2012-05-10T12:44:57-07:00 2011-06-30 Argy Wiltse & Robinson PC 8405 Greensboro Drive McLean VA 22102 990 2010-07-01 231352222 YORK HOSPITAL YORK 7178513055 PO BOX 2767 YORK PA 17405 Michael F O'Connor 2012-05-10 DAVID TRIMNER 7038930600 2010 2016-02-24 21:20:13Z Bruce M Bartels PO Box 2767 York PA 174052767 926111663 false false X WWW.WELLSPAN.ORG X 1880 PA York Hospital is a premier community teaching hospital providing quality, cost-effective health care services strongly supporting excellence in education, and offering essential services without regard for an individual's ability to pay. 10 6 5563 756 11665772 748315 5916075 6033738 741651918 793753683 6670138 18204394 8472166 9545900 762710297 827537715 39072650 42457412 0 328640745 342609235 682160 742572 742572 372465673 407333266 740861228 793142485 21849069 34395230 820318786 911412815 381719189 384511616 438599597 526901199 York Hospital is a premier community teaching hospital providing quality, cost-effective health care services strongly supporting excellence in education, and offering essential services without regard for an individual's ability to pay. false false 697329237 42457412 786960777 York Hospital is the region's leader in advanced specialty care. What began in 1880 has become a 572-bed community teaching hospital that employs more then 4,700 people and serves a population of more than 520,000 in south central Pennsylvania. York Hospital offers services and programs that feature highly skilled clinical staff, life-saving technology and state-of-the-art facilities to address some of the most complex medical, surgical and behavioral conditions.In addition to be named a top 100 hospital for the sixth time, York Hospital has also been ranked among the top 100 open heart surgery programs and recognized by US News and World Report as one of the country's top 50 hospitals for orthopedics.York Hospital is a nationally recognized teaching hospital with six residency programs, five allied health schools and other training programs. More than 690 physicians and other professionals belong to York Hospital's medical and Dental Staff.See Attached Federal Supplemental Information: WellSpan Health - 2011 Community Benefit Report 697329237 true true false false false false false false false true true true false false true true true true false false false false false true false false true true true false true true false false false false false false false false true true false false false false false true false false false false true 1 0 true 5563 true true true false false false false false false false false false 0 false false false false false false false false false false false X 10 6 false false false false true true true true true false false false true true true true true true true true false false PA X DAVID RIZZUTO 7178513055 3350 WHITEFORD ROAD YORK PA 17402 X William M Unwin MD 1.00 X 0 0 0 William Landis 1.00 X 0 332976 56850 Steve Hovis 1.00 X 0 0 0 Richard W Sloan MD 40.00 X 363303 0 54158 Richard L Seim 40.00 X 513422 0 329222 Raymond Rosen 40.00 X 280365 0 52964 Peter M Hartmann MD 40.00 X 406900 0 56372 Paul B Iannini MD 40.00 X 582117 0 59830 N Daniel Waltersdorff 1.00 X X 0 0 0 Michael F O'Connor 1.00 X 0 510284 351706 Joe Crosswhite 1.00 X 0 0 0 James T Amsterdam MD 40.00 X 478603 0 56718 Ernest J Waters 1.00 X X 0 0 0 Debra Stock 1.00 X 0 0 0 David A Kramer MD 40.00 X 328186 0 54980 Cathy P Carpenter 1.00 X 0 0 0 Bruce M Bartels 1.00 X X 0 933031 592637 Anthony Campisi 1.00 X 0 0 0 2952896 1776291 1665437 267 false true false Quest Diagnostics Inc 12436 Collections Center Drive Chicago IL 606932436 Lab Services 2396016 HCSC Laundry PO Box 25092 Lehigh Valley PA 180025092 Laundry Services 1947024 Deloitte & Touche LLP PO Box 7247-6446 Philadelphia PA 191706446 Consulting Services 1211441 Cozen OConner 1900 Market Street Philadelphia PA 191033508 Legal Services 2787103 Anesthesia Associates 110 Pine Grove Commons York PA 17405 Physician Services 5138249 41 2693147 318592 3021999 6033738 W/O - Free Care 621500 -25906588 -25906588 Patient Services 621500 819660271 811053793 8606478 793753683 11318661 11318661 0 0 445049 445049 445049 445049 105397796 61885 98573948 6823848 61885 6885733 6885733 0 0 0 Snack/Coffee Bar & Cafe 722210 2421493 2421493 Other Services 900099 1648595 398777 310915 938903 Contracted Labor 621110 2257246 2257246 2773517 1414795 491133 867589 9100851 827537715 786960777 11665772 22877428 42457412 42457412 0 0 0 1050323 1050323 0 244354170 234818400 9535770 26930262 25981529 948733 51925337 49824485 2100852 18349143 17578014 771129 51908518 51908518 3055513 56397 2999116 917539 917539 0 742572 742572 513268 513268 83890135 83163047 727088 248472 248472 2346556 2346556 15505142 15505142 0 5856266 5856266 769660 724382 45278 0 682182 660057 22125 14422819 14422819 0 30330039 27315950 3014089 10858370 10858370 Utilities 9396104 6168097 3228007 Supplies 121055797 120746457 309340 Restricted Assets Expenditures 8094444 8094444 Repair & Maintenence 8667539 8159863 507676 Bad Debt 33530198 33530198 5284705 4318022 966683 793142485 697329237 95070676 742572 0 28549525 30729076 0 105659825 106650125 0 0 0 2852425 3107953 1357360 2826569 515770038 287917947 233370869 227852091 289051478 330465419 144033103 200926110 0 0 15444201 8855472 820318786 911412815 14965323 15280126 7688522 3415358 283101229 275787881 2270089 11495464 73694026 78532787 381719189 384511616 X 420304446 510554274 12229536 9201655 6065615 7145270 438599597 526901199 820318786 911412815 X 34395230 53906372 X false true true X true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 18295151 3937629 2208589 8094444 16346925 17082786 3707220 459887 2754742 18495151 19437511 3382292 -3156504 2580513 17082786 0.43700 0.56300 true true true 487109 487109 255937454 102473420 153464034 11265847 8917280 2348567 242848718 176527247 66321471 5230910 5230910 227852091 200926110 Total Other Noncurrent Liabili 24286661 Rounding 1 Post Retirement Benefit Obligations 15927236 Note Payable - WRRRG 613714 AP - due to affiliates 10830954 Accrued Vacation 14917442 Accrued Payroll 8826241 Accrued Asbestos Removal Exp 1510807 Accrd Payroll W/H 1619731 78532787 827537715 793142485 34395230 46161798 7744574 53906372 88301602 870249482 46161798 46161798 824087684 3450031 3450031 827537715 743535639 743535639 49606846 49606846 793142485 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, 2011. Part XIII, Line 4b Part XIII, Line 4b: Other revenue amounts included on 990 but not included in F/S Grant-WellSpan Medical Group $15479000 Grant-WellSpan Health $26521000 Restricted Assets Expenditures $8094444 Revenue netted against expense $2185301 Contributions netted against expense $-2672899 Part XII, Line 4b Part XII, Line 4b: Other revenue amounts included on 990 but not included in F/S Restricted Contributions $3937629 Revenue netted against expense $2185301 Contributions netted against expense $-2672899 Part XI, Line 8 Part XI, Line 8: Other Changes in Net Assets or Fund Balances Net assets released from restriction-PPE $5421545 Change in Accrued Pension Liability $114440 Unrealized gain on temporarily restecited net assets $561497 Unrealized gain on permanently restricted net assets $1079000 Investment in Foundation $568092 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. X X X X X X false York Health Fou PO Box 2767 York PA 17405 Solicitations true 2693147 742572 1950575 2693147 742572 1950575 true true X true X true X true true true false true true 16449 12857440 12857440 0.01620 114443 98768809 54361734 44407075 0.05600 130892 111626249 54361734 57264515 0.07220 79 29681 1365308 56450 1308858 0.00170 16 1086 446926 4235 442691 0.00060 77310 77558 14639576 6472309 8167267 0.01030 4 705 471015 471015 0.00060 7 12303 281632 50 281582 0.00040 77416 121333 17204457 6533044 10671413 0.01360 77416 252225 128830706 60894778 67935928 0.08580 1 688 688 1 285500 285500 0.00040 3 19 3528 3528 11 11695 55641 1574 54067 0.00010 4 124 134168 134168 0.00020 20 11838 479525 1574 477951 0.00070 true 16641037 1447770 253987516 288640619 -34653103 X true true WRRRG Risk Retention Group 0.66710 1 0 York Hospital

1001 S George Street York PA 17405

X X X X X X York Hospital 1 true X X X X X X X X 08 false true true X X X X X X X X X X true true true 200.0000 true 300.0000 true X X X X X X X true true X X X X X X true X true X X X X X true X false false 32 Prospect Commerce Center

1803 Mt Rose Ave York PA 17403

Trans Lab Yorktowne Medical Center

2350 Freedom Way York PA 17402

PFT Westgate Lab

1550 Kenneth Rd Westgate Plaza York PA 17408

Lab Services Valley Green Medical Center

1790 Old Trail Road Etters PA 17319

Lab Services Indian Rock Site

915 Indian Rock Dam Rd York PA 17404

Indian Rock Helipad East York Site

2250 E Market St York PA 17402

Imaging, Work First Stonebridge Business Park

13515 Wolfe Rd Ste D New Freedom PA 17349

Imaging, Lab Services Dover Health Center

4020 Carlisle Road Dover PA 17315

Imaging, Lab Services, Sleep Center ALSU- Thomasville

5187 Lincoln Highway West Thomasville PA 17364

ALS Unit ALSU- Red Lion

312 Horace Mann Ave Red Lion PA 17356

ALS Unit ALSU- Dover

3700 Davidsburg Rd Dover PA 17315

ALS Unit Stonebridge Business Park

13515 Wolfe Rd Ste D New Freedom PA 17349

ALS Unit Windsor Health Center

3065 Windsor Road Red Lion PA 17356

Imaging, Lab Adams Health Center

40 V-Twin Dr Gettysburg PA 17325

Workfirst, Preventive Cardiology, Pulmonary Littlestown Dialysis Building

43 S Columbus Ave Littlestown PA 17340

Dialysis Greenway Tech Building

540 S George St York PA 17401

Transcription 2339 South George St

2339 South George St York PA 17403

Rehab Adams Center

1575 Bannister St York PA 17404

Preventive Cardiology, Rehab medicine St Charles Way

228 St Charles Way York PA 17402

Neuroscience Admin, Pain Center Memorial Park Shuttle Lot

941 Vander Ave York PA 17403

shuttle parking Stony Brook Health Center

4222 Lincoln Highway York PA 17406

Lab Services Cross Keys Internal Medicine

2900 Carlisle Pike New Oxford PA 17350

Lab services Apple Hill Womens Special Services & Imaging

35 Monument Road York PA 17403

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

2775 N George St York PA 17402

Imaging, Lab Services East Berlin Site

105 Fourth St East Berlin PA 17316

Imaging, lab services Loretta Claiborne Building

605 S George St York PA 17401

Dental Clinic, OB/GYN Clinic, Community Health Center George Street Office Building

912 SGeorge St York PA 17403

Health Connect St Charles Way

298 St Charles Way York PA 17402

Diabetes Self Management, Edgar Square

1101 Edgar St York PA 17403

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

1399 S Queen St York PA 17403

Wound Care Queensgate Towne Center

2015 Springwood Rd York PA 17403

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

25 Monument Road York PA 17403

Cardiac Rehab, EKG/Cardiac Stress Testing, Infusion Services, Lab, Maternal Fetal Medicine, Nuclear Part VI - States Where Community Benefit Report Filed PA Part VI - Affilated Health Care System Roles and Promotion WellSpan Health is an integrated health system serving the Adams-York county region. As a community-based, not-for-profit organization, WellSpan is dedicated to improving the health and well-being of the people it serves. WellSpan will assume a leadership role and develop partnerships with other organizations to: improve access to coordinated, high-quality, cost-effective health care services, educate the health care providers of tomorrow, promote healthy lifestyles and lifelong wellness, and make its local communities healthier, more desirable places to live, work, and play. York Hospital works with other parts of the system to provide a comprehensive approach to meeting community needs. WellSpan Health includes: Gettysburg Hospital, York Hospital, Apple Hill Surgical Center, VNA Home Health, WellSpan Medical Group, South Central Preferred, WellSpan Pharmacy, Gettysburg Hospital Foundation, York Health Foundation, York Provider Network and Healthy York Network/Healthy Community Pharmacy. York Hospital's community benefit report is contained in a report prepared by their parent organization, WellSpan Health. See Attached Federal Supplemental Information: WellSpan Health - 2011 Community Benefit Report Part VI - Explanation Of How Organization Furthers Its Exempt Purpose As an organization, we have taken specific steps to build the capacity of our communities to support and deal with the complex issues that are identified within the community health assessments. Through our involvement and support of a regional health coalition, Healthy York County Coalition, more than 200 community members have participated in community health improvement initiatives. For example, these include efforts to develop a county-wide health department, encourage fluoridation of the water supply, partner with the county parks and library on an innovative program to encourage youth fitness, and address chronic disease through a national program of the Robert Woods Johnson Foundation. Additional programs are designed to focus on helping our young people develop skills that will keep them healthy and safe for life. As a result, each year we sponsor and staff the Safe Kids Coalition and sponsor an annual conference for all 7th grade girls. In addition, we've provided leadership to a local coalition York-Adams Metropolitan Response System (YAMMRS) to develop improved coordination in the event of regional disaster. This effort includes all area hospitals and health systems, county government and other nonprofit organizations such as the Red Cross. As a charitable, community-based healthcare organization, we are dedicated to improving the lives and well-being of the people and communities we serve. By partnering with individuals and other organizations, supporting their endeavors, lending our expertise and learning from one another, we are creating a healthy community. In addition to those items documented on Schedule H which describe our community benefit activities, we actively engage our community as partners in our organization and reinvest in the health of our community in many ways. This includes:Community members who lead the organization through its Board of Directors and committee structure, patients who serve on advisory groups to improve care and diverse stakeholders who join us on community-based taskforces to address complex community issues,In the hospital, as well as across our system, community members actively volunteer and generously donate funds to the organization. More than 1,032 individuals across the system volunteered a total of 93,219 hours. In York, $4.6 million was raised through York Health Foundation, York Hospital's philanthropic organization. Our hospital auxiliary remains active and continues to support the hospital through community partnerships and fundraising.We continue to support the development of a strong healthcare organization to serve growing community. Across York and Adams county, we have recruited 57 new physicians and 13 nurse practioners into the community, opened new service to meet growing needs. In York, to support its teaching programs and research, we began utilizing our new Kinsley Family Foundation Medical Education Simulation Center and began construction to add a two-story addition to our medical education pavilion. 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 530,000 people. This population is expected to increase by 9% or 48,500 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 2014. Most growth will occur in the 45-64 (12% or 18,000 people) and the 65+ (21% or 16,000 people) age groups. This shift is occurring as the baby boom generation ages, as people live longer due to healthy lifestyles and medical advances, and as retirees move from the Baltimore/Washington metro area to Southern York and Adams counties to find a safer, lower cost lifestyle. Although the overall population growth projected for the York/Adams area over the next five years is moderate, the changing demographic profile of the population will result in elevated incidence rates for both acute and chronic disorders that present themselves ever increasingly as the population ages. York County is situated in south-central Pennsylvania. The County is bordered by Adams and Cumberland Counties to the west and north respectively and the Susquehanna River and Lancaster County to the east. Northeast of the River lies Dauphin County and the southern border is the Mason-Dixon line which forms the border with Maryland and its northernmost counties of Carroll,Baltimore and Harford. York County is approximately 911 square miles or 583,040 acres and is comprised of 72 municipalities; 35 townships, 36 boroughs and one (1) city.Generally and historically, employment rates are better than state and national averages but the composition of the workforce contains more manufacturing, production and tourism related business. An assessment of general health status is gathered as part of Community Health Assessments. The percent of adults in York County rating their health as fair or poor was 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: In York County, 25% of the 55+ population, 34% of the African American population, 21% of City of York residents and 45% of low income groups report a higher % of fair or poor health. The number of uninsured has remained stable at approximately 13% 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 and proactively identify and help patients connect to the public programs, community programs as well as our own. This includes reaching out to identify "unconnected" patients through programs like Health Connect, which travels to all parts of the county and takes care of immediate medical issues, but more importantly connects patients to the various options for charity care. It includes sponsorship of HealthyYork Network (HYN), which provides case managers to support patient's enrollment in both public programs or in HYN, which utilizes the charity care guidelines of health care proverbs for discounts. It includes identifying special resources for at risk populations in the African American and Latino communities and providing Lay Community Health Workers to help assist people in enrollment processes. Finally, though a multi-year initiative to ensure all people who qualify for charity care are aware of it, we've updated our website with information, simplified our enrollment processes, improved education and availability of financial support resources at high visibility sites of care, simplified the letters sent to patients who are late in paying their bill and have collaborated with our local Federally Qualified Health Center for early identification and qualification of patients. Part VI - Needs Assessment In the early 1990s, our organization began developing new ways of working more closely with its communities. The first Community Health Assessment for York County was completed in 1994. Since that time, we've competed health assessments in 1997, 2000, 2005 and 2008. These are lead by the regional health coalition, Healthy York County Coalition, that we support and are done collaboratively with other hospitals and community partners. The assessments evaluate the health of York County as a whole, and often target specific geographic or demographic segments for further study - such as the City of York or Youth. The gathering of data is one component of the health assessment process. As a community, the data is utilized as a basis of public meetings and forums to identify priorities for the community. These involve stakeholders from health and human services, government, business and other sectors. Our system-wide planning committee, which includes York Hospital Board members, dedicates a meeting on this topic and the priorities identified are used to define our organization's community health objectives in its annual plan. The Community Health Assessment is distributed and utilized broadly in the community and provides other organization's as well as our own with more data-driven picture of the issues and needs facing our community. Number of Hospital Faciltiy - 0 Part V, Line 5c - Description of Making Needs Assessment Widely Available The Community Health Assessment results were released in a community forum in April 2009. The Community Health Assessment results are available upon request and are also available on the Healthy York County Coalition website. Number of Hospital Faciltiy - 0 Part V, Line 4 - List Other Hospital Facilities that Jointly Conducted Needs Assessment Gettysburg Hospital 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. It shall be the policy of Patient Administrative Services to recommend accounts to Bad Debt on a timely basis. Inpatient/Outpatient accounts will go to bad debt automatically after the account has been in the financial class Pending Bad Debt for 30 days. All accounts must follow the approved limits for refunds and write offs, as established in Policy PF-102, before being transferred. The primary agencies will work the accounts for 6 months or until they feel it is uncollectable and return the account. The accounts are forwarded to secondary agencies from the primary agencies Closed and Return Reports. The financial class is changed to Bad Debt Other after the Closed and Return Reports are received from the Secondary Agency. The agencies must get written approval from the manager in the relatively rare instance of legal action being taken to collect the debt. Part III, Line 8 - Explanation Of Shortfall As Community Benefit York Hospital maintains records to identify and monitor the level of charity care and community service it provides. These records include the amount of charges forgone based on established rates for services and supplies furnished under its charity care and community service policies and the estimated cost of these services. Payments from Medicaire are generally less than York Hospital's costs of providing the service. Part III, Line 4 - Bad Debt Expense YH provides an allowance for doubtful accounts for estimated losses resulting from the unwillingness or inability of patients to make payments for services. The allowance is determined by analyzing specific accounts and historical data and trends. Patient accounts receivable are charged off against the allowance for doubtful accounts, when management determines that recovery is unlikely, and YH ceases collection efforts. Losses have been consistent with management's expectations in all material respects. Part I, Line 6a - Related Organization Community Benefit Report Community Benefit Information is included in the Community Benefit Report for WellSpan Health. true York Suburban School District 850 Southern Road York PA 17403 236005956 30000 0 General Support York College Country Club Road York PA 17405 231352698 10000 0 General Support York City School District 31 N Persing Avenue York PA 17401 236004284 30000 0 General Support WellSpan Medical Group PO Box 2767 York PA 17405 232730785 501(c)(3) 15479000 0 General Support WellSpan Health PO Box 2767 York PA 17405 222517863 501(c)(3) 26521000 0 General Support Spring Garden Township 558 S Ogontz Street York PA 17403 236003037 5500 0 General Support Nightinggale Awards of PA 6 Clouser Road Mechanicsburg PA 17055 232567118 501(c)(3) 11950 0 General Support Family First Health 116 S George Street York PA 17401 237118262 501(c)(3) 135417 0 School based clinic City of York 50 W King Street York PA 17405 236001908 220000 0 General Support 9 0 Grantmaker's Description of How Grants are Used All WellSpan non-research grant activities must be coordinated through the York Health Foundation and Gettysburg Hospital Foundation to insure that grant projects are implemented, evaluated, and monitored in accordance with applicable granting agency regulations, with WellSpan policies and procedures, and are consistent with the strategies and priorities of the organization. WellSpan has defined the processes by which grants are identified, developed, reviewed, approved, and monitored by the organization. This policy covers non-research grants applied for and received by an entity of WellSpan Health. It does not cover grants made by the organization. Research grants are defined as those that involve "a systematic investigation designed to develop or contribute to generalizable knowledge (45CFR 46.102(d)) and are overseen by Emig Research Center (Policy #619 Extramural Research Funding) X true true X X X X X false true false false false false false false false false William Landis 314892 18084 22393 34457 389826 Richard W Sloan MD 351159 12144 22393 31765 417461 Richard L Seim 372101 125650 15671 294723 34499 842644 125650 Raymond Rosen 238306 37386 4673 22393 30571 333329 Peter M Hartmann MD 349158 51326 6416 22393 33979 463272 Paul B Iannini MD 498177 83940 22393 37437 641947 Michael F O'Connor 372511 129850 7923 315293 36413 861990 129850 James T Amsterdam MD 409803 60706 8094 22393 34325 535321 David A Kramer MD 303842 18405 5939 22393 32587 383166 Bruce M Bartels 683242 227181 22608 551693 40944 1525668 222075 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. See Schedule O M & T Bank Regional Pres. Crosswhite 401383 Provider of Banking Serv false Ryan Campisi Family Member of Campisi 15848 Employee of YH 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 6/30/11, the allocation of the Debt Capital program was as follows: York Hospital $248,049,159 (63.07%), WellSpan Properties $61,817,674 (15.72%), WellSpan Health $2,532,948 (.64%), WellSpan Specialty Services $50,940,064 (12.95%) and Gettysburg Hospital $29,935,155 (7.61%). 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. 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 questionaire 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 11 Form 990, Part VI, Line 11: 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 7a Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body The Board of Directors of the Corporation shall be elected as provided herein by the Board of Directors of the Member. The Member shall determine annually the number of directors which shall in no event be less than ten nor more than fifteen persons. Nominations for the Directors to be elected by the Member shall be made only by the Nominating Committee for Directors, except for vacancies in the Board of Directors occuring by death, resignation, disqualification, removal or otherwise, may, upon the recommendation of the Executive Committee, be filled by appointment by the Member to serve until the next annual meeting of the Member, at which time the Member may elect a Director to fill such vacancy for the remainder of the unexpired term thereof. Form 990, Part VI, Line 6 Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder WellSpan Health, a not for profit corporation, is the sole member.The Member of the Corporation shall meet at any place, date, and time designated by the Member, for the transaction of the general business of the Corporation. Action of the Member shall generally be taken by a written consent in lieu of a meeting.Any action which may be taken at a meeting of the Member may be taken without a meeting if a consent or consents in writing, setting forth the action so taken, shall be signed by the Member and filed with the Secretary of the Corporation. Client Note 1 - WellSpan Health - 2011 Community Benefit ReportThere are 78,000 people in York and Adams counties without health insurance. Find out how we help.At WellSpan Health we work to remove barriers to good health for every member of our community.Every member of our community deserves the care they need.At WellSpan, it is our core belief that accessible health care is one of the keys to a healthy community. Yet, in York and Adams counties, there are 78,000 individuals who live without health insurance. This community health problem cannot be ignored and requires careful planning and forethought. Fortunately, WellSpan has done both.We take measures to care for those who have no insurance and are unable to pay. We offer discounted care to individuals whose income falls within 300 percent of federal poverty guidelines. Additionally, all uninsured patients, regardless of whether they qualify for charity care, receive discounts similar to those offered to private insurance companies. We offer free care to patients who participate in our charity care program.Together with our community partners, we support programs to take basic primary care and other services into urban and rural communities, improve access to oral health care and help people establish a "medical home" with a primary care physician.In 2010, WellSpan Health provided over $100 million in care for the uninsured and underinsured. The net cost of care provided in 2010:"Charity Care: $18.4 million in free care to patients who participated in our charity care program "Medicare: $61.5 million in cost greater than what was paid by Medicare "Medicaid: $61.1 million in cost greater than what was paid by Medicaid "Uncompensated Care: $23.4 million in services to patients who received care for which they did not pay and who did not participate in the charity care program "Community Education and Outreach: $5.7 million in free community education and outreach to children and at-risk groups "Medical, Dental and Pharmaceutical Care: $12.1 million to support services that provided discounted medical, dental and pharmaceutical care to people in need When Susan Kittrell needed care in 2008, we provided it, regardless of her ability to pay.The last few years have been tough for Susan Kittrell of York. Three years ago after having a routine tuberculosis test, providers noticed an abnormal reading and recommended a chest x-ray. The test showed a serious health risk: a thoracic aortic aneurysm. Kittrell had open bypass surgery to repair the aneurysm, but it wasn't long after the initial surgery that she felt a burning in her spine that led her back to the hospital and into surgery for another aneurysm. This time, she required open heart surgery. Then earlier this year, physicians saw something suspicious on a chest x-ray that ended up being another aortic aneurysm. Unfortunately, this aneurysm burst during surgery and physicians had to replace part of her aorta.Kittrell's health challenges over the past few years have made it impossible for her to return to her job at Dentsply. As a result, she lost her health insurance, which made it difficult for her to afford the critical care that she needed. Fortunately, Healthy York Network (HYN) was there."If it wasn't for HYN, I don't know where I would be," says Kittrell. "After I lost my health coverage, I couldn't afford the medicines that I needed to take, let alone the surgeries that were necessary to fix the aneurysms. Thankfully, the folks at York Hospital realized my challenges and connected me with HYN." "I have been blessed with the best of care," remarks Kittrell. "I thank God everyday for WellSpan Health and HYN. They have helped me during a really difficult time and I can't express my gratitude enough." 10 Initiatives we support that help care for the uninsuredInitiatives we support Who benefits?Our progress in 2010HealthConnect, a mobile health care program that provides basic primary care services and helps individuals find a medical home Individuals who lack sufficient health insurance1,330 visits937 new patients219 referrals to a medical homeHealthy York Network and Healthy Community Pharmacy, a collaborative effort that facilitates access to discounted health care services and prescription medicationIndividuals who lack sufficient health insurance$30 million of care provided to more than 8,309 members9,077 new members enrolled52,730 prescriptions filledCommunity Health Workers, who help people navigate the health care system, enroll in public assistance programs and implement health outreach programsIndividuals who lack sufficient health insurance and people of disparate populations179 adults and 250 children completed applications for public insurance programsFamily First Health's Hannah Penn Health Center, a partnership of York Hospital, Family First Health and the City of York School DistrictUnderserved adults and children, including those who lack sufficient health insurance and those with Medicaid4,813 acute and preventive medical visits1,775 dental visits in calendar year 2010 Family First Health's Gettysburg Center, a federally qualified community health center that WellSpan supports to provide medical and dental services in Adams CountyUnderserved adults and children of Adams County, including those who lack sufficient health insurance and those with MedicaidActively supported the start-up of the center and its ability to attract 5,908 patients during the past yearYork Hospital Community Health Center, which provides primary care services, women's health care, HIV care and pediatric care for medically complex conditionsAdults and children who lack sufficient health insurance27,056 primary care visits and 21,778 obstetrics and gynecology visitsThomas Hart Family Practice Center, which is staffed by resident and faculty physicians at York Hospital and provides acute, chronic, preventive and obstetric careAdults and children, many of whom lack sufficient health insurance27,800 visitsThe George W. T. Bentzel, DDS Dental Center, which is staffed by licensed dentists and residents from the York Hospital Dental Residency ProgramAdults and children, many of whom lack sufficient dental insurance13,930 outpatient visitsHoodner Dental CenterIndividuals who lack sufficient dental insurance and who qualify for Medical Assistance or the Healthy York Network6,252 visitsAdams County Dental Health Services, sponsored by the Oral Health Task Force of Healthy Adams County, Harrisburg Area Community College and Head StartChildren who lack dental insurance670 visitsHaving an impact on our community's health means doing more than providing medical care.Preventing barriers to care from forming is key to making an impact on our community health. At WellSpan, we wholeheartedly agree with the World Health Organization's assessment that health is "a state of complete physical, mental and social well-being, not merely the absence of disease or infirmity." And we recognize the dangers and issues facing a community that cannot achieve this level of health.To help our communities become healthy places to live, work and play, we are constantly planning for the future, developing partnerships, building community assets, engaging citizens, and sponsoring initiatives. Our efforts are broad based and wide reaching, but so is the need. We believe that our progress, on all fronts, continues to make a difference.WellSpan partners with the York County Children's Advocacy Center to help children who have been victims of sexual abuse. It's a tragic reality that sexual abuse of children is a widespread problem across the country. A 2006 study by the Centers for Disease Control and Prevention (CDC) suggests that one in four girls, and one in six boys, are sexually abused before the age of 18. In addition to finding out how to stop the abuse before it starts, the question of how to help a child once the abuse has occurred is vital.After a child discloses the abuse, an appropriate response is extremely important to the child's healing process. In the past, there was no mechanism for coordinating the services needed to respond to such a case. Instead, a child would be shuffled between various agencies requiring the victim to retell his story multiple times, vividly reliving the pain and confusion surrounding the experience.In recent years, communities across the country, including York and Adams, have established child advocacy centers to help meet the unique needs of a vulnerable population. By coordinating between community agencies and professionals involved in the intervention system, the goal is one interview and one physical exam for the victim. Over the past year, this goal has become a reality for both the York County Children's Advocacy Center and the Adams County Children's Advocacy Center thanks to a partnership between the two community groups and WellSpan. Now WellSpan Sexual Assault Forensic Examiner (SAFE) nurses are available to examine suspect Wellspan Properties Inc PO Box 2767 York PA 174052767 222842252 Leases facilities to affiliates PA 501(c)(3) 11 Type 1 NA false WellSpan Specialty Services PO Box 2767 York PA 174052767 232899911 Mgmt. hospice/home health care services PA 501(c)(3) 11 Type 1 NA false York Health Foundation PO Box 2767 York PA 174052767 233050192 Charitable contributions for Wellspan entities PA 501(c)(3) 11 Type 3 NA false Wellspan Medical Group PO Box 2767 York PA 174052767 232730785 Medical and surgical care PA 501(c)(3) 9 NA false Wellspan Health Care Services PO Box 2767 York PA 174052767 232400237 Health-related activities in the service area PA 501(c)(3) 11 Type 1 NA false Wellspan Health PO Box 2767 York PA 174052767 222517863 Integrated Health System PA 501(c)(3) 11 Type 1 NA false VNA Home Health Services PO Box 2767 York PA 174052767 231352573 Home Health and hospice care services PA 501(c)(3) 9 NA false VNA Community Services PO Box 2767 York PA 174052767 232338591 Home personal care services for elderly and disabled PA 501(c)(3) 9 NA false Healthy Community Pharmacy Inc PO Box 2767 York PA 174052767 200519121 Reduced rate prescription drugs to uninsured PA 501(c)(3) 11 Type 1 NA false Gettysburg Hospital Foundation PO Box 2767 York PA 174052767 232251358 Fundraising for Gettysburg Hospital PA 501(c)(3) 11 Type 1 NA false Gettysburg Hospital PO Box 2767 York PA 174052767 231352220 Health Care Services PA 501(c)(3) 3 NA false Apple Hill Surgical Center Inc PO Box 2767 York PA 174052767 222842253 Sole GP in limited ptnrshp. operating surgical center PA 501(c)(3) 9 NA false Community Healthcare Imaging Partners PO Box 2767 York PA 174052767 232444154 MRI Center PA NA false false Cherry Tree Cancer Center LLP PO Box 2767 York PA 174052767 232915628 Radiation PA NA false false Littlestown Health Care Partners 300 West King Street Littlestown PA 17340 232880464 Lease facil PA NA false false Q-WH LLC PO Box 2767 York PA 174052767 208226561 GP of CHIP PA NA false false Central PA Alliance Laboratories LLC PO Box 2767 York PA 174052767 232910950 Ref. 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