GETTYSBURG HOSPITAL: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: GETTYSBURG HOSPITAL (EIN 23-1352220)
Tax period: 2018-07-01 to 2019-06-30
Filed: 2020-06-01
IRS object ID: 202041539349301344
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 O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2020-06-01T13:25:57-07:00	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	231352220	EIN

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Business Name Control	GETT	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	$297,510,908	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	1919	FormationYr
Legal Domicile State	PA	LegalDomicileStateCd
Activity Or Mission	The Gettysburg Hospital is a tax exempt organization dedicated to providing high quality health care services for the people who live, work, travel through and vacation in Adams County, Pennsylvania and northern Maryland.	ActivityOrMissionDesc
Voting Members Governing Body	14	VotingMembersGoverningBodyCnt
Voting Members Independent	8	VotingMembersIndependentCnt
Total Employee	922	TotalEmployeeCnt
Total Volunteers	284	TotalVolunteersCnt
Total Gross UBI	$1,145,798	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$420,937	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$414,010	PYContributionsGrantsAmt
CY Contributions Grants	$1,176,210	CYContributionsGrantsAmt
PY Program Service Revenue	$186,412,608	PYProgramServiceRevenueAmt
CY Program Service Revenue	$229,318,836	CYProgramServiceRevenueAmt
PY Investment Income	$8,294,330	PYInvestmentIncomeAmt
CY Investment Income	$11,381,305	CYInvestmentIncomeAmt
PY Other Revenue	$722,061	PYOtherRevenueAmt
CY Other Revenue	$845,566	CYOtherRevenueAmt
PY Total Revenue	$195,843,009	PYTotalRevenueAmt
CY Total Revenue	$242,721,917	CYTotalRevenueAmt
PY Grants And Similar Paid	$7,247,708	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$25,087,825	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$58,584,529	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$62,284,468	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$255,635	CYTotalFundraisingExpenseAmt
PY Other Expenses	$111,373,240	PYOtherExpensesAmt
CY Other Expenses	$127,768,967	CYOtherExpensesAmt
PY Total Expenses	$177,205,477	PYTotalExpensesAmt
CY Total Expenses	$215,141,260	CYTotalExpensesAmt
PY Revenues Less Expenses	$18,637,532	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$27,580,657	CYRevenuesLessExpensesAmt
Total Assets BOY	$287,941,336	TotalAssetsBOYAmt
Total Assets EOY	$319,581,386	TotalAssetsEOYAmt
Total Liabilities BOY	$47,076,346	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$56,193,183	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$240,864,990	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$263,388,203	NetAssetsOrFundBalancesEOYAmt
Mission	The Gettysburg Hospital is a tax exempt organization dedicated to providing high quality health care services for the people who live, work, travel through and vacation in Adams County, Pennsylvania and northern Maryland.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$175,057,521	ExpenseAmt
Grant	$25,087,825	GrantAmt
Revenue	$230,023,609	RevenueAmt
Desc	Located in historic Gettysburg, Pennsylvania, Gettysburg Hospital has been serving the communities of Adams county and northern Maryland for more than 80 years.Beyond the acute care hospital, it has grown to be a comprehensive health-care provider with family health centers across the region, a very special maternity center, heart center, home health services, preventive health education and screening programs, and 24-hour emergency services.Gettysburg Hospital is this area's resource for meeting health and wellness needs. As a WellSpan Health hospital, Gettysburg Hospital and all of its facilities serve the community with the highest quality of care, compassion, and excellenceSee Attached Federal Supplemental Information: WellSpan Health - 2019 Community Benefit Report	Desc
Total Program Service Expenses	$175,057,521	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	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
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	922	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	14	GoverningBodyVotingMembersCnt
Independent Voting Member	8	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	PA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3350 WHITEFORD ROAD	AddressLine1Txt
City	YORK	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	174029081	ZIPCd

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

Form990 Part VII Section A Form990PartVIISectionAGrp (26 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
Kevin Mosser
Pres end 12/31	1.00	40.00	Yes (X)	Yes (X)	$0	$4,267,289	$111,748
Edward Mackle MD
Director	1.00	40.00	Yes (X)		$0	$561,386	$81,349
James Williams
Director	1.00	0.00	Yes (X)		$0	$0	$0
Eric Flynn
Secretary	1.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
David Doud
Director	1.00	40.00	Yes (X)		$0	$319,974	$59,888
Paul Dende DO
Director	1.00	40.00	Yes (X)		$0	$406,265	$56,011
Edie Jardine
Director	1.00	0.00	Yes (X)		$0	$0	$0
Philip Nicholson Jr MD
Director	1.00	40.00	Yes (X)		$0	$414,315	$65,719
Kristin Stuempfle
Director	1.00	0.00	Yes (X)		$0	$0	$0
Douglas E Eyer MD
Director	2.00	0.00	Yes (X)		$0	$0	$0
Roxanna Gapstur
Pres 1/1/19	1.00	40.00	Yes (X)	Yes (X)	$0	$0	$0
Orville G McBeth Jr MD
Director	1.00	40.00	Yes (X)		$0	$195,819	$61,995
Julie Ramsey
Chairman	1.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
Denis Onieal
Director	1.00	0.00	Yes (X)		$0	$0	$0
Patric Quinlan DO
Director	1.00	40.00	Yes (X)		$0	$239,963	$36,438
Wayne Hill
Treasurer	1.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
Dora Townsend
Director	1.00	0.00	Yes (X)		$0	$0	$0
Shannon Harvey
Vice Chair	1.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
Jane Hyde
Pres ex-officio	40.00	0.00		Yes (X)	$615,063	$0	$230,802
Michael F O'Connor
CFO - WellSpan	1.00	40.00		Yes (X)	$0	$811,162	$641,117
Michelle Williams
Dir-Pharm Care	40.00	0.00			$244,062	$0	$43,212	Yes (X)
Angela Johnston
VP-Patient Care	40.00	0.00			$231,240	$0	$68,332	Yes (X)
Jeffrey Moyer
Pharmacist	40.00	0.00			$179,507	$0	$48,967	Yes (X)
Melissa Hess
Admin-Clinical Ops	40.00	0.00			$181,711	$0	$50,515	Yes (X)
Michael Cogliano
VP-Operations	40.00	0.00			$218,841	$0	$55,485	Yes (X)
William Steinour
Former Treasurer	0.00	40.00			$0	$66,635	$6,790		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,670,424	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$7,282,808	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,618,368	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	64	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
American HealthCare Svcs
10126 Cherry Bend	Traverse City	MI	49684	Staffing service	$744,005
Quest Diagnostics
PO Box 912512	Pasadena	CA	911102512	Lab services	$502,889
HCSC Laundry
PO Box 25092	Lehigh Valley	PA	18002	Laudry services	$401,785
Trans USA Express Delivery
PO Box 3303	West Mclean	VA	22103	Delivery services	$484,995
HealthWorks Inc
515 Old Swede Road	Douglassville	PA	19518	Temporary help	$483,045

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	9	CntrctRcvdGreaterThan100KCnt
Related Organizations	$413,919	RelatedOrganizationsAmt
All Other Contributions	$762,291	AllOtherContributionsAmt
Total Contributions	$1,176,210	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
Net Patient Service	621500	$245,568,269	$244,588,601	$979,668
W/O -Financial Assistance	621500	-$3,187,758	-$3,187,758
W/O-Bad Debt	621500	-$13,061,675	-$13,061,675

Field	Value	IRS element (for citing)
Total Program Service Revenue	$229,318,836	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,030,251	TotalRevenueColumnAmt
Exclusion	$3,030,251	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	$305,881	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$292,147	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$13,734	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$13,734	TotalRevenueColumnAmt
Unrelated Business Revenue	$39,071	UnrelatedBusinessRevenueAmt
Exclusion	-$25,337	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$62,845,555	SecuritiesAmt
Other	$2,343	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$54,496,844	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$8,348,711	SecuritiesAmt
Other	$2,343	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$8,351,054	TotalRevenueColumnAmt
Exclusion	$8,351,054	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	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Contract Revenue	900099	$127,059	$127,059
Corner Cafe	722210	$213,263		$213,263
Gift Shop Sales	453220	$288,487		$288,487

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$203,023	TotalRevenueColumnAmt
Related Or Exempt Func Income	$203,023	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$831,832	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$242,721,917	TotalRevenueColumnAmt
Related Or Exempt Func Income	$229,043,941	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,145,798	UnrelatedBusinessRevenueAmt
Exclusion	$11,355,968	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	$25,087,825	TotalAmt
Program Services	$25,087,825	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	$2,167,737	TotalAmt
Program Services	$1,321,872	ProgramServicesAmt
Management And General	$845,865	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	$43,031,813	TotalAmt
Program Services	$42,769,625	ProgramServicesAmt
Management And General	$262,188	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,912,992	TotalAmt
Program Services	$1,898,147	ProgramServicesAmt
Management And General	$14,845	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$11,809,540	TotalAmt
Program Services	$11,717,898	ProgramServicesAmt
Management And General	$91,642	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$3,362,386	TotalAmt
Program Services	$3,336,294	ProgramServicesAmt
Management And General	$26,092	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$29,524,578	TotalAmt
Management And General	$29,524,578	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

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

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$76,019	TotalAmt
Management And General	$76,019	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	$39,298,664	TotalAmt
Program Services	$38,942,088	ProgramServicesAmt
Management And General	$356,576	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$31,824	TotalAmt
Program Services	$21,532	ProgramServicesAmt
Management And General	$10,292	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$34,516,160	TotalAmt
Program Services	$34,512,348	ProgramServicesAmt
Management And General	$3,812	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$8,431,489	TotalAmt
Management And General	$8,431,489	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$2,537,334	TotalAmt
Program Services	$2,503,074	ProgramServicesAmt
Management And General	$34,260	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$85,578	TotalAmt
Program Services	$75,019	ProgramServicesAmt
Management And General	$10,559	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	$19,661	TotalAmt
Program Services	$19,556	ProgramServicesAmt
Management And General	$105	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$1,163,499	TotalAmt
Program Services	$1,163,499	ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$5,346,268	TotalAmt
Program Services	$5,346,268	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,286,319	TotalAmt
Program Services	$1,286,319	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
Repair & Maintenance	$3,123,982	$3,098,343	$25,639
Utilities	$1,547,631	$1,544,147	$3,484
Reimbursed Expenses	$255,635			$255,635
Telephone	$205,873	$205,873

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$318,453	TotalAmt
Program Services	$207,794	ProgramServicesAmt
Management And General	$110,659	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$215,141,260	TotalAmt
Program Services	$175,057,521	ProgramServicesAmt
Management And General	$39,828,104	ManagementAndGeneralAmt
Fundraising	$255,635	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$885,045	BOYAmt
EOY	$922,799	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$4,267,184	BOYAmt
EOY	$739,270	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$92,640	BOYAmt
EOY	$73,839	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$26,812,138	BOYAmt
EOY	$30,885,506	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	$1,703,545	BOYAmt
EOY	$2,077,742	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$2,726,514	BOYAmt
EOY	$1,925,188	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$116,301,771	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$66,947,625	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$41,618,407	BOYAmt
EOY	$49,354,146	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$42,339,284	BOYAmt
EOY	$52,597,899	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$123,372,205	BOYAmt
EOY	$145,521,330	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,214,498	BOYAmt
EOY	$3,214,498	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$40,909,876	BOYAmt
EOY	$32,269,169	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$287,941,336	BOYAmt
EOY	$319,581,386	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$2,075,171	BOYAmt
EOY	$3,155,433	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$1,612,355	BOYAmt
EOY	$450,906	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$33,829,626	BOYAmt
EOY	$41,097,075	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$1,333,250	BOYAmt
EOY	$1,215,000	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$8,225,944	BOYAmt
EOY	$10,274,769	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$47,076,346	BOYAmt
EOY	$56,193,183	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$219,404,014	BOYAmt
EOY	$241,309,623	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$21,460,976	BOYAmt
EOY	$22,078,580	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$240,864,990	BOYAmt
EOY	$263,388,203	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$287,941,336	BOYAmt
EOY	$319,581,386	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$27,580,657	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$5,057,444	NetUnrlzdGainsLossesInvstAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	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	$11,473	OtherActivitiesAmt
Total Lobbying Expenditures	$11,473	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 ($6,483 and $4,990).	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$18,639,190	BeginningYearBalanceAmt
Contributions	$213,481	ContributionsAmt
Investment Earnings Or Losses	$1,537,892	InvestmentEarningsOrLossesAmt
Other Expenditures	$103,436	OtherExpendituresAmt
End Year Balance	$20,287,127	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$18,461,511	BeginningYearBalanceAmt
Contributions	$252,238	ContributionsAmt
Investment Earnings Or Losses	$41,831	InvestmentEarningsOrLossesAmt
Other Expenditures	$116,390	OtherExpendituresAmt
End Year Balance	$18,639,190	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$17,575,215	BeginningYearBalanceAmt
Contributions	$349,287	ContributionsAmt
Investment Earnings Or Losses	$807,282	InvestmentEarningsOrLossesAmt
Other Expenditures	$270,273	OtherExpendituresAmt
End Year Balance	$18,461,511	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	0.36790	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.63210	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	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	$140,421	OtherCostOrOtherBasisAmt
Book Value	$140,421	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$62,660,668	OtherCostOrOtherBasisAmt
Depreciation	$32,592,799	DepreciationAmt
Book Value	$30,067,869	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,820,446	OtherCostOrOtherBasisAmt
Depreciation	$1,370,496	DepreciationAmt
Book Value	$449,950	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$11,128,293	OtherCostOrOtherBasisAmt
Depreciation	$10,648,443	DepreciationAmt
Book Value	$479,850	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$40,551,943	OtherCostOrOtherBasisAmt
Depreciation	$22,335,887	DepreciationAmt
Book Value	$18,216,056	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$49,354,146	TotalBookValueLandBuildingsAmt
Total Book Value Securities	$145,521,330	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDesc	Book ValueBookValueAmt
Due from affiliates	$11,264,277
Una Bond Issue Costs - 2014 issue	$169,810

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$32,269,169	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
Accrued Payroll and Payroll Taxes	$1,406,464
Accrued Sales Tax	$2,183
Accrued Vacation	$2,844,473
Derivative Valuation	$5,992,770
Due to Affiliates	$28,879

Field	Value	IRS element (for citing)
Total Liability	$10,274,769	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$236,604,039	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	-$5,491,592	NetUnrealizedGainsInvstAmt
Other Revenue	$30,297	OtherRevenueAmt
Revenue Not Reported	-$5,461,295	RevenueNotReportedAmt
Revenue Subtotal	$242,065,334	RevenueSubtotalAmt
Other Revenues Not Included	$656,583	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$656,583	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$242,721,917	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$190,171,557	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$30,297	OtherExpensesIncludedAmt
Expenses Not Reported	$30,297	ExpensesNotReportedAmt
Expenses Subtotal	$190,141,260	ExpensesSubtotalAmt
Other Expenses Not Included	$25,000,000	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$25,000,000	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$215,141,260	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (6 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 2d: Other revenue amounts included in F/S but not included on form 990	Revenue netted with expense $30297
Part XI, Line 4b: Other revenue amounts included on 990 but not included in F/S	Restricted Contributions(Net) $41493 Change in Foundation Assets $615090
Part XII, Line 2d: Other expenses and losses per audited F/S	Rental expense netted with revenue $30297
Part XII, Line 4b: Other revenue amounts included on 990 but not included in F/S	Grant - WellSpan Medical Group $10500000 Grant - WellSpan Health $14500000

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	1407	PersonsServedCnt
Total Community Benefit Expns	$1,026,458	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,026,458	NetCommunityBenefitExpnsAmt
Total Expense	0.00480	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	28368	PersonsServedCnt
Total Community Benefit Expns	$23,758,908	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$12,299,173	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$11,459,735	NetCommunityBenefitExpnsAmt
Total Expense	0.05330	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	29775	PersonsServedCnt
Total Community Benefit Expns	$24,785,366	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$12,299,173	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$12,486,193	NetCommunityBenefitExpnsAmt
Total Expense	0.05810	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	30	ActivitiesOrProgramsCnt
Persons Served	6382	PersonsServedCnt
Total Community Benefit Expns	$394,656	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$28,166	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$366,490	NetCommunityBenefitExpnsAmt
Total Expense	0.00170	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$380,507	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$94,734	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$285,773	NetCommunityBenefitExpnsAmt
Total Expense	0.00130	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$257	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$257	NetCommunityBenefitExpnsAmt

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$163,075	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$163,075	NetCommunityBenefitExpnsAmt
Total Expense	0.00080	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	34	ActivitiesOrProgramsCnt
Persons Served	6382	PersonsServedCnt
Total Community Benefit Expns	$938,495	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$122,900	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$815,595	NetCommunityBenefitExpnsAmt
Total Expense	0.00380	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	36	ActivitiesOrProgramsCnt
Persons Served	36157	PersonsServedCnt
Total Community Benefit Expns	$25,723,861	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$12,422,073	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$13,301,788	NetCommunityBenefitExpnsAmt
Total Expense	0.06190	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	557	PersonsServedCnt
Total Community Benefit Expns	$8,528	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$8,528	NetCommunityBenefitExpnsAmt

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	2480	PersonsServedCnt
Total Community Benefit Expns	$6,259	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$6,259	NetCommunityBenefitExpnsAmt

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	52	PersonsServedCnt
Total Community Benefit Expns	$293,200	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$293,200	NetCommunityBenefitExpnsAmt
Total Expense	0.00140	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	5	ActivitiesOrProgramsCnt
Persons Served	3089	PersonsServedCnt
Total Community Benefit Expns	$307,987	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$307,987	NetCommunityBenefitExpnsAmt
Total Expense	0.00140	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$4,205,859	BadDebtExpenseAmt
Bad Debt Expense Attributable	$42,058	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$65,407,469	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$75,503,806	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$10,096,337	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	3	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (3 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd
WellSpan Gettysburg Hospital
1	147 Gettys Street	Gettysburg	PA	17325	http://www.wellspan.org	01300100	Yes (X)	Yes (X)	Yes (X)	A
WellSpan Surgical Center
2	236 West Street	Gettysburg	PA	17325	http://www.wellspan.org	22551501		Yes (X)		A
WellSpan Health & Surgery Ctr
3	1227 Baltimore Street	Hanover	PA	17331	http://www.wellspan.org	50471501		Yes (X)		A

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	http://www.wellspan.org	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	www.healthyadamscounty.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	Yes (true)	CollectionActivitiesInd
Engaged Legal Judicial Process	Yes (X)	EngagedLegalJudicialProcessInd
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 Adams County in 1996. Healthy Adams County (HAC)- a local health coalition representing the diversity of the community- has led each of the seven CHNAs that have been conducted. For the 2018 CHNA, HAC partnered with its sister health coalition in York County- the Healthy York County Coalition- to form a CHNA Planning Committee comprised of representatives from health and human service agencies, government entities, community-based organizations, higher education institutions, and other interested community members to assist with survey development, data review and analysis, and results distribution. This core committee also assisted with sharing the data and association community health priorities, once identified by Coalition leadership, to community members at a public forum on June 13th, 2018. WellSpan- Gettysburg Hospital is a funding partner and governance leader within Healthy Adams County and served on the CHNA Planning committee. In that regard, Gettysburg Hospital partners to conduct the CHNA, disseminate its results both among hospital leadership and in the community, and 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- Gettysburg Hospital is committed to obtaining community input to ensure that the CHNA and its associated implementation strategies appropriately address the identified needs of the entire community. Additional details of how community members were engaged is included in Part 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 York Hospital (York). Outside of WellSpan Health, UPMC Pinnacle Memorial and UPMC Pinnacle Hanover engaged in the CHNA process for York and Adams counties.
Facility: - Part V, Section B, Line 7d	With each iteration of the CHNA process, WellSpan- Gettysburg Hospital and its community partners continue to refine and enhance the system by which it obtains data, shared it with key community, hospital and system leaders, and integrated it into the system-wide and entity-level planning processes. In 2018, CHNA results and related priorities identified by Healthy Adams County were shared with the system-wide Planning Committee and WellSpan Health. This committee is comprised of community members and leaders that represent each of WellSpans primary entities and service areas, in addition to corporate leadership. Planning Committee members reviewed the CHNA data and designated system-wide priorities as: Care for all, including a focus on access to care and health equity; Behavioral health and lifelong wellness, which would incorporate behavioral health, substance use and addiction and lifelong wellness, and; healthy communities and social determinants of health, which provide a deeper dive into community engagement, social determinants of health and violence prevention. Similarly, Healthy Adams County selected adult overweight and obesity, depression, and affordable housing as priorities- these priorities built on previously developed strategies that were a result of the 2015 CHNA and also encourage a deeper dive into the WellSpan system-wide, organizational priorities. The established Healthy Adams County and WellSpan specific priorities and associated data were presented to the WellSpan- Gettysburg Hospital Board for their adoption. Healthy Adams County communicated the CHNA results and identified priorities to approximately 100 community members at a public forum held on June 13, 2018. During that forum, community members discussed the opportunities and risk associated with each priority, as well as how the organization which they represent can have an impact on the priority. In addition to these venues, CHNA results are available on the Healthy Adams County (www.healthyadamscounty.org) and WellSpan Health (www.wellspan.org) websites, and may also be obtained upon request. The corresponding WellSpan Community Health Improvement Plan is also available on the WellSpan Health website.
Facility: - 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 (7 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
WellSpan Rehabilitation and Imaging
16-18 Deatrick Drive	Gettysburg	PA	17325	Imaging, Rehabilitation
WellSpan Adams Health Center
40 V-Twin Dr	Gettysburg	PA	17325	Phlebotomy Services, Oncology, Diabetes Education, Imaging, Rehabilitation, Sleep Lab, Neurodiagnost
Wellspan Aspers Health Center
2060 Carlisle Road	Gettysburg	PA	17304	Imaging Services, Phlebotomy Services, Coumadin Clinic, Rehabilitation
Hanover Outpatient Infusion
671 Wilson Avenue	Hanover	PA	17331	Outpatient Chemotherapy and Infusion
WellSpan Towne Center
4910 Fairfield Rd	Fairfield	PA	17320	Coumadin Clinic, Rehab, Phlebotomy Services
WellSpan Washington Street Health Center
450 S Washington St	Gettysburg	PA	17325	Imaging,Coumadin Clinic,Maternal Fetal Medicine, Urology
WellSpan Rehabilitation at Herrs Ridge
820 Chambersburg Rd	Gettysburg	PA	17325	Rehabilitation

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 3c - Charity Care Eligibility Criteria (FPG Is Not Used)	Patients 401% of poverty level and greater do not qualify for financial assistance. However, all uninsured patients qualify for a 20% "no insurance" discount, regardless of income.
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	The Company provides an allowance for doubtful accounts for estimated losses resulting from the unwillingness or inability of patients to make payments for services. The allowance is determined by analyzing specific amounts and historical data and trends. Patient accounts receivable are charged off against the allowance for doubtful accounts when management determines that recovery is unlikely and the Company ceases collection efforts. Losses have been consistent with management's expectations in all material respects.
Part III, Line 8 - Explanation Of Shortfall As Community Benefit	Gettysburg Hospital maintains records to identify and monitor the level of charity care and community service it provides. These records include the amount of charges forgone based on established rates for services and supplies furnished under its charity care and community service policies and the estimated cost of those services. Payments from Medicare are generally less than Gettysburg Hospital's costs of providing the service.
Part III, Line 9b - Provisions On Collection Practices For Qualified 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 Healthy Adams County, WellSpan conducted its first Community Health Needs Assessment (CHNA). Six subsequent CHNAs were conducted in 2000, 2005, 2008, 2012, 2015 and 2018. These assessments- one method for collecting diverse information on a community and which involves surveying a representative sample of community members on their demographics, chronic health conditions, lifestyle behaviors, finances, access to health services, and related topics- have been administered before the Affordable Care Act (ACA) requirement. As previously noted, the WellSpan CHNA process, which includes survey development, data collection and analysis, and result dissemination, was led by both county-level health coalitions- Healthy Adams County and the Healthy York County Coalition- for Adams and York Counties. A similar process was utilized for the remaining counties of the WellSpan service area, including northern Lancaster and Lebanon counties. Healthy Adams County, Healthy York County Coalition, and its regional partner the Community Health Council of Lebanon County receive financial support from WellSpan Health and its entities, and other community stakeholders. The CHNA was developed utilizing consulting support and guidance through a contract with the Floyd Institute for Public Policy at Franklin and Marshall College. Dr. Berwood Yost, Institute Director and Project Lead has an extensive background conducting and analyzing community and corporate surveys and has been integral to the prior three CHNAs (2008, 2012 and 2015). The 2018 Adams and York CHNA is a byproduct of a collaboration of community organizations who partnered to provide guidance and support to the effort, including: County of York, Family First Health; Gettysburg College; UPMC Pinnacle Hanover; UPMC Pinnacle Memorial; York County Human Services; South Central Community Action Program (SCCAP); TrueNorth Wellness Services; United Way of York County; York City Health Bureau; York College of Pennsylvania, and; York County Community Foundation. This collaboration of community stakeholders determined the survey questions to be asked of the community; discussed data collection methodology, including sample size and method of obtaining data; reviewed the raw data and supporting charts/ graphs; identified potential community health priorities, and; developed the process by which results and priorities were to be shared with the community. The 2018 CHNA planning process engaged a wide range of community organizations serving the diverse interests of all partners. The intent of the CHNA was to collect adequate valuable data and information that would satisfy the needs of all participating organizations, without burdening CHNA respondents with too many questions. Committee members reviewed questions asked in the 2015 CHNA and edited accordingly based on the current health care environment and areas of interest. Survey questions were derived from the Behavioral Risk Factor Surveillance System (BRFSS), a validated survey tool utilized by the Centers for Disease Control and Prevention (CDC), and organized into four categories: healthcare access, behavioral risk, health conditions and prevention behaviors and context. A representative sample of 461 adult residents in Adams County were interviewed between December 4, 2017 and February 25, 2018. Supplemental secondary data from the Robert Wood Johnson Foundation (RWJF) annual County Health Rankings and from the Pennsylvania Department of Health was compiled and integrated into the 2018 CHNA. Data collected and analyzed by the Floyd Institute for Public Policy included breakdowns by age, gender, geographic area, race/ethnicity, and income level, and enabled the development of charts/ graphs that identified: trends and disparities; quantity of residents affected; health risks and disability-adjusted life years, and; social determinants of health impact. This information is included in the 2018 Community Health Needs Assessment Summary Report available at www.wellspan.org. CHNA results and related priorities identified by Healthy Adams County 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- Gettysburg 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 addition, Family First Health Gettysburg Center, a federally qualified community health center (FQHC) supported by WellSpan to provide services in Adams County, met patient care needs through 8,398 medical visits and 4,764 dental visits. 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 -Gettysburg Hospital primary care practices in Adams County participated in the Market Bucks program to address food insecurity and increase the consumption of fruits and vegetables. 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. Historically, WellSpan Health and its entities have taken planned steps to build community capacity that addresses complex health issues, as identified by the Community Health Needs Assessment (CHNA). Through financial and management support of a county health coalition, Healthy Adams County (HAC), more than 100 Adams County community members have been engaged in community health improvement initiatives. Some examples of past Healthy Adams County coalitions collaborative efforts include: supporting the establishment of a Federally Qualified Health Center (FQHC) to increase primary and dental care capacity for undeserved individuals; improving adolescent health and decreasing teenage pregnancy rates through targeted task force initiatives; increasing awareness of domestic violence through community awareness and education, and; addressing unhealthy eating behaviors by establishing the Adams County Food Policy Council. The Adams County Food Policy Council is regularly addressing issues related to food access, insecurity and healthy eating. This Healthy Adams County-affiliated task force has demonstrated continued success in improving the availability of fresh, healthy and affordable produce to a growing number of underserved community members through its Healthy Options program. In fiscal year 2019, more than 413 individuals participated in the Healthy Options program. Additionally, more than 300 individuals receiving SNAP assistance engaged in a coalition-led Fruit and Veggie Bucks program, which improved access to fruits and vegetables by discounting them at the Adams County Farmers Market and local grocer. Adams County, a rural and picturesque county with expansive views, numerous historical sites of significance and expansive walking trails, is an ideal location for outdoor physical activity. As a result, Healthy Adams County supports Fall and Spring Walking parties, winter hikes, and free 5k races annually. The walking parties, hikes and 5K events collectively engaged more than 1,600 community members in physical activity at all skill levels. Additionally, WellSpan-Gettysburg Hospital continues to partner with the Adams County Library System to offer the Get Outdoors (GO) Adams! summer physical activity program for families. This summer-long initiative encourages children and their families to be physically active by locating posts "hidden" in parks throughout Adams County. In the summer of 2019, more than 1,400 children participated in the GO Adams! Program.Healthy Adams County emphasized the four dimensions of health (mind, body, spirit, and community) by encouraging community member participation in the Community Wellness Connections program, which supports the wellness focused events of partnering organizations throughout the County. In 2019, WellSpan continued its work with Healthy Adams County to address housing instability concerns by partnering with the South Central Community Action Program (SCCAP) to meet the needs of homeless families in Adams County. Changes in government funding threatened closure of SCCAPs homeless shelter, a family-only shelter. WellSpan Gettysburg Hospital supported SCCAP with a $450,000 commitment that will ensure the continued operation of the shelter for the next three years. WellSpan-Gettysburg Hospital maintains its commitment to supporting local non-projects with Community Partnership Grant funds to like-minded nonprofit organizations to address key issues and health priorities. In 2019, WellSpan Gettysburg-Hospital supported Manos Unidas Hispanic- American Center, VisionCorps, the Adams County Arts Council, Land Conservancy of Adams County and the Adams County Public Library system. Additional examples of how WellSpan-Gettysburg Hospital fulfilled its community mission in Adams County may be found in the 2018 WellSpan Community Benefit Report - It's What Neighbors Do - 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 Gettysburg Hospital works with other parts of the system to provide a comprehensive approach to meeting community needs.WellSpan Health includes: WellSpan Gettysburg Hospital, WellSpan York Hospital, WellSpan Surgery and Rehabilitation Hospital, WellSpan Ephrata Community Hospital,WellSpan 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.Gettysburg 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 (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Purpose Of GrantPurposeOfGrantTxt
Center for Youth & Community
227 West High Street	Gettysburg	PA	17325	640952164	$11,000	$0	Youth Leadership Camp
Family First Health
Suite 200 116 S George St	York	PA	17401	237118262	$45,000	$0	Op. Support Gettysburg Ctr
Gettysburg College
300 North Washington Street	Gettysburg	PA	17325	231352641	$10,000	$0	General Support
WellSpan Health
3350 Whiteford Road	York	PA	17402	222517863	$14,500,000	$0	General Support
Wellspan Medical Group
3350 Whiteford Road	York	PA	17402	232730785	$10,500,000	$0	General Support

Field	Value	IRS element (for citing)
Total501c3 Org	5	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 (15 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Angela Johnston
VP-Patient Care	$197,704	$33,536	$27,227	$41,105	$299,572
David Doud
Director						$319,974	$17,135	$42,753	$379,862
Edward Mackle MD
Director						$561,386	$32,864	$48,485	$642,735
Jane Hyde
Pres ex-officio	$359,828	$255,110	$199,048	$31,754	$845,865					$125	$136,110
Jeffrey Moyer
Pharmacist	$179,507		$23,548	$25,419	$228,474
Kevin Mosser
Pres end 12/31						$1,023,400	$13,433	$98,315	$4,379,037			$420,420	$2,823,469	$420,420
Melissa Hess
Admin-Clinical Ops	$165,150	$13,214	$10,821	$39,694	$232,226					$3,347
Michael Cogliano
VP-Operations	$183,933	$31,137	$14,619	$40,866	$274,326					$3,771
Michael F O'Connor
CFO - WellSpan						$588,737	$590,416	$50,701	$1,452,279			$222,300	$125	$222,300
Michelle Williams
Dir-Pharm Care	$228,688	$15,224	$18,968	$24,244	$287,274					$150
Orville G McBeth Jr MD
Director						$195,819	$20,987	$41,008	$257,814
Patric Quinlan DO
Director						$218,887	$12,220	$24,218	$276,401				$21,076
Paul Dende DO
Director						$406,190	$14,983	$41,028	$462,276				$75
Philip Nicholson Jr MD
Director						$348,229	$21,569	$44,150	$480,034			$59,092	$6,994
William Steinour
Former Treasurer						$66,635	$1,692	$5,098	$73,425

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 O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 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 2: Description of Business or Family Relationship of Officers, Directors, Et	Wayne Hill, treasurer of the board of Gettysburg Hospital is the father of Stacey Green, who is a director on the Gettysburg Hospital Foundation board of directors.
Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder	WellSpan Health, a not for profit corporation, is the sole member.
Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body	The Board of Directors initially shall consist of no fewer than twelve and no more than sixteen persons, which shall include:(1) The following two "Positional Directors": the then-current President of the Hospital, and the then-current President of the Medical Staff, each of whom shall be subject to ratification by the Member notwithstanding such positions held.(2) Three "Medical Staff Directors," each of whom shall be nominated by the Medical Staff and appointed by the Member.(3) The balance of directors shall be "At-large Directors", who shall be appointed by the Member at the annual meeting of the Member. At-large Directors shall include no fewer than two persons from the Member's Board of Directors or the member's senior management staff; provided, however, that no more than two At-large Directors shall be from the Member's senior management staff.All directors shall be selected for their experience, relevant areas of interest and expertise, and ability and willingness to participate effectively in fulfilling the Board of Director's responsibilities and to do so free from any conflicting interests.
Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders	Except as otherwise provided in the Articles of Incorporation or the Bylaws, the affairs of the Hospital shall be managed and directed by its Board of Directors, which shall have responsibility for the control and management of the property, funds, and operations of the Hospital. The Board of Directors shall have full power and authority to do and perform any and all acts and functions that are not inconsistent with the laws governing the operations of the Hospital or the Bylaws or the Articles of Incorporation; provided, however, that except as otherwise provided in the Articles of Incorporation or the Bylaws, the Member may initiate and implement any of the following actions, and if any such action is initiated by the Hospital, such action shall not become effective unless approved by the Member;(a) The adoption, amendment, or revocation of the Hospital's Articles of Incorporation or Bylaws; provided, however, that the Member shall not amend such Articles of Incorporation or Bylaws with respect to changes to the name "Gettysburg Hospital" or with respect to the appointment, term, or removal of the Hospital's directors, without the approval of the Hospital Board of Directors and the Member shall not have the right to overrule the Hospital Board of Directors' approval.(b)The termination, liquidation, reorganization, division, conversion, or dissolution of the Hospital, or the merger, consolidation, or combination of the hospital with another entity; provided, however, that the Member shall not approve the merger of the Hospital into another Member affiliate without the approval of the Hospital Board of Directors and the Member shall not have the right to overrule the Hospital Board of Directors' disapproval; and, further provided, that the Member's action with respect to this subject matter shall require the affirmative vote of at least two-thirds of the Board of Directors of the Member then in office.(c)Any change or transfer of the Member's membership interest in the Hospital, or the creation or issuance of any additional membership interests in the Hospital.(d)The investment of the Hospital's assets other than in accordance with the Member's investment policy; or, in the absence of a current Member investment policy, any investment other than in the ordinary course of business (provided such ordinary course investment is in federally-insured interest-bearing bank accounts, short term direct U.S. obligations, short-term certificates of deposit of domestic banks, or highly rated money market funds).(e)The incurrence by the Hospital of indebtedness in excess of such amounts as may be reasonably designated by the Member from time to time, except pursuant to a budget approved by the Member or ordinary course indebtedness such as routine trade payables, in amounts less than the amounts designated by the Member. (f) The conveyance, transfer, lease, or sale of any of the Hospital's assets with a fair market value in excess of such aggregate amount as may be designated by the Member from time to time, except pursuant to a budget approved by the Member or the conveyance, transfer, lease, or sale of any of the Hospital's assets to the Member or another affiliate. (g)The making of any capital expenditure or the incurrence of any capital obligations by or on behalf of the Hospital in excess of such annual aggregate amount as may be designated by the Member from time to time, except pursuant to a budget approved by the Member. (h) The incurrence of any non-ordinary course obligation (whether actual or contingent) by the Hospital to guarantee or be responsible for the debts or obligations of any person in excess of such amounts as may be designated by the Member from time to time, except pursuant to a budget approved by the Member. (i)The approval of the Hospital's operating and capital budgets, or any material changes thereto. And other provisions described in the Bylaws.
Form 990, Part VI, Line 11b: Form 990 Review 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.
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 Presentation	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	false
Gettysburg Hospital Foundation
PO Box 2767	York	PA	174052767	232251358	Fundraising for Gettysburg Hospital	PA	501(c)(3)	12 Type I	Gettsyburg Hospital	Yes (true)
Healthy Community Pharmacy Inc
PO Box 2767	York	PA	174052767	200519121	Reduced rate prescription drugs	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	NA	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
York Hospital
PO Box 2767	York	PA	174052767	231352222	Community teaching hospital	PA	501(c)(3)	3	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 outpatient facilities to affiliates	PA	501(c)(3)	12 Type II	WellSpan Health Care Services	false
Ephrata Community Hospital
PO Box 2767	York	PA	174052767	231370484	Health care services	PA	501(c)(3)	3	WellSpan Health	false
Ephrata Community Health Foundation
PO Box 2767	York	PA	174052767	800940005	Fundraising for Ehprata 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	503(c)(3)	3	WellSpan Health	false
Philhaven
PO Box 2767	York	PA	174052767	231549922	Health Care Services	PA	503(c)(3)	3	WellSpan Health	false
Good Samaritan Health Service Foundation
PO Box 2767	York	PA	174052767	232356151	Fundraising for Good Samaritan	PA	503(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	503(c)(3)	10	GSH Services Foundation	false
WellSpan Summit Health
PO Box 2767	York	PA	174052767	251515371	Integrated Health System	PA	501(c)	7	WellSpan Health	false
Waynesboro Hospital
PO Box 2767	York	PA	174052767	231360854	Health Care Services	PA	501(c)(3)	3	WellSpan Summit Health	false
Chambersburg Hospital
PO Box 2767	York	PA	174052767	230465970	Health Care Services	PA	501(c)(3)	3	WellSpan Summit Health	false
Summit Physician Services
PO Box 2767	York	PA	174052767	251716306	Medical and surgical care	PA	501(c)(3)	3	WellSpan Summit Health	false
Summit Health Foundation
PO Box 2767	York	PA	174052767	831196554	Fundraising for Health Care System	PA	501(c)(3)	12 Type II	WellSpan Summit Health	false
Chambersburg Health Services
PO Box 2767	York	PA	174052767	251515376	Health care services	PA	501(c)(3)	12 Type I	WellSpan Summit Health	false

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (8 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd
Apple Hill Surgical Center Partners
PO Box 2767	York	PA	174052767	232489452	Surgical Cn	PA	NA	false	false
Central PA Alliance Laboratories LLC
PO Box 2767	York	PA	174052767	232910950	Ref. Lab	PA	NA	false	false
Littlestown Health Care Partners
300 West King Street	Littlestown	PA	17340	232880464	Lease facility	PA	NA	false	false
Cherry Tree Cancer Center LLP
PO Box 2767	York	PA	174052767	232915628	Radiation	PA	NA	false	false
The Rehab Center
855 Springdale Drive Suite 20	Exton	PA	19341	251687903	Physical Therapy Rehab	PA	NA	false	false
Surgery Center Associates LLC
PO Box 2767	York	PA	174052767	251845304	Physician Services	PA	Chambersburg Health	false	false
Summit Surgery Center LP
PO Box 2767	York	PA	174052767	251845303	Physician Services	PA	Chambersburg Health	false	false
Cumberland Valley Mobile Services
5 South Main Street	Sugarloaf	PA	18249	200884014	Health Care	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 pharm. & provides IV therapy	PA	WSH Care Services	C Corp	false
Wellspan Reciprocal Risk Retention Group
PO Box 2767	York	PA	174052767	200048457	Risk Retention Group	PA	NA	C Corp	false	$1,874,281	$4,069,769	0.13200
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	Coordinate managed care risk contracts	PA	WellSpan Health	C Corp	false
Apple Hill Condominium Association
PO Box 2767	York	PA	174052767	232504543	Condo Mgmt Association	PA	WellSpan Health	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	false	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	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (5 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Gettysburg Hospital Foundation
c	$413,919	General Ledger
Gettysburg Hospital Foundation
j	$5,760	General Ledger
Gettysburg Hospital Foundation
m	$255,635	General Ledger
WellSpan Health
b	$14,500,000	General ledger
WellSpan Medical Group
b	$10,500,000	General ledger