b'Letter from the President In 2018, the HealthWell Foundation celebrated its 15 thyear of operation. Although the Foundation has undergone tremendous changes since serving our first grant recipient, one thing has remained constantthe need for our services. My heart is filled with gratitude for our continued growth and the ability to assist the tens of thousands of underinsured patients who turn to us every year to help them access critical, sometimes lifesaving, medical treatments. However, while we are honored to provide a financial lifeline to underinsured Americans who have nowhere else to turn, it is soul wrenching to know that the need for our services continues to grow. We continued to gain momentum in 2018 by expanding our team, our programs, and the number of patients we were able to serve. To be clear: none of this would have been possible without the gracious contributions of our individual and corporate donors. As a result of their selfless generosity, HealthWell assisted more than 117,500 patients in 201828,000 more than in 2017! Since awarding our first grant in 2004, we have helped over 405,000 underinsured patients by providing more than $1.25 billion in financial assistance. Thank you to our donors who continue to put their trust in the HealthWell Foundation and support our mission to reduce financial barriers to care for underinsured patients with chronic or life-altering diseases. We continue to set new records year over year and stand ready to serve even more patients in the years to come.In 2018, we launched or re-opened 18 disease funds and expanded our corporate team. We were honored to be recognized by charity watchdog groups and publications like The Chronicle of Philanthropy and GuideStar. In addition, we received the prestigious rank of #41 on the 2018 Forbes list of the 100 Largest U.S. Charities. Late in the year, we were proud to launch our very own contact center, HWF Direct, LLC, a wholly owned subsidiary of the HealthWell Foundation, located in Frederick, Maryland. The contact center, which was previously operated by a third party in Chantilly, Virginia, houses 70 highly trained HealthWell team members who serve as the first line of communication for callers. The opening of our contact center represents a significant milestone for the Foundation and further strengthens ourKrista Zodet ability to assist the thousands of underinsured Americans who reach out to us eachPresidentmonth for assistance in accessing critical medical treatments.We continued to work closely with our patient, provider, and pharmacy communities to help us identify the funds that patients need the most. Importantly, we honor every single grant we award. It is our promise to each grantee that once theyre approved, theyre able to access their grant up to the maximum grant amount or for the duration of their 12-month enrollment period, whichever comes first. As our momentum continues to propel us to new heights, the dedicated efforts of the amazing team that surrounds me every day reminds me that anything is possible! On behalf of our Board of Directors and my devoted and loyal team, I thank you for your generous support and for trusting HealthWell to serve those in need. Your commitment to the HealthWell Foundation allows us to carry out our mission to ensure that no one goes without critical medical treatments simply because they cant afford them. Thank you for helping us provide a financial lifeline to patients to help them access critical medical treatments.Warmest regards,Krista Zodet PresidentHEALTHWELL FOUNDATION 2018 ANNUAL REPORT PAGE 3'