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YORK HOSPITAL: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
YORK HOSPITAL (EIN 23-1352222)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-05-13
IRS object ID
201331339349304368
Schema version
2011v1.5
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)
Timestamp2013-05-13T14:25:33-07:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BDO USA LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line18405 Greensboro DriveAddressLine1
CityMcLeanCity
StateVAState
ZIP Code22102ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN231352222EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1YORK HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlYORKNameControl
Phone7178513055Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 2767AddressLine1
CityYORKCity
StatePAState
ZIP Code17405ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMichael F O'ConnorName
TitleCFOTitle
Date Signed2013-05-13DateSigned
Authorize Third PartyfalseAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameDAVID TRIMNERName
Phone7038930600Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonBruce M BartelsNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1PO Box 2767AddressLine1
CityYorkCity
StatePAState
ZIP Code174052767ZIPCode
FieldValueIRS element (for citing)
Gross Receipts1298121290GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501c3XOrganization501c3
Web SiteWWW.WELLSPAN.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1880YearFormation
State Legal DomicilePAStateLegalDomicile
Activity Or Mission DescriptionYork Hospital is a premier community teaching hospital providing quality, cost-effective health care services strongly supporting excellence in education, and offering essential services without regard for an individual's ability to pay.ActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members6NbrIndependentVotingMembers
Total Nbr Employees5524TotalNbrEmployees
Total Nbr Volunteers750TotalNbrVolunteers
Total Gross UBI12247339TotalGrossUBI
Net Unrelated Business Txbl Income1045126NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year6033738ContributionsGrantsPriorYear
Contributions Grants Current Year5066271ContributionsGrantsCurrentYear
Program Service Revenue Prior Year793753683ProgramServiceRevenuePriorYear
Program Service Revenue CY791992737ProgramServiceRevenueCY
Investment Income Prior Year18204394InvestmentIncomePriorYear
Investment Income Current Year18165755InvestmentIncomeCurrentYear
Other Revenue Prior Year9545900OtherRevenuePriorYear
Other Revenue Current Year9747895OtherRevenueCurrentYear
Total Revenue Prior Year827537715TotalRevenuePriorYear
Total Revenue Current Year824972658TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year42457412GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY36392508GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year342609235SalariesEtcPriorYear
Salaries Etc Current Year342767664SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year742572TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year852314TotalFundrsngExpCurrentYear
Other Expense Prior Year407333266OtherExpensePriorYear
Other Expenses Current Year381041399OtherExpensesCurrentYear
Total Expenses Prior Year793142485TotalExpensesPriorYear
Total Expenses Current Year760201571TotalExpensesCurrentYear
Revenues Less Expenses Prior Year34395230RevenuesLessExpensesPriorYear
Revenues Less Expenses CY64771087RevenuesLessExpensesCY
Total Assets BOY911412815TotalAssetsBOY
Total Assets EOY947313445TotalAssetsEOY
Total Liabilities BOY384511616TotalLiabilitiesBOY
Total Liabilities EOY392983152TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY526901199NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY554330293NetAssetsOrFundBalancesEOY
Mission DescriptionYork Hospital is a premier community teaching hospital providing quality, cost-effective health care services strongly supporting excellence in education, and offering essential services without regard for an individual's ability to pay.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense654735128Expense
Grants36392508Grants
Revenue793915919Revenue
DescriptionWellSpan York Hospital is the region's leader in advanced specialty care. What began in 1880 has become a 572-bed community teaching hospital that employs more then 4,800 people and serves a population of more than 520,000 in south central Pennsylvania. WellSpan York Hospital offers services and programs that feature highly skilled clinical staff, life-saving technology and state-of-the-art facilities to address some of the most complex medical, surgical and behavioral conditions.WellSpan York Hospital has been designated as a Bariatric Center for Excellence by the American Society for Metabolic and Bariatric Surgery; recognized as one of the Best Regional Hospitals in its Best Hospitals publication; named a Top 100 Hospital by Thompson Reuters, a leading source of health care information, on seven occasions. In addition WellSpan York Hospital has been designated as a Robotic Epicenter by Intuitive Surgical, accredited as a Level 1 Regional Resource Trauma Center, designated as a Primary Stroke Center by the Joint Commission, and designated as a Magnet Hospital by The American Nurses Credentialing Center. WellSpan York Hospital is a nationally recognized teaching hospital with seven residency programs, five allied health schools and other training programs. More than 690 physicians and other professionals belong to WellSpan York Hospital's medical and dental staff.See Attached Federal Supplemental Information: WellSpan Health - 2012 Community Benefit ReportDescription
Total Program Service Expense654735128TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiestrueReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MembertrueBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10961NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees5524NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Form8886 T FiledfalseForm8886TFiled
Non Deductible ContributionsfalseNonDeductibleContributions
Non Deductible DisclosurefalseNonDeductibleDisclosure
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Quid Pro Quo DisclosurefalseQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Filed Lieu1041falseFiledLieu1041
Licensed More Than One StatefalseLicensedMoreThanOneState
Indoor Tanning ServicesfalseIndoorTanningServices
Form720 FiledfalseForm720Filed
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members6NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Policies Reference ChaptersfalsePoliciesReferenceChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledPAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonDAVID RIZZUTONamePerson
Telephone Number7178513055TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line13350 WHITEFORD ROADAddressLine1
CityYORKCity
StatePAState
ZIP Code17402ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (20 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
William Dannehl
Secretary/Treas1.00XX000
N Daniel Waltersdorff
Chairman1.00XX000
Debra Stock
Director1.00X000
Jean Treuthart
Director1.00X000
William Landis
Director1.00X037968456245
Gary Stewart Jr
Director1.00X000
William M Unwin MD
Director1.00X000
Steve Hovis
Director1.00X000
Bruce M Bartels
CEO-WellSpan H.1.00XX04307133635755
Joe Crosswhite
Vice Chair1.00XX000
Cathy P Carpenter
Director1.00X000
Keith Noll
President40.00X3570030297093
Michael F O'Connor
CFO-WellSpan H.1.00X0545763347807
Raymond Rosen
VP Operations40.00290226051117X
James T Amsterdam MD
Director Emer Med40.00500954055604X
Peter M Hartmann MD
VP Med Affairs40.00420759054597X
Paul B Iannini MD
Director Med Serv40.00420136047254X
Steven Schirk MD
Director Med Ed40.00316060055423X
David A Kramer MD
Director - Res Pro40.00337525053234X
Richard Seim
Former President0.000520134309883X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2642663TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs5752714TotalReportableCompFrmRltdOrgs
Total Other Compensation1964012TotalOtherCompensation
Number Individuals GT100 K364NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Quest Diagnostics Inc
12436 Collections Center DriveChicagoIL606932436Lab Services2259746
HCSC Laundry
PO Box 25092Lehigh ValleyPA180025092Laundry Services1809910
Cozen OConner
1900 Market StreetPhiladelphiaPA191033508Legal Services2059709
Cardiac Diagnostics
PO Box 62303BaltimoreMD21264Physician Services1049013
Anesthesia Associates
110 Pine Grove CommonsYorkPA17405Physician Services5256620
FieldValueIRS element (for citing)
Number Of Contractors GT100 K36NumberOfContractorsGT100K
Related Organizations2228858RelatedOrganizations
Government Grants348032GovernmentGrants
All Other Contributions2489381AllOtherContributions
Total Contributions5066271TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
W/O - Free Care621500-29296811-29296811
W/O - Bad Debt621500-38297009-38297009
Patient Services6215008595865578502554779331080
FieldValueIRS element (for citing)
Total Program Service Revenue791992737TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column15123707TotalRevenueColumn
Exclusion$15,123,707ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real450584Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real450584Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column450584TotalRevenueColumn
Exclusion$450,584ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities476077533Securities
Other113147Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities473144971Securities
Other3661Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities2932562Securities
Other109486Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column3042048TotalRevenueColumn
Exclusion$3,042,048ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmountRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
Snack/Coffee Bar & Cafe7222102380368$2,380,368
Engineering Services5419001263178$817,40134593499843
Contracted Labor62111021628582162858

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column3490907TotalRevenueColumn
Related Or Exempt Function Income1577248RelatedOrExemptFunctionIncome
Unrelated Business Revenue653558UnrelatedBusinessRevenue
Exclusion$1,260,101ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue9297311TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column824972658TotalRevenueColumn
Related Or Exempt Function Income784584839RelatedOrExemptFunctionIncome
Unrelated Business Revenue12247339UnrelatedBusinessRevenue
Exclusion$23,074,209ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total36392508Total
Program Services36392508ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total995439Total
Program Services341343ProgramServices
Management And General654096ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total247144151Total
Program Services236633728ProgramServices
Management And General10510423ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total20180147Total
Program Services19272472ProgramServices
Management And General907675ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total57548456Total
Program Services54966103ProgramServices
Management And General2582353ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total16899471Total
Program Services16139167ProgramServices
Management And General760304ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total60261732Total
Management And General60261732ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total2749677Total
Program Services64678ProgramServices
Management And General2684999ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total955823Total
Management And General955823ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total1952646Total
Management And General1952646ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total90362555Total
Program Services89934376ProgramServices
Management And General428179ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total147088Total
Program Services147088ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total2792002Total
Program Services2792002ProgramServices

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total18000257Total
Management And General18000257ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total6200401Total
Program Services6200401ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total815099Total
Program Services756436ProgramServices
Management And General58663ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total673644Total
Program Services617858ProgramServices
Management And General55786ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total13359853Total
Program Services13359853ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total28946463Total
Program Services25749788ProgramServices
Management And General3196675ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total7780161Total
Program Services7780161ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Equipment Rentals1517743958310559433
Utilities9839822974753592287
Repair & Maintenence98738929873892
Supplies120376907120110681266226

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total4435634Total
Program Services2896748ProgramServices
Management And General686572ManagementAndGeneral
Fundraising852314Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total760201571Total
Program Services654735128ProgramServices
Management And General104614129ManagementAndGeneral
Fundraising852314Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
EOY0EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY30729076BOY
EOY61016161EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY106650125BOY
EOY110266287EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY3107953BOY
EOY4703082EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY2826569BOY
EOY3132606EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis527912304LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec304854075LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY227852091BOY
EOY223058229EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY330465419BOY
EOY306772851EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY200926110BOY
EOY201008915EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY8855472BOY
EOY37355314EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY911412815BOY
EOY947313445EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY15280126BOY
EOY16157087EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY3415358BOY
EOY8560451EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY275787881BOY
EOY265183347EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY11495464BOY
EOY12138866EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY78532787BOY
EOY90943401EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY384511616BOY
EOY392983152EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY510554274BOY
EOY538231609EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY9201655BOY
EOY9417381EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY7145270BOY
EOY6681303EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY526901199BOY
EOY554330293EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY911412815BOY
EOY947313445EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses64771087ReconcilationRevenueExpenses
Reconcilation Other Changes-37341993ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement BothXFinancialStatementBoth
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance16346925BeginningOfYearBalance
Contributions3706817Contributions
Investment Earnings Or Losses-689858InvestmentEarningsOrLosses
Other Expenditures3265200OtherExpenditures
End Of Year Balance16098684EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance18295151BeginningOfYearBalance
Contributions3937629Contributions
Investment Earnings Or Losses2208589InvestmentEarningsOrLosses
Other Expenditures8094444OtherExpenditures
End Of Year Balance16346925EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance17082786BeginningOfYearBalance
Contributions3707220Contributions
Investment Earnings Or Losses459887InvestmentEarningsOrLosses
Other Expenditures2754742OtherExpenditures
End Of Year Balance18495151EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance0.41500PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.58500TermEndowmentEOYBalance
Endowments Held By Unrelated OrgstrueEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgstrueEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RtrueAreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis487109OtherCostOrOtherBasis
Book Value487109BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis265365607OtherCostOrOtherBasis
Depreciation113851737Depreciation
Book Value151513870BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis11295234OtherCostOrOtherBasis
Depreciation9239575Depreciation
Book Value2055659BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis247864682OtherCostOrOtherBasis
Depreciation181762763Depreciation
Book Value66101919BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2899672OtherCostOrOtherBasis
Book Value2899672BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings223058229TotalOfBookValueLandBuildings
Total Of Book Value Securities201008915TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (7 entries)

DescriptionDescriptionAmountAmount
Total Other Noncurrent Liabili$42,848,804
Post Retirement Benefit Obligations$18,892,874
Note Payable - WRRRG$603,339
Accrued Vacation$15,140,579
Accrued Payroll$9,918,227
Accrued Asbestos Removal Exp$1,510,807
Accrd Payroll W/H$2,028,771
FieldValueIRS element (for citing)
Total Of Amounts90943401TotalOfAmounts
Total Revenue824972658TotalRevenue
Total Expenses760201571TotalExpenses
Excess Or Deficit For Year64771087ExcessOrDeficitForYear
Net Unrealized GL On Investments-35266046NetUnrealizedGLOnInvestments
Other-$2,075,947OtherAmount
Total Adjustments-37341993TotalAdjustments
Excess Or Deficit Per FS27429094ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt786409227TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-34576189NetUnrealizedGainsInvestments
Revenue Not Rptd F990-34576189RevenueNotRptdF990
Revenue Subtotal820985416RevenueSubtotal
Other Revenues Not Included3987242OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt3987242RevenueNotRptdOnFinStmt
Total Revenue Per Form990824972658TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt720855946TotExpensesEtcAuditedFinclStmt
Expenses Subtotal720855946ExpensesSubtotal
Other Expenses Not Included39345625OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt39345625ExpensesNotRptdOnFinStmt
Total Expenses Per Form990760201571TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Part XPart 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, 2012.
Part XIII, Line 4bPart XIII, Line 4b: Other revenue amounts included on 990 but not included in F/SGrant-WellSpan Medical Group $16890000 Grant-WellSpan Health $18910000 Restricted Assets Expenditures $0 Revenue netted against expense $1592979 Contributions netted against expense $0 Expense netted against revenue $1952646
Part XII, Line 4bPart XII, Line 4b: Other revenue amounts included on 990 but not included in F/SRestricted Contributions(Net) $441617 Revenue netted against expense $1592979 Expense netted against revenue $1952646
Part XI, Line 8Part XI, Line 8: Other Changes in Net Assets or Fund BalancesNet assets released from restriction-PPE $372533 Change in Accrued Pension Liability $ -2448480
Part V, Line 4Part 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.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent300XPcent300
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Persons Served17331PersonsServed
Total Community Benefit Expense13740204TotalCommunityBenefitExpense
Net Community Benefit Expense13740204NetCommunityBenefitExpense
Percent Of Total Expense0.01810PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Persons Served116154PersonsServed
Total Community Benefit Expense102225911TotalCommunityBenefitExpense
Direct Offsetting Revenue60015467DirectOffsettingRevenue
Net Community Benefit Expense42210444NetCommunityBenefitExpense
Percent Of Total Expense0.05550PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Persons Served133485PersonsServed
Total Community Benefit Expense115966115TotalCommunityBenefitExpense
Direct Offsetting Revenue60015467DirectOffsettingRevenue
Net Community Benefit Expense55950648NetCommunityBenefitExpense
Percent Of Total Expense0.07360PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs69NumberOfActivitiesOrPrograms
Persons Served24299PersonsServed
Total Community Benefit Expense1520608TotalCommunityBenefitExpense
Direct Offsetting Revenue51892DirectOffsettingRevenue
Net Community Benefit Expense1468716NetCommunityBenefitExpense
Percent Of Total Expense0.00190PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Number Of Activities Or Programs14NumberOfActivitiesOrPrograms
Persons Served1423PersonsServed
Total Community Benefit Expense360238TotalCommunityBenefitExpense
Direct Offsetting Revenue4640DirectOffsettingRevenue
Net Community Benefit Expense355598NetCommunityBenefitExpense
Percent Of Total Expense0.00050PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs14NumberOfActivitiesOrPrograms
Persons Served164433PersonsServed
Total Community Benefit Expense14845930TotalCommunityBenefitExpense
Direct Offsetting Revenue6216445DirectOffsettingRevenue
Net Community Benefit Expense8629485NetCommunityBenefitExpense
Percent Of Total Expense0.01140PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Number Of Activities Or Programs5NumberOfActivitiesOrPrograms
Persons Served80PersonsServed
Total Community Benefit Expense741530TotalCommunityBenefitExpense
Net Community Benefit Expense741530NetCommunityBenefitExpense
Percent Of Total Expense0.00100PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Number Of Activities Or Programs4NumberOfActivitiesOrPrograms
Persons Served5798PersonsServed
Total Community Benefit Expense139563TotalCommunityBenefitExpense
Net Community Benefit Expense139563NetCommunityBenefitExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs106NumberOfActivitiesOrPrograms
Persons Served196033PersonsServed
Total Community Benefit Expense17607869TotalCommunityBenefitExpense
Direct Offsetting Revenue6272977DirectOffsettingRevenue
Net Community Benefit Expense11334892NetCommunityBenefitExpense
Percent Of Total Expense0.01500PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs106NumberOfActivitiesOrPrograms
Persons Served329518PersonsServed
Total Community Benefit Expense133573984TotalCommunityBenefitExpense
Direct Offsetting Revenue66288444DirectOffsettingRevenue
Net Community Benefit Expense67285540NetCommunityBenefitExpense
Percent Of Total Expense0.08860PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served271PersonsServed
Total Community Building Expense1922TotalCommunityBuildingExpense
Net Community Building Expense1922NetCommunityBuildingExpense

Economic Development EconomicDevelopment

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Total Community Building Expense485500TotalCommunityBuildingExpense
Net Community Building Expense485500NetCommunityBuildingExpense
Percent Of Total Expense0.00060PercentOfTotalExpense

Leadership Development LeadershipDevelopment

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Persons Served24PersonsServed
Total Community Building Expense1808TotalCommunityBuildingExpense
Net Community Building Expense1808NetCommunityBuildingExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Number Of Activities Or Programs11NumberOfActivitiesOrPrograms
Persons Served15664PersonsServed
Total Community Building Expense42251TotalCommunityBuildingExpense
Direct Offsetting Revenue1764DirectOffsettingRevenue
Net Community Building Expense40487NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Number Of Activities Or Programs3NumberOfActivitiesOrPrograms
Persons Served123PersonsServed
Total Community Building Expense71835TotalCommunityBuildingExpense
Net Community Building Expense71835NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs18NumberOfActivitiesOrPrograms
Persons Served16082PersonsServed
Total Community Building Expense603316TotalCommunityBuildingExpense
Direct Offsetting Revenue1764DirectOffsettingRevenue
Net Community Building Expense601552NetCommunityBuildingExpense
Percent Of Total Expense0.00080PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$17,961,297BadDebtExpenseAmount
Amount Attributable To1562633AmountAttributableTo
Amount Reimbursed By Medicare256011061AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare292681692CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-36670631MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

FieldValueIRS element (for citing)
Business Name Line1WRRRGBusinessNameLine1
FieldValueIRS element (for citing)
Description Ent Primary ActivityRisk Retention GroupDescriptionEntPrimaryActivity
Organization Profit Or Ownership0.66710OrganizationProfitOrOwnership
FieldValueIRS element (for citing)
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number0FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1York HospitalBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line11001 S George StreetAddressLine1
CityYorkCity
StatePAState
ZIP Code17405ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Teaching HospitalXTeachingHospital
Critical Access HospitalXCriticalAccessHospital
Research FacilityXResearchFacility
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1York HospitalBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent200.0000FPGFreePercent
Uses FPG DiscountedtrueUsesFPGDiscounted
FPG Discount Percent300.0000FPGDiscountPercent
Explains BasistrueExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Insurance StatusXInsuranceStatus
Uninsured DiscountXUninsuredDiscount
Medicaid MedicareXMedicaidMedicare
State RegulationXStateRegulation
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Attached To InvoicesXAttachedToInvoices
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Provided On AdmissionXProvidedOnAdmission
Available On RequestXAvailableOnRequest
Actions On NonpaymenttrueActionsOnNonpayment
Collection ActivitiesfalseCollectionActivities
Nondiscrim Emergency Care PolicytrueNondiscrimEmergencyCarePolicy
Lowest Negotiated RatesXLowestNegotiatedRates
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargesfalseGrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities33NumberOfOtherFacilities

Other Facilities OtherFacilities (33 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
Shrewsbury Professional Building
73 East Forrest Avenue Suite 210ShrewsburyPA17361Rehab
Hanover Family Medicine-Workfirst
100 Frederick Street Suite 101HanoverPA17331Work First
ALSU-Stewartstown
86 North Main StreetStewartstownPA17363ALS Unit
608 Cleveland Avenue
608 Cleveland AvenueYorkPA17401Transcription
Prospect Commerce Center
1803 Mt Rose AveYorkPA17403Trans Lab
Yorktowne Medical Center
2350 Freedom WayYorkPA17402PFT
Westgate Lab
1550 Kenneth Rd Westgate PlazaYorkPA17408Lab Services
Valley Green Medical Center
1790 Old Trail RoadEttersPA17319Lab Services
Indian Rock Site
915 Indian Rock Dam RdYorkPA17404Indian Rock Helipad
East York Site
2250 E Market StYorkPA17402Imaging, Work First
Stonebridge Business Park
13515 Wolfe Rd Ste DNew FreedomPA17349Imaging, Lab Services
Dover Health Center
4020 Carlisle RoadDoverPA17315Imaging, Lab Services, Sleep Center
235 Rosedale Drive
235 Rosedale DriveManchesterPA17345Rehab
ALSU- Red Lion
312 Horace Mann AveRed LionPA17356ALS Unit
ALSU- Dover
3700 Davidsburg RdDoverPA17315ALS Unit
2319 South George Street
2319 South George StreetYorkPA17403Rehab, Imaging
Windsor Health Center
3065 Windsor RoadRed LionPA17356Imaging, Lab
Adams Health Center
40 V-Twin DrGettysburgPA17325Workfirst, Preventive Cardiology, Pulmonary
Littlestown Dialysis Building
43 S Columbus AveLittlestownPA17340Dialysis
207 Blooming Grove Road
207 Blooming Grove RoadHanoverPA17331Rehab, Imaging
Adams Center
1575 Bannister StYorkPA17404Preventive Cardiology, Rehab medicine
St Charles Way
228 St Charles WayYorkPA17402Neuroscience Admin, Pain Center
Stony Brook Health Center
4222 Lincoln HighwayYorkPA17406Lab Services
Cross Keys Internal Medicine
2900 Carlisle PikeNew OxfordPA17350Lab services
Apple Hill Womens Special Services & Imaging
35 Monument RoadYorkPA17403Infusion, Women's Imaging, Radiology Technology
Hayshire Health Center
2775 N George StYorkPA17402Imaging, Lab Services
East Berlin Site
105 Fourth StEast BerlinPA17316Imaging, lab services
Loretta Claiborne Building
605 S George StYorkPA17401Dental Clinic, OB/GYN Clinic, Community Health Center
St Charles Way
298 St Charles WayYorkPA17402Diabetes Self Management,
Edgar Square
1101 Edgar StYorkPA17403BHS, Community Health Improvement, Crisis Intervention, Specialty Clinics
Midhill Professional Center
1399 S Queen StYorkPA17403Wound Care
Queensgate Towne Center
2015 Springwood RdYorkPA17403Lab Services, Childbirth & Family Ed., Rehab
Apple Hill
25 Monument RoadYorkPA17403Cardiac Rehab, EKG/Cardiac Stress Testing, Infusion Services, Lab, Maternal Fetal Medicine, Nuclear

Form990 Schedule H Part VI Form990ScheduleHPartVI (10 entries)

Return ReferenceReturnReferenceExplanationExplanation
Part VI - States Where Community Benefit Report FiledPA
Part VI - Affilated Health Care System Roles and PromotionWellSpan Health is an integrated health system serving the Adams-York county region. 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. York Hospital works with other parts of the system to provide a comprehensive approach to meeting community needs. WellSpan Health includes: Gettysburg Hospital, York Hospital, WellSpan Surgery and Rehabilitation Hospital, Apple Hill Surgical Center, VNA Home Health, WellSpan Medical Group, South Central Preferred, WellSpan Pharmacy, Gettysburg Hospital Foundation, York Health Foundation, York Provider Network and Healthy York Network/Healthy Community Pharmacy. York Hospital's community benefit report is contained in a report prepared by their parent organization, WellSpan Health. See Attached Federal Supplemental Information: WellSpan Health - 2012 Community Benefit Report
Part VI - Explanation Of How Organization Furthers Its Exempt PurposeHistorically, our organization has taken planned steps to build community capacity that address complex health issues as identified by the Community Health Needs Assessments we conduct. Our involvement and support of a county health coalition - Healthy York County Coalition - has engaged more than 200 community members in community health improvement initiatives. Examples of past initiatives include: attempt to develop a county-wide health department; encourage water supply fluoridation; partnerships with county parks and the local library system to improve pediatric physical activity, and; improve chronic disease rates through grant support from the Robert Wood Johnson Foundation. Additional programs led by our organization assist young people with developing skills for lifelong health and safety, such as sponsoring an annual leadership conference for 7th grade girls, supporting the local Safe Kids Coalition that focuses on pediatric unintentional injury prevention, and providing leadership to the York-Adams Metropolitan Medical Response System (YAMMRS), a local coalition seeking to improve coordination in the event of a regional disaster. As a charitable, community-based healthcare organization, we are committed to improving the lives and well-being of the people and communities we serve. This dedication is evident in our organizational mission statement - "Working as one to improve health through exceptional care for all, lifelong wellness, and healthier communities." By partnering with individuals and other organizations, supporting their endeavors, sharing our knowledge and expertise, and learning from one another, together we are creating a healthier community. In addition to community benefit items outlined in Schedule H, we actively engage community members as organizational partners to reinvest in the health of our community by: providing Board and committee leadership opportunities; encouraging patient feedback that improves care through advisory groups, and; engaging diverse stakeholders on community-based taskforces that address complex community health issues. Both in the hospital and across our health system, community members actively volunteer their time to support activities and initiatives, and generously donate funds to the organization. During the fiscal year, approximately 1,652 individuals across the system volunteered a total of 139,000 hours of service, equivalent to approximately $3,028,000. In addition, the York Health Foundation, York Hospital's philanthropic organization, raised $4,225,279, of which approximately 48% supports activities and patient care at York Hospital.
Part VI - Community InformationTo the casual observer, our service area could be described as one community. The combined population of York and Adams counties is over 545,000 people. This population is expected to increase by 4% or 21,000 people over the next five years. The York/Adams population is growing older. While the 18-44 age group comprises the largest segment of the population, this group will experience nominal growth through 2017. Most growth will occur in the 45-64 (4% or 6,300 people) and the 65+ (18% or 14,000 people) age groups. This shift is occurring as the baby boom generation ages, as people live longer due to healthy lifestyles and medical advances, and as retirees move from the Baltimore/Washington metro area to Southern York and Adams counties to find a safer, lower cost lifestyle. Although the overall population growth projected for the York/Adams area over the next five years is moderate, the changing demographic profile of the population will result in elevated incidence rates for both acute and chronic disorders that present themselves ever increasingly as the population ages. York County is situated in south-central Pennsylvania. The County is bordered by Adams and Cumberland Counties to the west and north respectively and the Susquehanna River and Lancaster County to the east. Northeast of the River lies Dauphin County and the southern border is the Mason-Dixon line which forms the border with Maryland and its northernmost counties of Carroll,Baltimore and Harford. York County is approximately 911 square miles or 583,040 acres and is comprised of 72 municipalities; 35 townships, 36 boroughs and one (1) city.Generally and historically, employment rates are better than state and national averages but the composition of the workforce contains more manufacturing, production and tourism related business. An assessment of general health status is gathered as part of Community Health Assessments. The percent of adults in York County rating their health as fair or poor was 14.0%. Our in-depth knowledge of the community, gathered through community health assessments and focused studies during the past 15 years, however, show that our service area is not made up of one community but of many, with social and health factors that are significantly impacting its health. The number of uninsured has remained stable at approximately 6.5% but continues to be a major barrier to access to oral health, medical care and pharmaceuticals, and the incidence of chronic disease in on the rise.
Part VI - Patient Education of Eligibility for AssistanceFor more than a decade, our organization has been working to improve access to care - based on the community health assessment's prioritization of medical, dental and oral health access as high. A key element of our strategy in addressing this need is to reach beyond simply informing patients about our patient assistance policies and proactively identify and help patients connect to the public programs, community programs as well as our own. This includes reaching out to identify "unconnected" patients through programs like Health Connect, which travels to all parts of the county and takes care of immediate medical issues, but more importantly connects patients to the various options for charity care. It includes sponsorship of Healthy York Network (HYN), which provides case managers to support patient's enrollment in both public programs or in HYN, which utilizes the charity care guidelines of health care proverbs for discounts. It includes identifying special resources for at risk populations in the African American and Latino communities and providing Lay Community Health Workers to help assist people in enrollment processes. Finally, though a multi-year initiative to ensure all people who qualify for charity care and financial assistance are aware of it, we've updated our website with information, simplified our enrollment processes, improved education and availability of financial support resources at high visibility sites of care, simplified the letters sent to patients who are late in paying their bill and have collaborated with our local Federally Qualified Health Center for early identification and qualification of patients.
Part VI - Needs AssessmentIn the early 1990s, our organization began developing new ways of working more closely with its communities. The first Community Health Assessment for York County was completed in 1994. Since that time, we've competed health assessments in 1997, 2000, 2005, 2008 and 2012. These are lead by the regional health coalition, Healthy York County Coalition, that we support and are done collaboratively with other hospitals and community partners. The assessments evaluate the health of York County as a whole, and often target specific geographic or demographic segments for further study - such as the City of York or Youth. The gathering of data is one component of the health assessment process. As a community, the data is utilized as a basis of public meetings and forums to identify priorities for the community. These involve stakeholders from health and human services, government, business and other sectors. Our system-wide planning committee, which includes York Hospital Board members, dedicates a meeting on this topic and the priorities identified are used to define our organization's community health objectives in its annual plan. The Community Health Assessment is distributed and utilized broadly in the community and provides other organization's as well as our own with more data-driven picture of the issues and needs facing our community. Our focus is to understand the health status and behaviors of those residing in York County, prioritize results and identify community needs, and respond to those needs through the implementation of evidence-based strategies. In the recent 2012 Assessment, 1004 York County adults were interviewed and served as a sample of the patients with whom our organization daily interacts. These individuals are geographically distributed cross 48 zip codes and represent the diversity - age, gender, race/ethnicity, educational background, and socioeconomic status - of the community our organization serves. . The 2012 CHNA process was led by a Community Health Assessment Planning Committee, a multidisciplinary collaborative comprised of at least twelve agencies interested in the health needs of the community, including:"Two acute care facilities "One integrated health care delivery system"Two county-level health coalitions"A local Federally Qualified Health Center (FQHC)"The local city health bureau"A local behavioral health counseling agency"Two local United Way branches"Area colleges and universities"A non-profit community foundationHistorically, Planning Committee members contribute in-kind staff hours to the Community Health Assessment process, utilize data to integrate priority interventions into their respective organizational plans, and assist with disseminating results to the community at-large. Except for the Healthy York County Coalition and participating colleges and universities, member organizations also financially support the community health assessment process, including a contractual agreement with an opinion research department at a local college to collect and analyze data, and generate necessary reports. Health coalition staff time spent during the assessment process and in monitoring this contract is considered an in-kind contribution.When initially convened, Planning Committee members determined deliverables to be included in a Request for Applications (RFA) to fund an entity that would conduct the assessment, analyze results, and summarize the findings. Responsibility for recent community health assessments was shared between both the Healthy York County Coalition and its sister coalition in Adams County, Healthy Adams County , to maximize economies of scale and identify shared priorities across the region. However, separate reports are generated to demonstrate respective community priorities and to meet regulatory requirements. The CHNA typically engages two components - primary data collection through implementation of the Behavioral Risk Factor Surveillance System (BRFSS) and secondary data collection available through online state or national level resources. Members of the Planning Committee partnered with the funded community health assessment entity to finalize BRFSS questions and approve the identified sample size. For the 2012 CHNA, the Planning Committee elected to correlate community health results with potential disparities (e.g. age, geographic area, poverty, race/ethnicity) to obtain additional detail about community needs. Previous health assessments have included qualitative data obtained through focus group results on key topics (e.g. behavioral health, substance abuse). In 2012, Planning Committee members elected to disseminate CHNA results and establish priorities for the community at-large and in their respective organizations at a local Health Summit held in June 2012. CHNA findings were also distributed through smaller organizational forums and in press releases. Health Summits have demonstrated efficacy to convene a larger group of interested parties including: community-based organizations (YMCA/YWCA); faith communities; healthcare insurers and providers; law enforcement agencies; local school districts; social service organizations, and; the general public to brainstorm about how to effect community change that improves health status and encourages positive health behaviors. As with past assessments, the lead researcher for the 2012 CHNA served as the keynote speaker and presented the overall results. A combination of general and breakout sessions were then employed to identify priorities and associated programmatic opportunities. The 2012 CHNA provided the most robust data, to date, and has enabled our organization to better integrate its results into our annual organizational and entity-level planning processes. Our system-wide Community Benefit Council, comprised of representation from both acute care facilities, and service line and corporate leadership, reviewed the CHNA results and identified four key priorities for the organization, including each of our three hospitals: adult overweight/obesity; avoidance of healthcare because of cost; depression, and; tobacco use. CHNA results continue to be shared at varying levels of our organization and are foundational to the creation of entity-level objectives and associated evaluation indicators in our community health implementation strategy. Since our CHNA was not finalized and made available to the public until fiscal year 2013, the implementation strategy was not developed until fiscal year 2013 and therefore will be attached to our 2012 return.
Part III, Line 9b - Provisions On Collection Practices For Qualified PatientsGuidelines for suggested minimum number of phone attempts and letters to be sent before the account is turned over to an outside collection agency are included in the Patient Administrative Services Policy. Upon final PARO (Payment Assistance Rank Ordering) scoring, if a patient qualifies for presumtive 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 III, Line 8 - Explanation Of Shortfall As Community BenefitYork Hospital maintains records to identify and monitor the level of charity care and community service it provides. These records include the amount of charges forgone based on established rates for services and supplies furnished under its charity care and community service policies and the estimated cost of these services. Payments from Medicaire are generally less than York Hospital's costs of providing the service.
Part III, Line 4 - Bad Debt ExpenseYH provides an allowance for doubtful accounts for estimated losses resulting from the unwillingness or inability of patients to make payments for services. The allowance is determined by analyzing specific accounts and historical data and trends. Patient accounts receivable are charged off against the allowance for doubtful accounts, when management determines that recovery is unlikely, and YH ceases collection efforts. Losses have been consistent with management's expectations in all material respects.
Part I, Line 6a - Related Organization Community Benefit ReportCommunity Benefit Information is included in the Community Benefit Report for WellSpan Health.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (9 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantAmount Of Non Cash AssistanceAmountOfNonCashAssistancePurpose Of GrantPurposeOfGrant
York Suburban School District
850 Southern RoadYorkPA17403236005956501(c)(3)300000General Support
York City School District
31 N Persing AvenueYorkPA17401236004284501(c)(3)300000General Support
WellSpan Medical Group
PO Box 2767YorkPA17405232730785501(c)(3)168900000General Support
WellSpan Health
PO Box 2767YorkPA17405222517863501(c)(3)189100000General Support
Spring Garden Township
558 S Ogontz StreetYorkPA17403236003037501(c)(3)55000General Support
Nightinggale Awards of PA
6 Clouser RoadMechanicsburgPA17055232567118501(c)(3)61500General Support
Family First Health
116 S George StreetYorkPA17401237118262501(c)(3)1145830School based clinic
City of York
50 W King StreetYorkPA17405236001908501(c)(3)3200000General Support/New Police Cruisers
American Heart Association
610 Community WayLancasterPA17603135613797501(c)(3)100000Heart Ball & Heart Walk
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants9TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierGrantmaker's Description of How Grants are UsedIdentifier
ExplanationAll WellSpan non-research grant activities must be coordinated through the York Health Foundation and Gettysburg Hospital Foundation to insure that grant projects are implemented, evaluated, and monitored in accordance with applicable granting agency regulations, with WellSpan policies and procedures, and are consistent with the strategies and priorities of the organization. WellSpan has defined the processes by which grants are identified, developed, reviewed, approved, and monitored by the organization. This policy covers non-research grants applied for and received by an entity of WellSpan Health. It does not cover grants made by the organization. Research grants are defined as those that involve "a systematic investigation designed to develop or contribute to generalizable knowledge (45CFR 46.102(d)) and are overseen by Emig Research Center (Policy #619 Extramural Research Funding)Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PaymentsXIdemnificationGrossUpPayments
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException
Rebuttable Presumption ProcedurefalseRebuttablePresumptionProcedure

Form990 Schedule J Part II Form990ScheduleJPartII (11 entries)

Comp Based On Related OrgsCompBasedOnRelatedOrgsBonus Related OrgsBonusRelatedOrgsDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Related OrgsTotalCompensationRelatedOrgsBase Compensation Filing OrgBaseCompensationFilingOrgBonus Filing OrgBonusFilingOrgOther Compensation Filing OrgOtherCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrg
William Landis
354483252011830237943435929
Steven Schirk MD
2936111664358061830237121371483
Richard Seim
3863561184702731423674183001715308118470
Raymond Rosen
2465553888147901830232815341343
Peter M Hartmann MD
3608045337965761830236295475356
Paul B Iannini MD
32412082558134581830228952467390
Michael F O'Connor
415093122430306582412258935708240122430
Keith Noll
2778237293062502630423405165409672930
James T Amsterdam MD
4252336734483771830237302556558
David A Kramer MD
3140901734760881830234932390759
Bruce M Bartels
7337942219165438229193349428883351423216810

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSch J, Part I, Line 1aIdentifier
Return ReferencePart I, Line 1a: Relevant information in regards to selections on 1a.ReturnReference
ExplanationBruce Bartels, WellSpan CEO, received additional compensation to cover the tax on personal use of his company vehicle.Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1See Schedule OBusinessNameLine1
FieldValueIRS element (for citing)
Fed Tax Requirements ComplianceXFedTaxRequirementsCompliance

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (4 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
Harrisburg Area Community College
Officer Treuthart284153Employee Tuitionfalse
Talpier Associates
Officer Stewart226083Property Rentalfalse
Donette Lasher
Family Member Noll195902Employee of YHfalse
M & T Bank
Regional Pres. Crosswhite421566Provider of Banking Servfalse

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Schedule K -Tax-Exempt Bonds$412,230,0000 of Revenue Bonds for WellSpan Health Obligated Group, Series 2008A, 2008B, 2008C and 2008D were issued 11/12/2008 by General Authority of Southcentral Pennsylvania. WellSpan Health, the parent organization, allocated portions of the proceeds of this tax-exempt bond issue to York Hospital (22-2517863), Gettysburg Hospital (23-1352220), WellSpan Properties (22-2842252), and WellSpan Specialty Services (23-2899911). In order to remain consistent with the reporting on Form 8038, all outstanding liabilities associated with this tax-exempt bond issue are reported on the WellSpan Health (22-2517863) Schedule K. As of 6/30/12, the allocation of the Debt Capital program was as follows: York Hospital $243,740,554 (63.07%), WellSpan Properties $60,749,589 (15.72%), WellSpan Health $2,490,198 (.64%), WellSpan Specialty Services $47,392,814 (12.26%) and Gettysburg Hospital $32,106,845 (8.31%). These amounts are reported on the respective balance sheets (Part X Line 20)for each of these entities.The 11/12/2008 issue included reissuance of all unspent proceeds from the refunded 2007 bond issue.
Part V line 1aPart V line 1a - Most 1099s are issued through WellSpan Health, the parent company.
Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableGoverning documents, policies, and financial statements are available upon request.Form 990, Part VI, Line 19
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 subordiate 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 15b
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 questionaire annually. The questionaire 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 12c
Form 990, Part VI, Line 11: 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 11
Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or ShareholdersThe member may, with respect to the Corporation, initiate and implement any of the following actions, and it any of the following actions are otherwise initiated by the Corporation, such action shall not become effective unless approved by the Member:a) The adoption, amendment,or revocation of the Corporation's Articles of Incorporation or Bylaws. b) The termination, liquidation, reorganization, division, conversion, or dissolution of the Corporation, or the merger, consolidation, or combination of the Corporation with another person. c) Any change or transfer of the Member's membership interest in the Corporation, or the creation or issuance of any additional membership interests in the Corporation. d) The investment of the Corporation's assets other than in accordance with the Member's current investment policy; or, in the absence of a current Member investment policy, any investment other than in the ordinary course of business, which shall consist of federally-insured interest-bearing bank accounts, short-term direct U.S. obligations, short-term certificates of deposit of domestic banks, or highly-rated money market funds. e) The incurrence by the Corporation of indebtedness in excess of such amounts as may be reasonably designated by the Member from time to time, except pursuant to a budget approved by the Member. This is not meant to restrict the Corporation's day-to-day business, in amounts less than the amounts designated by the Member, such as routine trade and accounts payable or obligations. f) The conveyance, transfer, lease, or sale of any of the Corporation's assets with fair market value in excess of such aggregate amount as may be designated by the Member from time to time, except pursuant to a budget approved by the Member, or the conveyance, transfer, lease or sale of any of the Corpoation's assets to the Member or another System Affiliate. g) The making of any capital expenditure or the incurrence of any capital obligations by or on behalf of the Corporation in excess of such annual aggregate amount as may be designated by the Member from time to time, except pursuant to a budget approved by the Member. h) The incurrence of any obligation (whether actual or contingent) by the Corporation to guarantee or be responsible for the debts or obligations of any person in excess of such amounts as may be designated by the Member from time to time, except pursuant to a budget approved by the Member. This is not meant to restrict the Corporation's ability to incur obligations int he ordinary course of the Corporation's day-to-day business, in amounts less than the amounts designated by the Member. i) The approval of the Corporation's operating and capital budgets, or any material changes thereto. j) The voluntary granting of any lien or encubrance (including a confession of judgement) with respect to the Corporation's assets, except in the ordinary course of business.k) The surrender of or material change to any permit, approval, or license of the Corporation. l) The selection of the Corporation's outside auditors, general legal counsel, or investment advisors. m) The requirement that the Member make any capital contribution to the Corporation. n) The ratification of appointments and reappointments to the Corporation's Board of Directors. o) The approval of the Corporation's strategic and operating plans, or any changes thereto. p) The approval of the Corporation's statements of purpose, vision, or mission, or any changes thereto. q) The creation by the Corporation of any new lines of business, sites of business, subsidiary corporations, or partnerships or other joint ventures, or any material changes in existing services, or particiation in any key strategic relationship outside the System. This is not meant to restrict the Corporation's right to enhance and expand its current lines of business. r) All health care services contracting by the Corporation that could materially impact the System.Form 990, Part VI, Line 7b
Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing BodyThe Board of Directors of the Corporation shall be elected as provided herein by the Board of Directors of the Member. The Member shall determine annually the number of directors which shall in no event be less than ten nor more than fifteen persons. Nominations for the Directors to be elected by the Member shall be made only by the Nominating Committee for Directors, except for vacancies in the Board of Directors occuring by death, resignation, disqualification, removal or otherwise, may, upon the recommendation of the Executive Committee, be filled by appointment by the Member to serve until the next annual meeting of the Member, at which time the Member may elect a Director to fill such vacancy for the remainder of the unexpired term thereof.Form 990, Part VI, Line 7a
Form 990, Part VI, Line 6: Explanation of Classes of Members or ShareholderWellSpan Health, a not for profit corporation, is the sole member.The Member of the Corporation shall meet at any place, date, and time designated by the Member, for the transaction of the general business of the Corporation. Action of the Member shall generally be taken by a written consent in lieu of a meeting.Any action which may be taken at a meeting of the Member may be taken without a meeting if a consent or consents in writing, setting forth the action so taken, shall be signed by the Member and filed with the Secretary of the Corporation.Form 990, Part VI, Line 6
Client Note 1 - WellSpan Health - 2012 Community Benefit ReportWellSpan Health includes: WellSpan Gettysburg Hospital o WellSpan York Hospital o WellSpan Surgery and Rehabilitation Hospital o Apple Hill Surgical Center o VNA Home Health o WellSpan Medical Group o SOUTH CENTRAL Preferred o WellSpan Pharmacy o Gettysburg Hospital Foundation o York Health Foundation o York Provider NetworkWellSpan Health's Charitable, Non-Profit MissionWorking as one to improve health through exceptional care for all, lifelong wellness and healthy communities.At WellSpan Health, we are proud to be part of the communities of central Pennsylvania. That's why we are committed to understanding local health care needs and working with physicians, community leaders and area residents to establish services and programs where people live, work and play.By offering a vast array of inpatient, outpatient, home health and physician services and by partnering with other organizations and community physicians, we make it possible for people to find and access the health services that they need, without having to travel far from home.By working as one coordinated health care organization, we are transforming care through sophisticated clinical information technology and creating innovative new models as a means to create a high quality, exceptional patient experience.How We HelpEvery member of our community deserves the care they needAt WellSpan, it is our core belief that accessible health care is one of the keys to a healthy community. Yet, in York and Adams counties, there are nearly 40,000 individuals who live without adequate health insurance.This community health problem cannot be ignored and requires careful planning and forethought. Fortunately, WellSpan has done both.We take measures to care for those who have no insurance and are unable to pay. We offer discounted care to individuals whose income falls within 300 percent of federal poverty guidelines. Additionally, all uninsured patients, regardless of whether they qualify for charity care, receive discounts similar to those offered by private insurance companies. We offer free care to patients who participate in our charity care program.Together with our community partners, we support programs to take basic primary care and other services into urban and rural communities, improve access to oral health care and help people establish a "medical home" with a primary care physician.In 2012, WellSpan Health provided over $100 million in care for the uninsured and underinsured.The net cost of care provided in 2012:"Charity Care: $20.2 million in free care to patients who participated in our charity care program"Medicare: $64.8 million in cost greater than what was paid by Medicare"Medicaid: $58.8 million in cost greater than what was paid by Medicaid"Uncompensated Care: $26.2 million in services to patients who received care for which they did not pay and who did not participate in the charity care program"Community Education and Outreach: $6 million in free community education and outreach to children and at-risk groups"Medical, Dental and Pharmaceutical Care: $13.2 million to support services that provided discounted medical, dental and pharmaceutical care to people in needPrograms for the uninsured that WellSpan supported in 2012 include:oHealthConnect, a mobile health care program that provides basic primary care services and helps individuals find a medical home. This program benefits individuals who lack sufficient health insurance. Our progress:"1,312 visits"973 new patients"137 referrals to a primary care physicianoHealthy York Network and Healthy Community Pharmacy, a collaborative effort that facilitates access to discounted health care services and prescription medication. This program benefits individuals who lack sufficient health insurance. Our progress: "$33 million of care provided to more than 8,309 members "9,117 new members enrolled "52,234 prescriptions filledoCommunity Health Workers, who help people navigate the health care system, enroll in public assistance programs and implement health outreach programs. This program benefits individuals who lack sufficient health insurance and people of disparate populations. Our progress: "372 individuals were assisted with access to healthcare and enrollment in health assistance programs such as Healthy York NetworkoFamily First Health's Hannah Penn Health Center, a partnership of WellSpan York Hospital, Family First Health and the City of York School District. This program benefits underserved adults and children, including those who lack sufficient health insurance and those with Medicaid. Our progress: "3,658 acute and preventive medical visits "1,620 dental visits in calendar year 2011oWellSpan York Hospital Community Health Center, which provides primary care services, women's health care, HIV care and pediatric care for medically complex conditions. This program benefits adults and children who lack sufficient health insurance. Our progress:"22,763 primary care visits"18,670 obstetrics and gynecology visitsoThomas Hart Family Practice Center, which is staffed by resident and faculty physicians at WellSpan York Hospital and provides acute, chronic, preventive and obstetric care. The program benefits adults and children, many of whom lack sufficient health insurance. Our progress:"26,499 visitsoFamily First Health's Gettysburg Center, a federally qualified community health center that WellSpan supports to provide medical and dental services in Adams County. This program benefits underserved adults and children of Adams County, including those who lack sufficient health insurance and those with Medicaid. Our progress:"Actively supported the start-up of the center and its ability to attract 5,643 patients during the past year "Family First Health Center in Gettysburg began providing dental care to patients who are uninsured and those with MedicaidoThe George W. T. Bentzel, DDS Dental Center, which is staffed by licensed dentists and residents from the WellSpan York Hospital Dental Residency Program. This program benefits adults and children, many of whom lack sufficient dental insurance. Our progress:"14,325 outpatient visitsoHoodner Dental Center program that supports individuals who lack sufficient dental insurance and who qualify for Medical Assistance or the Healthy York Network. Our progress:"6,191 visitsHealthy CommunitiesAt WellSpan, we wholeheartedly agree with the World Health Organization's assessment that health is "a state of complete physical, mental and social well-being, not merely the absence of disease or infirmity." And we recognize the dangers and issues facing a community that cannot achieve this level of health.To help our communities become healthy places to live, work and play, we are constantly planning for the future, developing partnerships, building community assets, engaging citizens, and sponsoring initiatives. Our efforts are broad based and wide reaching, but so is the need. We believe that our progress, on all fronts, continues to make a difference.Community health initiatives WellSpan supported in 2012 include:oHealthy Adams County, a partnership of community members dedicated to continuing assessment, development and promotion of efforts toward improving physical, mental and social well-being. It addresses issues of health literacy, healthy lifestyles, oral health, quality health care for the chronically ill, and school wellness. Our progress includes:"Holding the sixth annual Adams County Health Summit, which included nearly 100 health and human services professionals and community residents "Partnering with PA Dept. of Conservation and Natural Resources and the South Mountain Partnership to hold a regional health summit in September 2012oHealthy York County Coalition, an ongoing, independent collaborative effort dedicated to improving the health and wellness of York County. It addresses health literacy, healthy lifestyles, oral health, quality health care for the chronically ill, and school wellness. Our progress includes:"The GO Explore the World! program promoted municipal, county and state parks in York County as places for children and families to be physically active. More than 10,818 passports were distributedoReach Out and Read program addressing early childhood literacy. Our progress includes:"5,488 books distributed to children ages six months to five yearsoSAFE, teams of specially trained Emergency Department nurses at WellSpan York Hospital and WellSpan Gettysburg Hospital who treat victims of sexual assault while simultaneously gathering evidence of a crime. Our progress includes:"Provided care to more than 400 patientsoCommunity Partnership Grants to address health and quality of life across south central Pennsylvania. Our progress includes grants of $238,900 provided to support:"York and Adams Counties Community Health Assessment "YorkCounts/York County Youth Development Center "National Alliance

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (12 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
Wellspan Properties Inc
PO Box 2767YorkPA174052767222842252Leases facilities to affiliatesPA501(c)(3)11 Type 1NAfalse
WellSpan Specialty Services
PO Box 2767YorkPA174052767232899911Mgmt. hospice/home health care servicesPA501(c)(3)11 Type 1NAfalse
York Health Foundation
PO Box 2767YorkPA174052767233050192Charitable contributions for Wellspan entitiesPA501(c)(3)11 Type 3NAfalse
Wellspan Medical Group
PO Box 2767YorkPA174052767232730785Medical and surgical carePA501(c)(3)9NAfalse
Wellspan Health Care Services
PO Box 2767YorkPA174052767232400237Health-related activities in the service areaPA501(c)(3)11 Type 1NAfalse
Wellspan Health
PO Box 2767YorkPA174052767222517863Integrated Health SystemPA501(c)(3)11 Type 1NAfalse
VNA Home Health Services
PO Box 2767YorkPA174052767231352573Home Health and hospice care servicesPA501(c)(3)9NAfalse
VNA Community Services
PO Box 2767YorkPA174052767232338591Home personal care services for elderly and disabledPA501(c)(3)9NAfalse
Healthy Community Pharmacy Inc
PO Box 2767YorkPA174052767200519121Reduced rate prescription drugs to uninsuredPA501(c)(3)11 Type 1NAfalse
Gettysburg Hospital Foundation
PO Box 2767YorkPA174052767232251358Fundraising for Gettysburg HospitalPA501(c)(3)11 Type 1NAfalse
Gettysburg Hospital
PO Box 2767YorkPA174052767231352220Health Care ServicesPA501(c)(3)3NAfalse
Apple Hill Surgical Center Inc
PO Box 2767YorkPA174052767222842253Sole GP in limited ptnrshp. operating surgical centerPA501(c)(3)9NAfalse

Form990 Schedule R Part III Form990ScheduleRPartIII (6 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Disproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartner
Community Healthcare Imaging Partners
PO Box 2767YorkPA174052767232444154MRI CenterPANAfalsefalse
Cherry Tree Cancer Center LLP
PO Box 2767YorkPA174052767232915628RadiationPANAfalsefalse
Littlestown Health Care Partners
300 West King StreetLittlestownPA17340232880464Lease facilPANAfalsefalse
Q-WH LLC
PO Box 2767YorkPA174052767208226561GP of CHIPPANAfalsefalse
Central PA Alliance Laboratories LLC
PO Box 2767YorkPA174052767232910950Ref. LabPANAfalsefalse
Apple Hill Surgical Center Partners
PO Box 2767YorkPA174052767232489452Surgical CnPANAfalsefalse

Form990 Schedule R Part IV Form990ScheduleRPartIV (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnershipDirect Controlling Entity NADirectControllingEntityNA
York Provider Network
PO Box 2767YorkPA174052767232907828Coord mngd care risk contractingPANAC Corp
York Health Plan
PO Box 2767YorkPA174052767232664989Preferred Provider OrganizationPANAC corp
Wellspan Reciprocal Risk Retention Group
PO Box 2767YorkPA174052767200048457Risk Retention GroupPANAC Corp4683638149937860.66710
Wellspan Pharmacy Inc
PO Box 2767YorkPA174052767232374072Dispenses Rx & provides IV therapyPAC corpN/A
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgtruePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg