2014-05-12T13:43:24-07:00 2013-06-30 BDO USA LLP 8405 Greensboro Drive McLean VA 22102 990 2012-07-01 231352220 GETTYSBURG HOSPITAL GETT 7178513055 PO BOX 2767 YORK PA 17405 Michael F O'Connor 2014-05-12 false JEFFREY SCHRAGG P00234543 7178930600 2012 2015-11-30 17:44:51Z Bruce M Bartels PO Box 2767 York PA 174052767 190364153 false false X WWW.WELLSPAN.ORG X 1919 PA The Gettysburg Hospital is a tax exempt organization dedicated to providing high quality health care services for the people who live, work, travel through and vacation in Adams County, Pennsylvania and northern Maryland. 15 7 981 219 1010745 255482 514879 277057 132371841 139866630 4798849 4124756 743898 877228 138429467 145145671 6744587 7873600 0 60644054 61271694 0 373727 58726685 64226793 126115326 133372087 12314141 11773584 166987262 183625606 51478319 48400021 115508943 135225585 The Gettysburg Hospital is a tax exempt organization dedicated to providing high quality health care services for the people who live, work, travel through and vacation in Adams County, Pennsylvania and northern Maryland. false false 112935282 7873600 133005699 Located in historic Gettysburg, Pennsylvania, Gettysburg Hospital has been serving the communities of Adams county and northern Maryland for more than 80 years.Beyond the acute care hospital, it has grown to be a comprehensive health-care provider with family health centers across the region, a very special maternity center, heart center, home health services, preventive health education and screening programs, and 24-hour emergency services.Gettysburg Hospital is this area's resource for meeting health and wellness needs. As a WellSpan Health hospital, Gettysburg Hospital and all of its facilities serve the community with the highest quality of care, compassion, and excellenceSee Attached Federal Supplemental Information: WellSpan Health - 2013 Community Benefit Report 112935282 true true false false false false false false false true true true false true true true false true false false false false false false false false true true true false true true false false false false false false false false true false false false false false false true true true false false true 3 0 true 981 true true false false false false false false 0 false false false false false false false false false false X 15 7 false false false false true true true true true false false true true true true true true true true true true PA X DAVID RIZZUTO 7178513055 3350 WHITEFORD ROAD YORK PA 174029081 X Gregory F Reaver 1.00 0.00 X X 0 0 0 Dora L Townsend 1.00 0.00 X 0 0 0 Julie Ramsey 1.00 0.00 X 0 0 0 Orville G McBeth Jr MD 1.00 40.00 X 0 268521 63412 William Steinour MD 40.00 0.00 X X 377122 0 65137 Douglas E Eyer MD 6.00 0.00 X 40372 0 7751 Ronald L Hankey 1.00 0.00 X 0 0 0 Richard Seim 1.00 40.00 X 0 1276881 345144 Cynthia A Ford 1.00 0.00 X 0 0 0 Megan Shreve 1.00 0.00 X X 0 0 0 Charles H Chodroff MD 1.00 40.00 X 0 530704 360842 Bruce M Bartels 1.00 40.00 X X 0 1441893 640768 James Williams 1.00 0.00 X X 0 0 0 Edward Mackle MD 40.00 0.00 X 580251 0 68409 Steve Rasmussen 1.00 0.00 X X 0 0 0 Michael F O'Connor 0.00 40.00 X 0 574340 368141 Jane Hyde 40.00 0.00 X 360643 0 224100 Joseph Edgar 40.00 0.00 X 222435 0 59391 Matthew Krebs MD 40.00 0.00 X 459537 0 37654 Mark A Resciniti MD 40.00 0.00 X 348063 0 65206 Bradley Heffner MD 40.00 0.00 X 336149 0 52283 Charles Marley JrDO 40.00 0.00 X 326445 0 51095 Mitchell E Zuckerman MD 40.00 0.00 X 353762 0 66225 Kevin Mosser 0.00 40.00 X 0 501334 389770 3404779 4593673 2865328 60 true true false York Hospital 325 South Belmont Street York PA 17405 Hospital Services 165558 Quest Diagnostics Inc 12436 Collections Center Drive Chicago IL 60693 Lab & Pre-employment 550917 Mobile PETCT Associates LLC 43 Leopard Road Suite 200 Paoli PA 19301 Diagnostic Imaging 220090 HCSC Laundry PO Box 25092 Lehigh Valley PA 18002 Laundry Service 307456 Century Link PO Box 96064 Charlotte NC 282960064 Network Access Fees 209584 13 221152 55905 277057 W/O-Bad Debt 621500 -11405250 -11405250 W/O -Financial Assistance 621500 -7165027 -7165027 Net Patient Service 621500 156474641 155609236 865405 EHR Incentive Program(MU) 621500 1962266 1962266 139866630 2025627 2025627 0 0 139976 112484 27492 27492 49056 -21564 47202515 2612 45105998 2096517 2612 2099129 2099129 0 0 0 Health Promo/Wellness 611710 119663 119663 Gift Shop Sales 453220 207716 207716 Corner Cafe 722210 207301 207301 315056 218772 96284 849736 145145671 139754677 1010745 4103192 7873600 7873600 0 0 0 1957488 1372745 584743 0 43094197 42661477 432720 4533807 4292746 241061 8568058 8554696 13362 3118144 3103679 14465 13796469 13796469 8134 8134 27784 27784 0 0 245854 245854 13118267 13105817 12450 56613 47979 8634 14723905 14715681 8224 4256370 4256370 0 2731027 2488195 242832 134843 123538 11305 0 63744 60280 3464 1836097 1836097 0 5588357 5588357 1886112 1886112 Equipment Rentals 272425 272425 Reimbursed Expenses 373727 373727 Utilities 1264647 1237618 27029 Repair & Maintenance 2988609 2949509 39100 853809 764731 89078 133372087 112935282 20063078 373727 156326 184555 8474115 14363231 0 19848305 21348599 0 0 0 798821 903662 3779054 3293909 103380499 60480491 42056628 42900008 42313605 45423995 32256158 36458086 0 3316854 3289890 13987396 15459671 166987262 183625606 1650079 2307389 1558504 351129 31754807 31755846 2979748 4032677 13535181 9952980 51478319 48400021 X 101642554 120024932 13866389 15200653 115508943 135225585 166987262 183625606 X 11773584 6633086 1309972 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 13866389 177857 1309972 153565 15200653 13835967 242032 53561 265171 13866389 9889081 126547 3922083 101744 13835967 8870151 223090 1021444 225604 9889081 10386416 174329 -1478000 212594 8870151 1.00000 false true true 11584 11584 50219536 18276791 31942745 1319958 884463 435495 11562135 10414012 1148123 40267286 30905225 9362061 42900008 36458086 Unamortized Bond Issue Costs 187772 Due from affiliates 122900 15459671 Due to Affiliates 28566 Derivative Valuation 5071126 Accrued Vacation 2529336 Accrued Sales Tax 1809 Accrued Payroll and Payroll Taxes 2322143 9952980 X 151007021 6633086 6633086 144373935 771736 771736 145145671 124921663 124921663 8450424 8450424 133372087 Part XII, Line 4b Part XII, Line 4b: Other revenue amounts included on 990 but not included in F/S Grant - WellSpan Medical Group $3380000 Grant - WellSpan Health $3430000 Grant-WellSpan Health Care Services $990000 Expenses netted against revenue $650424 Part XI, Line 4b Part XI, Line 4b: Other revenue amounts included on 990 but not included in F/S Restricted Contributions(Net) $121312 Expenses netted against revenue $650424 Part X Part X : FIN48 Footnote In June 2006, the Financial Accounting Standards Board (FASB) issued Interpretation NO. 48, Accounting for Uncertainty in Income Taxes-an interpretation of FASB Statement NO. 109, Accounting for Income Taxes (FIN 48), which creates a single model to address uncertainty in tax positions and clarifies the accounting for income taxes by prescribing the minimum recognition threshold a tax position is required to meet before being recognized in the financial statements. Under the requirements of FIN 48, tax-exempt organizations could now be required to record an obligation as the result of a tax position they have historically taken or various tax exposure items. Prior to FIN 48, the determination of when to record a liability for tax exposure was based on whether a liability was considered probable and reasonably estimable in accordance with SFAS No.5, Accounting for Contingencies. On July 1, 2007, the parent company, WellSpan Health, adopted FIN 48. WellSpan Health determined that it does not have any uncertain tax positions through June 30, 2013. Part V, Line 4 Part V, Line 4: Intended uses of the endowment fund. The funds were used to improve the health and welfare of the residents of York and Adams counties of Pennsylvania. true true X true X true X true true true false true true 4558 2924180 2924180 0.02190 21421 13746131 6517753 7228378 0.05420 25979 16670311 6517753 10152558 0.07610 61 17303 718419 23709 694710 0.00520 2 31 1087 1087 3 2975 1146952 662901 484051 0.00360 1 1000 1000 67 20309 1867458 686610 1180848 0.00880 67 46288 18537769 7204363 11333406 0.08490 1 270 13281 13281 0.00010 1 10 183 183 2 280 13464 13464 0.00010 true 4654483 138704 38927598 57611637 -18684039 X true true WellSpan RRRG Risk Retention Group 0.13200 PHO of Gettysburg Educate & prov. health network 0.50000 0.50000 2 2 WellSpan Surgical Center

136 West Street Gettysburg PA 17325

X Ambulatory Surgical Center A 1 Gettysburg Hospital

147 Gettys Street Gettysburg PA 17325

X X X A A true X X X X X X X X 12 true true true X X X X X X X X X X X false false false true true 200.0000 true 300.0000 true X X X X X X X true true X X X X X X true false true X false false 10 Thurmont Professional Center

52 Water St Thurmont PA 21788

Lab Services Gettysburg Family Practice

524 South Washington St Gettysburg PA 17325

Diagnostic Scheduling Service ALSU-Littlestown

40 E King St Littlestown PA 17340

Advanced Life Support Towne Center

4910 Fairfield Rd Fairfield PA 17320

Coumadin Clinic, Rehab, Lab Services Herrs Ridge

820 Chambersburg Rd Gettysburg PA 17325

Rehabilitation Aspers Health Center

2060 Carlisle Road Gettysburg PA 17304

Imaging Services, Lab Services, Coumadin Clinic, Rehabilitation Deatrick Commons Complex

18 Deatrick Drive Gettysburg PA 17325

Imaging, Rehabilitation Washington Street Health Center

450 S Washington St Gettysburg PA 17325

Imaging, Pre-hospital Assessment Services, Coumadin Clinic,Maternal Fetal Medicine and Women's Servi West Street Plaza

236 West Street Gettysburg PA 17325

Outpatient Surgical Center Adams Health Center

40 V-Twin Dr Gettysburg PA 17325

Lab, Oncology, Diabetes Education, Imaging, Physical Medicine Rehab, Sleep Lab, Infusion Part VI - States Where Community Benefit Report Filed PA Part VI - Affilated Health Care System Roles and Promotion WellSpan Health is an integrated health system serving the Adams-York county region. As a community-based, not-for-profit organization, WellSpan is dedicated to improving the health and well-being of the people it serves. WellSpan will assume a leadership role and develop partnerships with other organizations to: improve access to coordinated, high-quality, cost-effective health care services, educate the health care providers of tomorrow, promote healthy lifestyles and lifelong wellness, and make its local communities healthier, more desirable places to live, work, and play. 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 Purpose Historically, our organization has taken planned steps to build community capacity that address complex health issues as identified by the Community Health Needs Assessments we conduct. Our involvement and support of a county health coalition - Healthy 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 Information To the casual observer, our service area could be described as one community. The combined population of York and Adams counties is over 545,000 people. This population is expected to increase by 4% or 21,000 people over the next five years. The York/Adams population is growing older. While the 18-44 age group comprises the largest segment of the population, this group will experience nominal growth through 2017. Most growth will occur in the 45-64 (4% or 6,300 people) and the 65+ (18% or 14,000 people) age groups. This shift is occurring as the baby boom generation ages, as people live longer due to healthy lifestyles and medical advances, and as retirees move from the Baltimore/Washington metro area to Southern York and Adams counties to find a safer, lower cost lifestyle. Although the overall population growth projected for the York/Adams area over the next five years is moderate, the changing demographic profile of the population will result in elevated incidence rates for both acute and chronic disorders that present themselves ever increasingly as the population ages. Adams County is situated along the Mason-Dixon line in south-central Pennsylvania. Harrisburg, the state capital, is located 36 miles north of Gettysburg, the county seat. The outer suburbs of Washington, DC and Baltimore are within an hours drive from many county communities. Surrounding Counties include Cumberland, Franklin and York in Pennsylvania, and Carroll and Frederick Counties in Maryland.Generally and historically, employment rates are better than state and national averages but the composition of the workforce contains more manufacturing, production and tourism related business. An assessment of general health status is gathered as part of Community Health Assessments. The percent of 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 Assistance For more than a decade, our organization has been working to improve access to care - based on the community health assessment's prioritization of medical, dental and oral health access as high. A key element of our strategy in addressing this need is to reach beyond simply informing patients about our patient assistance policies to proactively identifying patients without access and connecting them to available public and community programs. Outreach is conducted through programs like Health Connect, a mobile health program which travels throughout the county and takes care of immediate medical issues, while seeking opportunities to link unconnected individuals with a primary care provider and health insurance and charity care options. WellSpan also sponsors case managers within Healthy York Network (HYN) to support patient enrollment in public programs (i.e., Medicaid), health insurance marketplace options or in its own HYN discounted care program, which is based on the charity care guidelines of health care providers. In this time of healthcare reform, Healthy York Network has focused on communicating changes clearly to members and has provided support in directing members to the health insurance marketplace and other resources. Patient education is also provided by identifying special resources for at risk populations, including members of racial and ethnic minority communities, and supporting lay Community Health Workers to guide people toward enrollment options. Finally, through a multi-year initiative to ensure awareness among all people who qualify for charity care and financial assistance, our website has been updated, our enrollment processes and late bill communications have been simplified, the provision and availability of financial support resources at high visibility care sites has improved, and our partnership with our local Federally Qualified Health Center (FQHC) for early identification and qualification of patients has been strengthened. Part VI - Needs Assessment In the early 1990s, our organization began developing new ways of working more closely with its communities. The first Community Health Assessment for 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. Number of Hospital Faciltiy - 1 Part V, Line 7 - Explanation of Needs Not Addressed and Reasons Why Public health research recommends that a root cause approach be utilized to address many chronic disease, diabetes, respiratory ailments, and overweight/obesity. A focus on improving healthy eating and physical activity behaviors and reducing tobacco use has demonstrated efficacy in reducting the impact of various chronic conditions. A few cardiovascular indicators were ranked high by Community Benefit Council members, but not selected as priorities. These include those who have high blood pressure and high cholesterol, and those who have been told that they have heart disease, heart attack, or stroke risk indicators. Council members felt that the root causes of these conditions - unhealthy eating, physical inactivity, and tobacco use - were already part of the selected priorities - adult overweight/obesity and tobacco use. Number of Hospital Faciltiy - 1 Part V, Line 5c - Description of Making Needs Assessment Widely Available The 2012 Community Health Needs Assessment (CHNA) results were released to the community at a public forum in the summer of 2012. Results from the CHNA are available on the Healthy 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 Assessment York Hospital and WellSpan Surgery and Rehabilitation Hospital Number of Hospital Faciltiy - 1 Part V, Line 3 - Account Input from Person Who Represent the Community Our organization engages community partners in conducting a comprehensive Community Health Needs Assessment (CHNA) every three years. Our focus is to understand the health status and behaviors of those residing in York County, prioritize results and identify community needs, and respond to those needs through the implementation of evidence-based strategies. In the recent 2012 Assessment, 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. Part III, Line 9b - Provisions On Collection Practices For Qualified Patients Guidelines for suggested minimum number of phone attempts and letters to be sent before the account is turned over to an outside collection agency are included in the Patient Administrative Services Policy. Upon final PARO (Payment Assistance Rank Ordering) scoring, if a patient qualifies for presumptive charity, their account would not be forwarded to any third party collections. It shall be the policy of Patient Administrative Services to recommend accounts to Bad Debt on a timely basis. Inpatient/Outpatient accounts will go to bad debt automatically after the account has been in the financial class Pending Bad Debt for 30 days. All accounts must follow the approved limits for refunds and write offs, as established in Policy PF-102, before being transferred. The primary agencies will work the accounts for 6 months or until they feel it is uncollectable and return the account. The accounts are forwarded to secondary agencies from the primary agencies Closed and Return Reports. The financial class is changed to Bad Debt Other after the Closed and Return Reports are received from the Secondary Agency. The agencies must get written approval from the manager in the relatively rare instance of legal action being taken to collect the debt. Part III, Line 8 - Explanation Of Shortfall As Community Benefit Gettysburg Hospital maintains records to identify and monitor the level of charity care and community service it provides. These records include the amount of charges forgone based on established rates for services and supplies furnished under its charity care and community service policies and the estimated cost of those services. Payments from Medicare are generally less than Gettysburg Hospital's costs of providing the service. Part III, Line 4 - Bad Debt Expense The Company provides an allowance for doubtful accounts for estimated losses resulting from the unwillingness or inability of patients to make payments for services. The allowance is determined by analyzing specific amounts and historical data and trends. Patient accounts receivable are charged off against the allowance for doubtful accounts when management determines that recovery is unlikely and the Company ceases collection efforts. Losses have been consistent with management's expectations in all material respects. Part III, Line 3 - Methodology of Estimated Amount & Rationale for Including in Community Benefit The estimate of bad debt attributable to charity care policy was calculated by dividing the bad debt amount that was originally coded bad debt but later found to qualify as charity care by the amount coded to the charity care write-off codes. This ratio is applied to the bad debt cost factor expense. Part III, Line 2 - Methodology Used To Estimate Bad Debt Expense The number was calculated using the cost to charge ratio factor applied against actual patient bad debt write-offs. These numbers are included after all efforts have been exhausted to determine if the patient meets our charity care write-off policy based on federal poverty levels. Part I, Line 6a - Related Organization Community Benefit Report Community Benefit Information is included in the Community Benefit Report for WellSpan Health. true Wellspan Medical Group 3350 Whiteford Road York PA 17402 232730785 501(c)(3) 3380000 0 General Support WellSpan Health Care Services PO Box 2767 York PA 17405 232400237 501(c)(3) 990000 0 General Support WellSpan Health 3350 Whiteford Road York PA 17402 222517863 501(c)(3) 3430000 0 General Support Main Steet Gettysburg 571 W Middle Street Gettysburg PA 17325 232595192 501(c)(3) 10000 0 General Support Family First Health Suite 200 116 S George St York PA 17401 237118262 501(c)(3) 25000 0 Op. Support Gettysburg Ctr Borough of Gettysburg 59 East High Street Gettysburg PA 17325 236002866 21500 0 Biser Fitness Trail Partner Donatio 6 0 Grantmaker's Description of How Grants are Used All WellSpan non-research grant activities must be coordinated through the York Health Foundation and Gettysburg Hospital Foundation to insure that grant projects are implemented, evaluated, and monitored in accordance with applicable granting agency regulations, with WellSpan policies and procedures, and are consistent with the strategies and priorities of the organization. WellSpan has defined the processes by which grants are identified, developed, reviewed, approved, and monitored by the organization. This policy covers non-research grants applied for and received by an entity of WellSpan Health. It does not cover grants made by the organization. Research grants are defined as those that involve "a systematic investigation designed to develop or contribute to generalizable knowledge (45CFR 46.102(d))" and are overseen by Emig Research Center (Policy #619 Extramural Research Funding) X X true true X X X X X false true false false false false false false false false William Steinour MD 377122 28875 36262 442259 Richard Seim 401115 132330 743436 296235 48909 1622025 132330 Orville G McBeth Jr MD 222099 46422 28875 34537 331933 Mitchell E Zuckerman MD 319526 28027 6209 28875 37350 419987 Michael F O'Connor 429893 135960 8487 325915 42226 942481 135960 Matthew Krebs MD 311665 147872 13480 24174 497191 Mark A Resciniti MD 320036 28027 28875 36331 413269 Kevin Mosser 423784 77550 350435 39335 891104 77550 Joseph Edgar 187440 31343 3652 25691 33700 281826 Jane Hyde 293513 67130 200908 23192 584743 Edward Mackle MD 312738 267513 28875 39534 648660 Charles Marley JrDO 279698 46747 28875 22220 377540 Charles H Chodroff MD 398563 129360 2781 321395 39447 891546 129360 Bruce M Bartels 777484 254363 410046 589055 51713 2082661 249150 Bradley Heffner MD 308122 28027 15000 37283 388432 Sch J, Part I, Line 1a Part I, Line 1a: Relevant information in regards to selections on 1a. Bruce Bartels, WellSpan CEO, received additional compensation to cover the tax on personal use of his company vehicle.Jane Hyde, President of Gettysburg Hospital, received additional compensation to cover housing expenses during her transition into her new position with WellSpan. A See Schedule O A true Jolene Eyer RN BSN Eyer Family 60132 Employee of GH false Adams County National Bank Hankey Chair 120000 Checking & Trust Mgmt. false Schedule K -Tax-Exempt Bonds $412,230,0000 of Revenue Bonds for WellSpan Health Obligated Group, Series 2008A, 2008B, 2008C and 2008D were issued 11/12/2008 by General Authority of Southcentral Pennsylvania. The purpose of this bond issue was to refund bonds issued 5/13/2002, 5/17/2005, 6/16/2005, and 6/5/2007. WellSpan Health, the parent organization, allocated portions of the proceeds of this tax-exempt bond issue to York Hospital (22-2517863), Gettysburg Hospital (23-1352220), WellSpan Properties (22-2842252), and WellSpan Specialty Services (23-2899911). In order to remain consistent with the reporting on Form 8038, all outstanding liabilities associated with this tax-exempt bond issue is reported on the WellSpan Health (22-2517863) Schedule K. As of 6/30/13, the allocation of the Debt Capital program was as follows: York Hospital $225,290,225 (59.34%), WellSpan Properties $59,679,933 (15.72%), WellSpan Health $2,388,675 (.63%), WellSpan Specialty Services $60,222,365 (15.86%) and Gettysburg Hospital $32,093,802 (8.45%). These amounts are reported on the respective balance sheets (Part X Line 20)for each of these entities.The 11/12/2008 issue included reissuance of all unspent proceeds from the refunded 2007 bond issue. Total proceeds of issue includes the original 11/12/2008 issue plus investment earnings on transferred proceeds and the short investment of proceeds between date of issue and payoff on 12/1/2008.An arbitrage rebate and yield restriction compliance analysis for the General Authority of Southcentral Revenue Bonds (WellSpan Health Obligated Group) Series 2008ABCD for the period of November 12, 2008 to November 11, 2013 was performed in accordance with the applicable sections of the Internal Revenue Code and the related Federal Regulations in effect during the Computation Period. As of the Interim Computation Date of November 11, 2013, the Gross Proceeds of the Bonds have not accrued a liability during the Computation Period. Form 990, Part XI, Line 9 Other Changes In Net Assets Or Fund Balances - Other Increases Unrealized Gain on restricted assets = $1309972 Form 990, Part VI, Line 19 Form 990, Part VI, Line 19: Other Organization Documents Publicly Available Governing documents, policies, and financial statements are available upon request. Form 990, Part VI, Line 15b Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees The Compensation Committee of WellSpan Health is responsible for rewarding and reinforcing key executives for the achievement of annual and long-term performance objectives. The Compensation Committee shall consist of not more than six (6) persons, of whom two (2) shall be the Chairman and Vice Chairman of the Board of the Corporation, and the remaining members shall be such other persons as may be appointed by the Chairman of the Board of the Corporation, with the approval of the Board of Directors; provided, however, that the Compensation Committee shall not include any persons who are employed by the System. The Chairman of the Board of Gettysburg Hospital shall participate. The role of the Compensation Committee is to set the Executive Compensation Philosophy for the system and ensure adherence, evaluate performance and establish compensation for the WellSpan President, evaluate team performance of the executive team and establish awards, review and approve senior executive base salary ranges, and oversee employed physician compensation programs. The Committee will approve salary ranges for each executive position and review incumbent salaries annually. The Committee will be responsible for reviewing the President's salary each year, and if warranted, authorizing an adjustment to maintain competitiveness. The President will have the authority to make salary adjustments for subordiate positions. The Committee is responsible for approving and authorizing payment of the performance awards. The Committee will approve and authorize payment of the President's performance awards. Integrated Healthcare Strategies, Inc., based in Minneapolis Minnesota is the external consultant to the committee. This consultant focuses exclusively on executive and physician compensation in the health care industry. In summary, the executive and physician compensation review process consists of the following: 1) Cash compensation reviewed annually 2) Cash compensation reviewed by external consultant biennially 3) external total compensation (cash, incentives, benefits, perquisites) reviewed by external consultant periodically 4) Process is integrated with compensation analysis for other WellSpan positions 5) Committee decisions are documented in minutes maintained in Human Resources. Form 990, Part VI, Line 12c Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts Officers, directors, and key employees fill out a WellSpan Health Conflict of Interest Disclosure Statement 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 11b Form 990, Part VI, Line 11b: Form 990 Review Process Management provided an electronic copy of the form 990 to each voting member of the organization's governing body, prior to its filing with the IRS. The organization's finance management team provided a presentation to the Audit Committee on the organization's 990 return. Form 990, Part VI, Line 7b Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders Except as otherwise provided in the Articles of Incorporation or the Bylaws, the affairs of the Hospital shall be managed and directed by its Board of Directors, which shall have responsibility for the control and management of the property, funds, and operations of the Hospital. The Board of Directors shall have full power and authority to do and perform any and all acts and functions that are not inconsistent with the laws governing the operations of the Hospital or the Bylaws or the Articles of Incorporation; provided, however, that except as otherwise provided in the Articles of Incorporation or the Bylaws, the Member may initiate and implement any of the following actions, and if any such action is initiated by the Hospital, such action shall not become effective unless approved by the Member;(a) The adoption, amendment, or revocation of the Hospital's Articles of Incorporation or Bylaws; provided, however, that the Member shall not amend such Articles of Incorporation or Bylaws with respect to changes to the name "Gettysburg Hospital" or with respect to the appointment,term, or removal of the Hospital's directors, without the approval of the Hospital Board of Directors and the Member shall not have the right to overrule the Hospital Board of Directors' approval.(b)The termination, liquidation, reorganization, division, conversion, or dissolution of the Hospital, or the merger, consolidation, or combination of the hospital with another entity; provided, however, that the Member shall not approve the merger of the Hospital into another Member affiliate without the approval of the Hospital Board of Directors and the Member shall not have the right to overrule the Hospital Board of Directors' disapproval; and, further provided, that the Member's action with respect to this subject matter shall require the affirmative vote of at least two-thirds of the Board of Directors of the Member then in office.(c)Any change or transfer of the Member's membership interest in the Hospital, or the creation or issuance of any additional membership interests in the Hospital.(d)The investment of the Hospital's assets other than in accordance with the Member's investment policy; or, in the absence of a current Member investment policy, any investment other than in the ordinary course of business (provided such ordinary course investment is in federally-insured interest-bearing bank accounts, short term direct U.S. obligations, short-term 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 7a Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body The Board of Directors initially shall consist of no fewer than twelve and no more than sixteen persons, which shall include:(1) The following 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 6 Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder WellSpan Health, a not for profit corporation, is the sole member. Wellspan Properties Inc PO Box 2767 York PA 174052767 222842252 Leases outpatient facilities to affiliates PA 501(c)(3) 11 Type 1 NA false WellSpan Specialty Services PO Box 2767 York PA 174052767 232899911 Mgmt support for hospice & home health care services PA 501(c)(3) 11 Type 1 NA false York Hospital PO Box 2767 York PA 174052767 231352222 Community teaching hospital PA 501(c)(3) 3 NA false York Health Foundation PO Box 2767 York PA 174052767 233050192 Charitable contributions for WellSpan entities PA 501(c)(3) 11 Type 3 NA false WellSpan Medical Group PO Box 2767 York PA 174052767 232730785 Medical and surgical care PA 501(c)(3) 9 NA false WellSpan Health Care Services PO Box 2767 York PA 174052767 232400237 Health-related activities in the service area PA 501(c)(3) 11 Type 1 NA false WellSpan Health PO Box 2767 York PA 174052767 222517863 Integrated Health System PA 501(c)(3) 11 Type 1 NA false VNA Home Health Services PO Box 2767 York PA 174052767 231352573 Home health and hospice care services PA 501(c)(3) 9 NA false VNA Community Services PO Box 2767 York PA 174052767 232338591 Home personal care services for elderly and disabled PA 501(c)(3) 9 NA false Healthy Community Pharmacy Inc PO Box 2767 York PA 174052767 200519121 Reduced rate prescription drugs PA 501(c)(3) 11 Type 1 NA false Gettysburg Hospital Foundation PO Box 2767 York PA 174052767 232251358 Fundraising for Gettysburg Hospital PA 501(c)(3) 11 Type 1 NA true Apple Hill Surgical Center Inc PO Box 2767 York PA 174052767 222842253 Sole GP in limited ptnrshp operating surgical center PA 501(c)(3) 9 NA false Community Healthcare Imaging Partners PO Box 2767 York PA 174052767 232444154 MRI Center PA NA false false Cherry Tree Cancer Center LLP PO Box 2767 York PA 174052767 232915628 Radiation PA NA false false Littlestown Health Care Partners 300 West King Street Littlestown PA 17340 232880464 Lease facil PA NA false false Q-WH LLC PO Box 2767 York PA 174052767 208226561 GP of CHIP PA NA false false Central PA Alliance Laboratories LLC PO Box 2767 York PA 174052767 232910950 Ref. Lab PA NA false false Apple Hill Surgical Center Partners PO Box 2767 York PA 174052767 232489452 Surgical Cn PA NA false false Apple Hill Condominium Association PO Box 2767 York PA 174052767 232504543 Condo Mgmt Association PA N/A Homeowner Assoc false WellSpan Provider Network PO Box 2767 York PA 174052767 232907828 Coordinate managed care risk contracts PA NA C Corp false York Health Plan PO Box 2767 York PA 174052767 232664989 Preferred Provider Organization PA NA C Corp false Wellspan Reciprocal Risk Retention Group PO Box 2767 York PA 174052767 200048457 Risk Retention Group PA NA C Corp 950466 2905608 0.13200 false Wellspan Pharmacy Inc PO Box 2767 York PA 174052767 232374072 Dispenses pharm. & provides IV therapy PA N/A C Corp false false false true false false false false true false true true false true false false true false false false Gettysburg Hospital Foundation m 373727 General Ledger Gettysburg Hospital Foundation c 221152 General Ledger