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MOUNTAIN VIEW NURSING HOME INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
MOUNTAIN VIEW NURSING HOME INC (EIN 23-2568288)
Tax period
2016-07-01 to 2017-06-30
Filed
2018-05-11
IRS object ID
201811319349301561
Schema version
2016v3.1
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)
Return2018-05-11T09:32:33-04:00ReturnTs
Tax Period End2017-06-30TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2016-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN232568288EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MOUNTAIN VIEW NURSING HOME INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMOUNBusinessNameControlTxt
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)
PersonDAVID J FELICIO ESQUIREPersonNm
Person TitleEVP, CLO, SECRETARYPersonTitleTxt
Phone5702716624PhoneNum
Signature2018-05-02SignatureDt
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1MOUNTAIN VIEW CARE CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerDAVID T FEINBERG MD MBAPrincipalOfficerNm

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$17,126,957GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.MOUNTAINVIEWCARECENTER.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1989FormationYr
Legal Domicile StatePALegalDomicileStateCd
Activity Or MissionTO PROVIDE EXCELLENT GERIATRIC CARE THAT IS PERSON CENTERED, EVIDENCE BASED AND ENABLES THE ELDERS WE SERVE TO ATTAIN AND MAINTAIN THEIR HIGHEST LEVEL OF FUNCTIONING.ActivityOrMissionDesc
Voting Members Governing Body7VotingMembersGoverningBodyCnt
Voting Members Independent4VotingMembersIndependentCnt
Total Employee278TotalEmployeeCnt
Total Volunteers56TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$17,901,540PYProgramServiceRevenueAmt
CY Program Service Revenue$17,003,133CYProgramServiceRevenueAmt
PY Investment Income$11,812PYInvestmentIncomeAmt
CY Investment Income-$4,082CYInvestmentIncomeAmt
PY Other Revenue$120,031PYOtherRevenueAmt
CY Other Revenue$122,973CYOtherRevenueAmt
PY Total Revenue$18,033,383PYTotalRevenueAmt
CY Total Revenue$17,122,024CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$10,637,789PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$11,641,132CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$8,123,885PYOtherExpensesAmt
CY Other Expenses$10,710,930CYOtherExpensesAmt
PY Total Expenses$18,761,674PYTotalExpensesAmt
CY Total Expenses$22,352,062CYTotalExpensesAmt
PY Revenues Less Expenses-$728,291PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$5,230,038CYRevenuesLessExpensesAmt
Total Assets BOY$5,440,490TotalAssetsBOYAmt
Total Assets EOY$5,352,242TotalAssetsEOYAmt
Total Liabilities BOY$5,830,303TotalLiabilitiesBOYAmt
Total Liabilities EOY$9,944,514TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$389,813NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$4,592,272NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO PROVIDE EXCELLENT GERIATRIC CARE THAT IS PERSON CENTERED, EVIDENCE BASED AND ENABLES THE ELDERS WE SERVE TO ATTAIN AND MAINTAIN THEIR HIGHEST LEVEL OF FUNCTIONING.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$20,092,439ExpenseAmt
Revenue$17,041,872RevenueAmt
DescSEE SCHEDULE O I. GENERAL PROGRAM SERVICE INFORMATION MOUNTAIN VIEW NURSING HOME, INC. ("MVNH") IS A TAX-EXEMPT, PENNSYLVANIA NOT-FOR-PROFIT CORPORATION ORGANIZED UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE WHICH OWNS AND OPERATES A 180-BED LONG-TERM CARE, SKILLED NURSING, AND REHABILITATION FACILITY. MVNH IS LOCATED IN THE CITY OF SCRANTON APPROXIMATELY FOUR AND A HALF MILES FROM COMMUNITY MEDICAL CENTER DBA GEISINGER-COMMUNITY MEDICAL CENTER (GCMC). MVNH PROVIDES NURSING AND MEDICAL SERVICES TO RESIDENTS AT VARYING LEVELS OF CARE INCLUDING REHABILITATIVE THERAPIES, ASSISTANCE WITH DAILY LIVING ACTIVITIES, AND 24- HOUR SKILLED NURSING CARE. THE REHABILITATIVE THERAPIES THAT MVNH PROVIDES INCLUDE PHYSICAL, RESPIRATORY, OCCUPATIONAL, AND SPEECH. THE THERAPIES ARE DESIGNED TO ASSIST RESIDENTS IN THEIR PURSUIT OF IMPROVED HEALTH AND WELLNESS. IN ADDITION TO NURSING ASSISTANCE AND SKILLED NURSING, MVNH ALSO HAS A 24- BED UNIT SPECIALIZING IN THE CARE OF INDIVIDUALS WITH ALZHEIMER'S DISEASE. THIS UNIT'S STAFF IS SPECIALLY TRAINED TO DEAL WITH RESIDENTS WITH DEMENTIA, ESPECIALLY THROUGH BEHAVIORAL MANAGEMENT AND COMMUNICATION TECHNIQUES. TO ENHANCE THEIR QUALITY OF LIFE, ALL RESIDENTS HAVE ACTIVITIES INCORPORATED INTO THEIR DAILY ROUTINE. THERE ARE MANY ACTIVITIES THAT ARE AVAILABLE, SUCH AS EXERCISE PROGRAMS AND PET THERAPY. EACH ACTIVITY IS SELECTED FOR THE RESIDENTS BASED ON INDIVIDUAL NEEDS AND ABILITIES. IN FY2017, MVNH PROVIDED THEIR SERVICES TO 498 INDIVIDUALS. II. UNCOMPENSATED CARE MOUNTAIN VIEW NURSING HOME, INC. RECOGNIZES ITS MISSION IS TO SERVE ALL MEMBERS OF THE COMMUNITY WITH RESPECT TO THE PROVISION OF HEALTHCARE SERVICES AND EDUCATION. IN THIS REGARD, MVHN PROVIDES FREE OR SUBSIDIZED CARE BELOW COST AND SUPPORTS VARIOUS HEALTH-RELATED ACTIVITIES AND PROGRAMS IN SUPPORT OF THE COMMUNITY. A.CHARITY CARE THE PRIMARY CONCERN OF MVNH IS THE DELIVERY OF HEALTH CARE TO ALL CITIZENS OF NORTHEASTERN PENNSYLVANIA REGARDLESS OF THEIR ABILITY TO PAY. THE UNREIMBURSED COST OF CHARITY CARE REPRESENTS THE COST MVNH INCURS BY PROVIDING FREE OR DISCOUNTED SERVICES TO THOSE WHO CANNOT AFFORD TO PAY. B.MEDICARE/MEDICAID IN RECOGNIZING ITS MISSION TO THE COMMUNITY, MVNH PROVIDES SERVICES TO THE ELDERLY (MEDICARE) AND THE INDIGENT (MEDICAID). MVNH PROVIDES CARE, BELOW COST, TO PERSONS COVERED BY THESE GOVERNMENTAL PROGRAMS TO THE EXTENT THE GOVERNMENT REIMBURSEMENT IS BELOW THE COST OF PROVIDING HEALTH CARE. THE UNREIMBURSED VALUE OF MEDICARE AND/OR MEDICAID IS EQUAL TO THE COST OF PROVIDING SERVICES LESS THE AMOUNT RECEIVED AS REIMBURSEMENT UNDER THE PROGRAM. THE COST OF PROVIDING HEALTHCARE SERVICES TO MEDICARE AND MEDICAID PATIENTS EXCEEDED REIMBURSEMENT BY APPROXIMATELY 5,484,905 DURING THE FISCAL YEAR ENDED JUNE 30, 2017. C.OTHER UNCOMPENSATED PATIENT SERVICES IN ADDITION, MVNH PROVIDES SERVICES FOR WHICH FULL PAYMENT IS NOT RECEIVED. THE UNCOMPENSATED COST OF PROVIDING SUCH PATIENT SERVICES DURING THE FISCAL YEAR ENDED JUNE 30, 2017, WAS 118,384. III. COMMUNITY HEALTH, EDUCATION, AND OUTREACH A.AUXILIARY THE MVCC AUXILIARY IS COMPRISED OF 7 MEMBER AND 11 NON-MEMBER VOLUNTEERS WHO ORGANIZE FUNDRAISING FUNCTIONS SUCH AS FLEA MARKETS, BAZAARS, AND DINNERS TO RAISE MONEY FOR THE RESIDENTS' BENEFIT. PROCEEDS ARE USED FOR THINGS SUCH AS RESIDENT HOLIDAY PARTIES, SUPPLIES FOR ACTIVITIES, AND CLOTHING AND/OR MEDICAL EQUIPMENT FOR RESIDENTS WHO CANNOT AFFORD THEM. IN FY 2017, THE AUXILIARY MEMBERS DEDICATED 765 HOURS OF THEIR TIME TO MVNH. B.EDUCATION AND RESEARCH MVNH HAS PARTNERED WITH SEVERAL HIGHER LEARNING INSTITUTIONS TO PROVIDE STUDENTS WITH HANDS-ON CAREER TRAINING. SECOND-YEAR STUDENTS FROM THE COMMONWEALTH MEDICAL COLLEGE; THIRD-YEAR STUDENTS FROM THE KISTLER RESIDENCY FAMILY PRACTICE PROGRAM; STUDENTS FROM THE PHYSICIAN ASSISTANT, NURSING, DIETARY, SOCIAL WORK, AND HEALTH ADMINISTRATION DEPARTMENTS OF MARYWOOD UNIVERSITY, THE UNIVERSITY OF SCRANTON, WILKES UNIVERSITY, STATE UNIVERSITY OF NEW YORK, MISERICORDIA UNIVERSITY, GEORGETOWN UNIVERSITY, PENN STATE UNIVERSITY, ALLIED MEDICAL AND TECHNICAL CAREERS, AND CAREER INSTITUTE OF TECHNOLOGY DO LEARNING ROTATIONS AT MVNH TO OBTAIN EXPERIENCE IN A SKILLED CARE SETTING. C.VOLUNTEER SERVICES ADULT AND JUNIOR VOLUNTEERS ALSO PROVIDE SUPPORT TO MVNH RESIDENTS. ADULT VOLUNTEERS PARTICIPATE IN RELIGIOUS SERVICES, PROVIDE ENTERTAINMENT, AND ACT AS CHAPERONES TO RESIDENT OUTINGS. JUNIOR VOLUNTEERS PARTICIPATE IN AN INTERGENERATIONAL PROGRAM IN WHICH STUDENTS FROM LOCAL SCHOOLS AND DAY CARE CENTERS INTERACT WITH THE RESIDENTS AND ASSIST WITH RESIDENT ACTIVITIES TO PROVIDE A MORE PERSONAL, HOME-LIKE ENVIRONMENT. BOTH ADULT AND JUNIOR VOLUNTEERS SPEND ONE-ON-ONE TIME VISITING WITH THE RESIDENTS. IN FY 2017, MVNH HAD 56 VOLUNTEERS THAT PROVIDED A COMBINED 3,404 HOURS OF SERVICE. THE VALUE OF THIS CONTRIBUTION, 84,692, IS GIVEN BACK TO THE COMMUNITY THROUGH LOWER COSTS. COMMUNITY BENEFIT SUMMARY MEDICAID SHORTFALL 5,484,905 UNCOMPENSATED CARE 118,384 COMMUNITY HEALTH EDUCATION AND OUTREACH 4,357 VOLUNTEER SERVICES (VALUED AT 2017 84,692 PA STATEWIDE AVERAGE WEEKLY WAGE) TOTAL 5,692,338 STATISTICS FISCAL YEAR ENDED JUNE 30, 2017 ADMISSIONS 393 DISCHARGES 378 PATIENT SERVICE DAYS 62,473 AVERAGE LENGTH OF STAY 166.8 PERCENT OF OCCUPANCY 94.2% BEDS, LICENSED AND STAFFED 180Desc
Total Program Service Expenses$20,092,439TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingYes (true)CreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
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 Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee278EmployeeCnt
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
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)
PersonSCOTT GALLAGHER AVP FINANCEPersonNm
Phone5702143612PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1225 COLUMBIA MALL BLVDAddressLine1Txt
CityBLOOMSBURGCityNm
State AbbreviationPAStateAbbreviationCd
ZIP17815ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (35 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
CHRISTOPHER B SULLIVAN
DIRECTOR0.253.50Yes (X)$0$0$0
E ALLEN DEAVER
DIRECTOR0.253.25Yes (X)$0$0$0
EARL FOURA
VICE CHAIR,0.253.00Yes (X)$0$0$0
EDELYN L MILLER
DIRECTOR40.00Yes (X)$0$1,229,749$238,259
EUGENE ARNONE
DIRECTOR0.253.25Yes (X)$0$0$0
FRANK M HENRY
DIRECTOR0.253.25Yes (X)$0$0$0
GAIL R WILENSKY PHD
DIRECTOR0.253.25Yes (X)$0$0$0
HEATHER M ACKER
DIRECTOR0.253.50Yes (X)$0$0$0
JAEWON RYU MD JD
DIRECTOR40.00Yes (X)$0$212,759$187,983
JEFF JACOBSON
DIRECTOR0.253.25Yes (X)$0$0$0
JOHN C BRAVMAN PHD
DIRECTOR0.253.50Yes (X)$0$0$0
KAREN DAVIS PHD
DIRECTOR0.253.50Yes (X)$0$0$0
RICHARD A GRAFMYRE
DIRECTOR0.253.50Yes (X)$0$0$0
ROBERT J DIETZ
CHAIR, DIREC0.254.00Yes (X)$0$0$0
ROBERT E POOLE
DIRECTOR0.253.25Yes (X)$0$0$0
THOMAS H LEE JR MD MSC
DIRECTOR0.253.50Yes (X)$0$0$0
V CHRIS HOLCOMBE PE
DIRECTOR0.253.00Yes (X)$0$0$0
VIRGINIA MCGREGOR
DIRECTOR0.253.25Yes (X)$0$0$0
WILLIAM H ALEXANDER
DIRECTOR0.253.50Yes (X)$0$0$0
WILLIAM R GRUVER
DIRECTOR0.253.25Yes (X)$0$0$0
WILLIAM E SORDONI
DIRECTOR0.253.25Yes (X)$0$0$0
DAVID T FEINBERG MD MBA
PRESIDENT, C40.00Yes (X)$0$3,189,400$407,514Yes (X)
ANTHONY D AQUILINA DO
CMO40.00$0$580,316$85,482Yes (X)
DANIEL E LOHR ESQUIRE
ACLO, ASST S40.00$0$364,409$42,078Yes (X)
DAVID J FELICIO ESQUIRE
EVP, CLO, SE40.00$0$818,666$167,300Yes (X)
FRANK J TREMBULAK
SR VP, TREAS40.00$0$1,585,085$224,154Yes (X)
KEVIN F BRENNAN CPA FHFMA
EVP, CFO, TR40.00$0$1,493,043$39,595Yes (X)
ANN MARIE LIMANI
NURSING SUPE40.000.00$102,046$0$13,430Yes (X)
BENVINDA NOTZ RN
RES SAFETY &40.00$114,215$0$22,017Yes (X)
KEVIN RUSSIN MS MHA
ADMINISTRATO40.00$139,174$0$14,407Yes (X)
ALBERT BOTHE JR MD
FORMER OFFIC40.00$0$1,075,791$195,096Yes (X)
BARBARA J BOSSI RN
FORMER OFFIC40.00$0$504,497$21,954Yes (X)
EDWARD J ZYCH ESQUIRE
FORMER OFFIC40.00$0$123,138$0Yes (X)
SEAN MCANDREW
FORMER OFFIC40.00$0$146,776$13,546Yes (X)
MARYANNE E CORTESE-RUBINO MS BSN
FORMER KEY40.00$0$167,322$10,347Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$355,435TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$11,490,951TotReportableCompRltdOrgAmt
Total Other Compensation$1,683,162TotalOtherCompensationAmt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (4 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
MEDICAL STAFFING NETWORK
PO BOX 840292DALLASTX752840292STAFFING$1,035,958
DEDICATED NURSING ASSOC INC
3875 FRANKLINTOWNE CT STE 220MURRYSVILLEPA15668STAFFING$606,789
OMNICARE INC
PO BOX 715268COLUMBUSOH432715268PHARMACY SUPPLY$310,094
CAREFIRST PHARMACY SERVICES
1015 N VINE STBERWICKPA18603PHARMACY SERVIC$188,589
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K4CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescRESIDENT FEESDesc
Business623000BusinessCd
Total Revenue Column$17,003,133TotalRevenueColumnAmt
Related Or Exempt Func Income$17,003,133RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$17,003,133TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$44TotalRevenueColumnAmt
Exclusion$44ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$807OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$4,933SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$4,933SecuritiesAmt
Other$807OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$4,126TotalRevenueColumnAmt
Exclusion-$4,126ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
GIFT SHOP453220$84,234$84,234
PURCHASE DISCOUNTS517000$37,453$37,453
COPIES OF MEDICAL RECORDS900099$1,128$1,128

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$158TotalRevenueColumnAmt
Related Or Exempt Func Income$158RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$122,973OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$17,122,024TotalRevenueColumnAmt
Related Or Exempt Func Income$17,041,872RelatedOrExemptFuncIncomeAmt
Exclusion$80,152ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$152,083TotalAmt
Management And General$152,083ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$8,840,350TotalAmt
Program Services$8,250,561ProgramServicesAmt
Management And General$589,789ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$281,476TotalAmt
Program Services$258,254ProgramServicesAmt
Management And General$23,222ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,694,631TotalAmt
Program Services$1,554,825ProgramServicesAmt
Management And General$139,806ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$672,592TotalAmt
Program Services$623,171ProgramServicesAmt
Management And General$49,421ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$42,091TotalAmt
Management And General$42,091ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$10,653TotalAmt
Management And General$10,653ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$921TotalAmt
Management And General$921ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$4,960TotalAmt
Management And General$4,960ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$2,451,885TotalAmt
Program Services$2,298,686ProgramServicesAmt
Management And General$153,199ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$2,451TotalAmt
Management And General$2,451ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,336,349TotalAmt
Program Services$1,077,140ProgramServicesAmt
Management And General$259,209ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$63,685TotalAmt
Program Services$2,992ProgramServicesAmt
Management And General$60,693ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$521,805TotalAmt
Program Services$425,991ProgramServicesAmt
Management And General$95,814ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$29,598TotalAmt
Program Services$20,247ProgramServicesAmt
Management And General$9,351ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$75,465TotalAmt
Program Services$61,608ProgramServicesAmt
Management And General$13,857ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$384,992TotalAmt
Program Services$314,300ProgramServicesAmt
Management And General$70,692ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$317,688TotalAmt
Program Services$193,835ProgramServicesAmt
Management And General$123,853ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
INTER-ENTITY EXPENSES$2,381,643$1,948,283$433,360
NURSING HOME ASSESSMENT$1,650,835$1,650,835
MEDICAL SUPPLIES$1,285,404$1,279,449$5,955
UNCOLLECTIBLE EXPENSE$123,824$123,824

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$26,681TotalAmt
Program Services$8,438ProgramServicesAmt
Management And General$18,243ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$22,352,062TotalAmt
Program Services$20,092,439ProgramServicesAmt
Management And General$2,259,623ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$11,336BOYAmt
EOY$1,715EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$3,447,364BOYAmt
EOY$3,563,656EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$25,278BOYAmt
EOY$25,577EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$3,517,860LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,976,606LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,769,346BOYAmt
EOY$1,541,254EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$25,007BOYAmt
EOY$31,636EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$162,159BOYAmt
EOY$188,404EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$5,440,490BOYAmt
EOY$5,352,242EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$340,911BOYAmt
EOY$289,787EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,320,955BOYAmt
EOY$1,982,792EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,168,437BOYAmt
EOY$7,671,935EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$5,830,303BOYAmt
EOY$9,944,514EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$389,813BOYAmt
EOY-$4,592,272EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$389,813BOYAmt
EOY-$4,592,272EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$5,440,490BOYAmt
EOY$5,352,242EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$5,230,038ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$27,579NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$1,000,000OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$122CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$25CurrentTaxYearMinus3YearsAmt
Total$147TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$17,193,219CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$17,256,350CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$17,637,520CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$17,926,180CurrentTaxYearMinus1YearAmt
Current Tax Year$17,003,133CurrentTaxYearAmt
Total$87,016,402TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$243,695CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$234,777CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$78,921CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$95,391CurrentTaxYearMinus1YearAmt
Current Tax Year$122,973CurrentTaxYearAmt
Total$775,757TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$17,437,036CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$17,491,152CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$17,716,441CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$18,021,571CurrentTaxYearMinus1YearAmt
Current Tax Year$17,126,106CurrentTaxYearAmt
Total$87,792,306TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$87,792,306PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$123,913CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$55,994CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$24,083CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,088CurrentTaxYearMinus1YearAmt
Current Tax Year$44CurrentTaxYearAmt
Total$208,122TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$123,913CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$55,994CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$24,083CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,088CurrentTaxYearMinus1YearAmt
Current Tax Year$44CurrentTaxYearAmt
Total$208,122TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$17,560,949CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$17,547,146CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$17,740,524CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$18,025,659CurrentTaxYearMinus1YearAmt
Current Tax Year$17,126,150CurrentTaxYearAmt
Total$88,000,428TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99760PublicSupportCY509Pct
Public Support PY5090.99740PublicSupportPY509Pct
Investment Income CY0.00000InvestmentIncomeCYPct
Investment Income PY0.00000InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$921OtherActivitiesAmt
Total Lobbying Expenditures$921TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE C, PART II-B, LINE 1FormAndLineReferenceDesc
ExplanationOTHER 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.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee EtcfalseAgentTrusteeEtcInd
Incl Escrow Custodial Acct LiabYes (true)InclEscrowCustodialAcctLiabInd
Explanation ProvidedYes (X)ExplanationProvidedInd

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,081,483OtherCostOrOtherBasisAmt
Depreciation$1,205,148DepreciationAmt
Book Value$876,335BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,436,377OtherCostOrOtherBasisAmt
Depreciation$771,458DepreciationAmt
Book Value$664,919BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,541,254TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
DUE TO AFFILIATES$7,258,890
MEDICAL LEGAL CLAIMS LIABILITY$298,578
RESIDENT TRUST PMTS LIABILITY$94,582
FIXED ASSET CLEARING$19,885
FieldValueIRS element (for citing)
Total Liability$7,671,935TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE D, PAGE 2, PART IV, LINE 2BTO PROVIDE A CONVENIENCE FOR ITS RESIDENTS, MOUNTAIN VIEW NURSING HOME, INC. ("MVCC") MAINTAINS AN INTEREST-BEARING CHECKING ACCOUNT INTO WHICH RESIDENTS CAN DEPOSIT MONIES TO USE FOR INCIDENTALS NOT COVERED IN THEIR ROOM AND BOARD CHARGE. THE AMOUNTS DEPOSITED AND ANY INTEREST EARNED FULLY BELONGS TO THE RESIDENTS. IF A RESIDENT IS DISCHARGED, THEIR MONEY AND ANY INTEREST EARNED IS REFUNDED TO THEM. EACH RESIDENT'S BALANCE IS TRACKED USING A BANKING SOFTWARE. AS MVCC HAS NO CLAIM TO THESE FUNDS, THE ASSET IS DIRECTLY OFFSET BY THE LIABILITY.
SCHEDULE D, PAGE 4, PART XIIIPART X, LINE 2-LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48(ASC 740): 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 SUBSIDIARY ENTITIES COMPRISING THE SYSTEM.

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 PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)

TitleTitleTxtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmtBase Compensation Filing OrgBaseCompensationFilingOrgAmtBonus Filing OrganizationBonusFilingOrganizationAmountOther Compensation Filing OrgOtherCompensationFilingOrgAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmt
EDELYN L MILLER
DIRECTOR$698,147$303,706$227,896$220,308$17,951$1,468,008$180,093
JAEWON RYU MD JD
DIRECTOR$198,136$14,623$173,260$14,723$400,742
DAVID T FEINBERG MD MBA
PRESIDENT, CHAIR,DIR$1,787,047$1,300,100$102,253$379,121$28,393$3,596,914
ANTHONY D AQUILINA DO
CMO$353,566$124,267$102,483$67,643$17,839$665,798$51,963
DANIEL E LOHR ESQUIRE
ACLO, ASST SECTY$267,976$74,625$21,808$19,110$22,968$406,487
DAVID J FELICIO ESQUIRE
EVP, CLO, SECRETARY$461,905$233,068$123,693$141,074$26,226$985,966$68,090
FRANK J TREMBULAK
SR VP, TREASURER$427,338$306,302$851,445$216,368$7,786$1,809,239$167,387
KEVIN F BRENNAN CPA FHFMA
EVP, CFO, TREASURER$714,647$375,847$402,549$19,110$20,485$1,532,638$273,313
KEVIN RUSSIN MS MHA
ADMINISTRATOR GMVCC$124,152$10,001$5,021$6,210$8,197$153,581
ALBERT BOTHE JR MD
FORMER OFFICER$561,688$241,266$272,837$180,589$14,507$1,270,887$182,525
BARBARA J BOSSI RN
FORMER OFFICER$156,564$47,679$300,254$8,802$13,152$526,451
EDWARD J ZYCH ESQUIRE
FORMER OFFICER$123,138$123,138
SEAN MCANDREW
FORMER OFFICER$116,468$9,438$20,870$6,525$7,021$160,322
MARYANNE E CORTESE-RUBINO MS BSN
FORMER KEY$142,713$22,946$1,663$10,169$178$177,669

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE J, PAGE 1, PART I, LINE 4EDELYN L. MILLER 0 180,093 0 ANTHONY D. AQUILINA, DO 0 51,963 0 DAVID J. FELICIO, ESQUIRE 0 68,090 0 FRANK J. TREMBULAK 0 815,306 0 KEVIN F. BRENNAN, CPA, FHFMA 0 358,535 0 ALBERT BOTHE, JR., MD 0 182,525 0 BARBARA J. BOSSI, RN 244,093 0 0 EDWARD J. ZYCH, ESQUIRE 123,125 0 0
SCHEDULE J, PAGE 1, PART I, LINE 7BECAUSE THE PAYMENT OF EARNED PERFORMANCE BASED COMPENSATION IS AT THE DISCRETION OF MANAGEMENT AND THE BOARD OF DIRECTORS, SUCH PAYMENTS MAY BE CONSIDERED NON-FIXED PAYMENTS. PERFORMANCE BASED COMPENSATION IS DETERMINED BY MEETING INDIVIDUALLY MEASURED PERFORMANCE GOALS THAT ARE ALIGNED WITH OVERALL GEISINGER OBJECTIVES, INCLUDING: CLINICAL QUALITY, COMMUNITY MISSION ACHIEVEMENT, AND FINANCIAL STEWARDSHIP.
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 (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990FORM 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 WITH A TOTAL OUTSTANDING BALANCE OF 1,766,170,995, INCLUSIVE OF UNAMORTIZED ORIGINAL ISSUE DISCOUNT AS OF JUNE 30, 2017. BECAUSE THE BOND PROCEEDS ARE DISBURSED TO GH SUBSIDIARIES, THE 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 MOUNTAIN VIEW NURSING HOME, INC. EIN: 23-2568288 GEISINGER-BLOOMSBURG HOSPITAL EIN: 23-2193572 GEISINGER-BLOOMSBURG HEALTH CARE CENTER EIN: 23-2242854 GEISINGER-LEWISTOWN HOSPITAL EIN: 23-1352187 HOLY SPIRIT HOSPITAL EIN: 23-1512747 GEISINGER COMMONWEALTH SCHOOL OF MEDICINE EIN: 26-0812968 ATLANTICARE REGIONAL MEDICAL CENTER EIN: 21-0634549 SCHEDULE K WAS PREPARED ON A CONSOLIDATED BASIS AND IS INCLUDED IN THE FORM 990 FILING OF GEISINGER HEALTH, EIN: 23-1995911.
FORM 990, PAGE 2, PART III, LINE 4AI. GENERAL PROGRAM SERVICE INFORMATION MOUNTAIN VIEW NURSING HOME, INC. ("MVNH") IS A TAX-EXEMPT, PENNSYLVANIA NOT-FOR-PROFIT CORPORATION ORGANIZED UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE WHICH OWNS AND OPERATES A 180-BED LONG-TERM CARE, SKILLED NURSING, AND REHABILITATION FACILITY. MVNH IS LOCATED IN THE CITY OF SCRANTON APPROXIMATELY FOUR AND A HALF MILES FROM COMMUNITY MEDICAL CENTER DBA GEISINGER-COMMUNITY MEDICAL CENTER (GCMC). MVNH PROVIDES NURSING AND MEDICAL SERVICES TO RESIDENTS AT VARYING LEVELS OF CARE INCLUDING REHABILITATIVE THERAPIES, ASSISTANCE WITH DAILY LIVING ACTIVITIES, AND 24- HOUR SKILLED NURSING CARE. THE REHABILITATIVE THERAPIES THAT MVNH PROVIDES INCLUDE PHYSICAL, RESPIRATORY, OCCUPATIONAL, AND SPEECH. THE THERAPIES ARE DESIGNED TO ASSIST RESIDENTS IN THEIR PURSUIT OF IMPROVED HEALTH AND WELLNESS. IN ADDITION TO NURSING ASSISTANCE AND SKILLED NURSING, MVNH ALSO HAS A 24- BED UNIT SPECIALIZING IN THE CARE OF INDIVIDUALS WITH ALZHEIMER'S DISEASE. THIS UNIT'S STAFF IS SPECIALLY TRAINED TO DEAL WITH RESIDENTS WITH DEMENTIA, ESPECIALLY THROUGH BEHAVIORAL MANAGEMENT AND COMMUNICATION TECHNIQUES. TO ENHANCE THEIR QUALITY OF LIFE, ALL RESIDENTS HAVE ACTIVITIES INCORPORATED INTO THEIR DAILY ROUTINE. THERE ARE MANY ACTIVITIES THAT ARE AVAILABLE, SUCH AS EXERCISE PROGRAMS AND PET THERAPY. EACH ACTIVITY IS SELECTED FOR THE RESIDENTS BASED ON INDIVIDUAL NEEDS AND ABILITIES. IN FY2017, MVNH PROVIDED THEIR SERVICES TO 498 INDIVIDUALS. II. UNCOMPENSATED CARE MOUNTAIN VIEW NURSING HOME, INC. RECOGNIZES ITS MISSION IS TO SERVE ALL MEMBERS OF THE COMMUNITY WITH RESPECT TO THE PROVISION OF HEALTHCARE SERVICES AND EDUCATION. IN THIS REGARD, MVHN PROVIDES FREE OR SUBSIDIZED CARE BELOW COST AND SUPPORTS VARIOUS HEALTH-RELATED ACTIVITIES AND PROGRAMS IN SUPPORT OF THE COMMUNITY. A.CHARITY CARE THE PRIMARY CONCERN OF MVNH IS THE DELIVERY OF HEALTH CARE TO ALL CITIZENS OF NORTHEASTERN PENNSYLVANIA REGARDLESS OF THEIR ABILITY TO PAY. THE UNREIMBURSED COST OF CHARITY CARE REPRESENTS THE COST MVNH INCURS BY PROVIDING FREE OR DISCOUNTED SERVICES TO THOSE WHO CANNOT AFFORD TO PAY. B.MEDICARE/MEDICAID IN RECOGNIZING ITS MISSION TO THE COMMUNITY, MVNH PROVIDES SERVICES TO THE ELDERLY (MEDICARE) AND THE INDIGENT (MEDICAID). MVNH PROVIDES CARE, BELOW COST, TO PERSONS COVERED BY THESE GOVERNMENTAL PROGRAMS TO THE EXTENT THE GOVERNMENT REIMBURSEMENT IS BELOW THE COST OF PROVIDING HEALTH CARE. THE UNREIMBURSED VALUE OF MEDICARE AND/OR MEDICAID IS EQUAL TO THE COST OF PROVIDING SERVICES LESS THE AMOUNT RECEIVED AS REIMBURSEMENT UNDER THE PROGRAM. THE COST OF PROVIDING HEALTHCARE SERVICES TO MEDICARE AND MEDICAID PATIENTS EXCEEDED REIMBURSEMENT BY APPROXIMATELY 5,484,905 DURING THE FISCAL YEAR ENDED JUNE 30, 2017. C.OTHER UNCOMPENSATED PATIENT SERVICES IN ADDITION, MVNH PROVIDES SERVICES FOR WHICH FULL PAYMENT IS NOT RECEIVED. THE UNCOMPENSATED COST OF PROVIDING SUCH PATIENT SERVICES DURING THE FISCAL YEAR ENDED JUNE 30, 2017, WAS 118,384. III. COMMUNITY HEALTH, EDUCATION, AND OUTREACH A.AUXILIARY THE MVCC AUXILIARY IS COMPRISED OF 7 MEMBER AND 11 NON-MEMBER VOLUNTEERS WHO ORGANIZE FUNDRAISING FUNCTIONS SUCH AS FLEA MARKETS, BAZAARS, AND DINNERS TO RAISE MONEY FOR THE RESIDENTS' BENEFIT. PROCEEDS ARE USED FOR THINGS SUCH AS RESIDENT HOLIDAY PARTIES, SUPPLIES FOR ACTIVITIES, AND CLOTHING AND/OR MEDICAL EQUIPMENT FOR RESIDENTS WHO CANNOT AFFORD THEM. IN FY 2017, THE AUXILIARY MEMBERS DEDICATED 765 HOURS OF THEIR TIME TO MVNH. B.EDUCATION AND RESEARCH MVNH HAS PARTNERED WITH SEVERAL HIGHER LEARNING INSTITUTIONS TO PROVIDE STUDENTS WITH HANDS-ON CAREER TRAINING. SECOND-YEAR STUDENTS FROM THE COMMONWEALTH MEDICAL COLLEGE; THIRD-YEAR STUDENTS FROM THE KISTLER RESIDENCY FAMILY PRACTICE PROGRAM; STUDENTS FROM THE PHYSICIAN ASSISTANT, NURSING, DIETARY, SOCIAL WORK, AND HEALTH ADMINISTRATION DEPARTMENTS OF MARYWOOD UNIVERSITY, THE UNIVERSITY OF SCRANTON, WILKES UNIVERSITY, STATE UNIVERSITY OF NEW YORK, MISERICORDIA UNIVERSITY, GEORGETOWN UNIVERSITY, PENN STATE UNIVERSITY, ALLIED MEDICAL AND TECHNICAL CAREERS, AND CAREER INSTITUTE OF TECHNOLOGY DO LEARNING ROTATIONS AT MVNH TO OBTAIN EXPERIENCE IN A SKILLED CARE SETTING. C.VOLUNTEER SERVICES ADULT AND JUNIOR VOLUNTEERS ALSO PROVIDE SUPPORT TO MVNH RESIDENTS. ADULT VOLUNTEERS PARTICIPATE IN RELIGIOUS SERVICES, PROVIDE ENTERTAINMENT, AND ACT AS CHAPERONES TO RESIDENT OUTINGS. JUNIOR VOLUNTEERS PARTICIPATE IN AN INTERGENERATIONAL PROGRAM IN WHICH STUDENTS FROM LOCAL SCHOOLS AND DAY CARE CENTERS INTERACT WITH THE RESIDENTS AND ASSIST WITH RESIDENT ACTIVITIES TO PROVIDE A MORE PERSONAL, HOME-LIKE ENVIRONMENT. BOTH ADULT AND JUNIOR VOLUNTEERS SPEND ONE-ON-ONE TIME VISITING WITH THE RESIDENTS. IN FY 2017, MVNH HAD 56 VOLUNTEERS THAT PROVIDED A COMBINED 3,404 HOURS OF SERVICE. THE VALUE OF THIS CONTRIBUTION, 84,692, IS GIVEN BACK TO THE COMMUNITY THROUGH LOWER COSTS. COMMUNITY BENEFIT SUMMARY MEDICAID SHORTFALL 5,484,905 UNCOMPENSATED CARE 118,384 COMMUNITY HEALTH EDUCATION AND OUTREACH 4,357 VOLUNTEER SERVICES (VALUED AT 2017 84,692 PA STATEWIDE AVERAGE WEEKLY WAGE) TOTAL 5,692,338 STATISTICS FISCAL YEAR ENDED JUNE 30, 2017 ADMISSIONS 393 DISCHARGES 378 PATIENT SERVICE DAYS 62,473 AVERAGE LENGTH OF STAY 166.8 PERCENT OF OCCUPANCY 94.2% BEDS, LICENSED AND STAFFED 180
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 ALL REPORTABLE PAYMENTS OF THE FILING ORGANIZATION. THE NUMBER OF FORM 1099'S FILED BY GSS FOR THE 2016 REPORTING PERIOD ON BEHALF OF ITSELF AND ITS AFFILIATES WAS 1,877.
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? ANTHONY D. AQUILINA, DO, CHRISTOPHER B. SULLIVAN, DANIEL E. LOHR, ESQUIRE, DAVID J. FELICIO, ESQUIRE, DAVID T. FEINBERG, MD, MBA, E. ALLEN DEAVER, EARL FOURA, EDELYN L. MILLER, EUGENE ARNONE, FRANK J. TREMBULAK, FRANK M. HENRY, GAIL R. WILENSKY, PHD, HEATHER M. ACKER, JAEWON RYU, MD, JD, JEFF JACOBSON, JOHN C. BRAVMAN, PHD, KAREN DAVIS, PHD, KEVIN F. BRENNAN, CPA, FHFMA, RICHARD A. GRAFMYRE, ROBERT E. POOLE, ROBERT J. DIETZ, THOMAS H. LEE, JR, MD, MSC, V. CHRIS HOLCOMBE, PE, VIRGINIA MCGREGOR, WILLIAM E. SORDONI, WILLIAM H. ALEXANDER, AND WILLIAM R. GRUVER 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 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 IX, LINE 11GOUTSIDE PURCHASED SVCS 103,449 147,323 0 OUTSIDE AGENCY- NONCLINICAL 38,275 0 0 OUTSIDE AGENCY - CLINICAL 2,042,293 0 0 EMERGENCY TRANSPORT 78,059 0 0 CONTRACT PHYS SVCS OTHER 25,799 0 0 CONSULTING FEES 0 5,550 0 REPAIR OF EQUIPMENT 10,811 326 0 TOTAL 2,298,686 153,199 0
FORM 990, PART XI, LINE 9CONTRIBUTION FROM PARENT, GEISINGER HEALTH 1,000,000 ------------- TOTAL OTHER CHANGES IN NET ASSETS OR FUND BALANCE 1,000,000
FORM 990, PART XIIFORM 990, PART XII, LINE 3A: AS A RESULT OF A FEDERAL AWARD, WAS THE ORGANIZATION REQUIRED TO UNDERGO AN AUDIT OR AUDITS AS SET FORTH IN THE AUDIT ACT OR OMB CIRCULAR A-133? FEDERAL AWARDS ARE AUDITED AS A PART OF THE GEISINGER'S CONSOLIDATED REPORT ON FEDERAL AWARDS IN ACCORDANCE WITH OMB CIRCULAR A-133. FOOTNOTE: THROUGHOUT FORM 990, THE TERMS "GEISINGER- AND "SYSTEM" SHALL REFER TO THE ENTIRE HEALTHCARE SYSTEM COMPRISED OF GEISINGER HEALTH AS PARENT AND ALL SUBSIDIARY CORPORATIONS COMPRISING THE SYSTEM.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (33 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/AYes (true)
GEISINGER MEDICAL CENTER
100 NORTH ACADEMY AVENUE MC 49-70DANVILLEPA17822240795959HOSPITALPA501C33Yes (true)GH
GEISINGER CLINIC
100 NORTH ACADEMY AVENUE MC 49-70DANVILLEPA17822236291113PHYSICIANPA501C312AYes (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 49-70DANVILLEPA17822232311553HEALTH INSPA501C4Yes (true)GH
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 INSVT501C312AYes (true)GH
COMMUNITY MEDICAL CENTER
100 NORTH ACADEMY AVENUE MC 49-70DANVILLEPA17822240862246HOSPITALPA501C33Yes (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 49-70DANVILLEPA17822251651582PHYSICIANPA501C312AYes (true)GH
KEYSTONE HEALTH INFORMATION EXCH
100 NORTH ACADEMY AVENUE MC 49-70DANVILLEPA17822464359893RHIOPA501C312AYes (true)GH
HEALTH CARE CORP OF NORTHEAST PA
100 NORTH ACADEMY AVENUE MC 49-70DANVILLEPA17822232337286SUPPORT SVPA501C312AYes (true)CMC
SUN HOME HEALTH SERVICES INC
100 NORTH ACADEMY AVENUE MC 49-70DANVILLEPA17822231736912HEALTHCAREPA501C310Yes (true)GCHS
HOLY SPIRIT HEALTH SYSTEM
100 NORTH ACADEMY AVENUE MC 49-70DANVILLEPA17822251865142PHILANTHROPA501C312AYes (true)GH
HOLY SPIRIT HOSPITAL
100 NORTH ACADEMY AVENUE MC 49-70DANVILLEPA17822231512747HOSPITALPA501C33Yes (true)HSHS
HOLY SPIRIT CORPORATION
100 NORTH ACADEMY AVENUE MC 49-70DANVILLEPA17822232214540HOLDING COPA501C2Yes (true)HSHS
SPIRIT PHYSICIAN SERVICES INC
100 NORTH ACADEMY AVENUE MC 49-70DANVILLEPA17822251766971PHYSICIANPA501C310Yes (true)HSHS
WEST SHORE ADVANCED LIFE SUPP SVCS
100 NORTH ACADEMY AVENUE MC 49-70DANVILLEPA17822232463002HEALTHCAREPA501C37Yes (true)HSHS
GEISINGER COMMONWEALTH SCH OF MED
525 PINE STREETSCRANTONPA18509260812968EDUCATIONPA501C32Yes (true)GH
ATLANTICARE BEHAVORIAL HEALTH INC
2511 FIRE ROADEGG HARBOR TOWNSHIPNJ08234210721208HEALTHCARENJ501C37Yes (true)ARHS
ATLANTICARE FOUNDATION
6725 DELILAH ROADEGG HARBOR TOWNSHIPNJ08234222148992SUPPORT ARNJ501C37Yes (true)AH SYSTEM
ATLANTICARE HEALTH ENGAGEMENT INC
2500 ENGLISH CREEK AVENUEEGG HARBOR TOWNSHIPNJ08234611608389HEALTHCARENJ501C312AYes (true)AH SYSTEM
ATLANTICARE HEALTH SERVICES INC
2500 ENGLISH CREEK AVENUEEGG HARBOR TOWNSHIPNJ08234223265214HEALTHCARENJ501C310Yes (true)ARHS
ATLANTICARE HEALTH SYSTEM INC
2500 ENGLISH CREEK AVENUEEGG HARBOR TOWNSHIPNJ08234223265213SUPPORT ARNJ501C312AYes (true)GH
ATLANTICARE REGIONAL MEDICAL CENTER
1925 PACIFIC AVENUEATLANTIC CITYNJ08401210634549HOSPITALNJ501C33Yes (true)ARHS
ATLANTICARE PHYSICIAN GROUP PA
2500 ENGLISH CREEK AVENUEEGG HARBOR TOWNSHIPNJ08234020701782HEALTHCARENJ501C310Yes (true)AH SYSTEM
ATLANTICARE REGIONAL HEALTH SERVICE
2500 ENGLISH CREEK AVENUEEGG HARBOR TOWNSHIPNJ08234800834222HOLDING CONJ501C312AYes (true)AH SYSTEM
GNJ PHYSICIANS GROUP PC
2500 ENGLISH CREEK AVENUEEGG HARBOR TOWNSHIPNJ08234820681884PHYSICIANSNJ501C310Yes (true)GH

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (13 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 49-70DANVILLEPA17822454475297ACOPAN/Afalsefalse
LIFESOURCE GEISINGER BLOOD CTR LLC
100 NORTH ACADEMY AVENUE MC 49-70DANVILLEPA17822364718005BLOOD COLLPAN/Afalsefalse
MERIDIAN GEISINGER HLTH NETWORKLLC
100 NORTH ACADEMY AVENUE MC 49-70DANVILLEPA17822455484165ORG DEL SYNJN/Afalsefalse
HEALTHSOUTH GHS 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 49-70DANVILLEPA17822461615328HEALTHCAREDEN/Afalsefalse
CAMP HILL AMBULATORY SURG CTR LLC
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

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (9 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/AYes (true)
GEISINGER QUALITY OPTIONS INC
100 NORTH ACADEMY AVENUE MC 49-70DANVILLEPA17822204275139HLTH INSURPAN/AYes (true)
XG HEALTH SOLUTIONS INC
100 NORTH ACADEMY AVENUE MC 49-70DANVILLEPA17822461657345CONSULTINGDEN/AYes (true)
GEISINGER ASSURANCE COMPANY LTD
981016737INSURANCEN/AYes (true)878 WEST BAY ROAD PO BOX 1159GRAND CAYMANGRAND CAYMANCJKY1-1102CJ
HOLY SPIRIT VENTURES INC
100 NORTH ACADEMY AVENUE MC 49-70DANVILLEPA17822232407709MED. SERV.PAN/AYes (true)
ENGLISH CREEK ASSURANCE LTD
980656394FINANCIALN/AYes (true)44 CHURCH STREET HM12 HAMILTONBERMUDABERMUDABDBD
ATLANTICARE HEALTH SOLUTIONS INC
2500 ENGLISH CREEK AVENUE BLDG 500EGG HARBOR TOWNSHIPNJ08234383856295ACO/HEALTHNJN/AYes (true)
ATLANTICARE ASSURANCE ALLIANCE INC
2500 ENGLISH CREEK AVENUE BLDG 500EGG HARBOR TOWNSHIPNJ08234463730123HEALTHCARENJN/AYes (true)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
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 OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (22 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
GEISINGER-BLOOMSBURG HEALTHCARE CEN
M$8,295GAAP
GEISINGER ASSURANCE COMPANY LTD
M$199,912GAAP
GEISINGER CLINIC
M$605GAAP
GEISINGER CLINIC
M$36,054GAAP
GEISINGER COMMUNITY HEALTH SERVICES
L$1,047,576GAAP
GEISINGER COMMUNITY HEALTH SERVICES
M$84,448GAAP
COMMUNITY MEDICAL CENTER
K$15,000FMV
COMMUNITY MEDICAL CENTER
L$6,854GAAP
COMMUNITY MEDICAL CENTER
M$409,660GAAP
GEISINGER HEALTH
C$1,000,000GAAP
GEISINGER HEALTH
L$344GAAP
GEISINGER HEALTH
S$7,881GAAP
GEISINGER HEALTH PLAN
L$1,410,232GAAP
GEISINGER MEDICAL CENTER
M$7,708GAAP
GEISINGER QUALITY OPTIONS INC
L$375GAAP
GEISINGER SYSTEM SERVICES
M$45GAAP
GEISINGER SYSTEM SERVICES
M$565GAAP
GEISINGER SYSTEM SERVICES
M$7,609GAAP
GEISINGER SYSTEM SERVICES
M$459GAAP
GEISINGER SYSTEM SERVICES
M$1,834,828GAAP
GEISINGER INSURANCE CORPORATIONRRG
P$8,898GAAP
GEISINGER INSURANCE CORPORATIONRRG
P$84,942GAAP

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE RFormAndLineReferenceDesc
ExplanationFORM 990, SCHEDULE R, PART V - TRANSACTIONS WITH RELATED ORGANIZATIONS: AS SHOWN IN FORM 990, SCHEDULE R, MOUNTAIN VIEW NURSING HOME, INC. IS CLOSELY AFFILIATED WITH SEVERAL OTHER ORGANIZATIONS. IN THE NORMAL COURSE OF THE OPERATIONS OF THESE AFFILIATED ORGANIZATIONS THERE ARE NUMEROUS INTER ORGANIZATIONAL TRANSACTIONS, WHICH MAY INCLUDE SALES, EXCHANGES AND LEASES OF PROPERTY, EXTENSIONS OF CREDIT, FURNISHING OF GOODS, SERVICES AND FACILITIES, AND TRANSFERS OF ASSETS. THESE INTER ORGANIZATION TRANSACTIONS PROMOTE THE EFFICIENT OPERATION OF THE VARIOUS ORGANIZATIONS AND THE ATTAINMENT OF THEIR TAX EXEMPT PURPOSES. THESE TYPES OF INTER ORGANIZATION TRANSACTIONS WERE DESCRIBED TO THE INTERNAL REVENUE SERVICE IN A RULING APPLICATION AND WERE RECOGNIZED BY THE NATIONAL OFFICE OF THE IRS IN A SERIES OF GEISINGER PRIVATE RULINGS AS BEING ENTIRELY CONSISTENT WITH THE ORGANIZATIONS' TAX EXEMPT STATUS. ___________________________________________________________________________ExplanationTxt