2026-05-08T09:21:48-05:00 2025-06-30 920460586 PWC US TAX LLP 655 NEW YORK AVENUE NW - SUITE 1100 WASHINGTON DC 20001 990 2024-07-01 232400237 WELLSPAN HEALTH CARE SERVICES WELL 7178513055 PO BOX 2767 YORK PA 174052767 LAURA BUCZKOWSKI EXECUTIVE VP & CFO 7178513055 2026-05-08 1 0 TRAVIS L PATTON P00369623 2024141000 2024 2025-03-06 01:10:19Z ROXANNA GAPSTUR PO BOX 2767 YORK PA 174052767 55259167 0 X WWW.WELLSPAN.ORG X 1986 PA ENGAGE IN HEALTH-RELATED ACTIVITIES TO BENEFIT WELLSPAN AND ITS AFFILIATED ORGANIZATIONS. X 7 0 0 0 6133151 1286 13526 22597 39942835 39103852 34748 6290654 1864144 1531769 41855253 46948872 0 0 0 0 19888630 0 0 0 0 26315852 51702157 46204482 51702157 -4349229 -4753285 77089135 57094773 34151454 30655397 42937681 26439376 X THE PURPOSE OF WELLSPAN HEALTH CARE SERVICES IS TO ENGAGE IN HEALTH-RELATED ACTIVITIES IN THE SERVICE AREA TO BENEFIT WELLSPAN HEALTH AND ITS AFFILIATED HEALTH-RELATED ORGANIZATIONS. 1 1 48614284 0 32970701 THE PURPOSE OF THE ORGANIZATION IS TO ENGAGE IN HEALTH-RELATED VENTURES TO BENEFIT WELLSPAN HEALTH AND ITS AFFILIATED HEALTH-RELATED ORGANIZATIONS.WELLSPAN HEALTH CARE SERVICES INCLUDES WELLSPAN EMERGENCY MEDICAL SERVICES. WELLSPAN PROVIDES TIMELY, OFTEN LIFE-SAVING EMERGENCY MEDICAL SERVICES (EMS) TO COMMUNITIES ACROSS SOUTH CENTRAL PENNSYLVANIA. WELLSPAN EMS PROVIDES:- EMERGENCY AND NON-EMERGENCY ADVANCED LIFE SUPPORT (ALS) EMERGENCY MEDICAL SERVICES- EMERGENCY AND NON-EMERGENCY BASIC LIFE SUPPORT (BLS) EMERGENCY MEDICAL SERVICES- BASIC AND ADVANCED LIFE SUPPORT STAFFING- BASIC AND ADVANCED LIFE SUPPORT EVENT STAND-BY SERVICES- AIR MEDICAL TRANSPORT- DECEDENT TRANSPORTWELLSPAN MEDICAL EQUIPMENT IS PART OF WELLSPAN HEALTH CARE SERVICES. WELLSPAN HAS BEEN A CONVENIENT SOURCE FOR QUALITY HOME MEDICAL EQUIPMENT AND SUPPLIES THROUGHOUT THE REGION SINCE 1976. WE UPHOLD A REPUTATION OF EXCELLENCE BY CONSISTENTLY PROVIDING OUR CUSTOMERS AND CAREGIVERS WITH THE KIND OF INFORMATIVE, COMPASSIONATE AND EFFICIENT CARE THEY HAVE COME TO EXPECT. AT THE END OF THE FISCAL YEAR, WELLSPAN MEDICAL EQUIPMENT CEASED ACTIVE OPERATIONS.AT WELLSPAN ENDOSCOPY CENTER IN CHAMBERSBURG AND EPHRATA, WE SPECIALIZE IN DISEASES OF THE ESOPHAGUS, STOMACH, AND THE FIRST PART OF YOUR SMALL INTESTINE, CALLED THE DUODENUM. UPPER GASTROINTESTINAL CONDITIONS THAT MAY BRING YOU TO OUR OFFICE INCLUDE ULCERS, TUMORS, INFECTION, BLEEDING, REFLUX DISEASE, OR GERD.WELLSPAN CITYGATE SURGERY CENTER, OUR NEW STATE-OF-THE-ART OUTPATIENT SURGERY CENTER WAS DESIGNED WITH YOU IN MIND. SURGERIES DONE IN OUTPATIENT SETTINGS OFFER ENHANCED SATISFACTION AND GREATER CONVENIENCE FOR YOU AND YOUR FAMILY MEMBERS. WE OFFER PROCEDURES IN ENT, GYNECOLOGY, PLASTIC SURGERY AND UROLOGY.SEE WELLSPAN HEALTH - 2025 COMMUNITY BENEFIT REPORT LOCATED AT HTTPS://WWW.WELLSPAN.ORG/ABOUT-WELLSPAN/IMPROVING-HEALTHY-COMMUNITIES/COMMUNITY-BENEFIT. 48614284 1 1 0 0 0 0 0 0 0 0 1 0 1 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 0 0 1 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 X 7 0 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 1 1 1 PA X DAVID P RIZZUTO 7178513055 3350 WHITEFORD ROAD YORK PA 174029081 KEITH NOLL CHAIR, SR VP & CHIEF ADMIN OFFICER 1.00 40.00 X X 0 749302 53265 ANDREW WALKER ASST. TREASURER, SVP FIN. & TREASURY 1.00 40.00 X X 0 477040 35956 VIPUL BHATIA DIRECTOR (UNTIL JAN. '25) 1.00 40.00 X 0 546005 36507 ERIN PICA DIRECTOR (UNTIL JAN. '25) 1.00 40.00 X 0 383867 53768 KEITH SMITH ASST. SEC, SVP & CHIEF LEGAL OFFICER 1.00 40.00 X X 0 409475 47703 KASEY PAULUS VICE CHAIR, EXECUTIVE VP & COO 1.00 40.00 X X 0 648600 53983 RUSSELL ALBERT DIRECTOR 1.00 40.00 X 0 288739 41384 ROXANNA GAPSTUR PHD RN PRESIDENT & CEO - WELLSPAN HEALTH 1.00 40.00 X X 0 3124465 52133 LAURA BUCZKOWSKI EXECUTIVE VP & CFO - WELLSPAN HEALTH 1.00 40.00 X X 0 1355384 53169 JOHN SEESE III SENIOR DIRECTOR - MEDICAL EQUIPMENT 40.00 0.00 X 0 174824 37661 DAWN CALARIO NURSE MANAGER 40.00 0.00 X 0 172596 24327 MIGUEL LOPEZ PARAMEDIC 40.00 0.00 X 0 164918 17283 TROY GRO PARAMEDIC 40.00 0.00 X 0 177834 29111 ANDREW STEWARD PARAMEDIC 40.00 0.00 X 0 164896 31508 0 8837945 567758 0 0 1 0 FIRST CAPITAL EMS INC PO BOX 485 DALLASTOWN PA 17313 EMERGENCY SERVICES 592332 BRIGHTREE LLC 125 TECHNOLOGY PARKWAY PEACHTREE CORNERS GA 30092 INFORMATION TECHNOLOGY SERVICES 484024 VERALON PARTNERS 3 BALA PLAZA WEST SUITE 702 BALA CYNWYD PA 19004 LEGAL SERVICES 131947 3 22597 22597 PATIENT SERVICES 621610 26609976 26609976 MEDICAL EQUIPMENT RENTALS 621610 11909812 5776661 6133151 TRANSPORT CHARGES 621910 584064 584064 39103852 1325 1325 14599624 8310295 6289329 6289329 6289329 SALARY REIMBURSEMENT 900099 1038755 1038755 MEDICAL DIRECTOR SERVICES 900099 415758 415758 REVERSAL OF UBIT ACCRUAL 900099 77256 77256 1531769 46948872 32970701 6133151 7822423 X 650297 650297 900 900 28202913 26106919 2095994 4893 4893 346041 318439 27602 88548 58989 29559 2642170 2584356 57814 66469 29055 37414 14175 572 13603 1502960 1502960 1342747 1256906 85841 396626 396626 MEDICAL SUPPLIES 11559645 11559645 BAD DEBT 4532680 4532680 REPAIRS & MAINTENANCE 298587 214984 83603 DUES & SUBSCRIPTIONS 26578 23453 3125 25928 23807 2121 51702157 48614284 3087873 0 1107 0 2982955 142412 7004621 4182730 4757928 0 1539198 98504 21067676 2549285 7050477 18518391 37324602 16534785 21473744 21469974 -5045497 -3852023 77089135 57094773 700666 858578 39161 21045 33411627 29775774 34151454 30655397 X 42937681 26439376 42937681 26439376 77089135 57094773 X -4753285 8429554 -20174574 X 0 1 X 1 0 X X 5 WELLSPAN MEDICAL GROUP 232730785 10 1 0 0 YORK HOSPITAL 231352222 3 1 0 0 GETTYSBURG HOSPITAL 231352220 3 1 0 0 VNA HOME HEALTH 231352573 10 0 0 0 WELLSPAN SURGERY & REHABILITATION HOSPITAL 232899911 3 0 0 0 5 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 PART IV, SECTION A, LINE 1: WELLSPAN SURGERY & REHABILITATION HOSPITAL IS A SUPPORTED ORGANIZATION WHICH IS NOT SPECIFICALLY MENTIONED IN THE GOVERNING DOCUMENTS OF THE ORGANIZATION. THE ORGANIZATION'S SOLE MEMBER IS WELLSPAN HEALTH CARE SERVICES. WELLSPAN HEALTH CARE SERVICES AND WELLSPAN SURGERY & REHABILITATION HOSPITAL SHARE A COMMON PARENT ORGANIZATION, WELLSPAN HEALTH. THE CHARITABLE PURPOSE OF WELLSPAN HEALTH AND ALL OF ITS AFFILIATES IS TO IMPROVE HEALTH THROUGH EXCEPTIONAL CARE FOR ALL, LIFELONG WELLNESS AND HEALTHY COMMUNITIES IN YORK, ADAMS, LEBANON AND LANCASTER COUNTIES. THE ORGANIZATION HAS DESIGNATED WELLSPAN SPECIALTY SERVICES FOR PROPERTY OWNERSHIP AND FINANCING SUPPORT THROUGH ITS SHARED PURPOSE AND ORGANIZATIONAL RELATIONSHIP. PART IV, SECTION C, LINE 1: COMMON CONTROL OF THE SUPPORTING ORGANIZATION AND THE SUPPORTED ORGANIZATIONS CAN BE DEMONSTRATED BY THE RELATIONSHIP AMONG THE ENTITIES AND THE PARENT ORGANIZATION, WELLSPAN HEALTH. THE DIRECTORS OF THE ORGANIZATION ARE ELECTED BY THE SOLE MEMBER OF THE ORGANIZATION, WELLSPAN HEALTH CARE SERVICES. WELLSPAN HEALTH IS THE SOLE MEMBER OF WELLSPAN HEALTH CARE SERVICES AS WELL AS THE ORGANIZATION'S SUPPORTED ORGANIZATIONS, WELLSPAN MEDICAL GROUP, WELLSPAN YORK HOSPITAL, WELLSPAN SURGERY & REHABILITATION HOSPITAL, AND WELLSPAN GETTYSBURG HOSPITAL. AS SUCH, WELLSPAN HEALTH APPOINTS THE DIRECTORS OF THE BOARDS FOR ALL FOUR SUPPORTED ORGANIZATIONS AS WELL AS THE SOLE MEMBER OF THE SUPPORTING ORGANIZATION. COMMON CONTROL IS EXERCISED BY THE PARENT, WELLSPAN HEALTH, THROUGH ITS CONTROL OF THE DIRECTORS OF THE BOARDS FOR THE ENTITIES INVOLVED. PART I, LINE 12G, COLUMN IV: WELLSPAN SURGERY & REHABILITATION HOSPITAL IS A SUPPORTED ORGANIZATION WHICH IS NOT SPECIFICALLY MENTIONED IN THE GOVERNING DOCUMENTS OF THE ORGANIZATION. THE ORGANIZATION'S SOLE MEMBER IS WELLSPAN HEALTH CARE SERVICES. WELLSPAN HEALTH CARE SERVICES AND WELLSPAN SURGERY & REHABILITATION HOSPITAL SHARE A COMMON PARENT ORGANIZATION, WELLSPAN HEALTH. THE CHARITABLE PURPOSE OF WELLSPAN HEALTH AND ALL OF ITS AFFILIATES IS TO IMPROVE HEALTH THROUGH EXCEPTIONAL CARE FOR ALL, LIFELONG WELLNESS AND HEALTHY COMMUNITIES IN YORK, ADAMS, LEBANON AND LANCASTER COUNTIES. THE ORGANIZATION HAS DESIGNATED WELLSPAN SPECIALTY SERVICES FOR PROPERTY OWNERSHIP AND FINANCING SUPPORT THROUGH ITS SHARED PURPOSE AND ORGANIZATIONAL RELATIONSHIP. VNA HOME HEALTH SERVICES IS A SUPPORTED ORGANIZATION WHICH IS NOT SPECIFICALLY MENTIONED IN THE GOVERNING DOCUMENTS OF THE ORGANIZATION. THE ORGANIZATION'S SOLE MEMBER IS WELLSPAN SURGERY & REHABILITATION HOSPITAL. WELLSPAN HEALTH CARE SERVICES AND VNA HOME HEALTH SERVICES SHARE A COMMON PARENT ORGANIZATION, WELLSPAN HEALTH. THE CHARITABLE PURPOSE OF WELLSPAN HEALTH AND ALL OF ITS AFFILIATES IS TO IMPROVE HEALTH THROUGH EXCEPTIONAL CARE FOR ALL, LIFELONG WELLNESS AND HEALTHY COMMUNITIES IN YORK, ADAMS, LEBANON AND LANCASTER COUNTIES. PART IV, SECTION A, LINE 5A: VNA COMMUNITY SERVICES (EIN: 23-2338591) WAS REMOVED AS A SUPPORTED ORGANIZATION AS THE ENTITY WENT OUT OF EXISTENCE EFFECTIVE NOVEMBER 2023. VNA COMMUNITY SERVICES WAS A SUPPORTED ORGANIZATION WHICH WAS NOT SPECIFICALLY MENTIONED IN THE GOVERNING DOCUMENTS OF THE ORGANIZATION. THE ORGANIZATION'S SOLE MEMBER WAS WELLSPAN SURGERY & REHABILITATION HOSPITAL WHICH REMOVED THE ORGANIZATION FROM IT'S BY-LAWS. WELLSPAN HEALTH CARE SERVICES AND VNA COMMUNITY SERVICES SHARED A COMMON PARENT ORGANIZATION, WELLSPAN HEALTH WHICH ALSO APPROVED OF THE REMOVAL UPON THE DISSOLUTION OF VNA COMMUNITY SERVICES. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3024956 385675 2639281 9097044 136456 8960588 8879053 2027154 6851899 66623 66623 18518391 INVESTMENT IN AFFILIATES 16534785 F 16534785 INTERCOMPANY PAYABLE 29775774 29775774 X 29168535 8429554 -26209891 -17780337 46948872 0 46948872 45666840 0 45666840 6035317 6035317 51702157 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: TRANSFER TO AFFILIATES -20,174,574. BAD DEBT -4,532,434. EXPENSES NETTED WITH REVENUE ON FINANCIALS -1,502,883. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT 4,532,434. EXPENSES NETTED WITH REVENUE ON FINANCIALS 1,502,883. 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 KEITH NOLL CHAIR, SR VP & CHIEF ADMIN OFFICER 0 541142 0 192966 0 15194 0 35373 0 17892 0 802567 0 0 KASEY PAULUS VICE CHAIR, EXECUTIVE VP & COO 0 481259 0 166863 0 478 0 19880 0 34103 0 702583 0 0 VIPUL BHATIA DIRECTOR (UNTIL JAN. '25) 0 372758 0 53100 0 120147 0 19825 0 16682 0 582512 0 0 ANDREW WALKER ASST. TREASURER, SVP FIN. & TREASURY 0 348964 0 127646 0 430 0 20700 0 15256 0 512996 0 0 KEITH SMITH ASST. SEC, SVP & CHIEF LEGAL OFFICER 0 334754 0 72667 0 2054 0 20463 0 27240 0 457178 0 0 ERIN PICA DIRECTOR (UNTIL JAN. '25) 0 313324 0 68489 0 2054 0 20700 0 33068 0 437635 0 0 RUSSELL ALBERT DIRECTOR 0 235264 0 51421 0 2054 0 11481 0 29903 0 330123 0 0 JOHN SEESE III SENIOR DIRECTOR - MEDICAL EQUIPMENT 0 137328 0 34847 0 2649 0 9005 0 28656 0 212485 0 0 TROY GRO PARAMEDIC 0 177398 0 410 0 26 0 4902 0 24209 0 206945 0 0 DAWN CALARIO NURSE MANAGER 0 150539 0 21544 0 513 0 9422 0 14905 0 196923 0 0 ANDREW STEWARD PARAMEDIC 0 164189 0 693 0 14 0 5967 0 25541 0 196404 0 0 MIGUEL LOPEZ PARAMEDIC 0 164710 0 160 0 48 0 6312 0 10971 0 182201 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 INDIVIDUALS RECEIVED DISTRIBUTIONS 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). INVENTORY 2025-06-01 4711174 BOOK VALUE 823677704 ADAPTHEALTH CORP 555 EAST NORTH LANE SUITE 507 CONSHOHOCKEN PA 19428 CORPORATION PREPAID EXPENSES 2025-06-01 615000 BOOK VALUE 823677704 ADAPTHEALTH CORP 555 EAST NORTH LANE SUITE 507 CONSHOHOCKEN PA 19428 CORPORATION EQUIPMENT 2025-06-01 2352490 BOOK VALUE 823677704 ADAPTHEALTH CORP 555 EAST NORTH LANE SUITE 507 CONSHOHOCKEN PA 19428 CORPORATION 0 1 0 0 PART II, LINE 2E: EXPLANATION OF INVOLVEMENT: GSH HOME MED CARE SERVICES LLC LLC ("WELLSPAN MEDICAL EQUIPMENT") WAS SOLD TO AN UNRELATED THIRD PARTY, ADAPTHEALTH CORP ON JUNE 1, 2025. AS A PART OF THE SALE, ADAPTHEALTH ASSUMED OPERATIONS OF THE DURABLE MEDICAL EQUIPMENT BUSINESS AS WELL AS PURCHASED AND ACQUIRED ALL INVENTORY, PREPAID EXPENSES, AND EQUIPMENT. THE FINAL CONSIDERATION RECEIVED FOR THE SALE WAS $14,519,597. ADAPTHEALTH CORP HAS A NATIONAL PRESENCE WITH STATE-OF-THE-ART TECHNOLOGY AND SERVICES. THIS CHANGE WILL ALLOW WELLSPAN'S PATIENTS AND COMMUNITIES TO HAVE FULL ACCESS TO A COMPREHENSIVE PRODUCT PORTFOLIO OF MEDICAL EQUIPMENT ACROSS CENTRAL PENNSYLVANIA.ADAPTHEALTH CORP. ("BUYER") OFFERED EMPLOYMENT TO EMPLOYEES OF GSH HOME MED CARE SERVICES LLC ("SELLER"). NO TRANSFERRING EMPLOYEES HAVE AN EMPLOYMENT AGREEMENT, SEVERANCE AGREEMENT, OR OTHER SIMILAR AGREEMENT WITH THE SELLER, OR HAVE INFORMED THE SELLER THAT THEY INTEND TO TERMINATE THEIR EMPLOYMENT WITH THE SELLER OR SEEK A MATERIAL CHANGE IN THEIR STATUS OR DUTIES. AT THE TIME OF SALE, A MINIMUM OF THE 60 TRANSFERRING EMPLOYEES HAVE ACCEPTED EMPLOYMENT WITH THE BUYER OR ONE OF ITS AFFILIATES. FORM 990, PART III, LINE 2 OUR NEW STATE-OF-THE-ART OUTPATIENT SURGERY CENTER, WELLSPAN CITYGATE SURGERY CENTER OPENED IN JANUARY 2025. THE SURGERY CENTER OFFERS PROCEDURES IN ENT, GYNECOLOGY, PLASTIC SURGERY AND UROLOGY. FORM 990, PART III, LINE 3 AT THE END OF THE FISCAL YEAR, GSH HOME MED CARE SERVICES LLC ("WELLSPAN MEDICAL EQUIPMENT") CEASED ACTIVE OPERATIONS. WELLSPAN MEDICAL EQUIPMENT'S DURABLE MEDICAL EQUIPMENT BUSINESS WAS ACQUIRED BY ADAPTHEALTH CORP. ADAPTHEALTH CORP HAS A NATIONAL PRESENCE WITH STATE-OF-THE-ART TECHNOLOGY AND SERVICES. THIS CHANGE WILL ALLOW WELLSPAN'S PATIENTS AND COMMUNITIES TO HAVE FULL ACCESS TO A COMPREHENSIVE PRODUCT PORTFOLIO OF MEDICAL EQUIPMENT ACROSS CENTRAL PENNSYLVANIA. FORM 990, PART VI, SECTION A, LINE 6 WELLSPAN HEALTH, A NOT-FOR-PROFIT CORPORATION, IS THE SOLE MEMBER. 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 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. FORM 990, PART IX, LINE 11G OUTSIDE SERVICES: PROGRAM SERVICE EXPENSES 1,815,917. MANAGEMENT AND GENERAL EXPENSES 1,057,164. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,873,081. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 546,025. MANAGEMENT AND GENERAL EXPENSES 134,695. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 680,720. CONTRACTED WAGES: PROGRAM SERVICE EXPENSES 23,744,977. MANAGEMENT AND GENERAL EXPENSES 904,135. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 24,649,112. FORM 990, PART XI, LINE 9: TRANSFER TO AFFILIATES -20,174,574. GSH HOME MED CARE SERVICES LLC PO BOX 2767 YORK PA 174052767 232028099 SALES/RENT OF MED EQUIP/SUPPLIES PA 26050833 425435 WELLSPAN HEALTH CARE SERVICES WELLSPAN EMS LLC PO BOX 2767 YORK PA 174052767 882108476 EMERGENCY MEDICAL SERVICES PA 9817467 3753424 WELLSPAN HEALTH CARE SERVICES CHAMBERSBURG ENDOSCOPY CENTER LLC PO BOX 2767 YORK PA 174052767 872461553 ENDOSCOPY SERVICES PA 4865575 500446 WELLSPAN HEALTH CARE SERVICES WELLSPAN INSTITUTE FOR PATIENT SAFETY LLC PO BOX 2767 YORK PA 174052767 873369587 PATIENT SAFETY ORGANIZATION PA 0 0 WELLSPAN HEALTH CARE SERVICES WELLSPAN ENDOSCOPY CENTER LLC PO BOX 2767 YORK PA 174052767 934217672 ENDOSCOPY SERVICES PA 993994 -1495637 WELLSPAN HEALTH CARE SERVICES WELLSPAN CITYGATE SURGERY CENTER PO BOX 2767 YORK PA 174052767 990567846 SURGERY CENTER PA 112551 -2664301 WELLSPAN HEALTH CARE SERVICES RETENTION GROUP LLC PO BOX 2767 YORK PA 174052767 RISK RETENTION GROUP VT 0 0 WELLSPAN HEALTH CARE SERVICES APPLE HILL SURGICAL CENTER INC PO BOX 2767 YORK PA 174052767 222842253 SURGICAL CENTER PA 501(C)(3) LINE 10 WELLSPAN HEALTH CARE SERVICES 1 CHAMBERSBURG HOSPITAL PO BOX 2767 YORK PA 174052767 230465970 HEALTH CARE SERVICES PA 501(C)(3) LINE 3 WELLSPAN SUMMIT HEALTH 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 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 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 WELLSPAN MEDICAL GROUP 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 1 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 THE MILLER CENTER FOR RECREATION AND WELLNESS PO BOX 2767 YORK PA 174052767 473104877 RECREATION AND WELLNESS CENTER PA 501(C)(3) LINE 10 EVANGELICAL COMMUNITY 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 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 1 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 RELATED 404819 0 1 0.50000 CUMBERLAND VALLEY MOBILE SERVICES 5 S MAIN ST SUGARLOAF PA 18249 200884014 MOBILE HEALTH SERVICES PA WELLSPAN HEALTH CARE SERVICES RELATED 363207 50584 0 1 0.51000 LITTLESTOWN HEALTH CARE PARTNERSHIP 300 WEST KING STREET LITTLESTOWN PA 17340 232880464 LEASE FACILITY PA WELLSPAN HEALTH CARE SERVICES RELATED 61447 649083 0 1 0.50000 SUMMIT SURGERY CENTER LP PO BOX 2767 YORK PA 174052767 251845303 PHYSICIAN SERVICES PA WELLSPAN HEALTH CARE SERVICES RELATED 3865336 6940101 0 1 0.64750 SURGERY CENTER ASSOCIATES LLC PO BOX 2767 YORK PA 174052767 251845304 PHYSICIAN SERVICES PA WELLSPAN HEALTH CARE SERVICES RELATED 48878 86767 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 RELATED 494130 3814276 0 1 0.51000 EVANGELICAL-GEISINGER HEALTH LLC 100 N ACADEMY AVENUE DANVILLE PA 178224031 460567687 HEALTHCARE PA N/A 0 0 WELLSPAN HEALTH NEIGHBORHOOD HOSPITALS LLC PO BOX 2767 YORK PA 174052767 933129944 HEALTHCARE PA WELLSPAN HEALTH CARE SERVICES RELATED 773821 0 1 0.51000 APPLE HILL CONDOMINIUM ASSOCIATION PO BOX 2767 YORK PA 174052767 232504543 CONDOMINIUM ASSOCIATION PA WELLSPAN HEALTH CARE SERVICES C 475012 2509396 1.00000 1 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 EPHRATA HOSPITAL C 0 EVANGELICAL MEDICAL SERVICE ORGANIZATION PO BOX 2767 YORK PA 174052767 232809429 MEDICAL SERVICES PA EVANGELICAL COMMUNITY HOSPITAL 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 191478 2488454 1.00000 1 QUEST BEHAVIORAL HEALTH PO BOX 2767 YORK PA 174052767 232910565 HEALTH CARE NETWORK SERVICE PA WELLSPAN HEALTH C 0 SPOTLIGHT VENTURES INC PO BOX 2767 YORK PA 174052767 934762032 INNOVATIVE INITIATIVES 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 207247 1357030 1.00000 1 WELLSPAN PHARMACY INC PO BOX 2767 YORK PA 174052767 232374072 DISPENSES RX & PROVIDES IV THERAPY PA WELLSPAN HEALTH CARE SERVICES C -5429716 15366913 1.00000 1 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 VT WELLSPAN HEALTH C 0 YORK HEALTH PLAN PO BOX 2767 YORK PA 174052767 232664989 PREFERRED PROVIDER ORGANIZATION PA WELLSPAN HEALTH C 0 0 0 0 1 1 0 0 0 0 0 1 1 1 0 0 1 0 0 1 WELLSPAN SCA HOLDINGS LLC S 908566 COST LITTLESTOWN HEALTH CARE PARTNERSHIP S 150000 COST SUMMIT SURGERY CENTER LP S 3428445 COST SURGERY CENTER ASSOCIATES LLC S 42857 COST