STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

VNA HOME HEALTH SERVICES: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
VNA HOME HEALTH SERVICES (EIN 23-1352573)
Tax period
2020-07-01 to 2021-06-30
Filed
2022-05-13
IRS object ID
202201339349302825
Schema version
2020v4.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2022-05-13T10:30:55-07:00ReturnTs
Tax Period End2021-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN135381590PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1WellSpan HealthBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line13350 WHITEFORD ROADAddressLine1Txt
CityYORKCityNm
State AbbreviationPAStateAbbreviationCd
ZIP17402ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN231352573EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1VNA HOME HEALTH SERVICESBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlVNAHBusinessNameControlTxt
Phone7178513055PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 2767AddressLine1Txt
CityYORKCityNm
State AbbreviationPAStateAbbreviationCd
ZIP17405ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonLaura BuczkowskiPersonNm
Person TitleSR VP & CFOPersonTitleTxt
Signature2022-05-13SignatureDt
Discuss With Paid PreparerfalseDiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstLauraPersonFirstNm
Person LastBuczkowskiPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSee AttachedPreparerPersonNm
PTINP01871563PTIN
Phone7038930600PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
Federated Assurance LevelFAL1FederatedAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerRoxanna GapsturPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 2767AddressLine1Txt
CityYORKCityNm
State AbbreviationPAStateAbbreviationCd
ZIP174052767ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$48,103,379GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.WELLSPAN.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1911FormationYr
Legal Domicile StatePALegalDomicileStateCd
Activity Or MissionVNA Home Health Services provides part-time, skilled, intermittent home health services that have been ordered by a physician and are medically necessary to the treatment of an illness or injury. VNA Home Health Services offers a wide range of services including skilled nursing care; home health aides; physical, occupational and speech therapy; IV therapy; wound and ostomy care; phlebotomy services and more.ActivityOrMissionDesc
Voting Members Governing Body19VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee317TotalEmployeeCnt
Total Volunteers10TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$1,128,006PYContributionsGrantsAmt
CY Contributions Grants$2,668,720CYContributionsGrantsAmt
PY Program Service Revenue$27,342,703PYProgramServiceRevenueAmt
CY Program Service Revenue$30,584,655CYProgramServiceRevenueAmt
PY Investment Income$680,861PYInvestmentIncomeAmt
CY Investment Income$1,004,720CYInvestmentIncomeAmt
PY Other Revenue$240PYOtherRevenueAmt
CY Other Revenue$50CYOtherRevenueAmt
PY Total Revenue$29,151,810PYTotalRevenueAmt
CY Total Revenue$34,258,145CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$24,713,432PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$27,436,238CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$3,731,402PYOtherExpensesAmt
CY Other Expenses$4,672,124CYOtherExpensesAmt
PY Total Expenses$28,444,834PYTotalExpensesAmt
CY Total Expenses$32,108,362CYTotalExpensesAmt
PY Revenues Less Expenses$706,976PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$2,149,783CYRevenuesLessExpensesAmt
Total Assets BOY$53,692,170TotalAssetsBOYAmt
Total Assets EOY$63,085,479TotalAssetsEOYAmt
Total Liabilities BOY$7,355,485TotalLiabilitiesBOYAmt
Total Liabilities EOY$6,382,245TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$46,336,685NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$56,703,234NetAssetsOrFundBalancesEOYAmt
MissionVNA Home Health Services provides part-time, skilled, intermittent home health services that have been ordered by a physician and are medically necessary to the treatment of an illness or injury. VNA Home Health Services offers a wide range of services including skilled nursing care; home health aides; physical, occupational and speech therapy; IV therapy; wound and ostomy care; phlebotomy services and more.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$30,126,573ExpenseAmt
Revenue$30,584,705RevenueAmt
DescTo provide medically supervised skilled nursing care; physical, speech and occupational therapy; medical social services to people in their homes, for patients with acute or chronic illness, regardless of patient's ability to pay. See WellSpan Health - 2021 Community Benefit Report located at https://www.wellspan.org/about/wellspan-in-the-community/2021-community-benefit-report/Desc
Total Program Service Expenses$30,126,573TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (true)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (true)ReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld CompliancefalseBackupWthldComplianceInd
Employee317EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Form8282 Filed0Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members19GoverningBodyVotingMembersCnt
Independent Voting Member7IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldPAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonDAVID RIZZUTOPersonNm
Phone7178513055PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13350 WHITEFORD ROADAddressLine1Txt
CityYORKCityNm
State AbbreviationPAStateAbbreviationCd
ZIP174029081ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerInd
Michael O'Connor
Former WSH SR VP & CFO0.0040.00$0$3,058,887$208,991
Roxanna Gapstur
CEO-WSH/Dir.1.0040.00$0$1,531,608$72,560Yes (X)Yes (X)
Kevin McCullum MD
Chairman1.0040.00$0$780,946$64,526Yes (X)
Philip Nicholson
Vice President1.0040.00$0$470,241$65,795Yes (X)Yes (X)
David Gasperack DO
Director1.0040.00$0$364,289$60,350Yes (X)
Tony Aquilina
Vice President1.0040.00$0$357,285$32,103Yes (X)Yes (X)
Sandra Bennis
Vice President40.000.00$278,410$0$53,865Yes (X)Yes (X)
Ricky Heath MD
Director1.0040.00$0$287,868$33,750Yes (X)
Gattu Rao MD
Director1.0040.00$0$215,140$53,612Yes (X)
Kimberly Yinger
Dir-Nurse Ops40.000.00$152,277$0$46,129
Kevin Maloney
Dir-Clinical Ops40.000.00$133,508$0$46,347
Jill Lewis
Clinical Supvr40.000.00$128,059$0$48,720
Cynthia Czarnecki
Sr Branch Mgr40.000.00$124,137$0$43,606
Meg Figadore MD
Director1.0040.00$0$125,499$21,634Yes (X)
Anisia Beatty
Clincal Supervisor40.000.00$123,443$0$14,806
Laura Buczkowski
SR VP & CFO WSH1.0040.00$0$55,289$7,796Yes (X)Yes (X)
Richard Brown
Director1.000.00$0$0$0Yes (X)
Douglas Eyer MD
Director1.000.00$0$0$0Yes (X)
Brian Flowers MD
Director1.000.00$0$0$0Yes (X)
David Hoffman DO
Director1.000.00$0$0$0Yes (X)
John Klinedinst
Director1.000.00$0$0$0Yes (X)
Howard Mirsky
Director1.000.00$0$0$0Yes (X)
William Scott
Director1.000.00$0$0$0Yes (X)
Bill Dannehl
Director1.000.00$0$0$0Yes (X)
Amir Tabatabai MD
Director1.000.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$939,834TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$7,247,052TotReportableCompRltdOrgAmt
Total Other Compensation$874,590TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K6IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (3 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Healthtrust Workforce Solutions
6565 N MacArthur Blvd Ste 325IrvingTX750392475Staffing Services$422,321
WellSky Corporation
11700 Plaza America DriveRestonVA20190Healthcare Services$219,651
Fazzi Be Invincible
11700 Plaza America DriveRestonVA20190Home Care Hospice$110,662
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K3CntrctRcvdGreaterThan100KCnt
Related Organizations$707,106RelatedOrganizationsAmt
Government Grants$5,350GovernmentGrantsAmt
All Other Contributions$1,956,264AllOtherContributionsAmt
Total Contributions$2,668,720TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescHome Health CareDesc
Business621610BusinessCd
Total Revenue Column$30,584,655TotalRevenueColumnAmt
Related Or Exempt Func Income$30,584,655RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$30,584,655TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$326,105TotalRevenueColumnAmt
Exclusion$326,105ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$14,523,849SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$13,845,234SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$678,615SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$678,615TotalRevenueColumnAmt
Exclusion$678,615ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOther Operating RevenueDesc
Business900099BusinessCd
Total Revenue Column$50TotalRevenueColumnAmt
Related Or Exempt Func Income$50RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$50OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$34,258,145TotalRevenueColumnAmt
Related Or Exempt Func Income$30,584,705RelatedOrExemptFuncIncomeAmt
Exclusion$1,004,720ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$332,275TotalAmt
Program Services$332,275ProgramServicesAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$20,008,275TotalAmt
Program Services$19,153,972ProgramServicesAmt
Management And General$854,303ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,017,949TotalAmt
Program Services$969,087ProgramServicesAmt
Management And General$48,862ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$4,541,257TotalAmt
Program Services$4,435,983ProgramServicesAmt
Management And General$105,274ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,536,482TotalAmt
Program Services$1,471,692ProgramServicesAmt
Management And General$64,790ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$463,409TotalAmt
Management And General$463,409ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$11,770TotalAmt
Management And General$11,770ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$738,545TotalAmt
Program Services$651,928ProgramServicesAmt
Management And General$86,617ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$198,594TotalAmt
Program Services$187,895ProgramServicesAmt
Management And General$10,699ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$142,355TotalAmt
Management And General$142,355ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$75,658TotalAmt
Program Services$29,186ProgramServicesAmt
Management And General$46,472ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$935,492TotalAmt
Program Services$925,170ProgramServicesAmt
Management And General$10,322ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$3,140TotalAmt
Program Services$1,951ProgramServicesAmt
Management And General$1,189ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$201,885TotalAmt
Program Services$185,533ProgramServicesAmt
Management And General$16,352ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$205,886TotalAmt
Program Services$197,925ProgramServicesAmt
Management And General$7,961ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Direct Supplies$577,827$577,827
Outside Services$572,377$533,368$39,009
Utilities$267,440$241,740$25,700
Repair and Maintenance$167,340$135,303$32,037

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$110,406TotalAmt
Program Services$95,738ProgramServicesAmt
Management And General$14,668ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$32,108,362TotalAmt
Program Services$30,126,573ProgramServicesAmt
Management And General$1,981,789ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$6,098,888BOYAmt
EOY$4,107,069EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$4,293,631BOYAmt
EOY$4,489,125EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$22,946BOYAmt
EOY$74,727EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,338,152LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$972,510LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$365,958BOYAmt
EOY$365,642EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$11,466,548BOYAmt
EOY$42,244,375EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$28,046,108BOYAmt
EOY$7,745,357EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$3,398,091BOYAmt
EOY$4,059,184EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$53,692,170BOYAmt
EOY$63,085,479EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,915,672BOYAmt
EOY$2,218,065EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$394,260BOYAmt
EOY$430,758EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$5,045,553BOYAmt
EOY$3,733,422EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$7,355,485BOYAmt
EOY$6,382,245EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$38,315,444BOYAmt
EOY$46,812,039EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$8,021,241BOYAmt
EOY$9,891,195EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$46,336,685BOYAmt
EOY$56,703,234EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$53,692,170BOYAmt
EOY$63,085,479EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$2,149,783ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$8,216,766NetUnrlzdGainsLossesInvstAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$390,124CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$230,553CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$293,124CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,128,006CurrentTaxYearMinus1YearAmt
Current Tax Year$2,668,720CurrentTaxYearAmt
Total$4,710,527TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$20,583,203CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$23,697,070CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$26,130,715CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$27,342,703CurrentTaxYearMinus1YearAmt
Current Tax Year$30,584,655CurrentTaxYearAmt
Total$128,338,346TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$20,973,327CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$23,927,623CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$26,423,839CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$28,470,709CurrentTaxYearMinus1YearAmt
Current Tax Year$33,253,375CurrentTaxYearAmt
Total$133,048,873TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$133,048,873PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$666,859CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$716,791CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$817,486CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$680,861CurrentTaxYearMinus1YearAmt
Current Tax Year$1,004,720CurrentTaxYearAmt
Total$3,886,717TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$666,859CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$716,791CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$817,486CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$680,861CurrentTaxYearMinus1YearAmt
Current Tax Year$1,004,720CurrentTaxYearAmt
Total$3,886,717TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$107,034CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years-$34,811CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,250CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$240CurrentTaxYearMinus1YearAmt
Current Tax Year$50CurrentTaxYearAmt
Total$73,763TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$21,747,220CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$24,609,603CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$27,242,575CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$29,151,810CurrentTaxYearMinus1YearAmt
Current Tax Year$34,258,145CurrentTaxYearAmt
Total$137,009,353TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.97110PublicSupportCY509Pct
Public Support PY5090.96930PublicSupportPY509Pct
Investment Income CY0.02840InvestmentIncomeCYPct
Investment Income PY0.02930InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$8,021,242BeginningYearBalanceAmt
Contributions$12,897ContributionsAmt
Investment Earnings Or Losses$1,875,687InvestmentEarningsOrLossesAmt
Other Expenditures$18,630OtherExpendituresAmt
End Year Balance$9,891,196EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$8,078,909BeginningYearBalanceAmt
Contributions$3,025ContributionsAmt
Investment Earnings Or Losses-$56,401InvestmentEarningsOrLossesAmt
Other Expenditures$4,292OtherExpendituresAmt
End Year Balance$8,021,241EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$8,077,304BeginningYearBalanceAmt
Contributions$3,120ContributionsAmt
Investment Earnings Or Losses$5,967InvestmentEarningsOrLossesAmt
Other Expenditures$7,482OtherExpendituresAmt
End Year Balance$8,078,909EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$7,815,487BeginningYearBalanceAmt
Contributions$2,070ContributionsAmt
Investment Earnings Or Losses$276,182InvestmentEarningsOrLossesAmt
Other Expenditures$16,435OtherExpendituresAmt
End Year Balance$8,077,304EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$7,263,045BeginningYearBalanceAmt
Contributions$500ContributionsAmt
Investment Earnings Or Losses$555,155InvestmentEarningsOrLossesAmt
Other Expenditures$3,213OtherExpendituresAmt
End Year Balance$7,815,487EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY0.17440PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.82560TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgYes (true)EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd
Related Org List Sch RfalseRelatedOrgListSchRInd

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$324,838InvestmentCostOrOtherBasisAmt
Book Value$324,838BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$322,204OtherCostOrOtherBasisAmt
Depreciation$306,501DepreciationAmt
Book Value$15,703BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$691,110OtherCostOrOtherBasisAmt
Depreciation$666,009DepreciationAmt
Book Value$25,101BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$365,642TotalBookValueLandBuildingsAmt
Total Book Value Securities$7,745,357TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescBeneficial Interest TrustDesc
Book Value$3,686,769BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$4,059,184TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDescAmtAmt
Due to Affiliates$605,387
LTD-Leases$324,839
Medicare Advances$2,194,214
Note Payable - WRRRG$76,214
Other Accrued Liabilities$532,768
FieldValueIRS element (for citing)
Total Liability$3,733,422TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$40,658,755TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$8,267,494NetUnrealizedGainsInvstAmt
Revenue Not Reported$8,267,494RevenueNotReportedAmt
Revenue Subtotal$32,391,261RevenueSubtotalAmt
Other Revenues Not Included$1,866,884OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$1,866,884RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$34,258,145TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$32,111,432TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$32,111,432ExpensesSubtotalAmt
Other Expenses Not Included-$3,070OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt-$3,070ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$32,108,362TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part 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.
Part 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, 2021.
Part XI, Line 4b: Other revenue amounts included on 990 but not included in F/SRestricted Contributions (Net) $1869954 Revenue Netted with Expense $-3070

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtBonus Filing OrganizationBonusFilingOrganizationAmountOther Compensation Filing OrgOtherCompensationFilingOrgAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Cynthia Czarnecki
Sr Branch Mgr$111,102$10,906$2,129$4,937$38,669$167,743
David Gasperack DO
Director$307,063$50,905$6,321$12,016$48,334$424,639
Gattu Rao MD
Director$213,940$1,200$9,284$44,328$268,752
Jill Lewis
Clinical Supvr$124,587$1,200$2,272$13,158$35,562$176,779
Kevin Maloney
Dir-Clinical Ops$130,843$2,665$5,626$40,721$179,855
Kevin McCullum MD
Chairman$767,266$13,680$15,021$49,505$845,472
Kimberly Yinger
Dir-Nurse Ops$137,401$14,791$85$6,088$40,041$198,406
Michael O'Connor
Former WSH SR VP & CFO$611,969$404,687$2,042,231$123,405$85,586$3,267,878$2,042,158
Philip Nicholson
Vice President$382,900$79,338$8,003$17,859$47,936$536,036$49,200
Ricky Heath MD
Director$286,668$1,200$10,187$23,563$321,618
Roxanna Gapstur
CEO-WSH/Dir.$1,091,608$440,000$11,619$60,941$1,604,168$242,000
Sandra Bennis
Vice President$228,597$46,987$2,826$9,657$44,208$332,275
Tony Aquilina
Vice President$348,346$8,939$3,288$28,815$389,388

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
Womens Healthcare Group
Owner Figadore$1,175,898Sold practice to WSHfalse
York ENT
Partner Flowers$298,161Provide trauma callsfalse
Private Onocology Practic
MD Tabatabai$41,785Onocology servicesfalse

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 6: Explanation of Classes of Members or ShareholderWellSpan Surgery & Rehabilitation Hospital, a non-profit corporation, is the sole member of VNA Home Health Services.
Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing BodyThe Board of Directors shall be composed of seven persons who shall be appointed by the Board of Directors of the VNA.
Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or ShareholdersThe member shall have such powers and rights as are vested in members by law, the articles of incorporation or the bylaws. Except as specifically reserved to the member by law, the articles of incorporation or the bylaws, the business and affairs of and the responsibility and authority for governing the Corporation shall be vested in the Board of Directors.Notwithstanding the foregoing paragraph, the authority of the Board of Directors to exercise the following powers is conditioned on the prior approval of VNA. a) the adoption of operating and capital budgets;b) any voluntary dissolution, merger or consolidation of the Corporation or the sale or transfer of all or substantially all of the Corporation's assets or the creation or acquisition of any subsidiary or affiliate corporation of the Corporation;c) any agreement or transaction, either of which is of a material nature, with another corporation not controlled directly by or affiliated with VNA or York Health System ("YHS");d) the borrowing of any sum which has a stated term greater that one year or which is secured by a security interest in the Corporation's assets or revenues or by a mortgage of all or any portion of the Corporation's real property, if any;e) the adoption of a long range plan for the Corporation; andf) the adoption, amendment, revocation of these Bylaws or the Articles of Incorporation.
Form 990, Part VI, Line 11b: Form 990 Review ProcessManagement provided an electronic copy of the form 990 to each voting member of the organization's governing body, prior to its filing with the IRS. The organization's finance management team provided a presentation to the Audit Committee on the organization's 990 return.
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsOfficers, directors, and key employees fill out a WellSpan Health Conflict of Interest Disclosure Statement questionnaire annually. The questionnaire is administered by the Internal Audit Department of WellSpan Health, the Parent Company.There shall be full disclosure by any Director having a business or personal interest or relationship which may be in conflict with the interests of the Corporation. After such disclosure the Director shall abide by the determination of the Board of Directors as to whether a conflict exists, the extent to which, if at all, the Director will be permitted to be present during the Board of Directors' discussion of the matter in which the Director may be interested, and whether the Director will be permitted to participate in such discussion and cast a vote in such matter.
Form 990, Part VI, Line 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 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 subordinate 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 19: Other Organization Documents Publicly AvailableGoverning documents, policies, and financial statements are available upon request.
Signature Box - Paid Preparer ExplanationPaid Preparer ExplanationDue to a software limitation, we wish to clarify that WellSpan Health is the ERO.The paid preparer is:BDO USA, LLP13-53815908401 Greensboro Drive, Suite 800McLean, VA 22102(703) 893-0600The preparers name is Marc Berger, PTIN P01871563

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (26 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
Apple Hill Surgical Center Inc
PO Box 2767YorkPA174052767222842253Sole GP in limited pntrshp. operating surgical centerPA501(c)(3)10WellSpan Health Care Servicesfalse
Gettysburg Hospital
PO Box 2767YorkPA174052767231352220Health Care ServicesPA501(c)(3)3WellSpan Healthfalse
Gettysburg Hospital Foundation
PO Box 2767YorkPA174052767232251358Fundraising to support Gettysburg HospitalPA501(c)(3)12 Type IGettysburg Hospitalfalse
Healthy Community Pharmacy
PO Box 2767YorkPA174052767200519121Reduced rate prescription drugs to uninsuredPA501(c)(3)12 Type IWellSpan Health Care Servicesfalse
VNA Community Services
PO Box 2767YorkPA174052767232338591Home personal care services for elderly and disabledPA501(c)(3)10WellSpan Surgery & Rehabilitation Hospitfalse
WellSpan Health
PO Box 2767YorkPA174052767222517863Integrated Health ServicesPA501(c)(3)12 Type IIINAfalse
WellSpan Health Care Services
PO Box 2767YorkPA174052767232400237Health-related activities in the service areaPA501(c)(3)12 Type IIWellSpan Healthfalse
WellSpan Medical Group
PO Box 2767YorkPA174052767232730785Medical and surgical carePA501(c)(3)10WellSpan Healthfalse
York Health Foundation
PO Box 2767YorkPA174052767233050192Charitable contributions for WellSpan entitiesPA501(c)(3)12 Type IIIWellSpan Healthfalse
York Hospital
PO Box 2767YorkPA174052767231352222Community teaching hospitalPA501(c)(3)3WellSpan Healthfalse
WellSpan Specialty Services
PO Box 2767YorkPA174052767232899911Surgery and Rehabilitation HospitalPA501(c)(3)3WellSpan Healthfalse
WellSpan Properties Inc
PO Box 2767YorkPA174052767222842252Leases facilities to affiliatesPA501(c)(3)12 Type IIWellSpan Health Care Servicesfalse
Ephrata Community Hospital
PO Box 2767YorkPA174052767231370484Health care servicesPA501(c)(3)3WellSpan Healthfalse
Ephrata Community Health Foundation
PO Box 2767YorkPA174052767800940005Fundraising for Ephrata HospitalPA501(c)(3)12 Type IEphrata Community Hospitalfalse
Northern Lancaster County Medical Group
PO Box 2767YorkPA174052767203033058Medical and surgical carePA501(c)(3)12 Type IIEphrata Community Hospitalfalse
Phys Spec of North Lanc Co Med Gr
PO Box 2767YorkPA174052767452537633Physician PracticesPA501(c)(3)12 Type IINorthern Lancaster County Medical Groupfalse
The Good Samaritan Hospital - Lebanon PA
PO Box 2767YorkPA174052767230794160Health Care ServicesPA501(c)(3)3WellSpan Healthfalse
Philhaven
PO Box 2767YorkPA174052767231549922Health Care ServicesPA501(c)(3)3WellSpan Healthfalse
Good Samaritan Health Service Foundation
PO Box 2767YorkPA174052767232356151Fundraising for Good SamaritanPA501(c)(3)12 Type IGood Samaritan Hospitalfalse
Good Samaritan Physician Services
PO Box 2767YorkPA174052767251832359Medical and Surgical CarePA501(c)(3)10Good Sam Health Services Foundationfalse
WellSpan Summit Health
PO Box 2767YorkPA174052767251515371Integrated health systemPA501(c)(3)7WellSpan Healthfalse
Waynesboro Hospital
PO Box 2767YorkPA174052767231360854Health care servicesPA501(c)(3)3WellSpan Summit Healthfalse
Chambersburg Hospital
PO Box 2767YorkPA174052767230465970Health care servicesPA501(c)(3)3WellSpan Summit Healthfalse
Summit Physician Services
PO Box 2767YorkPA174052767251716306Medical and surgical carePA501(c)(3)3WellSpan Summit Healthfalse
Summit Health Foundation
PO Box 2767YorkPA174052767831196554Fundraising for health care systemPA501(c)(3)12 Type IIWellSpan Summit Healthfalse
Chambersburg Health Services
PO Box 2767YorkPA174052767251515376Health care servicesPA501(c)(3)12 Type IWellSpan Summit Healthfalse

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (8 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerInd
Apple Hill Surgical Center Partners
PO Box 2767YorkPA174052767232489452Surgical CnPANAfalsefalse
Central PA Alliance Laboratories LLC
PO Box 2767YorkPA174052767232910950Ref. LabPANAfalsefalse
Littlestown Health Care Partners
300 West King StreetLittlestownPA17340232880464Lease facilPANAfalsefalse
Cherry Tree Cancer Center LLP
PO Box 2767YorkPA174052767232915628RadiationPANAfalsefalse
The Rehab Center
855 Springdale Drive Suite 20ExtonPA19341251687903Physical Therapy RehabPANAfalsefalse
Surgery Center Associates
785 5th AvenueChambersburgPA17201251845304Physician servicesPA25-1845304falsefalse
Summit Surgery Center
785 5th AvenueChambersburgPA17201251845303Physician servicesPAChambersburg Healthfalsefalse
Cumberland Valley Mobile Services
5 South Main StreetSugarloafPA18249200884014Mobile health servicesPAChambersburg Healthfalsefalse

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (8 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndOwnershipOwnershipPct
WellSpan Pharmacy Inc
PO Box 2767YorkPA174052767232374072dispenses Rx & provides IV therapyPANAC corpfalse
WellSpan Reciprocal Risk Retention Group
PO Box 2767YorkPA174052767200048457Risk Retention GroupPANAC corpfalse0.02060
York Health Plan
PO Box 2767YorkPA174052767232664989Preferred Provider OrganizationPANAC corpfalse
WellSpan Provider Network
PO Box 2767YorkPA174052767232907828Coord mngd care risk contractingPANAC corpfalse
Apple Hill Condominium Association
PO Box 2767YorkPA174052767232504543Condo Mgmt AssociationPANAHomeowner Assocfalse
North Lanc Co Phys Hosp Alliance
PO Box 2767YorkPA174052767232421885Coord Phys & HospitalPANAC corpfalse
GSH Realty Inc
PO Box 2767YorkPA174052767251832359Non-res. rentalsPAWSH Care ServicesC corpfalse
Ephrata Health Pavilion Condo Assoc
PO Box 2767YorkPA174052767475367279Condo associationPAEphrata HospitalC corpfalse
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd