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WELLSPAN MEDICAL GROUP: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
WELLSPAN MEDICAL GROUP (EIN 23-2730785)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-05-13
IRS object ID
201341339349303329
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)
Timestamp2013-05-13T12:02:35-07:00Timestamp
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)
EIN232730785EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1WELLSPAN MEDICAL GROUPBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlWELLNameControl
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

Name Of Principal Officer Business NameOfPrincipalOfficerBusiness

FieldValueIRS element (for citing)
Business Name Line1Bruce M BartelsBusinessNameLine1

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1PO Box 2767AddressLine1
CityYorkCity
StatePAState
ZIP Code174052767ZIPCode
FieldValueIRS element (for citing)
Gross Receipts223176705GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501c3XOrganization501c3
Web SiteWWW.WELLSPAN.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1993YearFormation
State Legal DomicilePAStateLegalDomicile
Activity Or Mission DescriptionWellSpan Medical Group, in coordination with York Hospital, Gettysburg Hospital, and WellSpan Surgery and Rehabilitation Hospital provides medical and surgical care to patients in and around York and Adams County, Pennsylvania without regard to the ability to pay.ActivityOrMissionDescription
Nbr Voting Members Governing Body10NbrVotingMembersGoverningBody
Nbr Independent Voting Members1NbrIndependentVotingMembers
Total Nbr Employees1732TotalNbrEmployees
Total Nbr Volunteers6TotalNbrVolunteers
Total Gross UBI1379414TotalGrossUBI
Net Unrelated Business Txbl Income-46650NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year19981014ContributionsGrantsPriorYear
Contributions Grants Current Year21600472ContributionsGrantsCurrentYear
Program Service Revenue Prior Year191282689ProgramServiceRevenuePriorYear
Program Service Revenue CY199750677ProgramServiceRevenueCY
Investment Income Prior Year86513InvestmentIncomePriorYear
Investment Income Current Year433230InvestmentIncomeCurrentYear
Other Revenue Prior Year1490075OtherRevenuePriorYear
Other Revenue Current Year1379414OtherRevenueCurrentYear
Total Revenue Prior Year212840291TotalRevenuePriorYear
Total Revenue Current Year223163793TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year5255GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY1000GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year170728567SalariesEtcPriorYear
Salaries Etc Current Year185254835SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year41937595OtherExpensePriorYear
Other Expenses Current Year37836195OtherExpensesCurrentYear
Total Expenses Prior Year212671417TotalExpensesPriorYear
Total Expenses Current Year223092030TotalExpensesCurrentYear
Revenues Less Expenses Prior Year168874RevenuesLessExpensesPriorYear
Revenues Less Expenses CY71763RevenuesLessExpensesCY
Total Assets BOY31673702TotalAssetsBOY
Total Assets EOY35358741TotalAssetsEOY
Total Liabilities BOY17318837TotalLiabilitiesBOY
Total Liabilities EOY20929740TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY14354865NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY14429001NetAssetsOrFundBalancesEOY
Mission DescriptionThe WellSpan Medical Group was founded and operates on the belief that a large, well-organized group practice, based on primary and preventive care, and working collaboratively as part of an integrated health care delivery system, can deliver a superior standard of care. Its mission is to promote and to provide quality, cost-effective health care services which seek to improve the health status of the community. The Medical Group provides care without regard for an individual's health status or ability to pay.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense209481576Expense
Grants1000Grants
Revenue199750677Revenue
DescriptionWellSpan Medical Group, which does not contemplate pecuniary gain or profit, incidental or otherwise, was formed for the purposes of furthering the charitable purposes of WellSpan Health and promoting the provision of health care services in South Central Pennsylvania, including York and Adams Counties, by providing clinically effective health care services, including professional health care services, in a cost effective manner in settings appropriate to patient and payor needs under a variety of health care financing arrangements; enhancing the continuity and quality of health care services provided to patients; ensuring the continued local patient access to health care services; enhancing the health status of the communities served by WellSpan Health; effectively responding to changing payor requirements; achieving excellence in clinical innovations, service, quality, cost and outcomes; and achieving operating efficiencies, such as containing and reducing costs and avoiding unnecessary duplication of services and equipment, thereby utilizing resources more effectively.See Attached Federal Supplemental Information: WellSpan Health - 2012 Community Benefit ReportDescription
Total Program Service Expense209481576TotalProgramServiceExpense
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 SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPtrueLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
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 With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingfalseComplianceWithBackupWitholding
Number Of Employees1732NumberOfEmployees
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 Members10NbrVotingGoverningBodyMembers
Number Independent Voting Members1NumberIndependentVotingMembers
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 Code174029081ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (19 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
Ridge Salter MD
Chairman40.00XX188609046588
Catherine M Heilman MD
Vice Chair40.00XX182146048202
Jeffrey Lobach
Director1.00X000
Rajesh Singal MD
Director40.00X273791053834
Neal Friedman MD
Director1.00X029812952000
Charles H Chodroff MD
Director1.00X0505317321575
Larry Miller
Director1.00X000
Bruce M Bartels
CEO-WellSpan H.1.00XX04307133635755
Brad J Cooper MD
Director40.00X167671044684
Lee Maddox MD
Director40.00X448344053047
Thomas R McGann MD
Pres, Sec40.00X4981140322424
Michael F O'Connor
CFO-WellSpan H.1.00X0545763347807
Jack Jensen
VP & COO - WellSpan Medical Group40.00197052043624X
Ori Shokek MD
Radiation Oncol.40.00771190058805X
Sukumar Puvvala MD
Radiologist40.00830248045026X
Eugene Eline MD
Surgeon40.00849985055654X
Mark Richardson MD
VP-Orthop. Service40.00927416053993X
Thomas DiPasquale MD
Surgeon40.00923341055657X
Michael A Wilson MD
Former Chairman0.00198553048830X
FieldValueIRS element (for citing)
Total Reportable Comp From Org6456460TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs5656342TotalReportableCompFrmRltdOrgs
Total Other Compensation2287505TotalOtherCompensation
Number Individuals GT100 K361NumberIndividualsGT100K
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
Weatherby Locums Inc
PO Box 972633DallasTX75397Temporary Help446704
Star Building Services Inc
106 Quigley Boulevard PO Box 11410WilmingtonDE19850Janitorial Services332301
Nighthawk Radiology Services
PO Box 673398DetroitMI482673398MRI Reading946322
Emdeon Business Services
12016 Collections Center DriveChicagoIL60693Collection Services340554
Edco The Document People
1351 N Belcrest PO Box 7010SpringfieldMO658017010Document Archival351559
FieldValueIRS element (for citing)
Number Of Contractors GT100 K12NumberOfContractorsGT100K
Related Organizations21500000RelatedOrganizations
Government Grants80670GovernmentGrants
All Other Contributions19802AllOtherContributions
Total Contributions21600472TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
W/O - Free Care621110-4613557-4613557
W/O - Bad Debt621110-5287754-5287754
Teaching Services61160039472373947237
Health Care Services621110205704751205704751
FieldValueIRS element (for citing)
Total Program Service Revenue199750677TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column446142TotalRevenueColumn
Exclusion$446,142ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other12912Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-12912Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-12912TotalRevenueColumn
Exclusion-$12,912ExclusionAmount

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 ColumnTotalRevenueColumnUnrelated Business RevenueUnrelatedBusinessRevenue
NICU Coverage Memorial900004321563321563
Billing Services900004540930540930
BHS Outside Revenue900004320379320379

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column196542TotalRevenueColumn
Unrelated Business Revenue196542UnrelatedBusinessRevenue
FieldValueIRS element (for citing)
Total Other Revenue1379414TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column223163793TotalRevenueColumn
Related Or Exempt Function Income199750677RelatedOrExemptFunctionIncome
Unrelated Business Revenue1379414UnrelatedBusinessRevenue
Exclusion$433,230ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total1000Total
Program Services1000ProgramServices

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)
Total2443060Total
Program Services1747592ProgramServices
Management And General695468ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total144456575Total
Program Services138432304ProgramServices
Management And General6024271ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total9483792Total
Program Services9104344ProgramServices
Management And General379448ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total21529524Total
Program Services19506293ProgramServices
Management And General2023231ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total7341884Total
Program Services6683914ProgramServices
Management And General657970ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total888752Total
Management And General888752ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total164Total
Program Services164ProgramServices

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total741286Total
Program Services734030ProgramServices
Management And General7256ManagementAndGeneral

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)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total5602713Total
Program Services5108200ProgramServices
Management And General494513ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total215398Total
Program Services212759ProgramServices
Management And General2639ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1135353Total
Program Services1001651ProgramServices
Management And General133702ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total2262000Total
Program Services836762ProgramServices
Management And General1425238ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total8642937Total
Program Services8271201ProgramServices
Management And General371736ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total643798Total
Program Services545573ProgramServices
Management And General98225ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total383819Total
Program Services349020ProgramServices
Management And General34799ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total4236039Total
Program Services3878617ProgramServices
Management And General357422ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total3341080Total
Program Services3828371ProgramServices
Management And General-487291ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Dues and Subscriptions56389655117612720
Taxes & Licenses566967423110143857
Utilities1170614112385046764
Direct Supplies62499156249915

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1191464Total
Program Services891730ProgramServices
Management And General299734ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total223092030Total
Program Services209481576ProgramServices
Management And General13610454ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY11256BOY
EOY0EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY441822BOY
EOY0EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY15865333BOY
EOY15901228EOY

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)
BOY389314BOY
EOY464759EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY684035BOY
EOY899049EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis35273159LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec20061358LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY14281942BOY
EOY15211801EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY0EOY

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)
EOY2881904EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY31673702BOY
EOY35358741EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY16961987BOY
EOY20791725EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY140388BOY
EOY138015EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY216462BOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY17318837BOY
EOY20929740EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY14337739BOY
EOY14396073EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY17126BOY
EOY32928EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY14354865BOY
EOY14429001EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY31673702BOY
EOY35358741EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses71763ReconcilationRevenueExpenses
Reconcilation Other Changes2373ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years20103257CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years24012385CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years15963807CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year19981014CurrentTaxYearMinus1Year
Current Tax Year21600472CurrentTaxYear
Total101660935Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years116976840CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years143725089CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years171590493CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year191282689CurrentTaxYearMinus1Year
Current Tax Year199750677CurrentTaxYear
Total823325788Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Total0Total

Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509

FieldValueIRS element (for citing)
Total0Total

Value Of Svcs Fclts Furnishd By Govt ValueOfSvcsFcltsFurnishdByGovt

FieldValueIRS element (for citing)
Total0Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years137080097CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years167737474CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years187554300CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year211263703CurrentTaxYearMinus1Year
Current Tax Year221351149CurrentTaxYear
Total924986723Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total509924986723PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years130773CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years193829CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years148609CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year112401CurrentTaxYearMinus1Year
Current Tax Year446142CurrentTaxYear
Total1031754Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Total0Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years130773CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years193829CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years148609CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year112401CurrentTaxYearMinus1Year
Current Tax Year446142CurrentTaxYear
Total1031754Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Total0Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Total0Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years137210870CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years167931303CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years187702909CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year211376104CurrentTaxYearMinus1Year
Current Tax Year221797291CurrentTaxYear
Total926018477Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99890PublicSupportPercentage509
Prior Year Support Percentage0.99820PriorYearSupportPercentage
Investment Income Percentage0.00110InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00180PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

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 Balance17126BeginningOfYearBalance
Contributions19514Contributions
Other Expenditures3712OtherExpenditures
End Of Year Balance32928EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance11277BeginningOfYearBalance
Contributions6014Contributions
Other Expenditures165OtherExpenditures
End Of Year Balance17126EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance10958BeginningOfYearBalance
Contributions3807Contributions
Other Expenditures3488OtherExpenditures
End Of Year Balance11277EndOfYearBalance
FieldValueIRS element (for citing)
Term Endowment EOY Balance1.00000TermEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RfalseAreRelatedOrgsListedScheduleR

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis10448688OtherCostOrOtherBasis
Depreciation4573100Depreciation
Book Value5875588BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis24824471OtherCostOrOtherBasis
Depreciation15488258Depreciation
Book Value9336213BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings15211801TotalOfBookValueLandBuildings

Other Assets OtherAssets

FieldValueIRS element (for citing)
DescriptionAR IntercompanyDescription
Book Value2881904BookValue
FieldValueIRS element (for citing)
Total Book Value Other Assets2881904TotalBookValueOtherAssets
Total Revenue223163793TotalRevenue
Total Expenses223092030TotalExpenses
Excess Or Deficit For Year71763ExcessOrDeficitForYear
Net Unrealized GL On Investments2373NetUnrealizedGLOnInvestments
Total Adjustments2373TotalAdjustments
Excess Or Deficit Per FS74136ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt201650364TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments2373NetUnrealizedGainsInvestments
Revenue Not Rptd F9902373RevenueNotRptdF990
Revenue Subtotal201647991RevenueSubtotal
Other Revenues Not Included21515802OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt21515802RevenueNotRptdOnFinStmt
Total Revenue Per Form990223163793TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt223092030TotExpensesEtcAuditedFinclStmt
Expenses Subtotal223092030ExpensesSubtotal
Total Expenses Per Form990223092030TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 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 XII, Line 4bPart XII, Line 4b: Other revenue amounts included on 990 but not included in F/SGrant-York Hospital $16890000 Grant-Gettyburg Hospital $4610000 Restricted Contributions $15802
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 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 (17 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgBonus Filing OrgBonusFilingOrgOther Compensation Filing OrgOtherCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrgComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Related OrgsBonusRelatedOrgsDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Related OrgsTotalCompensationRelatedOrgsOther Compensation Related OrgsOtherCompensationRelatedOrgsComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Thomas R McGann MD
365636125070740828476237662820538125070
Thomas DiPasquale MD
8233411000001223143426978998
Sukumar Puvvala MD
6186512115971263132395875274
Ridge Salter MD
178556100531408932499235197
Rajesh Singal MD
224146496451830235532327625
Ori Shokek MD
4536923174981015448651829995
Neal Friedman MD
257321408081830233698350129
Michael F O'Connor
415093122430306582412258935708240122430
Michael A Wilson MD
164975335781483233998247383
Mark Richardson MD
827416100000927416105084348553993
Lee Maddox MD
4483441400939038501391
Jack Jensen
170005270471472028904240676
Eugene Eline MD
8499851323242422905639
Charles H Chodroff MD
377017120780283362382138268927520120780
Catherine M Heilman MD
154391277551360634596230348
Bruce M Bartels
7337942219165438229193349428883351423216810
Brad J Cooper MD
143024246471252532159212355

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 L IRS990ScheduleL

Loan Table LoanTable (2 entries)

Loan From OrganizationLoanFromOrganizationOriginal PrincipalOriginalPrincipalAmountBalance DueBalanceDueDefaultDefaultApproved By BoardApprovedByBoardWritten AgreementWrittenAgreement
Eugene Elina MD
X$65,00065000falsetruetrue
Sukumar Puvrela MD
X$67,20067200falsetruetrue
FieldValueIRS element (for citing)
Total Balance Due132200TotalBalanceDue

Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
Barley Snyder LLC
Partner Lobach212916Provides Legal Serv WSHfalse
Brenda Singal
Family Mem. Singal152264Employee of WMGfalse
David Zelis
Family Mem. Salter238191Employee of WMGfalse

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990, Part VI, Line 19Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableGoverning documents, policies, and financial statements are available upon request.
Form 990, Part VI, Line 15bForm 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesThe Compensation Committee of WellSpan Health is responsible for rewarding and reinforcing key executives for the achievement of annual and long-term performance objectives. The Compensation Committee shall consist of not more than six (6) persons, of whom two (2) shall be the Chairman and Vice Chairman of the Board of the Corporation, and the remaining members shall be such other persons as may be appointed by the Chairman of the Board of the Corporation, with the approval of the Board of Directors; provided, however, that the Compensation Committee shall not include any persons who are employed by the System. The Chairman of the Board of Gettysburg Hospital shall participate. The role of the Compensation Committee is to set the Executive Compensation Philosophy for the system and ensure adherence, evaluate performance and establish compensation for the WellSpan President, evaluate team performance of the executive team and establish awards, review and approve senior executive base salary ranges, and oversee employed physician compensation programs. The Committee will approve salary ranges for each executive position and review incumbent salaries annually. The Committee will be responsible for reviewing the President's salary each year, and if warranted, authorizing an adjustment to maintain competitiveness. The President will have the authority to make salary adjustments for subordinate positions. The Committee is responsible for approving and authorizing payment of the performance awards. The Committee will approve and authorize payment of the President's performance awards. Integrated Healthcare Strategies, Inc., based in Minneapolis Minnesota is the external consultant to the committee. This consultant focuses exclusively on executive and physician compensation in the health care industry. In summary, the executive and physician compensation review process consists of the following: 1) Cash compensation reviewed annually 2) Cash compensation reviewed by external consultant biennially 3) external total compensation (cash, incentives, benefits, perquisites) reviewed by external consultant periodically 4) Process is integrated with compensation analysis for other WellSpan positions 5) Committee decisions are documented in minutes maintained in Human Resources.
Form 990, Part VI, Line 12cForm 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 11Form 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 7bForm 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or ShareholdersThe Member of the Corporation shall meet at any place, date, and time designated by the Member, for the transaction of the general business of the Corporation. Action of the Member shall generally be taken by a written consent in lieu of a meeting.Any action which may be taken at a meeting of the Member may be taken without a meeting if a consent or consents in writing, setting forth the action so taken, shall be signed by the Member and filed with the Secretary of the Corporation.
Form 990, Part VI, Line 7aForm 990, Part VI, Line 7a: How Members or Shareholders Elect Governing BodyThe Board of Directors shall consist of ten persons, not counting the Executive Director (President)(who shall serve ex officio without the right to vote). Five Directors shall be physicians employed by the Corporation, at least three of whom shall be engaged in primary care practice. Primary care practice for purposes of this Section shall include family practice, general practice, general internal medicine and general pediatrics. Five Directors shall be persons nominated by the Board of Directors of the Member. The person serving from time to time as the Chief Executive Officer of the Member shall be one of the five System Directors.
Form 990, Part VI, Line 6Form 990, Part VI, Line 6: Explanation of Classes of Members or ShareholderWellSpan Health, a not for profit corporation, is the sole member.
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 healthPA501(c)(3)11 Type 1NAfalse
York Hospital
PO Box 2767YorkPA174052767231352222Community teaching hospitalPA501(c)(3)3NAfalse
York Health Foundation
PO Box 2767YorkPA174052767233050192Charitable contributions for Wellspan entitiesPA501(c)(3)11 Type 3NAfalse
Wellspan Health Care Services
PO Box 2767YorkPA174052767232400237Health-related activitiesin 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 drugsPA501(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 pntrshp 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 OwnershipPercentageOwnership
York Provider Network
PO Box 2767YorkPA174052767232907828Coord. managed care risk contract.PANAC Corp
York Health Plan
PO Box 2767YorkPA174052767232664989Preferred Provider OrganizationPANAC Corp
Wellspan Reciprocal Risk Retention Group
PO Box 2767YorkPA174052767200048457Risk Retention GroupPANAC Corp107138834298480.15260
Wellspan Pharmacy Inc
PO Box 2767YorkPA174052767232374072Dispenses Rx & provides IV therapyPAC Corp
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
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 OrgsfalseRentalOfFacilitiesToOtherOrgs
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 OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg