Civic Intelligence

Wellspan Medical Group

990 • Fiscal year 2021 • EIN 23-2730785

Jul 01, 2020 to Jun 30, 2021 • Filed on May 16, 2022

PO Box 2767York, PA 17405

(717) 851-3055

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

90th percentile

0.94x

Higher debt load relative to assets than 90% of similar nonprofits.

2021 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2021

Liabilities / Revenue

19th percentile

0.18x

Higher debt load relative to revenue than 19% of similar nonprofits.

2021 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2021

Net Margin

16th percentile

-2.2%

Higher net margin than 16% of similar nonprofits.

2021 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2021

Top Officer Pay

93rd percentile

$3,267,878

Higher top officer pay than 93% of similar nonprofits.

Top officer pay equals 0.4% of source-year revenue.

2021 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2021

Asset Growth

38th percentile

9.2%

Faster asset growth than 38% of similar nonprofits.

2021 filings • 501(c)3 • $250M-$1B nonprofits • Annualized from 2020 to 2021

Revenue Growth

64th percentile

16%

Faster revenue growth than 64% of similar nonprofits.

2021 filings • 501(c)3 • $250M-$1B nonprofits • Annualized from 2020 to 2021

Assets

Up

$140,592,269

Up $11,806,905 (+9.2%) from 2020

Net Assets

Down

$8,717,624

Down $16,150,900 (-65%) from 2020

Liabilities

Up

$131,874,645

Up $27,957,805 (+27%) from 2020

Revenue

Up

$745,783,571

Up $104,807,573 (+16%) from 2020

Expenses

Up

$761,993,720

Up $108,583,824 (+17%) from 2020

Net Income

Down

-$16,210,149

Down $3,776,251 (-30%) from 2020

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$200M$150M$100M$50M$0Assets 2010: $31,119,410Liabilities 2010: $17,104,318Net Assets 2010: $14,015,0922010Assets 2011: $31,673,702Liabilities 2011: $17,318,837Net Assets 2011: $14,354,8652011Assets 2012: $35,358,741Liabilities 2012: $20,929,740Net Assets 2012: $14,429,0012012Assets 2013: $33,746,095Liabilities 2013: $24,335,309Net Assets 2013: $9,410,7862013Assets 2014: $40,371,455Liabilities 2014: $25,742,069Net Assets 2014: $14,629,3862014Assets 2015: $44,818,403Liabilities 2015: $34,893,288Net Assets 2015: $9,925,1152015Assets 2016: $48,584,037Liabilities 2016: $40,439,809Net Assets 2016: $8,144,2282016Assets 2017: $56,784,338Liabilities 2017: $39,257,529Net Assets 2017: $17,526,8092017Assets 2018: $68,219,873Liabilities 2018: $44,664,349Net Assets 2018: $23,555,5242018Assets 2019: $81,376,635Liabilities 2019: $43,261,412Net Assets 2019: $38,115,2232019Assets 2020: $128,785,364Liabilities 2020: $103,916,840Net Assets 2020: $24,868,5242020Assets 2021: $140,592,269Liabilities 2021: $131,874,645Net Assets 2021: $8,717,6242021Assets 2022: $159,949,293Liabilities 2022: $138,236,543Net Assets 2022: $21,712,7502022Assets 2023: $198,830,607Liabilities 2023: $138,295,101Net Assets 2023: $60,535,5062023Assets 2024: $148,252,237Liabilities 2024: $104,077,289Net Assets 2024: $44,174,9482024

Highlighted filing

2021

Assets$140,592,269
Liabilities$131,874,645
Net Assets$8,717,624

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$1.5B$1.0B$500M$0-$500MExpenses 2010: $192,135,2732010Expenses 2011: $212,671,4172011Expenses 2012: $223,092,0302012Expenses 2013: $253,772,9262013Revenue 2014: $282,653,549Expenses 2014: $277,365,681Net Income 2014: $5,287,8682014Revenue 2015: $317,037,694Expenses 2015: $321,719,883Net Income 2015: -$4,682,1892015Revenue 2016: $357,504,905Expenses 2016: $359,410,812Net Income 2016: -$1,905,9072016Revenue 2017: $412,159,421Expenses 2017: $402,759,899Net Income 2017: $9,399,5222017Revenue 2018: $559,442,088Expenses 2018: $553,281,098Net Income 2018: $6,160,9902018Revenue 2019: $614,317,277Expenses 2019: $599,962,964Net Income 2019: $14,354,3132019Revenue 2020: $640,975,998Expenses 2020: $653,409,896Net Income 2020: -$12,433,8982020Revenue 2021: $745,783,571Expenses 2021: $761,993,720Net Income 2021: -$16,210,1492021Revenue 2022: $767,764,154Expenses 2022: $835,042,653Net Income 2022: -$67,278,4992022Revenue 2023: $858,656,894Expenses 2023: $949,316,339Net Income 2023: -$90,659,4452023Revenue 2024: $1,032,540,613Expenses 2024: $1,164,479,139Net Income 2024: -$131,938,5262024

Highlighted filing

2021

Revenue$745,783,571
Expenses$761,993,720
Net Income-$16,210,149
Jump To
Filing Snapshot
Filing Period
Jul 1, 2020 to Jun 30, 2021
Signed
May 16, 2022
Return Version
2020v4.0
Gross Receipts
$745,783,571
Mission and Program Overview

Mission

The 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.

WellSpan 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.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$39,824,934$47,818,607▲ $7,993,673
Intangible Assets$36,690,742$43,005,529▲ $6,314,787
Accounts Receivable$30,752,111$40,312,848▲ $9,560,737
Inventories for Sale or Use$612,417$750,771▲ $138,354
Savings and Temporary Cash Investments$319,861$254,537▼ $65,324
Prepaid Expenses and Deferred Charges$146,654$205,044▲ $58,390
Cash and Non-Interest-Bearing Accounts$31,790$34,090▲ $2,300
Other Notes and Loans Receivable, Net-$0-
Pledges and Grants Receivable-$0-
Receivable From Disqualified Prsn-$0-
Receivables From Officers Etc-$0-
Investments Other Securities-$0-
Investments Program Related-$0-
Investments in Publicly Traded Securities-$0-
Total Assets$128,785,364$140,592,269▲ $11,806,905
Other Assets Total$20,406,855$8,210,843▼ $12,196,012
Liabilities
Accounts Payable and Accrued Expenses$56,670,603$82,262,830▲ $25,592,227
Other Liabilities$46,535,097$48,724,009▲ $2,188,912
Deferred Revenue$711,140$887,806▲ $176,666
Total Liabilities$103,916,840$131,874,645▲ $27,957,805
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$24,869,101$8,717,039▼ $16,152,062
Net Assets With Donor Restrictions$-577$585▲ $1,162
Total Net Assets Fund Balance$24,868,524$8,717,624▼ $16,150,900
Total Liabilities and Net Assets / Fund Balance$128,785,364$140,592,269▲ $11,806,905

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$23,804,376$31,825,985$55,630,361
Leasehold Improvements$24,015,815$20,772,049$44,787,864
Buildings$-1,584$733,461$731,877
Other Assets Org$8,014,062--

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2020$-577$7,487-$6,325$585
2019$-577---$-577
2018$66,702$100-$67,379$-577
2017$64,213$21,985-$19,496$66,702
2016$70,172$18,418-$24,377$64,213
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Catherine Heilman MDFormer Director-$2,297,942$86,439$2,384,381
H Wallace Brubaker MDDirector-$2,029,314$82,545$2,111,859
Ed Tadajweski MDDirectorFT$1,784,156$103,041$1,887,197
Arnold Salotto MDNeurosurgeonFT$1,414,157$151,656$1,565,813
Grant Sorkin MDNeurosurgeonFT$1,330,205$72,790$1,402,995
Carleen Warner MDFormer Director-$734,360$68,078$802,438
Joel Winer MDNeurosurgeonFT$673,425$64,418$737,843
Mark Burlingame MDCardiothoracic SurFT$253,258$55,550$313,846
Angie Heiland MDChairmanFT$238,458$53,720$287,140
Almira Contractor MDDirectorFT$223,536$53,712$277,248
Rebecca NewcomerDirector--$87,416$87,416
Laura BuczkowskiSr VP & CFO--$63,085$63,085

Board Members and Trustees

NameTitle
Roxanna GapsturPresident & CEO
Mark Smith MDVice-Chair
Larry MillerDirector
Robert Knipe DODirector
Robert Pargament MDDirector
Tony AquilinaDirector
Michael O'ConnorFormer Director
Pawel Ochalski MDNeurosurgeon

Highest Paid Contractors

ContractorServicesLocationCompensation
Weatherby Locums IncTemporary HelpPO Box 976233, Dallas, TX 75397$8,908,115
Healthtrust Workforce SolutionsStaffing Services6565 N MacArthur Blvd Ste 325, Irving, TX 75039-2475$2,594,705
Locumtenenscom LLCTemporary HelpPO Box 40547, Atlanta, GA 30384$2,554,787
Crothall HealthCareEnviornmental Services1500 Liberty Ridge Drive Suite 210, Wayne, PA 19087$2,303,267
John Hopkins UniversityStaffing ServicesPO Box 65045, Baltimore, MD 21264-5045$1,665,224
Revenue and Support

Revenue Composition

Contributions and Grants
$97,748,354
Program Service Revenue
$647,484,012
Investment Income
$514,910
Other Revenue
$36,295
All Other Contributions
$306,119
Change in Net Assets
$-16,210,149

Audited Revenue Reconciliation

Revenue per Audited Statements
$662,783,571
Revenue Not Reported on Financial Statements
$83,000,000
Revenue Not Reported on Form 990
$-375,781
Other Revenue Adjustments
$83,000,000
Total Revenue per Audited Statements
$662,407,790
Total Revenue per Form 990
$745,783,571
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$631,206,186
Other Expenses$110,856,606
Grants and Similar Amounts Paid$19,930,928
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$499,785,233$15,469,318-$515,254,551
Other Employee Benefits$67,060,377$2,074,032-$69,134,409
Payroll Taxes$26,102,646$807,298-$26,909,944
Fees for Services Other$25,892,220$800,790-$26,693,010
Occupancy$22,788,754$704,807-$23,493,561
Grants to Domestic Orgs$19,930,928--$19,930,928
Pension Plan Contributions$18,932,356$585,537-$19,517,893
Depreciation Depletion$8,005,555$247,594-$8,253,149
Insurance$7,520,346$232,588-$7,752,934
Fees for Services Management-$5,782,632-$5,782,632
Office Expenses$2,884,835$89,222-$2,974,057
Other Expenses$963,737$29,806-$993,543
Conferences and Meetings$861,805$26,654-$888,459
Current Officers, Directors, Trustees, and Key Employees-$389,389-$389,389
Travel$252,932$7,823-$260,755
All Other Expenses$199,103$6,157-$205,260
Fees for Services Accounting$132,703$4,104-$136,807
Advertising$29,625$916-$30,541
Fees for Services Legal-$9,888-$9,888
Total Functional Expenses$733,723,706$28,270,014$0$761,993,720

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$761,993,720
Expenses per Audited Statements$742,062,792
Total Expenses per Audited Statements$742,062,792
Expenses Not Reported on Financial Statements$19,930,928
Other Expense Adjustments$19,930,928
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Summit Physician ServicesYork, PA501(c)(3)Community health$19,930,928
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Receivables from Disqualified Persons-$0-
Receivables from Officers, Directors, Trustees, and Key Employees-$0-
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
LTD Leases$41,283,727
Third Party Advances$6,875,704
Note Payable - WRRRG$564,578
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
No
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder

WellSpan Health, a not for profit corporation, is the sole member.

Form 990, Part VI, Line 7B: Describe Decisions of Governing Body Approval by Members or Shareholders

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 11B: Form 990 Review Process

Management provided an electronic copy of the form 990 to each voting member of the organization's governing body, prior to its filing with the IRS. The organization's finance management team provided a presentation to the Audit Committee on the organization's 990 return.

Form 990, Part VI, Line 12C: Explanation of Monitoring and Enforcement of Conflicts

Officers, directors, and key employees fill out a WellSpan Health Conflict of Interest Disclosure Statement questionnaire annually. The questionnaire is administered by the Internal Audit Department of WellSpan Health, the Parent Company.There shall be full disclosure by any Director having a business or personal interest or relationship which may be in conflict with the interests of the Corporation. After such disclosure the Director shall abide by the determination of the Board of Directors as to whether a conflict exists, the extent to which, if at all, the Director will be permitted to be present during the Board of Directors' discussion of the matter in which the Director may be interested, and whether the Director will be permitted to participate in such discussion and cast a vote in such matter.

Form 990, Part VI, Line 15B: Compensation Review and Approval Process for Officers and Key Employees

The Compensation Committee of WellSpan Health is responsible for rewarding and reinforcing key executives for the achievement of annual and long-term performance objectives. The Compensation Committee shall consist of not more than six (6) persons, of whom two (2) shall be the Chairman and Vice Chairman of the Board of the Corporation, and the remaining members shall be such other persons as may be appointed by the Chairman of the Board of the Corporation, with the approval of the Board of Directors; provided, however, that the Compensation Committee shall not include any persons who are employed by the System. The role of the Compensation Committee is to set the Executive Compensation Philosophy for the system and ensure adherence, evaluate performance and establish compensation for the WellSpan President, evaluate team performance of the executive team and establish awards, review and approve senior executive base salary ranges, and oversee employed physician compensation programs. The Committee will approve salary ranges for each executive position and review incumbent salaries annually. The Committee will be responsible for reviewing the President's salary each year, and if warranted, authorizing an adjustment to maintain competitiveness. The President will have the authority to make salary adjustments for subordinate positions. The Committee is responsible for approving and authorizing payment of the performance awards. The Committee will approve and authorize payment of the President's performance awards. Integrated Healthcare Strategies, Inc., based in Minneapolis Minnesota is the external consultant to the committee. This consultant focuses exclusively on executive and physician compensation in the health care industry. In summary, the executive and physician compensation review process consists of the following: 1) Cash compensation reviewed annually 2) Cash compensation reviewed by external consultant biennially 3) external total compensation (cash, incentives, benefits, perquisites) reviewed by external consultant periodically 4) Process is integrated with compensation analysis for other WellSpan positions 5) Committee decisions are documented in minutes maintained in Human Resources.

Form 990, Part VI, Line 19: Other Organization Documents Publicly Available

Governing documents, policies, and financial statements are available upon request.

Filing and Contact Details

Filer

Filer Name
Wellspan Medical Group
EIN
23-2730785
Phone
7178513055
Address
PO BOX 2767, YORK, PA 17405

Signing Officer

Name
Laura Buczkowski
Title
Sr VP & CFO
Signed
2022-05-16
Discuss with paid preparer
No

Organization Details

Principal Officer
Roxanna Gapstur
Formed
1993
Legal Domicile
Pa
Voting Board Members
12
Independent Board Members
1
Employees
4,626
Volunteers
15

Preparer

Firm
WellSpan Health
Address
3350 WHITEFORD ROAD, YORK, PA 17402
Preparer
See Attached
Phone
7038930600
Supplemental Narrative

Additional Explanations

Other Changes In Net Assets Or Fund Balances - Other Increases

Net Assets Released for Purchase of Propety & Equipment = $435110

Other Changes In Net Assets Or Fund Balances - Other Decreases

Revenue Adjustment = -$80

Signature Block - Paid Preparer Explanation

Paid Preparer ExplanationDue to a software limitation, we wish to clarify that WellSpan Health is the ERO.The paid preparer is:BDO USA, LLP13-53815908401 Greensboro Drive, Suite 800McLean, VA 22102(703) 893-0600The preparers name is Marc Berger, PTIN P01871563

Financial Statement Notes

Part V, Line 4: Intended uses of the endowment fund.

The funds were used to improve the health and welfare of the residents of York and Adams counties of Pennsylvania.

Part X : FIN48 Footnote

In June 2006, the Financial Accounting Standards Board (FASB) issued Interpretation NO. 48, Accounting for Uncertainty in Income Taxes-an interpretation of FASB Statement NO. 109, Accounting for Income Taxes (FIN 48), which creates a single model to address uncertainty in tax positions and clarifies the accounting for income taxes by prescribing the minimum recognition threshold a tax position is required to meet before being recognized in the financial statements. Under the requirements of FIN 48, tax-exempt organizations could now be required to record an obligation as the result of a tax position they have historically taken or various tax exposure items. Prior to FIN 48, the determination of when to record a liability for tax exposure was based on whether a liability was considered probable and reasonably estimable in accordance with SFAS No.5, Accounting for Contingencies. On July 1, 2007, the parent company, WellSpan Health, adopted FIN 48. WellSpan Health determined that it does not have any uncertain tax positions through June 30, 2021.

Part XI, Line 4B: Other revenue amounts included on 990 but not included in F/S

Grant from York Hospital $33500000 Grant from Ephrata Community Hospital $15000000 Grant from Gettysburg Hospital $10000000 Grant from The Good Samaritan Hospital $7000000 Grant from Chambersburg Hospital $14500000 Grant from Waynesboro Hospital $3000000

Part XII, Line 4B: Other revenue amounts included on 990 but not included in F/S

Grant to Summit Physician Services $19930928

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IRS990/Desc0WellSpan 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 WellSpan Health - 2021 Community Benefit Report located at https://www.wellspan.org/about/wellspan-in-the-community/2021-community-benefit-report/
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IRS990/MissionDesc0The 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.
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Document Assets

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Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$148$104$44.2$1,033$1,164$132
2023Detailed filing. Detailed filing data is available for this year.$199$138$60.5$859$949$90.7
2022Detailed filing. Detailed filing data is available for this year.$160$138$21.7$768$835$67.3
2021Detailed filing. Detailed filing data is available for this year.$141$132$8.72$746$762$16.2
2020Detailed filing. Detailed filing data is available for this year.$129$104$24.9$641$653$12.4
2019Detailed filing. Detailed filing data is available for this year.$81.4$43.3$38.1$614$600$14.4
2018Detailed filing. Detailed filing data is available for this year.$68.2$44.7$23.6$559$553$6.16
2017Detailed filing. Detailed filing data is available for this year.$56.8$39.3$17.5$412$403$9.40
2016Detailed filing. Detailed filing data is available for this year.$48.6$40.4$8.14$358$359$1.91
2015Detailed filing. Detailed filing data is available for this year.$44.8$34.9$9.93$317$322$4.68
2014Detailed filing. Detailed filing data is available for this year.$40.4$25.7$14.6$283$277$5.29
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$33.7$24.3$9.41$254
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$35.4$20.9$14.4$223
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$31.7$17.3$14.4$213
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$31.1$17.1$14.0$192