PHILHAVEN: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- PHILHAVEN (EIN 23-1548822)
- Tax period
- 2020-07-01 to 2021-06-30
- Filed
- 2022-05-13
- IRS object ID
- 202211339349307251
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule L
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-05-13T12:24:54-07:00 | ReturnTs |
| Tax Period End | 2021-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 135381590 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WellSpan Health | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3350 WHITEFORD ROAD | AddressLine1Txt |
| City | YORK | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 17402 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 231548822 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PHILHAVEN | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | PHIL | BusinessNameControlTxt |
| Phone | 7178513055 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 2767 | AddressLine1Txt |
| City | YORK | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 17405 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Laura Buczkowski | PersonNm |
| Person Title | SR VP & CFO | PersonTitleTxt |
| Signature | 2022-05-13 | SignatureDt |
| Discuss With Paid Preparer | false | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | Laura | PersonFirstNm |
| Person Last | Buczkowski | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | See Attached | PreparerPersonNm |
| PTIN | P01871563 | PTIN |
| Phone | 7038930600 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Federated Assurance Level | FAL1 | FederatedAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Roxanna Gapstur | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 2767 | AddressLine1Txt |
| City | YORK | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 174052767 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $85,148,708 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.WELLSPAN.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1949 | FormationYr |
| Legal Domicile State | PA | LegalDomicileStateCd |
| Activity Or Mission | Philhaven is Southcentral Pennsylvanias most comprehensive behavioral health organization, serving Adams, Lancaster, Lebanon and York counties through 54 programs and 20 care locations. | ActivityOrMissionDesc |
| Voting Members Governing Body | 17 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 6 | VotingMembersIndependentCnt |
| Total Employee | 1041 | TotalEmployeeCnt |
| Total Volunteers | 43 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $27,524,386 | PYContributionsGrantsAmt |
| CY Contributions Grants | $24,886,133 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $58,294,085 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $57,865,558 | CYProgramServiceRevenueAmt |
| PY Investment Income | $289,331 | PYInvestmentIncomeAmt |
| CY Investment Income | $180,099 | CYInvestmentIncomeAmt |
| PY Other Revenue | $189,278 | PYOtherRevenueAmt |
| CY Other Revenue | $1,565,415 | CYOtherRevenueAmt |
| PY Total Revenue | $86,297,080 | PYTotalRevenueAmt |
| CY Total Revenue | $84,497,205 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $175,830 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $57,206 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $60,324,743 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $57,085,542 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $28,976,307 | PYOtherExpensesAmt |
| CY Other Expenses | $29,958,114 | CYOtherExpensesAmt |
| PY Total Expenses | $89,476,880 | PYTotalExpensesAmt |
| CY Total Expenses | $87,100,862 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$3,179,800 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$2,603,657 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $37,260,802 | TotalAssetsBOYAmt |
| Total Assets EOY | $34,008,281 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $13,209,207 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $12,417,944 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $24,051,595 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $21,590,337 | NetAssetsOrFundBalancesEOYAmt |
| Mission | Philhaven promotes hope, healing and wholeness through the provision of behavioral resources. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $74,889,691 | ExpenseAmt |
| Grant | $57,206 | GrantAmt |
| Revenue | $59,311,177 | RevenueAmt |
| Desc | Philhaven's inpatient psychiatric program is available to individuals who are in most severe distress and/or danger of harming themselves or others. The inpatient program provides a 24-hour a day therapeutic milieu and interventions that serve to stabilize acute psychiatric symptoms. Services are provided to children and adolescents ages three to eighteen and adults over eighteen years of age. Typical length of stay is approximately eleven days for both adults and children/adolescents. Additionally, Philhaven offers extended acute psychiatric inpatient services for adults that require long-term intensive interventions to stabilize their symptoms. Once behavioral stabilization is achieved, the patient is then prepared for transition to the next appropriate level of care. Center for Autism and Developmental Disabilities (CADD): Improving the health of individuals with autism spectrum disorders (ASD) and/or developmental disabilities (DD) requires an early and accurate diagnosis using a multidisciplinary approach, ongoing care, advocacy and collaboration with other providers. Clients who complete the Multidisciplinary Evaluation process with a well-established diagnosis of either ASD or DD may be internally referred to CADD Clinical Services or Consultation Services. Located in Lancaster County, CADD is a regional center of excellence that serves patients and families in Central Pennsylvania. We have a multidisciplinary team from the fields of psychiatry, nursing, psychology, applied behavior analysis, social work and counseling with recognized expertise in the treatment of the social, emotional and behavioral issues affecting individuals with ASD and DD.Philhaven offers center-based services that include diagnostics, short-term consultation and ongoing treatment. We also offer community-based services, which include ABA Adult Behavior Support through county waivers and group homes. Philhaven's children's and adolescents' Behavioral Health Rehabilitation Services (BHRS) program includes both community based and after school services. The goal of all BHRS services is to enhance the child's or adolescent's ability to function emotionally, socially and behaviorally. Individualized interventions serve to facilitate youth's behavioral stabilization and emotional growth. Mental health specialists help youth learn skills and coping strategies which enable the youth to prevent deterioration and more restrictive services. Afterschool services are provided Monday through Friday after school for children ages five to fourteen years who have behavioral or emotional problems, through WellSpan Philhaven's Therapeutic After School program. Community based services are provided in schools and homes by trained therapeutic support staff, mobile therapists and behavioral specialist consultants, covering a broad spectrum of mental health disciplines, including child psychiatry, clinical social work, psychiatric nursing, and mental health counseling. Visit https://www.wellspanphilhaven.org/Programs-and-Services/For-Children-Adolescents/Therapeutic-After-School/Program-Overview for more details.The outpatient program provides the least restrictive type of mental health treatment available at Philhaven. Staff who are professionally trained in psychiatry, psychology, social work and counseling strive to provide outpatient services to clients in a conscientious and caring manner as they work toward their therapeutic goals. Philhaven strives to provide individuals and their families with the skills and resources necessary to live healthy, fulfilled lives within their homes and communities. Specific services offered include evaluations and assessments, psychiatric medication management, psychiatric consultation, individual therapy, family therapy, group therapy and marriage counseling. WellSpan Health Addiction Services are offered in Lancaster, Lebanon, York, Adams and Franklin counties. Medication-Assisted Treatment (MAT) is available for the treatment of substance use disorders, including opioid use disorder. MAT for opioid use disorder, such as prescribing buprenorphine as part of the treatment plan, has been proven to be an effective option that is considered the "gold standard" in care. The WellSpan Addiction Recovery Mentoring WARM Line (1-844-WARM-LINE)is offered through WellSpan Health Addiction Services and is funded by a grant from the PA Department of Drug and Alcohol Programs, and is avaialabel 24/7 and callers can choose to remain anonymous.Senior Adult Community services include psychiatric diagnostic evaluations, medication management, behavioral interventions, psychotherapy and education for nursing home staff to be able to understand and manage behavioral challenges.Philhaven's "Partners for Progress" program is a service developed in conjunction with the Lebanon Housing Authority and Lebanon MH/MR to provide homes and support services to ten individuals who are homeless and who have a history of experiencing persistent mental illness. Philhaven administers this program in conjunction with the Lebanon County Housing Authority. The program draws down funds from the Department of Housing and Urban Development in Washington, DC, and with the assistance of the Housing Authority leases ten scattered site apartments in the city of Lebanon. Partners for Progress then rents these apartments at subsidized rates to homeless persons who meet admission criteria. The Philhaven caseworker visits these individuals in their apartments and works with them to address the deficits that led to homelessness, and to build skills for independent living. Particular emphasis is placed on effectively managing each residents psychiatric illness. The caseworkers approach is collaborative and supportive. Home visits are designed to be relaxed but solution-focused. See WellSpan Health - 2021 Community Benefit Report located at https://www.wellspan.org/about/wellspan-in-the-community/2021-community-benefit-report/Foundation website: https://www.wellspanphilhaven.org/ | Desc |
| Total Program Service Expenses | $74,889,691 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (true) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (true) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | Yes (true) | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 1041 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Form8282 Filed | 0 | Form8282FiledCnt |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Form8899 Filedind | false | Form8899Filedind |
| Form1098 C Filed | false | Form1098CFiledInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 17 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 6 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (true) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (true) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | PA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DAVID P RIZZUTO | PersonNm |
| Phone | 7178513055 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3350 WHITEFORD ROAD | AddressLine1Txt |
| City | YORK | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 174029081 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd |
|---|---|---|---|---|---|---|---|
| Michael O'Connor | |||||||
| Former Director | 0.00 | 40.00 | $0 | $3,058,887 | $208,991 | ||
| Roxanna Gapstur | |||||||
| CEO-WSH/Dir. | 1.00 | 40.00 | $0 | $1,531,608 | $72,560 | Yes (X) | Yes (X) |
| Edward Tadajweski MD | |||||||
| Director | 1.00 | 40.00 | $0 | $735,560 | $66,878 | Yes (X) | |
| Karen Jones | |||||||
| Former Director | 0.00 | 40.00 | $0 | $671,048 | $63,933 | ||
| Carrie Willetts | |||||||
| SR VP | 1.00 | 40.00 | $0 | $574,522 | $60,510 | Yes (X) | Yes (X) |
| Mike Seim | |||||||
| Sr. VP | 1.00 | 40.00 | $0 | $514,458 | $44,526 | Yes (X) | Yes (X) |
| Philip Hess | |||||||
| Pres./Director | 40.00 | 0.00 | $378,138 | $0 | $47,573 | Yes (X) | Yes (X) |
| Mantha Kotsalos | |||||||
| Former Director | 40.00 | 0.00 | $186,139 | $0 | $49,877 | ||
| Sara Wright | |||||||
| Former Director | 40.00 | 0.00 | $180,281 | $0 | $44,440 | ||
| Dale Brickley | |||||||
| Psychologist | 40.00 | 0.00 | $150,640 | $0 | $47,846 | ||
| Melanie Baer | |||||||
| Disc Chief Pysch | 40.00 | 0.00 | $144,135 | $0 | $47,996 | ||
| Heidi McMullan | |||||||
| Dir - Patient Care | 40.00 | 0.00 | $173,091 | $0 | $18,467 | ||
| Matthew Rogers | |||||||
| Former Director | 0.00 | 40.00 | $0 | $159,751 | $30,470 | ||
| Audrey Simmons | |||||||
| Dir - Inpatient Sv | 40.00 | 0.00 | $148,054 | $0 | $29,765 | ||
| Anne Lavin | |||||||
| Disc Chief Soc Svc | 40.00 | 0.00 | $122,060 | $0 | $46,817 | ||
| Laura Buczkowski | |||||||
| SR VP & CFO WSH | 1.00 | 40.00 | $0 | $55,289 | $7,796 | Yes (X) | Yes (X) |
| Christopher Grant PsY D | |||||||
| Director | 1.00 | 0.00 | $0 | $36,788 | $14,774 | Yes (X) | |
| Kim Kreider-Umble | |||||||
| Director | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |
| Reyna Britton RN | |||||||
| Director | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |
| Carrie Wilson | |||||||
| Director | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |
| Robert Funk | |||||||
| Director | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |
| Vincent Garcia | |||||||
| Director | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |
| Moniqua Acosta | |||||||
| Director | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |
| Stephen Lindsey | |||||||
| Director | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |
| Robert Hoffman | |||||||
| Director | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |
| Roger Zimmerman | |||||||
| Director | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |
| Amanda Davis-Buie | |||||||
| Director | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,482,538 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $7,337,911 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $903,219 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 8 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (4 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Healthtrust Workforce Solutions | |||||
| 6565 N MacArthur Blvd Ste 325 | Irving | TX | 750392475 | Staffing services | $398,542 |
| Ames Janitorial Services Inc | |||||
| 240 Hinkle Road | Annville | PA | 17003 | Janitorial services | $134,894 |
| Jeanette Morales-Brand Inc | |||||
| Harrisburg | Harrisburg | PA | 17112 | Psychiatry | $164,325 |
| Daval Services LLC | |||||
| 1766 Kendall Dr | Mechanicsburg | PA | 17055 | Pharmacy Services | $527,101 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 4 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $20,500,000 | RelatedOrganizationsAmt |
| Government Grants | $2,317,912 | GovernmentGrantsAmt |
| All Other Contributions | $2,068,221 | AllOtherContributionsAmt |
| Noncash Contributions | $88,666 | NoncashContributionsAmt |
| Total Contributions | $24,886,133 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|
| Free Service W/O | -$604,950 | -$604,950 |
| Patient Revenue | $58,470,508 | $58,470,508 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $57,865,558 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $148,166 | TotalRevenueColumnAmt |
| Exclusion | $148,166 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $683,436 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $651,503 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $31,933 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $31,933 | TotalRevenueColumnAmt |
| Exclusion | $31,933 | ExclusionAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|---|
| Cafeteria Sales | 624110 | $117,874 | $117,874 | |
| Other Non-Operating Revenue | 621500 | $84,386 | $84,386 | |
| Other Operating Income | 621500 | $1,361,223 | $1,361,223 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,932 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $10 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $1,922 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,565,415 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $84,497,205 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $59,311,177 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $299,895 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $57,206 | TotalAmt |
| Program Services | $57,206 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $494,491 | TotalAmt |
| Program Services | $494,491 | ProgramServicesAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $40,141,242 | TotalAmt |
| Program Services | $34,452,239 | ProgramServicesAmt |
| Management And General | $5,689,003 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,078,438 | TotalAmt |
| Program Services | $1,787,457 | ProgramServicesAmt |
| Management And General | $290,981 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,197,650 | TotalAmt |
| Program Services | $9,629,979 | ProgramServicesAmt |
| Management And General | $1,567,671 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,173,721 | TotalAmt |
| Program Services | $2,729,400 | ProgramServicesAmt |
| Management And General | $444,321 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,039,750 | TotalAmt |
| Program Services | $4,334,185 | ProgramServicesAmt |
| Management And General | $705,565 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,405 | TotalAmt |
| Management And General | $23,405 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,274 | TotalAmt |
| Program Services | $20,876 | ProgramServicesAmt |
| Management And General | $3,398 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $45,000 | TotalAmt |
| Program Services | $38,700 | ProgramServicesAmt |
| Management And General | $6,300 | ManagementAndGeneralAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,734 | TotalAmt |
| Management And General | $5,734 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $164,598 | TotalAmt |
| Program Services | $141,554 | ProgramServicesAmt |
| Management And General | $23,044 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $468,544 | TotalAmt |
| Program Services | $402,948 | ProgramServicesAmt |
| Management And General | $65,596 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $434,206 | TotalAmt |
| Program Services | $373,417 | ProgramServicesAmt |
| Management And General | $60,789 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $179,609 | TotalAmt |
| Program Services | $154,464 | ProgramServicesAmt |
| Management And General | $25,145 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $44,712 | TotalAmt |
| Program Services | $38,452 | ProgramServicesAmt |
| Management And General | $6,260 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,865 | TotalAmt |
| Program Services | $14,504 | ProgramServicesAmt |
| Management And General | $2,361 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,785,806 | TotalAmt |
| Program Services | $2,395,793 | ProgramServicesAmt |
| Management And General | $390,013 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $666,529 | TotalAmt |
| Program Services | $573,215 | ProgramServicesAmt |
| Management And General | $93,314 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Outside Services | $14,213,677 | $12,223,762 | $1,989,915 |
| Professional Fees | $2,298,336 | $1,976,569 | $321,767 |
| Direct Supplies | $2,006,266 | $1,725,389 | $280,877 |
| Utilities | $556,615 | $478,689 | $77,926 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $984,188 | TotalAmt |
| Program Services | $846,402 | ProgramServicesAmt |
| Management And General | $137,786 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $87,100,862 | TotalAmt |
| Program Services | $74,889,691 | ProgramServicesAmt |
| Management And General | $12,211,171 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $243,539 | BOYAmt |
| EOY | $789,227 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,500 | BOYAmt |
| EOY | $73,796 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,740,666 | BOYAmt |
| EOY | $10,158,418 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $340,000 | BOYAmt |
| EOY | $340,000 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $76,740 | BOYAmt |
| EOY | $60,450 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $66,289 | BOYAmt |
| EOY | $73,549 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $50,116,346 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $31,584,584 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,923,523 | BOYAmt |
| EOY | $18,531,762 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $498,208 | BOYAmt |
| EOY | $589,658 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,618,181 | BOYAmt |
| EOY | $1,809,908 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,615,467 | BOYAmt |
| EOY | $1,581,513 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,115,689 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,260,802 | BOYAmt |
| EOY | $34,008,281 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,162,063 | BOYAmt |
| EOY | $5,487,292 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22 | BOYAmt |
| EOY | $22 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $100,822 | BOYAmt |
| EOY | $68,818 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,946,300 | BOYAmt |
| EOY | $6,861,812 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,209,207 | BOYAmt |
| EOY | $12,417,944 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,239,488 | BOYAmt |
| EOY | $19,733,530 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,812,107 | BOYAmt |
| EOY | $1,856,807 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,051,595 | BOYAmt |
| EOY | $21,590,337 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,260,802 | BOYAmt |
| EOY | $34,008,281 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$2,603,657 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $142,399 | NetUnrlzdGainsLossesInvstAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form4720 Filed Section4955 Tax | false | Form4720FiledSection4955TaxInd |
| Correction Made | false | CorrectionMadeInd |
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $45,000 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $45,000 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
| Form4720 Filed4912 Tax | false | Form4720Filed4912TaxInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II-B, Line 1i - Other Activities Description | FormAndLineReferenceDesc |
| Explanation | The hospital engaged a professional lobbying firm to assist in securing governmental funding for specialized programs ($45,000). In addition, a portion of the dues paid to the Hospital Association of Pennsylvania and the American Hospital Association include lobbying. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,812,107 | BeginningYearBalanceAmt |
| Contributions | $780,612 | ContributionsAmt |
| Investment Earnings Or Losses | $129,306 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $905,218 | OtherExpendituresAmt |
| End Year Balance | $1,816,807 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,768,338 | BeginningYearBalanceAmt |
| Contributions | $908,172 | ContributionsAmt |
| Investment Earnings Or Losses | $2,036 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $866,439 | OtherExpendituresAmt |
| End Year Balance | $1,812,107 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,077,264 | BeginningYearBalanceAmt |
| Contributions | $1,793,226 | ContributionsAmt |
| Investment Earnings Or Losses | $16 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $1,102,168 | OtherExpendituresAmt |
| End Year Balance | $1,768,338 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,199,863 | BeginningYearBalanceAmt |
| Contributions | $925,177 | ContributionsAmt |
| Other Expenditures | $1,047,776 | OtherExpendituresAmt |
| End Year Balance | $1,077,264 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,200,328 | BeginningYearBalanceAmt |
| Contributions | $466,897 | ContributionsAmt |
| Investment Earnings Or Losses | -$6,484 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $460,878 | OtherExpendituresAmt |
| End Year Balance | $1,199,863 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 0.08600 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.91400 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | Yes (true) | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (true) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (true) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $362,632 | OtherCostOrOtherBasisAmt |
| Book Value | $362,632 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $26,190,328 | OtherCostOrOtherBasisAmt |
| Depreciation | $15,493,682 | DepreciationAmt |
| Book Value | $10,696,646 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,847,222 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,526,468 | DepreciationAmt |
| Book Value | $320,754 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $18,720,904 | OtherCostOrOtherBasisAmt |
| Depreciation | $14,564,434 | DepreciationAmt |
| Book Value | $4,156,470 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,995,260 | OtherCostOrOtherBasisAmt |
| Book Value | $2,995,260 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $18,531,762 | TotalBookValueLandBuildingsAmt |
| Total Book Value Securities | $1,809,908 | TotalBookValueSecuritiesAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| Deferred Lease | $36,154 |
| LTD-Leases | $1,541,791 |
| Rounding | $1 |
| Third Party Advances-Blue Cross-Other | $5,283,866 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $6,861,812 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $64,037,697 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $142,399 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | $142,399 | RevenueNotReportedAmt |
| Revenue Subtotal | $63,895,298 | RevenueSubtotalAmt |
| Other Revenues Not Included | $20,601,907 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $20,601,907 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $84,497,205 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $87,043,656 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $87,043,656 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $57,206 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $57,206 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $87,100,862 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part V, Line 4: Intended uses of the endowment fund. | The purpose of these donor-restricted funds is to provide a stable source of perpetual financial support for the Philhaven programs. |
| Part X : FIN48 Footnote | 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, 2021. |
| Part XI, Line 4b: Other revenue amounts included on 990 but not included in F/S | Restricted Contributions Net $44701 Expenses netted against revenues $57206 Grant - WellSpan Health $20500000 |
| Part XII, Line 4b: Other revenue amounts included on 990 but not included in F/S | Expenses netted against revenues $57206 |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 300.000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $41,470,992 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $32,099,948 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $9,371,044 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.10760 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $41,470,992 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $32,099,948 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $9,371,044 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.10760 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 5 | ActivitiesOrProgramsCnt |
| Persons Served | 2893 | PersonsServedCnt |
| Total Community Benefit Expns | $20,851 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $20,851 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $10,500 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $10,500 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 7 | ActivitiesOrProgramsCnt |
| Persons Served | 2893 | PersonsServedCnt |
| Total Community Benefit Expns | $31,351 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $31,351 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 7 | ActivitiesOrProgramsCnt |
| Persons Served | 2893 | PersonsServedCnt |
| Total Community Benefit Expns | $41,502,343 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $32,099,948 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $9,402,395 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.10790 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $82,206 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $82,206 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00090 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $80,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $80,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00090 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Persons Served | 15 | PersonsServedCnt |
| Total Community Benefit Expns | $125,415 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $125,415 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00140 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 4 | ActivitiesOrProgramsCnt |
| Persons Served | 15 | PersonsServedCnt |
| Total Community Benefit Expns | $287,621 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $287,621 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00320 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $2,593,567 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $40,978 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $9,795,140 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $14,159,057 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$4,363,917 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WellSpan Philhaven | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 283 South Butler Road | AddressLine1Txt |
| City | Mount Gretna | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 17064 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | http://www.wellspan.org | WebsiteAddressTxt |
| State License | 318550 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| Other | Behavioral Health Hospital | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| CHNA Conducted | 18 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (true) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (true) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | www.wellspan.org | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 18 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | www.wellspan.org | StrategyWebsiteURLTxt |
| Strategy Attached | false | StrategyAttachedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 300.0000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 350.0000 | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | www.wellspan.org | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | www.wellspan.org | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | www.wellspan.org | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | false | NondisEmergencyCarePolicyInd |
| Other Reason | Yes (X) | OtherReasonInd |
| Look Back Medicaid Medcr Prvt | Yes (X) | LookBackMedicaidMedcrPrvtInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Facility: - Part V, Section B, Line 5 | Community stakeholder engagement has been vital to the Community Health Needs Assessment (CHNA) process since it began in Adams County in 1996. Healthy Adams County (HAC)- a local health coalition representing the diversity of the community- has led each of the seven CHNAs that have been conducted. For the 2018 CHNA, HAC partnered with its sister health coalition in York County- the Healthy York County Coalition- to form a CHNA Planning Committee comprised of representatives from health and human service agencies, government entities, community-based organizations, higher education institutions, and other interested community members to assist with survey development data review and analysis, and results distribution. This core committee also assisted with sharing the data and associated community health priorities, once identified by Coalition leadership, to community members at a public forum in June 2016. WellSpan- Gettysburg Hospital is a funding partner and governance leader within Healthy Adams County and served on the CHNA Planning Committee. In that regard, Gettysburg Hospital partners to conduct the CHNA, disseminate its results both among hospital leadership and in the community, and integrate evidence-based strategies that impact identified community health needs into its annual planning process. Whether in meeting with community stakeholders of system-hospital leaders or at larger public forums, WellSpan-Gettysburg Hospital is committed to obtaining community input to ensure that the CHNA and its associated implementation strategies appropriately address the identified needs of the entire community. Additional details of how community members were engaged is included in Part VI- Needs Assessment. |
| Facility: - Part V, Section B, Line 6a | WellSpan Health is an integrated health system serving the communities of southcentral Pennsylvania and northern Maryland. 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. WellSpan York Hospital works with other parts of the system to provide a comprehensive approach to meeting community needs.WellSpan Health includes: WellSpan Gettysburg Hospital, WellSpan York Hospital, WellSpan Surgery and Rehabilitation Hospital, WellSpan Ephrata Community Hospital, WellSpan The Good Samaritan Hospital of Lebanon Pennsylvania, WellSpan Philhaven, Chambersburg Hospital, Waynesboro Hospital, Apple Hill Surgical Center, Summit Surgery Center, WellSpan VNA Home Health, WellSpan Medical Group, Northern Lancaster County Medical Group, Physician Specialists of Northern Lancaster County Medical Group, Good Samaritan Physician Services, Summit Physician Services, Chambersburg Health Services, WellSpan Population Health Services, WellSpan Pharmacy, Gettysburg Hospital Foundation, York Health Foundation, Ephrata Community Health Foundation, Good Samaritan Health Services Foundation, Summit Health Foundation, WellSpan Summit Health, WellSpan Provider Network, GSH Services, and WellSpan Medical Equipment.County-wide CHNA Lancaster Behavioral Health Hospital, Lancaster General Hospital, Lancaster Rehabilitation Hospital, UPMC Lititz, WellSpan Ephrata Community Hospital. WellSpan Philhaven's community benefit report is contained in a report prepared by their parent organization, WellSpan Health. See WellSpan Health - 2021 Community Benefit Report located at: https://www.wellspan.org/about/wellspan-in-the-community/2021-community-benefit-report/. |
| Facility: - Part V, Section B, Line 7d | With each iteration of the CHNA process, WellSpan- York Hospital and its community partners continue to refine and enhance the system by which it obtains data, shared it with key community, hospital and system leaders, and integrated it into the system-wide and entity-level planning processes. In 2018, the CHNA results and related priorities identified by Healthy York County Coalition were shared with the system-wide Planning Committee and WellSpan Health. This committee is comprised of community members and leaders that represent each of WellSpans primary entities and service areas, in addition to corporate leadership. Planning Committee members reviewed the CHNA data and designated system-wide priorities as: Care for all, including a focus on access to care and health equity; Behavioral health and lifelong wellness, which would incorporate behavioral health, substance use and addiction and lifelong wellness, and healthy communities and social determinants of health, which provide a deeper dive into community engagement, social determinants of health and violence prevention. Similarly, Healthy York County Coalition selected adult overweight and obesity, depression, and the social determinants of health as priorities- these priorities built on previously developed strategies that were a result of the 2015 CHNA, and also encourage a deeper dive into the WellSpan system-wide, organizational priorities. The established Healthy York County Coalition and WellSpan specific priorities and associated data were presented to the WellSpan- York Hospital Board for their adoption. Additionally, the CHNA data was presented to multiple members of WellSpans leadership team. Healthy York County Coalition communicated the CHNA results and identified priorities to more than 100 community members at a public forum held on June 7, 2018. During that forum, community members discussed the opportunities and risk associated with each priority, as well as how the organization which they represent can have an impact on the priority. In addition to these venues, CHNA results are available on the Healthy York County Coalition www.healthyyork.org and WellSpan Health www.wellspan.org websites, and may also be obtained upon request. The corresponding WellSpan Community Health Improvement Plan is also available on the WellSpan Health website. |
| Facility: - Part V, Section B, Line 11 | See attached 2019 WellSpan Community Health Improvement Plan, also available online at www.wellspan.org in Community Benefits section. |
| Facility: - Part V, Section B, Line 13h | WellSpan Health is committed to caring for all the members of its communities, regardless of their ability to pay. In recent years, overall charity care has decreased slightly as more people have obtained health insurance coverage through the Affordable Care Act and the expansion of Pennsylvanias Medical Assistance (Medicaid) program. WellSpan is proud to be a leading partner in the Healthy Community Network, which works to address the needs of uninsured and underinsured individuals in our community. In addition, the health system recently enhanced its financial assistance policy and the discounts that it provides on services. For example, if a patients income is less than 300 percent of the federal poverty level, that patient would be eligible for a 100 percent discount on the services provided. Additionally, significant discounts are available for patients whose income is between 300 percent and 350 percent of the federal poverty level. For more information on WellSpans Financial Assistance program, visit www.WellSpan.org/FinancialAssistance. |
| Facility: - Part V, Section B, Line 16j | In an effort to make patients, families and others in our communities aware of the newly expanded Financial Assistance Policy, WellSpan broadly publicized its policy via promotional signage and the distribution of easy-to-read informational materials at registration sites throughout our communities. WellSpan provided information on the Financial Assistance Policy on its billing statements and included information in patient discharge materials. In addition, the materials and information are easily accessible via WellSpans website at www.WellSpan.org/FinancialAssistance. The site reflects WellSpans newly enhanced policy, as well as informational and application materials. It was also publicized via WellSpans on-hold phone messaging system and in its direct-to-consumer community newsletter/magazine, which is distributed by mail, email and on-line. In addition, WellSpan placed posters and signage at its various sites of care to publicize its Financial Assistance Policy. Printed copies of WellSpan Healths entire financial assistance policy and the plain language summary of the policy, both of which are available in English and Spanish, may be obtained at no cost by visiting or calling one of the WellSpan patient financial services offices.The Financial Assistance Policy, Financial Assistance Application and Financial Assistance Policy Plain Language Summary are all available in Spanish. |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (18 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| Lancaster Child & Adol Day Program | ||||
| 780 Eden Road Bldg 5 | Lancaster | PA | 17601 | Behavioral Healthcare Clinic |
| York Child & Adol Day Program | ||||
| 1245A West Princess St | York | PA | 17404 | Behavioral Healthcare Clinic |
| WellSpan Philhaven Prince Street Programs | ||||
| 812 N Prince St | Lancaster | PA | 17604 | Behavioral Healthcare Clinic |
| Hathaway Park Outpatient Clinic | ||||
| 204 Hathaway Park | Lebanon | PA | 17042 | Behavioral Health Clinic |
| Lebanon Outpatient Clinic | ||||
| 962-964 Isabel Drive | Lebanon | PA | 17042 | Behavioral Healthcare Clinic |
| Ephrata Outpatient Clinic | ||||
| 354 N Reading Road | Ephrata | PA | 17522 | Behavioral Healthcare Clinic |
| CADD Outpatient Clinic | ||||
| 1886 Rohrerstown Road | Lancaster | PA | 17601 | Behavioral Healthcare Clinic |
| Lebanon ACT | ||||
| 20 South 8th Street Suite 1 | Lebanon | PA | 17042 | Behavioral Healthcare Clinic |
| WellSpan Philhaven Dauphin County Programs | ||||
| 2601 Herr St | Harrisburg | PA | 17103 | Behavioral Healthcare Clinic |
| Lancaster ACT | ||||
| 315 W James Street | Lancaster | PA | 17603 | Behavioral Healthcare Clinic |
| Lancaster Outpatient Clinic | ||||
| 2501 Oregon Pike Suite 105 | Lancaster | PA | 17601 | Behavioral Healthcare Clinic |
| Lebanon Crisis | ||||
| 229 South 4th Street | Lebanon | PA | 17042 | Crisis Intervention |
| Lancaster Diversion Program | ||||
| 101 Euclid Avenue | Lancaster | PA | 17603 | Community based residential behavioral health |
| Lancaster Area Psychiatric Services | ||||
| 750 Eden Road | Lancaster | PA | 17601 | Behavioral Healthcare Clinic |
| Water Street Outpatient Clinic | ||||
| 210 South Prince Street | Lancaster | PA | 17603 | Behavioral Healthcare Clinic |
| Paxton Street Outpatient Clinic | ||||
| 2001 Paxton Street | Harrisburg | PA | 17111 | Behavioral Healthcare Clinic |
| Lebanon Schneider Drive | ||||
| 125 Schneider Drive Suite B | Lebanon | PA | 17046 | Behavioral Healthcare Clinic |
| WellSpan Philhaven -Roosevelt Avenue | ||||
| 150 Roosevelt Avenue Suite 100 | York | PA | 17401 | Behavioral Health Clinic |
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 3c - Charity Care Eligibility Criteria (FPG Is Not Used) | Patients 401% of poverty level and greater do not qualify for financial assistance. Patients/guarantors who complete an application for Financial Assistance whose gross income falls between 351-400% of the FPL level and meet all other Financial Assistance qualifications (MAP 118) will be eligible for a 40% discount of self-pay balances. |
| Part I, Line 6a - Related Organization Community Benefit Report | Community Benefit Information is included in the Community Benefit Report for WellSpan Health. |
| Part III, Line 2 - Methodology Used To Estimate Bad Debt Expense | The number was calculated using the cost to charge ratio factor applied against actual patient bad debt write-offs. |
| Part III, Line 3 - Methodology of Estimated Amount & Rationale for Including in Community Benefit | The estimate of bad debt attributable to charity care policy was calculated by dividing the bad debt amount that was originally coded bad debt but later found to qualify as charity care by the amount coded to the charity care write-off codes. This ratio is applied to the bad debt cost factor expense. |
| Part III, Line 4 - Bad Debt Expense | The Company 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 amounts 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 the Company ceases collection efforts. Losses have been consistent with management's expectations in all material respects. |
| Part III, Line 9b - Provisions On Collection Practices For Qualified Patients | 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. Upon final PARO (Payment Assistance Rank Ordering) scoring, if a patient qualifies for presumptive charity, their account would not be forwarded to any third party collections. 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. |
| Part VI, Line 2 - Needs Assessment | After its affiliation with WellSpan Health, a regional health care system, WellSpan-Philhaven adopted the 2015 CHNA conducted by WellSpan. This CHNA enabled WellSpan-Philhaven to access primary data collected across its multiple county service area, share it with key community, hospital and system leaders, and integrate it into the system-wide and entity-level planning processes. Through the consulting support of the Floyd Institute for Public Policy at Franklin and Marshall College, a representative sample of 2,230 adults across the four-county region (461 Adams County, 500 Lancaster, 470 Lebanon, and 799 York) were interviewed between two time periods- December 4- February 25, 2017 and March 26- May 13, 2018 using survey questions derived from the Behavioral Risk Factor Surveillance System (BRFSS), a validated survey tool utilized by the Centers for Disease Control and Prevention (CDC). BRFSS questions were organized into four categories: healthcare access, behavioral risk, health conditions, and prevention behaviors and context. Supplemental secondary data from the Robert Wood Johnson Foundation (RWJF) annual County Health Rankings and from the Pennsylvania Department of Health was compiled and integrated into the 2018 CHNA. The 2018 CHNA planning process engaged a wide range of community organizations serving the diverse interests of key partners in each of the four counties assessed. The CHNA was developed utilizing consulting support and guidance through a contract with the Floyd Institute for Public Policy at Franklin and Marshall College. The collaborative efforts of the community stakeholders determined the survey questions to be asked of the community; discussed data collection methodology, including sample size and method of obtaining data; reviewed the raw data and supporting charts/ graphs; identified potential community health priorities, and; developed the process by which results and priorities were to be shared with the community. Data collected and analyzed by the Floyd Institute for Public Policy included breakdowns by age, gender, geographic area, race/ethnicity, and income level, and enabled the development of charts/graphs focused on: quantity of residents affected; health risks and disability-adjusted life years; correlates of obesity and depression (two significant health priorities); health disparities, and social determinants of health impact. This information is included in the 2018 Community Health Needs Assessment Summary Report available at www.wellspan.org.CHNA results and related priorities identified by each countys health coalition and other pertinent community stakeholder groups were shared with the system-wide Planning Committee at WellSpan Health, a committee comprised of community members and leaders that represent each of WellSpans primary entities and service areas, in addition to corporate leadership. Planning Committee members reviewed the CHNA data, and designated system-wide priorities as: Care for all, including a focus on access to care and health equity; Behavioral health and lifelong wellness, which would incorporate behavioral health, substance use and addiction and lifelong wellness, and healthy communities and social determinants of health, which provide a deeper dive into community engagement, social determinants of health and violence prevention. The identified priorities and associated data were subsequently presented to the Board of Directors at each WellSpan hospital facility for their adoption. Board members discussed the data and identified priorities within the context of existing staffing and financial resources, current and future entity initiatives, and community partnership opportunities to address systemic community change. The final CHNA report, along with the WellSpan Community Health Improvement Plan (CHIP) was presented in June 2019 to the Planning Committee, at which time correlations were observed between the CHNA, CHIP and the WellSpan 2025 Strategic Plan. |
| Part VI, Line 5 - Promotion of Community Health | As the largest behavioral health provider in southcentral Pennsylvania, WellSpan-Philhaven is committed to transforming care by integrating behavioral and physical health services in the primary care setting, training hundreds of community members in mental health first aid and increasing awareness of and prevention opportunities for key behavioral health issues. WellSpan-Philhaven also plays leadership roles on community behavioral health-related task forces including Let's Talk Lancaster; the Lebanon County Suicide Prevention Task Force; and multiple county-level opioid prevention committees.In 2021, WellSpan-Philhaven accomplished the following:* Offered 13 Mental Health First Aid training sessions at no cost to participants and equipped 133 community members with skills needed to recognize and respond to signs of mental illness and those in crisis. * Trained more than 255 community members on the warning signs of suicidal crisis as well as how to respond and seek help using the Question, Persuade and Refer (QPR) program. More than 120 individuals participated in coordinated virtual and in-person suicide prevention activities.* Reached 66 parents across the region with workshops to help create a healthy relationship with their children and deal with challenging behavior in a positive way.* Educated more than 2,200 WellSpan health care providers on crisis intervention. * Launched a Mental Health Awareness video, viewed by 100 people, that will be shared more widely in coming year.* Enhanced the visibility and utilization of the web and mobile tool myStrength, which helps people stay mentally strong, and*Support masters and doctoral level internships within primary care and specialty practice offices.Since its integration with WellSpan Health, WellSpan-Philhaven has also participated in system-wide initiatives to encourage lifelong wellness, has remained committed to improving the communitys access to care and has supported the development and maintenance of partnerships throughout the region. Programmatically, WellSpan Philhaven engaged in activities such as the 8th annual 10 Pound Throwdown. The 10 Pound Throwdown is a 10-week community challenge that encourages participants to lose or maintain a healthy weight through healthier eating and increased physical activity. The initiative was created in 2013 to address the growing issue of adult overweight/obesity and utilizes a core website (www.10poundthrowdown.com) to encourage team participation and to offer an online weight tracker, badges to encourage healthier choices, and diverse health education resources. In 2021, the 10 Pound Throwdown engaged 7,200 community members across five southcentral Pennsylvania counties -Adams, Franklin, Lancaster, Lebanon, and York. address the shared community health priorities of depression (mental health) and adult overweight/obesity.Regionally, WellSpan helps to provide thousands of uninsured and underinsured community members with access to care through its Healthy Community Network program. The network assisted 2,221 community members in need in 2021 and provided financial assistance for nearly 16,000 prescriptions for individuals who would otherwise have struggled to afford their medications. WellSpan financially supports the strong safety net of health care services across the region including FQHCs and medical clinics. WellSpan-Philhaven is engaged with the Dixon Foundation Health Center in Lebanon County, and provides primary care, behavioral health, and other essential health services for county residents. WellSpan-Philhaven remains actively involved in the numerous opioid and prescription drug use programs that have been developed to combat addiction throughout our region. These efforts include the admission of 667 patients into the Medication Assisted Treatment (MAT) program, which combines the use of medication and behavioral therapy to treat people with substance use disorders; and continued support of both Lancaster and York counties overdose prevention programs, Project Lazarus. The MAT program stems from a grant awarded in 2017 to WellSpan Philhaven to provide MAT for opioid addiction; a subsequent grant has allowed for the expansion of services to support patients ongoing recovery. Additional efforts to respond to the opioid epidemic in 2021 include:Launched the only regional 24/7 call center based in a local health system that provides support to those affected by addiction, as well helping to navigate patients to treatment networks, including WellSpans own. Over 500 callers benefited from this service in FY21.Opened an innovative clinic in York focused on mental health and addiction treatment access and stabilization with an emphasis on the patients own treatment goals. START provides medical, mental health, and addiction treatment all at the same site. START completed over 300 Emergency Room diversions resulting in improved care for these patients and creating improved access to Emergency and hospital care.Additional examples of how WellSpan-Philhaven has advanced behavioral health and fulfilled its community mission across southcentral Pennsylvania may be found in the 2021 WellSpan Community Benefit Report- available online at www.wellspan.org. |
| Part VI, Line 6 - Affilated Health Care System | WellSpan Health is an integrated health system serving the communities of southcentral Pennsylvania and northern Maryland. 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. Philhaven works with other parts of the system to provide a comprehensive approach to meeting community needs.Philhaven focuses on treating the whole person mind, body and spirit. Philhaven offers services for all ages and various levels of care, including hospitalization, day programs, outpatient counseling, and services in the home, school, and community. In January 2016, WellSpan Health and Philhaven came together to create a new behavioral health organization that operates within WellSpans coordinated system of care and works to help friends and neighbors across central Pennsylvania achieve better mental, emotional, and physical health.WellSpan Health includes: WellSpan Gettysburg Hospital, WellSpan York Hospital, WellSpan Surgery and Rehabilitation Hospital, WellSpan Ephrata Community Hospital, WellSpan The Good Samaritan Hospital of Lebanon Pennsylvania, WellSpan Philhaven, Chambersburg Hospital, Waynesboro Hospital, Apple Hill Surgical Center, Summit Surgery Center, WellSpan VNA Home Health, WellSpan Medical Group, Northern Lancaster County Medical Group, Physician Specialists of Northern Lancaster County Medical Group, Good Samaritan Physician Services, Summit Physician Services, Chambersburg Health Services, WellSpan Population Health Services, WellSpan Pharmacy, Gettysburg Hospital Foundation, York Health Foundation, Ephrata Community Health Foundation, Good Samaritan Health Services Foundation, Summit Health Foundation, WellSpan Summit Health, WellSpan Provider Network, GSH Services, and WellSpan Medical Equipment.Philhaven's community benefit report is contained in a report prepared by its parent organization, WellSpan Health. See Attached Federal Supplemental Information: WellSpan Health - 2021 Community Benefit Report. |
| Part VI, Line 7 - States Filing of Community Benefit Report | PA |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (true) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Anne Lavin | ||||||||||||||
| Disc Chief Soc Svc | $109,791 | $12,194 | $75 | $21,275 | $25,542 | $168,877 | ||||||||
| Audrey Simmons | ||||||||||||||
| Dir - Inpatient Sv | $134,599 | $13,455 | $5,822 | $23,943 | $177,819 | |||||||||
| Carrie Willetts | ||||||||||||||
| SR VP | $430,948 | $143,574 | $11,619 | $48,891 | $635,032 | $52,199 | ||||||||
| Dale Brickley | ||||||||||||||
| Psychologist | $134,286 | $13,683 | $2,671 | $5,757 | $42,089 | $198,486 | ||||||||
| Edward Tadajweski MD | ||||||||||||||
| Director | $734,360 | $1,200 | $15,955 | $50,923 | $802,438 | |||||||||
| Heidi McMullan | ||||||||||||||
| Dir - Patient Care | $158,600 | $14,491 | $6,774 | $11,693 | $191,558 | |||||||||
| Karen Jones | ||||||||||||||
| Former Director | $510,653 | $160,270 | $28,328 | $35,605 | $734,981 | $62,040 | $125 | |||||||
| Mantha Kotsalos | ||||||||||||||
| Former Director | $172,930 | $9,500 | $3,709 | $7,109 | $42,768 | $236,016 | ||||||||
| Matthew Rogers | ||||||||||||||
| Former Director | $145,323 | $11,598 | $6,313 | $24,157 | $190,221 | $2,830 | ||||||||
| Melanie Baer | ||||||||||||||
| Disc Chief Pysch | $134,850 | $7,100 | $2,185 | $5,637 | $42,359 | $192,131 | ||||||||
| Michael O'Connor | ||||||||||||||
| Former Director | $611,969 | $404,687 | $123,405 | $85,586 | $3,267,878 | $2,042,158 | $2,042,231 | |||||||
| Mike Seim | ||||||||||||||
| Sr. VP | $438,755 | $52,800 | $7,015 | $37,511 | $558,984 | $18,133 | $22,903 | |||||||
| Philip Hess | ||||||||||||||
| Pres./Director | $277,846 | $94,573 | $5,719 | $11,481 | $36,092 | $425,711 | $34,390 | |||||||
| Roxanna Gapstur | ||||||||||||||
| CEO-WSH/Dir. | $1,091,608 | $440,000 | $11,619 | $60,941 | $1,604,168 | $242,000 | ||||||||
| Sara Wright | ||||||||||||||
| Former Director | $163,724 | $16,557 | $7,114 | $37,326 | $224,721 | |||||||||
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| Britton Consulting Group | |||
| Partner Britton | $22,575 | Team retreats, Exec Coach | false |
| Arthur Funk & Sons | |||
| President Funk | $1,767,140 | Dixon Ctr GSH Projects | false |
| Beers and Hoffman | |||
| Empl Hoffman | $157,009 | Design projects | false |
| Garden Spot | |||
| CEO Lindsey | $1,587,117 | Lease spaces | false |
Schedule M IRS990ScheduleM
Securities Publicly Traded SecuritiesPubliclyTradedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contribution | 3 | ContributionCnt |
| Noncash Contributions Rpt F990 | $88,666 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | false | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | false | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et | Reyna Britton serves as a director on the East Region Board of Directors. Her husband, Duane Britton serves on the Health Planning Committee as Vice Chair. |
| Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder | WellSpan Health, a not for profit corporation, is the sole member. |
| Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body | The Board of Directors of the Organization shall be elected 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 persons, nor more that eighteen persons. Additionally, the President of the Organization and the President of the Medical Staff of the Organization shall be Directors, ex officio.All Directors shall be selected for their experience, relevant areas of interest and expertise, and ability and willingness to participate actively and effectively in fulfilling the Board of Directors' responsibilities without conflicting interests. |
| Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders | The Member may, with respect to the Organization, initiate and implement any of the following actions, and if any of the following actions are otherwise initiated by the Organization, such action shall not become effective unless approved by the Member:(a) Approval of the Organization's articles of incorporation and bylaws and amendments thereto;(b) Approval of all fundamental transactions involving the Organization, including, without limitation, the reorganization, merger, or dissolution of the Organization or the sale or disposition of substantially all of the assets of the Organization;(c) Approval of investment of the Organization's assets;(d) Approval of issuance of the Organization's debt;(e) Approval of the transfer or sale of Organization assets in excess of limits established by a Member-approved asset sale policy;(f) Approval of operating and capital budgets for the Organization;(g) Approval of capital expenditures by the Organization in excess of a Member-approved Organization capital budget;(h) Approval of Member's capital contributions to the Organization;(i) Approval of changes to the Organization's licenses;(j) Selection of outside financial auditors, legal counsel or investment advisors for the entire System, including approval of any outside legal counsel that may be recommended by the Organization for the Organization's particular needs or activities;(k) Nominating (with appropriate input from the governance and administration of the Organization) and appointing the Organization's board members;(l) Prior review and approval of the Organization's officers (except for the Organization's President, whose appointment requires the concurrence of both Member and the Organization's Boards);(m) Removal of board members of the Organization for cause;(n) Approval of the Organization's statement of mission and vision, strategic and operating plans and charity care policy;(o) Approval of the Organization's creation of new or material changes to existing lines of business, sites of business, and participation in partnerships or joint ventures; and(p) Approval of all managed care and other third party contracts for the Organization. |
| Form 990, Part VI, Line 11b: Form 990 Review Process | 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. |
| Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts | Officers, directors, and key employees fill out a WellSpan Health Conflict of Interest Disclosure Statement questionnaire annually. The questionnaire is administered by the Internal Audit Department of WellSpan Health, the Parent Company.There shall be full disclosure by any Director having a business or personal interest or relationship which may be in conflict with the interests of the Corporation. After such disclosure the Director shall abide by the determination of the Board of Directors as to whether a conflict exists, the extent to which, if at all, the Director will be permitted to be present during the Board of Directors' discussion of the matter in which the Director may be interested, and whether the Director will be permitted to participate in such discussion and cast a vote in such matter. |
| Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees | 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 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 Available | Governing documents, policies, and financial statements are available upon request. |
| Signature Block - Paid Preparer Explanation | Paid 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/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Gettysburg Hospital | ||||||||||
| PO Box 2767 | York | PA | 174052767 | 231352220 | Health Care Services | PA | 501(c)(3) | 3 | WellSpan Health | false |
| Gettysburg Hospital Foundation | ||||||||||
| PO Box 2767 | York | PA | 174052767 | 232251358 | Fundraising to support GH | PA | 501(c)(3) | 12 Type I | Gettysburg Hospital | false |
| Healthy Community Pharmacy | ||||||||||
| PO Box 2767 | York | PA | 174052767 | 200519121 | Reduced Rx for uninsured | PA | 501(c)(3) | 12 Type I | WellSpan Health Care Services | false |
| VNA Community Services | ||||||||||
| PO Box 2767 | York | PA | 174052767 | 232338591 | Home personal care services for elderly | PA | 501(c)(3) | 10 | WellSpan Specialty Services | false |
| VNA Home Health Services | ||||||||||
| PO BOx 2767 | York | PA | 174052767 | 231352573 | Home Health Services | PA | 501(c)(3) | 10 | WellSpan Specialty Services | false |
| Wellspan Health | ||||||||||
| PO BOx 2767 | York | PA | 174052767 | 222517863 | Intergrated Health System | PA | 501(c)(3) | 12 Type III | NA | false |
| Wellspan Health Care Services | ||||||||||
| PO Box 2767 | York | PA | 174052767 | 232400237 | Health-related activities in the service | PA | 501(c)(3) | 12 Type II | WellSpan Health | false |
| Wellspan Medical Group | ||||||||||
| PO Box 2767 | York | PA | 174052767 | 232730785 | Medical and surgical care | PA | 501(c)(3) | 10 | WellSpan Health | false |
| York Health Foundation | ||||||||||
| PO Box 2767 | York | PA | 174052767 | 233050192 | Charitable contributions for wellspan | PA | 501(c)(3) | 12 Type III | WellSpan Health | false |
| York Hospital | ||||||||||
| PO Box 2767 | York | PA | 174052767 | 231352222 | Community Teaching Hospital | PA | 501(c)(3) | 3 | WellSpan Health | false |
| Wellspan Surgery & Rehab Hospital | ||||||||||
| PO Box 2767 | York | PA | 174052767 | 232899911 | Surgery and Rehabilitation Hospital | PA | 501(c)(3) | 3 | WellSpan Health | false |
| Wellspan Properties Inc | ||||||||||
| PO Box 2767 | York | PA | 174052767 | 222842252 | Leases facilities to affiliates | PA | 501(c)(3) | 12 Type II | WellSpan Health Care Services | false |
| Ephrata Community Hospital | ||||||||||
| PO Box 2767 | York | PA | 174052767 | 231370484 | Health Care Services | PA | 501(c)(3) | 3 | WellSpan Health | false |
| Ephrata Community Health Foundation | ||||||||||
| PO Box 2767 | York | PA | 174052767 | 880940005 | Fundraising for Ephrata Hospital | PA | 501(c)(3) | 12 Type I | Ephrata Community Hospital | false |
| Northern Lancaster County Medical Group | ||||||||||
| PO Box 2767 | York | PA | 174052767 | 203033058 | Medical and surgical care | PA | 501(c)(3) | 12 Type II | Ephrata Community Hospital | false |
| Phys Spec of Northern Lanc Co Med Group | ||||||||||
| PO BOx 2767 | York | PA | 174052767 | 452537633 | Physician practices | PA | 501(c)(3) | 12 Type II | Northern Lancaster County Medical Group | false |
| The Good Samaritan Hospital of Lebanon | ||||||||||
| PO Box 2767 | York | PA | 174052767 | 230794160 | Health Care Services | PA | 501(c)(3) | 3 | WellSpan Health | false |
| Good Samaritan Health Service Foundation | ||||||||||
| PO Box 2767 | York | PA | 174052767 | 232356151 | Fundraising for Good Samaritan | PA | 501(c)(3) | 12 Type I | Good Samaritan Hospital | false |
| Good Samaritan Phyisican Services | ||||||||||
| PO BOx 2767 | York | PA | 174052767 | 251832359 | Medical and Surgical Care | PA | 501(c)(3) | 10 | Good Sam Health Services Foundation | false |
| Apple Hill Surgical Center Inc | ||||||||||
| PO BOx 2767 | York | PA | 174052767 | 222842253 | Sole GP in limited ptnrshp operating sur | PA | 501(c)(3) | 10 | WellSpan Health Care Services | false |
| WellSpan Summit Health | ||||||||||
| PO Box 2767 | York | PA | 174052767 | 251515371 | Integrated Health System | PA | 501(c)(3) | 7 | WellSpan Health | false |
| Waynesboro Hospital | ||||||||||
| PO Box 2767 | York | PA | 174052767 | 231360854 | Health Care Services | PA | 501(c)(3) | 3 | WellSpan Summit Health | false |
| Chambersburg Hospital | ||||||||||
| PO Box 2767 | York | PA | 174052767 | 230465970 | Health Care Services | PA | 501(c)(3) | 3 | WellSpan Summit Health | false |
| Summit Physician Services | ||||||||||
| PO Box 2767 | York | PA | 174052767 | 251716306 | Medical and surgical care | PA | 501(c)(3) | 10 | WellSpan Summit Health | false |
| Summit Health Foundation | ||||||||||
| PO Box 2767 | York | PA | 174052767 | 831196554 | Fundraising for Health Care System | PA | 501(c)(3) | 12 Type II | WellSpan Summit Health | false |
| Chambersburg Health Services | ||||||||||
| PO Box 2767 | York | PA | 174052767 | 251515376 | Health care services | PA | 501(c)(3) | 12 Type I | WellSpan Summit Health | false |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (8 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd |
|---|---|---|---|---|---|---|---|---|---|
| Apple Hill Surgical Center Partners | |||||||||
| PO Box 2767 | York | PA | 174052767 | 232489452 | Surgical cn | PA | NA | false | false |
| Central PA Alliance Laboratories LLC | |||||||||
| PO Box 2767 | York | PA | 174052767 | 232910950 | Ref. Lab | PA | NA | false | false |
| Littlestown Health Care Partners | |||||||||
| 300 West King Street | Littlestown | PA | 17340 | 232880464 | Lease Facility | PA | NA | false | false |
| Cherry Tree Cancer Center LLP | |||||||||
| PO Box 2767 | York | PA | 174052767 | 232915628 | Radiation | PA | NA | false | false |
| The Rehab Center | |||||||||
| 855 Springdale Drive Suite 20 | Exton | PA | 19341 | 251687903 | Physical Therapy Rehab | PA | NA | false | false |
| Surgery Center Associates | |||||||||
| 785 5th Avenue | Chambersburg | PA | 17201 | 251845304 | Healthcare | PA | Chambersburg Health | false | false |
| Summit Surgery Center | |||||||||
| 785 5th Avenue | Chambersburg | PA | 17201 | 251845303 | Health care | PA | Chambersburg Health | false | false |
| Cumberland Valley Mobile Services | |||||||||
| 5 South Main St | Sugarloaf | PA | 18249 | 200884014 | Physician Services | PA | Chambersburg Health | false | false |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (8 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| GSH Realty Inc | |||||||||
| PO Box 2767 | York | PA | 174052767 | 251832359 | Non. res. real estate | PA | WSH Care Services | C corp | false |
| Wellspan Pharmacy Inc | |||||||||
| PO Box 2767 | York | PA | 174052767 | 232374072 | Dispense Rx & provides IV therapy | PA | NA | C corp | false |
| Wellspan Reciprocal Risk Retention Group | |||||||||
| PO Box 2767 | York | PA | 174052767 | 200048457 | Risk Retention Group | PA | NA | C corp | false |
| York Health Plan | |||||||||
| PO Box 2767 | York | PA | 174052767 | 232664989 | Preferred Provider Organization | PA | NA | C corp | false |
| Wellspan Provider Network | |||||||||
| PO Box 2767 | York | PA | 174052767 | 232907828 | Coord. managed risk contracts | PA | NA | C corp | false |
| Apple Hill Condominium Association | |||||||||
| PO Box 2767 | York | PA | 174052767 | 232504543 | Condo Mgmt Association | PA | NA | Homeowner Assoc | false |
| Northern Lanc Co Phys Hosp Alliance | |||||||||
| PO Box 2767 | York | PA | 174052767 | 232421885 | Coord Phys & Hospital | PA | NA | C corp | false |
| Ephrata Health Pavilion Condo Assoc | |||||||||
| PO Box 2767 | York | PA | 174052767 | 475367279 | Condo association | PA | Ephrata Hospital | C corp | false |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (true) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (true) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Wellspan Health | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | c | TransactionTypeTxt |
| Involved | $20,500,000 | InvolvedAmt |
| Method Of Amount Determination | General Ledger | MethodOfAmountDeterminationTxt |