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      <OtherLiabilities>
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      <NetUnrealizedGLOnInvestments>580532</NetUnrealizedGLOnInvestments>
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        <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, 2011.</Explanation>
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        <Explanation>Change in Accrued Pension Liability $74266293 Net assets released from restriction-PPE $3372</Explanation>
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        <Explanation>The funds were used to improve the health and welfare of the residents of York and Adams counties of Pennsylvania.</Explanation>
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        <PostIssuanceComplianceProcdrs>true</PostIssuanceComplianceProcdrs>
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        <AnyResearchAgreements>false</AnyResearchAgreements>
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        <VariableRateIssue>false</VariableRateIssue>
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          <BusinessNameLine1>NA</BusinessNameLine1>
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          <BusinessNameLine1>NA</BusinessNameLine1>
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          <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>
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          <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>
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        <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>
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      <Form990ScheduleKPartI>
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        <CUSIPNumber>84129NGC7</CUSIPNumber>
        <DateIssued>2008-11-12</DateIssued>
        <IssuePrice>406699143</IssuePrice>
        <DescriptionOfPurpose>Refund Bonds Issued</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
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        <TotalProceeds>4162692</TotalProceeds>
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        <FinalAllocationMade>true</FinalAllocationMade>
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        <CapitalExpenditures>6672598</CapitalExpenditures>
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        <CurrentRefunding>false</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
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        <TotalProceeds>211700000</TotalProceeds>
        <OtherSpentProceeds>211700000</OtherSpentProceeds>
        <CurrentRefunding>true</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
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        <CapitalizedInterest>5113796</CapitalizedInterest>
        <IssuanceCostsFromProceeds>3023004</IssuanceCostsFromProceeds>
        <CreditEnhancement>327031</CreditEnhancement>
        <CapitalExpenditures>44529473</CapitalExpenditures>
        <OtherSpentProceeds>363123108</OtherSpentProceeds>
        <CurrentRefunding>true</CurrentRefunding>
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        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
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        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <BondCounselRoutinelyEngaged>true</BondCounselRoutinelyEngaged>
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        <AnyLeaseArrangements>false</AnyLeaseArrangements>
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        <AnyResearchAgreements>false</AnyResearchAgreements>
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        <AnyResearchAgreements>false</AnyResearchAgreements>
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        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <NameOfHedgeProvider>
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        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>true</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <NameOfHedgeProvider>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </NameOfHedgeProvider>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <NameOfGICProvider>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </NameOfGICProvider>
        <GrossProceedsInvested>true</GrossProceedsInvested>
        <ExceptionToRebate>true</ExceptionToRebate>
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      <Form990ScheduleKPartIV>
        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>true</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <NameOfHedgeProvider>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </NameOfHedgeProvider>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <NameOfGICProvider>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </NameOfGICProvider>
        <GrossProceedsInvested>true</GrossProceedsInvested>
        <ExceptionToRebate>false</ExceptionToRebate>
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      <Form990ScheduleKPartV>
        <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 6/30/11, the allocation of the Debt Capital program was as follows: York Hospital $248,049,159 (63.07%), WellSpan Properties $61,817,674 (15.72%), WellSpan Health $2,532,948 (.64%), WellSpan Specialty Services $50,940,064 (12.95%) and Gettysburg Hospital $29,935,155 (7.61%). 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.</Explanation>
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      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NameBusiness>
            <BusinessNameLine1>The Stewart Companies</BusinessNameLine1>
          </NameBusiness>
        </NameOfInterestedPerson>
        <Relationship>Officer Dale Voorheis</Relationship>
        <AmountOfTransaction>202051</AmountOfTransaction>
        <DescriptionOfTransaction>YHP employee health admin</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NameBusiness>
            <BusinessNameLine1>Apple Automotive Group</BusinessNameLine1>
          </NameBusiness>
        </NameOfInterestedPerson>
        <Relationship>Officer Dale Voorheis</Relationship>
        <AmountOfTransaction>477028</AmountOfTransaction>
        <DescriptionOfTransaction>Car Sales and Maintenance</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
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        <NameOfInterestedPerson>
          <NameBusiness>
            <BusinessNameLine1>Talpier Inc</BusinessNameLine1>
          </NameBusiness>
        </NameOfInterestedPerson>
        <Relationship>Officer Dale Voorheis</Relationship>
        <AmountOfTransaction>287286</AmountOfTransaction>
        <DescriptionOfTransaction>Rental of property</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
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        <NameOfInterestedPerson>
          <NameBusiness>
            <BusinessNameLine1>White Rose Surgical Associates Ltd</BusinessNameLine1>
          </NameBusiness>
        </NameOfInterestedPerson>
        <Relationship>Pres.-Samuel S. Laucks,II</Relationship>
        <AmountOfTransaction>248000</AmountOfTransaction>
        <DescriptionOfTransaction>YH Resident Ed &amp; Coverage</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
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        <NameOfInterestedPerson>
          <NameBusiness>
            <BusinessNameLine1>Adams County National Bank</BusinessNameLine1>
          </NameBusiness>
        </NameOfInterestedPerson>
        <Relationship>Chairman Ronald Hankey</Relationship>
        <AmountOfTransaction>113886</AmountOfTransaction>
        <DescriptionOfTransaction>Checking &amp; Trust Mgmt</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
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      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NameBusiness>
            <BusinessNameLine1>Barley Snyder LLC</BusinessNameLine1>
          </NameBusiness>
        </NameOfInterestedPerson>
        <Relationship>Partner Jeffrey Lobach</Relationship>
        <AmountOfTransaction>235827</AmountOfTransaction>
        <DescriptionOfTransaction>Legal Service WSH &amp; Affil</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
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    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="10000105" softwareVersion="2010v3.2">
      <GeneralExplanation>
        <ReturnReference>Schedule K -Tax-Exempt Bonds</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. 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 6/30/11, the allocation of the Debt Capital program was as follows: York Hospital $248,049,159 (63.07%), WellSpan Properties $61,817,674 (15.72%), WellSpan Health $2,532,948 (.64%), WellSpan Specialty Services $50,940,064 (12.95%) and Gettysburg Hospital $29,935,155 (7.61%). 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.</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 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 11</Identifier>
        <ReturnReference>Form 990, Part VI, Line 11: 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>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 2</Identifier>
        <ReturnReference>Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et</ReturnReference>
        <Explanation>Jeffrey D. Lobach, Chairman of the Board of Directors, is married to Lucinda C. Lobach, who is a member of the Board of Directors of WellSpan Specialty Services, VNA Home Health Services, and VNA Community Services.Ronald Hankey, Board Director, is a brother-in-law of Paul Ketterman, who is a director on the Gettysburg Hospital Foundation Board.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>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 &amp; 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</Explanation>
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        <MethodOfAmtDetermination>General ledger</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Apple Hill Surgical Center Partners</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>p</TransactionType>
        <AmountInvolved>798905</AmountInvolved>
        <MethodOfAmtDetermination>General ledger</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Apple Hill Surgical Center Partners</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>k</TransactionType>
        <AmountInvolved>89888</AmountInvolved>
        <MethodOfAmtDetermination>General ledger</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Wellspan Properties</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>p</TransactionType>
        <AmountInvolved>64735</AmountInvolved>
        <MethodOfAmtDetermination>General ledger</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Wellspan Properties</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>k</TransactionType>
        <AmountInvolved>155159</AmountInvolved>
        <MethodOfAmtDetermination>General ledger</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Wellspan Properties</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>j</TransactionType>
        <AmountInvolved>2100549</AmountInvolved>
        <MethodOfAmtDetermination>General ledger</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>WellSpan Specialty Services</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>k</TransactionType>
        <AmountInvolved>305071</AmountInvolved>
        <MethodOfAmtDetermination>General ledger</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>York Hospital</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>q</TransactionType>
        <AmountInvolved>885289</AmountInvolved>
        <MethodOfAmtDetermination>General ledger</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>York Hospital</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>p</TransactionType>
        <AmountInvolved>59427875</AmountInvolved>
        <MethodOfAmtDetermination>General ledger</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>York Hospital</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>k</TransactionType>
        <AmountInvolved>68016662</AmountInvolved>
        <MethodOfAmtDetermination>General ledger</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>York Health Foundation</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>p</TransactionType>
        <AmountInvolved>89645</AmountInvolved>
        <MethodOfAmtDetermination>General ledger</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Wellspan Medical Group</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>p</TransactionType>
        <AmountInvolved>21758956</AmountInvolved>
        <MethodOfAmtDetermination>General ledger</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Wellspan Medical Group</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>k</TransactionType>
        <AmountInvolved>1766917</AmountInvolved>
        <MethodOfAmtDetermination>General ledger</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Wellspan Health Care Services</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>c</TransactionType>
        <AmountInvolved>174714</AmountInvolved>
        <MethodOfAmtDetermination>General ledger</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>VNA Home Health Services</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>p</TransactionType>
        <AmountInvolved>1635166</AmountInvolved>
        <MethodOfAmtDetermination>General ledger</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>VNA Community Services</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>p</TransactionType>
        <AmountInvolved>98165</AmountInvolved>
        <MethodOfAmtDetermination>General ledger</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Healthy Community Pharmacy Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>p</TransactionType>
        <AmountInvolved>147032</AmountInvolved>
        <MethodOfAmtDetermination>General ledger</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Gettysburg Hospital Foundation</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>k</TransactionType>
        <AmountInvolved>29262</AmountInvolved>
        <MethodOfAmtDetermination>General ledger</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Gettysburg Hospital</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>o</TransactionType>
        <AmountInvolved>9597244</AmountInvolved>
        <MethodOfAmtDetermination>General ledger</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Gettysburg Hospital</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>k</TransactionType>
        <AmountInvolved>12943282</AmountInvolved>
        <MethodOfAmtDetermination>General ledger</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Apple Hill Surgical Center Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>k</TransactionType>
        <AmountInvolved>287584</AmountInvolved>
        <MethodOfAmtDetermination>General ledger</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>