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GETTYSBURG HOSPITAL: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
GETTYSBURG HOSPITAL (EIN 23-1352220)
Tax period
2020-07-01 to 2021-06-30
Filed
2022-05-13
IRS object ID
202221339349307322
Schema version
2020v4.0
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2022-05-13T12:36:52-07:00ReturnTs
Tax Period End2021-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN135381590PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1WellSpan HealthBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

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

Filer Filer

FieldValueIRS element (for citing)
EIN231352220EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1GETTYSBURG HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlGETTBusinessNameControlTxt
Phone7178513055PhoneNum

US Address USAddress

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

Business Officer BusinessOfficerGrp

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

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

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

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSee AttachedPreparerPersonNm
PTINP01871563PTIN
Phone7038930600PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

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

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerRoxanna GapsturPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 2767AddressLine1Txt
CityYORKCityNm
State AbbreviationPAStateAbbreviationCd
ZIP174052767ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$403,867,894GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.WELLSPAN.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1919FormationYr
Legal Domicile StatePALegalDomicileStateCd
Activity Or MissionThe Gettysburg Hospital is a tax-exempt organization dedicated to providing high quality health care services for the people who live, work, travel through, and vacation in Adams County, Pennsylvania and northern Maryland.ActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee1129TotalEmployeeCnt
Total Volunteers469TotalVolunteersCnt
Total Gross UBI$593,871TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$51,713NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$5,349,756PYContributionsGrantsAmt
CY Contributions Grants$4,848,503CYContributionsGrantsAmt
PY Program Service Revenue$255,339,136PYProgramServiceRevenueAmt
CY Program Service Revenue$302,416,809CYProgramServiceRevenueAmt
PY Investment Income$3,300,306PYInvestmentIncomeAmt
CY Investment Income$5,901,063CYInvestmentIncomeAmt
PY Other Revenue$709,293PYOtherRevenueAmt
CY Other Revenue$521,689CYOtherRevenueAmt
PY Total Revenue$264,698,491PYTotalRevenueAmt
CY Total Revenue$313,688,064CYTotalRevenueAmt
PY Grants And Similar Paid$23,835,386PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$24,341,210CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$69,753,033PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$72,048,619CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$146,909,363PYOtherExpensesAmt
CY Other Expenses$168,915,515CYOtherExpensesAmt
PY Total Expenses$240,497,782PYTotalExpensesAmt
CY Total Expenses$265,305,344CYTotalExpensesAmt
PY Revenues Less Expenses$24,200,709PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$48,382,720CYRevenuesLessExpensesAmt
Total Assets BOY$369,316,896TotalAssetsBOYAmt
Total Assets EOY$473,858,011TotalAssetsEOYAmt
Total Liabilities BOY$86,474,595TotalLiabilitiesBOYAmt
Total Liabilities EOY$82,921,300TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$282,842,301NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$390,936,711NetAssetsOrFundBalancesEOYAmt
MissionThe Gettysburg Hospital is a tax-exempt organization dedicated to providing high quality health care services for the people who live, work, travel through, and vacation in Adams County, Pennsylvania and northern Maryland.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$217,112,476ExpenseAmt
Grant$24,341,210GrantAmt
Revenue$302,416,809RevenueAmt
DescLocated in historic Gettysburg, Pennsylvania, Gettysburg Hospital has been serving the communities of Adams county and northern Maryland for more than 100 years.Beyond the acute care hospital, it has grown to be a comprehensive health-care provider with family health centers across the region, a very special maternity center, heart center, home health services, preventive health education and screening programs, and 24-hour emergency services.Gettysburg Hospital is this area's resource for meeting health and wellness needs. As a WellSpan Health hospital, Gettysburg Hospital and all of its facilities serve the community with the highest quality of care, compassion, and excellence.See WellSpan Health - 2021 Community Benefit Report located at https://www.wellspan.org/about/wellspan-in-the-community/2021-community-benefit-report/Desc
Total Program Service Expenses$217,112,476TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (true)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (true)ReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee1129EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Form8282 Filed0Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members14GoverningBodyVotingMembersCnt
Independent Voting Member7IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldPAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonDAVID RIZZUTOPersonNm
Phone7178513055PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerInd
Michael O'Connor
Former Director0.0040.00$0$3,058,887$208,991
Roxanna Gapstur
Pres & CEO -WSH1.0040.00$0$1,531,608$72,560Yes (X)Yes (X)
Sherri Stahl
Vice President1.0040.00$0$629,634$64,127Yes (X)Yes (X)
Edward Mackle MD
Director1.0040.00$0$557,905$80,805Yes (X)
Jane Hyde
Former Director40.000.00$500,900$0$109,473
Mike Seim
Vice President1.0040.00$0$514,458$44,526Yes (X)Yes (X)
Kevin Lorentsen MD
Director1.0040.00$0$490,304$46,020Yes (X)
Philip Nicholson MD
Former Director0.0040.00$0$470,241$65,795
Paul Dende DO
Former Director0.0040.00$0$427,778$54,996
David Doud
Director1.0040.00$0$337,661$57,504Yes (X)
Angela Johnston
VP-Patient Care40.000.00$249,539$0$68,061
Michael Cogliano
President40.000.00$244,084$0$56,253Yes (X)Yes (X)
Michelle Williams
Manager-Pharm40.000.00$221,294$0$38,036
Jeffrey Moyer
Pharmacist40.000.00$187,117$0$61,271
Melissa Hess
Admin-Clinical Ops40.000.00$193,056$0$49,897
Jasminka Lolic
Pharmacist40.000.00$189,016$0$37,475
Orvil McBeth Jr MD
Former Director0.0040.00$0$154,684$44,818
Laura Buczkowski
SR VP & CFO WSH1.0040.00$0$55,289$7,796Yes (X)
Nancy Myers Esq
Director1.000.00$0$0$0Yes (X)
Edie Jardine
Director1.000.00$0$0$0Yes (X)
Julie Ramsey
Chairman1.000.00$0$0$0Yes (X)
Denis Onieal
Director1.000.00$0$0$0Yes (X)
Cheryl Plummer
Chairman1.000.00$0$0$0Yes (X)
Stephen Holoviak
Director1.000.00$0$0$0Yes (X)
Horace Martin MD
Director1.000.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,785,006TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$8,228,449TotReportableCompRltdOrgAmt
Total Other Compensation$1,168,404TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K79IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Healthtrust Workforce Solutions
6565 N MacArthur Blvd Ste 325IrvingTX750392475Staffing Services$547,147
Quest Diagnostics
PO Box 912512PasadenaCA911102512Lab services$1,804,140
HCSC Laundry
PO Box 25092Lehigh ValleyPA18002Laundry services$498,634
Trans Time Express
PO Box 3303West McleanVA22103Delivery services$474,159
HealthWorks Inc
515 Old Swede RoadDouglassvillePA19518Temporary help$608,544
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K11CntrctRcvdGreaterThan100KCnt
Related Organizations$578,795RelatedOrganizationsAmt
Government Grants$4,579,867GovernmentGrantsAmt
All Other Contributions-$310,159AllOtherContributionsAmt
Total Contributions$4,848,503TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
Bad Debt W/O621110-$12,113,905-$12,113,905
Free Services W/O621110-$3,589,878-$3,589,878
Net Patient Service621500$318,120,592$317,526,721$593,871
FieldValueIRS element (for citing)
Total Program Service Revenue$302,416,809TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,498,898TotalRevenueColumnAmt
Exclusion$1,498,898ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

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

Royalties Revenue RoyaltiesRevenueGrp

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

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$321,060RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$366,008RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real-$44,948RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$44,948TotalRevenueColumnAmt
Exclusion-$44,948ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$94,149,105SecuritiesAmt
Other$66,882OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$89,750,065SecuritiesAmt
Other$63,757OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$4,399,040SecuritiesAmt
Other$3,125OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,402,165TotalRevenueColumnAmt
Exclusion$4,402,165ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

Net Income From Gaming NetIncomeFromGamingGrp

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

Net Income Or Loss NetIncomeOrLossGrp

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

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
Contract Revenue900099$118,125$118,125
Corner Cafe & Cafeteria722210$172,346$172,346
Gift Shop Sales453220$198,792$198,792

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$77,374TotalRevenueColumnAmt
Exclusion$77,374ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$566,637OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$313,688,064TotalRevenueColumnAmt
Related Or Exempt Func Income$301,822,938RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$593,871UnrelatedBusinessRevenueAmt
Exclusion$6,422,752ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$24,341,210TotalAmt
Program Services$24,341,210ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$300,337TotalAmt
Program Services$300,337ProgramServicesAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$52,361,648TotalAmt
Program Services$41,829,211ProgramServicesAmt
Management And General$10,532,437ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$2,828,448TotalAmt
Program Services$2,262,758ProgramServicesAmt
Management And General$565,690ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$12,599,564TotalAmt
Program Services$10,079,651ProgramServicesAmt
Management And General$2,519,913ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$3,958,622TotalAmt
Program Services$3,166,898ProgramServicesAmt
Management And General$791,724ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$53,409,206TotalAmt
Program Services$42,727,365ProgramServicesAmt
Management And General$10,681,841ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$60,344TotalAmt
Program Services$48,275ProgramServicesAmt
Management And General$12,069ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$4,783,643TotalAmt
Program Services$3,826,914ProgramServicesAmt
Management And General$956,729ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$34,945TotalAmt
Program Services$27,956ProgramServicesAmt
Management And General$6,989ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$512,466TotalAmt
Program Services$409,973ProgramServicesAmt
Management And General$102,493ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$3,358,580TotalAmt
Program Services$2,686,864ProgramServicesAmt
Management And General$671,716ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$27,225TotalAmt
Program Services$21,780ProgramServicesAmt
Management And General$5,445ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$13,004TotalAmt
Program Services$10,403ProgramServicesAmt
Management And General$2,601ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,754,915TotalAmt
Program Services$1,403,932ProgramServicesAmt
Management And General$350,983ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$7,919,437TotalAmt
Program Services$6,335,549ProgramServicesAmt
Management And General$1,583,888ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,960,943TotalAmt
Program Services$1,568,754ProgramServicesAmt
Management And General$392,189ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Direct Supplies$43,169,544$34,535,635$8,633,909
Outside Services$42,578,866$34,063,093$8,515,773
Repair & Maintenance$3,635,112$2,908,090$727,022
Taxes & Licenses$3,370,433$2,696,346$674,087

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$2,326,852TotalAmt
Program Services$1,861,482ProgramServicesAmt
Management And General$465,370ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$265,305,344TotalAmt
Program Services$217,112,476ProgramServicesAmt
Management And General$48,192,868ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$667,782BOYAmt
EOY$777,818EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$11,950,270BOYAmt
EOY$11,758,464EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$104,439BOYAmt
EOY$89,239EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$28,939,832BOYAmt
EOY$39,150,902EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$20,722,215BOYAmt
EOY$50,394,848EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$2,290,386BOYAmt
EOY$2,532,042EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,417,604BOYAmt
EOY$1,264,885EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$127,688,743LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$78,034,043LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$51,610,339BOYAmt
EOY$49,654,700EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$65,079,184BOYAmt
EOY$239,729,919EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$159,177,625BOYAmt
EOY$43,953,633EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$4,321,914BOYAmt
EOY$3,976,803EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$23,035,306BOYAmt
EOY$30,574,758EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$369,316,896BOYAmt
EOY$473,858,011EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$4,803,001BOYAmt
EOY$4,980,853EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$23,430,947BOYAmt
EOY$19,945,960EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$42,460,041BOYAmt
EOY$44,262,531EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$1,288,310BOYAmt
EOY$1,523,364EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$14,492,296BOYAmt
EOY$12,208,592EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$86,474,595BOYAmt
EOY$82,921,300EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$261,361,307BOYAmt
EOY$364,810,874EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$21,480,994BOYAmt
EOY$26,125,837EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$282,842,301BOYAmt
EOY$390,936,711EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$369,316,896BOYAmt
EOY$473,858,011EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$48,382,720ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$55,330,331NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$4,381,359OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Form4720 Filed Section4955 TaxfalseForm4720FiledSection4955TaxInd
Correction MadefalseCorrectionMadeInd
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesfalseOtherActivitiesInd
Not Described Section501c3falseNotDescribedSection501c3Ind
Form4720 Filed4912 TaxfalseForm4720Filed4912TaxInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1i - Other Activities DescriptionFormAndLineReferenceDesc
ExplanationA portion of the dues paid to the Hospital Association of Pennsylvania and the American Hospital Association include lobbying ($6,118 and $5,160).ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$21,480,994BeginningYearBalanceAmt
Contributions$285,864ContributionsAmt
Investment Earnings Or Losses$4,437,857InvestmentEarningsOrLossesAmt
Other Expenditures$78,878OtherExpendituresAmt
End Year Balance$26,125,837EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$22,078,580BeginningYearBalanceAmt
Contributions$64,009ContributionsAmt
Investment Earnings Or Losses-$268,143InvestmentEarningsOrLossesAmt
Other Expenditures$393,452OtherExpendituresAmt
End Year Balance$21,480,994EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$21,460,976BeginningYearBalanceAmt
Contributions$141,700ContributionsAmt
Investment Earnings Or Losses$650,346InvestmentEarningsOrLossesAmt
Other Expenditures$174,442OtherExpendituresAmt
End Year Balance$22,078,580EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$20,287,127BeginningYearBalanceAmt
Contributions$250,543ContributionsAmt
Investment Earnings Or Losses$1,042,054InvestmentEarningsOrLossesAmt
Other Expenditures$118,748OtherExpendituresAmt
End Year Balance$21,460,976EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$18,639,190BeginningYearBalanceAmt
Contributions$213,481ContributionsAmt
Investment Earnings Or Losses$1,537,892InvestmentEarningsOrLossesAmt
Other Expenditures$103,436OtherExpendituresAmt
End Year Balance$20,287,127EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY0.42000PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.58000TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (true)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (true)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$140,421OtherCostOrOtherBasisAmt
Book Value$140,421BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$67,355,676OtherCostOrOtherBasisAmt
Depreciation$37,688,533DepreciationAmt
Book Value$29,667,143BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,820,446OtherCostOrOtherBasisAmt
Depreciation$1,546,938DepreciationAmt
Book Value$273,508BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$10,762,747OtherCostOrOtherBasisAmt
Depreciation$10,415,041DepreciationAmt
Book Value$347,706BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$47,609,453OtherCostOrOtherBasisAmt
Depreciation$28,383,531DepreciationAmt
Book Value$19,225,922BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$49,654,700TotalBookValueLandBuildingsAmt
Total Book Value Securities$43,953,633TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDescBook ValueBookValueAmt
Due from affiliates$5,578,741
Financing Cost-Bond Issues$277,414
Interest in Net Assets of Foundation$24,668,601
Rounding$2
FieldValueIRS element (for citing)
Total Book Value Other Assets$30,574,758TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDescAmtAmt
Accrued Payroll and Payroll Taxes$2,049,940
Accrued Sales Tax$1,697
Accrued Vacation$3,276,421
Derivative Valuation$6,244,822
LTD Leases$635,712
FieldValueIRS element (for citing)
Total Liability$12,208,592TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$368,652,387TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$55,330,331NetUnrealizedGainsInvstAmt
Revenue Not Reported$55,330,331RevenueNotReportedAmt
Revenue Subtotal$313,322,056RevenueSubtotalAmt
Other Revenues Not Included$366,008OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$366,008RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$313,688,064TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$241,671,352TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$366,008OtherExpensesIncludedAmt
Expenses Not Reported$366,008ExpensesNotReportedAmt
Expenses Subtotal$241,305,344ExpensesSubtotalAmt
Other Expenses Not Included$24,000,000OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$24,000,000ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$265,305,344TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part V, Line 4: Intended uses of the endowment fund.The funds were used to improve the health and welfare of the residents of York and Adams counties of Pennsylvania.
Part X : FIN48 FootnoteIn June 2006, the Financial Accounting Standards Board (FASB) issued Interpretation NO. 48, Accounting for Uncertainty in Income Taxes-an interpretation of FASB Statement NO. 109, Accounting for Income Taxes (FIN 48), which creates a single model to address uncertainty in tax positions and clarifies the accounting for income taxes by prescribing the minimum recognition threshold a tax position is required to meet before being recognized in the financial statements. Under the requirements of FIN 48, tax-exempt organizations could now be required to record an obligation as the result of a tax position they have historically taken or various tax exposure items. Prior to FIN 48, the determination of when to record a liability for tax exposure was based on whether a liability was considered probable and reasonably estimable in accordance with SFAS No.5, Accounting for Contingencies. On July 1, 2007, the parent company, WellSpan Health, adopted FIN 48. WellSpan Health determined that it does not have any uncertain tax positions through June 30, 2021.
Part XI, Line 4b: Other revenue amounts included on 990 but not included in F/SRental expenses $366008
Part XII, Line 2d: Other expenses and losses per audited F/SRental Expenses $366008
Part XII, Line 4b: Other revenue amounts included on 990 but not included in F/SGrant - WellSpan Medical Group $10000000 Grant - WellSpan Health $14000000

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other300.000000000FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetfalseExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served1241PersonsServedCnt
Total Community Benefit Expns$1,069,050TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,069,050NetCommunityBenefitExpnsAmt
Total Expense0.00400TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served27837PersonsServedCnt
Total Community Benefit Expns$24,763,680TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$14,136,466DirectOffsettingRevenueAmt
Net Community Benefit Expns$10,627,214NetCommunityBenefitExpnsAmt
Total Expense0.04010TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Persons Served29078PersonsServedCnt
Total Community Benefit Expns$25,832,730TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$14,136,466DirectOffsettingRevenueAmt
Net Community Benefit Expns$11,696,264NetCommunityBenefitExpnsAmt
Total Expense0.04410TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs7ActivitiesOrProgramsCnt
Persons Served243PersonsServedCnt
Total Community Benefit Expns$419,149TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$31,459DirectOffsettingRevenueAmt
Net Community Benefit Expns$387,690NetCommunityBenefitExpnsAmt
Total Expense0.00150TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Total Community Benefit Expns$270,722TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$67,589DirectOffsettingRevenueAmt
Net Community Benefit Expns$203,133NetCommunityBenefitExpnsAmt
Total Expense0.00080TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs4ActivitiesOrProgramsCnt
Total Community Benefit Expns$362,828TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$362,828NetCommunityBenefitExpnsAmt
Total Expense0.00140TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs12ActivitiesOrProgramsCnt
Persons Served243PersonsServedCnt
Total Community Benefit Expns$1,052,699TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$99,048DirectOffsettingRevenueAmt
Net Community Benefit Expns$953,651NetCommunityBenefitExpnsAmt
Total Expense0.00370TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs14ActivitiesOrProgramsCnt
Persons Served29321PersonsServedCnt
Total Community Benefit Expns$26,885,429TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$14,235,514DirectOffsettingRevenueAmt
Net Community Benefit Expns$12,649,915NetCommunityBenefitExpnsAmt
Total Expense0.04780TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served46PersonsServedCnt

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served72PersonsServedCnt
Total Community Benefit Expns$742TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$742NetCommunityBenefitExpnsAmt

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Persons Served88PersonsServedCnt
Total Community Benefit Expns$356,909TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$356,909NetCommunityBenefitExpnsAmt
Total Expense0.00130TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs4ActivitiesOrProgramsCnt
Persons Served206PersonsServedCnt
Total Community Benefit Expns$357,651TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$357,651NetCommunityBenefitExpnsAmt
Total Expense0.00130TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$3,607,467BadDebtExpenseAmt
Bad Debt Expense Attributable$56,998BadDebtExpenseAttributableAmt
Reimbursed By Medicare$83,379,880ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$94,325,577CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$10,945,697MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities3HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (3 entries)

FacilityFacilityNumAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdWebsite AddressWebsiteAddressTxtState LicenseStateLicenseNumLicensed HospitalLicensedHospitalIndGeneral Medical And SurgicalGeneralMedicalAndSurgicalIndEmergency Room24 HrsEmergencyRoom24HrsIndFacility Reporting GroupFacilityReportingGroupCd
WellSpan Gettysburg Hospital
1147 Gettys StreetGettysburgPA17325www.wellspan.org01300100Yes (X)Yes (X)Yes (X)A
WellSpan Health & Surgery Ctr
21227 Baltimore StreetHanoverPA17331http://www.wellspan.org50471501Yes (X)A
WellSpan Surgical Center
3236 West StreetGettysburgPA17325http://www.wellspan.org22551501Yes (X)A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1WellSpan Gettysburg HospitalBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
CHNA Conducted18CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (true)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLwww.wellspan.orgOwnWebsiteURLTxt
Other WebsiteYes (X)OtherWebsiteInd
Other Website URLwww.healthyadamscounty.orgOtherWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Rpt Available Thru Other MethodYes (X)RptAvailableThruOtherMethodInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt18ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLwww.wellspan.orgStrategyWebsiteURLTxt
Strategy AttachedYes (true)StrategyAttachedInd
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care300.0000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care350.0000FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLwww.wellspan.orgFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLwww.wellspan.orgFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLwww.wellspan.orgFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesYes (true)CollectionActivitiesInd
Engaged Legal Judicial ProcessYes (X)EngagedLegalJudicialProcessInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr PrvtYes (X)LookBackMedicaidMedcrPrvtInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Facility: WellSpan Gettysburg Hospital - Part V, Section B, Line 5Community 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: WellSpan Gettysburg Hospital - Part V, Section B, Line 6aWellSpan Ephrata Community Hospital (Lancaster); WellSpan The Good Samaritan Hospital of Lebanon Pennsylvania (Lebanon); WellSpan Surgery and Rehabilitation Hospital, and WellSpan York Hospital (York). Outside of WellSpan Health, UPMC Pinnacle Memorial and UPMC Pinnacle Hanover engaged in the CHNA process for York and Adams counties.
Facility: WellSpan Gettysburg Hospital - Part V, Section B, Line 7dWith each iteration of the CHNA process, WellSpan- Gettysburg 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, CHNA results and related priorities identified by Healthy Adams County 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 Adams County selected adult overweight and obesity, depression, and affordable housing 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 Adams County and WellSpan specific priorities and associated data were presented to the WellSpan- Gettysburg Hospital Board for their adoption. Healthy Adams County communicated the CHNA results and identified priorities to approximately 100 community members at a public forum held on June 13, 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 Adams County (www.healthyadamscounty.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: WellSpan Gettysburg Hospital - Part V, Section B, Line 11See attached 2019 WellSpan Health Community Health Improvement Plan, also available online at www.wellspan.org in Community Benefits section.
Facility: WellSpan Gettysburg Hospital - Part V, Section B, Line 13hWellSpan 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: WellSpan Gettysburg Hospital - Part V, Section B, Line 16jIn 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 (7 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
Wellspan Aspers Health Center
2060 Carlisle RoadGettysburgPA17304Imaging Services, Phlebotomy Services, Rehabilitation
WellSpan Adams Health Center
40 V-Twin DrGettysburgPA17325Phlebotomy Services, Radiation Oncology, Diabetes Education, Imaging, Rehabilitation, Sleep Lab, Neu
WellSpan Towne Center
4910 Fairfield RdFairfieldPA17320Rehab, Phlebotomy Services
WellSpan Washington Street Health Center
450 S Washington StGettysburgPA17325Imaging,Maternal Fetal Medicine, Urology
WellSpan Rehabilitation and Imaging
16-18 Deatrick DriveGettysburgPA17325Imaging, Rehabilitation
WellSpan Rehabilitation at Herrs Ridge
820 Chambersburg RdGettysburgPA17325Rehabilitation
Hanover Outpatient Infusion
671 Wilson AvenueHanoverPA17331Outpatient Chemotherapy and Infusion

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 ReportCommunity Benefit Information is included in the Community Benefit Report for WellSpan Health on the WellSpan Health website at www.wellspan.org.
Part III, Line 2 - Methodology Used To Estimate Bad Debt ExpenseThe number was calculated using the cost to charge ratio factor applied against actual patient bad debt write-offs. These numbers are included after all efforts have been exhausted to determine if the patient meets our charity care write-off policy based on federal poverty levels.
Part III, Line 3 - Methodology of Estimated Amount & Rationale for Including in Community BenefitThe 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 ExpenseThe 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 8 - Explanation Of Shortfall As Community BenefitGettysburg Hospital maintains records to identify and monitor the level of charity care and community service it provides. These records include the amount of charges forgone based on established rates for services and supplies furnished under its charity care and community service policies and the estimated cost of those services. Payments from Medicare are generally less than Gettysburg Hospital's costs of providing the service.
Part III, Line 9b - Provisions On Collection Practices For Qualified PatientsGuidelines 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 AssessmentWellSpan Health and its entities have a long history of understanding and responding to the needs of the communities and populations it serves. This commitment was strengthened in 1998 when, in partnership with the Healthy Adams County Coalition, WellSpan conducted its first Community Health Needs Assessment (CHNA). Six subsequent CHNAs were conducted in 2000, 2005, 2008, 2012, 2015 and 2018. These assessments- one method for collecting diverse information on a community and which involves surveying a representative sample of community members on their demographics, chronic health conditions, lifestyle behaviors, finances, access to health services, and related topics- have been administered before the Affordable Care Act (ACA) requirement. As previously noted, the WellSpan CHNA process, which includes survey development, data collection and analysis, and result dissemination, was led by both county-level health coalitions- Healthy Adams County and the Healthy York County Coalition- for Adams and York Counties. A similar process was utilized for the remaining counties of the WellSpan service area, including northern Lancaster and Lebanon counties. Healthy Adams County, Healthy York County Coalition, and its regional partner the Community Health Council of Lebanon County receive financial support from WellSpan Health and its entities, and other community stakeholders. The CHNA was developed utilizing consulting support and guidance through a contract with the Floyd Institute for Public Policy at Franklin and Marshall College. Dr. Berwood Yost, Institute Director and Project Lead has an extensive background conducting and analyzing community and corporate surveys and has been integral to the prior three CHNAs (2008, 2012 and 2015). The 2018 Adams and York CHNA is a byproduct of a collaboration of community organizations who partnered to provide guidance and support to the effort, including: County of York, Family First Health; Gettysburg College; UPMC Pinnacle Hanover; UPMC Pinnacle Memorial; York County Human Services; South Central Community Action Program (SCCAP); TrueNorth Wellness Services; United Way of York County; York City Health Bureau; York College of Pennsylvania, and York County Community Foundation. This collaboration of 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. The 2018 CHNA planning process engaged a wide range of community organizations serving the diverse interests of all partners. The intent of the CHNA was to collect adequate valuable data and information that would satisfy the needs of all participating organizations, without burdening CHNA respondents with too many questions. Committee members reviewed questions asked in the 2015 CHNA and edited accordingly based on the current health care environment and areas of interest. Survey questions were derived from the Behavioral Risk Factor Surveillance System (BRFSS), a validated survey tool utilized by the Centers for Disease Control and Prevention (CDC), and organized into four categories: healthcare access, behavioral risk, health conditions and prevention behaviors and context. A representative sample of 461 adult residents in Adams County were interviewed between December 4, 2017 and February 25, 2018. 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. 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 that identified: trends and disparities; quantity of residents affected; health risks and disability-adjusted life years, 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 Healthy York County Coalition 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 WellSpan- York Hospital Board 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 HealthAs a charitable, community-based healthcare organization, our commitment to improving the lives and well-being of the people and communities we serve is evident in our mission statement:working as one to improve health through exceptional care for all, lifelong wellness, and healthier communities. Employees live out this mission statement every day by engaging in community benefit activities that address community needs, especially the four health priorities identified in the 2018 CHNA - access to care and health equity, behavioral health, substance use and addiction, and lifelong wellness, and community engagement, social determinants of health and violence prevention. Below are a few examples of the work accomplished to address each: *Access to healthcare and medications for uninsured community members or those with high out-of-pocket costs is often financially challenging. Healthy Community Network, a collaborative between WellSpan Health, physicians and community partners to support prospective enrollment, the management and support of patients, and coordination of care, serves as a support for those individuals, offering free or discounted resources based on need. In 2021, Healthy Community Network served 2,221 community members in need of care across the region and provided financial assistance for nearly 16,000 prescriptions, allowing individuals who lack sufficient health insurance or financial means to access the medications they need. In addition, through support of the Family First Health Gettysburg Center, medical and dental services were provided to patients in approximately 12,000 collective visits.*In 2021, WellSpan Health encouraged community members, local employers and employees, and WellSpan staff and patients to engage in the 8th annual 10 Pound Throwdown initiative. 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. The 10 Pound Throwdown engaged 7,200 community members across four southcentral Pennsylvania counties -Adams, Lancaster, Lebanon, and York- participated in the 2021 iteration of the 10 Pound Throwdown program. *WellSpan Health -Gettysburg Hospital primary care practices in Adams County participated in the Market Bucks program to address food insecurity and increase the consumption of fruits and vegetables. This program reaches those with an elevated Body Mass Index (BMI) who also experience a comorbidity associated with diet. The program provides fruit and vegetable vouchers to be redeemed at local farmers markets and encourages healthy eating. Market Bucks boasts an astounding 86% redemption rate and contributes over $30,000 to the regional economy each year, in addition to demonstrating increased fruit and vegetable consumption for participants. Historically, WellSpan Health and its entities have taken planned steps to build community capacity that addresses complex health issues, as identified by the Community Health Needs Assessment (CHNA). Through financial and management support of a county health coalition, Healthy Adams County (HAC), more than 100 Adams County community members have been engaged in community health improvement initiatives.Some examples of past Healthy Adams County coalitions collaborative efforts include: supporting the establishment of a Federally Qualified Health Center (FQHC) to increase primary and dental care capacity for undeserved individuals; improving adolescent health and decreasing teenage pregnancy rates through targeted task force initiatives; increasing awareness of domestic violence through community awareness and education, hosting a Diabetes forum and; addressing unhealthy eating behaviors by establishing the Adams County Food Policy Council.The Adams County Food Policy Council is regularly addressing issues related to food access, insecurity and healthy eating. This Healthy Adams County-affiliated task force has demonstrated continued success in improving the availability of fresh, healthy and affordable produce to a growing number of underserved community members through its Healthy Options program. In fiscal year 2021, more than 220 families and seniors were provided vouchers for fresh fruits, vegetables, breads and meats at participating Adams County farmers' markets and a local grocery store. This initiative ensures the participating families and seniors have access to healthful foods year-round. In addition, the Fruit and Veggie Bucks program for SNAP Recipients at a local grocery store, Kennies Markets, provides a 50% discount on fruits and vegetables at the register from October through May and more than 200 families took advantage of this program. Collectively, Healthy Adams County supported food access programs reach over 1500 community members annually. Adams County, a rural and picturesque county with expansive views, numerous historical sites of significance and expansive walking trails, is an ideal location for outdoor physical activity. As a result, Healthy Adams County supports Fall and Spring Walking parties, winter hikes, and free 5k races annually. These initiatives attract over 500 community members and engage them in physical activity at all skill levels. Additionally, WellSpan-Gettysburg Hospital continues to partner with the Adams County Library System as well as libraries across York, Franklin, Lebanon, and Lancaster counties to offer the Get Outdoors (GO) program summer physical activity program for families. This summer-long initiative encourages children and their families to be physically active by locating posts "hidden" in parks throughout the five county region. In the summer of 2021, 5,200 children participated in the GO Program across the region.Healthy Adams County continues to address affordable housing concerns by helping to develop @Home Adams County Housing Coalition. The coalition aims to coordinate resources and advocate for solutions that will address the need for safe, affordable housing, transportation, and workforce development throughout the county.WellSpan-Gettysburg Hospital maintains its commitment to supporting local non-projects with Community Partnership Grant funds to like-minded nonprofit organizations to address key issues and health priorities. In 2021, $30,000 was awarded to 9 agencies in early response to COVID-19 spread in the community. Community Partnership Grants, totaling more than $17,000, also supported Adams County partners including Mission of Mercy, Adams County Library, and Childrens Aid Society. The Gettysburg Hospital Foundation provided $50,000 to the South Central Community Action Program in support of the emergency shelter as part of a three year commitment in the amount of $150,000.Additional examples of how WellSpan-Gettysburg Hospital fulfilled its community mission in York County, including the community response to the COVID-19 pandemic, may be found in the 2021 WellSpan Community Benefit Report available online at https://www.wellspancommunity.org/2021-community-benefit-report.
Part VI, Line 6 - Affilated Health Care SystemWellSpan 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 Gettysburg 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.Gettysburg Hospital's community benefit report is contained in a report prepared by their parent organization, WellSpan Health. See WellSpan Health - 2021 Community Benefit Report available on the WellSpan Health website at www.wellspan.org.
Part VI, Line 7 - States Filing of Community Benefit ReportPA

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtPurpose Of GrantPurposeOfGrantTxt
Center for Youth & Community
227 West High StreetGettysburgPA17325640952164501(c)(3)$11,000$0Youth Leadership Camp
Family First Health
Suite 200 116 S George StYorkPA17401237118262501(c)(3)$90,000$0Op. Support Gettysburg Ctr
Gettysburg College
300 North Washington StreetGettysburgPA17325231352641501(c)(3)$20,000$0Magestic Theatre Centennial
SCCAP
153 N Stratton StreetGettysburgPA17325232020123501(c)(3)$112,500$0General Support
WellSpan Health
3350 Whiteford RoadYorkPA17402222517863501(c)(3)$14,000,000$0General Support
Wellspan Medical Group
3350 Whiteford RoadYorkPA17402232730785501(c)(3)$10,000,000$0General Support
FieldValueIRS element (for citing)
Total501c3 Org6Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceGrantmaker's Description of How Grants are UsedFormAndLineReferenceDesc
ExplanationAll WellSpan entities follow WellSpan policies and procedures regarding grant projects to ensure that the use of grant funds are consistent with WellSpan's commitment to endeavor to improve the health status of the communities that we serve.The WellSpan foundations are supporting organizations and substantially all of the grants and other assistance they make furthers the exempt purposes of their "supported organizations", each of which are exempt affiliated organizations within the WellSpan Health system. Because the supported organizations identify the projects and exempt activities that will be funded by the foundations' grants and other assistance, and because there is a cross-over between the respective governing bodies and management of the foundations and their supported organizations, the foundations are able to effectively monitor that the grants they make are used for their intended purposes.ExplanationTxt

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (17 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtBonus Filing OrganizationBonusFilingOrganizationAmountOther Compensation Filing OrgOtherCompensationFilingOrgAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Related OrganizationsBonusRelatedOrganizationsAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Angela Johnston
VP-Patient Care$203,598$41,856$4,085$24,181$43,880$317,600
David Doud
Director$336,461$1,200$12,082$45,422$395,165
Edward Mackle MD
Director$556,705$1,200$31,458$49,347$638,710
Jane Hyde
Former Director$376,695$124,080$125$74,251$35,222$610,373
Jasminka Lolic
Pharmacist$187,816$1,200$12,099$25,376$226,491
Jeffrey Moyer
Pharmacist$185,792$1,200$125$11,619$49,652$248,388
Kevin Lorentsen MD
Director$439,604$50,700$8,550$37,470$536,324
Melissa Hess
Admin-Clinical Ops$175,618$14,018$3,420$7,585$42,312$242,953
Michael Cogliano
President$200,000$39,242$4,842$12,558$43,695$300,337
Michael O'Connor
Former Director$611,969$404,687$123,405$85,586$3,267,878$2,042,231$2,042,158
Michelle Williams
Manager-Pharm$204,681$15,493$1,120$12,742$25,294$259,330
Mike Seim
Vice President$438,755$52,800$7,015$37,511$558,984$22,903$18,133
Orvil McBeth Jr MD
Former Director$154,684$13,637$31,181$199,502
Paul Dende DO
Former Director$368,682$52,337$11,752$43,244$482,774$6,759
Philip Nicholson MD
Former Director$382,900$79,338$17,859$47,936$536,036$8,003$49,200
Roxanna Gapstur
Pres & CEO -WSH$1,091,608$440,000$11,619$60,941$1,604,168$242,000
Sherri Stahl
Vice President$426,019$122,742$5,700$58,427$693,761$80,873

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1See Schedule OBusinessNameLine1Txt

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (true)ProceduresCorrectiveActionInd

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonDr David Doud DOPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionOwnerRelationshipDescriptionTxt
Transaction$98,921TransactionAmt
TransactionLease spaceTransactionDesc
Sharing Of RevenuesfalseSharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 6: Explanation of Classes of Members or ShareholderWellSpan Health, a not for profit corporation, is the sole member.
Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing BodyThe Board of Directors initially shall consist of no fewer than twelve and no more than sixteen persons, which shall include:(1) The following two "Positional Directors": the then-current President of the Hospital, and the then-current President of the Medical Staff, each of whom shall be subject to ratification by the Member notwithstanding such positions held.(2) Three "Medical Staff Directors," each of whom shall be nominated by the Medical Staff and appointed by the Member.(3) The balance of directors shall be "At-large Directors", who shall be appointed by the Member at the annual meeting of the Member. At-large Directors shall include no fewer than two persons from the Member's Board of Directors or the member's senior management staff; provided, however, that no more than two At-large Directors shall be from the Member's senior management staff.All directors shall be selected for their experience, relevant areas of interest and expertise, and ability and willingness to participate effectively in fulfilling the Board of Director's responsibilities and to do so free from any conflicting interests.
Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or ShareholdersExcept as otherwise provided in the Articles of Incorporation or the Bylaws, the affairs of the Hospital shall be managed and directed by its Board of Directors, which shall have responsibility for the control and management of the property, funds, and operations of the Hospital. The Board of Directors shall have full power and authority to do and perform any and all acts and functions that are not inconsistent with the laws governing the operations of the Hospital or the Bylaws or the Articles of Incorporation; provided, however, that except as otherwise provided in the Articles of Incorporation or the Bylaws, the Member may initiate and implement any of the following actions, and if any such action is initiated by the Hospital, such action shall not become effective unless approved by the Member;(a) The adoption, amendment, or revocation of the Hospital's Articles of Incorporation or Bylaws; provided, however, that the Member shall not amend such Articles of Incorporation or Bylaws with respect to changes to the name "Gettysburg HospitalX or with respect to the appointment, term, or removal of the Hospital's directors, without the approval of the Hospital Board of Directors and the Member shall not have the right to overrule the Hospital Board of Directors' approval.(b)The termination, liquidation, reorganization, division, conversion, or dissolution of the Hospital, or the merger, consolidation, or combination of the hospital with another entity; provided, however, that the Member shall not approve the merger of the Hospital into another Member affiliate without the approval of the Hospital Board of Directors and the Member shall not have the right to overrule the Hospital Board of Directors' disapproval; and, further provided, that the Member's action with respect to this subject matter shall require the affirmative vote of at least two-thirds of the Board of Directors of the Member then in office.(c)Any change or transfer of the Member's membership interest in the Hospital, or the creation or issuance of any additional membership interests in the Hospital.(d)The investment of the Hospital's assets other than in accordance with the Member's investment policy; or, in the absence of a current Member investment policy, any investment other than in the ordinary course of business (provided such ordinary course investment is in federally-insured interest-bearing bank accounts, short term direct U.S. obligations, short-term certificates of deposit of domestic banks, or highly rated money market funds).(e)The incurrence by the Hospital of indebtedness in excess of such amounts as may be reasonably designated by the Member from time to time, except pursuant to a budget approved by the Member or ordinary course indebtedness such as routine trade payables, in amounts less than the amounts designated by the Member. (f) The conveyance, transfer, lease, or sale of any of the Hospital's assets with a fair market value in excess of such aggregate amount as may be designated by the Member from time to time, except pursuant to a budget approved by the Member or the conveyance, transfer, lease, or sale of any of the Hospital's assets to the Member or another affiliate. (g)The making of any capital expenditure or the incurrence of any capital obligations by or on behalf of the Hospital in excess of such annual aggregate amount as may be designated by the Member from time to time, except pursuant to a budget approved by the Member. (h) The incurrence of any non-ordinary course obligation (whether actual or contingent) by the Hospital to guarantee or be responsible for the debts or obligations of any person in excess of such amounts as may be designated by the Member from time to time, except pursuant to a budget approved by the Member. (i)The approval of the Hospital's operating and capital budgets, or any material changes thereto. And other provisions described in the Bylaws.
Form 990, Part VI, Line 11b: Form 990 Review ProcessManagement provided an electronic copy of the form 990 to each voting member of the organization's governing body, prior to its filing with the IRS. The organization's finance management team provided a presentation to the Audit Committee on the organization's 990 return.
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsOfficers, directors, and key employees fill out a WellSpan Health Conflict of Interest Disclosure Statement questionnaire annually. The questionnaire is administered by the Internal Audit Department of WellSpan Health, the Parent Company.There shall be full disclosure by any Director having a business or personal interest or relationship which may be in conflict with the interests of the Corporation. After such disclosure the Director shall abide by the determination of the Board of Directors as to whether a conflict exists, the extent to which, if at all, the Director will be permitted to be present during the Board of Directors' discussion of the matter in which the Director may be interested, and whether the Director will be permitted to participate in such discussion and cast a vote in such matter.
Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesThe Compensation Committee of WellSpan Health is responsible for rewarding and reinforcing key executives for the achievement of annual and long-term performance objectives. The Compensation Committee shall consist of not more than six (6) persons, of whom two (2) shall be the Chairman and Vice Chairman of the Board of the Corporation, and the remaining members shall be such other persons as may be appointed by the Chairman of the Board of the Corporation, with the approval of the Board of Directors; provided, however, that the Compensation Committee shall not include any persons who are employed by the System. The role of the Compensation Committee is to set the Executive Compensation Philosophy for the system and ensure adherence, evaluate performance and establish compensation for the WellSpan President, evaluate team performance of the executive team and establish awards, review and approve senior executive base salary ranges, and oversee employed physician compensation programs. The Committee will approve salary ranges for each executive position and review incumbent salaries annually. The Committee will be responsible for reviewing the President's salary each year, and if warranted, authorizing an adjustment to maintain competitiveness. The President will have the authority to make salary adjustments for subordinate positions. The Committee is responsible for approving and authorizing payment of the performance awards. The Committee will approve and authorize payment of the President's performance awards. Integrated Healthcare Strategies, Inc., based in Minneapolis Minnesota is the external consultant to the committee. This consultant focuses exclusively on executive and physician compensation in the health care industry. In summary, the executive and physician compensation review process consists of the following: 1) Cash compensation reviewed annually 2) Cash compensation reviewed by external consultant biennially 3) external total compensation (cash, incentives, benefits, perquisites) reviewed by external consultant periodically 4) Process is integrated with compensation analysis for other WellSpan positions 5) Committee decisions are documented in minutes maintained in Human Resources.
Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableGoverning documents, policies, and financial statements are available upon request.
Other Changes In Net Assets Or Fund Balances - Other IncreasesAdjustment to Net Assets = $112225
Other Changes In Net Assets Or Fund Balances - Other IncreasesChange in net assets of Foundation = $4269134
Schedule K -Tax-Exempt Bonds1.2014 GENERAL AUTHORITY OF SOUTHCENTRAL PENNSYLVANIA REVENUE REFUNDING BONDS, SERIES A:On November 11, 2014, the General Authority of Southcentral Pennsylvania issued $213,430,000 of Revenue Refunding bonds, Series 2014A for WellSpan Health Obligated Group. The purpose of this bond issue was revenue refund for bonds issued 06/23/1993 and 11/12/2008. WellSpan Health, the parent organization, allocated portions of the proceeds of this tax-exempt bond issue to York Hospital (23-1352222), Gettysburg Hospital (23-1352220), WellSpan Properties (22-2842252), WellSpan Surgery & Rehabilitation Hospital (23-2899911), and Ephrata Community Hospital (23-1370484). To remain consistent with the reporting on Form 8038, all outstanding liabilities associated with this tax-exempt bond issue is reported on the WellSpan Health (22-2517863) Schedule K. As of 6/30/21, the allocation of the Debt Capital program including issue premium of $47,545,967 was as follows:York Hospital: $27,890,452Gettysburg Hospital: $1,922,543WellSpan Properties: $6,845,852WellSpan Surgery & Rehabilitation Hospital: $3,377,167Ephrata Community Hospital: $7,509,953These amounts are reported on the respective balance sheets for each of these entities.An Arbitrage Rebate and Yield Restriction Liability Calculation was performed for the period of November 10, 2014, to November 10, 2019. No rebate was due._______________________________________________________________________________2.2015 LANCASTER MUNICIPAL AUTHORITY BANK LOAN, SERIES A:On May 22, 2015, the Lancaster Municipal Authority issued $36,572,083 of Revenue Refunding bonds, Series 2015A, to an Obligated Group consisting of York Hospital, Gettysburg Hospital and Ephrata Community Hospital. The purpose of this bond issue was to refund bonds issued on behalf of Ephrata Community Hospital, including the Lancaster Municipal Authority Revenue Notes Series 2009, 2010A, 2012, and 2013. To remain consistent with the reporting on Form 8038, all outstanding liabilities associated with this tax-exempt bond issue is reported on the WellSpan Health (22-2517863) Schedule K.As of 6/30/21, the $27,600,768 of outstanding liability is reported on the Ephrata Community Hospital return balance sheet._______________________________________________________________________________3.2019 GENERAL AUTHORITY OF SOUTHCENTRAL PENNSYLVANIA REVENUE REFUNDING BONDS, SERIES A & B:On April 19, 2019, the General Authority of Southcentral Pennsylvania issued $331,502,627 of Revenue Refunding bonds, Series 2019A and 2019B for WellSpan Health Obligated Group. The purpose of this bond issue was revenue refund for bonds issued 11/12/2008. WellSpan Health, the parent organization, allocated portions of the proceeds of this tax-exempt bond issue to York Hospital (23-1352222), Chambersburg Hospital (23-0465970), WellSpan Properties (22-2842252), Chambersburg Health Services (25-1515376), The Good Samaritan Hospital of Lebanon Pennsylvania (23-1794160), Waynesboro Hospital (23-1360854), Summit Physician Services (25-1716306), Gettysburg Hospital (23-1352220), WellSpan Surgery & Rehabilitation Hospital (23-2899911) and Ephrata Community Hospital (23-1370484). To remain consistent with the reporting on Form 8038, all outstanding liabilities associated with this tax-exempt bond issue is reported on the WellSpan Health (22-2517863) Schedule K. As of 6/30/21, the allocation of the Debt Capital program of $324,770,019 was as follows:York Hospital: $109,820,502Waynesboro Hospital: $455,712Chambersburg Hospital: $110,975,751Chambersburg Health Services: $18,656,026Summit Physician Services: $983,590WellSpan Properties: $66,683,198Gettysburg Hospital: $12,384,727Ephrata Community Hospital: $3,372,694The Good Samaritan Hospital of Lebanon Pennsylvania: $42,216WellSpan Surgery & Rehabilitation Hospital: $1,395,603These amounts are reported on the respective balance sheets for each of these entities._______________________________________________________________________________4.2019 GENERAL AUTHORITY OF SOUTHCENTRAL PENNSYLVANIA REVENUE REFUNDING BONDS, SERIES C-E:On April 3, 2019, the General Authority of Southcentral Pennsylvania issued $212,690,000 of Revenue Refunding bonds Series 2019C, 2019D and 2019E for WellSpan Health Obligated Group. The purpose of this bond issue was revenue refund for bonds issued 11/12/2008. WellSpan Health, the parent organization, allocated portions of the proceeds of this tax-exempt bond issue to York Hospital (23-1352222), Gettysburg Hospital (23-1352220), WellSpan Properties (22-2842252), WellSpan Surgery & Rehabilitation Hospital (23-2899911), The Good Samaritan Hospital of Lebanon Pennsylvania (23-1794160) and WellSpan Health (22-2517863). To remain consistent with the reporting on Form 8038, all outstanding liabilities associated with this tax-exempt bond issue is reported on the WellSpan Health (22-2517863) Schedule K. As of 6/30/21, the allocation of the Debt Capital program of $212,690,000 was as follows: York Hospital: $123,530,352Gettysburg Hospital: $19,290,983WellSpan Properties: $22,545,140WellSpan Surgery & Rehabilitation Hospital: $35,731,920The Good Samaritan Hospital of Lebanon Pennsylvania: $1,722,789WellSpan Health: $9,868,816These amounts are reported on the respective balance sheets for each of these entities._______________________________________________________________________________5.2014 FRANKLIN COUNTY INDUSTIAL AUTHORITY REVENUE REFUNDING BONDS, SERIES A & C:On April 30, 2014, the Franklin County Industrial Authority issued $35,795,000 of Healthcare Revenue Refunding bonds, Series 2014A & 2014C for the WellSpan Health Obligated Group. WellSpan Health, the parent organization, allocated portions of the proceeds of this tax-exempt bond issue to Waynesboro Hospital (23-1360854), Chambersburg Hospital (23-0465970) and Chambersburg Health Services (25-1515376). To remain consistent with the reporting on Form 8038, all outstanding liabilities associated with this tax-exempt bond issue is reported on the WellSpan Health (22-2517863) Schedule K.As of 6/30/21, the allocation of the Debt Capital program of $25,493,770 was as follows: Waynesboro Hospital: $6,390,449Chambersburg Hospital: $18,577,321Chambersburg Health Services: $526,000These amounts are reported on the respective balance sheets for each of these entities.______________________________________________________________________________6.2017 BANK LOANS / REISSUE BONDS ISSUED 11/12/2008:On March 13, 2018, the General Authority of Southcentral Pennsylvania issued $34,877,000 of Revenue bonds, Series 2017A Notes (taxable) for WellSpan Health Obligated Group. Such notes were applied to refund 2008A Bonds. Also, on September 4, 2018, the General Authority of Southcentral Pennsylvania issued $29,312,000 of Revenue Bonds, Series 2017B (tax-exempt bonds) for WellSpan Health Obligated Group.Such notes were applied to refund 2008A Bonds.WellSpan Health, the parent organization, allocated portions of the proceeds of this tax-exempt bond issue to York Hospital (23-1352222), Gettysburg Hospital (23-1352220), WellSpan Properties (22-2842252), WellSpan Surgery & Rehabilitation Hospital (23-2899911), and The Good Samaritan Hospital of Lebanon Pennsylvania (23-1794160). To remain consistent with the reporting on Form 8038, all outstanding liabilities associated with this tax-exempt bond issue is reported on the WellSpan Health (22-2517863) Schedule K.As of 6/30/21, the allocation of the Debt Capital program of $50,807,000 was as follows: York Hospital: $29,508,705Gettysburg Hospital: $4,608,195WellSpan Properties: $5,385,542WellSpan Surgery & Rehabilitation Hospital: $8,535,576The Good Samaritan Hospital of Lebanon Pennsylvania: $411,536WellSpan Health: $2,357,446These amounts are reported on the respective balance sheets for each of these entities.
Signature Block - Paid Preparer PresentationPaid Preparer ExplanationDue to a software limitation, we wish to clarify that WellSpan Health is the ERO.The paid preparer is:BDO USA, LLP13-53815908401 Greensboro Drive, Suite 800McLean, VA 22102(703) 893-0600The preparers name is Marc Berger, PTIN P01871563

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (26 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
Apple Hill Surgical Center Inc
PO Box 2767YorkPA174052767222842253Sole GP in limited ptnrshp operating surgical centerPA501(c)(3)10WellSpan Healthfalse
Gettysburg Hospital Foundation
PO Box 2767YorkPA174052767232251358Fundraising for Gettysburg HospitalPA501(c)(3)12 Type IGettsyburg HospitalYes (true)
Healthy Community Pharmacy Inc
PO Box 2767YorkPA174052767200519121Reduced rate prescription drugsPA501(c)(3)12 Type IWellSpan Health Care Servicesfalse
VNA Community Services
PO Box 2767YorkPA174052767232338591Home personal care services for elderly and disabledPA501(c)(3)10NAfalse
VNA Home Health Services
PO Box 2767YorkPA174052767231352573Home health servicesPA501(c)(3)10WellSpan Specialty Servicesfalse
WellSpan Health
PO Box 2767YorkPA174052767222517863Integrated Health SystemPA501(c)(3)12 Type IIINAfalse
WellSpan Health Care Services
PO Box 2767YorkPA174052767232400237Health-related activities in the service areaPA501(c)(3)12 Type IIWellSpan Healthfalse
WellSpan Medical Group
PO Box 2767YorkPA174052767232730785Medical and surgical carePA501(c)(3)10WellSpan Healthfalse
York Health Foundation
PO Box 2767YorkPA174052767233050192Charitable contributions for WellSpan entitiesPA501(c)(3)12 Type IIIWellSpan Healthfalse
York Hospital
PO Box 2767YorkPA174052767231352222Community teaching hospitalPA501(c)(3)3WellSpan Healthfalse
Wellspan Surgery & Rehab Hospital
PO Box 2767YorkPA174052767232899911Surgery and Rehabilitation HospitalPA501(c)(3)3WellSpan Healthfalse
Wellspan Properties Inc
PO Box 2767YorkPA174052767222842252Leases outpatient facilities to affiliatesPA501(c)(3)12 Type IIWellSpan Health Care Servicesfalse
Ephrata Community Hospital
PO Box 2767YorkPA174052767231370484Health care servicesPA501(c)(3)3WellSpan Healthfalse
Ephrata Community Health Foundation
PO Box 2767YorkPA174052767800940005Fundraising for Ehprata HospitalPA501(c)(3)12 Type IEphrata Community Hospitalfalse
Northern Lancaster County Medical Group
PO Box 2767YorkPA174052767203033058Medical and surgical carePA501(c)(3)12 Type IIEphrata Community Hospitalfalse
Phys Spec of North Lanc Co Med Gr
PO Box 2767YorkPA174052767452537633Physician PracticesPA501(c)(3)12 Type IINorthern Lancaster County Medical Groupfalse
Good Samaritan Hospital
PO Box 2767YorkPA174052767230794160Health Care ServicesPA503(c)(3)3WellSpan Healthfalse
Philhaven
PO Box 2767YorkPA174052767231549922Health Care ServicesPA503(c)(3)3WellSpan Healthfalse
Good Samaritan Health Service Foundation
PO Box 2767YorkPA174052767232356151Fundraising for Good SamaritanPA503(c)(3)12 Type IGood Samaritan Hospitalfalse
Good Samaritan Physician Services
PO Box 2767YorkPA174052767251832359Medical and Surgical CarePA503(c)(3)10GSH Services Foundationfalse
WellSpan Summit Health
PO Box 2767YorkPA174052767251515371Integrated Health SystemPA501(c)7WellSpan Healthfalse
Waynesboro Hospital
PO Box 2767YorkPA174052767231360854Health Care ServicesPA501(c)(3)3WellSpan Summit Healthfalse
Chambersburg Hospital
PO Box 2767YorkPA174052767230465970Health Care ServicesPA501(c)(3)3WellSpan Summit Healthfalse
Summit Physician Services
PO Box 2767YorkPA174052767251716306Medical and surgical carePA501(c)(3)10WellSpan Summit Healthfalse
Summit Health Foundation
PO Box 2767YorkPA174052767831196554Fundraising for Health Care SystemPA501(c)(3)12 Type IIWellSpan Summit Healthfalse
Chambersburg Health Services
PO Box 2767YorkPA174052767251515376Health care servicesPA501(c)(3)12 Type IWellSpan Summit Healthfalse

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (8 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerInd
Apple Hill Surgical Center Partners
PO Box 2767YorkPA174052767232489452Surgical CnPANAfalsefalse
Central PA Alliance Laboratories LLC
PO Box 2767YorkPA174052767232910950Ref. LabPANAfalsefalse
Littlestown Health Care Partners
300 West King StreetLittlestownPA17340232880464Lease facilityPANAfalsefalse
Cherry Tree Cancer Center LLP
PO Box 2767YorkPA174052767232915628RadiationPANAfalsefalse
The Rehab Center
855 Springdale Drive Suite 20ExtonPA19341251687903Physical Therapy RehabPANAfalsefalse
Surgery Center Associates LLC
PO Box 2767YorkPA174052767251845304Physician ServicesPAChambersburg Healthfalsefalse
Summit Surgery Center LP
PO Box 2767YorkPA174052767251845303Physician ServicesPAChambersburg Healthfalsefalse
Cumberland Valley Mobile Services
5 South Main StreetSugarloafPA18249200884014Health CarePAChambersburg Healthfalsefalse

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (8 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndOwnershipOwnershipPct
Wellspan Pharmacy Inc
PO Box 2767YorkPA174052767232374072Dispenses pharm. & provides IV therapyPAWSH Care ServicesC corpfalse
Wellspan Reciprocal Risk Retention Group
PO Box 2767YorkPA174052767200048457Risk Retention GroupPANAC corpfalse0.13200
York Health Plan
PO Box 2767YorkPA174052767232664989Preferred Provider OrganizationPANAC corpfalse
WellSpan Provider Network
PO Box 2767YorkPA174052767232907828Coordinate managed care risk contractsPAWellSpan HealthC corpfalse
Apple Hill Condominium Association
PO Box 2767YorkPA174052767232504543Condo Mgmt AssociationPAWellSpan HealthHomeowner Assocfalse
North Lanc Co Phys Hosp Alliance
PO Box 2767YorkPA174052767232421885Coord Phys & HospitalPANAC corpfalse
GSH Realty Inc
PO Box 2767YorkPA174052767251832359Non-res. real estatePAWSH Care ServicesC corpfalse
Ephrata Health Pavilion Condo Assoc
PO Box 2767YorkPA174052767475367279Condo associationPAEphrata HospitalC corpfalse
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (true)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgYes (true)AssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Gettysburg Hospital Foundation
c$578,795General Ledger
Gettysburg Hospital Foundation
j$6,204General Ledger
WellSpan Health
b$14,000,000General Ledger
WellSpan Medical Group
b$10,000,000General Ledger