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GEISINGER JERSEY SHORE HOSPITAL: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
GEISINGER JERSEY SHORE HOSPITAL (EIN 23-2480603)
Tax period
2018-07-01 to 2019-06-30
Filed
2020-07-13
IRS object ID
202001959349302170
Schema version
2018v3.2
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)
Return2020-07-13T11:28:45-05:00ReturnTs
Tax Period End2019-06-30TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2018-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN232480603EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1GEISINGER JERSEY SHORE HOSPITALBusinessNameLine1Txt
Business Name Line2FOUNDATIONBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlGEISBusinessNameControlTxt
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
Signature2020-07-13SignatureDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address52.38.98.93IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-07-13IPDt
IP Tm11:28:45IPTm
IP TimezoneCDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id0BB837DB6F385191FFF42EB654D419ADC5B15E8FAtSubmissionCreationDeviceId
At Submission Filing Device IdE7CEE0425214B1EAB5A87715121EFA9B2FD1E84EAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJAEWON RYU MD JDPrincipalOfficerNm

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$289,453GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.GEISINGER.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1987FormationYr
Legal Domicile StatePALegalDomicileStateCd
Activity Or MissionGEISINGER JERSEY SHORE HOSPITAL FOUNDATION STRIVES TO BE THE COMMUNITY'S FOUNDATION FOR INNOVATIVE, PATIENT-CENTERED CARE.ActivityOrMissionDesc
Voting Members Governing Body7VotingMembersGoverningBodyCnt
Voting Members Independent4VotingMembersIndependentCnt
Total Employee29TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$3,464,208PYProgramServiceRevenueAmt
CY Program Service Revenue$170,328CYProgramServiceRevenueAmt
PY Investment Income$3PYInvestmentIncomeAmt
CY Investment Income$3CYInvestmentIncomeAmt
PY Other Revenue$28,520PYOtherRevenueAmt
CY Other Revenue$119,122CYOtherRevenueAmt
PY Total Revenue$3,492,731PYTotalRevenueAmt
CY Total Revenue$289,453CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$827,618PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$7,352CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$5,134,390PYOtherExpensesAmt
CY Other Expenses$282,098CYOtherExpensesAmt
PY Total Expenses$5,962,008PYTotalExpensesAmt
CY Total Expenses$289,450CYTotalExpensesAmt
PY Revenues Less Expenses-$2,469,277PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$3CYRevenuesLessExpensesAmt
Total Assets BOY$262,821TotalAssetsBOYAmt
Total Assets EOY$4,984TotalAssetsEOYAmt
Total Liabilities BOY$684,718TotalLiabilitiesBOYAmt
Total Liabilities EOY$426,878TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$421,897NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$421,894NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionGEISINGER JERSEY SHORE HOSPITAL FOUNDATION STRIVES TO BE THE COMMUNITY'S FOUNDATION FOR INNOVATIVE, PATIENT-CENTERED CARE.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangeYes (true)SignificantChangeInd
Expense$286,648ExpenseAmt
Revenue$289,450RevenueAmt
DescGEISINGER JERSEY SHORE HOSPITAL FOUNDATION (GJSHF) OPERATED AN AMBULATORY CARE PROGRAM, PHYSICIAN SERVICES, AND AN URGENT CARE CENTER. UNCOMPENSATED CARE: GJSHF RECOGNIZES THAT ITS MISSION IS TO SERVE ALL THE MEMBERS OF THE COMMUNITY WITH RESPECT TO THE PROVISION OF HEALTHCARE SERVICES AND EDUCATION. GJSHF PROVIDES QUALITY MEDICAL HEALTHCARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. IN THIS REGARD GJSHF PROVIDES FREE OR SUBSIDIZED CARE BELOW COST AND SUPPORTS VARIOUS HEALTH ACTIVITIES AND PROGRAMS IN SUPPORT OF THE COMMUNITY. A. MEDICARE/MEDICAID/OTHER GOVERNMENTAL RECOGNIZING ITS MISSION TO THE COMMUNITY, SERVICES ARE PROVIDED TO THE ELDERLY (MEDICARE) AND THE POOR (MEDICAID). GJSHF PROVIDES CARE BELOW COST TO PERSONS COVERED BY THESE GOVERNMENTAL PROGRAMS. TO THE EXTENT REIMBURSEMENT IS BELOW THE COST OF PROVIDING HEALTHCARE, GJSHF IS FURTHERING ITS CHARITABLE MISSION. THE UNREIMBURSED VALUE OF MEDICARE, MEDICAID AND OTHER GOVERNMENTAL PAYERS IS EQUAL TO THE COST OF PROVIDING SERVICES LESS THE AMOUNT RECEIVED AS REIMBURSEMENT UNDER THE PROGRAM. FOR FISCAL YEAR 2019, THE UNREIMBURSED COST OF PROVIDING CARE TO THESE PATIENTS WAS 16,866. COMMUNITY BENEFIT SUMMARY MEDICARE/MEDICAID/OTHER GOVERNMENTAL 16,866 TOTAL COMMUNITY SERVICE 16,866Desc
Total Program Service Expenses$286,648TotalProgramServiceExpensesAmt
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
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
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 With Officer EntfalseBusinessRlnWithOfficerEntInd
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 Document18IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee29EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
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 Members7GoverningBodyVotingMembersCnt
Independent Voting Member4IndependentVotingMemberCnt
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 ApprovafalseDecisionsSubjectToApprovaInd
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)
PersonKEVIN LANCIOTTI VP FINANCECFOPersonNm
Phone5702146181PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 N ACADEMY AVENUE MC 01-50AddressLine1Txt
CityDANVILLECityNm
State AbbreviationPAStateAbbreviationCd
ZIP17822ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)

TitleTitleTxtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtAverage Hours Per WeekAverageHoursPerWeekRtFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
DAVID T FEINBERG MD MBA
PRESIDENT, D40.00Yes (X)Yes (X)$0$3,584,621$1,183,261
ROBERT J DIETZ
CHAIR, DIREC4.50Yes (X)$0$0$00.25
V CHRIS HOLCOMBE PE
VICE CHAIR,4.00Yes (X)$0$0$00.25
VIRGINIA MCGREGOR
DIRECTOR4.25Yes (X)$0$0$00.25
JEFFREY A JACOBSON
DIRECTOR3.50Yes (X)$0$0$00.25
JAEWON RYU MD JD
INTERIM PRES40.00Yes (X)Yes (X)$0$1,422,096$305,781
GERALD V MALONEY DO
DIRECTOR40.00Yes (X)$0$559,127$108,385
EDELYN L MILLER
DIRECTOR40.00Yes (X)$0$1,248,958$267,108
KEVIN V ROBERTS MBA CPA
EVP, CFO, TR40.00Yes (X)$0$1,132,816$345,222
DAVID J FELICIO ESQUIRE
EVP, CLO, SE40.00Yes (X)$0$918,533$219,341
DANIEL E LOHR ESQUIRE
ACLO, ASST S40.00Yes (X)$0$384,282$45,980
LORI R GRAMLEY ESQUIRE
ACLO, ASST S40.00Yes (X)$0$220,016$24,771
DUANE F TULL MD
FORMER 5 HIG40.00$0$439,313$39,886Yes (X)
REYNALDO CORNEL MD
FORMER 5 HIG40.00$0$295,549$21,238Yes (X)
STEPHEN GOYKOVICH DO
FORMER 5 HIG40.00$0$309,784$27,778Yes (X)
NIGELLE PINTO MD
FORMER 5 HIG40.00$0$238,289$34,212Yes (X)
RONALD EISTER MD
FORMER 5 HIG40.00$0$244,118$34,310Yes (X)
KEVIN F BRENNAN CPA FHFMA
FORMER OFFIC40.00$0$1,020,252$29,604Yes (X)
MARK RICE
FORMER OFFIC40.00$0$104,353$5,712Yes (X)
THOMAS C CONNOLLY MD
FORMER 5 HIG40.00$0$599,963$39,146Yes (X)
FieldValueIRS element (for citing)
Tot Reportable Comp Rltd Org$12,722,070TotReportableCompRltdOrgAmt
Total Other Compensation$2,731,735TotalOtherCompensationAmt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (2 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdCompensationCompensationAmt
COMPHEALTH
PO BOX 972651DALLASTX75397$381,980
DELTA LOCUM TENENS
PO BOX 202940DALLASTX75320$285,431
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K2CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPATIENT SERVICE REVENUEDesc
Business621400BusinessCd
Total Revenue Column$170,328TotalRevenueColumnAmt
Related Or Exempt Func Income$170,328RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$170,328TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$3TotalRevenueColumnAmt
Exclusion$3ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CONTRACT MED SVCS ADJUSTMENT900099$90,405$90,405
INFO TECH ADJUSTMENT900099$27,823$27,823
PENSION BENEFIT ADJUSTMENT900099$824$824

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$70TotalRevenueColumnAmt
Related Or Exempt Func Income$70RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$119,122OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$289,453TotalRevenueColumnAmt
Related Or Exempt Func Income$289,450RelatedOrExemptFuncIncomeAmt
Exclusion$3ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$6,482TotalAmt
Program Services$6,482ProgramServicesAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$322TotalAmt
Program Services$322ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$63TotalAmt
Program Services$63ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$485TotalAmt
Program Services$485ProgramServicesAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$1,101TotalAmt
Management And General$1,101ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$112TotalAmt
Program Services$112ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$13,581TotalAmt
Program Services$12,357ProgramServicesAmt
Management And General$1,224ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
INTER-ENTITY EXPENSE$263,511$263,511
MEDICAL SUPPLIES$1,799$1,630$169
UNCOLLECTIBLE EXPENSE$1,686$1,686
OTHER TAXES$308$308

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$289,450TotalAmt
Program Services$286,648ProgramServicesAmt
Management And General$2,802ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$75,592BOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$183,729BOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$3,500BOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
EOY$4,984EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$262,821BOYAmt
EOY$4,984EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$119,941BOYAmt
EOY$423,569EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$564,777BOYAmt
EOY$3,309EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$684,718BOYAmt
EOY$426,878EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$421,897BOYAmt
EOY-$421,894EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$421,897BOYAmt
EOY-$421,894EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$262,821BOYAmt
EOY$4,984EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$3ReconcilationRevenueExpnssAmt
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)
HospitalYes (X)HospitalInd

Schedule D IRS990ScheduleD

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescDUE FROM AFFILIATEDesc
Book Value$4,984BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$4,984TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
DUE TO AFFILIATE$1,691
ACCOUNTS RECEIVABLE CREDIT BALANCES$1,618
FieldValueIRS element (for citing)
Total Liability$3,309TotalLiabilityAmt

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. 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 SUBSIDIARY ENTITIES COMPRISING THE SYSTEM.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 (16 entries)

TitleTitleTxtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
DAVID T FEINBERG MD MBA
PRESIDENT, DIRECTOR$3,371,760$100$212,761$1,158,031$25,230$4,767,882
JAEWON RYU MD JD
INTERIM PRES, DIRECT$1,351,415$70,681$273,817$31,964$1,727,877
GERALD V MALONEY DO
DIRECTOR$518,410$40,717$74,568$33,817$667,512
EDELYN L MILLER
DIRECTOR$1,019,495$229,463$245,682$21,426$1,516,066$188,139
KEVIN V ROBERTS MBA CPA
EVP, CFO, TREASURER$1,083,074$49,742$329,614$15,608$1,478,038
DAVID J FELICIO ESQUIRE
EVP, CLO, SECRETARY$780,508$138,025$192,060$27,281$1,137,874$74,220
DANIEL E LOHR ESQUIRE
ACLO, ASST SECTY$361,636$22,646$19,614$26,366$430,262
LORI R GRAMLEY ESQUIRE
ACLO, ASST SECTY$217,301$2,715$14,621$10,150$244,787
DUANE F TULL MD
FORMER 5 HIGHEST$371,827$67,486$19,614$20,272$479,199
REYNALDO CORNEL MD
FORMER 5 HIGHEST$258,517$37,032$19,614$1,624$316,787
STEPHEN GOYKOVICH DO
FORMER 5 HIGHEST$238,543$71,241$18,422$9,356$337,562
NIGELLE PINTO MD
FORMER 5 HIGHEST$236,462$1,827$16,351$17,861$272,501
RONALD EISTER MD
FORMER 5 HIGHEST$210,034$34,084$15,706$18,604$278,428
KEVIN F BRENNAN CPA FHFMA
FORMER OFFICER$540,734$200,000$279,518$19,614$9,990$1,049,856
MARK RICE
FORMER OFFICER$38,766$65,587$636$5,076$110,065
THOMAS C CONNOLLY MD
FORMER 5 HIGHEST$554,250$45,713$19,614$19,532$639,109

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE J, PAGE 1, PART I, LINE 4EDELYN L. MILLER 0 188,139 0 DAVID J. FELICIO, ESQUIRE 0 74,220 0 KEVIN F. BRENNAN, CPA, FHFMA 0 248,228 0 MARK RICE 61,662 0 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 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.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PAGE 2, PART III, LINE 3TO INCREASE OPERATIONAL EFFICIENCY, THE PATIENT CARE OPERATIONS AND A MAJORITY OF THE EMPLOYEES OF GEISINGER JERSEY SHORE HOSPITAL FOUNDATION (GJSHF) WERE TRANSFERRED TO GEISINGER CLINIC, AN AFFILIATED 501(C)(3) ORGANIZATION WITH THE SAME CHARITABLE EXEMPT PURPOSES AS GJSHF. GJSHF IS IN THE PROCESS OF WINDING DOWN AND ANTICIPATES THAT ALL ACTIVITIES WILL CEASE BY JUNE 30, 2020.
FORM 990, PAGE 2, PART III, LINE 4AGEISINGER JERSEY SHORE HOSPITAL FOUNDATION (GJSHF) OPERATED AN AMBULATORY CARE PROGRAM, PHYSICIAN SERVICES, AND AN URGENT CARE CENTER. UNCOMPENSATED CARE: GJSHF RECOGNIZES THAT ITS MISSION IS TO SERVE ALL THE MEMBERS OF THE COMMUNITY WITH RESPECT TO THE PROVISION OF HEALTHCARE SERVICES AND EDUCATION. GJSHF PROVIDES QUALITY MEDICAL HEALTHCARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. IN THIS REGARD GJSHF PROVIDES FREE OR SUBSIDIZED CARE BELOW COST AND SUPPORTS VARIOUS HEALTH ACTIVITIES AND PROGRAMS IN SUPPORT OF THE COMMUNITY. A. MEDICARE/MEDICAID/OTHER GOVERNMENTAL RECOGNIZING ITS MISSION TO THE COMMUNITY, SERVICES ARE PROVIDED TO THE ELDERLY (MEDICARE) AND THE POOR (MEDICAID). GJSHF PROVIDES CARE BELOW COST TO PERSONS COVERED BY THESE GOVERNMENTAL PROGRAMS. TO THE EXTENT REIMBURSEMENT IS BELOW THE COST OF PROVIDING HEALTHCARE, GJSHF IS FURTHERING ITS CHARITABLE MISSION. THE UNREIMBURSED VALUE OF MEDICARE, MEDICAID AND OTHER GOVERNMENTAL PAYERS IS EQUAL TO THE COST OF PROVIDING SERVICES LESS THE AMOUNT RECEIVED AS REIMBURSEMENT UNDER THE PROGRAM. FOR FISCAL YEAR 2019, THE UNREIMBURSED COST OF PROVIDING CARE TO THESE PATIENTS WAS 16,866. COMMUNITY BENEFIT SUMMARY MEDICARE/MEDICAID/OTHER GOVERNMENTAL 16,866 TOTAL COMMUNITY SERVICE 16,866
FORM 990, PART VFORM 990, PART V, LINE 1A: ENTER THE NUMBER REPORTED IN BOX 3 OF FORM 1096, ANNUAL SUMMARY AND TRANSMITTAL OF U.S. INFORMATION RETURNS. GEISINGER SYSTEM SERVICES (GSS), AN AFFILIATE OF THE ORGANIZATION, PROVIDES A CENTRALIZED ACCOUNTS PAYABLE FUNCTION FOR ALL GEISINGER ORGANIZATIONS. AS THE ACCOUNTS PAYABLE PROCESSOR, GSS PREPARES AND FILES FORM 1099 UNDER ITS EIN FOR CERTAIN REPORTABLE PAYMENTS OF THE FILING ORGANIZATION. THE NUMBER OF 1099'S FILED BY GSS FOR THE 2018 REPORTING PERIOD ON BEHALF OF ITSELF AND ITS AFFILIATES WAS 1,602. THE RESPONSE ENTERED ON LINE 1A FOR THE ORGANIZATION INCLUDES ONLY THOSE FORM 1099S FILED UNDER THE ORGANIZATIONS EIN. IT DOES NOT INCLUDE THOSE FILED BY GSS ON ITS BEHALF.
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, THREE VOTING MEMBERS ARE NOT INDEPENDENT BECAUSE THEY ARE COMPENSATED AS EMPLOYEES OF RELATED TAX-EXEMPT ORGANIZATIONS. FORM 990, PART VI, SECTION A, LINE 2: DID ANY OFFICER, DIRECTOR, TRUSTEE, OR KEY EMPLOYEE HAVE A FAMILY RELATION- SHIP OR BUSINESS RELATIONSHIP WITH ANY OTHER OFFICER, DIRECTOR, TRUSTEE, OR KEY EMPLOYEE? GERALD V. MALONEY, DO, DANIEL E. LOHR, ESQUIRE, JEFFREY A. JACOBSON, LORI R. GRAMLEY, ESQUIRE, ROBERT J. DIETZ, VIRGINIA MCGREGOR, V. CHRIS HOLCOMBE, PE, DAVID J. FELICIO, ESQUIRE, JAEWON RYU, MD, JD, DAVID T. FEINBERG, MD, MBA, KEVIN V. ROBERTS, MBA, CPA, AND EDELYN L. MILLER 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 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 LEGAL OFFICER AND REPORTED TO THE AUDIT AND COMPLIANCE COMMITTEES AND 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 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, 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 19THE ANNUAL REPORT FOR GEISINGER, CONTAINING COMMUNITY BENEFIT INFORMATION, CONSOLIDATED FINANCIAL INFORMATION AND OTHER INFORMATION, IS AVAILABLE ON THE GEISINGER WEBSITE. GO TO: HTTPS://WWW.GEISINGER.ORG/ABOUT- GEISINGER/NEWS-AND-MEDIA/FOR-MEDIA/ANNUAL-REPORTS. 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 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 AUDIT ACT OR OMB CIRCULAR A-133? FEDERAL AWARDS ARE AUDITED AS A PART OF THE GEISINGER'S CONSOLIDATED REPORT ON FEDERAL AWAREDS 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 (36 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 49-70DANVILLEPA17822240795959HOSPITALPA501C33Yes (true)GH
GEISINGER CLINIC
100 NORTH ACADEMY AVENUE MC 49-70DANVILLEPA17822236291113PHYSN SVCSPA501C312AYes (true)GH
GEISINGER WYOMING VALLEY MED CTR
100 NORTH ACADEMY AVENUE MC 49-70DANVILLEPA17822231996150HOSPITALPA501C33Yes (true)GH
MARWORTH
100 NORTH ACADEMY AVENUE MC 49-70DANVILLEPA17822232171417D&A REHABPA501C33Yes (true)GH
GEISINGER HEALTH PLAN
100 NORTH ACADEMY AVENUE MC 49-70DANVILLEPA17822232311553HMOPA501C4falseGH
GEISINGER SYSTEM SERVICES
100 NORTH ACADEMY AVENUE MC 49-70DANVILLEPA17822232164794SUPPORT SVPA501C312AYes (true)GH
GEISINGER COMMUNITY HEALTH SERVICES
100 NORTH ACADEMY AVENUE MC 49-70DANVILLEPA17822232967235HEALTHCAREPA501C310Yes (true)GSS
GEISINGER INSURANCE CORPORATIONRRG
100 NORTH ACADEMY AVENUE MC 49-70DANVILLEPA17822141909894SELF INSVT501C312AfalseGH
COMMUNITY MEDICAL CENTER
100 NORTH ACADEMY AVENUE MC 49-70DANVILLEPA17822240862246HOSPITALPA501C33Yes (true)GH
MOUNTAIN VIEW NURSING HOME INC
100 NORTH ACADEMY AVENUE MC 49-70DANVILLEPA17822232568288LNGTM CAREPA501C310Yes (true)GH
GEISINGER-BLOOMSBURG HOSPITAL
100 NORTH ACADEMY AVENUE MC 49-70DANVILLEPA17822232193572HOSPITALPA501C33Yes (true)GH
GEISINGER-BLOOMSBURG HEALTHCARE CTR
100 NORTH ACADEMY AVENUE MC 49-70DANVILLEPA17822232242854SKILLED NUPA501C310Yes (true)GH
GEISINGER-LEWISTOWN HOSPITAL
100 NORTH ACADEMY AVENUE MC 49-70DANVILLEPA17822231352187HOSPITALPA501C33Yes (true)GH
LEWISTOWN AMBULATORY CARE CORP
100 NORTH ACADEMY AVENUE MC 49-70DANVILLEPA17822232344362HOLDING COPA501C312AYes (true)GH
FAMILY HEALTH ASSOCIATES OF GLH
100 NORTH ACADEMY AVENUE MC 49-70DANVILLEPA17822251651582PHYSN SVCSPA501C312AYes (true)GH
KEYSTONE HEALTH INFORMATION EXCH
100 NORTH ACADEMY AVENUE MC 49-70DANVILLEPA17822464359893RHIOPA501C312AfalseGH
HEALTH CARE CORP OF NORTHEAST PA
100 NORTH ACADEMY AVENUE MC 49-70DANVILLEPA17822232337286SUPPORT SVPA501C312AfalseCMC
HOLY SPIRIT HEALTH SYSTEM
100 NORTH ACADEMY AVENUE MC 49-70DANVILLEPA17822251865142PHILANTHROPA501C312AfalseGH
HOLY SPIRIT HOSPITAL
100 NORTH ACADEMY AVENUE MC 49-70DANVILLEPA17822231512747HOSPITALPA501C33falseHSHS
HOLY SPIRIT CORPORATION
100 NORTH ACADEMY AVENUE MC 49-70DANVILLEPA17822232214540HOLDING COPA501C2falseHSHS
SPIRIT PHYSICIAN SERVICES INC
100 NORTH ACADEMY AVENUE MC 49-70DANVILLEPA17822251766971PHYSN SVCSPA501C310falseHSHS
WEST SHORE ADVANCED LIFE SUPP SVCS
100 NORTH ACADEMY AVENUE MC 49-70DANVILLEPA17822232463002HEALTHCAREPA501C310Yes (true)GC
GEISINGER COMMONWEALTH SCH OF MED
100 NORTH ACADEMY AVENUE MC 49-70DANVILLEPA17822260812968EDUCATIONPA501C32falseGH
GEISINGER JERSEY SHORE HOSPITAL
100 NORTH ACADEMY AVENUE MC 49-70DANVILLEPA17822240792115HOSPITALPA501C33Yes (true)GH
GSL HOSPITAL
801 OSTRUM STREETBETHLEHEMPA18015824432109HOSPITALPA501C33N/Afalse
GSLPG INC
801 OSTRUM STREETBETHLEHEMPA18015825423865HEALTHCAREPA501C33falseGSL HOSP
ATLANTICARE BEHAVORIAL HEALTH INC
2511 FIRE ROADEGG HARBOR TOWNSHIPNJ08234210721208HEALTHCARENJ501C37falseARHS
ATLANTICARE FOUNDATION INC
6725 DELILAH ROADEGG HARBOR TOWNSHIPNJ08234222148992SUPPORT ARNJ501C37falseAH SYSTEM
ATLANTICARE HEALTH ENGAGEMENT INC
2500 ENGLISH CREEK AVENUEEGG HARBOR TOWNSHIPNJ08234611608389HEALTHCARENJ501C312AfalseAH SYSTEM
ATLANTICARE HEALTH SERVICES INC
2500 ENGLISH CREEK AVENUEEGG HARBOR TOWNSHIPNJ08234223265214HEALTHCARENJ501C310falseARHS
ATLANTICARE HEALTH SYSTEM INC
2500 ENGLISH CREEK AVENUEEGG HARBOR TOWNSHIPNJ08234223265213SUPPORT ARNJ501C312AfalseGH
ATLANTICARE REGIONAL MEDICAL CENTER
1925 PACIFIC AVENUEATLANTIC CITYNJ08401210634549HOSPITALNJ501C33falseARHS
ATLANTICARE PHYSICIAN GROUP PA
2500 ENGLISH CREEK AVENUEEGG HARBOR TOWNSHIPNJ08234020701782HEALTHCARENJ501C310falseAH SYSTEM
ATLANTICARE REGIONAL HEALTH SERVICE
2500 ENGLISH CREEK AVENUEEGG HARBOR TOWNSHIPNJ08234800834222HOLDING CONJ501C312AfalseAH SYSTEM
COOPERATIVE HOME HLTH CARE ATL CNTY
6550 DELILAH ROAD SUITE 304EGG HARBOR TOWNSHIPNJ08234233836022HOME HEALTNJ501C310falseAH SYSTEM

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (15 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
LIFESOURCE GEISINGER BLOOD CTR LLC
100 NORTH ACADEMY AVENUE MC 49-70DANVILLEPA17822364718005BLOOD COLLPAN/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
LEMED II
100 NORTH ACADEMY AVENUE MC 49-70DANVILLEPA17822232391766RENTALPAN/Afalsefalse
GEISINGER-SCA HOLDINGS LLC
100 NORTH ACADEMY AVENUE MC 49-70DANVILLEPA17822461615328MANAGEMENTDEN/Afalsefalse
CAMP HILL AMBULATORY CENTERS
569 BROOKWOOD VILLAGE SUITE 901BIRMINGHAMAL35209521597478HEALTHCAREPAN/Afalsefalse
GRANDVIEW SURGERY CENTER LTD
569 BROOKWOOD VILLAGE SUITE 901BIRMINGHAMAL35209521597483HEALTHCAREPAN/Afalsefalse
LACKAWANNA PHYS AMB SURG CTRLLC
569 BROOKWOOD VILLAGE SUITE 901BIRMINGHAMAL35209233024998HEALTHCAREPAN/Afalsefalse
SOUTHERN JERSEY ONCOLOGY PROPERTIES
2500 ENGLISH CREEK AVENUEEGG HARBOR TOWNSHIPNJ08234943463625HEALTHCARENJN/Afalsefalse
ATLANTICARE SURGERY CENTER LLC
2500 ENGLISH CREEK AVENUEEGG HARBOR TOWNSHIPNJ08234223491867HEALTHCARENJN/Afalsefalse
COOPERATIVE HEALTH SRVS OF S JERSEY
1301 ATLANTIC AVENUEATLANTIC CITYNJ08401223619231PURCHASINGNJN/Afalsefalse
GEISINGER-HM JOINT VENTURE LLC
100 NORTH ACADEMY AVENUE MC 49-70DANVILLEPA17822831871064HEALTHCAREPAN/Afalsefalse
KEYSTONE HEALTHCARE PARTNERSHIPLLC
901 HUGH WALLIS ROADLAFAYETTELA70508833134941HOME HLTHPAN/Afalsefalse
SOUTHERN JERSEY MEDICAL PROPERTIES
2500 ENGLISH CREEK AVENUEEGG HARBOR TOWNSHIPNJ08234383830843REAL ESTATNJN/Afalsefalse

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (10 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 49-70DANVILLEPA17822232077663HOTEL/RESTPAN/AYes (true)
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
XG HEALTH SOLUTIONS INC
100 NORTH ACADEMY AVENUE MC 49-70DANVILLEPA17822461657345CONSULTINGDEN/Afalse
GEISINGER ASSURANCE COMPANY LTD
981016737INSURANCEN/Afalse23 LINE TREE BAY AVE PO BOX 1159GRAND CAYMANGRAND CAYMANCJKY1-1102CJ
HOLY SPIRIT VENTURES INC
100 NORTH ACADEMY AVENUE MC 49-70DANVILLEPA17822232407709MED. SERV.PAN/Afalse
ENGLISH CREEK ASSURANCE LTD
980656394FINANCIALN/Afalse44 CHURCH STREET HM12 HAMILTONBERMUDABERMUDABDBD
ATLANTICARE HEALTH SOLUTIONS INC
2500 ENGLISH CREEK AVENUE BLDG 500EGG HARBOR TOWNSHIPNJ08234383856295ACO/HEALTHNJN/Afalse
ATLANTICARE ASSURANCE ALLIANCE INC
2500 ENGLISH CREEK AVENUE BLDG 500EGG HARBOR TOWNSHIPNJ08234463730123HEALTHCARENJN/Afalse
GNJ PHYSICIANS GROUP PC
2500 ENGLISH CREEK AVENUEEGG HARBOR TOWNSHIPNJ08234820681884PHYSIC SVCNJN/Afalse
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
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 (3 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
GEISINGER CLINIC
M$263,511GAAP
GEISINGER HEALTH PLAN
L$61,108GAAP
GEISINGER CLINIC
L$107,530GAAP

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE RFormAndLineReferenceDesc
ExplanationINFORMATION REGARDING TRANSFERS TO AND FROM CONTROLLED ORGANIZATIONS: AS SHOWN IN FORM 990, SCHEDULE R, GEISINGER JERSEY SHORE HOSPITAL FOUNDATION 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-ORGANIZATIONAL 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 LETTER RULINGS AS BEING ENTIRELY CONSISTENT WITH THE ORGANIZATION'S TAX EXEMPT STATUS. __________________________________________________________________________ExplanationTxt