2023-11-14T10:52:07-05:00 2022-12-31 232164794 GEISINGER SYSTEM SERVICES 100 N ACADEMY AVE MC 49-70 DANVILLE PA 178229800 990 2022-01-01 232311553 GEISINGER HEALTH PLAN GEIS 5702716624 100 N ACADEMY AVE MC 49-70 DANVILLE PA 178229800 KEVIN V ROBERTS MBA CPA SR VP, TREASURER 5702716624 2023-11-07 KEVIN V ROBERTS XXX-XX-XXXX false SELF-PREPARED P12345678 5702716624 2023-11-14 2022 2023-04-26 12:10:37Z KURT WROBEL FSA MAAA 100 N ACADEMY AVE MC 22-01 DANVILLE PA 178229800 3036794923 false X WWW.GEISINGER.ORG X 1984 PA GEISINGER HEALTH PLAN STRIVES TO MAKE BETTER HEALTH EASIER BY PROVIDING ACCESS TO AFFORDABLE, HIGH QUALITY HEALTH CARE TO THE COMMUNITY THROUGH EQUITABLE, INNOVATIVE, AND INCLUSIVE CARE AND COVERAGE MODELS. 11 9 1803 8 4971330 447706 0 2774473038 3021175237 22825114 15194411 606623 425275 2797904775 3036794923 0 0 125368190 135642349 0 0 2664924941 2839560643 2790293131 2975202992 7611644 61591931 592524660 733928808 211199005 343362303 381325655 390566505 X GEISINGER HEALTH PLAN STRIVES TO MAKE BETTER HEALTH EASIER BY PROVIDING ACCESS TO AFFORDABLE, HIGH QUALITY HEALTH CARE TO THE COMMUNITY THROUGH EQUITABLE, INNOVATIVE, AND INCLUSIVE CARE AND COVERAGE MODELS. false false 2846325601 3021479218 TRANSITIONS OF CARE HELPING PATIENTS TRANSITION THROUGH LEVELS OF CARE, FROM HOSPITAL TO HOME, IS AN IMPORTANT COMPONENT OF ENSURING COMPREHENSIVE AND HIGH QUALITY HEALTHCARE SERVICES. GEISINGER HAS IMPLEMENTED NEW STRATEGIES WITHIN THE HOSPITAL AND PRIMARY AND SPECIALTY SETTINGS TO ANTICIPATE PATIENT NEEDS AND COORDINATE SERVICES TO ASSURE TIMELY AND SAFE TRANSITIONS. THESE STRATEGIES INCORPORATED TIMELY COMMUNICATION FROM THE HOSPITAL TO PRIMARY CARE PROVIDERS, LEVERAGED DATA FROM ELECTRONIC HEALTH RECORDS & CLAIMS TO IDENTIFY RISK AND USED CASE MANAGERS TO PROVIDE EARLY FOLLOW UP SERVICES. GEISINGER'S EFFORTS AROUND TRANSITIONS HAVE DEMONSTRATED MORE COORDINATED FOLLOW THROUGH AFTER DISCHARGE AND REDUCTIONS IN READMISSIONS. ELECTRONIC HEALTH RECORD (EHR) GEISINGER IS ON THE FOREFRONT IN THE DEVELOPMENT AND USE OF THE EHR. GHP HELPED SUPPORT THE 100 MILLION INVESTED IN EHR OVER THE LAST SEVERAL YEARS. ENDLESS POSSIBILITIES EXIST FOR IMPROVING THE QUALITY OF CARE WITH THE EHR. GHP USES THE EHR TO COMMUNICATE WITH MEMBERS WHO ARE INVOLVED IN MEDICAL OR DISEASE MANAGEMENT PROGRAMS AND THEIR PHYSICIANS. GEISINGER ALLOWS COMMUNITY HOSPITALS AND PHYSICIANS TO ACCESS PATIENT INFORMATION TO CARE FOR THEIR PATIENTS. DISEASE AND CASE MANAGEMENT SERVICES TO IMPROVE THE HEALTH OF MEMBERS, GHP PROVIDES DISEASE AND CASE MANAGEMENT PROGRAMS AND SERVICES TO COORDINATE CARE FOR THOSE WITH CHRONIC CONDITIONS. THE PROGRAMS ARE FOCUSED ON CONGESTIVE HEART FAILURE, HYPERTENSION, DIABETES, CORONARY ARTERY DISEASE, OSTEOPOROSIS, CHRONIC OBSTRUCTIVE PULMONARY DISEASE, CHRONIC KIDNEY DISEASE, ASTHMA, TOBACCO CESSATION AND WEIGHT MANAGEMENT. THESE PROGRAMS WERE THE RESULT OF A COLLABORATION OF EXPERTISE BETWEEN GHP AND GEISINGER PROVIDERS AND HAVE ATTAINED NATIONAL RECOGNITION BY HEALTH MANAGEMENT ORGANIZATIONS & INDUSTRY GROUPS. THIS SUCCESSFUL COLLABORATION IS AN EXAMPLE OF HOW THIS UNIQUE RELATIONSHIP BENEFITS THE COMMUNITY. COMMUNITY HEALTH, EDUCATION AND OUTREACH GHP EMPLOYEES PROVIDE THE PUBLIC WITH INFORMATION ON TOPICS SUCH AS INSURANCE EDUCATION, ADVANCE DIRECTIVES, DENTAL AND HAND HYGIENE, ASTHMA CARE, THE IMPORTANCE OF SCREENINGS & IMMUNIZATIONS AND WELLNESS. GHP PROVIDED INFORMATION TO 64,809 INDIVIDUALS AT 1,765 EVENTS INCLUDING HEALTH FAIRS, SCHOOL BASED PRESENTATIONS, SEMINARS AND ORGANIZATIONAL MEETINGS. THIS EDUCATION INCLUDED: 1.169 HEALTH EDUCATION EVENTS FOR CHILDREN WERE HELD COVERING DENTAL, NUTRITION & PHYSICAL ACTIVITY, HAND HYGIENE AND SUN SAFETY TOPICS. MORE THAN 2,165 CHILDREN ATTENDED THE EVENTS. 2.OVER 375 EVENTS SUPPORTED EVIDENCE BASED CHRONIC DISEASE PROGRAMMING, REACHING A TOTAL PARTICIPATION OF NEARLY 250 INDIVIDUALS. 3.OVER 1,220 WELLNESS ACTIVITIES WERE HELD AT EMPLOYER GROUPS AND COMMUNITY EVENTS. ALL OF OUR PROGRAMS ARE AVAILABLE TO OUR COMMERCIAL MEMBERS WHICH REPRESENT APPROXIMATELY 142,523 INDIVIDUALS. 4.MORE THAN 164 EMPLOYER GROUP AND COMMUNITY FLU EVENTS WERE HELD, PROVIDING 6,561 FLU SHOTS. GHP EDUCATES THE GENERAL PUBLIC, MEMBERS, EMPLOYER GROUPS, BROKERS, PARTICIPATING PROVIDERS AND OFFICE PERSONNEL ON HEALTH AND WELLNESS TOPICS RANGING FROM WOMEN'S HEALTH TO COLD AND FLU PREVENTION. THE INFORMATION IS AVAILABLE IN A VARIETY OF FORMATS INCLUDING NEWSPAPER ARTICLES, NEWSLETTERS, EMAILS, BROCHURES AND POSTERS. GHP SUPPORTS MANY LOCAL ORGANIZATIONS THROUGH COMMUNITY SPONSORSHIPS. THE ORGANIZATIONS INCLUDED LOCAL CHAMBERS OF COMMERCE AND THE BOY SCOUTS OF AMERICA. THE COST OF COMMUNITY HEALTH, EDUCATION AND OUTREACH ACTIVITIES WAS 4.8M DURING 2022. HEALTH EQUITY AT GEISINGER, WE STRIVE TO ENSURE WE CREATE A CULTURE OF BELONGING AND INCLUSION WHERE THE WORKFORCE REFLECTS THE PEOPLE WE SERVE, AND OUR LEADERS REFLECT OUR OVERALL WORKFORCE. IN 2021, GEISINGER HIRED ITS FIRST CHIEF DIVERSITY, EQUITY AND INCLUSION (DEI) OFFICER AND DEVELOPED A SYSTEM-WIDE DE&I COUNCIL, DE&I TEAM, AND HEALTH EQUITY STEERING COMMITTEE (HESC) THAT SUPPORTS THE CLINICAL ENTERPRISE AND GEISINGER HEALTH PLAN. OUR APPROACH TO ACHIEVING THIS GOAL IS THROUGH A MULTI-YEAR STRATEGY AND INFRASTRUCTURE THAT REINFORCES OUR CULTURE OF INCLUSION AND BELONGING. THE MAIN PILLARS OF THE DIVERSITY, EQUITY AND INCLUSION STRATEGY FOCUS ON CULTURE, TALENT, COMMUNITY, SUPPLIER DIVERSITY, AND HEALTH EQUITY. THE OUTPUT OF THE STRATEGY AND CONTINUAL PROGRESS IS SEEN ANNUALLY IN THE FOLLOWING RESULTS: 1.INCREASED DIVERSITY OF PEOPLE IN THE ORGANIZATION. 2.INCREASED EMPLOYEE ENGAGEMENT AND SENTIMENTS ABOUT DIVERSITY, EQUITY, AND INCLUSION. 3.DECREASED TURNOVER OF HISTORICALLY MINORITIZED EMPLOYEES 4.INCREASED ENGAGEMENT AND CONFIDENCE IN GEISINGER AMONG THE BLACK AND LATINO COMMUNITIES. A SEPARATE STEERING COMMITTEE WILL BE DEVELOPED IN JANUARY 2023 TO SUPPORT WORKFLOWS AND PROCESSES UNIQUE TO THE HEALTH PLAN. STARTING IN 2019, AS AN INTEGRATED HEALTH DELIVERY SYSTEM, WE DEFINED DATA ELEMENTS, CLINICAL WORKFLOWS, AND ORGANIZATIONAL PRACTICE IN OUR ELECTRONIC HEALTH RECORD TO ASK PATIENTS AND MEMBERS THEIR RACE, ETHNICITY, LANGUAGE PREFERENCE, SEX, GENDER IDENTITY, SEX ASSIGNED AT BIRTH, ORGAN INVENTORY, AND AFFIRMATION HISTORY, PRONOUNS AND SEXUAL ORIENTATION, AS WELL AS VETERAN STATUS. THE QUESTIONS ARE EITHER ANSWERED BY THE PATIENTS IN ADVANCE OF A VISIT OR ASKED IN CLINICAL SETTINGS. THE RESPONSES ARE USED TO HELP CLINICIANS AND STAFF HAVE APPROPRIATE AND CULTURALLY RESPONSIVE CONVERSATIONS WITH PATIENTS AND MEMBERS. IN OUR HEALTH PLAN, WE HAVE ADOPTED THE SAME DATA ELEMENTS AROUND DEMOGRAPHICS AND EQUITY. IN 2023 WILL BE WORKING TO IDENTIFY PATHWAYS TO ASK MEMBERS DEMOGRAPHIC AND HEALTH EQUITY INFORMATION, DEVELOP WORKFLOWS AND ORGANIZATIONAL PRACTICES, SURFACE NEEDS AND ADDRESS DISPARITIES IN OUR MEMBERSHIP POPULATION IN ORDER TO DEVELOP NEW AND TARGET INTERVENTIONS AND PROGRAMMING. TO ENSURE GEISINGER AND HEALTH PLANS STAFF ARE TRAINED, THE DE&I OFFICE HAS DEVELOPED A SUITE OF TRAINING PROGRAMS, MATERIALS, AND RESOURCES FOR ALL STAFF TO HELP BUILD OUR KNOWLEDGE AROUND DEI AS WELL AS SUPPORT THE CURRENT DEI STRATEGIC INITIATIVES AT GEISINGER. FOR EXAMPLE, TRAINING TOPICS INCLUDE: UNCONSCIOUS BIAS, SEXUAL ORIENTATION AND GENDER IDENTITY, SEXUAL HARASSMENT, AND CULTURAL COMPETENCE, PROACTIVE AND INCLUSIVE POLICIES THAT ENSURE DIVERSITY IS CONSIDERED IN ALL STRATEGIC MANAGEMENT INITIATIVES. SOCIAL DETERMINANTS OF HEALTH GEISINGER IS PROACTIVELY ADDRESSING SOCIAL DETERMINANTS OF HEALTH AND HEALTH DISPARITIES IN A VARIETY OF WAYS. WE HAVE MOVED BEYOND TRADITIONAL MEDICAL CARE TO PROVIDE COORDINATED SOCIAL SERVICES AND OPPORTUNITIES TO OUR PATIENTS AND HEALTH PLAN MEMBERS WHILE CONNECTING THEM WITH COMMUNITY- BASED ORGANIZATIONS. WE ARE WORKING ACROSS SECTORS TO FIND CREATIVE, INNOVATIVE WAYS TO HELP INDIVIDUALS ADDRESS THE SOCIAL AND ENVIRONMENTAL FACTORS THAT IMPACT THEIR HEALTH. OUR SDOH STRATEGY ALIGNS DATA, COMMUNITY ENGAGEMENT, CONNECTION TO RESOURCES, AND SUSTAINED OUTCOMES TO HELP THE NEEDS OF OUR PATIENTS, MEMBERS, AND GEISINGER COMMUNITIES. COMMUNITY HEALTH BENEFIT FUND WHILE STABLE HOUSING, FRESH FRUITS, VEGETABLES, AND TRANSPORTATION OPTIONS ARE OFTEN NOT DEEMED HEALTH CARE NEEDS, THEY, ALONG WITH OTHER NECESSITIES, ARE VITAL TO POSITIVE HEALTH OUTCOMES. THE COMMUNITY HEALTH BENEFIT FUND WAS ESTABLISHED TO PROVIDE COMMUNITY ORGANIZATIONS WITH RESOURCES AND SERVICES NEEDED TO FOSTER POSITIVE HEALTH OUTCOMES. THE KEY AREAS WITH FUNDING NEEDS IDENTIFIED INCLUDE: 1.FOOD INSECURITY 2.TRANSPORTATION 3.HOUSING STABILITY 4.OPIOID PREVENTION AND TREATMENT 5.COMBATTING PEDIATRIC OBESITY 6.ACCESS TO DENTAL CARE 7.BEHAVIORAL HEALTH FUND RECIPIENTS ARE CHOSEN BY THE COMMUNITY HEALTH BENEFIT FUND COMMITTEE WHO MEET QUARTERLY TO DISCUSS NEEDS AND SUBMIT APPROVAL OF ALLOCATED FUNDING WITHIN THE GEISINGER FOOTPRINT. FOOD INSECURITY & SDOH SCREENING STARTED IN NOVEMBER 2018, AS A HEALTH PLAN MEMBER ENROLLED WITH OUR CARE TEAMS, OR SPECIAL NEEDS UNIT (SNU) ARE SCREENED FOR SDOH NEEDS USING A UNIVERSAL ASSESSMENT. QUESTIONS ARE ASKED AROUND ECONOMIC STABILITY, FOOD SECURITY, EDUCATION, SOCIAL AND COMMUNITY CONTEXT, ACCESS TO HEALTH CARE, TRANSPORTATION AND ENVIRONMENTAL CONDITIONS. ALL NEW MEDICAID MEMBERS ARE SCREENED FOR HEALTH DISPARITIES AFTER ENROLLMENT AND CONNECTED TO RESOURCES. FROM JUNE 2018-JUNE 2021, OUR PATIENTS AND MEMBERS WERE ALSO SCREENED FOR FOOD INSECURITY ANNUALLY DURING THE PATIENT ROOMING PROCESS IN PRIMARY CARE, PEDIATRICS, INTERNAL MEDICINE, AS WELL AS URGENT CARE; THOSE IDENTIFIED ARE REFERRED TO A SOCIAL SERVICE PARTNER. IDENTIFICATION OF NEEDS: WE HAVE BEEN SCREENING OUR MEMBERS AND PATIENTS FOR SOCIAL NEEDS SINCE 2018 AND MOST RECENTLY IN 2021 IMPLEMENTED A NEW SOCIAL NEEDS SCREENING TO IDENTIFY URGENT NEEDS WITH MEMBERS AND PATIENTS WENT LIVE IN JULY 2021. THE NEW SCREENING INCLUDES 13 QUESTIONS ACROSS 11 DOMAINS: FOOD INSECURITY, HEALTH CARE/MEDICAL ACCESS/AFFORDABILITY, HOUSING, TRANSPORTATION, CHILDCARE, EMPLOYMENT, UTILITIES, CLOTHING, FINANCIAL STRAIN, CONNECTIONS (SOCIAL ISOLATION), AND SAFETY. THE SCREENING IS DESIGNED TO SURFACE THE 2846325601 false false false false false false false false false true false false false true false true true false false true false false false false false false false false true false false false true false false false false false false false false false true false false true X 5111 0 true 1803 true true true false false false false false true false X 11 9 true false false false true true true true true false false true true true true true true true true false PA IN X ERIN FITZGERALD CPA VP AND CAO 5702142299 100 N ACADEMY AVE MC 49-70 DANVILLE PA 178229800 JAEWON RYU MD JD DIRECTOR 40.00 X 0 5545041 1560940 KEVIN V ROBERTS MBA CPA SR VP, TREAS 40.00 X 0 1735635 374871 KURT WROBEL FSA MAAA PRESIDENT, D 40.00 X X 1071956 0 332547 STEVEN B BENDER ESQUIRE CLO, SECRETA 40.00 X 0 885926 215586 JANET F TOMCAVAGE RN MSN FORMER KEY E 40.00 X 0 735904 196269 MARK MCCULLOUGH ASSISTANT TR 40.00 X 698014 0 128621 ROGER VAN BAAREN CHIEF SALES 40.00 X 417977 0 56437 DAVID J WEADER ESQUIRE ASSISTANT SE 40.00 X 391147 0 56768 MARY MASTRANDREA VP, GOV'T PR 40.00 X 328208 0 37106 OPOKU T ARCHAMPONG SR. DIRECTOR 40.00 X 276104 0 53254 TAMMY ANDERER CRNP PHD FORMER 5 HIG 40.00 X 0 290901 36905 DARON K MCREE CHIEF OF COM 40.00 X 307778 0 4171 FRANCIS K DAVIS AVP, LEGAL 40.00 X 265639 0 40002 AMANDA A TAYLOR MD PHYSICIAN 40.00 X 268746 0 18304 JOANN SCIANDRA VP, CARE COO 40.00 X 266982 0 19949 JAMIE L MILLER AVP, PHARMAC 40.00 X 42171 177520 51757 SUSAN E TORREY VP, OPERATIO 40.00 X 234851 0 19595 HEATHER SMITH VP, MARKET S 40.00 X 223574 0 15203 HEATHER M ACKER DIRECTOR 0.25 0.50 X 8307 0 0 THOMAS J LISTON DIRECTOR 0.25 X 0 0 0 BENJAMIN K CHU MD MPH MACP DIRECTOR 0.25 3.75 X 0 0 0 THOMAS H LEE JR MD MSC DIRECTOR, CH 0.25 0.50 X X 0 0 0 V CHRIS HOLCOMBE PE DIRECTOR 0.25 3.25 X 0 0 0 JOHN C BRAVMAN PHD DIRECTOR 0.25 0.75 X 0 0 0 SHERRY A GLIED PHD DIRECTOR 0.25 0.50 X 0 0 0 DONALD T ROSINI DIRECTOR 0.25 0.50 X 0 0 0 CHRISTOPHER B SULLIVAN DIRECTOR 0.25 0.50 X 0 0 0 4801454 9370927 3218285 167 true true false PERFORMRX LLC 200 STEVENS DRIVE PHILADELPHIA PA 19113 PHARMACY FEES 13966461 RITTER INSURANCE MARKETING LLC 2600 COMMERCE DRIVE HARRISBURG PA 17110 BROKER FEES 8036826 COGNIZANT TRIZETTO SOFTWARE 28125 NETWORK PL CHICAGO IL 60673 CONSULTING 6720937 SMART PARTNER LCC 150 E 9TH ST BLOOMSBURG PA 17815 MARKETING 5261818 COTIVITI INC PO BOX 5459 NEW YORK NY 100875459 OPS & SOFTWARE 4912750 134 X INSURANCE PREMIUMS 524114 2890176209 2890176209 IC SHARED SERVICE-SCHEDULE O 524298 122903185 122903185 POS INSURANCE PREMIUMS 524114 4862966 4862966 INTERCOMPANY REVENUE 524298 2810158 2810158 RENTAL REVENUE 531120 422719 422719 3021175237 9128126 9128126 6066285 6066285 6066285 6066285 FQHC 524298 217660 217660 COMMISSION INCOME 524210 109404 109404 PARTNERSHIP INCOME (HPA, LLC) 524298 48836 48836 49375 37485 -1040 12930 425275 3036794923 3016193533 4971330 15630060 4123871 2013345 2110526 43110 43110 98377071 83690610 14686461 4741754 4070411 671343 20487929 18569013 1918916 7868614 6785086 1083528 965127 965127 2157332 597272 1560060 101474 101474 1033787 1033787 85640063 67306759 18333304 2560681 2545681 15000 33350808 26821357 6529451 18621214 661698 17959516 3348544 3091293 257251 794399 729755 64644 50855 50006 849 530172 489442 40730 16249148 15000812 1248336 10763705 8355422 2408283 CLAIM PAYMENTS 2125715029 2125715029 INTER-ENTITY EXPENSE 436458365 379467328 56991037 OTHER TAXES 99237488 99237488 LICENSES & FEES 937073 621958 315115 1045379 462726 582653 2975202992 2846325601 128877391 0 12097929 8838102 170707761 160442809 214633477 82431 54605 89655 139235 8502276 14619390 185174839 134770417 61413313 50404422 331652018 276461760 9406127 6908158 592524660 733928808 133691056 215665342 2353356 5109298 19206576 18364972 55948017 104222691 211199005 343362303 X 381325655 390566505 381325655 390566505 592524660 733928808 X 61591931 -52348841 -2240 X X false true X true true true 429575 429575 37660319 11626142 26034177 2241100 1007880 1233220 140294883 121243936 19050947 4548962 892459 3656503 50404422 DUE TO AFFILIATES 96659765 OTHER DEPOSITS MISCELLANEOUS 6914827 MEDICAL LEGAL CLAIMS ALLOWANCE 488000 ACA FEES PAYABLE 160099 104222691 2902185984 -52348841 49981967 -2366874 2904552858 943733 131298332 132242065 3036794923 2836406217 -6556950 -6556950 2842963167 943733 131296092 132239825 2975202992 SCHEDULE D, PAGE 4, PART XI, LINE 2D STATUTORY ADJUSTMENTS TO INCOME 49,964,831 GAIN LOSS ON LINE 7B REPORTED AS EXPENSE IN AUDIT 17,136 SCHEDULE D, PAGE 4, PART XI, LINE 4B INTERCO REVENUE OFFSET AGAINST EXPENSE IN STATUTORY AUDIT 122,903,185 REINSURANCE EXPENSE OFFSET AGAINST REVENUE IN THE AUDIT 8,355,422 PURCHASE DISCOUNTS OFFSET AGAINST REVENUE IN AUDIT 37,485 481A TAX ADJUSTMENT FOR TAX PURPOSES 2,240 SCHEDULE D, PAGE 4, PART XII, LINE 2D STATUTORY ADJUSTMENTS TO EXPENSE -6,574,086 GAIN LOSS ON LINE 7B REPORTED AS EXPENSE IN AUDIT 17,136 SCHEDULE D, PAGE 4, PART XII, LINE 4B INTERCO REVENUE OFFSET AGAINST EXPENSE IN STATUTORY AUDIT 122,903,185 REINSURANCE EXPENSE OFFSET AGAINST REVENUE IN THE AUDIT 8,355,422 PURCHASE DISCOUNTS OFFSET AGAINST REVENUE IN AUDIT 37,485 SCHEDULE D, PAGE 4, PART XIII PART X - FIN 48 FOOTNOTE EFFECTIVE JULY 1, 2007, GEISINGER(1) ADOPTED ACCOUNTING STANDARDS CODIFICATION 740 (FIN48), (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 ON 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. CENTRAL AMERICA AND THE CARIBBEAN INVESTMENTS 1621508 EAST ASIA AND THE PACIFIC INVESTMENTS 1995566 EUROPE INVESTMENTS 10510402 NORTH AMERICA INVESTMENTS 5193488 MIDDLE EAST AND NORTH AFRICA INVESTMENTS 21245 19342209 19342209 false false false false false false SCHEDULE F, PAGE 1, PART I, LINE 3 CENTRAL AMERICA AND THE CARIBBEAN 0 1,621,508 EAST ASIA AND THE PACIFIC 0 1,995,566 EUROPE 0 10,510,402 NORTH AMERICA 0 5,193,488 MIDDLE EAST AND NORTH AFRICA 0 21,245 X true true X X X X X X true true false false false false false false true true JAEWON RYU MD JD DIRECTOR 4189940 1355101 1526570 34370 7105981 1322351 KEVIN V ROBERTS MBA CPA SR VP, TREASURER 1652425 83210 348862 26009 2110506 KURT WROBEL FSA MAAA PRESIDENT, DIRECTOR 940946 131010 297570 34977 1404503 95748 STEVEN B BENDER ESQUIRE CLO, SECRETARY 846303 39623 181570 34016 1101512 JANET F TOMCAVAGE RN MSN FORMER KEY EMPLOYEE 694056 41848 166570 29699 932173 MARK MCCULLOUGH ASSISTANT TREASURER 678017 19997 105464 23157 826635 ROGER VAN BAAREN CHIEF SALES OFFICER 400310 17667 21570 34867 474414 DAVID J WEADER ESQUIRE ASSISTANT SECRETARY 370983 20164 21570 35198 447915 MARY MASTRANDREA VP, GOV'T PROGRAMS 299130 29078 21570 15536 365314 OPOKU T ARCHAMPONG SR. DIRECTOR, ACTUAR 220662 12500 42942 17749 35505 329358 TAMMY ANDERER CRNP PHD FORMER 5 HIGHEST 274811 16090 19519 17386 327806 DARON K MCREE CHIEF OF COMP/STAFF 6972 300806 427 3744 311949 FRANCIS K DAVIS AVP, LEGAL 261020 4619 18123 21879 305641 AMANDA A TAYLOR MD PHYSICIAN 268711 35 18304 287050 JOANN SCIANDRA VP, CARE COORD 240185 26797 17722 2227 286931 JAMIE L MILLER AVP, PHARMACY 41714 167073 457 10447 2194 11602 8296 29665 52661 218787 SUSAN E TORREY VP, OPERATIONS 227212 7639 14966 4629 254446 HEATHER SMITH VP, MARKET SALES 179832 43742 13413 1790 238777 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 JAEWON RYU, MD, JD 0 1,322,351 0 KURT WROBEL, FSA, MAAA 0 95,748 0 DARON K. MCREE 298,977 0 0 SCHEDULE J, PAGE 1, PART I, LINE 8 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. SCHEDULE J, PART III 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. __________________________________________________________________________ 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. MARK MCCULLOUGH COO CFO OFFICER RECRUITMENT X 50000 28443 false true true ROGER VAN BAAREN KEY EMPLOYEE RECRUITMENT X 50000 26162 false true true 54605 FORM 990 FORM 990, PART IX STATEMENT OF FUNCTIONAL EXPENSES, LINE 24E: FEDERAL AND STATE UNRELATED BUSINESS INCOME TAX EXPENSE WAS 180,982 FOR THE REPORTING PERIOD. FORM 990, PART III. LINE 4A, FIRST ACCOMPLISHMENT I. GENERAL INFORMATION THREE COMPANIES COMPRISE WHAT IS KNOWN AS GEISINGER HEALTH PLAN: GEISINGER HEALTH PLAN ("GHP"), TRADITIONAL HEALTH MAINTENANCE ORGANIZATION (HMO); GEISINGER QUALITY OPTIONS, INC, PREFERRED PROVIDER ORGANIZATION (PPO); AND GEISINGER INDEMNITY INSURANCE COMPANY (GIIC), A THIRD PARTY ADMINISTRATOR (TPA) PROVIDING ADMINISTRATIVE ONLY SERVICES. THE THREE COMPANIES BASED IN DANVILLE, PENNSYLVANIA, HAD MORE THAN 612,050 MEMBERS AS OF DECEMBER 31, 2022. GHP, A NOT FOR PROFIT ORGANIZATION, PROVIDES PREPAID MANAGED HEALTHCARE TO MEMBERS. AT DECEMBER 31, 2022, GHP PREDOMINATELY PROVIDED MANAGED HEALTHCARE TO GOVERNMENT PROGRAMS INCLUDING 326,265 MEDICAID MEMBERS, 61,985 MEDICARE ADVANTAGE MEMBERS AND 10,993 CHIP MEMBERS. GHP ALSO PROVIDED MANAGED HEALTHCARE TO 44,450 COMMERCIAL MEMBERS. FOUNDED IN 1972, INCORPORATED IN 1984, AND LICENSED BY THE DEPARTMENT OF INSURANCE IN 1985, GHP OPERATES IN 48 CONTIGUOUS COUNTIES IN MOSTLY RURAL CENTRAL AND NORTHEASTERN PA. GHP CONTRACTS WITH MORE THAN 65,441 PROVIDERS AND 213 HOSPITALS. GHP IS CONSISTENTLY RECOGNIZED FOR QUALITY AND HAS BEEN ACCREDITED FOR QUALITY BY THE NATIONAL COMMITTEE FOR QUALITY ASSURANCE (NCQA) SINCE 1993. THE COMMERCIAL AND MEDICARE HMOS ARE RATED ONE OF THE TOP HEALTH PLANS IN THE NATION IN THE 2020 2021 NCQA HEALTH INSURANCE PLAN RATINGS. NEW FACILITIES AND MORE SERVICES GHP, A 501(C)(4) NONPROFIT ORGANIZATION, INVESTS REVENUES IN EXCESS OF COSTS TO PROVIDE HEALTHCARE TO MEMBERS TO IMPROVE FACILITIES AND SERVICES, INCREASE BENEFITS AND PROVIDE AFFORDABLE RATES. GHP TYPICALLY MAKES ANNUAL CONTRIBUTIONS TO GEISINGER HEALTH (GH), IT'S 501(C)(3) PARENT, TO ENHANCE TEACHING, EDUCATION AND RESEARCH PROJECTS TO BENEFIT ALL PENNSYLVANIANS. THESE CONTRIBUTIONS ARE USED TO FUND NEW FACILITIES AND TO ADD SERVICES TO OUR EXISTING HOSPITALS AND PHYSICIAN CLINICS IN DIRECT SUPPORT OF GH'S CHARITABLE MISSION AND OF ITS CHARITABLE AFFILIATES BY ENHANCING HEALTHCARE PROGRAMS AND SERVICES THROUGHOUT THE REGION WHILE IMPROVING THE AVAILABILITY OF PATIENT CARE IN OUR SERVICE AREA. PROVIDING AFFORDABLE, HIGH QUALITY, COMPREHENSIVE HEALTHCARE AND BENEFITS INCREASES ACCESS OF CARE TO THOSE WHO MIGHT NOT OTHERWISE BE ABLE TO AFFORD HEALTHCARE AND CONTRIBUTES TO QUALITY OF LIFE IN THE COMMUNITIES WE SERVE. GHP PROVIDES COMPLETE HEALTHCARE SERVICES ON A PREPAID BASIS THROUGH AN INTEGRATED HEALTHCARE DELIVERY SYSTEM, PROVIDING HEALTHCARE TO THE ENTIRE COMMUNITY. GHP CHANNELS EXPERIENCE, KNOWLEDGE AND FUNDS TO PURSUE GEISINGER'S PROJECTS. NO OTHER ORGANIZATION IN THIS REGION HAS BOTH PROVIDER AND PAYER JOINED TOGETHER TO CREATE SYNERGIES TO IMPROVE THE HEALTH OF THE COMMUNITIES SERVED. PROVENHEALTH NAVIGATOR (PHN) GHP'S PROVENHEALTH NAVIGATOR IS A PARTNERSHIP BETWEEN PATIENTS, PRIMARY CARE PROVIDERS AND GHP TO IMPROVE MEMBERS' HEALTH. ALSO KNOWN AS A "MEDICAL HOME," PHN PROVIDES A CASE MANAGER WHO WORKS WITH THE MEMBER'S HEALTHCARE PROVIDERS, THE MEMBER AND THE MEMBER'S FAMILY COORDINATING CARE WITH HOSPITALS, SPECIALISTS, PHARMACISTS AND SKILLED NURSING FACILITIES. THE MODEL BLENDS ASPECTS OF CHRONIC CARE, MEDICAL HOME AND PATIENT CENTERED PRIMARY CARE MODELS. ADDITIONAL FUNCTIONAL COMPONENTS ARE INCLUDED, CREATING A NEW HEALTHCARE DELIVERY VEHICLE: HEALTH NAVIGATOR ("HN"). ACTING AS THE FIRST LINE CAREGIVER AND GUIDE, GHP NURSE CASE MANAGERS HELP MEMBERS NAVIGATE THE HEALTH CARE SYSTEM. HN'S KEY STRATEGY OFFERS MEMBERS ACCESS TO AN HN CASE MANAGER 24 HOURS A DAY, 7 DAYS A WEEK. THE PRIMARY CARE PRACTICE TEAM AND GHP, WORKING WITH THE MEMBER AT THE CORE OF THE SYSTEM, ACCEPT RESPONSIBILITY TO OPTIMIZE HEALTH STATUS FOR EACH INDIVIDUAL MEETING WITH PREESTABLISHED QUALITY, EFFICIENCY, AND MEMBER SATISFACTION OUTCOME TARGETS FOR THE PRACTICE POPULATION. THE COST OF PROVIDING PHN TO NONMEMBERS WAS 2.6M DURING 2022. PROVENCARE CHRONIC DISEASE GEISINGER IDENTIFIED COMMON CHRONIC DISEASES (DIABETES, CORONARY ARTERY DISEASE, CONGESTIVE HEART FAILURE) AND ADULT PREVENTION MEASURES (IMMUNIZATIONS, COLONOSCOPIES, ETC.). USING EVIDENCE BASED BEST PRACTICES, CARE WAS "BUNDLED" TO INCLUDE THE MOST EFFECTIVE TREATMENT. SUCCESS IS MEASURED BY MEETING 100% OF THE BUNDLE REQUIREMENTS, TRACKED OVER TIME. GEISINGER'S MADE SIGNIFICANT IMPROVEMENT MEETING THE BUNDLE REQUIREMENTS FOR DIABETES AND PREVENTIVE CARE FOR ADULTS. PROVENCARE ACUTE EPISODIC CARE (THE "WARRANTY") BEGINNING WITH CORONARY ARTERY BYPASS GRAFTS (CABG), THE PROCESS INCLUDES IDENTIFYING HIGH VOLUME DIAGNOSIS RELATED GROUPS (DRGS), DETERMINING BEST PRACTICE TECHNIQUES AND DELIVERING EVIDENCE BASED CARE. THE GEISINGER CLINICAL ENTERPRISE WORKED WITH GHP TO ESTABLISH A GLOBAL FEE THAT INCLUDES PREOPERATIVE CARE, HOSPITALIZATION, PHYSICIAN FEES, REHABILITATION, AND CARE (ADMISSIONS DUE TO COMPLICATIONS) RELATED TO THE SURGERY WITHIN 90 DAYS. THIS ADDITIONAL CARE IS NOT CHARGED (IF SEEN AT A GEISINGER FACILITY). THIS "WARRANTED" CARE HAS BEEN SUCCESSFUL AND FEATURED IN THE NEW YORK TIMES AND IN THE ANNALS OF SURGERY. GEISINGER HAS PROGRAMS FOR ANGIOPLASTY WITH ACUTE MYOCARDIAL INFARCTION (HEART ATTACK), HIP REPLACEMENT, CATARACTS, ERYTHROPOIETIN (A DRUG USED FOR KIDNEY PATIENTS), PERINATAL CARE, LOW BACK PAIN AND BARIATRIC SURGERY. FORM 990, PAGE 2, PART III, LINE 4A TRANSITIONS OF CARE HELPING PATIENTS TRANSITION THROUGH LEVELS OF CARE, FROM HOSPITAL TO HOME, IS AN IMPORTANT COMPONENT OF ENSURING COMPREHENSIVE AND HIGH QUALITY HEALTHCARE SERVICES. GEISINGER HAS IMPLEMENTED NEW STRATEGIES WITHIN THE HOSPITAL AND PRIMARY AND SPECIALTY SETTINGS TO ANTICIPATE PATIENT NEEDS AND COORDINATE SERVICES TO ASSURE TIMELY AND SAFE TRANSITIONS. THESE STRATEGIES INCORPORATED TIMELY COMMUNICATION FROM THE HOSPITAL TO PRIMARY CARE PROVIDERS, LEVERAGED DATA FROM ELECTRONIC HEALTH RECORDS & CLAIMS TO IDENTIFY RISK AND USED CASE MANAGERS TO PROVIDE EARLY FOLLOW UP SERVICES. GEISINGER'S EFFORTS AROUND TRANSITIONS HAVE DEMONSTRATED MORE COORDINATED FOLLOW THROUGH AFTER DISCHARGE AND REDUCTIONS IN READMISSIONS. ELECTRONIC HEALTH RECORD (EHR) GEISINGER IS ON THE FOREFRONT IN THE DEVELOPMENT AND USE OF THE EHR. GHP HELPED SUPPORT THE 100 MILLION INVESTED IN EHR OVER THE LAST SEVERAL YEARS. ENDLESS POSSIBILITIES EXIST FOR IMPROVING THE QUALITY OF CARE WITH THE EHR. GHP USES THE EHR TO COMMUNICATE WITH MEMBERS WHO ARE INVOLVED IN MEDICAL OR DISEASE MANAGEMENT PROGRAMS AND THEIR PHYSICIANS. GEISINGER ALLOWS COMMUNITY HOSPITALS AND PHYSICIANS TO ACCESS PATIENT INFORMATION TO CARE FOR THEIR PATIENTS. DISEASE AND CASE MANAGEMENT SERVICES TO IMPROVE THE HEALTH OF MEMBERS, GHP PROVIDES DISEASE AND CASE MANAGEMENT PROGRAMS AND SERVICES TO COORDINATE CARE FOR THOSE WITH CHRONIC CONDITIONS. THE PROGRAMS ARE FOCUSED ON CONGESTIVE HEART FAILURE, HYPERTENSION, DIABETES, CORONARY ARTERY DISEASE, OSTEOPOROSIS, CHRONIC OBSTRUCTIVE PULMONARY DISEASE, CHRONIC KIDNEY DISEASE, ASTHMA, TOBACCO CESSATION AND WEIGHT MANAGEMENT. THESE PROGRAMS WERE THE RESULT OF A COLLABORATION OF EXPERTISE BETWEEN GHP AND GEISINGER PROVIDERS AND HAVE ATTAINED NATIONAL RECOGNITION BY HEALTH MANAGEMENT ORGANIZATIONS & INDUSTRY GROUPS. THIS SUCCESSFUL COLLABORATION IS AN EXAMPLE OF HOW THIS UNIQUE RELATIONSHIP BENEFITS THE COMMUNITY. COMMUNITY HEALTH, EDUCATION AND OUTREACH GHP EMPLOYEES PROVIDE THE PUBLIC WITH INFORMATION ON TOPICS SUCH AS INSURANCE EDUCATION, ADVANCE DIRECTIVES, DENTAL AND HAND HYGIENE, ASTHMA CARE, THE IMPORTANCE OF SCREENINGS & IMMUNIZATIONS AND WELLNESS. GHP PROVIDED INFORMATION TO 64,809 INDIVIDUALS AT 1,765 EVENTS INCLUDING HEALTH FAIRS, SCHOOL BASED PRESENTATIONS, SEMINARS AND ORGANIZATIONAL MEETINGS. THIS EDUCATION INCLUDED: 1.169 HEALTH EDUCATION EVENTS FOR CHILDREN WERE HELD COVERING DENTAL, NUTRITION & PHYSICAL ACTIVITY, HAND HYGIENE AND SUN SAFETY TOPICS. MORE THAN 2,165 CHILDREN ATTENDED THE EVENTS. 2.OVER 375 EVENTS SUPPORTED EVIDENCE BASED CHRONIC DISEASE PROGRAMMING, REACHING A TOTAL PARTICIPATION OF NEARLY 250 INDIVIDUALS. 3.OVER 1,220 WELLNESS ACTIVITIES WERE HELD AT EMPLOYER GROUPS AND COMMUNITY EVENTS. ALL OF OUR PROGRAMS ARE AVAILABLE TO OUR COMMERCIAL MEMBERS WHICH REPRESENT APPROXIMATELY 142,523 INDIVIDUALS. 4.MORE THAN 164 EMPLOYER GROUP AND COMMUNITY FLU EVENTS WERE HELD, PROVIDING 6,561 FLU SHOTS. GHP EDUCATES THE GENERAL PUBLIC, MEMBERS, EMPLOYER GROUPS, BROKERS, PARTICIPATING PROVIDERS AND OFFICE PERSONNEL ON HEALTH AND WELLNESS TOPICS RANGING FROM WOMEN'S HEALTH TO COLD AND FLU PREVENTION. THE INFORMATION IS AVAILABLE IN A VARIETY OF FORMATS INCLUDING NEWSPAPER ARTICLES, NEWSLETTERS, EMAILS, BROCHURES AND POSTERS. GHP SUPPORTS MANY LOCAL ORGANIZATIONS THROUGH COMMUNITY SPONSORSHIPS. THE ORGANIZATIONS INCLUDED LOCAL CHAMBERS OF COMMERCE AND THE BOY SCOUTS OF AMERICA. THE COST OF COMMUNITY HEALTH, EDUCATION AND OUTREACH ACTIVITIES WAS 4.8M DURING 2022. HEALTH EQUITY AT GEISINGER, WE STRIVE TO ENSURE WE CREATE A CULTURE OF BELONGING AND INCLUSION WHERE THE WORKFORCE REFLECTS THE PEOPLE WE SERVE, AND OUR LEADERS REFLECT OUR OVERALL WORKFORCE. IN 2021, GEISINGER HIRED ITS FIRST CHIEF DIVERSITY, EQUITY AND INCLUSION (DEI) OFFICER AND DEVELOPED A SYSTEM-WIDE DE&I COUNCIL, DE&I TEAM, AND HEALTH EQUITY STEERING COMMITTEE (HESC) THAT SUPPORTS THE CLINICAL ENTERPRISE AND GEISINGER HEALTH PLAN. OUR APPROACH TO ACHIEVING THIS GOAL IS THROUGH A MULTI-YEAR STRATEGY AND INFRASTRUCTURE THAT REINFORCES OUR CULTURE OF INCLUSION AND BELONGING. THE MAIN PILLARS OF THE DIVERSITY, EQUITY AND INCLUSION STRATEGY FOCUS ON CULTURE, TALENT, COMMUNITY, SUPPLIER DIVERSITY, AND HEALTH EQUITY. THE OUTPUT OF THE STRATEGY AND CONTINUAL PROGRESS IS SEEN ANNUALLY IN THE FOLLOWING RESULTS: 1.INCREASED DIVERSITY OF PEOPLE IN THE ORGANIZATION. 2.INCREASED EMPLOYEE ENGAGEMENT AND SENTIMENTS ABOUT DIVERSITY, EQUITY, AND INCLUSION. 3.DECREASED TURNOVER OF HISTORICALLY MINORITIZED EMPLOYEES 4.INCREASED ENGAGEMENT AND CONFIDENCE IN GEISINGER AMONG THE BLACK AND LATINO COMMUNITIES. A SEPARATE STEERING COMMITTEE WILL BE DEVELOPED IN JANUARY 2023 TO SUPPORT WORKFLOWS AND PROCESSES UNIQUE TO THE HEALTH PLAN. STARTING IN 2019, AS AN INTEGRATED HEALTH DELIVERY SYSTEM, WE DEFINED DATA ELEMENTS, CLINICAL WORKFLOWS, AND ORGANIZATIONAL PRACTICE IN OUR ELECTRONIC HEALTH RECORD TO ASK PATIENTS AND MEMBERS THEIR RACE, ETHNICITY, LANGUAGE PREFERENCE, SEX, GENDER IDENTITY, SEX ASSIGNED AT BIRTH, ORGAN INVENTORY, AND AFFIRMATION HISTORY, PRONOUNS AND SEXUAL ORIENTATION, AS WELL AS VETERAN STATUS. THE QUESTIONS ARE EITHER ANSWERED BY THE PATIENTS IN ADVANCE OF A VISIT OR ASKED IN CLINICAL SETTINGS. THE RESPONSES ARE USED TO HELP CLINICIANS AND STAFF HAVE APPROPRIATE AND CULTURALLY RESPONSIVE CONVERSATIONS WITH PATIENTS AND MEMBERS. IN OUR HEALTH PLAN, WE HAVE ADOPTED THE SAME DATA ELEMENTS AROUND DEMOGRAPHICS AND EQUITY. IN 2023 WILL BE WORKING TO IDENTIFY PATHWAYS TO ASK MEMBERS DEMOGRAPHIC AND HEALTH EQUITY INFORMATION, DEVELOP WORKFLOWS AND ORGANIZATIONAL PRACTICES, SURFACE NEEDS AND ADDRESS DISPARITIES IN OUR MEMBERSHIP POPULATION IN ORDER TO DEVELOP NEW AND TARGET INTERVENTIONS AND PROGRAMMING. TO ENSURE GEISINGER AND HEALTH PLANS STAFF ARE TRAINED, THE DE&I OFFICE HAS DEVELOPED A SUITE OF TRAINING PROGRAMS, MATERIALS, AND RESOURCES FOR ALL STAFF TO HELP BUILD OUR KNOWLEDGE AROUND DEI AS WELL AS SUPPORT THE CURRENT DEI STRATEGIC INITIATIVES AT GEISINGER. FOR EXAMPLE, TRAINING TOPICS INCLUDE: UNCONSCIOUS BIAS, SEXUAL ORIENTATION AND GENDER IDENTITY, SEXUAL HARASSMENT, AND CULTURAL COMPETENCE, PROACTIVE AND INCLUSIVE POLICIES THAT ENSURE DIVERSITY IS CONSIDERED IN ALL STRATEGIC MANAGEMENT INITIATIVES. SOCIAL DETERMINANTS OF HEALTH GEISINGER IS PROACTIVELY ADDRESSING SOCIAL DETERMINANTS OF HEALTH AND HEALTH DISPARITIES IN A VARIETY OF WAYS. WE HAVE MOVED BEYOND TRADITIONAL MEDICAL CARE TO PROVIDE COORDINATED SOCIAL SERVICES AND OPPORTUNITIES TO OUR PATIENTS AND HEALTH PLAN MEMBERS WHILE CONNECTING THEM WITH COMMUNITY- BASED ORGANIZATIONS. WE ARE WORKING ACROSS SECTORS TO FIND CREATIVE, INNOVATIVE WAYS TO HELP INDIVIDUALS ADDRESS THE SOCIAL AND ENVIRONMENTAL FACTORS THAT IMPACT THEIR HEALTH. OUR SDOH STRATEGY ALIGNS DATA, COMMUNITY ENGAGEMENT, CONNECTION TO RESOURCES, AND SUSTAINED OUTCOMES TO HELP THE NEEDS OF OUR PATIENTS, MEMBERS, AND GEISINGER COMMUNITIES. COMMUNITY HEALTH BENEFIT FUND WHILE STABLE HOUSING, FRESH FRUITS, VEGETABLES, AND TRANSPORTATION OPTIONS ARE OFTEN NOT DEEMED HEALTH CARE NEEDS, THEY, ALONG WITH OTHER NECESSITIES, ARE VITAL TO POSITIVE HEALTH OUTCOMES. THE COMMUNITY HEALTH BENEFIT FUND WAS ESTABLISHED TO PROVIDE COMMUNITY ORGANIZATIONS WITH RESOURCES AND SERVICES NEEDED TO FOSTER POSITIVE HEALTH OUTCOMES. THE KEY AREAS WITH FUNDING NEEDS IDENTIFIED INCLUDE: 1.FOOD INSECURITY 2.TRANSPORTATION 3.HOUSING STABILITY 4.OPIOID PREVENTION AND TREATMENT 5.COMBATTING PEDIATRIC OBESITY 6.ACCESS TO DENTAL CARE 7.BEHAVIORAL HEALTH FUND RECIPIENTS ARE CHOSEN BY THE COMMUNITY HEALTH BENEFIT FUND COMMITTEE WHO MEET QUARTERLY TO DISCUSS NEEDS AND SUBMIT APPROVAL OF ALLOCATED FUNDING WITHIN THE GEISINGER FOOTPRINT. FOOD INSECURITY & SDOH SCREENING STARTED IN NOVEMBER 2018, AS A HEALTH PLAN MEMBER ENROLLED WITH OUR CARE TEAMS, OR SPECIAL NEEDS UNIT (SNU) ARE SCREENED FOR SDOH NEEDS USING A UNIVERSAL ASSESSMENT. QUESTIONS ARE ASKED AROUND ECONOMIC STABILITY, FOOD SECURITY, EDUCATION, SOCIAL AND COMMUNITY CONTEXT, ACCESS TO HEALTH CARE, TRANSPORTATION AND ENVIRONMENTAL CONDITIONS. ALL NEW MEDICAID MEMBERS ARE SCREENED FOR HEALTH DISPARITIES AFTER ENROLLMENT AND CONNECTED TO RESOURCES. FROM JUNE 2018-JUNE 2021, OUR PATIENTS AND MEMBERS WERE ALSO SCREENED FOR FOOD INSECURITY ANNUALLY DURING THE PATIENT ROOMING PROCESS IN PRIMARY CARE, PEDIATRICS, INTERNAL MEDICINE, AS WELL AS URGENT CARE; THOSE IDENTIFIED ARE REFERRED TO A SOCIAL SERVICE PARTNER. IDENTIFICATION OF NEEDS: WE HAVE BEEN SCREENING OUR MEMBERS AND PATIENTS FOR SOCIAL NEEDS SINCE 2018 AND MOST RECENTLY IN 2021 IMPLEMENTED A NEW SOCIAL NEEDS SCREENING TO IDENTIFY URGENT NEEDS WITH MEMBERS AND PATIENTS WENT LIVE IN JULY 2021. THE NEW SCREENING INCLUDES 13 QUESTIONS ACROSS 11 DOMAINS: FOOD INSECURITY, HEALTH CARE/MEDICAL ACCESS/AFFORDABILITY, HOUSING, TRANSPORTATION, CHILDCARE, EMPLOYMENT, UTILITIES, CLOTHING, FINANCIAL STRAIN, CONNECTIONS (SOCIAL ISOLATION), AND SAFETY. THE SCREENING IS DESIGNED TO SURFACE THE 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, TWO VOTING MEMBERS ARE NOT INDEPENDENT BECAUSE THEY ARE COMPENSATED AS EMPLOYEES OF THIS OR RELATED TAX-EXEMPT ORGANIZATIONS. FORM 990, PART VI, SECTION A, LINE 2: DID ANY OFFICER, DIRECTOR, TRUSTEE, OR KEY EMPLOYEE HAVE A FAMILY RELATION- SHIP OR BUSINESS RELATIONSHIP WITH ANY OTHER OFFICER, DIRECTOR, TRUSTEE, OR KEY EMPLOYEE? BENJAMIN K. CHU, MD, MPH, MACP, CHRISTOPHER B. SULLIVAN, DAVID J. WEADER, ESQUIRE, DONALD T. ROSINI, HEATHER M. ACKER, JAEWON RYU, MD, JD, JOHN C. BRAVMAN, PHD, KEVIN V. ROBERTS, MBA, CPA, KURT WROBEL, FSA, MAAA, MARK MCCULLOUGH, SHERRY A. GLIED, PHD, STEVEN B. BENDER, ESQUIRE, THOMAS H. LEE, JR, MD, MSC, THOMAS J. LISTON, AND V. CHRIS HOLCOMBE 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 1A 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, 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. 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, THE CONFLICTS OF INTEREST POLICY, AND OTHER GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VIII FORM 990, PART VIII, LINE 2B: THE IC SUPPORT 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 TO 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 FORM 990T BOOK TO TAX ADJUSTMENT: 481A REVENUE -2,240 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 SYSTEM SERVICES 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232164794 SUPPORT SV PA 501C3 12A GH false GEISINGER COMMUNITY HEALTH SERVICES 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232967235 HEALTHCARE PA 501C3 10 GSS 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 true true true true false false true true false true COMMUNITY MEDICAL CENTER M 83588396 GAAP GEISINGER ASSURANCE COMPANY LTD M 233750 GAAP GEISINGER CLINIC J 31659 FMV GEISINGER CLINIC M 175259989 GAAP GEISINGER CLINIC P 31998380 GAAP GEISINGER CLINIC L 17338 GAAP GEISINGER HEALTH S 649 GAAP GEISINGER INDEMNITY INSURANCE CO P 98472678 GAAP GEISINGER MEDICAL CENTER J 49973 FMV GEISINGER MEDICAL CENTER M 312061065 GAAP GEISINGER MEDICAL CENTER MUNCY M 6948569 GAAP GEISINGER PHARMACY LLC M 307934653 GAAP GEISINGER QUALITY OPTIONS INC Q 24430507 GAAP GEISINGER SYSTEM SERVICES K 143808 FMV GEISINGER SYSTEM SERVICES J 341087 FMV GEISINGER SYSTEM SERVICES L 2801561 GAAP GEISINGER SYSTEM SERVICES M 122811367 GAAP GEISINGER SYSTEM SERVICES Q 722335 FMV GEISINGER WYOMING VALLEY MED CTR M 180464025 GAAP GEISINGER-BLOOMSBURG HOSPITAL M 15449992 GAAP GEISINGER-HM JOINT VENTURE LLC M 5595923 GAAP GEISINGER-JERSEY SHORE HOSPITAL M 9520928 GAAP GEISINGER-LEWISTOWN HOSPITAL M 39805896 GAAP GEISINGER-LEWISTOWN HOSPITAL K 44926 FMV KEYSTONE HEALTH INFO EXCHANGE INC M 828541 GAAP LACKAWANNA PHYSICIANS AMB SURG CTR M 591577 GAAP LEWISTOWN AMBULATORY CARE CORP K 32090 FMV MARWORTH M 1024956 GAAP WEST SHORE ADVANCED LIFE SUPPORT SV M 2972816 GAAP SCHEDULE R __________________________________________________________________________ FORM 990, SCHEDULE R, PART V - TRANSACTIONS WITH RELATED ORGANIZATIONS: AS SHOWN IN FORM 990, SCHEDULE R, GEISINGER HEALTH PLAN 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. __________________________________________________________________________