2024-05-09T08:22:42-05:00 2023-06-30 222517863 WELLSPAN HEALTH 3350 WHITEFORD ROAD YORK PA 17402 990 2022-07-01 233050192 YORK HEALTH FOUNDATION YORK 7178513595 PO BOX 2767 YORK PA 174052767 LAURA BUCZKOWSKI EXECUTIVE VP & CFO 7178513595 2024-05-09 1 LAURA BUCZKOWSKI 999009999 0 DAVID P RIZZUTO P01210563 7178513055 2024-05-09 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z ROXANNA GAPSTUR PO BOX 2767 YORK PA 174052767 3775697 0 X WWW.WELLSPAN.ORG X 2000 PA IMPROVE THE HEALTH OF THE COMMUNITY BY RAISING FUNDS FOR THE YORK-BASED ENTITIES OF WELLSPAN. 12 7 0 57 0 0 2825932 1892907 993118 1205352 498551 110693 0 7964 4317601 3216916 2917140 1905635 0 0 0 0 0 69225 418910 1054909 1208123 3972049 3182983 345552 33933 10423173 10905677 350672 228518 10072501 10677159 X THE YORK HEALTH FOUNDATION IS A COMMUNITY-BASED, NON-PROFIT ORGANIZATION DEDICATED TO IMPROVING THE HEALTH OF THE LOCAL COMMUNITY BY GENERATING CHARITABLE CONTRIBUTIONS FOR THE YORK-BASED ENTITIES OF WELLSPAN HEALTH, INCLUDING YORK HOSPITAL, HEALTHY COMMUNITY PHARMACY, WELLSPAN MEDICAL GROUP, VNA HOME HEALTH AND SEVERAL COMMUNITY HEALTH AND OUTREACH PROGRAMS. 0 0 2582225 1905635 1205352 WELLSPAN YORK HEALTH FOUNDATION IS A COMMUNITY-BASED, NOT-FOR-PROFIT ORGANIZATION DEDICATED TO IMPROVING THE HEALTH OF THE LOCAL COMMUNITY BY SUPPORTING THE YORK-BASED ENTITIES OF WELLSPAN HEALTH.YORK HEALTH FOUNDATION DESIGNATES MONEY RAISED TO THE FOLLOWING FUNDS:GREATEST NEED - BE A PART OF RESPONDING TO EMERGING NEEDS. GIVING TO THIS FUND ENABLES US TO ADDRESS THE AREAS OF GREATEST NEED FOR WELLSPAN HEALTH.CARDIOLOGY RESEARCH FUND - SUPPORT ADVANCES IN MEDICAL INNOVATION WITH A GIFT TO THE WELLSPAN HEART & VASCULAR RESEARCH FUND. WELLSPAN CLINICIANS ARE IDENTIFYING THE NEWEST AND MOST EFFECTIVE TREATMENT METHODS FOR CARDIOVASCULAR DISEASE THROUGH CAREFULLY DESIGNED AND CONDUCTED CLINICAL TRIALS.MEDICAL SIMULATION CENTER FUND - 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.WELLSPAN VNA HOME CARE - PROVIDES PATIENTS WITH VITAL SERVICES SO THEY CAN RECOVER IN THE COMFORT OF THEIR OWN HOMES.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.NICU (NEONATAL INTENSIVE CARE UNIT) FUND USED FOR EXPANSION AND UPGRADES (CAPITAL APPROVED) OF THE NICU, PURCHASE OF SPECIFIC SUPPLIES AND EQUIPMENT, SUPPORT FOR PARENT ACTIVITIES OR SPECIAL NEEDS AND CLINICAL PROGRAMS.SAFE NURSE PROGRAM (SEXUAL ASSAULT FORENSIC EXAMINER) - LEND A HAND IN PROVIDING COMPASSIONATE CARE FOR VICTIMS OF SEXUAL ASSAULT. THIS FUND PROVIDES LOCAL ACCESS TO COMPREHENSIVE AND COMPASSIONATE MEDICAL TREATMENT. YOUR GIFT ALSO HELPS SUPPORT PROGRAM EQUIPMENT AND SUPPLIES AND PROVIDES SAFE NURSES WITH OPPORTUNITIES FOR CONTINUING EDUCATION AND SPECIALIZED TRAINING.KIDS FIRST FUND - SUPPORT PROGRAMS AND INTERVENTIONS FOR CHILDREN AT RISK, WITH AN EMPHASIS ON PRIMARY CARE, PREVENTIVE CARE, OUTREACH, AND EDUCATION.FUTURE PHYSICIAN SCHOLARSHIP PROGRAM - HELP PROVIDE FUNDING TO THIS UNIQUE WELLSPAN INITIATIVE TO SPONSOR MEDICAL SCHOOL SCHOLARSHIPS. SCHOLARSHIPS HELP YOUNG PEOPLE WITH A CONNECTION TO A LOCAL WELLSPAN COMMUNITY AND REQUIRE THEM TO RETURN TO WORK WITHIN THE WELLSPAN FOOTPRINT FOLLOWING THEIR GRADUATION.VALERIE HARDY-SPRENKLE NURSING LEADERSHIP EDUCATION SCHOLARSHIP - SUPPORT THIS EDUCATION SCHOLARSHIP PROGRAM FOR WELLSPAN YORK HOSPITAL NURSES WHO DEMONSTRATE LEADERSHIP AND GROWTH.WELLNESS CENTER AT THE WELLSPAN YORK CANCER INSTITUTE - SUPPORT THE EXPANSION OF SUPPORTIVE CARE SERVICES AT WELLSPAN YORK CANCER CENTER. THIS FUND WILL HELP OFFER MASSAGE THERAPIES, PASTORAL CARE, YOGA AND MEDITATION, HOLISTIC TREATMENTS, PATIENT NAVIGATORS, FAMILY CONVERSATION AREAS AND AN APPEARANCE CENTER & BOUTIQUE AT THE CANCER CENTER.SEE WELLSPAN HEALTH - 2023 COMMUNITY BENEFIT REPORT LOCATED AT HTTPS://WWW.WELLSPAN.ORG/ABOUT/WELLSPAN-IN-THE-COMMUNITY/2023-COMMUNITY-BENEFIT-REPORT/. 2582225 1 1 0 0 0 0 0 0 0 1 1 1 0 0 1 1 0 1 0 0 0 0 0 1 0 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 1 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 174029081 PATRICK BRUBAKER TREASURER 1.00 0.00 X X 0 0 0 JONATHON LISS MD DIRECTOR (RES. JAN. '23) 1.00 0.00 X 0 0 0 VICTORIA M DIAMOND DIRECTOR 1.00 40.00 X 0 766712 70547 MICHAEL E KOCHENOUR CHAIRMAN (RES. JUNE '23) 1.00 0.00 X X 0 0 0 WANDA MAJOR SECRETARY 1.00 0.00 X X 0 0 0 ALYSON BUCKS DIRECTOR 1.00 0.00 X 0 0 0 ROXANNA GAPSTUR PHD RN PRESIDENT & CEO - WELLSPAN HEALTH 1.00 40.00 X X 0 2303962 87487 CHARLIE WISE DIRECTOR 1.00 0.00 X 0 0 0 JASON TROUT CHIEF DEV. OFFICER (UNTIL DEC. '22) 8.00 32.00 X X 0 371444 48235 WILLIAM YANAVITCH CHAIRMAN 1.00 0.00 X X 0 0 0 LAURA BUCZKOWSKI EXECUTIVE VP & CFO - WELLSPAN HEALTH 1.00 40.00 X X 0 944343 74025 MARYELLEN PFEIFFER DIRECTOR 1.00 40.00 X 0 18280 1554 HARVEY GREEN SR VP & CHIEF DEV OFF(AS OF NOV '22) 8.00 32.00 X X 0 46576 3769 KAYODE MALOMO DIRECTOR 1.00 0.00 X 0 0 0 ANDRI PURKANTO DIRECTOR 1.00 0.00 X 0 0 0 0 4451317 285617 0 0 1 0 0 63800 11130 72000 1745977 1892907 FUNDRAISING FEES 561000 1205352 1205352 1205352 127423 127423 480904 497634 -16730 -16730 -16730 26640 63800 36145 -9505 -9505 42471 25002 17469 17469 3216916 1205352 0 118657 X 1905635 1905635 69225 69225 1127918 639755 168285 319878 17106 17106 5871 1694 4177 27571 27571 2039 2039 10189 10189 2512 2512 MISCELLANEOUS EXPENSE 7570 7570 DUES & SUBSCRIPTIONS 5623 5623 REPAIRS & MAINTENANCE 1232 1232 MEDICAL SUPPLIES 292 292 200 200 3182983 2582225 181848 418910 1775832 1710119 1934 2788 12768 12768 0 0 7675211 8132654 970196 1060116 10423173 10905677 103362 81392 3278 -1402 244032 148528 350672 228518 X 3213567 4057525 6858934 6619634 10072501 10677159 10423173 10905677 33933 570725 0 X 0 1 X 1 0 X X 5 YORK HOSPITAL 231352222 3 1 1484317 0 VNA HOME HEALTH SERVICES 231352573 10 1 159541 0 WELLSPAN MEDICAL GROUP 232730785 10 0 39757 0 WELLSPAN SURGERY & REHABILITATION HOSPITAL 232899911 10 0 6101 0 WELLSPAN HEALTH 222517863 7 0 215919 0 5 1905635 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 X 1 1 PART IV, SECTION A, LINE 1: HEALTHY COMMUNITY PHARMACY IS A SUPPORTED ORGANIZATION WHICH IS NOT SPECIFICALLY MENTIONED IN THE GOVERNING DOCUMENTS OF THE ORGANIZATION. HEALTHY COMMUNITY PHARMACY'S SOLE MEMBER IS WELLSPAN HEALTH CARE SERVICES. WELLSPAN HEALTH CARE SERVICES AND YORK HEALTH FOUNDATION 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 HEALTH COMMUNITY PHARMACY FOR MONETARY SUPPORT NEEDS THROUGH ITS SHARED PURPOSE AND ORGANIZATIONAL RELATIONSHIP. PART IV, SECTION D, LINE 3: THE ORGANIZATION DOES NOT ESTABLISH ITS OWN INVESTMENT POLICIES, BECAUSE ITS FUNDS ARE CENTRALLY INVESTED AS PART OF THE WELLSPAN HEALTH MASTER TRUST, WHICH HAS ESTABLISHED ITS OWN INVESTMENT POLICIES. PART IV, SECTION E, LINE 2A: THE ORGANIZATION'S EXEMPT PURPOSE AND SOLE ACTIVITY IS TO GENERATE CHARITABLE CONTRIBUTIONS FOR THE YORK-BASED ENTITIES OF WELLSPAN HEALTH. THE EXEMPT PURPOSE OF WELLSPAN HEALTH AND ITS AFFILIATED ORGANIZATIONS IS TO PROVIDE HEALTHCARE AND MEDICAL SERVICES REGARDLESS OF AN INDIVIDUAL'S ABILITY TO PAY. THE CHARITABLE DONATIONS RAISED BY THE ORGANIZATION DIRECTLY FURTHER THIS PURPOSE BY SUPPLYING THE FINANCIAL SUPPORT NEEDED TO ENSURE THAT SERVICES CAN BE PROVIDED EVEN WHEN PAYMENT FOR THE SERVICES WILL NOT BE RECEIVED. PART IV, SECTION E, LINE 2B: WITHOUT THE CHARITABLE CONTRIBUTIONS RAISED AND MAINTAINED BY THE ORGANIZATION, THE SUPPORTED ORGANIZATIONS WOULD BE REQUIRED TO RAISE AND MAINTAIN CHARITABLE CONTRIBUTIONS IN ORDER TO FINANCE THEIR MISSION. THE SUPPORTED ORGANIZATIONS PROVIDE HEALTHCARE AND MEDICAL SERVICES REGARDLESS OF AN INDIVIDUAL'S ABILITY TO PAY FOR THE SERVICES AND, THEREFORE, MUST RELY ON CHARITABLE DONATIONS TO MAKE UP PART OF THE FINANCIAL SHORTFALL WHEN PAYMENT FOR SERVICES WILL NOT BE FORTHCOMING. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 6858934 383422 475981 1098703 6619634 7929742 320266 -951023 440051 6858934 6585337 693411 1605208 954214 7929742 7665325 1159331 55911 2295230 6585337 6665040 1087134 274026 360875 7665325 0.00000 0.00000 1.00000 1 1 1 12768 12768 0 0 PRIVATE EQUITY, LTD PARTNERS 759813 F REAL ESTATE, LTD PARTNERSHIPS 300303 F 1060116 INTERCOMPANY PAYABLE 148528 148528 X 1882006 570725 -1905635 -1334910 3216916 0 3216916 1277348 0 1277348 1905635 1905635 3182983 PART V, LINE 4: THE FUNDS WERE USED TO IMPROVE THE HEALTH AND WELFARE OF THE RESIDENTS OF YORK 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, 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: GRANTS -1,905,635. PART XII, LINE 4B - OTHER ADJUSTMENTS: GRANTS 1,905,635. X X X 1 CCS FUNDRAISING PO BOX 824885 PHILADELPHIA PA 19812 CONSULTING AND STRATEGY PLANNING 0 0 0 38700 DIFFSTRAT COMPANIES INC 3950 RIVER RIDGE DR NE SUITE A CEDAR RAPIDS IA 52402 CONSULTING AND STRATEGY PLANNING 0 0 0 26025 64725 PA YHF GOLF TOURNAMENT 90440 63800 26640 2661 3332 16318 13834 90440 63800 26640 2661 3332 16318 13834 36145 -9505 42471 4051 600 20351 1 0.92000 42471 4051 600 20351 25002 17469 PA 1 0 0 0 1.00000 CARI GROTHOUSE 2500 S GEORGE ST YORK PA 17403 0 CARI GROTHOUSE CARI GROTHOUSE, CORPORATE GIVING SPECIALIST PERFORMS DUTIES TO HELP FACILITATE THE GAMING ACTIVTY SUCH AS PROCURING PERMITS AND KEEPING TRACK OF TICKET SALES. X 0 1 YORK HOSPITAL PO BOX 2767 YORK PA 17405 231352222 501(C)(3) 1484317 0 GENERAL SUPPORT WELLSPAN HEALTH PO BOX 2767 YORK PA 17405 222517863 501(C)(3) 215919 0 GENERAL SUPPORT WELLSPAN MEDICAL GROUP PO BOX 2767 YORK PA 17405 232730785 501(C)(3) 39757 0 GENERAL SUPPORT VNA HOME HEALTH PO BOX 2767 YORK PA 17405 231352573 501(C)(3) 159541 0 GENERAL SUPPORT WELLSPAN SURGERY & REHABILITATION HOSPITAL PO BOX 2767 YORK PA 17405 232899911 501(C)(3) 6101 0 GENERAL SUPPORT 5 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 1523876 0 780000 0 86 0 13477 0 74010 0 2391449 0 0 LAURA BUCZKOWSKI EXECUTIVE VP & CFO - WELLSPAN HEALTH 0 694583 0 249750 0 10 0 16892 0 57133 0 1018368 0 0 VICTORIA M DIAMOND DIRECTOR 0 540466 0 196267 0 29979 0 16189 0 54358 0 837259 0 29834 JASON TROUT CHIEF DEV. OFFICER (UNTIL DEC. '22) 0 300880 0 64680 0 5884 0 18465 0 29770 0 419679 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. DURING THE CALENDAR YEAR 2022, THE FOLLOWING INDIVIDUALS RECEIVED DISTRIBUTIONS FROM THE DEFERRED COMPENSATION PLAN: VICTORIA M. DIAMOND - $29,834 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 2 PATRICK BRUBAKER IS A TREASURER ON THE YORK HEALTH FOUNDATION BOARD. HIS FATHER, PETER BRUBAKER, IS A DIRECTOR ON THE WELLSPAN HEALTH BOARD. FORM 990, PART VI, SECTION A, LINE 6 WELLSPAN HEALTH, A NOT-FOR-PROFIT CORPORATION, IS THE SOLE MEMBER OF THE YORK HEALTH 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. FORM 990, PART IX, LINE 11G CONTRACT LABOR: PROGRAM SERVICE EXPENSES 639,755. MANAGEMENT AND GENERAL EXPENSES 106,626. FUNDRAISING EXPENSES 319,878. TOTAL EXPENSES 1,066,259. OUTSIDE SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 61,659. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 61,659. 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 HEALTH SERVICES PO BOX 2767 YORK PA 174052767 251515376 HEALTH CARE SERVICES PA 501(C)(3) LINE 12A, I WELLSPAN SUMMIT HEALTH 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 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 0 0 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 0 0 SURGERY CENTER ASSOCIATES LLC PO BOX 2767 YORK PA 174052767 251845304 PHYSICIAN SERVICES PA CHAMBERSBURG HEALTH SERVICES 0 0 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 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0