2021-11-12T10:57:10-06:00 2020-12-31 990 2020-07-01 232164794 GEISINGER SYSTEM SERVICES GEIS 5702716624 100 N ACADEMY AVE MC 49-70 DANVILLE PA 178229800 KEVIN V ROBERTS MBA CPA EVP, CFO, TREASURER 5702716624 2021-11-05 KEVIN ROBERTS XXX-XX-XXXX 2020 2022-09-23 18:48:47Z JAEWON RYU MD JD 100 N ACADEMY AVE MC 22-01 DANVILLE PA 178229800 326054897 false X WWW.GEISINGER.ORG X 1981 PA STRIVES TO PROVIDE BEST IN CLASS ADMINISTRATIVE, MANAGEMENT AND OTHER SUPPORT SERVICES FOR ALL GEISINGER AFFILIATES IN A COST EFFECTIVE MANNER WHILE MAINTAINING EXCELLENT CUSTOMER SERVICE. 6 2 4351 4 13410 12165 0 611949505 316937635 5664037 8686453 591218 280191 618204760 325904279 0 0 335551584 173022582 0 0 277805776 159568027 613357360 332590609 4847400 -6686330 1232810236 1320359917 1136482061 1208551020 96328175 111808897 X STRIVES TO PROVIDE BEST IN CLASS ADMINISTRATIVE, MANAGEMENT AND OTHER SUPPORT SERVICES FOR ALL GEISINGER AFFILIATES IN A COST EFFECTIVE MANNER WHILE MAINTAINING EXCELLENT CUSTOMER SERVICE. false false 305859704 317218244 I. GENERAL PROGRAM SERVICE INFORMATION GEISINGER SYSTEM SERVICES (GSS), A 501(C)(3) NON-PROFIT CORPORATION, PROVIDES MANAGEMENT AND CONSULTATIVE SERVICES, AT COST, TO OTHER ENTITIES WITHIN GEISINGER. GSS PREPARES, IMPLEMENTS, AND AUDITS POLICIES AND PROCEDURES OF SYSTEM WIDE RELEVANCE AND IMPLEMENTS UNIFORM STANDARDS AND METHODS OF MANAGEMENT THROUGHOUT THE SYSTEM. SERVICES HISTORICALLY PROVIDED BY GSS TO OTHER ENTITIES WITHIN GEISINGER INCLUDE: APPOINTMENT SERVICES INTERNAL AUDIT AUTOMOTIVE SERVICES LEGAL SERVICES BUSINESS OFFICE MAIL SERVICES CARE SUPPORT SERVICES MARKETING COURIER SERVICES MEDICAL LIBRARY CUSTOMER ACCESS MEDICAL RECORDS CUSTOMER SERVICE CALL CENTER PATIENT EXPERIENCE ELEVATOR OPERATIONS PATIENT PLACEMENT SERVICES EMPLOYEE BENEFIT ADMINISTRATION PLANT ENGINEERING FACILITIES PLANNING AND MANAGEMENT POWER PLANT FINANCIAL SERVICES QUALITY AND SAFETY GENERAL MAINTENANCE REPROGRAPHICS GROUNDS RISK MANAGEMENT HUMAN RESOURCES TRANSCRIPTION SERVICES INFORMATION SYSTEMS INCLUDES THE OPERATION AND MAINTENANCE OF THE ELECTRONIC HEALTH RECORDS FOR ALL PATIENTS OF THE VARIOUS GEISINGER PROVIDERS. II. COMMUNITY HEALTH, EDUCATION, AND OUTREACH GEISINGER SYSTEM SERVICES PROVIDES REDUCED PRICE SERVICES AND FREE PROGRAMS THROUGHOUT THE YEAR TO VARIOUS ORGANIZATIONS. THE PROVISION OF THESE SERVICES AND PROGRAMS IS BASED UPON THE ACTIVITIES AND SERVICES THAT THE ORGANIZATIONS PROVIDE FOR THE COMMUNITY AND WHICH GEISINGER SYSTEM SERVICES BELIEVES WILL SERVE A BONA FIDE COMMUNITY NEED. THESE COMMUNITY SERVICES AND ORGANIZATIONS RECEIVED CASH DONATIONS OR IN-KIND SERVICES DESCRIBED BELOW. A. HEALTH RELATED PROGRAMS GSS PROVIDED 5,504 OF IN-KIND SUPPORT AT LOCAL BLOOD DRIVES. B. OTHER IN-KIND SERVICES AND CONTRIBUTIONS ADDITIONALLY, THE FOLLOWING ORGANIZATIONS, AND OTHERS NOT LISTED BELOW, RECEIVED CASH CONTRIBUTIONS OR IN-KIND SERVICES INCLUDING, BUT NOT LIMITED TO, MAINTENANCE, INFORMATION TECHNOLOGY, AND MEDICAL HEALTH PHYSICS TEACHING VALUED AT 306,837: AMISH/MENNONITE - PATIENT DISCOUNT GUIDELINES COMMUNITY CARE HEALTH CENTER - PARTICIPATION IN BOARD MEETINGS LOCAL COMMUNITIES - COMMUNITY NEEDS ASSESSMENTS LOCAL FIRE DEPARTMENTS - PREVENTION AND INCIDENT TRAINING LUZERNE COUNTY EMERGENCY MGMT AGENCY - CALIBRATING RADIATION DETECTION EQUIPMENT MEDICAL STUDENTS - RADIATION SCIENCE & BIOLOGY CLASSES RONALD MCDONALD HOUSE - MAINTENANCE AND PRINT SHOP/POSTAGE SERVICES PROVIDED TRUSTED ADVISOR TRAINING (MARKET PLACE INSURANCE GUIDANCE FOR COMMUNITY) VETERANS - VETERANS DAY MEAL III. COMMUNITY SERVICE SUMMARY COMMUNITY HEALTH, EDUCATION AND OUTREACH 312,341 305859704 true false false true false false false false false false true true false true true false false true false false false false false false false false false false false true false false false true false false true false false false false false false true true true true false true X 1542 0 true 4351 true true true false false false false false false false false false true false X 6 2 false false true false true true true true true false false true true true true true true true true true true PA CA NC X ERIN FITZGERALD CPA VP AND CAO 5702142299 100 N ACADEMY AVE MC 49-70 DANVILLE PA 178229800 JAEWON RYU MD JD PRESIDENT, D 40.00 0.00 X X 3203093 0 840094 KEVIN V ROBERTS MBA CPA EVP, CFO, TR 40.00 0.00 X 1882714 0 369951 AMY B BRAYFORD EVP, CH OF S 40.00 0.00 X 1461665 0 274107 DAVID H LEDBETTER PHD FACMG EVP,CH. SCI. 40.00 0.00 X 1441186 0 266216 DAVID J FELICIO ESQUIRE EVP, CLO 40.00 0.00 X 1533441 0 23238 DOMINIC MOFFA MBA FACHE EVP, CH. STR 40.00 0.00 X 1268142 0 245530 MATTHEW WALSH DIRECTOR 40.00 0.00 X 1090100 0 234541 KAREN MURPHY RN PHD EVP,CHIEF IN 40.00 0.00 X 866273 0 181691 JOHN M KRAVITZ CIO 40.00 0.00 X 700440 0 107132 GERALD V MALONEY DO DIRECTOR 0.00 40.00 X 0 610266 117090 TIMOTHY D FITZGERALD CFA FHFMA VP,TREAS AND 40.00 0.00 X 620437 0 101195 JAMES C ARMSTRONG CPA FHFMA CGMC SYSTEM VP, F 40.00 0.00 X 617349 0 76782 JANET F TOMCAVAGE RN MSN CHIEF NURSIN 40.00 0.00 X 585008 0 103948 DONALD A STANZIANO CHIEF MARKET 40.00 0.00 X 561825 0 84424 DAVID VAWDREY CHIEF DATA O 40.00 0.00 X 589846 0 48727 ROBERT DEWAR CHIEF REVENU 40.00 0.00 X 545203 0 30346 DANIEL E LOHR ESQUIRE COUNSEL, JV 40.00 0.00 X 543748 0 20957 DEBORAH PETRETICH-TEMPLETON RPH MH CAO, SYSTEM 40.00 0.00 X 466119 0 70871 KEVIN J KERESTUS CIA CHIEF ASSURA 40.00 0.00 X 478568 0 52955 STEVEN B BENDER ESQUIRE CLO, SECRETA 40.00 0.00 X 409979 0 114735 EDELYN L MILLER EVP, CAO CLI 40.00 0.00 X 478443 0 26005 KEVIN LANCIOTTI VP, FINANCE 40.00 0.00 X 409008 0 51875 JEAN A ADAMS FORMER KEY E 40.00 0.00 X 367722 0 42373 LORI R GRAMLEY ESQUIRE ACLO, ASST S 40.00 0.00 X 330159 0 31545 MEGAN BROSIOUS INTERIM CAO, 40.00 0.00 X 162743 140047 49052 JOHN CADY FORMER KEY E 40.00 0.00 X 211520 0 927 ROBERT J DIETZ DIRECTOR 0.25 4.00 X 0 0 0 JEFFREY A JACOBSON CHAIR, DIREC 0.25 3.25 X 0 0 0 VIRGINIA MCGREGOR DIRECTOR 0.25 4.00 X 0 0 0 V CHRIS HOLCOMBE PE VICE CHAIR, 0.25 3.75 X 0 0 0 20824731 750313 3566307 469 true true false RIVERSIDE TECHNOLOGIES INC 748 N 109TH CT OMAHA NE 68154 IT SERVICES 16897097 EPIC SYSTEMS CORP PO BOX 88314 MILWAUKEE WI 53288 IT SERVICES 16108837 THE CHARTIS GROUP LLC DEPT 5925 CAROL STREAM IL 60122 REV MGMT IT SVC 16003693 MICROSOFT CORP 1950 N STEMMONS FWY STE 5010 DALLAS TX 75207 IT SERVICES 15381577 SIEMENS MEDICAL SOLUTIONS USA PO BOX 120001 DEPT 0733 DALLAS TX 75312 CONSTR SVCS 14530182 274 X IC SHARED SERVICES 541900 301344612 301344612 IC SHARED SERVICE-SCHEDULE O 541900 5732524 5732524 PREMIER PURCHASING INCOME 541900 4248301 4248301 OTHER SUPPORT SERVICES 541900 4128040 4128040 INTERCOMPANY LEASE 531120 1470784 1470784 13374 13374 316937635 2266822 2266822 3841 3841 3005 10380 -7375 -7375 -7375 6554932 1096 140238 6554932 -139142 6415790 6415790 PURCHASE DISCOUNTS 900099 280609 280609 WAGE ATTACHMENT FEES 541900 6921 6921 PEG US POOLED CORPORATE 541900 36 36 287566 325904279 315734086 13410 10156783 X 9967798 1001044 8966754 620162 469554 150608 116381980 110015886 6366094 8848509 8364496 484013 28107934 26570430 1537504 9096199 8598637 497562 4659682 4404797 254885 40606 38385 2221 324748 306985 17763 691700 653864 37836 47265673 44680240 2585433 10148736 9593600 555136 10822043 10230077 591966 44065670 41655278 2410392 5960037 5634023 326014 1231053 1163714 67339 902 853 49 1562 1477 85 5140113 4858949 281164 24037260 22722423 1314837 293282 277239 16043 INTER-ENTITY EXPENSE 3080859 2912336 168523 BOOKS, LISC, FEES, DUES 913495 863527 49968 EXCISE AND UBI TAXES 593024 560586 32438 MEDICAL SUPPLIES 277767 262573 15194 19815 18731 1084 332590609 305859704 26730905 0 70899331 49519137 45413252 42880996 9724155 12403734 121889 126913 480362 472077 19130212 28305175 54462687 46803418 733730663 399061157 309807280 334669506 19888710 23185253 126024364 146011475 32027755 34373745 544830239 601608488 1232810236 1320359917 395406676 436525022 268008208 300130675 61251336 9940162 411815841 461955161 1136482061 1208551020 X 96328175 111808897 96328175 111808897 1232810236 1320359917 -6686330 22167052 X X false true X true false X X 21 GEISINGER MEDICAL CENTER 240795959 3 false 0 0 GEISINGER WYOMING VALLEY MEDICAL CENTER 231996150 3 false 0 0 MARWORTH 232171417 3 false 0 0 GEISINGER HEALTH 231995911 7 true 0 0 GEISINGER COMMUNITY HEALTH SERVICES 232967235 10 false 0 0 COMMUNITY MEDICAL CENTER 240862246 3 false 0 0 MOUNTAIN VIEW NURSING HOME INC 232568288 10 false 0 0 GEISINGER BLOOMSBURG HOSPITAL 232193572 3 false 0 0 GEISINGER BLOOMSBURG HEALTHCARE CENTER 232242854 10 false 0 0 GEISINGER LEWISTOWN HOSPITAL 231352187 3 false 0 0 HOLY SPIRIT HOSPITAL OF THE SISTERS OF CHRISTIAN CHARIT 231512747 3 false 0 0 SPIRIT PHYSICIANS SERVICES INC 251766971 10 false 0 0 WEST SHORE ADVANCED LIFE SUPPORT SERVICES INC 232463002 7 false 0 0 GEISINGER HEALTH PLAN 232311553 10 false 0 0 HOLY SPIRIT HEALTH SYSTEM 251865142 7 false 0 0 HOLY SPIRIT CORPORATION 232214540 10 false 0 0 ATLANTICARE REGIONAL MEDICAL CENTER 210634549 3 false 0 0 ATLANTICARE BEHAVORIAL HEALTH INC 210721208 7 false 0 0 ATLANTICARE FOUNDATION 222148992 7 false 0 0 ATLANTICARE HEALTH SERVICES INC 223265214 10 false 0 0 GEISINGER JERSEY SHORE HOSPITAL 240792115 3 false 0 0 21 0 false false true true true false false false false false false false false false false false false true true PART I, LINE 11H COMMUNITY MEDICAL CENTER 24-0862246 3 0 0 MOUNTAIN VIEW NURSING HOME, INC. 23-2568288 10 0 0 GEISINGER BLOOMSBURG HOSPITAL 23-2193572 3 0 0 GEISINGER BLOOMSBURG HEALTHCARE CENTER 23-2242854 10 0 0 GEISINGER LEWISTOWN HOSPITAL 23-1352187 3 0 0 HOLY SPIRIT HOSPITAL OF THE SISTERS OF CHRISTIAN CHARIT 23-1512747 3 0 0 SPIRIT PHYSICIANS SERVICES, INC 25-1766971 10 0 0 WEST SHORE ADVANCED LIFE SUPPORT SERVICES, INC 23-2463002 7 0 0 GEISINGER HEALTH PLAN 23-2311553 10 0 0 HOLY SPIRIT HEALTH SYSTEM 25-1865142 7 0 0 HOLY SPIRIT CORPORATION 23-2214540 10 0 0 ATLANTICARE REGIONAL MEDICAL CENTER 21-0634549 3 0 0 ATLANTICARE BEHAVORIAL HEALTH, INC. 21-0721208 7 0 0 ATLANTICARE FOUNDATION 22-2148992 7 0 0 ATLANTICARE HEALTH SERVICES, INC. 22-3265214 10 0 0 GEISINGER JERSEY SHORE HOSPITAL 24-0792115 3 0 0 PART IV, SECTION A, LINE 1 GEISINGER SYSTEM SERVICES SUPPORTED ORGANIZATIONS ARE DESIGNATED BY CLASS AND PURPOSE. PER GSS'S ARTICLES OF INCORPORATION, THE CORPORATION IS INCORPORATED UNDER THE NONPROFIT CORPORATION LAW OF 1972 OF THE COMMONWEALTH OF PENNSYLVANIA, AS AMENDED, FOR THE PURPOSE OF CONDUCTING EXCLUSIVELY CHARITABLE, SCIENTIFIC AND EDUCATIONAL ACTIVITIES WITHIN THE MEANING OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1954, AS AMENDED (OR THE CORRESPONDING PROVISION OF ANY SUCCESSOR UNITED STATES INTERNAL REVENUE LAW) (THE "INTERNAL REVENUE CODE"), INCLUDING THE PROVISION OF ADMINISTRATIVE, MANAGEMENT AND OTHER SUPPORT SERVICES FOR THE GEISINGER HEALTH SYSTEM FOUNDATION, ORGANIZATIONS AFFILIATED WITH SUCH FOUNDATION AND OTHER ORGANIZATIONS AND MAKING DONATIONS AND OTHER TRANSFERS TO THE GEISINGER HEALTH SYSTEM FOUNDATION AND TO ORGANIZATIONS CONTROLLED BY SUCH FOUNDATION AND DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, CONSISTENT WITH AND IN FURTHERANCE OF THESE PURPOSES. THE CORPORATION SHALL ENGAGE IN ALL ACTIVITIES PROPERLY RELATED TO THE FOREGOING, INCLUDING THE SOLICITATION OF FUNDS FROM INDIVIDUALS, CORPORATIONS AND OTHER EXEMPT ORGANIZATIONS FOR FINANCING THE SERVICES TO BE PROVIDED. GEISINGER HEALTH SYSTEM FOUNDATION IS NOW GEISINGER HEALTH. PART IV, SECTION A, LINE 3B THE 501(C)(4) ORGANIZATION SUPPORTED BY GEISINGER SYSTEM SERVICES RECEIVED AN IRS DETERMINATION LETTER CONFIRMING ITS STATUS AS A 501(C)(4) ORGANIZATION ON AUGUST 1, 1990. ALSO, REFER TO RESPONSE TO LINE 3C. PART IV, SECTION A, LINE 3C TO ENSURE THAT ALL SUPPORT IS USED EXCLUSIVELY FROM SECTION 170(C)(2)(B) PURPOSES, THE FOLLOWING CONTROLS ARE IN PLACE: (1) GEISINGER SYSTEM SERVICES RECEIVED A PRIVATE LETTER RULING FROM THE IRS ON AUGUST 1, 1990. THE RULING INDICATES THAT THE PROVISION OF MANAGEMENT AND SUPPORT SERVICES TO THE 501(C)(4) ORGANIZATION CONTRIBUTES IMPORTANTLY TO THE ACCOMPLISHMENT OF GEISINGER SYSTEM SERVICES EXEMPT PURPOSE, THE PROMOTION OF HEALTH. THE PROVISION OF SERVICES TO THE 501(C)(4) ORGANIZATION WAS DEEMED RELATED AND NOT SUBJECT TO THE UNRELATED BUSINESS INCOME TAX. IN ADDITION, GEISINGER SYSTEM SERVICES DOES NOT PROVIDE MONETARY SUPPORT TO THE 501(C)(4) ORGANIZATION. (2) THE ARTICLES OF INCORPORATION OF THE 501(C)(4) ORGANIZATION STATE THAT UPON THE DISSOLUTION OF THE CORPORATION, THE BOARD OF DIRECTORS SHALL, AFTER PAYING OR MAKING PROVISION FOR THE PAYMENT OF ALL OF THE LIABILITIES AND OBLIGATIONS OF THE CORPORATION, PAY OVER AND TRANSFER, SUBJECT TO THE PRIOR APPROVAL OF THE TRUSTEE OF THE ABIGAIL GEISINGER TRUST, OR ITS SUCCESSOR, ALL OF THE ASSETS OF THE CORPORATION TO AN ORGANIZATION OR ORGANIZATIONS ORGANIZED AND OPERATED EXCLUSIVELY FOR CHARITABLE, EDUCATIONAL OR SCIENTIFIC PURPOSES, PROVIDED THAT AT SUCH TIME THE RECIPIENT QUALIFIES AS AN ORGANIZATION EXEMPT FROM TAX UNDER THE INTERNAL REVENUE CODE. NO PORTION OF THE ASSETS SHALL INURE TO THE BENEFIT OF ANY DIRECTOR, OFFICER OR MEMBER OF THE CORPORATION OR ANY ENTERPRISE ORGANIZED FOR PROFIT. (3) THE ARTICLES OF INCORPORATION OF THE 501(C)(4) CORPORATION CANNOT BE AMENDED WITHOUT THE PRIOR APPROVAL OF THE GEISINGER HEALTH SYSTEM FOUNDATION, NOW GEISINGER HEALTH, THE 501(C)(3) PARENT ORGANIZATION. PART IV, SECTION B, LINE 2 GEISINGER IS A PHYSICIAN-LED, INTEGRATED HEALTH SERVICES ORGANIZATION THAT HAS AS ITS MAIN COMPONENTS: 1. AN ARRAY OF HEALTH SERVICES PROVIDERS, INCLUDING SEVEN ACUTE CARE HOSPITALS AND A DRUG AND ALCOHOL TREATMENT FACILITY; 2. A MULTISPECIALTY PHYSICIAN GROUP PRACTICE OF 1,720 PHYSICIANS PRACTICING AT 120 PRIMARY AND SPECIALTY CLINICS; AND 3. ONE OF THE NATION'S LARGEST RURAL HEALTH INSURANCE ORGANIZATIONS WITH 544,600 MEMBERS. GEISINGER HEALTH, PARENT ORGANIZATION OF GEISINGER AND THE ORGANIZATION WHICH HAS THE POWER TO REGULARLY APPOINT AT LEAST A MAJORITY OF GEISINGER SYSTEM SERVICES'S DIRECTORS, IS INCORPORATED FOR THE CHARITABLE PURPOSE OF CONDUCTING EXCLUSIVELY CHARITABLE, SCIENTIFIC AND EDUCATIONAL ACTIVITIES WITHIN THE MEANING OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED (OR THE CORRESPONDING PROVISION OF ANY SUCCESSOR UNITED STATES INTERNAL REVENUE LAW) (THE "INTERNAL REVENUE CODE"), INCLUDING, DIRECTLY OR INDIRECTLY, SUPPORTING THE PURPOSES OF, GEISINGER MEDICAL CENTER OR ANY OTHER ORGANIZATION AFFILIATED WITH THE CORPORATION WHICH QUALIFIES AS AN EXEMPT ORGANIZATION UNDER SECTION 501(C)(3)OF THE INTERNAL REVENUE CODE. GEISINGER HEALTH ENGAGES IN ALL ACTIVITIES PROPERLY RELATED TO THE FOREGOING, INCLUDING THE SOLICITATION OF FUNDS FROM INDIVIDUALS, CORPORATIONS AND OTHER ORGANIZATIONS FOR FINANCING THE SERVICES TO BE PROVIDED. THEREFORE, GEISINGER SYSTEM SERVICES'S SUPPORT OF OTHER 501(C)(3) ORGANIZATIONS WITHIN GEISINGER, AND AFFILIATED WITH GEISINGER MEDICAL CENTER AND GEISINGER HEALTH, SERVES TO SUPPORT THE CHARITABLE PURPOSES OF GEISINGER HEALTH. false true false false false false true 338262 false true 83055 421317 false SCHEDULE C, PART II-B, LINE 1 LINE 1D: MAILINGS TO MEMBERS, LEGISLATORS, OR THE PUBLIC CONSIST PRIMARILY OF EMAILS TO LEGISLATORS BY THE ORGANIZATION'S GOVERNMENT RELATIONS DEPARTMENT. WHILE THE AMOUNT FOR MAILINGS IS NOT READILY QUANTIFIABLE, THE ORGANIZATION RECOGNIZES THAT THESE EXPENSES MAY OCCUR IN THE COURSE OF BUSINESS. LINE 1G: 220,313 OF EXPENDITURES ON LINE 1G REPRESENT THE WAGES AND BENEFITS OF THE GOVERNMENT RELATIONS DEPARTMENT WHOSE PRIMARY PURPOSE 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. 218,522 OF EXPENDITURES ON LINE 1G REPRESENT FEES PAID TO CONSULTANTS TO LOBBY ON BEHALF OF THE GOVERNMENT RELATIONS DEPARTMENT REGARDING FEDERAL AND STATE LEGISLATION RELATED TO HEALTHCARE ISSUES. LINE 1I: 113,654 OF 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. LINE 1I ALSO INCLUDES 14,774 OF FLOW THROUGH LOBBYING EXPENSES FROM A PARTNERSHIP K-1. 10508324 10508324 79763751 34599250 45164501 4387045 3610913 776132 526300128 356857730 169442398 112771415 3993264 108778151 334669506 146011475 F 146011475 DUE FROM AFFILIATES 315053528 DEFERRED COMPENSATION 224364827 INSURANCE RECOVERIES 61755200 OTHER ASSET 434933 601608488 DEFERRED COMPENSATION 224364827 MEDICAL LEGAL LIABILITY/DEFENSE 141441225 INSURANCE RECOVERIES 61755200 DEFERRED FICA-CARES ACT 33157991 FINANCIAL CONTRACT 1108707 RETIREE BENEFITS 127211 461955161 SCHEDULE D, PAGE 4, PART XIII PART X, LINE 2 - LIABILITY FOR UNCERTAIN TAX POSITIONS 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 "SYSTEM- OR "GEISINGER", SHALL REFER TO THE ENTIRE HEALTHCARE SYSTEM COMPRISED OF GEISINGER HEALTH "GH" AS PARENT AND ALL SUBIDIARY ENTITIES COMPRISING THE SYSTEM. X true true X X X X X X true true false false false false false false true true JAEWON RYU MD JD PRESIDENT, DIRECTOR 2900262 302831 810771 29323 4043187 239039 KEVIN V ROBERTS MBA CPA EVP, CFO, TREASURER 1490425 310003 82286 339451 30500 2252665 AMY B BRAYFORD EVP, CH OF STAFF, CH 1026615 210001 225049 242744 31363 1735772 198505 DAVID H LEDBETTER PHD FACMG EVP,CH. SCI. OFFICER 926162 200000 315024 223146 43070 1707402 243928 DAVID J FELICIO ESQUIRE EVP, CLO 182951 55278 1295212 17757 5481 1556679 357000 DOMINIC MOFFA MBA FACHE EVP, CH. STRATEGY OF 879634 182824 205684 212114 33416 1513672 161644 MATTHEW WALSH DIRECTOR 882363 148404 59333 202267 32274 1324641 KAREN MURPHY RN PHD EVP,CHIEF INNOVATION 690372 130004 45897 170168 11523 1047964 JOHN M KRAVITZ CIO 604187 96253 83020 24112 807572 67202 GERALD V MALONEY DO DIRECTOR 572261 38005 80441 36649 727356 TIMOTHY D FITZGERALD CFA FHFMA VP,TREAS AND FIN SYS 477720 142717 70613 30582 721632 115285 JAMES C ARMSTRONG CPA FHFMA CGMC SYSTEM VP, FINANCE 534271 83078 75520 1262 694131 55561 JANET F TOMCAVAGE RN MSN CHIEF NURSING EXEC. 545215 39793 78642 25306 688956 DONALD A STANZIANO CHIEF MARKETING OFF 513332 48493 73694 10730 646249 DAVID VAWDREY CHIEF DATA OFFICER 535054 54792 20142 28585 638573 ROBERT DEWAR CHIEF REVENUE OFFICE 522308 22895 20142 10204 575549 DANIEL E LOHR ESQUIRE COUNSEL, JV 370625 170000 3123 20142 815 564705 DEBORAH PETRETICH-TEMPLETON RPH MH CAO, SYSTEM SVCS 369310 25000 71809 69974 897 536990 58118 KEVIN J KERESTUS CIA CHIEF ASSURANCE OFF 403244 62163 13161 20142 32813 531523 STEVEN B BENDER ESQUIRE CLO, SECRETARY 360976 49003 97643 17092 524714 EDELYN L MILLER EVP, CAO CLINICAL 109619 215000 153824 20142 5863 504448 KEVIN LANCIOTTI VP, FINANCE 376072 32936 20142 31733 460883 JEAN A ADAMS FORMER KEY EMPLOYEE 355635 12087 20142 22231 410095 LORI R GRAMLEY ESQUIRE ACLO, ASST SECTY 276263 53896 20142 11403 361704 MEGAN BROSIOUS INTERIM CAO, CENTRAL 128350 123616 34393 16431 12812 7330 14464 14446 190019 161823 JOHN CADY FORMER KEY EMPLOYEE 211520 927 212447 SCHEDULE J, PAGE 1, PART I, LINE 1A TAX INDEMNIFICATION AND GROSS-UP PAYMENTS - FROM TIME TO TIME, THE GEISINGER BOARD OF DIRECTORS OR GEISINGER SENIOR MANAGEMENT APPROVE THE GROSS-UP OF EXPENSES, WHICH FURTHER GEISINGER BUSINESS, FOR TAX OBLIGATIONS. SCHEDULE J, PAGE 1, PART I, LINE 4 JAEWON RYU, MD, JD 0 239,039 0 AMY B. BRAYFORD 0 198,505 0 DAVID H. LEDBETTER, PHD, FACMG 0 243,928 0 DAVID J. FELICIO, ESQUIRE 679,965 575,879 0 DOMINIC MOFFA, MBA, FACHE 0 161,644 0 JOHN M. KRAVITZ 0 67,202 0 TIMOTHY D. FITZGERALD, CFA, FHFMA 0 115,285 0 JAMES C. ARMSTRONG, CPA, FHFMA, CGMC 0 55,561 0 DEBORAH PETRETICH-TEMPLETON, RPH, MH 0 58,118 0 EDELYN L. MILLER 0 128,856 0 JOHN CADY 208,734 0 0 SCHEDULE J, PAGE 1, PART I, LINE 8 THE EMPLOYEES LISTED PARTICIPATE IN A COMPENSATION PROGRAM DESIGNED TO BE MARKET COMPETITIVE. FROM TIME TO TIME, DEPENDING ON THE AVAILABILITY OF QUALIFIED APPLICANTS, RECRUITMENT LOANS MAY BE MADE AVAILABLE TO QUALIFIED APPLICANTS IN DIFFICULT TO RECRUIT POSITIONS. SUCH LOANS ARE ONLY PROVIDED IF TOTAL COMPENSATION, INCLUDING THE LOAN AMOUNT, IS CONSIDERED REASONABLE COMPENSATION PER INDEPENDENT SALARY SURVEYS. SCHEDULE J, PART III PART I, LINE 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 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. KEVIN V ROBERTS MBA CPA OFFICER RECRUITMENT X 150000 74900 false true true STEVEN B BENDER ESQUIRE OFFICER RECRUITMENT X 50000 43111 false true true KAREN MURPHY RN PHD KEY EMPLOYEE RECRUITMENT X 50000 8902 false true true 126913 MARY M MCGREGOR FAMILY 15245 EMPLOYEE COMP/BEN false SCHEDULE L, PART V MARY M. MCGREGOR IS A FAMILY MEMBER OF VIRGINIA MCGREGOR, A DIRECTOR OF GEISINGER SYSTEM SERVICES. FORM 990 FORM 990, PART IV, LINE 24A: DID THE ORGANIZATION HAVE A TAX-EXEMPT BOND ISSUE WITH AN OUTSTANDING PRINCIPAL AMOUNT OF MORE THAN 100,000 AS OF THE LAST DAY OF THE YEAR, THAT WAS ISSUED AFTER DECEMBER 31, 2002? GEISINGER HEALTH (GH) IS CURRENTLY THE SOLE OBLIGOR UNDER A SERIES OF BOND ISSUES, INCLUDING TAX-EXEMPT BONDS ISSUED PRIOR TO DECEMBER 31, 2002, WITH A TOTAL OUTSTANDING BALANCE AT DECEMBER 31, 2020 OF 1,762,906,662, INCLUSIVE OF UNAMORTIZED ORIGINAL ISSUE DISCOUNT. BECAUSE THE BOND PROCEEDS ARE DISBURSED TO GH SUBSIDIARIES, THE TAX-EXEMPT BOND LIABILITIES ARE REFLECTED ON THE BALANCE SHEETS OF THE FOLLOWING SUBSIDIARY ORGANIZATIONS: GEISINGER MEDICAL CENTER EIN: 24-0795959 GEISINGER WYOMING VALLEY MEDICAL CENTER EIN: 23-1996150 GEISINGER CLINIC EIN: 23-6291113 MARWORTH EIN: 23-2171417 GEISINGER SYSTEM SERVICES EIN: 23-2164794 COMMUNITY MEDICAL CENTER EIN: 24-0862246 GEISINGER-BLOOMSBURG HOSPITAL EIN: 23-2193572 GEISINGER-LEWISTOWN HOSPITAL EIN: 23-1352187 GEISINGER COMMONWEALTH SCHOOL OF MEDICINE EIN: 26-0812968 GEISINGER JERSEY SHORE HOSPITAL EIN: 24-0792115 SCHEDULE K WAS PREPARED ON A CONSOLIDATED BASIS AND IS INCLUDED IN THE FORM 990 FILING OF GEISINGER HEALTH, EIN: 23-1995911. FORM 990, PART IX, LINE 24 OTHER EXPENSES: INCLUDED IN THE 593,024 OF OTHER / EXCISE TAXES ON LINE 24C IS FEDERAL UNRELATED BUSINESS INCOME TAX OF 21,752 AND STATE UNRELATED BUSINESS INCOME TAXES OF 18,086. FORM 990, PAGE 2, PART III, LINE 4A I. GENERAL PROGRAM SERVICE INFORMATION GEISINGER SYSTEM SERVICES (GSS), A 501(C)(3) NON-PROFIT CORPORATION, PROVIDES MANAGEMENT AND CONSULTATIVE SERVICES, AT COST, TO OTHER ENTITIES WITHIN GEISINGER. GSS PREPARES, IMPLEMENTS, AND AUDITS POLICIES AND PROCEDURES OF SYSTEM WIDE RELEVANCE AND IMPLEMENTS UNIFORM STANDARDS AND METHODS OF MANAGEMENT THROUGHOUT THE SYSTEM. SERVICES HISTORICALLY PROVIDED BY GSS TO OTHER ENTITIES WITHIN GEISINGER INCLUDE: APPOINTMENT SERVICES INTERNAL AUDIT AUTOMOTIVE SERVICES LEGAL SERVICES BUSINESS OFFICE MAIL SERVICES CARE SUPPORT SERVICES MARKETING COURIER SERVICES MEDICAL LIBRARY CUSTOMER ACCESS MEDICAL RECORDS CUSTOMER SERVICE CALL CENTER PATIENT EXPERIENCE ELEVATOR OPERATIONS PATIENT PLACEMENT SERVICES EMPLOYEE BENEFIT ADMINISTRATION PLANT ENGINEERING FACILITIES PLANNING AND MANAGEMENT POWER PLANT FINANCIAL SERVICES QUALITY AND SAFETY GENERAL MAINTENANCE REPROGRAPHICS GROUNDS RISK MANAGEMENT HUMAN RESOURCES TRANSCRIPTION SERVICES INFORMATION SYSTEMS INCLUDES THE OPERATION AND MAINTENANCE OF THE ELECTRONIC HEALTH RECORDS FOR ALL PATIENTS OF THE VARIOUS GEISINGER PROVIDERS. II. COMMUNITY HEALTH, EDUCATION, AND OUTREACH GEISINGER SYSTEM SERVICES PROVIDES REDUCED PRICE SERVICES AND FREE PROGRAMS THROUGHOUT THE YEAR TO VARIOUS ORGANIZATIONS. THE PROVISION OF THESE SERVICES AND PROGRAMS IS BASED UPON THE ACTIVITIES AND SERVICES THAT THE ORGANIZATIONS PROVIDE FOR THE COMMUNITY AND WHICH GEISINGER SYSTEM SERVICES BELIEVES WILL SERVE A BONA FIDE COMMUNITY NEED. THESE COMMUNITY SERVICES AND ORGANIZATIONS RECEIVED CASH DONATIONS OR IN-KIND SERVICES DESCRIBED BELOW. A. HEALTH RELATED PROGRAMS GSS PROVIDED 5,504 OF IN-KIND SUPPORT AT LOCAL BLOOD DRIVES. B. OTHER IN-KIND SERVICES AND CONTRIBUTIONS ADDITIONALLY, THE FOLLOWING ORGANIZATIONS, AND OTHERS NOT LISTED BELOW, RECEIVED CASH CONTRIBUTIONS OR IN-KIND SERVICES INCLUDING, BUT NOT LIMITED TO, MAINTENANCE, INFORMATION TECHNOLOGY, AND MEDICAL HEALTH PHYSICS TEACHING VALUED AT 306,837: AMISH/MENNONITE - PATIENT DISCOUNT GUIDELINES COMMUNITY CARE HEALTH CENTER - PARTICIPATION IN BOARD MEETINGS LOCAL COMMUNITIES - COMMUNITY NEEDS ASSESSMENTS LOCAL FIRE DEPARTMENTS - PREVENTION AND INCIDENT TRAINING LUZERNE COUNTY EMERGENCY MGMT AGENCY - CALIBRATING RADIATION DETECTION EQUIPMENT MEDICAL STUDENTS - RADIATION SCIENCE & BIOLOGY CLASSES RONALD MCDONALD HOUSE - MAINTENANCE AND PRINT SHOP/POSTAGE SERVICES PROVIDED TRUSTED ADVISOR TRAINING (MARKET PLACE INSURANCE GUIDANCE FOR COMMUNITY) VETERANS - VETERANS DAY MEAL III. COMMUNITY SERVICE SUMMARY COMMUNITY HEALTH, EDUCATION AND OUTREACH 312,341 FORM 990, PART V FORM 990, PART V, LINE 1A: ENTER THE NUMBER REPORTED IN BOX 3 OF FORM 1096, ANNUAL SUMMARY AND TRANSMITTAL OF U.S. INFORMATION RETURNS. GEISINGER SYSTEM SERVICES (GSS) 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 ALL REPORTABLE PAYMENTS OF ITSELF AND CERTAIN AFFILIATES, AND CERTAIN REPORTABLE PAYMENTS OF SOME OF ITS AFFILIATES. THEREFORE, THE NUMBER OF FORM 1099'S FILED BY GSS FOR THE REPORTING PERIOD AS REPORTED ON LINE 1A INCLUDES THE NUMBER OF FORM 1099S FILED ON BEHALF OF ITSELF AND ITS AFFILIATES. FORM 990, PART VI FORM 990, PART I, SECTION A, LINE 4: FORM 990, PART VI, SECTION A, LINE 1B: ENTER THE NUMBER OF VOTING MEMBERS THAT ARE INDEPENDENT. BASED ON THE FORM 990 DEFINITION OF "INDEPENDENCE" AS IT RELATES TO VOTING MEMBERS OF THE GOVERNING BODY, THREE VOTING MEMBERS ARE NOT INDEPENDENT BECAUSE THEY ARE COMPENSATED AS EMPLOYEES OF THIS OR RELATED TAX-EXEMPT ORGANIZATIONS AND ONE VOTING MEMBER IS NOT INDEPENDENT DUE TO A TRANSACTION REPORTED IN SCHEDULE L, PART IV. 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? EDELYN L. MILLER, GERALD V. MALONEY, DO , JAEWON RYU, MD, JD, JANET F. TOMCAVAGE, RN, MSN, JEFFREY A. JACOBSON, KAREN MURPHY, NR, PHD, KEVIN V. ROBERTS, MBA, CPA, LORI R. GRAMLEY, ESQUIRE, MATTHEW WALSH, ROBERT J. DIETZ, STEVEN B. BENDER, ESQUIRE, V. CHRIS HOLCOMBE, PE, AND VIRGINIA MCGREGOR ALL HAVE A BUSINESS RELATIONSHIP WITH ONE ANOTHER BECAUSE THEY SERVE AS OFFICERS AND/OR DIRECTORS ON ONE OR MORE FOR-PROFIT AFFILIATE OF THE ENTITY. ALL OF THE AFFILIATES ARE PART OF GEISINGER. FORM 990, PAGE 6, PART VI, LINE 4 THE ORGANIZATION, A SUBSIDIARY OF GEISINGER HEALTH, AMENDED THE OFFICERS SECTION OF THE CORPORATE BYLAWS TO REQUIRE THAT THE CHAIR OF EACH BOARD BE, AT ALL TIMES, A GEISINGER HEALTH DIRECTOR AND THAT THE CHAIR OF THE BOARD MAY BE REMOVED BY THE GEISINGER HEALTH BOARD OF DIRECTORS AT ANY TIME WITH OR WITHOUT CAUSE. THE ORGANIZATION ALSO AMENDED THE STANDING COMMITTEE SECTION OF THE CORPORATE BYLAWS TO REQUIRE THAT ALL STANDING COMMITTEE CHAIRS BE, AT ALL TIMES, A GEISINGER HEALTH DIRECTOR AND THAT THE STANDING COMMITTEE CHAIRS BE NOMINATED FROM AMONG THOSE DIRECTORS CURRENTLY SERVING AS MEMBERS OF THE GEISINGER HEALTH BOARD OF DIRECTORS. STANDING COMMITTEE CHAIRS AND VICE-CHAIRS MAY BE REMOVED BY THE GEISINGER HEALTH BOARD OF DIRECTORS AT ANY TIME WITH OR WITHOUT CAUSE. SUCCESSOR CHAIRS AND VICE-CHAIRS SHALL BE APPOINTED CONSISTENT WITH THE APPLICABLE PROVISIONS OF THE BYLAWS. 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 15 PA. C.S.A. SUPBCHATER E OF THE 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 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 12C THE OFFICERS AND DIRECTORS OF THE ORGANIZATION ARE SUBJECT TO THE GEISINGER CONFLICT OF INTEREST POLICY FOR DIRECTORS, OFFICERS AND SENIOR LEADERS. AT LEAST ONCE EACH YEAR DIRECTORS, OFFICERS, KEY EMPLOYEES, SENIOR LEADERS AND OTHERS DESIGNATED BY THE BOARD OF DIRECTORS ARE REQUIRED TO DISCLOSE IN WRITING THE EXISTENCE OF ANY POTENTIAL FINANCIAL INTERESTS THAT MAY GIVE RISE TO A CONFLICT OF INTEREST WITH ANY AFFILIATE WITHIN GEISINGER. THE DISCLOSURES ARE REVIEWED BY THE OFFICE OF THE CHIEF COMPLIANCE OFFICER AND REPORTED TO THE AUDIT AND COMPLIANCE COMMITTEE AND/OR BOARD OF DIRECTORS. AFTER REVIEW OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, INPUT FROM DEPARTMENT OF LEGAL SERVICES AND ANY DISCUSSION WITH THE PERSON DESIRED BY THE BOARD OR COMMITTEE, THE COMMITTEE/BOARD DECIDES IF A CONFLICT EXISTS AND TAKES APPROPRIATE ACTION. THE INDIVIDUAL DISCLOSING THE FINANCIAL INTEREST IS ABSENT DURING THE COMMITTEE/BOARD DELIBERATIONS AND DECISIONS ON THE MATTER. FORM 990, PAGE 6, PART VI, LINE 15A THE PROCESS TO REVIEW AND APPROVE THE COMPENSATION OF GEISINGER EMPLOYED BOARD DIRECTORS, OFFICERS, AND EXECUTIVE MANAGEMENT IS DESIGNED TO SATISFY THE REBUTTABLE PRESUMPTION PROCEDURE AVAILABLE FOR INTERMEDIATE SANCTION PURPOSES. THE PROCESS REQUIRES A REVIEW OF COMPENSATION DETERMINATIONS BY DISINTERESTED PARTIES, USE OF APPROPRIATE COMPARABILITY DATA AND CONTEMPORANEOUS DOCUMENTATION OF THE PROCESS. ON AN ANNUAL BASIS AN INDEPENDENT, NATIONALLY RECOGNIZED COMPENSATION CONSULTANT COMPLETES A COMPARATIVE ASSESSMENT OF COMPENSATION FOR THE CEO AND SENIOR MANAGEMENT WITHIN GEISINGER. THE CONSULTANT'S REPORT IS PRESENTED TO THE GEISINGER FAMILY COMMITTEE PRIOR TO ANY COMPENSATION ADJUSTMENT. THE REPORT SUPPORTS THE RIGOROUS REVIEW COMPLETED BY THE GEISINGER FAMILY COMMITTEE TO ENSURE THAT THE PROGRAM IS RESPONSIBLE TO THE GEISINGER CHARITABLE MISSION, REFLECTS REASONABLE COMPENSATION WITHIN THE NONPROFIT MARKET AND IS COMPLIANT WITH THE IRS'S INTERMEDIATE SANCTION REQUIREMENTS. THE SURVEY DATA IN THE COMPARATIVE ANALYSIS IS CAPTURED FOR FUNCTIONALLY COMPARABLE POSITIONS IN MULTIPLE SIMILAR NONPROFIT ORGANIZATIONS AND REFLECTS TOTAL REMUNERATION PROVIDED IN THE MARKET. ALL SURVEYS ARE CONDUCTED BY THIRD PARTY ORGANIZATIONS AND NOT CONDUCTED AT THE SPECIFIC DIRECTION OF GEISINGER. ANY COMPENSATION ADJUSTMENTS ARE APPROVED BY THE GEISINGER FAMILY COMMITTEE PRIOR TO THE EFFECTIVE DATE OF THE PAYMENT. THE GEISINGER FAMILY COMMITTEE AT ITS SOLE DISCRETION MAY POSITIVELY OR NEGATIVELY ADJUST ANY RECOMMENDED COMPENSATION. FORM 990, PAGE 6, PART VI, LINE 15B SEE SCHEDULE O RESPONSE TO FORM 990, PART VI, SECTION B, QUESTION 15A. FORM 990, PAGE 6, PART VI, LINE 19 FINANCIAL STATEMENTS, FORM 990, FORM 990-T, THE CONFLICTS OF INTEREST POLICY, AND OTHER GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VIII FORM 990, PART VIII, LINE 2B: THE IC SUPPORT SERVICE REVENUE REPRESENTS REVENUE FROM INTERCOMPANY MANAGEMENT, ADMINISTRATIVE, AND CONSULTING SERVICES PROVIDED TO RELATED TAXABLE ORGANIZATIONS. THE ORGANIZATION AND RELATED TAXABLE ORGANIZATIONS ARE ALL CONTROLLED BY GEISINGER HEALTH. THE SERVICES, PROVIDED AT OR BELOW COST, ARE PERFORMED WITHOUT A PROFIT MOTIVE TO PROMOTE THE EFFICIENT OPERATION OF GEISINGER IN CARRYING OUT ITS CHARITABLE MISSION. THE SERVICES ARE NOT OFFERED TO UNRELATED ORGANIZATIONS OR TO THE GENERAL PUBLIC. UNDER IRS ADVISORY DATED MARCH 7, 2014, THESE INTERCOMPANY SHARED SERVICES ARE NOT INCLUDED IN THE DEFINITION OF UNRELATED BUSINESS INCOME AND SHOULD NOT BE INCLUDED ON FORM 990-T DUE TO THE ABSENCE OF THE FOLLOWING TWO CONDITIONS: (1) THE SERVICES MUST BE ABOVE COST OR AT FAIR MARKET VALUE, AND (2) THERE MUST BE A PROFIT MOTIVE. FORM 990, PART IX, LINE 11G CLEANING SERVICES 251,531 14,555 0 CONSULTING FEES 12,752,730 737,940 0 COLLECTION AGENCY FEES 1,044,893 60,463 0 EQUIP MAINT SVC CONTRACTS 2,063,302 119,393 0 OUTSIDE PURCHASED SERVICE 26,052,745 1,507,548 0 REPAIR OF EQUIPMENT 34,854 2,017 0 RECRUIT NONPROVIDER 1,799,618 104,135 0 OUT AGENCY NONCLIN TEMP 288,254 16,680 0 RECRUIT & ADS EXECUTIVE 316,581 18,319 0 OUTSIDE AGENCY CLINICAL 12,402 718 0 MICROFILM FICHE PROCESSING 4,249 246 0 CONTRACTED MEDICAL SERVICES 59,081 3,419 0 TOTAL 44,680,240 2,585,433 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 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. GEISINGER HEALTH 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 231995911 PHILANTHRO PA 501C3 7 N/A false GEISINGER MEDICAL CENTER 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 240795959 HOSPITAL PA 501C3 3 GH true GEISINGER CLINIC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 236291113 PHYSN SVCS PA 501C3 12A GH true GEISINGER WYOMING VALLEY MED CTR 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 231996150 HOSPITAL PA 501C3 3 GH true MARWORTH 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232171417 D&A REHAB PA 501C3 3 GH true GEISINGER HEALTH PLAN 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232311553 HMO PA 501C4 GH false GEISINGER COMMUNITY HEALTH SERVICES 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232967235 HEALTHCARE PA 501C3 10 GSS true GEISINGER INSURANCE CORPORATIONRRG 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 141909894 SELF INS VT 501C3 12A GH false COMMUNITY MEDICAL CENTER 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 240862246 HOSPITAL PA 501C3 3 GH true MOUNTAIN VIEW NURSING HOME INC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232568288 LNGTM CARE PA 501C3 10 GH true GEISINGER-BLOOMSBURG HOSPITAL 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232193572 HOSPITAL PA 501C3 3 GH true GEISINGER-BLOOMSBURG HEALTHCARE CTR 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232242854 SKILLED NU PA 501C3 10 GH true GEISINGER-LEWISTOWN HOSPITAL 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 231352187 HOSPITAL PA 501C3 3 GH true LEWISTOWN AMBULATORY CARE CORP 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232344362 HOLDING CO PA 501C3 12A GH true FAMILY HEALTH ASSOCIATES OF GLH 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 251651582 PHYSN SVCS PA 501C3 12A GH true KEYSTONE HEALTH INFORMATION EXCH 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 464359893 RHIO PA 501C3 12A GH false HEALTH CARE CORP OF NORTHEAST PA 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232337286 SUPPORT SV PA 501C3 12A CMC false HOLY SPIRIT HEALTH SYSTEM 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 251865142 PHILANTHRO PA 501C3 12A GH false HOLY SPIRIT HOSPITAL 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 231512747 HOSPITAL PA 501C3 3 HSHS false HOLY SPIRIT CORPORATION 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232214540 HOLDING CO PA 501C2 HSHS false SPIRIT PHYSICIAN SERVICES INC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 251766971 PHYSN SVCS PA 501C3 10 HSHS false WEST SHORE ADVANCED LIFE SUPP SVCS 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232463002 HEALTHCARE PA 501C3 10 GC true GEISINGER COMMONWEALTH SCH OF MED 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 260812968 EDUCATION PA 501C3 2 GH false GEISINGER JERSEY SHORE HOSPITAL 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 240792115 HOSPITAL PA 501C3 3 GH true GEISINGER MEDICAL CENTER MUNCY 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 851226106 HOSPITAL PA 501C3 3 GH 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 ATLANTICARE BEHAVORIAL HEALTH INC 2511 FIRE ROAD EGG HARBOR TOWNSHIP NJ 08234 210721208 HEALTHCARE NJ 501C3 7 ARHS false ATLANTICARE FOUNDATION INC 6725 DELILAH ROAD EGG HARBOR TOWNSHIP NJ 08234 222148992 SUPPORT AR NJ 501C3 7 AH SYSTEM false ATLANTICARE HEALTH ENGAGEMENT INC 2500 ENGLISH CREEK AVENUE EGG HARBOR TOWNSHIP NJ 08234 611608389 HEALTHCARE NJ 501C3 12A AH SYSTEM false ATLANTICARE HEALTH SERVICES INC 2500 ENGLISH CREEK AVENUE EGG HARBOR TOWNSHIP NJ 08234 223265214 HEALTHCARE NJ 501C3 10 ARHS false ATLANTICARE HEALTH SYSTEM INC 2500 ENGLISH CREEK AVENUE EGG HARBOR TOWNSHIP NJ 08234 223265213 SUPPORT AR NJ 501C3 12A GH false ATLANTICARE REGIONAL MEDICAL CENTER 1925 PACIFIC AVENUE ATLANTIC CITY NJ 08401 210634549 HOSPITAL NJ 501C3 3 ARHS false ATLANTICARE PHYSICIAN GROUP PA 2500 ENGLISH CREEK AVENUE EGG HARBOR TOWNSHIP NJ 08234 020701782 HEALTHCARE NJ 501C3 10 AH SYSTEM false ATLANTICARE REGIONAL HEALTH SERVICE 2500 ENGLISH CREEK AVENUE EGG HARBOR TOWNSHIP NJ 08234 800834222 HOLDING CO NJ 501C3 12A AH SYSTEM false COOPERATIVE HOME HLTH CARE ATL CNTY 6550 DELILAH ROAD SUITE 304 EGG HARBOR TOWNSHIP NJ 08234 233836022 HOME HEALT NJ 501C3 10 AH SYSTEM 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 CAMP HILL AMBULATORY CENTERS 569 BROOKWOOD VILLAGE SUITE 901 BIRMINGHAM AL 35209 521597478 HEALTHCARE PA N/A false false GRANDVIEW SURGERY CENTER LTD 569 BROOKWOOD VILLAGE SUITE 901 BIRMINGHAM AL 35209 521597483 HEALTHCARE PA N/A false false LACKAWANNA PHYS AMB SURG CTRLLC 569 BROOKWOOD VILLAGE SUITE 901 BIRMINGHAM AL 35209 233024998 HEALTHCARE PA N/A false false ATLANTICARE SURGERY CENTER LLC 2500 ENGLISH CREEK AVENUE EGG HARBOR TOWNSHIP NJ 08234 223491867 HEALTHCARE NJ N/A false false COOPERATIVE HEALTH SRVS OF S JERSEY 1301 ATLANTIC AVENUE ATLANTIC CITY NJ 08401 223619231 PURCHASING NJ 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 SOUTHERN JERSEY MEDICAL PROPERTIES 2500 ENGLISH CREEK AVENUE EGG HARBOR TOWNSHIP NJ 08234 383830843 REAL ESTAT NJ 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 HOLY SPIRIT VENTURES INC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232407709 MED. SERV. PA N/A false ENGLISH CREEK ASSURANCE LTD 44 CHURCH STREET HM12 HAMILTON BERMUDA BERMUDA BD 980656394 FINANCIAL BD N/A false ATLANTICARE HEALTH SOLUTIONS INC 2500 ENGLISH CREEK AVENUE BLDG 500 EGG HARBOR TOWNSHIP NJ 08234 383856295 ACO/HEALTH NJ N/A false ATLANTICARE ASSURANCE ALLIANCE INC 2500 ENGLISH CREEK AVENUE BLDG 500 EGG HARBOR TOWNSHIP NJ 08234 463730123 HEALTHCARE NJ N/A false true false true false false false false false false false true true true false false true true true false COMMUNITY MEDICAL CENTER M 3423 GAAP COMMUNITY MEDICAL CENTER L 21673422 GAAP COMMUNITY MEDICAL CENTER K 36931 FMV GEISINGER ASSURANCE COMPANY LTD L 266376 GAAP GEISINGER CLINIC M 497221 GAAP GEISINGER CLINIC L 72172192 GAAP GEISINGER CLINIC A 463946 FMV GEISINGER CLINIC K 153131 FMV GEISINGER COMMONWEALTH SCH OF MED L 820194 GAAP GEISINGER COMMUNITY HEALTH SERVICES L 1379438 GAAP GEISINGER HEALTH L 389549 GAAP GEISINGER HEALTH A 93355 FMV GEISINGER HEALTH PLAN A 265064 FMV GEISINGER HEALTH PLAN L 42287832 GAAP GEISINGER HEALTH PLAN M 1869065 GAAP GEISINGER HEALTH PLAN P 575757 GAAP GEISINGER HEALTH PLAN K 165633 FMV GEISINGER INDEMNITY INSURANCE CO L 967377 GAAP GEISINGER JERSEY SHORE HOSPITAL L 2125261 GAAP GEISINGER-LEWISTOWN HOSPITAL M 62 GAAP GEISINGER-LEWISTOWN HOSPITAL L 8770640 GAAP GEISINGER-LEWISTOWN HOSPITAL K 14704 FMV GEISINGER MEDICAL CENTER K 913130 FMV GEISINGER MEDICAL CENTER M 68123 GAAP GEISINGER MEDICAL CENTER L 85719750 GAAP GEISINGER MEDICAL CENTER A 502036 FMV GEISINGER QUALITY OPTIONS INC L 1259755 GAAP GEISINGER WYOMING VALLEY MED CTR M 3296 GAAP GEISINGER WYOMING VALLEY MED CTR L 39458221 GAAP GEISINGER WYOMING VALLEY MED CTR K 327532 FMV GEISINGER-BLOOMSBURG HOSPITAL M 20 GAAP GEISINGER-BLOOMSBURG HOSPITAL L 3731250 GAAP HOLY SPIRIT CORPORATION L 43023 GAAP HOLY SPIRIT HEALTH SYSTEM L 12253 GAAP HOLY SPIRIT HOSPITAL L 7258099 GAAP HOLY SPIRIT VENTURES INC L 10958 GAAP HOLY SPIRIT VENTURES INC K 18649 FMV ISS SOLUTIONS INC K 6970 FMV ISS SOLUTIONS INC L 784568 GAAP KEYSTONE ACCOUNTABLE CARE ORG LLC L 2443489 GAAP KEYSTONE HEALTH INFORMATION EXCH M 650193 GAAP KEYSTONE HEALTH INFORMATION EXCH L 205640 GAAP LEWISTOWN AMBULATORY CARE CORP L 33582 GAAP MARWORTH L 822995 GAAP MARWORTH K 114322 FMV SPIRIT PHYSICIAN SERVICES INC L 2505479 GAAP WEST SHORE ADVANCED LIFE SUPP SVCS L 1168881 GAAP WEST SHORE ADVANCED LIFE SUPP SVCS M 2234 GAAP LEWISTOWN AMBULATORY CARE CORP K 39682 FMV HOLY SPIRIT CORPORATION K 10623 FMV HOLY SPIRIT HOSPITAL M 444 GAAP GEISINGER WYOMING VALLEY MED CTR A 15534 FMV GEISINGER COMMUNITY HEALTH SERVICES A 12072 FMV GEISINGER INDEMNITY INSURANCE CO P 7368742 GAAP GEISINGER CLINIC C 55735 GAAP GEISINGER COMMONWEALTH SCH OF MED M 73 GAAP GEISINGER HEALTH R 50528 GAAP GEISINGER PHARMACY LLC L 2786593 GAAP GEISINGER PHARMACY LLC A 119651 FMV GEISINGER SCA HOLDINGS LLC L 289771 GAAP GEISINGER-HM JOINT VENTURE LLC L 1038141 GAAP SCHEDULE R FORM 990, SCHEDULE R, PART V - TRANSACTIONS WITH RELATED ORGANIZATIONS: AS SHOWN IN FORM 990, SCHEDULE R, GEISINGER SYSTEM SERVICES 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. ___________________________________________________________________________