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TAX 16559 16559 MEDICAL SUPPLIES 572016422 572016422 INTERCOMPANY EXPENSE 177747663 170155225 7592438 BOOKS, LICENSES, FEES, DUES 1324066 1266300 57766 3343635 1522550 1821085 2357931281 2303875068 54056213 0 0 16711 109151322 0 11477180 3428528 33390666 61331506 129136 73744 0 0 32742181 38097600 19311161 33773642 44654618 8350095 411838830 194788058 211889454 217050772 33168943 2943200 36287102 75498589 0 0 295808 177343 82587233 4918179889 615084804 5358921619 70050706 188882023 0 0 3953438 3054606 107122919 0 0 0 0 0 22497452 21910677 0 0 204931394 5285963870 408555909 5499811176 X 206528895 -140889557 0 0 206528895 -140889557 615084804 5358921619 X -444657364 1590937 95647975 X X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false false false false true 4476 false true 103704 108180 false 0 SCHEDULE C, PART II-B, LINE 1 LINE 1B AND 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. LINE 1I: OTHER LOBBYING ACTIVITIES REPORTED ON LINE 1I REPRESENTS THE PORTION OF MEMBERSHIP DUES, PAID BY THE ORGANIZATION TO TRADE OR PROFESSIONAL ASSOCIATIONS, ATTRIBUTABLE TO LOBBYING ACTIVITIES. 373673000 1177000 13235000 4642000 383443000 361844000 1066000 15229000 4466000 373673000 385529000 1170000 -20189000 4666000 361844000 372716000 699000 19881000 7767000 385529000 369232000 1328000 20022000 17866000 372716000 0.74340 0.18050 0.07610 false true true 29779401 29779401 245581051 130016401 115564650 34956778 14973435 19983343 69533261 43422799 26110462 31988339 6375423 25612916 217050772 DUE FROM AFFILIATES 4918147801 SECURITY DEPOSIT 29138 OTHER 2950 4918179889 0 DUE TO AFFILIATES 5270867328 Accounts Receivable Credit Balances 15086623 Other Liabilities 9919 5285963870 PART V, LINE 4 - INTENDED USES FOR ENDOWMENT FUNDS ENDOWMENT FUNDS ARE USED BY THE GEISINGER TO SUPPORT PATIENT CARE, RESEARCH, EDUCATION, AND CAPITAL AND PROGRAM EXPENSES. PART XIII - SUPPLEMENTAL FINANCIAL INFORMATION EFFECTIVE JULY 1, 2007, GEISINGER ADOPTED ACCOUNTING STANDARDS CODIFICATION 740 (FIN 48), (FORMERLY KNOWN AS "STATEMENT 109: ACCOUNTING FOR INCOME TAXES"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 CALENDAR YEAR OR ANY PREVIOUS YEAR SINCE ADOPTION. ACCORDINGLY, NO FIN 48 FOOTNOTE DISCLOSURE WAS MADE IN THE GEISINGER CONSOLIDATED FINANCIAL STATEMENTS. 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 0 2822318 0 3931000 0 1675154 0 5848696 0 18727 0 14295895 0 1316166 TERRY GILLILAND MD PRESIDENT, DIRECTOR 0 2212113 0 0 0 137807 0 836806 0 30774 0 3217500 0 0 KEVIN V ROBERTS MBA EVP, CFO, TREASURER 0 1749843 0 525000 0 410250 0 24306 0 41926 0 2751325 0 0 ALFRED S CASALE MD FACC FACS CMO SURGICAL SERVICES 1579127 0 0 0 205741 0 181983 0 38842 0 2005693 0 150302 0 JAMES E HARTLE MD EVP, CHIEF MEDICAL OFFICER 1384763 0 0 0 527563 0 24306 0 40354 0 1976986 0 0 0 MICHEL LACROIX MD FRCSC FAANS CHAIR, NEUROSURGERY 1637789 0 1313 0 79100 0 24306 0 33320 0 1775828 0 0 0 SHIVAM PATEL MD PHYSICIAN DIAGNOSTIC RADIOLOGY 538452 0 0 0 1048552 0 24306 0 10244 0 1621554 0 0 0 GEORGE WU MD PHYSICIAN DIAGNOSTIC RADIOLOGY 593858 0 0 0 944418 0 24306 0 40365 0 1602947 0 0 0 CLEMENS SCHIRMER MD PHYSICIAN NEUROLOGICAL SURGERY 1218024 0 1313 0 97546 0 24306 0 14906 0 1356095 0 0 0 MICHAEL SUK MD JD MPH FACS CHAIR, MUSCULOSKELETAL INST. 1197272 0 0 0 84151 0 24306 0 40663 0 1346392 0 0 0 STEVEN B BENDER ESQUIRE EVP, CLO, SECRETARY 0 708600 0 0 0 197215 0 209306 0 35061 0 1150182 0 167904 NARAYANA MURALI MD CMO, MEDICINE SERVICES 853681 0 0 0 52197 0 111856 0 43189 0 1060923 0 0 0 RONALD BEER MHA DIRECTOR 0 464048 0 75000 0 336987 0 73699 0 42593 0 992327 0 48140 JONATHAN WELCH MD CHF POP HEALTH AND INNOV OFF. 742016 0 0 0 127794 0 99306 0 5307 0 974423 0 0 0 GERALD V MALONEY DO DIRECTOR 720238 0 0 0 115132 0 98569 0 35257 0 969196 0 62504 0 MEGAN BROSIOUS FORMER KEY EMPLOYEE 0 451691 0 100000 0 136494 0 71306 0 38947 0 798438 0 47229 MICHAEL A EVANS RPH CHIEF PHARMACY OFFICER 480704 0 0 0 74010 0 76806 0 40798 0 672318 0 41842 0 JEFFREY J ADAMS CAO, SURGICAL, MEDICAL SERVICE 423467 0 75000 0 67033 0 68112 0 14878 0 648490 0 38565 0 KENRIC A MAYNOR MD MPH FHM CHAIR, MEDICINE INSTITUTE 524902 0 0 0 27496 0 24306 0 19242 0 595946 0 0 0 SIERRA HAWTHORNE VP, POPULATION HEALTH 431025 0 0 0 14249 0 24306 0 412 0 469992 0 0 0 LORI R GRAMLEY ESQUIRE ACLO, ASSISTANT SECRETARY 0 338553 0 0 0 28526 0 24306 0 27947 0 419332 0 0 KIMBERLY A ZIKOWSKI VP, MEDICINE 299028 0 0 0 4774 0 20902 0 27884 0 352588 0 0 0 TRACEY W WOLFE MHA FORMER KEY EMPLOYEE 0 0 0 0 294981 0 0 0 24 0 295005 0 11632 0 MATTHEW NUSSBAUM FORMER KEY EMPLOYEE 0 0 0 0 150041 0 0 0 158 0 150199 0 0 0 MATTHEW VAN LEEUWE CAO, HOSPITAL, POPULATION HLTH 239378 165529 75000 0 68725 19350 15111 51113 5904 4213 404118 240205 0 6538 MARIA SCOPELLITI VP, MSK AND SURGERY 314679 0 0 0 2553 0 21784 0 11555 0 350571 0 0 0 MICHAEL DESCIAK MD CHAIR, ANEST., PERIOP. INST. 671122 0 0 0 176145 0 24306 0 41240 0 912813 0 0 0 GERARD GRESKOVIC VP, AMBULATORY PHARMACY 230440 0 20000 0 15952 0 17630 0 38579 0 322601 0 0 0 PART I, LINE 1A - FRINGE OR EXPENSE EXPLANATION 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. PART I, LINE 4 - SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMNENTS SEVERANCE NONQUALIFIED EQUITY-BASED JAEWON RYU, MD, JD 0 1,479,829 0 ALFRED S. CASALE, MD, FACC, FACS 0 150,302 0 STEVEN B. BENDER, ESQUIRE 0 167,904 0 MATTHEW NUSSBAUM 149,493 0 0 JONATHAN WELCH, MD 0 74,411 0 GERALD V. MALONEY, DO 0 62,504 0 RONALD BEER, MHA, FACHE 0 48,140 0 MEGAN BROSIOUS 0 47,229 0 MICHAEL A. EVANS, RPH, FASHP 0 41,842 0 JEFFREY J. ADAMS 0 38,565 0 TRACEY W. WOLFE, MHA 283,349 11,632 0 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. PART I, LINE 8 - PURSUANT TO CONTRACT PER REGS. SECTION 53.4958-4(A)(3) 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. NARAYANA MURALI MD KEY EMPLOYEE RECRUITMENT X 100000 44458 false true true JONATHAN WELCH MD KEY EMPLOYEE RECRUITMENT X 130000 15404 false true true SIERRA HAWTHORNE KEY EMPLOYEE RECRUITMENT X 30000 13882 false true true 73744 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 912018 VIRTUAL CARDIAC REHAB false FORM 990, PART III, LINE 4A - FIRST ACCOMPLISHMENT I. GENERAL INFORMATION GEISINGER CLINIC (GC), A 501(C)(3) NOT FOR PROFIT CORPORATION, EMPLOYS 1,772 PHYSICIANS PRACTICING AT 143 SITES IN 55 COMMUNITIES OF NORTHEASTERN AND CENTRAL PENNSYLVANIA. GC PROVIDES THE MULTI-SPECIALTY PHYSICIAN GROUP PRACTICE FOR GEISINGER. THE SALARIED PHYSICIAN STAFF IS DEDICATED TO IMPROVING THE HEALTH OF THE PEOPLE OF PENNSYLVANIA THROUGH AN INTEGRATED SYSTEM OF HEALTH SERVICES BASED UPON A BALANCED PROGRAM OF PATIENT CARE, EDUCATION AND RESEARCH. SOME OF THE LOCATIONS IN WHICH GEISINGER CLINIC PRACTICES INCLUDE: BELLEFONTE MINERSVILLE BENTON MONTOURSVILLE BERWICK MOOSIC BLOOMSUBURG MOUNTAIN TOP BURNHAM MT CARMEL CARBONDALE MT POCONO CLARKS SUMMIT MUNCY COAL TOWNSHIP NANTICOKE DALLAS NICHOLSON DANVILLE ORWIGSBURG DICKSON CITY PHILIPSBURG DUNMORE PITTSTON ELYSBURG PORT MATILDA FORTY FORT POTTSVILLE FRACKVILLE REEDSVILLE HARRISBURG SCRANTON HAZLE TOWNSHIP SELINSGROVE HAZLETON SHAMOKIN DAM HUNTINGDON SOUTH ABINGTON TWP JERSEY SHORE STATE COLLEGE KINGSTON SUNBURY KULPMONT TAYLOR LEWSIBURG TUNKHANNOCK LEWISTOWN WAVERLY LOCK HAVEN WEST HAZELTON MAHANOY CITY WILKES-BARRE MIFFLINTOWN WILLIAMSPORT MILTON II. UNCOMPENSATED CARE GEISINGER CLINIC RECOGNIZES THAT ITS MISSION IS TO SERVE ALL THE MEMBERS OF THE COMMUNITY WITH RESPECT TO THE PROVISION OF HEALTHCARE SERVICES AND HEALTHCARE EDUCATION. GC PROVIDES QUALITY MEDICAL HEALTHCARE REGARDLESS OF RACE, RELIGION, ETHNICITY, SEXUAL ORIENTATION, GENDER IDENTITY, HANDICAP, AGE OR ABILITY TO PAY. IN THIS REGARD, GC 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 GC PRACTICES. A. CHARITY CARE THE PRIMARY CONCERN OF GC IS THE DELIVERY OF HEALTH CARE TO ALL THE CITIZENS IN NORTHEASTERN AND CENTRAL PENNSYLVANIA, REGARDLESS OF THEIR ABILITY TO PAY. THE UNREIMBURSED COST OF CHARITY CARE REPRESENTS THE COST GC INCURS BY PROVIDING FREE OR DISCOUNTED SERVICES TO THOSE WHO CANNOT AFFORD TO PAY. FOR THE YEAR ENDED DECEMBER 31, 2024, THE COST OF CHARITY CARE WAS $20,928,188. B. MEDICARE/MEDICAID/OTHER GOVERNMENTAL RECOGNIZING ITS MISSION TO THE COMMUNITY, SERVICES ARE PROVIDED TO THE ELDERLY (MEDICARE) AND THE POOR (MEDICAID). CLINIC PROVIDES CARE, BELOW COST, TO PERSONS COVERED BY THESE GOVERNMENTAL PROGRAMS. TO THE EXTENT REIMBURSEMENT IS BELOW THE COST OF PROVIDING HEALTHCARE, GC IS FURTHERING ITS MISSION TO THE ENTIRE COMMUNITY. THE UNREIMBURSED VALUE OF MEDICARE, MEDICAID AND OTHER GOVERNMENTAL PAYERS IS EQUAL TO THE COST OF PROVIDING SERVICES LESS THE AMOUNT OF REIMBURSEMENT RECEIVED UNDER THE PROGRAM. FOR THE YEAR ENDED DECEMBER 31, 2024, THE UNREIMBURSED VALUE OF PROVIDING CARE TO THESE PATIENTS WAS $483,645,481. III. RESEARCH SUPPORT GEISINGER CLINIC SUPPORTS ITS CHARITABLE MISSION THROUGH MEDICAL RESEARCH ACTIVITIES AT TWO FACILITIES ON THE CAMPUS OF THE GEISINGER MEDICAL CENTER: THE SIEGFRIED AND JANET WEIS CENTER FOR RESEARCH (WCR) AND THE HENRY HOOD CENTER FOR HEALTH RESEARCH. THE WCR PROVIDES A FOCUS FOR LABORATORY RESEARCH AND RESEARCH TRAINING AND SUPPORTS THE CLINICAL STAFF IN THEIR RESEARCH PROGRAMS. THE PRIMARY MISSION OF THE WCR IS TO CONDUCT ORIGINAL AND INNOVATIVE RESEARCH THAT CONTRIBUTES NEW KNOWLEDGE TO BIOMEDICAL SCIENCE. SCIENTISTS APPLY MODERN MOLECULAR AND CELLULAR APPROACHES TO DIVERSE RESEARCH PROBLEMS IN THE AREAS OF CARDIOVASCULAR FUNCTION, CANCER AND DEVELOPMENTAL BIOLOGY. THE HENRY HOOD CENTER FOR RESEARCH HOUSES TWO RESEARCH PROGRAMS: THE GEISINGER CENTER FOR HEALTH RESEARCH (GCHR) AND THE CENTER FOR CLINICAL STUDIES (CCS). GCHR CONDUCTS HEALTH SERVICES, EPIDEMIOLOGIC AND POPULATION GENETICS RESEARCH ON THE BROAD RANGE OF CONDITIONS TYPICALLY SEEN IN PRIMARY AND SPECIALTY CARE SETTINGS. THE MISSION OF THE CCS IS TO PLAN, CONDUCT, FOSTER AND SUPPORT INNOVATIVE CLINICAL RESEARCH TRIALS TO HELP ADVANCE DIAGNOSIS AND TREATMENT OF DISEASE AND IMPROVE PATIENT CARE. ALL THREE RESEARCH PROGRAMS INVESTIGATE EXTRAMURAL RESOURCES FOR FUNDING AND WORK COLLABORATIVELY ON BUILDING THE CAPABILITY FOR POPULATION-BASED GENETICS RESEARCH. TO THE EXTENT REVENUES AND GRANTS RECEIVED ARE BELOW THE COST OF RESEARCH OPERATIONS, GEISINGER CLINIC IS FURTHERING ITS MISSION TO THE ENTIRE COMMUNITY. THE RESEARCH UNREIMBURSED COST DURING THE YEAR ENDED DECEMBER 31, 2024, WAS $693,667. IV. COMMUNITY HEALTH, EDUCATION AND OUTREACH GEISINGER CLINIC STRIVES TO SERVE AS PARTNERS TO THE COMMUNITIES IN WHICH THEY ARE LOCATED. GC PROVIDES CARE TO THE COMMUNITY THROUGH MANY REDUCED-PRICE SERVICES AND FREE PROGRAMS THROUGHOUT THE YEAR BASED UPON ACTIVITIES AND SERVICES THAT GC BELIEVES WILL SERVE A BONAFIDE COMMUNITY HEALTH NEED. THESE SERVICES AND PROGRAMS INCLUDE SUPPORT GROUPS, HEALTH EDUCATION SERIES, WELLNESS FAIRS, HEALTH SCREENINGS, AND OTHER HEALTH RELATED PROGRAMS. THE COST OF THESE SERVICES TOTALED $2,210,992 IN THE YEAR ENDED DECEMBER 31, 2024. SOME OF THE SERVICES AND PROGRAMS PROVIDED INCLUDE: A. HEALTH EDUCATION EDUCATION MATERIALS/PUBLICATIONS HEALTH PROFESSIONS EDUCATION, NURSE PRECEPTORSHIP, ADVANCED PRACTICE AND PHARMACIST B. OTHER SERVICES AND PROGRAMS ASSISTANCE TO ENROLL IN PUBLIC MEDICAL PROGRAMS COMMUNITY SUPPORT ACTIVITIES FREE CLINICS HEALTH SCREENINGS V. CHARITABLE ALLOCATIONS GC CONTRIBUTED $1,310,457 TO ITS AFFILIATED CHARITABLE ORGANIZATIONS DURING THE YEAR ENDED 12/31/2024 FOR CERTAIN PURCHASED ASSETS: GEISINGER MEDICAL CENTER $ 742,500 GEISINGER WYOMING VALLEY MEDICAL CENTER 252,507 GEISINGER COMMUNITY HEALTH SERVICES 123,200 GEISINGER COMMONWEALTH SCHOOL OF MEDICINE 100,000 GEISINGER JERSEY SHORE HOSPITAL 92,250 TOTAL CHARITABLE ALLOCATIONS TO AFFILIATES $1,310,457 VI. COMMUNITY SERVICE SUMMARY** CHARITY CARE $ 20,928,188 MEDICARE/MEDICAID/OTHER GOVERNMENTAL 483,645,481 COMMUNITY HEALTH, EDUCATION, AND OUTREACH 2,210,992 CHARITABLE ALLOCATIONS TO AFFILIATES 1,310,457 RESEARCH UNREIMBURSED COST 693,667 TOTAL $508,788,785 **GEISINGER CLINIC IS THE SINGLE MEMBER OF GEISINGER PHARMACY, LLC, A DISREGARDED ENTITY FOR FEDERAL INCOME TAX PURPOSES. AS SUCH, GEISINGER CLINIC AND GEISINGER PHARMACY, ARE COMBINED FOR FEDERAL INCOME TAX REPORTING. VII. STATISTICS TOTAL NUMBER OF CLINIC VISITS (CLINIC-WIDE) 3,429,688 CLINIC SERVICE DAYS 256 GEISINGER CLINIC PHYSICIANS ADMIT TO THE FOLLOWING GEISINGER FACILITIES, GEISINGER MEDICAL CENTER, GEISINGER WYOMING VALLEY, GEISINGER COMMUNITY MEDICAL CENTER, GEISINGER-BLOOMSBURG HOSPITAL, GEISINGER-LEWISTOWN HOSPITAL, AND GEISINGER JERSEY SHORE HOSPITAL AS WELL AS GEISINGER MEDICAL CENTER MUNCY AND GEISINGER BEHAVIORAL HEALTH CENTER NORTHEAST. IN ADDITION, GEISINGER CLINIC PHYSICIANS ADMIT TO SEVERAL NON-GEISINGER OWNED FACILITIES. GEISINGER HAS A POLICY TO SEE PATIENTS OF ALL PAYORS. FORM 990, PART V, LINE 1A - ADDITIONAL INFORMATION GEISINGER SYSTEM SERVICES (GSS), AN AFFILIATE OF THE ORGANIZATION, PROVIDES A CENTRALIZED ACCOUNTS PAYABLE FUNCTION FOR ALL GEISINGER ORGANIZATIONS. THE ACCOUNTS PAYABLE PROCESSOR, GSS PREPARES AND FILES FORM 1099 UNDER ITS EIN FOR CERTAIN REPORTABLE PAYMENTS OF THE FILING ORGANIZATION. THE NUMBER OF FORM 1099'S FILED BY GSS FOR THE 2024 REPORTING PERIOD ON BEHALF OF ITSELF AND ITS AFFILIATES WAS 1,166. 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 VI, LINE 1A - AUTHORITY DELEGATED TO COMMITTEE EXPLANATION THERE WAS A DELEGATION OF AUTHORITY TO THE GEISINGER HEALTH EMERGENCY ACTION COMMITTEE, WHICH IS COMPRISED OF THE CHAIR OF THE BOARD, VICE-CHAIR OF THE BOARD, THE PRESIDENT AND CEO (EX-OFFICIO DIRECTOR), CHAIR OF THE FINANCE COMMITTEE AND CHAIR OF THE PATIENT EXPERIENCE, ACADEMIC AFFAIRS AND QUALITY COMMITTEE. UNDER THE NONPROFIT CORPORATION LAW AND UNDER GEISINGER HEALTH'S CORPORATE BYLAWS, THE EMERGENCY ACTION COMMITTEE SHALL EXERCISE THE POWER AND AUTHORITY OF THE BOARD OF DIRECTORS TO ACT ON EMERGENCY MATTERS BETWEEN MEETINGS OF THE BOARD OF DIRECTORS. FORM 990, PART VI, LINE 2 - ADDITIONAL INFORMATION DID ANY OFFICER, DIRECTOR, TRUSTEE, OR KEY EMPLOYEE HAVE A FAMILY RELATIONSHIP OR BUSINESS RELATIONSHIP WITH ANY OTHER OFFICER, DIRECTOR, TRUSTEE, OR KEY EMPLOYEE? BENJAMIN K. CHU, MD, MPH, MACP, GERALD V. MALONEY, DO , JAEWON RYU, MD, JD, JAMES E. HARTLE, MD, JEFFREY A. JACOBSON, JEFFREY J. ADAMS, JONATHAN WELCH, MD, KEVIN V. ROBERTS, MBA, CPA, LORI R. GRAMLEY, ESQUIRE, MICHAEL A. EVANS, RONALD BEER, MHA, FACHE, STEVEN B. BENDER, ESQUIRE, MHA, TERRY GILLILAND, MD, 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 AFFILIATES OF THE ENTITY. ALL OF THE AFFILIATES ARE PART OF GEISINGER. FORM 990, PART VI, LINE 6 - CLASSES OF MEMBERS OR STOCKHOLDERS BENJAMIN K. CHU, MD, MPH, MACP, GERALD V. MALONEY, DO , JAEWON RYU, MD, JD, JAMES E. HARTLE, MD, JEFFREY A. JACOBSON, JEFFREY J. ADAMS, JONATHAN WELCH, MD, KEVIN V. ROBERTS, MBA, CPA, LORI R. GRAMLEY, ESQUIRE, MICHAEL A. EVANS, RONALD BEER, MHA, FACHE, STEVEN B. BENDER, ESQUIRE, MHA, TERRY GILLILAND, MD, 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 AFFILIATES OF THE ENTITY. ALL OF THE AFFILIATES ARE PART OF GEISINGER. FORM 990, PART VI, 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 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, PART VI, LINE 7B - DECISIONS SUBJECT TO APPROVAL OF MEMBERS THE MEMBERS OF THE CORPORATION HAVE THE POWER AND AUTHORITY TO ELECT AND REMOVE THE DIRECTORS; ELECT AND REMOVE THE PRESIDENT AND FILL ANY VACANCY IN THE OFFICE OF THE PRESIDENT OF THE CORPORATION; AND MAY APPROVE AMENDMENTS TO THE CORPORATE BYLAWS IN LIEU OF SUCH APPROVAL BY THE BOARD OF DIRECTORS. THE MEMBERS ALSO HAVE THE RESERVE POWERS AS SET FORTH IN PENNSYLVANIA NONPROFIT CORPORATION LAW. FORM 990, PART VI, LINE 11B - ORGANIZATION'S PROCESS TO REVIEW FORM 990 THE FORM 990 IS PREPARED BY KAISER FOUNDATION HEALTH PLAN, INC.'S TAX PREPARATION AND OVERSIGHT DEPARTMENT WITH INFORMATION PROVIDED FROM GEISINGER FINANCE, HUMAN RESOURCES, LEGAL SERVICES AND OTHER RELEVANT DEPARTMENTS WITHIN GEISINGER. PRIOR TO FINALIZATION, THE RETURN IS REVIEWED BY PWC US TAX, LLP. THE CHIEF FINANCIAL OFFICER OF GEISINGER AND THE INDIVIDUAL ORGANIZATIONS SENIOR FINANCIAL MANAGERS REVIEW THEIR RESPECTIVE FORM 990 PRIOR TO MAKING THE FINAL RETURN AVAILABLE TO THE BOARD. 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. FORM PART VI, LINE 12C - ENFORCEMENT OF CONFLICTS POLICY 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 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 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. NEGATIVELY ADJUST ANY RECOMMENDED COMPENSATION. FORM 990, PART VI, LINE 15B - COMPENSATION PROCESS FOR OFFICERS SEE SCHEDULE O RESPONSE TO FORM 990, PART VI SECTION B, QUESTION 15A FORM 900, PART VI, 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 VIII, LINE 2F LINE 2A INCLUDES $568,555 OF IC SUPPORT SERVICE REVENUE. THIS 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 XI, LINE 9 - OTHER CHANGES IN NET ASSETS EXPLANATION NET TRANSFERS <TO>/FROM PARENT, GEISINGER HEALTH $ 75,222,072 LOSS ON EXTINGUISHMENT OF DEBT 11,616,241 GAIN FROM SUBSIDIARY, KEYSTONE ACCOUNTABLE CARE 9,046,636 TRANSFER FROM KAISER 1,073,483 TRANSF TO AFFILIATE, GEISINGER MEDICAL CENTER (742,500) TRANSF TO AFFILIATE, GEISINGER WYOMING VALLEY MEDICAL CENTER (252,507) TRANSF TO AFFILIATE, GEISINGER COMMUNITY HEALTH SERVICES (123,200) TRANSF TO AFFILIATE, GEISINGER COMMONWEALTH SCHOOL OF MED. (100,000) TRANSF TO AFFILIATE, GEISINGER JERSEY SHORE HOSPITAL (92,250) TOTAL $ 95,647,975 FORM 990, PART XII, LINE 3A FEDERAL AWARDS ARE AUDITED AS A PART OF THE GEISINGER'S CONSOLIDATED REPORT ON FEDERAL AWARDS IN ACCORDANCE WITH UNIFORM GUIDANCE, 2 C.F.R. PART 200, SUBPART F. FOOTNOTE: THROUGHOUT THIS DOCUMENT, THE TERMS "GEISINGER"GEISINGER HEALTH" SHALL REFER TO THE ENTIRE HEALTH CARE SYSTEM COMPRISED OF GEISINGER HEALTH FOUNDATION (THE "FOUNDATION") AS PARENT AND ALL SUBSIDIARY CORPORATE ENTITIES COMPRISING THE HEALTH CARE SYSTEM. IN ADDITION, THROUGHOUT THIS DOCUMENT, THE TERM "SYSTEM" SHALL REFER TO THE ENTIRE HEALTH CARE SYSTEM AS PREVIOUSLY DEFINED PLUS ITS AFFILIATES. 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TRANSACTIONS WITH RELATED ORGANIZATIONS AS SHOWN IN FORM 990, SCHEDULE R, GEISINGER CLINIC 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.