YORK HOSPITAL: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: YORK HOSPITAL (EIN 23-1352222)
Tax period: 2018-07-01 to 2019-06-30
Filed: 2020-06-01
IRS object ID: 202031539349301893
Schema version: 2018v3.1
Source: Download XML · Original 990 at ProPublica

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

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2020-06-01T14:16:55-07:00	ReturnTs
Tax Period End	2019-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	135381590	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	WellSpan Health	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	3350 WHITEFORD ROAD	AddressLine1Txt
City	YORK	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	17402	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2018-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	231352222	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	YORK HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	YORK	BusinessNameControlTxt
Phone	7178513055	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 2767	AddressLine1Txt
City	YORK	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	17405	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Michael F O'Connor	PersonNm
Person Title	CFO	PersonTitleTxt
Signature	2020-06-01	SignatureDt
Discuss With Paid Preparer	false	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	See Attached	PreparerPersonNm
PTIN	P01871563	PTIN
Phone	7038930600	PhoneNum

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	Roxanna Gapstur	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO Box 2767	AddressLine1Txt
City	York	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	174052767	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$1,458,377,344	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
All Affiliates Included	false	AllAffiliatesIncludedInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.WELLSPAN.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1880	FormationYr
Legal Domicile State	PA	LegalDomicileStateCd
Activity Or Mission	York Hospital is a premier community teaching hospital providing quality, cost-effective health care services strongly supporting excellence in education, and offering essential services without regard for an individual's ability to pay.	ActivityOrMissionDesc
Voting Members Governing Body	13	VotingMembersGoverningBodyCnt
Voting Members Independent	8	VotingMembersIndependentCnt
Total Employee	5797	TotalEmployeeCnt
Total Volunteers	1204	TotalVolunteersCnt
Total Gross UBI	$9,695,841	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$2,799,826	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$6,809,428	PYContributionsGrantsAmt
CY Contributions Grants	$2,015,270	CYContributionsGrantsAmt
PY Program Service Revenue	$1,051,997,238	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,147,674,773	CYProgramServiceRevenueAmt
PY Investment Income	$54,466,134	PYInvestmentIncomeAmt
CY Investment Income	$78,720,346	CYInvestmentIncomeAmt
PY Other Revenue	$6,841,514	PYOtherRevenueAmt
CY Other Revenue	$6,659,487	CYOtherRevenueAmt
PY Total Revenue	$1,120,114,314	PYTotalRevenueAmt
CY Total Revenue	$1,235,069,876	CYTotalRevenueAmt
PY Grants And Similar Paid	$55,779,818	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$111,315,418	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$358,243,229	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$364,920,053	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$600,947,303	PYOtherExpensesAmt
CY Other Expenses	$650,729,844	CYOtherExpensesAmt
PY Total Expenses	$1,014,970,350	PYTotalExpensesAmt
CY Total Expenses	$1,126,965,315	CYTotalExpensesAmt
PY Revenues Less Expenses	$105,143,964	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$108,104,561	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,705,536,363	TotalAssetsBOYAmt
Total Assets EOY	$1,940,147,416	TotalAssetsEOYAmt
Total Liabilities BOY	$498,510,153	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$648,375,435	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$1,207,026,210	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$1,291,771,981	NetAssetsOrFundBalancesEOYAmt
Mission	York Hospital is a premier community teaching hospital providing quality, cost-effective health care services strongly supporting excellence in education, and offering essential services without regard for an individual's ability to pay.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$880,196,054	ExpenseAmt
Grant	$111,315,418	GrantAmt
Revenue	$1,149,665,050	RevenueAmt
Desc	WellSpan York Hospital is the region's leader in advanced specialty care. What began in 1880 has become a 572-bed community teaching hospital that employs more then 4,800 people and serves a population of more than 520,000 in south central Pennsylvania. WellSpan York Hospital offers services and programs that feature highly skilled clinical staff, life-saving technology and state-of-the-art facilities to address some of the most complex medical, surgical and behavioral conditions.WellSpan York Hospital has been designated as a Bariatric Center for Excellence by the American Society for Metabolic and Bariatric Surgery; recognized as one of the Best Regional Hospitals in its Best Hospitals publication; named a Top 100 Hospital by Thomson Reuters, a leading source of health care information, on seven occasions. In addition WellSpan York Hospital has been designated as a Robotic Epicenter by Intuitive Surgical, accredited as a Level 1 Regional Resource Trauma Center, designated as a Primary Stroke Center by the Joint Commission, and designated as a Magnet Hospital by The American Nurses Credentialing Center. WellSpan York Hospital is a nationally recognized teaching hospital with seven residency programs, five allied health schools and other training programs. More than 690 physicians and other professionals belong to WellSpan York Hospital's medical and dental staff.See Attached Federal Supplemental Information: WellSpan Health - 2019 Community Benefit Report	Desc
Total Program Service Expenses	$880,196,054	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	5797	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Form8282 Filed	0	Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Form8899 Filedind	false	Form8899Filedind
Form1098 C Filed	false	Form1098CFiledInd
DAF Excess Business Holdings	false	DAFExcessBusinessHoldingsInd
Taxable Distributions	false	TaxableDistributionsInd
Distribution To Donor	false	DistributionToDonorInd
Org Filed In Lieu Of Form1041	false	OrgFiledInLieuOfForm1041Ind
Licensed More Than One State	false	LicensedMoreThanOneStateInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	13	GoverningBodyVotingMembersCnt
Independent Voting Member	8	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	PA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	DAVID RIZZUTO	PersonNm
Phone	7178513055	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3350 WHITEFORD ROAD	AddressLine1Txt
City	YORK	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	17402	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Todd Marsteller
Vice Chairman	1.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
Mandy Arnold
Director	1.00	0.00	Yes (X)		$0	$0	$0
Pamela Gunter-Smith
Director	1.00	0.00	Yes (X)		$0	$0	$0
Percival Buenaventura MD
Director	1.00	40.00	Yes (X)		$0	$798,411	$60,564
Lee Maddox MD
Dir. beg. 11/18	1.00	40.00	Yes (X)		$0	$493,845	$62,777
Gary Stewart Jr
Director	1.00	0.00	Yes (X)		$0	$0	$0
Dave Meckley
Secr/Treas	1.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
Jean Treuthart
Director	1.00	0.00	Yes (X)		$0	$0	$0
Kevin Mosser MD
Pres end 12/31	1.00	40.00	Yes (X)	Yes (X)	$0	$4,267,289	$111,748
Eileen Beck
Director	1.00	0.00	Yes (X)		$0	$0	$0
Roxanna Gapstur
Pres 1/1/19	1.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
William Dannehl
Chairman	1.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
Steven Schirk
Dir. beg. 11/18	1.00	40.00	Yes (X)		$0	$377,656	$65,455
Sandie Walker
Dir. beg. 11/18	1.00	0.00	Yes (X)		$0	$0	$0
Steve Pandelidis MD
Dir. end. 10/18	1.00	0.00	Yes (X)		$0	$0	$0
Todd Butz MD
Dir. end. 10/18	1.00	0.00	Yes (X)		$0	$0	$0
Michael F O'Connor
CFO-WellSpan H.	1.00	40.00		Yes (X)	$0	$811,162	$641,117
Keith Noll
President	40.00	0.00		Yes (X)	$867,950	$0	$333,376
Nelson Aegbuniwe
Clinical RN	40.00	0.00			$269,422	$0	$55,303	Yes (X)
Allan Birenberg
VP-Med Affairs	40.00	0.00			$532,109	$0	$62,127	Yes (X)
Astrid Davis
Sr.Dir.-Nursing	40.00	0.00			$295,146	$0	$55,390	Yes (X)
Shelly Buck
VP & Chief RN Off.	40.00	0.00			$291,952	$0	$44,284	Yes (X)
Thomas Dondero
Dir-Pharm Care	40.00	0.00			$286,755	$0	$76,082	Yes (X)
Victoria Diamond
Former VP Ancillary Svcs	0.00	40.00			$0	$387,674	$48,953		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,543,334	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$7,136,037	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,617,176	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	421	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
York Laboratory Associates
1001 South George Street	York	PA	17403	Lab Services	$7,992,759
Anesthesia Associates of York
110 Pine Grove Commons	York	PA	17405	Physician Services	$6,065,072
American HealthCare Services
PO Box 945	Traverse City	MI	49685	Temporary help	$2,192,708
Quest Diagnostics
PO Box 9125512	Pasadena	CA	911102512	Lab Services	$2,589,674
HCSC Laundry
PO Box 25092	Lehigh Valley	PA	180025092	Laundry Services	$1,947,047

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	34	CntrctRcvdGreaterThan100KCnt
Related Organizations	$959,460	RelatedOrganizationsAmt
Government Grants	$393,901	GovernmentGrantsAmt
All Other Contributions	$661,909	AllOtherContributionsAmt
Total Contributions	$2,015,270	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
EHR Incentive Program(MU)	621500	$8,500	$8,500
Patient Services	621500	$1,235,281,660	$1,226,207,034	$9,074,626
W/O - Bad Debt	621500	-$78,094,044	-$78,094,044
W/O -Financial Assistance	621500	-$9,521,343	-$9,521,343

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,147,674,773	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$37,625,954	TotalRevenueColumnAmt
Exclusion	$37,625,954	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$410,729	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$410,729	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$410,729	TotalRevenueColumnAmt
Exclusion	$410,729	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$263,422,873	SecuritiesAmt
Other	$978,987	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$223,222,314	SecuritiesAmt
Other	$85,154	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$40,200,559	SecuritiesAmt
Other	$893,833	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$41,094,392	TotalRevenueColumnAmt
Exclusion	$41,094,392	ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Food Service/Hospitality	722210	$596,078	$109,795	$486,283
Medical Education	611710	$1,714,781		$27,800	$1,686,981
Snack/Coffee Bar & Cafe	722210	$2,723,281		$2,723,281

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,214,618	TotalRevenueColumnAmt
Related Or Exempt Func Income	$303,296	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$511,420	UnrelatedBusinessRevenueAmt
Exclusion	$399,902	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$6,248,758	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,235,069,876	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,140,590,424	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$9,695,841	UnrelatedBusinessRevenueAmt
Exclusion	$82,768,341	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$111,315,418	TotalAmt
Program Services	$111,315,418	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,201,326	TotalAmt
Management And General	$1,201,326	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$264,218,030	TotalAmt
Program Services	$255,639,449	ProgramServicesAmt
Management And General	$8,578,581	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$10,092,631	TotalAmt
Program Services	$9,720,748	ProgramServicesAmt
Management And General	$371,883	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$69,189,450	TotalAmt
Program Services	$66,640,026	ProgramServicesAmt
Management And General	$2,549,424	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$20,218,616	TotalAmt
Program Services	$19,473,621	ProgramServicesAmt
Management And General	$744,995	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$171,018,924	TotalAmt
Management And General	$171,018,924	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$24,545	TotalAmt
Program Services	$1,165	ProgramServicesAmt
Management And General	$23,380	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$392,268	TotalAmt
Management And General	$392,268	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$163,690,578	TotalAmt
Program Services	$161,589,070	ProgramServicesAmt
Management And General	$2,101,508	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$94,325	TotalAmt
Program Services	$82,079	ProgramServicesAmt
Management And General	$12,246	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,916,645	TotalAmt
Program Services	$2,916,645	ProgramServicesAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$47,507,685	TotalAmt
Management And General	$47,507,685	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$5,389,263	TotalAmt
Program Services	$5,389,263	ProgramServicesAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$640,996	TotalAmt
Program Services	$589,425	ProgramServicesAmt
Management And General	$51,571	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$407,213	TotalAmt
Program Services	$374,139	ProgramServicesAmt
Management And General	$33,074	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$13,135,955	TotalAmt
Program Services	$13,135,955	ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$28,896,140	TotalAmt
Program Services	$21,504,495	ProgramServicesAmt
Management And General	$7,391,645	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$15,242,675	TotalAmt
Program Services	$15,242,675	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Supplies	$152,266,695	$152,266,695
Taxes & Licenses	$21,310,930	$21,197,475	$113,455
Repair & Maintenance	$13,422,345	$13,422,345
Utilities	$7,880,283	$5,537,319	$2,342,964

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$6,492,379	TotalAmt
Program Services	$4,158,047	ProgramServicesAmt
Management And General	$2,334,332	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,126,965,315	TotalAmt
Program Services	$880,196,054	ProgramServicesAmt
Management And General	$246,769,261	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$31,279,832	BOYAmt
EOY	$35,675,115	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$1,285,228	BOYAmt
EOY	$1,545,206	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$160,302,193	BOYAmt
EOY	$166,255,150	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$6,657,949	BOYAmt
EOY	$6,662,281	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,818,070	BOYAmt
EOY	$1,926,948	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$628,323,568	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$390,972,443	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$223,146,763	BOYAmt
EOY	$237,351,125	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$224,876,269	BOYAmt
EOY	$243,324,174	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$605,854,019	BOYAmt
EOY	$734,228,883	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$450,316,040	BOYAmt
EOY	$513,178,534	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,705,536,363	BOYAmt
EOY	$1,940,147,416	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$19,087,849	BOYAmt
EOY	$21,506,855	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$8,628,841	BOYAmt
EOY	$3,485,915	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$384,990,138	BOYAmt
EOY	$498,857,946	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$85,803,325	BOYAmt
EOY	$124,524,719	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$498,510,153	BOYAmt
EOY	$648,375,435	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,186,557,250	BOYAmt
EOY	$1,271,147,717	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$12,192,122	BOYAmt
EOY	$12,437,258	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$8,276,838	BOYAmt
EOY	$8,187,006	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,207,026,210	BOYAmt
EOY	$1,291,771,981	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,705,536,363	BOYAmt
EOY	$1,940,147,416	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$108,104,561	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$22,253,303	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$1,105,487	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Form4720 Filed Section4955 Tax	false	Form4720FiledSection4955TaxInd
Correction Made	false	CorrectionMadeInd
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$55,549	OtherActivitiesAmt
Total Lobbying Expenditures	$55,549	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind
Form4720 Filed4912 Tax	false	Form4720Filed4912TaxInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part II-B, Line 1i - Other Activities Description	FormAndLineReferenceDesc
Explanation	A portion of the dues paid to the Hospital Association of Pennsylvania and the American Hospital Association include lobbying ($37,170 and $18,379).	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$20,468,960	BeginningYearBalanceAmt
Contributions	$727,949	ContributionsAmt
Investment Earnings Or Losses	-$35,615	InvestmentEarningsOrLossesAmt
Other Expenditures	$537,030	OtherExpendituresAmt
End Year Balance	$20,624,264	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$18,572,636	BeginningYearBalanceAmt
Contributions	$2,478,669	ContributionsAmt
Investment Earnings Or Losses	$439,846	InvestmentEarningsOrLossesAmt
Other Expenditures	$1,022,191	OtherExpendituresAmt
End Year Balance	$20,468,960	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$17,074,112	BeginningYearBalanceAmt
Contributions	$1,809,648	ContributionsAmt
Investment Earnings Or Losses	$522,621	InvestmentEarningsOrLossesAmt
Other Expenditures	$833,745	OtherExpendituresAmt
End Year Balance	$18,572,636	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$18,895,888	BeginningYearBalanceAmt
Contributions	$1,664,676	ContributionsAmt
Investment Earnings Or Losses	-$1,231,979	InvestmentEarningsOrLossesAmt
Other Expenditures	$2,254,473	OtherExpendituresAmt
End Year Balance	$17,074,112	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$18,188,902	BeginningYearBalanceAmt
Contributions	$1,640,924	ContributionsAmt
Investment Earnings Or Losses	$248,151	InvestmentEarningsOrLossesAmt
Other Expenditures	$1,182,089	OtherExpendituresAmt
End Year Balance	$18,895,888	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	0.39700	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.60300	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	Yes (true)	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (true)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (true)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,008,597	OtherCostOrOtherBasisAmt
Book Value	$2,008,597	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$353,267,223	OtherCostOrOtherBasisAmt
Depreciation	$195,587,204	DepreciationAmt
Book Value	$157,680,019	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$12,827,221	OtherCostOrOtherBasisAmt
Depreciation	$10,773,219	DepreciationAmt
Book Value	$2,054,002	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$246,992,015	OtherCostOrOtherBasisAmt
Depreciation	$184,612,020	DepreciationAmt
Book Value	$62,379,995	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$13,228,512	OtherCostOrOtherBasisAmt
Book Value	$13,228,512	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$237,351,125	TotalBookValueLandBuildingsAmt
Total Book Value Securities	$734,228,883	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
Due from affiliates	$4,208,841
Intangible Assets	$2,965,856
Notes Receivable	$498,163,361
Total Other noncurrent assets	$7,085,388

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$513,178,534	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (9 entries)

DescDesc	AmtAmt
Accrd Payroll W/H	$1,095,820
Accrued Asbestos Removal Exp	$1,489,207
Accrued Payroll	$6,779,614
Accrued Vacation	$14,106,562
AP Intercompany	$41,230,193
Current Portion - LTD	$5,999,750
Insurance Reserve	$5,768,000
Post Retirement Benefit Obligations	$21,483,392
Total Other Noncurrent Liabili	$26,572,181

Field	Value	IRS element (for citing)
Total Liability	$124,524,719	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$1,208,851,497	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	-$24,815,948	NetUnrealizedGainsInvstAmt
Revenue Not Reported	-$24,815,948	RevenueNotReportedAmt
Revenue Subtotal	$1,233,667,445	RevenueSubtotalAmt
Other Revenues Not Included	$1,402,431	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$1,402,431	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$1,235,069,876	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$1,015,744,143	TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal	$1,015,744,143	ExpensesSubtotalAmt
Other Expenses Not Included	$111,221,172	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$111,221,172	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$1,126,965,315	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 Footnote	In June 2006, the Financial Accounting Standards Board (FASB) issued Interpretation NO. 48, Accounting for Uncertainty in Income Taxes-an interpretation of FASB Statement NO. 109, Accounting for Income Taxes (FIN 48), which creates a single model to address uncertainty in tax positions and clarifies the accounting for income taxes by prescribing the minimum recognition threshold a tax position is required to meet before being recognized in the financial statements. Under the requirements of FIN 48, tax-exempt organizations could now be required to record an obligation as the result of a tax position they have historically taken or various tax exposure items. Prior to FIN 48, the determination of when to record a liability for tax exposure was based on whether a liability was considered probable and reasonably estimable in accordance with SFAS No.5, Accounting for Contingencies. On July 1, 2007, the parent company, WellSpan Health, adopted FIN 48. WellSpan Health determined that it does not have any uncertain tax positions through June 30, 2019.
Part XI, Line 4b: Other revenue amounts included on 990 but not included in F/S	Restricted Contributions(Net) $41813 Restricted Contributions(Net)-YHF $149107 Expenses Netted with Revenue $1121172 Net Assets Released for PPE $90339
Part XII, Line 4b: Other revenue amounts included on 990 but not included in F/S	Grant-WellSpan Medical Group $52100000 Grant-WellSpan Health $58000000 Expense Netted with Revenue $1121172

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	300.000000000	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	3425	PersonsServedCnt
Total Community Benefit Expns	$3,408,641	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,408,641	NetCommunityBenefitExpnsAmt
Total Expense	0.00300	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	155885	PersonsServedCnt
Total Community Benefit Expns	$176,522,901	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$104,425,283	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$72,097,618	NetCommunityBenefitExpnsAmt
Total Expense	0.06400	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	159310	PersonsServedCnt
Total Community Benefit Expns	$179,931,542	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$104,425,283	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$75,506,259	NetCommunityBenefitExpnsAmt
Total Expense	0.06700	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	47	ActivitiesOrProgramsCnt
Persons Served	34883	PersonsServedCnt
Total Community Benefit Expns	$2,387,904	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$171,222	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,216,682	NetCommunityBenefitExpnsAmt
Total Expense	0.00200	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Persons Served	77	PersonsServedCnt
Total Community Benefit Expns	$508,384	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$508,384	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	7	ActivitiesOrProgramsCnt
Persons Served	156285	PersonsServedCnt
Total Community Benefit Expns	$7,207,231	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,151,903	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,055,328	NetCommunityBenefitExpnsAmt
Total Expense	0.00270	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$878,561	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,175	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$876,386	NetCommunityBenefitExpnsAmt
Total Expense	0.00080	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	6	ActivitiesOrProgramsCnt
Persons Served	1751	PersonsServedCnt
Total Community Benefit Expns	$411,128	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$411,128	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	64	ActivitiesOrProgramsCnt
Persons Served	192996	PersonsServedCnt
Total Community Benefit Expns	$11,393,208	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,325,300	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,067,908	NetCommunityBenefitExpnsAmt
Total Expense	0.00640	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	66	ActivitiesOrProgramsCnt
Persons Served	352306	PersonsServedCnt
Total Community Benefit Expns	$191,324,750	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$108,750,583	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$82,574,167	NetCommunityBenefitExpnsAmt
Total Expense	0.07340	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$660,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$660,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00060	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	27	PersonsServedCnt
Total Community Benefit Expns	$782	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$782	NetCommunityBenefitExpnsAmt

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	10	ActivitiesOrProgramsCnt
Persons Served	11606	PersonsServedCnt
Total Community Benefit Expns	$47,054	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$16,967	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$30,087	NetCommunityBenefitExpnsAmt

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	78	PersonsServedCnt
Total Community Benefit Expns	$1,551	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,551	NetCommunityBenefitExpnsAmt

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	161	PersonsServedCnt
Total Community Benefit Expns	$597,918	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$597,918	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	16	ActivitiesOrProgramsCnt
Persons Served	11872	PersonsServedCnt
Total Community Benefit Expns	$1,307,305	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$16,967	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,290,338	NetCommunityBenefitExpnsAmt
Total Expense	0.00110	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$26,525,668	BadDebtExpenseAmt
Bad Debt Expense Attributable	$419,105	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$318,530,811	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$358,135,171	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$39,604,360	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	WellSpan York Hospital	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1001 S George Street	AddressLine1Txt
City	York	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	17405	ZIPCd

Field	Value	IRS element (for citing)
Website Address	http://www.wellspan.org	WebsiteAddressTxt
State License	250301	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Critical Access Hospital	Yes (X)	CriticalAccessHospitalInd
Research Facility	Yes (X)	ResearchFacilityInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Field	Value	IRS element (for citing)
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
CHNA Conducted	18	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	www.wellspan.org	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	www.healthyyork.org	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	18	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	www.wellspan.org	StrategyWebsiteURLTxt
Strategy Attached	Yes (true)	StrategyAttachedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	300.0000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.0000	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	http://www.wellspan.org	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	http://www.wellspan.org	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	http://www.wellspan.org	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Prospective Medicare Medicaid	Yes (X)	ProspectiveMedicareMedicaidInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Facility: - Part V, Section B, Line 5	Community stakeholder engagement has been vital to the Community Health Needs Assessment (CHNA) process since it began in York County in 1994. The Healthy York County Coalition (HYCC)- 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, HYCC partnered with its sister health coalition in Adams County- Healthy Adams County- 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 association community health priorities, once identified by Coalition leadership, to community members at a public forum on June 7th, 2018. WellSpan- York Hospital is a funding partner and governance leader within Healthy York County Coalition and served on the CHNA Planning committee. In that regard, WellSpan- York Hospital partners to conduct the CHNA, disseminate its results both among hospital leadership and in the community, and integrates evidence-based strategies that impact identified community health needs into its annual planning process. Whether in meetings with community stakeholders or system/ hospital leaders or at larger public forum, WellSpan- York 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 V1- Needs Assessment.
Facility: - Part V, Section B, Line 6a	WellSpan Ephrata Community Hospital (Lancaster); WellSpan Good Samaritan Hospital (Lebanon); WellSpan Surgery and Rehabilitation Hospital, and WellSpan Gettysburg Hospital (Adams). Outside of WellSpan Health, UPMC Pinnacle Memorial and UPMC Pinnacle Hanover engaged in the CHNA process for York and Adams counties.
Facility: - Part V, Section B, Line 7d	With each iteration of the CHNA process, WellSpan- York Hospital and its community partners continue to refine and enhance the system by which it obtains data, shared it with key community, hospital and system leaders, and integrated it into the system-wide and entity-level planning processes. In 2018, CHNA results and related priorities identified by Healthy York County Coalition were shared with the system-wide Planning Committee and WellSpan Health. This committee is comprised of community members and leader that represent each of WellSpans primary entities and service areas, in addition to corporate leadership. Planning Committee members reviewed the CHNA data and designated system-wide priorities as: Care for all, including a focus on access to care and health equity; Behavioral health and lifelong wellness, which would incorporate behavioral health, substance use and addiction and lifelong wellness, and; healthy communities and social determinants of health, which provide a deeper dive into community engagement, social determinants of health and violence prevention. Similarly, Healthy York County Coalition selected adult overweight and obesity, depression, and the social determinants of health as priorities- these priorities built on previously developed strategies that were a result of the 2015 CHNA and also encourage a deeper dive into the WellSpan system-wide, organizational priorities. The established Healthy York County Coalition and WellSpan specific priorities and associated data were presented to the WellSpan- York Hospital Board for their adoption. Additionally, the CHNA data was presented to multiple members of WellSpans leadership team. Healthy York County Coalition communicated the CHNA results and identified priorities to more than 100 community members at a public forum held on June 7, 2018. During that forum, community members discussed the opportunities and risk associated with each priority, as well as how the organization which they represent can have an impact on the priority. In addition to these venues, CHNA results are available on the Healthy York County Coalition (www.healthyyork.org) and WellSpan Health (www.wellspan.org) websites, and may also be obtained upon request. The corresponding WellSpan Community Health Improvement Plan is also available on the WellSpan Health website.
Facility: - Part V, Section B, Line 13b	Patients 401% of poverty level and greater do not qualify for financial assistance. However, all uninsured patients qualify for a 20% "no insurance" discount, regardless of income.
Facility: - Part V, Section B, Line 13h	WellSpan Health is committed to caring for all the members of its communities, regardless of their ability to pay. In recent years, overall charity care has decreased slightly as more people have obtained health insurance coverage through the Affordable Care Act and the expansion of Pennsylvanias Medical Assistance (Medicaid) program. WellSpan is proud to be a leading partner in the Healthy Community Network, which works to address the needs of uninsured and underinsured individuals in our community. In addition, the health system recently enhanced its financial assistance policy and the discounts that it provides on services. For example, if a patients income is less than 300 percent of the federal poverty level, that patient would be eligible for a 100 percent discount on the services provided. Additionally, significant discounts are available for patients whose income is between 300 percent and 400 percent of the federal poverty level. For more information on WellSpans Financial Assistance program, visit www.WellSpan.org/FinancialAssistance.
Facility: - Part V, Section B, Line 16j	In an effort to make patients, families and others in our communities aware of the newly expanded Financial Assistance Policy, WellSpan broadly publicized its policy via promotional signage and the distribution of easy-to-read informational materials at registration sites throughout our communities. WellSpan provided information on the Financial Assistance Policy on its billing statements and included information in patient discharge materials. In addition, the materials and information are easily accessible via WellSpans website at www.WellSpan.org/FinancialAssistance. The site reflects WellSpans newly enhanced policy, as well as informational and application materials. It was also publicized via WellSpans on-hold phone messaging system and in its direct-to-consumer community newsletter/magazine, which is distributed by mail, email and Web. 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.
Facility: - Part V, Section B, Line 22d	WellSpan Health will provide assistance to all patients whose income falls within 400 percent of the federal poverty guidelines and within the asset limits listed on Attachment A. Those patients qualifying for financial assistance will receive a discount based on the amount generally billed (AGB), which is applicable to the facility at which services were provided. The AGB is calculated by the look-back method, in accordance with IRS Regulation 501(r). This is based on payment received from Medical Assistance and all private payors, in the most recent completed fiscal year.

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (40 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
York Cancer Center
Apple Hill Medical Center 25 Monume	York	PA	17403	Cancer Patient Support, Social worker, Financial Counselor, Dietician, Library, Genetic Counseling
WellSpan Rehab & Lab -Queensgate Towne Center
2015 Springwood Rd	York	PA	17403	Physical Therapy, Occupational Therapy, Speech Therapy, Laboratory Collection
WellSpan Wound Healing Center
1399 S Queen St	York	PA	17403	Wound Care, Hyperbaric Oxygen Therapy
WellSpan Behavioral Crisis Intervention
1101 S Edgar St Suite C	York	PA	17403	Mental Health & Substance Abuse Assessments, Crisis Counseling
Community Health Center &Hoodner Dental Center
605 S George St	York	PA	17401	Dental Clinic, Pediatric Care, Women's Health Care,Adult Care, Urgent Care Special Services
Wellspan Imaging - East Berlin
105 Fourth St	East Berlin	PA	17316	Laboratory Collection, General Radiology, Mammogram Screening, EKG
WellSpan Lab Services & Imaging
2775 N George St	York	PA	17402	Laboratory collection, general radiology, mammogram Screening, EKG
WellSpan Apple Hill Womens Imaging & Specialty Services
35 Monument Road Suites 201 202 204	York	PA	17403	Mammography, MRI/Ultrasound, Bone Density, Breast and Thyroid, Ultrasound, High Risk Pregnancy, Phys
WellSpan Lab Services
4222 Lincoln Highway	York	PA	17406	Laboratory collection, General Radiology, Mammogram Screening, EKG
WellSpan Interventional Pain Mgmt
228 St Charles Way	York	PA	17402	Interventional Pain Mgmt, Radiology Fluroscopy
WellSpan Rehabilitation
1575 Bannister St	York	PA	17404	Physical Therapy, Occupational Therapy, Speech Therapy
WellSpan Rehabilitation and Imaging
207 Blooming Grove Road	Hanover	PA	17331	Post Operative Orthopedic Rehab, Acute Rehab following injury (work/athletic), Cumulative stress inj
WellSpan Lab & Imaging
3065 Windsor Road	Red Lion	PA	17356	Laboratory Collection, General Radiology, Mammogram Screening
WellSpan Rehabilitation
235 Rosedale Drive	Manchester	PA	17345	Physical Therapy, Occupational Therapy
WellSpan Lab & Imaging
4020 Carlisle Road	Dover	PA	17315	Laboratory Collection, General Radiology, Mammogram Screening, EKG, Sleep Disorders
WellSpan Lab & Imaging Services
13515 Wolfe Rd Ste D	New Freedom	PA	17349	Laboratory Collection, General Radiology, Mammogram Screening, EKG
WellSpan Imaging
2250 E Market St	York	PA	17402	general Radiology, Mammogram Screening, EKG, Bone Density, Orthopedic Services
WellSpan Lab Services at Valley Green
1790 Old Trail Road	Etters	PA	17319	Laboratory Collection
WellSpan Health Lab Services at Westgate Plaza
1550 Kenneth Rd	York	PA	17404	Laboratory Collection
WellSpan Pulmonary Sleep Medicine & Pulmonary Rehab
2350 Freedom Way Suites 201 207	York	PA	17402	Pulmonary Function Testing, Pulmonary Rehab & Asthma Instruction
WellSpan Rehabilitation
73 East Forrest Avenue Suite 210	Shrewsbury	PA	17361	Physical Therapy, Occupational Therapy, Speech Therapy
WellSpan Lab Services & Occupational Health
1150 Carlisle St	Hanover	PA	17331	Laboratory Collection, Screenings, Physicals, Drug & Alcolhol Screening, Injury Evaluation, Immuniza
Apple Hill Infusion Center
25 Monument Road Suite 120	York	PA	17403	Infusion Services, Genetic Counseling
York Cancer Center-Radiation Therapy
Apple Hill Medical Center -25 Monum	York	PA	17403	Oncology Radiation
WellSpan Heart & Vasular & Nuclear Medicine- Apple Hill
25 Monument Road - Suites 190 199	York	PA	17403	Cardiac Rehavilitation, Cardiovascular Health Management Clinic, Cardiac stress testing, Echo Cardio
WellSpan Heart & Vascular -Bannister St
1575 Bannister Street Suite 7	York	PA	17404	Coumadin Clinic, Congestive Heart Failure Clinic, IV Diuretic Clinic, Women's Heart Program
WellSpan Rehabilitation - Apple Hill
25 Monument Road Suite 175	York	PA	17403	Physical Therapy, Occupational Therapy, Speech Therapy
WellSpan Rehabilitation - North Hanover
1000 Carlistle St Suite 1175	Hanover	PA	17331	Post Operative Orthopedic Rehab, Acute Rehab following injury (work/athletic), Cumulative stress inj
WellSpan Rehabilitation - Cape Horn Square
635 Lombard Road	Red Lion	PA	173569054	Physical therapy
WellSpan Rehabilitation- Manheim
93 Doe Run Road	Manheim	PA	17545	Physical therapy, Occupational Therapy
WellSpan Rehabilitation - Valley Green
1790 Old Trail Road Suite F	Etters	PA	17319	Physical therapy
WellSpan Imaging
37 Monument Road Suite 101	York	PA	17403	General Radiology, Fluroscopy, General Ultrasound, Vascular Ultrasound, EKG, Computed Tomography
WellSpan Imaging - Apple Hill
25 Monument Road Suite 290	York	PA	17403	General Radiology
WellSpan Imaging
2775 North George St	York	PA	17406	Laboratory Collection, General Radiology, mammogram Screening, EKG
WellSpan Lab Services
46 West Market St	York	PA	17401	Laboratory Collection, urine specimen collection, glucose tolerance
WellSpan Lab Services- Apple Hill
25 Monument Road - Suite 198	York	PA	17403	Laboratory Collection
WellSpan Occupational Health
2250 E Market St	York	PA	17402	Screenings, Physicals, Drug & Alcolhol Screening, Injury Evaluation, Immunizations, Occupational Hea
WellSpan Occupational Health - Gettysburg
455 South Washington St Suite 12	Gettysburg	PA	17325	Screenings, Physicals, Drug & Alcolhol Screening, Injury Evaluation, Immunizations, Occupational Hea
Thomas Hart Family Practice Center
1001 S George St	York	PA	17403	Primary Care, women's healthcare, pediatric & geriatric care, prenatal care, minor surgical procedur
WellSpan OB GYN & Specialty Care Clinic
1101 Edgar St	York	PA	17403	Women's Health, special procedures - lumbar puncture, PHAS- Surgery Setups thru clinics as as GYN Cl

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 6a - Related Organization Community Benefit Report	Community Benefit Information is included in the Community Benefit Report for WellSpan Health.
Part III, Line 2 - Methodology Used To Estimate Bad Debt Expense	The number was calculated using the cost to charge ratio factor applied against actual patient bad debt write-offs. 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 Benefit	The estimate of bad debt attributable to charity care policy was calculated by dividing the bad debt amount that was originally coded bad debt but later found to qualify as charity care by the amount coded to the charity care write-off codes. This ratio is applied to the bad debt cost factor expense.
Part III, Line 4 - Bad Debt Expense	York Hospital provides an allowance for doubtful accounts for estimated losses resulting from the unwillingness or inability of patients to make payments for services. The allowance is determined by analyzing specific accounts and historical data and trends. Patient accounts receivable are charged off against the allowance for doubtful accounts, when management determines that recovery is unlikely, and YH ceases collection efforts. Losses have been consistent with management's expectations in all material respects.
Part III, Line 8 - Explanation Of Shortfall As Community Benefit	York Hospital maintains records to identify and monitor the level of charity care and community service it provides. These records include the amount of charges forgone based on established rates for services and supplies furnished under its charity care and community service policies and the estimated cost of these services. Payments from Medicare are generally less than York Hospital's costs of providing the service.
Part III, Line 9b - Provisions On Collection Practices For Qualified Patients	Guidelines for suggested minimum number of phone attempts and letters to be sent before the account is turned over to an outside collection agency are included in the Patient Administrative Services Policy. Upon final PARO (Payment Assistance Rank Ordering) scoring, if a patient qualifies for presumptive charity, their account would not be forwarded to any third party collections. It shall be the policy of Patient Administrative Services to recommend accounts to Bad Debt on a timely basis. Inpatient/Outpatient accounts will go to bad debt automatically after the account has been in the financial class Pending Bad Debt for 30 days. All accounts must follow the approved limits for refunds and write offs, as established in Policy PF-102, before being transferred. The primary agencies will work the accounts for 6 months or until they feel it is uncollectable and return the account. The accounts are forwarded to secondary agencies from the primary agencies Closed and Return Reports. The financial class is changed to Bad Debt Other after the Closed and Return Reports are received from the Secondary Agency. The agencies must get written approval from the manager in the relatively rare instance of legal action being taken to collect the debt.
Part VI, Line 2 - Needs Assessment	WellSpan 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 York 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 799 adult residents in York 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 Health	As 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 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 2019, Healthy Community Network served 3,200 community members in need of care across the region and provided financial assistance for 12,000 prescriptions, allowing individuals who lack sufficient health insurance or financial means to access the medications they need.WellSpan remains committed to the strong safety net of partnering health care services in our region. Together, we demonstrate strong community impact in health. For example, WellSpans support of the Family First Health Hannah Penn Center enhanced its ability to provide 4,241 acute and preventive visits for underserved adults and children. In 2019, WellSpan Health encouraged community members, local employers and employees, and WellSpan staff and patients to engage in the 7th 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. In 2019, the 10 Pound Throwdown engaged 6,400 community members across four southcentral Pennsylvania counties -Adams, Lancaster, Lebanon, and York- participated in the 2019 iteration of the 10 Pound Throwdown program. WellSpan Health -York Hospital primary care practices in York County participated in the Market Bucks program to address food insecurity and increase the consumption of fruits and vegetables. Regionally, this program provided fruit and vegetable vouchers to 239 WellSpan patients with food insecurity challenges, which contributed nearly $28,000 to local farmers and growers. This program reaches those with an elevated Body Mass Index (BMI) who also experience a comorbidity associated with diet. Market Bucks consistently boasts an astounding 86% redemption rate, in addition to demonstrating increased fruit and vegetable consumption for participants with medical challenges. WellSpans commitment to lifelong wellness begins with the support it provides to our youngest residents. WellSpan- York Hospital remains the lead agency for Safe Kids York County, distributed nearly 10,000 books to children through our Reach Out and Read program, engaged more than 400 children and families in child abuse prevention programs, and distributed more than 200 cribs to families without a safe place for their baby to sleep. Celebrating more than a decade of promoting summertime physical activity, Get Outdoors (GO) York!, a partnership between WellSpan-York Hospital and York County Libraries, more than 9,000 children participated in an adaptation of letterboxing, an international hobby where participants use written clues to find items hidden in various places. Opioid use, as in other communities across the United States, has become a crisis in York County. WellSpan remains a steadfast partner in advancing work in this area. In 2019, Community Partnership Grant funds supported both the Project Lazarus opioid overdose prevention program, and a drug treatment program called Gaudenzia Inc. in a very desolate region within York County. Additionally, WellSpan admitted 476 patients into a Medication Assisted Treatment (MAT) program, which combines the use of medications and behavioral therapy to treat people with substance use disorders. WellSpan offered support and leadership to the York Opioid Collaborative, which continues to gain traction in the community and welcomed a new executive director in 2019. WellSpan Health and its community partners have been working to address housing insecurity in central Pennsylvania. Three of the collaborative solutions- the Omega Bed Lease Program, Arches to Wellness and ALPHA Community Initiative- earned the Hospital and Healthsystem Association of Pennsylvania (HAP) 2019 Living the Vision award. 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, the Healthy York County Coalition (HYCC), more than 200 York County community members have been engaged in community health improvement initiatives. HYCC consists of three committees -Access and Empowerment; Community Engagement, and; Prevention and Wellness, each of which continue to attract new community members, leaders, and professionals. These committees foster partnerships and collaboration between entities to ensure that efforts to address and impact identified community health needs are coordinated and successful. In 2019, the Healthy York County Coalition prepared research on York County residents life expectancy variance by zip code. WellSpan-York 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 2019, WellSpan- York Hospital also awarded grants to the York County Food Bank, VisionCorps, the York County Public Library system, and the YWCA Dialogues on Race effort. Additional examples of how WellSpan-York Hospital fulfilled its community mission in York County may be found in the 2019 WellSpan Community Benefit Report available online at www.wellspan.org.
Part VI, Line 6 - Affilated Health Care System	WellSpan Health is an integrated health system serving the communities of southcentral Pennsylvania and northern Maryland. As a community-based, not-for-profit organization, WellSpan is dedicated to improving the health and well-being of the people it serves. WellSpan will assume a leadership role and develop partnerships with other organizations to: improve access to coordinated, high-quality, cost-effective health care services, educate the health care providers of tomorrow, promote healthy lifestyles and lifelong wellness, and make its local communities healthier, more desirable places to live, work, and play. WellSpan York Hospital works with other parts of the system to provide a comprehensive approach to meeting community needs.WellSpan Health includes: WellSpan Gettysburg Hospital, WellSpan York Hospital, WellSpan Surgery and Rehabilitation Hospital, WellSpan Ephrata Community Hospital,WellSpan Good Samaritan Hospital, 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.WellSpan York Hospital's community benefit report is contained in a report prepared by their parent organization, WellSpan Health. See Attached Federal Supplemental Information: WellSpan Health - 2019 Community Benefit Report
Part VI, Line 7 - States Filing of Community Benefit Report	PA

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Purpose Of GrantPurposeOfGrantTxt
WellSpan Health
PO Box 2767	York	PA	17405	222517863	$58,000,000	$0	General Support
WellSpan Medical Group
PO Box 2767	York	PA	17405	232730785	$52,100,000	$0	General Support

Field	Value	IRS element (for citing)
Total501c3 Org	2	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Grantmaker's Description of How Grants are Used	FormAndLineReferenceDesc
Explanation	All 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

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd
Rebuttable Presumption Proc	false	RebuttablePresumptionProcInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Allan Birenberg
VP-Med Affairs	$455,017	$77,092	$15,654	$46,473	$594,236
Astrid Davis
Sr.Dir.-Nursing	$127,913	$50,463	$14,010	$41,380	$350,536	$116,770
Keith Noll
President	$489,546	$368,821	$286,007	$47,369	$1,201,326	$9,583	$203,580
Kevin Mosser MD
Pres end 12/31								$1,023,400	$420,420	$2,823,469	$13,433	$98,315	$4,379,037	$420,420
Lee Maddox MD
Dir. beg. 11/18								$462,230	$31,615		$16,289	$46,488	$556,622
Michael F O'Connor
CFO-WellSpan H.								$588,737	$222,300	$125	$590,416	$50,701	$1,452,279	$222,300
Nelson Aegbuniwe
Clinical RN	$265,715	$1,538	$14,194	$41,109	$324,725	$2,169
Percival Buenaventura MD
Director								$795,411	$3,000		$16,254	$44,310	$858,975
Shelly Buck
VP & Chief RN Off.	$253,054	$38,898	$13,327	$30,957	$336,236
Steven Schirk
Dir. beg. 11/18								$377,656			$19,734	$45,721	$443,111
Thomas Dondero
Dir-Pharm Care	$264,589	$17,718	$35,025	$41,057	$362,837	$4,448
Victoria Diamond
Former VP Ancillary Svcs								$331,870	$55,804		$15,982	$32,971	$436,627

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	See Schedule O	BusinessNameLine1Txt

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (true)	ProceduresCorrectiveActionInd

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	Stewart Properties cos	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	Officer Stewart	RelationshipDescriptionTxt
Transaction	$488,000	TransactionAmt
Transaction	construction, rental	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Client Note 1	Client Note 1 - Paid Preparer ExplanationDue to a software limitation, we wish to clarify that WellSpan Health is the ERO.The paid preparer is:BDO USA, LLP13-53815908401 Greensboro Drive, Suite 800McLean, VA 22102(703) 893-0600The preparers name is Marc Berger, PTIN P01871563
Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder	WellSpan Health, a not for profit corporation, is the sole member.The Member of the Corporation shall meet at any place, date, and time designated by the Member, for the transaction of the general business of the Corporation. Action of the Member shall generally be taken by a written consent in lieu of a meeting.Any action which may be taken at a meeting of the Member may be taken without a meeting if a consent or consents in writing, setting forth the action so taken, shall be signed by the Member and filed with the Secretary of the Corporation.
Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body	The Board of Directors of the Corporation shall be elected as provided herein by the Board of Directors of the Member. The Member shall determine annually the number of directors which shall in no event be less than ten nor more than fifteen persons. Nominations for the Directors to be elected by the Member shall be made only by the Nominating Committee for Directors, except for vacancies in the Board of Directors occurring by death, resignation, disqualification, removal or otherwise, may, upon the recommendation of the Executive Committee, be filled by appointment by the Member to serve until the next annual meeting of the Member, at which time the Member may elect a Director to fill such vacancy for the remainder of the unexpired term thereof.
Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders	The member may, with respect to the Corporation, initiate and implement any of the following actions, and it any of the following actions are otherwise initiated by the Corporation, such action shall not become effective unless approved by the Member:a) The adoption, amendment, or revocation of the Corporation's Articles of Incorporation or Bylaws. b) The termination, liquidation, reorganization, division, conversion, or dissolution of the Corporation, or the merger, consolidation, or combination of the Corporation with another person. c) Any change or transfer of the Member's membership interest in the Corporation, or the creation or issuance of any additional membership interests in the Corporation. d) The investment of the Corporation's assets other than in accordance with the Member's current investment policy; or, in the absence of a current Member investment policy, any investment other than in the ordinary course of business, which shall consist of 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 Corporation 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. This is not meant to restrict the Corporation's day-to-day business, in amounts less than the amounts designated by the Member, such as routine trade and accounts payable or obligations. f) The conveyance, transfer, lease, or sale of any of the Corporation's assets with 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 Corporation's assets to the Member or another System Affiliate. g) The making of any capital expenditure or the incurrence of any capital obligations by or on behalf of the Corporation 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 obligation (whether actual or contingent) by the Corporation 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. This is not meant to restrict the Corporation's ability to incur obligations in the ordinary course of the Corporation's day-to-day business, in amounts less than the amounts designated by the Member. i) The approval of the Corporation's operating and capital budgets, or any material changes thereto. j) The voluntary granting of any lien or encumbrance (including a confession of judgment) with respect to the Corporation's assets, except in the ordinary course of business.k) The surrender of or material change to any permit, approval, or license of the Corporation. l) The selection of the Corporation's outside auditors, general legal counsel, or investment advisors. m) The requirement that the Member make any capital contribution to the Corporation. n) The ratification of appointments and reappointments to the Corporation's Board of Directors. o) The approval of the Corporation's strategic and operating plans, or any changes thereto. p) The approval of the Corporation's statements of purpose, vision, or mission, or any changes thereto. q) The creation by the Corporation of any new lines of business, sites of business, subsidiary corporations, or partnerships or other joint ventures, or any material changes in existing services, or participation in any key strategic relationship outside the System. This is not meant to restrict the Corporation's right to enhance and expand its current lines of business. r) All health care services contracting by the Corporation that could materially impact the System.
Form 990, Part VI, Line 11b: Form 990 Review Process	Management provided an electronic copy of the form 990 to each voting member of the organization's governing body, prior to its filing with the IRS. The organization's finance management team provided a presentation to the Audit Committee on the organization's 990 return.
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts	Officers, directors, and key employees fill out a WellSpan Health Conflict of Interest Disclosure Statement questionnaire annually. The questionnaire is administered by the Internal Audit Department of WellSpan Health, the Parent Company.There shall be full disclosure by any Director having a business or personal interest or relationship which may be in conflict with the interests of the Corporation. After such disclosure the Director shall abide by the determination of the Board of Directors as to whether a conflict exists, the extent to which, if at all, the Director will be permitted to be present during the Board of Directors' discussion of the matter in which the Director may be interested, and whether the Director will be permitted to participate in such discussion and cast a vote in such matter.
Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees	The Compensation Committee of WellSpan Health is responsible for rewarding and reinforcing key executives for the achievement of annual and long-term performance objectives. The Compensation Committee shall consist of not more than six (6) persons, of whom two (2) shall be the Chairman and Vice Chairman of the Board of the Corporation, and the remaining members shall be such other persons as may be appointed by the Chairman of the Board of the Corporation, with the approval of the Board of Directors; provided, however, that the Compensation Committee shall not include any persons who are employed by the System. The Chairman of the Board of Gettysburg Hospital shall participate. The role of the Compensation Committee is to set the Executive Compensation Philosophy for the system and ensure adherence, evaluate performance and establish compensation for the WellSpan President, evaluate team performance of the executive team and establish awards, review and approve senior executive base salary ranges, and oversee employed physician compensation programs. The Committee will approve salary ranges for each executive position and review incumbent salaries annually. The Committee will be responsible for reviewing the President's salary each year, and if warranted, authorizing an adjustment to maintain competitiveness. The President will have the authority to make salary adjustments for subordinate positions. The Committee is responsible for approving and authorizing payment of the performance awards. The Committee will approve and authorize payment of the President's performance awards. Integrated Healthcare Strategies, Inc., based in Minneapolis Minnesota is the external consultant to the committee. This consultant focuses exclusively on executive and physician compensation in the health care industry. In summary, the executive and physician compensation review process consists of the following: 1) Cash compensation reviewed annually 2) Cash compensation reviewed by external consultant biennially 3) external total compensation (cash, incentives, benefits, perquisites) reviewed by external consultant periodically 4) Process is integrated with compensation analysis for other WellSpan positions 5) Committee decisions are documented in minutes maintained in Human Resources.
Form 990, Part VI, Line 19: Other Organization Documents Publicly Available	Governing documents, policies, and financial statements are available upon request.
Other Changes In Net Assets Or Fund Balances - Other Decreases	Change in Retirement Liability = -$1105487
Part V line 1a	Part V line 1a - Most 1099s are issued through WellSpan Health, the parent company.
Schedule K -Tax-Exempt Bonds	$213,430,000 of Revenue bonds for Wellspan Health Obligated Group, Series 2014A were issued November 11, 2014 by General Authority of South Central Pennsylvania. 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 Specialty Services (23-2899911), and Ephrata Community Hospital (23-1370484). In order to remain consistent with the reporting on Form 8038, all outstanding liabilities associated with this tax-exempt bond issue is reported on the WellSpan Health (22-2517863) Schedule K. As of 6/30/19, the allocation of the Debt Capital program including issue premium was as follows: York Hospital $115,717,777, Gettysburg Hospital $7,778,848, WellSpan Properties $27,853,476, WellSpan Specialty Services $13,693,232, and Ephrata Community Hospital $28,452,517. These amounts are reported on the respective balance sheets for each of these entities.On May 22, 2015, the Lancaster Municipal Authority issued $36,572,083 of Revenue 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. In order to remain consistent with the reporting on Form 8038, all outstanding liabilities associated with this tax-exempt bond issue is reported on the WellSpan Health (22-2517863) Schedule K.As of 6/30/19, the $30,762,699 of outstanding liability is reported on the Ephrata Community Hospital return balance sheet.$34,877,000 of Revenue bonds for Wellspan Health Obligated Group, Series 2017A were issued March 13, 2018 by General Authority of South Central Pennsylvania. 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 Specialty Services (23-2899911), and Good Samaritan Hospital (23-1794160). In order to remain consistent with the reporting on Form 8038, all outstanding liabilities associated with this tax-exempt bond issue is reported on the WellSpan Health (22-2517863) Schedule K. As of 6/30/19, the allocation of the Debt Capital program was as follows: York Hospital $18,072,754, Gettysburg Hospital $2,822,312, WellSpan Properties $3,298,402, WellSpan Specialty Services $5,227,656,Good Samaritan Hospital $252,048, and WellSpan Health $1,443,829. These amounts are reported on the respective balance sheets for each of these entities.$29,312,000 of Revenue Bonds, Series 2017B for WellSpan Health Obligated Group were issued 9/4/2018 by General Authority of South Central Pennsylvania. The purpose of the bond issue was refund for bonds issued 11/12/2008. In order to remain consistent with the reporting on Form 8038, all outstanding liabilities associated with this tax-exempt bond issue is reported on the WellSpan Health (22-2517863) Schedule K. As of 6/30/19, the allocation of the Debt Capital program was as follows: York Hospital $16,704,970, Gettysburg Hospital $2,608,713 WellSpan Properties $3,048,772, WellSpan Specialty Services $4,832,016, Good Samaritan Hospital $232,972, and WellSpan Health $1,334,557. These amounts are reported on the respective balance sheets for each of these entities.$331,502,627 of Revenue bonds Series 2019A and 2019B for Wellspan Health Obligated Group were issued 4/3/2019 by General Authority of South Central Pennsylvania. 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), Good Samaritan Hospital (23-1794160) and Ephrata Community Hospital (23-1370484). In order to remain consistent with the reporting on Form 8038, all outstanding liabilities associated with this tax-exempt bond issue is reported on the WellSpan Health (22-2517863) Schedule K. As of 6/30/19, the allocation of the Debt Capital program was as follows: York Hospital $131,706,215, Chambersburg Hospital $110,087,343, WellSpan Properties $65,734,073, Chambersburg Health Services $18,810,564, Good Samaritan Hospital $1,482,627, and Ephrata Community Hospital $3,472,471. These amounts are reported on the respective balance sheets for each of these entities.$212,690,000 of Revenue bonds Series 2019C, 2019D and 2019E for Wellspan Health Obligated Group were issued 4/3/2019 by General Authority of South Central Pennsylvania. 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 Specialty Services (23-2899911), Good Samaritan Hospital (23-1794160) and WellSpan Health (22-2517863). In order to remain consistent with the reporting on Form 8038, all outstanding liabilities associated with this tax-exempt bond issue is reported on the WellSpan Health (22-2517863) Schedule K. As of 6/30/19, the allocation of the Debt Capital program was as follows: York Hospital $123,530,352, Gettysburg Hospital $19,290,983, WellSpan Properties $22,545,140, WellSpan Specialty Services $35,731,920, Good Samaritan Hospital $1,722,789, and WellSpan Health $9,868,816. These amounts are reported on the respective balance sheets for each of these entities.On April 30, 2014, $35,795,000 of Healthcare Revenue Bonds Series 2014A & 2014C were issued by Franklin County Industrial Authority. In order to remain consistent with the reporting on Form 8038, all outstanding liabilities associated with this tax-exempt bond issue is reported on the WellSpan Health (22-2517863) Schedule K. As of 6/30/19, the allocation of the Debt Capital program was as follows: Waynesboro Hospital (23-1360854) $7,143,140, Chambersburg Hospital (23-0465970) $21,039,169,and Chambersburg Health Services(25-1515376) $499,518. These amounts are reported on the respective balance sheets for each of these entities.
Signature Block - Paid Preparer Explanation	Paid Preparer ExplanationDue to a software limitation, we wish to clarify that WellSpan Health is the ERO.The paid preparer is:BDO USA, LLP13-53815908401 Greensboro Drive, Suite 800McLean, VA 22102(703) 893-0600The preparers name is Marc Berger, PTIN P01871563

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (26 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
Apple Hill Surgical Center Inc
PO Box 2767	York	PA	174052767	222842253	Sole GP in limited ptnrshp. operating surgical center	PA	501(c)(3)	10	WellSpan Health Care Services	false
Gettysburg Hospital
PO Box 2767	York	PA	174052767	231352220	Health Care Services	PA	501(c)(3)	3	WellSpan Health	false
Gettysburg Hospital Foundation
PO Box 2767	York	PA	174052767	232251358	Fundraising for Gettysburg Hospital	PA	501(c)(3)	12 Type I	Gettysburg Hospital	false
Healthy Community Pharmacy Inc
PO Box 2767	York	PA	174052767	200519121	Reduced rate prescription drugs to uninsured	PA	501(c)(3)	12 Type I	WellSpan Health Care Services	false
VNA Community Services
PO Box 2767	York	PA	174052767	232338591	Home personal care services for elderly and disabled	PA	501(c)(3)	10	WellSpan Specialty Services	false
VNA Home Health Services
PO Box 2767	York	PA	174052767	231352573	Home Health services	PA	501(c)(3)	10	WellSpan Specialty Services	false
Wellspan Health
PO Box 2767	York	PA	174052767	222517863	Integrated Health System	PA	501(c)(3)	12 Type III	NA	false
Wellspan Health Care Services
PO Box 2767	York	PA	174052767	232400237	Health-related activities in the service area	PA	501(c)(3)	12 Type II	WellSpan Health	false
Wellspan Medical Group
PO Box 2767	York	PA	174052767	232730785	Medical and surgical care	PA	501(c)(3)	10	WellSpan Health	false
York Health Foundation
PO Box 2767	York	PA	174052767	233050192	Charitable contributions for Wellspan entities	PA	501(c)(3)	12 Type III	WellSpan Health	false
WellSpan Specialty Services
PO Box 2767	York	PA	174052767	232899911	Surgery and Rehabilitation Hospital	PA	501(c)(3)	3	WellSpan Health	false
Wellspan Properties Inc
PO Box 2767	York	PA	174052767	222842252	Leases facilities to affiliates	PA	501(c)(3)	12 Type I	WellSpan Health Care Services	false
Ephrata Community Hospital
PO Box 2767	York	PA	174052767	231370484	Health care services	PA	501(c)(3)	3	WellSpan Health	false
Ephrata Community Health Foundation
PO Box 2767	York	PA	174052767	800940005	Fundraising for Ephrata Hospital	PA	501(c)(3)	12 Type I	Ephrata Community Hospital	false
Northern Lancaster County Medical Group
PO Box 2767	York	PA	174052767	203033058	Medical and surgical care	PA	501(c)(3)	12 Type II	Ephrata Community Hospital	false
Phys Spec of North Lanc Co Med Gr
PO Box 2767	York	PA	174052767	452537633	Physician Practices	PA	501(c)(3)	12 Type II	Northern Lancaster County Medical Group	false
Good Samaritan Hospital
PO Box 2767	York	PA	174052767	230794160	Health Care Services	PA	501(c)(3)	3	WellSpan Health	false
Philhaven
PO Box 2767	York	PA	174052767	231549922	Health Care Services	PA	501(c)(3)	3	WellSpan Health	false
Good Samaritan Heath Service Foundation
PO Box 2767	York	PA	174052767	232356151	Fundraising for Good Samaritan	PA	501(c)(3)	12 Type I	Good Samaritan Hospital	false
Good Samaritan Physician Services
PO Box 2767	York	PA	174052767	251832359	Medical and Surgical Care	PA	501(c)(3)	10	Good Sam Health Services Foundation	false
WellSpan Summit Health
PO Box 2767	York	PA	174052767	251515371	Integrated health system	PA	501(c)(3)	7	WellSpan Health	false
Waynesboro Hospital
PO Box 2767	York	PA	174052767	231360854	Health care services	PA	501(c)(3)	3	WellSpan Summit	false
Chambersburg Hospital
PO Box 2767	York	PA	174052767	230465970	Health care services	PA	501(c)(3)	3	WellSpan Summit	false
Summit Physician Services
PO Box 2767	York	PA	174052767	251716306	Medical and surgical care	PA	501(c)(3)	3	WellSpan Summit	false
Summit Health Foundation
PO Box 2767	York	PA	174052767	831196554	Fundraising for health care system	PA	501(c)(3)	12 Type II	WellSpan Summit	false
Chambersburg Health Services
PO Box 2767	York	PA	174052767	251515376	Health care services	PA	501(c)(3)	12 Type I	WellSpan Summit	false

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (8 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd
Apple Hill Surgical Center Partners
PO Box 2767	York	PA	174052767	232489452	Surgical Cn	PA	NA	false	false
Central PA Alliance Laboratories LLC
PO Box 2767	York	PA	174052767	232910950	Ref. Lab	PA	NA	false	false
Littlestown Health Care Partners
300 West King Street	Littlestown	PA	17340	232880464	Lease facility	PA	NA	false	false
Cherry Tree Cancer Center LLP
PO Box 2767	York	PA	174052767	232915628	Radiation	PA	NA	false	false
The Rehab Center
855 Springdale Drive Suite 20	Exton	PA	19341	251687903	Physical Therapy Rehab	PA	NA	false	false
Surgery Center Associates
785 5th Avenue	Chambersburg	PA	17201	251845304	Physician services	PA	Chambersburg Health	false	false
Summit Surgery Center
785 5th Avenue	Chambersburg	PA	17201	251845303	Physcian services	PA	Chambersburg Health	false	false
Cumberland Valley Mobile Services
5 S Main St	Sugarloaf	PA	18249	200884014	Mobile health services	PA	Chambersburg Health	false	false

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (8 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct
Wellspan Pharmacy Inc
PO Box 2767	York	PA	174052767	232374072	Dispenses Rx & provides IV therapy	PA	NA	C corp	false
Wellspan Reciprocal Risk Retention Group
PO Box 2767	York	PA	174052767	200048457	Risk Retention Group	PA	NA	C Corp	false	$9,472,216	$20,567,750	0.66710
York Health Plan
PO Box 2767	York	PA	174052767	232664989	Preferred Provider Organization	PA	NA	C corp	false
WellSpan Provider Network
PO Box 2767	York	PA	174052767	232907828	Coord mngd care risk contracting	PA	NA	C Corp	false
Apple Hill Condominium Association
PO Box 2767	York	PA	174052767	232504543	Condo Mgmt Association	PA	NA	Homeowner Assoc	false
North Lanc Co Phys Hosp Alliance
PO Box 2767	York	PA	174052767	232421885	Coord Phys & Hospital	PA	NA	C corp	false
GSH Realty Inc
PO Box 2767	York	PA	174052767	251832359	Non-res. real estate	PA	WSH Care Services	C corp	false
Ephrata Health Pavilion Condo Assoc
PO Box 2767	York	PA	174052767	475367279	Condo association	PA	Ephrata Hospital	C corp	false

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (true)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	Yes (true)	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	Yes (true)	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd