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        <Contributions>2001888</Contributions>
        <InvestmentEarningsOrLosses>5</InvestmentEarningsOrLosses>
        <OtherExpenditures>1953860</OtherExpenditures>
        <EndOfYearBalance>416709</EndOfYearBalance>
      </CurrentYearMinus1Year>
      <CurrentYearMinus2Years>
        <BeginningOfYearBalance>256314</BeginningOfYearBalance>
        <Contributions>2258353</Contributions>
        <OtherExpenditures>2145991</OtherExpenditures>
        <EndOfYearBalance>368676</EndOfYearBalance>
      </CurrentYearMinus2Years>
      <CurrentYearMinus3Years>
        <BeginningOfYearBalance>237858</BeginningOfYearBalance>
        <Contributions>1752633</Contributions>
        <InvestmentEarningsOrLosses>90</InvestmentEarningsOrLosses>
        <OtherExpenditures>1734267</OtherExpenditures>
        <EndOfYearBalance>256314</EndOfYearBalance>
      </CurrentYearMinus3Years>
      <CurrentYearMinus4Years>
        <BeginningOfYearBalance>1414750</BeginningOfYearBalance>
        <GrantsOrScholarships>1518227</GrantsOrScholarships>
        <AdministrativeExpenses>237858</AdministrativeExpenses>
        <EndOfYearBalance>237858</EndOfYearBalance>
      </CurrentYearMinus4Years>
      <TermEndowmentEOYBalance>1.00000</TermEndowmentEOYBalance>
      <EndowmentsHeldByUnrelatedOrgs>false</EndowmentsHeldByUnrelatedOrgs>
      <EndowmentsHeldByRelatedOrgs>false</EndowmentsHeldByRelatedOrgs>
      <AreRelatedOrgsListedScheduleR>false</AreRelatedOrgsListedScheduleR>
      <Buildings>
        <OtherCostOrOtherBasis>7515</OtherCostOrOtherBasis>
        <Depreciation>7515</Depreciation>
      </Buildings>
      <LeaseholdImprovements>
        <OtherCostOrOtherBasis>2880315</OtherCostOrOtherBasis>
        <Depreciation>993569</Depreciation>
        <BookValue>1886746</BookValue>
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      <Equipment>
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        <Depreciation>58451509</Depreciation>
        <BookValue>24353059</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>2868899</OtherCostOrOtherBasis>
        <BookValue>2868899</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>29108704</TotalOfBookValueLandBuildings>
      <OtherAssets>
        <Description>Prepaid Life Insurance</Description>
        <BookValue>6918482</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>Estimated Insurance Recoveries</Description>
        <BookValue>8445327</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>AR Intercompany</Description>
        <BookValue>336523</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>Advance Deposits-Blue Cross</Description>
        <BookValue>87733</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>Advance Deposit-Royal/Citicorp</Description>
        <BookValue>60957</BookValue>
      </OtherAssets>
      <TotalBookValueOtherAssets>20186271</TotalBookValueOtherAssets>
      <OtherLiabilities>
        <Description>Vacation Accrual</Description>
        <Amount>5084914</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Pension Accrual</Description>
        <Amount>173761878</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Payroll Accrual</Description>
        <Amount>7343171</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Note Payable - YH R &amp;R</Description>
        <Amount>54644325</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Liability Self Insurance Reserve</Description>
        <Amount>48202626</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Intercompany AP</Description>
        <Amount>896684</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Capital Lease Obligation</Description>
        <Amount>3392510</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Bank Payable</Description>
        <Amount>3782709</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>297108817</TotalOfAmounts>
      <FootnoteInPartXIII>X</FootnoteInPartXIII>
      <TotRevenueEtcAuditedFinclStmt>269918452</TotRevenueEtcAuditedFinclStmt>
      <NetUnrealizedGainsInvestments>-176478</NetUnrealizedGainsInvestments>
      <OtherRevenues>141703854</OtherRevenues>
      <RevenueNotRptdF990>141527376</RevenueNotRptdF990>
      <RevenueSubtotal>128391076</RevenueSubtotal>
      <OtherRevenuesNotIncluded>23587676</OtherRevenuesNotIncluded>
      <RevenueNotRptdOnFinStmt>23587676</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>151978752</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>290245800</TotExpensesEtcAuditedFinclStmt>
      <OtherExpensesIncluded>141703854</OtherExpensesIncluded>
      <ExpensesNotRptdF990>141703854</ExpensesNotRptdF990>
      <ExpensesSubtotal>148541946</ExpensesSubtotal>
      <OtherExpensesNotIncluded>1351640</OtherExpensesNotIncluded>
      <ExpensesNotRptdOnFinStmt>1351640</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>149893586</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIII>
        <Identifier>Part XII, Line 4b</Identifier>
        <ReturnReference>Part XII, Line 4b: Other revenue amounts included on 990 but not included in F/S</ReturnReference>
        <Explanation>Grant-Health Community Pharmacy $550000 Revenue netted against expense $801640</Explanation>
      </Form990ScheduleDPartXIII>
      <Form990ScheduleDPartXIII>
        <Identifier>Part XII, Line 2d</Identifier>
        <ReturnReference>Part XII, Line 2d: Other expenses and losses per audited F/S</ReturnReference>
        <Explanation>WellSpan System Allocation - Health $XXX-XX-XXXX WellsSpan System Allocation - Insurance $19180092</Explanation>
      </Form990ScheduleDPartXIII>
      <Form990ScheduleDPartXIII>
        <Identifier>Part XI, Line 4b</Identifier>
        <ReturnReference>Part XI, Line 4b: Other revenue amounts included on 990 but not included in F/S</ReturnReference>
        <Explanation>Restricted Contributions(Net) $176036 Grant-York Hospital $19180000 Grant-Gettysburg Hospital $3430000 Revenue netted against expense $801640</Explanation>
      </Form990ScheduleDPartXIII>
      <Form990ScheduleDPartXIII>
        <Identifier>Part XI, Line 2d</Identifier>
        <ReturnReference>Part XI, Line 2d: Other revenue amounts included in F/S but not included on form 990</ReturnReference>
        <Explanation>WellSpan System Allocation - Health $XXX-XX-XXXX WellSpan System Allocation - Insurance $19180092</Explanation>
      </Form990ScheduleDPartXIII>
      <Form990ScheduleDPartXIII>
        <Identifier>Part X</Identifier>
        <ReturnReference>Part X : FIN48 Footnote</ReturnReference>
        <Explanation>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, 2013.</Explanation>
      </Form990ScheduleDPartXIII>
      <Form990ScheduleDPartXIII>
        <Identifier>Part V, Line 4</Identifier>
        <ReturnReference>Part V, Line 4: Intended uses of the endowment fund.</ReturnReference>
        <Explanation>The funds were used to improve the health and welfare of the residents of York and Adams counties of Pennsylvania.</Explanation>
      </Form990ScheduleDPartXIII>
    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="IRS990ScheduleI" softwareId="12000229" softwareVersion="2012v2.0">
      <RecordsMaintained>true</RecordsMaintained>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>York YMCA</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>90 N Newberry St</AddressLine1>
          <City>York</City>
          <State>PA</State>
          <ZIPCode>17401</ZIPCode>
        </AddressUS>
        <EINOfRecipient>231352600</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>10000</AmountOfCashGrant>
        <AmountOfNonCashAssistance>0</AmountOfNonCashAssistance>
        <PurposeOfGrant>Young Men's Leadership Conference</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>York County Literacy</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>800 King St</AddressLine1>
          <City>York</City>
          <State>PA</State>
          <ZIPCode>17403</ZIPCode>
        </AddressUS>
        <EINOfRecipient>232088132</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>10000</AmountOfCashGrant>
        <AmountOfNonCashAssistance>0</AmountOfNonCashAssistance>
        <PurposeOfGrant>English as a Second Language AM Int</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>York County Community Foundat</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>14 West Market Street</AddressLine1>
          <City>York</City>
          <State>PA</State>
          <ZIPCode>17401</ZIPCode>
        </AddressUS>
        <EINOfRecipient>236299868</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>18000</AmountOfCashGrant>
        <AmountOfNonCashAssistance>0</AmountOfNonCashAssistance>
        <PurposeOfGrant>Moving Plans Into Action</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>York College of Pennsylvania</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>441 Country Club Road</AddressLine1>
          <City>York</City>
          <State>PA</State>
          <ZIPCode>17403</ZIPCode>
        </AddressUS>
        <EINOfRecipient>231352698</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>50000</AmountOfCashGrant>
        <AmountOfNonCashAssistance>0</AmountOfNonCashAssistance>
        <PurposeOfGrant>Support Nurse Managed Centers</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Healthy Community Pharmacy</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>PO Box 2767</AddressLine1>
          <City>York</City>
          <State>PA</State>
          <ZIPCode>17405</ZIPCode>
        </AddressUS>
        <EINOfRecipient>200519121</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>550000</AmountOfCashGrant>
        <AmountOfNonCashAssistance>0</AmountOfNonCashAssistance>
        <PurposeOfGrant>General Support</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Harrisburg Area Community Coll</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>One HACC Drive</AddressLine1>
          <City>Harrisburg</City>
          <State>PA</State>
          <ZIPCode>17110</ZIPCode>
        </AddressUS>
        <EINOfRecipient>231639151</EINOfRecipient>
        <AmountOfCashGrant>15000</AmountOfCashGrant>
        <AmountOfNonCashAssistance>0</AmountOfNonCashAssistance>
        <PurposeOfGrant>Develop Elec Lab Nursing Students</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Crispus Attucks</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
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          <City>York</City>
          <State>PA</State>
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        <PurposeOfGrant>Rent subsidy</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
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        </RecipientNameBusiness>
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          <City>York</City>
          <State>PA</State>
          <ZIPCode>17405</ZIPCode>
        </AddressUS>
        <EINOfRecipient>236001908</EINOfRecipient>
        <AmountOfCashGrant>629625</AmountOfCashGrant>
        <AmountOfNonCashAssistance>0</AmountOfNonCashAssistance>
        <PurposeOfGrant>Police headquarters, park impr,</PurposeOfGrant>
      </RecipientTable>
      <TotalNbrOf501C3AndGovtGrants>8</TotalNbrOf501C3AndGovtGrants>
      <TotalNbrOfOtherOrganizations>0</TotalNbrOfOtherOrganizations>
      <Form990ScheduleIPartIV>
        <Identifier>Grantmaker's Description of How Grants are Used</Identifier>
        <Explanation>All 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>
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    </IRS990ScheduleI>
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      <SubstantiationRequired>true</SubstantiationRequired>
      <CompensationCommittee>X</CompensationCommittee>
      <IndependentConsultant>X</IndependentConsultant>
      <WrittenEmploymentContract>X</WrittenEmploymentContract>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>false</SeverancePayment>
      <SupplementalNonqualRetirePlan>true</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
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      <InitialContractException>false</InitialContractException>
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      <Form990ScheduleJPartII>
        <NamePerson>Robert Batory</NamePerson>
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        <NamePerson>Richard Seim</NamePerson>
        <Title>Sr VP WSH, President WSS</Title>
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        <NamePerson>Richard Harley</NamePerson>
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        <NamePerson>Michael Murphy</NamePerson>
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      <Form990ScheduleJPartII>
        <NamePerson>Michael F O'Connor</NamePerson>
        <Title>CFO</Title>
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        <NamePerson>Maria Royce</NamePerson>
        <Title>Sr VP Planning &amp; Comm Dev</Title>
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      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Kevin Mosser MD</NamePerson>
        <Title>Exec VP &amp; COO WellSpan Health</Title>
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        <NamePerson>Jonathan Pumphrey</NamePerson>
        <Title>Chief Sup Chain Of</Title>
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        <NamePerson>Glen Moffett</NamePerson>
        <Title>VP/General Counsel</Title>
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        <NamePerson>Douglas Heishman</NamePerson>
        <Title>VP Fin Planning</Title>
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      <Form990ScheduleJPartII>
        <NamePerson>Charles Chodroff MD</NamePerson>
        <Title>Sr VP WSH &amp; CCO &amp; Pres SCP</Title>
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        <NamePerson>Bruce M Bartels</NamePerson>
        <Title>President</Title>
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      <Form990ScheduleJPartIII>
        <Identifier>Sch J, Part I, Line 1a</Identifier>
        <ReturnReference>Part I, Line 1a: Relevant information in regards to selections on 1a.</ReturnReference>
        <Explanation>Bruce Bartels, WellSpan CEO, received additional compensation to cover the tax on personal use of his company vehicle.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
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        <BondReferenceCd>C</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1>General Authority of Sout</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>232982233</IssuerEIN>
        <DateIssued>2012-12-14</DateIssued>
        <IssuePrice>96765000</IssuePrice>
        <DescriptionOfPurpose>Refund bonds issued 2/2/11</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
        <PoolFinancing>true</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <BondReferenceCd>B</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1>Adams County Industrial D</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>232988777</IssuerEIN>
        <DateIssued>2011-06-24</DateIssued>
        <IssuePrice>1645915</IssuePrice>
        <DescriptionOfPurpose>Tax-exempt Lease Hosp. Equip.</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1>Adams County Industrial D</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>232988777</IssuerEIN>
        <DateIssued>2011-03-23</DateIssued>
        <IssuePrice>4418794</IssuePrice>
        <DescriptionOfPurpose>Tax-exempt Lease Hosp. Equip.</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartII>
        <BondReferenceCd>C</BondReferenceCd>
        <TotalProceeds>96765000</TotalProceeds>
        <OtherSpentProceeds>96765000</OtherSpentProceeds>
        <YearOfSubstCompletion>2012</YearOfSubstCompletion>
        <CurrentRefunding>true</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <BondReferenceCd>B</BondReferenceCd>
        <AmountRetired>261433</AmountRetired>
        <TotalProceeds>1645915</TotalProceeds>
        <CapitalExpenditures>1645915</CapitalExpenditures>
        <YearOfSubstCompletion>2010</YearOfSubstCompletion>
        <CurrentRefunding>false</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <BondReferenceCd>A</BondReferenceCd>
        <AmountRetired>705297</AmountRetired>
        <TotalProceeds>4418794</TotalProceeds>
        <CapitalExpenditures>4418794</CapitalExpenditures>
        <YearOfSubstCompletion>2010</YearOfSubstCompletion>
        <CurrentRefunding>false</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartIII>
        <BondReferenceCd>C</BondReferenceCd>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <BondIssMeetPrvtSecurityPayTest>false</BondIssMeetPrvtSecurityPayTest>
        <ChangeInUseBondFinancedProp>false</ChangeInUseBondFinancedProp>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIII>
        <BondReferenceCd>B</BondReferenceCd>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <BondIssMeetPrvtSecurityPayTest>false</BondIssMeetPrvtSecurityPayTest>
        <ChangeInUseBondFinancedProp>false</ChangeInUseBondFinancedProp>
        <NonQualifiedBondRemedProcdrs>true</NonQualifiedBondRemedProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIII>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <BondIssMeetPrvtSecurityPayTest>false</BondIssMeetPrvtSecurityPayTest>
        <ChangeInUseBondFinancedProp>false</ChangeInUseBondFinancedProp>
        <NonQualifiedBondRemedProcdrs>true</NonQualifiedBondRemedProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIV>
        <BondReferenceCd>C</BondReferenceCd>
        <ExceptionToRebate>true</ExceptionToRebate>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <NameOfHedgeProvider>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </NameOfHedgeProvider>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <NameOfGICProvider>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </NameOfGICProvider>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <WrittenProcToMonitorReqs>false</WrittenProcToMonitorReqs>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <BondReferenceCd>B</BondReferenceCd>
        <Form8038TFiled>false</Form8038TFiled>
        <ExceptionToRebate>true</ExceptionToRebate>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <NameOfHedgeProvider>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </NameOfHedgeProvider>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <NameOfGICProvider>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </NameOfGICProvider>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <WrittenProcToMonitorReqs>true</WrittenProcToMonitorReqs>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiled>false</Form8038TFiled>
        <ExceptionToRebate>true</ExceptionToRebate>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <NameOfHedgeProvider>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </NameOfHedgeProvider>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <NameOfGICProvider>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </NameOfGICProvider>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <WrittenProcToMonitorReqs>true</WrittenProcToMonitorReqs>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartV>
        <BondReferenceCd>C</BondReferenceCd>
        <ProcToUndertkCorrectiveAction>true</ProcToUndertkCorrectiveAction>
      </Form990ScheduleKPartV>
      <Form990ScheduleKPartV>
        <BondReferenceCd>B</BondReferenceCd>
        <ProcToUndertkCorrectiveAction>true</ProcToUndertkCorrectiveAction>
      </Form990ScheduleKPartV>
      <Form990ScheduleKPartV>
        <BondReferenceCd>A</BondReferenceCd>
        <ProcToUndertkCorrectiveAction>true</ProcToUndertkCorrectiveAction>
      </Form990ScheduleKPartV>
    </IRS990ScheduleK>
    <IRS990ScheduleK documentId="IRS990ScheduleK.1" softwareId="12000229" softwareVersion="2012v2.0">
      <Form990ScheduleKPartI>
        <BondReferenceCd>D</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1>Adams County Industrial D</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>232988777</IssuerEIN>
        <DateIssued>2010-12-10</DateIssued>
        <IssuePrice>4162692</IssuePrice>
        <DescriptionOfPurpose>Tax-exempt Lease Hosp. Equip.</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <BondReferenceCd>C</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1>Adams County Industrial D</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>232988777</IssuerEIN>
        <DateIssued>2010-08-31</DateIssued>
        <IssuePrice>6672598</IssuePrice>
        <DescriptionOfPurpose>Tax-exempt Lease Hosp. Equip.</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <BondReferenceCd>B</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1>General Authority of Sout</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>232982233</IssuerEIN>
        <DateIssued>2011-02-02</DateIssued>
        <IssuePrice>211700000</IssuePrice>
        <DescriptionOfPurpose>Refund Bonds issued 11/12/2008</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
        <PoolFinancing>true</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1>General Authority of Southcentral Pennsylvania</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>232982233</IssuerEIN>
        <CUSIPNumber>84129NGC7</CUSIPNumber>
        <DateIssued>2008-11-12</DateIssued>
        <IssuePrice>406699143</IssuePrice>
        <DescriptionOfPurpose>Refund Bonds Issued</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
        <PoolFinancing>true</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartII>
        <BondReferenceCd>D</BondReferenceCd>
        <AmountRetired>671571</AmountRetired>
        <TotalProceeds>4162692</TotalProceeds>
        <CapitalExpenditures>4162692</CapitalExpenditures>
        <YearOfSubstCompletion>2010</YearOfSubstCompletion>
        <CurrentRefunding>false</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <BondReferenceCd>C</BondReferenceCd>
        <AmountRetired>1087449</AmountRetired>
        <TotalProceeds>6672598</TotalProceeds>
        <CapitalExpenditures>6672598</CapitalExpenditures>
        <YearOfSubstCompletion>2010</YearOfSubstCompletion>
        <CurrentRefunding>false</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <BondReferenceCd>B</BondReferenceCd>
        <AmountRetired>96765000</AmountRetired>
        <TotalProceeds>211700000</TotalProceeds>
        <OtherSpentProceeds>211700000</OtherSpentProceeds>
        <YearOfSubstCompletion>2012</YearOfSubstCompletion>
        <CurrentRefunding>true</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <BondReferenceCd>A</BondReferenceCd>
        <AmountRetired>244255000</AmountRetired>
        <TotalProceeds>485261481</TotalProceeds>
        <CapitalizedInterest>7675314</CapitalizedInterest>
        <IssuanceCostsFromProceeds>3023004</IssuanceCostsFromProceeds>
        <CreditEnhancement>327031</CreditEnhancement>
        <CapitalExpenditures>70887034</CapitalExpenditures>
        <OtherSpentProceeds>403349108</OtherSpentProceeds>
        <YearOfSubstCompletion>2012</YearOfSubstCompletion>
        <CurrentRefunding>true</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
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        <BondReferenceCd>D</BondReferenceCd>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <BondIssMeetPrvtSecurityPayTest>false</BondIssMeetPrvtSecurityPayTest>
        <ChangeInUseBondFinancedProp>false</ChangeInUseBondFinancedProp>
        <NonQualifiedBondRemedProcdrs>true</NonQualifiedBondRemedProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIII>
        <BondReferenceCd>C</BondReferenceCd>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <BondIssMeetPrvtSecurityPayTest>false</BondIssMeetPrvtSecurityPayTest>
        <ChangeInUseBondFinancedProp>false</ChangeInUseBondFinancedProp>
        <NonQualifiedBondRemedProcdrs>true</NonQualifiedBondRemedProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIII>
        <BondReferenceCd>B</BondReferenceCd>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <BondIssMeetPrvtSecurityPayTest>false</BondIssMeetPrvtSecurityPayTest>
        <ChangeInUseBondFinancedProp>false</ChangeInUseBondFinancedProp>
        <NonQualifiedBondRemedProcdrs>true</NonQualifiedBondRemedProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIII>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <BondIssMeetPrvtSecurityPayTest>false</BondIssMeetPrvtSecurityPayTest>
        <ChangeInUseBondFinancedProp>false</ChangeInUseBondFinancedProp>
        <NonQualifiedBondRemedProcdrs>true</NonQualifiedBondRemedProcdrs>
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        <BondReferenceCd>D</BondReferenceCd>
        <Form8038TFiled>false</Form8038TFiled>
        <ExceptionToRebate>true</ExceptionToRebate>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <NameOfHedgeProvider>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </NameOfHedgeProvider>
        <NameOfGICProvider>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </NameOfGICProvider>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <WrittenProcToMonitorReqs>true</WrittenProcToMonitorReqs>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <BondReferenceCd>C</BondReferenceCd>
        <Form8038TFiled>false</Form8038TFiled>
        <ExceptionToRebate>true</ExceptionToRebate>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <NameOfHedgeProvider>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </NameOfHedgeProvider>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <NameOfGICProvider>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </NameOfGICProvider>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <WrittenProcToMonitorReqs>true</WrittenProcToMonitorReqs>
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      <Form990ScheduleKPartIV>
        <BondReferenceCd>B</BondReferenceCd>
        <Form8038TFiled>false</Form8038TFiled>
        <ExceptionToRebate>true</ExceptionToRebate>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <NameOfHedgeProvider>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </NameOfHedgeProvider>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <NameOfGICProvider>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </NameOfGICProvider>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <WrittenProcToMonitorReqs>false</WrittenProcToMonitorReqs>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiled>false</Form8038TFiled>
        <NoRebateDue>true</NoRebateDue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <NameOfHedgeProvider>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </NameOfHedgeProvider>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <NameOfGICProvider>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </NameOfGICProvider>
        <GrossProceedsInvested>true</GrossProceedsInvested>
        <WrittenProcToMonitorReqs>false</WrittenProcToMonitorReqs>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartV>
        <BondReferenceCd>D</BondReferenceCd>
        <ProcToUndertkCorrectiveAction>true</ProcToUndertkCorrectiveAction>
      </Form990ScheduleKPartV>
      <Form990ScheduleKPartV>
        <BondReferenceCd>C</BondReferenceCd>
        <ProcToUndertkCorrectiveAction>true</ProcToUndertkCorrectiveAction>
      </Form990ScheduleKPartV>
      <Form990ScheduleKPartV>
        <BondReferenceCd>B</BondReferenceCd>
        <ProcToUndertkCorrectiveAction>true</ProcToUndertkCorrectiveAction>
      </Form990ScheduleKPartV>
      <Form990ScheduleKPartV>
        <BondReferenceCd>A</BondReferenceCd>
        <ProcToUndertkCorrectiveAction>true</ProcToUndertkCorrectiveAction>
      </Form990ScheduleKPartV>
      <Form990ScheduleKPartVI>
        <Identifier>Supplemental Information</Identifier>
        <ReturnReference>Part VI</ReturnReference>
        <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>
      </Form990ScheduleKPartVI>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="IRS990ScheduleL" softwareId="12000229" softwareVersion="2012v2.0">
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>Andstadt Printing Corpora</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>Doran -Pres</Relationship>
        <AmountOfTransaction>776057</AmountOfTransaction>
        <DescriptionOfTransaction>Printing &amp; Graphic S</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="12000229" softwareVersion="2012v2.0">
      <GeneralExplanation>
        <Identifier>Form 990, Part XI, Line 9</Identifier>
        <ReturnReference>Other Changes In Net Assets Or Fund Balances - Other Decreases</ReturnReference>
        <Explanation>Equity Transfer York Health Plan = -$2000000</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part XI, Line 9</Identifier>
        <ReturnReference>Other Changes In Net Assets Or Fund Balances - Other Increases</ReturnReference>
        <Explanation>Change in Accrued Pension Liability = $97240507</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 19</Identifier>
        <ReturnReference>Form 990, Part VI, Line 19: Other Organization Documents Publicly Available</ReturnReference>
        <Explanation>Governing documents, policies, and financial statements are available upon request.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 15b</Identifier>
        <ReturnReference>Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees</ReturnReference>
        <Explanation>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 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 12c</Identifier>
        <ReturnReference>Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 11b</Identifier>
        <ReturnReference>Form 990, Part VI, Line 11b: Form 990 Review Process</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
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          <AddressLine1>PO Box 2767</AddressLine1>
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          <BusinessNameLine1>NA</BusinessNameLine1>
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        <ControlledOrg>true</ControlledOrg>
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          <BusinessNameLine1>Wellspan Health Care Services</BusinessNameLine1>
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          <AddressLine1>PO Box 2767</AddressLine1>
          <City>York</City>
          <State>PA</State>
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        </AddressUS>
        <EIN>232400237</EIN>
        <PrimaryActivities>Health-related activities in the service area</PrimaryActivities>
        <LegalDomicileState>PA</LegalDomicileState>
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        <PublicCharityStatus>11 Type 1</PublicCharityStatus>
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          <BusinessNameLine1>NA</BusinessNameLine1>
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        <ControlledOrg>true</ControlledOrg>
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          <BusinessNameLine1>VNA Home Health Services</BusinessNameLine1>
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          <AddressLine1>PO Box 2767</AddressLine1>
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          <State>PA</State>
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        <EIN>231352573</EIN>
        <PrimaryActivities>Home health and hospice care services</PrimaryActivities>
        <LegalDomicileState>PA</LegalDomicileState>
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          <BusinessNameLine1>WellSpan Specialty Services</BusinessNameLine1>
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          <BusinessNameLine1>VNA Community Services</BusinessNameLine1>
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          <AddressLine1>PO Box 2767</AddressLine1>
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          <State>PA</State>
          <ZIPCode>174052767</ZIPCode>
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        <EIN>232338591</EIN>
        <PrimaryActivities>Home personal care services for elderly and disabled</PrimaryActivities>
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          <BusinessNameLine1>York VNA Home Care Inc</BusinessNameLine1>
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          <BusinessNameLine1>Healthy Community Pharmacy Inc</BusinessNameLine1>
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          <AddressLine1>PO Box 2767</AddressLine1>
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        <PrimaryActivities>Reduced rate prescription drugs to uninsured</PrimaryActivities>
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          <BusinessNameLine1>WellSpan Health Care Services</BusinessNameLine1>
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          <State>PA</State>
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        <ControlledOrg>true</ControlledOrg>
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          <BusinessNameLine1>NA</BusinessNameLine1>
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        <ControlledOrg>true</ControlledOrg>
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      <TransactionsRelatedOrgsTable>
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      <TransactionsRelatedOrgsTable>
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        </NameOfOtherOrganization>
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      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
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          <BusinessNameLine1>Littlestown Health Care Partners</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>s</TransactionType>
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      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
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          <BusinessNameLine1>Apple Hill Surgical Center Partners</BusinessNameLine1>
        </NameOfOtherOrganization>
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      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Apple Hill Surgical Center Partners</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>q</TransactionType>
        <AmountInvolved>773140</AmountInvolved>
        <MethodOfAmtDetermination>General ledger</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Apple Hill Surgical Center Partners</BusinessNameLine1>
        </NameOfOtherOrganization>
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        <MethodOfAmtDetermination>General ledger</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Wellspan Properties</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>q</TransactionType>
        <AmountInvolved>78444</AmountInvolved>
        <MethodOfAmtDetermination>General ledger</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Wellspan Properties</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>l</TransactionType>
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      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Wellspan Properties</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>k</TransactionType>
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      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>WellSpan Specialty Services</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>s</TransactionType>
        <AmountInvolved>1664335</AmountInvolved>
        <MethodOfAmtDetermination>General Ledger</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>WellSpan Specialty Services</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>q</TransactionType>
        <AmountInvolved>2964845</AmountInvolved>
        <MethodOfAmtDetermination>General Ledger</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>WellSpan Specialty Services</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>l</TransactionType>
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      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>WellSpan Specialty Services</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>d</TransactionType>
        <AmountInvolved>31682970</AmountInvolved>
        <MethodOfAmtDetermination>General Ledger</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>York Hospital</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>q</TransactionType>
        <AmountInvolved>63147309</AmountInvolved>
        <MethodOfAmtDetermination>General ledger</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>York Hospital</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>p</TransactionType>
        <AmountInvolved>1560</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>York Hospital</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>m</TransactionType>
        <AmountInvolved>94198</AmountInvolved>
        <MethodOfAmtDetermination>General Ledger</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>York Hospital</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>l</TransactionType>
        <AmountInvolved>98569340</AmountInvolved>
        <MethodOfAmtDetermination>General ledger</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>York Hospital</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>e</TransactionType>
        <AmountInvolved>54644325</AmountInvolved>
        <MethodOfAmtDetermination>General Ledger</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>York Hospital</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>c</TransactionType>
        <AmountInvolved>19180000</AmountInvolved>
        <MethodOfAmtDetermination>General Ledger</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>York Health Foundation</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>q</TransactionType>
        <AmountInvolved>136332</AmountInvolved>
        <MethodOfAmtDetermination>General ledger</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>York Health Foundation</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>c</TransactionType>
        <AmountInvolved>785105</AmountInvolved>
        <MethodOfAmtDetermination>General Ledger</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Wellspan Medical Group</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>q</TransactionType>
        <AmountInvolved>27241595</AmountInvolved>
        <MethodOfAmtDetermination>General ledger</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Wellspan Medical Group</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>p</TransactionType>
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      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Wellspan Medical Group</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>m</TransactionType>
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        <MethodOfAmtDetermination>General Ledger</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Wellspan Medical Group</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>l</TransactionType>
        <AmountInvolved>2024781</AmountInvolved>
        <MethodOfAmtDetermination>General ledger</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>VNA Home Health Services</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>q</TransactionType>
        <AmountInvolved>1696040</AmountInvolved>
        <MethodOfAmtDetermination>General ledger</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>VNA Home Health Services</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>l</TransactionType>
        <AmountInvolved>337490</AmountInvolved>
        <MethodOfAmtDetermination>General Ledger</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>VNA Community Services</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>q</TransactionType>
        <AmountInvolved>93856</AmountInvolved>
        <MethodOfAmtDetermination>General ledger</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Healthy Community Pharmacy Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>q</TransactionType>
        <AmountInvolved>150162</AmountInvolved>
        <MethodOfAmtDetermination>General ledger</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Healthy Community Pharmacy Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>b</TransactionType>
        <AmountInvolved>550000</AmountInvolved>
        <MethodOfAmtDetermination>General Ledger</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Gettysburg Hospital Foundation</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>c</TransactionType>
        <AmountInvolved>170555</AmountInvolved>
        <MethodOfAmtDetermination>General Ledger</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Gettysburg Hospital</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>q</TransactionType>
        <AmountInvolved>10021431</AmountInvolved>
        <MethodOfAmtDetermination>General ledger</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Gettysburg Hospital</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>l</TransactionType>
        <AmountInvolved>18832843</AmountInvolved>
        <MethodOfAmtDetermination>General ledger</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Gettysburg Hospital</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>c</TransactionType>
        <AmountInvolved>3430000</AmountInvolved>
        <MethodOfAmtDetermination>General Ledger</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>
