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WELLSPAN MEDICAL GROUP: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
WELLSPAN MEDICAL GROUP (EIN 23-2730785)
Tax period
2015-07-01 to 2016-06-30
Filed
2017-05-10
IRS object ID
201711309349301306
Schema version
2015v3.0
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)
Return2017-05-10T08:07:00-07:00ReturnTs
Tax Period End2016-06-30TaxPeriodEndDt

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 Begin2015-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN232730785EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1WELLSPAN MEDICAL GROUPBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlWELLBusinessNameControlTxt
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
Signature2017-05-10SignatureDt
Discuss With Paid PreparerfalseDiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJeffrey Schragg See Sch OPreparerPersonNm
PTINP00234543PTIN
Phone7038930600PhoneNum
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

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$357,636,062GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
All Affiliates IncludedfalseAllAffiliatesIncludedInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.WELLSPAN.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1993FormationYr
Legal Domicile StatePALegalDomicileStateCd
Activity Or MissionWellSpan Medical Group, in coordination with York Hospital, Gettysburg Hospital, and WellSpan Surgery and Rehabilitation Hospital provides medical and surgical care to patients in and around York and Adams County, Pennsylvania without regard to the ability to pay.ActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent3VotingMembersIndependentCnt
Total Employee3134TotalEmployeeCnt
Total Volunteers9TotalVolunteersCnt
Total Gross UBI$337,198TotalGrossUBIAmt
PY Contributions Grants$26,030,259PYContributionsGrantsAmt
CY Contributions Grants$35,220,019CYContributionsGrantsAmt
PY Program Service Revenue$289,155,766PYProgramServiceRevenueAmt
CY Program Service Revenue$321,575,138CYProgramServiceRevenueAmt
PY Investment Income$362,252PYInvestmentIncomeAmt
CY Investment Income$346,505CYInvestmentIncomeAmt
PY Other Revenue$1,489,417PYOtherRevenueAmt
CY Other Revenue$363,243CYOtherRevenueAmt
PY Total Revenue$317,037,694PYTotalRevenueAmt
CY Total Revenue$357,504,905CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$270,978,345PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$311,008,804CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$50,741,538PYOtherExpensesAmt
CY Other Expenses$48,402,008CYOtherExpensesAmt
PY Total Expenses$321,719,883PYTotalExpensesAmt
CY Total Expenses$359,410,812CYTotalExpensesAmt
PY Revenues Less Expenses-$4,682,189PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$1,905,907CYRevenuesLessExpensesAmt
Total Assets BOY$44,818,403TotalAssetsBOYAmt
Total Assets EOY$48,584,037TotalAssetsEOYAmt
Total Liabilities BOY$34,893,288TotalLiabilitiesBOYAmt
Total Liabilities EOY$40,439,809TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$9,925,115NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$8,144,228NetAssetsOrFundBalancesEOYAmt
MissionThe WellSpan Medical Group was founded and operates on the belief that a large, well-organized group practice, based on primary and preventive care, and working collaboratively as part of an integrated health care delivery system, can deliver a superior standard of care. Its mission is to promote and to provide quality, cost-effective health care services which seek to improve the health status of the community. The Medical Group provides care without regard for an individual's health status or ability to pay.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$342,076,869ExpenseAmt
Revenue$321,470,026RevenueAmt
DescWellSpan Medical Group, which does not contemplate pecuniary gain or profit, incidental or otherwise, was formed for the purposes of furthering the charitable purposes of WellSpan Health and promoting the provision of health care services in South Central Pennsylvania, including York and Adams Counties, by providing clinically effective health care services, including professional health care services, in a cost effective manner in settings appropriate to patient and payor needs under a variety of health care financing arrangements; enhancing the continuity and quality of health care services provided to patients; ensuring the continued local patient access to health care services; enhancing the health status of the communities served by WellSpan Health; effectively responding to changing payor requirements; achieving excellence in clinical innovations, service, quality, cost and outcomes; and achieving operating efficiencies, such as containing and reducing costs and avoiding unnecessary duplication of services and equipment, thereby utilizing resources more effectively.See Attached Federal Supplemental Information: WellSpan Health - 2016 Community Benefit ReportDesc
Total Program Service Expenses$342,076,869TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
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 SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
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 HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
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
Employee3134EmployeeCnt
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 Members13GoverningBodyVotingMembersCnt
Independent Voting Member3IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
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
ZIP174029081ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Lee Maddox MD
Director40.000.00Yes (X)$496,234$0$58,351
Carleen Warner MD
Vice Chair40.000.00Yes (X)$151,594$0$56,181Yes (X)
Michael Barley
Director1.000.00Yes (X)$0$0$0
Mark Smith MD
Director40.000.00Yes (X)$568,837$0$55,786
Charles H Chodroff MD
Director1.0040.00Yes (X)$0$637,401$452,077
Kevin Mosser MD
CEO-WSH/Direct1.0040.00Yes (X)$0$1,060,758$821,679Yes (X)
Rajesh Singal MD
Director40.000.00Yes (X)$346,746$0$63,020
Jeffrey Lobach Esq
Director1.000.00Yes (X)$0$0$0
Catherine M Heilman MD
Chairman40.000.00Yes (X)$229,465$0$59,957Yes (X)
Harris Baderak DO
Director1.0040.00Yes (X)$0$383,762$55,179
Gilbert Sager
Director1.000.00Yes (X)$0$0$0
Steven Delaveris
Director1.0040.00Yes (X)$0$598,757$58,937
Karen Jones MD
Pres/Secr.40.000.00Yes (X)$429,939$0$252,402Yes (X)
Michael F O'Connor
CFO-WellSpan H.1.0040.00$0$698,953$488,337Yes (X)
Thomas McGann MD
Exec VP - Clinical Practice40.000.00$675,452$0$486,457Yes (X)
Larry Shears MD
Med Dir-Cardio Sur40.000.00$1,074,257$0$72,969Yes (X)
Arnold Salotto
Neurosurgeon40.000.00$1,226,037$0$76,370Yes (X)
Joel Winer
Neurosurgeon40.000.00$1,175,925$0$74,443Yes (X)
William Nicholson MD
Cardiac Interven.40.000.00$988,764$0$66,504Yes (X)
Percival Buenaventura MD
Cardio. Surgeon40.000.00$958,507$0$60,226Yes (X)
Bruce Bartels
Former CEO WSH0.000.00$0$298,180$34,408Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$8,321,757TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$3,677,811TotReportableCompRltdOrgAmt
Total Other Compensation$3,293,283TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K612IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Weatherby Locums Inc
PO Box 972633DallasTX75397Temporary Help$2,063,171
Locumtenenscom LLC
PO Box 40547AtlantaGA30384Temporary Help$790,412
Star Building Services
106 Quigley Blvd PO BOx 11410WilmingtonDE19850Janitorial Services$307,380
Keyser & OConnor Surgical
804 Grandview Drive Suite 3EphrataPA17522Temporary Help$291,500
Evalon Inc
PO Box 86MinneapolisMN55486Collection Services$255,841
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K15CntrctRcvdGreaterThan100KCnt
Related Organizations$35,197,414RelatedOrganizationsAmt
All Other Contributions$22,605AllOtherContributionsAmt
Total Contributions$35,220,019TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Health Care Services621110$325,986,226$325,986,226
Teaching Services611600$4,747,555$4,747,555
W/O - Bad Debt621110-$7,699,190-$7,699,190
W/O - Free Care621110-$1,459,453-$1,459,453
FieldValueIRS element (for citing)
Total Program Service Revenue$321,575,138TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$477,662TotalRevenueColumnAmt
Exclusion$477,662ExclusionAmt

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

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

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

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$131,157OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$131,157OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$131,157TotalRevenueColumnAmt
Related Or Exempt Func Income-$131,157RelatedOrExemptFuncIncomeAmt

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 RevenueUnrelatedBusinessRevenueAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
BHS Outside Revenue900004$329,358$329,358
Impact Concussion Assessm900004$7,840$7,840
Other Services900004$26,045$26,045
FieldValueIRS element (for citing)
Other Revenue Total$363,243OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$357,504,905TotalRevenueColumnAmt
Related Or Exempt Func Income$321,470,026RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$337,198UnrelatedBusinessRevenueAmt
Exclusion$477,662ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

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$3,863,254TotalAmt
Program Services$2,844,825ProgramServicesAmt
Management And General$1,018,429ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$244,299,577TotalAmt
Program Services$236,341,931ProgramServicesAmt
Management And General$7,957,646ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$15,318,335TotalAmt
Program Services$14,836,748ProgramServicesAmt
Management And General$481,587ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$35,215,850TotalAmt
Program Services$33,640,492ProgramServicesAmt
Management And General$1,575,358ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$12,311,788TotalAmt
Program Services$11,473,943ProgramServicesAmt
Management And General$837,845ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$2,103,202TotalAmt
Management And General$2,103,202ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$33,622TotalAmt
Program Services$28,250ProgramServicesAmt
Management And General$5,372ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$72,959TotalAmt
Management And General$72,959ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$347,922TotalAmt
Program Services$255,510ProgramServicesAmt
Management And General$92,412ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$30,944TotalAmt
Program Services$30,844ProgramServicesAmt
Management And General$100ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,646,782TotalAmt
Program Services$1,561,957ProgramServicesAmt
Management And General$84,825ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$664,169TotalAmt
Management And General$664,169ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$10,629,901TotalAmt
Program Services$10,133,229ProgramServicesAmt
Management And General$496,672ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,041,558TotalAmt
Program Services$838,759ProgramServicesAmt
Management And General$202,799ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$629,549TotalAmt
Program Services$581,128ProgramServicesAmt
Management And General$48,421ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$3,272,583TotalAmt
Program Services$3,140,447ProgramServicesAmt
Management And General$132,136ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$4,610,874TotalAmt
Program Services$4,444,681ProgramServicesAmt
Management And General$166,193ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Direct Supplies$11,175,478$11,175,964-$486
Outside Services$8,004,451$7,297,441$707,010
Utilities$1,254,180$1,205,652$48,528
Repair & Maintenence$1,159,658$732,931$426,727

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,724,176TotalAmt
Program Services$1,512,137ProgramServicesAmt
Management And General$212,039ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$359,410,812TotalAmt
Program Services$342,076,869ProgramServicesAmt
Management And General$17,333,943ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$15,603BOYAmt
EOY$18,593EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$2,594,999BOYAmt
EOY$1,351,413EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$24,816,659BOYAmt
EOY$30,281,826EOYAmt

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$402,905BOYAmt
EOY$449,236EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$583,379BOYAmt
EOY$153,526EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$38,923,241LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$22,921,535LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$14,947,880BOYAmt
EOY$16,001,706EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

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$1,456,978BOYAmt
EOY$327,737EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$44,818,403BOYAmt
EOY$48,584,037EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$34,592,019BOYAmt
EOY$40,246,977EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$266,640BOYAmt
EOY$192,832EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$34,629BOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$34,893,288BOYAmt
EOY$40,439,809EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$9,895,548BOYAmt
EOY$8,074,056EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$29,567BOYAmt
EOY$70,172EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$9,925,115BOYAmt
EOY$8,144,228EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$44,818,403BOYAmt
EOY$48,584,037EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$1,905,907ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$125,020NetUnrlzdGainsLossesInvstAmt
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)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$21,600,472CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$19,582,680CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$30,817,490CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$32,183,488CurrentTaxYearMinus1YearAmt
Current Tax Year$35,220,019CurrentTaxYearAmt
Total$139,404,149TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$199,750,677CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$226,614,638CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$249,028,188CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$289,155,766CurrentTaxYearMinus1YearAmt
Current Tax Year$321,575,138CurrentTaxYearAmt
Total$1,286,124,407TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$221,351,149CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$246,197,318CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$279,845,678CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$321,339,254CurrentTaxYearMinus1YearAmt
Current Tax Year$356,795,157CurrentTaxYearAmt
Total$1,425,528,556TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$1,425,528,556PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$446,142CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$446,153CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$629,672CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$371,891CurrentTaxYearMinus1YearAmt
Current Tax Year$477,662CurrentTaxYearAmt
Total$2,371,520TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$446,142CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$446,153CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$629,672CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$371,891CurrentTaxYearMinus1YearAmt
Current Tax Year$477,662CurrentTaxYearAmt
Total$2,371,520TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year$26,045CurrentTaxYearAmt
Total$26,045TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$221,797,291CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$246,643,471CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$280,475,350CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$321,711,145CurrentTaxYearMinus1YearAmt
Current Tax Year$357,298,864CurrentTaxYearAmt
Total$1,427,926,121TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99830PublicSupportCY509Pct
Public Support PY5090.99840PublicSupportPY509Pct
Investment Income CY0.00170InvestmentIncomeCYPct
Investment Income PY0.00160InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

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 D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$29,567BeginningYearBalanceAmt
Contributions$40,605ContributionsAmt
End Year Balance$70,172EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$27,066BeginningYearBalanceAmt
Contributions$2,501ContributionsAmt
End Year Balance$29,567EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$22,364BeginningYearBalanceAmt
Contributions$4,702ContributionsAmt
End Year Balance$27,066EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$32,928BeginningYearBalanceAmt
Contributions$5,904ContributionsAmt
Other Expenditures$16,468OtherExpendituresAmt
End Year Balance$22,364EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$17,126BeginningYearBalanceAmt
Contributions$19,514ContributionsAmt
Other Expenditures$3,712OtherExpendituresAmt
End Year Balance$32,928EndYearBalanceAmt
FieldValueIRS element (for citing)
Term Endowment Balance EOY1.00000TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd
Related Org List Sch RfalseRelatedOrgListSchRInd

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$34,525OtherCostOrOtherBasisAmt
Depreciation$34,525DepreciationAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$18,092,886OtherCostOrOtherBasisAmt
Depreciation$9,375,407DepreciationAmt
Book Value$8,717,479BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$20,795,830OtherCostOrOtherBasisAmt
Depreciation$13,511,603DepreciationAmt
Book Value$7,284,227BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$16,001,706TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$322,565,935TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$125,020NetUnrealizedGainsInvstAmt
Revenue Not Reported$125,020RevenueNotReportedAmt
Revenue Subtotal$322,440,915RevenueSubtotalAmt
Other Revenues Not Included$35,063,990OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$35,063,990RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$357,504,905TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$359,410,812TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$359,410,812ExpensesSubtotalAmt
Total Expenses Per Form990$359,410,812TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 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, 2016.
Part XI, Line 4b: Other revenue amounts included on 990 but not included in F/SGrant-York Hospital $26000000 Grant-Gettyburg Hospital $5600000 Grant-Ephrata Community Hospital $3423385 Restricted Contributions(Net) $40605

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 (18 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtBonus Filing OrganizationBonusFilingOrganizationAmountDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtBonus Related OrganizationsBonusRelatedOrganizationsAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt
Arnold Salotto
Neurosurgeon$713,951$512,086$22,737$53,633$1,302,407
Bruce Bartels
Former CEO WSH$298,180$22,737$11,671$332,588$298,180
Carleen Warner MD
Vice Chair$136,594$15,000$8,195$47,986$207,775
Catherine M Heilman MD
Chairman$217,086$12,379$19,688$40,269$289,422
Charles H Chodroff MD
Director$162,520$413,373$38,704$1,089,478$162,520$467,810$7,071
Harris Baderak DO
Director$11,500$14,800$40,379$438,941$372,262
Joel Winer
Neurosurgeon$677,676$498,249$22,737$51,706$1,250,368
Karen Jones MD
Pres/Secr.$365,889$64,050$215,787$36,615$682,341
Kevin Mosser MD
CEO-WSH/Direct$181,560$772,892$48,787$1,882,437$181,560$865,813$13,385
Larry Shears MD
Med Dir-Cardio Sur$780,119$294,138$22,737$50,232$1,147,226
Lee Maddox MD
Director$452,234$44,000$15,000$43,351$554,585
Mark Smith MD
Director$536,375$32,462$12,883$42,903$624,623
Michael F O'Connor
CFO-WellSpan H.$155,040$440,496$47,841$1,187,290$155,040$543,913
Percival Buenaventura MD
Cardio. Surgeon$680,940$277,567$14,800$45,426$1,018,733
Rajesh Singal MD
Director$289,514$57,232$22,737$40,283$409,766
Steven Delaveris
Director$98,902$15,600$43,337$657,694$490,662$9,193
Thomas McGann MD
Exec VP - Clinical Practice$531,972$143,480$441,618$44,839$1,161,909$143,480
William Nicholson MD
Cardiac Interven.$988,764$17,583$48,921$1,055,268

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
Brenda Singal
Family Mem. Singal$173,741Employee of WMGfalse
Barley Snyder LLC
Partner Lobach$644,698Provides Legal Serv WSHfalse

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 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.
Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or ShareholdersThe 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 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 15a: Compensation Review & Approval Process - CEO, Top Managementsee following explanation for 15b. Description for compensation and approval of CEO, executive director or top management is included here.
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.
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
Part II Signature BlockPaid 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 pntrshp 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 drugsPA501(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 activitiesin the service areaPA501(c)(3)11 Type 1NAfalse
York Health Foundation
PO Box 2767YorkPA174052767233050192Charitable contributions for Wellspan entitiesPA501(c)(3)11 Type 3NAfalse
York Hospital
PO Box 2767YorkPA174052767231352222Community teaching hospitalPA501(c)(3)3NAfalse
WellSpan Specialty Services
PO Box 2767YorkPA174052767232899911Mgmt. hospice/home healthPA501(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 PropertiesPA501(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 Health 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 RehabPAEphrata Hospitalfalsefalse

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 AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctDirect Controlling NADirectControllingNACd
Wellspan Pharmacy Inc
PO Box 2767YorkPA174052767232374072Dispenses Rx & provides IV therapyPANAC corpfalse
Wellspan Reciprocal Risk Retention Group
PO Box 2767YorkPA174052767200048457Risk Retention GroupPANAC Corpfalse$1,389,652$3,719,8830.15260
York Health Plan
PO Box 2767YorkPA174052767232664989Preferred Provider OrganizationPANAC Corpfalse
WellSpan Provider Network
PO Box 2767YorkPA174052767232907828Coord. managed care risk contract.PANAC Corpfalse
Apple Hill Condominium Association
PO Box 2767YorkPA174052767232504543Condo Mgmt Assoc.PAHomeowner AssocfalseN/A
North Lanc Co Phys Hosp Alliance
PO Box 2767YorkPA174052767232421885Coord Phys & HospitalPANAC Corpfalse
GSH Home Med Care Inc
PO Box 2767YorkPA174052767233028099Sales/rent of med equip/suppliesPAGSH ServicesC Corpfalse
GSH Services Inc
PO Box 2767YorkPA174052767232353047Accounting and financial managementPAGS Health FoundationC corpfalse
GSH Realty Inc
PO Box 2767YorkPA174052767251832359Rental non-res. real estatePAGSH ServicesC 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 OrgYes (true)LoansOrGuaranteesToOtherOrgInd
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 OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd