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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, 2010.</Explanation>
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        <CostToChargeRatio>X</CostToChargeRatio>
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          <AddressLine1>1001 S George Street</AddressLine1>
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        <BadDebtFootnote>YH provides an allowance for doubtful accounts for estimated losses resulting from the unwillingness or inability of patients to make payments for services. The allowance is determined by analyzing specific accounts and historical data and trends. Patient accounts receivable are charged off against the allowance for doubtful accounts, when management determines that recovery is unlikely, and YH ceases collection efforts. Losses have been consistent with management's expectations in all material respects.</BadDebtFootnote>
        <ShortfallAsCommunityBenefit>York Hospital maintains records to identify and monitor the level of charity care and community service it provides. These records include the amount of charges forgone based on established rates for services and supplies furnished under its charity care and community service policies and the estimated cost of these services. Payments from Medicaire are generally less than York Hospital's costs of providing the service.</ShortfallAsCommunityBenefit>
        <DebtCollectionPolicy>Guidelines for suggested minimum number of phone attempts and letters to be sent before the account is turned over to an outside collection agency are included in the Patient Administrative Services Policy. It shall be the policy of Patient Administrative Services to recommend accounts to Bad Debt on a timely basis. Inpatient/Outpatient accounts will go to bad debt automatically after the account has been in the financial class Pending Bad Debt for 30 days. All accounts must follow the approved limits for refunds and write offs, as established in Policy PF-102, before being transferred. The primary agencies will work the accounts for 6 months or until they feel it is uncollectable and return the account. The accounts are forwarded to secondary agencies from the primary agencies Closed and Return Reports. The financial class is changed to Bad Debt Other after the Closed and Return Reports are received from the Secondary Agency. The agencies must get written approval from the manager in the relatively rare instance of legal action being taken to collect the debt.</DebtCollectionPolicy>
        <NeedsAssessment>In the early 1990s, our organization began developing new ways of working more closely with its communities. The first Community Health Assessment for York County was completed in 1994. Since that time, we've competed health assessments in 1997, 2000, 2005 and 2009. These are lead by the regional health coalition, Healthy York County Coalition, that we support and are done collaborative with other hospitals and community partners. The assessments evaluate the health of York County as a whole, and often target specific geographic or demographic segments for further study - such as the City of York or Youth. The gathering of data is one component of the health assessment process. As a community, the data is utilized as a basis of public meetings and forums to identify priorities for the community. These involve stakeholders from health and human services, government, business and other sectors. Our system-wide planning committee, which includes York Hospital Board members, dedicates a meeting on this topic and the priorities identified are used to define our organization's community health objectives in its annual plan. The Community Health Assessment is distributed and utilized broadly in the community and provides other organization's as well as our own with more data-driven picture of the issues and needs facing our community.</NeedsAssessment>
        <PatientEducationAssistance>For more than a decade, our organization has been working to improve access to care - based on the community health assessment's prioritization of medical, dental and oral health access as high. A key element of our strategy in addressing this need is to reach beyond simply informing patients about our patient assistance policies and proactively identify and help patients connect to the public programs, community programs as well as our own. This includes reaching out to identify "unconnected" patients through programs like Health Connect, which travels to all parts of the county and takes care of immediate medical issues, but more importantly connects patients to the various options for charity care. It includes sponsorship of HealthyYork Network (HYN), which provides case managers to support patient's enrollment in both public programs or in HYN, which utilizes the charity care guidelines of health care proverbs for discounts. It includes identifying special resources for at risk populations in the African American and Latino communities and providing Lay Community Health Workers to help assist people in enrollment processes. Finally, though a multi-year initiative to ensure all people who qualify for charity care are aware of it, we've updated our website with information, simplified our enrollment processes, improved education and availability of financial support resources at high visibility sites of care, simplified the letters sent to patients who are late in paying their bill and have collaborated with our local Federally Qualified Health Center for early identification and qualification of patients.</PatientEducationAssistance>
        <CommunityInformation>To the casual observer, our service area could be described as one community. The combined population of York and Adams counties is over 530,000 people. This population is expected to increase by 9% or 48,500 people over the next five years. The York/Adams population is growing older. While the 18-44 age group comprises the largest segment of the population, this group will experience nominal growth through 2014. Most growth will occur in the 45-64 (12% or 18,000 people) and the 65+ (21% or 16,000 people) age groups. This shift is occurring as the baby boom generation ages, as people live longer due to healthy lifestyles and medical advances, and as retirees move from the Baltimore/Washington metro area to Southern York and Adams counties to find a safer, lower cost lifestyle. Although the overall population growth projected for the York/Adams area over the next five years is moderate, the changing demographic profile of the population will result in elevated incidence rates for both acute and chronic disorders that present themselves ever increasingly as the population ages. York County is situated in south-central Pennsylvania. The County is bordered by Adams and Cumberland Counties to the west and north respectively and the Susquehanna River and Lancaster County to the east. Northeast of the River lies Dauphin County and the southern border is the Mason-Dixon line which forms the border with Maryland and its northernmost counties of Carroll,Baltimore and Harford. York County is approximately 911 square miles or 583,040 acres and is comprised of 72 municipalities; 35 townships, 36 boroughs and one (1) city.Generally and historically, employment rates are better than state and national averages but the composition of the workforce contains more manufacturing, production and tourism related business. An assessment of general health status is gathered as part of Community Health Assessments. The percent of adults in York County rating their health as fair or poor was 16.4%. Our in-depth knowledge of the community, gathered through community health assessments and focused studies during the past 15 years, however, show that our service area is not made up of one community but of many, with social and health factors that are significantly impacting its health. These at-risk populations include: In York County, 25% of the 55+ population, 34% of the African American population, 21% of City of York residents and 45% of low income groups report a higher % of fair or poor health. The number of uninsured has remained stable at approximately 13% but continues to be a major barrier to access to oral health, medical care and pharmaceuticals, and the incidence of chronic disease in on the rise.</CommunityInformation>
        <OtherInformation>As an organization, we have taken specific steps to build the capacity of our communities to support and deal with the complex issues that are identified within the community health assessments. Through our involvement and support of a regional health coalition, Healthy York County Coalition, more than 200 community members have participated in community health improvement initiatives. For example, these include efforts to develop a county-wide health department, encourage fluoridation of the water supply, partner with the county parks and library on an innovative program to encourage youth fitness, and address chronic disease through a national program of the Robert Woods Johnson Foundation. Additional programs are designed to focus on helping our young people develop skills that will keep them healthy and safe for life. As a result, each year we sponsor and staff the Safe Kids Coalition and sponsor an annual conference for all 7th grade girls. In addition, we've provided leadership to a local coalition York-Adams Metropolitan Response System (YAMMRS) to develop improved coordination in the event of regional disaster. This effort includes all area hospitals and health systems, county government and other nonprofit organizations such as the Red Cross. As a charitable, community-based healthcare organization, we are dedicated to improving the lives and well-being of the people and communities we serve. By partnering with individuals and other organizations, supporting their endeavors, lending our expertise and learning from one another, we are creating a healthy community. In addition to those items documented on Schedule H which describe our community benefit activities, we activity engage our community as partners in our organization and reinvest in the health of our community in many ways. This includes:Community members who lead the organization through its Board of Directors and committee structure, patients who serve on advisory groups to improve care and diverse stakeholders who join us on community-based taskforces to address complex community issues,In the hospital, as well as across our system, community members actively volunteer and generously donate funds to the organization. More than 1,032 individuals across the system volunteered a total of 93,219 hours. In York, $4.6 million was raised through York Health Foundation, York Hospital's philanthropic organization. Our hospital auxiliary remains active and continues to support the hospital through community partnerships and fundraising.We continue to support the development of a strong healthcare organization to serve growing community. Across York and Adams county, we have recruited 57 new physicians and 13 nurse practioners into the community, opened new service to meet growing needs. In York, to support its teaching programs and research, we began utilizing our new Kinsley Family Foundation Medical Education Simulation Center and began construction to add a two-story addition to our medical education pavilion.</OtherInformation>
        <AffiliatedHealthCareSystem>WellSpan Health is an integrated health system serving the Adams-York county region. As a community-based, not-for-profit organization, WellSpan is dedicated to improving the health and well-being of the people it serves. WellSpan will assume a leadership role and develop partnerships with other organizations to: improve access to coordinated, high-quality, cost-effective health care services, educate the health care providers of tomorrow, promote healthy lifestyles and lifelong wellness, and make its local communities healthier, more desirable places to live, work, and play. York Hospital works with other parts of the system to provide a comprehensive approach to meeting community needs. WellSpan Health includes: Gettysburg Hospital, York Hospital, Apple Hill Surgical Center, VNA Home Health, WellSpan Medical Group, South Central Preferred, WellSpan Pharmacy, Gettysburg Hospital Foundation, York Health Foundation, York Provider Network and Healthy York Network/Healthy Community Pharmacy. York Hospital's community benefit report is contained in a report prepared by their parent organization, WellSpan Health. See Attached Federal Supplemental Information: WellSpan Health - 2010 Community Benefit Report</AffiliatedHealthCareSystem>
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        <Explanation>All WellSpan non-research grant activities must be coordinated through the York Health Foundation and Gettysburg Hospital Foundation to insure that grant projects are implemented, evaluated, and monitored in accordance with applicable granting agency regulations, with WellSpan policies and procedures, and are consistent with the strategies and priorities of the organization. WellSpan has defined the processes by which grants are identified, developed, reviewed, approved, and monitored by the organization. This policy covers non-research grants applied for and received by an entity of WellSpan Health. It does not cover grants made by the organization. Research grants are defined as those that involve "a systematic investigation designed to develop or contribute to generalizable knowledge (45CFR 46.102(d)) and are overseen by Emig Research Center (Policy #619 Extramural Research Funding)</Explanation>
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        <IssuerName>
          <BusinessNameLine1>See Schedule O</BusinessNameLine1>
        </IssuerName>
      </Form990ScheduleKPartI>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="IRS990ScheduleL" softwareId="09000047" softwareVersion="2009v1.7">
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NameBusiness>
            <BusinessNameLine1>Gladfelter Insurance Group</BusinessNameLine1>
          </NameBusiness>
        </NameOfInterestedPerson>
        <Relationship>Pres A Campisi</Relationship>
        <AmountOfTransaction>117628</AmountOfTransaction>
        <DescriptionOfTransaction>Insurance Policies</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NameBusiness>
            <BusinessNameLine1>M &amp; T Bank</BusinessNameLine1>
          </NameBusiness>
        </NameOfInterestedPerson>
        <Relationship>Regional Pres. Crosswhite</Relationship>
        <AmountOfTransaction>487727</AmountOfTransaction>
        <DescriptionOfTransaction>Provider of Banking Serv</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
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      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>Ryan Campisi</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>Family Member of Campisi</Relationship>
        <AmountOfTransaction>13493</AmountOfTransaction>
        <DescriptionOfTransaction>Employee of YH</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
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      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>Tracy Benenson</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>Family Member of Beneson</Relationship>
        <AmountOfTransaction>35473</AmountOfTransaction>
        <DescriptionOfTransaction>Employee of YH</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
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      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NameBusiness>
            <BusinessNameLine1>Barton Associates</BusinessNameLine1>
          </NameBusiness>
        </NameOfInterestedPerson>
        <Relationship>Pres Daniel Waltersdorff</Relationship>
        <AmountOfTransaction>407000</AmountOfTransaction>
        <DescriptionOfTransaction>Mech. &amp; Elec. Contracting</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
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    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="09000047" softwareVersion="2009v1.7">
      <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 7a</Identifier>
        <ReturnReference>Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body</ReturnReference>
        <Explanation>The Board of Directors of the Corporation shall be elected as provided herein by the Board of Directors of the Member. The Member shall determine annually the number of directors which shall in no event be less than ten nor more than fifteen persons. Nominations for the Directors to be elected by the Member shall be made only by the Nominating Committee for Directors, except for vacancies in the Board of Directors occuring by death, resignation, disqualification, removal or otherwise, may, upon the recommendation of the Executive Committee, be filled by appointment by the Member to serve until the next annual meeting of the Member, at which time the Member may elect a Director to fill such vacancy for the remainder of the unexpired term thereof.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 6</Identifier>
        <ReturnReference>Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder</ReturnReference>
        <Explanation>WellSpan Health, a not for profit corporation, is the sole member.The Member of the Corporation shall meet at any place, date, and time designated by the Member, for the transaction of the general business of the Corporation. Action of the Member shall generally be taken by a written consent in lieu of a meeting.Any action which may be taken at a meeting of the Member may be taken without a meeting if a consent or consents in writing, setting forth the action so taken, shall be signed by the Member and filed with the Secretary of the Corporation.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Client Note1</ReturnReference>
        <Explanation>WellSpan Health - 2010 Community Benefit ReportPREPARED TO CAREWellSpan 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 MISSIONWellSpan is an integrated health system serving the Adams-York county region. As a community-based, not-for-profit organization, WellSpan is dedicated to improving the health and well-being of the people it serves. WellSpan will assume a leadership role and develop partnerships with other organizations to:o improve access to coordinated, high-quality, cost-effective health care serviceso educate the health care providers of tomorrowo promote healthy lifestyles and lifelong wellnesso make its local communities healthier, more desirable places to live, work and playPREPAREDThe road of life may have its twists and turns, ups and downs. Rest assured, WellSpan Health is prepared. As a matter of practice, we seek to plan ahead for any crisis or concern that may impact our community. Our goal is to be ready to serve. Intelligently. Calmly. And with understanding and foresight.Over the last year, this proactive approach to life and the curves it may throw has impacted our community profoundly. WellSpan Health was ready and able to protect our children from H1N1, to help families receive the care they need when they couldn't afford to pay and to remove barriers that often impede access to quality health care.Even now, we are preparing for the future and whatever it may hold. WellSpan Health is constantly training tomorrow's health care professionals, studying and trialing advanced new treatments, and seeking innovative partnerships and ways to support, improve and protect our community.Because we never stop thinking ahead, WellSpan remains prepared to guide, protect and care. For the journey that is life.PREPARED TO PROTECTShielding our community from potential disaster.The worst thing to be in a disaster is unprepared. At WellSpan, we believe it is our responsibility to consider and plan for every scenario and possibility. Should there be a community-wide disaster or pandemic, we intend to be ready with solid partnerships, an action plan and a full understanding of our community's resources. This approach is best exemplified through our involvement with the York/Adams Metropolitan Medical Response System (YAMMRS) and, specifically, the recent H1N1 situation.Example: Carolyne Hack, RN, and Ethan and Kristia KannelIn late 2009, the H1N1 virus took center stage in the news media, our households and communities. There was a healthy amount of concern, especially for mothers like Amanda Kannel whose children were in the high-risk group.Amanda had taken all the necessary precautions to prevent an outbreak in her home, and she wanted to have her children vaccinated as soon as possible. Fortunately, the York/Adams Metropolitan Medical Response System (YAMMRS) had taken all the necessary precautions as well, and was prepared to meet her needs in addition to thousands of others. WellSpan played a key role in this preparedness, providing the key leaders responsible for planning, supply chain management, staff, communication, volunteer coordination and essential clinical expertise.At the end of the day, Amanda's children, Ethan and Kristia, received their immunizations through YAMMRS' school-based program. They made it through flu season, H1N1-free. Just as important, the Kannel family made it through the season with the peace of mind that comes from thinking ahead.OUR PROGRESS: H1N1 Flu VirusAfter nearly eight years of planning for a variety of disasters, the York/Adams Metropolitan Medical Response System (YAMMRS) mobilized in early 2009 with the emergence of the H1N1 flu virus.Since York and Adams counties do not have public health departments, YAMMRS made the decision to apply as a separate entity to receive the H1N1 vaccine, similar to what hospitals did. The group identified five priority groups for vaccination. Pregnant women and those of childbearing age were the first priority group. WellSpan Health, Memorial Hospital and other providers focused on the first priority group while YAMMRS decided to focus on young children.Beginning in November 2009 and running through February 2010, YAMMRS undertook the logistical challenge of administering the H1N1 vaccine to children and other residents of Adams and York counties. Consider some of the organization's accomplishments:"The administration of 65,000 doses of vaccine"The coordination of clinics at 124 different schools in both counties"The organization of nearly 1,200 people who volunteered to help with the effort - everyone from nursing students to retirees"The creation of a website and communication program to inform area residents about the H1N1 virus and the vaccinationsLooking back, we are fortunate that H1N1 did not turn out to be a crisis of monumental proportions. Nevertheless, residents of south central Pennsylvania should take comfort in the knowledge that our community was - and remains - prepared for the worst.Our partners in YAMMRS:Adams County Department of Emergency Services; American Red Cross, York-Adams and Greater Hanover chapters; The Brethren Home Community; Dallastown Area School District; Family First Health; Borough of Hanover; Hanover Hospital; HealthSouth Hospital of York; HEARS (Hospital Emergency Amateur Radio System); Lutheran Social Services of South Central Pennsylvania; Margaret E. Moul Home; Memorial Hospital of York; VNA of Hanover; City of York Fire/ Rescue Services; City of York Health Bureau; York College of Pennsylvania; York County Office of Emergency Management .We gratefully acknowledge the following school districts and institutions, which participated in the countywide H1N1 Immunization Program: Northern York County School District; Dallastown Area School District; Upper Adams School District; Littlestown Area School District; Dover Area School District; Bermudian Springs School District; South Eastern School District; York Country Day School; Fairfield School District; Hoffman Homes Inc.; Hanover Public School District; Red Lion Area School District; Christian School of York; Southern York County School District; South Western School District; Gettysburg Area School District; St. Joseph's School, Dallastown; Adams County Christian Academy; Central York School District; St. Joseph's School, Hanover; St. Joseph's Middle School; Shrewsbury Christian Academy; St. Joseph's School, York; Northeastern School District; St. Francis Xavier School; Conewago Valley School District; St. Rose of Lima School; Montessori Children's House of York; Spring Grove Area School District; York County School of Technology; Paradise School For Boys; York Catholic High School; Eastern York School District; Lincoln Intermediate Unit #12; York Suburban School District; West York Area School District; St. John's Lutheran School; Red Lion Christian School; Mission Home Education &amp; Counseling; Gettysburg College; and York College of Pennsylvania.PREPARED TO CAREEnsuring that every member of our community receives the health care they need.At WellSpan, it is our core belief that accessible health care is the key to a healthy community. Yet, in York and Adams counties, there are 34,000 uninsured individuals. 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.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.Example: Lisa Dewees, CRNP, and Crystal BowieWhen Crystal Bowie's husband was diagnosed with cancer, she didn't know where to turn. Not only did her husband need to travel to Philadelphia for treatment, he was the only driver in the family. In addition, the stress and emotional challenges of cancer were simply overwhelming. Luckily, Crystal didn't have to look very far for the help she needed. From transportation to emotional support, the team at the York Hospital Community Health Center was there to help. Sadly, Crystal's husband lost his battle with cancer last year and, today, she continues to struggle with her own complex health issues. But rest assured, she is not alone as she continues to receive help, guidance and support from the team at the York Hospital Community Health Center.OUR PROGRESS: Health care for</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
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      <Form990ScheduleRPartII>
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        <EIN>233050192</EIN>
        <PrimaryActivities>Charitable contributions for Wellspan entities</PrimaryActivities>
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          <City>York</City>
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          <ZIPCode>174052767</ZIPCode>
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        <EIN>222517863</EIN>
        <PrimaryActivities>Integrated Health System</PrimaryActivities>
        <LegalDomicileState>PA</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>11 Type 1</PublicCharityStatus>
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          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
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          <BusinessNameLine1>VNA Home Health Services</BusinessNameLine1>
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          <AddressLine1>PO Box 2767</AddressLine1>
          <City>York</City>
          <State>PA</State>
          <ZIPCode>174052767</ZIPCode>
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        <EIN>231352573</EIN>
        <PrimaryActivities>Home Health and hospice care services</PrimaryActivities>
        <LegalDomicileState>PA</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
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          <BusinessNameLine1>NA</BusinessNameLine1>
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          <BusinessNameLine1>VNA Community Services</BusinessNameLine1>
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          <AddressLine1>PO Box 2767</AddressLine1>
          <City>York</City>
          <State>PA</State>
          <ZIPCode>174052767</ZIPCode>
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        <EIN>232338591</EIN>
        <PrimaryActivities>Home personal care services for elderly and disabled</PrimaryActivities>
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          <BusinessNameLine1>NA</BusinessNameLine1>
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          <BusinessNameLine1>Healthy Community Pharmacy Inc</BusinessNameLine1>
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          <AddressLine1>PO Box 2767</AddressLine1>
          <City>York</City>
          <State>PA</State>
          <ZIPCode>174052767</ZIPCode>
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        <EIN>200519121</EIN>
        <PrimaryActivities>Reduced rate prescription drugs to uninsured</PrimaryActivities>
        <LegalDomicileState>PA</LegalDomicileState>
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          <BusinessNameLine1>NA</BusinessNameLine1>
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          <BusinessNameLine1>Gettysburg Hospital Foundation</BusinessNameLine1>
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          <AddressLine1>PO Box 2767</AddressLine1>
          <City>York</City>
          <State>PA</State>
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        <PrimaryActivities>Fundraising for Gettysburg Hospital</PrimaryActivities>
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          <BusinessNameLine1>Gettysburg Hospital</BusinessNameLine1>
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          <AddressLine1>PO Box 2767</AddressLine1>
          <City>York</City>
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        <PrimaryActivities>Health Care Services</PrimaryActivities>
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          <AddressLine1>PO Box 2767</AddressLine1>
          <City>York</City>
          <State>PA</State>
          <ZIPCode>174052767</ZIPCode>
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        <EIN>222842253</EIN>
        <PrimaryActivities>Sole GP in limited ptnrshp. operating surgical center</PrimaryActivities>
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          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
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          <BusinessNameLine1>Community Healthcare Imaging Partners</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>PO Box 2767</AddressLine1>
          <City>York</City>
          <State>PA</State>
          <ZIPCode>174052767</ZIPCode>
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        <EIN>232444154</EIN>
        <PrimaryActivity>MRI Center</PrimaryActivity>
        <LegalDomicileState>PA</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <GeneralOrManagingPartner>false</GeneralOrManagingPartner>
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          <BusinessNameLine1>Cherry Tree Cancer Center LLP</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>PO Box 2767</AddressLine1>
          <City>York</City>
          <State>PA</State>
          <ZIPCode>174052767</ZIPCode>
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        <EIN>232915628</EIN>
        <PrimaryActivity>Radiation</PrimaryActivity>
        <LegalDomicileState>PA</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
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          <BusinessNameLine1>Littlestown Health Care Partners</BusinessNameLine1>
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          <AddressLine1>300 West King Street</AddressLine1>
          <City>Littlestown</City>
          <State>PA</State>
          <ZIPCode>17340</ZIPCode>
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        <PrimaryActivity>Lease facil</PrimaryActivity>
        <LegalDomicileState>PA</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
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        <DisproportionateAllocations>false</DisproportionateAllocations>
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          <BusinessNameLine1>Q-WH LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
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          <City>York</City>
          <State>PA</State>
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        <PrimaryActivity>GP of CHIP</PrimaryActivity>
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          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <GeneralOrManagingPartner>false</GeneralOrManagingPartner>
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        <NameOfRelatedOrg>
          <BusinessNameLine1>Central PA Alliance Laboratories LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>PO Box 2767</AddressLine1>
          <City>York</City>
          <State>PA</State>
          <ZIPCode>174052767</ZIPCode>
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        <EIN>232910950</EIN>
        <PrimaryActivity>Ref. Lab</PrimaryActivity>
        <LegalDomicileState>PA</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <GeneralOrManagingPartner>false</GeneralOrManagingPartner>
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        <NameOfRelatedOrg>
          <BusinessNameLine1>Apple Hill Surgical Center Partners</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>PO Box 2767</AddressLine1>
          <City>York</City>
          <State>PA</State>
          <ZIPCode>174052767</ZIPCode>
        </AddressUS>
        <EIN>232489452</EIN>
        <PrimaryActivity>Surgical Cn</PrimaryActivity>
        <LegalDomicileState>PA</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <GeneralOrManagingPartner>false</GeneralOrManagingPartner>
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        <NameOfRelatedOrg>
          <BusinessNameLine1>York Provider Network</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>PO Box 2767</AddressLine1>
          <City>York</City>
          <State>PA</State>
          <ZIPCode>174052767</ZIPCode>
        </AddressUS>
        <EIN>232907828</EIN>
        <PrimaryActivity>Coordinates managed care risk contracting</PrimaryActivity>
        <LegalDomicileState>PA</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>York Health Plan</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>PO Box 2767</AddressLine1>
          <City>York</City>
          <State>PA</State>
          <ZIPCode>174052767</ZIPCode>
        </AddressUS>
        <EIN>232664989</EIN>
        <PrimaryActivity>Preferred Provider Organization</PrimaryActivity>
        <LegalDomicileState>PA</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C corp</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Wellspan Reciprocal Risk Retention Group</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>PO Box 2767</AddressLine1>
          <City>York</City>
          <State>PA</State>
          <ZIPCode>174052767</ZIPCode>
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        <EIN>200048457</EIN>
        <PrimaryActivity>Risk Retention Group</PrimaryActivity>
        <LegalDomicileState>PA</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C Corp</TypeOfEntity>
        <ShareOfTotalIncome>6943027</ShareOfTotalIncome>
        <ShareOfEOYAssets>13821256</ShareOfEOYAssets>
        <PercentageOwnership>0.66710</PercentageOwnership>
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      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Wellspan Pharmacy Inc</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>PO Box 2767</AddressLine1>
          <City>York</City>
          <State>PA</State>
          <ZIPCode>174052767</ZIPCode>
        </AddressUS>
        <EIN>232374072</EIN>
        <PrimaryActivity>Dispenses pharmaceuticals &amp; provides IV therapy</PrimaryActivity>
        <LegalDomicileState>PA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C corp</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <ReceiptOfIntAnnRentsRoyalties>true</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>false</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>true</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>false</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>true</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>true</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>true</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>true</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>true</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>false</SharingOfFacilities>
      <SharingOfPaidEmployees>false</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>true</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>true</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>false</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>false</OtherTransferFromOtherOrg>
    </IRS990ScheduleR>
  </ReturnData>
</Return>