2021-05-17T17:44:11-05:00 2020-06-30 366055558 GRANT THORNTON LLP 2001 MARKET STREET SUITE 700 PHILADELPHIA PA 19103 990 2019-07-01 251766971 SPIRIT PHYSICIAN SERVICES INC SPIR 7177632100 100 CRYSTAL A DRIVE MC CA210 HERSHEY PA 17033 RANDY B MORRIS TREASURER 7177632100 2021-05-17 1 RUSSLEE ARMSTRONG P00288383 2155614200 2019 2022-09-23 18:48:47Z X STEVE MASSINI 100 CRYSTAL A DRIVE MC CA210 HERSHEY PA 17033 90419770 0 X WWW.PENNSTATEHEALTH.ORG X 1995 PA TO SUPPORT GEISINGER HOLY SPIRIT'S MISSION AS A COMMUNITY CATHOLIC HEALTH SYSTEM. 14 10 934 10 0 0 0 0 82980460 88928038 106131 100437 117765 1390360 83204356 90418835 0 0 0 0 105819177 116539731 0 0 0 29129384 41295778 134948561 157835509 -51744205 -67416674 14307466 24728124 16216261 37978532 -1908795 -13250408 X SPIRIT PHYSICIAN SERVICES, INCORPORATED, (DOING BUSINESS AS GEISINGER HOLY SPIRIT MEDICAL GROUP) SUPPORTS GEISINGER HOLY SPIRITS MISSION AS A COMMUNITY CATHOLIC HEALTH SYSTEM. 0 0 138534698 0 90318398 SPIRIT PHYSICIAN SERVICES, INC'S. (SPSI) FAMILY HEALTH CENTERS OFFER PREVENTATIVE DIAGNOSTIC AND THERAPEUTIC MEDICAL SERVICES ON AN OUTPATIENT BASIS.THE FAMILY HEALTH CENTERS PROVIDE AN OUTREACH TO COMMUNITY RESIDENTS WITH MEDICAL CONDITIONS WHICH, IF NOT PROPERLY TREATED IN AN OUTPATIENT SETTING, MIGHT ULTIMATELY REQUIRE MORE EXPENSIVE AND CRITICAL INPATIENT CARE. THUS, THE CLINICS REDUCE HOSPITAL ADMISSIONS, DAYS OF STAY AND SURGICAL RATES.GEISINGER HOLY SPIRIT OB/GYN OFFERS FREE INTRODUCTORY SESSIONS TO THE CREIGHTON MODEL FERTILITY CARETM SYSTEM AND NAPROTECHNOLOGY. THIS IS A FULLY INTEGRATED APPROACH TO WOMEN'S HEALTH THAT IS COMPLETELY PRO-LIFE IN ITS OUTLOOK AND THE TECHNIQUES IT EMPLOYS. IT IS PARTICULARLY USEFUL FOR EVALUATING AND TREATING INFERTILITY, RECURRENT PREGNANCY LOSS, ENDOMETRIOSIS, IRREGULAR PERIODS, PMS, OVARIAN CYSTS, AND POLYCYSTIC OVARY SYNDROME, AS WELL AS FOR FAMILY PLANNING.CVSI IS A GROUP OF CARDIOVASCULAR HEART SURGEONS. THIS GROUP USES ROBOTICS DURING SPECIFIC SURGERIES.GENERAL SURGERY IS A GROUP OF GENERAL SURGEONS. THIS GROUP PERFORMS A LARGE ASSORTMENT OF GENERAL SURGERY AND TRAUMA SURGERY PROCEDURES.ORTHOPEDIC PRACTICE IS A GROUP OF ORTHOPEDIC PHYSICIANS. THIS GROUP PERFORMS A LARGE ASSORTMENT OF OFFICE PROCEDURES, ORTHOPEDIC SURGERY, AND TRAUMA SURGERY PROCEDURES.DERMATOLOGY PRACTICE IS A GROUP OF DERMATOLOGY PHYSICIANS. THIS GROUP PERFORMS GENERAL DERMATOLOGY CARE AND SKIN CANCER SCREENINGS AND MOHS SURGERY FOR SKIN CANCER WHICH ALLOWS THE GREATEST AMOUNT OF HEALTHY TISSUE WHILE REMOVING BASAL CELL OR SQUAMOUS CELL CARCINOMAS.INFECTIOUS DISEASE PRACTICE IS A GROUP OF BOARD-CERTIFIED, FELLOWSHIP-TRAINED DISEASE SPECIALIST PHYSICIANS. THIS GROUP FOCUSES ON ALL TYPES OF INFECTIONS, INCLUDING THOSE CAUSED BY BACTERIA, VIRUSES, FUNGI, ANDPARASITES OF THE SINUSES, HEART, LUNGS, URINARY TRACT, BONES, AND PELVIC ORGANS. THEY ALSO HAVE INSIGHT INTO THE USE OF ANTIBIOTICS AND THEIR POTENTIAL ADVERSE EFFECTS.UNCOMPENSATED CARESPIRIT PHYSICIAN SERVICES, INC. (SPSI) RECOGNIZES THAT ITS MISSION IS TO SERVE ALL THE MEMBERS OF THE COMMUNITY WITH RESPECT TO THE PROVISION OF HEALTHCARE SERVICES AND HEALTHCARE EDUCATION. SPSI PROVIDES QUALITY MEDICAL HEALTHCARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. IN THIS REGARD, SPSI 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 SPSI PRACTICES.A. CHARITY CARETHE PRIMARY CONCERN OF SPSI IS THE DELIVERY OF HEALTH CARE TO ALL THE CITIZENS IN ALL THE CITIZENS OF THE GREATER HARRISBURG AREA AND SOUTH CENTRAL PENNSYLVANIA, REGARDLESS OF THEIR ABILITY TO PAY. THEUNREIMBURSED COST OF CHARITY CARE REPRESENTS THE COST SPSI INCURS BY PROVIDING FREE OR DISCOUNTED SERVICES TO THOSE WHO CANNOT AFFORD TO PAY. FOR FISCAL YEAR ENDED JUNE 30, 2020, THE COST OF CHARITY CARE WAS $2,125,083.B. MEDICARE/MEDICAIDRECOGNIZING ITS MISSION TO THE COMMUNITY, SERVICES ARE PROVIDED TO THE ELDERLY (MEDICARE) AND THE POOR (MEDICAID). SPSI PROVIDES CARE, BELOW COST, TO PERSONS COVERED BY THESE GOVERNMENTAL PROGRAMS. TO THE EXTENT REIMBURSEMENT IS BELOW THE COST OF PROVIDING HEALTHCARE, SPSI IS FURTHERING ITS MISSION TO THE ENTIRE COMMUNITY. THE UNREIMBURSED VALUE OF MEDICARE AND/OR MEDICAID IS EQUAL TO THE COST OF PROVIDING SERVICES LESS THE AMOUNT OF REIMBURSEMENT RECEIVED UNDER THE PROGRAM. FOR FISCAL YEAR ENDED JUNE 30, 2020, THE UNREIMBURSED VALUE OF PROVIDING CARE TO THESE PATIENTS WAS $40,558,987C. OTHER UNCOMPENSATED PATIENT SERVICESIN ADDITION, SPSI PROVIDES OTHER PATIENT SERVICES FOR WHICH FULL PAYMENT IS NOT RECEIVED. THE UNCOMPENSATED COST OF PROVIDING SUCH PATIENT SERVICES DURING THE FISCAL YEAR ENDED JUNE 30, 2020, WAS $2,014,587. COMMUNITY HEALTH, EDUCATION AND OUTREACHSPIRIT PHYSICIAN SERVICES, INC. STRIVES TO SERVE AS PARTNERS TO THE COMMUNITIES IN WHICH THEY ARE LOCATED, SPSI PROVIDES CARE TO THE COMMUNITY THROUGH REDUCED PRICE SERVICES AND FREE PROGRAMS THROUGHOUT THE YEAR BASED UPON ACTIVITIES AND SERVICES THAT SPSI BELIEVES WILL SERVE A BONEFIDE COMMUNITY HEALTH NEED. THESE SERVICES AND PROGRAMS MAY INCLUDE SUPPORT GROUPS, HEALTH EDUCATION, WELLNESS FAIRS, HEALTH SCREENINGS, OR OTHER HEALTH RELATED PROGRAMS. THE COST OF THESE SERVICES TOTALED $1,192,733 IN FISCAL YEAR ENDED JUNE 30, 2020.COMMUNITY BENEFIT SUMMARYCHARITY CARE $ 2,125,083MEDICARE/MEDICAID 40,558,987OTHER UNCOMPENSATED PATIENT SERVICES 2,014,587COMMUNITY HEALTH EDUCATION AND OUTREACH 1,192,733TOTAL COMMUNITY BENEFIT $ 45,891,390SUBSEQUENT EVENTSEFFECTIVE NOVEMBER 1, 2020, GEISINGER TRANSFERRED ITS MEMBERSHIP OF HOLY SPIRIT HEALTH SYSTEM AND AFFILIATES (HOLY SPIRIT HOSPITAL, HOLY SPIRIT CORPORATION, SPIRIT PHYSICIAN SERVICES) TO PENN STATE HEALTH. 138534698 1 0 0 1 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 1 1 1 1 0 1 X 0 0 934 1 0 0 0 0 0 0 0 0 0 0 0 0 X 14 10 1 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 PA X RANDY B MORRIS VP 7177632100 100 CRYSTAL A DR MC CA210 HERSHEY PA 17033 RAJESH M DAVE MD FACC FSCAI PHYSICIAN 40.00 0.00 X 2143519 0 32414 DAVID J FELICIO ESQUIRE SECRETARY 0.25 40.75 X 0 1077100 208192 JONAS M SHEEHAN MD PHYSICIAN 40.00 0.00 X 970787 0 26635 ANDREAS U WALI MD FACC FSCAI PHYSICIAN 40.00 0.00 X 833288 0 48556 DAVID C MAN MD FACC PHYSICIAN 40.00 0.00 X 814594 0 46262 SAFWAT A GASSIS PHYSICIAN 40.00 0.00 X 782048 0 44511 KYLE C SNYDER MHA CAO, DIRECTOR 0.25 40.50 X X 0 472255 77805 J BRET DELONE CMO, HOLY SPIRIT 40.00 0.00 X 488035 0 48070 LENKE ERKI MD DIRECTOR 40.00 0.50 X 489490 0 41388 JOSEPH A TORCHIA MD FORMER OFFICER 0.00 40.00 X 0 495339 11142 CHINH N PHAM MD DIRECTOR 40.00 0.50 X 424225 0 43863 SHUBHRA KUMAR-BRADLEY ACMO, MEDICINE INSTITUTE 40.00 0.00 X 357953 0 39188 RANDY B MORRIS TREASURER 0.25 40.50 X 0 313189 35470 AJAY K SAINI MD DIRECTOR 40.00 0.50 X 299432 0 42405 LORI R GRAMLEY ESQUIRE ASST. SECRETARY 0.25 40.75 X 0 304113 30799 DANIEL E LOHR ESQUIRE FORMER OFFICER 0.00 40.00 X 0 287662 20511 STEVEN J TRACY VP, HSMG 40.00 0.00 X 273269 0 34651 CHRISTOPHER MOYER DO DIRECTOR 0.25 0.50 X 0 0 0 DEBORAH KEYS DIRECTOR 0.25 0.50 X 0 0 0 HANK STRAUB DIRECTOR 0.25 0.50 X 0 0 0 LAURIE SALTZGIVER ESQUIRE VICE CHAIR, DIRECTOR 0.25 0.50 X X 0 0 0 NORA HABIG DIRECTOR 0.25 0.50 X 0 0 0 REVEREND DAVID DANNEKER DIRECTOR 0.25 0.50 X 0 0 0 REVEREND ROBERT F SHARMAN DIRECTOR 0.25 0.50 X 0 0 0 RON DRNEVICH CHAIR, DIRECTOR 0.25 0.50 X X 0 0 0 SISTER JOANN MARIE AUMAND SCC DIRECTOR 0.25 0.50 X 0 0 0 SISTER MARIE PAULINE DEMEK SCC DIRECTOR 0.25 0.50 X 0 0 0 7876640 2949658 831862 257 1 1 0 QUANTUM IMAGING 629-D LOWTHER ROAD LEWISBERRY PA 17339 IMAGING 6824058 WEATHERBY LOCUMS INC 6451 NORTH FEDERAL HIGH FORT LAUDERDALE FL 33308 PHYSICIAN LOCUM 1252523 COLLADO CLEANING SERVICE LLC 975 HUMMEL AVE LEMOYNE PA 17043 CLEANING 306455 H AND N LANDSCAPING LLC 675 WILLIAMS GROVE ROAD MECHANICSBURG PA 17055 LANDSCAPING 187995 MEDICAL BUREAU OF HARRISBURG 300 VARTAN WAY 208 HARRISBURG PA 17110 MEDICAL SERVICES 114775 5 PATIENT SERVICE REVENU 621110 68379910 68379910 INTERCOMPANY REVENUE 621110 20484948 20484948 ADMIN & TEACHING CREDI 621110 60892 60892 INTEREST INCOME FROM P 621110 2288 2288 88928038 101372 101372 935 -935 -935 -935 OTHER OP REVENUE 1354351 1354351 REBATE REVENUE 36009 36009 1390360 90418835 90318398 0 100437 X 2666998 1977000 689998 1404734 1048608 356126 94901292 88568260 6333032 3398080 3295987 102093 8997721 7925602 1072119 5170906 4771784 399122 4692 4692 213232 3274 209958 16224442 15988548 235894 1888 1888 1172231 1001498 170733 169176 104363 64813 5174700 4805309 369391 186639 153614 33025 526702 523094 3608 41278 41278 2349398 306811 2042587 2217642 2081566 136076 INTERCOMPANY EXPENSE 7111534 37484 7074050 MEDICAL SUPPLIES 3312397 3312246 151 UNCOLLECTIBLE EXPENSE 2499312 2521300 -21988 BOOKS, LIC., FEES, DUES 81529 62328 19201 8986 2856 6130 157835509 138534698 19300811 0 588325 121884 2714129 0 4753915 4875521 7680 60869 2401527 2615961 200028 158231 18851196 1985773 2653303 16865423 0 0 0 0 0 0 88082 30235 900477 0 14307466 24728124 2014735 3258367 2111831 11484376 14201526 21123958 16216261 37978532 X -1908795 -13250408 -1908795 -13250408 14307466 24728124 X -67416674 56075061 X 0 1 X 1 0 X 130132 20 0 0 0 130152 48430307 68966968 80030029 83055824 90318398 370801526 115460 44169 42249 42249 0 244127 48675899 69011157 80072278 83098073 90318398 371175805 0 0 0 371175805 6283 30680 53409 106131 101372 297875 723 358 1081 6283 31403 53767 106131 101372 298956 48682182 69042560 80126045 83204204 90419770 371474761 0.99920 0.90320 0.00080 0.00000 X 0 0 0 0 0 0 1 923 0 1 13314 14237 0 PART II-B, LINE 1G AMOUNT REPORTED ON LINE 1G REPRESENTS THE WAGES AND BENEFITS OF EMPLOYEES WHO ASSIST THE GOVERNMENT RELATIONS DEPARTMENT OF THE ORGANIZATION'S AFFILIATE, GEISINGER SYSTEM SERVICES. THE PRIMARY PURPOSE OF THE GOVERNMENT RELATIONS DEPARTMENT IS TO MAINTAIN CONTACT WITH FEDERAL, STATE, AND LOCAL GOVERNMENT OFFICIALS. THE DEPARTMENT PROMOTES LEGISLATIVE ACTIONS WITH RESPECT TO HEALTHCARE RELATED ISSUES THAT COULD IMPACT THE ORGANIZATION AND ITS AFFILIATES. 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. 14117596 1141190 12976406 3218956 844583 2374373 1514644 1514644 16865423 PATIENT CREDIT BALANCE 1191992 ALLOW THIRD PARTY PAYORS 1034175 DUE TO AFFILIATES 18897791 21123958 PART V, LINE 4 INTEREST EARNED IS UNRESTRICTED AND TRANSFERRED TO THE OPERATING FUND. X X X X X X 1 1 0 0 0 0 0 0 1 1 RAJESH M DAVE MD FACC FSCAI PHYSICIAN 1049702 0 0 0 1093817 0 15567 0 16847 0 2175933 0 0 0 DAVID J FELICIO ESQUIRE SECRETARY 0 782115 0 0 0 294985 0 182465 0 25727 0 1285292 0 235495 JONAS M SHEEHAN MD PHYSICIAN 431647 0 0 0 539140 0 14250 0 12385 0 997422 0 0 0 ANDREAS U WALI MD FACC FSCAI PHYSICIAN 753597 0 36533 0 43158 0 16764 0 31792 0 881844 0 0 0 DAVID C MAN MD FACC PHYSICIAN 677248 0 97572 0 39774 0 17411 0 28851 0 860856 0 0 0 SAFWAT A GASSIS PHYSICIAN 642214 0 103591 0 36243 0 13595 0 30916 0 826559 0 0 0 KYLE C SNYDER MHA CAO, DIRECTOR 0 351515 0 0 0 120740 0 47230 0 30575 0 550060 0 42433 J BRET DELONE CMO, HOLY SPIRIT 432565 0 0 0 55470 0 16300 0 31770 0 536105 0 0 0 LENKE ERKI MD DIRECTOR 443706 0 24935 0 20849 0 15409 0 25979 0 530878 0 0 0 JOSEPH A TORCHIA MD FORMER OFFICER 0 123564 0 0 0 371775 0 8410 0 2732 0 506481 0 0 CHINH N PHAM MD DIRECTOR 396165 0 28060 0 0 0 12955 0 30908 0 468088 0 0 0 SHUBHRA KUMAR-BRADLEY ACMO, MEDICINE INSTITUTE 342790 0 5000 0 10163 0 12776 0 26412 0 397141 0 0 0 RANDY B MORRIS TREASURER 0 287453 0 0 0 25736 0 14062 0 21408 0 348659 0 0 AJAY K SAINI MD DIRECTOR 250337 0 0 0 49095 0 12851 0 29554 0 341837 0 0 0 LORI R GRAMLEY ESQUIRE ASST. SECRETARY 0 270559 0 0 0 33554 0 19884 0 10915 0 334912 0 0 DANIEL E LOHR ESQUIRE FORMER OFFICER 0 285686 0 0 0 1976 0 19884 0 627 0 308173 0 0 STEVEN J TRACY VP, HSMG 254263 0 0 0 19006 0 11381 0 23270 0 307920 0 0 0 PART I, LINE 8 THE EMPLOYEES LISTED PARTICIPATE IN A COMPENSATION PROGRAM DESIGNED TO BE MARKET COMPETITIVE. FROM TIME TO TIME, DEPENDING ON THE AVAILABILITY OF QUALIFIED APPLICANTS, RECRUITMENT LOANS MAY BE MADE AVAILABLE IN DIFFICULT TO RECRUIT POSITIONS. SUCH LOANS ARE ONLY PROVIDED IF TOTAL COMPENSATION, INCLUDING THE LOAN AMOUNT, IS CONSIDERED REASONABLE COMPENSATION PER INDEPENDENT SALARY SURVEYS. PART I, LINE 4A - SEVERANCE PAYMENT UPON INVOLUNTARY SEPARATION, EMPLOYEES MAY BE ELIGIBLE TO RECEIVE CONTINUATION OF SALARY FOR A TERM THAT IS BASED ON THEIR YEARS OF GEISINGER SERVICE AND POSITION. JONAS M. SHEEHAN, MD - $410,720 JOSEPH A. TORCHIA, MD - $357,078 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. DAVID J. FELICIO, ESQUIRE - $235,495 NONQUALIFIED KYLE C. SYNDER, MHA - $42,433 NONQUALIFIED FOOTNOTE: THROUGHOUT FORM 990, THE TERMS "GEISINGER AND "SYSTEM" REFER TO THE ENTIRE HEALTHCARE SYSTEM COMPRISED OF GEISINGER HEALTH "GH" AS PARENT AND ALL SUBSIDIARY CORPORATIONS COMPRISING THE SYSTEM. J BRET DELONE KE RECRUIT X 75000 60869 0 1 1 60869 ENA SAINI FAMILY 241231 EMPL COMP 0 SCHEDULE L, PART V - ADDITIONAL INFORMATION ENA SAINI IS A FMAILY MEMBER OF AJAY K. SAINI, A DIRECTOR OF SPIRIT PHYSICIAN SERVICES, INC. FORM 990, PART VI, SECTION A, LINE 1 BASED ON THE FORM 990 DEFINITION OF "INDEPENDENCE" AS IT RELATES TO VOTING MEMBERS OF THE GOVERNING BODY, FOUR VOTING MEMBERS ARE NOT INDEPENDENT BECAUSE THEY ARE COMPENSATED AS EMPLOYEES OF RELATED TAX-EXEMPT ORGANIZATIONS. FORM 990, PART VI, SECTION A, LINE 2 AJAY K. SAINI, MD, CHINH N. PHAM, MD, CHRISTOPHER MOYER, DO, DAVID J. FELICIO, ESQUIRE, DEBORAH KEYS, HANK STRAUB, KYLE C. SYNDER, MHA, LAUIRE SALTZGIVER, ESQUIRE, LENKE ERKI, MD, LORI R. GRAMLEY, ESQUIRE, NORA HABIG, RANDY B. MORRIS, REVEREND DAVID DANNEKER, REVEREND ROBERT F. SHARMAN, RON DRNEVICH, SISTER JOANN MARIE AUMAND, SCC, AND SISTER MARIE PAULINE DEMEK, SCC 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, PART VI, SECTION A, LINE 6 CLASSES OF MEMBERS OR STOCKHOLDERS GEISINGER HEALTH SERVES AS THE SOLE CORPORATE MEMBER OF HOLY SPIRIT HEALTH SYSTEM AND HOLY SPIRIT HEALTH SYSTEM SERVICES AS CORPORATE MEMBER FOR HOLY SPIRIT HOSPITAL OF THE SISTERS OF CHRISTIAN CHARITY, SPIRIT PHYSICIAN SERVICES, INC., HOLY SPIRIT CORPORATION AND SOLE SHAREHOLDER OF HOLY SPIRIT VENTURES INC. 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, PART VI, SECTION A, LINE 7A ELECTION OF MEMBERS AND THEIR RIGHTS 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 COPRORATION 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, PART VI, SECTION B, LINE 11B ORGANIZATION'S PROCESS TO REVIEW FORM 990 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 OR DIRECTOR'S FINANCE COMMITTEE CHARTER, GEISINGER ORGANIZATIONS' FORM 990 FILINGS ARE REVIEWED ANNUALLY. THE FORM 990 IS PREPARED BY AN OUTSIDE ACCOUNTING FIRM 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 AVAIALBE TO THE BOARD. IN ADDITION, THE CHIEF LEGAL OFFICER AND CHIEF HUMAN RESOURCE OFFICER OF GEISINGER REVIEW THE IFNORMATION 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 REVEIW ALL FEDERAL TAX RETURNS FILED BY GEISIGNER 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, PART VI, SECTION B, LINE 12C ENFORCEMENT OF CONFLICTS POLICY THE OFFICERS AND DIRECTORS OF THE ORGANIZATION ARE SUBJECT TO THE GEISINGER CONFLICT OF INTEREST POLICY FOR DIRECTORS AND OFFICERS. 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 COMPLIANCE OFFICE AND THE CHIEF LEGAL OFFICER AND REPORTED TO THE AUDIT AND COMPLAINCE COMMITTEES AND BOARDS OF DIRECTORS. AFTER REVIEW OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, INPUT FROM THE COMPLIANCE OFFICE AND THE DEPARTMENT OF LEGAL SERVICES AND ANY DISCUSSION WITH THE PERSON DESIRED BY THE BOARD OR COMMITTEE, THE BOARD DECIDES IF A CONFLICT EXISTS AND TAKES APPROPRIATE ACTION. THE INDIVIDUAL DISCLOSING THE FINANCIAL INTEREST IS ABSENT DURING THE BOARD DELIBERATIONS AND DECISIONS ON THE MATTER. FORM 990, PART VI, SECTION B, LINE 15 PART VI, LINE 15A - COMPENSATION PROCESS FOR TOP OFFICIAL 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 THRID 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. PART VI, LINE 15B - COMPENSATION PROCESS FOR OFFICERS SEE SCHEDULE O RESPONSE TO FORM 990, PART VI SECTION B, QUESTION 15A FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS DISCLOSURE EXPLANATION 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 LOCUM PHYSICIAN SVC HOURLY: PROGRAM SERVICE EXPENSES 1,016,454. TOTAL EXPENSES 1,016,454. LOCUM PHYSICIAN SVC NONHOURLY: PROGRAM SERVICE EXPENSES -13,000. TOTAL EXPENSES -13,000. OUTSIDE AGENCY ADV PRACTITIONERS: PROGRAM SERVICE EXPENSES 62,343. TOTAL EXPENSES 62,343. CLEANING SERVICES: PROGRAM SERVICE EXPENSES 297,999. MANAGEMENT AND GENERAL EXPENSES 5,775. TOTAL EXPENSES 303,774. CONSULTING FEES: PROGRAM SERVICE EXPENSES 3,555. MANAGEMENT AND GENERAL EXPENSES 8,425. TOTAL EXPENSES 11,980. COLLECTION AGENCY FEES: MANAGEMENT AND GENERAL EXPENSES 27,027. TOTAL EXPENSES 27,027. EQUIP MAINT SVC CONTRACTS: PROGRAM SERVICE EXPENSES 128,996. MANAGEMENT AND GENERAL EXPENSES 18,548. TOTAL EXPENSES 147,544. MICROFILM FICHE PROCESSING: PROGRAM SERVICE EXPENSES 698. TOTAL EXPENSES 698. OUTSIDE PURCHASED SERVICE: PROGRAM SERVICE EXPENSES 14,478,841. MANAGEMENT AND GENERAL EXPENSES 176,119. TOTAL EXPENSES 14,654,960. REPAIR OF EQUIPMENT: PROGRAM SERVICE EXPENSES 12,662. TOTAL EXPENSES 12,662. FORM 990, PART XI, LINE 9: TRANSFERS TO/FROM AFFILIATE(S) 56,075,061. GEISINGER HEALTH 100 NORTH ACADEMY AVENUE DANVILLE PA 17822 231995911 PHILANTHRO PA 501(C)(3) LINE 7 0 GEISINGER MEDICAL CENTER 100 NORTH ACADEMY AVENUE DANVILLE PA 17822 240795959 HOSPITAL PA 501(C)(3) LINE 3 GH 0 GEISINGER CLINIC 100 NORTH ACADEMY AVENUE DANVILLE PA 17822 236291113 PHYSN SVCS PA 501(C)(3) LINE 12A, I GH 0 GEISINGER WYOMING VALLEY MED CTR 100 NORTH ACADEMY AVENUE DANVILLE PA 17822 231996150 HOSPITAL PA 501(C)(3) LINE 3 GH 0 MARWORTH 100 NORTH ACADEMY AVENUE DANVILLE PA 17822 232171417 D&A REHAB PA 501(C)(3) LINE 3 GH 0 GEISINGER HEALTH PLAN 100 NORTH ACADEMY AVENUE DANVILLE PA 17822 232311553 HMO PA 501(C)(4) GH 0 GEISINGER SYSTEM SERVICES 100 NORTH ACADEMY AVENUE DANVILLE PA 17822 232164794 SUPPORT SV PA 501(C)(3) LINE 12A, I GH 0 GEISINGER COMMUNITY HEALTH SERVICES 100 NORTH ACADEMY AVENUE DANVILLE PA 17822 232967235 HEALTHCARE PA 501(C)(3) LINE 10 GSS 0 GEISINGER INSURANCE CORPORATION RRG 100 NORTH ACADEMY AVENUE DANVILLE PA 17822 141909894 SELF INS VT 501(C)(3) LINE 12A, I GH 0 COMMUNITY MEDICAL CENTER 100 NORTH ACADEMY AVENUE DANVILLE PA 17822 240862246 HOSPITAL PA 501(C)(3) LINE 3 GH 0 MOUNTAIN VIEW NURSING HOME INC 100 NORTH ACADEMY AVENUE DANVILLE PA 17822 232568288 LNGTM CARE PA 501(C)(3) LINE 10 GH 0 GEISINGER-BLOOMSBURG HOSPITAL 100 NORTH ACADEMY AVENUE DANVILLE PA 17822 232193572 HOSPITAL PA 501(C)(3) LINE 3 GH 0 GEISINGER-BLOOMSBURG HEALTHCARE CTR 100 NORTH ACADEMY AVENUE DANVILLE PA 17822 232242854 SKILLED NU PA 501(C)(3) LINE 10 GH 0 GEISINGER LEWISTOWN HOSPITAL 100 NORTH ACADEMY AVENUE DANVILLE PA 17822 231352187 HOSPITAL PA 501(C)(3) LINE 3 GH 0 LEWISTOWN AMBULATORY CARE CORP 100 NORTH ACADEMY AVENUE DANVILLE PA 17822 232344362 HOLDING CO PA 501(C)(3) LINE 12A, I GH 0 FAMILY HEALTH ASSOCIATES OF GLH 100 NORTH ACADEMY AVENUE DANVILLE PA 17822 251651582 PHYSN SVCS PA 501(C)(3) LINE 12A, I GH 0 KEYSTONE HEALTH INFORMATION EXCH 100 NORTH ACADEMY AVENUE DANVILLE PA 17822 464359893 RHIO PA 501(C)(3) LINE 12A, I GH 0 HEALTH CARE CORP OF NORTHEAST PA 100 NORTH ACADEMY AVENUE DANVILLE PA 17822 232337286 SUPPORT SV PA 501(C)(3) LINE 12A, I CMC 0 HOLY SPIRIT HEALTH SYSTEM 100 NORTH ACADEMY AVENUE DANVILLE PA 17822 251865142 PHILANTHRO PA 501(C)(3) LINE 12A, I GH 0 HOLY SPIRIT HOSPITAL 100 NORTH ACADEMY AVENUE DANVILLE PA 17822 231512747 HOSPITAL PA 501(C)(3) LINE 3 HSHS 1 HOLY SPIRIT CORPORATION 100 NORTH ACADEMY AVENUE DANVILLE PA 17822 232214540 HOLDING CO PA 501(C)(2) HSHS 0 WEST SHORE ADVANCED LIFE SUPPORT SERVICES 100 NORTH ACADEMY AVENUE DANVILLE PA 17822 232463002 HEALTHCARE PA 501(C)(3) LINE 10 GC 0 GEISINGER COMMONWEALTH SCH OF MED 100 NORTH ACADEMY AVENUE DANVILLE PA 17822 260812968 EDUCATION PA 501(C)(3) LINE 2 GH 0 GEISINGER JERSEY SHORE HOSPITAL 100 NORTH ACADEMY AVENUE DANVILLE PA 17822 240792115 HOSPITAL PA 501(C)(3) LINE 3 GH 0 GEISINGER JERSEY SHORE HOSPITAL FND 100 NORTH ACADEMY AVENUE DANVILLE PA 17822 232480603 HEALTHCARE PA 501(C)(3) LINE 3 GH 0 GSL HOSPITAL 801 OSTRUM STREET BETHLEHEM PA 18015 824432109 HOSPITAL PA 501(C)(3) LINE 3 0 GSLPG INC 801 OSTRUM STREET BETHLEHEM PA 18015 825423865 HEALTHCARE PA 501(C)(3) LINE 3 GSL HOSP 0 ATLANTICARE BEHAVORIAL HEALTH INC 2511 FIRE ROAD EGG HARBOR TOWNSHIP NJ 08234 210721208 HEALTHCARE NJ 501(C)(3) LINE 7 ARHS 0 ATLANTICARE FOUNDATION INC 6725 DELILAH ROAD EGG HARBOR TOWNSHIP NJ 08234 222148992 SUPPORT AR NJ 501(C)(3) LINE 7 AH SYSTEM 0 ATLANTICARE HEALTH ENGAGEMENT INC 2500 ENGLISH CREEK AVENUE EGG HARBOR TOWNSHIP NJ 08234 611608389 HEALTHCARE NJ 501(C)(3) LINE 12A, I AH SYSTEM 0 ATLANTICARE HEALTH SERVICES INC 2500 ENGLISH CREEK AVENUE EGG HARBOR TOWNSHIP NJ 08234 223265214 HEALTHCARE NJ 501(C)(3) LINE 10 ARHS 0 ATLANTICARE HEALTH SYSTEM INC 2500 ENGLISH CREEK AVENUE EGG HARBOR TOWNSHIP NJ 08234 223265213 SUPPORT AR NJ 501(C)(3) LINE 12A, I GH 0 ATLANTICARE REGIONAL MEDICAL CENTER 1925 PACIFIC AVENUE ATLANTIC CITY NJ 08401 210634549 HOSPITAL NJ 501(C)(3) LINE 3 ARHS 0 ATLANTICARE PHYSICIAN GROUP PA 2500 ENGLISH CREEK AVENUE EGG HARBOR TOWNSHIP NJ 08234 020701782 HEALTHCARE NJ 501(C)(3) LINE 12A, I AH SYSTEM 0 ATLANTICARE REGIONAL HEALTH SERVICE 2500 ENGLISH CREEK AVENUE EGG HARBOR TOWNSHIP NJ 08234 800834222 HOSPITAL NJ 501(C)(3) LINE 12A, I AH SYSTEM 0 COOPERATIVE HOME HLTH CARE ATL CNTY 6550 DELILAH ROAD SUITE 304 EGG HARBOR TOWNSHIP NJ 08234 233836022 HOME HEALTH NJ 501(C)(3) LINE 10 AH SYSTEM 0 KEYSTONE ACCOUNTABLE CARE ORG LLC 100 NORTH ACADEMY AVENUE DANVILLE PA 17822 455484165 ACO PA 0 0 LIFESOURCE GEISINGER BLOOD CTR LLC 100 NORTH ACADEMY AVENUE DANVILLE PA 17822 364718005 BLOOD COLL. PA 0 0 GEISINGER ENCOMPASS HEALTH LLC 100 NORTH ACADEMY AVENUE DANVILLE PA 17822 721398803 PHY THERAPY PA 0 0 EVANGELICAL-GEISINGER HEALTH LLC 100 NORTH ACADEMY AVENUE DANVILLE PA 17822 460567687 HEALTHCARE PA 0 0 LEMED II 100 NORTH ACADEMY AVENUE DANVILLE PA 17822 232391766 RENTAL PA 0 0 GEISINGER-SCA HOLDINGS LLC 100 NORTH ACADEMY AVENUE DANVILLE PA 17822 461615328 MANAGEMENT DE 0 0 CAMP HILL AMBULATORY CENTERS 569 BROOKWOOD VILLAGE SUITE 901 BIRMINGHAM AL 35209 521597478 HEALTHCARE PA 0 0 GRANDVIEW SURGERY CENTER LTD 569 BROOKWOOD VILLAGE SUITE 901 BIRMINGHAM AL 35209 521597483 HEALTHCARE PA 0 0 LACAKWANNA PHYS AMB SURG CTR LLC 569 BROOKWOOD VILLAGE SUITE 901 BIRMINGHAM AL 35209 233024998 HEALTHCARE PA 0 0 SOUTHERN JERSEY ONCOLOGY PROPERTIES 2500 ENGLISH CREEK AVENUE EGG HARBOR TOWNSHIP NJ 08234 943463625 HEALTHCARE NJ 0 0 ATLANTICARE SURGERY CENTER LLC 2500 ENGLISH CREEK AVENUE EGG HARBOR TOWNSHIP NJ 08234 223491867 HEALTHCARE NJ 0 0 COOPERATIVE HEALTH SRVS OF S JERSEY 1301 ATLANTIC AVENUE ATLANTIC CITY NJ 08401 223619231 PURCHASING NJ 0 0 GEISINGER-HM JOINT VENTURE LLC 100 NORTH ACADEMY AVENUE DANVILLE PA 17822 831871064 HEALTHCARE PA 0 0 KEYSTONE HEALTHCARE PARTNERSHIP LLC 901 HUGH WALLIS ROAD LAFAYETTE LA 70508 833134941 HOME HLTH PA 0 0 SOUTHERN JERSEY MEDICAL PROPERTIES 2500 ENGLISH CREEK AVENUE EGG HARBOR TOWNSHIP NJ 08234 383830843 REAL ESTATE NJ 0 0 GEISINGER ASSURANCE COMPANY 23 LINE TREE BAY AVE PO BOX 1159 GRAND CAYMAN CJ 981016737 INSURANCE CJ C 0 GEISINGER INDEMNITY INSURANCE CO 100 NORTH ACADEMY AVENUE DANVILLE PA 17822 232815174 HLTH INSUR PA C 0 GEISINGER QUALITY OPTIONS 100 NORTH ACADEMY AVENUE DANVILLE PA 17822 204275139 HLTH INSUR PA C 0 HOLY SPIRIT VENTURES 100 NORTH ACADEMY AVENUE DANVILLE PA 17822 232407709 MED. SERV. PA C 0 ISS SOLUTIONS INC 100 NORTH ACADEMY AVENUE DANVILLE PA 17822 232077663 HOTEL/REST PA C 0 ATLANTICARE ASSURANCE ALLIANCE INC 2500 ENGLISH CREEK AVENUE BLDG 500 EGG HARBOR TOWNSHIP NJ 08234 463730123 HEALTHCARE NJ C 0 ATLANTICARE HEALTH SOLUTIONS INC 2500 ENGLISH CREEK AVENUE BLDG 500 EGG HARBOR TOWNSHIP NJ 08234 383856295 ACO/HEALTH NJ C 0 ENGLISH CREEK ASSURANCE LTD 44 CHURCH STREET HM 12 HAMILTON BERMUDA BD 980656394 FINANCIAL BD C 0 GNJ PHYICIANS GROUP PC 2500 ENGLISH CREEK AVENUE BLDG 500 EGG HARBOR TOWNSHIP NJ 08234 820681884 PHYSIC SVC NJ C 0 XG HEALTH SOLUTIONS INC 100 NORTH ACADEMY AVENUE DANVILLE PA 17822 461657345 CONSULTING DE C 0 1 0 1 0 0 0 0 0 0 0 1 1 1 0 0 1 0 1 0 GEISINGER CLINIC A 42249 GAAP GEISINGER HEALTH C 56075058 GAAP GEISINGER HEALTH SYSTEM K 245678 GAAP HOLY SPIRIT CORPORATION K 1635897 GAAP HOLY SPIRIT VENTURES K 147644 GAAP GEISINGER ASSURANCE COMPANY L 1679 GAAP GEISINGER HEALTH PLAN L 2259796 GAAP GEISINGER HEALTH SYSTEM L 18861885 GAAP GEISINGER INDEMNITY INSURANCE CO L 804692 GAAP GEISINGER QUALITY OPTIONS L 406709 GAAP GEISINGER ASSURANCE COMPANY M 1558292 GAAP GEISINGER CLINIC M 350 GAAP GEISINGER HEALTH M 139274 GAAP GEISINGER HEALTH SYSTEM M 270932 GAAP GEISINGER LEWISTOWN HOSPITAL M 295 GAAP GEISINGER MEDICAL CENTER M 22290 GAAP GEISINGER SYSTEM SERVICES M 6667558 GAAP HOLY SPIRIT HEALTH SYSTEM M 454 GAAP ISS SOLUTIONS INC M 78643 GAAP WEST SHORE ADVANCED LIFE SUPPORT SERVICES M 13604 GAAP RISK RETENTION GROUP P 16800 GAAP GEISINGER HEALTH R 500 GAAP SCHEDULE R, PART V TRANSACTIONS WITH RELATED ORGANIZATIONS AS SHOWN IN SCHEDULE R: SPIRIT PHYSICIAN SERVICES, INC. IS CLOSLEY 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.