2022-05-13T11:19:26-07:00 2021-06-30 135381590 WellSpan Health 3350 WHITEFORD ROAD YORK PA 17402 990 2020-07-01 222517863 WELLSPAN HEALTH WELL 7178513055 PO BOX 2767 YORK PA 17405 Laura Buczkowski SR VP & CFO 2022-05-13 false Laura Buczkowski 999009999 Marc Berger P01871563 7038930600 2 AAL1 IAL1 FAL1 2020 2022-09-23 18:48:47Z Roxanna Gapstur PO BOX 2767 YORK PA 174052767 772736780 false X WWW.WELLSPAN.ORG X 1983 PA WellSpan Health's charitable, non-profit mission is "working as one to improve health through exceptional care for all, lifelong wellness and healthy communities". 16 15 3214 542 1104008 91677195 127285415 406101686 407698713 7237945 16760043 2361922 1778713 507378748 553522884 25016543 23321876 0 254596083 269960789 0 0 195751020 257545895 475363646 550828560 32015102 2694324 671523886 818518085 1046522799 1075597800 -374998913 -257079715 WellSpan Health is an integrated health system serving the greater 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 and compassionate healthcare services; educate the healthcare providers of tomorrow; promote healthy lifestyles and life-long wellness; and make its local communities healthier, more desirable places to live, work and play. false false 501420579 23321876 408373418 See Federal Supplemental Information Attachment: WellSpan Health - 2021 Community Benefit Report: https://www.wellspan.org/about/wellspan-in-the-community/2021-community-benefit-report/ 501420579 true true false false false false false false false true true false false false true true false false false false false false false false false false false true false true true false false false false false false false false false false false false false false true true true true false false true 1083 0 true 3214 true true true false false false false false false 0 false false false false false false false X 16 15 true false false false false true false true true false false true true true true true true true true true true PA X DAVID RIZZUTO 7178513055 3350 WHITEFORD ROAD YORK PA 174029081 X Michael O'Connor Former Director 40.00 0.00 3058887 0 208991 Charles Chondroff Internal Medicine 40.00 0.00 2987195 0 71789 Glen Moffet Sr VP Gen Counsel 40.00 0.00 2532219 0 169374 Thomas McGann Chief Med Officer 40.00 0.00 2464667 0 152880 John Porter Jr Chief Operating Officer 40.00 0.00 1510410 0 316293 Roxanna Gapstur President & CEO 40.00 0.00 X X 1531608 0 72560 Douglas Arbittier VP Svc Line Onoc 40.00 0.00 880492 0 86348 Richard Baker Chief Digital Information Officer 40.00 0.00 814845 0 146457 Mark Deitch VP Svc Line Ortho 40.00 0.00 822427 0 33045 Robert Batory Chief Human Resources Officer 40.00 0.00 671024 0 123292 Megan Lecas SVP Service Lines 40.00 0.00 379714 0 355837 Sherry Stahl SVP Western Region 40.00 0.00 629634 0 64127 Carrie Willetts SVP Eastern Region 40.00 0.00 574522 0 60510 Victoria Diamond SVP Central Region 40.00 0.00 558813 0 69280 David Vegas MD Chief Medical Officer 40.00 0.00 501818 0 69084 Michael Seim Chief Quality Officer 40.00 0.00 514458 0 44526 Phillip Nicholson MD Chief Clinical Officer 40.00 0.00 470241 0 65795 Kris O'Shea Chief Nursing Officer 40.00 0.00 469964 0 62125 Maria Royce Chief Strategy Officer 40.00 0.00 358312 0 51124 Anthony Aquilina DO Chief Physician Executive 40.00 0.00 357285 0 32103 Amy Nelson SVP General Counsel 40.00 0.00 310732 0 75692 Cynthia Fruitrail Chief of Staff 40.00 0.00 174553 0 19560 Laura Buczkowski SR VP & CFO 40.00 0.00 X 55289 0 7796 Paul Minnich Director 1.00 0.00 X 0 0 0 Peter Brubaker Director 1.00 0.00 X 0 0 0 Donald Dreibelbis Director 1.00 0.00 X 0 0 0 Elaine Bonneau Director 1.00 0.00 X 0 0 0 Richard Broadbent Director 1.00 0.00 X 0 0 0 William Funk DMD Director 1.00 0.00 X 0 0 0 Megan Shreve Chairman 1.00 0.00 X X 0 0 0 Linda Pugh Director 1.00 0.00 X 0 0 0 Richard Farr Director 1.00 0.00 X 0 0 0 Stephen Holoviak Director 1.00 0.00 X 0 0 0 Philip Fague Director 1.00 0.00 X 0 0 0 William Happel Director 1.00 0.00 X 0 0 0 Hilda Shirk Director 1.00 0.00 X 0 0 0 R Fred Groff Director 1.00 0.00 X 0 0 0 Joe Crosswhite Secr/Treas 1.00 0.00 X X 0 0 0 22629109 2358588 22 true true false TEK Systems Inc PO BOx 198568 Atlanta GA 303848568 IT Consulting 2844292 Nuance Communications Inc 1 Wayside Road Burlington MA 01803 AI Technologies 3138624 Healthtrust Workforce Solutions 6565 N MacArthur Blvd Ste 325 Irving TX 750392475 Staffing Services 2194923 Avaap USA Inc 1215 E Fort Avenue Ste 104 Baltimore MD 21230 Implementation Services 1759841 Trans Time Express 2224-A South Queen Street York PA 17402 Logistics Services 1738340 76 112720694 12427665 2137056 127285415 Accounting Fees 541200 165457 165457 Facilities Support 561700 15020704 14870442 150262 Management Fees 561000 391999740 391045994 953746 Professional Services 541420 512812 512812 407698713 6015419 6015419 0 0 0 228672698 1285822 217988153 1225743 10684545 60079 10744624 10744624 0 0 0 Continuing Education 611600 22448 22448 Medical Abstracts 323117 536964 536964 Other Services 900099 1219301 1219301 1778713 553522884 407154117 1104008 17979344 23321876 23321876 0 0 0 11675345 11675345 0 215662730 195202303 20460427 9987317 9088458 898859 16999728 15469752 1529976 15635669 14228459 1407210 0 2123491 2123491 93480 85067 8413 0 0 0 52898622 48137746 4760876 7695232 7002661 692571 3778618 3438542 340076 57900006 52689005 5211001 0 8374602 7620888 753714 561677 511126 50551 0 249310 226872 22438 24748411 22521054 2227357 0 39998185 36398348 3599837 33763826 30725082 3038744 Repair & Maintenance 11549768 10510289 1039479 Dues and Subscriptions 3348585 3047212 301373 Bank Service Charges 2808987 2556178 252809 Licenses/ Fees 1483523 1350006 133517 6169572 5614310 555262 550828560 501420579 49407981 0 170560950 80067 319474082 0 5386800 3718141 0 0 155847559 172022254 545289 680094 32296046 33906126 309674171 156329167 166172372 153345004 5177684 949310 0 94988598 93462230 45726272 35703093 671523886 818518085 46792939 45535580 83603 87853 12438124 12226262 987208133 1017748105 1046522799 1075597800 X -376612103 -258546109 1613190 1466394 -374998913 -257079715 671523886 818518085 X 2694324 3690888 111533986 X false true X true true true X X 12 York Hospital 231352222 3 true 236804719 0 Gettysburg Hospital 231352220 3 true 53409206 0 VNA Home Health Services 231352573 10 true 605764 0 WellSpan Medical Group 232730785 10 true 4189042 0 WellSpan Surgery & Rehab Hospital 232899911 3 true 18969784 0 Ephrata Community Hospital 231370484 3 true 40626759 0 The Good Samaritan Hospital of Leba 230794160 3 true 39240230 0 Philhaven 231548822 3 true 5039750 0 Summit Physician Services 251716306 3 true 450000 0 Waynesboro Hospital 231360854 3 true 3645190 0 Chambersburg Hospital 230465970 3 true 15291009 0 Chambersburg Health Services 251515376 10 true 245625 0 12 418517078 0 false false false false false false false false false false false false false false false true true true X true true Part IV, Section A, Line 1: Description Of How Supported Organizations Are Desigated Healthy Community Pharmacy is a supported organization which is not specifically mentioned in the governing documents of the Organization. WellSpan Health Care Services is the sole member of Healthy Community Pharmacy and the Organization is the sole member of WellSpan Health Care Services. The charitable purpose of WellSpan Health and all of its affiliates is to improve health through exceptional care for all, lifelong wellness and healthy communities in York, Adams, Lebanon and Lancaster counties. The Organization has designated Healthy Community Pharmacy for management needs through its shared purpose and organizational relationship. Part IV, Section D, Line 3: Role The Organization's Supported Orgs. Played The organizations governing body includes individuals who also serve on the respective governing bodies of each of the organizations supported organizations. These individuals provided each of the supported organizations with a significant voice in the organizations investment policies and in directing the use of the organizations income or assets at all times during the tax year, because these individuals participated in discussions and votes of the organizations governing body to approve the annual strategic plan, the annual operating and capital budgets and any exceptions thereto, as well as all material capital expenditures and purchases or sales of material assets, for the organization and each of its supported organizations. In addition, these individuals participated in discussions and votes of the organizations governing body to approve the organizations investment policies, as recommended by the Finance and Investment Committee of the organizations governing body. The Finance and Investment Committee of the organizations governing body also includes individuals who serve on the respective governing bodies and/or represent the interests of each of the organizations supported organizations, thus providing each of the supported organizations with a significant voice in the organizations investment policies and in directing the use of the organizations income or assets. Part IV, Section E, Line 3a: Organization Has Power to Appoint Or Elect Governing Persons The Board of the Organization elects the Boards of its supported organizations with the exception of Healthy Community Pharmacy and VNA Home Health Services. Those boards are elected by their sole members, WellSpan Health Care Services and WellSpan Surgery & Rehabilitation Hospittal, respectively. The Organization is the sole member of both of these organizations and, as such, elects the boards of WellSpan Health Care Services and WellSpan Surgery & Rehabilitation Hospital. Part IV, Section E, Line 3b: Role Played in Management of Policies, Programs, & Activities The mission of the Organization is working as one to improve health through exceptional care for all, lifelong wellness and healthy communities. The supported organizations all play roles in this mission. The Organization provides management services to the supported organizations and the CEO and CFO of the Organization serve on the boards of the supported organizations. Further, the boards of the supported organizations are elected by the Organization or by a sole member whose board has been elected by the Organization. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1613190 694475 103 841374 1466394 487662 1756308 452 631232 1613190 456272 1015660 195 984465 487662 482759 824317 3341 854145 456272 558590 538988 5791 620610 482759 1.00000 false false false 7755772 7755772 84005244 2547055 81458189 7306522 3853267 3453255 196683593 149928845 46754748 13923040 13923040 153345004 Accrued Investment Expenses 2735 Accrued Payroll Incentives 18826545 Deferred Employer FICA Taxes - Cares Act 54748909 Deferred Lease Expense 444573 Intercompany AP 5625738 Liability Self Insurance Reserve 92576470 LTD Leases 14313554 Note Payable - Gettysburg Hospital 50394848 Note Payable - Waynesboro Hospital 2662154 Note Payable - WellSpan Properties 11136498 Note Payable - WellSpan Surgery & Rehab 17506750 Note Payable - WRRRG 55125 Note Payable - YH R &R 569461814 Payroll Accrual 7409342 Pension Accrual 114594231 Post Retirement Benefit Obligations 39162740 Vacation Accrual 18826079 1017748105 X 801679831 3690888 353819263 357510151 444169680 109353204 109353204 553522884 882147823 353819263 353819263 528328560 22500000 22500000 550828560 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, Adams, Lancaster, Lebanon and surrounding counties of Pennsylvania. 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, 2021. Part XI, Line 2d: Other revenue amounts included in F/S but not included on form 990 WellSpan System Allocation - Health $XXX-XX-XXXX WellSpan System Allocation - Insurance $0 Expenses netted with Revenue $0 Part XI, Line 4b: Other revenue amounts included on 990 but not included in F/S Grants from Affiliates $109500000 Restricted Contributions(Net) $-146796 Part XII, Line 2d: Other expenses and losses per audited F/S WellSpan System Allocation - Health $XXX-XX-XXXX WellSpan System Allocation - Insurance $0 Revenue netted with Expense $0 Part XII, Line 4b: Other revenue amounts included on 990 but not included in F/S Grant to Philhaven $20500000 Grant to WellSpan Population Health $2000000 true Childrens Aid Society 117 W 24th Street New York NY 10027 135562191 501(c)(3) 18000 0 General support Friends & Neighbors of PA Inc 2723 Carlton Place York PA 17408 262526908 501(c)(3) 35000 0 General support Girls on the Run 801 East Morehead Street Charlotte NC 28207 562201835 501(c)(3) 10000 0 General support Good Samaritan Services 25 W Locust Street Ephrata PA 17522 233011817 501(c)(3) 15000 0 General support Hospice & Community Care 685 Good Drive Lancaster PA 17601 232122735 501(c)(3) 15000 0 General support Hunter Group 58 E Cottage Place York PA 17401 371845907 501(c)(3) 8300 0 General support Lebanon County Christian 250 S 7th Street Lebanon PA 17042 232262968 501(c)(3) 10000 0 General support Lebonon Health Council 615 Cumberland Street Lebanon PA 17042 251840951 501(c)(3) 86000 0 General support Leg Up Farm Inc 4880 North Sherman Street Mount Wolf PA 17347 232931834 501(c)(3) 8095 0 General support Manos Unidas 19 W High Street Gettysburg PA 17325 760833583 501(c)(3) 7500 0 General support Philhaven PO Box 2767 York PA 17405 231548822 501(c)(3) 20500000 0 General support Real Life Community 240 Main Street Denver PA 17517 261683406 501(c)(3) 20000 0 General support York County Library System 159 East Market Street York PA 17401 237394108 501(c)(3) 11042 0 General support York Health Plan PO Box 2767 York PA 17405 232664989 501(c)(3) 2000000 0 General support 14 0 Grantmaker's Description of How Grants are Used All WellSpan entities follow WellSpan policies and procedures regarding grant projects to ensure that the use of grant funds are consistent with WellSpan's commitment to endeavor to improve the health status of the communities that we serve.All of the grants and other assistance that WellSpan Health entities contribute to their exempt affiliates within the WellSpan Health system further the exempt purposes of the supported organizations. Because the supported organizations identify the projects and exempt activities that will be funded by the affiliated organization's grants and other assistance, and because there is a cross-over between the respective governing bodies and management of the WellSpan Health system exempt organizations, the WellSpan Health exempt entities are able to effectively monitor that the grants they make are used for their intended purposes. X true true X X X X true true false false false false false false false Amy Nelson SVP General Counsel 266739 38500 5493 30847 44845 386424 Anthony Aquilina DO Chief Physician Executive 348346 8939 3288 28815 389388 Carrie Willetts SVP Eastern Region 430948 143574 11619 48891 635032 52199 Charles Chondroff Internal Medicine 311503 605876 2069816 7037 64752 3058984 1997388 Cynthia Fruitrail Chief of Staff 147873 15000 11680 2746 16814 194113 David Vegas MD Chief Medical Officer 402780 99038 18430 50654 570902 50247 Douglas Arbittier VP Svc Line Onoc 658796 208564 13132 33323 53025 966840 80734 Glen Moffet Sr VP Gen Counsel 462229 304219 1765771 93943 75431 2701593 1756642 John Porter Jr Chief Operating Officer 716523 474645 319242 254700 61593 1826703 304984 Kris O'Shea Chief Nursing Officer 364498 98231 7235 14796 47329 532089 44482 Maria Royce Chief Strategy Officer 277016 75 81221 51124 409436 Mark Deitch VP Svc Line Ortho 625494 196933 11619 21426 855472 76232 Megan Lecas SVP Service Lines 276445 97500 5769 312070 43767 735551 36000 Michael O'Connor Former Director 611969 404687 2042231 123405 85586 3267878 2042158 Michael Seim Chief Quality Officer 438755 52800 22903 7015 37511 558984 Phillip Nicholson MD Chief Clinical Officer 382900 79338 8003 17859 47936 536036 49200 Richard Baker Chief Digital Information Officer 489546 315634 9665 90257 56200 961302 Robert Batory Chief Human Resources Officer 400863 262193 7968 73401 49891 794316 Roxanna Gapstur President & CEO 1091608 440000 11619 60941 1604168 242000 Sherry Stahl SVP Western Region 426019 122742 80873 5700 58427 693761 Thomas McGann Chief Med Officer 397455 686710 1380502 93507 59373 2617547 1292665 Victoria Diamond SVP Central Region 431563 127250 11619 57661 628093 41645 Part I, Line 1a: Relevant information in regards to selections on 1a. MML Investor Services provided advisory financial plans for two executives. This was a taxable fringe benefit for each. Each participant was provided with a taxable bonus to cover the taxes. A General Authority of Sout 232982233 84129NHL6 2014-11-10 232436732 Revenue Refunding false false false B Lancaster Municipal Autho 277334160 2015-05-22 36572083 Refund ECH bonds 09,10,12,13 false false false C General Authority of Sout 232982233 2018-03-13 34877000 reissue bond issued 11/12/08 false false false D General Authority of Sout 232982233 2018-09-04 29312000 reissue bond issued 11/12/08 false false false A 164714050 20176715 232871143 8654485 2053982 92158663 124671503 2016 true true true true B 8971315 36572083 36572083 2015 true false true true C 11732000 34877000 34877000 2012 false true true true D 1650000 29312000 29312000 2012 false true true true A false false false false false false true B false false false false false false true C false false false false false false true D false false false false false false true A false true false NA false NA false true B false true false NA false NA false true C false true false NA false NA false true D false true false NA false NA false true A true B true C true D true Part VI 1.2014 GENERAL AUTHORITY OF SOUTHCENTRAL PENNSYLVANIA REVENUE REFUNDING BONDS, SERIES A:On November 11, 2014, the General Authority of Southcentral Pennsylvania issued $213,430,000 of Revenue Refunding bonds, Series 2014A for WellSpan Health Obligated Group. The purpose of this bond issue was revenue refund for bonds issued 06/23/1993 and 11/12/2008. WellSpan Health, the parent organization, allocated portions of the proceeds of this tax-exempt bond issue to York Hospital (23-1352222), Gettysburg Hospital (23-1352220), WellSpan Properties (22-2842252), WellSpan Surgery & Rehabilitation Hospital (23-2899911), and Ephrata Community Hospital (23-1370484). To remain consistent with the reporting on Form 8038, all outstanding liabilities associated with this tax-exempt bond issue is reported on the WellSpan Health (22-2517863) Schedule K. As of 6/30/21, the allocation of the Debt Capital program including issue premium of $47,545,967 was as follows:York Hospital: $27,890,452Gettysburg Hospital: $1,922,543WellSpan Properties: $6,845,852WellSpan Surgery & Rehabilitation Hospital: $3,377,167Ephrata Community Hospital: $7,509,953These amounts are reported on the respective balance sheets for each of these entities.An Arbitrage Rebate and Yield Restriction Liability Calculation was performed for the period of November 10, 2014, to November 10, 2019. No rebate was due._______________________________________________________________________________2.2015 LANCASTER MUNICIPAL AUTHORITY BANK LOAN, SERIES A:On May 22, 2015, the Lancaster Municipal Authority issued $36,572,083 of Revenue Refunding bonds, Series 2015A, to an Obligated Group consisting of York Hospital, Gettysburg Hospital and Ephrata Community Hospital. The purpose of this bond issue was to refund bonds issued on behalf of Ephrata Community Hospital, including the Lancaster Municipal Authority Revenue Notes Series 2009, 2010A, 2012, and 2013. To remain consistent with the reporting on Form 8038, all outstanding liabilities associated with this tax-exempt bond issue is reported on the WellSpan Health (22-2517863) Schedule K.As of 6/30/21, the $27,600,768 of outstanding liability is reported on the Ephrata Community Hospital return balance sheet._______________________________________________________________________________3.2019 GENERAL AUTHORITY OF SOUTHCENTRAL PENNSYLVANIA REVENUE REFUNDING BONDS, SERIES A & B:On April 19, 2019, the General Authority of Southcentral Pennsylvania issued $331,502,627 of Revenue Refunding bonds, Series 2019A and 2019B for WellSpan Health Obligated Group. The purpose of this bond issue was revenue refund for bonds issued 11/12/2008. WellSpan Health, the parent organization, allocated portions of the proceeds of this tax-exempt bond issue to York Hospital (23-1352222), Chambersburg Hospital (23-0465970), WellSpan Properties (22-2842252), Chambersburg Health Services (25-1515376), The Good Samaritan Hospital of Lebanon Pennsylvania (23-1794160), Waynesboro Hospital (23-1360854), Summit Physician Services (25-1716306), Gettysburg Hospital (23-1352220), WellSpan Surgery & Rehabilitation Hospital (23-2899911) and Ephrata Community Hospital (23-1370484). To remain consistent with the reporting on Form 8038, all outstanding liabilities associated with this tax-exempt bond issue is reported on the WellSpan Health (22-2517863) Schedule K. As of 6/30/21, the allocation of the Debt Capital program of $324,770,019 was as follows:York Hospital: $109,820,502Waynesboro Hospital: $455,712Chambersburg Hospital: $110,975,751Chambersburg Health Services: $18,656,026Summit Physician Services: $983,590WellSpan Properties: $66,683,198Gettysburg Hospital: $12,384,727Ephrata Community Hospital: $3,372,694The Good Samaritan Hospital of Lebanon Pennsylvania: $42,216WellSpan Surgery & Rehabilitation Hospital: $1,395,603These amounts are reported on the respective balance sheets for each of these entities._______________________________________________________________________________4.2019 GENERAL AUTHORITY OF SOUTHCENTRAL PENNSYLVANIA REVENUE REFUNDING BONDS, SERIES C-E:On April 3, 2019, the General Authority of Southcentral Pennsylvania issued $212,690,000 of Revenue Refunding bonds Series 2019C, 2019D and 2019E for WellSpan Health Obligated Group. The purpose of this bond issue was revenue refund for bonds issued 11/12/2008. WellSpan Health, the parent organization, allocated portions of the proceeds of this tax-exempt bond issue to York Hospital (23-1352222), Gettysburg Hospital (23-1352220), WellSpan Properties (22-2842252), WellSpan Surgery & Rehabilitation Hospital (23-2899911), The Good Samaritan Hospital of Lebanon Pennsylvania (23-1794160) and WellSpan Health (22-2517863). To remain consistent with the reporting on Form 8038, all outstanding liabilities associated with this tax-exempt bond issue is reported on the WellSpan Health (22-2517863) Schedule K. As of 6/30/21, the allocation of the Debt Capital program of $212,690,000 was as follows: York Hospital: $123,530,352Gettysburg Hospital: $19,290,983WellSpan Properties: $22,545,140WellSpan Surgery & Rehabilitation Hospital: $35,731,920Good Samaritan Hospital $1,722,789WellSpan Health $9,868,816These amounts are reported on the respective balance sheets for each of these entities._______________________________________________________________________________5.2014 FRANKLIN COUNTY INDUSTIAL AUTHORITY REVENUE REFUNDING BONDS, SERIES A & C:On April 30, 2014, the Franklin County Industrial Authority issued $35,795,000 of Healthcare Revenue Refunding bonds, Series 2014A & 2014C for the WellSpan Health Obligated Group. WellSpan Health, the parent organization, allocated portions of the proceeds of this tax-exempt bond issue to Waynesboro Hospital (23-1360854), Chambersburg Hospital (23-0465970) and Chambersburg Health Services (25-1515376). To remain consistent with the reporting on Form 8038, all outstanding liabilities associated with this tax-exempt bond issue is reported on the WellSpan Health (22-2517863) Schedule K.As of 6/30/21, the allocation of the Debt Capital program of $25,493,770 was as follows: Waynesboro Hospital: $6,390,449Chambersburg Hospital: $18,577,321Chambersburg Health Services: $526,000These amounts are reported on the respective balance sheets for each of these entities.______________________________________________________________________________6.2017 BANK LOANS / REISSUE BONDS ISSUED 11/12/2008:On March 13, 2018, the General Authority of Southcentral Pennsylvania issued $34,877,000 of Revenue bonds, Series 2017A Notes (taxable) for WellSpan Health Obligated Group. Such notes were applied to refund 2008A Bonds. Also, on September 4, 2018, the General Authority of Southcentral Pennsylvania issued $29,312,000 of Revenue Bonds, Series 2017B (tax-exempt bonds) for WellSpan Health Obligated Group.Such notes were applied to refund 2008A Bonds.WellSpan Health, the parent organization, allocated portions of the proceeds of this tax-exempt bond issue to York Hospital (23-1352222), Gettysburg Hospital (23-1352220), WellSpan Properties (22-2842252), WellSpan Surgery & Rehabilitation Hospital (23-2899911), and The Good Samaritan Hospital of Lebanon Pennsylvania (23-1794160). To remain consistent with the reporting on Form 8038, all outstanding liabilities associated with this tax-exempt bond issue is reported on the WellSpan Health (22-2517863) Schedule K.As of 6/30/21, the allocation of the Debt Capital program of $50,807,000 was as follows: York Hospital: $29,508,705Gettysburg Hospital: $4,608,195WellSpan Properties: $5,385,542WellSpan Surgery & Rehabilitation Hospital: $8,535,576The Good Samaritan Hospital of Lebanon Pennsylvania: $411,536WellSpan Health: $2,357,446These amounts are reported on the respective balance sheets for each of these entities. A General Authority of Sout 232982233 84129NMF3 2019-04-03 331502627 Refund bonds, capital expand false false false B General Authority of Sout 232982233 84129NMG1 2019-04-03 212690000 Refund bonds issued 11/12/2008 false false false C Franklin County Industria 230465850 2014-04-30 35795000 Refund 2010 bonds & expansion false false false A 6732608 331502627 535014 138084452 2214321 122978833 true true false true B 211700000 990000 211700000 2012 true false true true C 10301230 35795000 534161 8470580 26790259 2016 true false true true A false false false false false false true B false false false false false false true C false false false false false false true A false true false NA false NA false true B false true false NA false NA false true C true false NA false NA false true A true B true C true Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et Paul Minnich's son, Patrick Minnich, serves on the WellSpan York Health Foundation Board. Form 990, Part VI, Line 11b: Form 990 Review Process Management provided an electronic copy of the Form 990 to each voting member of the organization's governing body, prior to its filing with the IRS. The organization's finance management team provided a presentation to the Audit Committee on the organization's 990 return. Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts Officers, directors, and key employees fill out a WellSpan Health Conflict of Interest Disclosure Statement questionnaire annually. The questionnaire is administered by the Internal Audit Department of WellSpan Health, the Parent Company.There shall be full disclosure by any Director having a business or personal interest or relationship which may be in conflict with the interests of the Corporation. After such disclosure the Director shall abide by the determination of the Board of Directors as to whether a conflict exists, the extent to which, if at all, the Director will be permitted to be present during the Board of Directors' discussion of the matter in which the Director may be interested, and whether the Director will be permitted to participate in such discussion and cast a vote in such matter. Form 990, Part VI, Line 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 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 subordinate 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 19: Other Organization Documents Publicly Available Governing documents, policies, and financial statements are available upon request. Other Changes In Net Assets Or Fund Balances - Other Increases Pension adjustment for FAS 158 = $XXX-XX-XXXX Signature Box - Paid Preparer Explanation Paid Preparer ExplanationDue to a software limitation, we wish to clarify that WellSpan Health is the ERO.The paid preparer is:BDO USA, LLP13-53815908401 Greensboro Drive, Suite 800McLean, VA 22102(703) 893-0600The preparers name is Marc Berger, PTIN P01871563 GSH Home Med Care LLC PO Box 2767 York PA 174052767 232028099 Sales/rent of med equip/supplies PA 2928945 9817987 WellSpan Health Care Services Apple Hill Surgical Center Inc PO Box 2767 York PA 174052767 222842253 Sole GP in limited ptnrshp. operating surgical center PA 501(c)(3) 10 WellSpan Health Care Services true Gettysburg Hospital PO Box 2767 York PA 174052767 231352220 Health Care Services PA 501(c)(3) 3 WellSpan Health true Gettysburg Hospital Foundation PO Box 2767 York PA 174052767 232251358 Fundraising to support Gettysburg Hospital PA 501(c)(3) 12 Type I Gettysburg Hospital true Healthy Community Pharmacy Inc PO Box 2767 York PA 174052767 200519121 Reduced rate prescription drugs to uninsured PA 501(c)(3) 12 Type I WellSpan Health Care Services true VNA Community Services PO Box 2767 York PA 174052767 232338591 Home personal care services for elderly and disabled PA 501(c)(3) 10 WellSpan Surgery & Rehab Hospital true VNA Home Health Services PO Box 2767 York PA 174052767 231352573 Home health services PA 501(c)(3) 10 WellSpan Surgery & Rehab Hospital true WellSpan Health Care Services PO Box 2767 York PA 174052767 232400237 Health-related activities in the service area PA 501(c)(3) 12 Type II WellSpan Health true WellSpan Medical Group PO Box 2767 York PA 174052767 232730785 Medical and surgical care PA 501(c)(3) 10 WellSpan Health true York Health Foundation PO Box 2767 York PA 174052767 233050192 Charitable contributions for Wellspan entities PA 501(c)(3) 12 Type III WellSpan Health true York Hospital PO Box 2767 York PA 174052767 231352222 Community teaching hospital PA 501(c)(3) 3 WellSpan Health true WellSpan Surgery & Rehabilitation Hospit PO Box 2767 York PA 174052767 232899911 Surgery and Rehabilitation Hospital PA 501(c)(3) 3 WellSpan Health true WellSpan Properties PO Box 2767 York PA 174052767 222842252 Leases facilities to affiliates PA 501(c)(3) 12 Type II WellSpan Health Care Services true Ephrata Community Hospital PO Box 2767 York PA 174052767 231370484 Health care services PA 501(c)(3) 3 WellSpan Health true Ephrata Community Health Foundation PO Box 2767 York PA 174052767 800940005 Funraising for Ephrata Hospital PA 501(c)(3) 12 Type I Ephrata Community Hospital true Northern Lancaster County Medical Group PO Box 2767 York PA 174052767 203033058 Medical and surgical care PA 501(c)(3) 12 Type II Ephrata Community Hospital true Phys Spec of North Lanc Co Med Gr PO Box 2767 York PA 174052767 452537633 Physician Practices PA 501(c)(3) 12 Type II Northern Lancaster County Medical Group true The Good Samaritan Hospital of Lebanon PO Box 2767 York PA 174052767 230794160 Health Care Services PA 501(c)(3) 3 WellSpan Health true Philhaven PO Box 2767 York PA 174052767 231549922 Health Care Services PA 501(c)(3) 3 WellSpan Health true Good Samaritan Health Service Foundation PO Box 2767 York PA 174052767 232356151 Fundraising for Good Samaritan PA 501(c)(3) 12 Type I The Good Samaritan Hospital of Lebanon true Good Samaritan Physican Services PO Box 2767 York PA 174052767 251832359 Medical and Surgical Care PA 501(c)(3) 10 Good Sam Health Services Foundation true WellSpan Summit Health PO Box 2767 York PA 174052767 251515371 Integrated Health System PA 501(c)(3) 7 WellSpan Health true Waynesboro Hospital PO Box 2767 York PA 174052767 231360854 Health Care Services PA 501(c)(3) 3 WellSpan Summit Health true Chambersburg Hospital PO Box 2767 York PA 174052767 230465970 Health Care Services PA 501(c)(3) 3 WellSpan Summit Health true Summit Physician Services PO Box 2767 York PA 174052767 251716306 Medical and surgical care PA 501(c)(3) 3 WellSpan Summit Health true Summit Health Foundation PO Box 2767 York PA 174052767 831196554 Fundraising for Health Care System PA 501(c)(3) 12 Type II WellSpan Summit Health true Chambersburg Health Services PO Box 2767 York PA 174052767 251515376 Health care services PA 501(c)(3) 12 Type I WellSpan Summit Health true Apple Hill Surgical Center Partners PO Box 2767 York PA 174052767 232489452 Surgical Center PA NA N/A 1006118 9056230 false false 0.74765 Central PA Alliance Laboratories LLC PO Box 2767 York PA 174052767 232910950 Ref. Lab PA NA N/A 713 false true 0.20000 Littlestown Health Care Partnership 300 West King Street Littlestown PA 17340 232880464 Lease facility PA NA N/A 95132 1267700 false false 0.50000 Cherry Tree Cancer Center LLP PO Box 2767 York PA 174052767 232915628 Radiation PA NA N/A -285163 392412 false false 0.50000 The Rehab Center 855 Springdale Drive Suite 20 Exton PA 19341 251687903 Physical Therapy Rehab PA NA N/A false false Surgery Center Associates LLC 785 5th Avenue Suite 3 Chambersburg PA 17201 251845304 Physician Services PA Chambersburg Health N/A 16060 626551 false false 0.62900 Summit Surgery Center LP 785 5th Avenue Suite 3 Chambersburg PA 17201 251845303 Physician Services PA Chambersburg Health N/A 1291261 3763270 false false 0.65700 Cumberland Valley Mobile Services LLC 5 South Main Street Sugarloaf PA 18249 200884014 Mobile MRI Services PA Chambersburg Health N/A 439432 -80899 false false 0.51000 Wellspan Pharmacy Inc PO Box 2767 York PA 174052767 232374072 Dispenses Pharmaceuticals & IV Therapy PA WellSpan Health Care Services C corp -463795 14872533 1.00000 true Wellspan Reciprocal Risk Retention Group PO Box 2767 York PA 174052767 200048457 Risk Retention Group PA NA C corp 200710 598772 0.01490 false York Health Plan PO Box 2767 York PA 174052767 232664989 Preferred Provider Organization PA NA C corp 15649355 1958114 1.00000 true WellSpan Provider Network PO Box 2767 York PA 174052767 232907828 Coordinate managed care risk contract PA NA C corp 1.00000 true Apple Hill Condominium Association PO Box 2767 York PA 174052767 232504543 Condo Mgmt Association PA N/A Homeowner Assoc false North Lanc Co Phys Hosp Alliance PO Box 2767 York PA 174052767 232421885 Coord Phys & Hospital PA N/A C corp 16 60018 0.50000 false GSH Realty Inc PO Box 2767 York PA 174052767 232353047 Non-res. real estate PA WSH Care Services C corp 748233 3148380 1.00000 false Ephrata Health Pavilion Condo Assoc PO Box 2767 York PA 174052767 475367279 Condo association PA Ephrata Hospital C corp 87847 161882 0.83000 false true true true true true false false false false true true true true false false true true true true Apple Hill Surgical Center Inc l 525266 General Ledger Gettysburg Hospital c 14000000 General Ledger Gettysburg Hospital e 50394848 General Ledger Gettysburg Hospital k 111444 General Ledger Gettysburg Hospital l 54962526 General Ledger Gettysburg Hospital q 13862829 General Ledger Gettysburg Hospital r 117185 General Ledger Gettysburg Hospital Foundation c 26885 General Ledger VNA Home Health Services l 605764 General Ledger VNA Home Health Services q 4503759 General Ledger WellSpan Medical Group l 4639042 General Ledger WellSpan Medical Group p 1414537 General Ledger WellSpan Medical Group q 78425184 General Ledger York Health Foundation b 3040165 General Ledger York Health Foundation c 3127928 General Ledger York Health Foundation q 287364 General Ledger York Hospital c 65000000 General Ledger York Hospital l 243349055 General Ledger York Hospital q 77206040 General Ledger York Hospital r 24095612 General Ledger WellSpan Surgery & Rehabilitation Hospit c 11500000 General Ledger WellSpan Surgery & Rehabilitation Hospit l 19361138 General Ledger WellSpan Surgery & Rehabilitation Hospit q 6470474 General Ledger WellSpan Properties k 3519469 General Ledger WellSpan Properties l 104242 General Ledger WellSpan Properties q 160953 General Ledger Ephrata Community Hospital a 121697 General Ledger Ephrata Community Hospital k 69740 General Ledger Ephrata Community Hospital l 42802556 General Ledger Ephrata Community Hospital q 16750691 General Ledger Ephrata Community Hospital r 2796 General Ledger Ephrata Community Health Foundation c 11482 General Ledger The Good Samaritan Hospital of Lebanon a 4832122 General Ledger The Good Samaritan Hospital of Lebanon k 179524 General Ledger The Good Samaritan Hospital of Lebanon l 42312257 General Ledger The Good Samaritan Hospital of Lebanon q 15362606 General Ledger Philhaven b 20500000 General Ledger Philhaven l 5099101 General Ledger Philhaven q 11154271 General Ledger Waynesboro Hospital c 5000000 General Ledger Waynesboro Hospital l 3645190 General Ledger Waynesboro Hospital q 3143612 General Ledger Waynesboro Hospital r 8720 General Ledger Chambersburg Hospital c 10000000 General Ledger Chambersburg Hospital l 15291157 General Ledger Chambersburg Hospital q 13167594 General Ledger Chambersburg Hospital r 14340 General Ledger Summit Physician Services l 450000 General Ledger Summit Physician Services q 6567499 General Ledger Summit Health Foundation c 39290 General Ledger Chambersburg Health Services c 4000000 General Ledger Chambersburg Health Services k 465855 General Ledger Chambersburg Health Services l 245625 General Ledger Chambersburg Health Services q 556222 General Ledger Apple Hill Surgical Center Partners l 248371 General Ledger Apple Hill Surgical Center Partners q 1312127 General Ledger Apple Hill Surgical Center Partners s 747652 Schedule K-1 Littlestown Health Care Partnership s 300000 Schedule K-1 Cherry Tree Cancer Center LLP l 14470 General Ledger Cherry Tree Cancer Center LLP q 89039 General Ledger Wellspan Pharmacy Inc l 409873 General Ledger Wellspan Pharmacy Inc q 1405567 General Ledger York Health Plan b 2000000 General Ledger York Health Plan l 301970 General Ledger York Health Plan m 7092655 General Ledger York Health Plan q 3174221 General Ledger Schedule R, Line 2 - Supplemental Statement Supplemental Statement