WELLSPAN MEDICAL GROUP: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
WELLSPAN MEDICAL GROUP (EIN 23-2730785)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-05-10
IRS object ID
201201319349302075
Schema version
2010v3.2
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)
Timestamp2012-05-10T12:38:57-07:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Argy Wiltse & Robinson PCBusinessNameLine1

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 Date2010-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN232730785EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1WELLSPAN MEDICAL GROUPBusinessNameLine1
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 Signed2012-05-10DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameDAVID TRIMNERName
Phone7038930600Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

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 Receipts212866179GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501c3XOrganization501c3
Web SiteWWW.WELLSPAN.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1993YearFormation
State Legal DomicilePAStateLegalDomicile
Activity Or Mission DescriptionWellSpan Medical Group, in coordination with York Hospital and Gettysburg Hospital, provides medical and surgical care to patients in and around York and Adams County, Pennsylvania without regard to the ability to pay.ActivityOrMissionDescription
Nbr Voting Members Governing Body10NbrVotingMembersGoverningBody
Nbr Independent Voting Members0NbrIndependentVotingMembers
Total Nbr Employees1631TotalNbrEmployees
Total Nbr Volunteers31TotalNbrVolunteers
Total Gross UBI1490075TotalGrossUBI
Contributions Grants Prior Year15963807ContributionsGrantsPriorYear
Contributions Grants Current Year19981014ContributionsGrantsCurrentYear
Program Service Revenue Prior Year171590493ProgramServiceRevenuePriorYear
Program Service Revenue CY191282689ProgramServiceRevenueCY
Investment Income Prior Year170140InvestmentIncomePriorYear
Investment Income Current Year86513InvestmentIncomeCurrentYear
Other Revenue Prior Year982125OtherRevenuePriorYear
Other Revenue Current Year1490075OtherRevenueCurrentYear
Total Revenue Prior Year188706565TotalRevenuePriorYear
Total Revenue Current Year212840291TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year2300GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY5255GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year155787118SalariesEtcPriorYear
Salaries Etc Current Year170728567SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year36345855OtherExpensePriorYear
Other Expenses Current Year41937595OtherExpensesCurrentYear
Total Expenses Prior Year192135273TotalExpensesPriorYear
Total Expenses Current Year212671417TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-3428708RevenuesLessExpensesPriorYear
Revenues Less Expenses CY168874RevenuesLessExpensesCY
Total Assets BOY31119410TotalAssetsBOY
Total Assets EOY31673702TotalAssetsEOY
Total Liabilities BOY17104318TotalLiabilitiesBOY
Total Liabilities EOY17318837TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY14015092NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY14354865NetAssetsOrFundBalancesEOY
Mission DescriptionWellSpan Medical Group, in coordination with York Hospital and Gettysburg Hospital, provides medical and surgical care to patients in and around York and Adams County, Pennsylvania without regard to the ability to pay. The organization also provides teaching and clinical supervision to York Hospital and Gettysburg Hospital.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense199410994Expense
Grants5255Grants
Revenue191282689Revenue
DescriptionWellSpan Medical Group, which does not contemplate pecuniary gain or profit, incidental or otherwise, was formed for the purposes of furthering the charitable purposes of WellSpan Health and promoting the provision of health care services in South Central Pennsylvania, including York and Adams Counties, by providing clinically effective health care services, including professional health care services, in a cost effective manner in settings appropriate to patient and payor needs under a variety of health care financing arrangements; enhancing the continuity and quality of health care services provided to patients; ensuring the continued local patient access to health care services; enhancing the health status of the communities served by WellSpan Health; effectively responding to changing payor requirements; achieving excellence in clinical innovations, service, quality, cost and outcomes; and achieving operating efficiencies, such as containing and reducing costs and avoiding unnecessary duplication of services and equipment, thereby utilizing resources more effectively.See Attached Federal Supplemental Information: WellSpan Health - 2011 Community Benefit ReportDescription
Total Program Service Expense199410994TotalProgramServiceExpense
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 AssetsfalseReportOtherAssets
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 BondsfalseTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPtrueLoanToOfficerOrDQP
Grant To Related PersontrueGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingfalseComplianceWithBackupWitholding
Number Of Employees1631NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Form8886 T FiledfalseForm8886TFiled
Non Deductible ContributionsfalseNonDeductibleContributions
Non Deductible DisclosurefalseNonDeductibleDisclosure
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Quid Pro Quo DisclosurefalseQuidProQuoDisclosure
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
Form720 FiledfalseForm720Filed
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members10NbrVotingGoverningBodyMembers
Number Independent Voting Members0NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Policies Reference ChaptersfalsePoliciesReferenceChapters
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 VenturefalseInvestmentInJointVenture
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
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 (19 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormerKey EmployeeKeyEmployee
Thomas R McGann MD
Secretary,ExDir40.00XX4521340327327
Thomas DiPasquale MD
Surgeon40.00924652054040X
Sukumar Puvvala
Radiologist40.00865846044653X
Ridge Salter MD
Chairman40.00XX194110048091
Rajesh Singal MD
Director40.00X267486054016
Neal Friedman MD
Director1.00X029189153764
Michael F O'Connor
CFO-WellSpan H.1.00X0510284351706
Michael A Wilson MD
Former Chairman0.00189615049311X
Lee Maddox
Director40.00X476788072504
Larry L Shears II MD
Surgeon40.00797167061781X
Jan Herrold
Director1.00X000
Jack Jensen
VP & COO - WellSpan Medical Group40.00187548046374X
Howard Goldberg MD
Radiologist40.00833996052552X
Dale Voorheis
Director1.00X000
Cindy Shi MD
Radiologist40.00850859073681X
Charles H Chodroff MD
Director1.00X0482432330058
Catherine M Heilman MD
Director40.00X169356045226
Bruce M Bartels
CEO-WellSpan H.1.00XX0933031592637
Brad J Cooper MD
Chairman40.00XX164863044959
FieldValueIRS element (for citing)
Total Reportable Comp From Org6374420TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs2217638TotalReportableCompFrmRltdOrgs
Total Other Compensation2302680TotalOtherCompensation
Number Individuals GT100 K334NumberIndividualsGT100K
Formers ListedtrueFormersListed
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
Star Building Services Inc
106 Quigley Boulevard PO Box 11410WilmingtonDE19850Janitorial Services266785
Nighthawk Radiology Services
PO Box 673398DetroitMI482673398MRI Reading1039884
Medical Dental Bureau of York & Adams
263 East Market StreetYorkPA17403Telephone Answering198179
Emdeon Business Services
12016 Collections Center DriveChicagoIL60693Collection Services278448
American Healthcare Services Association
PO Box 945Traverse CityMI49685Medical Services179739
FieldValueIRS element (for citing)
Number Of Contractors GT100 K10NumberOfContractorsGT100K
Related Organizations19975000RelatedOrganizations
All Other Contributions6014AllOtherContributions
Total Contributions19981014TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Teaching Services61160028858932885893
Health Care Services621110188396796188396796
FieldValueIRS element (for citing)
Total Program Service Revenue191282689TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column112401TotalRevenueColumn
Exclusion$112,401ExclusionAmount

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

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other25888Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-25888Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-25888TotalRevenueColumn
Exclusion-$25,888ExclusionAmount

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 ColumnTotalRevenueColumnUnrelated Business RevenueUnrelatedBusinessRevenue
NICU Coverage Memorial900004350995350995
Billing Services900004607259607259
BHS Outside Revenue900004254465254465

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column277356TotalRevenueColumn
Unrelated Business Revenue277356UnrelatedBusinessRevenue
FieldValueIRS element (for citing)
Total Other Revenue1490075TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column212840291TotalRevenueColumn
Related Or Exempt Function Income191282689RelatedOrExemptFunctionIncome
Unrelated Business Revenue1490075UnrelatedBusinessRevenue
Exclusion$86,513ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total5255Total
Program Services5255ProgramServices

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)
Total2444032Total
Program Services1771321ProgramServices
Management And General672711ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total130861734Total
Program Services125353892ProgramServices
Management And General5507842ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total12061070Total
Program Services11581479ProgramServices
Management And General479591ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total18603019Total
Program Services16880935ProgramServices
Management And General1722084ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total6758712Total
Program Services6151953ProgramServices
Management And General606759ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total846432Total
Management And General846432ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1837Total
Program Services1212ProgramServices
Management And General625ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total709671Total
Program Services698659ProgramServices
Management And General11012ManagementAndGeneral

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)
Total5762256Total
Program Services5154094ProgramServices
Management And General608162ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total105558Total
Program Services103239ProgramServices
Management And General2319ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1127552Total
Program Services1001625ProgramServices
Management And General125927ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total1721329Total
Program Services778381ProgramServices
Management And General942948ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total7788832Total
Program Services7436084ProgramServices
Management And General352748ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total633932Total
Program Services526581ProgramServices
Management And General107351ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total411338Total
Program Services334328ProgramServices
Management And General77010ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total3999111Total
Program Services3709034ProgramServices
Management And General290077ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total3863746Total
Program Services3785380ProgramServices
Management And General78366ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Utilities1172802112330949493
Taxes & Licenses690754509512181242
Dues and Subscriptions765475474112291363
Direct Supplies58518095851809
Bad Debts53355265335526

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1149635Total
Program Services843274ProgramServices
Management And General306361ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total212671417Total
Program Services199410994ProgramServices
Management And General13260423ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
EOY11256EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
EOY441822EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY15082871BOY
EOY15865333EOY

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)
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY363345BOY
EOY389314EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY195555BOY
EOY684035EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis30844795LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec16562853LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY13467742BOY
EOY14281942EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
EOY0EOY

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)
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY2009897BOY
EOY0EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY31119410BOY
EOY31673702EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY4010759BOY
EOY16961987EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
EOY140388EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY13093559BOY
EOY216462EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY17104318BOY
EOY17318837EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY14003815BOY
EOY14337739EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY11277BOY
EOY17126EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY14015092BOY
EOY14354865EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY31119410BOY
EOY31673702EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses168874ReconcilationRevenueExpenses
Reconcilation Other Changes170899ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years20020802CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years20103257CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years24012385CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year15963807CurrentTaxYearMinus1Year
Current Tax Year19981014CurrentTaxYear
Total100081265Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years92185189CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years116976840CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years143725089CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year171590493CurrentTaxYearMinus1Year
Current Tax Year191282689CurrentTaxYear
Total715760300Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Total0Total

Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509

FieldValueIRS element (for citing)
Total0Total

Value Of Svcs Fclts Furnishd By Govt ValueOfSvcsFcltsFurnishdByGovt

FieldValueIRS element (for citing)
Total0Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years112205991CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years137080097CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years167737474CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year187554300CurrentTaxYearMinus1Year
Current Tax Year211263703CurrentTaxYear
Total815841565Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total509815841565PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years920550CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years130773CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years193829CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year148609CurrentTaxYearMinus1Year
Current Tax Year112401CurrentTaxYear
Total1506162Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Total0Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years920550CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years130773CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years193829CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year148609CurrentTaxYearMinus1Year
Current Tax Year112401CurrentTaxYear
Total1506162Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Total0Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Total0Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years113126541CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years137210870CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years167931303CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year187702909CurrentTaxYearMinus1Year
Current Tax Year211376104CurrentTaxYear
Total817347727Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99820PublicSupportPercentage509
Prior Year Support Percentage0.99660PriorYearSupportPercentage
Investment Income Percentage0.00180InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00340PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

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 Balance11277BeginningOfYearBalance
Contributions6014Contributions
Other Expenditures165OtherExpenditures
End Of Year Balance17126EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance10958BeginningOfYearBalance
Contributions3807Contributions
Other Expenditures3488OtherExpenditures
End Of Year Balance11277EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance26945BeginningOfYearBalance
Contributions12385Contributions
Other Expenditures28372OtherExpenditures
End Of Year Balance10958EndOfYearBalance
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

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis9029729OtherCostOrOtherBasis
Depreciation3768854Depreciation
Book Value5260875BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis21815066OtherCostOrOtherBasis
Depreciation12793999Depreciation
Book Value9021067BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings14281942TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionAP IntercompanyDescription
Amount$216,462Amount
FieldValueIRS element (for citing)
Total Of Amounts216462TotalOfAmounts
Total Revenue212840291TotalRevenue
Total Expenses212671417TotalExpenses
Excess Or Deficit For Year168874ExcessOrDeficitForYear
Net Unrealized GL On Investments170899NetUnrealizedGLOnInvestments
Total Adjustments170899TotalAdjustments
Excess Or Deficit Per FS339773ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt193030176TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments170899NetUnrealizedGainsInvestments
Revenue Not Rptd F990170899RevenueNotRptdF990
Revenue Subtotal192859277RevenueSubtotal
Other Revenues Not Included19981014OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt19981014RevenueNotRptdOnFinStmt
Total Revenue Per Form990212840291TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt212671252TotExpensesEtcAuditedFinclStmt
Expenses Subtotal212671252ExpensesSubtotal
Other Expenses Not Included165OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt165ExpensesNotRptdOnFinStmt
Total Expenses Per Form990212671417TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
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, 2011.
Part XIII, Line 4bPart XIII, Line 4b: Other revenue amounts included on 990 but not included in F/SRestricted Assets Expenditures $165
Part XII, Line 4bPart XII, Line 4b: Other revenue amounts included on 990 but not included in F/SGrant-York Hospital $15479000 Grant-Gettyburg Hospital $4496000 Restricted Contributions $6014
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
No Grant More Than5000XNoGrantMoreThan5000
Total Nbr Of501 C3 And Govt Grants0TotalNbrOf501C3AndGovtGrants
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
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 (17 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgBonus Filing OrgBonusFilingOrgOther Compensation Filing OrgOtherCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrgComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Related OrgsBonusRelatedOrgsDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Related OrgsTotalCompensationRelatedOrgsOther Compensation Related OrgsOtherCompensationRelatedOrgsComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Thomas R McGann MD
338461106750692329266334664779461106750
Thomas DiPasquale MD
8214851031671280441236978692
Sukumar Puvvala
6387602270861301431639910499
Ridge Salter MD
175884182261774230349242201
Rajesh Singal MD
211476560102239331623321502
Neal Friedman MD
252272396192239331371345655
Michael F O'Connor
372511129850315293364138619907923129850
Michael A Wilson MD
158006316091733131980238926
Lee Maddox
4767882239350111549292
Larry L Shears II MD
6080001891672239339388858948
Jack Jensen
161541260071714229232233922
Howard Goldberg MD
6999271340691263139921886548
Cindy Shi MD
6172202336392239351288924540
Charles H Chodroff MD
354870120400294363356958124907162120400
Catherine M Heilman MD
147544218121547929747214582
Bruce M Bartels
68324222718155169340944152566822608222075
Brad J Cooper MD
140352245111506829891209822

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 L IRS990ScheduleL

Loan Table LoanTable (2 entries)

Purpose Of LoanPurposeOfLoanLoan From OrganizationLoanFromOrganizationOriginal PrincipalOriginalPrincipalAmountBalance DueBalanceDueDefaultDefaultApproved By BoardApprovedByBoardWritten AgreementWrittenAgreement
Thomas DiPasquale MD
Recruit./RetentionX$215,12866432falsetruetrue
Joel W Winer MD
Recruit./RetentionX$296,206126945falsetruetrue
FieldValueIRS element (for citing)
Total Balance Due193377TotalBalanceDue

Form990 Schedule L Part III Form990ScheduleLPartIII

FieldValueIRS element (for citing)
Name Of Interested PersonYork CollegeNameOfInterestedPerson
Relationship With OrganizationDirector Jan HerroldRelationshipWithOrganization
Amount Of Grant424146AmountOfGrant
Type Of AssistanceScholarships and grantsTypeOfAssistance

Form990 Schedule L Part IV Form990ScheduleLPartIV (5 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
Apple Automotive Group
Officer Voorheis477028Car Sales and Maintenancefalse
The Stewart Companies
Officer Voorheis202051YHP employee health adminfalse
Talpier Inc
Officer Voorheis287286Rental of Propertyfalse
Brenda Singal
Family Mem. Singal143894Employee of WMGfalse
David Zelis
Family Mem. Salter222323Employee of WMGfalse

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
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 questionaire annually. The questionaire 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 11Form 990, Part VI, Line 11: 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.
Form 990, Part VI, Line 7aForm 990, Part VI, Line 7a: How Members or Shareholders Elect Governing BodyThe Board of Directors shall consist of ten persons, not counting the Executive Director (who shall serve ex officio without the right to vote). Five Directors shall be physicians employed by the Corporation, at least three of whom shall be engaged in primary care practice. Primary care practice for purposes of this Section shall include family practice, general practice, general internal medicine and general pediatrics. Five Directors shall be persons nominated by the Board of Directors of the Member. The person serving from time to time as the Chief Executive Officer of the Member shall be one of the five System Directors.
Form 990, Part VI, Line 6Form 990, Part VI, Line 6: Explanation of Classes of Members or ShareholderWellSpan Health, a not for profit corporation, is the sole member.
Client Note 1 - WellSpan Health - 2011 Community Benefit ReportCare for AllWellSpan Health includes: Gettysburg Hospital o York Hospital o Apple Hill Surgical Center o VNA Home Health o WellSpan Medical Group o SOUTH CENTRAL Preferred o WellSpan Pharmacy o Gettysburg Hospital Foundation o York Health Foundation o York Provider NetworkOur Charitable Community MissionWorking as one to improve health through exceptional care for all, lifelong wellness and healthy communities.How We Help -- Every member of our community deserves the care they need.At WellSpan, it is our core belief that accessible health care is one of the keys to a healthy community. Yet, in York and Adams counties, there are 78,000 individuals who live without health insurance. This community health problem cannot be ignored and requires careful planning and forethought. Fortunately, WellSpan has done both.We take measures to care for those who have no insurance and are unable to pay. We offer discounted care to individuals whose income falls within 300 percent of federal poverty guidelines. Additionally, all uninsured patients, regardless of whether they qualify for charity care, receive discounts similar to those offered to private insurance companies. We offer free care to patients who participate in our charity care program.Together with our community partners, we support programs to take basic primary care and other services into urban and rural communities, improve access to oral health care and help people establish a "medical home" with a primary care physician.10 Initiatives we support that help care for the uninsured"HealthConnect, a mobile health care program that provides basic primary care services and helps individuals find a medical home. This program benefits those individuals who lack sufficient health insurance. Our progress:o1,330 visitso937 new patientso219 referrals to a medical home"Healthy York Network and Healthy Community Pharmacy, a collaborative effort that facilitates access to discounted health care services and prescription medication. This program benefits individuals who lack sufficient health insurance. Our progress:o$30 million of care provided to more than 8,309 memberso8,309 members enrolledo52,730 prescriptions filled"Community Health Workers, who help people navigate the health care system, enroll in public assistance programs and implement health outreach programs. This program benefits individuals who lack sufficient health insurance and people of disparate populations. Our progress:o179 adults and 250 children completed applications for public insurance programs"Family First Health's Hannah Penn Health Center, a partnership of York Hospital, Family First Health and the City of York School District. This program benefits underserved adults and children, including those who lack sufficient health insurance and those with Medicaid. Our progress:o4,813 acute and preventive medical visitso1,775 dental visits in calendar year 2010"Family First Health's Gettysburg Center, a federally qualified community health center that WellSpan supports to provide medical and dental services in Adams County. This program benefits Underserved adults and children of Adams County, including those who lack sufficient health insurance and those with Medicaid. Our progress:oActively supported the start-up of the center and its ability to attract 5,908 patients during the past year."York Hospital Community Health Center, which provides primary care services, women's health care, HIV care and pediatric care for medically complex conditions. This program benefits the adults and children who lack sufficient health insurance. Our progress:o27,056 primary care visitso21,778 obstetrics & gynecology visits"Thomas Hart Family Practice Center, which is staffed by resident and faculty physicians at York Hospital and provides acute, chronic, preventive and obstetric care. This program benefits the adults and children, many of whom lack sufficient health insurance. Our progress:o27,900 visits"The George W. T. Bentzel, DDS Dental Center, which is staffed by licensed dentists and residents from the York Hospital Dental Residency Program. This program benefits adults and children, many of whom lack sufficient dental insurance. Our progress:o13,930 outpatient visits"Hoodner Dental Center benefits individuals who lack sufficient dental insurance and who qualify for Medical Assistance or the Healthy York Network. Our progress:o6,252 visits"Adams County Dental Health Services, sponsored by the Oral Health Task Force of Healthy Adams County, Harrisburg Area Community College and Head Start. Children who lack dental insurance benefit from this program. Our progress:o670 visitsThe net cost of care provided in 2011:"Charity Care: $18.4 million in free care to patients who participated in our charity care program"Medicare: $61.5 million in cost greater than what was paid by Medicare"Medicaid: $61.1 million in cost greater than what was paid by Medicaid"Uncompensated Care: $23.4 million in services to patients who received care for which they did not pay and who did not participate in the charity care program"Community Education and Outreach: $5.7 million in free community education and outreach to children and at-risk groups "Medical, Dental and Pharmaceutical Care: $12.1 million to support services that provided discounted medical, dental and pharmaceutical care to people in needAt WellSpan we wholeheartedly agree with the World Health Organization's assessment that health is "a state of complete physical, mental and social well-being, not merely the absence of disease or infirmity." And we recognize the dangers and issues facing a community that cannot achieve this level of health.To help our communities become healthy places to live, work and play, we are constantly planning for the future, developing partnerships, building community assets, engaging citizens and sponsoring initiatives. Our efforts are broad-based and wide-reaching, but so is the need. We believe that our progress, on all fronts, continues to make a difference.9 Community Health Initiatives WellSpan Supports:"Healthy Adams County, a collaborative partnership of community members dedicated to continuing assessment, development and promotion of efforts toward improving physical, mental and social well-being. Issues addressed by this partnership include medical and dental access, affordable housing, Latino outreach, teen pregnancy, healthy food, child abuse, behavioral health, domestic violence, physical fitness, tobacco prevention, health literacy, child safety, breast cancer awareness, AIDS awareness. Our progress in 2010-11:oThe fifth annual Adams County Health Summit, which included nearly 113 health and human services professionals and community residents.oHealthy Adams County continued to work with Family First Health's Gettysburg Center by helping to create an advisory board to assist in further defining service needs in the surrounding community as well as developing new ways to promote the center.oThe Adams Coalition to Prevent Teen Pregnancy held several educational programs for teens, parents and other community members. They also provided support for the annual 7th grade Young Women's and Men's conference and organized several fundraisers throughout the year.oThe Adams County Breast Cancer Coalition held an educational dinner regarding breast health, women of color program as well as various other educational events. They also educated the community about free mammogram funds that are available in Adams County. Each year, the Coalition raises funds to donate to several initiatives regarding breast cancer awareness and research. oThe Adams County Food Policy Council printed and distributed the 2011 Local Foods Guide. Members of the Institution Buying Local Committee visited a local distributor to begin research on developing a plan to create easier access to local foods for local institutions. The Access Committee with the help of a local grower developed the Fair Share Project, which provides vouchers for families who can not afford fresh fruits and vegetablesoThe AIDS Service Providers Network held their Annual Conference: Responding to AIDS on March 4, and had approximately 35 attendees. oThe Breastfeeding Task Force received a WellSpan Community Partnership Grant to host a lunch for successful breastfeeding WIC mothers held on Mother's Day 2011. Other grant activities will be conducted in the summer of 2011.oThe Domestic Violence Task Force held domestic violence training facilitated by nationally known speaker Lt. Mark Wynn. They also assisted Gettysburg High School in hosting the Yellow Dress play for 11th and 12th grade classes on April 7. The task force obtained a grant from the Adams County Community Foundation to conduct a Digital Stalking Training. The task force began work on revising the domestic violence and sexual assault protocols for the County. oThe Adams County Health Literacy T

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 Inc
PO Box 2767YorkPA174052767222842252Leases facilities to affiliatesPA501(c)(3)11 Type 1NAfalse
WellSpan Specialty Services
PO Box 2767YorkPA174052767232899911Mgmt. hospice/home healthPA501(c)(3)11 Type 1NAfalse
York Hospital
PO Box 2767YorkPA174052767231352222Community teaching hospitalPA501(c)(3)3NAfalse
York Health Foundation
PO Box 2767YorkPA174052767233050192Charitable contributions for Wellspan entitiesPA501(c)(3)11 Type 3NAfalse
Wellspan Health Care Services
PO Box 2767YorkPA174052767232400237Health-related activitiesin the service areaPA501(c)(3)11 Type 1NAfalse
Wellspan Health
PO Box 2767YorkPA174052767222517863Integrated Health SystemPA501(c)(3)11 Type 1NAfalse
VNA Home Health Services
PO Box 2767YorkPA174052767231352573Home health and hospice care servicesPA501(c)(3)9NAfalse
VNA Community Services
PO Box 2767YorkPA174052767232338591Home personal care services for elderly and disabledPA501(c)(3)9NAfalse
Healthy Community Pharmacy Inc
PO Box 2767YorkPA174052767200519121Reduced rate prescription drugsPA501(c)(3)11 Type 1NAfalse
Gettysburg Hospital Foundation
PO Box 2767YorkPA174052767232251358Fundraising for Gettysburg HospitalPA501(c)(3)11 Type 1NAfalse
Gettysburg Hospital
PO Box 2767YorkPA174052767231352220Health Care ServicesPA501(c)(3)3NAfalse
Apple Hill Surgical Center Inc
PO Box 2767YorkPA174052767222842253Sole GP in limited pntrshp operating surgical centerPA501(c)(3)9NAfalse

Form990 Schedule R Part III Form990ScheduleRPartIII (6 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Disproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartner
Community Healthcare Imaging Partners
PO Box 2767YorkPA174052767232444154MRI CenterPANAfalsefalse
Cherry Tree Cancer Center LLP
PO Box 2767YorkPA174052767232915628RadiationPANAfalsefalse
Littlestown Health Care Partners
300 West King StreetLittlestownPA17340232880464Lease facilPANAfalsefalse
Q-WH LLC
PO Box 2767YorkPA174052767208226561GP of CHIPPANAfalsefalse
Central PA Alliance Laboratories LLC
PO Box 2767YorkPA174052767232910950Ref. LabPANAfalsefalse
Apple Hill Surgical Center Partners
PO Box 2767YorkPA174052767232489452Surgical CnPANAfalsefalse

Form990 Schedule R Part IV Form990ScheduleRPartIV (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnership
York Provider Network
PO Box 2767YorkPA174052767232907828Coord. managed care risk contract.PANAC Corp
York Health Plan
PO Box 2767YorkPA174052767232664989Preferred Provider OrganizationPANAC Corp
Wellspan Reciprocal Risk Retention Group
PO Box 2767YorkPA174052767200048457Risk Retention GroupPANAC Corp101561834009310.15260
Wellspan Pharmacy Inc
PO Box 2767YorkPA174052767232374072Dispenses Rx & provides IV therapyPAC Corp
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgtruePurchaseOfAssetsFromOtherOrg
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 OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

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