PHILHAVEN: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization: PHILHAVEN (EIN 23-1548822)
Tax period: 2015-07-01 to 2016-06-30
Filed: 2017-05-10
IRS object ID: 201741309349300549
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule G
Schedule H
Schedule I
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2017-05-10T08:07:47-07:00	ReturnTs
Tax Period End	2016-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	WELLSPAN HEALTH	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	3350 WHITEFORD ROAD	AddressLine1Txt
City	YORK	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	17403	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2015-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	231548822	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	WELLSPAN PHILHAVEN	BusinessNameLine1Txt

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

US Address USAddress

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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Michael O'Connor	PersonNm
Person Title	CFO	PersonTitleTxt
Signature	2017-05-10	SignatureDt
Discuss With Paid Preparer	false	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	DAVID P RIZZUTO	PreparerPersonNm
PTIN	P01210563	PTIN
Phone	7178513095	PhoneNum

Field	Value	IRS element (for citing)
Tax	2015	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Address Change	Yes (X)	AddressChangeInd
Principal Officer	Kevin Mosser MD	PrincipalOfficerNm

US Address USAddress

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

Field	Value	IRS element (for citing)
Gross Receipts	$77,628,577	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
All Affiliates Included	false	AllAffiliatesIncludedInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.WELLSPAN.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1949	FormationYr
Legal Domicile State	PA	LegalDomicileStateCd
Activity Or Mission	WellSpan Philhaven provides behavioral health services to individuals in Central PA	ActivityOrMissionDesc
Voting Members Governing Body	17	VotingMembersGoverningBodyCnt
Voting Members Independent	15	VotingMembersIndependentCnt
Total Employee	1321	TotalEmployeeCnt
Total Volunteers	110	TotalVolunteersCnt
Total Gross UBI	$471,271	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$34,290	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$519,455	PYContributionsGrantsAmt
CY Contributions Grants	$7,700,727	CYContributionsGrantsAmt
PY Program Service Revenue	$62,296,472	PYProgramServiceRevenueAmt
CY Program Service Revenue	$63,386,911	CYProgramServiceRevenueAmt
PY Investment Income	$136,382	PYInvestmentIncomeAmt
CY Investment Income	$87,353	CYInvestmentIncomeAmt
PY Other Revenue	$963,250	PYOtherRevenueAmt
CY Other Revenue	$571,408	CYOtherRevenueAmt
PY Total Revenue	$63,915,559	PYTotalRevenueAmt
CY Total Revenue	$71,746,399	CYTotalRevenueAmt
PY Grants And Similar Paid	$56,000	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$7,352,853	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$47,478,263	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$50,493,913	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$60,983	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$251,906	CYTotalFundraisingExpenseAmt
PY Other Expenses	$14,154,361	PYOtherExpensesAmt
CY Other Expenses	$14,036,149	CYOtherExpensesAmt
PY Total Expenses	$61,749,607	PYTotalExpensesAmt
CY Total Expenses	$71,882,915	CYTotalExpensesAmt
PY Revenues Less Expenses	$2,165,952	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$136,516	CYRevenuesLessExpensesAmt
Total Assets BOY	$37,680,180	TotalAssetsBOYAmt
Total Assets EOY	$42,336,927	TotalAssetsEOYAmt
Total Liabilities BOY	$10,035,243	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$14,834,538	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$27,644,937	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$27,502,389	NetAssetsOrFundBalancesEOYAmt
Mission	WellSpan Philhaven promotes hope, healing and wholeness through the provision of behavioral resources.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$62,207,218	ExpenseAmt
Grant	$7,352,853	GrantAmt
Revenue	$63,386,911	RevenueAmt
Desc	WellSpan Philhaven's inpatient psychiatric program is available to individuals who are in most severe distress and/or danger of harming themselves or others. The inpatient program provides a 24-hour a day therapeutic milieu and interventions that serve to stabilize acute psychiatric symptoms. Services are provided to children and adolescents ages three to eighteen and adults over eighteen years of age. Typical length of stay is approximately eleven days for both adults and children/adolescents. Additionally, Philhaven offers extended acute psychiatric inpatient services for adults that require long-term intensive interventions to stabilize their symptoms. Once behavioral stabilization is achieved, the patient is then prepared for transition to the next appropriate level of care. WellSpan Philhaven's children's and adolescents' Behavioral Health Rehabilitation Services (BHRS) program includes both community based and after school services. The goal of all BHRS services is to enhance the child's or adolescent's ability to function emotionally, socially and behaviorally. Indivualized interventions serve to facilitate youth's behavioral stabilization and emotional growth. Mental health specialists help youth learn skills and coping strategies which enable the youth to prevent deterioration and more restrictive services. Afterschool services are provided Monday through Friday after school for children ages six to twelve years. Community based services are provided in schools and homes by trained therapeutic support staff, mobile therapists and behavioral specialist consultants. The outpatient program provides the least restrictive type of mental health treatment available at WellSpan Philhaven. Staff who are professionally trained in psychiatry, psychology, social work and counseling strive to provide outpatient services to clients in a conscientious and caring manner as they work toward their therapeutic goals. WellSpan Philhaven strives to provide individuals and their families with the skills and resources necessary to live healthy, fulfilled lives within their homes and communities. Specific services offered include evaluations and assessments, psychiatric medication management, psychiatric consultation, individual therapy, family therapy, group therapy and marriage counseling. See Attached Federal Supplemental Information: WellSpan Health - 2016 Community Benefit Report	Desc
Total Program Service Expenses	$62,207,218	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	Yes (true)	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	false	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	122	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	1321	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (true)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (true)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Form8282 Filed	0	Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Form8899 Filedind	false	Form8899Filedind
Form1098 C Filed	false	Form1098CFiledInd
DAF Excess Business Holdings	false	DAFExcessBusinessHoldingsInd
Taxable Distributions	false	TaxableDistributionsInd
Distribution To Donor	false	DistributionToDonorInd
Org Filed In Lieu Of Form1041	false	OrgFiledInLieuOfForm1041Ind
Licensed More Than One State	false	LicensedMoreThanOneStateInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	17	GoverningBodyVotingMembersCnt
Independent Voting Member	15	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	PA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

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

US Address USAddress

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

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

Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd
Kevin Mosser MD
CEO/Director	1.00	40.00	Yes (X)	Yes (X)	$0	$1,060,758	$821,679
George Stoltzfus
President	1.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
Janet Stauffer
Vice President	1.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
Kenneth Moore
Treasurer	1.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
Moniqua Acosta
Secr/Vice Pres.	1.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
Audrey Groff
Secretary	1.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
Janet Breneman
Director	1.00	0.00	Yes (X)		$0	$0	$0
Duane Britton
Director	1.00	0.00	Yes (X)		$0	$0	$0
Rebecca Burkholder
Director	1.00	0.00	Yes (X)		$0	$0	$0
Robert Fortna
Director	1.00	0.00	Yes (X)		$0	$0	$0
James Herr
Director	1.00	0.00	Yes (X)		$0	$0	$0
Robert Hoffman
Director	1.00	0.00	Yes (X)		$0	$0	$0
Kyle Horst
Director	1.00	0.00	Yes (X)		$0	$0	$0
Karen Jones MD
Director	1.00	40.00	Yes (X)		$0	$429,939	$252,402
Sam Thomas
Director	1.00	0.00	Yes (X)		$0	$0	$0
David Warren
Director	1.00	0.00	Yes (X)		$0	$0	$0
Aaron Groff
Director	1.00	0.00	Yes (X)		$0	$0	$0
Michael O'Connor
CFO-WSH	1.00	40.00		Yes (X)	$0	$698,953	$488,337
Philip Hess
CEO until 12/15	40.00	0.00		Yes (X)	$214,502	$0	$40,776
Matthew Rogers
CFO until 12/15	40.00	0.00		Yes (X)	$125,521	$0	$25,620
Olaniyi Oluleye
Physician	40.00	0.00			$253,438	$0	$43,877	Yes (X)
Umar Khayyam
Physician	40.00	0.00			$255,347	$0	$34,415	Yes (X)
Jeremy Walters
Physician	40.00	0.00			$248,320	$0	$41,217	Yes (X)
Dele Omije
Physician	40.00	0.00			$282,753	$0	$20,566	Yes (X)
Jose Montaner
Physician	40.00	0.00			$248,227	$0	$41,070	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,628,108	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$2,189,650	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,809,959	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	34	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
Daval Services LLC
275 Cumberland Parkway 245	Mechanicsburg	PA	17055	Pharmacy Services	$400,677
Allcare Family Health PC
PO Box 1210	Lebanon	PA	17042	Medical Services	$335,000
Zimmeys Automotive of Schaefferstown
PO Box 322	Schaefferstown	PA	17088	Vehicle Repair/Renta	$284,458
Comphealth
PO Box 972651	Dallas	TX	753972651	Temporary Staffing	$205,905
McNees Wallace & Nurck
PO Box 1166	Harrisburg	PA	171081166	Pharmacy Services	$171,687

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	9	CntrctRcvdGreaterThan100KCnt
Fundraising	$12,445	FundraisingAmt
Related Organizations	$7,260,000	RelatedOrganizationsAmt
All Other Contributions	$428,282	AllOtherContributionsAmt
Total Contributions	$7,700,727	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REV	$63,751,126	$63,751,126
W/O BAD DEBTS	-$192,603	-$192,603
W/O FINANCIAL ASSISTANCE	-$171,612	-$171,612

Field	Value	IRS element (for citing)
Total Program Service Revenue	$63,386,911	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$84,172	TotalRevenueColumnAmt
Exclusion	$84,172	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

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

Royalties Revenue RoyaltiesRevenueGrp

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

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$8,906	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$8,906	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$8,906	TotalRevenueColumnAmt
Exclusion	$8,906	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$5,862,758	SecuritiesAmt
Other	$13,462	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$5,873,039	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$10,281	SecuritiesAmt
Other	$13,462	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,181	TotalRevenueColumnAmt
Exclusion	$3,181	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$5,139	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$12,445	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$9,139	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$4,000	TotalRevenueColumnAmt
Exclusion	-$4,000	ExclusionAmt

Net Income From Gaming NetIncomeFromGamingGrp

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

Net Income Or Loss NetIncomeOrLossGrp

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

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
CAFETERIA SALES	722210	$95,231	$95,231
FARM INCOME		$471,271		$471,271

Field	Value	IRS element (for citing)
Other Revenue Total	$566,502	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$71,746,399	TotalRevenueColumnAmt
Related Or Exempt Func Income	$63,386,911	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$471,271	UnrelatedBusinessRevenueAmt
Exclusion	$187,490	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$7,352,853	TotalAmt
Program Services	$7,352,853	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

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

Foreign Grants ForeignGrantsGrp

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

Benefits To Members BenefitsToMembersGrp

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$406,419	TotalAmt
Management And General	$406,419	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

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

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$42,216,643	TotalAmt
Program Services	$37,804,364	ProgramServicesAmt
Management And General	$4,273,508	ManagementAndGeneralAmt
Fundraising	$138,771	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$389,286	TotalAmt
Program Services	$340,673	ProgramServicesAmt
Management And General	$47,370	ManagementAndGeneralAmt
Fundraising	$1,243	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$4,423,820	TotalAmt
Program Services	$3,859,788	ProgramServicesAmt
Management And General	$549,606	ManagementAndGeneralAmt
Fundraising	$14,426	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$3,057,745	TotalAmt
Program Services	$2,675,900	ProgramServicesAmt
Management And General	$372,078	ManagementAndGeneralAmt
Fundraising	$9,767	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

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

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$32,821	TotalAmt
Management And General	$32,821	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$102,020	TotalAmt
Management And General	$102,020	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$65,584	TotalAmt
Management And General	$65,584	ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

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

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

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

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$1,852,846	TotalAmt
Program Services	$1,158,862	ProgramServicesAmt
Management And General	$657,409	ManagementAndGeneralAmt
Fundraising	$36,575	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$51,703	TotalAmt
Program Services	$4,857	ProgramServicesAmt
Management And General	$46,846	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

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

Information Technology InformationTechnologyGrp

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

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$935,507	TotalAmt
Program Services	$935,507	ProgramServicesAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$517,373	TotalAmt
Program Services	$461,465	ProgramServicesAmt
Management And General	$50,042	ManagementAndGeneralAmt
Fundraising	$5,866	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

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

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$117,139	TotalAmt
Program Services	$84,233	ProgramServicesAmt
Management And General	$31,966	ManagementAndGeneralAmt
Fundraising	$940	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$263,818	TotalAmt
Program Services	$263,818	ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$2,131,617	TotalAmt
Program Services	$1,662,488	ProgramServicesAmt
Management And General	$461,329	ManagementAndGeneralAmt
Fundraising	$7,800	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,023,850	TotalAmt
Program Services	$1,023,850	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
Supplies	$2,752,917	$2,065,830	$679,411	$7,676
Repair & Maintenence	$1,030,727	$123,467	$907,260
Outside Services	$974,354	$595,251	$374,659	$4,444
Utilities	$968,284	$912,213	$55,099	$972

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,215,589	TotalAmt
Program Services	$881,799	ProgramServicesAmt
Management And General	$310,364	ManagementAndGeneralAmt
Fundraising	$23,426	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$71,882,915	TotalAmt
Program Services	$62,207,218	ProgramServicesAmt
Management And General	$9,423,791	ManagementAndGeneralAmt
Fundraising	$251,906	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$23,033	BOYAmt
EOY	$918,792	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$5,726,637	BOYAmt
EOY	$0	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$1,194,279	BOYAmt
EOY	$355,111	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$8,304,917	BOYAmt
EOY	$14,358,054	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$340,000	BOYAmt
EOY	$340,000	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$10,535	BOYAmt
EOY	$16,226	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,324,182	BOYAmt
EOY	$948,695	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$50,825,005	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$32,618,594	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$17,787,281	BOYAmt
EOY	$18,206,411	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$1,468,462	BOYAmt
EOY	$3,720,043	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$939,861	BOYAmt
EOY	$1,787,594	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,096	BOYAmt
EOY	$1,946	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$557,897	BOYAmt
EOY	$1,684,055	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$37,680,180	BOYAmt
EOY	$42,336,927	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$5,848,902	BOYAmt
EOY	$4,487,511	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$365	BOYAmt
EOY	$365	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$2,820,303	BOYAmt
EOY	$2,311,992	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$100,000	BOYAmt
EOY	$7,000,000	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,265,673	BOYAmt
EOY	$1,034,670	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$10,035,243	BOYAmt
EOY	$14,834,538	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$26,482,345	BOYAmt
EOY	$26,302,061	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$567,006	BOYAmt
EOY	$611,226	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$595,586	BOYAmt
EOY	$589,102	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$27,644,937	BOYAmt
EOY	$27,502,389	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$37,680,180	BOYAmt
EOY	$42,336,927	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	-$136,516	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$6,032	NetUnrlzdGainsLossesInvstAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Form4720 Filed Section4955 Tax	false	Form4720FiledSection4955TaxInd
Correction Made	false	CorrectionMadeInd
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$65,584	OtherActivitiesAmt
Total Lobbying Expenditures	$65,584	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind
Form4720 Filed4912 Tax	false	Form4720Filed4912TaxInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part II-B, Line 1i - Other Activities Description	FormAndLineReferenceDesc
Explanation	The hospital engaged a professional lobbying firm to assist in securing governmental funding for specialized programs ($60,000). In addition, a portion of the dues paid to the Hospital Association of Pennsylvania and the American Hospital Association include lobbying ($3,534 and $2,050).	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$683,218	BeginningYearBalanceAmt
Contributions	$840,118	ContributionsAmt
Investment Earnings Or Losses	-$6,032	InvestmentEarningsOrLossesAmt
Other Expenditures	$316,976	OtherExpendituresAmt
End Year Balance	$1,200,328	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$670,163	BeginningYearBalanceAmt
Investment Earnings Or Losses	$13,055	InvestmentEarningsOrLossesAmt
End Year Balance	$683,218	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$605,882	BeginningYearBalanceAmt
Investment Earnings Or Losses	$64,281	InvestmentEarningsOrLossesAmt
End Year Balance	$670,163	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$475,713	BeginningYearBalanceAmt
Contributions	$80,560	ContributionsAmt
Investment Earnings Or Losses	$49,609	InvestmentEarningsOrLossesAmt
End Year Balance	$605,882	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$490,269	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$14,556	InvestmentEarningsOrLossesAmt
End Year Balance	$475,713	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	0.49100	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.50900	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	Yes (true)	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (true)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (true)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$355,952	OtherCostOrOtherBasisAmt
Book Value	$355,952	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$20,465,681	OtherCostOrOtherBasisAmt
Depreciation	$11,907,657	DepreciationAmt
Book Value	$8,558,024	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,584,738	OtherCostOrOtherBasisAmt
Depreciation	$1,275,410	DepreciationAmt
Book Value	$309,328	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$28,259,286	OtherCostOrOtherBasisAmt
Depreciation	$19,409,626	DepreciationAmt
Book Value	$8,849,660	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$159,348	OtherCostOrOtherBasisAmt
Depreciation	$25,901	DepreciationAmt
Book Value	$133,447	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$18,206,411	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
Insurance Reserve	$988,770
Third Party Advances-Blue Cross-Other	$45,900

Field	Value	IRS element (for citing)
Total Liability	$1,034,670	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$71,904,373	TotalRevEtcAuditedFinclStmtAmt
Other Revenue	$201,742	OtherRevenueAmt
Revenue Not Reported	$201,742	RevenueNotReportedAmt
Revenue Subtotal	$71,702,631	RevenueSubtotalAmt
Other Revenues Not Included	$43,768	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$43,768	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$71,746,399	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$72,084,657	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$201,742	OtherExpensesIncludedAmt
Expenses Not Reported	$201,742	ExpensesNotReportedAmt
Expenses Subtotal	$71,882,915	ExpensesSubtotalAmt
Total Expenses Per Form990	$71,882,915	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part V, Line 4: Intended uses of the endowment fund.	The purpose of these donor-restricted funds is to provide a stable source of perpetual financial support for the WellSpan Philhaven programs.
Part X : FIN48 Footnote	In June 2006, the Financial Accounting Standards Board (FASB) issued Interpretation NO. 48, Accounting for Uncertainty in Income Taxes-an interpretation of FASB Statement NO. 109, Accounting for Income Taxes (FIN 48), which creates a single model to address uncertainty in tax positions and clarifies the accounting for income taxes by prescribing the minimum recognition threshold a tax position is required to meet before being recognized in the financial statements. Under the requirements of FIN 48, tax-exempt organizations could now be required to record an obligation as the result of a tax position they have historically taken or various tax exposure items. Prior to FIN 48, the determination of when to record a liability for tax exposure was based on whether a liability was considered probable and reasonably estimable in accordance with SFAS No.5, Accounting for Contingencies. On July 1, 2007, the parent company, WellSpan Health, adopted FIN 48. WellSpan Health determined that it does not have any uncertain tax positions through June 30, 2016.
Part XI, Line 2d: Other revenue amounts included in F/S but not included on form 990	Expenses netted against revenue $201742
Part XI, Line 4b: Other revenue amounts included on 990 but not included in F/S	Restricted Contributions Net $43768
Part XII, Line 2d: Other expenses and losses per audited F/S	Expenses netted against revenue $201742

Schedule G IRS990ScheduleG

Field	Value	IRS element (for citing)
Mail Solicitations	Yes (X)	MailSolicitationsInd
Email Solicitations	Yes (X)	EmailSolicitationsInd
Phone Solicitations	Yes (X)	PhoneSolicitationsInd
In Person Solicitations	Yes (X)	InPersonSolicitationsInd
Solicitation Of Non Govt Grants	Yes (X)	SolicitationOfNonGovtGrantsInd
Solicitation Of Govt Grants	Yes (X)	SolicitationOfGovtGrantsInd
Special Fundraising Events	Yes (X)	SpecialFundraisingEventsInd
Agrmt Prof Fundraising Acty	Yes (true)	AgrmtProfFundraisingActyInd

Fundraiser Activity Info FundraiserActivityInfoGrp

Organization Business Name OrganizationBusinessName

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4528 Eight Avenue NE	AddressLine1Txt
City	Seattle	CityNm
State Abbreviation	WA	StateAbbreviationCd
ZIP	98105	ZIPCd

Field	Value	IRS element (for citing)
Activity	Consult on Fundraising	ActivityTxt
Fundraiser Control Of Funds	false	FundraiserControlOfFundsInd
Gross Receipts	$79,983	GrossReceiptsAmt
Retained By Contractor	$20,000	RetainedByContractorAmt
Net To Organization	$59,983	NetToOrganizationAmt

Field	Value	IRS element (for citing)
Total Gross Receipts	$79,983	TotalGrossReceiptsAmt
Total Retained By Contractors	$20,000	TotalRetainedByContractorsAmt
Total Net To Organization	$59,983	TotalNetToOrganizationAmt

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	Golf Tournament	Event1Nm
Gross Receipts Event1	$17,584	GrossReceiptsEvent1Amt
Charitable Contri Event1	$12,445	CharitableContriEvent1Amt
Gross Revenue Event1	$5,139	GrossRevenueEvent1Amt
Other Direct Expenses Event1	$9,139	OtherDirectExpensesEvent1Amt
Gross Receipts Total	$17,584	GrossReceiptsTotalAmt
Charitable Contributions Tot	$12,445	CharitableContributionsTotAmt
Gross Revenue Total Events	$5,139	GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events	$9,139	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$9,139	DirectExpenseSummaryEventsAmt
Net Income Summary	-$4,000	NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

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

Free Care Oth Percentage FreeCareOthPercentageGrp

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

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$607,892	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$343,782	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$264,110	NetCommunityBenefitExpnsAmt
Total Expense	0.00370	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$39,288,167	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$38,185,018	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,103,149	NetCommunityBenefitExpnsAmt
Total Expense	0.01530	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$39,896,059	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$38,528,800	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,367,259	NetCommunityBenefitExpnsAmt
Total Expense	0.01900	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,737,738	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,397,942	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$339,796	NetCommunityBenefitExpnsAmt
Total Expense	0.00470	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$106,405	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$106,405	NetCommunityBenefitExpnsAmt
Total Expense	0.00150	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,844,143	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,397,942	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$446,201	NetCommunityBenefitExpnsAmt
Total Expense	0.00620	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$41,740,202	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$39,926,742	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,813,460	NetCommunityBenefitExpnsAmt
Total Expense	0.02520	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,385	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$4,385	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,385	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$4,385	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$204,242	BadDebtExpenseAmt
Reimbursed By Medicare	$2,525,391	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$2,633,338	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$107,947	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

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

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	283 South Butler Road	AddressLine1Txt
City	Mount Gretna	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	17064	ZIPCd

Field	Value	IRS element (for citing)
Website Address	www.wellspan.org	WebsiteAddressTxt
State License	318550	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
Other	Behavioral Health Hospital	OtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Field	Value	IRS element (for citing)
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
CHNA Conducted	15	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	www.wellspan.org	OwnWebsiteURLTxt
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	15	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	www.wellspan.org	StrategyWebsiteURLTxt
Strategy Attached	false	StrategyAttachedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	300.0000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.0000	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	www.wellspan.org	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	www.wellspan.org	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	www.wellspan.org	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
FAP Notice Displayed	Yes (X)	FAPNoticeDisplayedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified Before Discharge	Yes (X)	FAPNotifiedBeforeDischargeInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
None Made	Yes (X)	NoneMadeInd
Nondis Emergency Care Policy	false	NondisEmergencyCarePolicyInd
Other Reason	Yes (X)	OtherReasonInd
Other Method Used	Yes (X)	OtherMethodUsedInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part V, Line 5 - Account Input from Persons Who Represent the Community	Prior to its affiliation with WellSpan Health in 2016, WellSpan-Philhaven conducted an independent Community Health Needs Assessment (CHNA) across its multi-county service area. The most recent CHNA, finalized in May 2013, employed secondary data and input obtained at two community forums to identify the following three priorities: the need for integrated treatment models; a focus on the prevention of behavioral health issues, and; a reduction in emergency department usage by those experiencing mental issues. In 2016, WellSpan-Philhaven affiliated with WellSpan Health and, as such, reviewed and adopted the current WellSpan CHNA, finalized in May 2016. The service areas of both WellSpan Health and WellSpan-Philhaven are nearly identical and system leadership felt that, given the chronological alignment of data collection and analysis, CHNA adoption was appropriate. Therefore, the WellSpan Planning Committee prioritized results from the CHNA and these results were presented to WellSpan-Philhaven leadership for their adoption. In addition, CHNA results were also presented at county-specific community forums for the diverse input of county residents and community stakeholders.
Part V, Line 6a - List Other Hospital Facilities that Jointly Conducted Needs Assessment	WellSpan Ephrata Community Hospital (Lancaster); WellSpan Gettysburg Hospital (Adams), and WellSpan Surgery and Rehabilitation Hospital and York Hospital (York)
Part V, Line 13b - Criteria For Providing Discounted Care If Not FPG	WellSpan Health's policy is that Patients 401% of poverty level and greater do not qualify for financial assistance. However, all uninsured patients qualify for a 20% "no insurance" discount, regardless of income.For the first half of this fiscal year, before becoming affiliated with WellSpan Health, Philhaven used 150% of FPG for free care and 300% for discounted care.
Part V, Line 13h - Other Factors Used in Determing Amounts Charged Patients	WellSpan Health is committed to caring for all the members of its communities, regardless of their ability to pay. In recent years, overall charity care has decreased slightly as more people have obtained health insurance coverage through the Affordable Care Act and the expansion of Pennsylvanias Medical Assistance (Medicaid) program. WellSpan is proud to be a leading partner in the Healthy Community Network, which works to address the needs of uninsured and underinsured individuals in our community. In addition, the health system recently enhanced its financial assistance policy and the discounts that it provides on services. For example, if a patients income is less than 300 percent of the federal poverty level, that patient would be eligible for a 100 percent discount on the services provided. Additionally, significant discounts are available for patients whose income is between 300 percent and 400 percent of the federal poverty level. For more information on WellSpans Financial Assistance program, visit www.WellSpan.org/FinancialAssistance.
Part V, Line 16i - Other Means Hospital Facility Publicized the Policy	In an effort to make patients, families and others in our communities aware of the newly expanded Financial Assistance Policy, WellSpan broadly publicized its policy via promotional signage and the distribution of easy-to-read informational materials at registration sites throughout our communities. WellSpan provided information on the Financial Assistance Policy on its billing statements and included information in patient discharge materials. In addition, the materials and information are easily accessible via WellSpans website at www.WellSpan.org/FinancialAssistance. The site reflects WellSpans newly enhanced policy, as well as informational and application materials. It was also publicized via WellSpans on-hold phone messaging system and in its direct-to-consumer community newsletter/magazine, which is distributed by mail, email and Web. In addition, WellSpan placed posters and signage at its various sites of care to publicize its Financial Assistance Policy. Printed copies of WellSpan Healths entire financial assistance policy and the plain language summary of the policy, both of which are available in English and Spanish, may be obtained at no cost by visiting or calling one of the WellSpan patient financial services offices.
Part V, Line 21d - Other Reason Not Having Nondiscriminatory Policy for Emergency Medical Care	WellSpan Philhaven does not have a dedicated emergency department as that term is defined under EMTALA and therefore EMTALA does not apply.
Part V, Line 22d - Other Billing Determination of Individuals Without Insurance	WellSpan Health will provide assistance to all patients whose income falls within 400 percent of the federal poverty guidelines and within the asset limits listed on Attachment A. Those patients qualifying for financial assistance will receive a discount based on the amount generally billed (AGB), which is applicable to the facility at which services were provided. The AGB is calculated by the look-back method, in accordance with IRS Regulation 501(r). This is based on payment received from Medical Assistance and all private payors, in the most recent completed fiscal year.

Field	Value	IRS element (for citing)
Facility	17	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (17 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
WellSpan Philhaven Prince Street Programs
812 N Prince St	Lancaster	PA	17604	Behavioral Healthcare Clinic
WellSpan Philhaven Dauphin County Programs
2601 Herr St	Harrisburg	PA	17103	Behavioral Healthcare Clinic
Lancaster Child & Adol Day Program
780 Eden Road Bldg 5	Lancaster	PA	17601	Behavioral Healthcare Clinic
York Child & Adol Day Program
1245A West Princess St	York	PA	17404	Behavioral Healthcare Clinic
Hathaway Park Outpatient Clinic
204 Hathaway Park	Lebanon	PA	17042	Behavioral Health Clinic
Lebanon Outpatient Clinic
962-964 Isabel Drive	Lebanon	PA	17042	Behavioral Healthcare Clinic
Ephrata Outpatient Clinic
354 N Reading Road	Ephrata	PA	17522	Behavioral Healthcare Clinic
CADD Outpatient Clinic
1886 Rohrerstown Road	Lancaster	PA	17601	Behavioral Healthcare Clinic
Lebanon ACT
20 South 8th Street Suite 1	Lebanon	PA	17042	Behavioral Healthcare Clinic
Lancaster ACT
315 W James Street	Lancaster	PA	17603	Behavioral Healthcare Clinic
Lancaster Outpatient Clinic
1884 Rohrerstown Road	Lancaster	PA	17601	Behavioral Healthcare Clinic
Elizabethtown Outpatient Clinic
422 Cloverleaf Road	Elizabethtown	PA	17022	Behavioral Healthcare Clinic
Lebanon Crisis
229 South 4th Street	Lebanon	PA	17042	Crisis Intervention
Lancaster Diversion Program
101 Euclid Avenue	Lancaster	PA	17603	Community based residential behavioral health
Lancaster Area Psychiatric Services
1120 Francis Ave	Lancaster	PA	17602	Behavioral Healthcare Clinic
Water Street Outpatient Clinic
210 South Prince Street	Lancaster	PA	17603	Behavioral Healthcare Clinic
Paxton Street Outpatient Clinic
2001 Paxton Street	Harrisburg	PA	17111	Behavioral Healthcare Clinic

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 3c - Charity Care Eligibility Criteria (FPG Is Not Used)	For the first half of this fiscal year, before becoming affiliated with WellSpan Health, Philhaven used 150% of FPG for free care and 300% for discounted care.
Part I, Line 6a - Related Organization Community Benefit Report	Community Benefit Information is included in the Community Benefit Report for WellSpan Health.
Part III, Line 2 - Methodology Used To Estimate Bad Debt Expense	The number was calculated using the cost to charge ratio factor applied against actual patient bad debt write-offs.
Part III, Line 9b - Provisions On Collection Practices For Qualified Patients	Guidelines for suggested minimum number of phone attempts and letters to be sent before the account is turned over to an outside collection agency are included in the Patient Administrative Services Policy. Upon final PARO (Payment Assistance Rank Ordering) scoring, if a patient qualifies for presumptive charity, their account would not be forwarded to any third party collections. It shall be the policy of Patient Administrative Services to recommend accounts to Bad Debt on a timely basis. Inpatient/Outpatient accounts will go to bad debt automatically after the account has been in the financial class Pending Bad Debt for 30 days. All accounts must follow the approved limits for refunds and write offs, as established in Policy PF-102, before being transferred. The primary agencies will work the accounts for 6 months or until they feel it is uncollectable and return the account. The accounts are forwarded to secondary agencies from the primary agencies Closed and Return Reports. The financial class is changed to Bad Debt Other after the Closed and Return Reports are received from the Secondary Agency. The agencies must get written approval from the manager in the relatively rare instance of legal action being taken to collect the debt.
Part VI - Explanation Of How Organization Furthers Its Exempt Purpose	As the largest behavioral health provider in southcentral Pennsylvania, WellSpan-Philhaven is committed to transforming care by integrating behavioral and physical health services in the primary care setting, training hundreds of community members in mental health first aid, and increasing awareness of and prevention opportunities for key behavioral health issues. WellSpan-Philhaven also plays leadership roles on community behavioral health-related task forces including Lets Talk Lancaster!, the Lebanon County Suicide Prevention Task Force, and multiple county-level opioid prevention committees. Care transformation both in the practice setting and the surrounding community is occurring through the recent affiliation between Philhaven and WellSpan Health. Since its integration with WellSpan Health, WellSpan-Philhaven has also participated in system-wide initiatives to address the shared community health priorities of depression (mental health) and adult overweight/obesity. The Feeling Blue depression awareness campaign (www.feeling-blue.com) originated as a resource for York and Adams County adults suffering from mild depression. In 2016, Feeling Blue expanded to Lebanon County and continues to be a valuable resource for its community members. WellSpan-Good Samaritan Hospital also implemented the 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) on which may be found an online weight tracker, physical activity program (Make the Most of the Coast), and tips that promote a healthier lifestyle. More than 1900 community members across three southcentral Pennsylvania counties Adams, Lancaster, Lebanon, and York participated in the 2016 iteration of the 10Lb. Throwdown program. Additional examples of how WellSpan-Philhaven has advanced behavioral health and fulfilled its community mission across southcentral Pennsylvania may be found in the 2016 WellSpan Community Benefit Report available online at www.wellspan.org.
Part VI - Affilated Health Care System Roles and Promotion	After its affiliation with WellSpan Health, a regional health care system, WellSpan-Philhaven adopted the current CHNA conducted by WellSpan, started in 2014 and finalized in 2015. This CHNA enabled WellSpan-Philhaven to access primary data collected across its multiple county service area, share it with key community, hospital and system leaders, and integrate it into the system-wide and entity-level planning processes. Through the consulting support of the Floyd Institute for Public Policy at Franklin and Marshall College. a representative sample of 3422 adults across the four-county region (769 Adams County, 729 Lancaster, 896 Lebanon, and 1028 York) were interviewed between two time periods October 27-December 12, 2014 and February 23-May 5, 2015 using survey questions derived from the Behavioral Risk Factor Surveillance System (BRFSS), a validated survey tool utilized by the Centers for Disease Control and Prevention (CDC). BRFSS questions were organized into four categories: healthcare access, behavioral risk, health conditions, and prevention behaviors and context. 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 across the region 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 and adopted the community priorities of adult overweight/obesity and depression/mental 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 priorities and associated data were subsequently presented to WellSpan-Philhaven leadership for their adoption. CHNA results were made available to the public on the WellSpan Health (www.wellspan.org) website, and may also be obtained upon request. WellSpan Health is an integrated health system serving the communities of southcentral Pennsylvania and northern Maryland. As a community-based, not-for-profit organization, WellSpan is dedicated to improving the health and well-being of the people it serves. WellSpan will assume a leadership role and develop partnerships with other organizations to: improve access to coordinated, high-quality, cost-effective health care services, educate the health care providers of tomorrow, promote healthy lifestyles and lifelong wellness, and make its local communities healthier, more desirable places to live, work, and play. WellSpan Philhaven 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.Philhaven's community benefit report is contained in a report prepared by their parent organization, WellSpan Health. See Attached Federal Supplemental Information: WellSpan Health - 2016 Community Benefit Report

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Purpose Of GrantPurposeOfGrantTxt
LMC Legacy Foundation
2160 Lincoln Highway E 5	Lancaster	PA	17602	813742183	501(C)(3)	$7,260,000	$0	behavioral healthcare needs
Mental Health Asso of Lebanon
4 South 4th Street Unit C	Lebanon	PA	17042	231647042	501(c)(3)	$13,000	$0	behavioral health care support

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

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Dele Omije
Physician	$282,253	$500	$20,566	$303,319
Jeremy Walters
Physician	$248,320		$37,358	$289,537	$3,859
Jose Montaner
Physician	$248,227		$37,251	$289,297	$3,819
Karen Jones MD
Director						$365,889	$64,050	$215,787	$36,615	$682,341
Kevin Mosser MD
CEO/Director						$865,813	$181,560	$772,892	$48,787	$1,882,437	$13,385	$181,560
Matthew Rogers
CFO until 12/15	$125,521		$23,640	$151,141	$1,980
Michael O'Connor
CFO-WSH						$543,913	$155,040	$440,496	$47,841	$1,187,290		$155,040
Olaniyi Oluleye
Physician	$253,438		$39,906	$297,315	$3,971
Philip Hess
CEO until 12/15	$214,502		$38,526	$255,278	$2,250
Umar Khayyam
Physician	$255,347		$32,728	$289,762	$1,687

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Client Note 1	Client Note 1 - Paid Preparer ExplanationDue to a software limitation, we wish to clarify that WellSpan Health is the ERO.The paid preparer is:BDO USA, LLP13-53815908401 Greensboro Drive, Suite 800McLean, VA 22102(703) 893-0600The preparers name is Jeffrey Schragg, PTIN P00234543
Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder	WellSpan Health, a not for profit corporation, is the sole member.
Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body	The Board of Directors of the Organization shall be elected 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 persons, nor more that eighteen persons. Additionally, the President of the Organization and the President of the Medical Staff of the Organization shall be Directors, ex officio.All Directors shall be selected for their experience, relevant areas of interest and expertise, and ability and willingness to participate actively and effectively in fulfilling the Board of Directors' responsibilities without conflicting interests.
Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders	The Member may, with respect to the Organization, initiate and implement any of the following actions, and if any of the following actions are otherwise initiated by the Organization, such action shall not become effective unless approved by the Member:(a) Approval of the Organization's articles of incorporation and bylaws and amendments thereto;(b) Approval of all fundamental transactions involving the Organization, including, without limitation, the reorganization, merger, or dissolution of the Organization or the sale or disposition of substantially all of the assets of the Organization;(c) Approval of investment of the Organization's assets;(d) Approval of issuance of the Organization's debt;(e) Approval of the transfer or sale of Organization assets in excess of limits established by a Member-approved asset sale policy;(f) Approval of operating and capital budgets for the Organization;(g) Approval of capital expenditures by the Organization in excess of a Member-approved Organization capital budget;(h) Approval of Member's capital contributions to the Organization;(i) Approval of changes to the Organization's licenses;(j) Selection of outside financial auditors, legal counsel or investment advisors for the entire System, including approval of any outside legal counsel that may be recommended by the Organization for the Organization's particular needs or activities;(k) Nominating (with appropriate input from the governance and administration of the Organization) and appointing the Organization's board members;(l) Prior review and approval of the Organization's officers (except for the Organization's President, whose appointment requires the concurrence of both Member and the Organization's Boards);(m) Removal of board members of the Organization for cause;(n) Approval of the Organization's statement of mission and vision, strategic and operating plans and charity care policy;(o) Approval of the Organization's creation of new or material changes to existing lines of business, sites of business, and participation in partnerships or joint ventures; and(p) Approval of all managed care and other third party contracts for the Organization.
Form 990, Part VI, Line 11b: Form 990 Review Process	Management provided an electronic copy of the form 990 to each voting member of the organization's governing body, prior to its filing with the IRS. The organization's finance management team provided a presentation to the Audit Committee on the organization's 990 return.
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts	Officers, directors, and key employees fill out a WellSpan Health Conflict of Interest Disclosure Statement questionnaire annually. The questionnaire is administered by the Internal Audit Department of WellSpan Health, the Parent Company.There shall be full disclosure by any Director having a business or personal interest or relationship which may be in conflict with the interests of the Corporation. After such disclosure the Director shall abide by the determination of the Board of Directors as to whether a conflict exists, the extent to which, if at all, the Director will be permitted to be present during the Board of Directors' discussion of the matter in which the Director may be interested, and whether the Director will be permitted to participate in such discussion and cast a vote in such matter.
Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees	The Compensation Committee of WellSpan Health is responsible for rewarding and reinforcing key executives for the achievement of annual and long-term performance objectives. The Compensation Committee shall consist of not more than six (6) persons, of whom two (2) shall be the Chairman and Vice Chairman of the Board of the Corporation, and the remaining members shall be such other persons as may be appointed by the Chairman of the Board of the Corporation, with the approval of the Board of Directors; provided, however, that the Compensation Committee shall not include any persons who are employed by the System. The Chairman of the Board of Gettysburg Hospital shall participate. The role of the Compensation Committee is to set the Executive Compensation Philosophy for the system and ensure adherence, evaluate performance and establish compensation for the WellSpan President, evaluate team performance of the executive team and establish awards, review and approve senior executive base salary ranges, and oversee employed physician compensation programs. The Committee will approve salary ranges for each executive position and review incumbent salaries annually. The Committee will be responsible for reviewing the President's salary each year, and if warranted, authorizing an adjustment to maintain competitiveness. The President will have the authority to make salary adjustments for subordinate positions. The Committee is responsible for approving and authorizing payment of the performance awards. The Committee will approve and authorize payment of the President's performance awards. Integrated Healthcare Strategies, Inc., based in Minneapolis Minnesota is the external consultant to the committee. This consultant focuses exclusively on executive and physician compensation in the health care industry. In summary, the executive and physician compensation review process consists of the following: 1) Cash compensation reviewed annually 2) Cash compensation reviewed by external consultant biennially 3) external total compensation (cash, incentives, benefits, perquisites) reviewed by external consultant periodically 4) Process is integrated with compensation analysis for other WellSpan positions 5) Committee decisions are documented in minutes maintained in Human Resources.
Form 990, Part VI, Line 19: Other Organization Documents Publicly Available	Governing documents, policies, and financial statements are available upon request.
Signature Block - Paid Preparer Explanation	Paid Preparer ExplanationDue to a software limitation, we wish to clarify that WellSpan Health is the ERO.The paid preparer is:BDO USA, LLP13-53815908401 Greensboro Drive, Suite 800McLean, VA 22102(703) 893-0600The preparers name is Jeffrey Schragg, PTIN P00234543
Part II Signature Block	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

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (21 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
Gettysburg Hospital
PO Box 2767	York	PA	174052767	231352220	Health Care Services	PA	501(c)(3)	3	NA	false
Gettysburg Hospital Foundation
PO Box 2767	York	PA	174052767	232251358	Fundraising to support GH	PA	501(c)(3)	11 Type 1	NA	false
Healthy Community Pharmacy
PO Box 2767	York	PA	174052767	200519121	Reduced Rx for uninsured	PA	501(c)(3)	11 Type 1	NA	false
VNA Community Services
PO Box 2767	York	PA	174052767	232338591	Home personal care services for elderly	PA	501(c)(3)	9	NA	false
VNA Home Health Services
PO BOx 2767	York	PA	174052767	231352573	Home Health and hospice care services	PA	501(c)(3)	9	NA	false
Wellspan Health
PO BOx 2767	York	PA	174052767	222517863	Intergrated Health System	PA	501(c)(3)	11 Type 1	NA	false
Wellspan Health Care Services
PO Box 2767	York	PA	174052767	232400237	Health-related activities in the service	PA	501(c)(3)	11 Type 1	NA	false
Wellspan Medical Group
PO Box 2767	York	PA	174052767	232730785	Medical and surgical care	PA	501(c)(3)	9	NA	false
York Health Foundation
PO Box 2767	York	PA	174052767	233050192	Charitable contributions for wellspan	PA	501(c)(3)	11 Type 3	NA	false
York Hospital
PO Box 2767	York	PA	174052767	231352222	Community Teaching Hospital	PA	501(c)(3)	3	NA	false
Wellspan Specialty Services
PO Box 2767	York	PA	174052767	232899911	Mgmt. hospice/ home health	PA	501(c)(3)	11 Type 1	NA	false
Wellspan Properties Inc
PO Box 2767	York	PA	174052767	222842252	Leases facilities to affiliates	PA	501(c)(3)	11 Type 1	NA	false
Ephrata Community Hospital
PO Box 2767	York	PA	174052767	231370484	Health Care Services	PA	501(c)(3)	3	NA	false
Ephrata Community Health Foundation
PO Box 2767	York	PA	174052767	880940005	Fundraising for Ephrata Hospital	PA	501(c)(3)	11 Type 1	Ephrata Community Hospital	false
Northern Lancaster County Medical Group
PO Box 2767	York	PA	174052767	203033058	Medical and surgical care	PA	501(c)(3)	11 Type II	Ephrata Community Hospital	false
Phys Spec of Northern Lanc Co Med Group
PO BOx 2767	York	PA	174052767	452537633	Physician practices	PA	501(c)(3)	11 Type II	Northern Lancaster County Medical Group	false
Good Samaritan Hospital
PO Box 2767	York	PA	174052767	230794160	Health Care Services	PA	501(c)(3)	3	NA	false
Good Samaritan Health Service Foundation
PO Box 2767	York	PA	174052767	232356151	Fundraising for Good Samaritan	PA	501(c)(3)	11 Type 1	NA	false
Good Samaritan Real Estate
PO Box 2767	York	PA	174052767	232447262	Leases facilities to affiliates	PA	501(c)(2)		NA	false
Good Samaritan Phyisican Services
PO BOx 2767	York	PA	174052767	251832359	Medical and Surgical Care	PA	501(c)(3)	9	NA	false
Apple Hill Surgical Center Inc
PO BOx 2767	York	PA	174052767	222842253	Sole GP in limited ptnrshp operating sur	PA	501(c)(3)	9	NA	false

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Predominant Income TypePredominantIncomeTypeTxt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
Apple Hill Surgical Center Partners
PO Box 2767	York	PA	174052767	232489452	Surgical cn	PA	N/A	N/A	false	false
Central PA Alliance Laboratories LLC
PO Box 2767	York	PA	174052767	232910950	Ref. Lab	PA			false	false	NA
Littlestown Health Care Partners
300 West King Street	Littlestown	PA	17340	232880464	Lease Facility	PA			false	false	NA
Cherry Tree Cancer Center LLP
PO Box 2767	York	PA	174052767	232915628	Radiation	PA			false	false	NA
The Rehab Center
855 Springdale Drive Suite 20	Exton	PA	19341	251687903	Physical Therapy Rehab	PA			false	false	Ephrata Hospital

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (9 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
GSH Home Med Care Inc
PO BOx 2767	York	PA	174052767	233028099	Sales/rent of med equip/supplies	PA	GSH Services	C corp	false
GSH Services Inc
PO Box 2767	York	PA	174052767	232353047	Accounting and financial managment	PA	GS Health Foundation	C corp	false
GSH Realty Inc
PO Box 2767	York	PA	174052767	251832359	Rental of non res. real estate	PA	GSH Services	C corp	false
Wellspan Pharmacy Inc
PO Box 2767	York	PA	174052767	232374072	Dispense Rx & provides IV therapy	PA		C corp	false	N/A
Wellspan Reciprocal Risk Retention Group
PO Box 2767	York	PA	174052767	200048457	Risk Retention Group	PA	NA	C corp	false
York Health Plan
PO Box 2767	York	PA	174052767	232664989	Preferred Provider Organization	PA	NA	C corp	false
Wellspan Provider Network
PO Box 2767	York	PA	174052767	232907828	Coord. managed risk contracts	PA	NA	C corp	false
Apple Hill Condominium Association
PO Box 2767	York	PA	174052767	232504543	Condo Mgmt Association	PA		Homeowner Assoc	false	N/A
Northern Lanc Co Phys Hosp Alliance
PO Box 2767	York	PA	174052767	232421885	Coord Phys & Hospital	PA	NA	C corp	false

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