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        <PersonNm>Mark Deitch MD</PersonNm>
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        <PersonNm>Philip Nicholson MD</PersonNm>
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        <PersonNm>Thomas McGann</PersonNm>
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        <FormAndLineReferenceDesc>Part IV, Section A, Line 1: Description Of How Supported Organizations Are Desigated</FormAndLineReferenceDesc>
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      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>Part IV, Section E, Line 3a: Organization Has Power to Appoint Or Elect Governing Persons</FormAndLineReferenceDesc>
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      <Form990ScheduleAPartVIGrp>
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      <FootnoteTextInd>X</FootnoteTextInd>
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      <SupplementalInformationDetail>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part X : FIN48 Footnote</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
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      <SupplementalInformationDetail>
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      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XI, Line 4b: Other revenue amounts included on 990 but not included in F/S</FormAndLineReferenceDesc>
        <ExplanationTxt>Grant-York Hospital $600000 Grant-Gettysburg Hospital $500000 Grant - WellSpan Specialty Services $7000000 Grant - WellSpan Health Care Services $1200000 Restricted Contributions(Net) $-29828</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XII, Line 2d: Other expenses and losses per audited F/S</FormAndLineReferenceDesc>
        <ExplanationTxt>WellSpan System Allocation - Health $XXX-XX-XXXX WellSpan System Allocation - Insurance $24534332 Revenue netted with Expense $94650</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XII, Line 4b: Other revenue amounts included on 990 but not included in F/S</FormAndLineReferenceDesc>
        <ExplanationTxt>Loss on Debt Refinancing $172163</ExplanationTxt>
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    </IRS990ScheduleD>
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        <TotalCompensationFilingOrgAmt>415100</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Thomas McGann</PersonNm>
        <TitleTxt>Exec VP-Clinical Practice</TitleTxt>
        <BaseCompensationFilingOrgAmt>586156</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>207100</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>11058</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>436450</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>47310</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>1288074</TotalCompensationFilingOrgAmt>
        <CompReportPrior990FilingOrgAmt>207100</CompReportPrior990FilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 1a: Relevant information in regards to selections on 1a.</FormAndLineReferenceDesc>
        <ExplanationTxt>MML Investor Services provided advisory financial plans for two executives. This was a taxable fringe benefit for each. Each participant was provided with a taxable bonus to cover the taxes.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
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        <IssuerName>
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        <BondIssuedDt>2008-11-12</BondIssuedDt>
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        <BondReferenceCd>C</BondReferenceCd>
        <TotalProceedsAmt>34000000</TotalProceedsAmt>
        <OtherSpentProceedsAmt>34000000</OtherSpentProceedsAmt>
        <SubstantialCompletionYr>2012</SubstantialCompletionYr>
        <CurrentRefundingInd>true</CurrentRefundingInd>
        <AdvanceRefundingInd>false</AdvanceRefundingInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
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        <RetiredAmt>10445000</RetiredAmt>
        <TotalProceedsAmt>232871143</TotalProceedsAmt>
        <CapitalizedInterestAmt>8654485</CapitalizedInterestAmt>
        <RefundingEscrowAmt>25049464</RefundingEscrowAmt>
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        <CapitalExpendituresAmt>92158663</CapitalExpendituresAmt>
        <OtherSpentProceedsAmt>124671503</OtherSpentProceedsAmt>
        <SubstantialCompletionYr>2016</SubstantialCompletionYr>
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        <AdvanceRefundingInd>true</AdvanceRefundingInd>
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        <Form8038TFiledInd>false</Form8038TFiledInd>
        <ExceptionToRebateInd>true</ExceptionToRebateInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
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        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
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        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI</FormAndLineReferenceDesc>
        <ExplanationTxt>$412,230,000 of Revenue Bonds for WellSpan Health Obligated Group, Series 2008A, 2008B, 2008C and 2008D were issued 11/12/2008 by General Authority of Southcentral Pennsylvania. The purpose of this bond issue was to refund bonds issued 5/13/2002, 5/17/2005, 6/16/2005, and 6/5/2007. 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 (23-0794160). 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 6/30/18, the allocation of the Debt Capital program was as follows: York Hospital $122,977,217 (58.09%), WellSpan Properties $22,427,073 (10.60%), WellSpan Health $9,834,426 (4.64%), WellSpan Specialty Services $35,562,493 (16.80%), Gettysburg Hospital $19,194,268 (9.07%), and Good Samaritan Hospital $1,704,522 (.81%). These amounts are reported on the respective balance sheets (Part X Line 20)for each of these entities.The 11/12/2008 issue included reissuance of all unspent proceeds from the refunded 2007 bond issue. Total proceeds of issue includes the original 11/12/2008 issue plus investment earnings on transferred proceeds and the short investment of proceeds between date of issue and payoff on 12/1/2008.$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 6/30/18, the allocation of the Debt Capital program including issue premium was as follows: York Hospital $131,585,478, Gettysburg Hospital $8,828,846, WellSpan Properties $31,624,065, WellSpan Specialty Services $15,539,494, and Ephrata Community Hospital $32,084,864. These amounts are reported on the respective balance sheets for each of these entities.On May 22, 2015, the Lancaster Municipal Authority issued $36,572,083 of Revenue bonds, Series 2015A, to an Obligated Group consisting of York Hospital, Gettysburg Hospital and Ephrata Community Hospital. The purpose of this bond issue was to refund bonds issued on behalf of Ephrata Community Hospital, including the Lancaster Municipal Authority Revenue Notes Series 2009, 2010A, 2012, and 2013. In order to remain consistent with the reporting on Form 8038, all outstanding liabilities associated with this tax-exempt bond issue is reported on the WellSpan Health (22-2517863) Schedule K.As of 6/30/18, the $32,268,972 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 23, 2018 by General Authority of South Central Pennsylvania. The purpose of this bond issue was revenue refund for bonds issued 11/12/2008. WellSpan Health, the parent organization, allocated portions of the proceeds of this tax exempt bond issue to York Hospital (23-1352222), Gettysburg Hospital (23-1352220), WellSpan Properties (22-2842252), WellSpan Specialty Services (23-2899911), and Good Samaritan Hospital (23-1794160). In order to remain consistent with the reporting on Form 8038, all outstanding liabilities associated with this tax-exempt bond issue is reported on the WellSpan Health (22-2517863) Schedule K. As of 6/30/18, the allocation of the Debt Capital program was as follows: York Hospital $20,256,562, Gettysburg Hospital $3,163,344, WellSpan Properties $3,696,962, WellSpan Specialty Services $5,859,336, and Good Samaritan Hospital $282,504. These amounts are reported on the respective balance sheets for each of these entities.</ExplanationTxt>
      </SupplementalInformationDetail>
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        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>Lancaster Municipal Autho</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>277334160</BondIssuerEIN>
        <BondIssuedDt>2015-05-22</BondIssuedDt>
        <IssuePriceAmt>36572083</IssuePriceAmt>
        <PurposeDesc>Refund ECH bonds 09,10,12,13</PurposeDesc>
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        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
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      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>General Authority of Sout</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>232982233</BondIssuerEIN>
        <BondIssuedDt>2015-10-01</BondIssuedDt>
        <IssuePriceAmt>80935000</IssuePriceAmt>
        <PurposeDesc>reissue bond issued 2/2/11</PurposeDesc>
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        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
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        <BondReferenceCd>C</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>General Authority of Sout</BusinessNameLine1Txt>
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        <BondIssuerEIN>232982233</BondIssuerEIN>
        <BondIssuedDt>2018-03-03</BondIssuedDt>
        <IssuePriceAmt>34877000</IssuePriceAmt>
        <PurposeDesc>reissue bond issued 11/12/08</PurposeDesc>
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        <SubstantialCompletionYr>2015</SubstantialCompletionYr>
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        <TotalProceedsAmt>80935000</TotalProceedsAmt>
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        <SubstantialCompletionYr>2015</SubstantialCompletionYr>
        <CurrentRefundingInd>true</CurrentRefundingInd>
        <AdvanceRefundingInd>false</AdvanceRefundingInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
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      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <TotalProceedsAmt>34877000</TotalProceedsAmt>
        <OtherSpentProceedsAmt>34877000</OtherSpentProceedsAmt>
        <SubstantialCompletionYr>2012</SubstantialCompletionYr>
        <CurrentRefundingInd>true</CurrentRefundingInd>
        <AdvanceRefundingInd>false</AdvanceRefundingInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
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      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>false</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
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      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>false</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
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      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>false</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
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        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <ExceptionToRebateInd>true</ExceptionToRebateInd>
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        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
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        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>true</RebateNotDueYetInd>
        <ExceptionToRebateInd>true</ExceptionToRebateInd>
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        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
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        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
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      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>WelchWagner Partnership</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>Partner Welch</RelationshipDescriptionTxt>
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        <TransactionDesc>Lease to WellSpan</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
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            <BusinessNameLine1Txt>Barley Snyder</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>Partner Minnich</RelationshipDescriptionTxt>
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        <TransactionDesc>legal services</TransactionDesc>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Client Note 1</FormAndLineReferenceDesc>
        <ExplanationTxt>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</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et</FormAndLineReferenceDesc>
        <ExplanationTxt>Paul Minnich is an officer and director on the WellSpan Specialty Services,VNA Home Health Services and WellSpan Health boards. His law partner, Jeffrey Lobach, is a director on the WellSpan Medical Group and York Health Foundation boards.Peter Brubaker is a director on the WellSpan Health board. His son, Patrick Brubaker, is a board member on the York Health Foundation Board.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b: Form 990 Review Process</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19: Other Organization Documents Publicly Available</FormAndLineReferenceDesc>
        <ExplanationTxt>Governing documents, policies, and financial statements are available upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Other Changes In Net Assets Or Fund Balances - Other Increases</FormAndLineReferenceDesc>
        <ExplanationTxt>Net assets released from restriction-PPE = $35000</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Other Changes In Net Assets Or Fund Balances - Other Increases</FormAndLineReferenceDesc>
        <ExplanationTxt>Pension adjustment for FAS 158 = $22022645</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Signature Box - Paid Preparer Explanation</FormAndLineReferenceDesc>
        <ExplanationTxt>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</ExplanationTxt>
      </SupplementalInformationDetail>
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        <PrimaryActivitiesTxt>Charitable contributions for Wellspan entities</PrimaryActivitiesTxt>
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        <PublicCharityStatusTxt>12 Type III</PublicCharityStatusTxt>
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        </DirectControllingEntityName>
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          <BusinessNameLine1Txt>Ephrata Community Hospital</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>Good Samaritan Hospital</BusinessNameLine1Txt>
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        <InvolvedAmt>7836036</InvolvedAmt>
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          <BusinessNameLine1Txt>Good Samaritan Hospital</BusinessNameLine1Txt>
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        <InvolvedAmt>146073380</InvolvedAmt>
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          <BusinessNameLine1Txt>Good Samaritan Hospital</BusinessNameLine1Txt>
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        <InvolvedAmt>31116749</InvolvedAmt>
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          <BusinessNameLine1Txt>Good Samaritan Hospital</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>Philhaven</BusinessNameLine1Txt>
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        <InvolvedAmt>931227</InvolvedAmt>
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          <BusinessNameLine1Txt>Philhaven</BusinessNameLine1Txt>
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        <InvolvedAmt>34804015</InvolvedAmt>
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          <BusinessNameLine1Txt>Philhaven</BusinessNameLine1Txt>
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        <InvolvedAmt>4357684</InvolvedAmt>
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      <TransactionsRelatedOrgGrp>
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          <BusinessNameLine1Txt>Philhaven</BusinessNameLine1Txt>
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        <TransactionTypeTxt>q</TransactionTypeTxt>
        <InvolvedAmt>9996046</InvolvedAmt>
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      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Apple Hill Surgical Center Partners</BusinessNameLine1Txt>
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        <TransactionTypeTxt>l</TransactionTypeTxt>
        <InvolvedAmt>273378</InvolvedAmt>
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      <TransactionsRelatedOrgGrp>
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          <BusinessNameLine1Txt>Apple Hill Surgical Center Partners</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>q</TransactionTypeTxt>
        <InvolvedAmt>1035301</InvolvedAmt>
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      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Littlestown Health Care Partners</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>s</TransactionTypeTxt>
        <InvolvedAmt>50000</InvolvedAmt>
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      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Cherry Tree Cancer Center LLP</BusinessNameLine1Txt>
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        <TransactionTypeTxt>l</TransactionTypeTxt>
        <InvolvedAmt>130000</InvolvedAmt>
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      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>The Rehab Center</BusinessNameLine1Txt>
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        <TransactionTypeTxt>s</TransactionTypeTxt>
        <InvolvedAmt>583449</InvolvedAmt>
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      <TransactionsRelatedOrgGrp>
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          <BusinessNameLine1Txt>Wellspan Pharmacy Inc</BusinessNameLine1Txt>
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        <InvolvedAmt>459573</InvolvedAmt>
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      <TransactionsRelatedOrgGrp>
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          <BusinessNameLine1Txt>Wellspan Pharmacy Inc</BusinessNameLine1Txt>
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        <InvolvedAmt>1264738</InvolvedAmt>
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      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Wellspan Reciprocal Risk Retention Group</BusinessNameLine1Txt>
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        <TransactionTypeTxt>m</TransactionTypeTxt>
        <InvolvedAmt>10645893</InvolvedAmt>
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      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>York Health Plan</BusinessNameLine1Txt>
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        <TransactionTypeTxt>l</TransactionTypeTxt>
        <InvolvedAmt>265674</InvolvedAmt>
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      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>York Health Plan</BusinessNameLine1Txt>
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        <InvolvedAmt>4854393</InvolvedAmt>
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        <OtherOrganizationName>
          <BusinessNameLine1Txt>York Health Plan</BusinessNameLine1Txt>
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        <InvolvedAmt>1998322</InvolvedAmt>
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          <BusinessNameLine1Txt>Apple Hill Condominium Association</BusinessNameLine1Txt>
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        <InvolvedAmt>60101</InvolvedAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>WellSpan Properties Property Transfer</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleR>
  </ReturnData>
</Return>
