2023-11-14T11:27:45-05:00 2022-12-31 990 2022-01-01 464359893 KEYSTONE HEALTH INFORMATION EXCHANGE INC KEYS 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 MATTHEW WALSH 100 N ACADEMY AVE MC 22-01 DANVILLE PA 178229800 5193867 false X WWW.KEYHIE.ORG X 2013 PA KEYSTONE HEALTH INFORMATION EXCHANGE, INC., (DBA KEYHIE), SERVES TO ENHANCE HEALTHCARE DELIVERY THROUGH A COLLABORATIVE PLATFORM THAT PROVIDES A TIMELY AND SECURE PATIENT-FOCUSED EXCHANGE OF MEANINGFUL HEALTH INFORMATION. 5 1 0 1 0 1305000 200000 4950363 4993337 0 317 530 6255680 5193867 0 0 0 0 0 6588942 5952811 6588942 5952811 -333262 -758944 1752407 957839 177891 142267 1574516 815572 X KEYSTONE HEALTH INFORMATION EXCHANGE, INC., (DBA KEYHIE), SERVES TO ENHANCE HEALTHCARE DELIVERY THROUGH A COLLABORATIVE PLATFORM THAT PROVIDES A TIMELY AND SECURE PATIENT-FOCUSED EXCHANGE OF MEANINGFUL HEALTH INFORMATION. false false 5788348 4993867 KEYSTONE HEALTH INFORMATION EXCHANGE, INC. ("KEYHIE"), A 501(C)(3) TAX- EXEMPT ORGANIZATION, WAS INCORPORATED IN DECEMBER 2013 IN SUPPORT OF GEISINGER HEALTH ("GH"), A 501(C)(3) TAX EXEMPT ORGANIZATION, AND THE PARENT OF GEISINGER. KEYHIE WAS FORMED TO DEVELOP AND OPERATE A REGIONAL HEALTH INFORMATION SHARING NETWORK FOR USE BY LICENSED HEALTHCARE PROVIDERS WHEN TREATING PATIENTS THAT HAVE MEDICAL RECORDS HELD WITHIN THE PARTICIPATING HEALTHCARE ORGANIZATIONS. KEYHIE IS A HEALTH INFORMATION ORGANIZATION ("HIO"), WHICH IS A MULTI-STAKEHOLDER ORGANIZATION CREATED TO FACILITATE A HEALTH INFORMATION EXCHANGE ("HIE"): THE TRANSFER OF HEALTHCARE INFORMATION ELECTRONICALLY ACROSS ORGANIZATIONS AMONG STAKEHOLDERS OF THAT REGION'S HEALTHCARE SYSTEM. THE ULTIMATE OBJECTIVE IS TO IMPROVE THE SAFETY, QUALITY, AND EFFICIENCY OF HEALTHCARE AS WELL AS ACCESS TO HEALTHCARE THROUGH THE EFFICIENT APPLICATION OF HEALTH INFORMATION TECHNOLOGY. HIOS ARE ALSO INTENDED TO SUPPORT SECONDARY USE OF CLINICAL DATA FOR RESEARCH AS WELL AS INSTITUTION/PROVIDER QUALITY ASSESSMENT AND IMPROVEMENT. KEYHIE SUPPORTS EXCHANGE OF ELECTRONIC HEALTH INFORMATION FOR ALL PERMITTED PURPOSES UNDER HIPAA INCLUDING TREATMENT, PAYMENT, AND HEALTH CARE OPERATIONS. KEYHIE'S GOAL IS TO ENABLE THE SECURE EXCHANGE OF HEALTH INFORMATION AMONG THE CORPORATION'S MEMBERS AND OTHER PARTICIPANTS SO THAT THE CORPORATION'S MEMBERS AND PARTICIPANTS WILL BE ABLE TO DELIVER AFFORDABLE, HIGH QUALITY, CONVENIENT AND EFFICIENT HEALTHCARE THROUGHOUT PENNSYLVANIA AND THEREBY LESSEN THE BURDENS OF GOVERNMENT. AS OF DECEMBER 2022 KEYHIE'S MEMBERSHIP INCLUDED 251 HEALTHCARE ORGANIZATIONS REPRESENTING 35 HOSPITALS, 293 PHYSICIAN PRACTICES, 77 LONG TERM CARE CENTERS, 25 HOME HEALTH AGENCY LOCATIONS, 18 PHARMACIES, 2 EMS LOCATIONS, 19 URGENT CARE FACILITIES, AND 6 INSURANCE PAYORS. GEISINGER IS A PHYSICIAN-LED, INTEGRATED HEALTH SERVICES ORGANIZATION THAT HAS AS ITS MAIN COMPONENTS: 1. NUMEROUS HEALTH SERVICE FACILITIES, INCLUDING EIGHT ACUTE CARE HOSPITALS WITH MULTIPLE CAMPUSES AND JOINT VENTURE FACILITIES; 2. A MULTISPECIALTY PHYSICIAN GROUP PRACTICE WITH APPROXIMATELY 1,700 PHYSICIANS AND 1,100 ADVANCED PRACTITIONERS PRACTICING AT 133 PRIMARY AND SPECIALTY CLINICS, HOSPITALS AND OTHER CLINICAL FACILITIES; 3. GEISINGER HEALTH PLANS ("GHPS"), INCLUDING GEISINGER HEALTH PLAN, GEISINGER INDEMNITY INSURANCE COMPANY AND GEISINGER QUALITY OPTIONS, INC. WITH COMMERCIAL, MEDICARE ADVANTAGE, MEDICAID AND SELF-INSURED INSURANCE PRODUCTS; AND 4. GEISINGER COMMONWEALTH SCHOOL OF MEDICINE THAT EDUCATES APPROXIMATELY 460 MEDICAL STUDENTS AND 187 GRADUATE STUDENTS. GEISINGER OPERATES ACROSS PENNSYLVANIA COUNTIES, WITH A SIGNIFICANT PRESENCE IN CENTRAL AND NORTHEASTERN PENNSYLVANIA, OUTSIDE THE MAJOR METROPOLITAN AREAS. FOR THE TRAILING TWELVE MONTHS ENDED DECEMBER 31, 2022, GEISINGER CARED FOR A POPULATION OF APPROXIMATELY 1,170,000 PEOPLE, AN INCREASE OF 10% VERSUS THE YEAR-EARLIER PERIOD. THIS POPULATION INCLUDED 855,000 PATIENTS RECEIVING CARE IN THE TRAILING TWELVE MONTHS AND MORE THAN 612,000 GHPS MEMBERS AS OF DECEMBER 31, 2022. THE POPULATION CONTAINED APPROXIMATELY 297,000 PEOPLE INCLUDED AS BOTH GEISINGER PATIENTS AND MEMBERS. GEISINGERS MISSION OF ENHANCING THE QUALITY OF LIFE THROUGH THE INTEGRATED HEALTH SERVICE ORGANIZATION IS BASED UPON A BALANCED PROGRAM OF PATIENT CARE, EDUCATION, RESEARCH, AND COMMUNITY SERVICE. KEYHIE SUPPORTS THIS MISSION THROUGH COLLABORATION WITH OTHER HEALTHCARE ORGANIZATIONS BY IMPROVING THE ACCESS TO HEALTH INFORMATION TECHNOLOGY TOOLS FOR ALL PROVIDERS IN THE GEISINGER SERVICE AREA, AND IMPROVING THE EXCHANGE OF HEALTHCARE INFORMATION WHEN PATIENTS TRASITION FROM ONE SETTING TO ANOTHER. AT ITS CORE, KEYHIE LINKS TOGETHER PATIENT RECORDS FROM MULTIPLE, DISPARATE HEALTHCARE ORGANIZATIONS SO INFORMATION FROM THESE ORGANIZATIONS ABOUT EACH PATIENT CAN BE PULLED TOGETHER INTO A SINGLE PATIENT-CENTERED VIEW. NOT ONLY IS THIS CRITICAL FOR GOOD PATIENT CARE, BUT IT CAN ALSO ASSIST (AFTER APPROPRIATE PATIENT CONSENTS AND LEGAL CONTRACTS) WITH IRB-APPROVED ("INSTITUTIONAL REVIEW BOARD") RESEARCH AND CONTRACTED ANALYTIC REPORTING FOR ACCOUNTABLE CARE ORGANIZATIONS AND OTHER POPULATION HEALTH REPORTING. 5788348 true false false true false false false false false false false 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 0 false false false false false false false false false false false false X 5 1 true false false false true true true true true false false true true true true true true true true false PA X ERIN FITZGERALD CPA VP AND CAO 5702142299 100 N ACADEMY AVE MC 49-70 DANVILLE PA 178229800 KEVIN V ROBERTS MBA CPA EVP, CFO, TR 40.00 X 0 1735635 374871 MATTHEW WALSH CHAIR,PRESID 40.00 X X 0 1371594 307990 STEVEN B BENDER ESQUIRE EVP, CLO, SE 40.00 X 0 885926 215586 JOHN M KRAVITZ CEO, VICE CH 40.00 X X 0 687314 118159 JOHN B BULGER DO DIRECTOR 40.00 X 0 648314 122088 KEITH BOELL DO MS-HQSM CHIE FHM DIRECTOR 40.00 X 0 450549 53382 BENJAMIN A HOHMUTH MD DIRECTOR 40.00 X 0 432405 54177 LORI R GRAMLEY ESQUIRE ACLO, ASST S 40.00 X 0 347436 45422 JIGNESH Y SHETH MD MPH DIRECTOR 0.25 X 0 0 0 6559173 1291675 false true false ORION HEALTH INC 7350 E EVANS RD C-100 SCOTTSDALE AZ 85260 INFO TECHNOLOGY 2712604 CITIUSTECH INC 2 RESEARCH WAY PRINCETON NJ 08540 CONSULTING 683920 ENABLECARE LLC 6240 WEST 135TH STREET OVERLAND PARK KS 66223 CONSULTING 390085 THE COMMONWEALTH OF PA COPA HUB PO BOX 2675 HARRISBURG PA 171052675 SOFTWARE SERVIC 173925 TEKSYSTEMS P O BOX 198568 ATLANTA GA 303848568 OUTSIDE STAFFIN 108938 5 200000 200000 HEALTH INFO SUBSCRIPTION 519100 4993337 4993337 4993337 PURCHASE DISCOUNTS 900099 530 530 530 5193867 4993867 X 6660 6660 4607924 4450121 157803 772601 772601 INTER-ENTITY EXPENSE 553738 553738 BOOKS,LICENSES,FEES,DUES 11888 11888 5952811 5788348 164463 0 1256316 131632 200000 338161 534851 66765 91356 91165 1752407 957839 94074 5858 45170 172033 3023 177891 142267 X 1574516 815572 1574516 815572 1752407 957839 -758944 X X false true X true false X X 1 GEISINGER HEALTH 231995911 7 true 0 0 1 0 true false false false false false false false false false false false false false false true false SUPPLEMENTAL INFORMATION KEYSTONE HEALTH INFORMATION EXCHANGE, INC. (KEYHIE), IS A SUBSIDIARY ORGANIZATION OF GEISINGER HEALTH, A SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION AND PARENT CORPORATION OF GEISINGER. GEISINGERS MISSION OF ENHANCING THE QUALITY OF LIFE THROUGH AN INTEGRATED HEALTH SERVICE ORGANIZATION IS BASED UPON A BALANCED APPROACH OF PATIENT CARE, EDUCATION, RESEARCH, AND COMMUNITY SERVICE. KEYHIE SUPPORTS THIS MISSION THROUGH COLLABORATION WITH OTHER HEALTHCARE ORGANIZATIONS BY IMPROVING THE ACCESS TO HEALTH INFORMATION TECHNOLOGY TOOLS FOR ALL PROVIDERS IN THE GEISINGER SERVICE AREA, AND IMPROVING THE EXCHANGE OF HEALTHCARE INFORMATION WHEN PATIENTS TRANSITION FROM ONE SETTING TO ANOTHER. KEYHIE'S GOAL IS TO ENABLE THE EXCHANGE OF HEALTH INFORMATION AMONG THE CORPORATION'S MEMBERS AND OTHER PARTICIPANTS SO THAT THE CORPORATION'S MEMBERS AND PARTICIPANTS WILL BE ABLE TO DELIVER AFFORDABLE, HIGH QUALITY, CONVENIENT AND EFFICIENT HEALTHCARE THROUGHOUT PENNSYLVANIA AND THEREBY LESSEN THE BURDENS OF GOVERNMENT. GEISINGER IS A PHYSICIAN-LED, INTEGRATED HEALTH SERVICES ORGANIZATION THAT HAS AS ITS MAIN COMPONENTS: 1. NUMEROUS HEALTH SERVICE FACILITIES, INCLUDING EIGHT ACUTE CARE HOSPITALS WITH MULTIPLE CAMPUSES AND JOINT VENTURE FACILITIES; 2. A MULTISPECIALTY PHYSICIAN GROUP PRACTICE WITH APPROXIMATELY 1,700 PHYSICIANS AND 1,100 ADVANCED PRACTITIONERS PRACTICING AT 133 PRIMARY AND SPECIALTY CLINICS, HOSPITALS AND OTHER CLINICAL FACILITIES; 3. GEISINGER HEALTH PLANS ("GHPS"), INCLUDING GEISINGER HEALTH PLAN, GEISINGER INDEMNITY INSURANCE COMPANY AND GEISINGER QUALITY OPTIONS, INC. WITH COMMERCIAL, MEDICARE ADVANTAGE, MEDICAID AND SELF-INSURED INSURANCE PRODUCTS; AND 4. GEISINGER COMMONWEALTH SCHOOL OF MEDICINE THAT EDUCATES APPROXIMATELY 460 MEDICAL STUDENTS AND 187 GRADUATE STUDENTS. GEISINGER OPERATES ACROSS PENNSYLVANIA, WITH A SIGNIFICANT PRESENCE IN CENTRAL AND NORTHEASTERN PENNSYLVANIA, OUTSIDE THE MAJOR METROPOLITAN AREAS. FOR THE TRAILING TWELVE MONTHS ENDED DECEMBER 31, 2022, GEISINGER CARED FOR A POPULATION OF APPROXIMATELY 1,170,000 PEOPLE, AN INCREASE OF 10% VERSUS THE YEAR-EARLIER PERIOD. THIS POPULATION INCLUDED 855,000 PATIENTS RECEIVING CARE IN THE TRAILING TWELVE MONTHS AND MORE THAN 612,000 GHPS MEMBERS AS OF DECEMBER 31, 2022. THE POPULATION CONTAINED APPROXIMATELY 297,000 PEOPLE INCLUDED AS BOTH GEISINGER PATIENTS AND MEMBERS. THROUGHOUT THIS DOCUMENT, THE TERMS "GEISINGER- OR "GEISINGER HEALTH" SHALL REFER TO THE ENTIRE HEALTH CARE SYSTEM COMPRISED OF GEISINGER HEALTH FOUNDATION (THE "FOUNDATION") AS PARENT AND ALL SUBSIDIARY CORPORATE ENTITIES COMPRISING THE HEALTH CARE SYSTEM. IN ADDITION, THROUGHOUT THIS DOCUMENT, THE TERM "SYSTEM" SHALL REFER TO THE ENTIRE HEALTH CARE SYSTEM AS PREVIOUSLY DEFINED PLUS ITS AFFILIATES. false false false false false false false false true 6660 6660 false SCHEDULE C, PART II-B, LINE 1 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. CONTRACTED SERVICES 3023 3023 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 X X X X X false true false false false false false false false KEVIN V ROBERTS MBA CPA EVP, CFO, TREASURER 1652425 83210 348862 26009 2110506 MATTHEW WALSH CHAIR,PRESIDENT,DIR 1219503 152091 271570 36420 1679584 123179 STEVEN B BENDER ESQUIRE EVP, CLO, SECRETARY 846303 39623 181570 34016 1101512 JOHN M KRAVITZ CEO, VICE CHAIR, DIR 581100 106214 96570 21589 805473 77696 JOHN B BULGER DO DIRECTOR 618746 29568 85121 36967 770402 KEITH BOELL DO MS-HQSM CHIE FHM DIRECTOR 329673 120876 21570 31812 503931 BENJAMIN A HOHMUTH MD DIRECTOR 404901 27504 21570 32607 486582 LORI R GRAMLEY ESQUIRE ACLO, ASST SECTY 321611 25825 21570 23852 392858 SCHEDULE J, PAGE 1, PART I, LINE 4 MATTHEW WALSH 0 123,179 0 JOHN M. KRAVITZ 0 77,696 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, PAGE 2, PART III, LINE 4A KEYSTONE HEALTH INFORMATION EXCHANGE, INC. ("KEYHIE"), A 501(C)(3) TAX- EXEMPT ORGANIZATION, WAS INCORPORATED IN DECEMBER 2013 IN SUPPORT OF GEISINGER HEALTH ("GH"), A 501(C)(3) TAX EXEMPT ORGANIZATION, AND THE PARENT OF GEISINGER. KEYHIE WAS FORMED TO DEVELOP AND OPERATE A REGIONAL HEALTH INFORMATION SHARING NETWORK FOR USE BY LICENSED HEALTHCARE PROVIDERS WHEN TREATING PATIENTS THAT HAVE MEDICAL RECORDS HELD WITHIN THE PARTICIPATING HEALTHCARE ORGANIZATIONS. KEYHIE IS A HEALTH INFORMATION ORGANIZATION ("HIO"), WHICH IS A MULTI-STAKEHOLDER ORGANIZATION CREATED TO FACILITATE A HEALTH INFORMATION EXCHANGE ("HIE"): THE TRANSFER OF HEALTHCARE INFORMATION ELECTRONICALLY ACROSS ORGANIZATIONS AMONG STAKEHOLDERS OF THAT REGION'S HEALTHCARE SYSTEM. THE ULTIMATE OBJECTIVE IS TO IMPROVE THE SAFETY, QUALITY, AND EFFICIENCY OF HEALTHCARE AS WELL AS ACCESS TO HEALTHCARE THROUGH THE EFFICIENT APPLICATION OF HEALTH INFORMATION TECHNOLOGY. HIOS ARE ALSO INTENDED TO SUPPORT SECONDARY USE OF CLINICAL DATA FOR RESEARCH AS WELL AS INSTITUTION/PROVIDER QUALITY ASSESSMENT AND IMPROVEMENT. KEYHIE SUPPORTS EXCHANGE OF ELECTRONIC HEALTH INFORMATION FOR ALL PERMITTED PURPOSES UNDER HIPAA INCLUDING TREATMENT, PAYMENT, AND HEALTH CARE OPERATIONS. KEYHIE'S GOAL IS TO ENABLE THE SECURE EXCHANGE OF HEALTH INFORMATION AMONG THE CORPORATION'S MEMBERS AND OTHER PARTICIPANTS SO THAT THE CORPORATION'S MEMBERS AND PARTICIPANTS WILL BE ABLE TO DELIVER AFFORDABLE, HIGH QUALITY, CONVENIENT AND EFFICIENT HEALTHCARE THROUGHOUT PENNSYLVANIA AND THEREBY LESSEN THE BURDENS OF GOVERNMENT. AS OF DECEMBER 2022 KEYHIE'S MEMBERSHIP INCLUDED 251 HEALTHCARE ORGANIZATIONS REPRESENTING 35 HOSPITALS, 293 PHYSICIAN PRACTICES, 77 LONG TERM CARE CENTERS, 25 HOME HEALTH AGENCY LOCATIONS, 18 PHARMACIES, 2 EMS LOCATIONS, 19 URGENT CARE FACILITIES, AND 6 INSURANCE PAYORS. GEISINGER IS A PHYSICIAN-LED, INTEGRATED HEALTH SERVICES ORGANIZATION THAT HAS AS ITS MAIN COMPONENTS: 1. NUMEROUS HEALTH SERVICE FACILITIES, INCLUDING EIGHT ACUTE CARE HOSPITALS WITH MULTIPLE CAMPUSES AND JOINT VENTURE FACILITIES; 2. A MULTISPECIALTY PHYSICIAN GROUP PRACTICE WITH APPROXIMATELY 1,700 PHYSICIANS AND 1,100 ADVANCED PRACTITIONERS PRACTICING AT 133 PRIMARY AND SPECIALTY CLINICS, HOSPITALS AND OTHER CLINICAL FACILITIES; 3. GEISINGER HEALTH PLANS ("GHPS"), INCLUDING GEISINGER HEALTH PLAN, GEISINGER INDEMNITY INSURANCE COMPANY AND GEISINGER QUALITY OPTIONS, INC. WITH COMMERCIAL, MEDICARE ADVANTAGE, MEDICAID AND SELF-INSURED INSURANCE PRODUCTS; AND 4. GEISINGER COMMONWEALTH SCHOOL OF MEDICINE THAT EDUCATES APPROXIMATELY 460 MEDICAL STUDENTS AND 187 GRADUATE STUDENTS. GEISINGER OPERATES ACROSS PENNSYLVANIA COUNTIES, WITH A SIGNIFICANT PRESENCE IN CENTRAL AND NORTHEASTERN PENNSYLVANIA, OUTSIDE THE MAJOR METROPOLITAN AREAS. FOR THE TRAILING TWELVE MONTHS ENDED DECEMBER 31, 2022, GEISINGER CARED FOR A POPULATION OF APPROXIMATELY 1,170,000 PEOPLE, AN INCREASE OF 10% VERSUS THE YEAR-EARLIER PERIOD. THIS POPULATION INCLUDED 855,000 PATIENTS RECEIVING CARE IN THE TRAILING TWELVE MONTHS AND MORE THAN 612,000 GHPS MEMBERS AS OF DECEMBER 31, 2022. THE POPULATION CONTAINED APPROXIMATELY 297,000 PEOPLE INCLUDED AS BOTH GEISINGER PATIENTS AND MEMBERS. GEISINGERS MISSION OF ENHANCING THE QUALITY OF LIFE THROUGH THE INTEGRATED HEALTH SERVICE ORGANIZATION IS BASED UPON A BALANCED PROGRAM OF PATIENT CARE, EDUCATION, RESEARCH, AND COMMUNITY SERVICE. KEYHIE SUPPORTS THIS MISSION THROUGH COLLABORATION WITH OTHER HEALTHCARE ORGANIZATIONS BY IMPROVING THE ACCESS TO HEALTH INFORMATION TECHNOLOGY TOOLS FOR ALL PROVIDERS IN THE GEISINGER SERVICE AREA, AND IMPROVING THE EXCHANGE OF HEALTHCARE INFORMATION WHEN PATIENTS TRASITION FROM ONE SETTING TO ANOTHER. AT ITS CORE, KEYHIE LINKS TOGETHER PATIENT RECORDS FROM MULTIPLE, DISPARATE HEALTHCARE ORGANIZATIONS SO INFORMATION FROM THESE ORGANIZATIONS ABOUT EACH PATIENT CAN BE PULLED TOGETHER INTO A SINGLE PATIENT-CENTERED VIEW. NOT ONLY IS THIS CRITICAL FOR GOOD PATIENT CARE, BUT IT CAN ALSO ASSIST (AFTER APPROPRIATE PATIENT CONSENTS AND LEGAL CONTRACTS) WITH IRB-APPROVED ("INSTITUTIONAL REVIEW BOARD") RESEARCH AND CONTRACTED ANALYTIC REPORTING FOR ACCOUNTABLE CARE ORGANIZATIONS AND OTHER POPULATION HEALTH REPORTING. FORM 990, PART V 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 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. 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, FIVE 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? ANDREW BOELL, DO, MS-HQSM, CHIE, FHM, JOHN B. BULGER, DO, FACOI, FACP, KEVIN V. ROBERTS, MBA, CPA, LORI R. GRAMLEY, ESQUIRE, MATTHEW WALSH, AND STEVEN B. BENDER, ESQUIRE 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 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 IX, LINE 11G OUTSIDE PURCHASED SERVICES 4,450,121 157,803 0 FORM 990, PART XII FORM 990, PART XII, LINE 3A: AS A RESULT OF A FEDERAL AWARD, WAS THE ORGANIZATION REQUIRED TO UNDERGO AN AUDIT OR AUDITS AS SET FORTH IN THE UNIFORM GUIDANCE, 2 C.F.R. PART 200, SUBPART F? FEDERAL AWARDS ARE AUDITED AS A PART OF THE GEISINGER'S CONSOLIDATED REPORT ON FEDERAL AWARDS IN ACCORDANCE WITH UNIFORM GUIDANCE, 2 C.F.R. PART 200, SUBPART F. FOOTNOTE: THROUGHOUT THIS DOCUMENT, THE TERMS "GEISINGER- OR "GEISINGER HEALTH" SHALL REFER TO THE ENTIRE HEALTH CARE SYSTEM COMPRISED OF GEISINGER HEALTH FOUNDATION (THE "FOUNDATION") AS PARENT AND ALL SUBSIDIARY CORPORATE ENTITIES COMPRISING THE HEALTH CARE SYSTEM. IN ADDITION, THROUGHOUT THIS DOCUMENT, THE TERM "SYSTEM" SHALL REFER TO THE ENTIRE HEALTH CARE SYSTEM AS PREVIOUSLY DEFINED PLUS ITS AFFILIATES. GEISINGER HEALTH 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 231995911 PHILANTHRO PA 501C3 7 N/A false GEISINGER MEDICAL CENTER 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 240795959 HOSPITAL PA 501C3 3 GH false GEISINGER CLINIC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 236291113 PHYSN SVCS PA 501C3 3 GH false GEISINGER WYOMING VALLEY MED CTR 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 231996150 HOSPITAL PA 501C3 3 GH false MARWORTH 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232171417 D&A REHAB PA 501C3 3 GH false 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 false GEISINGER COMMUNITY HEALTH SERVICES 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232967235 HEALTHCARE PA 501C3 10 GSS false 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 false GEISINGER-BLOOMSBURG HOSPITAL 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232193572 HOSPITAL PA 501C3 3 GH false GEISINGER-LEWISTOWN HOSPITAL 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 231352187 HOSPITAL PA 501C3 3 GH false LEWISTOWN AMBULATORY CARE CORP 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232344362 HOLDING CO PA 501C3 12A GH false FAMILY HEALTH ASSOCIATES OF GLH 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 251651582 PHYSN SVCS 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 false 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 false 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 false false false false false false false false false false false true true false false false false false true GEISINGER SYSTEM SERVICES L 1283859 GAAP GEISINGER HEALTH PLAN L 828541 GAAP GEISINGER MEDICAL CENTER M 153 GAAP GEISINGER SYSTEM SERVICES M 553585 GAAP GEISINGER MEDICAL CENTER L 138741 GAAP GEISINGER HEALTH S 6000 GAAP SCHEDULE R FORM 990, SCHEDULE R, PART V - TRANSACTIONS WITH RELATED ORGANIZATIONS: AS SHOWN IN FORM 990, SCHEDULE R, KEYSTONE HEALTH INFORMATION EXCHANGE, INC. 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. ___________________________________________________________________________