CHAMBERSBURG HOSPITAL: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: CHAMBERSBURG HOSPITAL (EIN 23-0465970)
Tax period: 2018-07-01 to 2019-06-30
Filed: 2020-06-03
IRS object ID: 202001559349301715
Schema version: 2018v3.2
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
Form 990
Schedule A
Schedule B
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2020-06-03T16:19:11-05:00	ReturnTs
Tax Period End	2019-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	520783935	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	SMITH ELLIOTT KEARNS & COMPANY LLC	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	19 BROOKWOOD AVE STE 101	AddressLine1Txt
City	CARLISLE	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	17015	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2018-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	230465970	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	THE CHAMBERSBURG HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	CHAM	BusinessNameControlTxt
Phone	7178513055	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 2767	AddressLine1Txt
City	YORK	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	174052767	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	MICHAEL F O'CONNOR	PersonNm
Person Title	CFO WELLSPAN HEALTH	PersonTitleTxt
Phone	7172673000	PhoneNum
Signature	2020-06-01	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	GREGORY P HALL CPA	PreparerPersonNm
PTIN	P00156653	PTIN
Phone	7172439104	PhoneNum
Preparation	2020-06-01	PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	65.144.154.59	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2020-06-03	IPDt
IP Tm	16:19:11	IPTm
IP Timezone	CD	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	6B3D5CFE32BBD35C7631821135029589AD16E6BC	AtSubmissionCreationDeviceId
At Submission Filing Device Id	8C3DE7AC8B2B6548563FFD49837976E3A40C018B	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Special Condition	EXTENDED TO 7152020	SpecialConditionDesc

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	WELLSPAN CHAMBERSBURG HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	ROXANNA GAPSTUR	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 2767	AddressLine1Txt
City	YORK	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	174052767	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$470,215,789	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.SUMMITHEALTH.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1904	FormationYr
Legal Domicile State	PA	LegalDomicileStateCd
Activity Or Mission	THE CHAMBERSBURG HOSPITAL IS A REGIONAL NONPROFIT HEALTH CARE ORGANIZATION COMMITTED TO THE IMPROVEMENT OF THE HEALTH AND WELL-BEING OF THE PEOPLE IN SOUTH-CENTRAL PENNSYLVANIA.	ActivityOrMissionDesc
Voting Members Governing Body	13	VotingMembersGoverningBodyCnt
Voting Members Independent	9	VotingMembersIndependentCnt
Total Employee	2445	TotalEmployeeCnt
Total Volunteers	449	TotalVolunteersCnt
Total Gross UBI	$3,920,040	TotalGrossUBIAmt
PY Contributions Grants	$458,257	PYContributionsGrantsAmt
CY Contributions Grants	$636,432	CYContributionsGrantsAmt
PY Program Service Revenue	$346,841,987	PYProgramServiceRevenueAmt
CY Program Service Revenue	$368,292,235	CYProgramServiceRevenueAmt
PY Investment Income	$4,869,129	PYInvestmentIncomeAmt
CY Investment Income	$17,533,667	CYInvestmentIncomeAmt
PY Other Revenue	$6,000,979	PYOtherRevenueAmt
CY Other Revenue	$6,781,923	CYOtherRevenueAmt
PY Total Revenue	$358,170,352	PYTotalRevenueAmt
CY Total Revenue	$393,244,257	CYTotalRevenueAmt
PY Grants And Similar Paid	$2,316,680	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$1,803,710	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$173,189,699	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$168,761,193	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$132,939,202	PYOtherExpensesAmt
CY Other Expenses	$161,382,601	CYOtherExpensesAmt
PY Total Expenses	$308,445,581	PYTotalExpensesAmt
CY Total Expenses	$331,947,504	CYTotalExpensesAmt
PY Revenues Less Expenses	$49,724,771	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$61,296,753	CYRevenuesLessExpensesAmt
Total Assets BOY	$504,783,786	TotalAssetsBOYAmt
Total Assets EOY	$488,841,565	TotalAssetsEOYAmt
Total Liabilities BOY	$215,445,267	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$230,940,319	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$289,338,519	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$257,901,246	NetAssetsOrFundBalancesEOYAmt
Mission	THE CHAMBERSBURG HOSPITAL IS A REGIONAL NONPROFIT HEALTH CARE ORGANIZATION COMMITTED TO THE IMPROVEMENT OF THE HEALTH AND WELL-BEING OF THE PEOPLE IN SOUTH-CENTRAL PENNSYLVANIA.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$243,148,714	ExpenseAmt
Revenue	$370,816,312	RevenueAmt
Desc	THE CHAMBERSBURG HOSPITAL PROVIDES NEEDED MEDICAL CARE TO THE COMMUNITY REGARDLESS OF ANY PATIENT'S ABILITY TO PAY. HEALTH CARE SERVICES INCLUDE INPATIENT ROUTINE, INPATIENT ANCILLARY AND OUTPATIENT CARE. ALL MANAGEMENT AND GENERAL EXPENSES ARE CONSIDERED PROGRAM RELATED.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$1,803,710	ExpenseAmt
Grant	$1,803,710	GrantAmt
Desc	GRANTS TO VARIOUS NON-PROFIT ORGANIZATIONS IN THE COMMUNITY TO DEVELOP OR EXPAND HEALTH CARE PROGRAMS TO EDUCATE THE COMMUNITY ABOUT HEALTH CARE ISSUES. CHAMBERSBURG HOSPITAL PARTNERS WITH COMMUNITY ORGANIZATIONS TO ENHANCE, PROMOTE, AND OFFER COMMUNITY PROGRAMS FOR THE HEALTH AND WELL BEING OF RESIDENTS IN SOUTH CENTRAL PENNSYLVANIA.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$244,952,424	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	false	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	165	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	2445	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (true)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	13	GoverningBodyVotingMembersCnt
Independent Voting Member	9	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	PA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	DAVID P RIZZUTO SENIOR CONTROLLER	PersonNm
Phone	7178513055	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 2767	AddressLine1Txt
City	YORK	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	174052767	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
CHERYL PLUMMER
CHAIR	0.17	Yes (X)	Yes (X)	$0	$0	$0
SUZANNE MILLER TRINH
VICE CHAIR	0.14	Yes (X)	Yes (X)	$0	$0	$0
PAUL LUKA
SECRETARY	0.11	Yes (X)	Yes (X)	$0	$0	$0
PATRICK W O'DONNELL
PRESIDENT &	24.17	Yes (X)	Yes (X)	$1,148,326	$765,551	$310,020	16.00
KIMBERLY M RZOMP
TREASURER /	26.00		Yes (X)	$371,056	$199,799	$72,744	14.00
DR KEVIN LORENTSEN
DIRECTOR	0.17	Yes (X)		$0	$485,675	$26,422	40.00
JEFF REEDER
DIRECTOR	0.00	Yes (X)		$0	$0	$0
L MICHAEL ROSS
DIRECTOR	0.17	Yes (X)		$0	$0	$0
MICHAEL STARR
DIRECTOR	0.05	Yes (X)		$0	$0	$0
JOHN VANHORN
DIRECTOR	0.08	Yes (X)		$0	$0	$0
JOANNE COCHRAN
DIRECTOR	0.17	Yes (X)		$0	$0	$0
DR W DAVID KENT
DIRECTOR	0.17	Yes (X)		$0	$0	$0
DR JOSHUA DUNKLEBARGER
DIRECTOR	0.14	Yes (X)		$0	$949,004	$27,354	40.00
ROXANNA GAPSTUR BEGINNING 112019
CEO WELLSPAN			Yes (X)	$0	$0	$0	40.00
KEVIN MOSSER ENDING 123118
CEO WELLSPAN			Yes (X)	$0	$4,267,289	$111,748	40.00
MICHAEL F O'CONNOR
CFO WELLSPAN			Yes (X)	$0	$811,162	$641,117	40.00
THOMAS ANDERSON MD
VP MEDICAL A	32.00			$412,231	$103,058	$59,590	8.00	Yes (X)
HARRY DIEUVEUIL
VP HUMAN RES	40.00			$188,459	$0	$22,593	0.00	Yes (X)
JOHN MASSIMILLA
VP ADMIN/COO	40.00			$365,414	$0	$76,668		Yes (X)
BARBARA ROSSINI
VP PLANNING	30.00			$219,964	$73,320	$49,898	10.00	Yes (X)
SHERRI STAHL
SR VP HOSPIT	32.00			$414,506	$103,626	$68,356	8.00	Yes (X)
MICHELE ZEIGLER
VP INFORMATI	28.00			$242,043	$103,733	$59,358	12.00	Yes (X)
CATHY PUHL
VP HUMAN RES	40.00			$221,790	$0	$48,204			Yes (X)
CAROLYN GEORGE
VP CORPORATE	40.00			$220,520	$0	$42,402			Yes (X)
ELYSE FISLER
VP PATIENT S	40.00			$193,824	$0	$45,030			Yes (X)
NANCY PROBST
VP QUAL & RI	40.00			$187,967	$0	$52,287			Yes (X)
SAMUEL SHATZER
VP FOR INFO	40.00			$183,036	$0	$48,171			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$4,369,136	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$7,862,217	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,761,962	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	182	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Business Name Line2ContractorName/BusinessName/BusinessNameLine2Txt	Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
CUMBERLAND VALLEY EMERGENCY
ASSOCIATES LTD	112 NORTH SEVENTH STREET	CHAMBERSBURG	PA	17201	PROF MED SERV	$7,632,521
FASTAFF INC
	PO BOX 911452	DENVER	CO	80291	TEMP EMP SERV	$4,915,162
MELILLO CONSULTING INC
	285 DAVIDSON AVENUE	SOMERSET	NJ	08873	SOFTWARE SUPPOR	$2,951,763
GE HEALTHCARE IITS USA CORP
	40 IDX DRIVE	SOUTH BURLINGTON	VT	05403	SERV/LIC FEES	$2,454,016
KEYSTONE HEALTH CENTER
	22 ST PAUL DRIVE STE 200	CHAMBERSBURG	PA	17201	PROF MED SERV	$1,768,375

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	73	CntrctRcvdGreaterThan100KCnt
Related Organizations	$636,432	RelatedOrganizationsAmt
Total Contributions	$636,432	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	PROGRAM SERVICE REVENUE	Desc
Business	621990	BusinessCd
Total Revenue Column	$368,292,235	TotalRevenueColumnAmt
Related Or Exempt Func Income	$368,292,235	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$368,292,235	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$6,374,182	TotalRevenueColumnAmt
Exclusion	$6,374,182	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$596,022	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$683,890	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$87,868	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$87,868	TotalRevenueColumnAmt
Exclusion	-$87,868	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$87,432,138	SecuritiesAmt
Other	$14,989	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$76,285,345	SecuritiesAmt
Other	$2,297	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$11,146,793	SecuritiesAmt
Other	$12,692	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$11,159,485	TotalRevenueColumnAmt
Exclusion	$11,159,485	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
UNRELATED BUSINESS ACTIVITY	621990	$2,016,828	$2,016,828
LABORATORY COURIER	621990	$1,682,500	$1,682,500
PURCHASE DISCOUNTS/RECYCLING	621500	$1,552,719		$1,552,719

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,617,744	TotalRevenueColumnAmt
Related Or Exempt Func Income	$971,358	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$220,712	UnrelatedBusinessRevenueAmt
Exclusion	$425,674	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$6,869,791	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$393,244,257	TotalRevenueColumnAmt
Related Or Exempt Func Income	$370,816,312	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$3,920,040	UnrelatedBusinessRevenueAmt
Exclusion	$17,871,473	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$1,803,710	TotalAmt
Program Services	$1,803,710	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$3,858,698	TotalAmt
Program Services	$2,860,453	ProgramServicesAmt
Management And General	$998,245	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$123,397,689	TotalAmt
Program Services	$91,474,706	ProgramServicesAmt
Management And General	$31,922,983	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$6,082,092	TotalAmt
Program Services	$4,508,655	ProgramServicesAmt
Management And General	$1,573,437	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$26,297,578	TotalAmt
Program Services	$19,494,394	ProgramServicesAmt
Management And General	$6,803,184	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$9,125,136	TotalAmt
Program Services	$6,764,463	ProgramServicesAmt
Management And General	$2,360,673	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$569,407	TotalAmt
Management And General	$569,407	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$135,874	TotalAmt
Management And General	$135,874	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$75,841	TotalAmt
Management And General	$75,841	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$13,648,114	TotalAmt
Program Services	$8,805,763	ProgramServicesAmt
Management And General	$4,842,351	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$965,935	TotalAmt
Program Services	$623,221	ProgramServicesAmt
Management And General	$342,714	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$7,133,790	TotalAmt
Program Services	$4,602,721	ProgramServicesAmt
Management And General	$2,531,069	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$5,339,597	TotalAmt
Program Services	$3,445,108	ProgramServicesAmt
Management And General	$1,894,489	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$4,379,272	TotalAmt
Program Services	$2,825,506	ProgramServicesAmt
Management And General	$1,553,766	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$205,934	TotalAmt
Program Services	$132,869	ProgramServicesAmt
Management And General	$73,065	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$150,696	TotalAmt
Program Services	$97,229	ProgramServicesAmt
Management And General	$53,467	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$5,658,786	TotalAmt
Program Services	$3,870,610	ProgramServicesAmt
Management And General	$1,788,176	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$13,980,807	TotalAmt
Program Services	$9,562,871	ProgramServicesAmt
Management And General	$4,417,936	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$2,336,634	TotalAmt
Program Services	$1,598,258	ProgramServicesAmt
Management And General	$738,376	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
SUPPLIES	$45,077,059	$29,083,718	$15,993,341
BAD DEBT EXPENSE	$25,645,942	$25,629,914	$16,028
PHYSICIAN CONTRACTUAL PAY	$23,301,830	$23,301,830
MISCELLANEOUS EXPENSE	$6,922,543	$4,466,425	$2,456,118

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$5,854,540	TotalAmt
Management And General	$5,854,540	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$331,947,504	TotalAmt
Program Services	$244,952,424	ProgramServicesAmt
Management And General	$86,995,080	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$6,745	BOYAmt
EOY	$7,445	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$16,129,643	BOYAmt
EOY	$13,956,565	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
EOY	$77,000	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$32,229,431	BOYAmt
EOY	$30,446,113	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$4,725,367	BOYAmt
EOY	$5,274,489	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$2,609,614	BOYAmt
EOY	$3,100,166	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$6,050,556	BOYAmt
EOY	$5,422,721	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$397,614,541	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$268,861,015	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$127,091,281	BOYAmt
EOY	$128,753,526	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$79,788,362	BOYAmt
EOY	$76,484,520	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$210,302,039	BOYAmt
EOY	$206,276,795	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$903,843	BOYAmt
EOY	$825,815	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$24,946,905	BOYAmt
EOY	$18,216,410	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$504,783,786	BOYAmt
EOY	$488,841,565	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$31,706,521	BOYAmt
EOY	$26,805,847	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$127,393,515	BOYAmt
EOY	$122,673,845	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$56,345,231	BOYAmt
EOY	$81,460,627	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$215,445,267	BOYAmt
EOY	$230,940,319	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$278,635,676	BOYAmt
EOY	$247,294,595	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$251,146	BOYAmt
EOY	$211,362	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$10,451,697	BOYAmt
EOY	$10,395,289	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$289,338,519	BOYAmt
EOY	$257,901,246	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$504,783,786	BOYAmt
EOY	$488,841,565	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$61,296,753	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$7,281,950	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$85,452,076	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,309,798	BeginningYearBalanceAmt
Contributions	$710,805	ContributionsAmt
Investment Earnings Or Losses	$307,112	InvestmentEarningsOrLossesAmt
Other Expenditures	-$41,545	OtherExpendituresAmt
Administrative Expenses	-$30,412	AdministrativeExpensesAmt
End Year Balance	$3,255,758	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,110,603	BeginningYearBalanceAmt
Contributions	$28,100	ContributionsAmt
Investment Earnings Or Losses	$210,972	InvestmentEarningsOrLossesAmt
Other Expenditures	-$15,152	OtherExpendituresAmt
Administrative Expenses	-$24,725	AdministrativeExpensesAmt
End Year Balance	$2,309,798	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,885,357	BeginningYearBalanceAmt
Contributions	$40,038	ContributionsAmt
Investment Earnings Or Losses	$247,551	InvestmentEarningsOrLossesAmt
Other Expenditures	-$41,918	OtherExpendituresAmt
Administrative Expenses	-$20,425	AdministrativeExpensesAmt
End Year Balance	$2,110,603	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,875,978	BeginningYearBalanceAmt
Contributions	$16,186	ContributionsAmt
Investment Earnings Or Losses	-$34,780	InvestmentEarningsOrLossesAmt
Other Expenditures	-$20,110	OtherExpendituresAmt
Administrative Expenses	-$18,751	AdministrativeExpensesAmt
End Year Balance	$1,885,357	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,875,978	BeginningYearBalanceAmt
Contributions	$54,280	ContributionsAmt
Investment Earnings Or Losses	$43,996	InvestmentEarningsOrLossesAmt
Other Expenditures	-$14,532	OtherExpendituresAmt
Administrative Expenses	-$14,532	AdministrativeExpensesAmt
End Year Balance	$1,942,811	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.59820	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.40180	PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org	Yes (true)	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$6,309,957	OtherCostOrOtherBasisAmt
Book Value	$6,309,957	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$11,770,600	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$186,559,296	OtherCostOrOtherBasisAmt
Depreciation	$101,737,097	DepreciationAmt
Book Value	$96,592,799	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,966,737	OtherCostOrOtherBasisAmt
Depreciation	$1,610,745	DepreciationAmt
Book Value	$355,992	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$191,007,951	OtherCostOrOtherBasisAmt
Depreciation	$165,513,173	DepreciationAmt
Book Value	$25,494,778	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$128,753,526	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

Field	Value	IRS element (for citing)
Desc	OTHER INVESTMENTS	Desc
Book Value	$206,276,795	BookValueAmt
Method Valuation	F	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Securities	$206,276,795	TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDesc	AmtAmt
ACCRUED PENSION OBLIGATION	$42,044,494
INTEREST RATE SWAP AGREEMENTS	$26,078,454
DEFERRED COMPENSATION	$3,861,404
PAYABLE UNDER THIRD-PARTY AGREEMENTS	$3,765,513
ADVANCES FROM THIRD-PARTY PAYORS	$3,478,424
ACCRUED WORKERS' COMP	$1,227,830
ACCRUED LIABILITY INSURANCE	$1,004,508

Field	Value	IRS element (for citing)
Total Liability	$81,460,627	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$367,567,649	TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal	$367,567,649	RevenueSubtotalAmt
Investment Expenses Not Incld	$75,841	InvestmentExpensesNotIncldAmt
Other Revenues Not Included	$25,600,767	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$25,676,608	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$393,244,257	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$306,270,896	TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal	$306,270,896	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$75,841	InvestmentExpensesNotIncld2Amt
Other Expenses Not Included	$25,600,767	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$25,676,608	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$331,947,504	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE D, PAGE 2, PART V, LINE 4	ENDOWMENT FUNDS ARE TO BE USED FOR THE DEVELOPMENT OR EXPANSION OF COMMUNITY HEALTHCARE INITIATIVE AND PROGRAMS. FUNDS ARE ALSO USED TO EDUCATE THE COMMUNITY ABOUT HEALTHCARE ISSUES.
SCHEDULE D, PAGE 3, PART X	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, 2019.
SCHEDULE D, PAGE 4, PART XI, LINE 4B	BAD DEBT EXPENSE 25,600,767
SCHEDULE D, PAGE 4, PART XII, LINE 4B	BAD DEBT EXPENSE 25,600,767

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,582,091	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,582,091	NetCommunityBenefitExpnsAmt
Total Expense	0.01080	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$44,351,627	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$23,661,231	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$20,690,396	NetCommunityBenefitExpnsAmt
Total Expense	0.06230	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$47,933,718	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$23,661,231	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$24,272,487	NetCommunityBenefitExpnsAmt
Total Expense	0.07310	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	34	ActivitiesOrProgramsCnt
Persons Served	11811	PersonsServedCnt
Total Community Benefit Expns	$177,216	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$177,216	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	4	ActivitiesOrProgramsCnt
Persons Served	2234	PersonsServedCnt
Total Community Benefit Expns	$193,240	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$193,240	NetCommunityBenefitExpnsAmt
Total Expense	0.00060	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$2,142,757	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,142,757	NetCommunityBenefitExpnsAmt
Total Expense	0.00650	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$153,949	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$153,949	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	4	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$2,389,700	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,389,700	NetCommunityBenefitExpnsAmt
Total Expense	0.00720	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	45	ActivitiesOrProgramsCnt
Persons Served	14045	PersonsServedCnt
Total Community Benefit Expns	$5,056,862	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$5,056,862	NetCommunityBenefitExpnsAmt
Total Expense	0.01520	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	45	ActivitiesOrProgramsCnt
Persons Served	14045	PersonsServedCnt
Total Community Benefit Expns	$52,990,580	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$23,661,231	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$29,329,349	NetCommunityBenefitExpnsAmt
Total Expense	0.08840	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$5,867	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$5,867	NetCommunityBenefitExpnsAmt

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	15	PersonsServedCnt
Total Community Benefit Expns	$606	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$606	NetCommunityBenefitExpnsAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Persons Served	15	PersonsServedCnt
Total Community Benefit Expns	$6,473	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$6,473	NetCommunityBenefitExpnsAmt

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$25,600,767	BadDebtExpenseAmt
Reimbursed By Medicare	$52,243,437	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$84,402,826	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$32,159,389	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	WELLSPAN CHAMBERSBURG HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	112 NORTH SEVENTH STREET	AddressLine1Txt
City	CHAMBERSBURG	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	17201	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.SUMMITHEALTH.ORG	WebsiteAddressTxt
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	WELLSPAN CHAMBERSBURG HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
Other	Yes (X)	OtherInd
CHNA Conducted	18	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	WWW.SUMMITHEALTH.ORG	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	WWW.HEALTHYFRANKLINCOUNTY.COM	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	19	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	WWW.SUMMITHEALTH.ORG	StrategyWebsiteURLTxt
Strategy Attached	false	StrategyAttachedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	300.000000000000	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	WWW.SUMMITHEALTH.ORG	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	WWW.SUMMITHEALTH.ORG	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	WWW.SUMMITHEALTH.ORG	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Other Actions Taken	Yes (X)	OtherActionsTakenInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FACILITY 1, WELLSPAN CHAMBERSBURG HOSPITAL - PART V, LINE 3E	FRANKLIN COUNTYS MOST SIGNIFICANT NEEDS FOCUS ON TWO SOCIAL DETERMINANTS AND TWO BEHAVIORAL HEALTH PRIORITIES: ESTABLISHING AND MAINTAINING THE BASIC CONDITIONS THAT SUPPORT HEALTH, INCLUDING, ACCESS TO CARE, FAMILY-SUSTAINING INCOMES, ACCESSIBLE TRANSPORTATION, REDUCED STRESS, AND AFFORDABLE AND QUALITY HOUSING ESTABLISHING AND MAINTAINING SYSTEMS THAT ASSURE THAT CHILDREN AND FAMILIES HAVE ACCESS TO HIGH QUALITY EDUCATIONAL OPPORTUNITIES THROUGHOUT THE LIFESPAN SUPPORTING IMPROVED MENTAL HEALTH INCLUDING REDUCING AND TREATING SUBSTANCE USE SUPPORTING ACTIVE LIVING, HEALTHY EATING, AND LESS OBESITY
FACILITY 1, WELLSPAN CHAMBERSBURG HOSPITAL - PART V, LINE 5	THE SUMMIT HEALTH MANAGEMENT TEAM, HEALTHY FRANKLIN COUNTY LEADERSHIP ADVISORY COMMITTEE, AND THE CENTER FOR OPINION RESEARCH AT FRANKLIN AND MARSHALL COLLEGE CONTRIBUTED TO THE DEVELOPMENT OF THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND THE COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP). ONE MAJOR INITIATIVE INCLUDED A SERIES OF SEVEN FOCUS GROUPS WITH COMMUNITY MEMBERS IN THE SUMMIT HEALTH SERVICE AREA. THE GOAL OF THESE FOCUS GROUPS WAS TO GATHER INFORMATION ABOUT FRANKLIN COUNTYS TOP COMMUNITY HEALTH NEEDS FROM THE PERSPECTIVE OF TARGETED COMMUNITY INFORMANTS THAT INCLUDED SCHOOLS, LOW-INCOME, MINORITY, AND SENIOR POPULATIONS. A SECOND TOOL WAS A SURVEY OF 51 VETERANS CONDUCTED BY THE COMMUNITY SERVICES TEAM AT SUMMIT HEALTH. THIS SURVEY WAS DESIGNED TO CLOSELY MIRROR THE COMMUNITY BEHAVIORAL RISK FACTOR SURVEY AND PROVIDE MORE DETAILS ABOUT THE HEALTH CONDITIONS, RISKS, AND BEHAVIORS OF THIS POPULATION. IN ADDITION TO THE FOCUS GROUPS AND VETERANS SURVEY, SUMMIT HEALTH HOSTED A STAKEHOLDER FORUM ON APRIL 15, 2019 WITH MEMBERS OF THE HEALTHY FRANKLIN COUNTY LEADERSHIP TEAM. THE THREE PRIMARY GOALS OF THE FORUM WERE TO: (1) EXPLAIN THE CHNA PROCESS AND THE ROLE OF COMMUNITY STAKEHOLDERS; (2) PRESENT THE ANALYTIC FRAMEWORK AND PRELIMINARY COMMUNITY HEALTH DATA INCLUDED IN THIS SUMMARY; AND (3) GATHER INPUT FROM THESE COMMUNITY STAKEHOLDERS WHO HAVE PUBLIC HEALTH EXPERTISE OR SERVE MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS IN FRANKLIN COUNTY, ABOUT COMMUNITY HEALTH NEEDS AND COMMUNITY RESOURCES.
FACILITY 1, WELLSPAN CHAMBERSBURG HOSPITAL - PART V, LINE 6A	WAYNESBORO HOSPITAL
FACILITY 1, WELLSPAN CHAMBERSBURG HOSPITAL - PART V, LINE 6B	HEALTHY FRANKLIN COUNTY
FACILITY 1, WELLSPAN CHAMBERSBURG HOSPITAL - PART V, LINE 7D	THE 2018-2019 SUMMIT HEALTH COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IS AVAILABLE FOR REVIEW BOTH ON THE WEBSITE: WWW.HEALTHYFRANKLINCOUNTY.ORG OR ON THE WEBSITE: WWW.SUMMITHEALTH.ORG. A PRINTED COPY OF THE REPORT MAY BE OBTAINED UPON REQUEST TO: WELLSPAN SUMMIT HEALTH, ANN SPOTTSWOOD, DIRECTOR OF COMMUNITY SERVICES, ASPOTTSWOOD@SUMMITHEALTH.ORG.
FACILITY 1, WELLSPAN CHAMBERSBURG HOSPITAL - PART V, LINE 11	THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS ENCOURAGES COMMUNITIES TO REFLECT ON THE INITIATIVES THEY HAVE UNDERTAKEN AND THEIR SUCCESSES IN ADDRESSING THE HEALTH PRIORITIES THEY HAVE ESTABLISHED. SINCE 2015, SUMMIT HEALTH'S COMMUNITY SERVICES TEAM ENGAGED WITH THE COMMUNITY TO ESTABLISH SPECIFIC ACTIVITIES TARGETED TO IMPROVING COMMUNITY HEALTH IN SEVEN PRIORITY AREAS. THE COMMUNITY PRIORITIES, GOALS, AND ACTIVITIES RESULTING FROM THE 2015 COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS ARE FULLY DESCRIBED IN APPENDIX I OF THE 2018-2019 SUMMIT HEALTH COMMUNITY HEALTH NEEDS ASSESSMENT. THE SEVEN PRIORITY AREAS ESTABLISHED IN 2015 INCLUDE ACCESS TO PRIMARY CARE SERVICES, NUTRITION, PHYSICAL ACTIVITY, MENTAL HEALTH AND SUBSTANCE USE AND PREVENTION, EDUCATION AND COMMUNITY BASED EDUCATION, EARLY CHILDHOOD EDUCATION, AND ADOLESCENT HEALTH. TABLE 8 OF THE 2018-2019 SUMMIT HEALTH COMMUNITY HEALTH NEEDS ASSESSMENT SHOWS THE NUMBER OF INITIATIVES IMPLEMENTED AND HEALTH INDICATORS RELATED TO EACH. THE COMMUNITY, LED BY SUMMIT HEALTH AND THE HEALTHY FRANKLIN COUNTY LEADERSHIP GROUP, CREATED MANY COMMUNITY INTERVENTIONS, WITH THE MOST EFFORT DEDICATED TO NUTRITION, FOLLOWED BY MENTAL HEALTH AND SUBSTANCE USE AND PREVENTION, PHYSICAL ACTIVITY, AND ACCESS TO CARE. UNFORTUNATELY, ALL OF THESE ACTIVITIES HAVE NOT YET PRODUCED MUCH COMMUNITY-LEVEL CHANGE. ACCESS TO CARE HAS REMAINED VIRTUALLY UNCHANGED WITH THE EXCEPTION OF HIGHER RATES OF DENTAL VISITS. INDICATORS RELATED TO NUTRITION AND PHYSICAL ACTIVITY HAVE GOTTEN WORSE. MENTAL HEALTH INDICATORS HAVE ALSO DECLINED. EDUCATION AND COMMUNITY BASED EDUCATION INDICATORS HAVE REMAINED VIRTUALLY UNCHANGED. ACCESS TO EARLY CHILDHOOD EDUCATION HAS IMPROVED AS HAVE TEEN BIRTH RATES AND TEEN CHLAMYDIA RATES. THESE RESULTS ARE REMINDERS OF AT LEAST TWO IMPORTANT TRUTHS ABOUT IMPROVING PUBLIC HEALTH. FIRST, EFFECTING CHANGE WILL REQUIRE MORE THAN THREE OR FOUR YEARS. MOST OF THE PUBLIC HEALTH PROBLEMS IN OUR COMMUNITIES HAVE EMERGED OVER LONG PERIODS OF TIME AND IT WILL REQUIRE A LONG-TERM AND SUSTAINED INVESTMENT TO PRODUCE CHANGE. SECOND, MOST OF THE INDICATORS USED HERE ARE TRAILING INDICATORS THAT REFLECT AT LEAST IN PART SOCIAL AND STRUCTURAL CONTEXTS THAT ARE LIKELY TO MOVE ONCE THOSE UNDERLYING CONDITIONS BEGIN TO CHANGE. PUT SIMPLY, TIME AND SOCIAL CHANGE ARE NECESSARY CONDITIONS FOR IMPROVING THE HEALTH OF A COMMUNITY. THE PRIORITIES AND IMPACTS ESTABLISHED BY THE 2015 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROVIDE A SUMMARY OF THE WORK IMPLEMENTED GUIDED BY THE RESULTS OF THE PREVIOUS CHNA REGARDING THE SEVEN PRIORITY AREAS IDICATED ABOVE. TO ASSESS PROGRESS TOWARDS THESE GOALS, COMMUNITY INDICATORS FROM THE 2015 CHNA AND 2019 CHNA WERE COMPARED IN THE CATEGORIES OF ORGANIZATIONAL INDICATORS AND PRESENTED IN A TABLE IN THE CHNA ASSESSMENT REPORT. ACCESS TO CARE HAS REMAINED VIRTUALLY UNCHANGED WITH THE EXCEPTION OF HIGHER RATES OF DENTIST VISITS. NUTRITION AND PHYSICAL ACTIVITY HAS GOTTEN WORSE FOR ALL INDICATORS, DESPITE THE MANY ACTIVITIES COMPLETED AT AN ORGANIZATIONAL LEVEL TO ADDRESS THESE ISSUES. MENTAL HEALTH INDICATORS HAVE ALSO DECLINED. EDUCATION AND COMMUNITY BASED EDUCATION INDICATORS HAVE REMAINED VIRTUALLY UNCHANGED. ACCESS TO EARLY CHILDHOOD EDUCATION HAS IMPROVED. TEEN BIRTH RATE AND TEEN CHLAMYDIA RATES HAVE GONE DOWN, WHILE THE CHLAMYDIA RATE FOR YOUNG ADULTS HAS INCREASED. THESE RESULTS SHOULD BE VIEWED WHILE CONSIDERING ONE IMPORTANT POINT - IT TAKES TIME IN ORDER TO SEE CHANGES AT THE COMMUNITY LEVEL; SIMPLY BECAUSE AN INDICATOR HAS NOT CHANGED OR HAS DECLINED, DOES NOT MEAN THAT THE INTERVENTION HAS FAILED - THERE MAY BE MANY REASONS WHY A POSITIVE CHANGE HAS NOT OCCURRED.
FACILITY 1, WELLSPAN CHAMBERSBURG HOSPITAL - PART V, LINE 16J	INFORMATION AND APPLICATION CAN BE FOUND ON THE BACK OF A PATIENT BILLING STATEMENT.
FACILITY 1, WELLSPAN CHAMBERSBURG HOSPITAL - PART V, LINE 20E	FINANCIAL COUNSELORS CALL AND SEND LETTERS TO SELF PAY PATIENTS WITH HIGH DEDUCTIBLE PLANS THAT RECEIVE EMERGENCY DEPARTMENT, SURGICAL OR IN-PATIENT SERVICES.

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C - OTHER INCOME BASED CRITERIA FOR FREE OR DISCOUNTED CARE	IF A FAMILY HAS LIQUID ASSETS AVAILABLE, THEY ARE EXPECTED TO CONTRIBUTE TO THE COST OF THEIR CARE USING THOSE FUNDS. HOWEVER, THEY ARE NOT REQUIRED TO SPEND DOWN ALL OF THEIR LIQUID ASSETS IN ORDER TO BE ELIGIBLE FOR A DISCOUNT. PATIENTS MAY RETAIN SIX MONTHS OF LIVING EXPENSES FROM THEIR LIQUID ASSETS. SIX MONTHS OF LIVING EXPENSES IS ESTIMATED TO BE ONE HALF OF 300% OF FPG. AT THAT POINT, THEY RECEIVE A DISCOUNT ON THEIR MEDICAL BILL.
PART I, LINE 7 - COSTING METHODOLOGY EXPLANATION	THE INFORMATION WAS OBTAINED USING THE COST METHODS USED IN PREPARING THE MEDICARE COST REPORTS.
PART II - COMMUNITY BUILDING ACTIVITIES	CHAMBERSBURG HOSPITAL WORKS TO STRENGTHEN OUR COMMUNITY THROUGH HEALTH EDUCATION EFFORTS FOR CHILDREN AND ADULTS, HEALTH FAIRS PROVIDING HEALTH SCREENINGS, EDUCATING COMMUNITY GROUPS ON SPECIFIC HEALTH TOPICS, FUNDING HEALTH PROGRAMS BY LOCAL NONPROFIT ORGANIZATIONS THROUGH THE SUMMIT ENDOWMENT PROGRAM, PROVIDING CAPACITY-BUILDING WORKSHOPS AND ASSISTANCE THROUGH SUMMIT ENDOWMENT, PARTICIPATING IN MANY LOCAL CIVIC ORGANIZATIONS, SPONSORING EVENTS HELD BY LOCAL CHARITABLE ORGANIZATIONS, AND SUPPORTING WORKFORCE DEVELOPMENT INITIATIVES THROUGH SUMMIT HEALTH'S SCHOOL LIASON PROGRAMS.
PART III, LINE 2 - BAD DEBT EXPENSE METHODOLOGY	FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE HOSPITAL RECORDS A PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT SOME PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. THE COST TO CHARGE RATIO WAS USED TO CALCULATE THE COST OF BAD DEBT EXPENSE. THIS RATIO IS CALCULATED AS FOLLOWS: (NET PATIENT REVENUE DIVIDED BY THE TOTAL OPERATING REVENUE MULTIPLIED BY THE TOTAL OPERATING EXPENSE) DIVIDED BY THE GROSS PATIENT REVENUE.
BAD DEBT EXPENSE FOOTNOTE TO FINANCIAL STATEMENTS	THE HOSPITAL PROVIDES CREDIT IN THE NORMAL COURSE OF ITS BUSINESS TO PATIENTS. PATIENT RECEIVABLES ARE BASED ON THE OUTSTANDING PATIENT BALANCE AFTER ANY CONTRACTUAL REIMBURSEMENTS ARE APPLIED AND ARE GENERALLY DUE 30 DAYS AFTER BILLED. ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTIBILITY OF ACCOUNTS RECEIVABLE, THE HOSPITAL ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE HOSPITAL ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD- PARTY PAYOR HAS NOT YET PAID, OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE HOSPITAL RECORDS A PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT SOME PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.
PART III, LINE 8 - MEDICARE EXPLANATION	THE SHORTFALL FOR MEDICARE IS NOT INCLUDED IN THE CHAMBERSBURG HOSPITAL'S COMMUNITY BENEFIT REPORTING. A COST TO CHARGE RATIO WAS USED TO CALCULATE THE MEDICARE ALLOWABLE COST.
PART III, LINE 9B - COLLECTION PRACTICES EXPLANATION	ALL PATIENTS ARE SUBJECT TO THE DEBT COLLECTION POLICY REGARDLESS OF THEIR ABILITY TO PAY.
PART VI, LINE 2 - NEEDS ASSESSMENT	HEALTH NEEDS OF FRANKLIN COUNTY RESIDENTS AND SURROUNDING COMMUNITIES ARE ASSESSED THROUGH NUMEROUS RESEARCH METHODS INCLUDING CONDUCTING COMMUNITY HEALTH NEEDS ASSESSMENT IN 2018. THE NEEDS WERE IDENTIFIED BY KEY LEADERS AND NONPROFITS WITHIN THE COMMUNITY. BASED ON SCOPE, SEVERITY, AND COMMUNITY PERCEPTIONS OF SEVERITY AND POTENTIAL IMPACT, AND CONSIDERING THE COMMUNITY INITIATIVES TAKEN SINCE 2015, FRANKLIN COUNTYS MOST SIGNIFICANT NEEDS FOCUS ON TWO SOCIAL DETERMINANTS AND TWO BEHAVIORAL HEALTH PRIORITIES: ESTABLISHING AND MAINTAINING THE BASIC CONDITIONS THAT SUPPORT HEALTH, INCLUDING, ACCESS TO CARE, FAMILY-SUSTAINING INCOMES, ACCESSIBLE TRANSPORTATION, REDUCED STRESS, AND AFFORDABLE AND QUALITY HOUSING ESTABLISHING AND MAINTAINING SYSTEMS THAT ASSURE THAT CHILDREN AND FAMILIES HAVE ACCESS TO HIGH QUALITY EDUCATIONAL OPPORTUNITIES THROUGHOUT THE LIFESPAN SUPPORTING IMPROVED MENTAL HEALTH INCLUDING REDUCING AND TREATING SUBSTANCE USE SUPPORTING ACTIVE LIVING, HEALTHY EATING, AND LESS OBESITY THE COMMUNITY HEALTH NEEDS ASSESSMENT CAN BE FOUND ON OUR WEBSITE AT WWW.SUMMITHEALTH.ORG.
PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE	PATIENTS ARE MADE AWARE OF THE CHARITY PROGRAM AND OTHER BILLING ASSISTANCE SERVICES AT REGISTRATION, DURING EMERGENCY ROOM VISITS, AND NOTICES PLACED IN SERVICE AREAS. BILLING STATEMENTS ALSO INFORM PATIENTS OF CHARITY CARE AND OTHER BILLING ASSISTANCE PROGRAMS. AVAILABILITY OF CHARITY PROGRAMS IS ALSO LISTED ON OUR WEBSITE.
PART VI, LINE 4 - COMMUNITY INFORMATION	CHAMBERSBURG HOSPITAL PRIMARILY SERVES COMMUNITY MEMBERS FROM FRANKLIN COUNTY,PA, AND NEARBY COMMUNITIES IN FULTON COUNTY, PA, CUMBERLAND COUNTY, PA, AND WASHINGTON COUNTY, MD. ACCORDING TO U.S. CENSUS DATA, FRANKLIN COUNTY RESIDENTS HAVE A SLIGHTLY LOWER INCOME AND ARE SLIGHTLY OLDER THAN THE STATE AVERAGE. FOR A HEALTH SYSTEM, THIS TYPICALLY RESULTS IN AN INCREASED NEED FOR HEALTHCARE SERVICES.
PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH	CHAMBERSBURG HOSPITAL PROVIDES FINANCIAL AND MANAGERIAL SUPPORT TO KEYSTONE HEALTH, A RURAL HEALTH CENTER THAT SERVICES THE UNDERPRIVILEGED COMMUNITY. IN ADDITION, THE HOSPITAL SUPPORTS LOCAL NONPROFIT ORGANIZATIONS WITH FINANCIAL GRANTS FROM THE SUMMIT ENDOWMENT. WE ENGAGE AND PARTNER WITH OTHER NONPROFITS IN THE COMMUNITY TO ENHANCE AND SUPPORT PROGRAMS AND INITIATIVES THAT ENCOURAGE HEALTHY BEHAVIORS AND LIFESTYLES THROUGH EDUCATION, AWARENESS, AND ACCESS TO SERVICES.
PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEM	THE HOSPITAL IS PART OF WELLSPAN SUMMIT HEALTH, A REGIONAL NETWORK OF TWO HOSPITALS, OUTPATIENT DIAGNOSTIC AND ANCILLARY SERVICES OFFICES, AND HEALTHCARE PROVIDERS. CHAMBERSBURG HOSPITAL AND THESE SUMMIT ENTITIES ARE SERVED BY THE ORGANIZATION'S COMMUNITY HEALTH DEPARTMENT. THIS DEPARTMENT'S MISSION IS TO IMPROVE THE HEALTH OF THE COMMUNITY THROUGH EDUCATION, EARLY DETECTION AND PREVENTION PROGRAMS INCLUDING HEALTH FAIRS, SCREENINGS, AND SEMINARS. MANY OF THE DEPARTMENT'S PROGRAMS ARE PLANNED AND PROVIDED THROUGH COLLABORATION WITH OTHER COMMUNITY ORGANIZATIONS INCLUDING THE PENNSYLVANIA DEPARTMENT OF HEALTH.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (10 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt	Business Name Line2RecipientBusinessName/BusinessNameLine2Txt
CHAMBERSBURG MEMORIAL YMCA
570 E MCKINLEY STREET	CHAMBERSBURG	PA	17201	231476339	3	$8,549	HEALTHY EATING
MAINSTREET WAYNESBORO INC
13 W MAIN STREET	WAYNESBORO	PA	17268	232868740	3	$6,000	NURSE PROGRAM
NOAH'S HOUSE RECOVERY HOMES
635 S 4TH STREET	CHAMBERSBURG	PA	17201	812810826	3	$10,000	EMOTIONAL SUPPORT
SOUTH CENTRAL COMMUNITY ACTION PROG
533 S MAIN STREET	CHAMBERSBURG	PA	17201	232020123	3	$26,030	CHILD HEALTHY EATING
SUMMIT PHYSICIAN SERVICES
785 5TH AVENUE	CHAMBERSBURG	PA	17201	251716306	3	$109,814	HOME MONITORING
GREENCASTLE - ANTRIM ENDOWMENT
500 EAST LEITERSBURG STREET	GREENCASTLE	PA	17225		GOV	$28,000	SCHOLARSHIPS	SCHOLARSHIPS
WAYNESBORO AREA BUSINESS EDUCATION
PO BOX 545	WAYNESBORO	PA	17268	232678530	3	$76,976	MENTAL HEALTH AWAREN	AND COMMUNITY FOUNDATION
SOUTH CENTRAL COMMUNITY ACTION PROG
533 S MAIN STREET	CHAMBERSBURG	PA	17201	232020123	3	$5,775	POVERTY AND HEALTH
SHIPPENSBURG UNIVERSITY FOUNDATION
1871 OLD MAIN DRIVE	SHIPPENSBURG	PA	17257	232046093	3	$10,000	HEALTHY EATING	COMMUNITY RESOURCE COALITION
VARIOUS
						$1,520,566

Field	Value	IRS element (for citing)
Total501c3 Org	8	Total501c3OrgCnt
Total Other Org	1	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE I, PAGE 1, PART I, LINE 2	FormAndLineReferenceDesc
Explanation	ALL FUNDING DECISIONS ARE MADE BY THE SUMMIT ENDOWMENT COMMITTEE, A COMMITTEE OF THE SUMMIT HEALTH BOARD. THE ENDOWMENT MANAGER PROCESSES GRANT APPLICATIONS, ASSISTS GRANTEES IN DEVELOPING SOUND PROGRAM EVALUATION METHODOLOGIES, RECEIVES AND SUMMARIZES PERIODIC REPORTS, AND VISITS PROGRAM SITES, REPORTING ALL ACTIVITIES TO THE SUMMIT ENDOWMENT COMMITTEE. AS WELL, ENDWOMENT COMMITTEE MEETING MINUTES ARE SHARED WITH WAYNESBORO HOSPITAL'S, CHAMBERSBURG HOSPITAL'S, AND SUMMIT HEALTH'S BOARD OF DIRECTORS.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Discretionary Spending Acct	Yes (X)	DiscretionarySpendingAcctInd
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	false	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (17 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
PATRICK W O'DONNELL
PRESIDENT & CEO	$984,865	$656,577	$137,091	$91,394	$26,370	$17,580	$158,782	$105,855	$27,230	$18,153	$1,334,338	$889,559
KIMBERLY M RZOMP
TREASURER / VP & CFO	$261,020	$140,549	$91,849	$49,457	$18,187	$9,793	$35,844	$19,301	$11,439	$6,160	$418,339	$225,260
DR KEVIN LORENTSEN
DIRECTOR		$425,633		$58,365		$1,677		$8,250		$18,172		$512,097
DR JOSHUA DUNKLEBARGER
DIRECTOR		$784,043		$136,091		$28,870		$8,250		$19,104		$976,358
KEVIN MOSSER ENDING 123118
CEO WELLSPAN HEALTH		$1,023,400		$420,420		$2,823,469		$13,433		$98,315		$4,379,037	$420,420
MICHAEL F O'CONNOR
CFO WELLSPAN HEALTH		$588,737		$222,300		$125		$590,416		$50,701		$1,452,279	$222,300
THOMAS ANDERSON MD
VP MEDICAL AFF./CMO	$315,631	$78,908	$70,216	$17,554	$26,384	$6,596	$32,581	$8,145	$15,091	$3,773	$459,903	$114,976
HARRY DIEUVEUIL
VP HUMAN RESOURCES	$162,690		$21,216		$4,553		$511		$22,082		$211,052
JOHN MASSIMILLA
VP ADMIN/COO	$271,318		$62,308		$31,788		$57,801		$18,867		$442,082
BARBARA ROSSINI
VP PLANNING & COMREL	$165,527	$55,176	$37,991	$12,663	$16,446	$5,481	$20,782	$6,928	$16,641	$5,547	$257,387	$85,795
SHERRI STAHL
SR VP HOSPITAL SVCS.	$283,615	$70,904	$103,983	$25,996	$26,908	$6,726	$39,591	$9,898	$15,094	$3,773	$469,191	$117,297
MICHELE ZEIGLER
VP INFORMATION SVCS.	$180,472	$77,346	$40,705	$17,445	$20,866	$8,942	$35,283	$15,122	$6,268	$2,685	$283,594	$121,540
CATHY PUHL
VP HUMAN RESOURCES	$187,981		$26,104		$7,705		$29,337		$18,867		$269,994
CAROLYN GEORGE
VP CORPORATE FINANCE	$167,367		$48,540		$4,613		$25,366		$17,036		$262,922
ELYSE FISLER
VP PATIENT SERVICES	$169,511		$23,869		$444		$24,585		$20,445		$238,854
NANCY PROBST
VP QUAL & RISK MGMT	$161,958		$20,806		$5,203		$33,485		$18,802		$240,254
SAMUEL SHATZER
VP FOR INFO SYSTEMS	$157,062		$22,367		$3,607		$26,062		$22,109		$231,207

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

SCHEDULE J, PAGE 1, PART I, LINE 1A

THE ORGANIZATION REIMBURSES THE COO FOR DUES ASSOCIATED WITH A SOCIAL CLUB. THE OFFICER RECEIVES AN ALLOWANCE THAT CAN BE CONSIDERED A DISCRETIONARY SPENDING ACCOUNT. THE MONIES ARE IN LIEU OF AN AUTOMOBILE ALLOWANCE, TO PURCHASE ADDITIONAL LIFE INSURANCE, ETC. THESE MONIES ARE INCLUDED IN COMPENSATION AS REPORTED IN THE COMPENSATION OF OFFICERS TABLE. A RESULTS FITNESS CLUB MEMBERSHIP IS AVAILABLE FREE OF CHARGE FOR ANY OFFICER AND ACTIVE BOARD MEMBER.

SCHEDULE J, PAGE 1, PART I, LINE 7

INCENTIVE COMPENSATION IS BASED ON PRE-DETERMINED, MEASURABLE GOALS APPROVED BY THE BOARD OF DIRECTORS EXECUTIVE COMMITTEE. THE MEASURABLE GOALS ARE BASED ON QUALITY, COMMUNITY ACCESS TO CARE, PATIENT SAFETY, AND LEADERSHIP.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCd	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
FCIDA REVENUE BONDS SERIES 2014
A	2014-04-30	$27,195,000	SEE PART VI	false	false	false
FCIDA REVENUE BOND SERIES 2019A
B	2019-06-30	$109,572,424	SEE PART VI	false	false	false
FCIDA REVENUE BOND SERIES 2019B
C	2019-06-30	$514,919	SEE PART VI	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCd	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	false	false	false	false
B	false	false	false	false
C	false	false	false	false

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	false	false	false	false	false
B	false	false	false	false	false	false	false
C	false	false	false	false	false	false	false

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	false	false	false	false	false	false	false	false	false
B	false	false	false	false	false	false	false	false	false
C	false	false	false	false	false	false	false	false	false

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	false
B	false
C	false

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE K - ADDITIONAL INFORMATION	FormAndLineReferenceDesc
Explanation	FCIDA REVENUE BONDS SERIES 2014 213,430,000 OF REVENUE BONDS FOR WELLSPAN HEALTH OBLIGATED GROUP, SERIES 2014A WERE ISSUED NOVEMBER 11, 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 6/30/19, THE ALLOCATION OF THE DEBT CAPITAL PROGRAM INCLUDING ISSUE PREMIUM WAS AS FOLLOWS: YORK HOSPITAL 115,717,777, GETTYSBURG HOSPITAL 7,778,848, WELLSPAN PROPERTIES 27,853,476, WELLSPAN SPECIALTY SERVICES 13,693,232, AND EPHRATA COMMUNITY HOSPITAL 28,452,517. THESE AMOUNTS ARE REPORTED ON THE RESPECTIVE BALANCE SHEETS FOR EACH OF THESE ENTITIES. 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 6/30/19, THE 30,762,699 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. 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), 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 6/30/19, THE ALLOCATION OF THE DEBT CAPITAL PROGRAM WAS AS FOLLOWS: YORK HOSPITAL 18,072,754, GETTYSBURG HOSPITAL 2,822,312, WELLSPAN PROPERTIES 3,298,402, WELLSPAN SPECIALTY SERVICES 5,227,656,GOOD SAMARITAN HOSPITAL 252,048, AND WELLSPAN HEALTH 1,443,829. THESE AMOUNTS ARE REPORTED ON THE RESPECTIVE BALANCE SHEETS FOR EACH OF THESE ENTITIES. 29,312,000 OF REVENUE BONDS, SERIES 2017B FOR WELLSPAN HEALTH OBLIGATED GROUP WERE ISSUED 9/4/2018 BY GENERAL AUTHORITY OF SOUTH CENTRAL PENNSYLVANIA. THE PURPOSE OF THE BOND ISSUE WAS REFUND FOR BONDS ISSUED 11/12/2008. 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 6/30/19, THE ALLOCATION OF THE DEBT CAPITAL PROGRAM WAS AS FOLLOWS: YORK HOSPITAL 16,704,970, GETTYSBURG HOSPITAL 2,608,713 WELLSPAN PROPERTIES 3,048,772, WELLSPAN SPECIALTY SERVICES 4,832,016, GOOD SAMARITAN HOSPITAL 232,972, AND WELLSPAN HEALTH 1,334,557. 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) 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 6/30/19, THE ALLOCATION OF THE DEBT CAPITAL PROGRAM WAS AS FOLLOWS: YORK HOSPITAL 131,706,215, CHAMBERSBURG HOSPITAL 110,087,343, WELLSPAN PROPERTIES 65,734,073, CHAMBERSBURG HEALTH SERVICES 18,810,564, GOOD SAMARITAN HOSPITAL 1,482,627, AND EPHRATA COMMUNITY HOSPITAL 3,472,471. 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 6/30/19, 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 6/30/19, THE ALLOCATION OF THE DEBT CAPITAL PROGRAM WAS AS FOLLOWS: WAYNESBORO HOSPITAL (23-1360854) 7,143,140, CHAMBERSBURG HOSPITAL (23-0465970) 21,039,169,AND CHAMBERSBURG HEALTH SERVICES(25-1515376) 499,518. THESE AMOUNTS ARE REPORTED ON THE RESPECTIVE BALANCE SHEETS FOR EACH OF THESE ENTITIES.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PAGE 6, PART VI, LINE 6	SUMMIT HEALTH, A 501(C)(3) ENTITY, IS A MEMBER OF THIS ORGANIZATION.
FORM 990, PAGE 6, PART VI, LINE 7A	SUMMIT HEALTH, A 501(C)(3) ENTITY, ELECTS THE GOVERNING BODY OF THIS ORGANIZATION.
FORM 990, PAGE 6, PART VI, LINE 7B	SUMMIT HEALTH, A 501(C)(3) ENTITY, HAS CERTAIN RESERVE POWERS OVER THIS ORGANIZATION.
FORM 990, PAGE 6, PART VI, LINE 11B	PRIOR TO FILING, THE FORM 990 IS REVIEWED BY THE AUDIT COMMITTEE AND PRESENTED TO THE FULL BOARD OF DIRECTORS FOR APPROVAL.
FORM 990, PAGE 6, PART VI, LINE 12C	MEMBERS ARE ASKED TO ANNUALLY DISCLOSE ANY CONFLICTS OF INTEREST THEY MAY HAVE.
FORM 990, PAGE 6, PART VI, LINE 15A	THE COMPENSATION IS DISCUSSED WITH AN INDEPENEDENT COMPENSATION COMMITTEE. THIS IS PERFORMED IN CONCERT WITH A COMPENSATION CONSULTANT WHO ASSISTS THE COMMITTEE IN SETTING THE COMPENSATION FOR THESE INDIVIDUALS.
FORM 990, PAGE 6, PART VI, LINE 15B	THE COMPENSATION IS DISCUSSED WITH AN INDEPENEDENT COMPENSATION COMMITTEE. THIS IS PERFORMED IN CONCERT WITH A COMPENSATION CONSULTANT WHO ASSISTS THE COMMITTEE IN SETTING THE COMPENSATION FOR THESE INDIVIDUALS.
FORM 990, PAGE 6, PART VI, LINE 19	GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. THESE DOCUMENTS ARE HELD IN THE FINANCE DEPARTMENT OF THE CHAMBERSBURG HOSPITAL. HOSPITAL BYLAWS AND ALL POLICIES AND PROCEDURES ARE FOUND ON THE CHAMBERSBURG HOSPITAL INTRANET.
FORM 990, PART XI, LINE 9	TRANSFERS TO AFFILIATES -39,359,443 PENSION LIABILITY ADJUSTMENT -36,962,029 CHANGE IN VALUE OF DERIVATIVES -9,130,604 TOTAL -85,452,076

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (25 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
WELLSPAN SUMMIT HEALTH
PO BOX 2767	YORK	PA	174052767	251515371	HEALTHCARE	PA	501C3	7	WELLSPAN H	false
CHAMBERSBURG HEALTH SERVICES
PO BOX 2767	YORK	PA	174052767	251515376	HEALTHCARE	PA	501C3	12A	WELLSPAN S	false
SUMMIT PHYSICIAN SERVICES
PO BOX 2767	YORK	PA	174052767	251716306	HEALTHCARE	PA	501C3	3	WELLSPAN S	false
WAYNESBORO HOSPITAL
PO BOX 2767	YORK	PA	174052767	231360854	HEALTHCARE	PA	501C3	3	WELLSPAN S	false
YORK HOSPITAL
PO BOX 2767	YORK	PA	174052767	231352222	HEALTHCARE	PA	501C3	3	NA	false
APPLE HILL SURGICAL CENTER INC
PO BOX 2767	YORK	PA	174052767	222842253	SOLE GP IN	PA	501C3	10	NA	false
GETTYSBURG HOSPITAL
PO BOX 2767	YORK	PA	174052767	231352220	HEALTH CAR	PA	501C3	3	NA	false
GETTYSBURG HOSPITAL FOUNDATION
PO BOX 2767	YORK	PA	174052767	232251358	FUNDRAISIN	PA	501C3	12A	NA	false
HEALTHY COMMUNITY PHARMACY INC
PO BOX 2767	YORK	PA	174052767	200519121	REDUCED RA	PA	501C3	12A	NA	false
VNA COMMUNITY SERVICES
PO BOX 2767	YORK	PA	174052767	232338591	HORNE PERS	PA	501C3	10	NA	false
VNA HOME HEALTH SERVICES
PO BOX 2767	YORK	PA	174052767	231352573	HORNE HEAL	PA	501C3	10	NA	false
WELLSPAN HEALTH
PO BOX 2767	YORK	PA	174052767	222517863	INTEGRATED	PA	501C3	12C	NA	false
WELLSPAN HEALTH CARE SERVICES
PO BOX 2767	YORK	PA	174052767	232400237	HEALTH-REL	PA	501C3	12B	NA	false
WELLSPAN MEDICAL GROUP
PO BOX 2767	YORK	PA	174052767	232730785	MEDICAL AN	PA	501C3	10	NA	false
YORK HEALTH FOUNDATION
PO BOX 2767	YORK	PA	174052767	233050192	CHARITABLE	PA	501C3	12C	NA	false
WELLSPAN SPECIALTY SERVICES
PO BOX 2767	YORK	PA	174052767	232899911	SURGERY AN	PA	501C3	3	NA	false
WELLSPAN PROPERTIES INC
PO BOX 2767	YORK	PA	174052767	222842252	LEASES FAC	PA	501C3	12A	NA	false
EPHRATA COMMUNITY HOSPITAL
PO BOX 2767	YORK	PA	174052767	231370484	HEALTH CAR	PA	501C3	3	NA	false
EPHRATA COMMUNITY HEALTH FOUNDATION
PO BOX 2767	YORK	PA	174052767	800940005	FUNDRAISIN	PA	501C3	12A	EPHRATA CO	false
NORTHERN LANCASTER COUNTY MEDICAL G
PO BOX 2767	YORK	PA	174052767	203033058	MEDICAL AN	PA	501C3	12B	EPHRATA CO	false
PHYS SPEC OF NORTH LANC CO MED
PO BOX 2767	YORK	PA	174052767	452537633	PHYSICIAN	PA	501C3	12B	NORTHERN L	false
GOOD SAMARITAN HOSPITAL
PO BOX 2767	YORK	PA	174052767	230794160	HEALTH CAR	PA	501C3	3	NA	false
PHILHAVEN
PO BOX 2767	YORK	PA	174052767	231548822	HEALTH CAR	PA	501C3	3	NA	false
GOOD SAMARITAN HEATH SERVICE FOUNDA
PO BOX 2767	YORK	PA	174052767	232356151	FUNDRAISIN	PA	501C3	12A	NA	false
GOOD SAMARITAN PHYSICIAN SERVICES
PO BOX 2767	YORK	PA	174052767	251832359	MEDICAL AN	PA	501C3	10	NA	false

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (8 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct	Business Name Line2RelatedOrganizationName/BusinessNameLine2Txt
SUMMIT SURGERY CENTER LP
785 5TH AVENUE SUITE 3	CHAMBERSBURG	PA	17201	251845303	PHYSICIAN	PA	NA	false	false	0.00650
SURGERY CENTER ASSOCIATES LLC
785 5TH AVENUE SUITE 3	CHAMBERSBURG	PA	17201	251845304	PHYSICIAN	PA	NA	false	Yes (true)	0.01000
APPLE HILL SURGICAL CENTER PARTNERS
PO BOX 2767	YORK	PA	174052767	232489452	SURGICAL C	PA	NA	false	false
CENTRAL PA ALLIANCE LABORATORIES LL
PO BOX 2767	YORK	PA	174052767	232910950	REF. LAB	PA	NA	false	false
LITTLESTOWN HEALTH CARE PARTNERS
300 WEST KING STREET	LITTLESTOWN	PA	17340	232880464	LEASE FACI	PA	NA	false	false
CHERRY TREE CANCER CENTER LLP
PO BOX 2767	YORK	PA	174052767	232915628	RADIATION	PA	NA	false	false
THE REHAB CENTER
855 SPRINGDALE DRIVE SUITE 20	EXTON	PA	19341	251687903	PHYSICAL T	PA	NA	false	false
CUMBERLAND VALLEY MOBILE SERVICES
112 NORTH SEVENTH ST	CHAMBERSBURG	PA	17201	200884014	MOBILE SVC	PA	NA	false	false		LLC

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (8 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Business Name Line2RelatedOrganizationName/BusinessNameLine2Txt
WELLSPAN PHARMACY INC
PO BOX 2767	YORK	PA	174052767	232374072	DISPENSES	PA	N/A	C CORP	false
WELLSPAN RECIPROCAL RISK RETEN
PO BOX 2767	YORK	PA	174052767	200048457	RISK RETEN	PA	N/A	C CORP	false
YORK HEALTH PLAN
PO BOX 2767	YORK	PA	174052767	232664989	PREFERRED	PA	N/A	C CORP	false
WELLSPAN PROVIDER NETWORK
PO BOX 2767	YORK	PA	174052767	232907828	COORD MNGD	PA	N/A	C CORP	false
APPLE HILL CONDOMINIUM ASSOCIA
PO BOX 2767	YORK	PA	174052767	232504543	CONDO MGMT	PA	N/A	C CORP	false
NORTH LANC CO PHYS HOSP ALLIAN
PO BOX 2767	YORK	PA	174052767	232421885	COORD PHYS	PA	N/A	C CORP	false
GSH REALTY INC
PO BOX 2767	YORK	PA	174052767	251832359	RENTAL NON	PA	N/A	C CORP	false
EPHRATA HEALTH PAVILION CONDOMINIUM
PO BOX 2767	YORK	PA	174052767	475367279	CONDO ASSO	PA	N/A	C CORP	false	ASSOCIATION

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	WELLSPAN SUMMIT HEALTH	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Transaction Type	C	TransactionTypeTxt
Involved	$636,432	InvolvedAmt