2011-05-10T08:17:17-07:00 2010-06-30 Argy Wiltse & Robinson PC 8405 Greensboro Drive McLean VA 22102 990 2009-07-01 231352220 GETTYSBURG HOSPITAL GETT 7178513055 PO BOX 2767 YORK PA 17405 Michael F O'Connor 2011-05-09 DAVID TRIMNER 7038930600 2009 2016-02-24 21:20:13Z 229492935 false false X WWW.WELLSPAN.ORG X 1919 PA Gettysburg Hospital is committed to provide not only quality, but compassionate medical service regardless of race, sex, color, creed, national origin, disability, age or ability to pay. 15 6 932 177 762482 106136 757430 497142 112770987 125523355 423460 -558941 627443 557038 114579320 126018594 8770000 7379000 0 54291361 56626279 315307 351609 351609 50058910 59689300 113435578 124046188 1143742 1972406 131566003 132161761 49019227 42980114 82546776 89181647 The Gettysburg Hospital is a privately incorporated, 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 110404883 7379000 125317911 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 - 2010 Community Benefit Report 110404883 true true false false false false false false false true true false true false false false false false true false false true true false true true false false false false false false false false false false false false false false false true false false false true 10 0 true 932 true true true false false false false false false false false false 0 false false false false false false false false 15 6 true false false false true true true true true false false false true true true true true true true true true true PA X X DAVID RIZZUTO 7178513055 3350 WHITEFORD ROAD YORK PA 174029081 Yu-Wen Chang MD 40.00 X 327936 0 44627 William J Steinour MD 40.00 X 336300 0 51652 Stefan Rosenbach 40.00 X 267731 0 55327 Russell Redding 1.00 X 0 0 0 Ronald L Hankey 1.00 X X 0 0 0 Richard Harley 0. X 0 201375 51405 Orville G McBeth Jr MD 1.00 X 0 231170 23433 Mitchell E Zuckerman MD 0. X 364018 0 52144 Michael F O'Connor 1.00 X 0 477907 312746 Mark A Resciniti MD 40.00 X 352843 0 56542 Louise A Mains 1.00 X 0 0 0 Kevin Mosser 40.00 X 342416 0 218650 Keith L Gee 1.00 X 0 268100 197769 Joseph Edgar 40.00 X 195735 0 44884 James Williams 1.00 X 0 0 0 Gregory J Codori DO 40.00 X 256070 0 55146 Gregory F Reaver 1.00 X 0 0 0 Edward Mackle 1.00 X 559575 0 59379 Douglas E Eyer 4.00 X 32694 0 5489 Dora L Townsend 1.00 X X 0 0 0 Cynthia A Ford 1.00 X 0 0 0 Charles H Chodroff MD 1.00 X 0 455852 295986 Bruce M Bartels 1.00 X X 0 878148 525184 Bernard A Yannetti Jr Esq 1.00 X X 0 0 0 3035318 2512552 2050363 49 true true false Weatherby Locums Inc PO Box 972633 Dallas TX 753972633 Temporary Staffing 466135 Quest Diagnostics Inc 12436 Collections Center Drive Chicago IL 60693 Lab & Pre-employment 636029 Mobile PetCT Associates LLC 43 Leopard Road Suite 200 Paoli PA 19301 Diagnostic Imaging 185150 HCSC Laundry PO Box 25092 Lehigh Valley PA 18002 Laundry Service 260634 Century Link PO Box 96064 Charlotte NC 282960064 Network Access Fees 199898 6 235548 52122 209472 497142 W/O -Free Care 621500 -5542403 -5542403 Net Patient Service 621500 131065758 130354499 711259 125523355 213146 213146 0 0 0 102686174 16080 103474341 -788167 16080 -772087 -772087 0 0 0 Health Promo/Wellness 611710 78886 78886 Emergency Response-als 621500 323003 323003 Contract Revenue 900099 51223 51223 103926 103926 557038 126018594 125317911 762482 -558941 7379000 7379000 0 0 0 1651515 1170789 480726 0 40720242 40301583 418659 3780725 3655276 125449 7434054 7404563 29491 3039743 3025576 14167 8666370 8666370 15870 15870 85924 85924 0 351609 351609 193335 193335 10165218 9941250 223968 61032 60641 391 16352854 16296661 56193 2651359 2651359 0 2108235 2028901 79334 237918 194916 43002 0 112089 78436 33653 2086661 2086661 0 5904984 5904984 1655646 1655646 Utilities 1283714 1256112 27602 Restricted Assets Expenditures 225604 225604 Licenses/Fees 104706 103711 995 Dues and Subscriptions 119401 88453 30948 Bad Debt 7524815 7524815 133565 21305 112260 124046188 110404883 13289696 351609 184942 181131 4761954 4253910 0 13930022 16236019 0 0 0 821715 955960 2803046 3343856 84769552 50872370 36155361 33897182 47028141 36640807 13877015 22617165 0 2187778 2041114 9816029 11994617 131566003 132161761 1788728 1565099 1487968 1317069 34959210 28784920 2390187 2081075 8393134 9231951 49019227 42980114 X 73676625 79292566 8870151 9889081 82546776 89181647 131566003 132161761 X false true true X true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 8870151 223090 1021444 225604 9889081 10386416 174329 -1478000 212594 8870151 1.00000 false true true 11584 11584 29563492 13629065 15934427 965837 710688 255149 11369597 9700831 1668766 42859042 26831786 16027256 33897182 22617165 Unamortized Bond Issue Costs 211244 Accounts Receivable - Intercompany 1852240 11994617 Derivative Valuation 4961247 Accrued Vacation 2446893 Accrued Sales Tax 435 Accrued Payroll and Payroll Taxes 1823376 9231951 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, 2010. Part XIII, Line 4b Part XIII, Line 4b: Other revenue amounts included on 990 but not included in F/S Grant - WellSpan Medical Group $3110000 Grant - WellSpan Health $4250000 Restricted Assets Expenditures $225604 Expenses netted against revenue $549076 Contributions netted against expense $-132000 Part XII, Line 4b Part XII, Line 4b: Other revenue amounts included on 990 but not included in F/S Restricted Contributions $223090 Expenses netted against revenue $549076 Contributions netted against expense $-132000 Part XI, Line 8 Part XI, Line 8: Other Changes in Net Assets or Fund Balances Gain on restricted assets held by GH Foundation $1020420 Unrealized Gain on Joint Ventures $101286 Net assets released from restriction-PPE $124590 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 true 235548 351609 PA true true X true X true X true true true false true true 4413 2605645 2605645 0.02100 18748 11052227 3617707 7434520 0.05990 23161 13657872 3617707 10040165 0.08090 184 24032 470952 57010 413942 0.00330 16 578 11000 4500 6500 0.00010 5 5615 580671 251795 328876 0.00270 1 200 120580 120580 0.00100 2 400 138047 138047 0.00110 208 30825 1321250 313305 1007945 0.00810 208 53986 14979122 3931012 11048110 0.08910 true 3537626 251171 35464513 51375499 -15910986 X true true WellSpan RRRG Risk Retention Group 0.13200 PHO of Gettysburg Educate & prov. health network 0.50000 0.50000 WellSpan Surgical Center

236 West Street Gettysburg PA 17325

X Ambulatory Surgical Center Transitional Care Center

147 Gettys Street Gettysburg PA 17325

X Skilled Nursing Care Facility Gettysburg Hospital

147 Gettysburg Hospital Gettysburg PA 17235

X X X 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. 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 Medicaire are generally less than Gettysburg Hospital's costs of providing the service. 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. 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 and 2009. These are lead by the regional health coalition, Healthy Adams County Coalition, that we support and are done collaborative 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. 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. 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. Adams County is situated along the Mason-Dixon line in south-central Pennsylvania. Harrisburg, the state capital, is located 36 miles north of Gettysburg, the county seat. The outer suburbs of Washington, DC and Baltimore are within an hours drive from many county communities. Surrounding Counties include Cumberland, Franklin and York in Pennsylvania, and Carroll and Frederick Counties in Maryland.Generally and historically, employment rates are better than state and national averages but the composition of the workforce contains more manufacturing, production and tourism related business. An assessment of general health status is gathered as part of Community Health Assessments. The percent of adult in Adams County rating their health as fair or poor was 15%. 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($29,577 vs. $41,105) In both counties. The number of uninsured has remained stable at approximately 13% 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. 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 Adams County, more than 800 community members have participated in community health improvement initiatives. For example, these include efforts to increase access to health care by supporting the development of a federally qualified health center site, improving adolescent health and decreasing pregnancy rates through teen pregnancy taskforce and organization of an annual conference for all 7th grade boys and girls, increasing awareness of domestic violence and child abuse through education and training and the development of a model to assist offenders from the Adams County Correctional Complex in reentering the community. 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 activity 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 Gettysburg alone, $1.3 million was donated through Gettysburg Hospital Foundation. 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 Gettysburg, that includes the first full year of operations for the WellSpan Adams Health Center to increase access to advanced cancer care, rheumatology, endocrinology, diagnostic imaging, neurology and behavioral health. 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, 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. 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 - 2009 Community Benefit Report PA true Wellspan Medical Group 3350 Whiteford Road York PA 17402 232730785 501(c)(3) 3110000 0 General Support WellSpan Health 3350 Whiteford Road York PA 17402 222517863 501(c)(3) 4250000 0 General Support Main Steet Gettysburg 571 W Middle Street Gettysburg PA 17325 232595192 501(c)(3) 17500 0 General Support 3 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 Yu-Wen Chang MD 321620 6316 22393 22234 372563 William J Steinour MD 336300 22393 29259 387952 Stefan Rosenbach 227290 35948 4493 22393 32934 323058 Richard Harley 170432 27488 3455 18406 32999 252780 Orville G McBeth Jr MD 198918 32252 21129 2304 254603 Mitchell E Zuckerman MD 324743 39275 22393 29751 416162 Michael F O'Connor 343097 127920 6890 272353 40393 790653 127920 Mark A Resciniti MD 310539 39275 3029 22393 34149 409385 Kevin Mosser 254598 80340 7478 182943 35707 561066 80340 Keith L Gee 175461 72930 19709 165603 32166 465869 72930 Joseph Edgar 165428 26225 4082 17890 26994 240619 Gregory J Codori DO 256070 22393 32753 311216 Edward Mackle 304271 249379 5925 22393 36986 618954 Charles H Chodroff MD 322410 126750 6692 262753 33233 751838 126750 Bruce M Bartels 643752 225222 9174 482543 42641 1403332 219960 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 Towne Center Partnership Partner J Williams 153000 Rental of Property false Susan Shue Family Member of Redding 84152 Employee of GH false Jolene Eyer RN BSN Family Member of Eyer 52930 Employee of GH false Adams County National Bank Chairman Ronald Hankey 102989 Checking & Trust Mgmt. false 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 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, relevent 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. Form 990, Part VI, Line 2 Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et Ronald Hankey, Board Director, is a brother-in-law of Paul Ketterman, who is a director on the Gettysburg Hospital Foundation Board. Client Note1 WellSpan Health - 2010 Community Benefit ReportPREPARED TO CAREWellSpan Health includes: Gettysburg Hospital o York Hospital o Apple Hill Surgical Center o VNA Home Health o WellSpan Medical Group o SOUTH CENTRAL Preferred o WellSpan Pharmacy o Gettysburg Hospital Foundation o York Health Foundation o York Provider NetworkOUR CHARITABLE COMMUNITY MISSIONWellSpan 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:o improve access to coordinated, high-quality, cost-effective health care serviceso educate the health care providers of tomorrowo promote healthy lifestyles and lifelong wellnesso make its local communities healthier, more desirable places to live, work and playPREPAREDThe road of life may have its twists and turns, ups and downs. Rest assured, WellSpan Health is prepared. As a matter of practice, we seek to plan ahead for any crisis or concern that may impact our community. Our goal is to be ready to serve. Intelligently. Calmly. And with understanding and foresight.Over the last year, this proactive approach to life and the curves it may throw has impacted our community profoundly. WellSpan Health was ready and able to protect our children from H1N1, to help families receive the care they need when they couldn't afford to pay and to remove barriers that often impede access to quality health care.Even now, we are preparing for the future and whatever it may hold. WellSpan Health is constantly training tomorrow's health care professionals, studying and trialing advanced new treatments, and seeking innovative partnerships and ways to support, improve and protect our community.Because we never stop thinking ahead, WellSpan remains prepared to guide, protect and care. For the journey that is life.PREPARED TO PROTECTShielding our community from potential disaster.The worst thing to be in a disaster is unprepared. At WellSpan, we believe it is our responsibility to consider and plan for every scenario and possibility. Should there be a community-wide disaster or pandemic, we intend to be ready with solid partnerships, an action plan and a full understanding of our community's resources. This approach is best exemplified through our involvement with the York/Adams Metropolitan Medical Response System (YAMMRS) and, specifically, the recent H1N1 situation.Example: Carolyne Hack, RN, and Ethan and Kristia KannelIn late 2009, the H1N1 virus took center stage in the news media, our households and communities. There was a healthy amount of concern, especially for mothers like Amanda Kannel whose children were in the high-risk group.Amanda had taken all the necessary precautions to prevent an outbreak in her home, and she wanted to have her children vaccinated as soon as possible. Fortunately, the York/Adams Metropolitan Medical Response System (YAMMRS) had taken all the necessary precautions as well, and was prepared to meet her needs in addition to thousands of others. WellSpan played a key role in this preparedness, providing the key leaders responsible for planning, supply chain management, staff, communication, volunteer coordination and essential clinical expertise.At the end of the day, Amanda's children, Ethan and Kristia, received their immunizations through YAMMRS' school-based program. They made it through flu season, H1N1-free. Just as important, the Kannel family made it through the season with the peace of mind that comes from thinking ahead.OUR PROGRESS: H1N1 Flu VirusAfter nearly eight years of planning for a variety of disasters, the York/Adams Metropolitan Medical Response System (YAMMRS) mobilized in early 2009 with the emergence of the H1N1 flu virus.Since York and Adams counties do not have public health departments, YAMMRS made the decision to apply as a separate entity to receive the H1N1 vaccine, similar to what hospitals did. The group identified five priority groups for vaccination. Pregnant women and those of childbearing age were the first priority group. WellSpan Health, Memorial Hospital and other providers focused on the first priority group while YAMMRS decided to focus on young children.Beginning in November 2009 and running through February 2010, YAMMRS undertook the logistical challenge of administering the H1N1 vaccine to children and other residents of Adams and York counties. Consider some of the organization's accomplishments:"The administration of 65,000 doses of vaccine"The coordination of clinics at 124 different schools in both counties"The organization of nearly 1,200 people who volunteered to help with the effort - everyone from nursing students to retirees"The creation of a website and communication program to inform area residents about the H1N1 virus and the vaccinationsLooking back, we are fortunate that H1N1 did not turn out to be a crisis of monumental proportions. Nevertheless, residents of south central Pennsylvania should take comfort in the knowledge that our community was - and remains - prepared for the worst.Our partners in YAMMRS:Adams County Department of Emergency Services; American Red Cross, York-Adams and Greater Hanover chapters; The Brethren Home Community; Dallastown Area School District; Family First Health; Borough of Hanover; Hanover Hospital; HealthSouth Hospital of York; HEARS (Hospital Emergency Amateur Radio System); Lutheran Social Services of South Central Pennsylvania; Margaret E. Moul Home; Memorial Hospital of York; VNA of Hanover; City of York Fire/ Rescue Services; City of York Health Bureau; York College of Pennsylvania; York County Office of Emergency Management .We gratefully acknowledge the following school districts and institutions, which participated in the countywide H1N1 Immunization Program: Northern York County School District; Dallastown Area School District; Upper Adams School District; Littlestown Area School District; Dover Area School District; Bermudian Springs School District; South Eastern School District; York Country Day School; Fairfield School District; Hoffman Homes Inc.; Hanover Public School District; Red Lion Area School District; Christian School of York; Southern York County School District; South Western School District; Gettysburg Area School District; St. Joseph's School, Dallastown; Adams County Christian Academy; Central York School District; St. Joseph's School, Hanover; St. Joseph's Middle School; Shrewsbury Christian Academy; St. Joseph's School, York; Northeastern School District; St. Francis Xavier School; Conewago Valley School District; St. Rose of Lima School; Montessori Children's House of York; Spring Grove Area School District; York County School of Technology; Paradise School For Boys; York Catholic High School; Eastern York School District; Lincoln Intermediate Unit #12; York Suburban School District; West York Area School District; St. John's Lutheran School; Red Lion Christian School; Mission Home Education & Counseling; Gettysburg College; and York College of Pennsylvania.PREPARED TO CAREEnsuring that every member of our community receives the health care they need.At WellSpan, it is our core belief that accessible health care is the key to a healthy community. Yet, in York and Adams counties, there are 34,000 uninsured individuals. 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.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.Example: Lisa Dewees, CRNP, and Crystal BowieWhen Crystal Bowie's husband was diagnosed with cancer, she didn't know where to turn. Not only did her husband need to travel to Philadelphia for treatment, he was the only driver in the family. In addition, the stress and emotional challenges of cancer were simply overwhelming. Luckily, Crystal didn't have to look very far for the help she needed. From transportation to emotional support, the team at the York Hospital Community Health Center was there to help. Sadly, Crystal's husband lost his battle with cancer last year and, today, she continues to struggle with her own complex health issues. But rest assured, she is not alone as she continues to receive help, guidance and support from the team at the York Hospital Community Health Center.OUR PROGRESS: Health care for Wellspan Properties Inc PO Box 2767 York PA 174052767 222842252 Leases outpatient facilities to affiliates PA 501(c)(3) 11 Type 1 NA 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 York Hospital PO Box 2767 York PA 174052767 231352222 Community teaching hospital PA 501(c)(3) 3 NA York Health Foundation PO Box 2767 York PA 174052767 233050192 Charitable contributions for WellSpan entities PA 501(c)(3) 11 Type 3 NA WellSpan Medical Group PO Box 2767 York PA 174052767 232730785 Medical and surgical care PA 501(c)(3) 9 NA 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 WellSpan Health PO Box 2767 York PA 174052767 222517863 Integrated Health System PA 501(c)(3) 11 Type 1 NA VNA Home Health Services PO Box 2767 York PA 174052767 231352573 Home health and hospice care services PA 501(c)(3) 9 NA VNA Community Services PO Box 2767 York PA 174052767 232338591 Home personal care services for elderly and disabled PA 501(c)(3) 9 NA Healthy Community Pharmacy Inc PO Box 2767 York PA 174052767 200519121 Reduced rate prescription drugs PA 501(c)(3) 11 Type 1 NA Gettysburg Hospital Foundation PO Box 2767 York PA 174052767 232251358 Fundraising for Gettysburg Hospital PA 501(c)(3) 11 Type 1 NA 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 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 Physician Hospital Organization of Getty 147 Gettys Street Gettysburg PA 17325 232764054 Marketing PA N/A York Provider Network PO Box 2767 York PA 174052767 232907828 Coordinates managed care risk contracting PA NA York Health Plan PO Box 2767 York PA 174052767 232664989 Preferred Provider Organization PA NA Wellspan Reciprocal Risk Retention Group PO Box 2767 York PA 174052767 200048457 Risk Retention Group PA NA C Corp 1373826 2734831 0.13200 Wellspan Pharmacy Inc PO Box 2767 York PA 174052767 232374072 Dispenses pharmaceuticals & provides IV therapy PA N/A false false false false false false true false false true false true false false true false false false