2024-05-09T10:33:11-05:00 2023-06-30 920460586 PWC US TAX LLP 655 NEW YORK AVENUE NW - SUITE 1100 WASHINGTON DC 20001 990 2022-07-01 251515376 CHAMBERSBURG HEALTH SERVICES CHAM 7178513055 PO BOX 2767 YORK PA 174052767 LAURA BUCZKOWSKI EXECUTIVE VP & CFO 7178513055 2024-05-09 1 LAURA BUCZKOWSKI 999009999 0 TRAVIS L PATTON P00369623 2024141000 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z ROXANNA GAPSTUR PO BOX 2767 YORK PA 174052767 30140584 0 X WWW.WELLSPAN.ORG X 1985 PA PROVIDE CANCER TREATMENT AND SUPPORT FOR TAX-EXEMPT AFFILIATIES WITHIN FRANKLIN, PA. X 8 0 73 0 0 0 570579 108443 29806314 29513713 1403526 49200 4296948 469228 36077367 30140584 0 0 0 0 6693068 6159512 0 0 0 27430089 27904137 34123157 34063649 1954210 -3923065 70689661 52298633 26993969 51839345 43695692 459288 X CHAMBERSBURG HEALTH SERVICES IS A NOT-FOR-PROFIT ORGANIZATION DEDICATED TO PROVIDING CANCER TREATMENT AND DEVELOPING AND SUPPORTING MEDICAL CENTERS FOR ITS WELLSPAN TAX-EXEMPT AFFILIATIES WITHIN FRANKLIN COUNTY, PENNSYLVANIA. 0 0 32921306 0 29513713 CHAMBERSBURG HEALTH SERVICES IS A MEDICAL GROUP WITH THREE MEDICAL OFFICES LOCATED IN PENNSYLVANIA. THERE ARE 10 HEALTH CARE PROVIDERS, SPECIALIZING IN HEMATOLOGY/ONCOLOGY, RADIATION ONCOLOGY, NURSE PRACTITIONER, AND MEDICAL ONCOLOGY. MEDICAL TAXONOMIES, WHICH ARE COVERED BY CHAMBERSBURG HEALTH SERVICES, INCLUDE REGISTERED NURSE, RADIATION ONCOLOGY, HEMATOLOGY & ONCOLOGY, INTERNAL MEDICINE, FAMILY, MEDICAL ONCOLOGY.IN CHAMBERSBURG, PENNSYLVANIA, CHAMBERSBURG HEALTH SERVICES HAS FOUR MEMBERS WORKING AT TWO DIFFERENT PRACTICE LOCATIONS. MEDICAL TAXONOMIES WHICH ARE COVERED BY GROUP'S DOCTORS AND HEALTH CARE PROVIDERS IN THE CITY INCLUDE INTERNAL MEDICINE/HEMATOLOGY & ONCOLOGY, RADIOLOGY/RADIATION ONCOLOGY, AND INTERNAL MEDICINE/MEDICAL ONCOLOGY.SEE WELLSPAN HEALTH - 2023 COMMUNITY BENEFIT REPORT LOCATED AT HTTPS://WWW.WELLSPAN.ORG/ABOUT/WELLSPAN-IN-THE-COMMUNITY/2023-COMMUNITY-BENEFIT-REPORT/. 32921306 1 1 0 0 0 0 0 0 0 1 1 0 1 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 0 0 73 1 0 0 0 0 0 0 0 0 0 0 0 0 X 8 0 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 1 0 PA X DAVID P RIZZUTO 7178513055 3350 WHITEFORD ROAD YORK PA 174029081 ROXANNA GAPSTUR PHD RN PRESIDENT & CEO - WELLSPAN HEALTH 1.00 40.00 X X 0 2303962 87487 JOHN MASSIMILLA VP - CHAMBERSBURG HOSPITAL 1.00 40.00 X X 0 410293 76345 LAURA BUCZKOWSKI EXECUTIVE VP & CFO - WELLSPAN HEALTH 1.00 40.00 X X 0 944343 74025 FARAAZ YOUSUF EXEC. VP & COO (UNTIL 11/22) 1.00 40.00 X X 0 987746 44958 KEITH NOLL CHAIR, SR VP & CHIEF ADMIN OFFICER 1.00 40.00 X X 0 716629 70145 ANDREW WALKER ASST. TREASURER, VP ACCT & FIN RPT 1.00 40.00 X X 0 302426 31279 VIPUL BHATIA DIRECTOR 1.00 40.00 X 0 397192 66430 ERIN PICA DIRECTOR 1.00 40.00 X 0 351903 66568 KEITH SMITH ASST. SECRETARY, VP & DEPUTY GENERAL COUNSEL 1.00 40.00 X X 0 41993 14593 KAREN PRETTY MANAGER - CANCER CENTER NURSING 40.00 0.00 X 106268 0 47948 SHENDELLE CLAPPER DIRECTOR - CANCER CENTER 40.00 0.00 X 131820 0 24730 MELISSA HELFRICK RADIATION THERAPIST 40.00 0.00 X 106955 0 32543 345043 6456487 637051 3 0 1 0 TIDY GLO COMMERCIAL CLEANING 13217 MAIN STREET FORT LOUDON PA 17224 CLEANING SERVICES 414201 MISSION SEARCH CONTRACT 2203 N LOUIS AVE SUITE 1225 TAMPA FL 33607 STAFFING SERVICES 128797 2 105890 2553 108443 PATIENT SERVICES 621110 29513713 29513713 29513713 48430 48430 770 0 770 770 770 PROFESSIONAL STAFFING 621110 292260 292260 TRAINER REVENUE 900099 176968 176968 469228 30140584 29513713 0 518428 X 4965915 4553373 412542 203704 186781 16923 720308 660469 59839 269585 247189 22396 494702 494702 7926 7926 5173058 5170889 2169 49035 37859 11176 26674 25360 1314 437901 337586 100315 2125 1894 231 431 377 54 316042 312647 3395 146610 144687 1923 MEDICAL SUPPLIES 20660359 20660359 BAD DEBT 497962 497962 REPAIRS & MAINTENANCE 79021 73071 5950 TAXES & LICENSES 6638 6596 42 5653 4207 1446 34063649 32921306 1142343 0 350 350 7951738 1863014 466 466 2484566 2552277 9434339 0 803262 732730 882208 40899 84223928 41855083 45011081 42368845 4121651 4740052 70689661 52298633 1094095 79128 12631 0 25886286 25329211 957 26431006 26993969 51839345 X 43653164 443429 42528 15859 43695692 459288 70689661 52298633 X -3923065 2686661 -42000000 X 0 1 X 1 0 X X X 3 WELLSPAN SUMMIT HEALTH 251515371 7 1 0 0 CHAMBERSBURG HOSPITAL 230465970 3 1 0 0 WELLSPAN HEALTH 222517863 7 1 0 0 3 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 42528 23562 50231 15859 3175 43941 4588 42528 4750 1575 3175 5536135 5536135 5284402 9199 346320 87536 16250 5536135 0.00000 0.00000 1.00000 0 0 7718285 7718285 58535691 27716612 30819079 3085266 2245173 840093 14868094 11893298 2974796 16592 16592 42368845 INVESTMENTS - PROGRAM RELATED 4740052 F 4740052 INTERCOMPANY PAYABLE 26356930 SETTLEMENT 74076 26431006 X -9670717 2686661 -42497962 -39811301 30140584 0 30140584 33565687 0 33565687 497962 497962 34063649 PART V, LINE 4: THE FUNDS WERE USED TO IMPROVE THE HEALTH AND WELFARE OF THE RESIDENTS OF FRANKLIN COUNTY IN PENNSYLVANIA. PART X, LINE 2: THE COMPANY AND MOST OF ITS SUBSIDIARIES (INCLUDING CERTAIN JOINT VENTURE ENTITIES) ARE EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED. THEIR RELATED INCOME IS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(A). SOME OF THE SUBSIDIARIES ARE TAXABLE ENTITIES, AND SOME OF THE INCOME OF THE TAX-EXEMPT ENTITIES IS SUBJECT TO TAXATION AS UNRELATED BUSINESS TAXABLE INCOME. THE COMPANY AND ITS SUBSIDIARIES FILE U.S. FEDERAL INCOME TAX RETURNS, AND THEY ALSO FILE IN VARIOUS STATE AND FOREIGN JURISDICTIONS. THE COMPANY ACCOUNTS FOR UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH ASC TOPIC 740, INCOME TAXES. THE COMPANY ACCOUNTS FOR UNCERTAINTY IN INCOME TAX POSITIONS BY APPLYING A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THE COMPANY HAS DETERMINED THAT NO SIGNIFICANT UNRECOGNIZED TAX BENEFITS OR LIABILITIES EXIST AS OF JUNE 30, 2023 AND 2022. ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES, ASC TOPIC 740-10 PRESCRIBES A COMPREHENSIVE MODEL FOR HOW AN ORGANIZATION SHOULD MEASURE, RECOGNIZE, PRESENT AND DISCLOSE IN ITS FINANCIAL STATEMENTS UNCERTAIN TAX POSITIONS THAT AN ORGANIZATION HAS TAKEN OR EXPECTS TO TAKE ON A TAX RETURN. THE COMPANY IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS. THERE ARE NO CURRENT AUDITS IN PROGRESS. AS OF JUNE 30, 2023, THE COMPANY HAS NO UNCERTAIN TAX POSITIONS. A SUBSIDIARY OF THE COMPANY IS CLASSIFIED AS A RECIPROCAL RISK RETENTION GROUP (RRRG) FORMED UNDER THE FEDERAL LIABILITY RISK RETENTION ACT OF 1986. RRRG QUALIFIES AS AN INSURANCE COMPANY FOR FEDERAL INCOME TAX PURPOSES. RRRG IS DOMICILED IN VERMONT (VT) AND OPERATES WITHIN THE STATES OF PENNSYLVANIA (PA) AND MARYLAND (MD). VT, PA, AND MD DO NOT IMPOSE A CORPORATE INCOME TAX ON INSURANCE COMPANIES. PART XI, LINE 2D - OTHER ADJUSTMENTS: BAD DEBT -497,962. TRANSFERS TO WELLSPAN HEALTH -42,000,000. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT 497,962. X X X X 0 1 0 0 0 0 0 0 0 ROXANNA GAPSTUR PHD RN PRESIDENT & CEO - WELLSPAN HEALTH 0 1523876 0 780000 0 86 0 13477 0 74010 0 2391449 0 0 FARAAZ YOUSUF EXEC. VP & COO (UNTIL 11/22) 0 563091 0 401869 0 22786 0 3087 0 41871 0 1032704 0 0 LAURA BUCZKOWSKI EXECUTIVE VP & CFO - WELLSPAN HEALTH 0 694583 0 249750 0 10 0 16892 0 57133 0 1018368 0 0 KEITH NOLL CHAIR, SR VP & CHIEF ADMIN OFFICER 0 516511 0 189892 0 10226 0 35192 0 34953 0 786774 0 0 JOHN MASSIMILLA VP - CHAMBERSBURG HOSPITAL 0 331357 0 72226 0 6710 0 27582 0 48763 0 486638 0 0 VIPUL BHATIA DIRECTOR 0 337526 0 52500 0 7166 0 12804 0 53626 0 463622 0 0 ERIN PICA DIRECTOR 0 290777 0 61116 0 10 0 18076 0 48492 0 418471 0 0 ANDREW WALKER ASST. TREASURER, VP ACCT & FIN RPT 0 269240 0 33176 0 10 0 5892 0 25387 0 333705 0 0 SHENDELLE CLAPPER DIRECTOR - CANCER CENTER 122010 0 7338 0 2472 0 11879 0 12851 0 156550 0 0 0 KAREN PRETTY MANAGER - CANCER CENTER NURSING 97912 0 8231 0 125 0 6620 0 41328 0 154216 0 0 0 PART I, LINE 4B THE WELLSPAN HEALTH SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) WAS ADOPTED AND MADE EFFECTIVE ON DECEMBER 19TH, 2008. THE OBJECTIVE OF THE EXECUTIVE BENEFITS PROGRAM IS TO PROVIDE AN EXECUTIVE BENEFITS PROGRAM THAT IS COMPETITIVE WITH NATIONAL NORMS IN THE HEALTHCARE INDUSTRY FOR SIMILARLY SIZED ORGANIZATIONS ENABLING WELLSPAN HEALTH TO RECRUIT AND RETAIN TOP EXECUTIVE TALENT. TIER I EXECUTIVES ARE ELIGIBLE TO PARTICIPATE IN THE PLAN. A DESCRIPTION OF THE TARGETED BENEFIT OF THE PLAN IS AS FOLLOWS: 1) PROVIDE AN EMPLOYER SPONSORED RETIREMENT BENEFIT THAT REPLACES 60% OF AVERAGE PRE-RETIREMENT (5 YEARS) BASE COMPENSATION THROUGH A COMBINED APPROACH UTILIZING WELLSPAN'S RETIREMENT PLAN, 50% OF SOCIAL SECURITY, SPLIT-DOLLAR LIFE INSURANCE BENEFIT, AND SUPPLEMENTAL EXECUTIVE RETIREMENT BENEFIT. 2) PROVIDES A MINIMUM BENEFIT AFTER 10 YEARS OF SERVICE. 3) PROVIDES THE FULL TARGETED BENEFIT AFTER 25 YEARS OF SERVICE. 4) BENEFIT IS VESTED WHEN ELIGIBLE EXECUTIVE REACHES AGE 65. THE BENEFIT IS ALSO VESTED UPON DEATH, DISABILITY, JOB ELIMINATION AND "TERMINATION FOR GOOD REASON". 5) CREDITED SERVICE GRANTED ON A 1:2 BASIS FOR PREVIOUS SERVICE IN AN ELIGIBLE TIER II POSITION. 6) TARGETED BENEFIT IS TO BE CALCULATED USING A 15 YEAR CERTAIN PAYOUT. 7) PAYOUT WILL BE IN A LUMP SUM. 8) PAYOUT WILL BE TAXABLE WHEN VESTED. DURING THE CALENDAR YEAR 2022, THERE WERE NO DISTRIBUTIONS FROM THE SERP. THE WELLSPAN HEALTH DEFINED CONTRIBUTION DEFERRED COMPENSATION PLAN WAS ADOPTED AND MADE EFFECTIVE AS OF JULY 1, 2017. THIS PLAN WILL REPLACE THE SERP. AS PART OF THE TRANSITION, EACH PARTICIPANT IN THE SERP WAS GIVEN A ONE-TIME CHOICE TO BE GRANDFATHERED IN THE SERP OR TRANSFER TO THE NEW WELLSPAN HEALTH DEFINED CONTRIBUTION DEFERRED COMPENSATION PLAN. THE OBJECTIVE OF THE WELLSPAN HEALTH DEFINED CONTRIBUTION DEFERRED COMPENSATION PLAN IS TO ATTRACT AND RETAIN EXECUTIVE AND UPPER-LEVEL MANAGEMENT EMPLOYEES OF OUTSTANDING ABILITY. TIERS I, II, III AND A SELECT GROUP OF TIER IV EMPLOYEES ARE ELIGIBLE TO PARTICIPATE IN THE PLAN. A DESCRIPTION OF THE TARGETED BENEFIT OF THE PLAN IS AS FOLLOWS: 1)PROVIDE AN UNFUNDED DEFERRED COMPENSATION BENEFIT TO A SELECT GROUP OF MANAGEMENT AND HIGHLY COMPENSATED EMPLOYEES. 2)PLAN ACCOUNT CONTRIBUTIONS ARE CREDITED EACH YEAR TO A SUBACCOUNT, BASED UPON VARIOUS TIER LEVELS; TIER I, 22%, TIER II, 17%, TIER III, 12%, AND TIER IV, 8%. 3)PARTICIPANT ACCOUNTS ARE CREDITED INTEREST EACH YEAR BY APPLICATION OF THE 30-YEAR U.S. TREASURY RATE ON JUNE 30 OF THE PLAN YEAR THEN ENDING, PLUS ONE PERCENT (1%). 4)PARTICIPANT VESTING OCCURS ON THE EARLIER OF: A)JUNE 30TH OF THE FOURTH PLAN YEAR: 25% PER YEAR B)PARTICIPANT REACHES AGE 65. C)UPON DEATH, DISABILITY, JOB ELIMINATION AND "TERMINATION FOR GOOD REASON". 5)NON-ELECTIVE EMPLOYER CONTRIBUTIONS ARE ALSO PERMITTED. 6)PLAN DISTRIBUTIONS TO BE ADMINISTERED PER THE PLAN DOCUMENT. ADDITIONALLY, ANY VESTED PORTION OF CONTRIBUTIONS MADE TO THE PLAN WHICH ARE NO LONGER SUBJECT TO THE RISK OF FORFEITURE, ARE REFLECTED IN SCHEDULE J, PART II, COLUMN B(III). DURING THE CALENDAR YEAR 2022, THERE WERE NO DISTRIBUTIONS FROM THE WELLSPAN HEALTH DEFINED CONTRIBUTION DEFERRED COMPENSATION PLAN. A FRANKLIN COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY 230465850 2014-04-30 11307681 REFUND ECH BONDS 0 0 0 B GENERAL AUTHORITY OF SOUTHCENTRAL PENNSYLVANIA 277334160 2019-04-03 18694778 REFUND BONDS & EXPANSION 0 0 0 A 4436053 11307681 168742 2675866 8463073 2016 1 0 1 1 B 124695 18694778 30172 124874 17331224 1208508 2019 1 1 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 0 1 0 0 0 1 B 0 1 0 0 1 0 0 0 1 A 1 B 1 SCHEDULE K, PART I, COLUMN (E) - ISSUE PRICE WELLSPAN HEALTH, THE PARENT ORGANIZATION, ALLOCATED PORTIONS OF THE PROCEEDS OF THIS TAX-EXEMPT BOND ISSUE TO MEMBERS OF THE OBLIGATED GROUP. THE AMOUNT ON SCHEDULE K, PART I, COLUMN (E) AND PART II, LINE 3 REPRESENTS THE ENTITY'S ALLOCATED PORTION OF THE TOTAL BOND PROCEEDS, AS SHOWN ON FORM 8038, PART III, LINE 21(B). ALL ITEMS IN PART II HAVE ALSO BEEN ALLOCATED. SCHEDULE K, PART III, LINE 4 & 5 - PRIVATE BUSINESS USE THE ENTITY, IN CONJUNCTION WITH BOND COUNSEL, MONITORS ACTIVITIES THAT MAY RESULT IN PRIVATE BUSINESS USE. THERE WERE NONE FOUND. NET ASSETS TRANSFERRED TO THE PARENT 2023-06-28 42000000 ACTUAL COST 222517863 WELLSPAN HEALTH PO BOX 2767 YORK PA 17405 501(C)(3) 0 0 0 0 FORM 990, PART VI, SECTION A, LINE 6 WELLSPAN SUMMIT HEALTH, A NOT-FOR-PROFIT CORPORATION, IS THE SOLE MEMBER OF THE CORPORATION. WELLSPAN HEALTH, A NOT-FOR-PROFIT CORPORATION, IS THE SOLE MEMBER OF WELLSPAN SUMMIT HEALTH. FORM 990, PART VI, SECTION A, LINE 7A THE PRIMARY PURPOSE OF THE GOVERNANCE COMMITTEE, AS ASSIGNED BY THE WELLSPAN HEALTH BOARD OF DIRECTORS, IS TO DEVELOP AND SUPPORT THE CULTURE OF HIGH-FUNCTIONING GOVERNANCE WITHIN THE WELLSPAN SYSTEM, INCLUDING THROUGH POLICIES, NOMINATIONS, COMPETENCIES OF DIRECTORS, EDUCATION, AND SELF-EVALUATIONS. THE GOVERNANCE COMMITTEE SHALL CONSIST OF NOT LESS THAN FIVE (5) NOR MORE THAN SEVEN (7) MEMBERS. NEITHER THE CHAIR OF THE WELLSPAN HEALTH BOARD OF DIRECTORS NOR PERSONS WHO ARE NOT MEMBERS OF THE WELLSPAN HEALTH BOARD OF DIRECTORS, MAY BE APPOINTED TO THE COMMITTEE. EACH GOVERNANCE COMMITTEE MEMBER SHALL BE NOMINATED BY THE GOVERNANCE COMMITTEE, AND APPOINTED BY THE WELLSPAN HEALTH BOARD OF DIRECTORS, FOR A TERM OF ONE (1) YEAR. REAPPOINTMENT OF A GOVERNANCE COMMITTEE MEMBER FOR MORE THAN ONE (1) TERM IS NOT AUTOMATIC OR PRESUMED AND SHALL BE BASED ON AN INDIVIDUAL PERFORMANCE EVALUATION OF THE GOVERNANCE COMMITTEE MEMBER (AS PERFORMED OR OVERSEEN BY THE GOVERNANCE COMMITTEE). FORM 990, PART VI, SECTION A, LINE 7B THE FOLLOWING RESPONSIBILITIES ARE SET FORTH AS A GUIDE FOR FULFILLING THE GOVERNANCE COMMITTEE'S PURPOSES IN SUCH MANNER AS THE COMMITTEE DETERMINES IS APPROPRIATE: 1. OVERSEE THE PROCESS OF SELECTING AND NOMINATING DIRECTORS AND OFFICERS FOR EACH OF THE GOVERNING BOARDS WITHIN THE WELLSPAN SYSTEM, INCLUDING ENSURING THAT DIRECTOR NOMINEES MEET THE QUALIFICATIONS REQUIRED BY THE RELEVANT BOARD COMPOSITION AND COMPETENCY GRID AND CHARACTERISTICS, BYLAWS, AND BOARD-APPROVED POLICIES AND GUIDELINES, AS APPLICABLE, AND ESTABLISH OTHER CRITERIA THAT ARE DESIRABLE FOR DIRECTORS; 2. IDENTIFY, EVALUATE AND SCREEN DIRECTOR CANDIDATES FOR EACH OF THE GOVERNING BOARDS WITHIN THE WELLSPAN SYSTEM (INCLUDING INCUMBENT DIRECTORS FOR POTENTIAL RE-NOMINATION), AND NOMINATE QUALIFIED INDIVIDUALS TO THE WELLSPAN HEALTH BOARD OF DIRECTORS FOR: (A) APPOINTMENT OR REAPPOINTMENT TO REGULAR TERMS, OR (B) APPOINTMENT TO FILL THE REMAINING TERM OF ANY GOVERNING BOARD VACANCIES; 3. REVIEW ANNUALLY THE SIZE, COMPOSITION AND LEADERSHIP OF EACH OF THE GOVERNING BOARDS WITHIN THE WELLSPAN SYSTEM, INCLUDING THE WELLSPAN HEALTH BOARD OF DIRECTORS AS A WHOLE, ITS COMMITTEES, AND ANY ADVISORY BODIES, MAKE A DETERMINATION OF WHETHER THE BOARD, ITS COMMITTEES AND ANY ADVISORY BODIES REFLECT THE APPROPRIATE BALANCE OF INDEPENDENCE, SOUND JUDGMENT, BUSINESS SPECIALIZATION, TECHNICAL SKILLS, DIVERSITY, FUNDRAISING AND DEVELOPMENT ABILITY, GEOGRAPHIC AND DEMOGRAPHIC REPRESENTATION, AND OTHER DESIRED QUALITIES, AND RECOMMEND ANY APPROPRIATE CHANGES TO THE WELLSPAN HEALTH BOARD OF DIRECTORS; 4. COORDINATE AND OVERSEE A PERIODIC SELF-EVALUATION OF THE ROLE AND PERFORMANCE OF EACH OF THE GOVERNING BOARDS WITHIN THE WELLSPAN SYSTEM, INCLUDING THE WELLSPAN HEALTH BOARD OF DIRECTORS, ITS COMMITTEES, AND ANY ADVISORY BODIES, AND EACH OF THEIR DIRECTORS AND OFFICERS; 5. DEVELOP AND RECOMMEND FOR APPROVAL BY THE WELLSPAN HEALTH BOARD OF DIRECTORS, REVIEW THE EFFECTIVENESS OF, AND RECOMMEND MODIFICATIONS AS APPROPRIATE TO, THE ORGANIZATION'S COMMITTEE STRUCTURE AND ORGANIZATIONAL DOCUMENTS, INCLUDING THE ARTICLES OF INCORPORATION, BYLAWS, BOARD-APPROVED POLICIES AND GUIDELINES, AND COMMITTEE CHARTERS; 6. THE GOVERNANCE COMMITTEE SHALL UNDERTAKE THE RESPONSIBILITY FOR BOARD EDUCATION AND BOARD RETREAT PLANNING. IN ADDITION, THE GOVERNANCE COMMITTEE SHALL COORDINATE WITH MANAGEMENT TO DEVELOP AND IMPLEMENT AN EFFECTIVE ORIENTATION PROGRAM FOR NEW DIRECTORS, INCLUDING ASSIGNMENT OF EXPERIENCED DIRECTORS AS APPROPRIATE MENTORS OF NEW DIRECTORS. 7. REVIEW EMERGING CORPORATE GOVERNANCE ISSUES AND BEST GOVERNANCE PRACTICES AND MAKE APPROPRIATE RECOMMENDATIONS TO THE WELLSPAN HEALTH BOARD OF DIRECTORS; 8. CONDUCT A PERIODIC SELF-EVALUATION OF THE PERFORMANCE OF THE COMMITTEE, INCLUDING ITS EFFECTIVENESS AND COMPLIANCE WITH THIS CHARTER, AND RECOMMEND TO THE WELLSPAN HEALTH BOARD OF DIRECTORS MODIFICATIONS AS APPROPRIATE; 9. THE GOVERNANCE COMMITTEE SHALL MAINTAIN MINUTES OF GOVERNANCE COMMITTEE MEETINGS AND RECORDS OF ITS ACTIVITIES AND SHALL REPORT PROMPTLY TO THE WELLSPAN HEALTH BOARD OF DIRECTORS ANY ACTION TAKEN BY THE GOVERNANCE COMMITTEE, ANY RECOMMENDATIONS OF THE GOVERNANCE COMMITTEE, AND ANY OTHER MATTERS THE GOVERNANCE COMMITTEE DEEMS APPROPRIATE OR THE WELLSPAN HEALTH BOARD OF DIRECTORS REQUESTS. 10. THE GOVERNANCE COMMITTEE SHALL UNDERTAKE SUCH OTHER RESPONSIBILITIES AS THE WELLSPAN HEALTH BOARD OF DIRECTORS MAY DELEGATE OR ASSIGN TO THE GOVERNANCE COMMITTEE FROM TIME TO TIME. THE GOVERNANCE COMMITTEE SHALL BE RESPONSIBLE TO, AND SUBJECT TO THE DIRECTION AND CONTROL OF, THE WELLSPAN HEALTH BOARD OF DIRECTORS. THE WELLSPAN HEALTH BOARD OF DIRECTORS SHALL BE SOLELY RESPONSIBLE FOR DELINEATING THE RESPONSIBILITIES OF THE GOVERNANCE COMMITTEE. THE GOVERNANCE COMMITTEE SHALL PERFORM ONLY SUCH FUNCTIONS AND DUTIES AS SHALL FROM TIME TO TIME BE SPECIFICALLY DELEGATED TO THE GOVERNANCE COMMITTEE BY THE WELLSPAN HEALTH BOARD OF DIRECTORS. THE GOVERNANCE COMMITTEE DOES NOT HAVE DELEGATED AUTHORITY TO TAKE FINAL AND BINDING ACTIONS ON BEHALF OF WELLSPAN HEALTH, AND THEREFORE ANY ACTIONS AND RECOMMENDATIONS OF THE COMMITTEE MUST BE APPROVED BY THE WELLSPAN HEALTH BOARD OF DIRECTORS BEFORE THEY ARE FINAL AND BINDING. IN DISCHARGING ITS ROLE, THE GOVERNANCE COMMITTEE IS EMPOWERED TO INQUIRE INTO ANY MATTER IT CONSIDERS APPROPRIATE TO CARRY OUT ITS RESPONSIBILITIES, WITH ACCESS TO ALL BOOKS, RECORDS, FACILITIES, AND PERSONNEL OF THE WELLSPAN SYSTEM. FORM 990, PART VI, SECTION B, LINE 11B MANAGEMENT PROVIDES 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 PROVIDES A PRESENTATION TO THE AUDIT COMMITTEE ON THE ORGANIZATION'S 990 RETURN. FORM 990, PART VI, SECTION B, LINE 12C OFFICERS, DIRECTORS, AND KEY EMPLOYEES ARE REQUIRED TO COMPLETE A WELLSPAN HEALTH "CONFLICT OF INTEREST DISCLOSURE STATEMENT" QUESTIONNAIRE ANNUALLY. THE INTERNAL AUDIT DEPARTMENT OF WELLSPAN HEALTH ADMINISTERS THE QUESTIONNAIRES. THERE SHALL BE FULL DISCLOSURE BY A 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. ADDITIONALLY, ALL BOARD MEMBERS, EMPLOYEES, STUDENTS, AND VOLUNTEERS OF WELLSPAN HEALTH AND ITS RELATED ORGANIZATIONS MUST COMPLETE A "CODE OF CONDUCT" FORM TO ACKNOWLEDGE THAT HE OR SHE UNDERSTANDS THAT WE ALL HAVE AN OBLIGATION TO ACT IN WAYS THAT WILL MERIT THE TRUST, CONFIDENCE, AND RESPECT OF THE COMMUNITY WE SERVE, OTHER HEALTH CARE PROVIDERS, AND ALL OF THOSE WITH WHOM WE INTERACT. FORM 990, PART VI, SECTION B, LINE 15B THE FOLLOWING PROCEDURE IS FOLLOWED BY OUR PARENT COMPANY AND AFFILIATES IN SETTING COMPENSATION. 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 PRIMARY PURPOSE OF WELLSPAN HEALTH COMPENSATION COMMITTEE, AS ASSIGNED BY THE WELLSPAN HEALTH BOARD OF DIRECTORS, IS TO REVIEW COMPENSATION PACKAGES OFFERED AND/OR PAID TO SENIOR SYSTEM EXECUTIVES AND PRACTICING PHYSICIANS EMPLOYED WITHIN THE SYSTEM. THE COMPENSATION COMMITTEE SHALL MONITOR AND EVALUATE THE PERFORMANCE OF THE PRESIDENT AND CEO OF WELLSPAN HEALTH AND SHALL, AT LEAST ANNUALLY, COORDINATE THE IN-PERSON PERFORMANCE REVIEW OF THE PRESIDENT AND CEO BY THE WELLSPAN HEALTH BOARD OF DIRECTORS. THE COMPENSATION COMMITTEE SHALL CONSIST OF 5-10 MEMBERS OF THE WELLSPAN HEALTH BOARD OF DIRECTORS, INCLUDING THE CHAIR AND THE VICE CHAIR. EACH COMPENSATION COMMITTEE MEMBER SHALL BE NOMINATED BY THE GOVERNANCE COMMITTEE, AND APPOINTED BY THE WELLSPAN HEALTH BOARD OF DIRECTORS, FOR A TERM OF ONE (1) YEAR. REAPPOINTMENT OF A COMPENSATION COMMITTEE MEMBER FOR MORE THAN ONE (1) TERM IS NOT AUTOMATIC OR PRESUMED AND SHALL BE BASED ON AN INDIVIDUAL PERFORMANCE EVALUATION OF THE COMPENSATION COMMITTEE MEMBER (AS PERFORMED OR OVERSEEN BY THE GOVERNANCE COMMITTEE). THE COMPENSATION COMMITTEE SHALL BE RESPONSIBLE TO, AND SUBJECT TO THE DIRECTION AND CONTROL OF, THE WELLSPAN HEALTH BOARD OF DIRECTORS. THE WELLSPAN HEALTH BOARD OF DIRECTORS SHALL BE SOLELY RESPONSIBLE FOR DELINEATING THE RESPONSIBILITIES OF THE COMPENSATION COMMITTEE. THE COMPENSATION COMMITTEE SHALL PERFORM ONLY SUCH FUNCTIONS AND DUTIES AS SHALL FROM TIME TO TIME BE SPECIFICALLY DELEGATED TO THE COMPENSATION COMMITTEE BY THE WELLSPAN HEALTH BOARD OF DIRECTORS. THE COMPENSATION COMMITTEE DOES NOT HAVE DELEGATED AUTHORITY, AND THEREFORE ANY ACTIONS AND RECOMMENDATIONS OF THE COMMITTEE MUST BE APPROVED BY THE WELLSPAN HEALTH BOARD OF DIRECTORS BEFORE THEY ARE FINAL AND BINDING. IN DISCHARGING ITS ROLE, THE COMPENSATION COMMITTEE IS EMPOWERED TO INQUIRE INTO ANY MATTER IT CONSIDERS APPROPRIATE TO CARRY OUT ITS RESPONSIBILITIES, WITH ACCESS TO ALL BOOKS, RECORDS, FACILITIES, AND PERSONNEL OF THE WELLSPAN SYSTEM. THE FOLLOWING RESPONSIBILITIES ARE SET FORTH AS A GUIDE FOR FULFILLING THE COMPENSATION COMMITTEE'S PURPOSES IN SUCH MANNER AS THE COMMITTEE DETERMINES IS APPROPRIATE: 1. SET, PERIODICALLY REVIEW AND ENSURE COMPLIANCE WITH THE EXECUTIVE COMPENSATION PHILOSOPHY FOR WELLSPAN, IN AN EFFORT TO ATTRACT AND RETAIN HIGH QUALITY EXECUTIVES, WHILE CONSIDERING COMPENSATION OFFERED TO THOSE IN COMPARABLE POSITIONS IN SIMILAR EMPLOYMENT MARKETS AS WELL AS THE SYSTEM'S NEEDS AND FINANCIAL RESOURCES. 2. RECOMMEND APPROVAL OF EXECUTIVE COMPENSATION PROGRAM ELEMENTS (INCENTIVES, SUPPLEMENTAL BENEFITS, ETC.). 3. IN CONJUNCTION WITH THE WELLSPAN HEALTH BOARD OF DIRECTORS, EVALUATE PERFORMANCE AND ESTABLISH COMPENSATION FOR THE PRESIDENT & CEO OF WELLSPAN HEALTH. 4. EVALUATE EXECUTIVE TEAM PERFORMANCE AND ESTABLISH AWARDS. 5. RECOMMEND APPROVAL OF SENIOR EXECUTIVE BASE SALARY RANGES. 6. ALIGN EXECUTIVE COMPENSATION WITH EXECUTIVE TALENT MANAGEMENT AND SUCCESSION. 7. OVERSEE EMPLOYED PHYSICIAN COMPENSATION PROGRAM. 8. THE COMPENSATION COMMITTEE SHALL MAINTAIN MINUTES OF COMPENSATION COMMITTEE MEETINGS AND RECORDS OF ITS ACTIVITIES, AND SHALL REPORT PROMPTLY TO THE WELLSPAN HEALTH BOARD OF DIRECTORS ANY ACTION TAKEN BY THE COMPENSATION COMMITTEE, ANY RECOMMENDATIONS OF THE COMPENSATION COMMITTEE, AND ANY OTHER MATTERS THE COMPENSATION COMMITTEE DEEMS APPROPRIATE TO THE WELLSPAN HEALTH BOARD OF DIRECTORS REQUESTS. 9. THE COMPENSATION COMMITTEE SHALL UNDERTAKE SUCH OTHER RESPONSIBILITIES AS THE WELLSPAN HEALTH BOARD OF DIRECTORS MAY DELEGATE OR ASSIGN TO THE COMPENSATION COMMITTEE FROM TIME TO TIME. THE COMPENSATION COMMITTEE ALSO UTILIZES THE SERVICES OF SULLIVANCOTTER, AN INDEPENDENT, THIRD-PARTY HEALTH CARE COMPENSATION CONSULTANT, TO ALIGN AND STRUCTURE WORKFORCE COMPENSATION AND BENEFIT STRATEGIES THAT SUPPORT ENTERPRISE-WIDE TRANSFORMATION AND BUSINESS PERFORMANCE. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, POLICIES, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G OUTSIDE SERVICES: PROGRAM SERVICE EXPENSES 5,055,124. MANAGEMENT AND GENERAL EXPENSES 1,547. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,056,671. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 115,765. MANAGEMENT AND GENERAL EXPENSES 622. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 116,387. FORM 990, PART XI, LINE 9: TRANSFERS TO WELLSPAN HEALTH -42,000,000. APPLE HILL SURGICAL CENTER INC PO BOX 2767 YORK PA 174052767 222842253 SOLE GP IN LP. OPERATING SURGICAL CENTER PA 501(C)(3) LINE 10 WELLSPAN HEALTH CARE SERVICES 0 CHAMBERSBURG HOSPITAL PO BOX 2767 YORK PA 174052767 230465970 HEALTH CARE SERVICES PA 501(C)(3) LINE 3 WELLSPAN SUMMIT HEALTH 0 CHAMBERSBURG HOSPITAL WORKER'S COMPENSATION TRUST PO BOX 2767 YORK PA 174052767 256450683 WORKERS COMPENSATION TRUST PA 501(C)(4) CHAMBERSBURG HOSPITAL 0 EPHRATA COMMUNITY HEALTH FOUNDATION PO BOX 2767 YORK PA 174052767 800940005 FUNDRAISING FOR EPHRATA HOSPITAL PA 501(C)(3) LINE 12A, I EPHRATA COMMUNITY HOSPITAL 0 EPHRATA COMMUNITY HOSPITAL PO BOX 2767 YORK PA 174052767 231370484 HEALTH CARE SERVICES PA 501(C)(3) LINE 3 WELLSPAN HEALTH 0 GETTYSBURG HOSPITAL FOUNDATION PO BOX 2767 YORK PA 174052767 232251358 FUNDRAISING FOR GETTYSBURG HOSPITAL PA 501(C)(3) LINE 12A, I GETTYSBURG HOSPITAL 0 GETTYSBURG HOSPITAL PO BOX 2767 YORK PA 174052767 231352220 HEALTH CARE SERVICES PA 501(C)(3) LINE 3 WELLSPAN HEALTH 0 GOOD SAMARITAN HEALTH SERVICES FOUNDATION OF LEBANON PA PO BOX 2767 YORK PA 174052767 232356151 FUNDRAISING FOR GOOD SAMARITAN PA 501(C)(3) LINE 12A, I GOOD SAMARITAN HOSPITAL 0 GOOD SAMARITAN PHYSICIAN SERVICES PO BOX 2767 YORK PA 174052767 251832359 MEDICAL AND SURGICAL CARE PA 501(C)(3) LINE 10 GOOD SAM HEALTH SERVICES FOUNDATION 0 HEALTHY COMMUNITY PHARMACY INC PO BOX 2767 YORK PA 174052767 200519121 REDUCED RATE PRESCRIPTION DRUGS TO UNINSURED PA 501(C)(3) LINE 12A, I WELLSPAN HEALTH CARE SERVICES 0 PHILHAVEN PO BOX 2767 YORK PA 174052767 231548822 HEALTH CARE SERVICES PA 501(C)(3) LINE 3 WELLSPAN HEALTH 0 SUMMIT HEALTH FOUNDATION PO BOX 2767 YORK PA 174052767 831196554 FUNDRAISING FOR HEALTH CARE SYSTEM PA 501(C)(3) LINE 12B, II WELLSPAN SUMMIT HEALTH 0 SUMMIT PHYSICIAN SERVICES PO BOX 2767 YORK PA 174052767 251716306 MEDICAL AND SURGICAL CARE PA 501(C)(3) LINE 10 WELLSPAN SUMMIT HEALTH 0 THE GOOD SAMARITAN HOSPITAL OF LEBANON PENNSYLVANIA PO BOX 2767 YORK PA 174052767 230794160 HEALTH CARE SERVICES PA 501(C)(3) LINE 3 WELLSPAN HEALTH 0 VNA COMMUNITY SERVICES PO BOX 2767 YORK PA 174052767 232338591 HOME PERSONAL CARE SERVICES FOR ELDERLY AND DISABLED PA 501(C)(3) LINE 10 WELLSPAN SURGERY & REHABILITATION HOSPITAL 0 VNA HOME HEALTH SERVICES PO BOX 2767 YORK PA 174052767 231352573 HOME HEALTH AND HOSPICE CARE SERVICES PA 501(C)(3) LINE 10 WELLSPAN SURGERY & REHABILITATION HOSPITAL 0 WAYNESBORO HOSPITAL PO BOX 2767 YORK PA 174052767 231360854 HEALTH CARE SERVICES PA 501(C)(3) LINE 3 WELLSPAN SUMMIT HEALTH 0 WELLSPAN HEALTH PO BOX 2767 YORK PA 174052767 222517863 INTEGRATED HEALTH SYSTEM PA 501(C)(3) LINE 12C, III-FI N/A 0 WELLSPAN HEALTH CARE SERVICES PO BOX 2767 YORK PA 174052767 232400237 HEALTH CARE SERVICES PA 501(C)(3) LINE 12B, II WELLSPAN HEALTH 0 WELLSPAN MEDICAL GROUP PO BOX 2767 YORK PA 174052767 232730785 MEDICAL AND SURGICAL CARE PA 501(C)(3) LINE 10 WELLSPAN HEALTH 0 WELLSPAN PROPERTIES INC PO BOX 2767 YORK PA 174052767 222842252 LEASES FACILITIES TO AFFILIATES PA 501(C)(3) LINE 12B, II WELLSPAN HEALTH CARE SERVICES 0 WELLSPAN SUMMIT HEALTH PO BOX 2767 YORK PA 174052767 251515371 INTEGRATED HEALTH SYSTEM PA 501(C)(3) LINE 7 WELLSPAN HEALTH 0 WELLSPAN SURGERY & REHABILITATION HOSPITAL PO BOX 2767 YORK PA 174052767 232899911 SURGERY AND REHABILITATION HOSPITAL PA 501(C)(3) LINE 3 WELLSPAN HEALTH 0 YORK HEALTH FOUNDATION PO BOX 2767 YORK PA 174052767 233050192 FUNDRAISING FOR WELLSPAN ENTITIES PA 501(C)(3) LINE 12C, III-FI WELLSPAN HEALTH 0 YORK HOSPITAL PO BOX 2767 YORK PA 174052767 231352222 COMMUNITY TEACHING HOSPITAL PA 501(C)(3) LINE 3 WELLSPAN HEALTH 0 APPLE HILL SURGICAL CENTER PARTNERS PO BOX 2767 YORK PA 174052767 232489452 SURGICAL CENTER PA WELLSPAN HEALTH 0 0 CHERRY TREE CANCER CENTER LLP PO BOX 2767 YORK PA 174052767 232915628 RADIATION PA WELLSPAN HEALTH CARE SERVICES 0 0 CUMBERLAND VALLEY MOBILE SERVICES 5 S MAIN ST SUGARLOAF PA 18249 200884014 MOBILE HEALTH SERVICES PA CHAMBERSBURG HEALTH SERVICES RELATED 451832 36175 0 1 0.51000 LITTLESTOWN HEALTH CARE PARTNERSHIP 300 WEST KING STREET LITTLESTOWN PA 17340 232880464 LEASE FACILITY PA WELLSPAN HEALTH CARE SERVICES 0 0 SUMMIT SURGERY CENTER LP PO BOX 2767 YORK PA 174052767 251845303 PHYSICIAN SERVICES PA CHAMBERSBURG HEALTH SERVICES RELATED 2171737 4823815 0 1 0.64750 SURGERY CENTER ASSOCIATES LLC PO BOX 2767 YORK PA 174052767 251845304 PHYSICIAN SERVICES PA CHAMBERSBURG HEALTH SERVICES RELATED 27784 57836 0 1 0.62900 THE REHAB CENTER 855 SPRINGDALE DRIVE SUITE 20 EXTON PA 19341 251687903 PHYSICAL THERAPY REHABILITATION PA EPHRATA HOSPITAL 0 0 WELLSPAN SCA HOLDINGS LLC 569 BROOKWOOD VLG SUITE 901 BIRMINGHAM AL 35209 882731487 INVESTMENTS MD WELLSPAN HEALTH CARE SERVICES 0 0 APPLE HILL CONDOMINIUM ASSOCIATION PO BOX 2767 YORK PA 174052767 232504543 CONDOMINIUM ASSOCIATION PA WELLSPAN HEALTH CARE SERVICES C 0 CUMBERLAND VALLEY HEALTH NETWORK INC PO BOX 2767 YORK PA 174052767 232775583 HEALTH NETWORK PA WELLSPAN SUMMIT HEALTH C 0 EPHRATA HEALTH PAVILION CONDOMINIUM ASSOCIATION PO BOX 2767 YORK PA 174052767 475367279 CONDOMINIUM ASSOCIATION PA EPHRATA HOSPITAL C 0 EPHRATA MEDICAL OFFICE CONDOMINIUM ASSOCIATION PO BOX 2767 YORK PA 174052767 232526873 CONDOMINIUM ASSOCIATION PA N/A C 0 GOOD SAMARITAN PHYSICIAN HOSPITAL ORGANIZATION OF LEBANON PA PO BOX 2767 YORK PA 174052767 251769419 HEALTH CARE SERVICES PA THE GOOD SAMARITAN HOSPITAL OF LEBANON PENNSYLVANIA C 0 GSH REALTY INC PO BOX 2767 YORK PA 174052767 232446622 NON-RESIDENTIAL REAL ESTATE PA WELLSPAN HEALTH CARE SERVICES C 0 NORTHERN LANCASTER COUNTY PHYSICIAN HOSPITAL ALLIANCE PO BOX 2767 YORK PA 174052767 232421885 COORD PHYS & HOSPITAL PA EPHRATA HOSPITAL C 0 QUEST BEHAVIORAL HEALTH PO BOX 2767 YORK PA 174052767 232910565 HEALTH CARE NETWORK SERVICE PA WELLSPAN HEALTH C 0 WELLSPAN HEARING CENTER INC PO BOX 2767 YORK PA 174052767 231954338 HEARING AID PRACTICE PA WELLSPAN HEALTH CARE SERVICES C 0 WELLSPAN PHARMACY INC PO BOX 2767 YORK PA 174052767 232374072 DISPENSES RX & PROVIDES IV THERAPY PA WELLSPAN HEALTH CARE SERVICES C 0 WELLSPAN PROVIDER NETWORK PO BOX 2767 YORK PA 174052767 232907828 COORDINATE MANAGED CARE RISK CONTRACTS PA WELLSPAN HEALTH C 0 WELLSPAN RECIPROCAL RISK RETENTION GROUP PO BOX 2767 YORK PA 174052767 200048457 RISK RETENTION GROUP PA WELLSPAN HEALTH C 0 YORK HEALTH PLAN PO BOX 2767 YORK PA 174052767 232664989 PREFERRED PROVIDER ORGANIZATION PA WELLSPAN HEALTH C 0 0 0 1 1 0 0 0 0 0 1 0 0 1 0 0 1 0 1 0 SUMMIT HEALTH FOUNDATION C 105890 COST