2018-05-07T12:56:57-07:00 2017-06-30 WellSpan Health 3350 WHITEFORD ROAD YORK PA 17402 990 2016-07-01 222517863 WELLSPAN HEALTH WELL 7178513055 PO BOX 2767 YORK PA 17405 Michael F O'Connor CFO 2018-05-07 false See Attached P00234543 7038930600 2016 2022-09-23 18:48:47Z Kevin Mosser MD 303565142 false false X WWW.WELLSPAN.ORG X 1983 PA WellSpan Health's charitable, non-profit mission is "working as one to improve health through exceptional care for all, lifelong wellness and healthy communities". 16 12 2195 285 973245 -29785 77535440 14886615 217438086 268572007 3399099 3724899 6103891 13297974 304476516 300481495 9567026 515097 0 157112856 191707473 0 0 103296192 141294143 269976074 333516713 34500442 -33035218 314808704 401983537 483475406 584613607 -168666702 -182630070 WellSpan 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. false false 309988923 2015097 279820177 See Federal Supplemental Information Attachment: WellSpan Health - 2017 Community Benefit Report 309988923 true true false false false false false false false true true false false true true true false true false false false false false false false false false true false true true false false false false false false false false false false false false false false true true true true false false true 816 0 true 2195 true true true false false false false false false 0 false false false false false false false false false false X 16 12 true false false false false true false true true false false true true true true true true true true true true PA X DAVID RIZZUTO 7178513055 3350 WHITEFORD ROAD YORK PA 174029081 X Paul Minnich Director 1.00 0.00 X 0 0 0 Matt Doran Director 1.00 0.00 X 0 0 0 Donald Dreibelbis Director 1.00 0.00 X 0 0 0 John Welch MD Director 1.00 0.00 X 0 0 0 Steve Hovis Vice Chair 1.00 0.00 X X 0 0 0 William Funk DMD Director 1.00 0.00 X 0 0 0 Megan Shreve Secr./Treas. 1.00 0.00 X X 0 0 0 Linda Pugh Director 0.00 0.00 X 0 0 0 H Fred Martin MD Director 1.00 0.00 X 0 0 0 N Daniel Waltersdorff Director 1.00 0.00 X 0 0 0 Larry Miller Chairman 1.00 0.00 X X 0 0 0 Ernest Waters Director 1.00 0.00 X 0 0 0 R Fred Groff Director 1.00 0.00 X 0 0 0 Peter Brubaker Director 1.00 0.00 X 0 0 0 Joe Crosswhite Director 1.00 0.00 X 0 0 0 Patrick McGannon MD Director 1.00 0.00 X 0 0 0 Michael F O'Connor CFO 40.00 0.00 X 736532 0 498400 Kevin Mosser President 40.00 0.00 X 1309658 0 840558 Charles Chodroff MD Sr VP WSH & CCO & Pres SCP 40.00 0.00 X 687661 0 478125 Glen Moffett VP/General Counsel 40.00 0.00 X 548290 0 385421 Robert Batory Vice President HR 40.00 0.00 X 485472 0 336179 Richard Baker VP/Chief Information Officer 40.00 0.00 X 567011 0 392358 Maria Royce Sr VP Planning & Comm Dev 40.00 0.00 X 455535 0 335977 John Porter Jr Exec VP & COO 40.00 0.00 X 851795 0 566678 Mark Deitch VP-Ortho Serv. 40.00 0.00 X 738796 0 36494 Michael Murphy VP&Chief Tech Off 40.00 0.00 X 386209 0 59504 Philip Nicholson VP & CMIO 40.00 0.00 X 389362 0 65134 Kristen O'Shea VP Nursing Pract 40.00 0.00 X 358151 0 64263 Steven Delaveris Former VP & COO 40.00 0.00 X 604549 0 44779 8119021 4103870 296 false true false TEK Systems Inc PO BOx 198568 Atlanta GA 303848568 IT Consulting 3500184 Modern Recovery Solutions PO BOx 500 Newmanstown PA 17073 Outsourcing Services 1023412 Pivot Point Consulting 5410 Maryland Way Suite 460 Brentwood TN 37027 IT Consulting 2540119 Virtual Procurement Services 25 Sylvan Road Westport CT 06880 IT Consulting 2532920 Nuance Communications Inc PO Box 7247-6924 Philadelphia PA 191706924 IT Consulting 1034065 51 14404494 482121 14886615 Accounting Fees 541200 268683 86160 182523 Apple Hill Surgical Ctr 621990 1701288 1701288 Insurance Fees 524298 1000000 1000000 Management Fees 561000 265602036 264988022 614014 268572007 3433459 3433459 0 0 0 3273999 101088 3027647 56000 246352 45088 291440 291440 0 0 0 Child Care Services 812900 251760 251760 Other Services 900099 12624208 11248170 140199 1235839 Rent Copiers 532420 238821 238821 183185 36509 146676 13297974 300481495 279023640 973245 5597995 X 515097 515097 0 0 0 9475650 8240718 1234932 0 134397467 125903705 8493762 7804623 7455932 348691 29880898 29136481 744417 10148835 9759854 388981 0 1727290 689652 1037638 81340 81340 0 0 0 42503167 41829865 673302 4973004 4916700 56304 3551294 3443524 107770 39219475 39219363 112 0 5407052 5118612 288440 2063675 1656742 406933 0 533361 501546 31815 6411988 6411988 0 22650895 20872094 1778801 864817 22008 842809 Repair & Maintenance 5242456 5219224 23232 Utilities 1550808 1478808 72000 Dues and Subscriptions 1367583 885691 481892 Licenses/ Fees 1326166 1320955 5211 1819772 1802352 17420 333516713 309988923 23527790 0 1750 2050 17195791 6732538 0 3633096 4194964 0 0 90456269 119785184 142294 299747 17051879 22355612 232876468 108296682 123576864 124579786 11720332 11624617 0 0 17151680 79058367 33878749 33350672 314808704 401983537 29294583 50952516 83603 83603 12753561 12753561 441343659 520823927 483475406 584613607 X -169225292 -183112829 558590 482759 -168666702 -182630070 314808704 401983537 X -33035218 -442962 19514812 X false true X true true true X X 8 York Hospital 231352222 3 true 182233321 0 Gettysburg Hospital 231352220 3 true 35771472 0 VNA Home Health Services 231352573 10 true 386290 0 WellSpan Medical Group 232730785 10 true 2215121 0 WellSpan Specialty Services 232899911 3 true 3263585 0 Ephrata Community Hospital 231370484 3 true 23565660 0 Good Samaritan Hospital 230794160 3 true 14230664 0 Philhaven 231548822 3 true 2076198 0 8 263742311 0 false false false false false false false false false false false false false false false true true true X false false true true Part IV, Section A, Line 1: Description Of How Supported Organizations Are Desigated Healthy 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. Played The 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 Persons The 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 organzations 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, & Activities The 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. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 558590 538988 5791 620610 482759 377811 476213 339 295773 558590 295011 747173 664373 377811 511517 441367 657873 295011 416709 724541 629733 511517 1.00000 false false false 4827252 4827252 42103328 -324851 42428179 4611767 1656398 2955369 170229791 106965135 63264656 11104330 11104330 124579786 Advance Deposit-Royal/Citicorp 60957 Advance Deposits 15000 Advance Deposits-Blue Cross 87733 AR Intercompany 1427437 Estimated Insurance Recoveries 20088225 Prepaid Life Insurance 4655383 33350672 Accrued Payroll Incentives 10247731 Bank Payable 6734087 Intercompany AP 52101133 Liability Self Insurance Reserve 89066441 Note Payable - YH R &R 204946862 Notes Payable-GSR 1361335 Payroll Accrual 2818041 Pension Accrual 141984235 Vacation Accrual 11564062 520823927 X 510754121 -448753 224857785 224409032 286345089 14136406 14136406 300481495 558356470 224857784 224857784 333498686 18027 18027 333516713 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 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, 2017. Part XI, Line 2d: Other revenue amounts included in F/S but not included on form 990 WellSpan System Allocation - Health $XXX-XX-XXXX WellSpan System Allocation - Insurance $23424896 Part XI, Line 4b: Other revenue amounts included on 990 but not included in F/S Grant-York Hospital $3600000 Grant-Gettysburg Hospital $2600000 Grant - WellSpan Specialty Services $8000000 Restricted Contributions(Net) $-81621 Expenses netted with Revenue $18027 Part XII, Line 2d: Other expenses and losses per audited F/S WellSpan System Allocation - Health $XXX-XX-XXXX WellSpan System Allocation - Insurance $23424895 Part XII, Line 4b: Other revenue amounts included on 990 but not included in F/S Revenue Netted with Expense $18027 true 17th & Montgomery LLC 7206 Beaver Creek Road Alpharetta GA 30022 812025963 11000 0 Suicide prevention speaker Adams County Arts Council 125 S Washington St Gettysburg PA 17325 232735477 501(c)(3) 7000 0 Eat Smart/ Play Hard Nutrition Prog Catholic Harvest Food Pantry 628 East Market Street York PA 17403 562534532 501(c)(3) 15000 0 Upgrade freezer installation Community Homes of Lebanon 1407 Oak St Lebanon PA 17042 231716988 501(c)(3) 15000 0 Resident support service program County of York 28 E Market St York PA 17401 236003050 20000 0 Youth Outreach Program Ephrata Public Library 550 South Reading Road Ephrata PA 17522 231635919 501(c)(3) 7080 0 Summer Reading & Sensory Storytime Hamiltonban Township 23 Carrolls Track Road Fairfield PA 17320 236005168 15000 0 Park fitness challenge stations Hanover Area YMCA 500 N George St Hanover PA 17331 237172265 501(c)(3) 33000 0 Fit and Strong Program Harrisburg Area Community Coll One HACC Drive Harrisburg PA 17110 231639151 501(c)(3) 15000 0 Develop Elec Lab Nursing Students Lebanon Community Library 125 North 7th Street Lebanon PA 17046 231413687 501(c)(3) 5295 0 Get Outdoors Summer Reading Lebanon Valley Family YMCA 201 North 7th Street Lebanon PA 17046 231243980 501(c)(3) 10000 0 Community Garden Lebanon Valley Volunteers 711 S 8th Street Lebanon PA 17042 263915958 501(c)(3) 20000 0 Diabetes education program Pennsylvania Municipal League 414 N 2nd Street Harrisburg PA 17101 311611700 501(c)(3) 20000 0 New playground in city park Power Pack 1006 New Holland Ave Lancaser PA 17601 263009024 501(c)(3) 17900 0 Power Paks Project expansion Suicide Prevention of York 44 S Main St Shrewsbury PA 17361 821277375 501(c)(3) 7500 0 Community partnership United Way of Lebanon County 801 Cumberland Street Lebanon PA 17042 231465632 501(c)(3) 15000 0 Community support Welsh Mountain Health Center 584 Springville Road New Holland PA 17557 231909490 501(c)(3) 103000 0 Grant for IT Improvement York Area Development Corp 118 N George St York PA 17401 232022702 501(c)(3) 17500 0 Affordable personal care home York College of Pennsylvania 441 Country Club Road York PA 17403 231352698 501(c)(3) 50000 0 Support Nurse Managed Centers York County Library System 159 E Market St York PA 17401 237394108 501(c)(3) 10020 0 Summer Reading & Get Outdoors Progr York County Literacy 800 King St York PA 17403 232088132 501(c)(3) 10000 0 Nurse Aide Training York Fresh Food Farms 313 West Avenue Red Lion PA 17356 475548242 501(c)(3) 8200 0 Cold Storgae Room 21 1 Grantmaker's Description of How Grants are Used All 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 execmpt entities are able to effectively monitor that the grants they make are used for their intended purposes. X true true X X X X X false true false false false false false false false false Charles Chodroff MD Sr VP WSH & CCO & Pres SCP 509028 168056 10577 433054 45071 1165786 167300 Glen Moffett VP/General Counsel 400228 131600 16462 342860 42561 933711 131600 John Porter Jr Exec VP & COO 606644 245151 516515 50163 1418473 107363 Kevin Mosser President 942402 329756 37500 786828 53730 2150216 329000 Kristen O'Shea VP Nursing Pract 289495 62960 5696 22737 41526 422414 Maria Royce Sr VP Planning & Comm Dev 331397 110600 13538 293062 42915 791512 110600 Mark Deitch VP-Ortho Serv. 575896 162900 15145 21349 775290 Michael F O'Connor CFO 554826 181706 450013 48387 1234932 180950 Michael Murphy VP&Chief Tech Off 316678 69531 15121 44383 445713 Philip Nicholson VP & CMIO 313090 68199 8073 22737 42397 454496 Richard Baker VP/Chief Information Officer 423186 127106 16719 346392 45966 959369 126350 Robert Batory Vice President HR 352189 119350 13933 292775 43404 821651 119350 Steven Delaveris Former VP & COO 485111 105166 14272 15600 29179 649328 Part I, Line 1a: Relevant information in regards to selections on 1a. 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. A General Authority of Southcentral Pennsylvania 232982233 84129NGC7 2008-11-12 406699143 Refund Bonds Issued false false false B General Authority of Sout 232982233 2012-12-14 96765000 Refund bonds issued 2/2/11 false false true C General Authority of Sout 232982233 2013-06-20 34000000 Reissue bonds issued 2/2/11 false false false D General Authority of Sout 232982233 84129NHL6 2014-11-10 232436732 Revenue Refunding false false false A 257785000 91535000 485261481 7675314 3023004 327031 70887024 403349108 2012 true false true true B 96765000 96765000 2012 true false true true C 34000000 34000000 2012 true false true true D 7560000 232861143 8654485 79355228 2053982 92158663 69554085 2016 true true true true A false false false false false false true B false false false false false false true C false false false false false false true D false false false false false false true A false true false NA false NA false true B false true false NA false NA false false C false true false NA false NA false false D false true false NA false NA false true A true B true C true D true Part VI $412,230,0000 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 6/30/17, the allocation of the Debt Capital program was as follows: York Hospital $159,515,555 (58.09%), WellSpan Properties $29,095,407 (10.60%), WellSpan Health $12,753,561 (4.64%), WellSpan Specialty Services $46,131,343 (16.80%), Gettysburg Hospital $24,900,141 (9.07%), and Good Samaritan Hospital $2,213,994 (.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 6/30/17, the allocation of the Debt Capital program including issue premium was as follows: York Hospital $133,753,422, Gettysburg Hospital $8,971,957, WellSpan Properties $29,660,267, WellSpan Specialty Services $17,096,786, and Ephrata Community Hospital $33,709,762. 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 6/30/17, the $33,726,419 of outstanding liability is reported on the Ephrata Community Hospital return balance sheet. A Lancaster Municipal Autho 277334160 2015-05-22 36572083 Refund ECH bonds 09,10,12,13 false false false B General Authority of Sout 232982233 2015-10-01 80935000 reissue bond issued 2/2/11 false false false A 2845664 36572083 36572083 2015 true false true true B 80935000 80935000 2015 true false true true A false false false false false false true B false false false false false false A false true false NA false NA false true B false true false false false true A true B true Anstadt Printing Corpora Doran -CEO 846266 Printing & Graphic S false Barton Associates Waltersdorff 335244 mech and elec design false WelchWagner Partnership Partner Welch 285000 Lease to WellSpan false Barley Snyder Partner Minnich 1452978 legal services 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 Jeffrey Schragg, PTIN P00234543 Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et Paul Minnich is a member of the board of directors for WellSpan Health. His law partner, Jeffrey Lobach is a director on the WellSpan Medical Group board. 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 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. Other Changes In Net Assets Or Fund Balances - Other Increases Pension adjustment for FAS 158 = $21014812 Other Changes In Net Assets Or Fund Balances - Other Decreases Transfer of funds to York Health Plan = -$1500000 Signature Box - 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 Jeffrey Schragg, PTIN P00234543 GSH Home Med Care LLC PO Box 2767 York PA 174052767 232028099 Sales/rent of med equip/supplies PA 7306105 WellSpan Health Care Services Apple Hill Surgical Center Inc PO Box 2767 York PA 174052767 222842253 Sole GP in limited ptnrshp. operating surgical center PA 501(c)(3) 9 WellSpan Health Care Services true Gettysburg Hospital PO Box 2767 York PA 174052767 231352220 Health Care Services PA 501(c)(3) 3 NA true Gettysburg Hospital Foundation PO Box 2767 York PA 174052767 232251358 Fundraising to support Gettysburg Hospital PA 501(c)(3) 11 Type 1 Gettysburg Hospital true Healthy Community Pharmacy Inc PO Box 2767 York PA 174052767 200519121 Reduced rate prescription drugs to uninsured PA 501(c)(3) 11 Type 1 WellSpan Health Care Services true VNA Community Services PO Box 2767 York PA 174052767 232338591 Home personal care services for elderly and disabled PA 501(c)(3) 9 York VNA Home Care Inc true VNA Home Health Services PO Box 2767 York PA 174052767 231352573 Home health and hospice care services PA 501(c)(3) 9 WellSpan Specialty Services true Wellspan Health Care Services PO Box 2767 York PA 174052767 232400237 Health-related activities in the service area PA 501(c)(3) 11 Type 1 NA true Wellspan Medical Group PO Box 2767 York PA 174052767 232730785 Medical and surgical care PA 501(c)(3) 9 NA true York Health Foundation PO Box 2767 York PA 174052767 233050192 Charitable contributions for Wellspan entities PA 501(c)(3) 11 Type 3 NA true York Hospital PO Box 2767 York PA 174052767 231352222 Community teaching hospital PA 501(c)(3) 3 NA true WellSpan Specialty Services PO Box 2767 York PA 174052767 232899911 Mgmt. hospice/home health care services PA 501(c)(3) 11 Type 1 NA true Wellspan Properties PO Box 2767 York PA 174052767 222842252 Leases facilities to affiliates PA 501(c)(3) 11 Type 1 WellSpan Health Care Services true Ephrata Community Hospital PO Box 2767 York PA 174052767 231370484 Health care services PA 501(c)(3) 3 NA true Ephrata Community Health Foundation PO Box 2767 York PA 174052767 800940005 Funraising for Ephrata Hospital PA 501(c)(3) 11 Type 1 Ephrata Community Hospital true Northern Lancaster County Medical Group PO Box 2767 York PA 174052767 203033058 Medical and surgical care PA 501(c)(3) 11 Type II Ephrata Community Hospital true Phys Spec of North Lanc Co Med Gr PO Box 2767 York PA 174052767 452537633 Physician Practices PA 501(c)(3) 11 Type II Northern Lancaster County Medical Group true Good Samaritan Hospital PO Box 2767 York PA 174052767 230794160 Health Care Services PA 501(c)(3) 3 NA true Wellspan Philhaven PO Box 2767 York PA 174052767 231549922 Health Care Services PA 501(c)(3) 3 NA true Good Samaritan Health Service Foundation PO Box 2767 York PA 174052767 232356151 Fundraising for Good Samaritan PA 501(c)(3) 11 Type 1 NA true Good Samaritan Real Estate PO Box 2767 York PA 174052767 232447262 Leases facilites to affiliates PA 501(c)(2) NA true Good Samaritan Physican Services PO Box 2767 York PA 174052767 251832359 Medical and Surgical Care PA 501(c)(3) 9 NA true Apple Hill Surgical Center Partners PO Box 2767 York PA 174052767 232489452 Surgical Cn PA NA Related 2125945 5936203 false false 0.65010 Central PA Alliance Laboratories LLC PO Box 2767 York PA 174052767 232910950 Ref. Lab PA NA 533175 false true 0.20000 Littlestown Health Care Partners 300 West King Street Littlestown PA 17340 232880464 Lease facil PA NA 80968 1337734 false false 0.50000 Cherry Tree Cancer Center LLP PO Box 2767 York PA 174052767 232915628 Radiation PA NA Related -236728 701235 false false 0.50000 The Rehab Center 855 Springdale Drive Suite 20 Exton PA 19341 251687903 Physical Therapy Rehab PA NA Related 807285 708023 false false Wellspan Pharmacy Inc PO Box 2767 York PA 174052767 232374072 Dispenses Pharmaceuticals & IV Therapy PA WellSpan Health Care Services C corp 3297343 14046934 1.00000 true Wellspan Reciprocal Risk Retention Group PO Box 2767 York PA 174052767 200048457 Risk Retention Group PA NA C corp 155289 414787 0.01490 false York Health Plan PO Box 2767 York PA 174052767 232664989 Preferred Provider Organization PA NA C corp 10289330 3459337 1.00000 true WellSpan Provider Network PO Box 2767 York PA 174052767 232907828 Coordinate managed care risk contract PA NA C Corp 1.00000 true Apple Hill Condominium Association PO Box 2767 York PA 174052767 232504543 Condo Mgmt Association PA N/A Homeowner Assoc false North Lanc Co Phys Hosp Alliance PO Box 2767 York PA 174052767 232421885 Coord Phys & Hospital PA N/A C Corp false GSH Home Med Care Inc PO Box 2767 York PA 174052767 233028099 Sales/rent med equip/supplies PA GSH Services C corp false GSH Services Inc PO Box 2767 York PA 174052767 232353047 Accounting and financial managment PA WSH Care Services C corp false GSH Realty Inc PO Box 2767 York PA 174052767 251832359 Rent non-res. real estate PA GSH Services C corp false true true true true true false false false false false true true true false false true true true true Apple Hill Surgical Center Inc l 412496 General ledger Gettysburg Hospital c 2600000 General Ledger Gettysburg Hospital l 36267994 General ledger Gettysburg Hospital q 10817107 General ledger VNA Home Health Services l 397547 General Ledger VNA Home Health Services q 2945807 General ledger Wellspan Medical Group d 2327779 Wellspan Medical Group l 7859929 General ledger Wellspan Medical Group m 664752 General Ledger Wellspan Medical Group p 294150 General Ledger Wellspan Medical Group q 50650560 General ledger York Health Foundation q 199246 General ledger York Hospital c 3600000 General Ledger York Hospital e 204946861 General Ledger York Hospital l 185608846 General ledger York Hospital q 64946561 General ledger York Hospital r 7709057 General Ledger WellSpan Specialty Services a 143174 General Ledger WellSpan Specialty Services c 8000000 General Ledger WellSpan Specialty Services l 3377689 General ledger WellSpan Specialty Services q 4793283 General Ledger Wellspan Properties k 1703584 General ledger Wellspan Properties l 317170 General ledger Wellspan Properties q 85663 General ledger Ephrata Community Hospital l 24986831 General Ledger Ephrata Community Hospital q 13936361 General Ledger Good Samaritan Hospital a 2813917 Good Samaritan Hospital d 85526827 General Ledger Good Samaritan Hospital l 14328631 Good Samaritan Hospital q 11924043 General Ledger Wellspan Philhaven a 242333 FMV Wellspan Philhaven b 1500000 General Ledger Wellspan Philhaven d 18505713 General Ledger Wellspan Philhaven l 2076833 Wellspan Philhaven q 4717893 Good Samaritan Real Estate a 47279 FMV Good Samaritan Real Estate k 117332 Good Samaritan Physican Services d 9506634 Apple Hill Surgical Center Partners l 185898 General ledger Apple Hill Surgical Center Partners q 940275 General ledger Cherry Tree Cancer Center LLP l 128801 General Ledger The Rehab Center s 548277 Wellspan Pharmacy Inc a 13296 FMV Wellspan Pharmacy Inc l 431570 General ledger Wellspan Pharmacy Inc q 1116737 General ledger Wellspan Reciprocal Risk Retention Group m 10205150 General Ledger York Health Plan b 1500000 General Ledger York Health Plan l 254081 General ledger York Health Plan m 4068670 General Ledger York Health Plan q 1716124 General ledger Apple Hill Condominium Association l 59323 General Ledger GSH Realty Inc a 81527 FMV GSH Realty Inc e 1361335 General Ledger