2023-11-14T11:18:54-05:00 2022-12-31 990 2022-01-01 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 2023-11-07 KEVIN V ROBERTS XXX-XX-XXXX false 2022 2023-04-26 12:10:37Z JAEWON RYU MD JD 100 N ACADEMY AVE MC 22-01 DANVILLE PA 178229800 773524207 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 3 4710 3227774 3215497 0 687946602 757259707 26362616 11860342 706963 4290779 715016181 773410828 2338201 14079083 0 350129989 368719103 0 0 360125077 393562602 712593267 776360788 2422914 -2949960 1398222343 1331136366 1278042914 1248869142 120179429 82267224 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 725257314 14079083 758138978 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 10,223 IN CONNECTION WITH TEACHING RADIOGRAPHIC SCIENCE DURING THE YEAR ENDED DECEMBER 31, 2022. B. OTHER IN-KIND SERVICES ADDITIONALLY, THE FOLLOWING ORGANIZATIONS, RECEIVED CASH CONTRIBUTIONS OR IN-KIND SERVICES INCLUDED, BUT NOT LIMITED TO, MAINTENANCE, PROVIDING INFORMATION TECHNOLOGY SERVICES AND SUPPORTING BLOOD DRIVES VALUED AT 14,217,238. - RONALD MCDONALD HOUSE - SERVICES INCLUDING MAINTENANCE AND PRINT SHOP SERVICES - 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 2022, GSS PARTICIPATED IN THE GEISINGER ANNUAL VETERAN'S APPRECIATION DINNER AT A COST OF 94,297. 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 157,858 DURING THE YEAR ENDED DECEMBER 31, 2022. III. COMMUNITY SERVICE SUMMARY COMMUNITY HEALTH, EDUCATION AND OUTREACH 14,479,616 725257314 true false false true false false false false false false true false false true true false false true false false true false false false false false false true false true false false false true false false true false false false false false false true true true true false true X 1375 0 true 4710 true true true false false false false false false false false false true false X 7 3 true false false false true true true true true false false true true true true true true true true false PA CA NC IN 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 5545041 0 1560940 KEVIN V ROBERTS MBA CPA EVP, CFO, TR 40.00 X 1735635 0 374871 AMY B BRAYFORD EVP,CHIEF OF 40.00 X 1511422 0 288776 MATTHEW WALSH DIRECTOR 40.00 X 1371594 0 307990 DOMINIC MOFFA MBA FACHE EVP, CH. STR 40.00 X 1289288 0 245906 KAREN MURPHY RN PHD EVP,CHIEF IN 40.00 X 936633 0 196860 STEVEN B BENDER ESQUIRE EVP, CLO, SE 40.00 X 885926 0 215586 GERALD V MALONEY DO DIRECTOR 40.00 X 0 809293 133494 JANET F TOMCAVAGE RN MSN EVP, CHIEF N 40.00 X 735904 0 196269 SPENCER KOWAL CFO, CLINICA 40.00 X 736198 0 131053 JOHN M KRAVITZ CIO 40.00 X 687314 0 118159 JAMES C ARMSTRONG CPA FHFMA CGMC FORMER KEY E 40.00 X 730338 0 0 DONALD A STANZIANO CHIEF MARKET 40.00 X 639818 0 89609 TIMOTHY D FITZGERALD CFA FHFMA VP,TREASURY, 40.00 X 585211 0 107845 DAVID VAWDREY CHIEF DATA O 40.00 X 606513 0 53364 BRION T LIEBERMAN CHRO 40.00 X 553037 0 101454 MIKE ANGELAKOS ACIO/CTO 40.00 X 559470 0 60054 ROBERT DEWAR VP CHIEF REV 40.00 X 553874 0 32859 MEGAN BROSIOUS FORMER KEY E 40.00 X 0 422001 95920 MICHAEL LIMA DEPUTY CIO 40.00 X 455576 0 45842 KEVIN J KERESTUS CIA CHIEF ASSURA 40.00 X 437110 0 58836 GREGORY G SCHULER CHIEF INVEST 40.00 X 420958 0 47139 LORI R GRAMLEY ESQUIRE ACLO, ASST S 40.00 X 347436 0 45422 DAVID H LEDBETTER PHD FACMG FORMER KEY E 40.00 X 265747 0 3426 ROBERT W DAVIES FORMER KEY E X 0 104735 0 JEFFREY A JACOBSON CHAIR, DIREC 0.25 3.25 X 0 0 0 BENJAMIN K CHU MD MPH MACP DIRECTOR 0.25 3.75 X 0 0 0 VIRGINIA MCGREGOR DIRECTOR 0.25 3.50 X 0 0 0 V CHRIS HOLCOMBE PE VICE CHAIR, 0.25 3.25 X 0 0 0 21590043 1336029 4511674 616 true true false ALVIN H BUTZ PO BOX 509 ALLENTOWN PA 18105 CONSTR SERVICES 45659001 DELOITTE CONSULTING LLP PO BOX 844717 DALLAS TX 75284 PROF SERVICES 38027058 WHITING TURNER CONTRACTING PO BOX 17596 BALTIMORE MD 21297 CONTRACTING SVC 30004022 RIVERSIDE TECHNOLOGIES 748 N 109TH CT OMAHA NE 68154 IT SERVICES 20648812 SIEMENS MEDICAL SOLUTIONS USA PO BOX 120001 DEPT 0733 DALLAS TX 753120733 MEDICAL SERVICE 17771218 300 X IC SHARED SERVICES 541900 730062153 730062153 IC SHARED SERVICE-SCHEDULE O 541900 10603660 10603660 GPO INCOME 541900 8588839 8588839 OTHER IC SUPPORT SERVICES 541900 5611342 5611342 INTERCOMPANY LEASE 531120 2382774 2382774 10939 10939 757259707 508425 508425 33192 33192 302236 20750 113379 188857 20750 209607 20750 188857 11314713 4012 11314713 4012 11318725 11318725 INVESTMENT PARTNERSHIP 220000 3174459 3174459 PURCHASE DISCOUNTS 900099 879271 879271 SOFTWARE IMPLEMENT. CONSULT 541900 21626 21626 5816 5816 4081172 773410828 755745265 3227774 14437789 X 14079083 14079083 18334887 1938124 16396763 574529 529781 44748 264100224 251785758 12314466 12008560 11448624 559936 53698557 51194700 2503857 20002346 19069677 932669 11650810 11107556 543254 228716 218051 10665 464765 443094 21671 3196954 3047886 149068 131500486 125368881 6131605 23419071 22327087 1091984 21895021 20874100 1020921 103349022 98530064 4818958 12359525 11783225 576300 3956915 3772413 184502 2055 1959 96 119676 114096 5580 11765064 11216483 548581 57493496 54812690 2680806 998101 951562 46539 INTER-ENTITY EXPENSE 5259833 5014578 245255 BOOKS, LISC, FEES, DUES 4457771 4249914 207857 EXCISE AND UBI TAXES 1431332 1364591 66741 INTERCOMPANY TEACHING 13366 12743 623 623 594 29 776360788 725257314 51103474 0 12878919 53849645 47050242 15982969 21812607 70406 53485 1414810 2602487 25186733 26744211 67665308 68384546 807103805 442501707 371789870 364602098 43405137 230981692 44609934 975000 617426991 711871619 1398222343 1331136366 473471584 521295118 344345642 315659475 10061087 8004980 450164601 403909569 1278042914 1248869142 X 120179429 82267224 120179429 82267224 1398222343 1331136366 -2949960 -34962245 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 INCLUDING A JOINT VENTURE FACILITIES; 2. A MULTISPECIALTY PHYSICIAN GROUP PRACTICE WITH APPROXIMATELY 1,700 PHYSICIANS AND 1,100 ADVANCED PRACTITIONERS PRACTICING AT 133 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 460 MEDICAL STUDENTS AND 187 GRADUATE STUDENTS. GEISINGER OPERATES ACROSS PENNSYLVANIA, WITH THE MOST CONCENTRATED CLINICAL PRESENCE IN CENTRAL AND NORTHEASTERN PENNSYLVANIA, OUTSIDE THE MAJOR METROPOLITAN AREAS. FOR THE TRAILING TWELVE MONTHS ENDED DECEMBER 31, 2022, GEISINGER CARED FOR A POPULATION OF APPROXIMATELY 1,170,000 PEOPLE, AN INCREASE OF 10% VERSUS THE YEAR-EARLIER PERIOD. THIS POPULATION INCLUDED 855,000 PATIENTS RECEIVING CARE IN THE TRAILING TWELVE MONTHS AND MORE THAN 612,000 GHPS MEMBERS AS OF DECEMBER 31, 2022. THE POPULATION CONTAINED APPROXIMATELY 297,000 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 441152 false true 111457 552609 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 1G: 107,567 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. 328,532 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: 111,457 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 82947430 34770547 48176883 3756460 3060893 695567 642935467 400011751 242923716 60790219 4658516 56131703 364602098 DUE FROM AFFILIATES 429835768 DEFERRED COMPENSATION 226854610 INSURANCE RECOVERIES 54662823 OTHER ASSET 518418 711871619 DEFERRED COMPENSATION 226854610 MEDICAL LEGAL LIABILITY/DEFENSE 122138427 INSURANCE RECOVERIES 54662823 FINANCIAL CONTRACT 199052 RETIREE BENEFITS 34713 OTHER LIABILITIES 19944 403909569 SCHEDULE D, PAGE 4, PART XIII PART X, LINE 2 - LIABILITY FOR UNCERTAIN TAX POSITIONS EFFECTIVE JULY 1, 2007, GEISINGER (1) 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 FISCAL YEAR OR ANY PREVIOUS YEARS SINCE ADOPTION. ACCORDINGLY, NO FIN 48 FOOTNOTE DISCLOSURE WAS MADE IN THE GEISINGER CONSOLIDATED FINANCIAL STATEMENTS. (1) 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. CENTARL AMERICA AND CARIBBEAN INVESTMENT 3043718 EAST ASIA AND THE PACIFIC INVESTMENT 193232 EUROPE INVESTMENT 3928473 NORTH AMERICA INVESTMENT 97256 SOUTH AMERICA INVESTMENT 15840 7278519 7278519 true false true false true false SCHEDULE F, PAGE 1, PART I, LINE 3 CENTARL AMERICA AND CARIBBEAN 0 3,043,718 EAST ASIA AND THE PACIFIC 0 193,232 EUROPE 0 3,928,473 NORTH AMERICA 0 97,256 SOUTH AMERICA 0 15,840 true EVANGELICAL COMMUNITY HOSPITAL 1 HOSPITAL DRIVE PO BOX 2138 LEWISBURG PA 17837 240795411 501C3 14079083 COST IT SVCS BUILD/IMPLEMENT EHR 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 4189940 1355101 1526570 34370 7105981 1322351 KEVIN V ROBERTS MBA CPA EVP, CFO, TREASURER 1652425 83210 348862 26009 2110506 AMY B BRAYFORD EVP,CHIEF OF STAFF 1194600 316822 253076 35700 1800198 289290 MATTHEW WALSH DIRECTOR 1219503 152091 271570 36420 1679584 123179 DOMINIC MOFFA MBA FACHE EVP, CH. STRATEGY OF 973165 316123 217381 28525 1535194 273879 KAREN MURPHY RN PHD EVP,CHIEF INNOVATION 790834 145799 181570 15290 1133493 108481 STEVEN B BENDER ESQUIRE EVP, CLO, SECRETARY 846303 39623 181570 34016 1101512 GERALD V MALONEY DO DIRECTOR 679749 129544 91570 41924 942787 70375 JANET F TOMCAVAGE RN MSN EVP, CHIEF NURSING E 694056 41848 166570 29699 932173 SPENCER KOWAL CFO, CLINICAL 681009 55189 91570 39483 867251 JOHN M KRAVITZ CIO 581100 106214 96570 21589 805473 77696 JAMES C ARMSTRONG CPA FHFMA CGMC FORMER KEY EMPLOYEE 730338 730338 138031 DONALD A STANZIANO CHIEF MARKETING OFF 555802 84016 77799 11810 729427 56993 TIMOTHY D FITZGERALD CFA FHFMA VP,TREASURY,FIN SYS 502731 82480 73354 34491 693056 53726 DAVID VAWDREY CHIEF DATA OFFICER 560966 45547 21570 31794 659877 BRION T LIEBERMAN CHRO 483786 69251 68372 33082 654491 MIKE ANGELAKOS ACIO/CTO 515270 44200 21570 38484 619524 ROBERT DEWAR VP CHIEF REV OFFICER 551538 2336 21570 11289 586733 MEGAN BROSIOUS FORMER KEY EMPLOYEE 396179 25822 62570 33350 517921 MICHAEL LIMA DEPUTY CIO 216236 210137 29203 21570 24272 501418 KEVIN J KERESTUS CIA CHIEF ASSURANCE OFF 422600 14510 21570 37266 495946 GREGORY G SCHULER CHIEF INVEST. OFFICE 398269 22689 21570 25569 468097 LORI R GRAMLEY ESQUIRE ACLO, ASST SECTY 321611 25825 21570 23852 392858 DAVID H LEDBETTER PHD FACMG FORMER KEY EMPLOYEE 265747 3426 269173 ROBERT W DAVIES FORMER KEY EMPLOYEE 104735 104735 27606 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 1,322,351 0 AMY B. BRAYFORD 0 289,290 0 MATTHEW WALSH 0 123,179 0 DOMINIC MOFFA, MBA, FACHE 0 273,879 0 KAREN MURPHY, RN, PHD 0 108,481 0 GERALD V. MALONEY, DO 0 70,375 0 JOHN M. KRAVITZ 0 77,696 0 JAMES C. ARMSTRONG, CPA, FHFMA, CGMC 553,769 176,570 0 DONALD A. STANZIANO 0 56,993 0 TIMOTHY D. FITZGERALD, CFA, FHFMA 0 53,726 0 BRION T. LIEBERMAN 0 45,738 0 DAVID H. LEDBETTER, PHD, FACMG 261,807 0 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. __________________________________________________________________________ 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. MIKE ANGELAKOS KEY EMPLOYEE RECRUITMENT X 50000 32498 false true true KEVIN V ROBERTS MBA CPA OFFICER RECRUITMENT X 150000 11202 false true true STEVEN B BENDER ESQUIRE OFFICER RECRUITMENT X 50000 9785 false true true 53485 MARY M MCGREGOR FAMILY 29155 EMPLOYEE COMP/BEN false SCHEDULE L, PART V MARY M. MCGREGOR IS A FAMILY MEMBER OF VIRGINIA MCGREGOR, A DIRECTOR OF GEISINGER SYSTEM SERVICES. 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, 2022 OF 1,656,231,705, 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 10,223 IN CONNECTION WITH TEACHING RADIOGRAPHIC SCIENCE DURING THE YEAR ENDED DECEMBER 31, 2022. B. OTHER IN-KIND SERVICES ADDITIONALLY, THE FOLLOWING ORGANIZATIONS, RECEIVED CASH CONTRIBUTIONS OR IN-KIND SERVICES INCLUDED, BUT NOT LIMITED TO, MAINTENANCE, PROVIDING INFORMATION TECHNOLOGY SERVICES AND SUPPORTING BLOOD DRIVES VALUED AT 14,217,238. - RONALD MCDONALD HOUSE - SERVICES INCLUDING MAINTENANCE AND PRINT SHOP SERVICES - 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 2022, GSS PARTICIPATED IN THE GEISINGER ANNUAL VETERAN'S APPRECIATION DINNER AT A COST OF 94,297. 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 157,858 DURING THE YEAR ENDED DECEMBER 31, 2022. III. COMMUNITY SERVICE SUMMARY COMMUNITY HEALTH, EDUCATION AND OUTREACH 14,479,616 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 I, SECTION A, LINE 4: FORM 990, PART VI, SECTION A, LINE 1B: ENTER THE NUMBER OF VOTING MEMBERS THAT ARE INDEPENDENT. BASED ON THE FORM 990 DEFINITION OF "INDEPENDENCE" AS IT RELATES TO VOTING MEMBERS OF THE GOVERNING BODY, THREE VOTING MEMBERS ARE NOT INDEPENDENT BECAUSE THEY ARE COMPENSATED AS EMPLOYEES OF THIS OR RELATED TAX-EXEMPT ORGANIZATIONS AND ONE VOTING MEMBER IS NOT INDEPENDENT DUE TO A TRANSACTION REPORTED IN SCHEDULE L, PART IV. 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 OF THE 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 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. 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. THE CHIEF FINANCIAL OFFICER (CFO) OF GEISINGER AND THE INDIVIDUAL ORGANIZATIONS SENIOR FINANCIAL MANAGERS REVIEW THEIR RESPECTIVE FORM 990 PRIOR TO MAKING THE FINAL RETURN AVAILABLE TO THE BOARD. IN ADDITION, THE CHIEF LEGAL OFFICER AND CHIEF HUMAN RESOURCE OFFICER OF GEISINGER REVIEW THE INFORMATION DISCLOSED ON THE FORM 990 RELEVANT TO THEIR RESPECTIVE AREAS OF RESPONSIBILITY. FOR PURPOSES OF THEIR ANNUAL AUDIT OF GEISINGER CONSOLIDATED FINANCIAL STATEMENTS, INDEPENDENT AUDITORS REVIEW ALL FEDERAL TAX RETURNS FILED BY GEISINGER ORGANIZATIONS TO IDENTIFY MATERIAL ITEMS, INCLUDING IF THERE ARE ANY UNCERTAIN TAX POSITIONS THAT MAY BE REQUIRED TO BE RECOGNIZED. THE COMPANY HAD NO UNCERTAIN TAX POSITIONS REQUIRED TO BE REPORTED FOR REPORTING PERIOD. 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 611,888 29,927 0 CONSULTING FEES 37,920,735 1,854,646 0 COLLECTION AGENCY FEES 2,411,228 117,930 0 EQUIP MAINT SVC CONTRACTS 4,665,633 228,189 0 OUTSIDE PURCHASED SERVICE 73,783,893 3,608,660 0 REPAIR OF EQUIPMENT 231,643 11,329 0 RECRUIT NONPROVIDER 2,895,631 141,621 0 OUT AGENCY NONCLIN TEMP 1,132,954 55,411 0 RECRUIT & ADS EXECUTIVE 1,675,552 81,949 0 CONTRACTED MEDICAL SERVICES 39,724 1,943 0 TOTAL 125,368,881 6,131,605 0 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 AVENUE MC 49-70 DANVILLE PA 17822 231995911 PHILANTHRO PA 501C3 7 N/A false GEISINGER MEDICAL CENTER 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 240795959 HOSPITAL PA 501C3 3 GH true GEISINGER CLINIC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 236291113 PHYSN SVCS PA 501C3 3 GH true GEISINGER WYOMING VALLEY MED CTR 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 231996150 HOSPITAL PA 501C3 3 GH true MARWORTH 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232171417 D&A REHAB PA 501C3 3 GH true GEISINGER HEALTH PLAN 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232311553 HMO PA 501C4 GH false GEISINGER COMMUNITY HEALTH SERVICES 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232967235 HEALTHCARE PA 501C3 10 GSS true GEISINGER INSURANCE CORPORATIONRRG 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 141909894 SELF INS VT 501C3 12A GH false COMMUNITY MEDICAL CENTER 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 240862246 HOSPITAL PA 501C3 3 GH true GEISINGER-BLOOMSBURG HOSPITAL 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232193572 HOSPITAL PA 501C3 3 GH true GEISINGER-LEWISTOWN HOSPITAL 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 231352187 HOSPITAL PA 501C3 3 GH true LEWISTOWN AMBULATORY CARE CORP 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232344362 HOLDING CO PA 501C3 12A GH true FAMILY HEALTH ASSOCIATES OF GLH 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 251651582 PHYSN SVCS PA 501C3 12A GH true KEYSTONE HEALTH INFORMATION EXCH 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 464359893 RHIO PA 501C3 12A GH false WEST SHORE ADVANCED LIFE SUPP SVCS 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232463002 HEALTHCARE PA 501C3 10 GC true GEISINGER COMMONWEALTH SCH OF MED 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 260812968 EDUCATION PA 501C3 2 GH false GEISINGER JERSEY SHORE HOSPITAL 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 240792115 HOSPITAL PA 501C3 3 GH true GEISINGER MEDICAL CENTER MUNCY 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 851226106 HOSPITAL PA 501C3 3 GHM false GNJ PHYSICIANS GROUP PC 100 NORTH ACADEMY AVENUE 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 AVENUE MC 49-70 DANVILLE PA 17822 455484165 ACO PA N/A false false GEISINGER ENCOMPASS HEALTH LLC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 721398803 PHY THERAP PA N/A false false EVANGELICAL-GEISINGER HEALTH LLC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 460567687 HEALTHCARE PA N/A false false LACKAWANNA PHYS AMB SURG CTRLLC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 233024998 HEALTHCARE PA N/A false false GEISINGER-HM JOINT VENTURE LLC 100 NORTH ACADEMY AVENUE 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 COMMONWEALTH MSO LLC 270 SUSQUEHANNA VALLEY MALL DRIVE SELINSGROVE PA 17870 862178965 HEALTHCARE PA N/A false false PHARMACY INNOVATION ALLIANCE LLC 100 NORTH ACADEMY AVENUE 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 ISS SOLUTIONS INC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232077663 CLINIC ENG PA N/A false GEISINGER INDEMNITY INSURANCE CO 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232815174 HLTH INSUR PA N/A false GEISINGER QUALITY OPTIONS INC 100 NORTH ACADEMY AVENUE 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 true false false false false false false false false false true true true false false true false false true COMMUNITY MEDICAL CENTER M 136179 GAAP COMMUNITY MEDICAL CENTER L 56505212 GAAP COMMUNITY MEDICAL CENTER K 32617 FMV GEISINGER ASSURANCE COMPANY LTD L 716590 GAAP GEISINGER CLINIC M 737406 GAAP GEISINGER CLINIC L 158193757 GAAP GEISINGER CLINIC A 319233 FMV GEISINGER CLINIC K 292983 FMV GEISINGER COMMONWEALTH SCH OF MED L 2411777 GAAP GEISINGER COMMUNITY HEALTH SERVICES L 2987977 GAAP GEISINGER HEALTH L 593662 GAAP GEISINGER HEALTH A 20607 FMV GEISINGER HEALTH PLAN K 341087 FMV GEISINGER HEALTH PLAN L 122811367 GAAP GEISINGER HEALTH PLAN M 2801561 GAAP GEISINGER HEALTH PLAN P 722335 GAAP GEISINGER INDEMNITY INSURANCE CO L 4595050 GAAP GEISINGER JERSEY SHORE HOSPITAL L 5750316 GAAP GEISINGER-LEWISTOWN HOSPITAL M 1369 GAAP GEISINGER-LEWISTOWN HOSPITAL L 25081396 GAAP GEISINGER-LEWISTOWN HOSPITAL K 172078 FMV GEISINGER MEDICAL CENTER K 1924587 FMV GEISINGER MEDICAL CENTER M 272938 GAAP GEISINGER MEDICAL CENTER L 220432778 GAAP GEISINGER MEDICAL CENTER A 673653 FMV GEISINGER QUALITY OPTIONS INC L 3163504 GAAP GEISINGER WYOMING VALLEY MED CTR M 37357 GAAP GEISINGER WYOMING VALLEY MED CTR L 99043900 GAAP GEISINGER WYOMING VALLEY MED CTR K 766844 FMV GEISINGER-BLOOMSBURG HOSPITAL M 77 GAAP GEISINGER-BLOOMSBURG HOSPITAL L 9802658 GAAP ISS SOLUTIONS INC L 1512759 GAAP KEYSTONE ACCOUNTABLE CARE ORG LLC L 4214579 GAAP KEYSTONE HEALTH INFORMATION EXCH M 1283859 GAAP KEYSTONE HEALTH INFORMATION EXCH L 553585 GAAP LEWISTOWN AMBULATORY CARE CORP L 31901 GAAP MARWORTH L 1965140 GAAP MARWORTH K 220285 FMV WEST SHORE ADVANCED LIFE SUPP SVCS L 2063219 GAAP LEWISTOWN AMBULATORY CARE CORP K 20422 FMV GEISINGER INDEMNITY INSURANCE CO P 14195935 GAAP GEISINGER COMMONWEALTH SCH OF MED M 454 GAAP GEISINGER HEALTH S 257150 GAAP GEISINGER PHARMACY LLC L 179358 GAAP GEISINGER PHARMACY LLC A 941921 FMV GEISINGER-HM JOINT VENTURE LLC L 3242673 GAAP GEISINGER PHARMACY LLC M 1928 GAAP LACKAWANNA PHYSICIANS AMB SURG CTR L 615756 GAAP GEISINGER JERSEY SHORE HOSPITAL M 42 GAAP GEISINGER ASSURANCE COMPANY LTD P 5087762 GAAP GEISINGER-BLOOMSBURG HOSPITAL K 74611 FMV GEISINGER COMMUNITY HEALTH SERVICES A 5048 FMV GEISINGER HEALTH PLAN A 143808 FMV GEISINGER JERSEY SHORE HOSPITAL K 33735 FMV WEST SHORE ADVANCED LIFE SUPP SVCS A 289443 FMV GEISINGER MEDICAL CENTER MUNCY M 29 GAAP GEISINGER MEDICAL CENTER MUNCY L 4391485 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. ___________________________________________________________________________