2019-05-08T12:21:18-07:00 2018-06-30 135381590 WellSpan Health 3350 WHITEFORD ROAD YORK PA 17402 990 2017-07-01 232730785 WELLSPAN MEDICAL GROUP WELL 7178513055 PO BOX 2767 YORK PA 17405 Michael F O'Connor CFO 2019-05-08 false See Attached P01871563 7038930600 2017 2019-02-21 02:37:17Z Kevin Mosser MD PO Box 2767 York PA 174052767 559526833 false false X WWW.WELLSPAN.ORG X 1993 PA WellSpan Medical Group, in coordination with York Hospital, Gettysburg Hospital, and WellSpan Surgery and Rehabilitation Hospital provides medical and surgical care to patients in and around York and Adams County, Pennsylvania without regard to the ability to pay. 12 3 3981 18 405624 -16471 55354517 75862036 355753322 482318513 648723 855915 402859 405624 412159421 559442088 3000 0 340913208 475528803 0 0 61846691 77749295 402759899 553281098 9399522 6160990 56784338 68219873 39257529 44664349 17526809 23555524 The WellSpan Medical Group was founded and operates on the belief that a large, well-organized group practice, based on primary and preventive care, and working collaboratively as part of an integrated health care delivery system, can deliver a superior standard of care. Its mission is to promote and to provide quality, cost-effective health care services which seek to improve the health status of the community. The Medical Group provides care without regard for an individual's health status or ability to pay. false false 538122746 3000 482318513 WellSpan Medical Group, which does not contemplate pecuniary gain or profit, incidental or otherwise, was formed for the purposes of furthering the charitable purposes of WellSpan Health and promoting the provision of health care services in South Central Pennsylvania, including York and Adams Counties, by providing clinically effective health care services, including professional health care services, in a cost effective manner in settings appropriate to patient and payor needs under a variety of health care financing arrangements; enhancing the continuity and quality of health care services provided to patients; ensuring the continued local patient access to health care services; enhancing the health status of the communities served by WellSpan Health; effectively responding to changing payor requirements; achieving excellence in clinical innovations, service, quality, cost and outcomes; and achieving operating efficiencies, such as containing and reducing costs and avoiding unnecessary duplication of services and equipment, thereby utilizing resources more effectively.See Attached Federal Supplemental Information: WellSpan Health - 2018 Community Benefit Report 538122746 true true false false false false false false false true true false false false true true false true false false false false false false false false false false false true false false false false false false false false false false false false false false false false true false false false true 0 0 false 3981 true true true false false false false false false 0 false false false false false false false false false false X 12 3 true false false false true false true true true false false true true true true true true true true false PA X DAVID RIZZUTO 7178513055 3350 WHITEFORD ROAD YORK PA 174029081 X Lee Maddox MD Director 40.00 0.00 X 570304 0 60993 Carleen Warner MD Chairman 40.00 0.00 X X 158739 0 89976 Larry Miller Director 1.00 0.00 X 0 0 0 Mark Smith MD Director 40.00 0.00 X 580107 0 59564 Maria Royce Director 1.00 40.00 X 0 502621 324535 Kevin Mosser MD CEO-WSH/Direct 1.00 40.00 X X 0 1432923 760166 Robert Pargament MD Director 40.00 0.00 X 247265 0 54036 Jeffrey Lobach Esq Director 1.00 0.00 X 0 0 0 Angie Heiland MD Vice Chair 40.00 0.00 X X 193844 0 45756 Harris Baderak DO Director 40.00 0.00 X 395069 0 57494 Gilbert Sager Director 1.00 0.00 X 0 0 0 Megan Shreve Director 1.00 0.00 X 0 0 0 Michael F O'Connor CFO-WellSpan H. 1.00 40.00 X 0 790085 474403 Karen Jones MD Pres/Secr. 40.00 0.00 X 543149 0 72283 Douglas Arbittier MD VP-Oncol. Srv Line 40.00 0.00 X 800328 0 85912 Joel Winer MD Neurosurgeon 40.00 0.00 X 1368016 0 83357 Arnold Salotto MD Neurosurgeon 40.00 0.00 X 1293578 0 83209 William Nicholson MD Cardiologist 40.00 0.00 X 954131 0 66695 Michelle Consolini MD Cardiologist 40.00 0.00 X 861776 0 49295 Walter J Nicholson Cardiologist 40.00 0.00 X 852455 0 37753 Catherine HeilmanMD Former Chair 40.00 0.00 X 253878 0 60571 9072639 2725629 2465998 968 true true false Weatherby Locums Inc PO Box 976233 Dallas TX 75397 Temporary Help 12924988 Locumtenenscom LLC PO Box 40547 Atlanta GA 30384 Temporary Help 1542054 Comp Health PO Box 972651 Dallas TX 753972651 Temporary Help 1329532 John Hopkins University PO Box 65045 Baltimore MD 212645045 Temporary Help 1144178 Physician Assist Surgical AssocLLC PO Box 248 Myerstown PA 17067 Temporary Help 629670 21 75829914 25102 7020 75862036 Health Care Services 621110 489058311 489058311 Teaching Services 611600 6924823 6924823 W/O - Bad Debt 621110 -12185618 -12185618 W/O - Free Care 621110 -1479003 -1479003 482318513 940560 940560 0 0 0 100 84745 -84645 -84645 -84645 0 0 0 BHS Outside Revenue 900004 398869 398869 Impact Concussion Assessm 900004 6755 6755 405624 559442088 482318513 405624 855915 3000 3000 0 0 0 3399387 2783955 615432 0 383926909 376586959 7339950 14663867 14429417 234450 53707401 52350316 1357085 19831239 19488423 342816 2494350 2494350 33668 2450 31218 137068 137068 0 0 0 17082438 17078238 4200 28796 21472 7324 2053068 2025667 27401 849283 849283 0 14825235 14494145 331090 1335855 1120252 215603 0 692486 658646 33840 5 5 0 4173433 4094574 78859 6802665 6559092 243573 Direct Supplies 16058595 16025418 33177 Outside Services 2652351 2514518 137833 Housekeeping 1963516 1932817 30699 Utilities 1950636 1928899 21737 4615847 4024483 591364 553281098 538122746 15158352 0 26140 28190 38813 14302 0 36838486 41430897 0 0 0 529849 484869 280669 248787 55131356 29119218 18835451 26012138 0 0 0 0 234930 690 56784338 68219873 36856009 38534672 73741 83318 2327779 6046359 39257529 44664349 X 17462596 23488822 64213 66702 17526809 23555524 56784338 68219873 6160990 -132275 X false true X true true true X 30817490 32183488 35220019 55354517 75862036 229437550 249028188 289155766 321575138 355753322 482318513 1697830927 0 0 0 279845678 321339254 356795157 411107839 558180549 1927268477 0 0 1927268477 629672 371891 477662 648723 940560 3068508 0 629672 371891 477662 648723 940560 3068508 0 26045 26045 280475350 321711145 357298864 411756562 559121109 1930363030 0.99840 0.99840 0.00160 0.00160 X 64213 21985 19496 66702 70172 18418 24377 64213 29567 40605 70172 27066 2501 29567 22364 4702 27066 1.00000 false false false 26825 26825 26838119 12737156 14100963 28266412 16355237 11911175 26012138 AP Intercompany 2285940 Bank Payable 101294 Note Payable - WRRRG 32659 Notes Payable- WSH 3626466 6046359 X 483507472 -132275 148 -132127 483639599 75802489 75802489 559442088 553281246 553281246 -148 -148 553281098 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 and Adams counties of Pennsylvania. Part X : FIN48 Footnote In June 2006, the Financial Accounting Standards Board (FASB) issued Interpretation NO. 48, Accounting for Uncertainty in Income Taxes-an interpretation of FASB Statement NO. 109, Accounting for Income Taxes (FIN 48), which creates a single model to address uncertainty in tax positions and clarifies the accounting for income taxes by prescribing the minimum recognition threshold a tax position is required to meet before being recognized in the financial statements. Under the requirements of FIN 48, tax-exempt organizations could now be required to record an obligation as the result of a tax position they have historically taken or various tax exposure items. Prior to FIN 48, the determination of when to record a liability for tax exposure was based on whether a liability was considered probable and reasonably estimable in accordance with SFAS No.5, Accounting for Contingencies. On July 1, 2007, the parent company, WellSpan Health, adopted FIN 48. WellSpan Health determined that it does not have any uncertain tax positions through June 30, 2018. Part XI, Line 2d: Other revenue amounts included in F/S but not included on form 990 Revenues netted with expense $148 Part XI, Line 4b: Other revenue amounts included on 990 but not included in F/S Grant-York Hospital $54200000 Grant-Gettyburg Hospital $6600000 Grant-Ephrata Community Hospital $10100000 Restricted Contributions(Net) $2489 Grant - Good Samaritan Hospital $4900000 X X X X X false true false false false false false false false false Angie Heiland MD Vice Chair 178837 15007 11266 34490 239600 Arnold Salotto MD Neurosurgeon 729348 564230 26618 56591 1376787 Carleen Warner MD Chairman 130899 27840 8159 81817 248715 Catherine HeilmanMD Former Chair 215632 38246 18363 42208 314449 Douglas Arbittier MD VP-Oncol. Srv Line 637727 138210 24391 37473 48439 886240 Harris Baderak DO Director 387964 7105 15027 42467 452563 Joel Winer MD Neurosurgeon 752605 615411 26687 56670 1451373 Karen Jones MD Pres/Secr. 446624 96525 31985 40298 615432 Kevin Mosser MD CEO-WSH/Direct 985110 409640 38173 703900 56266 2193089 409640 Lee Maddox MD Director 525054 45250 14406 46587 631297 Maria Royce Director 360059 128436 14126 278092 46443 827156 127680 Mark Smith MD Director 532308 47799 14318 45246 639671 Michael F O'Connor CFO-WellSpan H. 573485 216600 425958 48445 1264488 216600 Michelle Consolini MD Cardiologist 580439 281337 16312 32983 911071 Robert Pargament MD Director 238003 9262 13616 40420 301301 Walter J Nicholson Cardiologist 751259 101196 16543 21210 890208 William Nicholson MD Cardiologist 952881 1250 16026 50669 1020826 Barley Snyder LLC Partner Lobach 1180831 Provides Legal Serv WSH false Sean Campbell Family Member Jones 267237 WMG employee false Client Note 1 Client 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, Et Jeffrey Lobach is a director on the WellSpan Medical Group and York Health Foundation boards. His law partner, Paul Minnich is a board member of the WellSpan Health and an officer and board member of the WellSpan Specialty Services and VNA Home Health Services Boards. Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder WellSpan Health, a not for profit corporation, is the sole member. Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders The Member of the Corporation shall meet at any place, date, and time designated by the Member, for the transaction of the general business of the Corporation. Action of the Member shall generally be taken by a written consent in lieu of a meeting.Any action which may be taken at a meeting of the Member may be taken without a meeting if a consent or consents in writing, setting forth the action so taken, shall be signed by the Member and filed with the Secretary of the Corporation. Form 990, Part VI, Line 11b: Form 990 Review Process Management provided an electronic copy of the form 990 to each voting member of the organization's governing body, prior to its filing with the IRS. The organization's finance management team provided a presentation to the Audit Committee on the organization's 990 return. Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts Officers, directors, and key employees fill out a WellSpan Health Conflict of Interest Disclosure Statement questionnaire annually. The questionnaire is administered by the Internal Audit Department of WellSpan Health, the Parent Company.There shall be full disclosure by any Director having a business or personal interest or relationship which may be in conflict with the interests of the Corporation. After such disclosure the Director shall abide by the determination of the Board of Directors as to whether a conflict exists, the extent to which, if at all, the Director will be permitted to be present during the Board of Directors' discussion of the matter in which the Director may be interested, and whether the Director will be permitted to participate in such discussion and cast a vote in such matter. Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management see following explanation for 15b. Description for compensation and approval of CEO, executive director or top management is included here. Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees The Compensation Committee of WellSpan Health is responsible for rewarding and reinforcing key executives for the achievement of annual and long-term performance objectives. The Compensation Committee shall consist of not more than six (6) persons, of whom two (2) shall be the Chairman and Vice Chairman of the Board of the Corporation, and the remaining members shall be such other persons as may be appointed by the Chairman of the Board of the Corporation, with the approval of the Board of Directors; provided, however, that the Compensation Committee shall not include any persons who are employed by the System. The 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 Available Governing documents, policies, and financial statements are available upon request. Signature Block - Paid Preparer Explanation Paid Preparer ExplanationDue to a software limitation, we wish to clarify that WellSpan Health is the ERO.The paid preparer is:BDO USA, LLP13-53815908401 Greensboro Drive, Suite 800McLean, VA 22102(703) 893-0600The preparers name is Marc Berger, PTIN P01871563 Apple Hill Surgical Center Inc PO Box 2767 York PA 174052767 222842253 Sole GP in limited pntrshp operating surgical center PA 501(c)(3) 10 NA false Gettysburg Hospital PO Box 2767 York PA 174052767 231352220 Health Care Services PA 501(c)(3) 3 NA false Gettysburg Hospital Foundation PO Box 2767 York PA 174052767 232251358 Fundraising for Gettysburg Hospital PA 501(c)(3) 12 Type I NA false Healthy Community Pharmacy Inc PO Box 2767 York PA 174052767 200519121 Reduced rate prescription drugs PA 501(c)(3) 12 Type I NA false VNA Community Services PO Box 2767 York PA 174052767 232338591 Home personal care services for elderly and disabled PA 501(c)(3) 10 NA false VNA Home Health Services PO Box 2767 York PA 174052767 231352573 Home health services PA 501(c)(3) 10 NA false Wellspan Health PO Box 2767 York PA 174052767 222517863 Integrated Health System PA 501(c)(3) 12 Type III NA false Wellspan Health Care Services PO Box 2767 York PA 174052767 232400237 Health-related activitiesin the service area PA 501(c)(3) 12 Type II NA false York Health Foundation PO Box 2767 York PA 174052767 233050192 Charitable contributions for Wellspan entities PA 501(c)(3) 12 Type III NA false York Hospital PO Box 2767 York PA 174052767 231352222 Community teaching hospital PA 501(c)(3) 3 NA false WellSpan Specialty Services PO Box 2767 York PA 174052767 232899911 Surgery and Rehabilitation Hospital PA 501(c)(3) 3 NA false Wellspan Properties Inc PO Box 2767 York PA 174052767 222842252 Leases facilities to affiliates PA 501(c)(3) 12 Type II NA false Ephrata Community Hospital PO Box 2767 York PA 174052767 231370484 Health care services PA 501(c)(3) 3 NA false Ephrata Community Health Foundation PO Box 2767 York PA 174052767 800940005 Fundraising for Ephrata Hospital PA 501(c)(3) 12 Type I Ephrata Community Hospital false Northern Lancaster County Medical Group PO Box 2767 York PA 174052767 203033058 Medical and surgical care PA 501(c)(3) 12 Type II Ephrata Community Hospital false Phys Spec of North Lanc Co Med Gr PO Box 2767 York PA 174052767 452537633 Physician Properties PA 501(c)(3) 12 Type II Northern Lancaster County Medical Group false Good Samaritan Hospital PO Box 2767 York PA 174052767 230794160 Health Care Services PA 501(c)(3) 3 NA false Philhaven PO Box 2767 York PA 174052767 231549922 Health Care Services PA 501(c)(3) 3 NA false Good Samaritan Health Service Foundation PO Box 2767 York PA 174052767 232356151 Fundraising for Good Samaritan PA 501(c)(3) 12 Type I NA false Good Samaritan Physician Services PO Box 2767 York PA 174052767 251832359 Medical and Surgical Care PA 501(c)(3) 10 NA false Apple Hill Surgical Center Partners PO Box 2767 York PA 174052767 232489452 Surgical Cn PA NA false false Central PA Alliance Laboratories LLC 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 facility 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 Therapy Rehab PA NA false false Wellspan Pharmacy Inc PO Box 2767 York PA 174052767 232374072 Dispenses Rx & provides IV therapy PA NA C corp false Wellspan Reciprocal Risk Retention Group PO Box 2767 York PA 174052767 200048457 Risk Retention Group PA NA C Corp 1664686 4384806 0.15260 false York Health Plan PO Box 2767 York PA 174052767 232664989 Preferred Provider Organization PA NA C Corp false WellSpan Provider Network PO Box 2767 York PA 174052767 232907828 Coord. managed care risk contract. PA NA C Corp false Apple Hill Condominium Association PO Box 2767 York PA 174052767 232504543 Condo Mgmt Assoc. PA NA Homeowner Assoc false North Lanc Co Phys Hosp Alliance PO Box 2767 York PA 174052767 232421885 Coord Phys & Hospital PA NA C Corp false GSH Realty Inc PO Box 2767 York PA 174052767 251832359 Rental non-res. real estate PA WSH Care Services C corp false false false true false true false false true false false true true true false false true true false true WellSpan Properties Property Transfer In September of 2017, WellSpan Properties filed Articles of Division, by which WellSpan Properties was divided into itself and the following four new Pennsylvania nonprofit corporations: WSS Realty, WH Realty, YH Realty and WMG Realty. These four new Pennsylvania nonprofit corporations were each formed to carry out the same charitable purposes as WellSpan Properties. In accordance with the Articles of Division, certain parcels of real estate which were owned by WellSpan Properties prior to this reorganization were divided among the four new Pennsylvania nonprofit corporations, as follows:WSS Realty held the real estate on which the surgery and rehabilitation hospital operated by WellSpan Specialty Services is located;WH Realty held the real estate on which the building that houses the corporate offices and information technology functions of WellSpan Health, the parent entity of the WellSpan system, is located; YH Realty held the real estate at which York Hospital provides certain hospital-based ambulatory imaging services; and, WMG Realty held the real estate at which certain physician practices owned by WellSpan Medical Group are operated. WellSpan Properties retained the balance of the real estate and assets which were owned by WellSpan Properties prior to this reorganization.Immediately following this reorganization, WSS Realty was merged with and into WellSpan Specialty Services, a Pennsylvania nonprofit corporation; WH Realty was merged with and into WellSpan Health, a Pennsylvania nonprofit corporation; YH Realty was merged with and into York Hospital, a Pennsylvania nonprofit corporation; and, WMG Realty was merged with and into WellSpan Medical Group, a Pennsylvania nonprofit corporation. Effectively, the end result of this reorganization was that certain parcels of real estate which were owned by WellSpan Properties prior to this reorganization but leased to and utilized by the four surviving WellSpan corporations named above (i.e., WellSpan Specialty Services, WellSpan Health, York Hospital, York Hospital), respectively, are now instead owned by the four surviving WellSpan corporations, which continue to utilize the parcels in furtherance of their charitable purposes.