2024-11-15T12:33:46-05:00 2023-12-31 920460586 PWC US TAX LLP 2001 MARKET ST SUITE 1800 PHILADELPHIA PA 19103 990 2023-01-01 232164794 GEISINGER SYSTEM SERVICES GEIS 5702716624 100 N ACADEMY AVE MC 49-70 DANVILLE PA 178229800 KEVIN V ROBERTS MBA CPA EVP, CFO, TREASURER 5702716624 2024-11-14 false ROBERT W FRIZ P00438748 2673303000 2024-11-15 2023 2024-10-15 13:58:12Z TERRY GILLILAND MD JD 100 N ACADEMY AVE MC 22-01 DANVILLE PA 17822 801437022 false X WWW.GEISINGER.ORG X 1981 PA STRIVE TO MAKE BETTER HEALTH EASIER BY PROVIDING ACCESS TO AFFORDABLE, HIGH QUALITY HEALTH SERVICES THROUGH EQUITABLE, INNOVATIVE, AND INCLUSIVE CARE MODELS THAT SUPPORT PATIENT CARE, EDUCATION, RESEARCH, & COMMUNITY SERVICE. 7 4 4529 4 -18019371 14017 739796 757259707 792043784 11860342 7559288 4290779 1001029 773410828 801343897 14079083 25000 0 368719103 404210610 0 0 393562602 405838794 776360788 810074404 -2949960 -8730507 1331136366 1538452546 1248869142 1282635646 82267224 255816900 X STRIVE TO MAKE BETTER HEALTH EASIER BY PROVIDING ACCESS TO AFFORDABLE, HIGH QUALITY HEALTH SERVICES THROUGH EQUITABLE, INNOVATIVE, AND INCLUSIVE CARE MODELS THAT SUPPORT PATIENT CARE, EDUCATION, RESEARCH, & COMMUNITY SERVICE. false false 749453815 25000 792818461 I. GENERAL PROGRAM SERVICE INFORMATION GEISINGER SYSTEM SERVICES (GSS), A 501(C)(3) NON-PROFIT CORPORATION, PROVIDES MANAGEMENT AND CONSULTATIVE SERVICES, AT COST, TO OTHER ENTITIES WITHIN GEISINGER. GSS PREPARES, IMPLEMENTS, AND AUDITS POLICIES AND PROCEDURES OF SYSTEM WIDE RELEVANCE AND IMPLEMENTS UNIFORM STANDARDS AND METHODS OF MANAGEMENT THROUGHOUT THE SYSTEM. SERVICES HISTORICALLY PROVIDED BY GSS TO OTHER ENTITIES WITHIN GEISINGER INCLUDE: APPOINTMENT SERVICES INTERNAL AUDIT AUTOMOTIVE SERVICES LEGAL SERVICES BUSINESS OFFICE MAIL SERVICES CARE SUPPORT SERVICES MARKETING COURIER SERVICES MEDICAL LIBRARY CUSTOMER ACCESS MEDICAL RECORDS CUSTOMER SERVICE CALL CENTER PATIENT EXPERIENCE DIVERSITY, EQUITY AND INCLUSION (DEI) PATIENT PLACEMENT SERVICES ELEVATOR OPERATIONS PLANT ENGINEERING EMPLOYEE BENEFIT ADMINISTRATION POWER PLANT FACILITIES PLANNING AND MANAGEMENT QUALITY AND SAFETY FINANCIAL SERVICES REPROGRAPHICS GENERAL MAINTENANCE RISK MANAGEMENT GROUNDS SUPPLY CHAIN HUMAN RESOURCES TRANSCRIPTION SERVICES INFORMATION SYSTEMS INCLUDES THE OPERATION AND MAINTENANCE OF THE ELECTRONIC HEALTH RECORDS FOR ALL PATIENTS OF THE VARIOUS GEISINGER PROVIDERS. II. COMMUNITY HEALTH, EDUCATION, AND OUTREACH GEISINGER SYSTEM SERVICES PROVIDES REDUCED PRICE SERVICES AND FREE PROGRAMS THROUGHOUT THE YEAR TO VARIOUS ORGANIZATIONS. THE PROVISION OF THESE SERVICES AND PROGRAMS IS BASED UPON THE ACTIVITIES AND SERVICES THAT THE ORGANIZATIONS PROVIDE FOR THE COMMUNITY AND WHICH GEISINGER SYSTEM SERVICES BELIEVES WILL SERVE A BONA FIDE COMMUNITY NEED. THESE COMMUNITY SERVICES AND ORGANIZATIONS RECEIVED CASH DONATIONS OR IN-KIND SERVICES DESCRIBED BELOW. A.HEALTH PROFESSIONS EDUCATION GSS PROVIDED 10,581 IN CONNECTION WITH TEACHING RADIOGRAPHIC SCIENCE DURING THE YEAR ENDED DECEMBER 31, 2023. B.OTHER IN-KIND SERVICES ADDITIONALLY, THE FOLLOWING ORGANIZATIONS, RECEIVED CASH CONTRIBUTIONS OR IN-KIND SERVICES INCLUDING, BUT NOT LIMITED TO, PROVIDING INFORMATION TECHNOLOGY SERVICES, OVERHEAD SERVICES AND EDUCATIONAL SUPPORT VALUED AT 4,847,000. RONALD MCDONALD HOUSE - OVERHEAD SERVICES INCLUDING MAINTENANCE AND PRINT SHOP SERVICES REAL RESULTS FOR PENNSYLVANIA - EDUCATIONAL SUPPORT EVANGELICAL COMMUNITY HOSPITAL - BUILD OF ELECTRONIC MEDICAL RECORDS SYSTEM (EPIC), AND ANNUAL MAINTENANCE SUPPORT, IN ACCORDANCE WITH APPLICABLE RULES AND REGULATIONS C.COMMUNITY BUILDING IN 2023, GSS PROVIDED STAFF IN SUPPORT OF THE DEVELOPMENT AND MAINTENANCE OF THE PLAIN COMMUNITY OUTREACH IN THE AMOUNT OF 59,026. D.OTHER COMMUNITY BENEFIT GSS EMPLOYEES PARTICIPATE IN THE COMMUNITY HEALTH NEEDS ASSESSMENT TEAM TO ASSIST IN THE IDENTIFICATION OF THE NEEDS OF THE COMMUNITY GEISINGER SERVES. THE UNCOMPENSATED COST OF THIS TIME AND THE RELATED TRACKING TOOL WAS 217,936 DURING THE YEAR ENDED DECEMBER 31, 2023. III. COMMUNITY SERVICE SUMMARY COMMUNITY HEALTH, EDUCATION AND OUTREACH 5,134,543 749453815 true false false true false false false false false false true true false true true false false true false false true false false false false false false true false true false false false true false false false false false false false false false true true true true false true X 1321 0 true 4529 true true true false false false false false false false false false true false X 7 4 true false false false true true true true true false false true true true true true true true true false PA CA IN NC X ERIN FITZGERALD CPA VP AND CAO 5702142299 100 N ACADEMY AVE MC 49-70 DANVILLE PA 178229800 JAEWON RYU MD JD PRESIDENT, D 40.00 X X 5492112 0 1571914 KEVIN V ROBERTS MBA CPA EVP, CFO, TR 40.00 X 3588266 0 60007 AMY B BRAYFORD EVP, CHF. OF 40.00 X 1552996 0 316690 MATTHEW WALSH DIRECTOR 40.00 X 1500068 0 314234 KAREN MURPHY RN PHD EVP, CHF. IN 40.00 X 1570160 0 211481 DOMINIC MOFFA MBA FACHE EVP, CHF. ST 40.00 X 1330682 0 257490 STEVEN B BENDER ESQUIRE EVP, CLO, SE 40.00 X 1008985 0 246564 JANET F TOMCAVAGE RN MSN EVP, CHF. NU 40.00 X 776228 0 195866 GERALD V MALONEY DO DIRECTOR 40.00 X 0 815329 127061 GREGORY G SCHULER CFA CHF. INVESTM 40.00 X 872779 0 28179 SPENCER KOWAL CFO, CLINICA 40.00 X 747984 0 140684 MIKE ANGELAKOS DRPH MBA CHIEF INFO O 40.00 X 698548 0 131422 MICHAEL LIMA CFA DEPUTY CIO 40.00 X 717919 0 62292 DONALD A STANZIANO CHIEF MARKET 40.00 X 665092 0 97910 TIMOTHY D FITZGERALD CFA FHFMA VP,TREASURY, 40.00 X 590780 0 118094 BRION T LIEBERMAN CHRO 40.00 X 567675 0 115983 DAVID VAWDREY CHIEF DATA O 40.00 X 619303 0 61055 ROBERT DEWAR VP CHIEF REV 40.00 X 571751 0 34359 MEGAN BROSIOUS FORMER KEY E 40.00 X 0 443072 100445 KEVIN J KERESTUS CIA CHF. ASSURAN 40.00 X 448185 0 63009 SEAN W KOENIG CHF. APPLICA 40.00 X 425364 0 44722 LORI R GRAMLEY ESQUIRE ACLO, ASST. 40.00 X 354475 0 47949 DANIEL R BENNETT CHIEF TECH O 40.00 X 310085 0 59900 JEFFREY A JACOBSON CHAIR, DIREC 0.25 2.75 X 0 0 0 BENJAMIN K CHU MD MPH MACP DIRECTOR 0.25 3.25 X 0 0 0 VIRGINIA MCGREGOR DIRECTOR 0.25 3.00 X 0 0 0 V CHRIS HOLCOMBE PE VICE CHAIR, 0.25 2.75 X 0 0 0 24409437 1258401 4407310 692 true true false ALVIN H BUTZ PO BOX 509 ALLENTOWN PA 18105 CONSTR SERVICES 45879952 DELOITTE CONSULTING LLP PO BOX 844717 DALLAS TX 75284 PROF SERVICES 31886452 MICROSOFT CORP 1950 N STEMMONS FWY STE 5010 DALLAS TX 75207 SOFTWARE SVCS 17520365 VISION MEDIA 11820 NORTHUP WAY STE E-100 BELLVUE WA 98005 PROF SERVICES 16067233 RIVERSIDE TECHNOLOGIES 748 N 109TH CT OMAHA NE 68154 IT SERVICES 15853574 304 X 739796 739796 INTERCOMPANY REVENUE 541900 755457552 755457552 GPO INCOME 541900 12063840 12063840 INTERCO REVENUE- SEE SCH O 541900 11217813 11217813 OTHER IC SUPPORT SERVICES 541900 8870564 8870564 INTERCOMPANY LEASE 531120 2466141 2466141 1967874 27347 1940527 792043784 5674317 -18046718 23721035 46675 46675 204174 93125 111049 111049 111049 1818046 20250 1818046 20250 1838296 1838296 PURCHASE DISCOUNTS 900099 774677 774677 WAGE ATTACHMENT FEES 541900 58131 58131 SETTLEMENTS 541900 24865 24865 32307 32307 889980 801343897 788384446 -18019371 30239026 X 25000 25000 21792134 2049188 19742946 443349 441453 1896 286516953 271857027 14659926 12867339 12208969 658370 61652339 58497835 3154504 20938496 19867157 1071339 19457690 18462118 995572 299030 283730 15300 407170 386337 20833 6060004 5183476 876528 123460139 117143178 6316961 19508826 18510637 998189 21231616 20145280 1086336 115146119 109254553 5891566 11748417 11147298 601119 3652242 3465372 186870 1302 1235 67 83894 79601 4293 11008155 10444912 563243 58658499 55657178 3001321 1312381 1245232 67149 UBI TAX 719868 683035 36833 INTER-ENTITY EXPENSE 6313894 5990837 323057 BOOKS, LISC, FEES, DUES 4774763 4530457 244306 OTHER TAXES 1860592 1765393 95199 134193 127327 6866 810074404 749453815 60620589 0 47050242 52118961 21812607 27809569 53485 38670 2602487 2792646 26744211 25592855 68384546 63662115 865195996 488053672 364602098 377142324 43405137 90765257 44609934 197044866 711871619 701485283 1331136366 1538452546 521295118 489037350 315659475 311436725 8004980 6534665 403909569 475626906 1248869142 1282635646 X 82267224 255816900 82267224 255816900 1331136366 1538452546 X -8730507 32235496 150044687 X X false true X true false X X 13 GEISINGER MEDICAL CENTER 240795959 3 false 0 0 GEISINGER WYOMING VALLEY MEDICAL CENTER 231996150 3 false 0 0 MARWORTH 232171417 3 false 0 0 GEISINGER HEALTH 231995911 7 true 0 0 GEISINGER COMMUNITY HEALTH SERVICES 232967235 10 false 0 0 COMMUNITY MEDICAL CENTER 240862246 3 false 0 0 GEISINGER BLOOMSBURG HOSPITAL 232193572 3 false 0 0 GEISINGER LEWISTOWN HOSPITAL 231352187 3 false 0 0 WEST SHORE ADVANCED LIFE SUPPORT SERVICES INC 232463002 7 false 0 0 GEISINGER HEALTH PLAN 232311553 10 false 0 0 GEISINGER JERSEY SHORE HOSPITAL 240792115 3 false 0 0 GEISINGER CLINIC 236291113 3 false 0 0 GEISINGER MEDICAL CENTER MUNCY 851226106 3 false 0 0 13 0 false false true true true false false false false false false false false false false false false true true PART I, LINE 11H COMMUNITY MEDICAL CENTER 24-0862246 3 0 0 GEISINGER BLOOMSBURG HOSPITAL 23-2193572 3 0 0 GEISINGER LEWISTOWN HOSPITAL 23-1352187 3 0 0 WEST SHORE ADVANCED LIFE SUPPORT SERVICES, INC 23-2463002 7 0 0 GEISINGER HEALTH PLAN 23-2311553 10 0 0 GEISINGER JERSEY SHORE HOSPITAL 24-0792115 3 0 0 GEISINGER CLINIC 23-6291113 3 0 0 GEISINGER MEDICAL CENTER MUNCY 85-1226106 3 0 0 PART IV, SECTION A, LINE 1 GEISINGER SYSTEM SERVICES SUPPORTED ORGANIZATIONS ARE DESIGNATED BY CLASS AND PURPOSE. PER GSS'S ARTICLES OF INCORPORATION, THE CORPORATION IS INCORPORATED UNDER THE NONPROFIT CORPORATION LAW OF 1972 OF THE COMMONWEALTH OF PENNSYLVANIA, AS AMENDED, FOR THE PURPOSE OF CONDUCTING EXCLUSIVELY CHARITABLE, SCIENTIFIC AND EDUCATIONAL ACTIVITIES WITHIN THE MEANING OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1954, AS AMENDED (OR THE CORRESPONDING PROVISION OF ANY SUCCESSOR UNITED STATES INTERNAL REVENUE LAW) (THE "INTERNAL REVENUE CODE"), INCLUDING THE PROVISION OF ADMINISTRATIVE, MANAGEMENT AND OTHER SUPPORT SERVICES FOR THE GEISINGER HEALTH SYSTEM FOUNDATION, ORGANIZATIONS AFFILIATED WITH SUCH FOUNDATION AND OTHER ORGANIZATIONS AND MAKING DONATIONS AND OTHER TRANSFERS TO THE GEISINGER HEALTH SYSTEM FOUNDATION AND TO ORGANIZATIONS CONTROLLED BY SUCH FOUNDATION AND DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, CONSISTENT WITH AND IN FURTHERANCE OF THESE PURPOSES. THE CORPORATION SHALL ENGAGE IN ALL ACTIVITIES PROPERLY RELATED TO THE FOREGOING, INCLUDING THE SOLICITATION OF FUNDS FROM INDIVIDUALS, CORPORATIONS AND OTHER EXEMPT ORGANIZATIONS FOR FINANCING THE SERVICES TO BE PROVIDED. GEISINGER HEALTH SYSTEM FOUNDATION IS NOW GEISINGER HEALTH. PART IV, SECTION A, LINE 3B THE 501(C)(4) ORGANIZATION SUPPORTED BY GEISINGER SYSTEM SERVICES RECEIVED AN IRS DETERMINATION LETTER CONFIRMING ITS STATUS AS A 501(C)(4) ORGANIZATION ON AUGUST 1, 1990. ALSO, REFER TO RESPONSE TO LINE 3C. PART IV, SECTION A, LINE 3C TO ENSURE THAT ALL SUPPORT IS USED EXCLUSIVELY FROM SECTION 170(C)(2)(B) PURPOSES, THE FOLLOWING CONTROLS ARE IN PLACE: (1) GEISINGER SYSTEM SERVICES RECEIVED A PRIVATE LETTER RULING FROM THE IRS ON AUGUST 1, 1990. THE RULING INDICATES THAT THE PROVISION OF MANAGEMENT AND SUPPORT SERVICES TO THE 501(C)(4) ORGANIZATION CONTRIBUTES IMPORTANTLY TO THE ACCOMPLISHMENT OF GEISINGER SYSTEM SERVICES EXEMPT PURPOSE, THE PROMOTION OF HEALTH. THE PROVISION OF SERVICES TO THE 501(C)(4) ORGANIZATION WAS DEEMED RELATED AND NOT SUBJECT TO THE UNRELATED BUSINESS INCOME TAX. IN ADDITION, GEISINGER SYSTEM SERVICES DOES NOT PROVIDE MONETARY SUPPORT TO THE 501(C)(4) ORGANIZATION. (2) THE ARTICLES OF INCORPORATION OF THE 501(C)(4) ORGANIZATION STATE THAT UPON THE DISSOLUTION OF THE CORPORATION, THE BOARD OF DIRECTORS SHALL, AFTER PAYING OR MAKING PROVISION FOR THE PAYMENT OF ALL OF THE LIABILITIES AND OBLIGATIONS OF THE CORPORATION, PAY OVER AND TRANSFER, SUBJECT TO THE PRIOR APPROVAL OF THE TRUSTEE OF THE ABIGAIL GEISINGER TRUST, OR ITS SUCCESSOR, ALL OF THE ASSETS OF THE CORPORATION TO AN ORGANIZATION OR ORGANIZATIONS ORGANIZED AND OPERATED EXCLUSIVELY FOR CHARITABLE, EDUCATIONAL OR SCIENTIFIC PURPOSES, PROVIDED THAT AT SUCH TIME THE RECIPIENT QUALIFIES AS AN ORGANIZATION EXEMPT FROM TAX UNDER THE INTERNAL REVENUE CODE. NO PORTION OF THE ASSETS SHALL INURE TO THE BENEFIT OF ANY DIRECTOR, OFFICER OR MEMBER OF THE CORPORATION OR ANY ENTERPRISE ORGANIZED FOR PROFIT. (3) THE ARTICLES OF INCORPORATION OF THE 501(C)(4) CORPORATION CANNOT BE AMENDED WITHOUT THE PRIOR APPROVAL OF THE GEISINGER HEALTH SYSTEM FOUNDATION, NOW GEISINGER HEALTH, THE 501(C)(3) PARENT ORGANIZATION. PART IV, SECTION B, LINE 2 GEISINGER HEALTH, PARENT ORGANIZATION OF GEISINGER AND THE ORGANIZATION WHICH HAS THE POWER TO REGULARLY APPOINT AT LEAST A MAJORITY OF GEISINGER SYSTEM SERVICES'S DIRECTORS, IS INCORPORATED FOR THE CHARITABLE PURPOSE OF CONDUCTING EXCLUSIVELY CHARITABLE, SCIENTIFIC AND EDUCATIONAL ACTIVITIES WITHIN THE MEANING OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED (OR THE CORRESPONDING PROVISION OF ANY SUCCESSOR UNITED STATES INTERNAL REVENUE LAW) (THE "INTERNAL REVENUE CODE"), INCLUDING, DIRECTLY OR INDIRECTLY, SUPPORTING THE PURPOSES OF, GEISINGER MEDICAL CENTER OR ANY OTHER ORGANIZATION AFFILIATED WITH THE CORPORATION WHICH QUALIFIES AS AN EXEMPT ORGANIZATION UNDER SECTION 501(C)(3)OF THE INTERNAL REVENUE CODE. GEISINGER HEALTH ENGAGES IN ALL ACTIVITIES PROPERLY RELATED TO THE FOREGOING, INCLUDING THE SOLICITATION OF FUNDS FROM INDIVIDUALS, CORPORATIONS AND OTHER ORGANIZATIONS FOR FINANCING THE SERVICES TO BE PROVIDED. THEREFORE, GEISINGER SYSTEM SERVICES'S SUPPORT OF OTHER 501(C)(3) ORGANIZATIONS WITHIN GEISINGER, AND AFFILIATED WITH GEISINGER MEDICAL CENTER AND GEISINGER HEALTH, SERVES TO SUPPORT THE CHARITABLE PURPOSES OF GEISINGER HEALTH. GEISINGER IS A PHYSICIAN-LED, INTEGRATED HEALTH SERVICES ORGANIZATION THAT HAS AS ITS MAIN COMPONENTS: 1. NUMEROUS HEALTH SERVICE FACILITIES, INCLUDING EIGHT ACUTE CARE HOSPITALS WITH MULTIPLE CAMPUSES AND JOINT VENTURE FACILITIES; 2. A MULTISPECIALTY PHYSICIAN GROUP PRACTICE WITH APPROXIMATELY 1,700 PHYSICIANS AND 1,200 ADVANCED PRACTITIONERS PRACTICING AT PRIMARY AND SPECIALTY CLINICS, HOSPITALS AND OTHER CLINICAL FACILITIES; 3. GEISINGER HEALTH PLANS ("GHPS"), INCLUDING GEISINGER HEALTH PLAN, GEISINGER INDEMNITY INSURANCE COMPANY AND GEISINGER QUALITY OPTIONS, INC. WITH COMMERCIAL, MEDICARE ADVANTAGE, MEDICAID AND SELF-INSURED INSURANCE PRODUCTS; AND 4. GEISINGER COMMONWEALTH SCHOOL OF MEDICINE THAT EDUCATES APPROXIMATELY 464 MEDICAL STUDENTS, GEISINGER SCHOOL OF GRADUATE STUDIES THAT EDUCATES 122 GRADUATE STUDENTS, AND 70 NURSING STUDENTS IN THE GEISINGER SCHOOL OF NURSING. GEISINGER OPERATES ACROSS PENNSYLVANIA, WITH A THE MOST CONCENTRATED CLINICAL PRESENCE IN CENTRAL AND NORTHEASTERN PENNSYLVANIA, OUTSIDE THE MAJOR METROPOLITAN AREAS. FOR THE TRAILING TWELVE MONTHS ENDED DECEMBER 31, 2023, GEISINGER CARED FOR A POPULATION OF APPROXIMATELY 1,167,000 PEOPLE, A DECREASE OF 0.2% VERSUS THE YEAR-EARLIER PERIOD. THIS POPULATION INCLUDED 859,000 PATIENTS RECEIVING CARE IN THE TRAILING TWELVE MONTHS AND MORE THAN 578,000 GHPS MEMBERS, A 5.5% DECREASE VERSUS THE YEAR EARLIER PERIOD, INCLUDING THE MEMBERSHIP IMPACT FROM MEDICAID REDETERMINATION. THE POPULATION CONTAINED APPROXIMATELY 270,000 PEOPLE INCLUDED AS BOTH GEISINGER PATIENTS AND MEMBERS. THROUGHOUT THIS DOCUMENT, THE TERMS "GEISINGER- OR "GEISINGER HEALTH" SHALL REFER TO THE ENTIRE HEALTH CARE SYSTEM COMPRISED OF GEISINGER HEALTH FOUNDATION (THE "FOUNDATION") AS PARENT AND ALL SUBSIDIARY CORPORATE ENTITIES COMPRISING THE HEALTH CARE SYSTEM. IN ADDITION, THROUGHOUT THIS DOCUMENT, THE TERM "SYSTEM" SHALL REFER TO THE ENTIRE HEALTH CARE SYSTEM AS PREVIOUSLY DEFINED PLUS ITS AFFILIATES. false true false false false false true 353275 false true 135970 489245 false SCHEDULE C, PART II-B, LINE 1 LINE 1D: MAILINGS TO MEMBERS, LEGISLATORS, OR THE PUBLIC CONSIST PRIMARILY OF EMAILS TO LEGISLATORS BY THE ORGANIZATION'S GOVERNMENT RELATIONS DEPARTMENT. WHILE THE AMOUNT FOR MAILINGS IS NOT READILY QUANTIFIABLE, THE ORGANIZATION RECOGNIZES THAT THESE EXPENSES MAY OCCUR IN THE COURSE OF BUSINESS. LINE 1B AND 1G: 82,075 OF EXPENDITURES ON LINE 1G REPRESENT THE WAGES AND BENEFITS OF THE GOVERNMENT RELATIONS DEPARTMENT WHOSE PRIMARY PURPOSE IS TO MAINTAIN CONTACT WITH FEDERAL,STATE, AND LOCAL GOVERNMENT OFFICIALS. THE DEPARTMENT PROMOTES LEGISLATIVE ACTIONS WITH RESPECT TO HEALTHCARE RELATED ISSUES THAT COULD IMPACT THE ORGANIZATION AND ITS AFFILIATES. 271,200 OF EXPENDITURES ON LINE 1G REPRESENT FEES PAID TO CONSULTANTS TO LOBBY ON BEHALF OF THE GOVERNMENT RELATIONS DEPARTMENT REGARDING FEDERAL AND STATE LEGISLATION RELATED TO HEALTHCARE ISSUES. LINE 1I: 135,970 OF OTHER LOBBYING ACTIVITIES REPORTED ON LINE 1I REPRESENTS THE PORTION OF MEMBERSHIP DUES, PAID BY THE ORGANIZATION TO TRADE OR PROFESSIONAL ASSOCIATIONS, ATTRIBUTABLE TO LOBBYING ACTIVITIES. 16674229 16674229 84179333 37605803 46573530 3108213 2574063 534150 678885648 444069711 234815937 82348573 3804095 78544478 377142324 197044866 F 197044866 DUE FROM AFFILIATES 369175057 DEFERRED COMPENSATION 272543981 INSURANCE RECOVERIES 59318031 OTHER ASSETS 448214 701485283 DEFERRED COMPENSATION 271774134 MEDICAL LEGAL LIABILITY/DEFENSE 143639473 INSURANCE RECOVERIES 59318031 OTHER LIABILITIES 688210 FINANCIAL CONTRACT 207058 475626906 SCHEDULE D, PAGE 4, PART XIII PART X, LINE 2 - LIABILITY FOR UNCERTAIN TAX POSITIONS EFFECTIVE JULY 1, 2007, GEISINGER ADOPTED ACCOUNTING STANDARDS CODIFICATION 740 (FIN 48), (FORMERLY KNOWN AS "STATEMENT 109: ACCOUNTING FOR INCOME TAXES- OR "FAS 109"). FIN 48 CLARIFIES THE ACCOUNTING AND REPORTING FOR INCOME TAXES WHERE INTERPRETATION OF THE TAX LAW MAY BE UNCERTAIN. FIN 48 PRESCRIBES A COMPREHENSIVE MODEL FOR THE FINANCIAL STATEMENT RECOGNITION, MEASUREMENT, PRESENTATION AND DISCLOSURE OF INCOME TAX UNCERTAINTIES WITH RESPECT TO POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN INCOME TAX RETURNS. THE ADOPTION OF FIN 48 HAD NO IMPACT ON UNRESTRICTED NET ASSETS AS OF THE END OF THE CALENDAR YEAR OR ANY PREVIOUS YEAR SINCE ADOPTION. ACCORDINGLY, NO FIN 48 FOOTNOTE DISCLOSURE WAS MADE IN THE GEISINGER CONSOLIDATED FINANCIAL STATEMENTS. CENTRAL AMERICA AND CARIBBEAN INVESTMENT 17338425 EAST ASIA AND THE PACIFIC INVESTMENT 307733 EUROPE INVESTMENT 36206527 NORTH AMERICA INVESTMENT 18578216 SOUTH AMERICA INVESTMENT 35434 MIDDLE EAST AND NORTH AFRICA INVESTMENT 207560 72673895 72673895 true false true false true false SCHEDULE F, PAGE 1, PART I, LINE 3 CENTRAL AMERICA AND CARIBBEAN 0 17,338,425 EAST ASIA AND THE PACIFIC 0 307,733 EUROPE 0 36,206,527 NORTH AMERICA 0 18,578,216 SOUTH AMERICA 0 35,434 MIDDLE EAST AND NORTH AFRICA 0 207,560 true REAL RESULTS FOR PENNSYLVANANIA 611 PENNSYLVANIA AVE SE STE 143 WASHINGTON DC 20003 923805561 501C4 25000 HEALTHPOLICYRESEARCH 1 SCHEDULE I, PAGE 1, PART I, LINE 2 GEISINGER SYSTEM SERVICES, A SUBSIDIARY OF GEISINGER HEALTH, PROVIDES ASSISTANCE IN THE FORM OF CHARITABLE CONTRIBUTIONS TO TAX-EXEMPT ORGANIZATIONS THAT QUALIFY FOR 501(C)(3) STATUS UNDER THE INTERNAL REVENUE CODE, LIMITED 501(C)(4) ORGANIZATIONS BASED ON EXPLICIT CRITERIA, PUBLIC BENEFIT OR NON-EXEMPT ORGANIZATIONS WHOSE ACTIVITIES FURTHER THE EXEMPT PURPOSE OF GEISINGER HEALTH. GEISINGER SYSTEM SERVICES NOTIFIES THE PUBLIC BENEFIT OR NON-EXEMPT ORGANIZATIONS OF THE INTENT AND PURPOSE OF THE CHARITABLE CONTRIBUTION. ORGANIZATIONS SEEKING SUPPORT MUST DEMONSTRATE THAT THEY EFFECTIVELY MEET AN IMPORTANT COMMUNITY NEED. THROUGHOUT THIS PRESENTATION, THE TERMS "GEISINGER- OR "GEISINGER HEALTH" SHALL REFER TO THE ENTIRE HEALTH CARE SYSTEM COMPRISED OF GEISINGER HEALTH FOUNDATION (THE "FOUNDATION") AS PARENT AND ALL SUBSIDIARY CORPORATE ENTITIES COMPRISING THE HEALTH CARE SYSTEM. IN ADDITION, THROUGHOUT THIS PRESENTATION, THE TERM "SYSTEM" SHALL REFER TO THE ENTIRE HEALTH CARE SYSTEM AS PREVIOUSLY DEFINED PLUS ITS AFFILIATES. X true true X X X X X X true true false false false false false false true true JAEWON RYU MD JD PRESIDENT, DIRECTOR 4389743 1102369 1528292 43622 7064026 1064507 KEVIN V ROBERTS MBA CPA EVP, CFO, TREASURER 1697460 1890806 23292 36715 3648273 1488942 AMY B BRAYFORD EVP, CHF. OF STAFF 1257760 295236 273292 43398 1869686 260704 MATTHEW WALSH DIRECTOR 1248929 251139 273292 40942 1814302 219524 KAREN MURPHY RN PHD EVP, CHF. INNOV. OFF 707746 862414 188092 23389 1781641 619285 DOMINIC MOFFA MBA FACHE EVP, CHF. STRAT. OFF 1014186 316496 225957 31533 1588172 254318 STEVEN B BENDER ESQUIRE EVP, CLO, SECRETARY 879843 129142 203292 43272 1255549 88396 JANET F TOMCAVAGE RN MSN EVP, CHF. NURSING EX 708640 67588 168292 27574 972094 GERALD V MALONEY DO DIRECTOR 699927 115402 95392 31669 942390 64210 GREGORY G SCHULER CFA CHF. INVESTMENT OFF. 515895 328000 28884 23292 4887 900958 SPENCER KOWAL CFO, CLINICAL ENT. 690795 57189 94902 45782 888668 MIKE ANGELAKOS DRPH MBA CHIEF INFO OFFICER 671962 26586 93292 38130 829970 MICHAEL LIMA CFA DEPUTY CIO 343185 325000 49734 23292 39000 780211 DONALD A STANZIANO CHIEF MARKETING OFF. 575591 89501 81770 16140 763002 59620 TIMOTHY D FITZGERALD CFA FHFMA VP,TREASURY,FIN SYS 511987 78793 76888 41206 708874 46624 BRION T LIEBERMAN CHRO 502947 64728 75476 40507 683658 DAVID VAWDREY CHIEF DATA OFFICER 571064 48239 23292 37763 680358 ROBERT DEWAR VP CHIEF REV OFFICER 569415 2336 23292 11067 606110 MEGAN BROSIOUS FORMER KEY EMPLOYEE 409491 33581 66137 34308 543517 KEVIN J KERESTUS CIA CHF. ASSURANCE OFF. 434016 14169 23292 39717 511194 SEAN W KOENIG CHF. APPLICATION OFF 408869 16495 23292 21430 470086 LORI R GRAMLEY ESQUIRE ACLO, ASST. SECY. 326632 27843 23292 24657 402424 DANIEL R BENNETT CHIEF TECH OFFICER 269380 40705 22143 37757 369985 SCHEDULE J, PAGE 1, PART I, LINE 1A TAX INDEMNIFICATION AND GROSS-UP PAYMENTS - FROM TIME TO TIME, THE GEISINGER BOARD OF DIRECTORS OR GEISINGER SENIOR MANAGEMENT APPROVE THE GROSS-UP OF EXPENSES, WHICH FURTHER GEISINGER BUSINESS, FOR TAX OBLIGATIONS. SCHEDULE J, PAGE 1, PART I, LINE 4 JAEWON RYU, MD, JD 0 1,064,507 0 KEVIN V. ROBERTS, MBA, CPA 0 1,488,942 0 AMY B. BRAYFORD 0 260,704 0 MATTHEW WALSH 0 219,524 0 KAREN MURPHY, RN, PHD 195,859 619,285 0 DOMINIC MOFFA, MBA, FACHE 0 254,318 0 STEVEN B. BENDER, ESQUIRE 0 88,396 0 GERALD V. MALONEY, DO 0 64,210 0 DONALD A. STANZIANO 0 59,620 0 TIMOTHY D. FITZGERALD, CFA, FHFMA 0 46,624 0 BRION T. LIEBERMAN 0 40,942 0 SCHEDULE J, PAGE 1, PART I, LINE 8 THE EMPLOYEES LISTED PARTICIPATE IN A COMPENSATION PROGRAM DESIGNED TO BE MARKET COMPETITIVE. FROM TIME TO TIME, DEPENDING ON THE AVAILABILITY OF QUALIFIED APPLICANTS, RECRUITMENT LOANS MAY BE MADE AVAILABLE TO QUALIFIED APPLICANTS IN DIFFICULT TO RECRUIT POSITIONS. SUCH LOANS ARE ONLY PROVIDED IF TOTAL COMPENSATION, INCLUDING THE LOAN AMOUNT, IS CONSIDERED REASONABLE COMPENSATION PER INDEPENDENT SALARY SURVEYS. SCHEDULE J, PART III PART I, LINE 4A - SEVERANCE PAYMENT UPON INVOLUNTARY SEPARATION, EMPLOYEES MAY BE ELIGIBLE TO RECEIVE CONTINUATION OF SALARY FOR A TERM THAT IS BASED ON THEIR YEARS OF GEISINGER SERVICE AND POSITION. PART I, LINE 4B - SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN COMPENSATION FOR ELIGIBLE EMPLOYEES MAY BE DEFERRED TO A 457(F) NONQUALIFIED PLAN THAT VESTS WITH COMPLETION OF SERVICE, DEATH AND/OR PERMANENT DISABILITY. MIKE ANGELAKOS KEY EMPLOYEE RECRUITMENT X 50000 20019 false true true SEAN W KOENIG KEY EMPLOYEE RECRUITMENT X 30000 18651 false true true 38670 FORM 990 FORM 990, PART IV, LINE 24A: DID THE ORGANIZATION HAVE A TAX-EXEMPT BOND ISSUE WITH AN OUTSTANDING PRINCIPAL AMOUNT OF MORE THAN 100,000 AS OF THE LAST DAY OF THE YEAR, THAT WAS ISSUED AFTER DECEMBER 31, 2002? GEISINGER HEALTH (GH) IS CURRENTLY THE SOLE OBLIGOR UNDER A SERIES OF BOND ISSUES, INCLUDING TAX-EXEMPT BONDS ISSUED PRIOR TO DECEMBER 31, 2002, WITH A TOTAL OUTSTANDING BALANCE AT DECEMBER 31, 2023 OF 1,637,871,513, INCLUSIVE OF UNAMORTIZED ORIGINAL ISSUE DISCOUNT. BECAUSE THE BOND PROCEEDS ARE DISBURSED TO GH SUBSIDIARIES, THE TAX-EXEMPT BOND LIABILITIES ARE REFLECTED ON THE BALANCE SHEETS OF THE FOLLOWING SUBSIDIARY ORGANIZATIONS: GEISINGER MEDICAL CENTER EIN: 24-0795959 GEISINGER WYOMING VALLEY MEDICAL CENTER EIN: 23-1996150 GEISINGER CLINIC EIN: 23-6291113 MARWORTH EIN: 23-2171417 GEISINGER SYSTEM SERVICES EIN: 23-2164794 COMMUNITY MEDICAL CENTER EIN: 24-0862246 GEISINGER-BLOOMSBURG HOSPITAL EIN: 23-2193572 GEISINGER-LEWISTOWN HOSPITAL EIN: 23-1352187 GEISINGER COMMONWEALTH SCHOOL OF MEDICINE EIN: 26-0812968 GEISINGER JERSEY SHORE HOSPITAL EIN: 24-0792115 SCHEDULE K WAS PREPARED ON A CONSOLIDATED BASIS AND IS INCLUDED IN THE FORM 990 FILING OF GEISINGER HEALTH, EIN: 23-1995911. FORM 990, PART IX, LINE 24 OTHER EXPENSES: INCLUDED IN THE 1,431,332 OF OTHER / EXCISE TAXES ON LINE 24C IS FEDERAL UNRELATED BUSINESS INCOME TAX OF (7,495). FORM 990, PAGE 2, PART III, LINE 4A I. GENERAL PROGRAM SERVICE INFORMATION GEISINGER SYSTEM SERVICES (GSS), A 501(C)(3) NON-PROFIT CORPORATION, PROVIDES MANAGEMENT AND CONSULTATIVE SERVICES, AT COST, TO OTHER ENTITIES WITHIN GEISINGER. GSS PREPARES, IMPLEMENTS, AND AUDITS POLICIES AND PROCEDURES OF SYSTEM WIDE RELEVANCE AND IMPLEMENTS UNIFORM STANDARDS AND METHODS OF MANAGEMENT THROUGHOUT THE SYSTEM. SERVICES HISTORICALLY PROVIDED BY GSS TO OTHER ENTITIES WITHIN GEISINGER INCLUDE: APPOINTMENT SERVICES INTERNAL AUDIT AUTOMOTIVE SERVICES LEGAL SERVICES BUSINESS OFFICE MAIL SERVICES CARE SUPPORT SERVICES MARKETING COURIER SERVICES MEDICAL LIBRARY CUSTOMER ACCESS MEDICAL RECORDS CUSTOMER SERVICE CALL CENTER PATIENT EXPERIENCE DIVERSITY, EQUITY AND INCLUSION (DEI) PATIENT PLACEMENT SERVICES ELEVATOR OPERATIONS PLANT ENGINEERING EMPLOYEE BENEFIT ADMINISTRATION POWER PLANT FACILITIES PLANNING AND MANAGEMENT QUALITY AND SAFETY FINANCIAL SERVICES REPROGRAPHICS GENERAL MAINTENANCE RISK MANAGEMENT GROUNDS SUPPLY CHAIN HUMAN RESOURCES TRANSCRIPTION SERVICES INFORMATION SYSTEMS INCLUDES THE OPERATION AND MAINTENANCE OF THE ELECTRONIC HEALTH RECORDS FOR ALL PATIENTS OF THE VARIOUS GEISINGER PROVIDERS. II. COMMUNITY HEALTH, EDUCATION, AND OUTREACH GEISINGER SYSTEM SERVICES PROVIDES REDUCED PRICE SERVICES AND FREE PROGRAMS THROUGHOUT THE YEAR TO VARIOUS ORGANIZATIONS. THE PROVISION OF THESE SERVICES AND PROGRAMS IS BASED UPON THE ACTIVITIES AND SERVICES THAT THE ORGANIZATIONS PROVIDE FOR THE COMMUNITY AND WHICH GEISINGER SYSTEM SERVICES BELIEVES WILL SERVE A BONA FIDE COMMUNITY NEED. THESE COMMUNITY SERVICES AND ORGANIZATIONS RECEIVED CASH DONATIONS OR IN-KIND SERVICES DESCRIBED BELOW. A.HEALTH PROFESSIONS EDUCATION GSS PROVIDED 10,581 IN CONNECTION WITH TEACHING RADIOGRAPHIC SCIENCE DURING THE YEAR ENDED DECEMBER 31, 2023. B.OTHER IN-KIND SERVICES ADDITIONALLY, THE FOLLOWING ORGANIZATIONS, RECEIVED CASH CONTRIBUTIONS OR IN-KIND SERVICES INCLUDING, BUT NOT LIMITED TO, PROVIDING INFORMATION TECHNOLOGY SERVICES, OVERHEAD SERVICES AND EDUCATIONAL SUPPORT VALUED AT 4,847,000. RONALD MCDONALD HOUSE - OVERHEAD SERVICES INCLUDING MAINTENANCE AND PRINT SHOP SERVICES REAL RESULTS FOR PENNSYLVANIA - EDUCATIONAL SUPPORT EVANGELICAL COMMUNITY HOSPITAL - BUILD OF ELECTRONIC MEDICAL RECORDS SYSTEM (EPIC), AND ANNUAL MAINTENANCE SUPPORT, IN ACCORDANCE WITH APPLICABLE RULES AND REGULATIONS C.COMMUNITY BUILDING IN 2023, GSS PROVIDED STAFF IN SUPPORT OF THE DEVELOPMENT AND MAINTENANCE OF THE PLAIN COMMUNITY OUTREACH IN THE AMOUNT OF 59,026. D.OTHER COMMUNITY BENEFIT GSS EMPLOYEES PARTICIPATE IN THE COMMUNITY HEALTH NEEDS ASSESSMENT TEAM TO ASSIST IN THE IDENTIFICATION OF THE NEEDS OF THE COMMUNITY GEISINGER SERVES. THE UNCOMPENSATED COST OF THIS TIME AND THE RELATED TRACKING TOOL WAS 217,936 DURING THE YEAR ENDED DECEMBER 31, 2023. III. COMMUNITY SERVICE SUMMARY COMMUNITY HEALTH, EDUCATION AND OUTREACH 5,134,543 FORM 990, PART V FORM 990, PART V, LINE 1A: ENTER THE NUMBER REPORTED IN BOX 3 OF FORM 1096, ANNUAL SUMMARY AND TRANSMITTAL OF U.S. INFORMATION RETURNS. GEISINGER SYSTEM SERVICES (GSS) PROVIDES A CENTRALIZED ACCOUNTS PAYABLE FUNCTION FOR ALL GEISINGER ORGANIZATIONS. AS THE ACCOUNTS PAYABLE PROCESSOR, GSS PREPARES AND FILES FORM 1099 UNDER ITS EIN FOR ALL REPORTABLE PAYMENTS OF ITSELF AND CERTAIN AFFILIATES, AND CERTAIN REPORTABLE PAYMENTS OF SOME OF ITS AFFILIATES. THEREFORE, THE NUMBER OF FORM 1099'S FILED BY GSS FOR THE REPORTING PERIOD AS REPORTED ON LINE 1A INCLUDES THE NUMBER OF FORM 1099S FILED ON BEHALF OF ITSELF AND ITS AFFILIATES. FORM 990, PART VI FORM 990, PART VI, SECTION A, LINE 2: DID ANY OFFICER, DIRECTOR, TRUSTEE, OR KEY EMPLOYEE HAVE A FAMILY RELATION- SHIP OR BUSINESS RELATIONSHIP WITH ANY OTHER OFFICER, DIRECTOR, TRUSTEE, OR KEY EMPLOYEE? BENJAMIN K. CHU, MD, MPH, MACP, GERALD V. MALONEY, DO , JAEWON RYU, MD, JD, JANET F. TOMCAVAGE, RN, MSN, JEFFREY A. JACOBSON, KAREN MURPHY, RN, PHD, KEVIN V. ROBERTS, MBA, CPA, LORI R. GRAMLEY, ESQUIRE, MATTHEW WALSH, STEVEN B. BENDER, ESQUIRE, V. CHRIS HOLCOMBE, PE, AND VIRGINIA MCGREGOR ALL HAVE A BUSINESS RELATIONSHIP WITH ONE ANOTHER BECAUSE THEY SERVE AS OFFICERS AND/OR DIRECTORS ON ONE OR MORE FOR-PROFIT AFFILIATES OF THE ENTITY. ALL AFFILIATES ARE PART OF GEISINGER. FORM 990, PAGE 6, PART VI, LINE 1A THERE WAS A DELEGATION OF AUTHORITY TO THE GEISINGER HEALTH EMERGENCY ACTION COMMITTEE, WHICH IS COMPRISED OF THE CHAIR OF THE BOARD, VICE-CHAIR OF THE BOARD, THE PRESIDENT AND CEO (EX-OFFICIO DIRECTOR), CHAIR OF THE FINANCE COMMITTEE AND CHAIR OF THE PATIENT EXPERIENCE, ACADEMIC AFFAIRS AND QUALITY COMMITTEE. UNDER THE NONPROFIT CORPORATION LAW AND UNDER GEISINGER HEALTH'S CORPORATE BYLAWS, THE EMERGENCY ACTION COMMITTEE SHALL EXERCISE THE POWER AND AUTHORITY OF THE BOARD OF DIRECTORS TO ACT ON EMERGENCY MATTERS BETWEEN MEETINGS OF THE BOARD OF DIRECTORS. FORM 990, PAGE 6, PART VI, LINE 6 THE MEMBERS OF THE CORPORATION HAVE THE POWER AND AUTHORITY TO ELECT AND REMOVE THE DIRECTORS; ELECT AND REMOVE THE PRESIDENT AND FILL ANY VACANCY IN THE OFFICE OF THE PRESIDENT OF THE CORPORATION; AND, MAY APPROVE AMENDMENTS TO THE CORPORATE BYLAWS IN LIEU OF SUCH APPROVAL BY THE BOARD OF DIRECTORS. THE MEMBERS ALSO HAVE THE RESERVE POWERS AS SET FORTH IN THE PENNSYLVANIA NONPROFIT CORPORATION LAW. FORM 990, PAGE 6, PART VI, LINE 7A THE BOARD OF DIRECTORS OF THE CORPORATION SHALL SERVE AS THE GOVERNING BODY OF THE CORPORATION. THE PRESIDENT OF THE CORPORATION SHALL BE A DIRECTOR BY REASON OF HOLDING SUCH OFFICE. THE REMAINING DIRECTORS SHALL BE ELECTED BY THE MEMBERS AT THE ANNUAL MEETING OF THE MEMBERS. THE MEMBERS OF THE CORPORATION MAY SERVE AS DIRECTORS AND DIRECTORS MAY SUCCEED THEMSELVES FROM TERM TO TERM. VACANCIES ON THE BOARD OF DIRECTORS SHALL BE FILLED BY THE MEMBERS AT THEIR DISCRETION AT THE ANNUAL MEETING OF THE MEMBERS OR AT A SPECIAL MEETING CALLED FOR SUCH PURPOSE. FORM 990, PAGE 6, PART VI, LINE 7B THE MEMBERS OF THE CORPORATION HAVE THE POWER AND AUTHORITY TO ELECT AND REMOVE THE DIRECTORS; ELECT AND REMOVE THE PRESIDENT AND FILL ANY VACANCY IN THE OFFICE OF THE PRESIDENT OF THE CORPORATION; AND, MAY APPROVE AMENDMENTS TO THE CORPORATE BYLAWS IN LIEU OF SUCH APPROVAL BY THE BOARD OF DIRECTORS. THE MEMBERS ALSO HAVE THE RESERVE POWERS AS SET FORTH IN PENNSYLVANIA NONPROFIT CORPORATION LAW. FORM 990, PAGE 6, PART VI, LINE 11B THE FORM 990 IS PREPARED BY GEISINGER TAX AND FINANCE DEPARTMENTS WITH INFORMATION PROVIDED FROM FINANCE, TAX, HUMAN RESOURCES, LEGAL SERVICES AND OTHER RELEVANT DEPARTMENTS WITHIN GEISINGER. PRIOR TO FINALIZATION, THE RETURN IS REVIEWED BY PWC US TAX, LLP. THE CHIEF FINANCIAL OFFICER OF GEISINGER AND THE INDIVIDUAL ORGANIZATIONS SENIOR FINANCIAL MANAGERS REVIEW THEIR RESPECTIVE FORM 990 PRIOR TO MAKING THE FINAL RETURN AVAILABLE TO THE BOARD. ALL OFFICERS AND DIRECTORS WERE ELECTRONICALLY PROVIDED A FINAL COPY OF THE FORM 990 PRIOR TO FILING THE RETURN WITH THE IRS. AN EXECUTIVE SUMMARY OF THE INFORMATION REPORTED ON THE RETURN IS PROVIDED TO ASSIST IN THE REVIEW. IN ACCORDANCE WITH THE GEISINGER HEALTH BOARD OF DIRECTOR'S FINANCE COMMITTEE CHARTER, GEISINGER ORGANIZATIONS' FORM 990 FILINGS ARE REVIEWED ANNUALLY. FORM 990, PAGE 6, PART VI, LINE 12C THE OFFICERS AND DIRECTORS OF THE ORGANIZATION ARE SUBJECT TO THE GEISINGER CONFLICT OF INTEREST POLICY FOR DIRECTORS, OFFICERS AND SENIOR LEADERS. AT LEAST ONCE EACH YEAR DIRECTORS, OFFICERS, KEY EMPLOYEES, SENIOR LEADERS AND OTHERS DESIGNATED BY THE BOARD OF DIRECTORS ARE REQUIRED TO DISCLOSE IN WRITING THE EXISTENCE OF ANY POTENTIAL FINANCIAL INTERESTS THAT MAY GIVE RISE TO A CONFLICT OF INTEREST WITH ANY AFFILIATE WITHIN GEISINGER. THE DISCLOSURES ARE REVIEWED BY THE OFFICE OF THE CHIEF COMPLIANCE OFFICER AND REPORTED TO THE AUDIT AND COMPLIANCE COMMITTEE AND/OR BOARD OF DIRECTORS. AFTER REVIEW OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, INPUT FROM DEPARTMENT OF LEGAL SERVICES AND ANY DISCUSSION WITH THE PERSON DESIRED BY THE BOARD OR COMMITTEE, THE COMMITTEE/BOARD DECIDES IF A CONFLICT EXISTS AND TAKES APPROPRIATE ACTION. THE INDIVIDUAL DISCLOSING THE FINANCIAL INTEREST IS ABSENT DURING THE COMMITTEE/BOARD DELIBERATIONS AND DECISIONS ON THE MATTER. FORM 990, PAGE 6, PART VI, LINE 15A THE PROCESS TO REVIEW AND APPROVE THE COMPENSATION OF GEISINGER EMPLOYED BOARD DIRECTORS, OFFICERS, AND EXECUTIVE MANAGEMENT IS DESIGNED TO SATISFY THE REBUTTABLE PRESUMPTION PROCEDURE AVAILABLE FOR INTERMEDIATE SANCTION PURPOSES. THE PROCESS REQUIRES A REVIEW OF COMPENSATION DETERMINATIONS BY DISINTERESTED PARTIES, USE OF APPROPRIATE COMPARABILITY DATA AND CONTEMPORANEOUS DOCUMENTATION OF THE PROCESS. ON AN ANNUAL BASIS AN INDEPENDENT, NATIONALLY RECOGNIZED COMPENSATION CONSULTANT COMPLETES A COMPARATIVE ASSESSMENT OF COMPENSATION FOR THE CEO AND SENIOR MANAGEMENT WITHIN GEISINGER. THE CONSULTANT'S REPORT IS PRESENTED TO THE GEISINGER FAMILY COMMITTEE PRIOR TO ANY COMPENSATION ADJUSTMENT. THE REPORT SUPPORTS THE RIGOROUS REVIEW COMPLETED BY THE GEISINGER FAMILY COMMITTEE TO ENSURE THAT THE PROGRAM IS RESPONSIBLE TO THE GEISINGER CHARITABLE MISSION, REFLECTS REASONABLE COMPENSATION WITHIN THE NONPROFIT MARKET AND IS COMPLIANT WITH THE IRS'S INTERMEDIATE SANCTION REQUIREMENTS. THE SURVEY DATA IN THE COMPARATIVE ANALYSIS IS CAPTURED FOR FUNCTIONALLY COMPARABLE POSITIONS IN MULTIPLE SIMILAR NONPROFIT ORGANIZATIONS AND REFLECTS TOTAL REMUNERATION PROVIDED IN THE MARKET. ALL SURVEYS ARE CONDUCTED BY THIRD PARTY ORGANIZATIONS AND NOT CONDUCTED AT THE SPECIFIC DIRECTION OF GEISINGER. ANY COMPENSATION ADJUSTMENTS ARE APPROVED BY THE GEISINGER FAMILY COMMITTEE PRIOR TO THE EFFECTIVE DATE OF THE PAYMENT. THE GEISINGER FAMILY COMMITTEE AT ITS SOLE DISCRETION MAY POSITIVELY OR NEGATIVELY ADJUST ANY RECOMMENDED COMPENSATION. FORM 990, PAGE 6, PART VI, LINE 15B SEE SCHEDULE O RESPONSE TO FORM 990, PART VI, SECTION B, QUESTION 15A. FORM 990, PAGE 6, PART VI, LINE 19 FINANCIAL STATEMENTS, FORM 990, FORM 990-T, THE CONFLICTS OF INTEREST POLICY, AND OTHER GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VIII FORM 990, PART VIII, LINE 2C: THE IC SHARED SERVICE REVENUE REPRESENTS REVENUE FROM INTERCOMPANY MANAGEMENT, ADMINISTRATIVE, AND CONSULTING SERVICES PROVIDED TO RELATED TAXABLE ORGANIZATIONS. THE ORGANIZATION AND RELATED TAXABLE ORGANIZATIONS ARE ALL CONTROLLED BY GEISINGER HEALTH. THE SERVICES, PROVIDED AT OR BELOW COST, ARE PERFORMED WITHOUT A PROFIT MOTIVE TO PROMOTE THE EFFICIENT OPERATION OF GEISINGER IN CARRYING OUT ITS CHARITABLE MISSION. THE SERVICES ARE NOT OFFERED TO UNRELATED ORGANIZATIONS OR TO THE GENERAL PUBLIC. UNDER IRS ADVISORY DATED MARCH 7, 2014, THESE INTERCOMPANY SHARED SERVICES ARE NOT INCLUDED IN THE DEFINITION OF UNRELATED BUSINESS INCOME AND SHOULD NOT BE INCLUDED ON FORM 990-T DUE TO THE ABSENCE OF THE FOLLOWING TWO CONDITIONS: (1) THE SERVICES MUST BE ABOVE COST OR AT FAIR MARKET VALUE, AND (2) THERE MUST BE A PROFIT MOTIVE. FORM 990, PART IX, LINE 11G CLEANING SERVICES 690,235 37,221 0 CONSULTING FEES 27,327,271 1,473,627 0 COLLECTION AGENCY FEES 2,288,340 123,399 0 EQUIP MAINT SVC CONTRACTS 4,470,224 241,057 0 OUTSIDE PURCHASED SERVICE 73,039,769 3,938,679 0 REPAIR OF EQUIPMENT 352,879 19,029 0 RECRUIT NONPROVIDER 1,694,844 91,395 0 OUT AGENCY NONCLIN TEMP 5,773,188 311,320 0 RECRUIT & ADS EXECUTIVE 1,506,428 81,234 0 TOTAL 117,143,178 6,316,961 0 FORM 990, PART XI, LINE 9 TRANSFER FROM PARENT, GEISINGER HEALTH 150,044,687 FORM 990, PART XII FORM 990, PART XII, LINE 3A: AS A RESULT OF A FEDERAL AWARD, WAS THE ORGANIZATION REQUIRED TO UNDERGO AN AUDIT OR AUDITS AS SET FORTH IN THE UNIFORM GUIDANCE, 2 C.F.R. PART 200, SUBPART F? FEDERAL AWARDS ARE AUDITED AS A PART OF THE GEISINGER'S CONSOLIDATED REPORT ON FEDERAL AWARDS IN ACCORDANCE WITH UNIFORM GUIDANCE, 2 C.F.R. PART 200, SUBPART F. FOOTNOTE: THROUGHOUT THIS DOCUMENT, THE TERMS "GEISINGER- OR "GEISINGER HEALTH" SHALL REFER TO THE ENTIRE HEALTH CARE SYSTEM COMPRISED OF GEISINGER HEALTH FOUNDATION (THE "FOUNDATION") AS PARENT AND ALL SUBSIDIARY CORPORATE ENTITIES COMPRISING THE HEALTH CARE SYSTEM. IN ADDITION, THROUGHOUT THIS DOCUMENT, THE TERM "SYSTEM" SHALL REFER TO THE ENTIRE HEALTH CARE SYSTEM AS PREVIOUSLY DEFINED PLUS ITS AFFILIATES. GEISINGER HEALTH 100 NORTH ACADEMY AVE MC 49-70 DANVILLE PA 17822 231995911 PHILANTHRO PA 501C3 7 N/A false GEISINGER MEDICAL CENTER 100 NORTH ACADEMY AVE MC 49-70 DANVILLE PA 17822 240795959 HOSPITAL PA 501C3 3 GH true GEISINGER CLINIC 100 NORTH ACADEMY AVE MC 49-70 DANVILLE PA 17822 236291113 PHYSN SVCS PA 501C3 3 GH true GEISINGER WYOMING VALLEY MED CTR 100 NORTH ACADEMY AVE MC 49-70 DANVILLE PA 17822 231996150 HOSPITAL PA 501C3 3 GH true MARWORTH 100 NORTH ACADEMY AVE MC 49-70 DANVILLE PA 17822 232171417 D&A REHAB PA 501C3 3 GH true GEISINGER HEALTH PLAN 100 NORTH ACADEMY AVE MC 49-70 DANVILLE PA 17822 232311553 HMO PA 501C4 GH false GEISINGER COMMUNITY HEALTH SERVICES 100 NORTH ACADEMY AVE MC 49-70 DANVILLE PA 17822 232967235 HEALTHCARE PA 501C3 10 GSS true GEISINGER INSURANCE CORPORATIONRRG 100 NORTH ACADEMY AVE MC 49-70 DANVILLE PA 17822 141909894 SELF INS VT 501C3 12A GH false COMMUNITY MEDICAL CENTER 100 NORTH ACADEMY AVE MC 49-70 DANVILLE PA 17822 240862246 HOSPITAL PA 501C3 3 GH true GEISINGER-BLOOMSBURG HOSPITAL 100 NORTH ACADEMY AVE MC 49-70 DANVILLE PA 17822 232193572 HOSPITAL PA 501C3 3 GH true GEISINGER-LEWISTOWN HOSPITAL 100 NORTH ACADEMY AVE MC 49-70 DANVILLE PA 17822 231352187 HOSPITAL PA 501C3 3 GH true KEYSTONE HEALTH INFORMATION EXCH 100 NORTH ACADEMY AVE MC 49-70 DANVILLE PA 17822 464359893 RHIO PA 501C3 12A GH false WEST SHORE ADVANCED LIFE SUPP SVCS 100 NORTH ACADEMY AVE MC 49-70 DANVILLE PA 17822 232463002 HEALTHCARE PA 501C3 7 GC true GEISINGER COMMONWEALTH SCH OF MED 100 NORTH ACADEMY AVE MC 49-70 DANVILLE PA 17822 260812968 EDUCATION PA 501C3 2 GH false GEISINGER JERSEY SHORE HOSPITAL 100 NORTH ACADEMY AVE MC 49-70 DANVILLE PA 17822 240792115 HOSPITAL PA 501C3 3 GH true GEISINGER MEDICAL CENTER MUNCY 100 NORTH ACADEMY AVE MC 49-70 DANVILLE PA 17822 851226106 HOSPITAL PA 501C3 3 GHM false GNJ PHYSICIANS GROUP PC 100 NORTH ACADEMY AVE MC 49-70 DANVILLE PA 17822 820681884 PHYSN SVCS NJ 501C3 10 GH false GSL HOSPITAL 801 OSTRUM STREET BETHLEHEM PA 18015 824432109 HOSPITAL PA 501C3 3 N/A false GSLPG INC 801 OSTRUM STREET BETHLEHEM PA 18015 825423865 HEALTHCARE PA 501C3 3 GSL HOSP false KEYSTONE ACCOUNTABLE CARE ORG LLC 100 NORTH ACADEMY AVE MC 49-70 DANVILLE PA 17822 455484165 ACO PA N/A false false GEISINGER ENCOMPASS HEALTH LLC 100 NORTH ACADEMY AVE MC 49-70 DANVILLE PA 17822 721398803 PHY THERAP PA N/A false false EVANGELICAL-GEISINGER HEALTH LLC 100 NORTH ACADEMY AVE MC 49-70 DANVILLE PA 17822 460567687 HEALTHCARE PA N/A false false LACKAWANNA PHYS AMB SURG CTRLLC 100 NORTH ACADEMY AVE MC 49-70 DANVILLE PA 17822 233024998 HEALTHCARE PA N/A false false GEISINGER-HM JOINT VENTURE LLC 100 NORTH ACADEMY AVE MC 49-70 DANVILLE PA 17822 831871064 HEALTHCARE PA N/A false false KEYSTONE HEALTHCARE PARTNERSHIPLLC 901 HUGH WALLIS ROAD LAFAYETTE LA 70508 833134941 HOME HLTH PA N/A false false PHARMACY INNOVATION ALLIANCE LLC 100 NORTH ACADEMY AVE MC 49-70 DANVILLE PA 17822 831871064 PURCHASING DE N/A false false KKA VALUE FUND II GMBH & CO GIPSSTRABE 8 BERLIN GERMANY GM 10119 981686914 INVESTMENT GM N/A false false KKA CO-INVEST I GMBH & CO KG GIPSSTRABE 8 BERLIN GERMANY GM 10119 981685919 INVESTMENT GM N/A false false FORMENTERA PARTNERS FUND II-A LP 300 COLORADO ST STE 1900 AUSTIN TX 78701 882933731 INVESTMENT TX N/A EXCLUDED 2204298 18821528 false true 0.58710 VOLPI CAPITAL CARBON CO-INVEST SCSP 8 RUE LOU HEMMER SENNINGERBERG LUXENBOURG LU L-1748 981723571 INVESTMENT LU N/A EXCLUDED 1342 15425050 false true 0.59570 ISS SOLUTIONS INC 100 NORTH ACADEMY AVE MC 49-70 DANVILLE PA 17822 232077663 CLINIC ENG PA N/A false GEISINGER INDEMNITY INSURANCE CO 100 NORTH ACADEMY AVE MC 49-70 DANVILLE PA 17822 232815174 HLTH INSUR PA N/A false GEISINGER QUALITY OPTIONS INC 100 NORTH ACADEMY AVE MC 49-70 DANVILLE PA 17822 204275139 HLTH INSUR PA N/A false GEISINGER ASSURANCE COMPANY LTD 23 LINE TREE BAY AVE PO BOX 1159 GRAND CAYMAN GRAND CAYMAN CJ KY1-1102 981016737 FINANCIAL CJ N/A false CT WAREHOUSE GMBH GIPSSTRABE 8 BERLIN BERLIN GM 10119 HOLDING CO GM N/A false KKA PROJECT 3 HOLDING GMBH GIPSSTRABE 8 BERLIN BERLIN GM 10119 HOLDING CO GM N/A false KKA PROJECT 4 HOLDING GMBH GIPSSTRABE 8 BERLIN BERLIN GM 10119 HOLDING CO GM N/A false RTNX TOP GMBH GIPSSTRABE 8 BERLIN BERLIN GM 10119 HOLDING CO GM N/A false KKA WAREHOUSE GMBH GIPSSTRABE 8 BERLIN BERLIN GM 10119 HOLDING CO GM N/A false KKA PROJECT 2 HOLDING GMBH GIPSSTRABE 8 BERLIN BERLIN GM 10119 HOLDING CO GM N/A false PROJECT 4 WAREHOUSE GMBH GIPSSTRABE 8 BERLIN BERLIN GM 10119 HOLDING CO GM N/A false SCHRODERS CAPITAL CODA FUND LTD PO BOX 309 UGLAND HOUSE GRAND CAYMAN CAYMAN ISLANDS CJ KY1-1104 INVESTMENT CJ N/A C CORP 5839907 80815843 0.78922 false SCHRODERS CAPITAL CODA MASTER FUND PO BOX 309 UGLAND HOUSE GRAND CAYMAN GRAND CAYMAN CJ KY1-1104 INVESTMENT CJ N/A C CORP 5984460 82605680 0.78922 false true false true false false false false false false false true true true false false true false false true COMMUNITY MEDICAL CENTER K 56338 FMV COMMUNITY MEDICAL CENTER L 62026271 GAAP GEISINGER ASSURANCE COMPANY LTD L 694346 GAAP GEISINGER ASSURANCE COMPANY LTD P 5991892 GAAP GEISINGER CLINIC A 247556 FMV GEISINGER CLINIC K 262098 FMV GEISINGER CLINIC L 161451949 GAAP GEISINGER CLINIC M 1373566 GAAP GEISINGER COMMONWEALTH SCH OF MED L 3034663 GAAP GEISINGER COMMUNITY HEALTH SERVICES A 5118 FMV GEISINGER COMMUNITY HEALTH SERVICES L 3218829 GAAP GEISINGER HEALTH A 18314 FMV GEISINGER HEALTH C 150044687 FMV GEISINGER HEALTH L 491477 GAAP GEISINGER HEALTH S 106757 GAAP GEISINGER HEALTH PLAN A 144026 FMV GEISINGER HEALTH PLAN K 244736 FMV GEISINGER HEALTH PLAN L 124747726 GAAP GEISINGER HEALTH PLAN M 2460393 GAAP GEISINGER HEALTH PLAN P 682325 GAAP GEISINGER INDEMNITY INSURANCE CO L 5914598 GAAP GEISINGER INDEMNITY INSURANCE CO P 16915161 GAAP GEISINGER JERSEY SHORE HOSPITAL L 6749321 GAAP GEISINGER MEDICAL CENTER A 507404 FMV GEISINGER MEDICAL CENTER K 1621392 FMV GEISINGER MEDICAL CENTER L 225909473 GAAP GEISINGER MEDICAL CENTER M 176593 GAAP GEISINGER MEDICAL CENTER MUNCY L 6630085 GAAP GEISINGER PHARMACY LLC A 712547 FMV GEISINGER PHARMACY LLC L 187042 GAAP GEISINGER QUALITY OPTIONS INC L 2611356 GAAP GEISINGER WYOMING VALLEY MED CTR A 505176 FMV GEISINGER WYOMING VALLEY MED CTR K 438113 FMV GEISINGER WYOMING VALLEY MED CTR L 109108926 GAAP GEISINGER-BLOOMSBURG HOSPITAL K 66397 FMV GEISINGER-BLOOMSBURG HOSPITAL L 10355776 GAAP GEISINGER-HM JOINT VENTURE LLC L 3984161 GAAP GEISINGER-LEWISTOWN HOSPITAL K 61355 FMV GEISINGER-LEWISTOWN HOSPITAL L 28314159 GAAP ISS SOLUTIONS INC L 1353150 GAAP KEYSTONE ACCOUNTABLE CARE ORG LLC L 4013376 GAAP KEYSTONE HEALTH INFORMATION EXCH L 619205 GAAP KEYSTONE HEALTH INFORMATION EXCH M 2280321 GAAP LACKAWANNA PHYSICIANS AMB SURG CTR L 537009 GAAP LACKAWANNA PHYSICIANS AMB SURG CTR L 107354 GAAP MARWORTH K 187619 FMV MARWORTH L 2158831 GAAP WEST SHORE ADVANCED LIFE SUPP SVCS A 353348 FMV WEST SHORE ADVANCED LIFE SUPP SVCS L 2362056 GAAP SCHEDULE R FORM 990, SCHEDULE R, PART V - TRANSACTIONS WITH RELATED ORGANIZATIONS: AS SHOWN IN FORM 990, SCHEDULE R, GEISINGER SYSTEM SERVICES IS CLOSELY AFFILIATED WITH SEVERAL OTHER ORGANIZATIONS. IN THE NORMAL COURSE OF THE OPERATIONS OF THESE AFFILIATED ORGANIZATIONS THERE ARE NUMEROUS INTER ORGANIZATIONAL TRANSACTIONS, WHICH MAY INCLUDE SALES, EXCHANGES AND LEASES OF PROPERTY, EXTENSIONS OF CREDIT, FURNISHING OF GOODS, SERVICES AND FACILITIES, AND TRANSFERS OF ASSETS. THESE INTER ORGANIZATION TRANSACTIONS PROMOTE THE EFFICIENT OPERATION OF THE VARIOUS ORGANIZATIONS AND THE ATTAINMENT OF THEIR TAX EXEMPT PURPOSES. THESE TYPES OF INTER ORGANIZATION TRANSACTIONS WERE DESCRIBED TO THE INTERNAL REVENUE SERVICE IN A RULING APPLICATION AND WERE RECOGNIZED BY THE NATIONAL OFFICE OF THE IRS IN A SERIES OF GEISINGER PRIVATE RULINGS AS BEING ENTIRELY CONSISTENT WITH THE ORGANIZATIONS' TAX EXEMPT STATUS. ___________________________________________________________________________