WELLSPAN HEALTH: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
WELLSPAN HEALTH (EIN 22-2517863)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-05-08
IRS object ID
201431289349300523
Schema version
2012v2.0
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)
Timestamp2014-05-08T06:56:37-07:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BDO USA LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line18405 Greensboro DriveAddressLine1
CityMcLeanCity
StateVAState
ZIP Code22102ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN222517863EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1WELLSPAN HEALTHBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlWELLNameControl
Phone7178513055Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 2767AddressLine1
CityYORKCity
StatePAState
ZIP Code17405ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMichael F O'ConnorName
TitleCFOTitle
Date Signed2014-05-08DateSigned
Authorize Third PartyfalseAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJEFFREY SCHRAGGName
PTINP00234543PTIN
Phone7178930600Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonBruce M BartelsNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1PO Box 2767AddressLine1
CityYorkCity
StatePAState
ZIP Code174052767ZIPCode
FieldValueIRS element (for citing)
Gross Receipts170188210GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501c3XOrganization501c3
Web SiteWWW.WELLSPAN.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1983YearFormation
State Legal DomicilePAStateLegalDomicile
Activity Or Mission DescriptionWellSpan Health's charitable, non-profit mission is "working as one to improve health through exceptional care for all, lifelong wellness and healthy communities".ActivityOrMissionDescription
Nbr Voting Members Governing Body13NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees1047TotalNbrEmployees
Total Nbr Volunteers274TotalNbrVolunteers
Total Gross UBI717806TotalGrossUBI
Net Unrelated Business Txbl Income-298349NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year24446776ContributionsGrantsPriorYear
Contributions Grants Current Year24021616ContributionsGrantsCurrentYear
Program Service Revenue Prior Year100486886ProgramServiceRevenuePriorYear
Program Service Revenue CY123421578ProgramServiceRevenueCY
Investment Income Prior Year880674InvestmentIncomePriorYear
Investment Income Current Year2092280InvestmentIncomeCurrentYear
Other Revenue Prior Year1420817OtherRevenuePriorYear
Other Revenue Current Year2443278OtherRevenueCurrentYear
Total Revenue Prior Year127235153TotalRevenuePriorYear
Total Revenue Current Year151978752TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year706165GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY1453805GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year78476267SalariesEtcPriorYear
Salaries Etc Current Year89506166SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year51505746OtherExpensePriorYear
Other Expenses Current Year58933615OtherExpensesCurrentYear
Total Expenses Prior Year130688178TotalExpensesPriorYear
Total Expenses Current Year149893586TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-3453025RevenuesLessExpensesPriorYear
Revenues Less Expenses CY2085166RevenuesLessExpensesCY
Total Assets BOY106615513TotalAssetsBOY
Total Assets EOY120088686TotalAssetsEOY
Total Liabilities BOY398125815TotalLiabilitiesBOY
Total Liabilities EOY314449793TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-291510302NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-194361107NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionWellSpan 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.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense128933402Expense
Grants1453805Grants
Revenue122956745Revenue
DescriptionSee Federal Supplemental Information Attachment: WellSpan Health - 2013 Community Benefit ReportDescription
Total Program Service Expense128933402TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondstrueInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Info In Schedule O Part VXInfoInScheduleOPartV
Number Forms Transmitted With10961042NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees1047NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Filed Lieu1041falseFiledLieu1041
Licensed More Than One StatefalseLicensedMoreThanOneState
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members13NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProceduretrueWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledPAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonDAVID RIZZUTONamePerson
Telephone Number7178513055TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line13350 WHITEFORD ROADAddressLine1
CityYORKCity
StatePAState
ZIP Code174029081ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (28 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
Ernest Waters
Director1.000.00X000
Larry Miller
Vice Chair1.000.00X000X
Richard Beamesderfer
Director1.000.00X000
Wanda Major
Director1.000.00X000
N Daniel Waltersdorff
Director1.000.00X000
H Fred Martin MD
Director1.000.00X000
Jan Herrold
Chairman1.000.00X000X
Megan Shreve
Director1.000.00X000
Daniel P Elby
Director1.000.00X000
Steve Hovis
Director1.000.00X000
Thomas P Bride DO
Director1.000.00X000
Matt Doran
Director1.000.00X000
Michael Barley
Secretary/Treas1.000.00X000X
Michael F O'Connor
CFO40.000.005743400368141X
Bruce M Bartels
President40.000.0014418930640768X
Kevin Mosser MD
Exec VP & COO WellSpan Health40.000.005013340389770X
Maria Royce
Sr VP Planning & Comm Dev40.000.002833780223631X
Keith Gee
Senior VP Organizational Developmen40.000.007535660143900X
Richard Seim
Sr VP WSH, President WSS40.000.0012768810345144X
Richard Baker
VP/Chief Information Officer40.000.004024340280785X
Robert Batory
Vice President HR40.000.003912810277651X
Glen Moffett
VP/General Counsel40.000.004157640288865X
Charles Chodroff MD
Sr VP WSH & CCO & Pres SCP40.000.005307040360842X
Douglas Heishman
VP Fin Planning40.000.00241647063460X
Richard Harley
VP Treas Mgmt Serv40.000.00229571060639X
Jonathan Pumphrey
Chief Sup Chain Of40.000.00208994045515X
Michael Murphy
Chief Technology40.000.00393741053512X
Philip Nicholson
Chief Med Info Off40.000.00322578065025X
FieldValueIRS element (for citing)
Total Reportable Comp From Org7968106TotalReportableCompFromOrg
Total Other Compensation3607648TotalOtherCompensation
Number Individuals GT100 K120NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
TEK Systems Inc
PO Box 198568AtlantaGA303848568IT Consulting806649
Modern Recovery Solutions
PO Box 500NewmantownPA17073Collections498389
Healthcare Receivable Spec Inc
400 Market StreetPhiladelphiaPA191062506Insurance Assistance456121
Executive Health Resources
15 Campus Boulevard Suite 200Newton SquarePA19073Compliance582132
Emdeon Business Services
13093 Collections Center DriveChicagoIL60693Billing Services457638
FieldValueIRS element (for citing)
Number Of Contractors GT100 K32NumberOfContractorsGT100K
Info In Schedule O Part VIIIXInfoInScheduleOPartVIII
Related Organizations23565660RelatedOrganizations
Government Grants17187GovernmentGrants
All Other Contributions438769AllOtherContributions
Total Contributions24021616TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
Management Fees561000119772746119319767452979
Apple Hill Surgical Ctr62199014827431482743
Accounting Fees5412002166089207628189808
FieldValueIRS element (for citing)
Total Program Service Revenue123421578TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1849132TotalRevenueColumn
Exclusion$1,849,132ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities18314203Securities
Other138403Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities18105097Securities
Other104361Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities209106Securities
Other34042Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column243148TotalRevenueColumn
Related Or Exempt Function Income34042RelatedOrExemptFunctionIncome
Exclusion$209,106ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmountUnrelated Business RevenueUnrelatedBusinessRevenue
Print Shop Fees561000492155$492,155
Other Services9000991458777$1,332,270126507
Child Care Services812900215525$215,525

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column276821TotalRevenueColumn
Related Or Exempt Function Income43912RelatedOrExemptFunctionIncome
Unrelated Business Revenue48512UnrelatedBusinessRevenue
Exclusion$184,397ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue2443278TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column151978752TotalRevenueColumn
Related Or Exempt Function Income122956745RelatedOrExemptFunctionIncome
Unrelated Business Revenue717806UnrelatedBusinessRevenue
Exclusion$4,282,585ExclusionAmount
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total1453805Total
Program Services1453805ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total11575754Total
Program Services8550612ProgramServices
Management And General3025142ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total51722346Total
Program Services44673375ProgramServices
Management And General7048971ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total7586755Total
Program Services5294527ProgramServices
Management And General2292228ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total14317985Total
Program Services13690656ProgramServices
Management And General627329ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total4303326Total
Program Services3807035ProgramServices
Management And General496291ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total15715Total
Program Services15715ProgramServices

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1054555Total
Program Services476801ProgramServices
Management And General577754ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total31298Total
Management And General31298ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total9709306Total
Program Services9452039ProgramServices
Management And General257267ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total1480850Total
Program Services1478194ProgramServices
Management And General2656ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total620551Total
Program Services22555ProgramServices
Management And General597996ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total19343610Total
Program Services19334260ProgramServices
Management And General9350ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total3111453Total
Program Services2677913ProgramServices
Management And General433540ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total906562Total
Program Services554652ProgramServices
Management And General351910ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total331564Total
Program Services288691ProgramServices
Management And General42873ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total4297349Total
Management And General4297349ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total11270152Total
Program Services11158130ProgramServices
Management And General112022ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total392313Total
Program Services9614ProgramServices
Management And General382699ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Licenses/ Fees744944744203741
Utilities938397834769103628
Dues and Subscriptions1144259926527217732
Repair & Maintenance287045128613919060

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total670286Total
Program Services627938ProgramServices
Management And General42348ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total149893586Total
Program Services128933402ProgramServices
Management And General20960184ManagementAndGeneral
Fundraising0Fundraising
FieldValueIRS element (for citing)
Info In Schedule O Part XXInfoInScheduleOPartX

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY930BOY
EOY1130EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY709285BOY
EOY6090142EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1457999BOY
EOY7476978EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY36519727BOY
EOY31682970EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY146171BOY
EOY101559EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY10571660BOY
EOY14190463EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis88561297LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec59452593LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY27434507BOY
EOY29108704EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY10905738BOY
EOY11017965EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY232504BOY
EOY232504EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY18636992BOY
EOY20186271EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY106615513BOY
EOY120088686EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY16352042BOY
EOY14868698EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY83603BOY
EOY83603EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY2490198BOY
EOY2388675EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY379199972BOY
EOY297108817EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY398125815BOY
EOY314449793EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-291927011BOY
EOY-194872624EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY416709BOY
EOY511517EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-291510302BOY
EOY-194361107EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY106615513BOY
EOY120088686EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses2085166ReconcilationRevenueExpenses
Reconciliation Unrealized Invest-176478ReconciliationUnrealizedInvest
Reconcilation Other Changes95240507ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type1XSupportingOrg509a3Type1
Certification CheckboxXCertificationCheckbox
Contrib By Controlling IndividualfalseContribByControllingIndividual
Contribution By Related PartyfalseContributionByRelatedParty
Contrib By35 Controlled EntityfalseContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation (6 entries)

EINEINType Of OrganizationTypeOfOrganizationListed In Governing DocListedInGoverningDocSupported Organization NotifiedSupportedOrganizationNotifiedOrganized In USOrganizedInUSAmountAmount
WellSpan Specialty Services
2328999113truetruetrue$750,000
WellSpan Medical Group
2327307859truetruetrue$1,211,931
Healthy Community Pharmacy Inc
2005191219falsetruetrue$557,245
VNA Home Health Services
2313525739truetruetrue$247,691
Gettysburg Hospital
2313522203truetruetrue$17,917,492
York Hospital
2313522223truetruetrue$97,801,290
FieldValueIRS element (for citing)
Total Number Of Supported Orgs6TotalNumberOfSupportedOrgs
Sum Of Amounts118485649SumOfAmounts

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance416709BeginningOfYearBalance
Contributions724541Contributions
Other Expenditures629733OtherExpenditures
End Of Year Balance511517EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance368676BeginningOfYearBalance
Contributions2001888Contributions
Investment Earnings Or Losses5InvestmentEarningsOrLosses
Other Expenditures1953860OtherExpenditures
End Of Year Balance416709EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance256314BeginningOfYearBalance
Contributions2258353Contributions
Other Expenditures2145991OtherExpenditures
End Of Year Balance368676EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance237858BeginningOfYearBalance
Contributions1752633Contributions
Investment Earnings Or Losses90InvestmentEarningsOrLosses
Other Expenditures1734267OtherExpenditures
End Of Year Balance256314EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance1414750BeginningOfYearBalance
Grants Or Scholarships1518227GrantsOrScholarships
Administrative Expenses237858AdministrativeExpenses
End Of Year Balance237858EndOfYearBalance
FieldValueIRS element (for citing)
Term Endowment EOY Balance1.00000TermEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RfalseAreRelatedOrgsListedScheduleR

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis7515OtherCostOrOtherBasis
Depreciation7515Depreciation

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis2880315OtherCostOrOtherBasis
Depreciation993569Depreciation
Book Value1886746BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis82804568OtherCostOrOtherBasis
Depreciation58451509Depreciation
Book Value24353059BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2868899OtherCostOrOtherBasis
Book Value2868899BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings29108704TotalOfBookValueLandBuildings

Other Assets OtherAssets (5 entries)

DescriptionDescriptionBook ValueBookValue
Prepaid Life Insurance6918482
Estimated Insurance Recoveries8445327
AR Intercompany336523
Advance Deposits-Blue Cross87733
Advance Deposit-Royal/Citicorp60957
FieldValueIRS element (for citing)
Total Book Value Other Assets20186271TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (8 entries)

DescriptionDescriptionAmountAmount
Vacation Accrual$5,084,914
Pension Accrual$173,761,878
Payroll Accrual$7,343,171
Note Payable - YH R &R$54,644,325
Liability Self Insurance Reserve$48,202,626
Intercompany AP$896,684
Capital Lease Obligation$3,392,510
Bank Payable$3,782,709
FieldValueIRS element (for citing)
Total Of Amounts297108817TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt269918452TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-176478NetUnrealizedGainsInvestments
Other Revenues141703854OtherRevenues
Revenue Not Rptd F990141527376RevenueNotRptdF990
Revenue Subtotal128391076RevenueSubtotal
Other Revenues Not Included23587676OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt23587676RevenueNotRptdOnFinStmt
Total Revenue Per Form990151978752TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt290245800TotExpensesEtcAuditedFinclStmt
Other Expenses Included141703854OtherExpensesIncluded
Expenses Not Rptd F990141703854ExpensesNotRptdF990
Expenses Subtotal148541946ExpensesSubtotal
Other Expenses Not Included1351640OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt1351640ExpensesNotRptdOnFinStmt
Total Expenses Per Form990149893586TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Part XII, Line 4bPart XII, Line 4b: Other revenue amounts included on 990 but not included in F/SGrant-Health Community Pharmacy $550000 Revenue netted against expense $801640
Part XII, Line 2dPart XII, Line 2d: Other expenses and losses per audited F/SWellSpan System Allocation - Health $XXX-XX-XXXX WellsSpan System Allocation - Insurance $19180092
Part XI, Line 4bPart XI, Line 4b: Other revenue amounts included on 990 but not included in F/SRestricted Contributions(Net) $176036 Grant-York Hospital $19180000 Grant-Gettysburg Hospital $3430000 Revenue netted against expense $801640
Part XI, Line 2dPart 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 $19180092
Part XPart 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, 2013.
Part V, Line 4Part 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.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (8 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantAmount Of Non Cash AssistanceAmountOfNonCashAssistancePurpose Of GrantPurposeOfGrant
York YMCA
90 N Newberry StYorkPA17401231352600501(c)(3)100000Young Men's Leadership Conference
York County Literacy
800 King StYorkPA17403232088132501(c)(3)100000English as a Second Language AM Int
York County Community Foundat
14 West Market StreetYorkPA17401236299868501(c)(3)180000Moving Plans Into Action
York College of Pennsylvania
441 Country Club RoadYorkPA17403231352698501(c)(3)500000Support Nurse Managed Centers
Healthy Community Pharmacy
PO Box 2767YorkPA17405200519121501(c)(3)5500000General Support
Harrisburg Area Community Coll
One HACC DriveHarrisburgPA17110231639151150000Develop Elec Lab Nursing Students
Crispus Attucks
605 S Duke StYorkPA17403231365320501(c)(3)600000Rent subsidy
City of York
50 W King St City HallYorkPA174052360019086296250Police headquarters, park impr,
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants8TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierGrantmaker's Description of How Grants are UsedIdentifier
ExplanationAll WellSpan non-research grant activities must be coordinated through the York Health Foundation and Gettysburg Hospital Foundation to insure that grant projects are implemented, evaluated, and monitored in accordance with applicable granting agency regulations, with WellSpan policies and procedures, and are consistent with the strategies and priorities of the organization. WellSpan has defined the processes by which grants are identified, developed, reviewed, approved, and monitored by the organization. This policy covers non-research grants applied for and received by an entity of WellSpan Health. It does not cover grants made by the organization. Research grants are defined as those that involve "a systematic investigation designed to develop or contribute to generalizable knowledge (45CFR 46.102(d)) and are overseen by Emig Research Center (Policy #619 Extramural Research Funding)Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PaymentsXIdemnificationGrossUpPayments
Housing Allowance Or ResidenceXHousingAllowanceOrResidence
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException
Rebuttable Presumption ProcedurefalseRebuttablePresumptionProcedure

Form990 Schedule J Part II Form990ScheduleJPartII (15 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgBonus Filing OrgBonusFilingOrgOther Compensation Filing OrgOtherCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrgComp Report Prior990 Filing OrgCompReportPrior990FilingOrg
Robert Batory
Vice President HR2968988844059432404153723666893288440
Richard Seim
Sr VP WSH, President WSS401115132330743436296235489091622025132330
Richard Harley
VP Treas Mgmt Serv1927153301038462651534124290210
Richard Baker
VP/Chief Information Officer3007469570059882417353905068321995700
Philip Nicholson
Chief Med Info Off2710294614654032887536150387603
Michael Murphy
Chief Technology3309565727755081442639086447253
Michael F O'Connor
CFO429893135960848732591542226942481135960
Maria Royce
Sr VP Planning & Comm Dev227938554401882353539650700955440
Kevin Mosser MD
Exec VP & COO WellSpan Health423784775503504353933589110477550
Keith Gee
Senior VP Organizational Developmen675356782101058753802589746678210
Jonathan Pumphrey
Chief Sup Chain Of178500304941141434101254509
Glen Moffett
VP/General Counsel316104996602511953767070462999660
Douglas Heishman
VP Fin Planning2027423484540602791035550305107
Charles Chodroff MD
Sr VP WSH & CCO & Pres SCP398563129360278132139539447891546129360
Bruce M Bartels
President777484254363410046589055517132082661249150

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSch J, Part I, Line 1aIdentifier
Return ReferencePart I, Line 1a: Relevant information in regards to selections on 1a.ReturnReference
ExplanationBruce Bartels, WellSpan CEO, received additional compensation to cover the tax on personal use of his company vehicle.Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)

Bond ReferenceBondReferenceCdIssuer EINIssuerEINDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
General Authority of Sout
C2329822332012-12-1496765000Refund bonds issued 2/2/11falsefalsetrue
Adams County Industrial D
B2329887772011-06-241645915Tax-exempt Lease Hosp. Equip.falsefalsefalse
Adams County Industrial D
A2329887772011-03-234418794Tax-exempt Lease Hosp. Equip.falsefalsefalse

Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)

Bond ReferenceBondReferenceCdTotal ProceedsTotalProceedsOther Spent ProceedsOtherSpentProceedsYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindAmount RetiredAmountRetiredCapital ExpendituresCapitalExpenditures
C96765000967650002012truefalsetruetrue
B16459152010falsefalsetruetrue2614331645915
A44187942010falsefalsetruetrue7052974418794

Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsBond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTestChange In Use Bond Financed PropChangeInUseBondFinancedPropNon Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
Cfalsefalsefalsefalsefalsefalse
Bfalsefalsefalsefalsefalsefalsetrue
Afalsefalsefalsefalsefalsefalsetrue

Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)

Bond ReferenceBondReferenceCdException To RebateExceptionToRebateHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICBusiness Name Line1NameOfGICProvider/BusinessNameLine1Gross Proceeds InvestedGrossProceedsInvestedWritten Proc To Monitor ReqsWrittenProcToMonitorReqsForm8038 T FiledForm8038TFiled
NA
CtruefalsefalseNAfalsefalse
NA
BtruefalsefalseNAfalsetruefalse
NA
AtruefalsefalseNAfalsetruefalse

Form990 Schedule K Part V Form990ScheduleKPartV (3 entries)

Bond ReferenceBondReferenceCdProc To Undertk Corrective ActionProcToUndertkCorrectiveAction
Ctrue
Btrue
Atrue

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Bond ReferenceBondReferenceCdIssuer EINIssuerEINDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancingCUSIP NumberCUSIPNumber
Adams County Industrial D
D2329887772010-12-104162692Tax-exempt Lease Hosp. Equip.falsefalsefalse
Adams County Industrial D
C2329887772010-08-316672598Tax-exempt Lease Hosp. Equip.falsefalsefalse
General Authority of Sout
B2329822332011-02-02211700000Refund Bonds issued 11/12/2008falsefalsetrue
General Authority of Southcentral Pennsylvania
A2329822332008-11-12406699143Refund Bonds Issuedfalsefalsetrue84129NGC7

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Bond ReferenceBondReferenceCdAmount RetiredAmountRetiredTotal ProceedsTotalProceedsCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindOther Spent ProceedsOtherSpentProceedsCapitalized InterestCapitalizedInterestIssuance Costs From ProceedsIssuanceCostsFromProceedsCredit EnhancementCreditEnhancement
D671571416269241626922010falsefalsetruetrue
C1087449667259866725982010falsefalsetruetrue
B967650002117000002012truefalsetruetrue211700000
A244255000485261481708870342012truefalsetruetrue40334910876753143023004327031

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsBond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTestChange In Use Bond Financed PropChangeInUseBondFinancedPropNon Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
Dfalsefalsefalsefalsefalsefalsetrue
Cfalsefalsefalsefalsefalsefalsetrue
Bfalsefalsefalsefalsefalsefalsetrue
Afalsefalsefalsefalsefalsefalsetrue

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledException To RebateExceptionToRebateHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsBusiness Name Line1NameOfGICProvider/BusinessNameLine1Gross Proceeds InvestedGrossProceedsInvestedWritten Proc To Monitor ReqsWrittenProcToMonitorReqsGross Proceeds Invested In GICGrossProceedsInvestedInGICNo Rebate DueNoRebateDue
NA
DfalsetruefalseNAfalsetrue
NA
CfalsetruefalseNAfalsetruefalse
NA
BfalsetruefalseNAfalsefalsefalse
NA
AfalsefalseNAtruefalsefalsetrue

Form990 Schedule K Part V Form990ScheduleKPartV (4 entries)

Bond ReferenceBondReferenceCdProc To Undertk Corrective ActionProcToUndertkCorrectiveAction
Dtrue
Ctrue
Btrue
Atrue

Form990 Schedule K Part VI Form990ScheduleKPartVI

FieldValueIRS element (for citing)
IdentifierSupplemental InformationIdentifier
Return ReferencePart VIReturnReference
Explanation$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 (22-2517863), Gettysburg Hospital (23-1352220), WellSpan Properties (22-2842252), and WellSpan Specialty Services (23-2899911). 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 6/30/13, the allocation of the Debt Capital program was as follows: York Hospital $225,290,225 (59.34%), WellSpan Properties $59,679,933 (15.72%), WellSpan Health $2,388,675 (.63%), WellSpan Specialty Services $60,222,365 (15.86%) and Gettysburg Hospital $32,093,802 (8.45%). 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.An arbitrage rebate and yield restriction compliance analysis for the General Authority of Southcentral Revenue Bonds (WellSpan Health Obligated Group) Series 2008ABCD for the period of November 12, 2008 to November 11, 2013 was performed in accordance with the applicable sections of the Internal Revenue Code and the related Federal Regulations in effect during the Computation Period. As of the Interim Computation Date of November 11, 2013, the Gross Proceeds of the Bonds have not accrued a liability during the Computation Period.Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonAndstadt Printing CorporaNamePerson
FieldValueIRS element (for citing)
RelationshipDoran -PresRelationship
Amount Of Transaction776057AmountOfTransaction
Description Of TransactionPrinting & Graphic SDescriptionOfTransaction
Sharing Of RevenuesfalseSharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990, Part XI, Line 9Other Changes In Net Assets Or Fund Balances - Other DecreasesEquity Transfer York Health Plan = -$2000000
Form 990, Part XI, Line 9Other Changes In Net Assets Or Fund Balances - Other IncreasesChange in Accrued Pension Liability = $97240507
Form 990, Part VI, Line 19Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableGoverning documents, policies, and financial statements are available upon request.
Form 990, Part VI, Line 15bForm 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 subordiate 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 12cForm 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 11bForm 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.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (12 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
Wellspan Properties
PO Box 2767YorkPA174052767222842252Leases facilities to affiliatesPA501(c)(3)11 Type 1WellSpan Health Care Servicestrue
WellSpan Specialty Services
PO Box 2767YorkPA174052767232899911Mgmt. hospice/home health care servicesPA501(c)(3)11 Type 1NAtrue
York Hospital
PO Box 2767YorkPA174052767231352222Community teaching hospitalPA501(c)(3)3NAtrue
York Health Foundation
PO Box 2767YorkPA174052767233050192Charitable contributions for Wellspan entitiesPA501(c)(3)11 Type 3NAtrue
Wellspan Medical Group
PO Box 2767YorkPA174052767232730785Medical and surgical carePA501(c)(3)9NAtrue
Wellspan Health Care Services
PO Box 2767YorkPA174052767232400237Health-related activities in the service areaPA501(c)(3)11 Type 1NAtrue
VNA Home Health Services
PO Box 2767YorkPA174052767231352573Home health and hospice care servicesPA501(c)(3)9WellSpan Specialty Servicestrue
VNA Community Services
PO Box 2767YorkPA174052767232338591Home personal care services for elderly and disabledPA501(c)(3)9York VNA Home Care Inctrue
Healthy Community Pharmacy Inc
PO Box 2767YorkPA174052767200519121Reduced rate prescription drugs to uninsuredPA501(c)(3)11 Type 1WellSpan Health Care Servicestrue
Gettysburg Hospital Foundation
PO Box 2767YorkPA174052767232251358Fundraising to support Gettysburg HospitalPA501(c)(3)11 Type 1Gettysburg Hospitaltrue
Gettysburg Hospital
PO Box 2767YorkPA174052767231352220Health Care ServicesPA501(c)(3)3NAtrue
Apple Hill Surgical Center Inc
PO Box 2767YorkPA174052767222842253Sole GP in limited ptnrshp. operating surgical centerPA501(c)(3)9WellSpan Health Care Servicestrue

Form990 Schedule R Part III Form990ScheduleRPartIII (6 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartnerPercentage OwnershipPercentageOwnership
Community Healthcare Imaging Partners
PO Box 2767YorkPA174052767232444154MRI CenterPAQ-WH-LLCRelated-1447041453982falsetrue1.00000
Cherry Tree Cancer Center LLP
PO Box 2767YorkPA174052767232915628RadiationPAWHCSRelated-442181583736falsefalse0.50000
Littlestown Health Care Partners
300 West King StreetLittlestownPA17340232880464Lease facilPAWHCSRelated729251504515falsefalse0.50000
Q-WH LLC
PO Box 2767YorkPA174052767208226561GP of CHIPPAWHCSRelated-136128093falsefalse1.00000
Central PA Alliance Laboratories LLC
PO Box 2767YorkPA174052767232910950Ref. LabPANARelated-97549849falsetrue0.20000
Apple Hill Surgical Center Partners
PO Box 2767YorkPA174052767232489452Surgical CnPANARelated14324575288466falsefalse0.62210

Form990 Schedule R Part IV Form990ScheduleRPartIV (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntityControlled OrgControlledOrgBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Percentage OwnershipPercentageOwnershipShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssets
Apple Hill Condominium Association
PO Box 2767YorkPA174052767232504543Condo Mgmt AssociationPAN/AHomeowner Assocfalse
WellSpan Provider Network
PO Box 2767YorkPA174052767232907828Coordinate managed care risk contractPAC CorptrueNA1.00000
York Health Plan
PO Box 2767YorkPA174052767232664989Preferred Provider OrganizationPAC corptrueNA1.0000073292692258440
Wellspan Reciprocal Risk Retention Group
PO Box 2767YorkPA174052767200048457Risk Retention GroupPAC corpfalseNA0.0149035203327982
Wellspan Pharmacy Inc
PO Box 2767YorkPA174052767232374072Dispenses Pharmaceuticals & IV TherapyPAC corptrueWellSpan Health Care Services1.0000017129437902222
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgtrueLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgtrueLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (42 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
York Health Plan
q935609General ledger
York Health Plan
m2615284General Ledger
York Health Plan
l691941General ledger
Wellspan Reciprocal Risk Retention Group
s33354General Ledger
Wellspan Reciprocal Risk Retention Group
m6675498General Ledger
Wellspan Pharmacy Inc
s128082General Ledger
Wellspan Pharmacy Inc
q1102579General ledger
Wellspan Pharmacy Inc
l316891General ledger
Community Healthcare Imaging Partners
q155003General ledger
Cherry Tree Cancer Center LLP
s125000K-1
Littlestown Health Care Partners
s125000K-1
Apple Hill Surgical Center Partners
s1354175K-1
Apple Hill Surgical Center Partners
q773140General ledger
Apple Hill Surgical Center Partners
l114176General ledger
Wellspan Properties
q78444General ledger
Wellspan Properties
l228588General ledger
Wellspan Properties
k2308784General ledger
WellSpan Specialty Services
s1664335General Ledger
WellSpan Specialty Services
q2964845General Ledger
WellSpan Specialty Services
l1009729General ledger
WellSpan Specialty Services
d31682970General Ledger
York Hospital
q63147309General ledger
York Hospital
p1560
York Hospital
m94198General Ledger
York Hospital
l98569340General ledger
York Hospital
e54644325General Ledger
York Hospital
c19180000General Ledger
York Health Foundation
q136332General ledger
York Health Foundation
c785105General Ledger
Wellspan Medical Group
q27241595General ledger
Wellspan Medical Group
p30150
Wellspan Medical Group
m45000General Ledger
Wellspan Medical Group
l2024781General ledger
VNA Home Health Services
q1696040General ledger
VNA Home Health Services
l337490General Ledger
VNA Community Services
q93856General ledger
Healthy Community Pharmacy Inc
q150162General ledger
Healthy Community Pharmacy Inc
b550000General Ledger
Gettysburg Hospital Foundation
c170555General Ledger
Gettysburg Hospital
q10021431General ledger
Gettysburg Hospital
l18832843General ledger
Gettysburg Hospital
c3430000General Ledger

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