2025-11-17T12:50:14-05:00 2024-12-31 PwC US Tax LLP 2001 MARKET ST SUITE 1800 PHILADELPHIA PA 19103 990 2024-01-01 232967235 GEISINGER COMMUNITY HEALTH 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 2024 2025-03-06 01:10:19Z JANET F TOMCAVAGE RN MSN 110 N ACADEMY AVE MC 22-01 DANVILLE PA 178229800 41846569 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 0 862 0 0 0 0 0 39903187 40660713 21152 39470 1156724 1146386 41081063 41846569 0 0 0 0 15070875 15841503 0 0 0 30874181 29995549 45945056 45837052 -4863993 -3990483 14665479 25634390 10357328 23193522 4308151 2440868 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 45480392 0 41807099 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 FOUR FULL LIFE CENTERS LOCATED IN SCRANTON, LEWISTOWN, KULPMONT, WILKES-BARRE, AND MINERSVILLE. TOTAL PROGRAM MEMBER MONTHS FOR 2024 WERE 5,087 FOR AN AVERAGE CENSUS OF 424 PROGRAM PARTICIPANTS. 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 $4,412,454 DURING THE YEAR ENDED DECEMBER 31, 2024. V. COMMUNITY BENEFIT SUMMARY MEDICARE/MEDICAID SHORTFALL $4,412,454 45480392 true false false true false false false false false true true false false true true false false true false false false false false false false false false false false true false false false false false false false false false false false false false true true true true false true X 0 0 true 862 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 5702142299 100 N ACADEMY AVE MC 49-70 DANVILLE PA 178229800 X KEVIN V ROBERTS MBA CPA EVP, CFO, TREASURER 0.0 40.0 X 0 2685093 66232 JANET F TOMCAVAGE RN MSN PRES, CHAIR, DIRECTOR 0.0 40.0 X X 0 1567284 204611 STEVEN B BENDER ESQUIRE CLO, SECRETARY 0.0 40.0 X 0 905815 244367 RONALD BEER MHA FACHE DIRECTOR 0.0 40.0 X 0 876035 116292 MATTHEW VAN LEEUWE DIRECTOR 0.0 40.0 X 0 492982 76341 LORI R GRAMLEY ESQUIRE ACLO, ASSISTANT SECRETARY 0.0 40.0 X 0 367079 52253 MELLAR DAVIS MD DIRECTOR 0.0 40.0 X 0 294136 59676 CHARLES KELLY RN INPATIENT RN TRAVELER 40.0 0.0 X 244858 0 46779 LAWRENCE NYATTENG RN INPATIENT RN TRAVELER 40.0 0.0 X 231657 0 59447 ANNMARIE VALENTINE RN INPATIENT RN TRAVELER 40.0 0.0 X 231909 0 47725 GEORGIA DAVIS RN INPATIENT RN TRAVELER 40.0 0.0 X 235441 0 35065 FABRINA AMICY RN INPATIENT RN TRAVELER 40.0 0.0 X 237181 0 29241 1181046 7188424 1038029 363 false true false EXECUTIVE MANAGEMENT SERVICES PO BOX 501818 INDIANAPOLIS IN 462506818 CLEANING SERVICES 246305 CURATIO STAFFING 512 NORTHAMPTON ST EDWARDSVILLE PA 18704 TEMPORARY SERVICES 229724 ENABLE DENTAL INC 5555 N LAMAR BLVD STE H125 AUSTIN TX 78751 DENTAL SERVICES 198185 3 0 HEALTHCARE 621610 40634473 40634473 INTER-ENTITY REVENUE 621610 26240 26240 40660713 39470 39470 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 RRHCP INCENTIVE 621990 1122986 1122986 SERVICE COORDINATION 900099 23400 23400 1146386 41846569 41807099 0 39470 X 0 0 0 0 0 0 11579655 11504034 75621 575964 572203 3761 2842712 2824146 18566 843172 837665 5507 0 9900 9900 0 8674 8674 0 874 874 14914805 14914502 303 1970 1970 1027207 1023193 4014 290769 267394 23375 0 1651497 1638647 12850 903762 898970 4792 0 0 40576 40260 316 0 835294 828795 6499 707262 556682 150580 INTER-ENTITY EXPENSE 4918191 4887830 30361 MEDICAL SUPPLIES 4542659 4542173 486 BOOKS, LICENSES, FEES, DUES 110994 110994 MISCELLANEOUS 31115 30934 181 45837052 45480392 356660 0 0 0 1770572 4909466 0 0 4148578 1461788 0 0 0 0 0 0 0 0 226096 21161 11550651 4175691 8520233 7374960 0 0 0 0 0 0 0 0 0 11867015 14665479 25634390 3382996 5497391 0 0 0 0 0 0 0 0 0 0 6859724 5571347 0 0 114608 12124784 10357328 23193522 X 4308151 2440868 0 0 4308151 2440868 14665479 25634390 X -3990483 2123200 X X false true X true true true X 18920833 33320631 37246330 39903187 40660713 170051694 102572 17095 119667 0 0 0 19023405 33337726 37246330 39903187 40660713 170171361 0 0 0 170171361 18 370 90 21952 39740 62170 0 18 370 90 21952 39740 62170 0 228925 11184047 1090182 1156724 1146386 14806264 19252348 44522143 38336602 41081863 41846839 185039795 0.91965 0.00000 0.00034 0.00000 X SCHEDULE A, PART III, LINE 12 - OTHER INCOME DETAIL 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 2023 PURCHASE DISCOUNTS $ 1,142,390 2023 SERVICE COORDINATION $ 14,300 2023 COLLECTION AGENCY RECOVERIES $ 34 2024 RRHCP INCENTIVE $ 1,122,986 2024 SERVICE COORDINATION $ 23,400 false false false false false false false false true 8674 8674 false 0 SCHEDULE C, PART II-B, LINE 1I: OTHER LOBBYING ACTIVITIES REPORTED ON LINE 1I REPRESENTS THE PORTION OF MEMBERSHIP DUES, PAID BY THE ORGANIZATION TO TRADE OR PROFESSIONAL ASSOCIATIONS, ATTRIBUTABLE TO LOBBYING ACTIVITIES. 373673000 1177000 13235000 4642000 383443000 361844000 1066000 15229000 4466000 373673000 385529000 1170000 -20189000 4666000 361844000 372716000 699000 19881000 7767000 385529000 369232000 1328000 20022000 17866000 372716000 0.74340 0.18050 0.07610 false true true 7008785 1629948 5378837 1972712 835530 1137182 2569154 1710213 858941 7374960 DUE FROM AFFILIATES 11867015 11867015 0 DUE TO AFFILIATES 11955376 PATIENT CREDIT BALANCE 169408 12124784 PART V, LINE 4 - INTENDED USES FOR ENDOWMENT FUNDS TO SUPPORT RESEARCH, CAPITAL, AND PROGRAM EXPENSES AND PATIENT CARE AND PATIENT EDUCATION. PART XIII - SUPPLEMENTAL FINANCIAL INFORMATION EFFECTIVE JULY 1, 2007, GEISINGER ADOPTED ACCOUNTING STANDARDS CODIFICATION 740 (FIN 48), (FORMERLY KNOWN AS "STATEMENT 109: ACCOUNTING FOR INCOME TAXES"FAS 109"). FIN 48 CLARIFIES THE ACCOUNTING AND REPORTING FOR INCOME TAXES WHERE INTERPRETATION OF THE TAX LAW MAY BE UNCERTAIN. FIN 48 PRESCRIBES A COMPREHENSIVE MODEL FOR THE FINANCIAL STATEMENT RECOGNITION, MEASUREMENT, PRESENTATION AND DISCLOSURE OF INCOME TAX UNCERTAINTIES WITH RESPECT TO POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN INCOME TAX RETURNS. THE ADOPTION OF FIN 48 HAD NO IMPACT ON UNRESTRICTED NET ASSETS AS OF THE END OF THE CALENDAR YEAR OR ANY PREVIOUS YEAR SINCE ADOPTION. ACCORDINGLY, NO FIN 48 FOOTNOTE DISCLOSURE WAS MADE IN THE GEISINGER CONSOLIDATED FINANCIAL STATEMENTS. X true true X X X X X X false true false false false false false false false KEVIN V ROBERTS MBA CPA EVP, CFO, TREASURER 0 1749843 0 525000 0 410250 0 24306 0 41926 0 2751325 0 0 JANET F TOMCAVAGE RN MSN PRES, CHAIR, DIRECTOR 0 747694 0 0 0 819590 0 175106 0 29505 0 1771895 0 680803 STEVEN B BENDER ESQUIRE CLO, SECRETARY 0 708600 0 0 0 197215 0 209306 0 35061 0 1150182 0 167904 RONALD BEER MHA FACHE DIRECTOR 0 464048 0 75000 0 336987 0 73699 0 42593 0 992327 0 48140 MATTHEW VAN LEEUWE DIRECTOR 0 404907 0 0 0 88075 0 66224 0 10117 0 569323 0 6538 LORI R GRAMLEY ESQUIRE ACLO, ASSISTANT SECRETARY 0 338553 0 0 0 28526 0 24306 0 27947 0 419332 0 0 MELLAR DAVIS MD DIRECTOR 0 242676 0 1813 0 49647 0 18660 0 41016 0 353812 0 0 CHARLES KELLY RN INPATIENT RN TRAVELER 244831 0 0 0 27 0 15291 0 31488 0 291637 0 0 0 LAWRENCE NYATTENG RN INPATIENT RN TRAVELER 231621 0 0 0 36 0 14287 0 45160 0 291104 0 0 0 ANNMARIE VALENTINE RN INPATIENT RN TRAVELER 231882 0 0 0 27 0 14125 0 33600 0 279634 0 0 0 GEORGIA DAVIS RN INPATIENT RN TRAVELER 226678 0 0 0 8763 0 13657 0 21408 0 270506 0 0 0 FABRINA AMICY RN INPATIENT RN TRAVELER 221698 0 0 0 15483 0 13209 0 16032 0 266422 0 0 0 PART I, LINE 1A - FRINGE OR EXPENSE EXPLANATION TAX INDEMNIFICATION AND GROSS-UP PAYMENTS - FROM TIME TO TIME, THE GEISINGER BOARD OF DIRECTORS OR GEISINGER SENIOR MANAGEMENT APPROVE THE GROSS-UP OF EXPENSES, WHICH FURTHER GEISINGER BUSINESS, FOR TAX OBLIGATIONS. PART I, LINE 4 - SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTS SEVERANCE NONQUALIFIED EQUITY-BASED JANET TOMCAVAGE, RN, MSN 0 707,155 0 STEVEN B. BENDER, ESQUIRE 0 167,904 0 RONALD BEER, MHA, FACHE 0 48,140 0 MATTHEW VAN LEEUWE 0 44,038 0 PART III - OTHER ADDITIONAL INFORMATION 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. FORM 990, PART V, LINE 1A - ADDITIONAL INFORMATION GEISINGER SYSTEM SERVICES (GSS), AN AFFILIATE OF THE ORGANIZATION, PROVIDES A CENTRALIZED ACCOUNTS PAYABLE FUNCTION FOR ALL GEISINGER ORGANIZATIONS. AS THE ACCOUNTS PAYABLE PROCESSOR, GSS PREPARES AND FILES FORM 1099 UNDER ITS EIN FOR REPORTABLE PAYMENTS OF THE FILING ORGANIZATION. THE NUMBER OF FORM 1099'S FILED BY GSS FOR THE 2024 REPORTING PERIOD ON BEHALF OF ITSELF AND ITS AFFILIATES WAS 1,166. FORM 990, PART VI, SECTION A, LINE 2 - ADDITIONAL INFORMATION JANET F. TOMCAVAGE, RN, MSN, KEVIN V. ROBERTS, MBA, CPA, LORI R. GRAMLEY, ESQUIRE, MATTHEW VAN LEEUWE, RONALD BEER, MHA, FACHE, 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 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. THE MEMBERS ALSO HAVE THE RESERVE POWERS FOR CERTAIN SIGNIFICANT TRANSACTIONS AS SET FORTH IN THE 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. 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 XI, LINE 9 - OTHER CHANGES IN NET ASSETS EXPLANATION TRANSFER FROM PARENT, GEISINGER HEALTH $ 2,123,200 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 SRVCS TOTAL FEES:14153354 FORM 990 PART IX LINE 11G DESCRIPTION:CLEANING SERVICES TOTAL FEES:367131 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACTED LABOR-MEDICAL TOTAL FEES:325629 FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTING FEES TOTAL FEES:34990 FORM 990 PART IX LINE 11G DESCRIPTION:EQUIP. MAINT. & REPAIR TOTAL FEES:33701 KAISER FOUNDATION HOSPITALS ONE KAISER PLAZA - 26TH FL OAKLAND CA 94612 941105628 HEALTH CARE CA 501(C)(3) 3 NA false KAISER FOUNDATION HEALTH PLAN INC ONE KAISER PLAZA - 26TH FL OAKLAND CA 94612 941340523 HEALTH CARE CA 501(C)(3) 10 NA false KAISER FDN HEALTH PLAN OF COLORADO ONE KAISER PLAZA - 26TH FL OAKLAND CA 94612 840591617 HEALTH CARE CO 501(C)(3) 10 KFHP INC false KAISER FDN HEALTH PLAN OF GEORGIA INC ONE KAISER PLAZA - 26TH FL OAKLAND CA 94612 581592076 HEALTH CARE GA 501(C)(3) 10 KFHP INC false KAISER FOUNDATION HEALTH PLAN OF THE MAS ONE KAISER PLAZA - 26TH FL OAKLAND CA 94612 520954463 HEALTH CARE MD 501(C)(3) 10 KFHP INC false KAISER FDN HEALTH PLAN OF THE NORTHWEST ONE KAISER PLAZA - 26TH FL OAKLAND CA 94612 930798039 HEALTH CARE OR 501(C)(3) 10 KFHP INC false KAISER FDN HEALTH PLAN OF WASHINGTON ONE KAISER PLAZA - 26TH FL OAKLAND CA 94612 910511770 HEALTH CARE WA 501(C)(3) 3 KFHPW HLDGS false KAISER HOSPITAL ASSET MANAGEMENT INC ONE KAISER PLAZA - 26TH FL OAKLAND CA 94612 943299125 ASSET MGMT CA 501(C)(3) 12-I KFH false KAISER HEALTH PLAN ASSET MANAGEMENT INC ONE KAISER PLAZA - 26TH FL OAKLAND CA 94612 943299124 ASSET MGMT CA 501(C)(3) 12-I KFHP INC false CAMP BOWIE SERVICE CENTER ONE KAISER PLAZA - 26TH FL OAKLAND CA 94612 943299123 ADMIN CA 501(C)(3) 12-I KFHP INC false LOKAHI ASSURANCE LTD ONE KAISER PLAZA - 26TH FL OAKLAND CA 94612 912171891 WC PLACEMENT HI 501(C)(3) 12-I KFHP INC false 1800 HARRISON FOUNDATION ONE KAISER PLAZA - 26TH FL OAKLAND CA 94612 943317484 FINANCING CA 501(C)(3) 12-I KFHP INC false KAISER HOSPITAL ASSISTANCE CORPORATION ONE KAISER PLAZA - 26TH FL OAKLAND CA 94612 311779500 FINANCING CA 501(C)(3) 12-I KFH false KAISER HEALTH ALTERNATIVES ONE KAISER PLAZA - 26TH FL OAKLAND CA 94612 930954562 HEALTH CARE OR 501(C)(3) 10 KFHP INC false KP BERNARD J TYSON SCHOOL OF MEDICINE ONE KAISER PLAZA - 26TH FL OAKLAND CA 94612 814053028 MEDICAL EDUCA CA 501(C)(3) 2 KFH false KFHPW HOLDINGS ONE KAISER PLAZA - 26TH FL OAKLAND CA 94612 930480268 HEALTH CARE WA 501(C)(3) 12-I KFHP INC false GROUP HEALTH NORTHWEST ONE KAISER PLAZA - 26TH FL OAKLAND CA 94612 911216856 INACTIVE WA 501(C)(3) 12-I KFHP OF WA false KAISER FDN FOR THE ADV OF INTEGRATED HC ONE KAISER PLAZA - 26TH FL OAKLAND CA 94612 823819611 ADVOCACY CA 501(C)(4) N/A KFHP INC false KAISER FDN HEALTH PLAN OF NEVADA INC ONE KAISER PLAZA - 26TH FL OAKLAND CA 94612 372097870 HEALTH CARE DE 501(C)(4) N/A KFHP INC false KP MEDICAL FOUNDATION ONE KAISER PLAZA - 26TH FL OAKLAND CA 94612 920685740 HEALTH CARE DE 501(C)(3) 12-I KFHP INC false KFH HOLDINGS INC ONE KAISER PLAZA - 26TH FL OAKLAND CA 94612 884172095 HOLDING CO DE 501(C)(3) 12-I KFH false RISANT HEALTH INC ONE KAISER PLAZA - 26TH FL OAKLAND CA 94612 923467590 HEALTH CARE DE 501(C)(3) 12-I RISANT HLTH false GEISINGER HEALTH 100 N ACADEMY AVE MC 49-70 DANVILLE PA 17822 231995911 PHILANTHROPY PA 501(C)(3) 7 RISANT HLTH false COMMUNITY MEDICAL CENTER 100 N ACADEMY AVE MC 49-70 DANVILLE PA 17822 240862246 HEALTH CARE PA 501(C)(3) 3 GH false GEISINGER-BLOOMSBURG HOSPITAL 100 N ACADEMY AVE MC 49-70 DANVILLE PA 17822 232193572 HEALTH CARE PA 501(C)(3) 3 GH false GEISINGER CLINIC 100 N ACADEMY AVE MC 49-70 DANVILLE PA 17822 236291113 HEALTH CARE PA 501(C)(3) 3 GH false GEISINGER COMMONWEALTH SCH OF MEDICINE 100 N ACADEMY AVE MC 49-70 DANVILLE PA 17822 260812968 MEDICAL EDU PA 501(C)(3) 2 GH false GEISINGER HEALTH PLAN 100 N ACADEMY AVE MC 49-70 DANVILLE PA 17822 232311553 HEALTH CARE PA 501(C)(4) N/A GH false GEISINGER INSURANCE CORPORATION RRG 100 N ACADEMY AVE MC 49-70 DANVILLE PA 17822 141909894 INSURANCE VT 501(C)(3) 12-I GH false GEISINGER JERSEY SHORE HOSPITAL 100 N ACADEMY AVE MC 49-70 DANVILLE PA 17822 240792115 HEALTH CARE PA 501(C)(3) 3 GH false GEISINGER-LEWISTOWN HOSPITAL 100 N ACADEMY AVE MC 49-70 DANVILLE PA 17822 231352187 HEALTH CARE PA 501(C)(3) 3 GH false GEISINGER MEDICAL CENTER 100 N ACADEMY AVE MC 49-70 DANVILLE PA 17822 240795959 HEALTH CARE PA 501(C)(3) 3 GH false GEISINGER MEDICAL CENTER MUNCY 100 N ACADEMY AVE MC 49-70 DANVILLE PA 17822 851226106 HEALTH CARE PA 501(C)(3) 3 GHMJV false GEISINGER SYSTEM SERVICES 100 N ACADEMY AVE MC 49-70 DANVILLE PA 17822 232164794 SUPPORT SVCS PA 501(C)(3) 12-I GH false GSL HOSPITAL 801 OSTRUM STREET BETHLEHEM PA 18015 824432109 HEALTH CARE PA 501(C)(3) 3 GH false GSLPG INC 801 OSTRUM STREET BETHLEHEM PA 18015 825423865 HEALTH CARE PA 501(C)(3) 3 GSL HOSPITAL false GEISINGER WYOMING VALLEY MEDICAL CENTER 100 N ACADEMY AVE MC 49-70 DANVILLE PA 17822 231996150 HEALTH CARE PA 501(C)(3) 3 GH false KEYSTONE HEALTH INFORMATION EXCHANGEINC 100 N ACADEMY AVE MC 49-70 DANVILLE PA 17822 464359893 HEALTH CARE PA 501(C)(3) 12-I GH false 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 false false true false false false false false false false true false true false false true false false false COMMUNITY MEDICAL CENTER M 649058 GAAP GEISINGER ASSURANCE COMPANY LTD P 130404 GAAP GEISINGER CLINIC C 123200 GAAP GEISINGER CLINIC M 1340343 GAAP GEISINGER HEALTH C 2000000 GAAP GEISINGER INDEMNITY INSURANCE COMPANY M 416239 GAAP GEISINGER INSURANCE CORPORATION RRG P 132162 GAAP GEISINGER MEDICAL CENTER M 2012393 GAAP GEISINGER PHARMACY LLC M 4641607 GAAP GEISINGER SYSTEM SERVICES M 3907782 GAAP GEISINGER WYOMING VALLEY MEDICAL CENTER M 1200688 GAAP GEISINGER-LEWISTOWN HOSPITAL K 495524 FMV GEISINGER-LEWISTOWN HOSPITAL M 1006309 GAAP 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.