management, Edgar Square

1101 Edgar St York PA 17403

BHS, Community Health Improvement, Crisis Intervention, Specialty Clinics Midhill Professional Center

1399 S Queen St York PA 17403

Wound Care Queensgate Towne Center

2015 Springwood Rd York PA 17403

Lab Services, Childbirth & Family Ed., Rehab Apple Hill

25 Monument Road York PA 17403

Cardiac Rehab, EKG/Cardiac Stress Testing, Infusion Services, Lab, Maternal Fetal Medicine, Nuclear Part VI - States Where Community Benefit Report Filed PA Part VI - Affilated Health Care System Roles and Promotion WellSpan Health is an integrated health system serving the Adams-York 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. York 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, Apple Hill Surgical Center, VNA Home Health, WellSpan Medical Group, South Central Preferred, WellSpan Pharmacy, Gettysburg Hospital Foundation, York Health Foundation, WellSpan Provider Network and Healthy York Network/Healthy Community Pharmacy. York Hospital's community benefit report is contained in a report prepared by their parent organization, WellSpan Health. See Attached Federal Supplemental Information: WellSpan Health - 2013 Community Benefit Report Part VI - Explanation Of How Organization Furthers Its Exempt Purpose Historically, our organization has taken planned steps to build community capacity that address complex health issues as identified by the Community Health Needs Assessments we conduct. Our involvement and support of a county health coalition - Healthy York County Coalition - has engaged more than 200 community members in community health improvement initiatives. This year, the coalition has reorganized, under its new Coordinator, in an effort to continue to leverage the talents of the community. The Coalition consists of three committees, Prevention and Wellness, Access and Empowerment and Community Engagement; each of which continue to attract new community members, leaders and professionals. Coalition activities also focus on key community health priorities, as identified in the 2012 CHNA, and foster collaboration between health care entities, community-based organizations, and other interested parties. For example, the Healthy York County Coalition, in partnership with Healthy Adams County and WellSpans Health Community Health and Wellness department, distributed a 15 question survey to primary care providers in York and Adams Counties. The survey asked about current processes for screening and treatment of depression in the primary care setting, the availability of and linkage to existing community resources, and opportunities to better manage patients with depression. Survey results provided critical background information that will be used to improve depression screening in primary care settings, enhance community awareness of depression, and advocate for system level changes that would bring more providers and services to the area in the future. Additionally, in response to a growing concern about end of life care in our community, the Coalition is encouraging community members to consider the conversation and learn more about end of life care, planning and preparation. As a charitable, community-based healthcare organization, we are committed to improving the lives and well-being of the people and communities we serve. This dedication is evident in our organizational mission statement - "Working as one to improve health through exceptional care for all, lifelong wellness, and healthier communities." Employees at WellSpan Health live out its mission statement every day by engaging in community benefit activities that address the needs of the community, especially those focused on the four health priorities identified in the 2012 CHNA access, adult overweight/obesity, depression, and tobacco. For example, through the second annual 10 Pound Throwdown Challenge, more than 1700 community members are actively learning about and participating in a fun and competitive online weight management program. At the midpoint of the twelve week challenge, participants reported losing more than 3500 pounds. Comparatively, our dedication to developing Patient Centered Medical Homes (PCMH) will improve the management of patients with complex behaviors and physical health issues, including those with depression. Coupled with our increased understanding of the existing depression screening and referral process, we have begun to implement system and community strategies to better manage community members diagnosed with depression. Lastly, WellSpan Health continues to support and promote tobacco cessation programs throughout the community and is enhancing the referral process for providers, community organizations, and employers. By partnering with individuals and other organizations, supporting their endeavors, sharing our knowledge and expertise, and learning from one another, together we are creating a healthier community. In addition to community benefit items outlined in Schedule H, we actively engage community members as organizational partners to reinvest in the health of our community by: providing Board and committee leadership opportunities; encouraging patient feedback that improves care through advisory groups, and; engaging diverse stakeholders on community-based taskforces that address complex community health issues. Both in the hospital and across our health system, community members actively volunteer their time to support activities and initiatives, and generously donate funds to the organization. During the fiscal year, approximately 1,800 individuals across the system volunteered a total of 137,000 hours of service, equivalent to approximately $3,033,000. In addition, the York Health Foundation, York Hospital's philanthropic organization, raised $3,042,183 of which approximately 48% supports activities and patient care in York County. 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. York County is situated in south-central Pennsylvania. The County is bordered by Adams and Cumberland Counties to the west and north respectively and the Susquehanna River and Lancaster County to the east. Northeast of the River lies Dauphin County and the southern border is the Mason-Dixon line which forms the border with Maryland and its northernmost counties of Carroll, Baltimore and Harford. York County is approximately 911 square miles or 583,040 acres and is comprised of 72 municipalities; 35 townships, 36 boroughs and one (1) city.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 adults in York County rating their health as fair or poor was 14.0%. 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. The number of uninsured has remained stable at approximately 6.5% 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 - 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. Outreach is conducted through programs like Health Connect, a mobile health program which travels throughout the county and takes care of immediate medical issues, while seeking opportunities to link unconnected individuals with a primary care provider and health insurance and charity care options. WellSpan also 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 - Needs Assessment In the early 1990s, our organization began developing new ways of working more closely with its communities. The first Community Health Assessment for York County was completed in 1994. Since that time, we've competed health assessments in 1997, 2000, 2005, 2008 and 2012. These are led by the regional health coalition, Healthy York County Coalition, which we support and are done collaboratively with other hospitals and community partners. The assessments evaluate the health of York County as a whole, and often target specific geographic or demographic segments for further study - such as the City of York or Youth. The gathering of data is one component of the health assessment process. As a community, the data is utilized as a basis of public meetings and forums to identify priorities for the community. These involve stakeholders from health and human services, government, business and other sectors. Our system-wide planning committee, which includes York Hospital Board members, dedicates a meeting on this topic and the priorities identified are used to define our organization's community health objectives in its annual plan. The Community Health Assessment is distributed and utilized broadly in the community and provides other organization's as well as our own with more data-driven picture of the issues and needs facing our community. Our focus is to understand the health status and behaviors of those residing in York County, prioritize results and identify community needs, and respond to those needs through the implementation of evidence-based strategies. In the recent 2012 Assessment, 1004 York County adults were interviewed and served as a sample of the patients with whom our organization daily interacts. These individuals are geographically distributed cross 48 zip codes and represent the diversity - age, gender, race/ethnicity, educational background, and socioeconomic status - of the community our organization serves. . The 2012 CHNA process was led by a Community Health Assessment Planning Committee, a multidisciplinary collaborative comprised of at least twelve agencies interested in the health needs of the community, including:"Two acute care facilities "One integrated health care delivery system"Two county-level health coalitions"A local Federally Qualified Health Center (FQHC)"The local city health bureau"A local behavioral health counseling agency"Two local United Way branches"Area colleges and universities"A non-profit community foundationHistorically, Planning Committee members contribute in-kind staff hours to the Community Health Assessment process, utilize data to integrate priority interventions into their respective organizational plans, and assist with disseminating results to the community at-large. Except for the Healthy York County Coalition and participating colleges and universities, member organizations also financially support the community health assessment process, including a contractual agreement with an opinion research department at a local college to collect and analyze data, and generate necessary reports. Health coalition staff time spent during the assessment process and in monitoring this contract is considered an in-kind contribution.When initially convened, Planning Committee members determined deliverables to be included in a Request for Applications (RFA) to fund an entity that would conduct the assessment, analyze results, and summarize the findings. Responsibility for recent community health assessments was shared between both the Healthy York County Coalition and its sister coalition in Adams County, Healthy Adams County , to maximize economies of scale and identify shared priorities across the region. However, separate reports are generated to demonstrate respective community priorities and to meet regulatory requirements. The CHNA typically engages two components - primary data collection through implementation of the Behavioral Risk Factor Surveillance System (BRFSS) and secondary data collection available through online state or national level resources. Members of the Planning Committee partnered with the funded community health assessment entity to finalize BRFSS questions and approve the identified sample size. For the 2012 CHNA, the Planning Committee elected to correlate community health results with potential disparities (e.g. age, geographic area, poverty, race/ethnicity) to obtain additional detail about community needs. Previous health assessments have included qualitative data obtained through focus group results on key topics (e.g. behavioral health, substance abuse). In 2012, Planning Committee members elected to disseminate CHNA results and establish priorities for the community at-large and in their respective organizations at a local Health Summit held in June 2012. CHNA findings were also distributed through smaller organizational forums and in press releases. Health Summits have demonstrated efficacy to convene a larger group of interested parties including: community-based organizations (YMCA/YWCA); faith communities; healthcare insurers and providers; law enforcement agencies; local school districts; social service organizations, and; the general public to brainstorm about how to effect community change that improves health status and encourages positive health behaviors. As with past assessments, the lead researcher for the 2012 CHNA served as the keynote speaker and presented the overall results. A combination of general and breakout sessions were then employed to identify priorities and associated programmatic opportunities. The 2012 CHNA provided the most robust data, to date, and has enabled our organization to better integrate its results into our annual organizational and entity-level planning processes. Our system-wide Community Benefit Council, comprised of representation from both acute care facilities, and service line and corporate leadership, reviewed the CHNA results and identified four key priorities for the organization, including each of our three hospitals: adult overweight/obesity; avoidance of healthcare because of cost; depression, and; tobacco use. CHNA results continue to be shared at varying levels of our organization and are foundational to the creation of entity-level objectives and associated evaluation indicators in our community health implementation strategy. Our CHNA was finalized and made available to the public in fiscal year 2013. The implementation strategy for WellSpan Health (The WellSpan Community Health Improvement Plan) was developed during fiscal year 2013 and is attached to this return. The CHNA process is continuous in that, for example, 2012 Plan objectives are being implemented as planning for the 2015 Community Health Needs Assessment is underway. Number of Hospital Faciltiy - 1 Part V, Line 7 - 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 reducting 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. Number of Hospital Faciltiy - 1 Part V, Line 5c - Description of Making Needs Assessment Widely Available The 2012 Community Health Needs Assessment (CHNA) results were released to the community at a public forum in the summer of 2012. Results from the CHNA are available on the Healthy York County Coalition website (www.healthyyork.org) and the WellSpan Health website (www.wellspan.org) and also upon request. Number of Hospital Faciltiy - 1 Part V, Line 4 - List Other Hospital Facilities that Jointly Conducted Needs Assessment Gettysburg Hospital and WellSpan Surgery and Rehabilitation Hospital Number of Hospital Faciltiy - 1 Part V, Line 3 - Account Input from Person Who Represent the Community Our organization engages community partners in conducting a comprehensive Community Health Needs Assessment (CHNA) every three years. Our focus is to understand the health status and behaviors of those residing in York County, prioritize results and identify community needs, and respond to those needs through the implementation of evidence-based strategies. In the recent 2012 Assessment, 1004 York County adults were interviewed and served as a sample of the patients with whom our organization daily interacts. These individuals are geographically distributed across 48 zip codes and represent the diversity - age, gender, race/ethnicity, educational background, and socioeconomic status of the community our organization serves.The 2012 CHNA process was led by a Community Health Assessment Planning Committee, a multidisciplinary collaborative comprised of at least twelve agencies interested in the health needs of the community, including:Two acute care facilitiesOne integrated health care delivery systemTwo county-level health coalitionsA local Federally Qualified Health CenterThe local behavioral health counceling agencyTwo local United Way branchesArea colleges and universitiesA non-profit community foundationHistorically, Planning Committee members contribute in-kind staff hours to the Community Health Assessment process, utilize data to integrate priority interventions into their respective organizational plans, and assist with disseminating results to the community at-large. Except for the Healthy York County Coalition and participating colleges and universities, member organizations also financially support the community health assessment process, including a contractual agreement with an opinion research department at a local college to collect and analyze data, and generate necessary reports. Health coalition staff time spent during the assessment process and in monitoring this contract is considered an in-kind contribution. 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 III, Line 8 - Explanation Of Shortfall As Community Benefit York 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 these services. Payments from Medicare are generally less than York Hospital's costs of providing the service. Part III, Line 4 - Bad Debt Expense York 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 accounts 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 YH ceases collection efforts. Losses have been consistent with management's expectations in all material respects. 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 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 I, Line 6a - Related Organization Community Benefit Report Community Benefit Information is included in the Community Benefit Report for WellSpan Health. true York Suburban School District 850 Southern Road York PA 17403 236005956 30000 0 General Support York Health Foundation PO Box 2767 York PA 17405 233050192 501(c)(3) 15000 0 Prescriptions for the uninsured York City School District 31 N Persing Avenue York PA 17401 236004284 30000 0 General Support WellSpan Medical Group PO Box 2767 York PA 17405 232730785 501(c)(3) 15910000 0 General Support WellSpan Health Care Services PO Box 2767 York PA 17405 232400237 501(c)(3) 5610000 0 General Support WellSpan Health PO Box 2767 York PA 17405 222517863 501(c)(3) 19180000 0 General Support Spring Garden Township 558 S Ogontz Street York PA 17403 236003037 5500 0 General Support Family First Health 116 S George Street York PA 17401 237118262 501(c)(3) 125000 0 School based clinic City of York 50 W King Street York PA 17405 236001908 320000 0 General Support 9 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 true true X X X X X false true false false false false false false false false Steven Schirk MD 303006 17935 5951 28875 38556 394323 Richard Seim 401115 132330 743436 296235 48909 1622025 132330 Raymond Rosen 252633 42344 4910 28875 34169 362931 Peter M Hartmann MD 367977 58133 6708 28875 49646 511339 Michael F O'Connor 429893 135960 8487 325915 42226 942481 135960 Keith Noll 324598 83160 6438 284795 34895 733886 83160 James T Amsterdam MD 444133 63345 8587 28875 38799 583739 Bruce M Bartels 777484 254363 410046 589055 51713 2082661 249150 Andrew Kepner MD 302594 18454 5603 15000 36053 377704 Aizad Dasti MD 300432 15324 5656 28875 38477 388764 Sch J, Part I, Line 1a Part I, Line 1a: Relevant information in regards to selections on 1a. Bruce Bartels, WellSpan CEO, received additional compensation to cover the tax on personal use of his company vehicle. A See Schedule O A true The Stewart Companies Stewart offi 184572 YHP admin empl healt false Harrisburg Area Community College Officer Treuthart 246999 Employee Tuition false Stewart Properties Officer Stewart 441027 construction, rental false Donette Lasher Family Member Noll 202756 Employee of YH false M & T Bank Regional Pres. Crosswhite 254006 Provider of Banking Serv false 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 (22-2517863), 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 6/30/13, the allocation of the Debt Capital program was as follows: York Hospital $225,290,225 (59.34%), WellSpan Properties $59,679,933 (15.72%), WellSpan Health $2,388,675 (.63%), WellSpan Specialty Services $60,222,365 (15.86%) and Gettysburg Hospital $32,093,802 (8.45%). 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.An arbitrage rebate and yield restriction compliance analysis for the General Authority of Southcentral Revenue Bonds (WellSpan Health Obligated Group) Series 2008ABCD for the period of November 12, 2008 to November 11, 2013 was performed in accordance with the applicable sections of the Internal Revenue Code and the related Federal Regulations in effect during the Computation Period. As of the Interim Computation Date of November 11, 2013, the Gross Proceeds of the Bonds have not accrued a liability during the Computation Period. Part V line 1a Part V line 1a - Most 1099s are issued through WellSpan Health, the parent company. Form 990, Part XI, Line 9 Other Changes In Net Assets Or Fund Balances - Other Increases Net assets released from restriction-PPE = $778200 Form 990, Part XI, Line 9 Other Changes In Net Assets Or Fund Balances - Other Increases Change in Accrued Pension Liability = $754414 Form 990, Part VI, Line 19 Form 990, Part VI, Line 19: Other Organization Documents Publicly Available Governing documents, policies, and financial statements are available upon request. Form 990, Part VI, Line 15b 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 subordiate 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 12c 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 11b 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 7b Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders The member may, with respect to the Corporation, initiate and implement any of the following actions, and it any of the following actions are otherwise initiated by the Corporation, such action shall not become effective unless approved by the Member:a) The adoption, amendment,or revocation of the Corporation's Articles of Incorporation or Bylaws. b) The termination, liquidation, reorganization, division, conversion, or dissolution of the Corporation, or the merger, consolidation, or combination of the Corporation with another person. c) Any change or transfer of the Member's membership interest in the Corporation, or the creation or issuance of any additional membership interests in the Corporation. d) The investment of the Corporation's assets other than in accordance with the Member's current investment policy; or, in the absence of a current Member investment policy, any investment other than in the ordinary course of business, which shall consist of 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 Corporation 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. This is not meant to restrict the Corporation's day-to-day business, in amounts less than the amounts designated by the Member, such as routine trade and accounts payable or obligations. f) The conveyance, transfer, lease, or sale of any of the Corporation's assets with 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 Corpoation's assets to the Member or another System Affiliate. g) The making of any capital expenditure or the incurrence of any capital obligations by or on behalf of the Corporation 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 obligation (whether actual or contingent) by the Corporation 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. This is not meant to restrict the Corporation's ability to incur obligations int he ordinary course of the Corporation's day-to-day business, in amounts less than the amounts designated by the Member. i) The approval of the Corporation's operating and capital budgets, or any material changes thereto. j) The voluntary granting of any lien or encubrance (including a confession of judgement) with respect to the Corporation's assets, except in the ordinary course of business.k) The surrender of or material change to any permit, approval, or license of the Corporation. l) The selection of the Corporation's outside auditors, general legal counsel, or investment advisors. m) The requirement that the Member make any capital contribution to the Corporation. n) The ratification of appointments and reappointments to the Corporation's Board of Directors. o) The approval of the Corporation's strategic and operating plans, or any changes thereto. p) The approval of the Corporation's statements of purpose, vision, or mission, or any changes thereto. q) The creation by the Corporation of any new lines of business, sites of business, subsidiary corporations, or partnerships or other joint ventures, or any material changes in existing services, or particiation in any key strategic relationship outside the System. This is not meant to restrict the Corporation's right to enhance and expand its current lines of business. r) All health care services contracting by the Corporation that could materially impact the System. Form 990, Part VI, Line 7a Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body The Board of Directors of the Corporation shall be elected as provided herein by the Board of Directors of the Member. The Member shall determine annually the number of directors which shall in no event be less than ten nor more than fifteen persons. Nominations for the Directors to be elected by the Member shall be made only by the Nominating Committee for Directors, except for vacancies in the Board of Directors occuring by death, resignation, disqualification, removal or otherwise, may, upon the recommendation of the Executive Committee, be filled by appointment by the Member to serve until the next annual meeting of the Member, at which time the Member may elect a Director to fill such vacancy for the remainder of the unexpired term thereof. Form 990, Part VI, Line 6 Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder WellSpan Health, a not for profit corporation, is the sole member.The Member of the Corporation shall meet at any place, date, and time designated by the Member, for the transaction of the general business of the Corporation. Action of the Member shall generally be taken by a written consent in lieu of a meeting.Any action which may be taken at a meeting of the Member may be taken without a meeting if a consent or consents in writing, setting forth the action so taken, shall be signed by the Member and filed with the Secretary of the Corporation. Wellspan Properties Inc PO Box 2767 York PA 174052767 222842252 Leases facilities to affiliates PA 501(c)(3) 11 Type 1 NA false WellSpan Specialty Services PO Box 2767 York PA 174052767 232899911 Mgmt. hospice/home health care services PA 501(c)(3) 11 Type 1 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 Wellspan Medical Group PO Box 2767 York PA 174052767 232730785 Medical and surgical care PA 501(c)(3) 9 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 Health PO Box 2767 York PA 174052767 222517863 Integrated Health System PA 501(c)(3) 11 Type 1 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 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 Healthy Community Pharmacy Inc PO Box 2767 York PA 174052767 200519121 Reduced rate prescription drugs to uninsured PA 501(c)(3) 11 Type 1 NA false Gettysburg Hospital Foundation PO Box 2767 York PA 174052767 232251358 Fundraising for Gettysburg Hospital PA 501(c)(3) 11 Type 1 NA false Gettysburg Hospital PO Box 2767 York PA 174052767 231352220 Health Care Services PA 501(c)(3) 3 NA false 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 Community Healthcare Imaging Partners PO Box 2767 York PA 174052767 232444154 MRI Center PA NA false false Cherry Tree Cancer Center LLP PO Box 2767 York PA 174052767 232915628 Radiation PA NA false false Littlestown Health Care Partners 300 West King Street Littlestown PA 17340 232880464 Lease facil PA NA false false Q-WH LLC PO Box 2767 York PA 174052767 208226561 GP of CHIP PA NA false false Central PA Alliance Laboratories LLC PO Box 2767 York PA 174052767 232910950 Ref. Lab PA NA false false Apple Hill Surgical Center Partners PO Box 2767 York PA 174052767 232489452 Surgical Cn PA NA false false Apple Hill Condominium Association PO Box 2767 York PA 174052767 232504543 Condo Mgmt Association PA N/A Homeowner Assoc false WellSpan Provider Network PO Box 2767 York PA 174052767 232907828 Coord mngd care risk contracting PA NA C Corp false York Health Plan PO Box 2767 York PA 174052767 232664989 Preferred Provider Organization PA NA C corp false Wellspan Reciprocal Risk Retention Group PO Box 2767 York PA 174052767 200048457 Risk Retention Group PA NA C Corp 4803452 14684327 0.66710 false Wellspan Pharmacy Inc PO Box 2767 York PA 174052767 232374072 Dispenses Rx & provides IV therapy PA N/A C corp false false true true true false false true true false true true true true false false true true false false