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KEYSTONE HEALTH INFORMATION EXCHANGE INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
KEYSTONE HEALTH INFORMATION EXCHANGE INC (EIN 46-4359893)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-11-07
IRS object ID
202203119349303050
Schema version
2021v4.0
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 ReturnHeader

FieldValueIRS element (for citing)
Return2022-11-07T14:00:11-05:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN464359893EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1KEYSTONE HEALTH INFORMATIONBusinessNameLine1Txt
Business Name Line2EXCHANGE INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlKEYSBusinessNameControlTxt
Phone5702716624PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 N ACADEMY AVE MC 49-70AddressLine1Txt
CityDANVILLECityNm
State AbbreviationPAStateAbbreviationCd
ZIP178229800ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKEVIN V ROBERTS MBA CPAPersonNm
Person TitleEVP, CFO, TREASURERPersonTitleTxt
Phone5702716624PhoneNum
Signature2022-11-01SignatureDt

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstKEVINPersonFirstNm
Person LastROBERTSPersonLastNm
FieldValueIRS element (for citing)
SSNXXX-XX-XXXXSSN
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMATTHEW WALSHPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 N ACADEMY AVE MC 22-01AddressLine1Txt
CityDANVILLECityNm
State AbbreviationPAStateAbbreviationCd
ZIP178229800ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$6,255,680GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.KEYHIE.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2013FormationYr
Legal Domicile StatePALegalDomicileStateCd
Activity Or MissionKEYSTONE 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.ActivityOrMissionDesc
Voting Members Governing Body6VotingMembersGoverningBodyCnt
Voting Members Independent1VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers1TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$1,435,250PYContributionsGrantsAmt
CY Contributions Grants$1,305,000CYContributionsGrantsAmt
PY Program Service Revenue$2,163,993PYProgramServiceRevenueAmt
CY Program Service Revenue$4,950,363CYProgramServiceRevenueAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$349PYOtherRevenueAmt
CY Other Revenue$317CYOtherRevenueAmt
PY Total Revenue$3,599,592PYTotalRevenueAmt
CY Total Revenue$6,255,680CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$3,057,993PYOtherExpensesAmt
CY Other Expenses$6,588,942CYOtherExpensesAmt
PY Total Expenses$3,057,993PYTotalExpensesAmt
CY Total Expenses$6,588,942CYTotalExpensesAmt
PY Revenues Less Expenses$541,599PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$333,262CYRevenuesLessExpensesAmt
Total Assets BOY$1,605,905TotalAssetsBOYAmt
Total Assets EOY$1,752,407TotalAssetsEOYAmt
Total Liabilities BOY$2,698,127TotalLiabilitiesBOYAmt
Total Liabilities EOY$177,891TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$1,092,222NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,574,516NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionKEYSTONE 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.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$6,436,219ExpenseAmt
Revenue$4,950,680RevenueAmt
DescKEYSTONE 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'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. AS OF DECEMBER 2021 KEYHIE'S MEMBERSHIP INCLUDED 248 HEALTHCARE ORGANIZATIONS REPRESENTING 33 HOSPITALS, 301 MEDICAL PRACTICES, 81 LONG- TERM CARE CENTERS, 22 HOME HEALTH AGENCY LOCATIONS, 18 PHARMACY, 3 EMS LOCATIONS, 19 URGENT CARE, AND 5 INSURANCE PAYORS. GEISINGER IS A PHYSICIAN-LED, INTEGRATED HEALTH SERVICES ORGANIZATION THAT HAS AS ITS MAIN COMPONENTS: 1) AN ARRAY OF HEALTH SERVICES PROVIDERS; INCLUDING EIGHT ACUTE CARE HOSPITALS AND A DRUG AND ALCOHOL TREATMENT FACILITY; 2) A MULTISPECIALTY PHYSICIAN GROUP PRACTICE OF APPROXIMATELY 1,700 EMPLOYED PHYSICIANS PRACTICING AT OVER 250 CLINIC SITES IN COMMUNITIES IN NORTHEASTERN AND CENTRAL PENNSYLVANIA; AND 3) ONE OF THE NATION'S LARGEST RURAL HEALTH INSURANCE ORGANIZATIONS WITH OVER 500,000 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.Desc
Total Program Service Expenses$6,436,219TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentfalseReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgYes (true)TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members6GoverningBodyVotingMembersCnt
Independent Voting Member1IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldPAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonERIN FITZGERALD CPA VP AND CAOPersonNm
Phone5702142299PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 N ACADEMY AVE MC 49-70AddressLine1Txt
CityDANVILLECityNm
State AbbreviationPAStateAbbreviationCd
ZIP178229800ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)

TitleTitleTxtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeIndAverage Hours Per WeekAverageHoursPerWeekRt
KEVIN V ROBERTS MBA CPA
EVP, CFO, TR40.00Yes (X)$0$1,681,517$373,015
MATTHEW WALSH
CHAIR,PRESID40.00Yes (X)$0$1,131,646$255,279Yes (X)
STEVEN B BENDER ESQUIRE
EVP, CLO, SE40.00Yes (X)$0$804,901$130,641
JOHN M KRAVITZ
CEO, VICE CH40.00Yes (X)$0$783,717$107,233Yes (X)
JOHN B BULGER DO
DIRECTOR40.00$0$705,739$118,125Yes (X)
DAVID J FELICIO ESQUIRE
FORMER OFFIC40.00$0$536,113$0Yes (X)
ANDREW BOELL DO MS-HQSM CHIE FHM
DIRECTOR40.00$0$436,958$52,176Yes (X)
BENJAMIN A HOHMUTH MD
DIRECTOR40.00$0$416,422$54,788Yes (X)
LORI R GRAMLEY ESQUIRE
ACLO, ASST S40.00Yes (X)$0$308,111$41,735
DANIEL E LOHR ESQUIRE
FORMER OFFIC40.00$0$286,145$19,265Yes (X)
JIGNESH Y SHETH MD MPH
DIRECTOR$0$0$0Yes (X)0.25
FieldValueIRS element (for citing)
Tot Reportable Comp Rltd Org$7,091,269TotReportableCompRltdOrgAmt
Total Other Compensation$1,152,257TotalOtherCompensationAmt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (4 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
ORION HEALTH INC
7350 E EVANS RD C-100SCOTTSDALEAZ85260INFO TECHNOLOGY$827,350
CITIUSTECH INC
2 RESEARCH WAYPRINCETONNJ08540CONSULTING$631,707
TEKSYSTEMS
P O BOX 198568ATLANTAGA303848568OUTSIDE STAFFIN$261,868
ENABLECARE LLC
6240 WEST 135TH STREETOVERLAND PARKKS66223CONSULTING$254,300
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K4CntrctRcvdGreaterThan100KCnt
Government Grants$1,305,000GovernmentGrantsAmt
Total Contributions$1,305,000TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescHEALTH INFO SUBSCRIPTIONDesc
Business519100BusinessCd
Total Revenue Column$4,950,363TotalRevenueColumnAmt
Related Or Exempt Func Income$4,950,363RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$4,950,363TotalProgramServiceRevenueAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescPURCHASE DISCOUNTSDesc
Business561000BusinessCd
Total Revenue Column$317TotalRevenueColumnAmt
Related Or Exempt Func Income$317RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$317OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,255,680TotalRevenueColumnAmt
Related Or Exempt Func Income$4,950,680RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$4,383,789TotalAmt
Program Services$4,383,789ProgramServicesAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$569,783TotalAmt
Program Services$569,783ProgramServicesAmt

Other Expenses OtherExpensesGrp

FieldValueIRS element (for citing)
DescINTER-ENTITY EXPENSEDesc
Total$1,635,370TotalAmt
Program Services$1,482,647ProgramServicesAmt
Management And General$152,723ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$6,588,942TotalAmt
Program Services$6,436,219ProgramServicesAmt
Management And General$152,723ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
EOY$1,256,316EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$266,422BOYAmt
EOY$338,161EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,307,990BOYAmt
EOY$66,765EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$31,493BOYAmt
EOY$91,165EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,605,905BOYAmt
EOY$1,752,407EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$2,301,617BOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$1,600BOYAmt
EOY$5,858EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$394,910BOYAmt
EOY$172,033EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,698,127BOYAmt
EOY$177,891EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$1,092,222BOYAmt
EOY$1,574,516EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$1,092,222BOYAmt
EOY$1,574,516EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,605,905BOYAmt
EOY$1,752,407EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$333,262ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$3,000,000OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type1Yes (X)SupportingOrgType1Ind
Supported Organizations1SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp

Supported Organization Name SupportedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1GEISINGER HEALTHBusinessNameLine1Txt
FieldValueIRS element (for citing)
EIN231995911EIN
Organization Type7OrganizationTypeCd
Governing Document ListedYes (true)GoverningDocumentListedInd
Support$0SupportAmt
Other Support$0OtherSupportAmt
FieldValueIRS element (for citing)
Supported Organizations Total1SupportedOrganizationsTotalCnt
Other Support Sum$0OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

FieldValueIRS element (for citing)
Listed By Name Governing DocYes (true)ListedByNameGoverningDocInd
Suprt Org No IRS DeterminationfalseSuprtOrgNoIRSDeterminationInd
Supported Org Section C456falseSupportedOrgSectionC456Ind
Supported Org Not Organized USfalseSupportedOrgNotOrganizedUSInd
Organization Change Suprt OrgfalseOrganizationChangeSuprtOrgInd
Support Non Supported OrgfalseSupportNonSupportedOrgInd
Payment Substantial ContribtrfalsePaymentSubstantialContribtrInd
Loan Disqualified PersonfalseLoanDisqualifiedPersonInd
Controlled Disqualified PrsnfalseControlledDisqualifiedPrsnInd
Disqualified Prsn Controll IntfalseDisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr IntfalseDisqualifiedPrsnOwnrIntInd
Excess Business Holdings RulesfalseExcessBusinessHoldingsRulesInd
Contribution ControllerfalseContributionControllerInd
Contribution FamilyfalseContributionFamilyInd
Contribution35 ControlledfalseContribution35ControlledInd

Form990 Sch A Type1 Suprt Org Form990SchAType1SuprtOrgGrp

FieldValueIRS element (for citing)
Power Appoint Majority Dir TrstYes (true)PowerAppointMajorityDirTrstInd
Operate Benefit Non Suprt OrgfalseOperateBenefitNonSuprtOrgInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSUPPLEMENTAL INFORMATIONFormAndLineReferenceDesc
ExplanationKEYSTONE 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 SEVEN ACUTE CARE HOSPITALS WITH MULTIPLE CAMPUSES INCLUDING A JOINT VENTURE FACILITY; 2. A MULTISPECIALTY PHYSICIAN GROUP PRACTICE WITH APPROXIMATELY 1,700 PHYSICIANS AND 1,100 ADVANCED PRACTITIONERS PRACTICING AT 129 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 450 MEDICAL STUDENTS AND 155 GRADUATE STUDENTS. GEISINGER OPERATES IN 46 PENNSYLVANIA COUNTIES, WITH A SIGNIFICANT PRESENCE IN CENTRAL AND NORTHEASTERN PENNSYLVANIA, OUTSIDE THE MAJOR METROPOLITAN AREAS. FOR THE TRAILING TWELVE MONTHS ENDED DECEMBER 31, 2021, GEISINGER CARED FOR A POPULATION OF APPROXIMATELY 1,066,000 PEOPLE. THIS POPULATION INCLUDED 855,000 PATIENTS RECEIVING CARE IN THE TRAILING TWELVE MONTHS AND MORE THAN 518,000 GHPS MEMBERS AS OF DECEMBER 31, 2021. THE POPULATION CONTAINED APPROXIMATELY 307,000 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.ExplanationTxt

Schedule D IRS990ScheduleD

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescDUE FROM AFFILIATEDesc
Book Value$91,165BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$91,165TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescCONTRACTED SERVICESDesc
Amt$172,033Amt
FieldValueIRS element (for citing)
Total Liability$172,033TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE D, PAGE 4, PART XIIIFormAndLineReferenceDesc
ExplanationEFFECTIVE 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.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)

TitleTitleTxtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmtBonus Related OrganizationsBonusRelatedOrganizationsAmt
KEVIN V ROBERTS MBA CPA
EVP, CFO, TREASURER$1,599,298$82,219$339,697$33,318$2,054,532
MATTHEW WALSH
CHAIR,PRESIDENT,DIR$1,006,471$125,175$220,388$34,891$1,386,925$86,230
STEVEN B BENDER ESQUIRE
EVP, CLO, SECRETARY$766,266$38,635$97,889$32,752$935,542
JOHN M KRAVITZ
CEO, VICE CHAIR, DIR$625,204$108,513$83,266$23,967$890,950$78,876$50,000
JOHN B BULGER DO
DIRECTOR$601,732$29,007$82,389$35,736$823,864$75,000
DAVID J FELICIO ESQUIRE
FORMER OFFICER$536,113$536,113
ANDREW BOELL DO MS-HQSM CHIE FHM
DIRECTOR$319,723$117,235$20,388$31,788$489,134
BENJAMIN A HOHMUTH MD
DIRECTOR$390,967$25,455$20,388$34,400$471,210
LORI R GRAMLEY ESQUIRE
ACLO, ASST SECTY$282,984$25,127$20,388$21,347$349,846
DANIEL E LOHR ESQUIRE
FORMER OFFICER$269,149$16,996$18,550$715$305,410

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE J, PAGE 1, PART I, LINE 4MATTHEW WALSH 0 86,230 0 JOHN M. KRAVITZ 0 78,876 0 DAVID J. FELICIO, ESQUIRE 406,445 129,667 0
SCHEDULE J, PART IIIPART I, LINE 4A - SEVERANCE PAYMENT UPON INVOLUNTARY SEPARATION, EMPLOYEES MAY BE ELIGIBLE TO RECEIVE CONTINUATION OF SALARY FOR A TERM THAT IS BASED ON THEIR YEARS OF GEISINGER SERVICE AND POSITION. PART I, LINE 4B - SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN COMPENSATION FOR ELIGIBLE EMPLOYEES MAY BE DEFERRED TO A 457(F) NONQUALIFIED PLAN THAT VESTS WITH COMPLETION OF SERVICE, DEATH AND/OR PERMANENT DISABILITY. __________________________________________________________________________ FOOTNOTE: THROUGHOUT THIS DOCUMENT, THE TERMS "GEISINGER- OR "GEISINGER HEALTH" SHALL REFER TO THE ENTIRE HEALTH CARE SYSTEM COMPRISED OF GEISINGER HEALTH FOUNDATION (THE "FOUNDATION") AS PARENT AND ALL SUBSIDIARY CORPORATE ENTITIES COMPRISING THE HEALTH CARE SYSTEM. IN ADDITION, THROUGHOUT THIS DOCUMENT, THE TERM "SYSTEM" SHALL REFER TO THE ENTIRE HEALTH CARE SYSTEM AS PREVIOUSLY DEFINED PLUS ITS AFFILIATES.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PAGE 2, PART III, LINE 4AKEYSTONE 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'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. AS OF DECEMBER 2021 KEYHIE'S MEMBERSHIP INCLUDED 248 HEALTHCARE ORGANIZATIONS REPRESENTING 33 HOSPITALS, 301 MEDICAL PRACTICES, 81 LONG- TERM CARE CENTERS, 22 HOME HEALTH AGENCY LOCATIONS, 18 PHARMACY, 3 EMS LOCATIONS, 19 URGENT CARE, AND 5 INSURANCE PAYORS. GEISINGER IS A PHYSICIAN-LED, INTEGRATED HEALTH SERVICES ORGANIZATION THAT HAS AS ITS MAIN COMPONENTS: 1) AN ARRAY OF HEALTH SERVICES PROVIDERS; INCLUDING EIGHT ACUTE CARE HOSPITALS AND A DRUG AND ALCOHOL TREATMENT FACILITY; 2) A MULTISPECIALTY PHYSICIAN GROUP PRACTICE OF APPROXIMATELY 1,700 EMPLOYED PHYSICIANS PRACTICING AT OVER 250 CLINIC SITES IN COMMUNITIES IN NORTHEASTERN AND CENTRAL PENNSYLVANIA; AND 3) ONE OF THE NATION'S LARGEST RURAL HEALTH INSURANCE ORGANIZATIONS WITH OVER 500,000 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 VENTER 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 2021 REPORTING PERIOD ON BEHALF OF ITSELF AND ITS AFFILIATES WAS 1,362.
FORM 990, PART VIFORM 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 6THE 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 7ATHE 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 7BTHE 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 11BALL 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 FINANCIAL REPORTING 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 12CTHE 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 15ATHE 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 15BSEE SCHEDULE O RESPONSE TO FORM 990, PART VI SECTION B, QUESTION 15A.
FORM 990, PAGE 6, PART VI, LINE 19FINANCIAL 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 11GOUTSIDE PURCHASED SERVICES 4,369,005 0 0 CONSULTING FEES 14,784 0 0 TOTAL 4,383,789 0 0
FORM 990, PART XI, LINE 9TRANSFER FROM PARENT, GEISINGER HEALTH 3,000,000
FORM 990, PART XIIFORM 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 SINGLE AUDIT ACT AND OMB CIRCULAR A-133? FEDERAL AWARDS ARE AUDITED AS A PART OF THE GEISINGER'S CONSOLIDATED REPORT ON FEDERAL AWARDS IN ACCORDANCE WITH OMB CIRCULAR A-133. FOOTNOTE: THROUGHOUT FORM 990, THE TERMS "GEISINGER- AND "SYSTEM" SHALL REFER TO THE ENTIRE HEALTHCARE SYSTEM COMPRISED OF GEISINGER HEALTH AS PARENT AND ALL SUBSIDIARY CORPORATIONS COMPRISING THE SYSTEM.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (22 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
GEISINGER HEALTH
100 NORTH ACADEMY AVENUE MC 49-70DANVILLEPA17822231995911PHILANTHROPA501C37N/Afalse
GEISINGER MEDICAL CENTER
100 NORTH ACADEMY AVENUE MC 49-70DANVILLEPA17822240795959HOSPITALPA501C33falseGH
GEISINGER CLINIC
100 NORTH ACADEMY AVENUE MC 49-70DANVILLEPA17822236291113PHYSN SVCSPA501C312AfalseGH
GEISINGER WYOMING VALLEY MED CTR
100 NORTH ACADEMY AVENUE MC 49-70DANVILLEPA17822231996150HOSPITALPA501C33falseGH
MARWORTH
100 NORTH ACADEMY AVENUE MC 49-70DANVILLEPA17822232171417D&A REHABPA501C33falseGH
GEISINGER HEALTH PLAN
100 NORTH ACADEMY AVENUE MC 49-70DANVILLEPA17822232311553HMOPA501C4falseGH
GEISINGER SYSTEM SERVICES
100 NORTH ACADEMY AVENUE MC 49-70DANVILLEPA17822232164794SUPPORT SVPA501C312AfalseGH
GEISINGER COMMUNITY HEALTH SERVICES
100 NORTH ACADEMY AVENUE MC 49-70DANVILLEPA17822232967235HEALTHCAREPA501C310falseGSS
GEISINGER INSURANCE CORPORATIONRRG
100 NORTH ACADEMY AVENUE MC 49-70DANVILLEPA17822141909894SELF INSVT501C312AfalseGH
COMMUNITY MEDICAL CENTER
100 NORTH ACADEMY AVENUE MC 49-70DANVILLEPA17822240862246HOSPITALPA501C33falseGH
GEISINGER-BLOOMSBURG HOSPITAL
100 NORTH ACADEMY AVENUE MC 49-70DANVILLEPA17822232193572HOSPITALPA501C33falseGH
GEISINGER-LEWISTOWN HOSPITAL
100 NORTH ACADEMY AVENUE MC 49-70DANVILLEPA17822231352187HOSPITALPA501C33falseGH
LEWISTOWN AMBULATORY CARE CORP
100 NORTH ACADEMY AVENUE MC 49-70DANVILLEPA17822232344362HOLDING COPA501C312AfalseGH
FAMILY HEALTH ASSOCIATES OF GLH
100 NORTH ACADEMY AVENUE MC 49-70DANVILLEPA17822251651582PHYSN SVCSPA501C312AfalseGH
WEST SHORE ADVANCED LIFE SUPP SVCS
100 NORTH ACADEMY AVENUE MC 49-70DANVILLEPA17822232463002HEALTHCAREPA501C310falseGC
GEISINGER COMMONWEALTH SCH OF MED
100 NORTH ACADEMY AVENUE MC 49-70DANVILLEPA17822260812968EDUCATIONPA501C32falseGH
GEISINGER JERSEY SHORE HOSPITAL
100 NORTH ACADEMY AVENUE MC 49-70DANVILLEPA17822240792115HOSPITALPA501C33falseGH
GEISINGER MEDICAL CENTER MUNCY
100 NORTH ACADEMY AVENUE MC 49-70DANVILLEPA17822851226106HOSPITALPA501C33falseGHM
GNJ PHYSICIANS GROUP PC
100 NORTH ACADEMY AVENUE MC 49-70DANVILLEPA17822820681884PHYSN SVCSNJ501C310falseGH
GSL HOSPITAL
801 OSTRUM STREETBETHLEHEMPA18015824432109HOSPITALPA501C33N/Afalse
GSLPG INC
801 OSTRUM STREETBETHLEHEMPA18015825423865HEALTHCAREPA501C33falseGSL HOSP
HEALTH CARE CORP OF NORTHEAST PA
100 NORTH ACADEMY AVENUE MC 49-70DANVILLEPA17822232337286SUPPORT SVPA501C312AfalseCMC

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (7 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerInd
KEYSTONE ACCOUNTABLE CARE ORG LLC
100 NORTH ACADEMY AVENUE MC 49-70DANVILLEPA17822455484165ACOPAN/Afalsefalse
GEISINGER ENCOMPASS HEALTH LLC
100 NORTH ACADEMY AVENUE MC 49-70DANVILLEPA17822721398803PHY THERAPPAN/Afalsefalse
EVANGELICAL-GEISINGER HEALTH LLC
100 NORTH ACADEMY AVENUE MC 49-70DANVILLEPA17822460567687HEALTHCAREPAN/Afalsefalse
LACKAWANNA PHYS AMB SURG CTRLLC
100 NORTH ACADEMY AVENUE MC 49-70DANVILLEPA17822233024998HEALTHCAREPAN/Afalsefalse
GEISINGER-HM JOINT VENTURE LLC
100 NORTH ACADEMY AVENUE MC 49-70DANVILLEPA17822831871064HEALTHCAREPAN/Afalsefalse
KEYSTONE HEALTHCARE PARTNERSHIPLLC
901 HUGH WALLIS ROADLAFAYETTELA70508833134941HOME HLTHPAN/Afalsefalse
COMMONWEALTH MSO LLC
270 SUSQUEHANNA VALLEY MALL DRIVESELINSGROVEPA17870862178965HEALTHCAREPAN/Afalsefalse

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmProvince Or StateForeignAddress/ProvinceOrStateNmCountryForeignAddress/CountryCdForeign PostalForeignAddress/ForeignPostalCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
ISS SOLUTIONS INC
100 NORTH ACADEMY AVENUE MC 49-70DANVILLEPA17822232077663CLINIC ENGPAN/Afalse
GEISINGER INDEMNITY INSURANCE CO
100 NORTH ACADEMY AVENUE MC 49-70DANVILLEPA17822232815174HLTH INSURPAN/Afalse
GEISINGER QUALITY OPTIONS INC
100 NORTH ACADEMY AVENUE MC 49-70DANVILLEPA17822204275139HLTH INSURPAN/Afalse
GEISINGER ASSURANCE COMPANY LTD
981016737FINANCIALN/Afalse23 LINE TREE BAY AVE PO BOX 1159GRAND CAYMANGRAND CAYMANCJKY1-1102CJ
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (5 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
GEISINGER SYSTEM SERVICES
L$1,599,498GAAP
GEISINGER HEALTH PLAN
L$931,024GAAP
GEISINGER SYSTEM SERVICES
M$554,043GAAP
GEISINGER MEDICAL CENTER
L$142,938GAAP
GEISINGER HEALTH
C$3,000,000GAAP

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE RFormAndLineReferenceDesc
ExplanationFORM 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. ___________________________________________________________________________ExplanationTxt