GEISINGER CLINIC: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization: GEISINGER CLINIC (EIN 23-6291113)
Tax period: 2022-01-01 to 2022-12-31
Filed: 2023-11-14
IRS object ID: 202323189349303977
Schema version: 2022v5.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule I
Schedule J
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2023-11-14T10:52:07-05:00	ReturnTs
Tax Period End	2022-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	232164794	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	GEISINGER SYSTEM SERVICES	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	100 N ACADEMY AVE MC 49-70	AddressLine1Txt
City	DANVILLE	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	178229800	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2022-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	236291113	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	GEISINGER CLINIC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	GEIS	BusinessNameControlTxt
Phone	5702716624	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	100 N ACADEMY AVE MC 49-70	AddressLine1Txt
City	DANVILLE	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	178229800	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	KEVIN V ROBERTS MBA CPA	PersonNm
Person Title	EVP, CFO, TREASURER	PersonTitleTxt
Phone	5702716624	PhoneNum
Signature	2023-11-07	SignatureDt

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	KEVIN	PersonFirstNm
Person Last	ROBERTS	PersonLastNm

Field	Value	IRS element (for citing)
SSN	XXX-XX-XXXX	SSN

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	false	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	SELF-PREPARED	PreparerPersonNm
PTIN	P12345678	PTIN
Phone	5702716624	PhoneNum
Preparation	2023-11-14	PreparationDt

Field	Value	IRS element (for citing)
Tax	2022	TaxYr
Build TS	2023-04-26 12:10:37Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	JAEWON RYU MD JD	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	100 N ACADEMY AVE MC 22-01	AddressLine1Txt
City	DANVILLE	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	178229800	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$1,714,104,678	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.GEISINGER.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1962	FormationYr
Legal Domicile State	PA	LegalDomicileStateCd
Activity Or Mission	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.	ActivityOrMissionDesc
Voting Members Governing Body	7	VotingMembersGoverningBodyCnt
Voting Members Independent	4	VotingMembersIndependentCnt
Total Employee	7367	TotalEmployeeCnt
Total Volunteers	4	TotalVolunteersCnt
Total Gross UBI	$32,321,718	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$68,092	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$60,056,963	PYContributionsGrantsAmt
CY Contributions Grants	$40,418,437	CYContributionsGrantsAmt
PY Program Service Revenue	$1,650,279,567	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,654,916,581	CYProgramServiceRevenueAmt
PY Investment Income	$14,285,548	PYInvestmentIncomeAmt
CY Investment Income	$12,982,863	CYInvestmentIncomeAmt
PY Other Revenue	$3,382,627	PYOtherRevenueAmt
CY Other Revenue	$5,376,248	CYOtherRevenueAmt
PY Total Revenue	$1,728,004,705	PYTotalRevenueAmt
CY Total Revenue	$1,713,694,129	CYTotalRevenueAmt
PY Grants And Similar Paid	$6,396,526	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$10,000	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$1,110,705,082	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$1,173,590,001	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$866,209,834	PYOtherExpensesAmt
CY Other Expenses	$876,521,530	CYOtherExpensesAmt
PY Total Expenses	$1,983,311,442	PYTotalExpensesAmt
CY Total Expenses	$2,050,121,531	CYTotalExpensesAmt
PY Revenues Less Expenses	-$255,306,737	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$336,427,402	CYRevenuesLessExpensesAmt
Total Assets BOY	$633,545,538	TotalAssetsBOYAmt
Total Assets EOY	$750,923,284	TotalAssetsEOYAmt
Total Liabilities BOY	$336,971,696	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$345,145,918	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$296,573,842	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$405,777,366	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	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.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$1,957,402,480	ExpenseAmt
Grant	$10,000	GrantAmt
Revenue	$1,640,255,935	RevenueAmt
Desc	I. GENERAL INFORMATION GEISINGER CLINIC (GC), A 501(C)(3) NOT FOR PROFIT CORPORATION, EMPLOYS 1,723 PHYSICIANS PRACTICING AT 147 SITES IN 60 COMMUNITIES OF NORTHEASTERN AND CENTRAL PENNSYLVANIA. GC PROVIDES THE MULTI-SPECIALTY PHYSICIAN GROUP PRACTICE FOR GEISINGER. THE SALARIED PHYSICIAN STAFF IS DEDICATED TO IMPROVING THE HEALTH OF THE PEOPLE OF PENNSYLVANIA THROUGH AN INTEGRATED SYSTEM OF HEALTH SERVICES BASED UPON A BALANCED PROGRAM OF PATIENT CARE, EDUCATION AND RESEARCH. SOME OF THE LOCATIONS IN WHICH GEISINGER CLINIC PRACTICES INCLUDE: AVIS MILTON BELLEFONTE MINERSVILLE BELLEVILLE MONTOURSVILLE BENTON MOOSIC BERWICK MOUNTAIN TOP BLOOMSBURG MT CARMEL BURNHAM MT POCONO CARBONDALE MUNCY CLARKS SUMMIT NANTICOKE COAL TOWNSHIP NEWPORT DALLAS NICHOLSON DANVILLE ORWIGSBURG DICKSON CITY PHILIPSBURG DUNMORE PITTSTON ELYSBURG PORT MATILDA FORTY FORT POTTSVILLE FRACKVILLE REEDSVILLE HARRISBURG SCRANTON HAZLE TOWNSHIP SELINSGROVE HAZLETON SHAMOKIN DAM HUNTINGDON SOUTH ABINGTON TWP JERSEY SHORE SOUTH WILLIAMSPORT KINGSTON STATE COLLEGE KULPMONT SUNBURY LEWISBURG TAYLOR LEWISTOWN TUNKHANNOCK LOCK HAVEN WAVERLY MAHANOY CITY WEST HAZLETON MIFFLIN WILKES-BARRE MIFFLINTOWN WILLIAMSPORT II. UNCOMPENSATED CARE GEISINGER CLINIC RECOGNIZES THAT ITS MISSION IS TO SERVE ALL THE MEMBERS OF THE COMMUNITY WITH RESPECT TO THE PROVISION OF HEALTHCARE SERVICES AND HEALTHCARE EDUCATION. GC PROVIDES QUALITY MEDICAL HEALTHCARE REGARDLESS OF RACE, RELIGION, ETHNICITY, SEXUAL ORIENTATION, GENDER IDENTITY, HANDICAP, AGE OR ABILITY TO PAY. IN THIS REGARD, GC PROVIDES FREE CARE OR SUBSIDIZED CARE, TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT OR BELOW COST AND PROVIDES VARIOUS HEALTH ACTIVITIES AND PROGRAMS IN SUPPORT OF THE COMMUNITIES WHERE GC PRACTICES. A. CHARITY CARE THE PRIMARY CONCERN OF GC IS THE DELIVERY OF HEALTH CARE TO ALL THE CITIZENS IN NORTHEASTERN AND CENTRAL PENNSYLVANIA, REGARDLESS OF THEIR ABILITY TO PAY. THE UNREIMBURSED COST OF CHARITY CARE REPRESENTS THE COST GC INCURS BY PROVIDING FREE OR DISCOUNTED SERVICES TO THOSE WHO CANNOT AFFORD TO PAY. FOR THE YEAR ENDED DECEMBER 31, 2022, THE COST OF CHARITY CARE WAS 21,967,498. B. MEDICARE/MEDICAID/OTHER GOVERNMENTAL RECOGNIZING ITS MISSION TO THE COMMUNITY, SERVICES ARE PROVIDED TO THE ELDERLY (MEDICARE) AND THE POOR (MEDICAID). CLINIC PROVIDES CARE, BELOW COST, TO PERSONS COVERED BY THESE GOVERNMENTAL PROGRAMS. TO THE EXTENT REIMBURSEMENT IS BELOW THE COST OF PROVIDING HEALTHCARE, GC IS FURTHERING ITS MISSION TO THE ENTIRE COMMUNITY. THE UNREIMBURSED VALUE OF MEDICARE, MEDICAID AND OTHER GOVERNMENTAL PAYERS IS EQUAL TO THE COST OF PROVIDING SERVICES LESS THE AMOUNT OF REIMBURSEMENT RECEIVED UNDER THE PROGRAM. FOR THE YEAR ENDED DECEMBER 31, 2022, THE UNREIMBURSED VALUE OF PROVIDING CARE TO THESE PATIENTS WAS 384,242,054. C. OTHER UNCOMPENSATED PATIENT SERVICES IN ADDITION, GC PROVIDES OTHER PATIENT SERVICES FOR WHICH FULL PAYMENT IS NOT RECEIVED. THE UNCOMPENSATED COST OF PROVIDING SUCH PATIENT SERVICES DURING THE YEAR ENDED DECEMBER 31, 2022, WAS 737,158. III. RESEARCH SUPPORT GEISINGER CLINIC SUPPORTS ITS CHARITABLE MISSION THROUGH MEDICAL RESEARCH ACTIVITIES AT TWO FACILITIES ON THE CAMPUS OF THE GEISINGER MEDICAL CENTER: THE SIEGFRIED AND JANET WEIS CENTER FOR RESEARCH (WCR) AND THE HENRY HOOD CENTER FOR HEALTH RESEARCH. THE WCR PROVIDES A FOCUS FOR LABORATORY RESEARCH AND RESEARCH TRAINING AND SUPPORTS THE CLINICAL STAFF IN THEIR RESEARCH PROGRAMS. THE PRIMARY MISSION OF THE WCR IS TO CONDUCT ORIGINAL AND INNOVATIVE RESEARCH THAT CONTRIBUTES NEW KNOWLEDGE TO BIOMEDICAL SCIENCE. SCIENTISTS APPLY MODERN MOLECULAR AND CELLULAR APPROACHES TO DIVERSE RESEARCH PROBLEMS IN THE AREAS OF CARDIOVASCULAR FUNCTION, CANCER AND DEVELOPMENTAL BIOLOGY. THE HENRY HOOD CENTER FOR RESEARCH HOUSES TWO RESEARCH PROGRAMS: THE GEISINGER CENTER FOR HEALTH RESEARCH (GCHR) AND THE CENTER FOR CLINICAL STUDIES (CCS). GCHR CONDUCTS HEALTH SERVICES, EPIDEMIOLOGIC AND POPULATION GENETICS RESEARCH ON THE BROAD RANGE OF CONDITIONS TYPICALLY SEEN IN PRIMARY AND SPECIALTY CARE SETTINGS. THE MISSION OF THE CCS IS TO PLAN, CONDUCT, FOSTER AND SUPPORT INNOVATIVE CLINICAL RESEARCH TRIALS TO HELP ADVANCE DIAGNOSIS AND TREATMENT OF DISEASE AND IMPROVE PATIENT CARE. ALL THREE RESEARCH PROGRAMS INVESTIGATE EXTRAMURAL RESOURCES FOR FUNDING AND WORK COLLABORATIVELY ON BUILDING THE CAPABILITY FOR POPULATION-BASED GENETICS RESEARCH. TO THE EXTENT REVENUES AND GRANTS RECEIVED ARE BELOW THE COST OF RESEARCH OPERATIONS, GEISINGER CLINIC IS FURTHERING ITS MISSION TO THE ENTIRE COMMUNITY. THERE WAS NO UNREIMBURSED COST DURING THE YEAR ENDED DECEMBER 31, 2022. IV. COMMUNITY HEALTH, EDUCATION AND OUTREACH GEISINGER CLINIC STRIVES TO SERVE AS PARTNERS TO THE COMMUNITIES IN WHICH THEY ARE LOCATED. GC PROVIDES CARE TO THE COMMUNITY THROUGH MANY REDUCED- PRICE SERVICES AND FREE PROGRAMS THROUGHOUT THE YEAR BASED UPON ACTIVITIES AND SERVICES THAT GC BELIEVES WILL SERVE A BONAFIDE COMMUNITY HEALTH NEED. THESE SERVICES AND PROGRAMS INCLUDE SUPPORT GROUPS, HEALTH EDUCATION SERIES, WELLNESS FAIRS, HEALTH SCREENINGS, AND OTHER HEALTH RELATED PROGRAMS. THE COST OF THESE SERVICES TOTALED 1,649,017 IN THE YEAR ENDED DECEMBER 31, 2022. SOME OF THE SERVICES AND PROGRAMS PROVIDED INCLUDE: A. HEALTH EDUCATION EDUCATION MATERIALS/PUBLICATIONS HEALTH PROFESSIONS EDUCATION B. OTHER SERVICES AND PROGRAMS ASSISTANCE TO ENROLL IN PUBLIC MEDICAL PROGRAMS COMMUNITY SUPPORT ACTIVITIES FREE CLINICS HEALTH SCREENINGS MEDICATION TAKE-BACK CONTAINERS V. COMMUNITY SERVICE SUMMARY CHARITY CARE 21,967,498 MEDICARE/MEDICAID/OTHER GOVERNMENTAL 384,242,054 UNCOMPENSATED CARE 737,158 COMMUNITY HEALTH, EDUCATION, AND OUTREACH 1,649,017 TOTAL 408,595,727 VI. STATISTICS TOTAL NUMBER OF CLINIC VISITS (CLINIC-WIDE) 3,365,322 CLINIC SERVICE DAYS 255 GEISINGER CLINIC PHYSICIANS ADMIT TO THE SIX GEISINGER OWNED FACILITIES, GEISINGER MEDICAL CENTER, GEISINGER WYOMING VALLEY, GEISINGER COMMUNITY MEDICAL CENTER, GEISINGER BLOOMSBURG HOSPITAL, GEISINGER LEWISTOWN HOSPITAL, AND GEISINGER JERSEY SHORE HOSPITAL AS WELL AS TEN NON-GEISINGER OWNED FACILITIES. GEISINGER HAS A POLICY TO SEE PATIENTS OF ALL PAYORS.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$55,907,924	ExpenseAmt
Revenue	$17,659,872	RevenueAmt
Desc	REASEARCH SEE SCHEDULE O	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$2,048,029	ExpenseAmt
Revenue	$718,880	RevenueAmt
Desc	EDUCATION SEE SCHEDULE O	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$2,015,358,433	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (true)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	false	OperateHospitalInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	Yes (true)	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	Yes (true)	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	Yes (true)	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	14	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	7367	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (true)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	7	GoverningBodyVotingMembersCnt
Independent Voting Member	4	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	PA	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	AL	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	CA	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	IN	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	NC	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	AR	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	ERIN FITZGERALD CPA VP AND CAO	PersonNm
Phone	5702142299	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	100 N ACADEMY AVE	AddressLine1Txt
City	DANVILLE	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	178229800	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)

TitleTitleTxt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Average Hours Per WeekAverageHoursPerWeekRt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
JAEWON RYU MD JD
PRESIDENT, D	40.00	Yes (X)	Yes (X)	$0	$5,545,041	$1,560,940
KEVIN V ROBERTS MBA CPA
EVP, CFO, TR	40.00		Yes (X)	$0	$1,735,635	$374,871
KEVIN V ROBERTS MBA CPA
EVP, CFO, TR	40.00		Yes (X)	$0	$1,735,635	$374,871
ALFRED S CASALE MD FACC FACS
CMO, SURGICA				$1,692,582	$0	$204,868	40.00	Yes (X)
MATTHEW WALSH
DIRECTOR	40.00	Yes (X)		$0	$1,371,594	$307,990
MICHEL LACROIX MD FRCSC FAANS
CHAIR, NEURO				$1,599,653	$0	$54,643	40.00		Yes (X)
JAMES E HARTLE MD
EVP, CMO				$1,335,516	$0	$317,053	40.00	Yes (X)
MICHAEL SUK MD JD MPH FACS
CHAIR MSK IN				$1,200,466	$0	$52,167	40.00		Yes (X)
CLEMENS SCHIRMER MD PHD
PHYSICIAN. N				$1,214,314	$0	$33,976	40.00		Yes (X)
DAVID A ANDREYCHIK MD
PHYSICIAN, O				$1,181,962	$0	$52,784	40.00		Yes (X)
DANIEL D FELDMANN MD
PHYSICIAN, O				$1,117,552	$0	$64,868	40.00		Yes (X)
STEVEN B BENDER ESQUIRE
EVP, CLO, SE	40.00		Yes (X)	$0	$885,926	$215,586
NARAYANA MURALI MD
CMO, MEDICIN				$910,338	$0	$124,131	40.00	Yes (X)
GERALD V MALONEY DO
DIRECTOR		Yes (X)		$809,293	$0	$133,494	40.00
KENRIC A MAYNOR MD MPH FHM
INSTITUTE CH				$534,299	$0	$53,503	40.00	Yes (X)
MEGAN BROSIOUS
FORMER KEY E	40.00			$0	$422,001	$95,920				Yes (X)
MICHAEL A EVANS
CHIEF PHARMA				$407,889	$0	$96,614	40.00	Yes (X)
TRACEY W WOLFE MHA
CAO MEDICINE				$403,527	$0	$86,024	40.00	Yes (X)
JEFFREY J ADAMS
CAO, SURGICA				$375,311	$0	$91,480	40.00	Yes (X)
LORI R GRAMLEY ESQUIRE
ACLO, ASST S	40.00		Yes (X)	$0	$347,436	$45,422
THOMAS B WEIR
FORMER KEY E				$317,913	$0	$44,232	40.00			Yes (X)
KIMBERLY A ZIKOWSKI
VP, INSTITUT				$286,797	$0	$43,812	40.00	Yes (X)
MATTHEW NUSSBAUM
VP, INSTITUT				$264,061	$0	$52,585	40.00	Yes (X)
JEFFREY A JACOBSON
CHAIR, DIREC	3.25	Yes (X)		$0	$0	$0	0.25
BENJAMIN K CHU MD MPH MACP
DIRECTOR	3.75	Yes (X)		$0	$0	$0	0.25
VIRGINIA MCGREGOR
DIRECTOR	3.50	Yes (X)		$0	$0	$0	0.25
V CHRIS HOLCOMBE PE
VICE CHAIR,	3.25	Yes (X)		$0	$0	$0	0.25

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$13,651,473	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$12,043,268	TotReportableCompRltdOrgAmt
Total Other Compensation	$4,481,834	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	2925	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
PRIMEMED PC
5 MORGAN HIGHWAY	SCRANTON	PA	18508	PHYSICIAN SVCS	$24,798,316
EMERGENCY SERVICES PC
100 DUNHAM DRIVE	DUNMORE	PA	18512	PHYSICIAN SCVS	$9,994,047
WEATHERBY LOCUMS INC
PO BOX 972633	DALLAS	TX	753972633	PHYSICIAN SVCS	$6,412,948
VIRTUAL RADIOLOGY CORP
25983 NETWORK PL	CHICAGO	IL	606731259	RAD SVCS	$3,315,067
IRIS TELEHEALTH MEDICAL GROUP
PO BOX 843382	DALLAS	TX	752843382	PHYSICIAN SVCS	$2,918,878

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	50	CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIII	Yes (X)	InfoInScheduleOPartVIIIInd
Government Grants	$22,073,542	GovernmentGrantsAmt
All Other Contributions	$18,344,895	AllOtherContributionsAmt
Noncash Contributions	$263,550	NoncashContributionsAmt
Total Contributions	$40,418,437	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
HEALTHCARE	621110	$1,207,584,644	$1,207,584,644
PATIENT CARE REV-PHARMACY	456110	$393,106,206	$393,106,206
PHARMACY - UBIT	456110	$32,250,994		$32,250,994
RESEARCH	541700	$17,604,331	$17,604,331
RENTAL	531120	$2,959,814			$2,959,814

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,410,592	TotalRevenueColumnAmt
Related Or Exempt Func Income	$727,571	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$5,232	UnrelatedBusinessRevenueAmt
Exclusion	$677,789	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,654,916,581	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,804,440	TotalRevenueColumnAmt
Exclusion	$1,804,440	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$54	TotalRevenueColumnAmt
Exclusion	$54	ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,625	TotalRevenueColumnAmt
Exclusion	$1,625	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Personal	$139,610	PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Personal	$74,118	PersonalAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Personal	$65,492	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$65,492	TotalRevenueColumnAmt
Unrelated Business Revenue	$65,492	UnrelatedBusinessRevenueAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$11,219,800	SecuritiesAmt
Other	$295,000	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$336,431	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$11,219,800	SecuritiesAmt
Other	-$41,431	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$11,178,369	TotalRevenueColumnAmt
Exclusion	$11,178,369	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt
PURCHASE DISCOUNTS	900099	$3,090,662	$3,090,662
RESTRICTIVE COVENENT BUYOUTS	900099	$1,549,793		$1,549,793
IC PHARMACY PROCUREMENT	456110	$406,240	$406,240

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$262,436	TotalRevenueColumnAmt
Related Or Exempt Func Income	$221,204	RelatedOrExemptFuncIncomeAmt
Exclusion	$41,232	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$5,309,131	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,713,694,129	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,622,740,858	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$32,321,718	UnrelatedBusinessRevenueAmt
Exclusion	$18,213,116	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$10,000	TotalAmt
Program Services	$10,000	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$7,826,037	TotalAmt
Program Services	$7,404,052	ProgramServicesAmt
Management And General	$421,985	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$3,904,497	TotalAmt
Program Services	$3,904,497	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$981,694,637	TotalAmt
Program Services	$970,800,828	ProgramServicesAmt
Management And General	$10,893,809	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$48,041,652	TotalAmt
Program Services	$47,494,425	ProgramServicesAmt
Management And General	$547,227	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$83,490,067	TotalAmt
Program Services	$82,539,058	ProgramServicesAmt
Management And General	$951,009	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$48,633,111	TotalAmt
Program Services	$48,312,597	ProgramServicesAmt
Management And General	$320,514	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$2,640,605	TotalAmt
Program Services	$19,920	ProgramServicesAmt
Management And General	$2,620,685	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$268,532	TotalAmt
Program Services	$97,399	ProgramServicesAmt
Management And General	$171,133	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$80,971	TotalAmt
Management And General	$80,971	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$579,772	TotalAmt
Program Services	$125,607	ProgramServicesAmt
Management And General	$454,165	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$106,660,273	TotalAmt
Program Services	$97,186,734	ProgramServicesAmt
Management And General	$9,473,539	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$27,117	TotalAmt
Management And General	$27,117	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$14,803,532	TotalAmt
Program Services	$14,074,189	ProgramServicesAmt
Management And General	$729,343	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$5,557,403	TotalAmt
Program Services	$4,599,004	ProgramServicesAmt
Management And General	$958,399	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$21,643,270	TotalAmt
Program Services	$21,273,367	ProgramServicesAmt
Management And General	$369,903	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$4,095,691	TotalAmt
Program Services	$3,942,740	ProgramServicesAmt
Management And General	$152,951	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$6,802,978	TotalAmt
Program Services	$6,802,978	ProgramServicesAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$3,815,237	TotalAmt
Program Services	$3,750,031	ProgramServicesAmt
Management And General	$65,206	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$20,003,651	TotalAmt
Program Services	$19,661,771	ProgramServicesAmt
Management And General	$341,880	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$47,584,634	TotalAmt
Program Services	$45,395,110	ProgramServicesAmt
Management And General	$2,189,524	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$471,495,011	$471,495,011
INTER-ENTITY EXPENSE	$165,145,285	$162,301,202	$2,844,083
UNCOLLECTABLE EXPENSE	$2,211,175	$2,211,175
BOOKS, LICENSES, FEES	$2,043,869	$1,903,899	$139,970

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,062,524	TotalAmt
Program Services	$52,839	ProgramServicesAmt
Management And General	$1,009,685	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,050,121,531	TotalAmt
Program Services	$2,015,358,433	ProgramServicesAmt
Management And General	$34,763,098	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$7,996,955	BOYAmt
EOY	$178,531	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$8,030,710	BOYAmt
EOY	$11,758,984	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$62,931,680	BOYAmt
EOY	$56,859,137	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$20,641	BOYAmt
EOY	$89,918	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$32,029,467	BOYAmt
EOY	$33,160,277	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$18,121,245	BOYAmt
EOY	$19,288,607	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$35,000,119	BOYAmt
EOY	$39,004,930	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$384,502,600	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$171,581,109	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$203,015,864	BOYAmt
EOY	$212,921,491	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
EOY	$159,471,942	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$265,938,563	BOYAmt
EOY	$121,165,793	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$460,294	BOYAmt
EOY	$392,148	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
EOY	$96,631,526	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$633,545,538	BOYAmt
EOY	$750,923,284	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$57,210,351	BOYAmt
EOY	$59,899,316	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$13,957,908	BOYAmt
EOY	$5,551,371	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$113,805,865	BOYAmt
EOY	$110,771,297	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$24,570,905	BOYAmt
EOY	$23,914,290	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$127,426,667	BOYAmt
EOY	$145,009,644	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$336,971,696	BOYAmt
EOY	$345,145,918	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$296,573,842	BOYAmt
EOY	$405,777,366	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$296,573,842	BOYAmt
EOY	$405,777,366	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$633,545,538	BOYAmt
EOY	$750,923,284	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$336,427,402	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$21,525,972	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$467,156,898	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	Yes (true)	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$4,474	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$80,971	OtherActivitiesAmt
Total Lobbying Expenditures	$85,445	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE C, PART II-B, LINE 1	FormAndLineReferenceDesc
Explanation	LINE 1G: AMOUNT REPORTED ON LINE 1G REPRESENTS THE WAGES AND BENEFITS OF EMPLOYEES WHO ASSIST THE GOVERNMENT RELATIONS DEPARTMENT OF THE ORGANIZATION'S AFFILIATE, GEISINGER SYSTEM SERVICES. THE PRIMARY PURPOSE OF THE GOVERNMENT RELATIONS DEPARTMENT 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. LINE 1I: 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.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$385,529,000	BeginningYearBalanceAmt
Contributions	$1,170,000	ContributionsAmt
Investment Earnings Or Losses	-$20,189,000	InvestmentEarningsOrLossesAmt
Other Expenditures	-$4,666,000	OtherExpendituresAmt
End Year Balance	$361,844,000	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$372,716,000	BeginningYearBalanceAmt
Contributions	$699,000	ContributionsAmt
Investment Earnings Or Losses	$19,881,000	InvestmentEarningsOrLossesAmt
Other Expenditures	$7,767,000	OtherExpendituresAmt
End Year Balance	$385,529,000	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$369,232,000	BeginningYearBalanceAmt
Contributions	$1,328,000	ContributionsAmt
Investment Earnings Or Losses	$20,022,000	InvestmentEarningsOrLossesAmt
Other Expenditures	$17,866,000	OtherExpendituresAmt
End Year Balance	$372,716,000	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$373,558,000	BeginningYearBalanceAmt
Contributions	$290,000	ContributionsAmt
Investment Earnings Or Losses	-$502,000	InvestmentEarningsOrLossesAmt
Other Expenditures	$4,114,000	OtherExpendituresAmt
End Year Balance	$369,232,000	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$370,396,000	BeginningYearBalanceAmt
Contributions	$2,213,000	ContributionsAmt
Investment Earnings Or Losses	$4,882,000	InvestmentEarningsOrLossesAmt
Other Expenditures	$3,933,000	OtherExpendituresAmt
End Year Balance	$373,558,000	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.77060	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.18390	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.04550	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (true)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (true)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$29,755,754	OtherCostOrOtherBasisAmt
Book Value	$29,755,754	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$160,391,911	OtherCostOrOtherBasisAmt
Depreciation	$71,433,627	DepreciationAmt
Book Value	$88,958,284	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$27,889,129	OtherCostOrOtherBasisAmt
Depreciation	$8,216,482	DepreciationAmt
Book Value	$19,672,647	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$139,999,097	OtherCostOrOtherBasisAmt
Depreciation	$84,980,268	DepreciationAmt
Book Value	$55,018,829	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$26,466,709	OtherCostOrOtherBasisAmt
Depreciation	$6,950,732	DepreciationAmt
Book Value	$19,515,977	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$212,921,491	TotalBookValueLandBuildingsAmt

Closely Held Equity Interests CloselyHeldEquityInterestsGrp

Field	Value	IRS element (for citing)
Book Value	$121,165,793	BookValueAmt
Method Valuation	F	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Securities	$121,165,793	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDesc	Book ValueBookValueAmt
DUE FROM AFFILIATES	$86,314,030
THIRD PARTY RECEIVABLES	$10,317,496

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$96,631,526	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
DUE TO AFFILIATES	$127,103,827
ACCOUNTS RECEIVABLE CREDIT BALANCES	$16,720,897
FINANCIAL CONTRACT	$1,175,453
OTHER LIABILITIES	$9,467

Field	Value	IRS element (for citing)
Total Liability	$145,009,644	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

SCHEDULE D, PAGE 2, PART V, LINE 4

ENDOWMENT FUNDS ARE USED BY THE GEISINGER(1) TO SUPPORT PATIENT CARE, RESEARCH, EDUCATION, AND CAPITAL AND PROGRAM EXPENSES.

SCHEDULE D, PAGE 4, PART XIII

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.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (5 entries)

RegionRegionTxt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Region Total ExpendituresRegionTotalExpendituresAmt
CENTRAL AMERICA AND THE CARIBBEAN	INVESTMENTS	$11,082,381
EAST ASIA AND THE PACIFIC	INVESTMENTS	$703,571
EUROPE	INVESTMENTS	$14,303,832
NORTH AMERICA	INVESTMENTS	$354,117
SOUTH AMERICA	INVESTMENTS	$57,673

Field	Value	IRS element (for citing)
Subtotal Spent	$26,501,574	SubtotalSpentAmt
Total Spent	$26,501,574	TotalSpentAmt
Transfer To Foreign Corp	false	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	false	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	false	PassiveForeignInvestmestCoInd
Foreign Partnership	false	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE F, PAGE 1, PART I, LINE 3	FormAndLineReferenceDesc
Explanation	CENTRAL AMERICA AND THE CARIBBEAN 0 11,082,381 EAST ASIA AND THE PACIFIC 0 703,571 EUROPE 0 14,303,832 NORTH AMERICA 0 354,117 SOUTH AMERICA 0 57,673	ExplanationTxt

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	GREATER SUSQ KEYSTONE INNOV ZONE	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	418 RAILROAD STREET	AddressLine1Txt
Address Line2	SUITE 101	AddressLine2Txt
City	DANVILLE	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	17821	ZIPCd

Field	Value	IRS element (for citing)
Recipient EIN	831838249	RecipientEIN
IRC Section	501C3	IRCSectionDesc
Cash Grant	$10,000	CashGrantAmt
Purpose Of Grant	HEALTHCARE	PurposeOfGrantTxt

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE I, PAGE 4, PART IV	FormAndLineReferenceDesc
Explanation	GEISINGER CLINIC (GC) DOES NOT AWARD GRANTS; GC 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 GC. GC 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 HEALTH NEED.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Idemnification Gross Up Pmts	Yes (X)	IdemnificationGrossUpPmtsInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	Yes (true)	InitialContractExceptionInd
Rebuttable Presumption Proc	Yes (true)	RebuttablePresumptionProcInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (23 entries)

TitleTitleTxt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount
JAEWON RYU MD JD
PRESIDENT, DIRECTOR	$4,189,940	$1,355,101	$1,526,570	$34,370	$7,105,981	$1,322,351
KEVIN V ROBERTS MBA CPA
EVP, CFO, TREASURER	$1,652,425	$83,210	$348,862	$26,009	$2,110,506
KEVIN V ROBERTS MBA CPA
EVP, CFO, TREASURER	$1,652,425	$83,210	$348,862	$26,009	$2,110,506
ALFRED S CASALE MD FACC FACS
CMO, SURGICAL SERVIC							$1,485,589	$206,993	$170,196	$34,672	$1,897,450	$154,655
MATTHEW WALSH
DIRECTOR	$1,219,503	$152,091	$271,570	$36,420	$1,679,584	$123,179
MICHEL LACROIX MD FRCSC FAANS
CHAIR, NEUROSURGERY							$1,526,375	$72,778	$21,570	$33,073	$1,654,296		$500
JAMES E HARTLE MD
EVP, CMO							$1,313,772	$21,744	$286,570	$30,483	$1,652,569
MICHAEL SUK MD JD MPH FACS
CHAIR MSK INSTITUTE							$1,122,895	$77,571	$21,570	$30,597	$1,252,633
CLEMENS SCHIRMER MD PHD
PHYSICIAN. NEURO SUR							$1,128,408	$85,906	$21,570	$12,406	$1,248,290
DAVID A ANDREYCHIK MD
PHYSICIAN, ORTHO SUR							$1,138,851	$43,111	$21,570	$31,214	$1,234,746
DANIEL D FELDMANN MD
PHYSICIAN, ORTHO SUR							$1,033,229	$84,323	$21,570	$43,298	$1,182,420
STEVEN B BENDER ESQUIRE
EVP, CLO, SECRETARY	$846,303	$39,623	$181,570	$34,016	$1,101,512
NARAYANA MURALI MD
CMO, MEDICINE							$764,301	$146,037	$106,570	$17,561	$1,034,469
GERALD V MALONEY DO
DIRECTOR							$679,749	$129,544	$91,570	$41,924	$942,787	$70,375
KENRIC A MAYNOR MD MPH FHM
INSTITUTE CHAIR, MED							$495,226	$39,073	$21,570	$31,933	$587,802
MEGAN BROSIOUS
FORMER KEY EMPLOYEE	$396,179	$25,822	$62,570	$33,350	$517,921
MICHAEL A EVANS
CHIEF PHARMACY OFFIC							$379,633	$28,256	$61,570	$35,044	$504,503
TRACEY W WOLFE MHA
CAO MEDICINE INST.							$397,983	$5,544	$60,636	$25,388	$489,551
JEFFREY J ADAMS
CAO, SURGICAL SERVIC							$358,927	$16,384	$59,570	$31,910	$466,791
LORI R GRAMLEY ESQUIRE
ACLO, ASST SECTY	$321,611	$25,825	$21,570	$23,852	$392,858
THOMAS B WEIR
FORMER KEY EMPLOYEE							$288,843	$29,070	$21,570	$22,662	$362,145
KIMBERLY A ZIKOWSKI
VP, INSTITUTE OPERAT							$280,549	$6,248	$19,819	$23,993	$330,609
MATTHEW NUSSBAUM
VP, INSTITUTE OPERAT							$258,867	$5,194	$18,344	$34,241	$316,646

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 ALFRED S. CASALE, MD, FACC, FACS 0 154,655 0 MATTHEW WALSH 0 123,179 0 GERALD V. MALONEY, DO 0 70,375 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 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.

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp (2 entries)

Relationship With OrgRelationshipWithOrgTxt	Loan PurposeLoanPurposeTxt	Loan From OrganizationLoanFromOrganizationInd	Original PrincipalOriginalPrincipalAmt	Balance DueBalanceDueAmt	DefaultDefaultInd	Board Or Committee ApprovalBoardOrCommitteeApprovalInd	Written AgreementWrittenAgreementInd
NARAYANA MURALI MD
KEY EMPLOYEE	RECRUITMENT	Yes (X)	$100,000	$83,736	false	Yes (true)	Yes (true)
KENDRIC MAYNOR MD MPH FHM
KEY EMPLOYEE	EDUCATION	Yes (X)	$50,000	$6,182	false	Yes (true)	Yes (true)

Field	Value	IRS element (for citing)
Total Balance Due	$89,918	TotalBalanceDueAmt

Schedule M IRS990ScheduleM

Real Estate Other RealEstateOtherGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	1	ContributionCnt
Noncash Contributions Rpt F990	$263,550	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FAIR MKT VALUE APPRAISAL	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	Yes (true)	ReviewProcessUnusualNCGiftsInd
Third Parties Used	false	ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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, PAGE 10, LINE 24E, ALL OTHER EXPENSES: FEDERAL AND STATE UNRELATED BUSINESS INCOME TAX REPORTED ON LINE 24E = 47,571.
FORM 990, PAGE 2, PART III, LINE 4A	I. GENERAL INFORMATION GEISINGER CLINIC (GC), A 501(C)(3) NOT FOR PROFIT CORPORATION, EMPLOYS 1,723 PHYSICIANS PRACTICING AT 147 SITES IN 60 COMMUNITIES OF NORTHEASTERN AND CENTRAL PENNSYLVANIA. GC PROVIDES THE MULTI-SPECIALTY PHYSICIAN GROUP PRACTICE FOR GEISINGER. THE SALARIED PHYSICIAN STAFF IS DEDICATED TO IMPROVING THE HEALTH OF THE PEOPLE OF PENNSYLVANIA THROUGH AN INTEGRATED SYSTEM OF HEALTH SERVICES BASED UPON A BALANCED PROGRAM OF PATIENT CARE, EDUCATION AND RESEARCH. SOME OF THE LOCATIONS IN WHICH GEISINGER CLINIC PRACTICES INCLUDE: AVIS MILTON BELLEFONTE MINERSVILLE BELLEVILLE MONTOURSVILLE BENTON MOOSIC BERWICK MOUNTAIN TOP BLOOMSBURG MT CARMEL BURNHAM MT POCONO CARBONDALE MUNCY CLARKS SUMMIT NANTICOKE COAL TOWNSHIP NEWPORT DALLAS NICHOLSON DANVILLE ORWIGSBURG DICKSON CITY PHILIPSBURG DUNMORE PITTSTON ELYSBURG PORT MATILDA FORTY FORT POTTSVILLE FRACKVILLE REEDSVILLE HARRISBURG SCRANTON HAZLE TOWNSHIP SELINSGROVE HAZLETON SHAMOKIN DAM HUNTINGDON SOUTH ABINGTON TWP JERSEY SHORE SOUTH WILLIAMSPORT KINGSTON STATE COLLEGE KULPMONT SUNBURY LEWISBURG TAYLOR LEWISTOWN TUNKHANNOCK LOCK HAVEN WAVERLY MAHANOY CITY WEST HAZLETON MIFFLIN WILKES-BARRE MIFFLINTOWN WILLIAMSPORT II. UNCOMPENSATED CARE GEISINGER CLINIC RECOGNIZES THAT ITS MISSION IS TO SERVE ALL THE MEMBERS OF THE COMMUNITY WITH RESPECT TO THE PROVISION OF HEALTHCARE SERVICES AND HEALTHCARE EDUCATION. GC PROVIDES QUALITY MEDICAL HEALTHCARE REGARDLESS OF RACE, RELIGION, ETHNICITY, SEXUAL ORIENTATION, GENDER IDENTITY, HANDICAP, AGE OR ABILITY TO PAY. IN THIS REGARD, GC PROVIDES FREE CARE OR SUBSIDIZED CARE, TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT OR BELOW COST AND PROVIDES VARIOUS HEALTH ACTIVITIES AND PROGRAMS IN SUPPORT OF THE COMMUNITIES WHERE GC PRACTICES. A. CHARITY CARE THE PRIMARY CONCERN OF GC IS THE DELIVERY OF HEALTH CARE TO ALL THE CITIZENS IN NORTHEASTERN AND CENTRAL PENNSYLVANIA, REGARDLESS OF THEIR ABILITY TO PAY. THE UNREIMBURSED COST OF CHARITY CARE REPRESENTS THE COST GC INCURS BY PROVIDING FREE OR DISCOUNTED SERVICES TO THOSE WHO CANNOT AFFORD TO PAY. FOR THE YEAR ENDED DECEMBER 31, 2022, THE COST OF CHARITY CARE WAS 21,967,498. B. MEDICARE/MEDICAID/OTHER GOVERNMENTAL RECOGNIZING ITS MISSION TO THE COMMUNITY, SERVICES ARE PROVIDED TO THE ELDERLY (MEDICARE) AND THE POOR (MEDICAID). CLINIC PROVIDES CARE, BELOW COST, TO PERSONS COVERED BY THESE GOVERNMENTAL PROGRAMS. TO THE EXTENT REIMBURSEMENT IS BELOW THE COST OF PROVIDING HEALTHCARE, GC IS FURTHERING ITS MISSION TO THE ENTIRE COMMUNITY. THE UNREIMBURSED VALUE OF MEDICARE, MEDICAID AND OTHER GOVERNMENTAL PAYERS IS EQUAL TO THE COST OF PROVIDING SERVICES LESS THE AMOUNT OF REIMBURSEMENT RECEIVED UNDER THE PROGRAM. FOR THE YEAR ENDED DECEMBER 31, 2022, THE UNREIMBURSED VALUE OF PROVIDING CARE TO THESE PATIENTS WAS 384,242,054. C. OTHER UNCOMPENSATED PATIENT SERVICES IN ADDITION, GC PROVIDES OTHER PATIENT SERVICES FOR WHICH FULL PAYMENT IS NOT RECEIVED. THE UNCOMPENSATED COST OF PROVIDING SUCH PATIENT SERVICES DURING THE YEAR ENDED DECEMBER 31, 2022, WAS 737,158. III. RESEARCH SUPPORT GEISINGER CLINIC SUPPORTS ITS CHARITABLE MISSION THROUGH MEDICAL RESEARCH ACTIVITIES AT TWO FACILITIES ON THE CAMPUS OF THE GEISINGER MEDICAL CENTER: THE SIEGFRIED AND JANET WEIS CENTER FOR RESEARCH (WCR) AND THE HENRY HOOD CENTER FOR HEALTH RESEARCH. THE WCR PROVIDES A FOCUS FOR LABORATORY RESEARCH AND RESEARCH TRAINING AND SUPPORTS THE CLINICAL STAFF IN THEIR RESEARCH PROGRAMS. THE PRIMARY MISSION OF THE WCR IS TO CONDUCT ORIGINAL AND INNOVATIVE RESEARCH THAT CONTRIBUTES NEW KNOWLEDGE TO BIOMEDICAL SCIENCE. SCIENTISTS APPLY MODERN MOLECULAR AND CELLULAR APPROACHES TO DIVERSE RESEARCH PROBLEMS IN THE AREAS OF CARDIOVASCULAR FUNCTION, CANCER AND DEVELOPMENTAL BIOLOGY. THE HENRY HOOD CENTER FOR RESEARCH HOUSES TWO RESEARCH PROGRAMS: THE GEISINGER CENTER FOR HEALTH RESEARCH (GCHR) AND THE CENTER FOR CLINICAL STUDIES (CCS). GCHR CONDUCTS HEALTH SERVICES, EPIDEMIOLOGIC AND POPULATION GENETICS RESEARCH ON THE BROAD RANGE OF CONDITIONS TYPICALLY SEEN IN PRIMARY AND SPECIALTY CARE SETTINGS. THE MISSION OF THE CCS IS TO PLAN, CONDUCT, FOSTER AND SUPPORT INNOVATIVE CLINICAL RESEARCH TRIALS TO HELP ADVANCE DIAGNOSIS AND TREATMENT OF DISEASE AND IMPROVE PATIENT CARE. ALL THREE RESEARCH PROGRAMS INVESTIGATE EXTRAMURAL RESOURCES FOR FUNDING AND WORK COLLABORATIVELY ON BUILDING THE CAPABILITY FOR POPULATION-BASED GENETICS RESEARCH. TO THE EXTENT REVENUES AND GRANTS RECEIVED ARE BELOW THE COST OF RESEARCH OPERATIONS, GEISINGER CLINIC IS FURTHERING ITS MISSION TO THE ENTIRE COMMUNITY. THERE WAS NO UNREIMBURSED COST DURING THE YEAR ENDED DECEMBER 31, 2022. IV. COMMUNITY HEALTH, EDUCATION AND OUTREACH GEISINGER CLINIC STRIVES TO SERVE AS PARTNERS TO THE COMMUNITIES IN WHICH THEY ARE LOCATED. GC PROVIDES CARE TO THE COMMUNITY THROUGH MANY REDUCED- PRICE SERVICES AND FREE PROGRAMS THROUGHOUT THE YEAR BASED UPON ACTIVITIES AND SERVICES THAT GC BELIEVES WILL SERVE A BONAFIDE COMMUNITY HEALTH NEED. THESE SERVICES AND PROGRAMS INCLUDE SUPPORT GROUPS, HEALTH EDUCATION SERIES, WELLNESS FAIRS, HEALTH SCREENINGS, AND OTHER HEALTH RELATED PROGRAMS. THE COST OF THESE SERVICES TOTALED 1,649,017 IN THE YEAR ENDED DECEMBER 31, 2022. SOME OF THE SERVICES AND PROGRAMS PROVIDED INCLUDE: A. HEALTH EDUCATION EDUCATION MATERIALS/PUBLICATIONS HEALTH PROFESSIONS EDUCATION B. OTHER SERVICES AND PROGRAMS ASSISTANCE TO ENROLL IN PUBLIC MEDICAL PROGRAMS COMMUNITY SUPPORT ACTIVITIES FREE CLINICS HEALTH SCREENINGS MEDICATION TAKE-BACK CONTAINERS V. COMMUNITY SERVICE SUMMARY CHARITY CARE 21,967,498 MEDICARE/MEDICAID/OTHER GOVERNMENTAL 384,242,054 UNCOMPENSATED CARE 737,158 COMMUNITY HEALTH, EDUCATION, AND OUTREACH 1,649,017 TOTAL 408,595,727 VI. STATISTICS TOTAL NUMBER OF CLINIC VISITS (CLINIC-WIDE) 3,365,322 CLINIC SERVICE DAYS 255 GEISINGER CLINIC PHYSICIANS ADMIT TO THE SIX GEISINGER OWNED FACILITIES, GEISINGER MEDICAL CENTER, GEISINGER WYOMING VALLEY, GEISINGER COMMUNITY MEDICAL CENTER, GEISINGER BLOOMSBURG HOSPITAL, GEISINGER LEWISTOWN HOSPITAL, AND GEISINGER JERSEY SHORE HOSPITAL AS WELL AS TEN NON-GEISINGER OWNED FACILITIES. GEISINGER HAS A POLICY TO SEE PATIENTS OF ALL PAYORS.
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), AN AFFILIATE OF THE ORGANIZATION, 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 CERTAIN REPORTABLE PAYMENTS OF THE FILING ORGANIZATION. THE NUMBER OF FORM 1099'S FILED BY GSS FOR THE 2022 REPORTING PERIOD ON BEHALF OF ITSELF AND ITS AFFILIATES WAS 1,353. THE RESPONSE ENTERED ON LINE 1A FOR THE ORGANIZATION INCLUDES ONLY THOSE FORM 1099S FILED UNDER THE ORGANIZATIONS EIN, IT DOES NOT INCLUDE THOSE FILED BY GSS ON ITS BEHALF.
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. FORM 990, PART VI, SECTION A, LINE 2: DID ANY OFFICER, DIRECTOR, TRUSTEE, OR KEY EMPLOYEE HAVE A FAMILY RELATIONSHIP 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,JAMES E. HARTLE, MD, JEFFREY A. JACOBSON, KEVIN V. ROBERTS, MBA, CPA, LORI R. GRAMLEY, ESQUIRE, MATTHEW WALSH, MICHAEL A. EVANS, STEVEN B.BENDER, ESQUIRE, MHA, 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 AFFILIATE 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 2F: LINE 2F INCLUDES 630,939 OF IC SUPPORT SERVICE REVENUE. THIS 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 XI, LINE 9	TRANSFER FROM PARENT, GEISINGER HEALTH 452,941,522 GAIN FROM SUBSIDIARY, KEYSTONE ACCOUNTABLE CARE 14,310,201 TRANSFER FROM FHA, DUE TO MERGER 177,664 TRANSFER TO AFFILIATE, GEISIGER MEDICAL CENTER -250,000 TRANSFER TO PARENT, GEISINGER HEALTH -22,489 TOTAL 467,156,898
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.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	GEISINGER PHARMACY LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	100 NORTH ACADEMY AVENUE MC 49-70	AddressLine1Txt
City	DANVILLE	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	17822	ZIPCd

Field	Value	IRS element (for citing)
EIN	851581449	EIN
Primary Activities	PHARMACY	PrimaryActivitiesTxt
Legal Domicile State	PA	LegalDomicileStateCd
Total Income	$577,673,756	TotalIncomeAmt
End Of Year Assets	$190,021,917	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	GC	BusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (21 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
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		Yes (true)	GH
GEISINGER WYOMING VALLEY MED CTR
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	231996150	HOSPITAL	PA	501C3	3		Yes (true)	GH
MARWORTH
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232171417	D&A REHAB	PA	501C3	3		Yes (true)	GH
GEISINGER HEALTH PLAN
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232311553	HMO	PA	501C4			false	GH
GEISINGER SYSTEM SERVICES
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232164794	SUPPORT SV	PA	501C3	12A		Yes (true)	GH
GEISINGER COMMUNITY HEALTH SERVICES
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232967235	HEALTHCARE	PA	501C3	10		Yes (true)	GSS
GEISINGER INSURANCE CORPORATIONRRG
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	141909894	SELF INS	VT	501C3	12A		Yes (true)	GH
COMMUNITY MEDICAL CENTER
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	240862246	HOSPITAL	PA	501C3	3		Yes (true)	GH
GEISINGER-BLOOMSBURG HOSPITAL
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232193572	HOSPITAL	PA	501C3	3		Yes (true)	GH
GEISINGER-LEWISTOWN HOSPITAL
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	231352187	HOSPITAL	PA	501C3	3		Yes (true)	GH
LEWISTOWN AMBULATORY CARE CORP
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232344362	HOLDING CO	PA	501C3	12A		Yes (true)	GH
FAMILY HEALTH ASSOCIATES OF GLH
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	251651582	PHYSN SVCS	PA	501C3	12A		Yes (true)	GH
KEYSTONE HEALTH INFORMATION EXCH
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	464359893	RHIO	PA	501C3	12A		false	GH
WEST SHORE ADVANCED LIFE SUPP SVCS
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232463002	HEALTHCARE	PA	501C3	10		Yes (true)	GC
GEISINGER COMMONWEALTH SCH OF MED
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	260812968	EDUCATION	PA	501C3	2		false	GH
GEISINGER JERSEY SHORE HOSPITAL
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	240792115	HOSPITAL	PA	501C3	3		Yes (true)	GH
GEISINGER MEDICAL CENTER MUNCY
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	851226106	HOSPITAL	PA	501C3	3		false	GHM
GNJ PHYSICIANS GROUP PC
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	820681884	PHYSN SVCS	NJ	501C3	10		false	GH
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		false	GSL HOSP

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (10 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct	Direct Controlling NADirectControllingNACd	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	Province Or StateForeignAddress/ProvinceOrStateNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
KEYSTONE ACCOUNTABLE CARE ORG LLC
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	455484165	ACO	PA	GC	RELATED	$14,311,328	$5,239,140	false	Yes (true)	0.75000
GEISINGER ENCOMPASS HEALTH LLC
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	721398803	PHY THERAP	PA					false	false		N/A
EVANGELICAL-GEISINGER HEALTH LLC
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	460567687	HEALTHCARE	PA	GC	RELATED	$111,409	$914,333	false	Yes (true)	0.50000
LACKAWANNA PHYS AMB SURG CTRLLC
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	233024998	HEALTHCARE	PA					false	false		N/A
GEISINGER-HM JOINT VENTURE LLC
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	831871064	HEALTHCARE	PA					false	false		N/A
KEYSTONE HEALTHCARE PARTNERSHIPLLC
901 HUGH WALLIS ROAD	LAFAYETTE	LA	70508	833134941	HOME HLTH	PA		RELATED	$239,994	$807,842	false	Yes (true)	0.25000	N/A
COMMONWEALTH MSO LLC
270 SUSQUEHANNA VALLEY MALL DRIVE	SELINSGROVE	PA	17870	862178965	HEALTHCARE	PA	GC	RELATED	-$30,543		false	Yes (true)	0.50000
PHARMACY INNOVATION ALLIANCE LLC
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	831871064	PURCHASING	DE					false	false		N/A
KKA VALUE FUND II GMBH & CO
				981686914	INVESTMENT						false	false		N/A	GIPSSTRABE 8	BERLIN	GERMANY	GM	10119	GM
KKA CO-INVEST I GMBH & CO KG
				981685919	INVESTMENT						false	false		N/A	GIPSSTRABE 8	BERLIN	GERMANY	GM	10119	GM

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (11 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	Province Or StateForeignAddress/ProvinceOrStateNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
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
				981016737	FINANCIAL		N/A	false	23 LINE TREE BAY AVE PO BOX 1159	GRAND CAYMAN	GRAND CAYMAN	CJ	KY1-1102	CJ
CT WAREHOUSE GMBH
					HOLDING CO		N/A	false	GIPSSTRABE 8	BERLIN	BERLIN	GM	10119	GM
KKA PROJECT 3 HOLDING GMBH
					HOLDING CO		N/A	false	GIPSSTRABE 8	BERLIN	BERLIN	GM	10119	GM
KKA PROJECT 4 HOLDING GMBH
					HOLDING CO		N/A	false	GIPSSTRABE 8	BERLIN	BERLIN	GM	10119	GM
RTNX TOP GMBH
					HOLDING CO		N/A	false	GIPSSTRABE 8	BERLIN	BERLIN	GM	10119	GM
KKA WAREHOUSE GMBH
					HOLDING CO		N/A	false	GIPSSTRABE 8	BERLIN	BERLIN	GM	10119	GM
KKA PROJECT 2 HOLDING GMBH
					HOLDING CO		N/A	false	GIPSSTRABE 8	BERLIN	BERLIN	GM	10119	GM
PROJECT 4 WAREHOUSE GMBH
					HOLDING CO		N/A	false	GIPSSTRABE 8	BERLIN	BERLIN	GM	10119	GM

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (true)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (67 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
COMMUNITY MEDICAL CENTER
A	$74,319	FMV
GEISINGER-LEWISTOWN HOSPITAL
A	$270,975	FMV
GEISINGER WYOMING VALLEY MED CTR
A	$862,035	FMV
GEISINGER SYSTEM SERVICES
A	$292,983	FMV
GEISINGER MEDICAL CENTER
A	$61,272	FMV
GEISINGER HEALTH
B	$22,489	GAAP
GEISINGER MEDICAL CENTER
B	$250,000	GAAP
GEISINGER HEALTH
C	$452,941,522	GAAP
GEISINGER-HM JV LLC
K	$194,067	FMV
GEISINGER-BLOOMSBURG HOSPITAL
K	$897,563	FMV
COMMUNITY MEDICAL CENTER
K	$168,205	FMV
GEISINGER HEALTH PLAN
K	$31,659	FMV
GEISINGER JERSEY SHORE HOSPITAL
K	$133,848	FMV
GEISINGER-LEWISTOWN HOSPITAL
K	$351,822	FMV
GEISINGER MEDICAL CENTER
K	$316,903	FMV
GEISINGER MEDICAL CENTER MUNCY
K	$172,144	FMV
GEISINGER SYSTEM SERVICES
K	$1,261,154	FMV
GEISINGER WYOMING VALLEY MED CTR
K	$422,274	FMV
LEWISTOWN AMBULATORY CARE CORP
K	$264,022	FMV
FAMILY HEALTH ASSOC OF GLH
L	$337,919	GAAP
GEISINGER COMMUNITY HEALTH SERVICES
L	$2,730,803	GAAP
GEISINGER HEALTH
L	$223,310	GAAP
GEISINGER COMMONWEALTH SCH OF MED
L	$290,967	GAAP
GEISINGER HEALTH PLAN
L	$483,194,642	GAAP
MARWORTH
L	$1,252,284	GAAP
GEISINGER MEDICAL CENTER
L	$158,521,473	GAAP
GEISINGER-BLOOMSBURG HOSPITAL
L	$3,236,724	GAAP
GEISINGER MEDICAL CENTER MUNCY
L	$3,585	GAAP
LACKAWANNA PHYSICIANS AMB SURG CTR
L	$134,070	GAAP
GEISINGER ASSURANCE COMPANY LTD
L	$304,282	GAAP
COMMUNITY MEDICAL CENTER
L	$31,094,529	GAAP
GEISINGER-HM JV LLC
L	$1,641,613	GAAP
GEISINGER INDEMNITY INSURANCE CO
L	$12,715,891	GAAP
GEISINGER JERSEY SHORE HOSPITAL
L	$40,420	GAAP
GEISINGER-LEWISTOWN HOSPITAL
L	$6,705,680	GAAP
GEISINGER QUALITY OPTIONS INC
L	$5,955,658	GAAP
GEISINGER SYSTEM SERVICES
L	$739,335	GAAP
GEISINGER WYOMING VALLEY MED CTR
L	$81,874,075	GAAP
KEYSTONE ACO LLC
L	$1,992,875	GAAP
ISS SOLUTIONS INC
L	$192,587	GAAP
GEISINGER-BLOOMSBURG HOSPITAL
M	$345,091	GAAP
COMMUNITY MEDICAL CENTER
M	$8,605,247	GAAP
GEISINGER INDEMNITY INSURANCE CO
M	$1,882,102	GAAP
GEISINGER JERSEY SHORE HOSPITAL
M	$162,135	GAAP
GEISINGER-LEWISTOWN HOSPITAL
M	$2,418,736	GAAP
GEISINGER QUALITY OPTIONS INC
M	$1,641,965	GAAP
GEISINGER SYSTEM SERVICES
M	$158,373,115	GAAP
GEISINGER WYOMING VALLEY MED CTR
M	$4,363,614	GAAP
KEYSTONE ACO LLC
M	$439,008	GAAP
ISS SOLUTIONS INC
M	$1,708,542	GAAP
GEISINGER-HM JOINT VENTURE LLC
M	$38,202	GAAP
GEISINGER ASSURANCE COMPANY LTD
M	$16,901,837	GAAP
GEISINGER COMMONWEALTH SCH OF MED
M	$541	GAAP
GEISINGER HEALTH
M	$2,697,440	GAAP
GEISINGER HEALTH PLAN
M	$17,338	GAAP
GEISINGER MEDICAL CENTER
M	$16,765,003	GAAP
GEISINGER MEDICAL CENTER MUNCY
M	$803	GAAP
MARWORTH
M	$39	GAAP
WEST SHORE ADVANCED LIFE SUPP SVCS
M	$37,258	GAAP
GEISINGER INSURANCE CORPORATION RRG
P	$19,714,088	GAAP
GEISINGER HEALTH PLAN
Q	$31,998,380	GAAP
GEISINGER INSURANCE CORPORATION RRG
Q	$2,145,600	GAAP
GEISINGER MEDICAL CENTER
Q	$107,134,000	GAAP
GEISINGER QUALITY OPTIONS INC
Q	$15,539,038	GAAP
GEISINGER HEALTH
S	$3,672,189	GAAP
GEISINGER WYOMING VALLEY MED CTR
S	$2,594,004	GAAP
FAMILY HEALTH ASSOC OF GLH
S	$177,664	GAAP

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE R	FormAndLineReferenceDesc
Explanation	FORM 990, SCHEDULE R, PART V - TRANSACTIONS WITH RELATED ORGANIZATIONS: AS SHOWN IN FORM 990, SCHEDULE R, GEISINGER CLINIC 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.	ExplanationTxt