WELLSPAN HEALTH: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
WELLSPAN HEALTH (EIN 22-2517863)
Tax period
2018-07-01 to 2019-06-30
Filed
2020-07-07
IRS object ID
202021899349300007
Schema version
2018v3.1
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)
Return2020-07-07T06:18:11-07:00ReturnTs
Tax Period End2019-06-30TaxPeriodEndDt

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 Begin2018-07-01TaxPeriodBeginDt

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)
PersonMichael F O'ConnorPersonNm
Person TitleCFOPersonTitleTxt
Signature2020-07-07SignatureDt
Discuss With Paid PreparerfalseDiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSee AttachedPreparerPersonNm
PTINP01871563PTIN
Phone7038930600PhoneNum
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2020-09-23 17:36:50ZBuildTS

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$445,746,230GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
All Affiliates IncludedfalseAllAffiliatesIncludedInd
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 Body20VotingMembersGoverningBodyCnt
Voting Members Independent18VotingMembersIndependentCnt
Total Employee2978TotalEmployeeCnt
Total Volunteers898TotalVolunteersCnt
Total Gross UBI$1,092,747TotalGrossUBIAmt
PY Contributions Grants$11,019,220PYContributionsGrantsAmt
CY Contributions Grants$74,353,858CYContributionsGrantsAmt
PY Program Service Revenue$326,133,948PYProgramServiceRevenueAmt
CY Program Service Revenue$358,925,110CYProgramServiceRevenueAmt
PY Investment Income$6,623,579PYInvestmentIncomeAmt
CY Investment Income$9,681,198CYInvestmentIncomeAmt
PY Other Revenue$1,494,267PYOtherRevenueAmt
CY Other Revenue$2,544,735CYOtherRevenueAmt
PY Total Revenue$345,271,014PYTotalRevenueAmt
CY Total Revenue$445,504,901CYTotalRevenueAmt
PY Grants And Similar Paid$233,917PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$62,544,970CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$229,627,878PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$237,690,629CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$176,447,028PYOtherExpensesAmt
CY Other Expenses$160,888,965CYOtherExpensesAmt
PY Total Expenses$406,308,823PYTotalExpensesAmt
CY Total Expenses$461,124,564CYTotalExpensesAmt
PY Revenues Less Expenses-$61,037,809PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$15,619,663CYRevenuesLessExpensesAmt
Total Assets BOY$464,406,292TotalAssetsBOYAmt
Total Assets EOY$544,403,478TotalAssetsEOYAmt
Total Liabilities BOY$685,844,612TotalLiabilitiesBOYAmt
Total Liabilities EOY$816,389,021TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$221,438,320NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$271,985,543NetAssetsOrFundBalancesEOYAmt
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$416,050,707ExpenseAmt
Grant$62,544,970GrantAmt
Revenue$358,925,110RevenueAmt
DescSee Federal Supplemental Information Attachment: WellSpan Health - 2019 Community Benefit ReportDesc
Total Program Service Expenses$416,050,707TotalProgramServiceExpensesAmt
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
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
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 With Officer EntfalseBusinessRlnWithOfficerEntInd
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 Document971IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee2978EmployeeCnt
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
DAF Excess Business HoldingsfalseDAFExcessBusinessHoldingsInd
Taxable DistributionsfalseTaxableDistributionsInd
Distribution To DonorfalseDistributionToDonorInd
Org Filed In Lieu Of Form1041falseOrgFiledInLieuOfForm1041Ind
Licensed More Than One StatefalseLicensedMoreThanOneStateInd
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 Members20GoverningBodyVotingMembersCnt
Independent Voting Member18IndependentVotingMemberCnt
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 (40 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
Paul Minnich
Director1.000.00Yes (X)$0$0$0
Mary Studzinski
Director1.000.00Yes (X)$0$0$0
Donald Dreibelbis
Director1.000.00Yes (X)$0$0$0
John Welch MD
Director1.000.00Yes (X)$0$0$0
Steve Hovis
Chairman1.000.00Yes (X)$0$0$0Yes (X)
William Funk DMD
Director1.000.00Yes (X)$0$0$0
Megan Shreve
Vice Chairman1.000.00Yes (X)$0$0$0Yes (X)
Linda Pugh
Director1.000.00Yes (X)$0$0$0
H Fred Martin MD
Director1.000.00Yes (X)$0$0$0
N Daniel Waltersdorff
Director1.000.00Yes (X)$0$0$0
Roxanna Gapstur
Pres 1/1/1940.000.00Yes (X)$0$0$0Yes (X)
Philip Fague
Dir. beg. 11/181.000.00Yes (X)$0$0$0
William Happel
Dir. beg. 11/181.000.00Yes (X)$0$0$0
Nancy Meyers
Dir. beg. 11/181.000.00Yes (X)$0$0$0
R Fred Groff
Director1.000.00Yes (X)$0$0$0
Kevin Mosser MD
Pres end 12/3140.000.00Yes (X)$4,267,289$0$111,748Yes (X)
Peter Brubaker
Director1.000.00Yes (X)$0$0$0
Joe Crosswhite
Secr/Treas1.000.00Yes (X)$0$0$0Yes (X)
Patrick McGannon MD
Director1.000.00Yes (X)$0$0$0
Cheryl Plummer
Dir. beg. 11/181.000.00Yes (X)$0$0$0
Michael F O'Connor
CFO of WellSpan40.000.00$811,162$0$641,117Yes (X)
Charles Chodroff MD
Sr VP WSH & COO & Pres SCP40.000.00$783,763$0$603,853Yes (X)
Glen Moffett
VP/General Counsel40.000.00$619,750$0$491,521Yes (X)
Robert Batory
Vice President HR40.000.00$529,253$0$435,057Yes (X)
Richard Baker
VP/Chief Information Officer40.000.00$631,553$0$510,530Yes (X)
Maria Royce
Sr VP Planning & Development40.000.00$550,131$0$492,205Yes (X)
John Porter Jr
Exec VP & COO40.000.00$2,062,899$0$743,244Yes (X)
Steven Delaveris DO
VP-Med Service Line40.000.00$702,830$0$55,143Yes (X)
Lori Clark
VP-Neuroscience Service Line40.000.00$286,557$0$55,466Yes (X)
Mark Deitch MD
VP-Ortho Service Line40.000.00$757,181$0$35,557Yes (X)
Megan Lecas
VP-Women &Child Svc Line40.000.00$302,663$0$74,104Yes (X)
Philip Nicholson MD
VP & Chief Medical Officer40.000.00$414,315$0$65,719Yes (X)
Thomas McGann
Exec VP-Clinical Practice40.000.00$841,972$0$654,465Yes (X)
Victoria Diamond
Sr VP WSH/ Pres WSS40.000.00$387,674$0$48,953Yes (X)
Jason Elliott
VP-Human Resources40.000.00$298,516$0$59,200Yes (X)
Kristin O'Shea
VP & Chief Nursing40.000.00$369,767$0$74,822Yes (X)
Michael Murphy
VP&Chief Tech Off40.000.00$413,868$0$63,214Yes (X)
James Moris
Med Dir-Surgery40.000.00$448,118$0$57,650Yes (X)
Terri Nuss
Chief of Pat. Exp.40.000.00$352,702$0$54,455Yes (X)
Robert Rice
Med Dir-Oncology40.000.00$432,252$0$45,621Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$16,264,215TotalReportableCompFromOrgAmt
Total Other Compensation$5,373,644TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K382IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
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$2,280,591
PennCredit
2800 Commerce DriveHarrisburgPA17110Collection Services$1,821,979
Virtual Procurement Services
25 Sylvan RoadWestportCT06880IT Consulting$1,340,836
Nuance Communications Inc
PO Box 7247-6924PhiladelphiaPA191706924IT Consulting$4,327,076
Modern Recovery Solutions
PO Box 500NewmanstownPA17073Outsourcing Services$1,412,201
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K67CntrctRcvdGreaterThan100KCnt
Related Organizations$73,381,636RelatedOrganizationsAmt
Government Grants$687,719GovernmentGrantsAmt
All Other Contributions$284,503AllOtherContributionsAmt
Total Contributions$74,353,858TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
Accounting Fees541200$307,734$93,192$214,542
Apple Hill Surgical Ctr621990$1,518,200$1,518,200
Facilities Support561700$12,212,721$12,048,893$163,828
Insurance Fees524298$195,664$195,664
Management Fees561000$344,690,791$344,074,414$616,377
FieldValueIRS element (for citing)
Total Program Service Revenue$358,925,110TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$9,556,845TotalRevenueColumnAmt
Exclusion$9,556,845ExclusionAmt

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)
Other$365,682OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$241,329OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$124,353OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$124,353TotalRevenueColumnAmt
Exclusion$124,353ExclusionAmt

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
Child Care Services812900$222,185$222,185
Other Services900099$967,327$909,889$57,438
Research Trial Payments541700$1,188,757$1,188,757

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$166,466TotalRevenueColumnAmt
Unrelated Business Revenue$40,562UnrelatedBusinessRevenueAmt
Exclusion$125,904ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$2,544,735OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$445,504,901TotalRevenueColumnAmt
Related Or Exempt Func Income$357,930,363RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$1,092,747UnrelatedBusinessRevenueAmt
Exclusion$12,127,933ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$62,544,970TotalAmt
Program Services$62,544,970ProgramServicesAmt

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$19,325,390TotalAmt
Program Services$17,873,111ProgramServicesAmt
Management And General$1,452,279ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$154,843,016TotalAmt
Program Services$145,464,574ProgramServicesAmt
Management And General$9,378,442ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$10,704,451TotalAmt
Program Services$7,171,067ProgramServicesAmt
Management And General$3,533,384ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$40,494,810TotalAmt
Program Services$39,623,142ProgramServicesAmt
Management And General$871,668ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$12,322,962TotalAmt
Program Services$11,864,370ProgramServicesAmt
Management And General$458,592ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,796,013TotalAmt
Program Services$787,512ProgramServicesAmt
Management And General$1,008,501ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$302,656TotalAmt
Management And General$302,656ManagementAndGeneralAmt

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$31,735,874TotalAmt
Program Services$30,887,364ProgramServicesAmt
Management And General$848,510ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$6,633,113TotalAmt
Program Services$6,596,485ProgramServicesAmt
Management And General$36,628ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$3,847,802TotalAmt
Program Services$3,653,417ProgramServicesAmt
Management And General$194,385ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$40,155,104TotalAmt
Program Services$40,155,104ProgramServicesAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$5,905,849TotalAmt
Program Services$5,590,319ProgramServicesAmt
Management And General$315,530ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,824,648TotalAmt
Program Services$1,595,137ProgramServicesAmt
Management And General$229,511ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$701,771TotalAmt
Program Services$372,559ProgramServicesAmt
Management And General$329,212ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$22,206,860TotalAmt
Management And General$22,206,860ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$31,388,562TotalAmt
Program Services$29,164,434ProgramServicesAmt
Management And General$2,224,128ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total-$1,381,333TotalAmt
Program Services-$2,030,428ProgramServicesAmt
Management And General$649,095ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Repair & Maintenance$6,648,565$6,608,525$40,040
Licenses/ Fees$1,973,732$1,964,554$9,178
Credit Card Fees$1,726,177$1,726,146$31
Dues and Subscriptions$1,655,131$973,281$681,850

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$3,768,441TotalAmt
Program Services$3,465,064ProgramServicesAmt
Management And General$303,377ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$461,124,564TotalAmt
Program Services$416,050,707ProgramServicesAmt
Management And General$45,073,857ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$6,051BOYAmt
EOY$58,841,616EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,862,362BOYAmt
EOY$0EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$6,720,753BOYAmt
EOY$7,655,840EOYAmt

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$189,543,444BOYAmt
EOY$172,881,755EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$214,874BOYAmt
EOY$312,315EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$22,376,056BOYAmt
EOY$22,166,281EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$298,357,339LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$133,293,377LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$121,967,328BOYAmt
EOY$165,063,962EOYAmt

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$80,768,735BOYAmt
EOY$83,006,790EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$40,946,689BOYAmt
EOY$34,474,919EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$464,406,292BOYAmt
EOY$544,403,478EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$46,785,576BOYAmt
EOY$40,101,256EOYAmt

Deferred Revenue DeferredRevenueGrp

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

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$12,804,901BOYAmt
EOY$12,647,202EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$626,170,532BOYAmt
EOY$763,556,960EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$685,844,612BOYAmt
EOY$816,389,021EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$221,894,592BOYAmt
EOY-$272,473,205EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$456,272BOYAmt
EOY$487,662EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$221,438,320BOYAmt
EOY-$271,985,543EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$464,406,292BOYAmt
EOY$544,403,478EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$15,619,663ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$53,233,642NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$88,161,202OtherChangesInNetAssetsAmt
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 Organizations8SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp (8 entries)

EINEINOrganization TypeOrganizationTypeCdGoverning Document ListedGoverningDocumentListedIndSupportSupportAmtOther SupportOtherSupportAmt
York Hospital
2313522223Yes (true)$218,526,609$0
Gettysburg Hospital
2313522203Yes (true)$37,852,023$0
VNA Home Health Services
23135257310Yes (true)$458,912$0
WellSpan Medical Group
23273078510Yes (true)$2,680,296$0
WellSpan Specialty Services
2328999113Yes (true)$12,727,982$0
Ephrata Community Hospital
2313704843Yes (true)$32,684,441$0
Good Samaritan Hospital
2307941603Yes (true)$33,120,827$0
Philhaven
2315488223Yes (true)$4,571,202$0
FieldValueIRS element (for citing)
Supported Organizations Total8SupportedOrganizationsTotalCnt
Support Sum$342,622,292SupportSumAmt
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$456,272BeginningYearBalanceAmt
Contributions$1,015,660ContributionsAmt
Investment Earnings Or Losses$195InvestmentEarningsOrLossesAmt
Other Expenditures$984,465OtherExpendituresAmt
End Year Balance$487,662EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$295,011BeginningYearBalanceAmt
Contributions$747,173ContributionsAmt
Other Expenditures$664,373OtherExpendituresAmt
End Year Balance$377,811EndYearBalanceAmt
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$78,304,922OtherCostOrOtherBasisAmt
Depreciation$558,581DepreciationAmt
Book Value$77,746,341BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,278,831OtherCostOrOtherBasisAmt
Depreciation$2,908,910DepreciationAmt
Book Value$3,369,921BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$186,590,924OtherCostOrOtherBasisAmt
Depreciation$129,825,886DepreciationAmt
Book Value$56,765,038BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$19,426,890OtherCostOrOtherBasisAmt
Book Value$19,426,890BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$165,063,962TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDescBook ValueBookValueAmt
Advance Deposit-Royal/Citicorp$60,957
Advance Deposits$493,071
Advance Deposits-Blue Cross$87,733
AR Intercompany$2,150,776
Estimated Insurance Recoveries$19,838,872
Prepaid Life Insurance$3,847,969
FieldValueIRS element (for citing)
Total Book Value Other Assets$34,474,919TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDescAmtAmt
Accrued Payroll Incentives$14,177,219
Intercompany AP$9,104,044
Liability Self Insurance Reserve$77,070,445
Note Payable - YH R &R$498,163,361
Notes Payable-GSR$253,465
Payroll Accrual$4,059,376
Pension Accrual$147,886,505
Vacation Accrual$12,842,545
FieldValueIRS element (for citing)
Total Liability$763,556,960TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$703,770,334TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$287,394NetUnrealizedGainsInvstAmt
Other Revenue$330,509,234OtherRevenueAmt
Revenue Not Reported$330,796,628RevenueNotReportedAmt
Revenue Subtotal$372,973,706RevenueSubtotalAmt
Other Revenues Not Included$72,531,195OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$72,531,195RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$445,504,901TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$676,287,745TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$277,563,181OtherExpensesIncludedAmt
Expenses Not Reported$277,563,181ExpensesNotReportedAmt
Expenses Subtotal$398,724,564ExpensesSubtotalAmt
Other Expenses Not Included$62,400,000OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$62,400,000ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$461,124,564TotalExpensesPerForm990Amt

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, 2019.
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 $20217934 Expenses netted with Revenue $-758900 Loss on Debt Refinancing $0 Summit Health Acquisition Contribution $58661313
Part XI, Line 4b: Other revenue amounts included on 990 but not included in F/SGrant-York Hospital $58000000 Grant-Gettysburg Hospital $14500000 Grant - WellSpan Specialty Services $0 Grant - WellSpan Health Care Services $0 Restricted Contributions(Net) $31195
Part XII, Line 2d: Other expenses and losses per audited F/SWellSpan System Allocation - Health $XXX-XX-XXXX WellSpan System Allocation - Insurance $20217934 Revenue netted with Expense $-758900 Acquisition Contribution-Amortization $5715260
Part XII, Line 4b: Other revenue amounts included on 990 but not included in F/SLoss on Debt Refinancing $0 Grant to WellSpan Population Health $700000 Grant to Philhaven $61700000

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (11 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtPurpose Of GrantPurposeOfGrantTxtIRC SectionIRCSectionDesc
County of York
28 E Market StYorkPA17401236003050$20,000$0Address opiate addiction
Ephrata Area Social Services
227 N State StEphrataPA17522231857457$12,000$0Food pantry upgrades501(c)(3)
Ephrata Public Library
550 South Reading RoadEphrataPA17522231635919$7,118$0Get Outdoors and Read Program501(c)(3)
Gaudenzia Inc
106 W Main StNorristownPA19401231706895$10,000$0Behavioral health adjunct services501(c)(3)
Land Conservancy of Adams Co
670 Old Harisburg RdGettysburgPA17325232827874$10,000$0Design & construction of trail501(c)(3)
Lebanon Valley Volunteers
711 S 8th StreetLebanonPA17042263915958$7,000$0Diabetes education program501(c)(3)
Manos Unidas
19 W High StGettysburgPA17325760833583$8,000$0Latino youth programs501(c)(3)
Philhaven
PO Box 2767YorkPA17405231548822$61,700,000$0General support501(c)(3)
R E A L Life Community Svc
PO Box 22DenverPA17517261683406$30,000$0Renovation of Declaration House501(c)(3)
York County Library System
159 E Market StYorkPA17401237394108$9,037$0Summer Reading & Get Outdoors Progr501(c)(3)
York Health Plan
PO Box 2767YorkPA17405232664989$700,000$0General support
FieldValueIRS element (for citing)
Total501c3 Org10Total501c3OrgCnt
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
Rebuttable Presumption ProcfalseRebuttablePresumptionProcInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (21 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtBonus Filing OrganizationBonusFilingOrganizationAmountOther Compensation Filing OrgOtherCompensationFilingOrgAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt
Charles Chodroff MD
Sr VP WSH & COO & Pres SCP$567,263$216,450$50$555,569$48,284$1,387,616$216,450
Glen Moffett
VP/General Counsel$444,140$166,920$8,690$446,112$45,409$1,111,271$166,920
James Moris
Med Dir-Surgery$393,518$54,600$15,442$42,208$505,768
Jason Elliott
VP-Human Resources$248,435$50,081$15,061$44,139$357,716
John Porter Jr
Exec VP & COO$696,065$273,000$1,093,834$675,846$67,398$2,806,143$273,000
Kevin Mosser MD
Pres end 12/31$1,023,400$420,420$2,823,469$13,433$98,315$4,379,037$420,420
Kristin O'Shea
VP & Chief Nursing$316,189$52,116$1,462$18,361$56,461$444,589
Lori Clark
VP-Neuroscience Service Line$227,574$54,351$4,632$14,621$40,845$342,023
Maria Royce
Sr VP Planning & Development$407,101$137,280$5,750$444,961$47,244$1,042,336$137,280
Mark Deitch MD
VP-Ortho Service Line$611,345$145,836$15,654$19,903$792,738
Megan Lecas
VP-Women &Child Svc Line$244,103$58,560$32,034$42,070$376,767
Michael F O'Connor
CFO of WellSpan$588,737$222,300$125$590,416$50,701$1,452,279$222,300
Michael Murphy
VP&Chief Tech Off$347,483$59,315$7,070$12,336$50,878$477,082
Philip Nicholson MD
VP & Chief Medical Officer$348,229$59,092$6,994$21,569$44,150$480,034
Richard Baker
VP/Chief Information Officer$456,501$166,140$8,912$460,481$50,049$1,142,083$166,140
Robert Batory
Vice President HR$380,700$139,468$9,085$389,166$45,891$964,310$138,840
Robert Rice
Med Dir-Oncology$379,052$53,200$16,923$28,698$477,873
Steven Delaveris DO
VP-Med Service Line$519,249$183,456$125$16,923$38,220$757,973
Terri Nuss
Chief of Pat. Exp.$225,432$51,084$76,186$10,869$43,586$407,157
Thomas McGann
Exec VP-Clinical Practice$616,162$225,810$605,817$48,648$1,496,437$225,810
Victoria Diamond
Sr VP WSH/ Pres WSS$331,870$55,804$15,982$32,971$436,627

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$13,420,000$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$5,809,383$36,572,083$36,572,0832015Yes (true)falseYes (true)Yes (true)
C$3,760,000$34,877,000$34,877,0002012falseYes (true)Yes (true)Yes (true)
D$550,000$29,312,000$29,312,0002012falseYes (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 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.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 6/30/19, 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 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 6/30/19, 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 (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 6/30/19, 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 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 ReferenceBondReferenceCdTotal ProceedsTotalProceedsAmtCapitalized InterestCapitalizedInterestAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCapital ExpendituresCapitalExpendituresAmtRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndOther Spent ProceedsOtherSpentProceedsAmtSubstantial CompletionSubstantialCompletionYr
A$331,502,627$535,014$138,084,452$2,214,321$91,515,423Yes (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 (2 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
WelchWagner Partnership
Partner Welch$378,433Lease to WellSpanfalse
Barley Snyder
Minnich, Hovis$946,988legal servicesfalse

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 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. His law partner, Steve Hovis, is Chair of the WellSpan Health board.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 DecreasesPension adjustment for FAS 158 = -$88161202
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$7,691,096EndOfYearAssetsAmt

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$1,834,406$6,333,203falsefalse0.66010
Central PA Alliance Laboratories LLC
PO Box 2767YorkPA174052767232910950Ref. LabPANA-$434,519$563,850falseYes (true)0.20000
Littlestown Health Care Partners
300 West King StreetLittlestownPA17340232880464Lease facilPANA-$51,892$1,458,245falsefalse0.50000
Cherry Tree Cancer Center LLP
PO Box 2767YorkPA174052767232915628RadiationPANARelated-$204,852$491,441falsefalse0.50000
The Rehab Center
855 Springdale Drive Suite 20ExtonPA19341251687903Physical Therapy RehabPANARelated$1,255,462$1,292,763falsefalse
Surgery Center Associates LLC
785 5th Avenue Suite 3ChambersburgPA17201251845304Physician ServicesPAChambersburg Health$18,799$365,984falsefalse0.68900
Summit Surgery Center LP
785 5th Avenue Suite 3ChambersburgPA17201251845303Physician ServicesPAChambersburg Health$1,512,705$3,818,309falsefalse0.72050
Cumberland Valley Mobile Services LLC
5 South Main StreetSugarloafPA18249200884014Mobile MRI ServicesPAChambersburg Health$468,680-$156,226falsefalse0.51000

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$2,336,890$11,655,4671.00000Yes (true)
Wellspan Reciprocal Risk Retention Group
PO Box 2767YorkPA174052767200048457Risk Retention GroupPANAC corp$211,567$459,3910.01490false
York Health Plan
PO Box 2767YorkPA174052767232664989Preferred Provider OrganizationPANAC corp$13,075,502$3,234,4371.00000Yes (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$33,705$107,4790.83000false
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 (52 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Apple Hill Surgical Center Inc
l$454,777General Ledger
Gettysburg Hospital
c$14,500,000General Ledger
Gettysburg Hospital
k$84,252General Ledger
Gettysburg Hospital
l$38,783,092General Ledger
Gettysburg Hospital
q$11,335,529General Ledger
VNA Home Health Services
l$464,436General Ledger
VNA Home Health Services
q$3,525,590General Ledger
WellSpan Medical Group
l$3,189,788General Ledger
WellSpan Medical Group
m$908,911General Ledger
WellSpan Medical Group
p$400,665General Ledger
WellSpan Medical Group
q$59,051,890General Ledger
York Health Foundation
c$868,667General Ledger
York Health Foundation
q$233,413General Ledger
York Hospital
c$58,000,000General Ledger
York Hospital
d$4,000,000General Ledger
York Hospital
e$498,163,361General Ledger
York Hospital
l$223,355,985General Ledger
York Hospital
q$66,426,163General Ledger
York Hospital
r$21,595,150General Ledger
WellSpan Specialty Services
l$12,888,741General Ledger
WellSpan Specialty Services
q$5,073,461General Ledger
WellSpan Properties
k$2,493,532General Ledger
WellSpan Properties
l$368,460General Ledger
WellSpan Properties
q$114,399General Ledger
Ephrata Community Hospital
d$10,000,000General Ledger
Ephrata Community Hospital
l$34,451,846General Ledger
Ephrata Community Hospital
q$14,405,524General Ledger
Good Samaritan Hospital
a$6,939,042FMV
Good Samaritan Hospital
d$157,521,121General Ledger
Good Samaritan Hospital
l$36,385,028General Ledger
Good Samaritan Hospital
q$13,415,198General Ledger
Philhaven
a$1,896,121FMV
Philhaven
b$61,700,000General Ledger
Philhaven
l$4,624,145General Ledger
Philhaven
q$10,577,320General Ledger
WellSpan Summit Health
e$2,185,256General Ledger
Chambersburg Hospital
d$333,478General Ledger
Apple Hill Surgical Center Partners
l$288,568General Ledger
Apple Hill Surgical Center Partners
q$1,048,409General Ledger
Apple Hill Surgical Center Partners
s$1,251,182K-1
Cherry Tree Cancer Center LLP
l$131,250General Ledger
Cherry Tree Cancer Center LLP
q$211,290General Ledger
The Rehab Center
s$732,048K-1
Wellspan Pharmacy Inc
l$480,295General Ledger
Wellspan Pharmacy Inc
q$1,097,941General Ledger
Wellspan Reciprocal Risk Retention Group
m$10,621,337General Ledger
York Health Plan
l$278,944General Ledger
York Health Plan
m$4,998,750General Ledger
York Health Plan
q$1,937,474General Ledger
Apple Hill Condominium Association
l$65,403General Ledger
Apple Hill Condominium Association
q$26,678General Ledger
GSH Realty Inc
r$488General Ledger

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