2023-11-14T10:52:07-05:00 2022-12-31 990 2022-01-01 232967235 GEISINGER COMMUNITY HEALTH SERVICES GEIS 5702716624 100 N ACADEMY AVE MC 49-70 DANVILLE PA 178229800 KEVIN V ROBERTS MBA CPA EVP, CFO, TREASURER 5702716781 2023-11-07 KEVIN V ROBERTS XXX-XX-XXXX false 2022 2023-04-26 12:10:37Z JANET F TOMCAVAGE RN MSN 100 N ACADEMY AVE MC 22-01 DANVILLE PA 178229800 38431092 false X WWW.GEISINGER.ORG X 1998 PA GEISINGER COMMUNITY HEALTH SERVICES STRIVES TO PROVIDE CLINICAL EXCELLENCE, ADVOCACY AND INNOVATIVE SOLUTIONS TO ENHANCE THE HEALTH AND INDEPENDENCE OF ALL ITS COMMUNITY MEMBERS. 4 0 348 0 0 33337726 37246330 370 94580 11184047 1090182 44522143 38431092 0 0 10889727 12150140 0 0 29710448 30837106 40600175 42987246 3921968 -4556154 22899957 15034724 13783241 10474162 9116716 4560562 X GEISINGER COMMUNITY HEALTH SERVICES STRIVES TO PROVIDE CLINICAL EXCELLENCE, ADVOCACY AND INNOVATIVE SOLUTIONS TO ENHANCE THE HEALTH AND INDEPENDENCE OF ALL ITS COMMUNITY MEMBERS. false false 42633648 39336512 I. GENERAL PROGRAM SERVICE INFORMATION GEISINGER COMMUNITY HEALTH SERVICES (GCHS) WAS ESTABLISHED IN JULY 1998 AS A 501(C)(3) NOT-FOR-PROFIT CORPORATION. GCHS OPERATES GEISINGER'S LIFE PROGRAM. GCHS STRIVES TO PROVIDE CLINICAL EXCELLENCE, ADVOCACY, AND INNOVATIVE SOLUTIONS TO ENHANCE THE HEALTH AND INDEPENDENCE OF ALL ITS COMMUNITY MEMBERS. GCHS PROVIDES QUALITY MEDICAL HEALTHCARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, OR HANDICAP. LIFE GEISINGER (LIVING INDEPENDENTLY FOR ELDERS) PROVIDES ADDITIONAL INDEPENDENCE FOR OLDER INDIVIDUALS AND THEIR CAREGIVERS. LIFE GEISINGER IS A COORDINATED, COMPREHENSIVE MODEL OF CARE WHICH PROVIDES SERVICES THAT HELP OLDER ADULTS MAINTAIN THEIR QUALITY OF LIFE AND INDEPENDENCE WHILE LIVING AT HOME. THESE SERVICES INCLUDE PRIMARY CARE, TRANSPORTATION, IN- HOME CARE, THERAPY AND OTHER SERVICES. LIFE GEISINGER IS RECOGNIZED BY THE STATE OF PENNSYLVANIA AND THE CENTERS FOR MEDICARE AND MEDICAID SERVICES AS A PACE PROVIDER. PACE MEANS PROGRAMS FOR ALL-INCLUSIVE CARE OF THE ELDERLY - THOSE THAT OFFER OLDER ADULTS A VARIETY OF SERVICES DESIGNED TO MAINTAIN HEALTH, PREVENT NURSING HOME PLACEMENT, AND IMPROVE THE QUALITY OF LIFE. FUNDING FOR THE LIFE PROGRAM IS RECEIVED FROM MEDICARE, MEDICAID AND/OR PRIVATE MONIES. TO QUALIFY TO BECOME A LIFE GEISINGER PARTICIPANT, INDIVIDUALS MUST: "BE 55 YEARS OF AGE OR OLDER "MEET ELIGIBILITY CRITERIA FOR NURSING FACILITY LEVEL OF CARE "LIVE IN ONE OF THE FOLLOWING COUNTIES: COLUMBIA, JUNIATA, LACKAWANNA, LUZERNE, MIFFLIN, MONTOUR, NORTHUMBERLAND, SCHUYLKILL, OR SNYDER "BE ABLE TO LIVE SAFELY WITHIN THE COMMUNITY WITH SERVICES PROVIDED BY LIFE GEISINGER "FINANCIAL ELIGIBILITY IS BASED ON CURRENT MEDICAL ASSISTANCE CRITERIA OR THE ABILITY TO PAY PRIVATELY THE PROGRAM OPERATES FIVE FULL LIFE CENTERS LOCATED IN SCRANTON, LEWISTOWN, KULPMONT, WILKES-BARRE, AND MINERSVILLE. II. UNCOMPENSATED CARE GCHS RECOGNIZES THAT ITS MISSION IS TO SERVE ALL THE MEMBERS OF THE COMMUNITY WITH RESPECT TO THE PROVISION OF HEALTHCARE SERVICES AND HEALTHCARE EDUCATION. GCHS PROVIDES QUALITY MEDICAL HEALTHCARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. IN THIS REGARD, GCHS 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 GCHS PRACTICES. A. MEDICARE/MEDICAID IN RECOGNIZING ITS MISSION TO THE COMMUNITY, GCHS PROVIDES CARE, BELOW COST, TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS. TO THE EXTENT REIMBURSEMENT IS BELOW THE COST OF PROVIDING HEALTHCARE, GCHS IS FURTHERING ITS MISSION TO THE COMMUNITY. 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 UNREIMBURSED VALUE OF PROVIDING CARE TO THESE PATIENTS WAS 4,319,761 DURING THE YEAR ENDED DECEMBER 31, 2022. III. COMMUNITY BENEFIT SUMMARY MEDICARE/MEDICAID SHORTFALL 4,319,761 42633648 true false false true false false false false false true true false false false true false false true false false false false false false false false false false false true false false false false false false false false false false false false false true true true true false true X 1 0 true 348 true false false false false false false false false false false false false X 4 0 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 VP AND CAO 5702142299 100 NORTH ACADEMY AVE MC 49-70 DANVILLE PA 178229800 KEVIN V ROBERTS MBA CPA EVP, CFO, TR 40.00 X 0 1735635 374871 MATTHEW WALSH DIRECTOR 40.00 X 0 1371594 307990 STEVEN B BENDER ESQUIRE CLO, SECRETA 40.00 X 0 885926 215586 JANET F TOMCAVAGE RN MSN PRES, CHAIR, 40.00 X X 0 735904 196269 TRACEY W WOLFE MHA DIRECTOR 40.00 X 0 403527 86024 LORI R GRAMLEY ESQUIRE ACLO, ASST S 40.00 X 0 347436 45422 MELLAR DAVIS MD DIRECTOR 40.00 X 0 302773 60357 OSWALD NEDD INPATIENT RN 40.00 X 61335 177343 34385 SCOTT E GALLAGHER FORMER 5 HIG 40.00 X 0 205246 48105 RONALD T ZSIDO FORMER 5 HIG 40.00 X 0 173745 46031 MICHELLE A LIGOTSKI FORMER 5 HIG 40.00 X 0 180961 27032 KAREN L ADAMS FORMER 5 HIG 40.00 X 0 160307 36504 TEENA KUBASTI DIRECTOR, LI 40.00 X 143165 0 41171 CRAIG VARNEY INPATIENT RN 40.00 X 84606 43304 38535 MARK BOGDANOWICZ INPATIENT RN 40.00 X 81520 53029 25527 RAYMOND METZO INPATIENT RN 40.00 X 76192 55692 27865 ANTHONY M DICRISCIO FORMER 5 HIG 40.00 X 0 147647 8102 446818 6980069 1619776 7 true true false CURATIO STAFFING 512 NORTHAMPTON STREET EDWARDSVILLE PA 18704 NURSING SERVICE 615065 BAYADA HOME HEALTH CARE INC PO BOX 536446 PITTSBURGH PA 152535906 NURSING SERVICE 105288 2 X HEALTHCARE 621610 37246330 37246330 37246330 90 90 94490 94490 94490 94490 PURCHASE DISCOUNTS 900099 762892 762892 ACT54 RESCUE FUNDS 900099 266140 266140 RRHCP INCENTIVE 621990 47500 47500 13650 13650 1090182 38431092 38336512 94580 X 8776279 8776279 451588 451588 2277869 2277869 644404 644404 9960 9960 24420 24420 1435 1435 14828204 14813535 14669 31885 31885 557112 543601 13511 269664 243306 26358 1686627 1672756 13871 890573 890573 4138 4138 52261 52109 152 861953 854864 7089 490604 274549 216055 MEDICAL SUPPLIES 5567832 5567832 INTER-ENTITY EXPENSE 5497122 5472991 24131 BOOKS, LICENSES, FEES, DU 63316 61369 1947 42987246 42633648 353598 0 9635950 4270380 1640924 1182461 10656 4508 158769 169650 12372146 2964421 11453658 9407725 22899957 15034724 3308485 2439211 8799973 7443804 1674783 591147 13783241 10474162 X 9116716 4560562 9116716 4560562 22899957 15034724 X -4556154 X X false true X true true true X 19044193 21226870 18920833 33320631 37246330 129758857 569165 419654 102572 17095 1108486 19613358 21646524 19023405 33337726 37246330 130867343 122854 122854 122854 122854 130744489 2489 18 370 90 2967 2489 18 370 90 2967 137969 177255 228925 11184047 1090182 12818378 19753816 21823779 19252348 44522143 38336602 143688688 0.90990 0.92650 0.00000 0.00000 X PART III, LINE 12 2018 PURCHASE DISCOUNTS 49,627 2018 REFUND 13,398 2018 TRIAGE SERVICES 74,944 2019 PURCHASE DISCOUNTS 17,692 2019 REFUND 34,846 2019 TRIAGE SERVICES 124,717 2020 ADULT DAY CARE 420 2020 ARBITRATION SETTLEMENT 225,000 2020 PURCHASE DISCOUNTS 2,107 2020 REFUND 1,398 2021 COLLECTION AGENCY RECOVERIES 45 2021 REBATES 1,249,629 2021 RRHCP INCENTIVE 678,494 2021 SETTLEMENT 9,255,879 2022 REBATES 762,892 2022 RRHCP INCENTIVE 47,500 2022 ACT54 RESCUE FUNDS 266,140 2022 SERVICE COORDINATION 13,650 false false false false false false false false true 24420 24420 false SCHEDULE C, PART II-B, LINE 1 LINE 1G: AMOUNT REPORTED ON LINE 1G REPRESENTS THE WAGES AND BENEFITS OF EMPLOYEES WHO ASSIST THE GOVERNMENT RELATIONS DEPARTMENT OF THE ORGANIZATION'S AFFILIATE, GEISINGER SYSTEM SERVICES. THE PRIMARY PURPOSE OF THE GOVERNMENT RELATIONS DEPARTMENT IS TO MAINTAIN CONTACT WITH FEDERAL, STATE, AND LOCAL GOVERNMENT OFFICIALS. THE DEPARTMENT PROMOTES LEGISLATIVE ACTIONS WITH RESPECT TO HEALTHCARE RELATED ISSUES THAT COULD IMPACT THE ORGANIZATION AND ITS AFFILIATES. LINE 1I: OTHER LOBBYING ACTIVITIES REPORTED ON LINE 1I REPRESENTS THE PORTION OF MEMBERSHIP DUES, PAID BY THE ORGANIZATION TO TRADE OR PROFESSIONAL ASSOCIATIONS, ATTRIBUTABLE TO LOBBYING ACTIVITIES. 385529000 1170000 -20189000 4666000 361844000 372716000 699000 19881000 7767000 385529000 369232000 1328000 20022000 17866000 372716000 373558000 290000 -502000 4114000 369232000 370396000 2213000 4882000 3933000 373558000 0.77060 0.18390 0.04550 false true true 7805068 800607 7004461 2008140 388424 1619716 2558938 1775390 783548 9407725 DUE TO AFFILIATE 591147 591147 SCHEDULE D, PAGE 2, PART V, LINE 4 TO SUPPORT RESEARCH, CAPITAL, AND PROGRAM EXPENSES AND PATIENT CARE AND PATIENT EDUCATION. SCHEDULE D, PAGE 4, PART XIII 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 "GEISINGER- OR "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. X true true X X X X X X false true false false false false false false false KEVIN V ROBERTS MBA CPA EVP, CFO, TREASURER 1652425 83210 348862 26009 2110506 MATTHEW WALSH DIRECTOR 1219503 152091 271570 36420 1679584 123179 STEVEN B BENDER ESQUIRE CLO, SECRETARY 846303 39623 181570 34016 1101512 JANET F TOMCAVAGE RN MSN PRES, CHAIR, DIR 694056 41848 166570 29699 932173 TRACEY W WOLFE MHA DIRECTOR 397983 5544 60636 25388 489551 LORI R GRAMLEY ESQUIRE ACLO, ASST SECTY 321611 25825 21570 23852 392858 MELLAR DAVIS MD DIRECTOR 265259 37514 21259 39098 363130 OSWALD NEDD INPATIENT RN 61296 149269 19955 39 8119 5581 9508 10580 8716 77496 195567 SCOTT E GALLAGHER FORMER 5 HIGHEST 199621 5625 12865 35240 253351 RONALD T ZSIDO FORMER 5 HIGHEST 165377 8368 9869 36162 219776 MICHELLE A LIGOTSKI FORMER 5 HIGHEST 163408 17553 9339 17693 207993 KAREN L ADAMS FORMER 5 HIGHEST 142405 17902 7392 29112 196811 TEENA KUBASTI DIRECTOR, LIFE, NURS 135021 8144 7225 33946 184336 CRAIG VARNEY INPATIENT RN 74555 39550 2000 10051 1754 3899 2225 14932 17479 103437 63008 MARK BOGDANOWICZ INPATIENT RN 65453 48825 2000 16067 2204 3273 2689 1056 18509 85849 74227 RAYMOND METZO INPATIENT RN 69422 48455 6160 6770 1077 3528 2798 11045 10494 90765 68984 ANTHONY M DICRISCIO FORMER 5 HIGHEST 146068 1579 7335 767 155749 SCHEDULE J, PAGE 1, PART I, LINE 1A 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. SCHEDULE J, PAGE 1, PART I, LINE 4 MATTHEW WALSH 0 123,179 0 SCHEDULE J, PART III PART I, LINE 4A - 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 THIS DOCUMENT, THE TERMS "GEISINGER- OR "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, PAGE 2, PART III, LINE 4A I. GENERAL PROGRAM SERVICE INFORMATION GEISINGER COMMUNITY HEALTH SERVICES (GCHS) WAS ESTABLISHED IN JULY 1998 AS A 501(C)(3) NOT-FOR-PROFIT CORPORATION. GCHS OPERATES GEISINGER'S LIFE PROGRAM. GCHS STRIVES TO PROVIDE CLINICAL EXCELLENCE, ADVOCACY, AND INNOVATIVE SOLUTIONS TO ENHANCE THE HEALTH AND INDEPENDENCE OF ALL ITS COMMUNITY MEMBERS. GCHS PROVIDES QUALITY MEDICAL HEALTHCARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, OR HANDICAP. LIFE GEISINGER (LIVING INDEPENDENTLY FOR ELDERS) PROVIDES ADDITIONAL INDEPENDENCE FOR OLDER INDIVIDUALS AND THEIR CAREGIVERS. LIFE GEISINGER IS A COORDINATED, COMPREHENSIVE MODEL OF CARE WHICH PROVIDES SERVICES THAT HELP OLDER ADULTS MAINTAIN THEIR QUALITY OF LIFE AND INDEPENDENCE WHILE LIVING AT HOME. THESE SERVICES INCLUDE PRIMARY CARE, TRANSPORTATION, IN- HOME CARE, THERAPY AND OTHER SERVICES. LIFE GEISINGER IS RECOGNIZED BY THE STATE OF PENNSYLVANIA AND THE CENTERS FOR MEDICARE AND MEDICAID SERVICES AS A PACE PROVIDER. PACE MEANS PROGRAMS FOR ALL-INCLUSIVE CARE OF THE ELDERLY - THOSE THAT OFFER OLDER ADULTS A VARIETY OF SERVICES DESIGNED TO MAINTAIN HEALTH, PREVENT NURSING HOME PLACEMENT, AND IMPROVE THE QUALITY OF LIFE. FUNDING FOR THE LIFE PROGRAM IS RECEIVED FROM MEDICARE, MEDICAID AND/OR PRIVATE MONIES. TO QUALIFY TO BECOME A LIFE GEISINGER PARTICIPANT, INDIVIDUALS MUST: "BE 55 YEARS OF AGE OR OLDER "MEET ELIGIBILITY CRITERIA FOR NURSING FACILITY LEVEL OF CARE "LIVE IN ONE OF THE FOLLOWING COUNTIES: COLUMBIA, JUNIATA, LACKAWANNA, LUZERNE, MIFFLIN, MONTOUR, NORTHUMBERLAND, SCHUYLKILL, OR SNYDER "BE ABLE TO LIVE SAFELY WITHIN THE COMMUNITY WITH SERVICES PROVIDED BY LIFE GEISINGER "FINANCIAL ELIGIBILITY IS BASED ON CURRENT MEDICAL ASSISTANCE CRITERIA OR THE ABILITY TO PAY PRIVATELY THE PROGRAM OPERATES FIVE FULL LIFE CENTERS LOCATED IN SCRANTON, LEWISTOWN, KULPMONT, WILKES-BARRE, AND MINERSVILLE. II. UNCOMPENSATED CARE GCHS RECOGNIZES THAT ITS MISSION IS TO SERVE ALL THE MEMBERS OF THE COMMUNITY WITH RESPECT TO THE PROVISION OF HEALTHCARE SERVICES AND HEALTHCARE EDUCATION. GCHS PROVIDES QUALITY MEDICAL HEALTHCARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. IN THIS REGARD, GCHS 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 GCHS PRACTICES. A. MEDICARE/MEDICAID IN RECOGNIZING ITS MISSION TO THE COMMUNITY, GCHS PROVIDES CARE, BELOW COST, TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS. TO THE EXTENT REIMBURSEMENT IS BELOW THE COST OF PROVIDING HEALTHCARE, GCHS IS FURTHERING ITS MISSION TO THE COMMUNITY. 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 UNREIMBURSED VALUE OF PROVIDING CARE TO THESE PATIENTS WAS 4,319,761 DURING THE YEAR ENDED DECEMBER 31, 2022. III. COMMUNITY BENEFIT SUMMARY MEDICARE/MEDICAID SHORTFALL 4,319,761 FORM 990, PART V FORM 990, PART V, LINE 1A: ENTER THE NUMBER REPORTED IN BOX 3 OF FORM 1096, ANNUAL SUMMARY AND TRANSMITTAL OF U.S. INFORMATION RETURNS. GEISINGER SYSTEM SERVICES (GSS), AN AFFILIATE OF THE ORGANIZATION, PROVIDES A CENTRALIZED ACCOUNTS PAYABLE FUNCTION FOR ALL GEISINGER ORGANIZATIONS. AS THE ACCOUNTS PAYABLE PROCESSOR, GSS PREPARES AND FILES FORM 1099 UNDER ITS EIN FOR CERTAIN REPORTABLE PAYMENTS OF THE FILING ORGANIZATION. THE NUMBER OF FORM 1099'S FILED BY GSS FOR THE 2022 REPORTING PERIOD ON BEHALF OF ITSELF AND ITS AFFILIATES WAS 1,353. THE RESPONSE ENTERED ON LINE 1A FOR THE ORGANIZATION INCLUDES ONLY THOSE FORM 1099S FILED UNDER THE ORGANIZATIONS EIN, IT DOES NOT INCLUDE THOSE FILED BY GSS ON ITS BEHALF. FORM 990, PART VI FORM 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, FOUR VOTING MEMBERS ARE NOT INDEPENDENT BECAUSE THEY ARE COMPENSATED AS EMPLOYEES OF THIS OR A RELATED TAX-EXEMPT ORGANIZATION. 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? JANET F. TOMCAVAGE, RN, MSN, KEVIN V. ROBERTS, MBA, CPA, LORI R. GRAMLEY, ESQUIRE, MATTHEW WALSH AND STEVEN B. BENDER, ESQUIRE 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 6 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, PAGE 6, PART VI, LINE 7A 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, PAGE 6, PART VI, LINE 7B 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. THE MEMBERS ALSO HAVE THE RESERVE POWERS FOR CERTAIN SIGNIFICANT TRANSACTIONS AND AS SET FORTH IN THE PENNSYLVANIA NONPROFIT CORPORATION LAW. FORM 990, PAGE 6, PART VI, LINE 11B 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. THE FORM 990 IS PREPARED BY GEISINGER TAX AND FINANCE 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 12C 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, PAGE 6, PART VI, LINE 15A 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, PAGE 6, PART VI, LINE 15B SEE SCHEDULE O RESPONSE TO FORM 990, PART VI, SECTION B, QUESTION 15A. FORM 990, PAGE 6, PART VI, LINE 19 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 11G IC EXPENSE - TPA FEES 5,289,069 0 0 CONTRACTED MEDICAL SERVICES 8,190,927 0 0 OUTSIDE AGENCY CLINICAL 923,004 0 0 CONSULTING FEES 39,542 14,300 0 CLEANING SERVICES 227,987 0 0 EQUIP MAINTENANCE CONTRACTS 30,597 369 0 OUTSIDE PURCHASED SERVICES 112,409 0 0 TOTAL 14,813,535 14,669 0 FORM 990, PART XI, LINE 9 TRANSFER FROM PARENT, GEISINGER HEALTH 0 FORM 990, PART XII 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- OR "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. GEISINGER HEALTH 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 231995911 PHILANTHRO PA 501C3 7 N/A false GEISINGER MEDICAL CENTER 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 240795959 HOSPITAL PA 501C3 3 GH false GEISINGER CLINIC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 236291113 PHYSN SVCS PA 501C3 3 GH false GEISINGER WYOMING VALLEY MED CTR 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 231996150 HOSPITAL PA 501C3 3 GH false MARWORTH 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232171417 D&A REHAB PA 501C3 3 GH false GEISINGER HEALTH PLAN 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232311553 HMO PA 501C4 GH false GEISINGER SYSTEM SERVICES 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232164794 SUPPORT SV PA 501C3 12A GH false GEISINGER INSURANCE CORPORATIONRRG 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 141909894 SELF INS VT 501C3 12A GH false COMMUNITY MEDICAL CENTER 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 240862246 HOSPITAL PA 501C3 3 GH false GEISINGER-BLOOMSBURG HOSPITAL 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232193572 HOSPITAL PA 501C3 3 GH false GEISINGER-LEWISTOWN HOSPITAL 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 231352187 HOSPITAL PA 501C3 3 GH false LEWISTOWN AMBULATORY CARE CORP 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232344362 HOLDING CO PA 501C3 12A GH false FAMILY HEALTH ASSOCIATES OF GLH 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 251651582 PHYSN SVCS PA 501C3 12A GH false KEYSTONE HEALTH INFORMATION EXCH 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 464359893 RHIO PA 501C3 12A GH false WEST SHORE ADVANCED LIFE SUPP SVCS 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232463002 HEALTHCARE PA 501C3 10 GC false GEISINGER COMMONWEALTH SCH OF MED 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 260812968 EDUCATION PA 501C3 2 GH false GEISINGER JERSEY SHORE HOSPITAL 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 240792115 HOSPITAL PA 501C3 3 GH false GEISINGER MEDICAL CENTER MUNCY 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 851226106 HOSPITAL PA 501C3 3 GHM false GNJ PHYSICIANS GROUP PC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 820681884 PHYSN SVCS NJ 501C3 10 GH false GSL HOSPITAL 801 OSTRUM STREET BETHLEHEM PA 18015 824432109 HOSPITAL PA 501C3 3 N/A false GSLPG INC 801 OSTRUM STREET BETHLEHEM PA 18015 825423865 HEALTHCARE PA 501C3 3 GSL HOSP false KEYSTONE ACCOUNTABLE CARE ORG LLC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 455484165 ACO PA N/A false false GEISINGER ENCOMPASS HEALTH LLC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 721398803 PHY THERAP PA N/A false false EVANGELICAL-GEISINGER HEALTH LLC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 460567687 HEALTHCARE PA N/A false false LACKAWANNA PHYS AMB SURG CTRLLC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 233024998 HEALTHCARE PA N/A false false GEISINGER-HM JOINT VENTURE LLC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 831871064 HEALTHCARE PA N/A false false KEYSTONE HEALTHCARE PARTNERSHIPLLC 901 HUGH WALLIS ROAD LAFAYETTE LA 70508 833134941 HOME HLTH PA N/A false false COMMONWEALTH MSO LLC 270 SUSQUEHANNA VALLEY MALL DRIVE SELINSGROVE PA 17870 862178965 HEALTHCARE PA N/A false false PHARMACY INNOVATION ALLIANCE LLC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 831871064 PURCHASING DE N/A false false KKA VALUE FUND II GMBH & CO GIPSSTRABE 8 BERLIN GERMANY GM 10119 981686914 INVESTMENT GM N/A false false KKA CO-INVEST I GMBH & CO KG GIPSSTRABE 8 BERLIN GERMANY GM 10119 981685919 INVESTMENT GM N/A false false ISS SOLUTIONS INC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232077663 CLINIC ENG PA N/A false GEISINGER INDEMNITY INSURANCE CO 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232815174 HLTH INSUR PA N/A false GEISINGER QUALITY OPTIONS INC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 204275139 HLTH INSUR PA N/A false GEISINGER ASSURANCE COMPANY LTD 23 LINE TREE BAY AVE PO BOX 1159 GRAND CAYMAN GRAND CAYMAN CJ KY1-1102 981016737 FINANCIAL CJ N/A false CT WAREHOUSE GMBH GIPSSTRABE 8 BERLIN BERLIN GM 10119 HOLDING CO GM N/A false KKA PROJECT 3 HOLDING GMBH GIPSSTRABE 8 BERLIN BERLIN GM 10119 HOLDING CO GM N/A false KKA PROJECT 4 HOLDING GMBH GIPSSTRABE 8 BERLIN BERLIN GM 10119 HOLDING CO GM N/A false RTNX TOP GMBH GIPSSTRABE 8 BERLIN BERLIN GM 10119 HOLDING CO GM N/A false KKA WAREHOUSE GMBH GIPSSTRABE 8 BERLIN BERLIN GM 10119 HOLDING CO GM N/A false KKA PROJECT 2 HOLDING GMBH GIPSSTRABE 8 BERLIN BERLIN GM 10119 HOLDING CO GM N/A false PROJECT 4 WAREHOUSE GMBH GIPSSTRABE 8 BERLIN BERLIN GM 10119 HOLDING CO GM N/A false false false false false false false false false false false true false true false false true false false true GEISINGER-BLOOMSBURG HOSPITAL M 69978 GAAP GEISINGER CLINIC M 2723493 GAAP COMMUNITY MEDICAL CENTER M 960442 GAAP GEISINGER HEALTH S 50 GAAP GEISINGER-HM JOINT VENTURE LLC M 1878 GAAP GEISINGER INDEMNITY INSURANCE CO M 337894 GAAP GEISINGER-LEWISTOWN HOSPITAL M 1136804 GAAP GEISINGER MEDICAL CENTER M 1639187 GAAP GEISINGER PHARMACY LLC M 7310 GAAP GEISINGER SYSTEM SERVICES M 2987977 GAAP GEISINGER WYOMING VALLEY MED CT M 947253 GAAP LEWISTOWN AMBULATORY CARE CORP K 206468 FMV GEISINGER SCA HOLDINGS LLC M 756 GAAP GEISINGER INSURANCE CORPORATIONRRG P 8282 GAAP WEST SHORE ADV LIFE SUPPORT SVS M 27066 GAAP GEISINGER-LEWISTOWN HOSPITAL K 289055 FMV GEISINGER SYSTEM SERVICES K 5048 FMV GEISINGER ASSURANCE COMPANY GAC M 115222 GAAP SCHEDULE R FORM 990, SCHEDULE R, PART V - TRANSACTIONS WITH RELATED ORGANIZATIONS: AS SHOWN IN TO FORM 990, SCHEDULE R, GEISINGER COMMUNITY HEALTH 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. ___________________________________________________________________________