2023-11-14T11:29:54-05:00 2022-12-31 990 2022-01-01 232171417 MARWORTH MARW 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 GEISINGER MARWORTH TREATMENT CENTER JAEWON RYU MD JD 100 N ACADEMY AVE MC 22-01 DANVILLE PA 178229800 12276405 false X WWW.GEISINGER.ORG X 1981 PA STRIVE TO MAKE BETTER HEALTH EASIER BY PROVIDING ACCESS TO AFFORDABLE, HIGH QUALITY HEALTH SERVICES THROUGH EQUITABLE, INNOVATIVE, AND INCLUSIVE CARE MODELS THAT SUPPORT PATIENT CARE, EDUCATION, RESEARCH, & COMMUNITY SERVICE. 7 4 131 4 0 232498 0 10920072 12158684 83369 44260 86517 73461 11322456 12276405 0 0 6501463 7311296 0 0 5794729 6496496 12296192 13807792 -973736 -1531387 7267460 5536521 1815038 1768691 5452422 3767830 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 12650184 12170323 I. GENERAL PROGRAM SERVICE INFORMATION MARWORTH, DBA GEISINGER MARWORTH, A 501(C)(3) NOT FOR PROFIT CORPORATION, OWNS AND OPERATES A FACILITY FOR ALCOHOL AND CHEMICAL DETOXIFICATION AND REHABILITATION. MARWORTH PROVIDES SERVICES WITHOUT REGARD TO THE PATIENT'S ABILITY TO PAY. MARWORTH IS CELEBRATING ITS 41ST YEAR OF CARING FOR PATIENTS FROM PENNSYLVANIA, NEW JERSEY, NEW YORK AND NEW ENGLAND. MORE THAN 40,000 PEOPLE HAVE CHOSEN MARWORTH FOR TREATMENT SINCE 1982. MARWORTH PROVIDES BOTH INPATIENT AND OUTPATIENT CARE AT ITS 101-BED FACILITY NEAR SCRANTON, IN WAVERLY, PENNSYLVANIA. THE BED CAPACITY INCREASED FROM 77 TO 91 IN JANUARY 2006. AN ADDITIONAL INCREASE FROM 91 TO 101 WAS APPROVED IN JANUARY 2021 TO SUPPORT SOCIAL DISTANCING REQUIREMENTS IN RESPONSE TO COVID19. MARWORTH IS REQUESTING FROM ITS STATE LICENSING AGENCY TO REDUCE BED CAPACITY TO 91 TO REFLECT BED CAPACITY NEEDS PRIOR TO THE PANDEMIC. (1) AN ADDICTION TREATMENT PROGRAM, WHICH PROVIDES EVIDENCE- BASED SERVICES TO INITIATE AND SUSTAIN RECOVERY FROM SUBSTANCE USE DISORDERS. THE PROGRAM CONSISTS OF THREE PHASES: (A) ASAM LEVEL 3.7 INPATIENT DETOX (B) ASAM LEVEL 3.5 HIGH INTENSITY INPATIENT REHABILITATION (C) ASAM LEVEL 1 AND 2 OUTPATIENT SERVICES (2) FAMILY TREATMENT. A VITAL PROGRAM COMPONENT OF MARWORTH IS FAMILY TREATMENT THAT PROVIDES EDUCATION AND COUNSELING TO FAMILY MEMBERS, ASSURING THE RECOVERY AND THE WELL-BEING OF THE ENTIRE FAMILY UNIT. THIS PROGRAM IS PROVIDED AT NO CHARGE TO THE FAMILY WHILE THE PATIENT IS RECEIVING TREATMENT. SINCE COVID19, THESE SERVICES ARE PROVIDED VIRTUALLY. (3) NON-RESIDENTIAL SERVICES. MARWORTH ALSO PROVIDES OUTPATIENT TREATMENT SERVICES. MARWORTH IS OPERATED IN CLOSE COOPERATION WITH EDUCATIONAL ACTIVITIES OF GEISINGER CLINIC AND HOSPITAL FACILITIES OF GEISINGER COMMUNITY MEDICAL CENTER AND GEISINGER WYOMING VALLEY MEDICAL CENTER. (4) SPECIALIZED THERAPIES AND PROGRAMS. A. RECREATIONAL THERAPY MARWORTH'S RECREATIONAL THERAPY PROGRAM FEATURES A HIGH ROPES COURSE, A LOW ELEMENTS ROPES COURSE, FITNESS CENTER AND OTHER EXPERIENTIAL LEARNING MEDIUMS. MORE THAN JUST EXERCISE, REC THERAPY ACTIVITIES SIMULATE A WIDE ARRAY OF ADDICTION RECOVERY THEMES, SUCH AS GROUP PROBLEM SOLVING, LEARNING TO TRUST OTHERS, ASKING FOR HELP AND CONFRONTING COMPULSIVE/ IMPULSIVE BEHAVIOR. B. EXPRESSIVE THERAPY EXPRESSIVE THERAPIES, SUCH AS MUSIC THERAPY AND SAND TRAY THERAPY, ALLOW INDIVIDUALS IN RECOVERY TO EXPRESS THEMSELVES WITH WORDS. THE PROCESS IS POWERFUL IN STRENGTHENING PHYSICAL, EMOTIONAL, COGNITIVE AND SOCIAL NEEDS. C. DIALECTICAL BEHAVIORAL THERAPY DIALECTICAL BEHAVIORAL THERAPY (DBT) SKILLS TRAINING TEACHES INDIVIDUALS IN ADDICTION TREATMENT THE CRITICAL COPING SKILLS OF MINDFULNESS, DISTRESS TOLERANCE, INTERPERSONAL EFFECTIVENESS AND EMOTION REGULATION. D. TRAUMA THE CONNECTION BETWEEN ADDICTION AND TRAUMA IS STRONG. MARWORTH'S SEEKING SAFETY: TRAUMA & PTSD SUPPORT GROUPS FOR TRAUMA SURVIVORS STRUGGLING WITH ADDICTION FOCUS ON COPING SKILLS, ASKING FOR HELP AND BOUNDARIES. PICC LINE PATIENTS PATIENTS WITH PERIPHERALLY INSERTED CENTRAL CATHETERS (PICC LINES) WHO ARE BEING TREATED FOR VARIOUS INFECTIOUS COMPLICATIONS ARISING FROM THEIR SUBSTANCE USE CAN BE ADMITTED TO THE RESIDENTIAL PROGRAM. THESE PATIENTS ARE TREATED ON AN INDIVIDUAL BASIS. LENGTH OF STAY MAY DEPEND ON THE NUMBER OF DAYS REQUIRED FOR APPROPRIATE ANTIBIOTIC THERAPY. IF THE PATIENT HAS BEEN STABILIZED ON A MAINTENANCE DOSE OF BUPRENORPHINE, HE OR SHE WILL BE GIVEN THE OPTION TO CONTINUE THIS THERAPY OR BE TAPERED OFF AND TRANSITIONED TO AN OPIOID BLOCKER. THESE PATIENTS WILL UNDERGO DETOXIFICATION FROM ALL OTHER POTENTIALLY ABUSABLE SUBSTANCES. BUPRENORPHINE STABILIZATION AND MAINTENANCE PATIENTS WITH AN OPIOID USE DISORDER MAY BE STARTED AND MAINTAINED ON BUPRENORPHINE, THE GOLD STANDARD IN EVIDENCE-BASED TREATMENT FOR THIS DISEASE. THESE PATIENTS WILL BE MAINTAINED ON THE ESTABLISHED MAINTENANCE DOSE OF BUPRENORPHINE AND WILL UNDERGO DETOXIFICATION FROM ALL OTHER POTENTIALLY ABUSABLE SUBSTANCES. ACADEMICS A. ADDICTION MEDICINE FELLOWSHIP THE MARWORTH ADDICTION MEDICINE FELLOWSHIP IS ACCREDITED BY THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION (ACGME) TO TRAIN PHYSICIANS IN ADDICTION MEDICINE. THE FELLOWSHIP ALSO BENEFITS FROM A HRSA GRANT TO SUPPORT THE TRAINING PROGRAM. PHYSICIANS WHO HAVE COMPLETED RESIDENCIES IN ANY MEDICAL SPECIALTY AND ARE ABLE TO OBTAIN A PENNSYLVANIA MEDICAL LICENSE, REGISTRATION WITH THE DRUG ENFORCEMENT AGENCY (DEA) AND A BUPRENORPHINE WAIVER ARE ELIGIBLE TO APPLY. ADDICTION MEDICINE FELLOWS RECEIVE ADVANCED TRAINING IN MEDICAL MANAGEMENT OF PATIENTS WITH SUBSTANCE USE DISORDERS, IN ADDITION TO EXPOSURE TO THE VARIOUS NON-MEDICAL ASPECTS OF CARE FOR THIS PATIENT POPULATION. IN ADDITION TO SPENDING TIME AT MARWORTH, FELLOWS ROTATE THROUGH SEVERAL OTHER FACILITIES, WHERE THEY WORK WITH ADDICTION MEDICINE SPECIALISTS IN THE HOSPITAL SETTING, PAIN MANAGEMENT SPECIALISTS AND MENTAL HEALTH PROFESSIONALS. THEY ALSO SPEND A SIGNIFICANT AMOUNT OF TIME AT THE GEISINGER MEDICATION-ASSISTED TREATMENT CLINICS WHERE THEY PROVIDE CARE FOR PATIENTS WITH SUBSTANCE USE DISORDERS IN THE OUTPATIENT SETTING. B. TRAINING OPPORTUNITIES FOR OTHER MEDICAL TRAINEES THERE ARE 105 RESIDENTS AND MEDICAL STUDENTS SCHEDULED TO ROTATE THROUGH ADDICTION MEDICINE PROGRAM IN THE 2023/2024 ACADEMIC YEAR. LEARNERS ARE FROM THE FOLLOWING RESIDENCY PROGRAMS AND GEISINGER COMMONWEALTH SCHOOL OF MEDICINE (GCSOM): FAMILY MEDICINE NORTHEAST INTERNAL MEDICINE NORTHEAST FAMILY MEDICINE LEWISTOWN INTERNAL MEDICINE DANVILLE/CENTRAL REGION MEDICINE/PEDIATRICS DANVILLE GEISINGER COMMONWEALTH SCHOOL OF MESICINE II. UNCOMPENSATED CARE MARWORTH RECOGNIZES THAT ITS MISSION IS TO SERVE ALL THE MEMBERS OF THE COMMUNITY WITH RESPECT TO THE PROVISION OF HEALTHCARE SERVICES AND HEALTHCARE EDUCATION. MARWORTH PROVIDES QUALITY MEDICAL HEALTHCARE REGARDLESS OF RACE, RELIGION, ETHNICITY, SEXUAL ORIENTATION, GENDER IDENTITY, HANDICAP, AGE OR ABILITY TO PAY. IN THIS REGARD, MARWORTH 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 MARWORTH PRACTICES. A. CHARITY CARE THE PRIMARY CONCERN OF MARWORTH IS THE DELIVERY OF CARE TO ALL, REGARDLESS OF THEIR ABILITY TO PAY. THE UNREIMBURSED COST OF CHARITY CARE REPRESENTS THE COST THAT MARWORTH INCURS BY PROVIDING FREE OR DISCOUNTED SERVICES TO THOSE WHO CANNOT AFFORD TO PAY FOR SERVICES. THE COST TO MARWORTH OF PROVIDING THIS CHARITY CARE AND POLICY DEDUCTIONS DURING YEAR ENDED DECEMBER 31, 2022 WAS 100,981. B. OTHER GOVERNMENTAL IN RECOGNIZING ITS MISSION TO THE COMMUNITY, MARWORTH PROVIDES SERVICES TO MEDICAID PATIENTS THROUGH ACT 152 AND COUNTY PROGRAMS. MARWORTH PROVIDES CARE, BELOW COST, TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS. TO THE EXTENT REIMBURSEMENT IS BELOW THE COST OF PROVIDING HEALTH CARE, MARWORTH IS FURTHERING ITS CHARITABLE MISSION TO THE ENTIRE COMMUNITY. THE UNREIMBURSED VALUE OF PROVIDING CARE TO ACT 152/COUNTY PATIENTS DURING THE YEAR ENDED DECEMBER 31, 2022 WAS 1,674,267 MILLION. C. OTHER UNCOMPENSATED PATIENT SERVICES IN ADDITION TO THE ABOVE, MARWORTH 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 61,482. III. COMMUNITY BENEFIT SUMMARY CHARITY CARE 100,981 OTHER GOVERNMENTAL 1,674,267 UNCOMPENSATED CARE 61,482 TOTAL COMMUNITY BENEFIT 1,836,730 IV. STATISTICS ADMISSIONS 1,156 DISCHARGES 1,150 PATIENT SERVICE DAYS 22,676 OUTPATIENT VISITS 946 BEDS 101 12650184 true false false true false false false false false true true false false false true false false true false false false false false false false false false false false true false false false false false false false false false false false false false true true true true false true X 0 0 true 131 true false false false false false false false false false false false false X 7 4 true false false false true true true true true false false true true true true true true true true false PA MA X KATHLEEN CHAPMAN 5702142299 100 N ACADEMY AVE MC 49-70 DANVILLE PA 178229800 JAEWON RYU MD JD PRESIDENT, D 40.00 X X 0 5545041 1560940 KEVIN V ROBERTS MBA CPA EVP, CFO, TR 40.00 X 0 1735635 374871 MATTHEW WALSH DIRECTOR 40.00 X 0 1371594 307990 STEVEN B BENDER ESQUIRE EVP, CLO, SE 40.00 X 0 885926 215586 GERALD V MALONEY DO DIRECTOR 40.00 X 0 809293 133494 LORI R GRAMLEY ESQUIRE ACLO, ASST S 40.00 X 0 347436 45422 RUTHANNE KOONRAD RN FORMER 5 HIG 40.00 X 0 223229 14208 DAVID W REYNOLDS COMMUNITY OU 40.00 X 111022 0 39705 CYNTHIA SUPINSKI RN INPATIENT RN 40.00 X 108086 0 26695 DEBRA HAWLEY RN INPATIENT RN 40.00 X 115123 0 17658 SHERILL KWIATKOWSKI RN INPATIENT RN 40.00 X 124858 0 6803 LORI PHILLIPS OPS MANAGER, 40.00 X 110360 0 5855 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 569449 10918154 2749227 6 true true false NETSMART TECHNOLOGIES INC PO BOX 823519 PHILADELPHIA PA 19171 IT SERVICES 144416 1 DRUG AND ALCOHOL TREATMENT 623220 11780586 11780586 INTERCOMPANY RENTAL REVENUE 531120 220285 220285 IC SUPPORT SERVICES 541900 157813 157813 12158684 1564 1564 42696 42696 42696 42696 GIFT SHOP 459420 37628 37628 CAFETERIA 722514 21383 21383 PURCHASE DISCOUNTS 900099 11639 11639 2811 2811 73461 12276405 11950038 326367 5372181 5174406 197775 245060 236038 9022 1296734 1248995 47739 397321 389786 7535 435 435 14766 1745 13021 539937 349845 190092 57 57 861002 694719 166283 150704 14640 136064 582706 533852 48854 97414 95476 1938 30203 27671 2532 494541 453078 41463 320529 221049 99480 INTER-ENTITY EXPENSE 3114071 2968609 145462 UNCOLLECTIBLE EXPENSE 135398 135398 MEDICAL SUPPLIES 126209 89961 36248 LICENSES, FEES, AND DUES 28397 14789 13608 127 127 13807792 12650184 1157608 0 1059633 19165 198036 1037537 1293316 52245 116453 134835 14260937 10402848 4289753 3858089 744919 7267460 5536521 74501 117655 795743 648519 944794 1002517 1815038 1768691 X 5452422 3767830 5452422 3767830 7267460 5536521 -1531387 -153205 X X false true X true false X false false false false false false false false true 435 435 false SCHEDULE C, PART II-B, LINE 1 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. 385529000 1170000 -20189000 4666000 361844000 372716000 699000 19881000 7767000 385529000 369232000 1328000 20022000 17866000 372716000 373558000 290000 -502000 4114000 369232000 370396000 2213000 4882000 3933000 373558000 0.77060 0.18390 0.04550 false true true 70787 70787 6743219 5098718 1644501 5420641 3985162 1435479 2026290 1318968 707322 3858089 DUE TO AFFILIATES 961949 OTHER LT LIABILITIES 36908 FINANCIAL CONTRACT 3660 1002517 SCHEDULE D, PAGE 2, PART V, LINE 4 TO SUPPORT RESEARCH, CAPITAL, PROGRAM EXPENSES, PATIENT CARE, AND PATIENT EDUCATION. 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. X true true X X X X X X false true false false false false false false false 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 MATTHEW WALSH DIRECTOR 1219503 152091 271570 36420 1679584 123179 STEVEN B BENDER ESQUIRE EVP, CLO, SECRETARY 846303 39623 181570 34016 1101512 GERALD V MALONEY DO DIRECTOR 679749 129544 91570 41924 942787 70375 LORI R GRAMLEY ESQUIRE ACLO, ASST SECTY 321611 25825 21570 23852 392858 RUTHANNE KOONRAD RN FORMER 5 HIGHEST 183068 40126 35 14208 237437 DAVID W REYNOLDS COMMUNITY OUTREACH 105083 5939 5614 34091 150727 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 MATTHEW WALSH 0 123,179 0 GERALD V. MALONEY, DO 0 70,375 0 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. 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 2, PART III, LINE 4A I. GENERAL PROGRAM SERVICE INFORMATION MARWORTH, DBA GEISINGER MARWORTH, A 501(C)(3) NOT FOR PROFIT CORPORATION, OWNS AND OPERATES A FACILITY FOR ALCOHOL AND CHEMICAL DETOXIFICATION AND REHABILITATION. MARWORTH PROVIDES SERVICES WITHOUT REGARD TO THE PATIENT'S ABILITY TO PAY. MARWORTH IS CELEBRATING ITS 41ST YEAR OF CARING FOR PATIENTS FROM PENNSYLVANIA, NEW JERSEY, NEW YORK AND NEW ENGLAND. MORE THAN 40,000 PEOPLE HAVE CHOSEN MARWORTH FOR TREATMENT SINCE 1982. MARWORTH PROVIDES BOTH INPATIENT AND OUTPATIENT CARE AT ITS 101-BED FACILITY NEAR SCRANTON, IN WAVERLY, PENNSYLVANIA. THE BED CAPACITY INCREASED FROM 77 TO 91 IN JANUARY 2006. AN ADDITIONAL INCREASE FROM 91 TO 101 WAS APPROVED IN JANUARY 2021 TO SUPPORT SOCIAL DISTANCING REQUIREMENTS IN RESPONSE TO COVID19. MARWORTH IS REQUESTING FROM ITS STATE LICENSING AGENCY TO REDUCE BED CAPACITY TO 91 TO REFLECT BED CAPACITY NEEDS PRIOR TO THE PANDEMIC. (1) AN ADDICTION TREATMENT PROGRAM, WHICH PROVIDES EVIDENCE- BASED SERVICES TO INITIATE AND SUSTAIN RECOVERY FROM SUBSTANCE USE DISORDERS. THE PROGRAM CONSISTS OF THREE PHASES: (A) ASAM LEVEL 3.7 INPATIENT DETOX (B) ASAM LEVEL 3.5 HIGH INTENSITY INPATIENT REHABILITATION (C) ASAM LEVEL 1 AND 2 OUTPATIENT SERVICES (2) FAMILY TREATMENT. A VITAL PROGRAM COMPONENT OF MARWORTH IS FAMILY TREATMENT THAT PROVIDES EDUCATION AND COUNSELING TO FAMILY MEMBERS, ASSURING THE RECOVERY AND THE WELL-BEING OF THE ENTIRE FAMILY UNIT. THIS PROGRAM IS PROVIDED AT NO CHARGE TO THE FAMILY WHILE THE PATIENT IS RECEIVING TREATMENT. SINCE COVID19, THESE SERVICES ARE PROVIDED VIRTUALLY. (3) NON-RESIDENTIAL SERVICES. MARWORTH ALSO PROVIDES OUTPATIENT TREATMENT SERVICES. MARWORTH IS OPERATED IN CLOSE COOPERATION WITH EDUCATIONAL ACTIVITIES OF GEISINGER CLINIC AND HOSPITAL FACILITIES OF GEISINGER COMMUNITY MEDICAL CENTER AND GEISINGER WYOMING VALLEY MEDICAL CENTER. (4) SPECIALIZED THERAPIES AND PROGRAMS. A. RECREATIONAL THERAPY MARWORTH'S RECREATIONAL THERAPY PROGRAM FEATURES A HIGH ROPES COURSE, A LOW ELEMENTS ROPES COURSE, FITNESS CENTER AND OTHER EXPERIENTIAL LEARNING MEDIUMS. MORE THAN JUST EXERCISE, REC THERAPY ACTIVITIES SIMULATE A WIDE ARRAY OF ADDICTION RECOVERY THEMES, SUCH AS GROUP PROBLEM SOLVING, LEARNING TO TRUST OTHERS, ASKING FOR HELP AND CONFRONTING COMPULSIVE/ IMPULSIVE BEHAVIOR. B. EXPRESSIVE THERAPY EXPRESSIVE THERAPIES, SUCH AS MUSIC THERAPY AND SAND TRAY THERAPY, ALLOW INDIVIDUALS IN RECOVERY TO EXPRESS THEMSELVES WITH WORDS. THE PROCESS IS POWERFUL IN STRENGTHENING PHYSICAL, EMOTIONAL, COGNITIVE AND SOCIAL NEEDS. C. DIALECTICAL BEHAVIORAL THERAPY DIALECTICAL BEHAVIORAL THERAPY (DBT) SKILLS TRAINING TEACHES INDIVIDUALS IN ADDICTION TREATMENT THE CRITICAL COPING SKILLS OF MINDFULNESS, DISTRESS TOLERANCE, INTERPERSONAL EFFECTIVENESS AND EMOTION REGULATION. D. TRAUMA THE CONNECTION BETWEEN ADDICTION AND TRAUMA IS STRONG. MARWORTH'S SEEKING SAFETY: TRAUMA & PTSD SUPPORT GROUPS FOR TRAUMA SURVIVORS STRUGGLING WITH ADDICTION FOCUS ON COPING SKILLS, ASKING FOR HELP AND BOUNDARIES. PICC LINE PATIENTS PATIENTS WITH PERIPHERALLY INSERTED CENTRAL CATHETERS (PICC LINES) WHO ARE BEING TREATED FOR VARIOUS INFECTIOUS COMPLICATIONS ARISING FROM THEIR SUBSTANCE USE CAN BE ADMITTED TO THE RESIDENTIAL PROGRAM. THESE PATIENTS ARE TREATED ON AN INDIVIDUAL BASIS. LENGTH OF STAY MAY DEPEND ON THE NUMBER OF DAYS REQUIRED FOR APPROPRIATE ANTIBIOTIC THERAPY. IF THE PATIENT HAS BEEN STABILIZED ON A MAINTENANCE DOSE OF BUPRENORPHINE, HE OR SHE WILL BE GIVEN THE OPTION TO CONTINUE THIS THERAPY OR BE TAPERED OFF AND TRANSITIONED TO AN OPIOID BLOCKER. THESE PATIENTS WILL UNDERGO DETOXIFICATION FROM ALL OTHER POTENTIALLY ABUSABLE SUBSTANCES. BUPRENORPHINE STABILIZATION AND MAINTENANCE PATIENTS WITH AN OPIOID USE DISORDER MAY BE STARTED AND MAINTAINED ON BUPRENORPHINE, THE GOLD STANDARD IN EVIDENCE-BASED TREATMENT FOR THIS DISEASE. THESE PATIENTS WILL BE MAINTAINED ON THE ESTABLISHED MAINTENANCE DOSE OF BUPRENORPHINE AND WILL UNDERGO DETOXIFICATION FROM ALL OTHER POTENTIALLY ABUSABLE SUBSTANCES. ACADEMICS A. ADDICTION MEDICINE FELLOWSHIP THE MARWORTH ADDICTION MEDICINE FELLOWSHIP IS ACCREDITED BY THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION (ACGME) TO TRAIN PHYSICIANS IN ADDICTION MEDICINE. THE FELLOWSHIP ALSO BENEFITS FROM A HRSA GRANT TO SUPPORT THE TRAINING PROGRAM. PHYSICIANS WHO HAVE COMPLETED RESIDENCIES IN ANY MEDICAL SPECIALTY AND ARE ABLE TO OBTAIN A PENNSYLVANIA MEDICAL LICENSE, REGISTRATION WITH THE DRUG ENFORCEMENT AGENCY (DEA) AND A BUPRENORPHINE WAIVER ARE ELIGIBLE TO APPLY. ADDICTION MEDICINE FELLOWS RECEIVE ADVANCED TRAINING IN MEDICAL MANAGEMENT OF PATIENTS WITH SUBSTANCE USE DISORDERS, IN ADDITION TO EXPOSURE TO THE VARIOUS NON-MEDICAL ASPECTS OF CARE FOR THIS PATIENT POPULATION. IN ADDITION TO SPENDING TIME AT MARWORTH, FELLOWS ROTATE THROUGH SEVERAL OTHER FACILITIES, WHERE THEY WORK WITH ADDICTION MEDICINE SPECIALISTS IN THE HOSPITAL SETTING, PAIN MANAGEMENT SPECIALISTS AND MENTAL HEALTH PROFESSIONALS. THEY ALSO SPEND A SIGNIFICANT AMOUNT OF TIME AT THE GEISINGER MEDICATION-ASSISTED TREATMENT CLINICS WHERE THEY PROVIDE CARE FOR PATIENTS WITH SUBSTANCE USE DISORDERS IN THE OUTPATIENT SETTING. B. TRAINING OPPORTUNITIES FOR OTHER MEDICAL TRAINEES THERE ARE 105 RESIDENTS AND MEDICAL STUDENTS SCHEDULED TO ROTATE THROUGH ADDICTION MEDICINE PROGRAM IN THE 2023/2024 ACADEMIC YEAR. LEARNERS ARE FROM THE FOLLOWING RESIDENCY PROGRAMS AND GEISINGER COMMONWEALTH SCHOOL OF MEDICINE (GCSOM): FAMILY MEDICINE NORTHEAST INTERNAL MEDICINE NORTHEAST FAMILY MEDICINE LEWISTOWN INTERNAL MEDICINE DANVILLE/CENTRAL REGION MEDICINE/PEDIATRICS DANVILLE GEISINGER COMMONWEALTH SCHOOL OF MESICINE II. UNCOMPENSATED CARE MARWORTH RECOGNIZES THAT ITS MISSION IS TO SERVE ALL THE MEMBERS OF THE COMMUNITY WITH RESPECT TO THE PROVISION OF HEALTHCARE SERVICES AND HEALTHCARE EDUCATION. MARWORTH PROVIDES QUALITY MEDICAL HEALTHCARE REGARDLESS OF RACE, RELIGION, ETHNICITY, SEXUAL ORIENTATION, GENDER IDENTITY, HANDICAP, AGE OR ABILITY TO PAY. IN THIS REGARD, MARWORTH 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 MARWORTH PRACTICES. A. CHARITY CARE THE PRIMARY CONCERN OF MARWORTH IS THE DELIVERY OF CARE TO ALL, REGARDLESS OF THEIR ABILITY TO PAY. THE UNREIMBURSED COST OF CHARITY CARE REPRESENTS THE COST THAT MARWORTH INCURS BY PROVIDING FREE OR DISCOUNTED SERVICES TO THOSE WHO CANNOT AFFORD TO PAY FOR SERVICES. THE COST TO MARWORTH OF PROVIDING THIS CHARITY CARE AND POLICY DEDUCTIONS DURING YEAR ENDED DECEMBER 31, 2022 WAS 100,981. B. OTHER GOVERNMENTAL IN RECOGNIZING ITS MISSION TO THE COMMUNITY, MARWORTH PROVIDES SERVICES TO MEDICAID PATIENTS THROUGH ACT 152 AND COUNTY PROGRAMS. MARWORTH PROVIDES CARE, BELOW COST, TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS. TO THE EXTENT REIMBURSEMENT IS BELOW THE COST OF PROVIDING HEALTH CARE, MARWORTH IS FURTHERING ITS CHARITABLE MISSION TO THE ENTIRE COMMUNITY. THE UNREIMBURSED VALUE OF PROVIDING CARE TO ACT 152/COUNTY PATIENTS DURING THE YEAR ENDED DECEMBER 31, 2022 WAS 1,674,267 MILLION. C. OTHER UNCOMPENSATED PATIENT SERVICES IN ADDITION TO THE ABOVE, MARWORTH 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 61,482. III. COMMUNITY BENEFIT SUMMARY CHARITY CARE 100,981 OTHER GOVERNMENTAL 1,674,267 UNCOMPENSATED CARE 61,482 TOTAL COMMUNITY BENEFIT 1,836,730 IV. STATISTICS ADMISSIONS 1,156 DISCHARGES 1,150 PATIENT SERVICE DAYS 22,676 OUTPATIENT VISITS 946 BEDS 101 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 1099'S FILED BY GSS FOR THE 2022 REPORTING PERIOD ON BEHALF OF ITSELF AND ITS AFFILIATES WAS 1,353. 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 RELATED TAX-EXEMPT ORGANIZATIONS. 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, JEFFREY A. JACOBSON, 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 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 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 GEISINGER HEALTH PLAN 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232311553 HMO PA 501C4 GH false GEISINGER SYSTEM SERVICES 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232164794 SUPPORT SV PA 501C3 12A GH true 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 false true true false false false false false true GEISINGER CLINIC M 1052320 GAAP GEISINGER MEDICAL CENTER M 92259 GAAP GEISINGER SYSTEM SERVICES M 1965140 GAAP GEISINGER WYOMING VALLEY MED CTR M 65275 GAAP GEISINGER SYSTEM SERVICES A 220285 FMV GEISINGER WYOMING VALLEY MED CTR L 106364 GAAP GEISINGER HEALTH PLAN L 1024956 GAAP GEISINGER PHARMACY LLC M 199964 GAAP GEISINGER ASSURANCE COMPANY LTD M 99480 GAAP GEISINGER CLINIC L 39 GAAP ISS SOLUTIONS INC M 51 GAAP GEISINGER HEALTH S 50920 GAAP SCHEDULE R FORM 990, SCHEDULE R, PART V - TRANSACTIONS WITH RELATED ORGANIZATIONS: AS SHOWN IN FORM 990, SCHEDULE R, MARWORTH 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 INTERORGANIZATION 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.