2025-11-17T16:18:54-05:00 2024-12-31 PwC US Tax LLP 2001 MARKET ST SUITE 1800 PHILADELPHIA PA 19103 990 2024-01-01 232164794 GEISINGER SYSTEM SERVICES % ERIN FITZGERALD CPA GEIS 5702716624 100 N ACADEMY AVE MC 49 70 DANVILLE PA 178229800 ERIN M FITZGERALD CPA INTERIM CO-CFO 5702716624 2025-11-11 true ROBERT W FRIZ P00438748 2673303000 2025-11-10 2024 2025-03-06 01:10:19Z TERRY GILLILAND MD 100 N ACADEMY AVE MC 22-01 DANVILLE PA 178229800 836974646 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 4643 4 1970393 400828 739796 3282765 792043784 811111685 7559288 22246584 1001029 229011 801343897 836870045 25000 0 0 0 404210610 415668632 0 0 0 405838794 419225828 810074404 834894460 -8730507 1975585 1538452546 2667396878 1282635646 2142398144 255816900 524998734 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 746029618 0 811111685 FORM 990, PART III, LINE 4A - FIRST ACCOMPLISHMENT I. GENERAL PROGRAM SERVICE INFORMATION GEISINGER SYSTEM SERVICES (GSS), A 501(C)(3) NON-PROFIT CORPORATION, PROVIDES MANAGEMENT AND CONSULTATIVE SERVICES, AT COST, TO OTHER ENTITIES WITHIN GEISINGER. GSS PREPARES, IMPLEMENTS, AND AUDITS POLICIES AND PROCEDURES OF SYSTEM WIDE RELEVANCE AND IMPLEMENTS UNIFORM STANDARDS AND METHODS OF MANAGEMENT THROUGHOUT THE SYSTEM. SERVICES HISTORICALLY PROVIDED BY GSS TO OTHER ENTITIES WITHIN GEISINGER INCLUDE: APPOINTMENT SERVICES INTERNAL AUDIT AUTOMOTIVE SERVICES LEGAL SERVICES BUSINESS OFFICE MAIL SERVICES CARE SUPPORT SERVICES MARKETING COURIER SERVICES MEDICAL LIBRARY CUSTOMER ACCESS MEDICAL RECORDS CUSTOMER SERVICE CALL CENTER PATIENT EXPERIENCE DIVERSITY, EQUITY AND INCLUSION (DEI) PATIENT PLACEMENT SERVICES ELEVATOR OPERATIONS PLANT ENGINEERING EMPLOYEE BENEFIT ADMINISTRATION POWER PLANT FACILITIES PLANNING AND MANAGEMENT QUALITY AND SAFETY FINANCIAL SERVICES REPROGRAPHICS GENERAL MAINTENANCE RISK MANAGEMENT GROUNDS SUPPLY CHAIN HUMAN RESOURCES TRANSCRIPTION SERVICES INFORMATION SYSTEMS* * INCLUDES THE OPERATION AND MAINTENANCE OF THE ELECTRONIC HEALTH RECORDS FOR ALL PATIENTS OF THE VARIOUS GEISINGER PROVIDERS. II. COMMUNITY HEALTH, EDUCATION, AND OUTREACH GEISINGER SYSTEM SERVICES PROVIDES REDUCED PRICE SERVICES AND FREE PROGRAMS THROUGHOUT THE YEAR TO VARIOUS ORGANIZATIONS. THE PROVISION OF THESE SERVICES AND PROGRAMS IS BASED UPON THE ACTIVITIES AND SERVICES THAT THE ORGANIZATIONS PROVIDE FOR THE COMMUNITY AND WHICH GEISINGER SYSTEM SERVICES BELIEVES WILL SERVE A BONA FIDE COMMUNITY NEED. THESE COMMUNITY SERVICES AND ORGANIZATIONS RECEIVED CASH DONATIONS OR IN-KIND SERVICES DESCRIBED BELOW. A. HEALTH PROFESSIONS EDUCATION B. GSS PROVIDED $10,719 IN CONNECTION WITH TEACHING RADIOGRAPHIC SCIENCE DURING THE YEAR ENDED DECEMBER 31, 2024. C. OTHER IN-KIND SERVICES GSS PROVIDED OVERHEAD SERVICES INCLUDING BUT NOT LIMITED TO, ELECTRONIC MEDICAL RECORDS INFORMATION TECHNOLOGY SERVICES TO EVANGELICAL COMMUNITY HOSPITAL AT AN UNREIMBURSED COST OF $1,000,144, AND MAINTENANCE AND PRINT SHOP SERVICES TO THE RONALD MCDONALD HOUSE AT AN UNREIMBURSED COST OF $42,062 DURING THE YEAR ENDED DECEMBER 31, 2024. D. COMMUNITY BUILDING IN 2024, GSS PROVIDED STAFF IN SUPPORT OF THE DEVELOPMENT AND MAINTENANCE OF THE PLAIN COMMUNITY OUTREACH IN THE AMOUNT OF $133,816. E. OTHER COMMUNITY BENEFIT GSS EMPLOYEES PARTICIPATE IN THE COMMUNITY HEALTH NEEDS ASSESSMENT TEAM TO ASSIST IN THE IDENTIFICATION OF THE NEEDS OF THE COMMUNITY GEISINGER SERVES. THE UNCOMPENSATED COST OF THIS TIME AND THE RELATED TRACKING TOOL WAS $138,096 DURING THE YEAR ENDED DECEMBER 31, 2024. III. COMMUNITY SERVICE SUMMARY COMMUNITY HEALTH, EDUCATION AND OUTREACH $1,324,837 746029618 true false false true false false false false false false true true false true true false false true false false false false false false false false false false false true false false false true false false false false false false false false false true true true true false true X 1166 0 true 4643 true true true false false false false false false false false false true false X 7 4 true false false false true true true true true false false true true true true true true true true false PA X ERIN FITZGERALD CPA 5702142299 100 N ACADEMY AVE MC 49-70 DANVILLE PA 178229800 JAEWON RYU MD JD PRESIDENT, DIRECTOR 40.0 0.0 X X 3050634 5377838 5867423 TERRY GILLILAND MD PRESIDENT, DIRECTOR 40.0 0.0 X X 2349920 0 867580 KEVIN V ROBERTS MBA CPA EVP, CFO, TREASURER 40.0 0.0 X 2685093 0 66232 DOMINIC MOFFA MBA FACHE EVP, CHIEF STRATEGY OFFICER 40.0 0.0 X 2117853 0 255677 AMY B BRAYFORD EVP, CHIEF OF STAFF 40.0 0.0 X 1747154 0 333027 GREGORY G SCHULER CFA CHIEF INVESTMENT OFFICER 40.0 0.0 X 1979563 0 26141 JANET F TOMCAVAGE RN MSN EVP, CHIEF NURSING EXECUTIVE 40.0 0.0 X 1567284 0 204611 KAREN MURPHY RN PHD SENIOR ADVISOR 40.0 0.0 X 1150153 0 39104 STEVEN B BENDER ESQUIRE EVP, CLO, SECRETARY 40.0 0.0 X 905815 0 244367 MICHAEL LIMA CFA DEPUTY CIO 40.0 0.0 X 977254 0 57212 RONALD BEER MHA FACHE INTERIM COO 0.0 40.0 X 0 876035 116292 SPENCER KOWAL MHA CFO, CLINICAL ENTERPRISE 40.0 0.0 X 842490 0 144417 GERALD V MALONEY DO DIRECTOR 0.0 40.0 X 0 835370 133826 MIKE ANGELAKOS DRPH MBA CHIEF INFORMATION OFFICER 40.0 0.0 X 798180 0 137244 MEGAN BROSIOUS FORMER KEY EMPLOYEE 0.0 40.0 X 0 688185 110253 TIMOTHY D FITZGERALD CFA CHIEF STRATEGY OFFICER 40.0 0.0 X 641316 0 120975 BRION T LIEBERMAN CHIEF HUMAN RESOURCES OFFICER 40.0 0.0 X 618475 0 119486 DAVID VAWDREY CHIEF DATA INFORMATICS OFFICER 40.0 0.0 X 627060 0 63073 ROBERT DEWAR VP, CHIEF REVENUE OFFICER 40.0 0.0 X 588520 0 36924 KEVIN J KERESTUS CIA CHIEF ASSURANCE OFFICER 40.0 0.0 X 540677 0 56761 DANIELLE VILLARREAL MANAGING DIRECTOR, INVESTMENTS 40.0 0.0 X 540541 0 36086 SEAN W KOENIG ACIO CHIEF APPLICATION OFFICER 40.0 0.0 X 490943 0 40364 LORI R GRAMLEY ESQUIRE ACLO, ASSISTANT SECRETARY 40.0 0.0 X 367079 0 52253 DANIEL R BENNETT ACIO CHIEF TECHNOLOGY OFFICER 40.0 0.0 X 353784 0 65440 EDELYN MILLER FORMER KEY EMPLOYEE 40.0 0.0 X 103645 0 0 MATTHEW WALSH DIRECTOR 40.0 0.0 X 8926 0 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 MD MPHMACP DIRECTOR 0.25 3.25 X 0 0 0 VIRGINIA MCGREGOR DIRECTOR 0.25 3.0 X 0 0 0 25043433 7777428 9194768 751 true true false EPIC SYSTEMS CORP PO BOX 88314 MILWAUKEE WI 53288 MAINTENANCE SERVICES 15239767 DELOITTE CONSULTING LLP PO BOX 844717 DALLAS TX 75284 PROF SERVICES 32967924 MICROSOFT CORP 1950 N Stemmons FWY STE 5010 DALLAS TX 75207 SOFTWARE SVCS 17866273 VISION MEDIA 11820 NORTHUP WAY STE E-100 BELLVUE WA 98005 PROF SERVICES 12684766 SALESFORCECOM PO BOX 203141 DALLAS TX 75320 PROF SERVICES 9561824 244 X 3282765 3282765 INTERCOMPANY REVENUE 541900 774588333 774588333 GPO INCOME 541900 13958450 13958450 INTERCOMPANY REVENUE - SEE SCHEDULE O 541900 9180750 9180750 OTHER INTERCO SUPPORT SERVICES 541900 8264400 8264400 INTERCOMPANY RENTAL REVENUE 531120 2918078 35160 2882918 2201674 2201674 811111685 11698606 1935233 9763373 0 0 278262 104601 173661 0 173661 173661 10547978 10547978 10547978 10547978 0 0 0 0 0 0 0 0 0 RESTITUTION 541900 39203 39203 WAGE ATTACHMENTS FEES 541900 16147 16147 55350 836870045 808193607 1970393 23423280 X 0 0 0 0 25429357 1967578 23461779 395793 384011 11782 296811315 261857900 34953415 12750860 11990016 760844 57823717 54373376 3450341 22457590 21117546 1340044 0 34442744 32387545 2055199 382066 359268 22798 288258 271057 17201 0 4037702 3796772 240930 115360382 108476827 6883555 2581881 2427820 154061 18597951 17488211 1109740 133648263 125673471 7974792 0 11461791 10797369 664422 4482751 4215282 267469 17 17 4553 4281 272 11534735 10846457 688278 0 61196303 57544719 3651584 1080946 1028022 52924 INTERCOMPANY EXPENSE 8014916 7536666 478250 BOOKS, LICENSES, FEES, DUES 5372119 5138671 233448 MISCELLANEOUS 3438677 3233491 205186 UBI TAX 5359 5359 3294414 3113254 181160 834894460 746029610 88864850 0 0 0 52118961 0 0 0 27809569 48026829 38670 111533 0 0 2792646 4836954 25592855 27604799 63662115 53952089 758294710 432879685 377142324 325415025 90765257 627988 197044866 326334299 0 0 0 0 701485283 1880487362 1538452546 2667396878 489037350 669777971 0 0 0 0 311436725 0 0 0 0 0 6534665 6873793 0 0 475626906 1465746380 1282635646 2142398144 X 255816900 524998734 0 0 255816900 524998734 1538452546 2667396878 X 1975585 19098171 248108078 X X false true X true false X X 13 GEISINGER MEDICAL CENTER 240795959 3 false 0 0 GEISNGER WYOMING VALLEY MEDICAL CENTER 231996150 3 false 0 0 MARWORTH 232171417 3 false 0 0 GEISINGER HEALTH 231995911 7 true 0 0 GEISINGER COMMUNITY HEALTH SERVICES 232967235 10 false 0 0 COMMUNITY MEDICAL CENTER 240862246 3 false 0 0 GEISINGER BLOOMSBURG HOSPITAL 232193572 3 false 0 0 GEISINGER LEWISTOWN HOSPITAL 231352187 3 false 0 0 WEST SHORE ADVANCED LIFE SUPPORT SERVICES INC 232463002 7 true 0 0 GEISINGER HEALTH PLAN 232311553 10 false 0 0 10 0 0 false false true true true false false false false false false false false false false false false true true PART IV, SECTION A, LINE 1 - SUPPORTED ORGANIZATIONS NOT LISTED BY NAME GEISINGER SYSTEM SERVICES SUPPORTED ORGANIZATIONS ARE DESIGNATED BY CLASS AND PURPOSE. PER GSS'S ARTICLES OF INCORPORATION, THE CORPORATION IS INCORPORATED UNDER THE NONPROFIT CORPORATION LAW OF 1972 OF THE COMMONWEALTH OF PENNSYLVANIA, AS AMENDED, FOR THE PURPOSE OF CONDUCTING EXCLUSIVELY CHARITABLE, SCIENTIFIC AND EDUCATIONAL ACTIVITIES WITHIN THE MEANING OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1954, AS AMENDED (OR THE CORRESPONDING PROVISION OF ANY SUCCESSOR UNITED STATES INTERNAL REVENUE LAW) (THE "INTERNAL REVENUE CODE"), INCLUDING THE PROVISION OF ADMINISTRATIVE, MANAGEMENT AND OTHER SUPPORT SERVICES FOR THE GEISINGER HEALTH SYSTEM FOUNDATION*, ORGANIZATIONS AFFILIATED WITH SUCH FOUNDATION AND OTHER ORGANIZATIONS AND MAKING DONATIONS AND OTHER TRANSFER TO THE GEISINGER HEALTH SYSTEM FOUNDATION AND TO ORGANIZATIONS CONTROLLED BY SUCH FOUNDATION AND DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, CONSISTENT WITH AND IN FURTHERANCE OF THESE PURPOSES. THE CORPORATION SHALL ENGAGE IN ALL ACTIVITIES PROPERLY RELATED TO THE FOREGOING, INCLUDING THE SOLICITATION OF FUNDS FROM INDIVIDUALS, CORPORATIONS AND OTHER EXEMPT ORGANIZATIONS FOR FINANCING THE SERVICES TO BE PROVIDED. *GEISINGER HEALTH SYSTEM FOUNDATION IS NOW GEISINGER HEALTH PART IV, SECTION A, LINE 3B - DETERMINATION MADE BY ORGANIZATION THE 501(C)(4) ORGANIZATION SUPPORTED BY GEISINGER SYSTEM SERVICES RECEIVED AN IRS DETERMINATION LETTER CONFIRMING ITS STATUS AS A 501(C)(4) ORGANIZATION ON AUGUST 1, 1990. ALSO, REFER TO RESPONSE TO LINE 3C. PART IV, SECTION A, LINE 3C - CONTROLS FOR 170(C)(2)(B) PURPOSES TO ENSURE THAT ALL SUPPORT IS USED EXCLUSIVELY FROM SECTION 170(C)(2)(B) PURPOSES, THE FOLLOWING CONTROLS ARE IN PLACE: (1) GEISINGER SYSTEM SERVICES RECEIVED A PRIVATE LETTER RULING FROM THE IRS ON AUGUST 1, 1990. THE RULING INDICATES THAT THE PROVISION OF MANAGEMENT AND SUPPORT SERVICES TO THE 501(C)(4) ORGANIZATION CONTRIBUTES IMPORTANTLY TO THE ACCOMPLISHMENT OF GEISINGER SYSTEM SERVICES EXEMPT PURPOSE, THE PROMOTION OF HEALTH. THE PROVISION OF SERVICES TO THE 501(C)(4) ORGANIZATION WAS DEEMED RELATED AND NOT SUBJECT TO THE UNRELATED BUSINESS INCOME TAX. IN ADDITION, GEISINGER SYSTEM SERVICES DOES NOT PROVIDE MONETARY SUPPORT TO THE 501(C)(4) ORGANIZATION. (2) THE ARTICLES OF INCORPORATION OF THE 501(C)(4) ORGANIZATION STATE THAT UPON THE DISSOLUTION OF THE CORPORATION, THE BOARD OF DIRECTORS SHALL, AFTER PAYING OR MAKING PROVISION FOR THE PAYMENT OF ALL OF THE LIABILITIES AND OBLIGATIONS OF THE CORPORATION, PAY OVER AND TRANSFER, SUBJECT TO THE PRIOR APPROVAL OF THE TRUSTEE OF THE ABIGAIL GEISINGER TRUST, OR ITS SUCCESSOR, ALL OF THE ASSETS OF THE CORPORATION TO AN ORGANIZATION OR ORGANIZATIONS ORGANIZED AND OPERATED EXCLUSIVELY FOR CHARITABLE, EDUCATIONAL OR SCIENTIFIC PURPOSES, PROVIDED THAT AT SUCH TIME THE RECIPIENT QUALIFIES AS AN ORGANIZATION EXEMPT FROM TAX UNDER THE INTERNAL REVENUE CODE. NO PORTION OF THE ASSETS SHALL INURE TO THE BENEFIT OF ANY DIRECTOR, OFFICER OR MEMBER OF THE CORPORATION OR ANY ENTERPRISE ORGANIZED FOR PROFIT. (3) THE ARTICLES OF INCORPORATION OF THE 501(C)(4) CORPORATION CANNOT BE AMENDED WITHOUT THE PRIOR APPROVAL OF THE GEISINGER HEALTH SYSTEM FOUNDATION, NOW GEISINGER HEALTH, THE 501(C)(3) PARENT ORGANIZATION. PART IV, SECTION B, LINE 2 - DETERMINE SECTION 509(A)(1) OR (2) GEISINGER HEALTH, PARENT ORGANIZATION OF GEISINGER AND THE ORGANIZATION WHICH HAS THE POWER TO REGULARLY APPOINT AT LEAST A MAJORITY OF GEISINGER SYSTEM SERVICES'S DIRECTORS, IS INCORPORATED FOR THE CHARITABLE PURPOSE OF CONDUCTING EXCLUSIVELY CHARITABLE, SCIENTIFIC AND EDUCATIONAL ACTIVITIES WITHIN THE MEANING OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED (OR THE CORRESPONDING PROVISION OF ANY SUCCESSOR UNITED STATES INTERNAL REVENUE LAW) (THE "INTERNAL REVENUE CODE"), INCLUDING, DIRECTLY OR INDIRECTLY, SUPPORTING THE PURPOSES OF, GEISINGER MEDICAL CENTER OR ANY OTHER ORGANIZATION AFFILIATED WITH THE CORPORATION WHICH QUALIFIES AS AN EXEMPT ORGANIZATION UNDER SECTION 501(C)(3)OF THE INTERNAL REVENUE CODE. GEISINGER HEALTH ENGAGES IN ALL ACTIVITIES PROPERLY RELATED TO THE FOREGOING, INCLUDING THE SOLICITATION OF FUNDS FROM INDIVIDUALS, CORPORATIONS AND OTHER ORGANIZATIONS FOR FINANCING THE SERVICES TO BE PROVIDED. THEREFORE, GEISINGER SYSTEM SERVICES'S SUPPORT OF OTHER 501(C)(3) ORGANIZATIONS WITHIN GEISINGER, AND AFFILIATED WITH GEISINGER MEDICAL CENTER AND GEISINGER HEALTH, SERVES TO SUPPORT THE CHARITABLE PURPOSES OF GEISINGER HEALTH. GEISINGER IS A PHYSICIAN-LED, INTEGRATED HEALTH SERVICES ORGANIZATION THAT HAS AS ITS MAIN COMPONENTS: 1. NUMEROUS HEALTH SERVICE FACILITIES, INCLUDING EIGHT ACUTE CARE HOSPITALS WITH MULTIPLE CAMPUSES AND JOINT VENTURE FACILITIES; 2. A MULTISPECIALTY PHYSICIAN GROUP PRACTICE WITH APPROXIMATELY 1,700 PHYSICIANS AND 1,200 ADVANCED PRACTITIONERS PRACTICING AT PRIMARY AND SPECIALTY CLINICS, HOSPITALS AND OTHER CLINICAL FACILITIES; 3. GEISINGER HEALTH PLANS ("GHPS"), INCLUDING GEISINGER HEALTH PLAN, GEISINGER INDEMNITY INSURANCE COMPANY AND GEISINGER QUALITY OPTIONS, INC. WITH COMMERCIAL, MEDICARE ADVANTAGE, MEDICAID AND SELF-INSURED INSURANCE PRODUCTS; AND 4. GEISINGER COMMONWEALTH SCHOOL OF MEDICINE THAT EDUCATES APPROXIMATELY 464 MEDICAL STUDENTS, GEISINGER SCHOOL OF GRADUATE STUDIES THAT EDUCATES 122 GRADUATE STUDENTS, AND 70 NURSING STUDENTS IN THE GEISINGER SCHOOL OF NURSING. GEISINGER OPERATES ACROSS PENNSYLVANIA, WITH A THE MOST CONCENTRATED CLINICAL PRESENCE IN CENTRAL AND NORTHEASTERN PENNSYLVANIA, OUTSIDE THE MAJOR METROPOLITAN AREAS. FOR THE TRAILING TWELVE MONTHS ENDED DECEMBER 31, 2023, GEISINGER CARED FOR A POPULATION OF APPROXIMATELY 1,167,000 PEOPLE, A DECREASE OF 0.2% VERSUS THE YEAR-EARLIER PERIOD. THIS POPULATION INCLUDED 859,000 PATIENTS RECEIVING CARE IN THE TRAILING TWELVE MONTHS AND MORE THAN 578,000 GHPS MEMBERS, A 5.5% DECREASE VERSUS THE YEAR EARLIER PERIOD, INCLUDING THE MEMBERSHIP IMPACT FROM MEDICAID REDETERMINATION. THE POPULATION CONTAINED APPROXIMATELY 270,000 PEOPLE INCLUDED AS BOTH GEISINGER PATIENTS AND MEMBERS. 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. false true false false false false true 227892 false true 92634 320526 false 0 LINE 1B AND 1G: $42,731 OF EXPENDITURES ON LINE 1G REPRESENT THE WAGES AND BENEFITS OF THE GOVERNMENT RELATIONS DEPARTMENT WHOSE PRIMARY PURPOSE IS TO MAINTAIN CONTACT WITH FEDERAL, STATE, AND LOCAL GOVERNMENT OFFICIALS. THE DEPARTMENT PROMOTES LEGISLATIVE ACTIONS WITH RESPECT TO HEALTHCARE RELATED ISSUES THAT COULD IMPACT THE ORGANIZATION AND ITS AFFILIATES. $185,161 OF EXPENDITURES ON LINE 1G REPRESENT FEES PAID TO CONSULTANTS TO LOBBY ON BEHALF OF THE GOVERNMENT RELATIONS DEPARTMENT REGARDING FEDERAL AND STATE LEGISLATION RELATED TO HEALTHCARE ISSUES. LINE 1I: $92,634 OF OTHER LOBBYING ACTIVITIES REPORTED ON LINE 1I REPRESENTS THE PORTION OF MEMBERSHIP DUES, PAID BY THE ORGANIZATION TO TRADE OR PROFESSIONAL ASSOCIATIONS, ATTRIBUTABLE TO LOBBYING ACTIVITIES. 16674229 16674229 209463256 118730093 90733163 3108213 2884974 223239 500818419 307544546 193273873 28230593 3720072 24510521 325415025 326334299 F 326334299 Due From Affiliates 1486283738 Deferred Compensation 317555377 Insurance Recoveries 76633247 Other Assets 15000 1880487362 0 DUE TO AFFILIATES 820082891 Deferred Compensation 317555377 Medical Legal Liability/Defense 250823668 INSURANCE RECOVERIES 77284444 1465746380 PART X, LINE 2 - LIABILITY FOR UNCERTAIN TAX POSITIONS EFFECTIVE JULY 1, 2007, GEISINGER ADOPTED ACCOUNTING STANDARDS CODIFICATION 740 (FIN 48), (FORMERLY KNOWN AS "STATEMENT 109: ACCOUNTING FOR INCOME TAXES"FAS 109"). FIN 48 CLARIFIES THE ACCOUNTING AND REPORTING FOR INCOME TAXES WHERE INTERPRETATION OF THE TAX LAW MAY BE UNCERTAIN. FIN 48 PRESCRIBES A COMPREHENSIVE MODEL FOR THE FINANCIAL STATEMENT RECOGNITION, MEASUREMENT, PRESENTATION AND DISCLOSURE OF INCOME TAX UNCERTAINTIES WITH RESPECT TO POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN INCOME TAX RETURNS. THE ADOPTION OF FIN 48 HAD NO IMPACT ON UNRESTRICTED NET ASSETS AS OF THE END OF THE CALENDAR YEAR OR ANY PREVIOUS YEAR SINCE ADOPTION. ACCORDINGLY, NO FIN 48 FOOTNOTE DISCLOSURE WAS MADE IN THE GEISINGER CONSOLIDATED FINANCIAL STATEMENTS. X true true X X X X X X true true false false false false false false true true JAEWON RYU MD JD PRESIDENT, DIRECTOR 1541883 1280435 0 3931000 1508751 166403 1589506 4259190 18409 318 4658549 9637346 1316166 0 TERRY GILLILAND MD PRESIDENT, DIRECTOR 2212113 0 0 0 137807 0 836806 0 30774 0 3217500 0 0 0 KEVIN V ROBERTS MBA CPA EVP, CFO, TREASURER 1749843 0 525000 0 410250 0 24306 0 41926 0 2751325 0 0 0 DOMINIC MOFFA MBA FACHE EVP, CHIEF STRATEGY OFFICER 450915 0 0 0 1666938 0 237104 0 18573 0 2373530 0 680803 0 AMY B BRAYFORD EVP, CHIEF OF STAFF 1318574 0 0 0 428580 0 286806 0 46221 0 2080181 0 235868 0 GREGORY G SCHULER CFA CHIEF INVESTMENT OFFICER 422443 0 1416916 0 140204 0 24306 0 1835 0 2005704 0 0 0 JANET F TOMCAVAGE RN MSN EVP, CHIEF NURSING EXECUTIVE 747694 0 0 0 819590 0 175106 0 29505 0 1771895 0 680803 0 KAREN MURPHY RN PHD SENIOR ADVISOR 492490 0 0 0 657663 0 24306 0 14798 0 1189257 0 0 0 STEVEN B BENDER ESQUIRE EVP, CLO, SECRETARY 708600 0 0 0 197215 0 209306 0 35061 0 1150182 0 167904 0 MICHAEL LIMA CFA DEPUTY CIO 240624 0 553578 0 183052 0 24306 0 32906 0 1034466 0 0 0 RONALD BEER MHA FACHE INTERIM COO 0 464048 0 75000 0 336987 0 73699 0 42593 0 992327 0 48140 SPENCER KOWAL MHA CFO, CLINICAL ENTERPRISE 709580 0 0 0 132910 0 98064 0 46353 0 986907 0 5222 0 GERALD V MALONEY DO DIRECTOR 0 720238 0 0 0 115132 0 98569 0 35257 0 969196 0 62504 MIKE ANGELAKOS DRPH MBA CHIEF INFORMATION OFFICER 702156 0 75000 0 21024 0 94306 0 42938 0 935424 0 0 0 MEGAN BROSIOUS FORMER KEY EMPLOYEE 0 451691 0 100000 0 136494 0 71306 0 38947 0 798438 0 47229 TIMOTHY D FITZGERALD CFA CHIEF STRATEGY OFFICER 555628 0 0 0 85688 0 79644 0 41331 0 762291 0 52572 0 BRION T LIEBERMAN CHIEF HUMAN RESOURCES OFFICER 549147 0 0 0 69328 0 78317 0 41169 0 737961 0 39191 0 DAVID VAWDREY CHIEF DATA INFORMATICS OFFICER 588879 0 0 0 38181 0 24306 0 38767 0 690133 0 0 0 ROBERT DEWAR VP, CHIEF REVENUE OFFICER 586184 0 0 0 2336 0 24306 0 12618 0 625444 0 0 0 KEVIN J KERESTUS CIA CHIEF ASSURANCE OFFICER 452635 0 60836 0 27206 0 24306 0 32455 0 597438 0 0 0 DANIELLE VILLARREAL MANAGING DIRECTOR, INVESTMENTS 151635 0 286730 0 102176 0 24306 0 11780 0 576627 0 0 0 SEAN W KOENIG ACIO CHIEF APPLICATION OFFICER 427494 0 40000 0 23449 0 24306 0 16058 0 531307 0 0 0 LORI R GRAMLEY ESQUIRE ACLO, ASSISTANT SECRETARY 338553 0 0 0 28526 0 24306 0 27947 0 419332 0 0 0 DANIEL R BENNETT ACIO CHIEF TECHNOLOGY OFFICER 344387 0 0 0 9397 0 24306 0 41134 0 419224 0 0 0 EDELYN MILLER FORMER KEY EMPLOYEE 0 0 0 0 103645 0 0 0 0 0 103645 0 19586 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 DOMINIC MOFFA, MBA, FACHE 624,375 1,010,886 0 KAREN MURPHY 424,352 0 0 AMY B. BRAYFORD 0 235,868 0 JANET F. TOMCAVAGE, RN, MSN 0 707,155 0 STEVEN B. BENDER, ESQUIRE 0 167,904 0 GREGORY G. SCHULER, CFA 112,048 0 0 EDELYN MILLER 0 103,645 0 MICHAEL LIMA 92,829 0 0 DANIELLE VILLARREAL 88,742 0 0 SPENCER KOWAL, MHA 0 75,222 0 GERALD V. MALONEY, DO 0 62,504 0 TIMOTHY D. FITZGERALD, CFA, FHFMA 0 52,572 0 RONALD BEER, MHA, FACHE 0 48,140 0 MEGAN BROSIOUS 0 47,229 0 BRION T. LIEBERMAN 0 39,191 0 PART I, LINE 4A - SEVERANCE PAYMENT UPON INVOLUNTARY SEPARATION, EMPLOYEES MAY BE ELIGIBLE TO RECEIVE CONTINUATION OF SALARY FOR A TERM THAT IS BASED ON THEIR YEARS OF GEISINGER SERVICE AND POSITION. PART I, LINE 4B - SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN COMPENSATION FOR ELIGIBLE EMPLOYEES MAY BE DEFERRED TO A 457(F) NONQUALIFIED PLAN THAT VESTS WITH COMPLETION OF SERVICE, DEATH AND/OR PERMANENT DISABILITY. PART I, LINE 8 - PURSUANT TO CONTRACT PER REGS. SECTION 53.4958-4(A)(3) THE EMPLOYEES LISTED PARTICIPATE IN A COMPENSATION PROGRAM DESIGNED TO BE MARKET COMPETITIVE. FROM TIME TO TIME, DEPENDING ON THE AVAILABILITY OF QUALIFIED APPLICANTS, RECRUITMENT LOANS MAY BE MADE AVAILABLE TO QUALIFIED APPLICANTS IN DIFFICULT TO RECRUIT POSITIONS. SUCH LOANS ARE ONLY PROVIDED IF TOTAL COMPENSATION, INCLUDING THE LOAN AMOUNT, IS CONSIDERED REASONABLE COMPENSATION PER INDEPENDENT SALARY SURVEYS. MIKE ANGELAKOS RECRUITMENT KEY EMPLOYEE X 50000 11631 false true true SEAN W KOENIG RECRUITMENT KEY EMPLOYEE X 30000 10254 false true true TERRY GILLILAND OFFICER, DIRECTOR X 100000 89648 false true true 111533 FORM 990, PART V, LINE 1A - ADDITIONAL INFORMATION: GEISINGER SYSTEM SERVICES (GSS) PROVIDES A CENTRALIZED ACCOUNTS PAYABLE FUNCTION FOR ALL GEISINGER ORGANIZATIONS. AS THE ACCOUNTS PAYABLE PROCESSOR, GSS PREPARES AND FILES FORM 1099 UNDER ITS EIN FOR ALL REPORTABLE PAYMENTS OF ITSELF AND CERTAIN AFFILIATES, AND CERTAIN REPORTABLE PAYMENTS OF SOME OF ITS AFFILIATES. THEREFORE, THE NUMBER OF FORM 1099'S FILED BY GSS FOR THE REPORTING PERIOD AS REPORTED ON LINE 1A INCLUDES THE NUMBER OF FORM 1099S FILED ON BEHALF OF ITSELF AND ITS AFFILIATES. FORM 990, PART VI, 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, DOMINIC MOFFA, MBA, FACHE, GERALD V. MALONEY, DO, JAEWON RYU, MD, JD, JANET F. TOMCAVAGE, RN, MSN, JEFFREY A. JACOBSON, KAREN MURPHY, RN, PHD, KEVIN V. ROBERTS, MBA, CPA, LORI R. GRAMLEY, ESQUIRE, MIKE ANGELAKOS, DRPH, MBA, 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 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 THE BOARD OF DIRECTORS OF THE CORPORATION SHALL SERVE AS THE GOVERNING BODY OF THE CORPORATION. THE PRESIDENT OF THE CORPORATION SHALL BE A DIRECTOR BY REASON OF HOLDING SUCH OFFICE. THE REMAINING DIRECTORS SHALL BE ELECTED BY THE MEMBERS AT THE ANNUAL MEETING OF THE MEMBERS. THE MEMBERS OF THE CORPORATION MAY SERVE AS DIRECTORS AND DIRECTORS MAY SUCCEED THEMSELVES FROM TERM TO TERM. VACANCIES ON THE BOARD OF DIRECTORS SHALL BE FILLED BY THE MEMBERS AT THEIR DISCRETION AT THE ANNUAL MEETING OF THE MEMBERS OR AT A SPECIAL MEETING CALLED FOR SUCH PURPOSE. FORM 990, PART VI, LINE 7B - DECISIONS SUBJECT TO APPROVAL OF MEMBERS THE MEMBERS OF THE CORPORATION HAVE THE POWER AND AUTHORITY TO ELECT AND REMOVE THE DIRECTORS; ELECT AND REMOVE THE PRESIDENT AND FILL ANY VACANCY IN THE OFFICE OF THE PRESIDENT OF THE CORPORATION; AND, MAY APPROVE AMENDMENTS TO THE CORPORATE BYLAWS IN LIEU OF SUCH APPROVAL BY THE BOARD OF DIRECTORS. THE MEMBERS ALSO HAVE THE RESERVE POWERS AS SET FORTH IN PENNSYLVANIA NONPROFIT CORPORATION LAW. FORM 990, PART VI, LINE 11B - ORGANIZATION'S PROCESS TO REVIEW FORM 990 THE FORM 990 IS PREPARED BY KAISER FOUNDATION HEALTH PLAN, INC.'S TAX PREPARATION AND OVERSIGHT DEPARTMENT WITH INFORMATION PROVIDED FROM GEISINGER FINANCE, HUMAN RESOURCES, LEGAL SERVICES AND OTHER RELEVANT DEPARTMENTS WITHIN GEISINGER. PRIOR TO FINALIZATION, THE RETURN IS REVIEWED BY PWC US TAX, LLP. THE CHIEF FINANCIAL OFFICER OF GEISINGER AND THE INDIVIDUAL ORGANIZATIONS SENIOR FINANCIAL MANAGERS REVIEW THEIR RESPECTIVE FORM 990 PRIOR TO MAKING THE FINAL RETURN AVAILABLE TO THE BOARD. ALL OFFICERS AND DIRECTORS WERE ELECTRONICALLY PROVIDED A FINAL COPY OF THE FORM 990 PRIOR TO FILING THE RETURN WITH THE IRS. AN EXECUTIVE SUMMARY OF THE INFORMATION REPORTED ON THE RETURN IS PROVIDED TO ASSIST IN THE REVIEW. IN ACCORDANCE WITH THE GEISINGER HEALTH BOARD OF DIRECTOR'S FINANCE COMMITTEE CHARTER, GEISINGER ORGANIZATIONS' FORM 990 FILINGS ARE REVIEWED ANNUALLY. FORM 990, PART VI, LINE 12C - ENFORCEMENT OF CONFLICTS POLICY THE OFFICERS AND DIRECTORS OF THE ORGANIZATION ARE SUBJECT TO THE GEISINGER CONFLICT OF INTEREST POLICY FOR DIRECTORS, OFFICERS AND SENIOR LEADERS. AT LEAST ONCE EACH YEAR DIRECTORS, OFFICERS, KEY EMPLOYEES, SENIOR LEADERS AND OTHERS DESIGNATED BY THE BOARD OF DIRECTORS ARE REQUIRED TO DISCLOSE IN WRITING THE EXISTENCE OF ANY POTENTIAL FINANCIAL INTERESTS THAT MAY GIVE RISE TO A CONFLICT OF INTEREST WITH ANY AFFILIATE WITHIN GEISINGER. THE DISCLOSURES ARE REVIEWED BY THE OFFICE OF THE CHIEF COMPLIANCE OFFICER AND REPORTED TO THE AUDIT AND COMPLIANCE COMMITTEE AND/OR BOARD OF DIRECTORS. AFTER REVIEW OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, INPUT FROM DEPARTMENT OF LEGAL SERVICES AND ANY DISCUSSION WITH THE PERSON DESIRED BY THE BOARD OR COMMITTEE, THE COMMITTEE/BOARD DECIDES IF A CONFLICT EXISTS AND TAKES APPROPRIATE ACTION. THE INDIVIDUAL DISCLOSING THE FINANCIAL INTEREST IS ABSENT DURING THE COMMITTEE/BOARD DELIBERATIONS AND DECISIONS ON THE MATTER. FORM 990, PART VI, LINE 15A & 15B - COMPENSATION PROCESS 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 FINANCIAL STATEMENTS, FORM 990, FORM 990-T, THE CONFLICTS OF INTEREST POLICY, AND OTHER GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VIII, LINE 2C - ADDITIONAL INFORMATION THE IC SHARED SERVICE REVENUE REPRESENTS REVENUE FROM INTERCOMPANY MANAGEMENT, ADMINISTRATIVE, AND CONSULTING SERVICES PROVIDED TO RELATED TAXABLE ORGANIZATIONS. THE ORGANIZATION AND RELATED TAXABLE ORGANIZATIONS ARE ALL CONTROLLED BY GEISINGER HEALTH. THE SERVICES, PROVIDED AT OR BELOW COST, ARE PERFORMED WITHOUT A PROFIT MOTIVE TO PROMOTE THE EFFICIENT OPERATION OF GEISINGER IN CARRYING OUT ITS CHARITABLE MISSION. THE SERVICES ARE NOT OFFERED TO UNRELATED ORGANIZATIONS OR TO THE GENERAL PUBLIC. UNDER IRS ADVISORY DATED MARCH 7, 2014, THESE INTERCOMPANY SHARED SERVICES ARE NOT INCLUDED IN THE DEFINITION OF UNRELATED BUSINESS INCOME AND SHOULD NOT BE INCLUDED ON FORM 990-T DUE TO THE ABSENCE OF THE FOLLOWING TWO CONDITIONS: (1) THE SERVICES MUST BE ABOVE COST OR AT FAIR MARKET VALUE, AND (2) THERE MUST BE A PROFIT MOTIVE. FORM 990, PART XI, LINE 9 - OTHER CHANGES IN NET ASSETS EXPLANATION TRANSFER FROM PARENT, GEISINGER HEALTH $ 225,375,197 GAIN ON EXTINGUISHMENT OF DEBT $ 22,732,881 TOTAL $ 248,108,078 FORM 990, PART XII, LINE 3A - ADDITIONAL INFORMATION 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. FORM 990 PART IX LINE 11G DESCRIPTION:OUTSIDE PURCHASED SERVICES TOTAL FEES:90809364 FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTING FEES TOTAL FEES:7316007 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACTED LABOR - OTHER TOTAL FEES:6352984 FORM 990 PART IX LINE 11G DESCRIPTION:EQUIP. MAINT. & REPAIR TOTAL FEES:4518195 FORM 990 PART IX LINE 11G DESCRIPTION:RECRUITMENT TOTAL FEES:2753689 FORM 990 PART IX LINE 11G DESCRIPTION:COLLECTION AGENCY FEES TOTAL FEES:2249865 FORM 990 PART IX LINE 11G DESCRIPTION:CLEANING SERVICES TOTAL FEES:823825 FORM 990 PART IX LINE 11G DESCRIPTION:QUALITY INITIATIVES TOTAL FEES:261545 FORM 990 PART IX LINE 11G DESCRIPTION:SUPPORT SERVICES TOTAL FEES:189928 FORM 990 PART IX LINE 11G DESCRIPTION:TRAINING TOTAL FEES:74997 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACTED LABOR-MEDICAL TOTAL FEES:9983 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 true 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 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 MARWORTH 100 N ACADEMY AVE MC 49-70 DANVILLE PA 17822 232171417 HEALTH CARE PA 501(C)(3) 3 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 true true false false false false false false false true true true false false true false false true COMMUNITY MEDICAL CENTER K 87794 FMV COMMUNITY MEDICAL CENTER L 65534341 GAAP GEISINGER ASSURANCE COMPANY LTD L 818874 GAAP GEISINGER ASSURANCE COMPANY LTD P 6646545 GAAP GEISINGER CLINIC A 697384 FMV GEISINGER CLINIC K 262098 FMV GEISINGER CLINIC L 173742632 GAAP GEISINGER CLINIC M 1244940 GAAP GEISINGER COMMONWEALTH SCHOOL OF MEDICINE L 3905011 GAAP GEISINGER COMMUNITY HEALTH SERVICES A 5118 FMV GEISINGER COMMUNITY HEALTH SERVICES L 3907782 GAAP GEISINGER HEALTH A 18314 FMV GEISINGER HEALTH C 225239229 GAAP GEISINGER HEALTH L 401394 GAAP GEISINGER HEALTH S 409275 GAAP GEISINGER HEALTH PLAN A 130582 FMV GEISINGER HEALTH PLAN K 286289 FMV GEISINGER HEALTH PLAN L 73897714 GAAP GEISINGER HEALTH PLAN M 2496395 GAAP GEISINGER HEALTH PLAN P 174682 GAAP GEISINGER INDEMNITY INSURANCE COMPANY L 4647342 GAAP GEISINGER INDEMNITY INSURANCE COMPANY P 17609124 GAAP GEISINGER JERSEY SHORE HOSPITAL L 7103933 GAAP GEISINGER MEDICAL CENTER A 505704 FMV GEISINGER MEDICAL CENTER K 1621392 FMV GEISINGER MEDICAL CENTER L 258251792 GAAP GEISINGER MEDICAL CENTER M 214181 GAAP GEISINGER MEDICAL CENTER MUNCY L 6989448 GAAP GEISINGER PHARMACY LLC A 685496 FMV GEISINGER PHARMACY LLC L 122226 GAAP GEISINGER QUALITY OPTIONS INC L 2022229 GAAP GEISINGER WYOMING VALLEY MEDICAL CENTER A 626518 FMV GEISINGER WYOMING VALLEY MEDICAL CENTER K 410781 FMV GEISINGER WYOMING VALLEY MEDICAL CENTER L 119534807 GAAP GEISINGER-BLOOMSBURG HOSPITAL K 66397 FMV GEISINGER-BLOOMSBURG HOSPITAL L 10652803 GAAP GEISINGER-HM JOINT VENTURE LLC L 3895594 GAAP GEISINGER-LEWISTOWN HOSPITAL K 59102 FMV GEISINGER-LEWISTOWN HOSPITAL L 33076099 GAAP ISS SOLUTIONS INC L 1692304 GAAP KAISER B 135968 GAAP KAISER S 2830951 GAAP KEYSTONE ACCOUNTABLE CARE ORGANIZATION LLC L 3952335 GAAP KEYSTONE HEALTH INFORMATION EXCHANGE INC L 581596 GAAP KEYSTONE HEALTH INFORMATION EXCHANGE INC M 2186149 GAAP MARWORTH K 187619 FMV MARWORTH L 2493183 GAAP RISANT HEALTH INC L 2969029 GAAP RISANT HEALTH INC M 1970972 GAAP WEST SHORE ADVANCED LIFE SUPPORT SERVICES INC A 248962 FMV WEST SHORE ADVANCED LIFE SUPPORT SERVICES INC L 3178940 GAAP FORM 990, SCHEDULE R, PART V TRANSACTIONS WITH RELATED ORGANIZATIONS AS SHOWN IN FORM 990, SCHEDULE R, GEISINGER SYSTEM SERVICES IS CLOSELY AFFILIATED WITH SEVERAL OTHER ORGANIZATIONS. IN THE NORMAL COURSE OF THE OPERATIONS OF THESE AFFILIATED ORGANIZATIONS THERE ARE NUMEROUS INTER ORGANIZATIONAL TRANSACTIONS, WHICH MAY INCLUDE SALES, EXCHANGES AND LEASES OF PROPERTY, EXTENSIONS OF CREDIT, FURNISHING OF GOODS, SERVICES AND FACILITIES, AND TRANSFERS OF ASSETS. THESE INTER ORGANIZATION TRANSACTIONS PROMOTE THE EFFICIENT OPERATION OF THE VARIOUS ORGANIZATIONS AND THE ATTAINMENT OF THEIR TAX-EXEMPT PURPOSES. THESE TYPES OF INTER ORGANIZATION TRANSACTIONS WERE DESCRIBED TO THE INTERNAL REVENUE SERVICE IN A RULING APPLICATION AND WERE RECOGNIZED BY THE NATIONAL OFFICE OF THE IRS IN A SERIES OF GEISINGER PRIVATE RULINGS AS BEING ENTIRELY CONSISTENT WITH THE ORGANIZATIONS' TAX-EXEMPT STATUS.