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YORK HOSPITAL: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
YORK HOSPITAL (EIN 23-1352222)
Tax period
2016-07-01 to 2017-06-30
Filed
2018-05-07
IRS object ID
201811279349301781
Schema version
2016v3.0
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2018-05-07T13:20:43-07:00ReturnTs
Tax Period End2017-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1WellSpan HealthBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line13350 WHITEFORD ROADAddressLine1Txt
CityYORKCityNm
State AbbreviationPAStateAbbreviationCd
ZIP17402ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN231352222EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1YORK HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlYORKBusinessNameControlTxt
Phone7178513055PhoneNum

US Address USAddress

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

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMichael F O'ConnorPersonNm
Person TitleCFOPersonTitleTxt
Signature2018-05-07SignatureDt
Discuss With Paid PreparerfalseDiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSee AttachedPreparerPersonNm
PTINP00234543PTIN
Phone7038930600PhoneNum
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerKevin Mosser MDPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 2767AddressLine1Txt
CityYorkCityNm
State AbbreviationPAStateAbbreviationCd
ZIP174052767ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,114,066,517GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
All Affiliates IncludedfalseAllAffiliatesIncludedInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.WELLSPAN.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1880FormationYr
Legal Domicile StatePALegalDomicileStateCd
Activity Or MissionYork Hospital is a premier community teaching hospital providing quality, cost-effective health care services strongly supporting excellence in education, and offering essential services without regard for an individual's ability to pay.ActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee5817TotalEmployeeCnt
Total Volunteers1208TotalVolunteersCnt
Total Gross UBI$9,887,990TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$916,189NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$4,715,949PYContributionsGrantsAmt
CY Contributions Grants$3,933,712CYContributionsGrantsAmt
PY Program Service Revenue$979,718,231PYProgramServiceRevenueAmt
CY Program Service Revenue$1,024,031,722CYProgramServiceRevenueAmt
PY Investment Income$33,886,466PYInvestmentIncomeAmt
CY Investment Income$37,210,344CYInvestmentIncomeAmt
PY Other Revenue$6,780,937PYOtherRevenueAmt
CY Other Revenue$6,460,588CYOtherRevenueAmt
PY Total Revenue$1,025,101,583PYTotalRevenueAmt
CY Total Revenue$1,071,636,366CYTotalRevenueAmt
PY Grants And Similar Paid$92,453,509PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$52,639,381CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$338,445,437PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$342,279,928CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$917,575CYTotalFundraisingExpenseAmt
PY Other Expenses$533,459,770PYOtherExpensesAmt
CY Other Expenses$566,165,567CYOtherExpensesAmt
PY Total Expenses$964,358,716PYTotalExpensesAmt
CY Total Expenses$961,084,876CYTotalExpensesAmt
PY Revenues Less Expenses$60,742,867PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$110,551,490CYRevenuesLessExpensesAmt
Total Assets BOY$1,322,710,843TotalAssetsBOYAmt
Total Assets EOY$1,519,255,615TotalAssetsEOYAmt
Total Liabilities BOY$426,565,204TotalLiabilitiesBOYAmt
Total Liabilities EOY$442,889,545TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$896,145,639NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,076,366,070NetAssetsOrFundBalancesEOYAmt
MissionYork Hospital is a premier community teaching hospital providing quality, cost-effective health care services strongly supporting excellence in education, and offering essential services without regard for an individual's ability to pay.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$759,814,873ExpenseAmt
Grant$52,639,381GrantAmt
Revenue$1,025,588,757RevenueAmt
DescWellSpan York Hospital is the region's leader in advanced specialty care. What began in 1880 has become a 572-bed community teaching hospital that employs more then 4,800 people and serves a population of more than 520,000 in south central Pennsylvania. WellSpan York Hospital offers services and programs that feature highly skilled clinical staff, life-saving technology and state-of-the-art facilities to address some of the most complex medical, surgical and behavioral conditions.WellSpan York Hospital has been designated as a Bariatric Center for Excellence by the American Society for Metabolic and Bariatric Surgery; recognized as one of the Best Regional Hospitals in its Best Hospitals publication; named a Top 100 Hospital by Thomson Reuters, a leading source of health care information, on seven occasions. In addition WellSpan York Hospital has been designated as a Robotic Epicenter by Intuitive Surgical, accredited as a Level 1 Regional Resource Trauma Center, designated as a Primary Stroke Center by the Joint Commission, and designated as a Magnet Hospital by The American Nurses Credentialing Center. WellSpan York Hospital is a nationally recognized teaching hospital with seven residency programs, five allied health schools and other training programs. More than 690 physicians and other professionals belong to WellSpan York Hospital's medical and dental staff.See Attached Federal Supplemental Information: WellSpan Health - 2017 Community Benefit ReportDesc
Total Program Service Expenses$759,814,873TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (true)ReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld CompliancefalseBackupWthldComplianceInd
Employee5817EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Form8282 Filed0Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
DAF Excess Business HoldingsfalseDAFExcessBusinessHoldingsInd
Taxable DistributionsfalseTaxableDistributionsInd
Distribution To DonorfalseDistributionToDonorInd
Org Filed In Lieu Of Form1041falseOrgFiledInLieuOfForm1041Ind
Licensed More Than One StatefalseLicensedMoreThanOneStateInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members12GoverningBodyVotingMembersCnt
Independent Voting Member7IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldPAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonDAVID RIZZUTOPersonNm
Phone7178513055PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13350 WHITEFORD ROADAddressLine1Txt
CityYORKCityNm
State AbbreviationPAStateAbbreviationCd
ZIP17402ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
Todd Marsteller
Secr/Treas1.000.00Yes (X)Yes (X)$0$0$0
Joe Crosswhite
Chairman1.000.00Yes (X)Yes (X)$0$0$0
Pamela Gunter-Smith
Director1.000.00Yes (X)$0$0$0
Percival Buenaventura MD
Director1.0040.00Yes (X)$0$943,753$58,849
Steve Pandelidis MD
Director1.0040.00Yes (X)$0$697,818$60,486
Gary Stewart Jr
Director1.000.00Yes (X)$0$0$0
Dave Meckley
Director1.000.00Yes (X)$0$0$0
Jean Treuthart
Director1.000.00Yes (X)$0$0$0
Kevin Mosser MD
CEO-WSH/Direct.1.0040.00Yes (X)Yes (X)$0$1,309,658$840,558
Mary Sudzinski
Director1.000.00Yes (X)$0$0$0
William Dannehl
Vice-Chair1.000.00Yes (X)Yes (X)$0$0$0
Todd Butz
Director1.0040.00Yes (X)$0$225,734$58,685
Michael F O'Connor
CFO-WellSpan H.1.0040.00Yes (X)$0$736,532$498,400
Keith Noll
President40.000.00Yes (X)$640,925$0$434,311
Victoria Diamond
VP & COO - YH40.000.00$370,027$0$48,619Yes (X)
Jadwiga Wojcicka
Dir - Med Physics40.000.00$324,243$0$47,170Yes (X)
Astrid Davis
VP-Patient Care40.000.00$302,333$0$62,526Yes (X)
Allan Birenberg
VP-Med Affairs40.000.00$524,724$0$59,425Yes (X)
Thomas Dondero
Dir-Pharm Care40.000.00$283,703$0$61,594Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,445,955TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$3,913,495TotReportableCompRltdOrgAmt
Total Other Compensation$2,230,623TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K328IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
York Laboratory Associates
1001 South George StreetYorkPA17403Lab Services$6,936,077
Anesthesia Associates of York
110 Pine Grove CommonsYorkPA17405Physican Services$5,436,766
Quest Diagnostics Inc
12436 Collection Center DriveChicagoIL60693Lab & Pre-Employment$1,807,264
American HealthCare Services
PO Box 945Traverse CityMI49685Temporary Help$1,867,193
HCSC Laundry
PO Box 25092Lehigh ValleyPA180025092Laundry Services$1,837,949
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K32CntrctRcvdGreaterThan100KCnt
Related Organizations$1,853,987RelatedOrganizationsAmt
Government Grants$381,391GovernmentGrantsAmt
All Other Contributions$1,698,334AllOtherContributionsAmt
Total Contributions$3,933,712TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
EHR Incentive Program(MU)621500$909,195$909,195
Patient Services621500$1,080,977,467$1,071,782,430$9,195,037
W/O - Bad Debt621500-$42,180,747-$42,180,747
W/O -Financial Assistance621500-$15,674,193-$15,674,193
FieldValueIRS element (for citing)
Total Program Service Revenue$1,024,031,722TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$22,540,480TotalRevenueColumnAmt
Exclusion$22,540,480ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

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

Royalties Revenue RoyaltiesRevenueGrp

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

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$429,455RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$429,455RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$429,455TotalRevenueColumnAmt
Exclusion$429,455ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$56,773,609SecuritiesAmt
Other$326,406OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$42,428,178SecuritiesAmt
Other$1,973OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$14,345,431SecuritiesAmt
Other$324,433OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$14,669,864TotalRevenueColumnAmt
Exclusion$14,669,864ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

Net Income From Gaming NetIncomeFromGamingGrp

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

Net Income Or Loss NetIncomeOrLossGrp

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

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Food Service/Hospitality722210$593,553$96,661$496,892
Medical Education611710$1,427,579$19,160$1,408,419
Snack/Coffee Bar & Cafe722210$2,838,078$2,838,078

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,171,923TotalRevenueColumnAmt
Related Or Exempt Func Income$148,616RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$596,292UnrelatedBusinessRevenueAmt
Exclusion$427,015ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$6,031,133OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,071,636,366TotalRevenueColumnAmt
Related Or Exempt Func Income$1,016,393,720RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$9,887,990UnrelatedBusinessRevenueAmt
Exclusion$41,420,944ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$52,639,381TotalAmt
Program Services$52,639,381ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,075,236TotalAmt
Management And General$1,075,236ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$252,916,769TotalAmt
Program Services$245,254,601ProgramServicesAmt
Management And General$7,662,168ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$9,071,094TotalAmt
Program Services$8,523,259ProgramServicesAmt
Management And General$547,835ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$60,009,120TotalAmt
Program Services$58,180,381ProgramServicesAmt
Management And General$1,828,739ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$19,207,709TotalAmt
Program Services$18,548,909ProgramServicesAmt
Management And General$658,800ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$139,292,591TotalAmt
Management And General$139,292,591ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$19,613TotalAmt
Program Services$6,597ProgramServicesAmt
Management And General$13,016ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$305,854TotalAmt
Management And General$305,854ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$150,000TotalAmt
Management And General$150,000ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$155,805,440TotalAmt
Program Services$154,700,182ProgramServicesAmt
Management And General$1,105,258ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$46,331TotalAmt
Program Services$36,430ProgramServicesAmt
Management And General$9,901ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$2,694,323TotalAmt
Program Services$2,694,323ProgramServicesAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$42,940,731TotalAmt
Management And General$42,940,731ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$4,952,862TotalAmt
Program Services$4,952,862ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$603,170TotalAmt
Program Services$523,576ProgramServicesAmt
Management And General$79,594ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$381,441TotalAmt
Program Services$351,013ProgramServicesAmt
Management And General$30,428ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$13,155,810TotalAmt
Program Services$13,155,810ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$27,575,764TotalAmt
Program Services$27,254,233ProgramServicesAmt
Management And General$321,531ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$8,071,985TotalAmt
Program Services$8,071,985ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Supplies$144,160,868$143,600,768$560,100
Repair & Maintenance$11,132,495$10,684,279$448,216
Utilities$8,388,702$5,895,771$2,492,931
Equipment Rentals$2,381,504$2,381,504

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$4,106,083TotalAmt
Program Services$2,359,009ProgramServicesAmt
Management And General$829,499ManagementAndGeneralAmt
Fundraising$917,575FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$961,084,876TotalAmt
Program Services$759,814,873ProgramServicesAmt
Management And General$200,352,428ManagementAndGeneralAmt
Fundraising$917,575FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$77,479,901BOYAmt
EOY$89,370,534EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$149,688,446BOYAmt
EOY$161,353,425EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$5,928,375BOYAmt
EOY$6,042,271EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,919,575BOYAmt
EOY$1,989,729EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$579,629,084LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$352,668,928LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$228,063,239BOYAmt
EOY$226,960,156EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$166,694,997BOYAmt
EOY$209,079,524EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$531,175,748BOYAmt
EOY$572,505,193EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$161,760,562BOYAmt
EOY$251,954,783EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,322,710,843BOYAmt
EOY$1,519,255,615EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$19,067,858BOYAmt
EOY$27,796,503EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$10,391,304BOYAmt
EOY$6,817,140EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$297,780,808BOYAmt
EOY$329,508,085EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$99,325,234BOYAmt
EOY$78,767,817EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$426,565,204BOYAmt
EOY$442,889,545EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$879,071,527BOYAmt
EOY$1,057,793,434EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$9,452,710BOYAmt
EOY$10,589,316EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$7,621,402BOYAmt
EOY$7,983,320EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$896,145,639BOYAmt
EOY$1,076,366,070EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,322,710,843BOYAmt
EOY$1,519,255,615EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$110,551,490ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$69,490,796NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$178,145OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Form4720 Filed Section4955 TaxfalseForm4720FiledSection4955TaxInd
Correction MadefalseCorrectionMadeInd
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$46,700OtherActivitiesAmt
Total Lobbying Expenditures$46,700TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind
Form4720 Filed4912 TaxfalseForm4720Filed4912TaxInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1i - Other Activities DescriptionFormAndLineReferenceDesc
ExplanationA portion of the dues paid to the Hospital Association of Pennsylvania and the American Hospital Association include lobbying ($30,182 and $16,518).ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$16,978,760BeginningYearBalanceAmt
Contributions$3,970,974ContributionsAmt
Investment Earnings Or Losses$1,858,994InvestmentEarningsOrLossesAmt
Other Expenditures$4,619,826OtherExpendituresAmt
End Year Balance$18,188,902EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$16,098,684BeginningYearBalanceAmt
Contributions$2,883,009ContributionsAmt
Investment Earnings Or Losses$1,115,144InvestmentEarningsOrLossesAmt
Other Expenditures$3,118,077OtherExpendituresAmt
End Year Balance$16,978,760EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY0.42980PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.57020TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgYes (true)EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (true)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (true)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$487,109OtherCostOrOtherBasisAmt
Book Value$487,109BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$331,817,903OtherCostOrOtherBasisAmt
Depreciation$170,796,340DepreciationAmt
Book Value$161,021,563BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$12,750,650OtherCostOrOtherBasisAmt
Depreciation$10,433,482DepreciationAmt
Book Value$2,317,168BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$230,030,359OtherCostOrOtherBasisAmt
Depreciation$171,439,106DepreciationAmt
Book Value$58,591,253BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,543,063OtherCostOrOtherBasisAmt
Book Value$4,543,063BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$226,960,156TotalBookValueLandBuildingsAmt
Total Book Value Securities$572,505,193TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDescBook ValueBookValueAmt
Due from affiliates$37,623,238
Intangible Assets$1,989,695
Notes Receivable$204,946,862
Total Other noncurrent assets$6,959,509
FieldValueIRS element (for citing)
Total Book Value Other Assets$251,954,783TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDescAmtAmt
Accrd Payroll W/H$1,016,160
Accrued Asbestos Removal Exp$1,510,807
Accrued Payroll$4,977,453
Accrued Vacation$13,061,644
Bonds Payable-2017 Issue Curr$1,500,000
Insurance Reserve$6,656,050
Post Retirement Benefit Obligations$22,292,723
Total Other Noncurrent Liabili$27,752,980
FieldValueIRS element (for citing)
Total Liability$78,767,817TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$1,137,653,367TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$68,968,175NetUnrealizedGainsInvstAmt
Revenue Not Reported$68,968,175RevenueNotReportedAmt
Revenue Subtotal$1,068,685,192RevenueSubtotalAmt
Other Revenues Not Included$2,951,174OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$2,951,174RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$1,071,636,366TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$907,578,943TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$907,578,943ExpensesSubtotalAmt
Other Expenses Not Included$53,505,933OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$53,505,933ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$961,084,876TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part V, Line 4: Intended uses of the endowment fund.The funds were used to improve the health and welfare of the residents of York and Adams counties of Pennsylvania.
Part X : FIN48 FootnoteIn June 2006, the Financial Accounting Standards Board (FASB) issued Interpretation NO. 48, Accounting for Uncertainty in Income Taxes-an interpretation of FASB Statement NO. 109, Accounting for Income Taxes (FIN 48), which creates a single model to address uncertainty in tax positions and clarifies the accounting for income taxes by prescribing the minimum recognition threshold a tax position is required to meet before being recognized in the financial statements. Under the requirements of FIN 48, tax-exempt organizations could now be required to record an obligation as the result of a tax position they have historically taken or various tax exposure items. Prior to FIN 48, the determination of when to record a liability for tax exposure was based on whether a liability was considered probable and reasonably estimable in accordance with SFAS No.5, Accounting for Contingencies. On July 1, 2007, the parent company, WellSpan Health, adopted FIN 48. WellSpan Health determined that it does not have any uncertain tax positions through June 30, 2017.
Part XI, Line 4b: Other revenue amounts included on 990 but not included in F/SRestricted Contributions(Net) $801595 Restricted Contributions(Net)-YHF $643646 Expenses Netted with Revenue $1505933
Part XII, Line 4b: Other revenue amounts included on 990 but not included in F/SGrant-WellSpan Medical Group $48400000 Grant-WellSpan Health $3600000 Expense Netted with Revenue $1505933

Schedule H IRS990ScheduleH

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

Free Care Oth Percentage FreeCareOthPercentageGrp

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Persons Served6102PersonsServedCnt
Total Community Benefit Expns$6,081,587TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$6,081,587NetCommunityBenefitExpnsAmt
Total Expense0.00630TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Persons Served139894PersonsServedCnt
Total Community Benefit Expns$153,994,666TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$88,274,046DirectOffsettingRevenueAmt
Net Community Benefit Expns$65,720,620NetCommunityBenefitExpnsAmt
Total Expense0.06840TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Persons Served145996PersonsServedCnt
Total Community Benefit Expns$160,076,253TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$88,274,046DirectOffsettingRevenueAmt
Net Community Benefit Expns$71,802,207NetCommunityBenefitExpnsAmt
Total Expense0.07470TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs45ActivitiesOrProgramsCnt
Persons Served15397PersonsServedCnt
Total Community Benefit Expns$1,374,775TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$121,856DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,252,919NetCommunityBenefitExpnsAmt
Total Expense0.00130TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs3ActivitiesOrProgramsCnt
Persons Served116PersonsServedCnt
Total Community Benefit Expns$429,071TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$429,071NetCommunityBenefitExpnsAmt
Total Expense0.00040TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served271798PersonsServedCnt
Total Community Benefit Expns$19,869,569TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$9,732,319DirectOffsettingRevenueAmt
Net Community Benefit Expns$10,137,250NetCommunityBenefitExpnsAmt
Total Expense0.01050TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Total Community Benefit Expns$2,704,835TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,002,420DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,702,415NetCommunityBenefitExpnsAmt
Total Expense0.00180TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs5ActivitiesOrProgramsCnt
Persons Served1402PersonsServedCnt
Total Community Benefit Expns$353,947TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$353,947NetCommunityBenefitExpnsAmt
Total Expense0.00040TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs55ActivitiesOrProgramsCnt
Persons Served288713PersonsServedCnt
Total Community Benefit Expns$24,732,197TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$10,856,595DirectOffsettingRevenueAmt
Net Community Benefit Expns$13,875,602NetCommunityBenefitExpnsAmt
Total Expense0.01440TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs55ActivitiesOrProgramsCnt
Persons Served434709PersonsServedCnt
Total Community Benefit Expns$184,808,450TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$99,130,641DirectOffsettingRevenueAmt
Net Community Benefit Expns$85,677,809NetCommunityBenefitExpnsAmt
Total Expense0.08910TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Total Community Benefit Expns$456,500TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$456,500NetCommunityBenefitExpnsAmt
Total Expense0.00050TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served41PersonsServedCnt
Total Community Benefit Expns$1,161TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,161NetCommunityBenefitExpnsAmt

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Activities Or Programs12ActivitiesOrProgramsCnt
Persons Served13886PersonsServedCnt
Total Community Benefit Expns$45,580TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$11,877DirectOffsettingRevenueAmt
Net Community Benefit Expns$33,703NetCommunityBenefitExpnsAmt

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served15PersonsServedCnt
Total Community Benefit Expns$1,024TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,024NetCommunityBenefitExpnsAmt

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Persons Served143PersonsServedCnt
Total Community Benefit Expns$693,648TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$693,648NetCommunityBenefitExpnsAmt
Total Expense0.00070TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs17ActivitiesOrProgramsCnt
Persons Served14085PersonsServedCnt
Total Community Benefit Expns$1,197,913TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$11,877DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,186,036NetCommunityBenefitExpnsAmt
Total Expense0.00120TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$16,366,130BadDebtExpenseAmt
Bad Debt Expense Attributable$258,585BadDebtExpenseAttributableAmt
Reimbursed By Medicare$309,621,959ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$327,419,648CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$17,797,689MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1WellSpan York HospitalBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11001 S George StreetAddressLine1Txt
CityYorkCityNm
State AbbreviationPAStateAbbreviationCd
ZIP17405ZIPCd
FieldValueIRS element (for citing)
Website Addresshttp://www.wellspan.orgWebsiteAddressTxt
State License250301StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Teaching HospitalYes (X)TeachingHospitalInd
Critical Access HospitalYes (X)CriticalAccessHospitalInd
Research FacilityYes (X)ResearchFacilityInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

FieldValueIRS element (for citing)
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
CHNA Conducted15CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (true)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLhttp://www.wealthspan.orgOwnWebsiteURLTxt
Other WebsiteYes (X)OtherWebsiteInd
Other Website URLwww.healthyyork.orgOtherWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Rpt Available Thru Other MethodYes (X)RptAvailableThruOtherMethodInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt15ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLwww.wellspan.orgStrategyWebsiteURLTxt
Strategy AttachedYes (true)StrategyAttachedInd
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care300.0000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.0000FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLhttp://www.wellspan.orgFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLhttp://www.wellspan.orgFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLhttp://www.wellspan.orgFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Prospective Medicare MedicaidYes (X)ProspectiveMedicareMedicaidInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part V, Line 5 - Account Input from Persons Who Represent the CommunityCommunity stakeholder engagement has been vital to the Community Health Needs Assessment (CHNA) process since it began in York County in 1994. The Healthy York County Coalition (HYCC) a local health coalition representing the diversity of the community has led each of the six CHNAs that have been conducted. For the 2015 CHNA, HYCC partnered with its sister health coalition in Adams County Healthy Adams County to form a CHNA Planning Committee comprised of representatives from health and human service agencies, government entities, community-based organizations, higher education institutions, and other interested community members to assist with survey development, data review and analysis, and results distribution. This core committee also assisted with sharing the data and associated community health priorities, once identified by Coalition leadership, to community members at a public form in June 2016. WellSpan-York Hospital is a funding partner and governance leader within the Healthy York County Coalition and served on the CHNA Planning committee. In that regard, York Hospital partners to conduct the CHNA, disseminate its results both among hospital leadership and in the community, and integrate evidence-based strategies that impact identified community health needs into its annual planning process. Whether in meetings with community stakeholders or system/hospital leaders or at larger public forums, WellSpan-York Hospital is committed to obtaining community input to ensure that the CHNA and its associated implementation strategies appropriately address the identified needs of the entire community. Additional details of how community members were engaged is included in Part VI-Needs Assessment.
Part V, Line 6a - List Other Hospital Facilities that Jointly Conducted Needs AssessmentEphrata Community Hospital (Lancaster); Gettysburg Hospital (Adams) Good Samaritan Hospital (Lebanon); Philhaven (multiple counties), and; WellSpan Surgery and Rehabilitation Hospital. Outside of WellSpan Health, Hanover Hospital engaged in the CHNA process for York and Adams counties.
Part V, Line 7d - Description of Making Needs Assessment Widely AvailableWith each iteration of the CHNA process, WellSpan-York Hospital and its community partners continue to refine and enhance the system by which it obtains data, shares it with key community, hospital and system leaders, and integrates it into the system-wide and entity-level planning processes. In 2015, CHNA results and related priorities identified by the Healthy York County Coalition were shared with the system-wide Planning Committee at 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, adopted HYCCs priorities of adult overweight/obesity, depression/mental health, and maternal/child health while also identifying two additional priorities: access related to gaps in care caused by high-deductible insurance plans and the emerging opioid misuse and abuse issue facing the community. These five priorities and associated data were subsequently presented to the WellSpan-York Hospital Board for their adoption. The Healthy York County Coalition communicated the CHNA results and identified priorities to approximately 200 community members at a public forum held on June 11, 2016. During that forum, community members discussed the opportunities and risks associated with each priority, as well as how the organization which they represent can have an impact on the priority. In addition to these venues, CHNA results are available on the Healthy York County Coalition (www.healthyyork.org) and WellSpan Health (www.wellspan.org) websites, and may also be obtained upon request. The corresponding WellSpan Community Health Improvement Plan is also available on the WellSpan Health website.
Part V, Line 11 - Explanation of Needs Not Addressed and Reasons WhyPublic health research recommends that a root cause approach be utilized to address many chronic disease, diabetes, respiratory ailments, and overweight/obesity. A focus on improving healthy eating and physical activity behaviors and reducing tobacco use has demonstrated efficacy in reducing the impact of various chronic conditions. A few cardiovascular indicators were ranked high by Community Benefit Council members, but not selected as priorities. These include those who have high blood pressure and high cholesterol, and those who have been told that they have heart disease, heart attack, or stroke risk indicators. Council members felt that the root causes of these conditions - unhealthy eating, physical inactivity, and tobacco use - were already part of the selected priorities - adult overweight/obesity and tobacco use.
Part V, Line 13b - Criteria For Providing Discounted Care If Not FPGPatients 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 V, Line 13h - Other Factors Used in Determing Amounts Charged PatientsWellSpan 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.
Part V, Line 16i - Other Means Hospital Facility Publicized the PolicyIn 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.
Part V, Line 22d - Other Billing Determination of Individuals Without InsuranceWellSpan 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 (30 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
Apple Hill
25 Monument RoadYorkPA17403Cardiac Rehab, EKG/Cardiac Stress Testing, Infusion Services, Lab, Maternal Fetal Medicine, Nuclear
Queensgate Towne Center
2015 Springwood RdYorkPA17403Lab Services, Childbirth & Family Ed., Rehab
WellSpan Wound Healing Center
1399 S Queen StYorkPA17403Wound Care
WellSpan Behavioral Health
1101 Edgar StYorkPA17403BHS, Community Health Improvement, Crisis Intervention, Specialty Clinics
Diabetes Education - WellSpan Health
298 St Charles WayYorkPA17402Diabetes Self Management,
Loretta Claiborne Building
605 S George StYorkPA17401Dental Clinic, OB/GYN Clinic, Community Health Center
Wellspan East Berlin Health Center
105 Fourth StEast BerlinPA17316Imaging, lab services
WellSpan Hayshire Health Center
2775 N George StYorkPA17402Imaging, Lab Services
WellSpan Apple Hill Womens Special Services & Imaging
35 Monument RoadYorkPA17403Infusion, Women's Imaging, Radiology Technology
WellSpan Stony Brook Health Center
4222 Lincoln HighwayYorkPA17406Lab Services
WellSpan Neurology
228 St Charles WayYorkPA17402Neuroscience Admin, Pain Center
WellSpan Rehabilitation and Cardiovasular Health Mgmt
1575 Bannister StYorkPA17404Preventive Cardiology, Rehab medicine
WellSpan Rehabilitation and Imaging
207 Blooming Grove RoadHanoverPA17331Rehab, Imaging
WellSpan Dialysis Center
43 S Columbus AveLittlestownPA17340Dialysis
WellSpan Adams Health Center
40 V-Twin DrGettysburgPA17325Workfirst, Preventive Cardiology, Pulmonary
WellSpan Windsor Health Center
3065 Windsor RoadRed LionPA17356Imaging, Lab
ALSU- Dover
3700 Davidsburg RdDoverPA17315ALS Unit
ALSU- Red Lion
312 Horace Mann AveRed LionPA17356ALS Unit
WellSpan Rehabilitation
235 Rosedale DriveManchesterPA17345Rehab
WellSpan Dover Health Center
4020 Carlisle RoadDoverPA17315Imaging, Lab Services, Sleep Center
WellSpan Stonebridge Health Center
13515 Wolfe Rd Ste DNew FreedomPA17349Imaging, Lab Services
WellSpan Occupational Health and Imaging Services
2250 E Market StYorkPA17402Imaging, Work First
Wellspan Indian Rock Site
915 Indian Rock Dam RdYorkPA17404Indian Rock Helipad
WellSpan Lab Services at Valley Green
1790 Old Trail RoadEttersPA17319Lab Services
WellSpan Health Lab Services at Westgate Plaza
1550 Kenneth Rd Westgate PlazaYorkPA17408Lab Services
WellSpan Health Pulmonary Physiology Lab Services
2350 Freedom WayYorkPA17402Pulmonary Physiology Lab Services
WellSpan Prospect Center
1803 Mt Rose AveYorkPA17403Trans Lab
ALSU-Stewartstown
86 North Main StreetStewartstownPA17363ALS Unit
WellSpan Rehabilitation
73 East Forrest Avenue Suite 210ShrewsburyPA17361Rehab
WellSpan Lab Services
1150 Carlisle StHanoverPA17331Lab Services

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 6a - Related Organization Community Benefit ReportCommunity Benefit Information is included in the Community Benefit Report for WellSpan Health.
Part III, Line 2 - Methodology Used To Estimate Bad Debt ExpenseThe number was calculated using the cost to charge ratio factor applied against actual patient bad debt write-offs. These numbers are included after all efforts have been exhausted to determine if the patient meets our charity care write-off policy based on federal poverty levels.
Part III, Line 3 - Methodology of Estimated Amount & Rationale for Including in Community BenefitThe estimate of bad debt attributable to charity care policy was calculated by dividing the bad debt amount that was originally coded bad debt but later found to qualify as charity care by the amount coded to the charity care write-off codes. This ratio is applied to the bad debt cost factor expense.
Part III, Line 4 - Bad Debt ExpenseYork Hospital provides an allowance for doubtful accounts for estimated losses resulting from the unwillingness or inability of patients to make payments for services. The allowance is determined by analyzing specific accounts and historical data and trends. Patient accounts receivable are charged off against the allowance for doubtful accounts, when management determines that recovery is unlikely, and YH ceases collection efforts. Losses have been consistent with management's expectations in all material respects.
Part III, Line 8 - Explanation Of Shortfall As Community BenefitYork Hospital maintains records to identify and monitor the level of charity care and community service it provides. These records include the amount of charges forgone based on established rates for services and supplies furnished under its charity care and community service policies and the estimated cost of these services. Payments from Medicare are generally less than York Hospital's costs of providing the service.
Part III, Line 9b - Provisions On Collection Practices For Qualified PatientsGuidelines for suggested minimum number of phone attempts and letters to be sent before the account is turned over to an outside collection agency are included in the Patient Administrative Services Policy. Upon final PARO (Payment Assistance Rank Ordering) scoring, if a patient qualifies for presumptive charity, their account would not be forwarded to any third party collections. It shall be the policy of Patient Administrative Services to recommend accounts to Bad Debt on a timely basis. Inpatient/Outpatient accounts will go to bad debt automatically after the account has been in the financial class Pending Bad Debt for 30 days. All accounts must follow the approved limits for refunds and write offs, as established in Policy PF-102, before being transferred. The primary agencies will work the accounts for 6 months or until they feel it is uncollectable and return the account. The accounts are forwarded to secondary agencies from the primary agencies Closed and Return Reports. The financial class is changed to Bad Debt Other after the Closed and Return Reports are received from the Secondary Agency. The agencies must get written approval from the manager in the relatively rare instance of legal action being taken to collect the debt.
Part VI - Needs AssessmentWellSpan Health and its entities have a long history of understanding and responding to the needs of the communities and populations it serves. This commitment was strengthened in 1998 when, in partnership with the Healthy York County Coalition, WellSpan conducted its first Community Health Needs Assessment (CHNA). Five subsequent CHNAs were conducted in 2000, 2005, 2008, 2012 and 2015. 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. These coalitions receive financial support from WellSpan Health and its entities, and other community stakeholders. The following community organizations partnered to provide guidance and support to the 2015 CHNA: County of York; Family First Health; Hanover Hospital; TrueNorth Wellness Services; United Way of York County; York City Health Bureau; York College of Pennsylvania, and; York County Community Foundation. Additional consulting support was provided through a contract with the Floyd Institute for Public Policy at Franklin and Marshall College. Dr. Berwood Yost, Institute Director and Project has an extensive background conducting and analyzing community and corporate surveys, and has been integral to the prior two CHNAs (2008 and 2012). 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 2015 CHNA planning process engaged a wide range of community organizations serving the diverse interests of all partners without burdening CHNA respondents with too many questions. Committee members reviewed questions asked in the 2012 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 1,028 adult residents in York County were interviewed between October 27 and December 12, 2014. 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 2015 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 focused on: quantity of residents affected; health risks and disability-adjusted life years; correlates of obesity and depression (two significant health priorities); health disparities, and; social determinants of health impact. This information is included in the 2015 Community Health Needs Assessment Summary Report available at www.wellspan.org. In 2015, CHNA results and related priorities identified by the Healthy York County Coalition were shared with the system-wide Planning Committee at 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, adopted HYCCs priorities of adult overweight/obesity, depression/mental health, and maternal/child health while also identifying two additional priorities pertinent to WellSpan Health: access related to gaps in care caused by high-deductible insurance plans and the emerging opioid misuse and abuse issue facing the community. These five priorities and associated data were subsequently presented to the WellSpan-York Hospital Board for their adoption. Board members discussed the data and identified priorities within the context of existing staffing and financial resources, current and future entity initiatives, and community partnership opportunities to address systemic community change.
Part VI - Explanation Of How Organization Furthers Its Exempt PurposeHistorically, WellSpan Health and its entities have taken planned steps to build community capacity that addresses complex health issues, as identified by the Community Health Needs Assessment (CHNA). Through financial and management support of a county health coalition, the Healthy York County Coalition (HYCC), more than 200 York County community members have been engaged in community health improvement initiatives. HYCC consists of three committees Access and Empowerment; Community Engagement, and; Prevention and Wellness, each of which continue to attract new community members, leaders, and professionals. These committees foster partnerships and collaboration between entities to ensure that efforts to address and impact identified community health needs are coordinated and successful. 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 five health priorities identified in the 2015 CHNA adult overweight/obesity; access related to gaps in care caused by high-deductible insurance plans; depression/mental health; maternal/child health, and opioid misuse and abuse. 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, through support of the Family First Health Hannah Penn Center, 2,074 acute and preventative visits were provided to underserved adults and children. *Feeling Blue, an online depression awareness campaign (www.feeling-blue.com) launched in November 2014, continues to demonstrate increased online traffic (viewer hits). The campaign is designed to encourage individuals who are feeling blue or suffering from mild depression to engage in non-medical means of managing their symptoms (i.e., healthy eating, increased physical activity, social support). Since its launch, the Feeling Blue campaign committee with representation by behavioral health providers across the community - annually updates the website with new information to support community members suffering from mild depression as well as working to reduce the social stigma associated with this prevalent mental health condition. *In 2017, WellSpan Health celebrated the 5th anniversary of its regional 10Lb. Throwdown initiative, 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 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. More than 6200 community members across four southcentral Pennsylvania counties Adams, Lancaster, Lebanon, and York participated in the 2017 iteration of the 10Lb. Throwdown program; this represents a 66.5% increase over the prior years program enrollment.*Through a community partnership grant, WellSpan-York Hospital has helped York Fresh Farms build a cold storage room to keep its harvest of locally-grown food on its two urban farms fresh and readily accessible to underserved community members.*Celebrating nearly a decade of promoting summertime physical activity, Get Outdoors (GO) York!, a partnership between WellSpan-York Hospital and York County Libraries, 10,928 children participated in an adaptation of letterboxing, an international hobby where participants use written clues to find items hidden in various places. More than 1200 participants (11.8%) submitted their program rubbing sheets and collectively walked a total of 25,573 miles. *Opioid use, as in other communities across the United States, has become a crisis in York County. WellSpan Health staff regularly participate in community-level opioid dialogues, and on the Opioid Aware coalition, a regional multi-sector collaborative seeking to create coordinated messaging, outreach and management of opioid users in southcentral Pennsylvania.Community members are also vital to furthering our exempt purpose by actively volunteering their time and donating financial resources to health-related initiatives. During the fiscal year, contributions to the York Health Foundation and York Hospital Auxiliary supported: completion of a new behavioral health unit in the emergency department of WellSpan-York Hospital; a breastfeeding program; Cribs for Kids, an initiative of Safe Kids York County and the NICU at WellSpan-York Hospital, and; expansion of the Hoodner Dental Center. Additional examples of how WellSpan-York Hospital fulfilled its community mission in York County may be found in the 2017 WellSpan Community Benefit Report Its What Neighbors Do available online at www.wellspan.org.
Part VI - Affilated Health Care System Roles and PromotionWellSpan Health is an integrated health system serving the communities of southcentral Pennsylvania and northern Maryland. As a community-based, not-for-profit organization, WellSpan is dedicated to improving the health and well-being of the people it serves. WellSpan will assume a leadership role and develop partnerships with other organizations to: improve access to coordinated, high-quality, cost-effective health care services, educate the health care providers of tomorrow, promote healthy lifestyles and lifelong wellness, and make its local communities healthier, more desirable places to live, work, and play. WellSpan York Hospital works with other parts of the system to provide a comprehensive approach to meeting community needs.WellSpan Health includes: WellSpan Gettysburg Hospital, WellSpan York Hospital, WellSpan Surgery and Rehabilitation Hospital, WellSpan Ephrata Community Hospital,WellSpan Good Samaritan Hospital, WellSpan Philhaven, Apple Hill Surgical 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, WellSpan Population Health Services, WellSpan Pharmacy, Gettysburg Hospital Foundation, York Health Foundation, Ephrata Community Health Foundation, Good Samaritan Health Services Foundation, WellSpan Provider Network, GSH Services,and WellSpan Medical Equipment.WellSpan York Hospital's community benefit report is contained in a report prepared by their parent organization, WellSpan Health. See Attached Federal Supplemental Information: WellSpan Health - 2017 Community Benefit Report
Part VI - States Where Community Benefit Report FiledPA

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtPurpose Of GrantPurposeOfGrantTxt
City of York
50 W King StreetYorkPA17405236001908Government$450,000$0General Support
Family First Health
116 S George StreetYorkPA17401237118262501(c)(3)$125,000$0School based clinic
PA Medical Society
777 E Park DriveHarrisburgPA17111231570227501(c)(6)$7,000$0Physician Health Program Contributi
Spring Garden Township
558 S Ogontz StreetYorkPA17403236003037Government$6,500$0General Support
WellSpan Health
PO Box 2767YorkPA17405222517863501(c)(3)$3,600,000$0General Support
WellSpan Medical Group
PO Box 2767YorkPA17405232730785501(c)(3)$48,400,000$0General Support
FieldValueIRS element (for citing)
Total501c3 Org5Total501c3OrgCnt
Total Other Org1TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

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

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtBonus Filing OrganizationBonusFilingOrganizationAmountDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Allan Birenberg
VP-Med Affairs$429,929$94,795$14,800$44,625$584,149
Astrid Davis
VP-Patient Care$240,351$52,524$22,737$39,789$364,859$9,458
Jadwiga Wojcicka
Dir - Med Physics$296,127$28,116$22,737$24,433$371,413
Keith Noll
President$456,301$166,600$391,502$42,809$1,075,236$18,024$166,600
Kevin Mosser MD
CEO-WSH/Direct.$942,402$329,756$37,500$786,828$53,730$2,150,216$329,000
Michael F O'Connor
CFO-WellSpan H.$554,826$181,706$450,013$48,387$1,234,932$180,950
Percival Buenaventura MD
Director$727,382$216,371$14,000$44,849$1,002,602
Steve Pandelidis MD
Director$526,941$170,877$14,000$46,486$758,304
Thomas Dondero
Dir-Pharm Care$256,963$18,211$22,737$38,857$345,297$8,529
Todd Butz
Director$225,734$19,368$39,317$284,419
Victoria Diamond
VP & COO - YH$303,675$66,352$15,200$33,419$418,646

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1See Schedule OBusinessNameLine1Txt

Procedures Corrective Action ProceduresCorrectiveActionGrp

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

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
Donette Lasher
Family Member Noll$246,589Employee of YHfalse
Stewart Properties cos
Officer Stewart$609,011construction, rentalfalse

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Client Note 1Client 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 Jeffrey Schragg, PTIN P00234543
Form 990, Part VI, Line 6: Explanation of Classes of Members or ShareholderWellSpan Health, a not for profit corporation, is the sole member.The Member of the Corporation shall meet at any place, date, and time designated by the Member, for the transaction of the general business of the Corporation. Action of the Member shall generally be taken by a written consent in lieu of a meeting.Any action which may be taken at a meeting of the Member may be taken without a meeting if a consent or consents in writing, setting forth the action so taken, shall be signed by the Member and filed with the Secretary of the Corporation.
Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing BodyThe Board of Directors of the Corporation shall be elected as provided herein by the Board of Directors of the Member. The Member shall determine annually the number of directors which shall in no event be less than ten nor more than fifteen persons. Nominations for the Directors to be elected by the Member shall be made only by the Nominating Committee for Directors, except for vacancies in the Board of Directors occuring by death, resignation, disqualification, removal or otherwise, may, upon the recommendation of the Executive Committee, be filled by appointment by the Member to serve until the next annual meeting of the Member, at which time the Member may elect a Director to fill such vacancy for the remainder of the unexpired term thereof.
Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or ShareholdersThe member may, with respect to the Corporation, initiate and implement any of the following actions, and it any of the following actions are otherwise initiated by the Corporation, such action shall not become effective unless approved by the Member:a) The adoption, amendment,or revocation of the Corporation's Articles of Incorporation or Bylaws. b) The termination, liquidation, reorganization, division, conversion, or dissolution of the Corporation, or the merger, consolidation, or combination of the Corporation with another person. c) Any change or transfer of the Member's membership interest in the Corporation, or the creation or issuance of any additional membership interests in the Corporation. d) The investment of the Corporation's assets other than in accordance with the Member's current investment policy; or, in the absence of a current Member investment policy, any investment other than in the ordinary course of business, which shall consist of federally-insured interest-bearing bank accounts, short-term direct U.S. obligations, short-term certificates of deposit of domestic banks, or highly-rated money market funds. e) The incurrence by the Corporation of indebtedness in excess of such amounts as may be reasonably designated by the Member from time to time, except pursuant to a budget approved by the Member. This is not meant to restrict the Corporation's day-to-day business, in amounts less than the amounts designated by the Member, such as routine trade and accounts payable or obligations. f) The conveyance, transfer, lease, or sale of any of the Corporation's assets with fair market value in excess of such aggregate amount as may be designated by the Member from time to time, except pursuant to a budget approved by the Member, or the conveyance, transfer, lease or sale of any of the Corporation's assets to the Member or another System Affiliate. g) The making of any capital expenditure or the incurrence of any capital obligations by or on behalf of the Corporation in excess of such annual aggregate amount as may be designated by the Member from time to time, except pursuant to a budget approved by the Member. h) The incurrence of any obligation (whether actual or contingent) by the Corporation to guarantee or be responsible for the debts or obligations of any person in excess of such amounts as may be designated by the Member from time to time, except pursuant to a budget approved by the Member. This is not meant to restrict the Corporation's ability to incur obligations in the ordinary course of the Corporation's day-to-day business, in amounts less than the amounts designated by the Member. i) The approval of the Corporation's operating and capital budgets, or any material changes thereto. j) The voluntary granting of any lien or encumbrance (including a confession of judgment) with respect to the Corporation's assets, except in the ordinary course of business.k) The surrender of or material change to any permit, approval, or license of the Corporation. l) The selection of the Corporation's outside auditors, general legal counsel, or investment advisors. m) The requirement that the Member make any capital contribution to the Corporation. n) The ratification of appointments and reappointments to the Corporation's Board of Directors. o) The approval of the Corporation's strategic and operating plans, or any changes thereto. p) The approval of the Corporation's statements of purpose, vision, or mission, or any changes thereto. q) The creation by the Corporation of any new lines of business, sites of business, subsidiary corporations, or partnerships or other joint ventures, or any material changes in existing services, or participation in any key strategic relationship outside the System. This is not meant to restrict the Corporation's right to enhance and expand its current lines of business. r) All health care services contracting by the Corporation that could materially impact the System.
Form 990, Part VI, Line 11b: Form 990 Review ProcessManagement provided an electronic copy of the form 990 to each voting member of the organization's governing body, prior to its filing with the IRS. The organization's finance management team provided a presentation to the Audit Committee on the organization's 990 return.
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsOfficers, directors, and key employees fill out a WellSpan Health Conflict of Interest Disclosure Statement questionnaire annually. The questionnaire is administered by the Internal Audit Department of WellSpan Health, the Parent Company.There shall be full disclosure by any Director having a business or personal interest or relationship which may be in conflict with the interests of the Corporation. After such disclosure the Director shall abide by the determination of the Board of Directors as to whether a conflict exists, the extent to which, if at all, the Director will be permitted to be present during the Board of Directors' discussion of the matter in which the Director may be interested, and whether the Director will be permitted to participate in such discussion and cast a vote in such matter.
Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesThe Compensation Committee of WellSpan Health is responsible for rewarding and reinforcing key executives for the achievement of annual and long-term performance objectives. The Compensation Committee shall consist of not more than six (6) persons, of whom two (2) shall be the Chairman and Vice Chairman of the Board of the Corporation, and the remaining members shall be such other persons as may be appointed by the Chairman of the Board of the Corporation, with the approval of the Board of Directors; provided, however, that the Compensation Committee shall not include any persons who are employed by the System. The 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 AvailableGoverning documents, policies, and financial statements are available upon request.
Other Changes In Net Assets Or Fund Balances - Other IncreasesChange in Pension Liability = $178145
Part V line 1aPart V line 1a - Most 1099s are issued through WellSpan Health, the parent company.
Schedule K -Tax-Exempt Bonds$412,230,0000 of Revenue Bonds for WellSpan Health Obligated Group, Series 2008A, 2008B, 2008C and 2008D were issued 11/12/2008 by General Authority of Southcentral Pennsylvania. The purpose of this bond issue was to refund bonds issued 5/13/2002, 5/17/2005, 6/16/2005, and 6/5/2007. 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 (23-0794160). 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 6/30/17, the allocation of the Debt Capital program was as follows: York Hospital $159,515,555 (58.09%), WellSpan Properties $29,095,407 (10.60%), WellSpan Health $12,753,561 (4.64%), WellSpan Specialty Services $46,131,343 (16.80%), Gettysburg Hospital $24,900,141 (9.07%), and Good Samaritan Hospital $2,213,994 (.81%). These amounts are reported on the respective balance sheets (Part X Line 20)for each of these entities.The 11/12/2008 issue included reissuance of all unspent proceeds from the refunded 2007 bond issue. Total proceeds of issue includes the original 11/12/2008 issue plus investment earnings on transferred proceeds and the short investment of proceeds between date of issue and payoff on 12/1/2008.$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 6/30/17, the allocation of the Debt Capital program including issue premium was as follows: York Hospital $133,753,422, Gettysburg Hospital $8,971,957, WellSpan Properties $29,660,267, WellSpan Specialty Services $17,096,786, and Ephrata Community Hospital $33,709,762. 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 6/30/17, the $33,726,419 of outstanding liability is reported on the Ephrata Community Hospital return balance sheet.
Signature Block - Paid Preparer ExplanationPaid Preparer ExplanationDue to a software limitation, we wish to clarify that WellSpan Health is the ERO.The paid preparer is:BDO USA, LLP13-53815908401 Greensboro Drive, Suite 800McLean, VA 22102(703) 893-0600The preparers name is Jeffrey Schragg, PTIN P00234543

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (21 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
Apple Hill Surgical Center Inc
PO Box 2767YorkPA174052767222842253Sole GP in limited ptnrshp. operating surgical centerPA501(c)(3)9NAfalse
Gettysburg Hospital
PO Box 2767YorkPA174052767231352220Health Care ServicesPA501(c)(3)3NAfalse
Gettysburg Hospital Foundation
PO Box 2767YorkPA174052767232251358Fundraising for Gettysburg HospitalPA501(c)(3)11 Type 1NAfalse
Healthy Community Pharmacy Inc
PO Box 2767YorkPA174052767200519121Reduced rate prescription drugs to uninsuredPA501(c)(3)11 Type 1NAfalse
VNA Community Services
PO Box 2767YorkPA174052767232338591Home personal care services for elderly and disabledPA501(c)(3)9NAfalse
VNA Home Health Services
PO Box 2767YorkPA174052767231352573Home Health and hospice care servicesPA501(c)(3)9NAfalse
Wellspan Health
PO Box 2767YorkPA174052767222517863Integrated Health SystemPA501(c)(3)11 Type 1NAfalse
Wellspan Health Care Services
PO Box 2767YorkPA174052767232400237Health-related activities in the service areaPA501(c)(3)11 Type 1NAfalse
Wellspan Medical Group
PO Box 2767YorkPA174052767232730785Medical and surgical carePA501(c)(3)9NAfalse
York Health Foundation
PO Box 2767YorkPA174052767233050192Charitable contributions for Wellspan entitiesPA501(c)(3)11 Type 3NAfalse
WellSpan Specialty Services
PO Box 2767YorkPA174052767232899911Mgmt. hospice/home health care servicesPA501(c)(3)11 Type 1NAfalse
Wellspan Properties Inc
PO Box 2767YorkPA174052767222842252Leases facilities to affiliatesPA501(c)(3)11 Type 1NAfalse
Ephrata Community Hospital
PO Box 2767YorkPA174052767231370484Health care servicesPA501(c)(3)3NAfalse
Ephrata Community Health Foundation
PO Box 2767YorkPA174052767800940005Fundraising for Ephrata HospitalPA501(c)(3)11 Type 1Ephrata Community Hospitalfalse
Northern Lancaster County Medical Group
PO Box 2767YorkPA174052767203033058Medical and surgical carePA501(c)(3)11 Type IIEphrata Community Hospitalfalse
Phys Spec of North Lanc Co Med Gr
PO Box 2767YorkPA174052767452537633Physician PracticesPA501(c)(3)11 Type IINorthern Lancaster County Medical Groupfalse
Good Samaritan Hospital
PO Box 2767YorkPA174052767230794160Health Care ServicesPA501(c)(3)3NAfalse
Wellspan Philhaven
PO Box 2767YorkPA174052767231549922Health Care ServicesPA501(c)(3)3NAfalse
Good Samaritan Heath Service Foundation
PO Box 2767YorkPA174052767232356151Fundraising for Good SamaritanPA501(c)(3)11 Type 1NAfalse
Good Samaritan Real Estate
PO Box 2767YorkPA174052767232447262Leases facilities to affiliatesPA501(c)(2)NAfalse
Good Samaritan Physician Services
PO Box 2767YorkPA174052767251832359Medical and Surgical CarePA501(c)(3)9NAfalse

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerInd
Apple Hill Surgical Center Partners
PO Box 2767YorkPA174052767232489452Surgical CnPANAfalsefalse
Central PA Alliance Laboratories LLC
PO Box 2767YorkPA174052767232910950Ref. LabPANAfalsefalse
Littlestown Health Care Partners
300 West King StreetLittlestownPA17340232880464Lease facilityPANAfalsefalse
Cherry Tree Cancer Center LLP
PO Box 2767YorkPA174052767232915628RadiationPANAfalsefalse
The Rehab Center
855 Springdale Drive Suite 20ExtonPA19341251687903Physical Therapy RehabPANAfalsefalse

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (9 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPct
Wellspan Pharmacy Inc
PO Box 2767YorkPA174052767232374072Dispenses Rx & provides IV therapyPANAC corpfalse
Wellspan Reciprocal Risk Retention Group
PO Box 2767YorkPA174052767200048457Risk Retention GroupPANAC Corpfalse$6,952,581$18,570,7830.66710
York Health Plan
PO Box 2767YorkPA174052767232664989Preferred Provider OrganizationPANAC corpfalse
WellSpan Provider Network
PO Box 2767YorkPA174052767232907828Coord mngd care risk contractingPANAC Corpfalse
Apple Hill Condominium Association
PO Box 2767YorkPA174052767232504543Condo Mgmt AssociationPANAHomeowner Assocfalse
North Lanc Co Phys Hosp Alliance
PO Box 2767YorkPA174052767232421885Coord Phys & HospitalPANAC corpfalse
GSH Home Med Care Inc
PO Box 2767YorkPA174052767233028099Sales and rental med equip/suppliesPANAC corpfalse
GSH Services Inc
PO Box 2767YorkPA174052767232353047Accounting and financial managmentPANAC corpfalse
GSH Realty Inc
PO Box 2767YorkPA174052767251832359Rental of non res. real estatePANAC corpfalse
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (true)LoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgYes (true)AssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd