2026-05-08T07:50:49-05:00 2025-06-30 222517863 WELLSPAN HEALTH PO BOX 2767 YORK PA 17405 990 2024-07-01 800940005 EPHRATA COMMUNITY HEALTH FOUNDATION EPHR 7174662440 PO BOX 2767 YORK PA 174052767 LAURA BUCZKOWSKI EXECUTIVE VP & CFO 7174662440 2026-05-08 1 0 DAVID P RIZZUTO P01210563 7178513055 2026-05-08 2024 2025-03-06 01:10:19Z ROXANNA GAPSTUR PO BOX 2767 YORK PA 174052767 11281163 0 X WWW.WELLSPAN.ORG X 2013 PA IMPROVE THE HEALTH OF NORTHERN LANCASTER COUNTY BY GENERATING CHARITABLE CONTRIBUTIONS. 12 7 0 9 0 0 513260 9084711 189762 241695 314000 308317 -8884 2256 1008138 9636979 467918 9161347 0 0 0 0 22388 0 59605 305349 254435 795655 9415782 212483 221197 5916122 6452399 68355 3043 5847767 6449356 X THE EPHRATA COMMUNITY HEALTH FOUNDATION IS A COMMUNITY-BASED, NON-PROFIT ORGANIZATION FORMED TO SUPPORT THE EPHRATA COMMUNITY HOSPITAL'S MISSION OF ASSURING THAT THE COMMUNITY OF NORTHERN AND EASTERN LANCASTER COUNTY, PENNSYLVANIA HAS ACCESS TO EXCEPTIONAL HEALTH CARE SERVICES THAT ARE HIGH IN QUALITY, COMPASSIONATE AND COST EFFECTIVE.THE OBJECTIVES OF THE FOUNDATION WILL BE ACHIEVED BY MAKING DISTRIBUTIONS TO THE HOSPITAL FOR CARRYING OUT THE MISSION OF THE HOSPITAL, INCLUDING BUT NOT LIMITED TO:1)FURTHERING THE ENHANCEMENT OF THE HOSPITAL'S ABILITY TO EXPAND HEALTH SERVICES IN OUR COMMUNITY;2)FUNDING THE PURCHASE OF NEW CLINICAL AND SUPPORT-RELATED TECHNOLOGIES AND THE CONSTRUCTION OF HEALTH CARE FACILITIES;3)EXTENDING CHARITABLE HEALTH CARE TO QUALIFYING INDIVIDUALS; AND4)ADDRESSING HEALTH PRIORITIES, INCLUDING OBESITY AND SMOKING AND TOBACCO USE IN OUR COMMUNITY. 0 0 9291664 9161347 241695 EPHRATA COMMUNITY HEALTH FOUNDATION IS A COMMUNITY-BASED, NOT-FOR-PROFIT CORPORATION THAT EXISTS TO INSPIRE GIFTS AND GRANTS FROM INDIVIDUALS, FOUNDATIONS, CORPORATIONS AND OTHER ENTITIES TO SUPPORT THE HEALTH AND WELL-BEING OF PEOPLE IN NORTHERN LANCASTER COUNTY.EPHRATA COMMUNITY HEALTH FOUNDATION DESIGNATES MONEY RAISED TO THE FOLLOWING FUNDS:BEHAVIORAL HEALTH RENOVATION & EXPANSION CAMPAIGN - HELP IMPROVE ACCESS TO BEHAVIORAL HEALTHCARE IN THE LANCASTER COMMUNITY.CANCER PATIENT HELP FUND - LEND A HAND TO PATIENTS FACING THE FINANCIAL BURDENS THAT OFTEN RESULT FROM DEALING WITH THE IMPACT OF CANCER. THIS FUND HELPS WITH BASIC LIVING EXPENSES, SUCH AS RENT, UTILITIES, GROCERIES, AND TRANSPORTATION TO AND FROM MEDICAL APPOINTMENTS. FUNDS ARE AVAILABLE TO PATIENTS WHO MEET SPECIFIC FINANCIAL AID GUIDELINES.CENTER FOR HEART CARE FUND -HELP PATIENTS RECOVERING FROM HEART FAILURE IMPROVE THEIR QUALITY OF LIFE. GIFTS TO THIS FUND HELP PROVIDE PATIENTS WITH ITEMS FROM THE WELLSPAN EPHRATA COMMUNITY HOSPITAL'S LOW SODIUM FOOD PANTRY, FREE FRESH FRUITS AND VEGETABLES, PATIENT SCALES, COMMUNITY OUTREACH SUPPLIES, EDUCATIONAL MATERIALS AND SUPPORT LUNCH AND LEARNS FOR THE HEART FAILURE SUPPORT GROUP.CLINICAL SIMULATION LAB - SUPPORT AN INNOVATIVE AND INTERACTIVE HIGH-TECH CLASSROOM THAT ENSURES A SAFE TRANSITION FROM CLASSROOM TO PATIENT ROOM FOR TRAINEES. THIS INVOLVES THE USE OF HIGH-FIDELITY MANNEQUINS, STAFF DEVELOPMENT AND REFINING, AND APPLIES KNOWLEDGE AND SKILLS IN A REALISTIC CLINICAL SITUATION FOR A WIDE VARIETY OF HEALTH CARE ISSUES.CRIBS FOR KIDS FUND - FUNDS PROVIDE PACK 'N PLAY PORTABLE CRIBS TO LANCASTER COUNTY FAMILIES IN NEED OF A SAFE SLEEP ENVIRONMENT FOR THEIR NEWBORN, AS WELL AS EDUCATIONAL RESOURCES AIMED TO DECREASE THE NUMBER OF SIDS RELATED DEATHS.NURSING EDUCATION FUND - COVER PROFESSIONAL DEVELOPMENT AND CONTINUING EDUCATION EXPENSES FOR NURSES AT WELLSPAN EPHRATA COMMUNITY HOSPITAL. FUNDS DO NOT COVER TUITION OR TUITION REIMBURSEMENT.SEXUAL ASSAULT FORENSIC EXAMINER (SAFE) FUND - LEND A HAND IN PROVIDING COMPASSIONATE CARE FOR VICTIMS OF SEXUAL ASSAULT THROUGH LOCAL ACCESS TO COMPREHENSIVE MEDICAL TREATMENT. YOUR GIFT ALSO HELPS SUPPORT PROGRAM EQUIPMENT AND SUPPLIES AND PROVIDES SAFE NURSES WITH OPPORTUNITIES FOR CONTINUING EDUCATION AND SPECIALIZED TRAINING.WHERE NEEDED MOST - BE A PART OF RESPONDING TO EMERGING NEEDS. GIVING TO THIS FUND ENABLES US TO ADDRESS THE AREAS OF GREATEST NEED FOR WELLSPAN HEALTH.FUTURE PHYSICIAN SCHOLARSHIP PROGRAM - HELP PROVIDE FUNDING TO THIS UNIQUE WELLSPAN INITIATIVE TO SPONSOR MEDICAL SCHOOL SCHOLARSHIPS. SCHOLARSHIPS AID YOUNG PEOPLE WITH A CONNECTION TO A LOCAL WELLSPAN COMMUNITY AND REQUIRE THEM TO RETURN TO WORK WITHIN THE WELLSPAN FOOTPRINT FOLLOWING THEIR GRADUATION.SPOTLIGHT ON CHILDREN'S HEALTH -INVEST IN CHILDREN'S EARLY DEVELOPMENT TO ELIMINATE HEALTH AND ACHIEVEMENT INEQUITIES LATER IN LIFE BY PROVIDING LITERACY AND EARLY CHILDHOOD EDUCATION SERVICES AND MEETING SPECIAL HEALTH CARE NEEDS. THIS FUND SUPPORTS THE OPPORTUNITY FOR ALL CHILDREN IN OUR REGIONS OF CARE TO DEVELOP IN SAFE, STABLE, NURTURING RELATIONSHIPS AND ENVIRONMENTS.LANCASTER COUNTY PATIENT SUPPORT FUND - HELP PATIENTS WHO HAVE NEEDS THAT AFFECT THEIR TREATMENT OR HEALTH OUTCOMES. THIS FUND ASSISTS AT-RISK PATIENTS WITH FOOD, TRANSPORTATION, TRANSITIONAL HOUSING AND LIFE-SAVING MEDICATIONS.SEE WELLSPAN HEALTH - 2025 COMMUNITY BENEFIT REPORT LOCATED AT HTTPS://WWW.WELLSPAN.ORG/ABOUT-WELLSPAN/IMPROVING-HEALTHY-COMMUNITIES/COMMUNITY-BENEFIT. 9291664 1 1 0 0 0 0 0 0 0 1 0 1 0 0 0 1 0 1 0 0 0 0 0 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 X 12 7 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 0 1 0 PA X DAVID P RIZZUTO 7178513055 3350 WHITEFORD ROAD YORK PA 17402 ALLEN WESSEL CHAIR 1.00 0.00 X X 0 0 0 BLAKE S DAUB DIRECTOR 1.00 0.00 X 0 0 0 JEFFREY S STAUFFER DIRECTOR (UNTIL JUNE '25) 1.00 0.00 X 0 0 0 JOYCE HOOVER DIRECTOR 1.00 0.00 X 0 0 0 LAURA BUCZKOWSKI EXECUTIVE VP & CFO - WELLSPAN HEALTH 1.00 40.00 X X 0 1355384 53169 LYNN S KLINE VICE CHAIR 1.00 0.00 X X 0 0 0 ROXANNA GAPSTUR PHD RN PRESIDENT & CEO - WELLSPAN HEALTH 1.00 40.00 X X 0 3124465 52133 STEVEN C BADE DIRECTOR 1.00 40.00 X 0 167918 24505 TINA M CITRO DIRECTOR (UNTIL MAR. '25) 1.00 40.00 X 0 409858 41892 TODD S STEWART SECRETARY/TREASURER 1.00 0.00 X X 0 0 0 TODD HECK DIRECTOR 1.00 0.00 X 0 0 0 RUFUS MARTIN DIRECTOR 1.00 0.00 X 0 0 0 HARVEY GREEN SR. VP & CHIEF DEVELOPMENT OFFICER 6.50 33.50 X X 0 560279 47681 ORIE CHAMBERS DIRECTOR 1.00 40.00 X 0 256308 53379 0 5874212 272759 0 0 1 0 0 64950 9019761 9084711 FUNDRAISING FEES 561000 241695 241695 241695 83275 83275 1845346 1620304 225042 225042 225042 26136 64950 23880 2256 2256 9636979 241695 0 310573 9161347 9161347 11649 11649 207249 108829 44006 54414 1400 1400 1383 1383 19016 19016 7016 7016 2141 2141 1650 1650 DUES & SUBSCRIPTIONS 1458 1458 MISCELLANEOUS EXPENSE 1089 1089 REPAIRS & MAINTENANCE 377 377 MEDICAL SUPPLIES 7 7 9415782 9291664 64513 59605 4839880 5085942 673172 1103409 403070 263048 5916122 6452399 2926 3043 65429 0 68355 3043 X 5804195 6331162 43572 118194 5847767 6449356 5916122 6452399 221197 380392 0 X 0 1 X 1 0 X X X 1 EPHRATA COMMUNITY HOSPITAL 231370484 3 1 9157845 0 1 9157845 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 43572 90287 15665 118194 85202 17212 58842 43572 215653 105662 236113 85202 206042 145536 135925 215653 230067 125720 149745 206042 0.00000 0.00000 1.00000 0 0 0 PRIVATE EQUITY, LTD PARTNERS 864497 F REAL ESTATE, LTD PARTNERSHIP 238912 F 1103409 X 843286 380392 -9174085 -8793693 9636979 0 9636979 241697 0 241697 9174085 9174085 9415782 PART V, LINE 4: THE FUNDS WERE USED TO IMPROVE THE HEALTH AND WELFARE OF THE RESIDENTS OF YORK, LANCASTER, LEBANON AND ADAMS COUNTIES OF 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, 2025, AND 2024. 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, 2025, THE COMPANY HAS NO UNCERTAIN TAX POSITIONS. FOR YEARS BEFORE 2022, THE COMPANY IS NO LONGER SUBJECT TO EXAMINATIONS FROM MAJOR TAXING JURISDICTIONS. 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: GRANTS -9,161,347. INVESTMENT MANAGEMENT FEES -11,649. EXPENSES NETTED WITH REVENUE ON FINANCIALS -1,089. PART XII, LINE 4B - OTHER ADJUSTMENTS: EXPENSES NETTED WITH REVENUE ON FINANCIALS 1,089. GRANTS 9,161,347. INVESTMENT MANAGEMENT FEES 11,649. ECHF GOLF TOURNAMENT 91086 64950 26136 19695 77 4108 91086 64950 26136 19695 77 4108 23880 2256 1 EPHRATA COMMUNITY HOSPITAL PO BOX 2767 YORK PA 17405 231370484 501(C)(3) 9157845 0 GENERAL SUPPORT 1 0 PART I, LINE 2: ALL WELLSPAN ENTITIES FOLLOW WELLSPAN POLICIES AND PROCEDURES REGARDING GRANT PROJECTS TO ENSURE THAT THE USE OF GRANT FUNDS ARE CONSISTENT WITH WELLSPAN'S COMMITMENT TO ENDEAVOR TO IMPROVE THE HEALTH STATUS OF THE COMMUNITIES THAT WE SERVE. THE WELLSPAN FOUNDATIONS ARE SUPPORTING ORGANIZATIONS AND SUBSTANTIALLY ALL OF THE GRANTS AND OTHER ASSISTANCE THEY MAKE FURTHERS THE EXEMPT PURPOSES OF THEIR "SUPPORTED ORGANIZATIONS", EACH OF WHICH ARE EXEMPT AFFILIATED ORGANIZATIONS WITHIN THE WELLSPAN HEALTH SYSTEM. BECAUSE THE SUPPORTED ORGANIZATIONS IDENTIFY THE PROJECTS AND EXEMPT ACTIVITIES THAT WILL BE FUNDED BY THE FOUNDATIONS' GRANTS AND OTHER ASSISTANCE, AND BECAUSE THERE IS A CROSS-OVER BETWEEN THE RESPECTIVE GOVERNING BODIES AND MANAGEMENT OF THE FOUNDATIONS AND THEIR SUPPORTED ORGANIZATIONS, THE FOUNDATIONS ARE ABLE TO EFFECTIVELY MONITOR THAT THE GRANTS THEY MAKE ARE USED FOR THEIR INTENDED PURPOSES. X X X X 0 1 0 0 0 0 0 0 0 ROXANNA GAPSTUR PHD RN PRESIDENT & CEO - WELLSPAN HEALTH 0 1739595 0 1112453 0 272417 0 11203 0 40930 0 3176598 0 269264 LAURA BUCZKOWSKI EXECUTIVE VP & CFO - WELLSPAN HEALTH 0 949313 0 402918 0 3153 0 16601 0 36568 0 1408553 0 0 HARVEY GREEN SR. VP & CHIEF DEVELOPMENT OFFICER 0 411975 0 147588 0 716 0 19342 0 28339 0 607960 0 0 TINA M CITRO DIRECTOR (UNTIL MAR. '25) 0 335201 0 72603 0 2054 0 10051 0 31841 0 451750 0 0 ORIE CHAMBERS DIRECTOR 0 205983 0 44817 0 5508 0 20700 0 32679 0 309687 0 0 STEVEN C BADE DIRECTOR 0 150057 0 0 0 17861 0 9823 0 14682 0 192423 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 2024, 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. DURING THE CALENDAR YEAR 2024, THE FOLLOWING INDIVIDUAL RECEIVED A DISTRIBUTION FROM THE DEFERRED COMPENSATION PLAN: ROXANNA GAPSTUR - $269,264 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). FORM 990, PART VI, SECTION A, LINE 6 EPHRATA COMMUNITY HOSPITAL, A NOT-FOR-PROFIT CORPORATION, IS THE SOLE MEMBER OF THE FOUNDATION. 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 B, LINE 11B 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, 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 THIS ORGANIZATION DOES NOT DIRECTLY COMPENSATE ANY EMPLOYEES. THE FOLLOWING PROCEDURE IS FOLLOWED BY OUR PARENT COMPANY AND AFFILIATES IN SETTING COMPENSATION. 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. APPLE HILL SURGICAL CENTER INC PO BOX 2767 YORK PA 174052767 222842253 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 EPHRATA COMMUNITY HOSPITAL PO BOX 2767 YORK PA 174052767 231370484 HEALTH CARE SERVICES PA 501(C)(3) LINE 3 WELLSPAN HEALTH 0 EVANGELICAL COMMUNITY HOSPITAL FOUNDATION PO BOX 2767 YORK PA 174052767 992776957 FUNDRAISING FOR EVANGELICAL HOSPITAL PA 501(C)(3) LINE 12A, I EVANGELICAL COMMUNITY HOSPITAL 0 EVANGELICAL COMMUNITY HOSPITAL PO BOX 2767 YORK PA 174052767 240795411 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 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