2025-11-17T17:14:19-06:00 2024-12-31 PwC US Tax LLP 2001 MARKET ST SUITE 1800 PHILADELPHIA PA 19103 990 2024-01-01 232171417 MARWORTH % ERIN FITZGERALD CPA MARW 5702716624 100 N ACADEMY AVE MC 49-70 DANVILLE PA 178229800 ERIN M FITZGERALD CPA INTERIM CO-CFO 5702716624 2025-11-14 true ROBERT W FRIZ P00438748 2673303000 2025-11-10 2024 2025-03-06 01:10:19Z GEISINGER MARWORTH TREATMENT CENTER TERRY GILLILAND MD JD 100 N ACADEMY AVE MC 22-01 DANVILLE PA 178229800 13741320 false X www.geisinger.org X 1981 PA STRIVE TO MAKE BETTER HEALTH EASIER BY PROVIDING ACCESS TO AFFORDABLE, HIGH QUALITY HEALTH SERVICES THROUGH EQUITABLE, INNOVATIVE, AND INCLUSIVE CARE MODELS THAT SUPPORT PATIENT CARE, EDUCATION, RESEARCH, AND COMMUNITY SERVICE. 7 4 139 4 0 0 62544 260844 13780547 13291085 104107 118863 81628 70528 14028826 13741320 0 0 0 0 7796814 8046389 0 0 0 6650836 6596385 14447650 14642774 -418824 -901454 7846218 6589727 1997059 3541808 5849159 3047919 X STRIVE TO MAKE BETTER HEALTH EASIER BY PROVIDING ACCESS TO AFFORDABLE, HIGH QUALITY HEALTH SERVICES THROUGH EQUITABLE, INNOVATIVE, AND INCLUSIVE CARE MODELS THAT SUPPORT PATIENT CARE, EDUCATION, RESEARCH, AND COMMUNITY SERVICE. false false 12832561 0 13291085 I. GENERAL PROGRAM SERVICE INFORMATION MARWORTH, DBA GEISINGER MARWORTH TREATMENT CENTER, A 501(C)(3) NOT FOR PROFIT CORPORATION, OWNS AND OPERATES A FACILITY FOR ALCOHOL AND CHEMICAL DETOXIFICATION AND REHABILITATION. MARWORTH PROVIDES SERVICES WITHOUT REGARD TO THE PATIENT'S ABILITY TO PAY. MARWORTH IS CELEBRATING ITS 43RD YEAR OF CARING FOR PATIENTS FROM PENNSYLVANIA, NEW JERSEY, NEW YORK AND NEW ENGLAND. MORE THAN 43,000 PEOPLE HAVE CHOSEN MARWORTH FOR TREATMENT SINCE 1982. MARWORTH PROVIDES BOTH INPATIENT AND OUTPATIENT CARE AT ITS 91-BED FACILITY NEAR SCRANTON, IN WAVERLY, PENNSYLVANIA. THE BED CAPACITY INCREASED FROM 77 TO 91 IN JANUARY 2006. WE PRESENTLY HAVE 91 LICENSED BEDS. (1) AN ADDICTION TREATMENT PROGRAM, WHICH PROVIDES EVIDENCE- BASED SERVICES TO INITIATE AND SUSTAIN RECOVERY FROM SUBSTANCE USE DISORDERS. THE PROGRAM CONSISTS OF THREE PHASES: (A) ASAM LEVEL 3.7 INPATIENT DETOX (B) ASAM LEVEL 3.5 HIGH INTENSITY INPATIENT REHABILITATION (C) ASAM LEVEL 1 AND 2 OUTPATIENT SERVICES (2) FAMILY TREATMENT. A VITAL PROGRAM COMPONENT OF MARWORTH IS FAMILY TREATMENT THAT PROVIDES EDUCATION AND COUNSELING TO FAMILY MEMBERS, ASSURING THE RECOVERY AND THE WELL-BEING OF THE ENTIRE FAMILY UNIT. THIS PROGRAM IS PROVIDED AT NO CHARGE TO THE FAMILY WHILE THE PATIENT IS RECEIVING TREATMENT. WE CURRENTLY OFFER THIS SERVICE BOTH IN PERSON AND VIRTUALLY. (3) NON-RESIDENTIAL SERVICES. MARWORTH ALSO PROVIDES OUTPATIENT TREATMENT SERVICES. MARWORTH IS OPERATED IN CLOSE COOPERATION WITH EDUCATIONAL ACTIVITIES OF GEISINGER CLINIC AND HOSPITAL FACILITIES OF GEISINGER COMMUNITY MEDICAL CENTER AND GEISINGER WYOMING VALLEY MEDICAL CENTER. (4) SPECIALIZED THERAPIES AND PROGRAMS. A. RECREATIONAL THERAPY MARWORTH'S RECREATIONAL THERAPY PROGRAM FEATURES A HIGH ROPES COURSE, A LOW ELEMENTS ROPES COURSE, FITNESS CENTER AND OTHER EXPERIENTIAL LEARNING MEDIUMS. MORE THAN JUST EXERCISE, REC THERAPY ACTIVITIES SIMULATE A WIDE ARRAY OF ADDICTION RECOVERY THEMES, SUCH AS GROUP PROBLEM SOLVING, LEARNING TO TRUST OTHERS, ASKING FOR HELP AND CONFRONTING COMPULSIVE/IMPULSIVE BEHAVIOR. B. EXPRESSIVE THERAPY EXPRESSIVE THERAPIES, SUCH AS MUSIC THERAPY AND SAND TRAY THERAPY, ALLOW INDIVIDUALS IN RECOVERY TO EXPRESS THEMSELVES WITH WORDS. THE PROCESS IS POWERFUL IN STRENGTHENING PHYSICAL, EMOTIONAL, COGNITIVE AND SOCIAL NEEDS. C. DIALECTICAL BEHAVIORAL THERAPY DIALECTICAL BEHAVIORAL THERAPY (DBT) SKILLS TRAINING TEACHES INDIVIDUALS IN ADDICTION TREATMENT THE CRITICAL COPING SKILLS OF MINDFULNESS, DISTRESS TOLERANCE, INTERPERSONAL EFFECTIVENESS AND EMOTION REGULATION. D. TRAUMA THE CONNECTION BETWEEN ADDICTION AND TRAUMA IS STRONG. MARWORTH'S SEEKING SAFETY: TRAUMA & PTSD SUPPORT GROUPS FOR TRAUMA SURVIVORS STRUGGLING WITH ADDICTION FOCUS ON COPING SKILLS, ASKING FOR HELP AND BOUNDARIES. PICC LINE PATIENTS PATIENTS WITH PERIPHERALLY INSERTED CENTRAL CATHETERS (PICC LINES) WHO ARE BEING TREATED FOR VARIOUS INFECTIOUS COMPLICATIONS ARISING FROM THEIR SUBSTANCE USE CAN BE ADMITTED TO THE RESIDENTIAL PROGRAM. THESE PATIENTS ARE TREATED ON AN INDIVIDUAL BASIS. LENGTH OF STAY MAY DEPEND ON THE NUMBER OF DAYS REQUIRED FOR APPROPRIATE ANTIBIOTIC THERAPY. IF THE PATIENT HAS STABILIZED ON A MAINTENANCE DOSE OF BUPRENORPHINE, HE OR SHE WILL BE GIVEN THE OPTION TO CONTINUE THIS THERAPY OR BE TAPERED OFF AND TRANSITIONED TO AN OPIOID BLOCKER. THESE PATIENTS WILL UNDERGO DETOXIFICATION FROM ALL OTHER POTENTIALLY ABUSABLE SUBSTANCES. BUPRENORPHINE STABILIZATION AND MAINTENANCE PATIENTS WITH OPIOID USE DISORDER MAY BE STARTED AND MAINTAINED ON BUPRENORPHINE, THE GOLD STANDARD IN EVIDENCE-BASED TREATMENT FOR THIS DISEASE. THESE PATIENTS WILL BE MAINTAINED ON THE ESTABLISHED MAINTENANCE DOSE OF BUPRENORPHINE AND WILL UNDERGO DETOXIFICATION FROM ALL OTHER POTENTIALLY ABUSABLE SUBSTANCES. ACADEMICS A. ADDICTION MEDICINE FELLOWSHIP THE MARWORTH ADDICTION MEDICINE FELLOWSHIP IS ACCREDITED BY THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION (ACGME) TO TRAIN PHYSICIANS IN ADDICTION MEDICINE. THE FELLOWSHIP ALSO BENEFITS FROM A HRSA GRANT TO SUPPORT THE TRAINING PROGRAM. PHYSICIANS WHO HAVE COMPLETED RESIDENCES IN ANY MEDICAL SPECIALTY AND ARE ABLE TO OBTAIN A PENNSYLVANIA MEDICAL LICENSE, REGISTRATION WITH THE DRUG ENFORCEMENT AGENCY (DEA) AND A BUPRENORPHINE WAIVER ARE ELIGIBLE TO APPLY. ADDICTION MEDICINE FELLOWS RECEIVE ADVANCED TRAINING IN MEDICAL MANAGEMENT OF PATIENTS WITH SUBSTANCE USE DISORDERS, IN ADDITION TO EXPOSURE TO THE VARIOUS NON-MEDICAL ASPECTS OF CARE FOR THIS PATIENT POPULATION. IN ADDITION TO SPENDING TIME AT MARWORTH, FELLOWS ROTATE THROUGH SEVERAL OTHER FACILITIES, WHERE THEY WORK WITH ADDICTION MEDICINE SPECIALISTS IN THE HOSPITAL SETTING, PAIN MANAGEMENT SPECIALISTS AND MENTAL HEALTH PROFESSIONALS. THEY ALSO SPEND A SIGNIFICANT AMOUNT OF TIME AT THE GEISINGER MEDICATION-ASSISTED TREATMENT CLINICS WHERE THEY PROVIDE CARE FOR PATIENTS WITH SUBSTANCE USE DISORDERS IN THE OUTPATIENT SETTING. B. TRAINING OPPORTUNITIES FOR OTHER MEDICAL TRAINEES THERE ARE 105 RESIDENTS AND MEDICAL STUDENTS SCHEDULED TO ROTATE THROUGH ADDICTION MEDICINE PROGRAM IN THE 2023/2024 ACADEMIC YEAR. LEARNERS ARE FROM THE FOLLOWING RESIDENCY PROGRAMS AND GEISINGER COMMONWEALTH SCHOOL OF MEDICINE (GCSOM): . FAMILY MEDICINE NORTHEAST . INTERNAL MEDICINE NORTHEAST . FAMILY MEDICINE LEWISTOWN . INTERNAL MEDICINE DANVILLE/CENTRAL REGION . MEDICINE/PEDIATRICS DANVILLE . GCSOM II. UNCOMPENSATED CARE MARWORTH RECOGNIZES THAT ITS MISSION IS TO SERVE ALL THE MEMBERS OF THE COMMUNITY WITH RESPECT TO THE PROVISION OF HEALTHCARE SERVICES AND HEALTHCARE EDUCATION. MARWORTH PROVIDES QUALITY MEDICAL HEALTHCARE REGARDLESS OF RACE, RELIGION, ETHNICITY, SEXUAL ORIENTATION, GENDER IDENTITY, HANDICAP, AGE OR ABILITY TO PAY. IN THIS REGARD, MARWORTH 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 MARWORTH PRACTICES. A. CHARITY CARE THE PRIMARY CONCERN OF MARWORTH IS THE DELIVERY OF CARE TO ALL, REGARDLESS OF THEIR ABILITY TO PAY. THE UNREIMBURSED COST OF CHARITY CARE REPRESENTS THE COST THAT MARWORTH INCURS BY PROVIDING FREE OR DISCOUNTED SERVICES TO THOSE WHO CANNOT AFFORD TO PAY FOR SERVICES. THE COST TO MARWORTH OF PROVIDING THIS CHARITY CARE AND POLICY DEDUCTIONS DURING YEAR ENDED DECEMBER 31, 2024 WAS $158,489. B. MEDICAID / OTHER GOVERNMENTAL IN RECOGNIZING ITS MISSION TO THE COMMUNITY, MARWORTH PROVIDES SERVICES TO MEDICAID PATIENTS THROUGH ACT 152 AND COUNTY PROGRAMS. MARWORTH PROVIDES CARE, BELOW COST, TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS. TO THE EXTENT REIMBURSEMENT IS BELOW THE COST OF PROVIDING HEALTH CARE, MARWORTH IS FURTHERING ITS CHARITABLE MISSION TO THE ENTIRE COMMUNITY. THE UNREIMBURSED VALUE OF PROVIDING CARE TO MEDICAID AND OTHER GOVERNMENTAL (ACT 152/COUNTY) PATIENTS DURING THE YEAR ENDED DECEMBER 31, 2024 WAS $1,822,955. III. GENERAL PROGRAM SERVICES A. OTHER CASH CONTRIBUTIONS MARWORTH PROVIDES FINANCIAL ASSISTANCE TO THE COMMUNITY THROUGH COMMUNITY ASSISTANCE PAYMENTS. THE VALUE OF THE PAYMENTS WAS $23,600 DURING THE YEAR ENDED DECEMBER 31, 2024. IV. COMMUNITY BENEFIT SUMMARY CHARITY CARE $ 158,489 MEDICAID / OTHER GOVERNMENTAL 1,822,955 COMMUNITY ASSISTANCE PAYMENT 23,600 TOTAL COMMUNITY BENEFIT $ 2,005,044 V. STATISTICS ADMISSIONS 1,047 DISCHARGES 1,058 PATIENT SERVICE DAYS 23,459 OUTPATIENT VISITS 1,258 BEDS 91 12832561 true true false true false false false false false true true false false true true false false true false false false false false false false false false false false true false false false false false false false false true false false false false true true true true false true X 0 0 true 139 true false false false false false false false false false false false false X 7 4 true false false false true true true true true false false true true true true true true true true false MA PA X ERIN FITZGERALD CPA 5702142299 100 N ACADEMY AVE MC 49-70 DANVILLE PA 178229800 JAEWON RYU MD JD PRESIDENT, DIRECTOR 0.0 40.0 X X 0 8428472 5867423 TERRY GILLILAND MD PRESIDENT, DIRECTOR 0.0 40.0 X X 0 2349920 867580 KEVIN V ROBERTS MBA EVP, CFO, TREASURER 0.0 40.0 X 0 2685093 66232 STEVEN B BENDER ESQ EVP, CLO, SECRETARY 0.0 40.0 X 0 905815 244367 RONALD BEER MHA DIRECTOR 0.0 40.0 X 0 876035 116292 GERALD V MALONEY DO DIRECTOR 0.0 40.0 X 0 835370 133826 LORI R GRAMLEY ESQ ACLO, ASSISTANT SECRETARY 0.0 40.0 X 0 367079 52253 MICHAEL W OGDEN MPH EXECUTIVE DIRECTOR, MARWORTH 40.0 0.0 X 210851 0 29644 DAVID SMITH RN INPATIENT RN 40.0 0.0 X 106775 0 45628 CYNTHIA SUPINSKI RN INPATIENT RN 40.0 0.0 X 114823 0 23978 DEBRA HAWLEY RN INPATIENT RN 40.0 0.0 X 117547 0 21060 SHERILL KWIATKOWSKI RN INPATIENT RN 40.0 0.0 X 118187 0 7159 MATTHEW WALSH DIRECTOR 0.0 40.0 X 0 8926 2890 JEFFREY A JACOBSON CHAIR, DIRECTOR 0.25 2.75 X 0 0 0 V CHRIS HOLCOMBE PE VICE CHAIR, DIRECTOR 0.25 2.75 X 0 0 0 BENJAMIN K CHU MDMPHMACP DIRECTOR 0.25 3.25 X 0 0 0 VIRGINIA MCGREGOR DIRECTOR 0.25 3.0 X 0 0 0 668183 16456710 7478332 7 false true false NETSMART TECHNOLOGIES INC PO BOX 713519 Philadelphia PA 19171 IT SERVICES 144637 SHEPPARD PRATT HEALTH SYSTEM 6501 N CHARLES STREET BALTIMORE MD 212046819 HEALTH SERVICES 124655 2 20844 240000 240000 260844 DRUG AND ALCOHOL TREATMENT 623220 12892394 12892394 INTERCOMPANY REVENUE 541900 211072 211072 INTERCOMPANY RENTAL REVENUE 531120 187619 187619 13291085 118863 118863 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 GIFT SHOP 453220 39435 39435 CAFETERIA 722514 16936 16936 EMPLOYEE LOAN RESERVE 900099 12472 12472 1685 1685 70528 13741320 13103466 0 377010 0 0 0 0 0 0 5699971 5210168 489803 248366 227024 21342 1670966 1527379 143587 427086 390386 36700 0 0 0 452 452 0 31782 31782 410918 205122 205796 0 854018 697639 156379 103331 6134 97197 0 472424 414021 58403 138979 138064 915 0 322 322 24827 21758 3069 0 436844 382839 54005 264559 121596 142963 INTER-ENTITY EXPENSE 3494007 3207228 286779 MEDICAL SUPPLIES 240284 211959 28325 BOOKS, LICENSES, FEES, DUES 22348 13360 8988 OTHER TAXES 11632 11632 89658 45930 43728 14642774 12832561 1810213 0 0 1518 2611398 1383929 0 0 1741946 1204967 0 0 0 0 17762 3377 0 0 85918 18035 12029675 8502057 3389194 3527618 0 0 0 0 0 0 0 0 0 450283 7846218 6589727 80880 295327 0 0 0 0 612643 0 0 0 0 0 0 16009 0 0 1303536 3230472 1997059 3541808 X 5849159 3047919 0 0 5849159 3047919 7846218 6589727 X -901454 1408 -1901194 X X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 452 452 false 0 SCHEDULE C, PART II-B, 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 342302 342302 8927317 6703886 2223431 1035352 774053 261299 1724704 1024118 700586 3527618 DUE FROM AFFILIATES 443629 OTHER ASSETS 6654 450283 0 Due to Affiliates 3074243 Other Liabilities 156229 3230472 PART V, LINE 4 - INTENDED USES FOR ENDOWMENT FUNDS TO SUPPORT RESEARCH, CAPITAL, PROGRAM EXPENSES, PATIENT CARE, AND PATIENT EDUCATION. 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 false true false false false false false false false 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 STEVEN B BENDER ESQ EVP, CLO, SECRETARY 0 708600 0 0 0 197215 0 209306 0 35061 0 1150182 0 167904 RONALD BEER MHA DIRECTOR 0 464048 0 75000 0 336987 0 73699 0 42593 0 992327 0 48140 GERALD V MALONEY DO DIRECTOR 0 720238 0 0 0 115132 0 98569 0 35257 0 969196 0 62504 LORI R GRAMLEY ESQ ACLO, ASSISTANT SECRETARY 0 338553 0 0 0 28526 0 24306 0 27947 0 419332 0 0 MICHAEL W OGDEN MPH EXECUTIVE DIRECTOR, MARWORTH 203635 0 0 0 7216 0 12100 0 17544 0 240495 0 0 0 DAVID SMITH RN INPATIENT RN 96998 0 188 0 9589 0 5343 0 40285 0 152403 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 PAYMENTS SEVERANCE NONQUALIFIED EQUITY-BASED JAEWON RYU, MD, JD 0 1,479,829 0 STEVEN B. BENDER, ESQUIRE 0 167,904 0 GERALD V. MALONEY, DO 0 62,504 0 RONALD BEER, MHA, FACHE 0 48,140 0 PART III - OTHER ADDITIONAL INFORMATION 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. X LAND 1 240000 FMV 1 false true false 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. AS THE ACCOUNTS PAYABLE PROCESSOR, GSS PREPARES AND FILES FORM 1099 UNDER ITS EIN FOR 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. 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 BENJAMIN K. CHU, MD, MPH, MACP, GERALD V. MALONEY, DO, JAEWON RYU, MD, JD, JEFFREY A. JACOBSON, KEVIN V. ROBERTS, MBA, CPA, LORI R. GRAMLEY, ESQUIRE, RONALD BEER, MHA, FACHE, STEVEN B. BENDER, ESQUIRE, 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 CLASSES OF MEMBERS OR STOCKHOLDERS THE MEMBERS OF THE CORPORATION HAVE THE POWER AND AUTHORITY TO ELECT AND REMOVE THE DIRECTORS; ELECT AND REMOVE THE PRESIDENT AND FILL ANY VACANCY IN THE OFFICE OF THE PRESIDENT OF THE CORPORATION; AND, MAY APPROVE AMENDMENTS TO THE CORPORATE BYLAWS IN LIEU OF SUCH APPROVAL BY THE BOARD OF DIRECTORS. THE MEMBERS ALSO HAVE THE RESERVE POWERS AS SET FORTH IN THE PENNSYLVANIA NONPROFIT CORPORATION LAW. FORM 990, PART VI, LINE 7A - ELECTION OF MEMBERS AND THEIR RIGHTS 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 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 990, PART VI, LINE 12C - ENFORCEMENT OF CONFLICTS OF INTEREST POLICY 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 990, PART VI, LINE 15A & 15B - COMPENSATION PROCESS 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. FORM 990, PART VI, LINE 19 - GOVERNING DOCUMENTS DISCLOSURE EXPLANATION 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 XI, LINE 9 - OTHER CHANGES IN NET ASSETS EXPLANATION OTHER CHANGES IN NET ASSETS EXPLANATION TRANSFER FROM PARENT - GEISINGER HEALTH $ 58,630 GAIN FROM EXTINGUISHMENT OF DEBT $ 38,069 DERIVATIVE TRANSFER FROM RISANT/KAISER $ 2,107 TRANSFER TO RISANT/KAISER PERMANENTE ($2,000,000) TOTAL ($1,901,194) FORM 990, PART XII, LINE 3A AS A RESULT OF A FEDERAL AWARD, WAS THE ORGANIZATION REQUIRED TO UNDERGO AN AUDIT OR AUDITS AS SET FORTH IN THE UNIFORM GUIDANCE, 2 C.F.R. PART 200, SUBPART F? 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. KAISER FOUNDATION HOSPITALS ONE KAISER PLAZA - 26TH FL OAKLAND CA 94612 941105628 HEALTH CARE CA 501(C)(3) 3 NA false KAISER FOUNDATION HEALTH PLAN INC ONE KAISER PLAZA - 26TH FL OAKLAND CA 94612 941340523 HEALTH CARE CA 501(C)(3) 10 NA false KAISER FDN HEALTH PLAN OF COLORADO ONE KAISER PLAZA - 26TH FL OAKLAND CA 94612 840591617 HEALTH CARE CO 501(C)(3) 10 KFHP INC false KAISER FDN HEALTH PLAN OF GEORGIA INC ONE KAISER PLAZA - 26TH FL OAKLAND CA 94612 581592076 HEALTH CARE GA 501(C)(3) 10 KFHP INC false KAISER FOUNDATION HEALTH PLAN OF THE MAS ONE KAISER PLAZA - 26TH FL OAKLAND CA 94612 520954463 HEALTH CARE MD 501(C)(3) 10 KFHP INC false KAISER FDN HEALTH PLAN OF THE NORTHWEST ONE KAISER PLAZA - 26TH FL OAKLAND CA 94612 930798039 HEALTH CARE OR 501(C)(3) 10 KFHP INC false KAISER FDN HEALTH PLAN OF WASHINGTON ONE KAISER PLAZA - 26TH FL OAKLAND CA 94612 910511770 HEALTH CARE WA 501(C)(3) 3 KFHPW HLDGS false KAISER HOSPITAL ASSET MANAGEMENT INC ONE KAISER PLAZA - 26TH FL OAKLAND CA 94612 943299125 ASSET MGMT CA 501(C)(3) 12-I KFH false KAISER HEALTH PLAN ASSET MANAGEMENT INC ONE KAISER PLAZA - 26TH FL OAKLAND CA 94612 943299124 ASSET MGMT CA 501(C)(3) 12-I KFHP INC false CAMP BOWIE SERVICE CENTER ONE KAISER PLAZA - 26TH FL OAKLAND CA 94612 943299123 ADMIN CA 501(C)(3) 12-I KFHP INC false LOKAHI ASSURANCE LTD ONE KAISER PLAZA - 26TH FL OAKLAND CA 94612 912171891 WC PLACEMENT HI 501(C)(3) 12-I KFHP INC false 1800 HARRISON FOUNDATION ONE KAISER PLAZA - 26TH FL OAKLAND CA 94612 943317484 FINANCING CA 501(C)(3) 12-I KFHP INC false KAISER HOSPITAL ASSISTANCE CORPORATION ONE KAISER PLAZA - 26TH FL OAKLAND CA 94612 311779500 FINANCING CA 501(C)(3) 12-I KFH false KAISER HEALTH ALTERNATIVES ONE KAISER PLAZA - 26TH FL OAKLAND CA 94612 930954562 HEALTH CARE OR 501(C)(3) 10 KFHP INC false KP BERNARD J TYSON SCHOOL OF MEDICINE ONE KAISER PLAZA - 26TH FL OAKLAND CA 94612 814053028 MEDICAL EDUCA CA 501(C)(3) 2 KFH false KFHPW HOLDINGS ONE KAISER PLAZA - 26TH FL OAKLAND CA 94612 930480268 HEALTH CARE WA 501(C)(3) 12-I KFHP INC false GROUP HEALTH NORTHWEST ONE KAISER PLAZA - 26TH FL OAKLAND CA 94612 911216856 INACTIVE WA 501(C)(3) 12-I KFHP OF WA false KAISER FDN FOR THE ADV OF INTEGRATED HC ONE KAISER PLAZA - 26TH FL OAKLAND CA 94612 823819611 ADVOCACY CA 501(C)(4) N/A KFHP INC false KAISER FDN HEALTH PLAN OF NEVADA INC ONE KAISER PLAZA - 26TH FL OAKLAND CA 94612 372097870 HEALTH CARE DE 501(C)(4) N/A KFHP INC false KP MEDICAL FOUNDATION ONE KAISER PLAZA - 26TH FL OAKLAND CA 94612 920685740 HEALTH CARE DE 501(C)(3) 12-I KFHP INC false KFH HOLDINGS INC ONE KAISER PLAZA - 26TH FL OAKLAND CA 94612 884172095 HOLDING CO DE 501(C)(3) 12-I KFH false RISANT HEALTH INC ONE KAISER PLAZA - 26TH FL OAKLAND CA 94612 923467590 HEALTH CARE DE 501(C)(3) 12-I RISANT HLTH false GEISINGER HEALTH 100 N ACADEMY AVE MC 49-70 DANVILLE PA 17822 231995911 PHILANTHROPY PA 501(C)(3) 7 RISANT HLTH false COMMUNITY MEDICAL CENTER 100 N ACADEMY AVE MC 49-70 DANVILLE PA 17822 240862246 HEALTH CARE PA 501(C)(3) 3 GH false GEISINGER-BLOOMSBURG HOSPITAL 100 N ACADEMY AVE MC 49-70 DANVILLE PA 17822 232193572 HEALTH CARE PA 501(C)(3) 3 GH false GEISINGER CLINIC 100 N ACADEMY AVE MC 49-70 DANVILLE PA 17822 236291113 HEALTH CARE PA 501(C)(3) 3 GH false GEISINGER COMMONWEALTH SCH OF MEDICINE 100 N ACADEMY AVE MC 49-70 DANVILLE PA 17822 260812968 MEDICAL EDU PA 501(C)(3) 2 GH false GEISINGER COMMUNITY HEALTH SERVICES 100 N ACADEMY AVE MC 49-70 DANVILLE PA 17822 232967235 HEALTH CARE PA 501(C)(3) 10 GSS false GEISINGER HEALTH PLAN 100 N ACADEMY AVE MC 49-70 DANVILLE PA 17822 232311553 HEALTH CARE PA 501(C)(4) N/A GH false GEISINGER INSURANCE CORPORATION RRG 100 N ACADEMY AVE MC 49-70 DANVILLE PA 17822 141909894 INSURANCE VT 501(C)(3) 12-I GH false GEISINGER JERSEY SHORE HOSPITAL 100 N ACADEMY AVE MC 49-70 DANVILLE PA 17822 240792115 HEALTH CARE PA 501(C)(3) 3 GH false GEISINGER-LEWISTOWN HOSPITAL 100 N ACADEMY AVE MC 49-70 DANVILLE PA 17822 231352187 HEALTH CARE PA 501(C)(3) 3 GH false GEISINGER MEDICAL CENTER 100 N ACADEMY AVE MC 49-70 DANVILLE PA 17822 240795959 HEALTH CARE PA 501(C)(3) 3 GH false GEISINGER MEDICAL CENTER MUNCY 100 N ACADEMY AVE MC 49-70 DANVILLE PA 17822 851226106 HEALTH CARE PA 501(C)(3) 3 GHMJV false GEISINGER SYSTEM SERVICES 100 N ACADEMY AVE MC 49-70 DANVILLE PA 17822 232164794 SUPPORT SVCS PA 501(C)(3) 12-I GH false GSL HOSPITAL 801 OSTRUM STREET BETHLEHEM PA 18015 824432109 HEALTH CARE PA 501(C)(3) 3 GH false GSLPG INC 801 OSTRUM STREET BETHLEHEM PA 18015 825423865 HEALTH CARE PA 501(C)(3) 3 GSL HOSPITAL false GEISINGER WYOMING VALLEY MEDICAL CENTER 100 N ACADEMY AVE MC 49-70 DANVILLE PA 17822 231996150 HEALTH CARE PA 501(C)(3) 3 GH false KEYSTONE HEALTH INFORMATION EXCHANGEINC 100 N ACADEMY AVE MC 49-70 DANVILLE PA 17822 464359893 HEALTH CARE PA 501(C)(3) 12-I GH false WEST SHORE ADVANCED LIFE SUPPORT SVCS 100 N ACADEMY AVE MC 49-70 DANVILLE PA 17822 232463002 HEALTH CARE PA 501(C)(3) 7 GC false GNJ PHYSICIANS GROUP PC 100 N ACADEMY AVE MC 49-70 DANVILLE PA 17822 820681884 HEALTH CARE NJ 501(C)(3) 10 GH false THE MOSES H CONE MEMORIAL HOSPITAL 1200 NORTH ELM ST GREENSBORO NC 27401 560532302 HEALTH CARE NC 501(C)(3) 12-II RISANT HLTH false THE MOSES H CONE MEMORIAL HOPS OPER CORP 1200 NORTH ELM ST GREENSBORO NC 27401 581588823 HEALTH CARE NC 501(C)(3) 3 MC HOSPITAL false MOSES CONE AFFILIATED PHYSICIANS INC 1200 NORTH ELM ST GREENSBORO NC 27401 300554775 HEALTH CARE NC 501(C)(3) 3 MC HOSPITAL false MOSES CONE PHYSICIAN SERVICES INC 1200 NORTH ELM ST GREENSBORO NC 27401 800249057 HEALTH CARE NC 501(C)(3) 3 MC HOSPITAL false MOSES CONE MEDICAL SERVICES INC 1200 NORTH ELM ST GREENSBORO NC 27401 561714318 HEALTH CARE NC 501(C)(3) 3 MC HOSPITAL false REIDSVILLE OB & GYN PHYSICIANS INC 1200 NORTH ELM ST GREENSBORO NC 27401 800217430 HEALTH CARE NC 501(C)(3) 3 MC HOSPITAL false ARMC HEALTH CARE 1200 NORTH ELM ST GREENSBORO NC 27401 581681363 HEALTH CARE NC 501(C)(3) 3 MC HOSPITAL false ALAMANCE REGIONAL MEDICAL CENTER INC 1200 NORTH ELM ST GREENSBORO NC 27401 560529994 HEALTH CARE NC 501(C)(3) 3 ARMC HC false CONE HEALTH PHILANTHROPIC FOUNDATION 1200 NORTH ELM ST GREENSBORO NC 27401 581681560 FUNDRAISING NC 501(C)(3) 12-II ALAMANCE MC false ARMC PHYSICIANS CARE INC 1200 NORTH ELM ST GREENSBORO NC 27401 562095382 HEALTH CARE NC 501(C)(3) 3 ARMC HC false THE MOSES CONE - WESLEY LONG HEALTH FDN 1200 NORTH ELM ST GREENSBORO NC 27401 562001399 FUNDING NC 501(C)(3) 12-II MC HOSPITAL false ALAMANCE COMMUNITY & HEALTH FDN INC 1200 NORTH ELM ST GREENSBORO NC 27401 462505818 FUNDING NC 501(C)(3) 12-II ALAMANCE MC false REF CONE INC 20 NORTH BENBOW ROAD GREENSBORO NC 27411 991330813 REAL ESTATE NC 501(C)(3) 12-I MC HOSPITAL false NXT CAP SR LOAN FUND I LLC 191 N WACKER DR STE 1200 CHICAGO IL 60606 371651297 INVESTMENT DE NA N/A 0 0 0.00000 MAUI NUI ASC HOLDCO LLC ONE KAISER PLAZA - 26TH FL OAKLAND CA 94612 HOLDING CO HI NA N/A 0 0 0.00000 KEYSTONE ACCOUNTABLE CARE ORGANIZATION 100 N ACADEMY AVE MC 49-70 DANVILLE PA 17822 455484165 ACCOUNTABLE CARE PA NA N/A 0 0 0.00000 NSC GREENSBORO WEST 3000 RIVERCHASE GALLERIA BIRMINGHAM AL 35244 561963226 HEALTH CARE AL NA N/A 0 0 0.00000 GEISINGER HM JOINT VENTURE LLC 100 N ACADEMY AVE MC 49-70 DANVILLE PA 17822 831871064 HEALTH CARE PA NA N/A 0 0 0.00000 EVANGELICAL-GEISINGER HEALTH LLC 100 N ACADEMY AVE MC 49-70 DANVILLE PA 17822 460567687 HEALTH CARE PA NA N/A 0 0 0.00000 GEISINGER ENCOMPASS HEALTH LLC 100 N ACADEMY AVE MC 49-70 DANVILLE PA 17822 721398803 HEALTH CARE PA NA N/A 0 0 0.00000 KEYSTONE HEALTHCARE PARTNERSHIP LLC 100 N ACADEMY AVE MC 49-70 DANVILLE PA 17822 833134941 HEALTH CARE PA NA N/A 0 0 0.00000 HTA HOLDINGS LLC 1200 NORTH ELM ST GREENSBORO NC 27401 920615196 HOLDING COMPANY NC NA N/A 0 0 0.00000 CONE HEALTH VENTURES LLC 1200 NORTH ELM ST GREENSBORO NC 27401 920712783 INNOVATION NC NA N/A 0 0 0.00000 OAK TREE ASSURANCE LTD ONE KAISER PLAZA - 26TH FL OAKLAND CA 94612 030329760 INSURANCE VT NA C CORP 0 0 0.00000 false KAISER PERMANENTE INSURANCE COMPANY ONE KAISER PLAZA - 26TH FL OAKLAND CA 94612 943203402 INSURANCE CA NA C CORP 0 0 0.00000 false KAISER PERMANENTE INTERNATIONAL ONE KAISER PLAZA - 26TH FL OAKLAND CA 94612 943245176 CONSULTING CA NA C CORP 0 0 0.00000 false KFHP OF WASHINGTON OPTIONS INC ONE KAISER PLAZA - 26TH FL OAKLAND CA 94612 911467158 INSURANCE WA NA C CORP 0 0 0.00000 false GROUP HEALTH OF WASHINGTON ONE KAISER PLAZA - 26TH FL OAKLAND CA 94612 911314907 INACTIVE WA NA C CORP 0 0 0.00000 false GARFIELD HEALTH SOLUTIONS EAST PVT LTD LEVEL 10 TOWER C PANCHSHIL BUSINESS BALEWADI PUNE IN 411045 ADMIN IN NA C CORP 0 0 0.00000 false GARFIELD HEALTH SOLUTIONS WEST SRL ULTRAPARK II FREE TRADE ZONE BLD 4 LAGUNILLA HEREDIA CS ADMIN CS NA C CORP 0 0 0.00000 false GEISINGER ASSURANCE COMPANY LTD PO BOX 1159 GRAND CAYMAN CJ KY1-1102 981016737 FINANCIAL CJ NA C CORP 0 0 0.00000 false GEISINGER INDEMNITY INSURANCE COMPANY 100 N ACADEMY AVE MC 49-70 DANVILLE PA 17822 232815174 INSURANCE PA NA C CORP 0 0 0.00000 false GEISINGER QUALITY OPTIONS INC 100 N ACADEMY AVE MC 49-70 DANVILLE PA 17822 204275139 INSURANCE PA NA C CORP 0 0 0.00000 false ISS SOLUTIONS INC 100 N ACADEMY AVE MC 49-70 DANVILLE PA 17822 232077663 CLIN ENGINEERING PA NA C CORP 0 0 0.00000 false CARE N' CARE INSURANCE CO NORTH CAROLINA 1200 NORTH ELM ST GREENSBORO NC 27401 472847536 INSURANCE NC NA C CORP 0 0 0.00000 false WESLEY LONG COMMUNITY HEALTH SVCS INC 1200 NORTH ELM ST GREENSBORO NC 27401 561441377 HEALTH CARE NC NA C CORP 0 0 0.00000 false INSURANCE CASUALTY AND RISK ENTERPRISE PO BOX 1159 GRAND CAYMAN CJ KY1-1102 981491204 INSURANCE CJ NA C CORP 0 0 0.00000 false PIEDMONT PRACTICE ASSOCIATES INC 1200 NORTH ELM ST GREENSBORO NC 27401 561954739 HEALTH CARE NC NA C CORP 0 0 0.00000 false true false true false false false false false false false false true true false false false false false true GEISINGER ASSURANCE COMPANY LTD P 121596 GAAP GEISINGER CLINIC M 1123433 GAAP GEISINGER HEALTH B 2000000 GAAP GEISINGER HEALTH C 58630 GAAP GEISINGER HEALTH S 184126 GAAP GEISINGER HEALTH PLAN L 244326 GAAP GEISINGER QUALITY OPTIONS INC L 112000 GAAP GEISINGER SYSTEM SERVICES A 187619 FMV GEISINGER SYSTEM SERVICES M 2493183 GAAP GEISINGER WYOMING VALLEY MEDICAL CENTER M 54963 GAAP FORM 990, SCHEDULE R, PART V - TRANSACTIONS WITH RELATED ORGANIZATIONS AS SHOWN IN FORM 990, SCHEDULE R, MARWORTH 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 INTERORGANIZATION 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.