WELLSPAN HEALTH: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
WELLSPAN HEALTH (EIN 22-2517863)
Tax period
2019-07-01 to 2020-06-30
Filed
2021-05-14
IRS object ID
202101349349301200
Schema version
2019v5.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2021-05-14T04:20:12-07:00ReturnTs
Tax Period End2020-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN135381590PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1WellSpan HealthBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line13350 WHITEFORD ROADAddressLine1Txt
CityYORKCityNm
State AbbreviationPAStateAbbreviationCd
ZIP17402ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN222517863EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1WELLSPAN HEALTHBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlWELLBusinessNameControlTxt
Phone7178513055PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 2767AddressLine1Txt
CityYORKCityNm
State AbbreviationPAStateAbbreviationCd
ZIP17405ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonLaura BuczkowskiPersonNm
Person TitleCFOPersonTitleTxt
Signature2021-05-14SignatureDt
Discuss With Paid PreparerfalseDiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSee AttachedPreparerPersonNm
PTINP01871563PTIN
Phone7038930600PhoneNum
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerRoxanna GapsturPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 2767AddressLine1Txt
CityYORKCityNm
State AbbreviationPAStateAbbreviationCd
ZIP174052767ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$507,467,529GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.WELLSPAN.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1983FormationYr
Legal Domicile StatePALegalDomicileStateCd
Activity Or MissionWellSpan Health's charitable, non-profit mission is "working as one to improve health through exceptional care for all, lifelong wellness and healthy communities".ActivityOrMissionDesc
Voting Members Governing Body18VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee3022TotalEmployeeCnt
Total Volunteers898TotalVolunteersCnt
Total Gross UBI$1,110,655TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$19,553NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$74,353,858PYContributionsGrantsAmt
CY Contributions Grants$91,677,195CYContributionsGrantsAmt
PY Program Service Revenue$358,925,110PYProgramServiceRevenueAmt
CY Program Service Revenue$406,101,686CYProgramServiceRevenueAmt
PY Investment Income$9,681,198PYInvestmentIncomeAmt
CY Investment Income$7,237,945CYInvestmentIncomeAmt
PY Other Revenue$2,544,735PYOtherRevenueAmt
CY Other Revenue$2,361,922CYOtherRevenueAmt
PY Total Revenue$445,504,901PYTotalRevenueAmt
CY Total Revenue$507,378,748CYTotalRevenueAmt
PY Grants And Similar Paid$62,544,970PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$25,016,543CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$237,690,629PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$254,596,083CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$160,888,965PYOtherExpensesAmt
CY Other Expenses$195,751,020CYOtherExpensesAmt
PY Total Expenses$461,124,564PYTotalExpensesAmt
CY Total Expenses$475,363,646CYTotalExpensesAmt
PY Revenues Less Expenses-$15,619,663PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$32,015,102CYRevenuesLessExpensesAmt
Total Assets BOY$544,403,478TotalAssetsBOYAmt
Total Assets EOY$671,523,886TotalAssetsEOYAmt
Total Liabilities BOY$816,389,021TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,046,522,799TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$271,985,543NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$374,998,913NetAssetsOrFundBalancesEOYAmt
MissionWellSpan 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.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$437,814,774ExpenseAmt
Revenue$406,101,686RevenueAmt
DescSee Federal Supplemental Information Attachment: WellSpan Health - 2019 Community Benefit ReportDesc
Total Program Service Expenses$437,814,774TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (true)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document1038IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee3022EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Form8282 Filed0Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members18GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldPAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonDAVID RIZZUTOPersonNm
Phone7178513055PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13350 WHITEFORD ROADAddressLine1Txt
CityYORKCityNm
State AbbreviationPAStateAbbreviationCd
ZIP174029081ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (41 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerInd
Kevin Mosser
Former CEO-WellSpan Health0.000.00$1,583,936$0$1,630,258
John Porter Jr
Exec VP & COO40.000.00$1,314,301$0$367,603
Roxanna Gapstur
President & CEO40.000.00$1,292,495$0$177,068Yes (X)Yes (X)
Thomas McGann
Exec VP-Clinical Practice40.000.00$873,546$0$332,698
Michael F O'Connor
CFO of WellSpan40.000.00$831,632$0$330,778Yes (X)
Charles Chodroff MD
Sr VP WSH & COO & Pres SCP40.000.00$798,829$0$307,030
Mark Deitch MD
VP-Ortho Service Line40.000.00$887,445$0$115,242
Richard Baker
VP/Chief Information Officer40.000.00$669,122$0$270,999
Steven Delaveris DO
VP-Med Service Line40.000.00$835,377$0$64,228
Glen Moffett
VP/General Counsel40.000.00$634,632$0$257,478
Maria Royce
Sr VP Planning & Development40.000.00$582,794$0$243,962
Robert Batory
Vice President HR40.000.00$548,795$0$231,120
Barbara Yarrish
Sr VP & WSS Pres40.000.00$476,235$141,440$65,600
Philip Nicholson MD
VP & Chief Medical Officer40.000.00$460,486$0$97,022
Victoria Diamond
Sr VP WSH/ Pres WSS40.000.00$444,198$0$90,264
James Morris
Med Dir-Surgery40.000.00$472,629$0$58,288
Michael Murphy
VP&Chief Tech Off40.000.00$453,068$0$63,625
Kristen O'Shea
VP & Chief Nursing Executive40.000.00$437,302$0$65,081
Robert Rice
Med Dir-Oncology40.000.00$455,787$0$43,328
Megan Lecas
VP-Women &Child Svc Line40.000.00$365,839$0$106,448
Douglas Heishman
VP-Planning & FS40.000.00$380,707$0$60,957
Lori Clark
VP-Neuroscience Service Line40.000.00$343,648$0$82,857
Jason Elliott
VP-Human Resources40.000.00$318,003$0$59,718
Paul Minnich
Director1.000.00$0$0$0Yes (X)
Mary Studzinski
Dir until 11/191.000.00$0$0$0Yes (X)
Donald Dreibelbis
Director1.000.00$0$0$0Yes (X)
John Welch MD
Director1.000.00$0$0$0Yes (X)
Steve Hovis
Chairman1.000.00$0$0$0Yes (X)Yes (X)
William Funk DMD
Director1.000.00$0$0$0Yes (X)
Megan Shreve
Vice Chairman1.000.00$0$0$0Yes (X)Yes (X)
Linda Pugh
Director1.000.00$0$0$0Yes (X)
H Fred Martin MD
Director1.000.00$0$0$0Yes (X)
N Daniel Waltersdorff
Director1.000.00$0$0$0Yes (X)
Philip Fague
Director1.000.00$0$0$0Yes (X)
William Happel
Director1.000.00$0$0$0Yes (X)
Nancy Meyers
Director1.000.00$0$0$0Yes (X)
R Fred Groff
Director1.000.00$0$0$0Yes (X)
Peter Brubaker
Director1.000.00$0$0$0Yes (X)
Joe Crosswhite
Secr/Treas1.000.00$0$0$0Yes (X)Yes (X)
Patrick McGannon MD
Director1.000.00$0$0$0Yes (X)
Cheryl Plummer
Director1.000.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$15,460,806TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$141,440TotReportableCompRltdOrgAmt
Total Other Compensation$5,121,652TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K434IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
TEK Systems Inc
PO BOx 198568AtlantaGA303848568IT Consulting$2,848,003
Sunstone Consulting LLC
1645 Whitley DrHarrisburgPA17111Reimbursement Consulting$1,817,958
Credit Management Company
2121 Noblestown Rd Suite 300PittsburghPA15205Collections Agency$1,344,208
Experian Health
PO Box 886133Los AngelesCA900886133Revenue Management$1,323,887
Modern Recovery Solutions
PO Box 500NewmanstownPA17073Outsourcing Services$1,341,298
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K70CntrctRcvdGreaterThan100KCnt
Related Organizations$90,120,800RelatedOrganizationsAmt
Government Grants$914,955GovernmentGrantsAmt
All Other Contributions$641,440AllOtherContributionsAmt
Total Contributions$91,677,195TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
Accounting Fees541200$293,762$96,918$196,844
Apple Hill Surgical Ctr621990$1,593,987$1,593,987
Facilities Support561700$13,655,204$13,553,391$101,813
Insurance Fees524298$24,275,488$24,275,488
Management Fees561000$366,283,245$365,567,583$715,662
FieldValueIRS element (for citing)
Total Program Service Revenue$406,101,686TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,094,657TotalRevenueColumnAmt
Exclusion$7,094,657ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$77,914SecuritiesAmt
Other$154,155OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$81,196SecuritiesAmt
Other$7,585OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$3,282SecuritiesAmt
Other$146,570OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$143,288TotalRevenueColumnAmt
Exclusion$143,288ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
Continuing Education611600$31,891$31,891
Other Services900099$1,338,950$1,242,614$96,336
Research Trial Payments541700$1,007,185$1,007,185

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column-$16,104TotalRevenueColumnAmt
Exclusion-$16,104ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$2,361,922OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$507,378,748TotalRevenueColumnAmt
Related Or Exempt Func Income$405,087,367RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$1,110,655UnrelatedBusinessRevenueAmt
Exclusion$9,503,531ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$25,016,543TotalAmt
Program Services$25,016,543ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$15,305,940TotalAmt
Program Services$14,143,530ProgramServicesAmt
Management And General$1,162,410ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$173,566,929TotalAmt
Program Services$168,431,606ProgramServicesAmt
Management And General$5,135,323ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$8,404,825TotalAmt
Program Services$7,219,136ProgramServicesAmt
Management And General$1,185,689ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$43,793,915TotalAmt
Program Services$43,040,383ProgramServicesAmt
Management And General$753,532ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$13,524,474TotalAmt
Program Services$12,974,324ProgramServicesAmt
Management And General$550,150ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,206,274TotalAmt
Program Services$1,042,532ProgramServicesAmt
Management And General$163,742ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$233,140TotalAmt
Program Services$26ProgramServicesAmt
Management And General$233,114ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$42,654,770TotalAmt
Program Services$41,775,941ProgramServicesAmt
Management And General$878,829ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$6,070,737TotalAmt
Program Services$6,016,330ProgramServicesAmt
Management And General$54,407ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$7,431,175TotalAmt
Program Services$7,138,179ProgramServicesAmt
Management And General$292,996ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$48,780,085TotalAmt
Program Services$48,779,463ProgramServicesAmt
Management And General$622ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$7,131,346TotalAmt
Program Services$6,801,926ProgramServicesAmt
Management And General$329,420ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,563,376TotalAmt
Program Services$1,431,551ProgramServicesAmt
Management And General$131,825ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$633,010TotalAmt
Program Services$609,891ProgramServicesAmt
Management And General$23,119ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$22,532,870TotalAmt
Management And General$22,532,870ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$37,611,746TotalAmt
Program Services$34,637,593ProgramServicesAmt
Management And General$2,974,153ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$923,950TotalAmt
Program Services$223,060ProgramServicesAmt
Management And General$700,890ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Repair & Maintenance$8,513,841$8,485,130$28,711
Dues and Subscriptions$2,150,690$2,062,185$88,505
Licenses/ Fees$2,033,065$2,031,084$1,981
Credit Card Fees$1,992,657$1,992,647$10

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$4,288,288TotalAmt
Program Services$3,961,714ProgramServicesAmt
Management And General$326,574ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$475,363,646TotalAmt
Program Services$437,814,774ProgramServicesAmt
Management And General$37,548,872ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$58,841,616BOYAmt
EOY$170,560,950EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$7,655,840BOYAmt
EOY$5,386,800EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$172,881,755BOYAmt
EOY$155,847,559EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$312,315BOYAmt
EOY$545,289EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$22,166,281BOYAmt
EOY$32,296,046EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$309,034,997LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$142,862,625LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$165,063,962BOYAmt
EOY$166,172,372EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$83,006,790BOYAmt
EOY$94,988,598EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$34,474,919BOYAmt
EOY$45,726,272EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$544,403,478BOYAmt
EOY$671,523,886EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$40,101,256BOYAmt
EOY$46,792,939EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$83,603BOYAmt
EOY$83,603EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$12,647,202BOYAmt
EOY$12,438,124EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$763,556,960BOYAmt
EOY$987,208,133EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$816,389,021BOYAmt
EOY$1,046,522,799EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$272,473,205BOYAmt
EOY-$376,612,103EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$487,662BOYAmt
EOY$1,613,190EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$271,985,543BOYAmt
EOY-$374,998,913EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$544,403,478BOYAmt
EOY$671,523,886EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$32,015,102ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$701,675NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$134,326,797OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type3 Func IntYes (X)SupportingOrgType3FuncIntInd
Supported Organizations11SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp (11 entries)

EINEINOrganization TypeOrganizationTypeCdGoverning Document ListedGoverningDocumentListedIndSupportSupportAmtOther SupportOtherSupportAmt
York Hospital
2313522223Yes (true)$228,360,307$0
Gettysburg Hospital
2313522203Yes (true)$39,744,625$0
VNA Home Health Services
23135257310Yes (true)$504,803$0
WellSpan Medical Group
23273078510Yes (true)$2,948,326$0
WellSpan Specialty Services
2328999113Yes (true)$15,273,578$0
Ephrata Community Hospital
2313704843Yes (true)$35,952,884$0
Good Samaritan Hospital
2307941603Yes (true)$35,770,492$0
Philhaven
2315488223Yes (true)$4,799,762$0
Summit Physician Services
2517163063Yes (true)$75,000$0
Waynesboro Hospital
2313608543Yes (true)$155,004$0
Chambersburg Hospital
2304659703Yes (true)$770,004$0
FieldValueIRS element (for citing)
Supported Organizations Total11SupportedOrganizationsTotalCnt
Support Sum$364,354,785SupportSumAmt
Other Support Sum$0OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

FieldValueIRS element (for citing)
Listed By Name Governing DocfalseListedByNameGoverningDocInd
Suprt Org No IRS DeterminationfalseSuprtOrgNoIRSDeterminationInd
Supported Org Section C456falseSupportedOrgSectionC456Ind
Supported Org Not Organized USfalseSupportedOrgNotOrganizedUSInd
Organization Change Suprt OrgfalseOrganizationChangeSuprtOrgInd
Support Non Supported OrgfalseSupportNonSupportedOrgInd
Payment Substantial ContribtrfalsePaymentSubstantialContribtrInd
Loan Disqualified PersonfalseLoanDisqualifiedPersonInd
Controlled Disqualified PrsnfalseControlledDisqualifiedPrsnInd
Disqualified Prsn Controll IntfalseDisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr IntfalseDisqualifiedPrsnOwnrIntInd
Excess Business Holdings RulesfalseExcessBusinessHoldingsRulesInd
Contribution ControllerfalseContributionControllerInd
Contribution FamilyfalseContributionFamilyInd
Contribution35 ControlledfalseContribution35ControlledInd

Form990 Sch A Type3 Sprt Org All Form990SchAType3SprtOrgAllGrp

FieldValueIRS element (for citing)
Timely Provided DocumentsYes (true)TimelyProvidedDocumentsInd
Officers Close RelationshipYes (true)OfficersCloseRelationshipInd
Supported Org Voice InvestmentYes (true)SupportedOrgVoiceInvestmentInd

Form990 Sch A Type3 Func Int Form990SchAType3FuncIntGrp

FieldValueIRS element (for citing)
Parent Supported OrgYes (X)ParentSupportedOrgInd
Appoint Elect Majority OfficerYes (true)AppointElectMajorityOfficerInd
Exercise Direction PoliciesYes (true)ExerciseDirectionPoliciesInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part IV, Section A, Line 1: Description Of How Supported Organizations Are DesigatedHealthy 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. PlayedThe 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 PersonsThe 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 Specialty Services, 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 Specialty Services.
Part IV, Section E, Line 3b: Role Played in Management of Policies, Programs, & ActivitiesThe 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.

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$487,662BeginningYearBalanceAmt
Contributions$1,756,308ContributionsAmt
Investment Earnings Or Losses$452InvestmentEarningsOrLossesAmt
Other Expenditures$631,232OtherExpendituresAmt
End Year Balance$1,613,190EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$456,272BeginningYearBalanceAmt
Contributions$1,015,660ContributionsAmt
Investment Earnings Or Losses$195InvestmentEarningsOrLossesAmt
Other Expenditures$984,465OtherExpendituresAmt
End Year Balance$487,662EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$482,759BeginningYearBalanceAmt
Contributions$824,317ContributionsAmt
Investment Earnings Or Losses$3,341InvestmentEarningsOrLossesAmt
Other Expenditures$854,145OtherExpendituresAmt
End Year Balance$456,272EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$558,590BeginningYearBalanceAmt
Contributions$538,988ContributionsAmt
Investment Earnings Or Losses$5,791InvestmentEarningsOrLossesAmt
Other Expenditures$620,610OtherExpendituresAmt
End Year Balance$482,759EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$377,811BeginningYearBalanceAmt
Contributions$476,213ContributionsAmt
Investment Earnings Or Losses$339InvestmentEarningsOrLossesAmt
Other Expenditures$295,773OtherExpendituresAmt
End Year Balance$558,590EndYearBalanceAmt
FieldValueIRS element (for citing)
Term Endowment Balance EOY1.00000TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd
Related Org List Sch RfalseRelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,755,772OtherCostOrOtherBasisAmt
Book Value$7,755,772BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$79,407,207OtherCostOrOtherBasisAmt
Depreciation$946,291DepreciationAmt
Book Value$78,460,916BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,998,174OtherCostOrOtherBasisAmt
Depreciation$3,449,631DepreciationAmt
Book Value$4,548,543BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$193,054,197OtherCostOrOtherBasisAmt
Depreciation$138,466,703DepreciationAmt
Book Value$54,587,494BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$20,819,647OtherCostOrOtherBasisAmt
Book Value$20,819,647BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$166,172,372TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDescBook ValueBookValueAmt
Advance Deposit-Royal/Citicorp$60,957
Advance Deposits$2,904,023
Advance Deposits-Blue Cross$87,733
AR Intercompany$252,098
Estimated Insurance Recoveries$24,796,116
Prepaid Life Insurance$4,039,407
FieldValueIRS element (for citing)
Total Book Value Other Assets$45,726,272TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (15 entries)

DescDescAmtAmt
Accrued Audit Fees$2,808
Accrued Payroll Incentives$13,822,781
Deferred Lease Expense$362,812
Intercompany AP$23,150,197
Liability Self Insurance Reserve$80,739,824
LTD Leases$9,965,961
Note Payable - GH$20,722,215
Note Payable - WP$3,058,584
Note Payable - WRRRG$18,434
Note Payable - WSRH$7,494,438
Note Payable - YH R &R$524,650,819
Payroll Accrual$5,273,371
Pension Accrual$258,918,097
Post Retirement Benefit Obligations$23,362,293
Vacation Accrual$15,665,499
FieldValueIRS element (for citing)
Total Liability$987,208,133TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$691,877,424TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$702,127NetUnrealizedGainsInvstAmt
Other Revenue$275,025,879OtherRevenueAmt
Revenue Not Reported$274,323,752RevenueNotReportedAmt
Revenue Subtotal$417,553,672RevenueSubtotalAmt
Other Revenues Not Included$89,825,076OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$89,825,076RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$507,378,748TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$725,689,525TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$275,025,879OtherExpensesIncludedAmt
Expenses Not Reported$275,025,879ExpensesNotReportedAmt
Expenses Subtotal$450,663,646ExpensesSubtotalAmt
Other Expenses Not Included$24,700,000OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$24,700,000ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$475,363,646TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 FootnoteIn 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, 2020.
Part XI, Line 2d: Other revenue amounts included in F/S but not included on form 990WellSpan System Allocation - Health $XXX-XX-XXXX WellSpan System Allocation - Insurance $20375703 Expenses netted with Revenue $3607142 Summit Health Acquisition Contribution $0
Part XI, Line 4b: Other revenue amounts included on 990 but not included in F/SGrant-York Hospital $67000000 Grant-Gettysburg Hospital $13000000 Restricted Contributions(Net) $1125076 Grant - WellSpan Specialty Services $8700000
Part XII, Line 2d: Other expenses and losses per audited F/SWellSpan System Allocation - Health $XXX-XX-XXXX WellSpan System Allocation - Insurance $20375703 Revenue netted with Expense $3607142 Acquisition Contribution-Amortization $0
Part XII, Line 4b: Other revenue amounts included on 990 but not included in F/SGrant to WellSpan Population Health $700000 Grant to Philhaven $24000000

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtPurpose Of GrantPurposeOfGrantTxt
Philhaven
PO Box 2767YorkPA17405231548822501(c)(3)$24,000,000$0General support
York Health Plan
PO Box 2767YorkPA17405232664989$700,000$0General support
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org1TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceGrantmaker's Description of How Grants are UsedFormAndLineReferenceDesc
ExplanationAll 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.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PmtsYes (X)IdemnificationGrossUpPmtsInd
Written Policy Ref T And E ExpnssYes (true)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (23 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountOther Compensation Filing OrgOtherCompensationFilingOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmt
Barbara Yarrish
Sr VP & WSS Pres$5,223$141,440$245,741$225,271$14,830$30,833$19,937$507,068$176,207$131,430
Charles Chodroff MD
Sr VP WSH & COO & Pres SCP$581,507$217,322$49,630$1,105,859$216,450$257,400
Douglas Heishman
VP-Planning & FS$301,091$76,695$2,921$42,219$441,664$18,738
Glen Moffett
VP/General Counsel$465,372$169,260$46,290$892,110$169,260$211,188
James Morris
Med Dir-Surgery$404,340$68,289$43,211$530,917$15,077
Jason Elliott
VP-Human Resources$251,963$66,040$45,102$377,721$14,616
John Porter Jr
Exec VP & COO$712,490$273,000$328,811$57,104$1,681,904$273,000$310,499
Kevin Mosser
Former CEO-WellSpan Health$212,990$763,820$607,126$33,462$3,214,194$763,820$1,596,796
Kristen O'Shea
VP & Chief Nursing Executive$344,758$85,290$7,254$46,773$502,383$18,308
Lori Clark
VP-Neuroscience Service Line$236,929$101,958$4,761$38,519$426,505$44,338
Maria Royce
Sr VP Planning & Development$436,544$146,250$47,476$826,756$146,250$196,486
Mark Deitch MD
VP-Ortho Service Line$622,237$265,208$22,821$1,002,687$92,421
Megan Lecas
VP-Women &Child Svc Line$252,827$113,012$41,841$472,287$64,607
Michael F O'Connor
CFO of WellSpan$605,042$226,590$51,645$1,162,410$226,590$279,133
Michael Murphy
VP&Chief Tech Off$359,052$93,891$125$48,117$516,693$15,508
Philip Nicholson MD
VP & Chief Medical Officer$359,786$93,539$7,161$46,242$557,508$50,780
Richard Baker
VP/Chief Information Officer$489,170$170,430$9,522$51,980$940,121$170,430$219,019
Robert Batory
Vice President HR$398,594$142,350$7,851$46,891$779,915$142,350$184,229
Robert Rice
Med Dir-Oncology$389,572$66,215$28,467$499,115$14,861
Roxanna Gapstur
President & CEO$988,473$271,790$32,232$55,828$1,469,563$121,240
Steven Delaveris DO
VP-Med Service Line$535,930$236,029$63,418$48,650$899,605$15,578
Thomas McGann
Exec VP-Clinical Practice$634,413$237,633$1,500$49,753$1,206,244$236,730$282,945
Victoria Diamond
Sr VP WSH/ Pres WSS$355,864$88,334$46,532$534,462$43,732

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 1a: Relevant information in regards to selections on 1a.FormAndLineReferenceDesc
ExplanationMML 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.ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
General Authority of Sout
A23298223384129NHL62014-11-10$232,436,732Revenue Refundingfalsefalsefalse
Lancaster Municipal Autho
B2773341602015-05-22$36,572,083Refund ECH bonds 09,10,12,13falsefalsefalse
General Authority of Sout
C2329822332018-03-13$34,877,000reissue bond issued 11/12/08falsefalsefalse
General Authority of Sout
D2329822332018-09-04$29,312,000reissue bond issued 11/12/08falsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtCapitalized InterestCapitalizedInterestAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$16,630,000$20,176,715$232,871,143$8,654,485$2,053,982$92,158,663$124,671,5032016Yes (true)Yes (true)Yes (true)Yes (true)
B$7,359,378$36,572,083$36,572,0832015Yes (true)falseYes (true)Yes (true)
C$7,716,000$34,877,000$34,877,0002012falseYes (true)Yes (true)Yes (true)
D$1,100,000$29,312,000$29,312,000falseYes (true)Yes (true)Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
AfalsefalsefalsefalsefalsefalseYes (true)
BfalsefalsefalsefalsefalsefalseYes (true)
CfalsefalsefalsefalsefalsefalseYes (true)
DfalsefalsefalsefalsefalsefalseYes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndNo Rebate DueNoRebateDueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndBusiness Name Line1GICProviderName/BusinessNameLine1TxtGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsIndException To RebateExceptionToRebateInd
NA
AfalseYes (true)falsefalseNAfalseYes (true)
NA
BfalsefalsefalseNAfalseYes (true)Yes (true)
NA
CfalsefalsefalseNAfalseYes (true)Yes (true)
NA
DfalsefalsefalseNAfalseYes (true)Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (true)
BYes (true)
CYes (true)
DYes (true)

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart VIFormAndLineReferenceDesc
Explanation$213,430,000 of Revenue bonds for Wellspan Health Obligated Group, Series 2014A were issued November 10, 2014 by General Authority of South Central Pennsylvania. 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 Specialty Services (23-2899911), and Ephrata Community Hospital (23-1370484). In order to remain consistent with the reporting on Form 8038, all outstanding liabilities associated with this tax-exempt bond issue is reported on the WellSpan Health (22-2517863) Schedule K. As of 6/30/20, the allocation of the Debt Capital program including issue premium was as follows: York Hospital $113,006,240, Gettysburg Hospital $7,607,130, WellSpan Properties $27,233,962, WellSpan Specialty Services $13,390,824, and Ephrata Community Hospital $27,945,016. These amounts are reported on the respective balance sheets for each of these entities.Arbitrage Rebate and Yield Restriction Liability Calculation was performed for the period of November 10, 2014 to November 10, 2019. No rebate was due.On May 22, 2015, the Lancaster Municipal Authority issued $36,572,083 of Revenue 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. In order to remain consistent with the reporting on Form 8038, all outstanding liabilities associated with this tax-exempt bond issue is reported on the WellSpan Health (22-2517863) Schedule K.As of 6/30/20, the $29,212,704 of outstanding liability is reported on the Ephrata Community Hospital return balance sheet.$34,877,000 of Revenue bonds for Wellspan Health Obligated Group, Series 2017A were issued March 13, 2018 by General Authority of South Central Pennsylvania to refinance Series 2017A Notes (taxable). 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 Specialty Services (23-2899911), and Good Samaritan Hospital (23-1794160). In order to remain consistent with the reporting on Form 8038, all outstanding liabilities associated with this tax-exempt bond issue is reported on the WellSpan Health (22-2517863) Schedule K. As of 6/30/20, the allocation of the Debt Capital program was as follows: York Hospital $15,775,109, Gettysburg Hospital $2,462,503, WellSpan Properties $2,879,066, WellSpan Specialty Services $4,563,048, Good Samaritan Hospital $220,004, and WellSpan Health $1,260,270. These amounts are reported on the respective balance sheets for each of these entities.$29,312,000 of Revenue Bonds, Series 2017B (tax exempt bonds) for WellSpan Health Obligated Group were issued 9/4/2018 by General Authority of South Central Pennsylvania to refinance Series 2017B Notes (taxable). Such notes were applied to refund 2008A Bonds. In order to remain consistent with the reporting on Form 8038, all outstanding liabilities associated with this tax-exempt bond issue is reported on the WellSpan Health (22-2517863) Schedule K. As of 6/30/20, the allocation of the Debt Capital program was as follows: York Hospital $16,385,530, Gettysburg Hospital $2,558,828, WellSpan Properties $2,990,472, WellSpan Specialty Services $4,739,616, Good Samaritan Hospital $228,517, and WellSpan Health $1,309,037. These amounts are reported on the respective balance sheets for each of these entities.$331,502,627 of Revenue bonds Series 2019A and 2019B for Wellspan Health Obligated Group were issued 4/3/2019 by General Authority of South Central Pennsylvania. 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), Good Samaritan Hospital (23-1794160), Waynesboro Hospital (23-1360854), Summit Physician Services (25-1716306), Gettysburg Hospital (23-1352220), WellSpan Specialty Services (23-2899911) and Ephrata Community Hospital (23-1370484). In order to remain consistent with the reporting on Form 8038, all outstanding liabilities associated with this tax-exempt bond issue is reported on the WellSpan Health (22-2517863) Schedule K. As of 6/30/20, the allocation of the Debt Capital program was as follows: York Hospital $115,696,732, Waynesboro Hospital $461,652, Chambersburg Hospital $110,576,835, Chambersburg Health Services $18,680,280, Summit Physician Services $972,536. WellSpan Properties $66,489,250, Gettysburg Hospital $10,539,595, Ephrata Community Hospital $3,425,157, Good Samaritan Hospital $42,216, and WellSpan Specialty Services $1,419,163. These amounts are reported on the respective balance sheets for each of these entities.$212,690,000 of Revenue bonds Series 2019C, 2019D and 2019E for WellSpan Health Obligated Group were issued 4/3/2019 by General Authority of South Central Pennsylvania. 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 Specialty Services (23-2899911), Good Samaritan Hospital (23-1794160) and WellSpan Health (22-2517863). In order to remain consistent with the reporting on Form 8038, all outstanding liabilities associated with this tax-exempt bond issue is reported on the WellSpan Health (22-2517863) Schedule K. As of 6/30/20, the allocation of the Debt Capital program was as follows: York Hospital $123,530,352, Gettysburg Hospital $19,290,983, WellSpan Properties $22,545,140, WellSpan Specialty Services $35,731,920, Good Samaritan Hospital $1,722,789, and WellSpan Health $9,868,816. These amounts are reported on the respective balance sheets for each of these entities.On April 30, 2014, $35,795,000 of Healthcare Revenue Bonds Series 2014A & 2014C were issued by Franklin County Industrial Authority. In order to remain consistent with the reporting on Form 8038, all outstanding liabilities associated with this tax-exempt bond issue is reported on the WellSpan Health (22-2517863) Schedule K. As of 6/30/20, the allocation of the Debt Capital program was as follows: Waynesboro Hospital (23-1360854) $6,771,865, Chambersburg Hospital (23-0465970) $19,824,238,and Chambersburg Health Services(25-1515376) $513,108. These amounts are reported on the respective balance sheets for each of these entities.ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
General Authority of Sout
A23298223384129NMF32019-04-03$331,502,627Refund bonds, capital expandfalsefalsefalse
General Authority of Sout
B23298223384129NMG12019-04-03$212,690,000Refund bonds issued 11/12/2008false
Franklin County Industria
C2304658502014-04-30$35,795,000Refund 2010 bonds & expansionfalsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtCapitalized InterestCapitalizedInterestAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCapital ExpendituresCapitalExpendituresAmtRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndOther Spent ProceedsOtherSpentProceedsAmtSubstantial CompletionSubstantialCompletionYr
A$1,615,000$331,502,627$535,014$138,084,452$2,214,321$122,978,833Yes (true)Yes (true)falseYes (true)
B$211,700,000$990,000Yes (true)falseYes (true)Yes (true)$211,700,0002012
C$35,795,000$534,161$8,470,580Yes (true)falseYes (true)Yes (true)$26,790,2592016

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
AfalsefalsefalsefalsefalsefalseYes (true)
BfalsefalsefalsefalsefalsefalseYes (true)
CfalsefalsefalsefalsefalsefalseYes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndBusiness Name Line1GICProviderName/BusinessNameLine1TxtGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsIndException To RebateExceptionToRebateInd
NA
AfalseYes (true)falsefalseNAfalseYes (true)
NA
BfalsefalsefalseNAfalseYes (true)Yes (true)
NA
CYes (true)falsefalseNAfalseYes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (true)
BYes (true)
CYes (true)

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (5 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
WelchWagner Partnership
Partner Welch$381,871Lease to WellSpanfalse
Barley Snyder
Ptnr Minnich$1,617,798legal servicesfalse
Abbie Beidler
Fam Member Welsh$88,974WSH employeefalse
M & T Bank
Sr VP Crosswhite$343,091Banking Fees - WSHfalse
Salzmann Hughes PC
SH Meyers$120,750legal services to WSHfalse

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Client Note 1Client Note 1 - 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
Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, EtPaul Minnich is an officer and director on the WellSpan Specialty Services, VNA Home Health Services and WellSpan Health boards. His law partner, Jeffrey Lobach, is a director on the WellSpan Medical Group and York Health Foundation boards. Peter Brubaker is a director on the WellSpan Health board. His son, Patrick Brubaker, is a board member on the York Health Foundation Board.
Form 990, Part VI, Line 11b: Form 990 Review ProcessManagement 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 ConflictsOfficers, 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 EmployeesThe Compensation Committee of WellSpan Health is responsible for rewarding and reinforcing key executives for the achievement of annual and long-term performance objectives. The Compensation Committee shall consist of not more than six (6) persons, of whom two (2) shall be the Chairman and Vice Chairman of the Board of the Corporation, and the remaining members shall be such other persons as may be appointed by the Chairman of the Board of the Corporation, with the approval of the Board of Directors; provided, however, that the Compensation Committee shall not include any persons who are employed by the System. The Chairman of the Board of Gettysburg Hospital shall participate. The role of the Compensation Committee is to set the Executive Compensation Philosophy for the system and ensure adherence, evaluate performance and establish compensation for the WellSpan President, evaluate team performance of the executive team and establish awards, review and approve senior executive base salary ranges, and oversee employed physician compensation programs. The Committee will approve salary ranges for each executive position and review incumbent salaries annually. The Committee will be responsible for reviewing the President's salary each year, and if warranted, authorizing an adjustment to maintain competitiveness. The President will have the authority to make salary adjustments for 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 AvailableGoverning documents, policies, and financial statements are available upon request.
Other Changes In Net Assets Or Fund Balances - Other DecreasesEquity lease adjustment = -$291148
Other Changes In Net Assets Or Fund Balances - Other IncreasesNet assets released from restriction-PPE = $71242
Other Changes In Net Assets Or Fund Balances - Other DecreasesPension adjustment for FAS 158 = -$XXX-XX-XXXX
Signature Box - Paid Preparer ExplanationPaid 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

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1GSH Home Med Care LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 2767AddressLine1Txt
CityYorkCityNm
State AbbreviationPAStateAbbreviationCd
ZIP174052767ZIPCd
FieldValueIRS element (for citing)
EIN232028099EIN
Primary ActivitiesSales/rent of med equip/suppliesPrimaryActivitiesTxt
Legal Domicile StatePALegalDomicileStateCd
End Of Year Assets$8,217,761EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1WellSpan Health Care ServicesBusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (26 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
Apple Hill Surgical Center Inc
PO Box 2767YorkPA174052767222842253Sole GP in limited ptnrshp. operating surgical centerPA501(c)(3)10WellSpan Health Care ServicesYes (true)
Gettysburg Hospital
PO Box 2767YorkPA174052767231352220Health Care ServicesPA501(c)(3)3WellSpan HealthYes (true)
Gettysburg Hospital Foundation
PO Box 2767YorkPA174052767232251358Fundraising to support Gettysburg HospitalPA501(c)(3)12 Type IGettysburg HospitalYes (true)
Healthy Community Pharmacy Inc
PO Box 2767YorkPA174052767200519121Reduced rate prescription drugs to uninsuredPA501(c)(3)12 Type IWellSpan Health Care ServicesYes (true)
VNA Community Services
PO Box 2767YorkPA174052767232338591Home personal care services for elderly and disabledPA501(c)(3)10WellSpan Specialty ServicesYes (true)
VNA Home Health Services
PO Box 2767YorkPA174052767231352573Home health servicesPA501(c)(3)10WellSpan Specialty ServicesYes (true)
WellSpan Health Care Services
PO Box 2767YorkPA174052767232400237Health-related activities in the service areaPA501(c)(3)12 Type IIWellSpan HealthYes (true)
WellSpan Medical Group
PO Box 2767YorkPA174052767232730785Medical and surgical carePA501(c)(3)10WellSpan HealthYes (true)
York Health Foundation
PO Box 2767YorkPA174052767233050192Charitable contributions for Wellspan entitiesPA501(c)(3)12 Type IIIWellSpan HealthYes (true)
York Hospital
PO Box 2767YorkPA174052767231352222Community teaching hospitalPA501(c)(3)3WellSpan HealthYes (true)
WellSpan Specialty Services
PO Box 2767YorkPA174052767232899911Surgery and Rehabilitation HospitalPA501(c)(3)3WellSpan HealthYes (true)
WellSpan Properties
PO Box 2767YorkPA174052767222842252Leases facilities to affiliatesPA501(c)(3)12 Type IIWellSpan Health Care ServicesYes (true)
Ephrata Community Hospital
PO Box 2767YorkPA174052767231370484Health care servicesPA501(c)(3)3WellSpan HealthYes (true)
Ephrata Community Health Foundation
PO Box 2767YorkPA174052767800940005Funraising for Ephrata HospitalPA501(c)(3)12 Type IEphrata Community HospitalYes (true)
Northern Lancaster County Medical Group
PO Box 2767YorkPA174052767203033058Medical and surgical carePA501(c)(3)12 Type IIEphrata Community HospitalYes (true)
Phys Spec of North Lanc Co Med Gr
PO Box 2767YorkPA174052767452537633Physician PracticesPA501(c)(3)12 Type IINorthern Lancaster County Medical GroupYes (true)
Good Samaritan Hospital
PO Box 2767YorkPA174052767230794160Health Care ServicesPA501(c)(3)3WellSpan HealthYes (true)
Philhaven
PO Box 2767YorkPA174052767231549922Health Care ServicesPA501(c)(3)3WellSpan HealthYes (true)
Good Samaritan Health Service Foundation
PO Box 2767YorkPA174052767232356151Fundraising for Good SamaritanPA501(c)(3)12 Type IGood Samaritan HospitalYes (true)
Good Samaritan Physican Services
PO Box 2767YorkPA174052767251832359Medical and Surgical CarePA501(c)(3)10Good Sam Health Services FoundationYes (true)
WellSpan Summit Health
PO Box 2767YorkPA174052767251515371Integrated Health SystemPA501(c)(3)7WellSpan HealthYes (true)
Waynesboro Hospital
PO Box 2767YorkPA174052767231360854Health Care ServicesPA501(c)(3)3WellSpan Summit HealthYes (true)
Chambersburg Hospital
PO Box 2767YorkPA174052767230465970Health Care ServicesPA501(c)(3)3WellSpan Summit HealthYes (true)
Summit Physician Services
PO Box 2767YorkPA174052767251716306Medical and surgical carePA501(c)(3)3WellSpan Summit HealthYes (true)
Summit Health Foundation
PO Box 2767YorkPA174052767831196554Fundraising for Health Care SystemPA501(c)(3)12 Type IIWellSpan Summit HealthYes (true)
Chambersburg Health Services
PO Box 2767YorkPA174052767251515376Health care servicesPA501(c)(3)12 Type IWellSpan Summit HealthYes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (8 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPct
Apple Hill Surgical Center Partners
PO Box 2767YorkPA174052767232489452Surgical CnPANARelated$3,003,841$6,783,795falsefalse0.66010
Central PA Alliance Laboratories LLC
PO Box 2767YorkPA174052767232910950Ref. LabPANA-$312,475falseYes (true)0.20000
Littlestown Health Care Partners
300 West King StreetLittlestownPA17340232880464Lease facilPANA$90,965$1,537,750falsefalse0.50000
Cherry Tree Cancer Center LLP
PO Box 2767YorkPA174052767232915628RadiationPANARelated-$93,091$483,539falsefalse0.50000
The Rehab Center
855 Springdale Drive Suite 20ExtonPA19341251687903Physical Therapy RehabPANARelated$1,227,021$1,003,624falsefalse
Surgery Center Associates LLC
785 5th Avenue Suite 3ChambersburgPA17201251845304Physician ServicesPAChambersburg Health$8,649$656,859falsefalse0.68900
Summit Surgery Center LP
785 5th Avenue Suite 3ChambersburgPA17201251845303Physician ServicesPAChambersburg Health$718,397falsefalse0.72050
Cumberland Valley Mobile Services LLC
5 South Main StreetSugarloafPA18249200884014Mobile MRI ServicesPAChambersburg Health$497,795-$112,331falsefalse0.51000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (8 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
Wellspan Pharmacy Inc
PO Box 2767YorkPA174052767232374072Dispenses Pharmaceuticals & IV TherapyPAWellSpan Health Care ServicesC corp$2,703,070$14,310,8341.00000Yes (true)
Wellspan Reciprocal Risk Retention Group
PO Box 2767YorkPA174052767200048457Risk Retention GroupPANAC corp$167,457$507,3150.01490false
York Health Plan
PO Box 2767YorkPA174052767232664989Preferred Provider OrganizationPANAC corp$13,158,221$1,958,1141.00000Yes (true)
WellSpan Provider Network
PO Box 2767YorkPA174052767232907828Coordinate managed care risk contractPANAC Corp1.00000Yes (true)
Apple Hill Condominium Association
PO Box 2767YorkPA174052767232504543Condo Mgmt AssociationPAHomeowner AssocfalseN/A
North Lanc Co Phys Hosp Alliance
PO Box 2767YorkPA174052767232421885Coord Phys & HospitalPAC CorpfalseN/A
GSH Realty Inc
PO Box 2767YorkPA174052767232353047Non-res. real estatePAWSH Care ServicesC corpfalse
Ephrata Health Pavilion Condo Assoc
PO Box 2767YorkPA174052767475367279Condo associationPAEphrata HospitalC corp$35,793$143,5630.83000false
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (true)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (true)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (true)LoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (66 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Apple Hill Surgical Center Inc
l$648,090General Ledger
Gettysburg Hospital
c$13,000,000General Ledger
Gettysburg Hospital
e$20,722,215General Ledger
Gettysburg Hospital
k$97,247General Ledger
Gettysburg Hospital
l$40,854,605General Ledger
Gettysburg Hospital
q$13,891,412General Ledger
VNA Home Health Services
l$509,764General Ledger
VNA Home Health Services
q$4,320,654General Ledger
WellSpan Medical Group
l$3,484,995General Ledger
WellSpan Medical Group
m$787,006General Ledger
WellSpan Medical Group
p$446,055General Ledger
WellSpan Medical Group
q$69,225,679General Ledger
York Health Foundation
c$1,252,632General Ledger
York Health Foundation
q$320,250General Ledger
York Hospital
c$67,000,000General Ledger
York Hospital
e$524,650,819General Ledger
York Hospital
l$234,100,272General Ledger
York Hospital
q$77,786,963General Ledger
York Hospital
r$21,932,991General Ledger
WellSpan Specialty Services
c$8,700,000General Ledger
WellSpan Specialty Services
e$7,494,438General Ledger
WellSpan Specialty Services
l$15,532,832General Ledger
WellSpan Specialty Services
q$6,144,353General Ledger
WellSpan Properties
e$3,058,584General Ledger
WellSpan Properties
k$2,813,144General Ledger
WellSpan Properties
l$324,744General Ledger
WellSpan Properties
q$170,713General Ledger
Ephrata Community Hospital
a$71,743FMV
Ephrata Community Hospital
l$38,124,955General Ledger
Ephrata Community Hospital
q$16,671,506General Ledger
Ephrata Community Hospital
r$79,251General Ledger
Good Samaritan Hospital
a$6,195,778FMV
Good Samaritan Hospital
d$150,241,426General Ledger
Good Samaritan Hospital
k$174,410General Ledger
Good Samaritan Hospital
l$38,746,116General Ledger
Good Samaritan Hospital
q$15,252,473General Ledger
Philhaven
b$24,000,000General Ledger
Philhaven
l$4,858,218General Ledger
Philhaven
q$12,006,957General Ledger
Good Samaritan Health Service Foundation
c$72,370General Ledger
Waynesboro Hospital
l$155,004General Ledger
Waynesboro Hospital
q$122,932General Ledger
Chambersburg Hospital
l$770,004General Ledger
Chambersburg Hospital
q$377,278General Ledger
Summit Physician Services
l$75,000General Ledger
Summit Physician Services
q$72,056General Ledger
Chambersburg Health Services
l$214,893General Ledger
Chambersburg Health Services
q$76,625General Ledger
Apple Hill Surgical Center Partners
l$96,918General Ledger
Apple Hill Surgical Center Partners
q$1,234,760General Ledger
Apple Hill Surgical Center Partners
s$1,855,011K-1
Cherry Tree Cancer Center LLP
l$132,563General Ledger
Cherry Tree Cancer Center LLP
q$205,489General Ledger
The Rehab Center
s$1,430,478K-1
Summit Surgery Center LP
q$18,126
Wellspan Pharmacy Inc
l$503,514General Ledger
Wellspan Pharmacy Inc
q$1,304,877General Ledger
Wellspan Reciprocal Risk Retention Group
e$18,434General Ledger
Wellspan Reciprocal Risk Retention Group
m$10,357,167General Ledger
York Health Plan
b$700,000General Ledger
York Health Plan
l$292,750General Ledger
York Health Plan
m$5,437,937General Ledger
York Health Plan
q$2,547,104General Ledger
Apple Hill Condominium Association
l$68,674General Ledger
GSH Realty Inc
a$10,908FMV
GSH Realty Inc
d$980,126General Ledger

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