b'From our Board Chair 2018 represented a year of continued growth for the HealthWell Foundation. The generosity of corporate and individual donors continued to underscore the importance of our work and their trust in our ability to execute effectively on our mission. Donations in excess of $427.5 million allowed us to provide a financial lifeline to more than 117,500 underinsured Americans, making 2018 another record year for the Foundation and our most impactful year to date. Without our donors commitments to and support of our mission, none of this would have been possible and, for that, we are truly grateful.As I have written in past years, I am concerned that the need for our services continues to grow. Ideally, we will someday realize the goal of affordable health care for all. HealthWell knows that the cost of health care is an increasing strain for most peopleeven those with insuranceand that out-of-pocket costs for copayments, deductibles, and premiums represent a large portion of the financial challenge they face. HealthWell is committed to addressing that hardship for as long as it continues to be the reality for many Americans. Since 2003, HealthWell has served as a safety net for the countrys underinsured by helping individuals living with chronic and life-altering conditions gain or maintain access to prescribed medical treatments that they otherwise would not be able to afford. Without our support, thousands of people would face the catastrophic decision of choosing between accessing or being able to continuecritical medical treatments, and having to refinance their homes, tap into their retirement funds, skip medications, or even cut back on daily necessities such as food. We eagerly await the time when federal, state, and local policies align to provide affordable health care for all Americans. Until that time comes, we will help provide a safety net for the underinsured that reduces their financial barriers Stephen M. Weinerto prescribed care.Board Chair We are also proud that, through challenging times when the integrity of some independent charitable patient assistance programs (CPAPs) has been subject to increased scrutiny, we continued to operate our programs in a manner that is compliant and remains true to our mission to serve those in need, just as we have done since our inception in 2003. By striving to exceed compliance with all applicable laws established for CPAPs, HealthWell continues to demonstrate our integrity to the government, our donors, and the public. HealthWell is a recognized leader in the industry. We do notand will nottake our responsibility for rigorous compliance lightly. We are honored that our dedicated corporate and individual donors continue to place their trust in HealthWell. They do so by providing the donations that enable us to continue to serve so many underinsured Americans. Our commitment will always be to maintain that trust.On behalf of our Board, thank you for your ongoing support of HealthWell. Your support allows us to continue to focus on our mission and to ensure that no one has to forgo critical medical treatments due to cost. We are honored to be able to assist those who have nowhere else to turn.Warm wishes,Stephen M. Weiner Board ChairPAGE 4 HEALTHWELL FOUNDATION 2018 ANNUAL REPORT'