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GETTYSBURG HOSPITAL: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
GETTYSBURG HOSPITAL (EIN 23-1352220)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-05-12
IRS object ID
201401329349303465
Schema version
2012v2.0
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-05-12T13:43:24-07:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BDO USA LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line18405 Greensboro DriveAddressLine1
CityMcLeanCity
StateVAState
ZIP Code22102ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN231352220EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1GETTYSBURG HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlGETTNameControl
Phone7178513055Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 2767AddressLine1
CityYORKCity
StatePAState
ZIP Code17405ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMichael F O'ConnorName
TitleCFOTitle
Date Signed2014-05-12DateSigned
Authorize Third PartyfalseAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJEFFREY SCHRAGGName
PTINP00234543PTIN
Phone7178930600Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonBruce M BartelsNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1PO Box 2767AddressLine1
CityYorkCity
StatePAState
ZIP Code174052767ZIPCode
FieldValueIRS element (for citing)
Gross Receipts190364153GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501c3XOrganization501c3
Web SiteWWW.WELLSPAN.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1919YearFormation
State Legal DomicilePAStateLegalDomicile
Activity Or Mission DescriptionThe 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.ActivityOrMissionDescription
Nbr Voting Members Governing Body15NbrVotingMembersGoverningBody
Nbr Independent Voting Members7NbrIndependentVotingMembers
Total Nbr Employees981TotalNbrEmployees
Total Nbr Volunteers219TotalNbrVolunteers
Total Gross UBI1010745TotalGrossUBI
Net Unrelated Business Txbl Income255482NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year514879ContributionsGrantsPriorYear
Contributions Grants Current Year277057ContributionsGrantsCurrentYear
Program Service Revenue Prior Year132371841ProgramServiceRevenuePriorYear
Program Service Revenue CY139866630ProgramServiceRevenueCY
Investment Income Prior Year4798849InvestmentIncomePriorYear
Investment Income Current Year4124756InvestmentIncomeCurrentYear
Other Revenue Prior Year743898OtherRevenuePriorYear
Other Revenue Current Year877228OtherRevenueCurrentYear
Total Revenue Prior Year138429467TotalRevenuePriorYear
Total Revenue Current Year145145671TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year6744587GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY7873600GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year60644054SalariesEtcPriorYear
Salaries Etc Current Year61271694SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year373727TotalFundrsngExpCurrentYear
Other Expense Prior Year58726685OtherExpensePriorYear
Other Expenses Current Year64226793OtherExpensesCurrentYear
Total Expenses Prior Year126115326TotalExpensesPriorYear
Total Expenses Current Year133372087TotalExpensesCurrentYear
Revenues Less Expenses Prior Year12314141RevenuesLessExpensesPriorYear
Revenues Less Expenses CY11773584RevenuesLessExpensesCY
Total Assets BOY166987262TotalAssetsBOY
Total Assets EOY183625606TotalAssetsEOY
Total Liabilities BOY51478319TotalLiabilitiesBOY
Total Liabilities EOY48400021TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY115508943NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY135225585NetAssetsOrFundBalancesEOY
Mission DescriptionThe 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.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense112935282Expense
Grants7873600Grants
Revenue133005699Revenue
DescriptionLocated 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 - 2013 Community Benefit ReportDescription
Total Program Service Expense112935282TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiestrueReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MembertrueBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10963NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees981NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Filed Lieu1041falseFiledLieu1041
Licensed More Than One StatefalseLicensedMoreThanOneState
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members15NbrVotingGoverningBodyMembers
Number Independent Voting Members7NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProceduretrueWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledPAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonDAVID RIZZUTONamePerson
Telephone Number7178513055TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line13350 WHITEFORD ROADAddressLine1
CityYORKCity
StatePAState
ZIP Code174029081ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (24 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
Gregory F Reaver
Secretary1.000.00XX000
Dora L Townsend
Director1.000.00X000
Julie Ramsey
Director1.000.00X000
Orville G McBeth Jr MD
Director1.0040.00X026852163412
William Steinour MD
Treasurer40.000.00XX377122065137
Douglas E Eyer MD
Director6.000.00X4037207751
Ronald L Hankey
Director1.000.00X000
Richard Seim
Director1.0040.00X01276881345144
Cynthia A Ford
Director1.000.00X000
Megan Shreve
Chairman1.000.00XX000
Charles H Chodroff MD
Director1.0040.00X0530704360842
Bruce M Bartels
CEO-WellSpan H.1.0040.00XX01441893640768
James Williams
Vice Chairman1.000.00XX000
Edward Mackle MD
Director40.000.00X580251068409
Steve Rasmussen
Treasurer1.000.00XX000
Michael F O'Connor
CFO - WellSpan0.0040.00X0574340368141
Jane Hyde
President40.000.00X3606430224100
Joseph Edgar
VP Operations40.000.00222435059391X
Matthew Krebs MD
Anesthesiologist40.000.00459537037654X
Mark A Resciniti MD
Anesthesiologist40.000.00348063065206X
Bradley Heffner MD
Anesthesiologist40.000.00336149052283X
Charles Marley JrDO
VP Medical Affairs40.000.00326445051095X
Mitchell E Zuckerman MD
Anesthesiologist40.000.00353762066225X
Kevin Mosser
Former President0.0040.000501334389770X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3404779TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs4593673TotalReportableCompFrmRltdOrgs
Total Other Compensation2865328TotalOtherCompensation
Number Individuals GT100 K60NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
York Hospital
325 South Belmont StreetYorkPA17405Hospital Services165558
Quest Diagnostics Inc
12436 Collections Center DriveChicagoIL60693Lab & Pre-employment550917
Mobile PETCT Associates LLC
43 Leopard Road Suite 200PaoliPA19301Diagnostic Imaging220090
HCSC Laundry
PO Box 25092Lehigh ValleyPA18002Laundry Service307456
Century Link
PO Box 96064CharlotteNC282960064Network Access Fees209584
FieldValueIRS element (for citing)
Number Of Contractors GT100 K13NumberOfContractorsGT100K
Related Organizations221152RelatedOrganizations
All Other Contributions55905AllOtherContributions
Total Contributions277057TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
W/O-Bad Debt621500-11405250-11405250
W/O -Financial Assistance621500-7165027-7165027
Net Patient Service621500156474641155609236865405
EHR Incentive Program(MU)62150019622661962266
FieldValueIRS element (for citing)
Total Program Service Revenue139866630TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column2025627TotalRevenueColumn
Exclusion$2,025,627ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real139976Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real112484Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real27492Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column27492TotalRevenueColumn
Unrelated Business Revenue49056UnrelatedBusinessRevenue
Exclusion-$21,564ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities47202515Securities
Other2612Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities45105998Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities2096517Securities
Other2612Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column2099129TotalRevenueColumn
Exclusion$2,099,129ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Health Promo/Wellness611710119663119663
Gift Shop Sales453220207716207716
Corner Cafe722210207301207301

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column315056TotalRevenueColumn
Related Or Exempt Function Income218772RelatedOrExemptFunctionIncome
Unrelated Business Revenue96284UnrelatedBusinessRevenue
FieldValueIRS element (for citing)
Total Other Revenue849736TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column145145671TotalRevenueColumn
Related Or Exempt Function Income139754677RelatedOrExemptFunctionIncome
Unrelated Business Revenue1010745UnrelatedBusinessRevenue
Exclusion$4,103,192ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total7873600Total
Program Services7873600ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1957488Total
Program Services1372745ProgramServices
Management And General584743ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total43094197Total
Program Services42661477ProgramServices
Management And General432720ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total4533807Total
Program Services4292746ProgramServices
Management And General241061ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total8568058Total
Program Services8554696ProgramServices
Management And General13362ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total3118144Total
Program Services3103679ProgramServices
Management And General14465ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total13796469Total
Management And General13796469ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total8134Total
Management And General8134ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total27784Total
Management And General27784ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total245854Total
Management And General245854ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total13118267Total
Program Services13105817ProgramServices
Management And General12450ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total56613Total
Program Services47979ProgramServices
Management And General8634ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total14723905Total
Program Services14715681ProgramServices
Management And General8224ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total4256370Total
Management And General4256370ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total2731027Total
Program Services2488195ProgramServices
Management And General242832ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total134843Total
Program Services123538ProgramServices
Management And General11305ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total63744Total
Program Services60280ProgramServices
Management And General3464ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total1836097Total
Program Services1836097ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total5588357Total
Program Services5588357ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total1886112Total
Program Services1886112ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesFundraisingFundraisingManagement And GeneralManagementAndGeneral
Equipment Rentals272425272425
Reimbursed Expenses373727373727
Utilities1264647123761827029
Repair & Maintenance2988609294950939100

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total853809Total
Program Services764731ProgramServices
Management And General89078ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total133372087Total
Program Services112935282ProgramServices
Management And General20063078ManagementAndGeneral
Fundraising373727Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY156326BOY
EOY184555EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY8474115BOY
EOY14363231EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY19848305BOY
EOY21348599EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY798821BOY
EOY903662EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY3779054BOY
EOY3293909EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis103380499LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec60480491LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY42056628BOY
EOY42900008EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY42313605BOY
EOY45423995EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY32256158BOY
EOY36458086EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY3316854BOY
EOY3289890EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY13987396BOY
EOY15459671EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY166987262BOY
EOY183625606EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1650079BOY
EOY2307389EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY1558504BOY
EOY351129EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY31754807BOY
EOY31755846EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY2979748BOY
EOY4032677EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY13535181BOY
EOY9952980EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY51478319BOY
EOY48400021EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY101642554BOY
EOY120024932EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY13866389BOY
EOY15200653EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY115508943BOY
EOY135225585EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY166987262BOY
EOY183625606EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses11773584ReconcilationRevenueExpenses
Reconciliation Unrealized Invest6633086ReconciliationUnrealizedInvest
Reconcilation Other Changes1309972ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance13866389BeginningOfYearBalance
Contributions177857Contributions
Investment Earnings Or Losses1309972InvestmentEarningsOrLosses
Other Expenditures153565OtherExpenditures
End Of Year Balance15200653EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance13835967BeginningOfYearBalance
Contributions242032Contributions
Investment Earnings Or Losses53561InvestmentEarningsOrLosses
Other Expenditures265171OtherExpenditures
End Of Year Balance13866389EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance9889081BeginningOfYearBalance
Contributions126547Contributions
Investment Earnings Or Losses3922083InvestmentEarningsOrLosses
Other Expenditures101744OtherExpenditures
End Of Year Balance13835967EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance8870151BeginningOfYearBalance
Contributions223090Contributions
Investment Earnings Or Losses1021444InvestmentEarningsOrLosses
Other Expenditures225604OtherExpenditures
End Of Year Balance9889081EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance10386416BeginningOfYearBalance
Contributions174329Contributions
Investment Earnings Or Losses-1478000InvestmentEarningsOrLosses
Other Expenditures212594OtherExpenditures
End Of Year Balance8870151EndOfYearBalance
FieldValueIRS element (for citing)
Term Endowment EOY Balance1.00000TermEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgstrueEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RtrueAreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis11584OtherCostOrOtherBasis
Book Value11584BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis50219536OtherCostOrOtherBasis
Depreciation18276791Depreciation
Book Value31942745BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis1319958OtherCostOrOtherBasis
Depreciation884463Depreciation
Book Value435495BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis11562135OtherCostOrOtherBasis
Depreciation10414012Depreciation
Book Value1148123BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis40267286OtherCostOrOtherBasis
Depreciation30905225Depreciation
Book Value9362061BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings42900008TotalOfBookValueLandBuildings
Total Of Book Value Securities36458086TotalOfBookValueSecurities

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
Unamortized Bond Issue Costs187772
Due from affiliates122900
FieldValueIRS element (for citing)
Total Book Value Other Assets15459671TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescriptionAmountAmount
Due to Affiliates$28,566
Derivative Valuation$5,071,126
Accrued Vacation$2,529,336
Accrued Sales Tax$1,809
Accrued Payroll and Payroll Taxes$2,322,143
FieldValueIRS element (for citing)
Total Of Amounts9952980TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt151007021TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments6633086NetUnrealizedGainsInvestments
Revenue Not Rptd F9906633086RevenueNotRptdF990
Revenue Subtotal144373935RevenueSubtotal
Other Revenues Not Included771736OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt771736RevenueNotRptdOnFinStmt
Total Revenue Per Form990145145671TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt124921663TotExpensesEtcAuditedFinclStmt
Expenses Subtotal124921663ExpensesSubtotal
Other Expenses Not Included8450424OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt8450424ExpensesNotRptdOnFinStmt
Total Expenses Per Form990133372087TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Part XII, Line 4bPart XII, Line 4b: Other revenue amounts included on 990 but not included in F/SGrant - WellSpan Medical Group $3380000 Grant - WellSpan Health $3430000 Grant-WellSpan Health Care Services $990000 Expenses netted against revenue $650424
Part XI, Line 4bPart XI, Line 4b: Other revenue amounts included on 990 but not included in F/SRestricted Contributions(Net) $121312 Expenses netted against revenue $650424
Part XPart X : FIN48 FootnoteIn 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 4Part 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.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent300XPcent300
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Persons Served4558PersonsServed
Total Community Benefit Expense2924180TotalCommunityBenefitExpense
Net Community Benefit Expense2924180NetCommunityBenefitExpense
Percent Of Total Expense0.02190PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Persons Served21421PersonsServed
Total Community Benefit Expense13746131TotalCommunityBenefitExpense
Direct Offsetting Revenue6517753DirectOffsettingRevenue
Net Community Benefit Expense7228378NetCommunityBenefitExpense
Percent Of Total Expense0.05420PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Persons Served25979PersonsServed
Total Community Benefit Expense16670311TotalCommunityBenefitExpense
Direct Offsetting Revenue6517753DirectOffsettingRevenue
Net Community Benefit Expense10152558NetCommunityBenefitExpense
Percent Of Total Expense0.07610PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs61NumberOfActivitiesOrPrograms
Persons Served17303PersonsServed
Total Community Benefit Expense718419TotalCommunityBenefitExpense
Direct Offsetting Revenue23709DirectOffsettingRevenue
Net Community Benefit Expense694710NetCommunityBenefitExpense
Percent Of Total Expense0.00520PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Persons Served31PersonsServed
Total Community Benefit Expense1087TotalCommunityBenefitExpense
Net Community Benefit Expense1087NetCommunityBenefitExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs3NumberOfActivitiesOrPrograms
Persons Served2975PersonsServed
Total Community Benefit Expense1146952TotalCommunityBenefitExpense
Direct Offsetting Revenue662901DirectOffsettingRevenue
Net Community Benefit Expense484051NetCommunityBenefitExpense
Percent Of Total Expense0.00360PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Total Community Benefit Expense1000TotalCommunityBenefitExpense
Net Community Benefit Expense1000NetCommunityBenefitExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs67NumberOfActivitiesOrPrograms
Persons Served20309PersonsServed
Total Community Benefit Expense1867458TotalCommunityBenefitExpense
Direct Offsetting Revenue686610DirectOffsettingRevenue
Net Community Benefit Expense1180848NetCommunityBenefitExpense
Percent Of Total Expense0.00880PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs67NumberOfActivitiesOrPrograms
Persons Served46288PersonsServed
Total Community Benefit Expense18537769TotalCommunityBenefitExpense
Direct Offsetting Revenue7204363DirectOffsettingRevenue
Net Community Benefit Expense11333406NetCommunityBenefitExpense
Percent Of Total Expense0.08490PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served270PersonsServed
Total Community Building Expense13281TotalCommunityBuildingExpense
Net Community Building Expense13281NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served10PersonsServed
Total Community Building Expense183TotalCommunityBuildingExpense
Net Community Building Expense183NetCommunityBuildingExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Persons Served280PersonsServed
Total Community Building Expense13464TotalCommunityBuildingExpense
Net Community Building Expense13464NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$4,654,483BadDebtExpenseAmount
Amount Attributable To138704AmountAttributableTo
Amount Reimbursed By Medicare38927598AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare57611637CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-18684039MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (2 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivityOrganization Profit Or OwnershipOrganizationProfitOrOwnershipPhysicans Profit Or OwnershipPhysicansProfitOrOwnership
WellSpan RRRG
Risk Retention Group0.13200
PHO of Gettysburg
Educate & prov. health network0.500000.50000
FieldValueIRS element (for citing)
Number Of Hospital Facilities2NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (2 entries)

Facility NumberFacilityNumberAddress Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeGeneral Medical And SurgicalGeneralMedicalAndSurgicalOtherOtherFacility Reporting GroupFacilityReportingGroupLicensed HospitalLicensedHospitalEr24 HoursEr24Hours
WellSpan Surgical Center
2136 West StreetGettysburgPA17325XAmbulatory Surgical CenterA
Gettysburg Hospital
1147 Gettys StreetGettysburgPA17325XAXX

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1ABusinessNameLine1
FieldValueIRS element (for citing)
CHNA ConductedtrueCHNAConducted
Community DefinitionXCommunityDefinition
Community DemographicsXCommunityDemographics
Existing ResourcesXExistingResources
How Data ObtainedXHowDataObtained
Community Health NeedsXCommunityHealthNeeds
Other Health IssuesXOtherHealthIssues
Identifying ProcessXIdentifyingProcess
Consulting ProcessXConsultingProcess
Needs Assessment Conducted12NeedsAssessmentConducted
Take Into AccounttrueTakeIntoAccount
Other FacilitiestrueOtherFacilities
CHNA Widely AvailabletrueCHNAWidelyAvailable
Own WebsiteXOwnWebsite
On RequestXOnRequest
Other MethodXOtherMethod
Adopt Implement StrategyXAdoptImplementStrategy
Execute Implement StrategyXExecuteImplementStrategy
Develop Community PlanXDevelopCommunityPlan
Participate Community PlanXParticipateCommunityPlan
Include Operational PlansXIncludeOperationalPlans
Adopt BudgetXAdoptBudget
Prioritize Health NeedsXPrioritizeHealthNeeds
Prioritize ServicesXPrioritizeServices
All Needs AddressedfalseAllNeedsAddressed
Organization Incur Excise TaxfalseOrganizationIncurExciseTax
File Form4720 Report Excise TaxfalseFileForm4720ReportExciseTax
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent200.0000FPGFreePercent
Uses FPG DiscountedtrueUsesFPGDiscounted
FPG Discount Percent300.0000FPGDiscountPercent
Explains BasistrueExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Insurance StatusXInsuranceStatus
Uninsured DiscountXUninsuredDiscount
Medicaid MedicareXMedicaidMedicare
State RegulationXStateRegulation
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Attached To InvoicesXAttachedToInvoices
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Provided On AdmissionXProvidedOnAdmission
Available On RequestXAvailableOnRequest
Actions On NonpaymenttrueActionsOnNonpayment
Collection ActivitiesfalseCollectionActivities
Nondiscrim Emergency Care PolicytrueNondiscrimEmergencyCarePolicy
Lowest Negotiated RatesXLowestNegotiatedRates
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargesfalseGrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities10NumberOfOtherFacilities

Other Facilities OtherFacilities (10 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
Thurmont Professional Center
52 Water StThurmontPA21788Lab Services
Gettysburg Family Practice
524 South Washington StGettysburgPA17325Diagnostic Scheduling Service
ALSU-Littlestown
40 E King StLittlestownPA17340Advanced Life Support
Towne Center
4910 Fairfield RdFairfieldPA17320Coumadin Clinic, Rehab, Lab Services
Herrs Ridge
820 Chambersburg RdGettysburgPA17325Rehabilitation
Aspers Health Center
2060 Carlisle RoadGettysburgPA17304Imaging Services, Lab Services, Coumadin Clinic, Rehabilitation
Deatrick Commons Complex
18 Deatrick DriveGettysburgPA17325Imaging, Rehabilitation
Washington Street Health Center
450 S Washington StGettysburgPA17325Imaging, Pre-hospital Assessment Services, Coumadin Clinic,Maternal Fetal Medicine and Women's Servi
West Street Plaza
236 West StreetGettysburgPA17325Outpatient Surgical Center
Adams Health Center
40 V-Twin DrGettysburgPA17325Lab, Oncology, Diabetes Education, Imaging, Physical Medicine Rehab, Sleep Lab, Infusion

Form990 Schedule H Part VI Form990ScheduleHPartVI (16 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Part VI - States Where Community Benefit Report FiledPA
Part VI - Affilated Health Care System Roles and PromotionWellSpan 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. 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, 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. 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 - 2013 Community Benefit Report
Part VI - Explanation Of How Organization Furthers Its Exempt PurposeHistorically, 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 Adams County - has engaged hundreds of community members in community health improvement initiatives. Examples of past initiatives include: supporting the establishment of a Federally-Qualified Health Center (FQHC) to increase care to underserved individuals; improving adolescent health and decrease teenage pregnancy rates through targeted task force initiatives; sponsoring leadership conferences for 7th grade girls and boys; increasing awareness of domestic violence through education and community trainings, and; educating female inmates of the county correctional facility on the benefits of leading a tobacco-free lifestyle. In addition, we have provided leadership to the York-Adams Metropolitan Medical Response System (YAMMRS), a local coalition seeking to improve coordination in the event of a regional disaster. Adams County is a small, well-connected community which has the capacity to engage various organizations in collaborative projects. The collaborative culture of Adams County has made task forces like the Adams County Food Policy Council successful. As a Healthy Adams County affiliated task force, the Food Policy Council seeks to improve the availability of fresh, healthy and affordable food for Adams County residents through programs such as Healthy Options. This program, led by the Adams County Food Policy Council, has successfully implemented an initiative to provide fruit and vegetable vouchers to low-income community members. Healthy Adams County extends the mission of WellSpan Health throughout the county and promotes ownership of community issues while also enhancing the health of the community by focusing on the CHNA priorities. For example, in partnership with Healthy Adams County and WellSpans Health Community Health and Wellness department, Healthy Adams County 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. 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. One example of our commitment to the community is the relationship that our Latino Health Educator has with Adams County Latinos. By recognizing the unique needs of this underserved and rapidly Adams County community, we have successfully reached several Latinos in need of medical intervention or education. A lay leader network has been developed that empowers community members to spread key health messages; tobacco cessation and weight management programs designed specifically for the Latino population have permitted a tailored, culturally appropriate approach to healthy behavior change, and; our Latino Health Educators familiarity with the community has created trusted relationships within the community. 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 Gettysburg Hospital Foundation raised $668,119 to support an array of health services and programs, and the Hospital Auxiliary remains committed to also providing support through community partnerships and fundraising.
Part VI - Community InformationTo 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 adults 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 - Patient Education of Eligibility for AssistanceFor 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 AssessmentIn the early 1990s, our organization began developing new ways of working more closely with its communities. The first Community Health Assessment for Adams County was completed in 1997. Since that time, we've completed health assessments in 1997, 2000, 2005, 2008 and 2012. These are led by the regional health coalition, Healthy Adams County Coalition, which we support and are done collaboratively with other community partners. The assessments evaluate the health of Adams County as a whole, and often target specific geographic or demographic segments for further study - such as the growing Latino Population. 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 Gettysburg Hospital Board members and our Gettysburg Hospital Board dedicates a meeting to 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 organizations as well as our own with more data-driven pictures of the issues and needs facing our community. Our focus is to understand the health status and behaviors of those residing in Adams County, prioritize results and identify community needs, and respond to those needs through the implementation of evidence-based strategies. In the recent 2012 Assessment, 809 Adams 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.
Part V, Line 7 - Explanation of Needs Not Addressed and Reasons WhyPublic 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 AvailableThe 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 Adams County website (www.healthyadamscounty.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 AssessmentYork Hospital and WellSpan Surgery and Rehabilitation HospitalNumber of Hospital Faciltiy - 1
Part V, Line 3 - Account Input from Person Who Represent the CommunityOur 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, 809 Adams County adults were interviewed and served as a sample of the patients with whom our organization daily interacts. These individuals are geographically distributed cross 18 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.Number of Hospital Faciltiy - 1
Part III, Line 9b - Provisions On Collection Practices For Qualified PatientsGuidelines 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 BenefitGettysburg 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 4 - Bad Debt ExpenseThe 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 3 - Methodology of Estimated Amount & Rationale for Including in Community BenefitThe 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 ExpenseThe 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 ReportCommunity Benefit Information is included in the Community Benefit Report for WellSpan Health.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (6 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantAmount Of Non Cash AssistanceAmountOfNonCashAssistancePurpose Of GrantPurposeOfGrant
Wellspan Medical Group
3350 Whiteford RoadYorkPA17402232730785501(c)(3)33800000General Support
WellSpan Health Care Services
PO Box 2767YorkPA17405232400237501(c)(3)9900000General Support
WellSpan Health
3350 Whiteford RoadYorkPA17402222517863501(c)(3)34300000General Support
Main Steet Gettysburg
571 W Middle StreetGettysburgPA17325232595192501(c)(3)100000General Support
Family First Health
Suite 200 116 S George StYorkPA17401237118262501(c)(3)250000Op. Support Gettysburg Ctr
Borough of Gettysburg
59 East High StreetGettysburgPA17325236002866215000Biser Fitness Trail Partner Donatio
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants6TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierGrantmaker's Description of How Grants are UsedIdentifier
ExplanationAll 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)Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PaymentsXIdemnificationGrossUpPayments
Housing Allowance Or ResidenceXHousingAllowanceOrResidence
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException
Rebuttable Presumption ProcedurefalseRebuttablePresumptionProcedure

Form990 Schedule J Part II Form990ScheduleJPartII (15 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Related OrgsBonusRelatedOrgsOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgsBonus Filing OrgBonusFilingOrgOther Compensation Filing OrgOtherCompensationFilingOrg
William Steinour MD
Treasurer3771222887536262442259
Richard Seim
Director401115132330743436296235489091622025132330
Orville G McBeth Jr MD
Director222099464222887534537331933
Mitchell E Zuckerman MD
Anesthesiologist3195262887537350419987280276209
Michael F O'Connor
CFO - WellSpan429893135960848732591542226942481135960
Matthew Krebs MD
Anesthesiologist3116651348024174497191147872
Mark A Resciniti MD
Anesthesiologist320036288753633141326928027
Kevin Mosser
Former President423784775503504353933589110477550
Joseph Edgar
VP Operations1874402569133700281826313433652
Jane Hyde
President2935132009082319258474367130
Edward Mackle MD
Director3127382887539534648660267513
Charles Marley JrDO
VP Medical Affairs279698288752222037754046747
Charles H Chodroff MD
Director398563129360278132139539447891546129360
Bruce M Bartels
CEO-WellSpan H.777484254363410046589055517132082661249150
Bradley Heffner MD
Anesthesiologist308122150003728338843228027

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSch J, Part I, Line 1aIdentifier
Return ReferencePart I, Line 1a: Relevant information in regards to selections on 1a.ReturnReference
ExplanationBruce Bartels, WellSpan CEO, received additional compensation to cover the tax on personal use of his company vehicle.Jane Hyde, President of Gettysburg Hospital, received additional compensation to cover housing expenses during her transition into her new position with WellSpan.Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1See Schedule OBusinessNameLine1

Form990 Schedule K Part V Form990ScheduleKPartV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Proc To Undertk Corrective ActiontrueProcToUndertkCorrectiveAction

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
Jolene Eyer RN BSN
Eyer Family60132Employee of GHfalse
Adams County National Bank
Hankey Chair120000Checking & Trust Mgmt.false

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
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.
Other Changes In Net Assets Or Fund Balances - Other IncreasesUnrealized Gain on restricted assets = $1309972Form 990, Part XI, Line 9
Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableGoverning documents, policies, and financial statements are available upon request.Form 990, Part VI, Line 19
Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesThe 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 15b
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsOfficers, directors, and key employees fill out a WellSpan Health Conflict of Interest Disclosure Statement questionaire 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 12c
Form 990, Part VI, Line 11b: Form 990 Review ProcessManagement 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 11b
Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or ShareholdersExcept 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 certficates 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 7b
Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing BodyThe Board of Directors initially shall consist of no fewer than twelve and no more than sixteen persons, which shall include:(1) The following six "Positional Directors": the President of the Hospital; the Past President of the Medical Staff; the President of the Medical Staff; the Vice-President of the Medical Staff; an appointee of the Executive Committee of the Medical Staff; the Chairman of the Board of the Foundation, each of whom shall be subject to ratification by the Member notwithstanding such positions held.(2) "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 three persons who are members of the Member's Board of Directors or senior management staff of the Member; provided, however, that no more than three 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 7a
Form 990, Part VI, Line 6: Explanation of Classes of Members or ShareholderWellSpan Health, a not for profit corporation, is the sole member.Form 990, Part VI, Line 6

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (12 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
Wellspan Properties Inc
PO Box 2767YorkPA174052767222842252Leases outpatient facilities to affiliatesPA501(c)(3)11 Type 1NAfalse
WellSpan Specialty Services
PO Box 2767YorkPA174052767232899911Mgmt support for hospice & home health care servicesPA501(c)(3)11 Type 1NAfalse
York Hospital
PO Box 2767YorkPA174052767231352222Community teaching hospitalPA501(c)(3)3NAfalse
York Health Foundation
PO Box 2767YorkPA174052767233050192Charitable contributions for WellSpan entitiesPA501(c)(3)11 Type 3NAfalse
WellSpan Medical Group
PO Box 2767YorkPA174052767232730785Medical and surgical carePA501(c)(3)9NAfalse
WellSpan Health Care Services
PO Box 2767YorkPA174052767232400237Health-related activities in the service areaPA501(c)(3)11 Type 1NAfalse
WellSpan Health
PO Box 2767YorkPA174052767222517863Integrated Health SystemPA501(c)(3)11 Type 1NAfalse
VNA Home Health Services
PO Box 2767YorkPA174052767231352573Home health and hospice care servicesPA501(c)(3)9NAfalse
VNA Community Services
PO Box 2767YorkPA174052767232338591Home personal care services for elderly and disabledPA501(c)(3)9NAfalse
Healthy Community Pharmacy Inc
PO Box 2767YorkPA174052767200519121Reduced rate prescription drugsPA501(c)(3)11 Type 1NAfalse
Gettysburg Hospital Foundation
PO Box 2767YorkPA174052767232251358Fundraising for Gettysburg HospitalPA501(c)(3)11 Type 1NAtrue
Apple Hill Surgical Center Inc
PO Box 2767YorkPA174052767222842253Sole GP in limited ptnrshp operating surgical centerPA501(c)(3)9NAfalse

Form990 Schedule R Part III Form990ScheduleRPartIII (6 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Disproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartner
Community Healthcare Imaging Partners
PO Box 2767YorkPA174052767232444154MRI CenterPANAfalsefalse
Cherry Tree Cancer Center LLP
PO Box 2767YorkPA174052767232915628RadiationPANAfalsefalse
Littlestown Health Care Partners
300 West King StreetLittlestownPA17340232880464Lease facilPANAfalsefalse
Q-WH LLC
PO Box 2767YorkPA174052767208226561GP of CHIPPANAfalsefalse
Central PA Alliance Laboratories LLC
PO Box 2767YorkPA174052767232910950Ref. LabPANAfalsefalse
Apple Hill Surgical Center Partners
PO Box 2767YorkPA174052767232489452Surgical CnPANAfalsefalse

Form990 Schedule R Part IV Form990ScheduleRPartIV (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntityControlled OrgControlledOrgBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Share Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnership
Apple Hill Condominium Association
PO Box 2767YorkPA174052767232504543Condo Mgmt AssociationPAN/AHomeowner Assocfalse
WellSpan Provider Network
PO Box 2767YorkPA174052767232907828Coordinate managed care risk contractsPAC CorpfalseNA
York Health Plan
PO Box 2767YorkPA174052767232664989Preferred Provider OrganizationPAC CorpfalseNA
Wellspan Reciprocal Risk Retention Group
PO Box 2767YorkPA174052767200048457Risk Retention GroupPAC CorpfalseNA95046629056080.13200
Wellspan Pharmacy Inc
PO Box 2767YorkPA174052767232374072Dispenses pharm. & provides IV therapyPAN/AC Corpfalse
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgtruePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
Gettysburg Hospital Foundation
m373727General Ledger
Gettysburg Hospital Foundation
c221152General Ledger