2025-05-08T10:27:20-05:00 2024-06-30 920460586 PWC US TAX LLP 655 NEW YORK AVENUE NW - SUITE 1100 WASHINGTON DC 20001 990 2023-07-01 231352222 YORK HOSPITAL YORK 7178513055 PO BOX 2767 YORK PA 174052767 LAURA BUCZKOWSKI EXECUTIVE VP & CFO 7178513055 2025-05-08 1 1 TRAVIS L PATTON P00369623 2024141000 2023 2025-03-06 01:10:19Z ROXANNA GAPSTUR PO BOX 2767 YORK PA 174052767 2238060432 0 X WWW.WELLSPAN.ORG X 1880 PA PROVIDE QUALITY, COST-EFFECTIVE HEALTH CARE WITHOUT REGARD FOR AN INDIVIDUAL'S ABILITY TO PAY. 17 10 6326 234 1690778 376 28817357 5735440 1517132252 1632762681 23721671 106751625 5140732 4086941 1574812012 1749336687 1606254 294070 0 0 444010256 428491063 0 0 0 923861511 1063888702 1369478021 1492673835 205333991 256662852 2468941468 2613036536 684781594 639361333 1784159874 1973675203 X 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. 0 0 1072895629 294070 1631662924 YORK HOSPITAL IS THE REGION'S LEADER IN ADVANCED SPECIALTY CARE. WHAT BEGAN IN 1880 HAS GROWN TO A 593-BED COMMUNITY TEACHING HOSPITAL THAT EMPLOYS MORE THAN 5,000 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 HEALTH CONDITIONS.IN ADDITION, YORK HOSPITAL HAS BEEN DESIGNATED AS A ROBOTIC EPICENTER BY INTUITIVE SURGICAL, ACCREDITED AS A LEVEL 1 REGIONAL RESOURCE TRAUMA CENTER, DESIGNATED AS A PRIMARY STROKE CENTER BY THE JOINT COMMISSION, AND DESIGNATED AS A MAGNET HOSPITAL BY THE AMERICAN NURSES CREDENTIALING CENTER. THE HOSPITAL HOUSES A LEVEL 3 NEONATAL INTENSIVE CARE UNIT AND IS A CERTIFIED COMPREHENSIVE STROKE CENTER, READY 24/7 TO DELIVER ADVANCED CARE FOR THE MOST COMPLEX STROKE CASES.A RECENTLY COMPLETED EMERGENCY DEPARTMENT RENOVATION FEATURES MODERN, DEDICATED TREATMENT AREAS FOR PEDIATRIC, CARDIOVASCULAR, ORTHOPEDIC, AND BEHAVIORAL HEALTH PATIENTS, WHILE PROMOTING PATIENT-CENTERED CARE, PATIENT SAFETY, EFFICIENCY AND EMPLOYEE SATISFACTION.YORK HOSPITAL IS A NATIONALLY RECOGNIZED TEACHING HOSPITAL WITH NINE RESIDENCY PROGRAMS, SIX ALLIED HEALTH SCHOOLS AND OTHER TRAINING PROGRAMS. MORE THAN 700 PHYSICIANS AND OTHER PROFESSIONALS BELONG TO YORK HOSPITAL'S MEDICAL AND DENTAL STAFF.SEE WELLSPAN HEALTH - 2024 COMMUNITY BENEFIT REPORT LOCATED AT HTTPS://WWW.WELLSPAN.ORG/ABOUT-WELLSPAN/IMPROVING-HEALTHY-COMMUNITIES/COMMUNITY-BENEFIT. 1072895629 1 1 0 1 0 0 0 0 0 1 1 1 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 X 0 0 6326 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 17 10 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 1 0 PA X DAVID P RIZZUTO 7178513055 3350 WHITEFORD ROAD YORK PA 17402 SUZANNE MCCONKEY DIRECTOR 1.00 1.00 X 0 0 0 LAURA BUCZKOWSKI EXECUTIVE VP & CFO - WELLSPAN HEALTH 1.00 40.00 X X 0 1256714 79480 KRISTA DARR DIRECTOR 1.00 1.00 X 0 0 0 LEE MADDOX MD DIRECTOR 1.00 40.00 X 0 592397 73267 VICTORIA DIAMOND SR VP - CENTRAL REGION 40.00 1.00 X X 933763 0 73951 JEFF LOBACH ESQ DIRECTOR 1.00 1.00 X 0 0 0 MICHAEL SEIM SR VP & CHIEF QUALITY OFFICER 1.00 40.00 X X 0 1022554 76220 NEIL SLENKER ESQ CHAIR 1.00 1.00 X X 0 0 0 ROXANNA GAPSTUR PHD RN PRESIDENT & CEO - WELLSPAN HEALTH 1.00 40.00 X X 0 3023715 100269 CHERYL THOMPSON DPN RN VICE CHAIR 1.00 1.00 X X 0 0 0 SANDIE WALKER DIRECTOR 1.00 1.00 X 0 0 0 ELIZABETH DELLINGER DIRECTOR 1.00 1.00 X 0 0 0 BENJAMIN MCGLAUGHLIN DIRECTOR 1.00 1.00 X 0 0 0 NATASHA ROMERO DIRECTOR 1.00 1.00 X 0 0 0 AMY NELSON SECRETARY/SR VP & GENERAL COUNSEL 1.00 40.00 X X 0 846535 96211 THOMAS BURNS DIRECTOR 1.00 1.00 X 0 0 0 ALYSSA MOYER VP & PRESIDENT - YH (AS OF JAN. '24) 40.00 0.00 X X 0 670593 60513 KEITH NOLL SR VP & CHIEF ADMINISTRATION OFFICER 0.00 40.00 X 0 854175 75421 ALLAN BIRENBERG VP - MEDICAL AFFAIRS 40.00 0.00 X 728763 0 72236 MARCIA MESSER VP - CHIEF OPERATIONS OFFICER 40.00 0.00 X 496654 0 53121 DIANE MCFARLAND VP - ACUTE CARE NURSING 40.00 0.00 X 161689 0 26260 MICHAEL BOHRN VP - CHIEF ACADEMIC OFFICER 40.00 0.00 X 620981 0 79020 NELSON AEGBUNIWE REGISTERED NURSE 40.00 0.00 X 338450 0 66213 OLALEKAN OGUNDOYIN REGISTERED NURSE 40.00 0.00 X 254958 0 13658 ALTAIR CARVALHO REGISTERED NURSE 40.00 0.00 X 253296 0 62792 YAUHENI RUDZEVICH CHIEF PHYSICIST 40.00 0.00 X 250580 0 62619 FARAAZ YOUSUF FORMER EXECUTIVE VP & COO 0.00 0.00 X 0 1061597 60032 4039134 9328280 1131283 758 1 1 0 HEALTHTRUST WORKFORCE SOLUTIONS 6565 N MACARTHUR BLVD STE 325 IRVING TX 75039 STAFFING SERVICES 41416973 YORK LABORATORY ASSOCIATES 1001 SOUTH GEORGE STREET YORK PA 17403 LAB SERVICES 12750257 QUEST DIAGNOSTICS PO BOX 912512 PASADENA CA 91110 LAB SERVICES 4061830 HCSC LAUNDRY PO BOX 25092 LEHIGH VALLEY PA 18002 LAUNDRY SERVICES 2278304 PROCIRCA 1020 MADISON AVE SUITE C-700 PITTSBURGH PA 15213 HEALTHCARE SERVICES 2089703 41 4822117 690790 222533 5735440 PATIENT SERVICES 621500 1628595208 1627495451 1099757 OTHER PROGRAM REVENUE 621500 2568873 2568873 MEDICAL EDUCATION 611710 1598600 1598600 1632762681 36926620 36926620 2635950 1161923 1474027 1474027 1474027 557374887 11940 487282414 279408 70092473 -267468 69825005 69825005 INTERCOMPANY LABS 620000 1084110 1084110 PRE-HOSPITAL ASSESSMENT SERVICES 620000 451452 451452 SALARY INCOME 621110 392254 392254 685098 139569 545529 2612914 1749336687 1631662924 1690778 110247545 X 222070 222070 72000 72000 2977500 2977500 313276132 311444550 1831582 17072461 16232767 839694 71042557 55152065 15890492 24122413 22281072 1841341 386191322 386191322 99452 99452 242764 242764 25355 25355 3153444 3153444 272345745 271252810 1092935 228216 209621 18595 5436612 5347169 89443 1552153 1219290 332863 17508024 13432380 4075644 1119280 1097040 22240 223056 219228 3828 18456851 18456851 31365005 30916055 448950 11399951 11399951 MEDICAL SUPPLIES 210176806 210176806 BAD DEBT EXPENSE 62500048 62500048 TAXES & LICENSES 31387541 31387541 REPAIRS & MAINTENANCE 4768949 4598957 169992 5708128 5277358 430770 1492673835 1072895629 419778206 0 9656 10856 18324426 117546293 1330041 2773884 205517130 223258339 6879280 9040650 1779426 1686499 820317703 481593956 292262568 338723747 1313422733 1405882030 171208603 195542014 6703110 11460587 5208499 0 446295996 307111637 2468941468 2613036536 63165662 47570211 4451990 2634092 252953403 245214896 1639243 4247240 4379396 0 358191900 339694894 684781594 639361333 X 1761293176 1942775410 22866698 30899793 1784159874 1973675203 2468941468 2613036536 X 256662852 68677031 -135824554 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 25355 25355 0 PART II-B, LINE 1: A PORTION OF THE DUES PAID TO THE HOSPITAL ASSOCIATION OF PENNSYLVANIA AND THE AMERICAN HOSPITAL ASSOCIATION INCLUDE LOBBYING ($9,738 AND $15,617). 22866698 10684424 422209 3073538 30899793 21173029 2553015 647086 1506432 22866698 27640062 1442027 -2822902 5086158 21173029 21760460 4190497 2077407 388302 27640062 20624264 3060390 -118343 1805851 21760460 0.00000 0.28170 0.71830 1 1 1 2008597 2008597 457379753 265903475 191476278 14268761 11462646 2806115 260968794 204227835 56740959 85691798 85691798 338723747 REAL ESTATE, LPS 34959357 F PRIVATE EQUITY, LPS 160582657 F 195542014 BENEFICIAL INTEREST TRUST 7027564 INTERCOMPANY RECEIVABLE 300084073 307111637 CURRENT PORTION - LTD 453000 TAXABLE BOND LIABILITES 339241894 339694894 X 1618338831 68677031 -200836810 -132159779 1750498610 -1161923 -1161923 1749336687 1428823502 1161923 1161923 1427661579 65012256 65012256 1492673835 PART V, LINE 4: THE FUNDS WERE USED TO IMPROVE THE HEALTH AND WELFARE OF THE RESIDENTS OF YORK AND ADAMS COUNTIES OF PENNSYLVANIA. PART X, LINE 2: THE COMPANY AND MOST OF ITS SUBSIDIARIES (INCLUDING CERTAIN JOINT VENTURE ENTITIES) ARE EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED. THEIR RELATED INCOME IS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(A). SOME OF THE SUBSIDIARIES ARE TAXABLE ENTITIES, AND SOME OF THE INCOME OF THE TAX EXEMPT ENTITIES IS SUBJECT TO TAXATION AS UNRELATED BUSINESS TAXABLE INCOME. THE COMPANY AND ITS SUBSIDIARIES FILE U.S. FEDERAL INCOME TAX RETURNS, AND THEY ALSO FILE IN VARIOUS STATE AND FOREIGN JURISDICTIONS. THE COMPANY ACCOUNTS FOR UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH ASC TOPIC 740, INCOME TAXES. THE COMPANY ACCOUNTS FOR UNCERTAINTY IN INCOME TAX POSITIONS BY APPLYING A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THE COMPANY HAS DETERMINED THAT NO SIGNIFICANT UNRECOGNIZED TAX BENEFITS OR LIABILITIES EXIST AS OF JUNE 30, 2024 AND 2023. ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES, ASC TOPIC 740-10 PRESCRIBES A COMPREHENSIVE MODEL FOR HOW AN ORGANIZATION SHOULD MEASURE, RECOGNIZE, PRESENT AND DISCLOSE IN ITS FINANCIAL STATEMENTS UNCERTAIN TAX POSITIONS THAT AN ORGANIZATION HAS TAKEN OR EXPECTS TO TAKE ON A TAX RETURN. THE COMPANY IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS. THERE ARE NO CURRENT AUDITS IN PROGRESS. AS OF JUNE 30, 2024, THE COMPANY HAS NO UNCERTAIN TAX POSITIONS. A SUBSIDIARY OF THE COMPANY IS CLASSIFIED AS A RECIPROCAL RISK RETENTION GROUP (RRRG) FORMED UNDER THE FEDERAL LIABILITY RISK RETENTION ACT OF 1986. RRRG QUALIFIES AS AN INSURANCE COMPANY FOR FEDERAL INCOME TAX PURPOSES. RRRG IS DOMICILED IN VERMONT (VT) AND OPERATES WITHIN THE STATES OF PENNSYLVANIA (PA) AND MARYLAND (MD). VT, PA, AND MD DO NOT IMPOSE A CORPORATE INCOME TAX ON INSURANCE COMPANIES. PART XI, LINE 2D - OTHER ADJUSTMENTS: LOSS ON DEBT REFINANCING -1,035,850. CHANGE IN FV DERIVATIVE 3,053,819. MANAGEMENT FEE -1,108,229. GRANTS -203,693. BAD DEBTS -62,500,048. CHANGE IN FOUNDATION NET ASSETS 4,757,477. TRANSFER TO AFFILIATES -142,600,000. INVESTMENT MANAGEMENT FEES -3,153,444. EXPENSES NETTED WITH REVENUE ON FINANCIALS -46,842. REVENUE NETTED WITH EXPENSES ON FINANCIALS 2,000,000. PART XI, LINE 4B - OTHER ADJUSTMENTS: RENTAL EXPENSE -1,161,923. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSE 1,161,923. PART XII, LINE 4B - OTHER ADJUSTMENTS: MANAGEMENT FEE 1,108,229. GRANTS 203,693. BAD DEBTS 62,500,048. INVESTMENT MANAGEMENT FEE 3,153,444. EXPENSES NETTED WITH REVENUE ON FINANCIALS 46,842. REVENUE NETTED WITH EXPENSES ON FINANCIALS -2,000,000. 1 1 X 1 X 300.000000000000 1 X 1 1 0 1 1 7167544 0 7167544 0.00500 223807547 107213153 116594394 0.08150 230975091 107213153 123761938 0.08650 45 15854 5194845 572194 4622651 0.00320 3 83 541545 0 541545 0.00040 2 7864 1553366 0 1553366 0.00110 1 1325024 0 1325024 0.00090 7 302190 1686183 0 1686183 0.00120 58 325991 10300963 572194 9728769 0.00680 58 325991 241276054 107785347 133490707 0.09330 1 100000 0 100000 0.00010 6 4097 208876 69892 138984 0.00010 2 137 979938 0 979938 0.00070 9 4234 1288814 69892 1218922 0.00090 1 20131806 318083 428197435 463932573 -35735138 X 1 1 1 1 YORK HOSPITAL 1001 S GEORGE STREET YORK PA 17405 WWW.WELLSPAN.ORG 250301 X X X X X X YORK HOSPITAL 1 0 0 1 X X X X X X X X X 21 1 1 1 1 X WWW.WELLSPAN.ORG X VARIOUS COALITION WEBSITES - PART VI, LINE 5 EXPLANATION X X 1 21 1 WWW.WELLSPAN.ORG 0 1 X 300.000000000000 350.000000000000 X X X X X X X 1 1 X X X X 1 X WWW.WELLSPAN.ORG X WWW.WELLSPAN.ORG X WWW.WELLSPAN.ORG X X X X X X X 1 X 0 X X X X 1 X 0 0 YORK HOSPITAL PART V, SECTION B, LINE 5: COMMUNITY STAKEHOLDER ENGAGEMENT HAS BEEN VITAL TO THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROCESS SINCE IT BEGAN IN YORK COUNTY IN 1994. COUNTY HEALTH COALITIONS ACROSS THE REGION, INCLUDING HEALTHY ADAMS COUNTY, HEALTHY FRANKLIN COUNTY, HEALTHY YORK, HEALTHY COMMUNITY NETWORK, NORTHERN LANCASTER COUNTY HUB, AND THE COMMUNITY HEALTH COUNCIL OF LEBANON COUNTY HAVE BEEN INSTRUMENTAL IN THE COMPLETION OF WELLSPAN'S COMMUNITY HEALTH NEEDS ASSESSMENT. THE COALITION LEADERS HAVE BEEN ACTIVELY ENGAGED THROUGHOUT THE PROCESS AND HAVE PROVIDED EXPERTISE AND GUIDANCE WHILE ALSO ENSURING THEIR LEADERSHIP AND COMMUNITY PARTNERS ARE HEARD AND ENGAGED IN THE NEEDS ASSESSMENT PROCESS. ADDITIONALLY, A DIVERSE GROUP OF STAKEHOLDERS INCLUDING COMMUNITY NOT-FOR-PROFIT AGENCIES, ELECTED OFFICIALS, FEDERALLY QUALIFIED HEALTH CENTERS, AND PUBLIC HEALTH EXPERTS, WERE ACTIVELY ENGAGED IN THE PROCESS. YORK HOSPITAL PART V, SECTION B, LINE 6A: WELLSPAN'S COMMUNITY HEALTH NEEDS ASSESSMENT IS PREPARED BY THE PARENT ORGANIZATION, WELLSPAN HEALTH, AND INCLUDES COLLECTIVE EFFORTS OF ALL ENTITIES UNDER THE PARENT ORGANIZATION. HOSPITALS:1. YORK HOSPITAL2. GETTYSBURG HOSPITAL3. CHAMBERSBURG HOSPITAL4. WAYNESBORO HOSPITAL5. EPHRATA COMMUNITY HOSPITAL6. THE GOOD SAMARITAN HOSPITAL OF LEBANON, PENNSYLVANIA7. WELLSPAN SURGERY & REHABILITATION HOSPITAL8. PHILHAVENFOUNDATIONS:1. YORK HEALTH FOUNDATION2. SUMMIT HEALTH FOUNDATION3. GETTYSBURG HOSPITAL FOUNDATION4. EPHRATA COMMUNITY HEALTH FOUNDATION5. GOOD SAMARITAN HEALTH SERVICES FOUNDATIONMEDICAL SERVICES:1. APPLE HILL SURGICAL CENTER, INC.2. CHAMBERSBURG HEALTH SERVICES3. SUMMIT PHYSICIAN SERVICES4. VNA HOME HEALTH SERVICES5. WELLSPAN HEALTH CARE SERVICES6. WELLSPAN MEDICAL GROUP7. WELLSPAN SUMMIT HEALTH8. GOOD SAMARITAN PHYSICIAN SERVICES9. HEALTHY COMMUNITY PHARMACY10. VNA COMMUNITY SERVICES YORK HOSPITAL PART V, SECTION B, LINE 6B: COUNTY HEALTH COALITIONS ACROSS THE REGION, INCLUDING HEALTHY ADAMS COUNTY, HEALTHY FRANKLIN COUNTY, HEALTHY YORK, THE NORTHERN LANCASTER COUNTY HUB, AND THE COMMUNITY HEALTH COUNCIL OF LEBANON COUNTY HAVE BEEN INSTRUMENTAL IN THE COMPLETION OF WELLSPAN'S COMMUNITY HEALTH NEEDS ASSESSMENT. THE COALITION LEADERS HAVE BEEN ACTIVELY ENGAGED THROUGHOUT THE PROCESS AND HAVE PROVIDED EXPERTISE AND GUIDANCE WHILE ALSO ENSURING THEIR LEADERSHIP AND COMMUNITY PARTNERS ARE HEARD AND ENGAGED IN THE NEEDS ASSESSMENT PROCESS. FEDERALLY QUALIFIED HEALTH CENTERS ACROSS WELLSPAN'S REGION WERE ALSO CONTRIBUTING PARTNERS, INCLUDING FAMILY FIRST HEALTH, KEYSTONE HEALTH, AND UNION COMMUNITY CARE. YORK HOSPITAL PART V, SECTION B, LINE 7D: WITH EACH ITERATION OF THE CHNA PROCESS, WELLSPAN AND ITS COMMUNITY PARTNERS CONTINUE TO REFINE AND ENHANCE THE SYSTEM BY WHICH IT OBTAINS DATA, SHARED IT WITH KEY COMMUNITY, HOSPITAL ENTITIES, AND SYSTEM LEADERS, AND INTEGRATED IT INTO THE SYSTEM-WIDE AND ENTITY-LEVEL PLANNING PROCESSES. THE CHNA RESULTS AND RELATED PRIORITIES IDENTIFIED WERE SHARED WITH WELLSPAN HEALTH'S REGIONAL BOARDS OF DIRECTORS AND THE SYSTEM-WIDE LEADERSHIP TEAMS. THIS STAKEHOLDER GROUP IS COMPRISED OF COMMUNITY MEMBERS AND LEADERS THAT REPRESENT EACH OF WELLSPAN'S PRIMARY ENTITIES AND SERVICE AREAS, IN ADDITION TO EXECUTIVE LEADERSHIP. COLLECTIVE INPUT WAS USED TO ESTABLISH SYSTEM-WIDE PRIORITIES. THE ESTABLISHED COMMUNITY-DRIVEN COUNTY HEALTH COALITIONS AND WELLSPAN SPECIFIC PRIORITIES AND ASSOCIATED DATA WERE PRESENTED TO THE WELLSPAN HEALTH BOARD FOR THEIR ADOPTION. EACH COUNTY HEALTH COALITION HOSTED A PUBLIC FORUM IN SUMMER/ FALL 2022 TO COMMUNICATE THE CHNA RESULTS AND IDENTIFY PRIORITIES TO HUNDREDS OF COMMUNITY MEMBERS ACROSS THE REGION. DURING THE FORUMS, COMMUNITY MEMBERS DISCUSSED THE OPPORTUNITIES AND RISKS ASSOCIATED WITH EACH PRIORITY, AS WELL AS HOW THE ORGANIZATION WHICH THEY REPRESENT CAN HAVE AN IMPACT ON EACH PRIORITY. IN ADDITION TO THESE VENUES, CHNA RESULTS ARE AVAILABLE ON EACH COALITION'S WEBSITE, AS WELL AS WELLSPAN HEALTH'S WEBSITE AND MAY ALSO BE OBTAINED UPON REQUEST. THE CORRESPONDING WELLSPAN COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) IS ALSO AVAILABLE ON THE WELLSPAN HEALTH WEBSITE. YORK HOSPITAL PART V, SECTION B, LINE 11: WELLSPAN'S THREE-YEAR COMMUNITY HEALTH IMPROVEMENT PLAN PROVIDES A FRAMEWORK FOR THE ORGANIZATION'S PROGRAMS AND ACTIVITIES THAT PROMOTE HEALTH AND WELLNESS IN RESPONSE TO THE NEEDS IDENTIFIED IN THE CHNA REPORTS. THESE AREAS OF FOCUS MEET AT LEAST ONE, AND OFTEN SEVERAL, OF THE COMMUNITY BENEFIT GUIDELINES OF A NONPROFIT HEALTH SYSTEM, AS OUTLINED BY THE CATHOLIC HEALTH ASSOCIATION: IMPROVING ACCESS TO HEALTHCARE SERVICES; ENHANCING THE HEALTH OF THE COMMUNITY; ADVANCING MEDICAL OR HEALTHCARE KNOWLEDGE OR RELIEVING OR REDUCING THE BURDEN OF GOVERNMENT OR OTHER COMMUNITY EFFORTS. SPECIFIC PRIORITIES ARE THEN INCORPORATED INTO WELLSPAN'S ANNUAL OPERATING PLAN AND BUDGET.WHILE THIS PLAN INCLUDES AN ARRAY OF GOALS AND OBJECTIVES FOR BROAD PRIORITY AREAS, IT DOES NOT ADDRESS ALL HEALTH-RELATED ISSUES IDENTIFIED THROUGH THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS. WELLSPAN USES THE FOLLOWING CRITERIA TO DETERMINE WHEN NOT TO ADDRESS AN IDENTIFIED NEED IN OUR FORMAL COMMUNITY HEALTH IMPROVEMENT PLAN:1. EFFORTS SPECIFIC TO AN ISSUE ARE ALREADY UNDERWAY AND WILL CONTINUE, THEREFORE A CALL-OUT IN THE COMMUNITY HEALTH IMPROVEMENT PLAN IS UNNECESSARY.2. ISSUE APPEARS TO BE EMERGING AND WARRANTS MONITORING, BUT NOT AFFECTING THE COMMUNITY IN A MANNER THAT REQUIRES IMMEDIATE ACTION.3. A COMMUNITY-WIDE OR PARTNER SPECIFIC APPROACH WOULD BE MORE EFFECTIVE IN ADDRESSING THE NEED.SEE THE WELLSPAN HEALTH COMMUNITY HEALTH IMPROVEMENT PLAN AVAILABLE ONLINE AT: HTTPS://WWW.WELLSPAN.ORG/ABOUT/WELLSPAN-IN-THE-COMMUNITY/ YORK HOSPITAL PART V, SECTION B, LINE 13H: WELLSPAN HEALTH IS COMMITTED TO CARING FOR ALL THE MEMBERS OF ITS COMMUNITIES, REGARDLESS OF THEIR ABILITY TO PAY. IN RECENT YEARS, OVERALL CHARITY CARE HAS DECREASED SLIGHTLY AS MORE PEOPLE HAVE OBTAINED HEALTH INSURANCE COVERAGE THROUGH THE AFFORDABLE CARE ACT AND THE EXPANSION OF PENNSYLVANIA'S MEDICAL ASSISTANCE (MEDICAID) PROGRAM. WELLSPAN IS PROUD TO BE A LEADING PARTNER IN THE HEALTHY COMMUNITY NETWORK, WHICH WORKS TO ADDRESS THE NEEDS OF UNINSURED AND UNDERINSURED INDIVIDUALS IN OUR COMMUNITY. IN ADDITION, THE HEALTH SYSTEM RECENTLY ENHANCED ITS FINANCIAL ASSISTANCE POLICY AND THE DISCOUNTS THAT IT PROVIDES ON SERVICES. FOR MORE INFORMATION ON WELLSPAN'S FINANCIAL ASSISTANCE PROGRAM, VISIT HTTPS://WWW.WELLSPAN.ORG/PATIENTS-VISITORS/PATIENT-GUIDE/BILLING-INSURANCE/FINANCIAL-ASSISTANCE/. YORK HOSPITAL PART V, SECTION B, LINE 16J: IN AN EFFORT TO MAKE PATIENTS, FAMILIES AND OTHERS IN OUR COMMUNITIES AWARE OF THE NEWLY EXPANDED FINANCIAL ASSISTANCE POLICY (FAP), WELLSPAN BROADLY PUBLICIZED ITS POLICY VIA PROMOTIONAL SIGNAGE AND THE DISTRIBUTION OF EASY-TO-READ INFORMATIONAL MATERIALS AT REGISTRATION SITES THROUGHOUT OUR COMMUNITIES. WELLSPAN PROVIDED INFORMATION ON THE FAP ON ITS BILLING STATEMENTS AND INCLUDED INFORMATION IN PATIENT DISCHARGE MATERIALS. IN ADDITION, THE MATERIALS AND INFORMATION ARE EASILY ACCESSIBLE VIA WELLSPAN'S WEBSITE AT WWW.WELLSPAN.ORG. THE SITE REFLECTS WELLSPAN'S NEWLY ENHANCED POLICY, AS WELL AS INFORMATIONAL AND APPLICATION MATERIALS. IT WAS ALSO PUBLICIZED VIA WELLSPAN'S ON-HOLD PHONE MESSAGING SYSTEM AND IN ITS DIRECT-TO-CONSUMER COMMUNITY NEWSLETTER/MAGAZINE, WHICH IS DISTRIBUTED BY MAIL, EMAIL AND ON-LINE. IN ADDITION, WELLSPAN PLACED POSTERS AND SIGNAGE AT ITS VARIOUS SITES OF CARE TO PUBLICIZE THE FAP. PRINTED COPIES OF WELLSPAN HEALTH'S POLICY AND THE PLAIN LANGUAGE SUMMARY OF THE POLICY, BOTH OF WHICH ARE AVAILABLE IN ENGLISH AND SPANISH, MAY BE OBTAINED AT NO COST BY VISITING OR CALLING ONE OF THE WELLSPAN PATIENT FINANCIAL SERVICES OFFICES.THE FINANCIAL ASSISTANCE POLICY, FINANCIAL ASSISTANCE APPLICATION, AND THE FINANCIAL ASSISTANCE POLICY PLAIN LANGUAGE SUMMARY ARE ALL AVAILABLE ENGLISH AND SPANISH. 37 1 - WELLSPAN HOODNER DENTAL CENTER 605 SOUTH GEORGE STREET YORK PA 174013160 DENTAL CLINIC 2 - YORK HOSPITAL SURGERY 1101 EDGAR STREET YORK PA 174032862 SURGERY SERVICES 3 - WELLSPAN INTERVENTIONAL PAIN MANAGEMENT 228 SAINT CHARLES WAY YORK PA 174024661 PAIN MANAGEMENT SERVICES 4 - WELLSPAN IMAGING 37 MONUMENT ROAD YORK PA 174035023 RADIOLOGY, ULTRASOUND, & VASCULAR 5 - WELLSPAN REHABILITATION 1575 BANNISTER STREET YORK PA 174044946 HEART & VASCULAR SERVICES 6 - WELLSPAN YORK HOSPITAL CANCER CENTER 25 MONUMENT RD YORK PA 174035049 CANCER PATIENT SERVICES 7 - WELLSPAN IMAGING 2319 SOUTH GEORGE STREET YORK PA 174035009 LAB, RADIOLOGY, & MAMMOGRAM SERVICES 8 - WELLSPAN OCCUPATIONAL HEALTH 2250 EAST MARKET STREET YORK PA 174022857 OCCUPATIONAL HEALTH SERVICES 9 - WELLSPAN PULMONARY & SLEEP MEDICINE 2350 FREEDOM WAY YORK PA 174028265 PULMONARY THERAPY 10 - WELLSPAN REHABILITATION 1790 OLD TRAIL ROAD ETTERS PA 173199652 REHABILITATION CENTER 11 - WELLSPAN REHABILITATION 1000 CARLISLE STREET HANOVER PA 173311121 REHABILITATION CENTER 12 - WELLSPAN IMAGING 13515 WOLFE ROAD NEW FREEDOM PA 173499346 IMAGING SERVICES 13 - WELLSPAN REHABILITATION 73 EAST FORREST AVENUE SHREWSBURY PA 173611400 OCCUPATION AND SPEECH THERAPY 14 - YORK HOSPITAL-DIAGNOSTIC IMAGING SERVICE 207 BLOOMING GROVE ROAD HANOVER PA 173317917 DIAGNOSTIC SERVICES 15 - YORK HOSPITAL WELLSPAN IMAGING 3065 WINDSOR ROAD RED LION PA 173568533 IMAGING SERVICES 16 - YORK HOSPITAL WELLSPAN WOMEN'S IMAGING 35 MONUMENT ROAD YORK PA 174035074 MAMMOGRAPHY, MRI/ULTRASOUND & OTHER TESTING 17 - YORK HOSPITAL WELLSPAN OCCUPATIONAL HEAL 455 S WASHINGTON STREET GETTYSBURG PA 173252516 OCCUPATIONA HEALTH SERVICES 18 - WELLSPAN REHAB AT THE WHEATLYN CENTER 235 ROSEDALE DRIVE MANCHESTER PA 173451022 REHABILITATION CENTER 19 - YORK HOSPITAL WELLSPAN REHABILITATION 2051 SPRINGWOOD ROAD YORK PA 174034836 REHABILITATION CENTER 20 - YORK HOSPITAL WELLSPAN OCCUPATIONAL HEAL 1150 CARLISLE STREET HANOVER PA 173311100 OCCUPATIONAL HEALTH SERVICES 21 - YORK HOSPITAL WELLSPAN IMAGING 2775 NORTH GEORGE STREET YORK PA 174063020 LAB, RADIOLOGY, & MAMMOGRAM SERVICES 22 - WELLSPAN YORK HOSPITAL WOUND HEALING CEN 1399 SOUTH QUEEN STREET YORK PA 174033840 WOUND CARE SERVICES 23 - YORK HOSPITAL WELLSPAN IMAGING 105 4TH STREET EAST BERLIN PA 173169638 LAB, RADIOLOGY, & MAMMOGRAM SERVICES 24 - WELLSPAN YORK HOSPITAL SPECIALTY CARE CL 1101 EDGAR STREET YORK PA 174032862 SPECIALTY CARE CLINIC 25 - YORK HOSPITAL WELLSPAN REHABILITATION 635 LOMBARD ROAD RED LION PA 173569054 REHABILITATION CENTER 26 - YORK HOSPITAL-WELLSPAN PULMONARY REHABIL 2350 FREEDOM WAY YORK PA 174028200 PULMONARY THERAPY 27 - WELLSPAN IMAGING 4020 CARLISLE ROAD DOVER PA 173153508 LAB, RADIOLOGY, & MAMMOGRAM SERVICES 28 - WELLSPAN YORK HOSPITAL PARENT EDUCATION 2017 SPRINGWOOD ROAD YORK PA 174034836 PARENT EDUCATION SERVICES 29 - WELLSPAN YORK HOSPITAL HEART & VASCULAR 30 MONUMENT ROAD YORK PA 174030000 HEART & VASCULAR SERVICES 30 - WELLSPAN YORK HOSPITAL NEURODIAGNOSTIC L 390 SAINT CHARLES WAY YORK PA 174024647 NEURODIAGNOSTIC LAB 31 - YORK HOSPITAL WELLSPAN COMMUNITY HEALTH 605 SOUTH GEORGE STREET YORK PA 174013161 COMMUNITY HEALTH CARE CLINIC 32 - YORK HOSPITAL WELLSPAN COMMUNITY HEALTH 605 SOUTH GEORGE STREET YORK PA 174013160 COMMUNITY HEALTH CARE CENTER 33 - YORK HOSPITAL WELLSPAN BEHAVIORAL HEALTH 147 GETTYS STREET GETTYSBURG PA 173252534 CRISIS INTERVENTION CENTER 34 - WELLSPAN BEHAVIORAL HEALTH CRISIS INTERV 1101 EDGAR STREET YORK PA 174032862 MENTAL HEALTH & SUBSTANCE ABUSE SERVICES 35 - WELLSPAN BEHAVIORAL HEALTH CRISIS INTERV 605 SOUTH GEORGE STREET YORK PA 174013161 MENTAL HEALTH & SUBSTANCE ABUSE SERVICES 36 - WELLSPAN YORK HOSPITAL OBGYN 1101 EDGAR STREET YORK PA 174032862 OB GYN & SPECIALTY CARE CLINIC 37 - WELLSPAN AMBULANCE SERVICE 2486 WEST COLLEGE AVENUE YORK PA 174088711 AMBULATORY SERVICES PART I, LINE 3C: PATIENTS/GUARANTORS WHO COMPLETE AN APPLICATION FOR FINANCIAL ASSISTANCE, WHOSE GROSS INCOME FALLS BETWEEN 351-400% OF THE FEDERAL POVERTY LEVEL (FPL), AND MEET ALL OTHER FINANCIAL ASSISTANCE QUALIFICATIONS, WILL BE ELIGIBLE FOR A 40% DISCOUNT ON SELF-PAY BALANCES. PATIENTS WHO HAVE GROSS INCOME IN EXCESS OF 400% OF FPL DO NOT QUALIFY FOR FINANCIAL ASSISTANCE. PART I, LINE 6A: COMMUNITY BENEFIT INFORMATION IS INCLUDED IN THE COMMUNITY BENEFIT REPORT FOR WELLSPAN HEALTH. PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 62,500,048. PART II, COMMUNITY BUILDING ACTIVITIES: COMMUNITY SUPPORT:WELLSPAN INITIATED SUPPORT FOR A CREDIBLE MESSENGER PROGRAM TO ADDRESS GROWING CONCERN FOR GROUP AND GUN VIOLENCE IN YORK COUNTY. WELLSPAN CONTRIBUTES $100,000 ANNUALLY IN SUPPORT OF THE PROGRAM, WHICH WORKS IN PARTNERSHIP WITH LOCAL AGENCIES AND POLICE DEPARTMENTS AND HAS DEMONSTRATED A REDUCTION IN GUN VIOLENCE. COALITION BUILDING:A CORE PILLAR OF WELLSPAN'S COMMUNITY-DRIVEN APPROACH INCLUDES LEANING INTO OUR ROLE AS A CONVENOR IN THE COMMUNITY. IN THE YORK COMMUNITY, THIS INCLUDES FINANCIALLY SUPPORTING THE HEALTHY YORK COALITION, A COLLABORATIVE GROUP THAT BRINGS TOGETHER STAKEHOLDERS FROM ACROSS THE COMMUNITY TO DISCUSS COMMON HEALTH GOALS AND OPPORTUNITIES. WELLSPAN'S FINANCIAL COMMITMENT INCLUDES THE SALARY AND BENEFIT EXPENSES FOR THE EXECUTIVE DIRECTOR POSITION AS WELL AS EXPENSES ASSOCIATED WITH THE COMMUNITY HEALTH NEEDS ASSESSMENT/ COMMUNITY HEALTH IMPROVEMENT PLAN DISSEMINATION AND GENERAL PROGRAMMING EXPENSES, TOTALING ROUGHLY $95,000 IN FY24. WELLSPAN HEALTH ALSO SERVES AS THE LEAD AGENCY FOR SAFE KIDS YORK COUNTY, WHICH ENGAGES MULTIPLE COLLABORATIVE PARTNERS SERVING YOUNG FAMILIES SUCH AS LOCAL POLICE AND FIRE DEPARTMENTS, WOMEN INFANTS AND CHILDREN (WIC), THE YORK CITY BUREAU OF HEALTH AND LOCAL FEDERALLY QUALIFIED HEALTH CENTERS. TOGETHER, THE SAFE KIDS COALITION PROMOTES THE PREVENTION OF INTENDED INJURY AMONG CHILDREN BY EMPHASIZING CAR SAFETY, SPORTS SAFETY, HOME SAFETY, ETC. THE COMMITMENT FROM WELLSPAN ALONE FOR THESE EFFORTS REACHES MORE THAN 4,000 COMMUNITY MEMBERS ANNUALLY. IN FY24, A SUCCESSFUL CAMPAIGN TO ENCOURAGE THE USE OF CAR BOOSTER SEATS LEVERAGED GRANT FUNDS AND WELLSPAN INVESTMENT TO REACH NEARLY 1,000 CHILDREN. WORKFORCE DEVELOPMENT:WELLSPAN SUPPORTS A ROBUST UNPAID INTERNSHIP PROGRAM THAT HOSTS AN AVERAGE OF 500 STUDENTS ANNUALLY, CONTRIBUTING AN AVERAGE OF MORE THAN 75,000 HOURS WITH OUR TEAMS ACROSS THE ENTIRETY OF WELLSPAN'S FOOTPRINT- INCLUDING MORE THAN 20,000 HOURS FOR 137 STUDENTS THIS YEAR AT YORK HOSPITAL. OUR TEAM MEMBERS CONTRIBUTE THEIR TIME TO ADVANCE STUDENTS' KNOWLEDGE- OFTEN GOING ABOVE AND BEYOND THEIR NORMAL RESPONSIBILITIES. THE COMMUNITY BENEFIT CONTRIBUTION FOR THIS PROGRAM INCLUDES STAFF TIME MENTORING INTERNS THAT EXCEEDS THEIR NORMAL JOB EXPECTATIONS. WELLSPAN BELIEVES STRONGLY IN FOSTERING A LEARNING ENVIRONMENT FOR COLLEGE STUDENTS LOOKING TO EXPLORE CAREERS IN HEALTHCARE.SEVERAL YEARS AGO, WELLSPAN LAUNCHED THE PROJECT SEARCH COLLABORATIVE TRAINING PROGRAM FOR YOUNG ADULTS WITH DISABILITIES WHERE STUDENTS RECEIVE ON-THE-JOB TRAINING FOR CAREERS IN HEALTHCARE. IN FY24, FOUR STUDENTS AT YORK HOSPITAL WERE SUPERVISED BY STAFF MEMBERS WHO COMMITTED AN ESTIMATED 1,742 HOURS BEYOND THEIR NORMAL RESPONSIBILITIES TO SUPPORT THE STUDENTS (CONTRIBUTING ROUGHLY $80,000 IN COMMUNITY BENEFIT). PART III, LINE 2: 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 III, LINE 3: 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 4: YORK HOSPITAL PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR ESTIMATED LOSSES RESULTING FROM THE UNWILLINGNESS OR INABILITY OF PATIENTS TO MAKE PAYMENTS FOR SERVICES. THE ALLOWANCE IS DETERMINED BY ANALYZING SPECIFIC ACCOUNTS AND HISTORICAL DATA AND TRENDS. PATIENT ACCOUNTS RECEIVABLE ARE CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS, WHEN MANAGEMENT DETERMINES THAT RECOVERY IS UNLIKELY, AND YH CEASES COLLECTION EFFORTS. LOSSES HAVE BEEN CONSISTENT WITH MANAGEMENT'S EXPECTATIONS IN ALL MATERIAL RESPECTS. PART III, LINE 8: YORK HOSPITAL MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE LEVEL OF CHARITY CARE AND COMMUNITY SERVICE IT PROVIDES. THESE RECORDS INCLUDE THE AMOUNT OF CHARGES FORGONE BASED ON ESTABLISHED RATES FOR SERVICES AND SUPPLIES FURNISHED UNDER ITS CHARITY CARE AND COMMUNITY SERVICE POLICIES AND THE ESTIMATED COST OF THESE SERVICES. PAYMENTS FROM MEDICARE ARE GENERALLY LESS THAN YORK HOSPITAL'S COSTS OF PROVIDING THE SERVICE. PART III, LINE 9B: 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 VI, LINE 2: THE 2022 WELLSPAN COMMUNITY HEALTH NEEDS ASSESSMENT PROVIDES A REPRESENTATIVE ANALYSIS OF PERTINENT COMMUNITY HEALTH ISSUES IN THE SOUTH CENTRAL PENNSYLVANIA. THE ASSESSMENT INCLUDES THE ENTIRETY OF FRANKLIN, ADAMS, YORK AND LEBANON COUNTIES AS WELL AS SPECIFIC GEOGRAPHIC AREAS WITHIN LANCASTER COUNTY. THIS GEOGRAPHIC FOCUS ENCOMPASSES THE WELLSPAN SERVICE AREA AND THE PATIENTS, COVERED LIVES, AND COMMUNITIES WITHIN THE FIVE-COUNTY REACH OF OUR ORGANIZATION. A LOCAL EMPHASIS PERMITS WELLSPAN'S SEVEN ACUTE CARE HOSPITALS AND ONE BEHAVIORAL HEALTH HOSPITAL TO ACT ON UNIQUE COUNTY ATTRIBUTES WHILE MAINTAINING A REGIONAL PERSPECTIVE OF COMMUNITY HEALTH ISSUES CHALLENGING OUR PATIENTS, NEIGHBORS AND COMMUNITIES. WELLSPAN'S 2022 COMMUNITY HEALTH NEEDS ASSESSMENT LEVERAGED DATA FROM MULTIPLE DATA SOURCES, INCLUDING: 1. WELLSPAN HEALTH PATIENT DATA. 2. WELLSPAN HEALTH'S PROVIDER SURVEY. 3. LOCAL, STATE AND NATIONAL DATA SOURCES. 4. REPRESENTATIVE AND SPECIAL POPULATIONS COMMUNITY SURVEY. 5. SPECIAL POPULATIONS DATA COLLECTION. IN ADDITION TO OUR ROUTINE DATA COLLECTION METHODS, WHICH PROVIDE A COMMUNITY-WIDE PERSPECTIVE OF STRENGTHS AND CHALLENGES, A PLAIN COMMUNITY SURVEY, FOCUS GROUPS AND KEY INFORMANT INTERVIEWS, AND OFF-CYCLE EXPLORATORY DATA COLLECTION HAVE PERMITTED AN OPPORTUNITY TO LEARN ABOUT GROUPS WITHIN OUR COMMUNITY WHO HAVE BEEN MARGINALIZED AND UNDERREPRESENTED IN SIMILAR ASSESSMENTS. MANY COMMUNITY MEMBERS ARE DISPROPORTIONATELY AT RISK OF POOR HEALTH OUTCOMES BECAUSE OF HEALTH INEQUITIES. OUR COMMUNITY HEALTH NEEDS ASSESSMENT STRATEGY ALIGNS WITH WELLSPAN'S ORGANIZATIONAL APPROACHES TO ADDRESS DIVERSITY AND INCLUSION AND HEALTH EQUITY. FOR EXAMPLE, EACH INDICATOR WAS CONSIDERED WITH A GEOGRAPHIC, AGE, RACE, LANGUAGE, GENDER AND INCOME/ POVERTY LENS TO IDENTIFY DISPARITIES AMONG SEGMENTS OF OUR COMMUNITY. THE COMMUNITY HEALTH NEEDS ASSESSMENT ALSO GATHERED DATA ABOUT SUBGROUPS WITHIN OUR COMMUNITY WHO HAVE TRADITIONALLY BEEN UNDERSERVED THROUGH HEALTHCARE INCLUDING (BUT NOT LIMITED TO) HISPANIC/LATINO, BLACK/AFRICAN AMERICAN, PLAIN COMMUNITY, INDIVIDUALS LIVING IN POVERTY, SENIORS, AND CHILDREN. THE DATA COLLECTION METHODS OF THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) BUILT ON FOUNDATIONAL WORK FROM PREVIOUS WELLSPAN COMMUNITY HEALTH NEEDS ASSESSMENT PROCESSES AND WERE EXPANDED TO BE MORE INCLUSIVE AND INNOVATIVE. DATA COLLECTION WAS FACILITATED BY THE CENTER FOR OPINION RESEARCH AT FRANKLIN AND MARSHALL COLLEGE, LED BY BERWOOD YOST, DIRECTOR OF THE CENTER AND PROJECT CONSULTANT FOR THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT. A DIVERSE GROUP OF STAKEHOLDERS THROUGHOUT THE REGION WERE ACTIVELY ENGAGED IN THE NEEDS ASSESSMENT PROCESS, INCLUDING LOCAL HEALTH COALITIONS, COMMUNITY NOT-FOR-PROFIT AGENCIES, ELECTED OFFICIALS, FEDERALLY QUALIFIED HEALTH CENTERS, PUBLIC HEALTH EXPERTS, ETC. BASED ON THE COMMUNITY HEALTH NEEDS ASSESSMENT RESULTS, WELLSPAN'S THREE-YEAR STRATEGIES AND PRIORITIES WITHIN ITS COMMUNITY HEALTH IMPROVEMENT PLAN WILL INCLUDE: - CARE FOR ALL: ENSURE ACCESS AND QUALITY OF CARE FOR PATIENTS BY IDENTIFYING AND REDUCING DISPARITIES AND BARRIERS TO CARE. - MENTAL WELL-BEING: SUPPORT PERSONAL WELL-BEING AND WHOLE PERSON HEALTH BY MAKING IT EASIER FOR PEOPLE TO RECOGNIZE AND GET SUPPORT FOR MENTAL HEALTH AND ADDICTION ISSUES. - SOCIAL DETERMINANTS OF HEALTH: DEVELOP AND IMPLEMENT NEW APPROACHES FOR COLLABORATING WITH COMMUNITY-BASED ORGANIZATIONS TO IMPACT THE MOST PRESSING SOCIAL DETERMINANTS OF HEALTH (SDOH) IMPACTING OUR PATIENTS AND THE COMMUNITY. - HEALTHY COMMUNITIES: CREATE HEALTHY, SAFE COMMUNITIES AND ENSURE OUR YOUNGEST COMMUNITY MEMBERS AND NEXT GENERATION CAN THRIVE AND GROW. WELLSPAN HAS EVOLVED ITS COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS OVER TIME AND REMAINS COMMITTED TO ENSURING DATA INTEGRITY AND A SOUND SCIENTIFIC APPROACH. NEVERTHELESS, THERE ARE LIMITATIONS TO OUR PROCESS. WE HAVE MINIMIZED THE RISK OF INCOMPLETE OR INACCURATE DATA WHENEVER POSSIBLE BUT REMAIN COGNIZANT OF THE FOLLOWING LIMITATIONS: 1. LAGGING DATA: UTILIZING SECONDARY DATA SOURCES MEANS EMBRACING THE LIMITATIONS OF THOSE SOURCES. 2. INTERNAL PATIENT DATA: UTILIZING WELLSPAN PATIENT DATA MAY HAVE AN INHERENT BIAS OF NOT INCLUDING THOSE WHO CANNOT AFFORD CARE AND ARE THEREFORE NOT CAPTURED IN OUR RECORDS. 3. SURVEY SAMPLE SIZES: FOR A VARIETY OF REASONS, WE ARE NOT ABLE TO SURVEY EVERY MEMBER OF OUR COMMUNITY. OUR HEALTH SYSTEM AND COMMUNITY EXPERIENCED GREAT HARDSHIPS OVER THE PAST COUPLE YEARS DUE TO THE PANDEMIC. THE ENORMITY OF THE COVID-19 IMPACT WARRANTS A REALISTIC APPROACH TO ADDRESSING COMMUNITY NEEDS IN AN OUTCOMES-FOCUSED MANNER. THIS IS AN UNPRECEDENTED TIME, AND OUR COMMUNITIES HAVE NOT YET RECOVERED FROM THE INTENSITY OF THE PANDEMIC'S INFLUENCES. THE WELLSPAN BOARD OF DIRECTORS APPROVED THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT, WHICH IS MADE AVAILABLE TO THE PUBLIC ON OUR WEBSITE AT: HTTPS://WWW.WELLSPAN.ORG/ABOUT/WELLSPAN-IN-THE-COMMUNITY/. IN ADDITION TO THE PLACEMENT OF THE CHNA ON THE WEBSITE, THERE WERE COMMUNITY LEVEL FORUMS IN THE COUNTY OF EACH WELLSPAN FACILITY WHICH PUBLICLY RELEASED THE DATA, SUMMARIZED THE FINDINGS, AND ARTICULATED WELLSPAN'S INTENTION TO ADDRESS THE IDENTIFIED NEEDS. PART VI, LINE 3: IN ACCORDANCE WITH THE WELLSPAN HEALTH FINANCIAL ASSISTANCE POLICY (FAP), PATIENTS/RESPONSIBLE PARTIES WILL BE NOTIFIED OF THE AVAILABLE OPTIONS FOR FINANCIAL ASSISTANCE PER IRS REGULATION 501(R). METHODS OF NOTIFICATION INCLUDE, BUT ARE NOT LIMITED TO: 1. POSTING OF LEGIBLE SIGNAGE2. DEVELOPMENT OF A PLAIN LANGUAGE SUMMARY3. DISTRIBUTING INFORMATIONAL BROCHURES AT HOSPITAL AND OFFICE REGISTRATION AREAS4. DISTRIBUTING INFORMATIONAL BROCHURES THROUGHOUT ITS COMMUNITIES5. A COPY OF THE FINANCIAL ASSISTANCE POLICY PLAIN LANGUAGE SUMMARY OFFERED DURING THE REGISTRATION/DISCHARGE PROCESS6. CONSPICUOUS NOTICE REGARDING THE FINANCIAL ASSISTANCE POLICY PRINTED ON ALL ACCOUNT STATEMENTS7. COPY OF THE FINANCIAL ASSISTANCE POLICY PLAIN LANGUAGE SUMMARY PROVIDED WITH LAST BILLING STATEMENT THE WELLSPAN FAP CAN BE FOUND ONLINE AT:HTTPS://WWW.WELLSPAN.ORG/PATIENT-RESOURCES/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE PART VI, LINE 4: LOCATED WITHIN YORK CITY, PENNSYLVANIA, YORK HOSPITAL IS A PROMINENT FIXTURE IN THE HISTORY OF YORK COUNTY, PENNSYLVANIA. AS THE LARGEST WELLSPAN SERVICE AREA, YORK COUNTY IS HOME TO ROUGHLY 445,565 COMMUNITY MEMBERS AND DEMONSTRATES A 3% GROWTH IN TOTAL POPULATION SINCE 2011. THE MEDIAN AGE IN YORK COUNTY (41.0) IS HIGHER THAN THE STATE AND THE NATION AND COMPARABLE TO THE NEIGHBORING COUNTIES. YORK COUNTY IS AMONG THE MOST RACIALLY AND COUNTIES WITHIN WELLSPAN'S FOOTPRINT WITH 6.5% OF THE COMMUNITY IDENTIFYING AS BLACK OR AFRICAN AMERICAN, AND 5.3% IDENTIFYING AS HISPANIC OR LATINO. THE MEDIAN HOME VALUE ($177,100) AND MEDIAN RENT ($957 MONTHLY) ARE COMPARABLE BUT SLIGHTLY LOWER THAN THE STATE, ADAMS, FRANKLIN AND LANCASTER COUNTIES. YORK COUNTY INCLUDES THE URBAN CITY CENTER OF YORK CITY AS WELL AS A SMALLER URBAN CENTER IN THE WESTERN PART OF THE COUNTY, IN HANOVER. THE DISTRIBUTION OF DIVERSITY EXTENDS FROM ITS HIGHEST CONCENTRATION IN YORK CITY, OUT TO THE SUBURBAN AREAS AROUND YORK CITY SUCH AS RED LION, MANCHESTER AND MOUNT WOLF. THE MEDIAN HOUSEHOLD INCOME IN YORK COUNTY IS $66,457, WHICH IS HIGHER THAN THE STATE ($61,744) AND FRANKLIN AND LEBANON COUNTIES. ROUGHLY 9.6% OF COMMUNITY MEMBERS IN YORK COUNTY ARE LIVING IN POVERTY, A PERCENTAGE WHICH IS LOWER THAN THE STATE. THE 2022 COUNTY HEALTH RANKINGS RANK YORK COUNTY AS 24 OVERALL, COMPARED TO 19TH IN 2021. NOTABLY, YORK RANKS 8TH IN CLINICAL CARE, THE HIGHEST RANKING IN THE REGION. THE PHYSICAL ENVIRONMENT RANKING, INCLUDING AIR POLLUTION, HOUSING CHALLENGES, THE NUMBER OF COMMUTERS TO WORK AND DRINKING WATER VIOLATIONS, PLACES YORK AS 50TH. OF ADDITIONAL CONCERN, PER CAPITA ASSAULTS BY GUNS IN YORK CITY REMAIN HIGH AND EXCEED OTHER COUNTIES IN THE REGION AS WELL AS OTHER CITIES OF COMPARABLE SIZE. DRUG INDUCED DEATH RATES AND SUICIDE DEATH RATES HAVE INCREASED IN YORK CITY FROM 2010-2019. THE 2022 COMMUNITY SURVEY SHOWS YORK COUNTY RESIDENTS' HEALTH ISSUES ARE STRONGLY ASSOCIATED WITH OBESITY AND ASSOCIATED INDICATORS SUCH AS POOR EATING, A LACK OF PHYSICAL ACTIVITY, AND POOR MENTAL HEALTH. YORK RESIDENTS SEEM TO HAVE BETTER ATTITUDES TOWARD COVID VACCINES THAN RESIDENTS OF OTHER COUNTIES. YORK COUNTY ADULTS ALSO REPORTED THEY WERE LESS PHYSICALLY ACTIVE (LESS EXERCISE OR WEIGHT TRAINING) AND WERE ALSO LESS LIKELY TO REPORT ONE OR MORE ECONOMIC HARDSHIPS SINCE THE 2018 COMMUNITY HEALTH NEEDS ASSESSMENT. YORK COUNTY'S INDICATORS RELATED TO HEALTH INSURANCE COVERAGE DEMONSTRATE A STRENGTH IN THE COMMUNITY, WITH ONLY 5% OF THE COMMUNITY BEING UNINSURED AND ONLY 3.2% OF CHILDREN 0-6 YEARS OLD BEING UNINSURED, BOTH PERCENTAGES WHICH ARE SUPERIOR TO THE REGION, STATE AND NATION. YORK COUNTY IS ALSO OBSERVING A SHIFT IN EMPLOYMENT INDUSTRIES WITH MOVEMENT AWAY FROM MANUFACTURING AND INTO HEALTH CARE AND SOCIAL ASSISTANCE. CHILDREN IN YORK COUNTY HAVE THE LEAST ACCESS TO HIGH-QUALITY PRE-K (11%) COMPARED TO THE NEIGHBORING COUNTIES AND THE STATE.EVERY THREE YEARS, WE PARTNER WITH LIKE-MINDED COMMUNITY PARTNERS AND LOCAL COALITIONS TO CONDUCT COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNA) FOR WHICH WE SURVEY COMMUNITY MEMBERS ABOUT THEIR HEALTH, LIFESTYLE BEHAVIORS, FINANCES, ACCESS TO HEALTH SERVICES AND OTHER RELATED TOPICS. WE USE THESE CHNA REPORTS TO IDENTIFY SPECIFIC COMMUNITY NEEDS AND DEVELOP STRATEGIES TO ADDRESS THEM.THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT PROVIDES INSIGHT ON THE HEALTH OF OUR COMMUNITIES, FROM BIRTH THROUGH ADVANCED AGE, ACROSS THE WELLSPAN HEALTH FIVE COUNTY REGION, INCLUDING ADAMS, FRANKLIN, LEBANON, YORK, AS WELL AS GEOGRAPHIC REGIONS WITHIN LANCASTER COUNTY.DIFFERENCES AMONG OUR GEOGRAPHIC COMMUNITIES OFTEN DO NOT DEMONSTRATE AS SIGNIFICANT A DIFFERENCE AS OBSERVED IN ATTRIBUTES SUCH AS RACE/ETHNICITY, GENDER, AGE, INCOME AND THE EXPERIENCE OF DEPRESSION, TRAUMA, OR DISCRIMINATION. IN SOME CIRCUMSTANCES HOWEVER, UNIQUE ATTRIBUTES IDENTIFIED FROM OUR COMMUNITY HEALTH NEEDS ASSESSMENT DATA SPECIFIC TO EACH COUNTY POINT TO OBVIOUS AREAS FOR IMPROVEMENT. THIS INFORMATION IS IMPORTANT AS WELLSPAN ANTICIPATES THE IMPLEMENTATION OF THE 2023-2025 COMMUNITY HEALTH IMPROVEMENT PLAN.A COUNTY-BY-COUNTY DEMOGRAPHIC ASSESSMENT IS CONTAINED WITHIN THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT REPORT, AVAILABLE ON OUR WEBSITE AT:HTTPS://WWW.WELLSPAN.ORG/ABOUT/WELLSPAN-IN-THE-COMMUNITY/ PART VI, LINE 5: AS A CHARITABLE, COMMUNITY-BASED HEALTHCARE ORGANIZATION, OUR COMMITMENT TO IMPROVING THE LIVES AND WELL-BEING OF ALL PEOPLE AND COMMUNITIES WE SERVE IS EVIDENT IN OUR MISSION STATEMENT: "WORKING AS ONE TO IMPROVE HEALTH THROUGH EXCEPTIONAL CARE FOR ALL, LIFELONG WELLNESS, AND HEALTHIER COMMUNITIES." EMPLOYEES LIVE OUT THIS MISSION STATEMENT EVERY DAY BY ENGAGING IN COMMUNITY BENEFIT ACTIVITIES THAT ADDRESS COMMUNITY NEEDS, ESPECIALLY THE HEALTH PRIORITIES IDENTIFIED IN THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT. MANY OF WELLSPAN'S EFFORTS TO ADVANCE COMMUNITY HEALTH PRIORITIES ARE OUTLINED IN OUR COMMUNITY BENEFIT REPORT, PUBLISHED ONLINE AT HTTPS://WWW.WELLSPAN.ORG/ABOUT/WELLSPAN-IN-THE-COMMUNITY/. WELLSPAN IS AN HONORED COMMUNITY PARTNER WITH THE FOLLOWING HEALTH COALITIONS:- HEALTHY ADAMS COUNTY - WWW.HEALTHYADAMSCOUNTY.ORG- HEALTHY FRANKLIN COUNTY - WWW.HEALTHYFRANKLINCOUNTY.ORG- HEALTHY YORK COALITION - WWW.HEALTHYYORK.ORG- HEALTHY COMMUNITY NETWORK - WWW.HEALTHYCOMMUNITYNETWORK.ORG- NORTHERN LANCASTER COUNTY HUB - WWW.NORTHERNLANCASTERHUB.ORG- COMMUNITY HEALTH COUNCIL OF LEBANON COUNTY - WWW.COMMUNITYHEALTHCOUNCIL.COMTHESE COALITIONS PLAY AN IMPORTANT ROLE IN WELLSPAN'S COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROCESS. THIS YEAR, WELLSPAN COLLABORATED WITH OUR COALITIONS AND OTHER PARTNERS TO COMPLETE THE 2022 CHNA. THIS DATA WAS USED TO DESIGN WELLSPAN'S 2023-2025 COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP).THROUGH OUR COLLABORATION WITH THE COALITIONS AND OTHERS, WE IDENTIFIED CORE THEMES AND AREAS FOR IMPROVEMENT INCLUDING HEALTH EQUITY, SOCIAL DETERMINANTS OF HEALTH AND LIFELONG WELLNESS. EACH COUNTY COALITION HOSTED ITS OWN PUBLIC HEALTH FORUM EVENT, TO REVIEW THE IDENTIFIED NEEDS AND STRATEGIC PRIORITY AREAS FOR THE COMING YEARS AND ENGAGE NEW PARTNERS AND VOLUNTEERS TO HELP ADVANCE THE HEALTHCARE AGENDA FOR OUR COMMUNITIES.BELOW ARE SOME EXAMPLES OF EFFORTS ACROSS YORK HOSPITAL'S SERVICE AREA IN THE LAST YEAR: - WELLSPAN FUNDED THE EXECUTIVE DIRECTOR POSITION FOR HEALTHY YORK COALITION. - WELLSPAN OFFERS A GENEROUS FINANCIAL ASSISTANCE PROGRAM TO EXTEND FINANCIAL SUPPORT TO PATIENTS EARNING UP TO 350% OF THE FEDERAL POVERTY LEVEL. IN TOTAL, $57.5M WAS PROVIDED TO ALMOST 9,500 PATIENTS AT WELLSPAN IN FY24, INCLUDING OVER 600 ATTRIBUTED TO PREVENTIVE SCREENINGS THAT WERE COVERED FOR PATIENTS WHO MAY OTHERWISE HAVE DELAYED CARE BECAUSE OF COST, AND 8,900 WHO WERE ELIGIBLE FOR ASSISTANCE AND WERE ENGAGED PROACTIVELY SO THAT THEY NEVER RECEIVED A BILL. - ENGAGED 2,517 CHILDREN AND 295 ADULTS IN GET OUTDOORS YORK PROGRAM, A PARTNERSHIP WITH THE COUNTY LIBRARY AND PARKS.- AWARDED OVER $510,000 IN COMMUNITY GRANTS TO NON-PROFIT ORGANIZATIONS TO FUEL 15 COMMUNITY-BASED PROJECTS TO ADVANCE ACCESS TO CARE, MENTAL WELL-BEING, CHILDREN'S HEALTH, FOOD SECURITY AND HOUSING SECURITY.- INVESTED MORE THAN $100,000 ANNUALLY IN THE GROUP VIOLENCE INTERVENTION PROGRAM WHICH RESULTED IN A DRAMATIC DECLINE IN GUN VIOLENCE IN YORK CITY, WITH OVER 100 DAYS WITHOUT GUN VIOLENCE IN 2024.- MEDICAL LEGAL PARTNERSHIP IN PARTNERSHIP WITH MID-PENN LEGAL SERVICES AND THE PENNSYLVANIA IMMIGRATION RESOURCE CENTER (PIRC) HELPED INDIVIDUALS WHO HAVE HEALTH-HARMING LEGAL NEEDS. THE PROGRAM PREVENTED 394 EVICTION DAYS FOR PATIENTS IN YORK IN THE LAST YEAR BY SUPPORTING THEM IN OBTAINING INCOME, ADDRESSING LANDLORD-TENANT ISSUES, SECURING GOVERNMENT BENEFITS AND RESOLVING HOUSING AND BANKRUPTCY ISSUES.- ENGAGED OVER 4,400 CHILDREN AND/OR CAREGIVERS IN INFANT AND CHILDREN'S HEALTH AND SAFETY ACTIVITIES LIKE CAR SEAT SAFETY, SAFE SLEEP, MEDICATION SAFETY, GRANDPARENT AND SIBLING CLASSES, AND INFANT CARE.- WELLSPAN TRAUMA SERVICES PROVIDED THE 'A MATTER OF BALANCE' PROGRAM TO 59 COMMUNITY MEMBERS TO REDUCE THEIR FALL RISK. - PROVIDED SOCIAL SUPPORT GROUP OPPORTUNITIES FOR 266 PATIENTS AND FAMILIES EXPERIENCING CANCER DIAGNOSES.- EDUCATED MORE THAN 400 COMMUNITY MEMBERS ON CPR, INCLUDING HANDS ONLY CPR.- THE SPECIAL PROJECT NURSE TEAM PROVIDED EDUCATION AND BLOOD PRESSURE SCREENINGS TO NEARLY 4,000 COMMUNITY MEMBERS THROUGH PARTICIPATION IN A VARIETY OF COMMUNITY EVENTS.- WELLSPAN MAINTAINS A STRONG RELATIONSHIP WITH THE YORK CITY HEALTH BUREAU AND PROVIDES FUNDING TO SUPPORT THEIR MEDICAL DIRECTOR POSITION. PART VI, LINE 6: WELLSPAN HEALTH IS AN INTEGRATED HEALTH SYSTEM SERVING THE COMMUNITIES OF SOUTHCENTRAL PENNSYLVANIA AND NORTHERN MARYLAND. 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. EACH OF OUR HOSPITALS WORK WITH OTHER PARTS OF THE SYSTEM TO PROVIDE A COMPREHENSIVE APPROACH TO MEETING COMMUNITY NEEDS.WELLSPAN HEALTH INCLUDES: HOSPITALS:1. YORK HOSPITAL2. GETTYSBURG HOSPITAL3. CHAMBERSBURG HOSPITAL4. WAYNESBORO HOSPITAL5. EPHRATA COMMUNITY HOSPITAL6. THE GOOD SAMARITAN HOSPITAL OF LEBANON, PENNSYLVANIA7. WELLSPAN SURGERY & REHABILITATION HOSPITAL8. PHILHAVENFOUNDATIONS:1. YORK HEALTH FOUNDATION2. SUMMIT HEALTH FOUNDATION3. GETTYSBURG HOSPITAL FOUNDATION4. EPHRATA COMMUNITY HEALTH FOUNDATION5. GOOD SAMARITAN HEALTH SERVICES FOUNDATIONMEDICAL SERVICES:1. APPLE HILL SURGICAL CENTER, INC.2. CHAMBERSBURG HEALTH SERVICES3. SUMMIT PHYSICIAN SERVICES4. VNA HOME HEALTH SERVICES5. WELLSPAN HEALTH CARE SERVICES6. WELLSPAN MEDICAL GROUP7. WELLSPAN SUMMIT HEALTH8. GOOD SAMARITAN PHYSICIAN SERVICES9. HEALTHY COMMUNITY PHARMACY10. VNA COMMUNITY SERVICESWELLSPAN'S COMMUNITY BENEFIT REPORT IS PREPARED BY THE PARENT ORGANIZATION, WELLSPAN HEALTH, AND INCLUDES COLLECTIVE EFFORTS OF ALL ENTITIES UNDER THE PARENT ORGANIZATION. SEE WELLSPAN HEALTH'S CURRENT COMMUNITY BENEFIT REPORT, COMMUNITY HEALTH NEEDS ASSESSMENT, AND COMMUNITY HEALTH IMPROVEMENT PLAN AT HTTPS://WWW.WELLSPAN.ORG/ABOUT/WELLSPAN-IN-THE-COMMUNITY/. PART VI, LINE 7, REPORTS FILED WITH STATES PA 1 FAMILY FIRST HEALTH CORPORATION 116 S GEORGE ST YORK PA 17401 237118262 501(C)(3) 93750 0 GENERAL SUPPORT FOUNDATION OF THE PENNSYLVANIA MEDICAL SOCIETY 400 WINDING CREEK BLVD MECHANICSBURG PA 17050 371732501 501(C)(3) 14000 0 GENERAL SUPPORT WELLSPAN MEDICAL GROUP PO BOX 2767 YORK PA 17405 232730785 501(C)(3) 86496 0 GENERAL SUPPORT YORK HEALTH FOUNDATION PO BOX 2767 YORK PA 17405 233050192 501(C)(3) 27824 0 GENERAL SUPPORT 4 0 PRESCRIPTION FOR CARING PROGRAM 431 72000 PART I, LINE 2: ALL WELLSPAN ENTITIES FOLLOW WELLSPAN POLICIES AND PROCEDURES REGARDING GRANT PROJECTS (MAP 1007) TO ENSURE THAT THE USE OF GRANT FUNDS ARE CONSISTENT WITH WELLSPAN'S MISSION OF WORKING AS ONE TO IMPROVE HEALTH THROUGH EXCEPTIONAL CARE FOR ALL, LIFELONG WELLNESS AND HEALTHY COMMUNITIES. COMMUNITY SUPPORT IS PROVIDED IN THE FORM OF GRANTS, WHICH SERVE HEALTH-RELATED PURPOSES AND ARE IN ALIGNMENT WITH THE WELLSPAN MISSION. ALL GRANTS ARE MADE TO ELIGIBLE 501(C)(3) ORGANIZATIONS AND INCLUDE CHURCHES, PUBLIC SCHOOLS, PUBLIC CHARITIES, PUBLIC CLINICS AND HOSPITALS, LEGAL AID SOCIETIES, VOLUNTEER SERVICES ORGANIZATIONS, AND SOME GOVERNMENTAL AGENCIES. WE MAINTAIN ADEQUATE RECORDS TO SUBSTANTIATE AMOUNTS, ELIGIBILITY, AND SELECTION CRITERIA USED FOR ALL GRANTS. X X X X 0 1 0 0 0 0 0 0 0 ROXANNA GAPSTUR PHD RN PRESIDENT & CEO - WELLSPAN HEALTH 0 1654407 0 1111800 0 257508 0 14469 0 85800 0 3123984 0 122031 LAURA BUCZKOWSKI EXECUTIVE VP & CFO - WELLSPAN HEALTH 0 796549 0 382500 0 77665 0 18101 0 61379 0 1336194 0 0 FARAAZ YOUSUF FORMER EXECUTIVE VP & COO 0 1045354 0 0 0 16243 0 0 0 60032 0 1121629 0 0 MICHAEL SEIM SR VP & CHIEF QUALITY OFFICER 0 685514 0 293372 0 43668 0 16754 0 59466 0 1098774 0 0 VICTORIA DIAMOND SR VP - CENTRAL REGION 603034 0 257999 0 72730 0 18531 0 55420 0 1007714 0 30926 0 AMY NELSON SECRETARY/SR VP & GENERAL COUNSEL 0 548624 0 222525 0 75386 0 42139 0 54072 0 942746 0 0 KEITH NOLL SR VP & CHIEF ADMINISTRATION OFFICER 0 545931 0 227303 0 80941 0 38839 0 36582 0 929596 0 0 ALLAN BIRENBERG VP - MEDICAL AFFAIRS 520362 0 134043 0 74358 0 19032 0 53204 0 800999 0 0 0 ALYSSA MOYER VP & PRESIDENT - YH (AS OF JAN. '24) 0 489487 0 108728 0 72378 0 24723 0 35790 0 731106 0 0 MICHAEL BOHRN VP - CHIEF ACADEMIC OFFICER 442784 0 115288 0 62909 0 25612 0 53408 0 700001 0 0 0 LEE MADDOX MD DIRECTOR 0 537172 0 55225 0 0 0 17555 0 55712 0 665664 0 0 MARCIA MESSER VP - CHIEF OPERATIONS OFFICER 363996 0 94413 0 38245 0 19039 0 34082 0 549775 0 0 0 NELSON AEGBUNIWE REGISTERED NURSE 290700 0 47750 0 0 0 15861 0 50352 0 404663 0 0 0 ALTAIR CARVALHO REGISTERED NURSE 217985 0 35311 0 0 0 14928 0 47864 0 316088 0 0 0 YAUHENI RUDZEVICH CHIEF PHYSICIST 230892 0 19688 0 0 0 14910 0 47709 0 313199 0 0 0 OLALEKAN OGUNDOYIN REGISTERED NURSE 211312 0 43646 0 0 0 0 0 13658 0 268616 0 0 0 DIANE MCFARLAND VP - ACUTE CARE NURSING 131213 0 0 0 30476 0 2653 0 23607 0 187949 0 0 0 PART I, LINE 4B THE WELLSPAN HEALTH SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) WAS ADOPTED AND MADE EFFECTIVE ON DECEMBER 19TH, 2008. THE OBJECTIVE OF THE EXECUTIVE BENEFITS PROGRAM IS TO PROVIDE AN EXECUTIVE BENEFITS PROGRAM THAT IS COMPETITIVE WITH NATIONAL NORMS IN THE HEALTHCARE INDUSTRY FOR SIMILARLY SIZED ORGANIZATIONS ENABLING WELLSPAN HEALTH TO RECRUIT AND RETAIN TOP EXECUTIVE TALENT. TIER I EXECUTIVES ARE ELIGIBLE TO PARTICIPATE IN THE PLAN. A DESCRIPTION OF THE TARGETED BENEFIT OF THE PLAN IS AS FOLLOWS: 1) PROVIDE AN EMPLOYER SPONSORED RETIREMENT BENEFIT THAT REPLACES 60% OF AVERAGE PRE-RETIREMENT (5 YEARS) BASE COMPENSATION THROUGH A COMBINED APPROACH UTILIZING WELLSPAN'S RETIREMENT PLAN, 50% OF SOCIAL SECURITY, SPLIT-DOLLAR LIFE INSURANCE BENEFIT, AND SUPPLEMENTAL EXECUTIVE RETIREMENT BENEFIT. 2) PROVIDES A MINIMUM BENEFIT AFTER 10 YEARS OF SERVICE. 3) PROVIDES THE FULL TARGETED BENEFIT AFTER 25 YEARS OF SERVICE. 4) BENEFIT IS VESTED WHEN ELIGIBLE EXECUTIVE REACHES AGE 65. THE BENEFIT IS ALSO VESTED UPON DEATH, DISABILITY, JOB ELIMINATION AND "TERMINATION FOR GOOD REASON". 5) CREDITED SERVICE GRANTED ON A 1:2 BASIS FOR PREVIOUS SERVICE IN AN ELIGIBLE TIER II POSITION. 6) TARGETED BENEFIT IS TO BE CALCULATED USING A 15 YEAR CERTAIN PAYOUT. 7) PAYOUT WILL BE IN A LUMP SUM. 8) PAYOUT WILL BE TAXABLE WHEN VESTED. DURING THE CALENDAR YEAR 2023, THERE WERE NO DISTRIBUTIONS FROM THE SERP. THE WELLSPAN HEALTH DEFINED CONTRIBUTION DEFERRED COMPENSATION PLAN WAS ADOPTED AND MADE EFFECTIVE AS OF JULY 1, 2017. THIS PLAN WILL REPLACE THE SERP. AS PART OF THE TRANSITION, EACH PARTICIPANT IN THE SERP WAS GIVEN A ONE-TIME CHOICE TO BE GRANDFATHERED IN THE SERP OR TRANSFER TO THE NEW WELLSPAN HEALTH DEFINED CONTRIBUTION DEFERRED COMPENSATION PLAN. THE OBJECTIVE OF THE WELLSPAN HEALTH DEFINED CONTRIBUTION DEFERRED COMPENSATION PLAN IS TO ATTRACT AND RETAIN EXECUTIVE AND UPPER-LEVEL MANAGEMENT EMPLOYEES OF OUTSTANDING ABILITY. TIERS I, II, III AND A SELECT GROUP OF TIER IV EMPLOYEES ARE ELIGIBLE TO PARTICIPATE IN THE PLAN. A DESCRIPTION OF THE TARGETED BENEFIT OF THE PLAN IS AS FOLLOWS: 1)PROVIDE AN UNFUNDED DEFERRED COMPENSATION BENEFIT TO A SELECT GROUP OF MANAGEMENT AND HIGHLY COMPENSATED EMPLOYEES. 2)PLAN ACCOUNT CONTRIBUTIONS ARE CREDITED EACH YEAR TO A SUBACCOUNT, BASED UPON VARIOUS TIER LEVELS; TIER I, 22%, TIER II, 17%, TIER III, 12%, AND TIER IV, 8%. 3)PARTICIPANT ACCOUNTS ARE CREDITED INTEREST EACH YEAR BY APPLICATION OF THE 30-YEAR U.S. TREASURY RATE ON JUNE 30 OF THE PLAN YEAR THEN ENDING, PLUS ONE PERCENT (1%). 4)PARTICIPANT VESTING OCCURS ON THE EARLIER OF: A)JUNE 30TH OF THE FOURTH PLAN YEAR: 25% PER YEAR B)PARTICIPANT REACHES AGE 65. C)UPON DEATH, DISABILITY, JOB ELIMINATION AND "TERMINATION FOR GOOD REASON". 5)NON-ELECTIVE EMPLOYER CONTRIBUTIONS ARE ALSO PERMITTED. 6)PLAN DISTRIBUTIONS TO BE ADMINISTERED PER THE PLAN DOCUMENT. DURING THE CALENDAR YEAR 2023, THE FOLLOWING INDIVIDUALS RECEIVED DISTRIBUTIONS FROM THE DEFERRED COMPENSATION PLAN: ROXANNA GAPSTUR - $122,031 VICTORIA DIAMOND - $30,926 ADDITIONALLY, ANY VESTED PORTION OF CONTRIBUTIONS MADE TO THE PLAN WHICH ARE NO LONGER SUBJECT TO THE RISK OF FORFEITURE, ARE REFLECTED IN SCHEDULE J, PART II, COLUMN B(III). A GENERAL AUTHORITY OF SOUTHCENTRAL PENNSYLVANIA 232982233 2018-03-13 20256562 REFUND 2008A BONDS 0 0 0 B GENERAL AUTHORITY OF SOUTHCENTRAL PENNSYLVANIA 232982233 2018-09-04 17024410 REFUND 2008A BONDS 0 0 0 C GENERAL AUTHORITY OF SOUTHCENTRAL PENNSYLVANIA 277334160 2019-04-03 112943560 REFUNDS BONDS & EXPANSION 0 0 0 D GENERAL AUTHORITY OF SOUTHCENTRAL PENNSYLVANIA 232982233 84129NMG1 2019-04-03 123530352 REFUND BONDS ISSUED 11/12/2008 0 0 0 A 16263562 20256562 60146 20196416 2018 0 1 1 1 B 1916640 17024410 49385 16975025 2018 0 1 1 1 C 14528695 112943560 182280 754423 104705713 7301144 2019 1 1 1 1 D 76302600 123530352 574992 122955360 2019 1 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 C 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 D 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 1 0 0 0 0 0 1 B 0 0 1 0 0 0 0 0 1 C 0 0 0 1 0 0 0 0 1 D 0 0 1 0 1 0 0 0 1 A 1 B 1 C 1 D 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: GENERAL AUTHORITY OF SOUTHCENTRAL PENNSYLVANIA DATE THE REBATE COMPUTATION WAS PERFORMED: 04/03/2024 SCHEDULE K, PART I, COLUMN (E) - ISSUE PRICE WELLSPAN HEALTH, THE PARENT ORGANIZATION, ALLOCATED PORTIONS OF THE PROCEEDS OF THIS TAX-EXEMPT BOND ISSUE TO MEMBERS OF THE OBLIGATED GROUP. THE AMOUNT ON SCHEDULE K, PART I, COLUMN (E) AND PART II, LINE 3 REPRESENTS THE ENTITY'S ALLOCATED PORTION OF THE TOTAL BOND PROCEEDS, AS SHOWN ON FORM 8038, PART III, LINE 21(B). ALL ITEMS IN PART II HAVE ALSO BEEN ALLOCATED. SCHEDULE K, PART II, LINE 3 THE TOTAL PROCEEDS ARE NOT IDENTICAL TO PART I, COLUMN (E) BECAUSE OF INVESTMENT EARNINGS. SCHEDULE K, PART III, LINE 4 & 5 - PRIVATE BUSINESS USE THE ENTITY, IN CONJUNCTION WITH BOND COUNSEL, MONITORS ACTIVITIES THAT MAY RESULT IN PRIVATE BUSINESS USE. THERE WERE NONE FOUND. A GENERAL AUTHORITY OF SOUTHCENTRAL PENNSYLVANIA 232982233 84129NNG0 2023-12-14 83788576 REFUND 2014 BONDS 0 0 0 A 627540 83788576 630999 83157577 2023 1 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 1 0 0 0 0 0 0 1 A 1 PART V LINE 1A ALL FORM 1099'S ARE ISSUED THROUGH WELLSPAN HEALTH, THE PARENT COMPANY. FORM 990, PART VI, SECTION A, LINE 6 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. FORM 990, PART VI, SECTION A, LINE 7A THE PRIMARY PURPOSE OF THE GOVERNANCE COMMITTEE, AS ASSIGNED BY THE WELLSPAN HEALTH BOARD OF DIRECTORS, IS TO DEVELOP AND SUPPORT THE CULTURE OF HIGH-FUNCTIONING GOVERNANCE WITHIN THE WELLSPAN SYSTEM, INCLUDING THROUGH POLICIES, NOMINATIONS, COMPETENCIES OF DIRECTORS, EDUCATION, AND SELF-EVALUATIONS. THE GOVERNANCE COMMITTEE SHALL CONSIST OF NOT LESS THAN FIVE (5) NOR MORE THAN SEVEN (7) MEMBERS. NEITHER THE CHAIR OF THE WELLSPAN HEALTH BOARD OF DIRECTORS NOR PERSONS WHO ARE NOT MEMBERS OF THE WELLSPAN HEALTH BOARD OF DIRECTORS, MAY BE APPOINTED TO THE COMMITTEE. EACH GOVERNANCE COMMITTEE MEMBER SHALL BE NOMINATED BY THE GOVERNANCE COMMITTEE, AND APPOINTED BY THE WELLSPAN HEALTH BOARD OF DIRECTORS, FOR A TERM OF ONE (1) YEAR. REAPPOINTMENT OF A GOVERNANCE COMMITTEE MEMBER FOR MORE THAN ONE (1) TERM IS NOT AUTOMATIC OR PRESUMED AND SHALL BE BASED ON AN INDIVIDUAL PERFORMANCE EVALUATION OF THE GOVERNANCE COMMITTEE MEMBER (AS PERFORMED OR OVERSEEN BY THE GOVERNANCE COMMITTEE). FORM 990, PART VI, SECTION A, LINE 7B THE FOLLOWING RESPONSIBILITIES ARE SET FORTH AS A GUIDE FOR FULFILLING THE GOVERNANCE COMMITTEE'S PURPOSES IN SUCH MANNER AS THE COMMITTEE DETERMINES IS APPROPRIATE: 1. OVERSEE THE PROCESS OF SELECTING AND NOMINATING DIRECTORS AND OFFICERS FOR EACH OF THE GOVERNING BOARDS WITHIN THE WELLSPAN SYSTEM, INCLUDING ENSURING THAT DIRECTOR NOMINEES MEET THE QUALIFICATIONS REQUIRED BY THE RELEVANT BOARD COMPOSITION AND COMPETENCY GRID AND CHARACTERISTICS, BYLAWS, AND BOARD-APPROVED POLICIES AND GUIDELINES, AS APPLICABLE, AND ESTABLISH OTHER CRITERIA THAT ARE DESIRABLE FOR DIRECTORS; 2. IDENTIFY, EVALUATE AND SCREEN DIRECTOR CANDIDATES FOR EACH OF THE GOVERNING BOARDS WITHIN THE WELLSPAN SYSTEM (INCLUDING INCUMBENT DIRECTORS FOR POTENTIAL RE-NOMINATION), AND NOMINATE QUALIFIED INDIVIDUALS TO THE WELLSPAN HEALTH BOARD OF DIRECTORS FOR: (A) APPOINTMENT OR REAPPOINTMENT TO REGULAR TERMS, OR (B) APPOINTMENT TO FILL THE REMAINING TERM OF ANY GOVERNING BOARD VACANCIES; 3. REVIEW ANNUALLY THE SIZE, COMPOSITION AND LEADERSHIP OF EACH OF THE GOVERNING BOARDS WITHIN THE WELLSPAN SYSTEM, INCLUDING THE WELLSPAN HEALTH BOARD OF DIRECTORS AS A WHOLE, ITS COMMITTEES, AND ANY ADVISORY BODIES, MAKE A DETERMINATION OF WHETHER THE BOARD, ITS COMMITTEES AND ANY ADVISORY BODIES REFLECT THE APPROPRIATE BALANCE OF INDEPENDENCE, SOUND JUDGMENT, BUSINESS SPECIALIZATION, TECHNICAL SKILLS, DIVERSITY, FUNDRAISING AND DEVELOPMENT ABILITY, GEOGRAPHIC AND DEMOGRAPHIC REPRESENTATION, AND OTHER DESIRED QUALITIES, AND RECOMMEND ANY APPROPRIATE CHANGES TO THE WELLSPAN HEALTH BOARD OF DIRECTORS; 4. COORDINATE AND OVERSEE A PERIODIC SELF-EVALUATION OF THE ROLE AND PERFORMANCE OF EACH OF THE GOVERNING BOARDS WITHIN THE WELLSPAN SYSTEM, INCLUDING THE WELLSPAN HEALTH BOARD OF DIRECTORS, ITS COMMITTEES, AND ANY ADVISORY BODIES, AND EACH OF THEIR DIRECTORS AND OFFICERS; 5. DEVELOP AND RECOMMEND FOR APPROVAL BY THE WELLSPAN HEALTH BOARD OF DIRECTORS, REVIEW THE EFFECTIVENESS OF, AND RECOMMEND MODIFICATIONS AS APPROPRIATE TO, THE ORGANIZATION'S COMMITTEE STRUCTURE AND ORGANIZATIONAL DOCUMENTS, INCLUDING THE ARTICLES OF INCORPORATION, BYLAWS, BOARD-APPROVED POLICIES AND GUIDELINES, AND COMMITTEE CHARTERS; 6. THE GOVERNANCE COMMITTEE SHALL UNDERTAKE THE RESPONSIBILITY FOR BOARD EDUCATION AND BOARD RETREAT PLANNING. IN ADDITION, THE GOVERNANCE COMMITTEE SHALL COORDINATE WITH MANAGEMENT TO DEVELOP AND IMPLEMENT AN EFFECTIVE ORIENTATION PROGRAM FOR NEW DIRECTORS, INCLUDING ASSIGNMENT OF EXPERIENCED DIRECTORS AS APPROPRIATE MENTORS OF NEW DIRECTORS. 7. REVIEW EMERGING CORPORATE GOVERNANCE ISSUES AND BEST GOVERNANCE PRACTICES AND MAKE APPROPRIATE RECOMMENDATIONS TO THE WELLSPAN HEALTH BOARD OF DIRECTORS; 8. CONDUCT A PERIODIC SELF-EVALUATION OF THE PERFORMANCE OF THE COMMITTEE, INCLUDING ITS EFFECTIVENESS AND COMPLIANCE WITH THIS CHARTER, AND RECOMMEND TO THE WELLSPAN HEALTH BOARD OF DIRECTORS MODIFICATIONS AS APPROPRIATE; 9. THE GOVERNANCE COMMITTEE SHALL MAINTAIN MINUTES OF GOVERNANCE COMMITTEE MEETINGS AND RECORDS OF ITS ACTIVITIES AND SHALL REPORT PROMPTLY TO THE WELLSPAN HEALTH BOARD OF DIRECTORS ANY ACTION TAKEN BY THE GOVERNANCE COMMITTEE, ANY RECOMMENDATIONS OF THE GOVERNANCE COMMITTEE, AND ANY OTHER MATTERS THE GOVERNANCE COMMITTEE DEEMS APPROPRIATE OR THE WELLSPAN HEALTH BOARD OF DIRECTORS REQUESTS. 10. THE GOVERNANCE COMMITTEE SHALL UNDERTAKE SUCH OTHER RESPONSIBILITIES AS THE WELLSPAN HEALTH BOARD OF DIRECTORS MAY DELEGATE OR ASSIGN TO THE GOVERNANCE COMMITTEE FROM TIME TO TIME. THE GOVERNANCE COMMITTEE SHALL BE RESPONSIBLE TO, AND SUBJECT TO THE DIRECTION AND CONTROL OF, THE WELLSPAN HEALTH BOARD OF DIRECTORS. THE WELLSPAN HEALTH BOARD OF DIRECTORS SHALL BE SOLELY RESPONSIBLE FOR DELINEATING THE RESPONSIBILITIES OF THE GOVERNANCE COMMITTEE. THE GOVERNANCE COMMITTEE SHALL PERFORM ONLY SUCH FUNCTIONS AND DUTIES AS SHALL FROM TIME TO TIME BE SPECIFICALLY DELEGATED TO THE GOVERNANCE COMMITTEE BY THE WELLSPAN HEALTH BOARD OF DIRECTORS. THE GOVERNANCE COMMITTEE DOES NOT HAVE DELEGATED AUTHORITY TO TAKE FINAL AND BINDING ACTIONS ON BEHALF OF WELLSPAN HEALTH, AND THEREFORE ANY ACTIONS AND RECOMMENDATIONS OF THE COMMITTEE MUST BE APPROVED BY THE WELLSPAN HEALTH BOARD OF DIRECTORS BEFORE THEY ARE FINAL AND BINDING. IN DISCHARGING ITS ROLE, THE GOVERNANCE COMMITTEE IS EMPOWERED TO INQUIRE INTO ANY MATTER IT CONSIDERS APPROPRIATE TO CARRY OUT ITS RESPONSIBILITIES, WITH ACCESS TO ALL BOOKS, RECORDS, FACILITIES, AND PERSONNEL OF THE WELLSPAN SYSTEM. FORM 990, PART VI, SECTION B, LINE 11B 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, SECTION B, LINE 12C OFFICERS, DIRECTORS, AND KEY EMPLOYEES ARE REQUIRED TO COMPLETE A WELLSPAN HEALTH "CONFLICT OF INTEREST DISCLOSURE STATEMENT" QUESTIONNAIRE ANNUALLY. THE INTERNAL AUDIT DEPARTMENT OF WELLSPAN HEALTH ADMINISTERS THE QUESTIONNAIRES. THERE SHALL BE FULL DISCLOSURE BY A 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. ADDITIONALLY, ALL BOARD MEMBERS, EMPLOYEES, STUDENTS, AND VOLUNTEERS OF WELLSPAN HEALTH AND ITS RELATED ORGANIZATIONS MUST COMPLETE A "CODE OF CONDUCT" FORM TO ACKNOWLEDGE THAT HE OR SHE UNDERSTANDS THAT WE ALL HAVE AN OBLIGATION TO ACT IN WAYS THAT WILL MERIT THE TRUST, CONFIDENCE, AND RESPECT OF THE COMMUNITY WE SERVE, OTHER HEALTH CARE PROVIDERS, AND ALL OF THOSE WITH WHOM WE INTERACT. FORM 990, PART VI, SECTION B, LINE 15B THE PRIMARY PURPOSE OF WELLSPAN HEALTH COMPENSATION COMMITTEE, AS ASSIGNED BY THE WELLSPAN HEALTH BOARD OF DIRECTORS, IS TO REVIEW COMPENSATION PACKAGES OFFERED AND/OR PAID TO SENIOR SYSTEM EXECUTIVES AND PRACTICING PHYSICIANS EMPLOYED WITHIN THE SYSTEM. THE COMPENSATION COMMITTEE SHALL MONITOR AND EVALUATE THE PERFORMANCE OF THE PRESIDENT AND CEO OF WELLSPAN HEALTH AND SHALL, AT LEAST ANNUALLY, COORDINATE THE IN-PERSON PERFORMANCE REVIEW OF THE PRESIDENT AND CEO BY THE WELLSPAN HEALTH BOARD OF DIRECTORS. THE COMPENSATION COMMITTEE SHALL CONSIST OF 5-10 MEMBERS OF THE WELLSPAN HEALTH BOARD OF DIRECTORS, INCLUDING THE CHAIR AND THE VICE CHAIR. EACH COMPENSATION COMMITTEE MEMBER SHALL BE NOMINATED BY THE GOVERNANCE COMMITTEE, AND APPOINTED BY THE WELLSPAN HEALTH BOARD OF DIRECTORS, FOR A TERM OF ONE (1) YEAR. REAPPOINTMENT OF A COMPENSATION COMMITTEE MEMBER FOR MORE THAN ONE (1) TERM IS NOT AUTOMATIC OR PRESUMED AND SHALL BE BASED ON AN INDIVIDUAL PERFORMANCE EVALUATION OF THE COMPENSATION COMMITTEE MEMBER (AS PERFORMED OR OVERSEEN BY THE GOVERNANCE COMMITTEE). THE COMPENSATION COMMITTEE SHALL BE RESPONSIBLE TO, AND SUBJECT TO THE DIRECTION AND CONTROL OF, THE WELLSPAN HEALTH BOARD OF DIRECTORS. THE WELLSPAN HEALTH BOARD OF DIRECTORS SHALL BE SOLELY RESPONSIBLE FOR DELINEATING THE RESPONSIBILITIES OF THE COMPENSATION COMMITTEE. THE COMPENSATION COMMITTEE SHALL PERFORM ONLY SUCH FUNCTIONS AND DUTIES AS SHALL FROM TIME TO TIME BE SPECIFICALLY DELEGATED TO THE COMPENSATION COMMITTEE BY THE WELLSPAN HEALTH BOARD OF DIRECTORS. THE COMPENSATION COMMITTEE DOES NOT HAVE DELEGATED AUTHORITY, AND THEREFORE ANY ACTIONS AND RECOMMENDATIONS OF THE COMMITTEE MUST BE APPROVED BY THE WELLSPAN HEALTH BOARD OF DIRECTORS BEFORE THEY ARE FINAL AND BINDING. IN DISCHARGING ITS ROLE, THE COMPENSATION COMMITTEE IS EMPOWERED TO INQUIRE INTO ANY MATTER IT CONSIDERS APPROPRIATE TO CARRY OUT ITS RESPONSIBILITIES, WITH ACCESS TO ALL BOOKS, RECORDS, FACILITIES, AND PERSONNEL OF THE WELLSPAN SYSTEM. THE FOLLOWING RESPONSIBILITIES ARE SET FORTH AS A GUIDE FOR FULFILLING THE COMPENSATION COMMITTEE'S PURPOSES IN SUCH MANNER AS THE COMMITTEE DETERMINES IS APPROPRIATE: 1. SET, PERIODICALLY REVIEW AND ENSURE COMPLIANCE WITH THE EXECUTIVE COMPENSATION PHILOSOPHY FOR WELLSPAN, IN AN EFFORT TO ATTRACT AND RETAIN HIGH QUALITY EXECUTIVES, WHILE CONSIDERING COMPENSATION OFFERED TO THOSE IN COMPARABLE POSITIONS IN SIMILAR EMPLOYMENT MARKETS AS WELL AS THE SYSTEM'S NEEDS AND FINANCIAL RESOURCES. 2. RECOMMEND APPROVAL OF EXECUTIVE COMPENSATION PROGRAM ELEMENTS (INCENTIVES, SUPPLEMENTAL BENEFITS, ETC.). 3. IN CONJUNCTION WITH THE WELLSPAN HEALTH BOARD OF DIRECTORS, EVALUATE PERFORMANCE AND ESTABLISH COMPENSATION FOR THE PRESIDENT & CEO OF WELLSPAN HEALTH. 4. EVALUATE EXECUTIVE TEAM PERFORMANCE AND ESTABLISH AWARDS. 5. RECOMMEND APPROVAL OF SENIOR EXECUTIVE BASE SALARY RANGES. 6. ALIGN EXECUTIVE COMPENSATION WITH EXECUTIVE TALENT MANAGEMENT AND SUCCESSION. 7. OVERSEE EMPLOYED PHYSICIAN COMPENSATION PROGRAM. 8. THE COMPENSATION COMMITTEE SHALL MAINTAIN MINUTES OF COMPENSATION COMMITTEE MEETINGS AND RECORDS OF ITS ACTIVITIES, AND SHALL REPORT PROMPTLY TO THE WELLSPAN HEALTH BOARD OF DIRECTORS ANY ACTION TAKEN BY THE COMPENSATION COMMITTEE, ANY RECOMMENDATIONS OF THE COMPENSATION COMMITTEE, AND ANY OTHER MATTERS THE COMPENSATION COMMITTEE DEEMS APPROPRIATE TO THE WELLSPAN HEALTH BOARD OF DIRECTORS REQUESTS. 9. THE COMPENSATION COMMITTEE SHALL UNDERTAKE SUCH OTHER RESPONSIBILITIES AS THE WELLSPAN HEALTH BOARD OF DIRECTORS MAY DELEGATE OR ASSIGN TO THE COMPENSATION COMMITTEE FROM TIME TO TIME. THE COMPENSATION COMMITTEE ALSO UTILIZES THE SERVICES OF SULLIVANCOTTER, AN INDEPENDENT, THIRD-PARTY HEALTH CARE COMPENSATION CONSULTANT, TO ALIGN AND STRUCTURE WORKFORCE COMPENSATION AND BENEFIT STRATEGIES THAT SUPPORT ENTERPRISE-WIDE TRANSFORMATION AND BUSINESS PERFORMANCE. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, POLICIES, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G OUTSIDE SERVICES: PROGRAM SERVICE EXPENSES 19,979,683. MANAGEMENT AND GENERAL EXPENSES 727,334. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 20,707,017. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 13,473,697. MANAGEMENT AND GENERAL EXPENSES 12,960. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 13,486,657. SPECIALIST CONTRACT: PROGRAM SERVICE EXPENSES 201,727,744. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 201,727,744. TEMPORARY PROFESSIONAL STAFF: PROGRAM SERVICE EXPENSES 36,071,686. MANAGEMENT AND GENERAL EXPENSES 352,641. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 36,424,327. FORM 990, PART XI, LINE 9: CHANGE IN FOUNDATION ASSETS 4,757,477. CHANGE IN FV DERIVATIVE 3,053,819. LOSS ON DEBT REFINANCING -1,035,850. TRANSFER TO AFFILIATES -142,600,000. 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