Form990
Click to see attachment
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation)

MediumBullet The organization may have to use a copy of this return to satisfy state reporting requirements.
OMB No. 1545-0047
2012
Open to Public Inspection
A For the 2012 calendar year, or tax year beginning 07-01-2012 , 2012, and ending 06-30-2013
BCheck if applicable:
CName of organization
GEISINGER COMMUNITY HEALTH SERVICES
 
Doing Business As
 
 
Number and street (or P.O. box if mail is not delivered to street address)
100 NORTH ACADEMY AVENUE MC 49-70
 
Room/suite
City or town, state or country, and ZIP + 4
DANVILLE, PA17822
D Employer identification number

23-2967235
E Telephone number

G Gross receipts $ 36,171,135
F Name and address of principal officer:
GLENN D STEELE JR MD PHD
100 NORTH ACADEMY AVENUE MC 22-01
DANVILLE,PA17822
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.GEISINGER.ORG
H(a)
Is this a group return for
affiliates?
H(b)
Are all affiliates included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:
 
L Year of formation: 1998
M State of legal domicile: PA
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: GEISINGER COMMUNITY HEALTH SERVICES' MISSION IS TO PROVIDE CLINICAL EXCELLENCE, ADVOCACY, AND INNOVATIVE SOLUTIONS TO ENHANCE THE HEALTH AND INDEPENDENCE OF ALL ITS COMMUNITY MEMBERS.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 4
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 0
5 Total number of individuals employed in calendar year 2011 (Part V, line 2a) ...... 5 366
6 Total number of volunteers (estimate if necessary) ............. 6 22
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 0
b Net unrelated business taxable income from Form 990-T, line 34 ......... 7b  
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) .........   0
9 Program service revenue (Part VIII, line 2g) ......... 32,526,326 36,120,540
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 4,317 -7,335
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 30,524 30,271
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 32,561,167 36,143,476
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...   0
14 Benefits paid to or for members (Part IX, column (A), line 4).....   0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 16,585,295 19,166,229
16a Professional fundraising fees (Part IX, column (A), line 11e).....   0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 20,548,516 21,627,614
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 37,133,811 40,793,843
19 Revenue less expenses. Subtract line 18 from line 12....... -4,572,644 -4,650,367
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 8,999,148 7,479,096
21 Total liabilities (Part X, line 26)............. 4,325,934 4,956,249
22 Net assets or fund balances. Subtract line 21 from line 20..... 4,673,214 2,522,847
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
 
Preparer's signature
Date
PTIN
Firm's name MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ............
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2012)
Form 990 (2012)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response to any question in this Part III ...............
1
Briefly describe the organization’s mission: GEISINGER COMMUNITY HEALTH SERVICES' MISSION IS TO PROVIDE CLINICAL EXCELLENCE, ADVOCACY, AND INNOVATIVE SOLUTIONS TO ENHANCE THE HEALTH AND INDEPENDENCE OF ALL ITS COMMUNITY MEMBERS.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ......................
If “Yes,” describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ............................
If “Yes,” describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 38,736,437 including grants of $   ) (Revenue $ 36,020,237 )
SEE SCHEDULE O I. GENERAL PROGRAM SERVICE INFORMATION GEISINGER COMMUNITY HEALTH SERVICES (GCHS) WAS ESTABLISHED IN JULY 1998 AS A 501(C)(3) NOT-FOR-PROFIT CORPORATION TO PROVIDE COMPREHENSIVE COMMUNITY BASED HEALTH SERVICES THROUGHOUT NORTHEASTERN AND CENTRAL PENNSYLVANIA. THE ORGANIZATION EMPLOYS APPROXIMATELY 278 INDIVIDUALS THAT PROVIDE AN ARRAY OF SPECIALIZED MEDICAL SERVICE PROGRAMS. GCHS IS LOCATED IN DANVILLE PA, WITH BRANCH FACILITIES THROUGHOUT CENTRAL AND NORTHEASTERN PENNSYLVANIA. GCHS PROVIDES QUALITY MEDICAL HEALTHCARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. PROGRAM SERVICE ACTIVITIES THAT ARE AVAILABLE THROUGH GCHS INCLUDE THE FOLLOWING: GEISINGER HOME CARE AND HOSPICE: A FULL SERVICE HOME HEALTH AGENCY THAT PROVIDES HOME CARE AND HOSPICE SERVICES TO PATIENTS IN NORTH CENTRAL AND EASTERN PENNSYLVANIA. SKILLED NURSING, HOME HEALTH AIDE, MEDICAL SOCIAL WORK, AS WELL AS PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY SERVICES WHICH ARE AVAILABLE 24 HOURS A DAY. THE AGENCY IS BOTH MEDICARE AND MEDICAID CERTIFIED, AND THEREFORE MAY PROVIDE HOME CARE SERVICE TO ALL PAYOR CATEGORIES. IN ADDITION, THE AGENCY PROVIDES MATERNAL/CHILD HEALTH SERVICES. VITALINE HOME INFUSION THERAPY SERVICES: LICENSED AS A PHARMACY PROVIDER, VITALINE PROVIDES TOTAL PARENTERAL AND ENTERAL NUTRITION THERAPIES, ANTIBIOTIC, GROWTH HORMONE, CHEMOTHERAPY AND A VARIETY OF OTHER INFUSION RELATED THERAPIES TO PATIENTS IN CENTRAL AND EASTERN PENNSYLVANIA WHO MAY RESIDE AT HOME OR IN SKILLED NURSING FACILITIES. SERVICES ARE PROVIDED FOR ALL PAYOR CATEGORIES. LIFE GEISINGER: LIFE GEISINGER IS BASED ON A FEDERAL AND STATE SPONSORED HEALTH CARE MODEL, PROGRAMS FOR ALL-INCLUSIVE CARE OF THE ELDERLY, NATIONALLY KNOWN AS PACE. THE MAIN PREMISE IS TO SERVE FRAIL ELDERLY WITHIN THE COMMUNITY WHO MIGHT OTHERWISE BE CONFINED TO A NURSING HOME. IT PROVIDES COMPREHENSIVE HEALTH CARE SERVICES TO MEET THE PARTICIPANTS' MEDICAL, SOCIAL, AND EMOTIONAL NEEDS. THE TWO LIFE CENTERS ARE LOCATED IN SCRANTON AND KULPMONT. HEALTH CARE QUALITY UNITS (HCQU): WORKS IN CONJUNCTION WITH PROGRAMS FOR INTELLECTUALLY DISABLED INDIVIDUALS IN 13 CENTRAL PENNSYLVANIA COUNTIES TO PROVIDE HEALTH CARE MANAGEMENT SERVICES FOR PERSONS WITH DEVELOPMENTAL DISABILITIES. OUR PURPOSE IS TO BUILD CAPACITY AND COMPETENCY IN THOSE RECEIVING CARE AND THOSE PROVIDING CARE. THE GOAL OF THE HCQU IS TO ASSURE THAT INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES ARE AS HEALTHY AS THEY CAN BE AND CAN FULLY PARTICIPATE IN COMMUNITY LIFE. GCHS ALSO PROVIDES BEHAVIORAL HOME HEALTH SERVICES IN COLUMBIA, MONTOUR, NORTHUMBERLAND, SNYDER AND UNION COUNTIES. CAREWORKS CONVENIENT HEALTHCARE: THE CLINICS PROVIDE AFFORDABLE, CONVENIENT ACCESS TO NON-EMERGENT MEDICAL SERVICES INCLUDING TREATMENT OF COMMON MEDICAL PROBLEMS, MINOR SKIN CONDITIONS, LAB TESTS, IMMUNIZATIONS, PHYSICALS, TRAVEL CONSULTATIONS AND OTHER OFFICE PROCEDURES. CAREWORKS OPERATES 13 CLINICS IN SUPERMARKETS, SHOPPING PLAZAS, WORKSITES AND PHYSICIAN PRACTICES LOCATED IN CENTRAL AND NORTHEASTERN PENNSYLVANIA. THEY ARE AN ALTERNATIVE TO A HOSPITAL'S EMERGENCY DEPARTMENT FOR NON-EMERGENT SERVICES. THE CLINICS ARE OPEN SEVEN DAYS A WEEK AND PROVIDE PROFESSIONAL MEDICAL SERVICES DURING THE DAY AND EVENING HOURS. II. UNCOMPENSATED CARE GCHS RECOGNIZES THAT ITS MISSION IS TO MEET COMMUNITY HEALTH NEEDS AND TO SUPPORT THE GOALS OF GEISINGER HEALTH SYSTEM IN THE COMMUNITIES WHERE GCHS PRACTICES. IN THIS REGARD, GCHS PROVIDES FREE OR SUBSIDIZED CARE BELOW COST AND SUPPORTS VARIOUS HEALTH ACTIVITIES AND PROGRAMS IN SUPPORT OF THE COMMUNITY. A. CHARITY CARE THE UNREIMBURSED COST OF CHARITY CARE REPRESENTS THE COST GCHS INCURS BY PROVIDING FREE OR DISCOUNTED SERVICES TO THOSE WHO CANNOT AFFORD TO PAY. FOR THE FISCAL YEAR ENDED JUNE 30, 2013, THE COST OF THE CHARITY CARE WAS 79,985. B. 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 2,197,129 DURING THE FISCAL YEAR ENDED JUNE 30, 2013. B. OTHER UNCOMPENSATED PATIENT SERVICES IN ADDITION TO THE ABOVE, GCHS PROVIDES OTHER PATIENT SERVICES FOR WHICH FULL PAYMENT IS NOT RECEIVED. THE UNCOMPENSATED COST OF PROVIDING SUCH PATIENT SERVICES DURING THE FISCAL YEAR ENDED JUNE 30, 2013 WAS 192,979. III. COMMUNITY HEALTH, EDUCATION, AND OUTREACH GCHS SERVES THE COMMUNITY THROUGH GIFT-IN-KIND CONTRIBUTIONS. THE PUBLIC AND VARIOUS CHARITABLE ORGANIZATIONS LOCATED THROUGHOUT NORTHEASTERN AND CENTRAL PENNSYLVANIA RECEIVED APPROXIMATELY 6,279 GIFTS-IN-KIND DURING THE FISCAL YEAR ENDED JUNE 30, 2013. IV. VOLUNTEER SERVICES THE VOLUNTEERS OF OUR PROGRAMS ARE AN ACTIVE AND VITAL PART OF THE ACTIVITIES AND MISSION OF GEISINGER COMMUNITY HEALTH SERVICES. VOLUNTEERS FROM LOCAL COMMUNITIES HAVE CONTRIBUTED 1,522 HOURS TOWARD THE COMMON PURPOSE OF SERVICING THE HEALTHCARE OF THE COMMUNITY. THE VALUE OF THIS CONTRIBUTION IS GIVEN BACK TO THE COMMUNITY THROUGH LOWER COSTS, VALUED AT 34,884. V. COMMUNITY BENEFIT SUMMARY CHARITY CARE 79,985 MEDICARE/MEDICAID SHORTFALL 2,197,129 OTHER COMPENSATED CARE 192,979 COMMUNITY HEALTH, EDUCATION, AND OUTREACH 6,279 VOLUNTEER SERVICES (VALUED AT 01/01/2013 STATEWIDE AVERAGE WEEKLY WAGE) 34,884 TOTAL 2,511,256 VI. OPERATIONAL CHANGES EXPECTED DURING FISCAL 2014 DURING FISCAL 2014, CAREWORKS CONVENIENT HEALTHCARE WILL BE TRANSFERRED TO GEISINGER CLINIC. IN ADDITION, GCHS' HOME CARE AND HOSPICE PROGRAMS PLAN TO EXPAND THEIR CURRENT SERVICE AREAS.
4b (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4d Other program services (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet38,736,437
Form 990 (2012)
Form 990 (2012)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If “Yes,” complete Schedule AClick to see attachment........................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? ...
2
 
No
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If “Yes,” complete Schedule C, Part IClick to see attachment..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If “Yes,” complete Schedule C, Part IIClick to see attachment........
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If “Yes,” complete Schedule C,
Part IIIClick to see attachment............................
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If “Yes,” complete Schedule D, Part IClick to see attachment........................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If “Yes,” complete Schedule D, Part IIClick to see attachment...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If “Yes,” complete Schedule D, Part III Click to see attachment....................
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If “Yes,” complete Schedule D, Part IVClick to see attachment..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments? If “Yes,” complete Schedule D, Part VClick to see attachment......
10
Yes
 
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10?
If “Yes,” complete Schedule D, Part VI.Click to see attachment...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VIIClick to see attachment.......
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VIIIClick to see attachment.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part IXClick to see attachment............
11d
 
No
e
Did the organization report an amount for other liabilities in Part X, line 25? If “Yes,” complete Schedule D, Part XClick to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If “Yes,” complete Schedule D, Part XClick to see attachment.........................
11f
 
No
12a
Did the organization obtain separate, independent audited financial statements for the tax year?
If “Yes,” complete Schedule D, Parts XI and XII Click to see attachment.................
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If “Yes,” and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If “Yes,” complete Schedule E....
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?.....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If “Yes,” complete Schedule F, Parts I and IV.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to any organization or entity located outside the United States? If “Yes,” complete Schedule F, Parts II and IV
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or assistance to individuals located outside the United States? If “Yes,” complete Schedule F, Parts III and IV...
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If “Yes,” complete Schedule G, Part I (see instructions)....
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If “Yes,” complete Schedule G, Part II............
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If “Yes,” complete Schedule G, Part III...................
19
 
No
20a
Did the organization operate one or more hospital facilities? If “Yes,” complete Schedule H....
20a
 
No
b
If “Yes” to line 20a, did the organization attach a copy of its audited financial statements to this return?
20b
 
 
Form 990 (2012)
Form 990 (2012)
Page 4
Part IV
Checklist of Required Schedules (continued)
21
Did the organization report more than $5,000 of grants and other assistance to any government or organization in the United States on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II...
21
 
No
22
Did the organization report more than $5,000 of grants and other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........
22
 
No
23
Did the organization answer “Yes” to Part VII, Section A, line 3, 4, or 5 about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If “Yes,” complete Schedule J....................... Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25................
24a
 
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?......................
24c
 
 
d
Did the organization act as an “on behalf of” issuer for bonds outstanding at any time during the year?...
24d
 
 
25a
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If “Yes,” complete Schedule L, Part I........ Click to see attachment
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If “Yes,” complete Schedule L, Part I................... Click to see attachment
25b
 
No
26
Was a loan to or by a current or former officer, director, trustee, key employee, highest compensated employee, or disqualified person outstanding as of the end of the organization’s tax year? If “Yes,” complete Schedule L,
Part II.......................... Click to see attachment
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? If “Yes,” complete Schedule L, Part III......... Click to see attachment
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If “Yes,” complete Schedule L, Part IV .......................... Click to see attachment
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If “Yes,”
complete Schedule L, Part IV..................... Click to see attachment
28b
 
No
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner? If “Yes,” complete Schedule L, Part IV... Click to see attachment
28c
Yes
 
29
Did the organization receive more than $25,000 in non-cash contributions? If “Yes,” complete Schedule M..
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If “Yes,” complete Schedule M.............
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If “Yes,” complete Schedule N,
Part I...........................
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If “Yes,” complete Schedule N, Part II......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If “Yes,” complete Schedule R, Part I........ Click to see attachment
33
 
No
34
Was the organization related to any tax-exempt or taxable entity? If “Yes,” complete Schedule R, Part II, III, or IV, and Part V, line 1........................ Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If “Yes,” complete Schedule R, Part V, line 2... Click to see attachment
35b
Yes
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If “Yes,” complete Schedule R, Part V, line 2............. Click to see attachment
36
Yes
 
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If “Yes,” complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2012)
Form 990 (2012)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response to any question in this Part V ...............
Yes
No
1a
Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable ..
1a
0
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
366
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
 
No
b
If “Yes,” has it filed a Form 990-T for this year? If “No,” provide an explanation in Schedule O.....
3b
 
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)?..........................
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If “Yes,” to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions?...
6a
 
No
b
If “Yes,” did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
 
No
b
If “Yes,” did the organization notify the donor of the value of the goods or services provided?.....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
No
d
If “Yes,” indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?............................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?............................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?............
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?..........
9a
 
 
b
Did the organization make a distribution to a donor, donor advisor, or related person?.......
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If “Yes,” enter the amount of tax-exempt interest received or accrued during the year. ....................
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If “No,” provide an explanation in Schedule O..
14b
 
 
Form 990 (2012)
Form 990 (2012)
Page 6
Part VI
Governance, Management, and Disclosure For each “Yes” response to lines 2 through 7b below, and for a “No” response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response to any question in this Part VI ...............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year .....................
1a
4
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent ...................
1b
0
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
Yes
 
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? ...........................
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
Yes
 
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
 
No
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If “Yes,” provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If “Yes,” did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If “No,” go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If “Yes,” describe in Schedule O how this was done.......................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
 
No
b
If “Yes,” did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
PA
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how), the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization:
MediumBulletSCOTT GALLAGHER DIRECTOR FINANCE109 WOODBINE LANEDANVILLEPA17821 (570) 271-7087
Form 990 (2012)
Form 990 (2012)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response to any question in this Part VII ...............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
Name and Title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(1) GLENN D STEELE JR MD PHD........................................................................
PRES,CHAIR,D
 0.00
.......................40.00 		X   X       0 2,062,556 418,454
(2) DENISE B PRINCE........................................................................
CEO, DIRECTO
 0.00
.......................40.00 		X   X       0 373,596 30,282
(3) FRANK J TREMBULAK........................................................................
SR VP,TREASU
 0.00
.......................40.00 		X   X       0 1,245,352 216,867
(4) JOANNE E WADE........................................................................
DIRECTOR
 0.00
.......................40.00 		X           0 1,170,997 201,114
(5) DAVID J FELICIO ESQUIRE........................................................................
CLO, SECRETA
 0.00
.......................40.00 		    X       0 512,681 140,659
(6) EDWARD J ZYCH ESQUIRE........................................................................
ASSISTANT SE
 0.00
.......................40.00 		    X       0 344,575 65,798
(7) KEVIN F BRENNAN CPA FHFMA........................................................................
EVP, FINANCE
 0.00
.......................40.00 		    X       0 1,079,326 202,187
(8) STEVEN J TRACY RPH........................................................................
AVP, CARE CO
 40.00
.......................0.00 		      X     161,805 0 29,149
(9) LISA M TRIMBLE........................................................................
AVP, GCHS
 40.00
.......................0.00 		      X     166,032 0 11,116
(10) LORI A PIETROWSKI CRNP........................................................................
NURSE PRACTI
 40.00
.......................0.00 		        X   133,721 0 29,164
(11) MARY F KRUEGER........................................................................
PA
 40.00
.......................0.00 		        X   134,291 0 25,959
(12) KENNETH D DOTSON PA-C........................................................................
PA-C
 40.00
.......................0.00 		        X   122,777 0 24,747
(13) RONALD T ZSIDO RPH........................................................................
DIRECTOR CLI
 40.00
.......................0.00 		        X   137,600 0 25,467
(14) STEPHEN C ADAMS MS RPH........................................................................
PHARM, CLINI
 40.00
.......................0.00 		        X   133,961 0 25,188
(15) KEVIN J KERESTUS CIA........................................................................
FORMER KEY E
 0.00
.......................40.00 		          X 0 232,997 36,505




Form 990 (2012)
Form 990 (2012)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;


























1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 990,187 7,022,080 1,482,656
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organizationMediumBullet15
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If “Yes,” complete Schedule J for such individual ..............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If “Yes,” complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If “Yes,” complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
REIMBURSEMENT CONCEPTS LLC217 THREE SPRINGS DRIVEWEIRTONWV26062 REIMBURSE. SERV 791,491
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet1
Form 990 (2012)
Form 990 (2012)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response to any question in this Part VIII ..............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512, 513, or 514
Contributions, Gifts, Grants and Other Similar Amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c  
d Related organizations...1d  
e Government grants (contributions)1e  
f All other contributions, gifts, grants, and
similar amounts not included above1f 		 
g Noncash contributions included in lines
1a-1f:$ 		 
h Total. Add lines 1a-1f.......MediumBullet  
Program Service Revenue Business Code
2a HEALTHCARE 621610 35,594,344 35,594,344    
b IC SHARED SERVICE-SCHEDULE O 541900 291,021 291,021    
c RENT FROM AFFILIATES 531120 206,359     206,359
d RENTAL INCOME   28,816     28,816
e
f All other program service revenue .        
g Total. Add lines 2a–2f........MediumBullet 36,120,540
Other Revenue 3 Investment income (including dividends, interest, and other similar amounts).......MediumBullet 324     324
4 Income from investment of tax-exempt bond proceeds..MediumBullet        
5 Royalties...........MediumBullet        
(i) Real (ii) Personal
6a Gross rents    
b Less: rental expenses    
c Rental income or (loss)    
d Net rental income or (loss).......MediumBullet        
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory   20,000
b Less: cost or other basis and sales expenses   27,659
c Gain or (loss)   -7,659
d Net gain or (loss)..........MediumBullet -7,659 -7,659    
8a Gross income from fundraising events (not including
$  
of contributions reported on line 1c). See Part IV, line 18 ..
a  
b Less: direct expenses ...b  
c Net income or (loss) from fundraising events..MediumBullet      
9a Gross income from gaming activities.
See Part IV, line 19 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from gaming activities...MediumBullet        
10a Gross sales of inventory, less
returns and allowances .
a  
b Less: cost of goods sold ..b  
c Net income or (loss) from sales of inventory..MediumBullet        
Miscellaneous Revenue Business Code
11a REBATES 900099 30,271 30,271    
b            
c            
d All other revenue ....        
e Total. Add lines 11a–11d ...... MediumBullet 30,271
12 Total revenue. See Instructions......MediumBullet 36,143,476 35,907,977   235,499
Form 990 (2012)
Form 990 (2012)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response to any question in this Part IX ...............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising expenses
1 Grants and other assistance to governments and organizations in the United States. See Part IV, line 21    
2 Grants and other assistance to individuals in the United States. See Part IV, line 22    
3 Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16    
4 Benefits paid to or for members    
5 Compensation of current officers, directors, trustees, and key employees .... 362,335 188,241 174,094  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .... 162,105 162,105    
7 Other salaries and wages 14,581,111 13,618,964 962,147  
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 709,102 655,763 53,339  
9 Other employee benefits ....... 2,236,570 2,068,335 168,235  
10 Payroll taxes ........... 1,115,006 1,051,967 63,039  
11 Fees for services (non-employees):        
a Management ......        
b Legal .........        
c Accounting ........... 4,560   4,560  
d Lobbying ........... 4,568 4,568    
e Professional fundraising services. See Part IV, line 17    
f Investment management fees ...... 42,158 36,262 5,896  
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ........ 6,126,416 6,045,497 80,919  
12 Advertising and promotion .... 373,439 373,439    
13 Office expenses ....... 1,118,481 1,097,194 21,287  
14 Information technology ...... 7,846 6,308 1,538  
15 Royalties ..        
16 Occupancy ........... 1,425,791 1,347,068 78,723  
17 Travel ............ 866,545 861,235 5,310  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ......        
19 Conferences, conventions, and meetings .... 17,659 16,872 787  
20 Interest ...........        
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization ..... 301,589 284,937 16,652  
23 Insurance .............. 290,747 121,658 169,089  
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a MEDICAL SUPPLIES 5,861,235 5,860,580 655  
b INTERCOMPANY EXPENSE 4,760,614 4,510,299 250,315  
c UNCOLLECTIBLE EXPENSE 336,886 336,886    
d LICENSES AND FEES 88,444 87,673 771  
e All other expenses 636 586 50  
25 Total functional expenses. Add lines 1 through 24e 40,793,843 38,736,437 2,057,406 0
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2012)
Form 990 (2012)
Page 11
Part X Balance Sheet Check if Schedule O contains a response to any question in this Part X ...............
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash—non-interest-bearing ............. 5,446,900 1 1,947,800
2 Savings and temporary cash investments .........   2  
3 Pledges and grants receivable, net ...........   3  
4 Accounts receivable, net ............. 2,110,780 4 2,269,176
5 Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..................
  5  
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
  6  
7 Notes and loans receivable, net ............. 20,077 7 9,413
8 Inventories for sale or use .............. 265,122 8 293,903
9 Prepaid expenses and deferred charges .......... 368,555 9 408,263
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 3,642,015
b Less: accumulated depreciation ..... 10b 1,221,323 777,714 10c 2,420,692
11 Investments—publicly traded securities ..........   11  
12 Investments—other securities. See Part IV, line 11 .....   12  
13 Investments—program-related. See Part IV, line 11 .....   13  
14 Intangible assets ...............   14 129,849
15 Other assets. See Part IV, line 11 ........... 10,000 15  
16 Total assets. Add lines 1 through 15 (must equal line 34)...... 8,999,148 16 7,479,096
Liabilities 17 Accounts payable and accrued expenses ......... 2,200,328 17 2,271,661
18 Grants payable .................   18  
19 Deferred revenue ................ 541,934 19 117,198
20 Tax-exempt bond liabilities .............   20  
21 Escrow or custodial account liability. Complete Part IV of Schedule D..   21  
22 Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L..........   22  
23 Secured mortgages and notes payable to unrelated third parties ..   23  
24 Unsecured notes and loans payable to unrelated third parties ....   24  
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D.................... 1,583,672 25 2,567,390
26 Total liabilities. Add lines 17 through 25......... 4,325,934 26 4,956,249
Net Assets or Fund Balance Organizations that follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets .............. 4,673,214 27 2,522,847
28 Temporarily restricted net assets ...........   28  
29 Permanently restricted net assets ...........   29  
Organizations that do not follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds ........   30  
31 Paid-in or capital surplus, or land, building or equipment fund .....   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ........... 4,673,214 33 2,522,847
34 Total liabilities and net assets/fund balances ........ 8,999,148 34 7,479,096
Form 990 (2012)
Form 990 (2012)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response to any question in this Part XI ...............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
36,143,476
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
40,793,843
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
-4,650,367
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
4,673,214
5
Net unrealized gains (losses) on investments ...............
5
 
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
2,500,000
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
2,522,847
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response to any question in this Part XII ..............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If “Yes,” to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
 
No
b
If “Yes,” did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits
3b
 
 
Form 990 (2012)
Form 990, Special Condition Description:
Special Condition Description
Additional Data


Software ID:  
Software Version:  
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
OMB No. 1545-0047
2012
Open to Public
Inspection
Name of the organization
GEISINGER COMMUNITY HEALTH SERVICES
 
Employer identification number

23-2967235
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
f
g
(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the supported organization? ................
11g(i)
 
 
(ii) A family member of a person described in (i) above? ......................
11g(ii)
 
 
(iii) A 35% controlled entity of a person described in (i) or (ii) above? ................
11g(iii)
 
 
h
Provide the following information about the supported organization(s).
(i) Name of supported organization (ii) EIN (iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions)) (iv) Is the organization in col. (i) listed in your governing document? (v) Did you notify the organization in col. (i) of your support? (vi) Is the organization in col. (i) organized in the U.S.? (vii) Amount of monetary support
Yes No Yes No Yes No
Total                  

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....            
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3            
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..            
6 Public support. Subtract line 5 from line 4.            
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (f) Total
7 Amounts from line 4..            
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...            
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..            
11 Total support (Add lines 7 through 10).            
12
12
 
13
First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization, check this box and stop here........................................right arrow
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .   3,000       3,000
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose...... 25,338,111 28,368,530 33,140,070 31,899,746 35,594,344 154,340,801
3 Gross receipts from activities that are not an unrelated trade or business under section 513..       201,065 235,175 436,240
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge..            
6 Total. Add lines 1 through 5. 25,338,111 28,371,530 33,140,070 32,100,811 35,829,519 154,780,041
7a Amounts included on lines 1, 2, and 3 received from disqualified persons...            
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. 2,021,875 1,441,851 2,497,789 44,631 17,438 6,023,584
c Add lines 7a and 7b.. 2,021,875 1,441,851 2,497,789 44,631 17,438 6,023,584
8 Public support (Subtract line 7c from line 6.)           148,756,457
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (f) Total
9 Amounts from line 6... 25,338,111 28,371,530 33,140,070 32,100,811 35,829,519 154,780,041
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. 65,379 895 291 321 324 67,210
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b. 65,379 895 291 321 324 67,210
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on. 154,293         154,293
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.) .. 6,848 8,692 20,097 30,524 30,271 96,432
13 Total support. (Add lines 9, 10c, 11, and 12.).. 25,564,631 28,381,117 33,160,458 32,131,656 35,860,114 155,097,976
14
Section C. Computation of Public Support Percentage
15
15
95.910 %
16
16
94.210 %
Section D. Computation of Investment Income Percentage
17
17
0 %
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 4
Part IV
Supplemental Information. Complete this part to provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Explanation
PART III, LINE 12 OTHER INCOME: 2008: PURCHASE DISCOUNTS 6,848 2009: PURCHASE DISCOUNTS 8,692 2010: PURCHASE DISCOUNTS 20,097 2011: PURCHASE DISCOUNTS 29,043 2011: ESCHEATS RECOVERY 570 2011: INCENTIVE PAYMENTS 911 2012: PURCHASE DISCOUTS 30,271 TOTAL 96,432
 
 
 
Schedule A (Form 990 or 990-EZ) 2012

Additional Data


Software ID:  
Software Version:  
SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet Complete if the organization is described below.SchCMd Bullet Attach to Form 990 or Form 990-EZ.
SchCMd Bullet See separate instructions.
OMB No. 1545-0047
2012
Open to Public
Inspection
If the organization answered “Yes” to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered “Yes” to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered “Yes” to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35c (Proxy Tax), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
GEISINGER COMMUNITY HEALTH SERVICES
 
Employer identification number

23-2967235
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization’s direct and indirect political campaign activities in Part IV.
2
Political expenditures ....................................SchCMd Bullet
$  
3
Volunteer hours ........................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 .........SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 ......SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............
4a
Was a correction made? .........................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c), except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ...................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b..SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ..........................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.










For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2012

Schedule C (Form 990 or 990-EZ) 2012
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check SchCMd Bulletexpenses, and share of excess lobbying expenditures).Click to see attachment
B Check SchCMd Bullet
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.) 		(a) Filing
organization's
totals 		(b) Affiliated group
totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ......   1,437
b Total lobbying expenditures to influence a legislative body (direct lobbying) ....... 4,568 648,738
c Total lobbying expenditures (add lines 1a and 1b) ................... 4,568 650,175
d Other exempt purpose expenditures ........................ 40,789,275 2,932,675,696
e Total exempt purpose expenditures (add lines 1c and 1d) ............... 40,793,843 2,933,325,871
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.		 1,000,000 1,000,000
  If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:    
  Not over $500,00020% of the amount on line 1e.    
  Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.    
  Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.    
  Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.    
  Over $17,000,000$1,000,000.    
       
g Grassroots nontaxable amount (enter 25% of line 1f) ................. 250,000 250,000
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................    
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................    
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ......................................

4-Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
  Calendar year (or fiscal year
beginning in) 		(a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) Total
             
2a Lobbying nontaxable amount 1,000,000 1,000,000 1,000,000 1,000,000 4,000,000
             
b Lobbying ceiling amount
(150% of line 2a, column(e)) 		        6,000,000
             
c Total lobbying expenditures 574,174 611,545 640,652 650,175 2,476,546
             
d Grassroots nontaxable amount 250,000 250,000 250,000 250,000 1,000,000
             
e Grassroots ceiling amount
(150% of line 2d, column (e))		         1,500,000
             
f Grassroots lobbying expenditures       1,437 1,437
Schedule C (Form 990 or 990-EZ) 2012


Schedule C (Form 990 or 990-EZ) 2012
Page 3
Part II-B
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).
For each “Yes” response to lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.
(a)
No
Yes
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? .........................................
 
 
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....
 
 
c
Media advertisements? ....................................
 
 
 
d
Mailings to members, legislators, or the public? .........................
 
 
 
e
Publications, or published or broadcast statements? .......................
 
 
 
f
Grants to other organizations for lobbying purposes? .......................
 
 
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? ........
 
 
 
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......
 
 
 
i
Other activities? ..........................
 
 
 
j
Total. Add lines 1c through 1i ...............................
 
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
 
b
If "Yes," enter the amount of any tax incurred under section 4912 .................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ................
2
 
 
3
Did the organization agree to carry over lobbying and political expenditures from the prior year? ..........
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered “No” OR (b) Part III-A, line 3, is answered “Yes."
1
Dues, assessments and similar amounts from members .....................
1
 
2
Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).
a
Current year .........................................
2a
 
b
Carryover from last year ....................................
2b
 
c
Total ............................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) ..............
5
 
Part IV
Supplemental Information
Complete this part to provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, line 2; and Part ll-B, line 1. Also, complete this part for any additional information.
Identifier Return Reference Explanation
Schedule C (Form 990 or 990EZ) 2012

Additional Data


Software ID:  
Software Version:  

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
SchDMd Bullet Attach to Form 990. SchDMd Bullet See separate instructions.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
GEISINGER COMMUNITY HEALTH SERVICES
 
Employer identification number

23-2967235
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .........    
2 Aggregate contributions to (during year) ...    
3 Aggregate grants from (during year) .....    
4 Aggregate value at end of year ........    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ....................... 2a  
b Total acreage restricted by conservation easements .................. 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register .................... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .......................................
9
In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:
(i)
Revenues included in Form 990, Part VIII, line 1 ........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ..............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:
a
Revenues included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2012

Schedule D (Form 990) 2012
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIII and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21? .....................
b
If “Yes,” explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current year (b)Prior year b (c)Two years back (d)Three years back (e)Four years back
1a Beginning of year balance .... 80,086,000 77,598,000 75,302,000 71,078,000 88,270,000
b Contributions ........ 8,933,000 5,172,000 627,000 1,148,000 1,005,000
c Net investment earnings, gains, and losses 9,257,000 -9,000 13,943,000 8,379,000 -13,762,000
d Grants or scholarships .....          
e Other expenditures for facilities
and programs ........ 		-3,614,000 -2,675,000 -12,274,000 -5,303,000 -4,435,000
f Administrative expenses ....          
g End of year balance ...... 94,662,000 80,086,000 77,598,000 75,302,000 71,078,000
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet25.000 %
b
Permanent endowment SchDMd Bullet65.000 %
c
Temporarily restricted endowment SchDMd Bullet10.000 %
The percentages in lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
No
(ii) related organizations ........................
3a(ii)
Yes
 
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
Yes
 
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................      
b Buildings ................        
c Leasehold improvements ............   1,853,185 720,923 1,132,262
d Equipment ................   1,275,527 500,400 775,127
e Other .................   513,303   513,303
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......SchDMdBullet 2,420,692
Schedule D (Form 990) 2012

Schedule D (Form 990) 2012
Page 3
Part VII
Investments—Other Securities. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)		 (b)Book value (c) Method of valuation:
Cost or end-of-year market value
(1)Financial derivatives    
(2)Closely-held equity interests    
Other








Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet  
Part VIII
Investments—Program Related. See Form 990, Part X, line 13.
(a) Description of investment type (b) Book value (c) Method of valuation:
Cost or end-of-year market value








Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets. See Form 990, Part X, line 15.
(a) Description (b) Book value








Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet  
Part X
Other Liabilities. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
Federal income taxes  
DUE TO AFFILIATE 2,566,078
OTHER LIABILITIES 1,312







Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 2,567,390
2. Fin 48 (ASC 740) Footnote. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII .....................................................
Schedule D (Form 990) 2012

Schedule D (Form 990) 2012
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1 Total revenue, gains, and other support per audited financial statements ....... 1  
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains on investments .......... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d ..................... 2e  
3 Subtract line 2e from line 1..................... 3  
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIII.) ........... 4b  
c Add lines 4a and 4b....................... 4c  
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5  
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1 Total expenses and losses per audited financial statements ........... 1  
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities .......... 2a  
b Prior year adjustments .............. 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d...................... 2e  
3 Subtract line 2e from line 1..................... 3  
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIII.) ............ 4b  
c Add lines 4a and 4b....................... 4c  
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5  
Part XIII
Supplemental Information
Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Identifier Return Reference Explanation
SUPPLEMENTAL FINANCIAL INFORMATION SCHEDULE D, PAGE 4, PART XIII PART V, LINE 4 - INTENDED USES FOR ENDOWMENT FUNDS ENDOWMENT FUNDS ARE USED BY THE GEISINGER HEALTH SYSTEM TO SUPPORT PATIENT CARE, RESEARCH, EDUCATION, AND CAPITAL AND PROGRAM EXPENSES. PART X - LIABILITY UNDER FIN 48 FOOTNOTE EFFECTIVE JULY 1, 2007, GEISINGER HEALTH SYSTEM(1) ("GHS") ADOPTED FASB INTERPRETATION NO. 48, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES, AN INTERPRETATION OF FASB STATEMENT NO. 109 ("FIN 48"). 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 JUNE 30, 2013 OR ANY PREVIOUS YEARS SINCE ADOPTION. ACCORDINGLY, NO FIN 48 FOOTNOTE DISCLOSURE WAS MADE IN THE JUNE 30, 2013 GHS CONSOLIDATED FINANCIAL STATEMENTS. (1) THROUGHOUT THIS DOCUMENT, THE ACRONYM "GHS" OR THE TERMS "SYSTEM", "GEISINGER", OR "GEISINGER HEALTH SYSTEM" SHALL REFER TO THE ENTIRE HEALTHCARE SYSTEM COMPRISED OF THE GEISINGER HEALTH SYSTEM FOUNDATION ("THE FOUNDATION") AS PARENT AND ALL SUBSIDIARY CORPORATE ENTITIES COMPRISING THE SYSTEM.
Schedule D (Form 990) 2012

Additional Data


Software ID:  
Software Version:  




Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet Attach to Form 990. SchJMediumBullet See separate instructions.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
GEISINGER COMMUNITY HEALTH SERVICES
 
Employer identification number

23-2967235
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain....
1b
 
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all officers,
directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? .......
2
 
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ................
4a
 
No
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.
5
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
 
No
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ...........................
6a
 
No
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
Yes
 
8
Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2012

Schedule J (Form 990) 2012
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.
For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(A) Name and Title (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits		 (E) Total of columns
(B)(i)-(D) 		(F) Compensation
reported as deferred
in prior Form 990
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1)GLENN D STEELE JR MD PHDPRESCHAIRDIRECTOR (i)
(ii)		  
1,021,563 		 
920,000 		 
120,993 		 
388,588 		 
29,866 		 
2,481,010 		 
 
(2)DENISE B PRINCECEO DIRECTOR (i)
(ii)		  
283,073 		 
81,938 		 
8,585 		 
11,250 		 
19,032 		 
403,878 		 
 
(3)FRANK J TREMBULAKSR VPTREASURERDIR (i)
(ii)		  
592,806 		 
305,296 		 
347,250 		 
203,077 		 
13,790 		 
1,462,219 		 
274,280
(4)JOANNE E WADEDIRECTOR (i)
(ii)		  
574,175 		 
286,871 		 
309,951 		 
191,976 		 
9,138 		 
1,372,111 		 
272,636
(5)DAVID J FELICIO ESQUIRECLO SECRETARY (i)
(ii)		  
313,540 		 
152,506 		 
46,635 		 
120,520 		 
20,139 		 
653,340 		 
 
(6)EDWARD J ZYCH ESQUIREASSISTANT SECRETARY (i)
(ii)		  
250,888 		 
74,435 		 
19,252 		 
43,763 		 
22,035 		 
410,373 		 
 
(7)KEVIN F BRENNAN CPA FHFMAEVP FINANCE CFO (i)
(ii)		  
501,671 		 
290,967 		 
286,688 		 
181,114 		 
21,073 		 
1,281,513 		 
247,768
(8)STEVEN J TRACY RPHAVP CARE CONTINUUM (i)
(ii)		 141,427
  		17,665
  		2,713
  		10,277
  		18,872
  		190,954
  		 
 
(9)LISA M TRIMBLEAVP GCHS (i)
(ii)		 138,051
  		24,826
  		3,155
  		10,306
  		810
  		177,148
  		 
 
(10)LORI A PIETROWSKI CRNPNURSE PRACTITIONER (i)
(ii)		 121,264
  		8,200
  		4,257
  		7,480
  		21,684
  		162,885
  		 
 
(11)MARY F KRUEGERPA (i)
(ii)		 81,982
  		28,730
  		23,579
  		7,608
  		18,351
  		160,250
  		 
 
(12)RONALD T ZSIDO RPHDIRECTOR CLINICAL OP (i)
(ii)		 131,214
  		 
  		6,386
  		8,123
  		17,344
  		163,067
  		 
 
(13)STEPHEN C ADAMS MS RPHPHARM CLINICAL COOR (i)
(ii)		 125,621
  		 
  		8,340
  		7,526
  		17,662
  		159,149
  		 
 
(14)KEVIN J KERESTUS CIAFORMER KEY EMPLOYEE (i)
(ii)		  
179,748 		 
48,224 		 
5,025 		 
16,563 		 
19,942 		 
269,502 		 
 
Schedule J (Form 990) 2012

Schedule J (Form 990) 2012
Page 3
Part III
Supplemental Information
Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.
Identifier Return Reference Explanation
SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTS SCHEDULE J, PAGE 1, PART I, LINE 4 FRANK J. TREMBULAK 0 276,507 0 JOANNE E. WADE 0 272,636 0 KEVIN F. BRENNAN, CPA, FHFMA 0 247,768 0
NON-FIXED PAYMENTS PROVIDED SCHEDULE J, PAGE 1, PART I, LINE 7 BECAUSE THE PAYMENT OF EARNED PERFORMANCE BASED COMPENSATION IS AT THE DISCRETION OF MANAGEMENT AND THE BOARD OF DIRECTORS, SUCH PAYMENTS MAY BE CONSIDERED NON-FIXED PAYMENTS. PERFORMANCE BASED COMPENSATION IS DETERMINED BY MEETING INDIVIDUALLY MEASURED PERFORMANCE GOALS THAT ARE ALIGNED WITH OVERALL SYSTEM OBJECTIVES, INCLUDING: CLINICAL QUALITY, COMMUNITY MISSION ACHIEVEMENT, AND FINANCIAL STEWARDSHIP.
OTHER ADDITIONAL INFORMATION SCHEDULE J, PART III 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 FORM 990, THE TERMS "GEISINGER HEALTH SYSTEM" AND "SYSTEM" OR THE ACRONYM "GHS" SHALL REFER TO THE ENTIRE HEALTHCARE SYSTEM COMPRISED OF GEISINGER HEALTH SYSTEM FOUNDATION ("THE FOUNDATION") AS PARENT AND ALL SUBSIDIARY CORPORATIONS COMPRISING THE SYSTEM.
Schedule J (Form 990) 2012

Additional Data


Software ID:  
Software Version:  
Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ. MediumBullet See separate instructions.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
GEISINGER COMMUNITY HEALTH SERVICES
 
Employer identification number

23-2967235
Part I
Excess Benefit Transactions (section 501(c)(3) and section 501(c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Relationship between disqualified person and organization (c) Description of transaction (d) Corrected?
Yes No





2
Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image$
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image$
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22
(a) Name of interested person (b) Relationship with organization (c) Purpose of loan (d) Loan to or from the organization? (e)Original principal amount (f)Balance due (g) In default? (h) Approved by board or committee? (i)Written agreement?
To From Yes No Yes No Yes No
Total ......Small Bullet $  
Part III
Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of assistance (d) Type of assistance (e) Purpose of assistance
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990 or 990-EZ) 2012
Schedule L (Form 990 or 990-EZ) 2012
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) GEISINGER MEDICAL MANAGEMENT CORP
  		BUSINESS 291,021 IC SHARED SRVC REV   No
(2) GEISINGER MEDICAL MANAGEMENT CORP
  		BUSINESS 268,113 IC SHARED SRVC EXP   No
(3) GEISINGER INDEMNITY INSURANCE COMP
  		BUSINESS 230,148 IC SHARED SRVC EXP   No
(4) GEISINGER INDEMNITY INSURANCE COMP
  		BUSINESS 525,680 IC SHARED SRVC REV   No
(5) GEISINGER QUALITY OPTIONS INC
  		BUSINESS 828,629 IC SHARED SRVC REV   No
(6) WEIS MARKETS INC
  		BUSINESS 124,183 LEASE EXPENSE   No
(7) WEIS MARKETS INC
  		BUSINESS 1,343 PURCHASE SUPPLIES   No
Part V
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule L (see instructions).
Identifier Return Reference Explanation
ADDITIONAL INFORMATION SCHEDULE L PART V GEISINGER COMMUNITY HEALTH SERVICES GCHS IS CLOSELY AFFILIATED WITH SEVERAL OTHER ORGANIZATIONS IN THE NORMAL COURSE OF OPERATIONS OF THESE AFFILIATED ORGANIZATIONS THERE ARE NUMEROUS INTERORGANIZATIONAL TRANSACTIONS WHICH MAY INCLUDE SALES EXCHANGES AND LEASE OF PROPERTY EXTENSIONS OF CREDIT FURNISHING OF GOODS SERVICES AND FACILITIES AND TRANSFERS OF ASSETS THESE TYPES OF INTERORGANIZATIONAL TRANSACTIONS WERE DESCRIBED TO THE INTERNAL REVENUE SERVICE IRS IN A RULING APPLICATION AND WERE RECOGNIZED BY THE NATIONAL OFFICE OF THE IRS IN A SERIES OF PRIVATE LETTER RULINGS AS BEING ENTIRELY CONSISTENT WITH THE ORGANIZATIONS TAX EXEMPT STATUS THE FOLLOWING ORGANIZATIONS REPRESENT THE AFFILIATED FOR PROFIT ORGANIZATIONS WITHIN THE GEISINGER HEALTH SYSTEM FOR WHOM BUSINESS TRANSACTIONS MUST BE DISCLOSED FOR PURPOSES OF SCHEDULE L PART IV TRANSACTIONS WITH INTERESTED PERSONS GEISINGER MEDICAL MANAGEMENT CORPORATION GEISINGER INDEMNITY INSURANCE COMPANY GEISINGER QUALITY OPTIONS INC THE FOLLOWING OFFICERS ANDOR DIRECTORS OF GEISINGER COMMUNITY HEALTH SERVICES ARE OFFICERS ANDOR DIRECTORS OF SOME OR ALL OF THESE ORGANIZATIONS GLENN D STEELE JR MD PHD DAVID J FELICIO ESQUIRE DENISE B PRINCE FRANK J TREMBULAK EDWARD J ZYCH ESQUIRE GLENN D STEELE MD PHD IS A DIRECTOR OF WEIS MARKETS INC FOOTNOTE THROUGHOUT FORM 990 THE TERMS GEISINGER HEALTH SYSTEM AND SYSTEM OR THE ACRONYM GHS SHALL REFER TO THE ENTIRE HEALTHCARE SYSTEM COMPRISED OF GEISINGER HEALTH SYSTEM FOUNDATION THE FOUNDATION AS PARENT AND ALL SUBSIDIARY CORPORATIONS COMPRISING THE SYSTEM
Schedule L (Form 990 or 990-EZ) 2012

Additional Data


Software ID:  
Software Version:  




SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2012
Open to Public
Inspection
Name of the organization
GEISINGER COMMUNITY HEALTH SERVICES
 
Employer identification number

23-2967235
Identifier Return Reference Explanation
FIRST ACCOMPLISHMENT DESCRIPTION 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 TO PROVIDE COMPREHENSIVE COMMUNITY BASED HEALTH SERVICES THROUGHOUT NORTHEASTERN AND CENTRAL PENNSYLVANIA. THE ORGANIZATION EMPLOYS APPROXIMATELY 278 INDIVIDUALS THAT PROVIDE AN ARRAY OF SPECIALIZED MEDICAL SERVICE PROGRAMS. GCHS IS LOCATED IN DANVILLE PA, WITH BRANCH FACILITIES THROUGHOUT CENTRAL AND NORTHEASTERN PENNSYLVANIA. GCHS PROVIDES QUALITY MEDICAL HEALTHCARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. PROGRAM SERVICE ACTIVITIES THAT ARE AVAILABLE THROUGH GCHS INCLUDE THE FOLLOWING: GEISINGER HOME CARE AND HOSPICE: A FULL SERVICE HOME HEALTH AGENCY THAT PROVIDES HOME CARE AND HOSPICE SERVICES TO PATIENTS IN NORTH CENTRAL AND EASTERN PENNSYLVANIA. SKILLED NURSING, HOME HEALTH AIDE, MEDICAL SOCIAL WORK, AS WELL AS PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY SERVICES WHICH ARE AVAILABLE 24 HOURS A DAY. THE AGENCY IS BOTH MEDICARE AND MEDICAID CERTIFIED, AND THEREFORE MAY PROVIDE HOME CARE SERVICE TO ALL PAYOR CATEGORIES. IN ADDITION, THE AGENCY PROVIDES MATERNAL/CHILD HEALTH SERVICES. VITALINE HOME INFUSION THERAPY SERVICES: LICENSED AS A PHARMACY PROVIDER, VITALINE PROVIDES TOTAL PARENTERAL AND ENTERAL NUTRITION THERAPIES, ANTIBIOTIC, GROWTH HORMONE, CHEMOTHERAPY AND A VARIETY OF OTHER INFUSION RELATED THERAPIES TO PATIENTS IN CENTRAL AND EASTERN PENNSYLVANIA WHO MAY RESIDE AT HOME OR IN SKILLED NURSING FACILITIES. SERVICES ARE PROVIDED FOR ALL PAYOR CATEGORIES. LIFE GEISINGER: LIFE GEISINGER IS BASED ON A FEDERAL AND STATE SPONSORED HEALTH CARE MODEL, PROGRAMS FOR ALL-INCLUSIVE CARE OF THE ELDERLY, NATIONALLY KNOWN AS PACE. THE MAIN PREMISE IS TO SERVE FRAIL ELDERLY WITHIN THE COMMUNITY WHO MIGHT OTHERWISE BE CONFINED TO A NURSING HOME. IT PROVIDES COMPREHENSIVE HEALTH CARE SERVICES TO MEET THE PARTICIPANTS' MEDICAL, SOCIAL, AND EMOTIONAL NEEDS. THE TWO LIFE CENTERS ARE LOCATED IN SCRANTON AND KULPMONT. HEALTH CARE QUALITY UNITS (HCQU): WORKS IN CONJUNCTION WITH PROGRAMS FOR INTELLECTUALLY DISABLED INDIVIDUALS IN 13 CENTRAL PENNSYLVANIA COUNTIES TO PROVIDE HEALTH CARE MANAGEMENT SERVICES FOR PERSONS WITH DEVELOPMENTAL DISABILITIES. OUR PURPOSE IS TO BUILD CAPACITY AND COMPETENCY IN THOSE RECEIVING CARE AND THOSE PROVIDING CARE. THE GOAL OF THE HCQU IS TO ASSURE THAT INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES ARE AS HEALTHY AS THEY CAN BE AND CAN FULLY PARTICIPATE IN COMMUNITY LIFE. GCHS ALSO PROVIDES BEHAVIORAL HOME HEALTH SERVICES IN COLUMBIA, MONTOUR, NORTHUMBERLAND, SNYDER AND UNION COUNTIES. CAREWORKS CONVENIENT HEALTHCARE: THE CLINICS PROVIDE AFFORDABLE, CONVENIENT ACCESS TO NON-EMERGENT MEDICAL SERVICES INCLUDING TREATMENT OF COMMON MEDICAL PROBLEMS, MINOR SKIN CONDITIONS, LAB TESTS, IMMUNIZATIONS, PHYSICALS, TRAVEL CONSULTATIONS AND OTHER OFFICE PROCEDURES. CAREWORKS OPERATES 13 CLINICS IN SUPERMARKETS, SHOPPING PLAZAS, WORKSITES AND PHYSICIAN PRACTICES LOCATED IN CENTRAL AND NORTHEASTERN PENNSYLVANIA. THEY ARE AN ALTERNATIVE TO A HOSPITAL'S EMERGENCY DEPARTMENT FOR NON-EMERGENT SERVICES. THE CLINICS ARE OPEN SEVEN DAYS A WEEK AND PROVIDE PROFESSIONAL MEDICAL SERVICES DURING THE DAY AND EVENING HOURS. II. UNCOMPENSATED CARE GCHS RECOGNIZES THAT ITS MISSION IS TO MEET COMMUNITY HEALTH NEEDS AND TO SUPPORT THE GOALS OF GEISINGER HEALTH SYSTEM IN THE COMMUNITIES WHERE GCHS PRACTICES. IN THIS REGARD, GCHS PROVIDES FREE OR SUBSIDIZED CARE BELOW COST AND SUPPORTS VARIOUS HEALTH ACTIVITIES AND PROGRAMS IN SUPPORT OF THE COMMUNITY. A. CHARITY CARE THE UNREIMBURSED COST OF CHARITY CARE REPRESENTS THE COST GCHS INCURS BY PROVIDING FREE OR DISCOUNTED SERVICES TO THOSE WHO CANNOT AFFORD TO PAY. FOR THE FISCAL YEAR ENDED JUNE 30, 2013, THE COST OF THE CHARITY CARE WAS 79,985. B. 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 2,197,129 DURING THE FISCAL YEAR ENDED JUNE 30, 2013. B. OTHER UNCOMPENSATED PATIENT SERVICES IN ADDITION TO THE ABOVE, GCHS PROVIDES OTHER PATIENT SERVICES FOR WHICH FULL PAYMENT IS NOT RECEIVED. THE UNCOMPENSATED COST OF PROVIDING SUCH PATIENT SERVICES DURING THE FISCAL YEAR ENDED JUNE 30, 2013 WAS 192,979. III. COMMUNITY HEALTH, EDUCATION, AND OUTREACH GCHS SERVES THE COMMUNITY THROUGH GIFT-IN-KIND CONTRIBUTIONS. THE PUBLIC AND VARIOUS CHARITABLE ORGANIZATIONS LOCATED THROUGHOUT NORTHEASTERN AND CENTRAL PENNSYLVANIA RECEIVED APPROXIMATELY 6,279 GIFTS-IN-KIND DURING THE FISCAL YEAR ENDED JUNE 30, 2013. IV. VOLUNTEER SERVICES THE VOLUNTEERS OF OUR PROGRAMS ARE AN ACTIVE AND VITAL PART OF THE ACTIVITIES AND MISSION OF GEISINGER COMMUNITY HEALTH SERVICES. VOLUNTEERS FROM LOCAL COMMUNITIES HAVE CONTRIBUTED 1,522 HOURS TOWARD THE COMMON PURPOSE OF SERVICING THE HEALTHCARE OF THE COMMUNITY. THE VALUE OF THIS CONTRIBUTION IS GIVEN BACK TO THE COMMUNITY THROUGH LOWER COSTS, VALUED AT 34,884. V. COMMUNITY BENEFIT SUMMARY CHARITY CARE 79,985 MEDICARE/MEDICAID SHORTFALL 2,197,129 OTHER COMPENSATED CARE 192,979 COMMUNITY HEALTH, EDUCATION, AND OUTREACH 6,279 VOLUNTEER SERVICES (VALUED AT 01/01/2013 STATEWIDE AVERAGE WEEKLY WAGE) 34,884 TOTAL 2,511,256 VI. OPERATIONAL CHANGES EXPECTED DURING FISCAL 2014 DURING FISCAL 2014, CAREWORKS CONVENIENT HEALTHCARE WILL BE TRANSFERRED TO GEISINGER CLINIC. IN ADDITION, GCHS' HOME CARE AND HOSPICE PROGRAMS PLAN TO EXPAND THEIR CURRENT SERVICE AREAS.
ADDITIONAL INFORMATION 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 ORGANIZATIONS OF THE GEISINGER HEALTH SYSTEM. AS THE ACCOUNTS PAYABLE PROCESSOR, GSS PREPARES AND FILES FORM 1099 UNDER ITS EIN FOR ALL REPORTABLE PAYMENTS OF THE FILING ORGANIZATION. THE NUMBER OF FORM 1099'S FILED BY GSS FOR THE 2012 REPORTING PERIOD ON BEHALF OF ITSELF AND ITS AFFILIATES WAS 1,386.
ADDITIONAL INFORMATION 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 MEMBER ARE NOT INDEPENDENT BECAUSE THEY ARE COMPENSATED AS EMPLOYEES OF RELATED ORGANIZATIONS. ALL OF THE FOUR VOTING MEMBERS DESCRIBED ABOVE, ARE ALSO VOTING MEMBERS OF RELATED TAXABLE ORGANIZATIONS FOR WHICH BUSINESS TRANSACTIONS, BETWEEN GCHS AND THE RELATED TAXABLE ORGANIZATION, ARE DISCLOSED ON SCHEDULE L, PART IV. HOWEVER, IF THE RELATED TAXABLE ORGANIZATIONS WERE REQUIRED TO FILE SCHEDULE L, THESE TRANSACTIONS WOULD NOT BE A TYPE THAT WOULD BE REPORTABLE ON THEIR SCHEDULE L. IN ADDITION, THESE VOTING MEMBERS ARE NOT COMPENSATED BY THE RELATED TAXABLE ORGANIZATIONS FOR WHICH TRANSACTIONS ARE DISCLOSED IN SCHEDULE L, PART IV, DO NOT HAVE AN OWNERSHIP INTEREST IN OR RECEIVE ANY ECONOMIC BENEFIT FROM THE ACTIVITIES OF THESE RELATED TAXABLE ORGANIZATIONS, RECEIVE NO PRIVATE INUREMENT OR PRIVATE BENEFIT FROM THE TRANSACTIONS WITH THE RELATED TAXABLE ORGANIZATIONS AND THE VOTING MEMBERS OF THE GOVERNING BODY ABSTAIN FROM VOTING AND ARE ABSENT FROM BOARD DELIBERATIONS AND DECISIONS ON MATTERS IF A CONFLICT EXISTS. REFER TO THE RESPONSE FOR FORM 990, PART VI, SECTION B, QUESTION, 12A, 12B, AND 12C, REGARDING THE GEISINGER HEALTH SYSTEM CONFLICTS OF INTEREST POLICY, DISCLOSURE, AND ENFORCEMENT. 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? GLENN D. STEELE, JR. M.D., PH.D., DAVID J. FELICIO, ESQUIRE, DENISE B. PRINCE, FRANK J. TREMBULAK, EDWARD J. ZYCH, ESQUIRE, AND JOANNE E. WADE ALL HAVE A BUSINESS RELATIONSHIP WITH ONE ANOTHER BECAUSE THEY SERVE AS OFFICERS AND/OR DIRECTORS ON ONE OR MORE FOR-PROFIT AFFILIATES OF GEISINGER COMMUNITY HEALTH SERVICES. ALL OF THE AFFILIATES ARE PART OF THE GEISINGER HEALTH SYSTEM.
CLASSES OF MEMBERS OR STOCKHOLDERS FORM 990, PAGE 6, PART VI, LINE 6 THE MEMBERS OF THE CORPORATION HAVE THE POWER AND AUTHORITY TO ELECT AND REMOVE DIRECTORS, ELECT AND REMOVE THE PRESIDENT AND FILL ANY VACANCY IN THE OFFICE OF THE PRESIDENT OF THE CORPORATION AND APPROVE AMENDMENTS TO THE CORPORATE BYLAWS. THE MEMBERS ALSO HAVE THE RESERVE POWERS AS SET FORTH IN THE PENNSYLVANIA NONPROFIT CORPORATION LAW.
ELECTION OF MEMBERS AND THEIR RIGHTS 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.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 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 SYSTEM FOUNDATION BOARD OF DIRECTOR'S FINANCE COMMITTEE CHARTER, STAFF PERIODICALLY REVIEWS THE GHS ORGANIZATIONS' FORM 990 FILINGS. THE FORM 990 IS PREPARED BY THE GEISINGER HEALTH SYSTEM (GHS) TAX AND FINANCIAL REPORTING DEPARTMENTS WITH INFORMATION PROVIDED FROM FINANCE, TAX, HUMAN RESOURCES, LEGAL SERVICES AND OTHER RELEVANT DEPARTMENTS WITHIN THE GEISINGER HEALTH SYSTEM. THE CHIEF FINANCIAL OFFICER (CFO) OF GHS 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 GHS REVIEW THE INFORMATION DISCLOSED ON THE FORM 990 RELEVANT TO THEIR RESPECTIVE AREAS OF RESPONSIBILITY. FOR PURPOSES OF THEIR ANNUAL AUDIT OF THE GHS CONSOLIDATED FINANCIAL STATEMENTS, INDEPENDENT AUDITORS REVIEW ALL FEDERAL TAX RETURNS FILED BY THE GHS 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 FISCAL YEAR-ENDED JUNE 30, 2013.
ENFORCEMENT OF CONFLICTS POLICY FORM 990, PAGE 6, PART VI, LINE 12C THE OFFICERS AND DIRECTORS OF GEISINGER MEDICAL CENTER ARE SUBJECT TO THE GHS CONFLICT OF INTEREST POLICY FOR DIRECTORS, OFFICERS AND SENIOR LEADERS (MAY INCLUDE INDEPENDENT CONTRACTORS). AT LEAST ONCE EACH YEAR DIRECTORS, OFFICERS, KEY EMPLOYEES, SENIOR LEADERS (INCLUDING INDEPENDENT CONTRACTORS) 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 THE GEISINGER HEALTH SYSTEM. THE DISCLOSURES ARE REVIEWED BY THE OFFICE OF THE CHIEF LEGAL OFFICER AND REPORTED TO THE AUDIT COMMITTEE AND 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 BOARD DECIDES IF A CONFLICT EXISTS AND TAKES APPROPRIATE ACTION. THE INDIVIDUAL DISCLOSING THE FINANCIAL INTEREST IS ABSENT DURING THE BOARD DELIBERATIONS AND DECISIONS ON THE MATTER.
COMPENSATION PROCESS FOR TOP OFFICIAL FORM 990, PAGE 6, PART VI, LINE 15A THE PROCESS TO REVIEW AND APPROVE THE COMPENSATION OF GHS 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 GHS. THE CONSULTANT'S REPORT IS PRESENTED TO THE MANAGEMENT AND COMPENSATION COMMITTEE PRIOR TO ANY COMPENSATION ADJUSTMENT. THE REPORT SUPPORTS THE RIGOROUS REVIEW COMPLETED BY THE MANAGEMENT AND COMPENSATION 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 MANAGEMENT AND COMPENSATION COMMITTEE PRIOR TO THE EFFECTIVE DATE OF THE PAYMENT. THE MANAGEMENT AND COMPENSATION COMMITTEE AT ITS SOLE DISCRETION MAY POSITIVELY OR NEGATIVELY ADJUST ANY RECOMMENDED COMPENSATION.
COMPENSATION PROCESS FOR OFFICERS FORM 990, PAGE 6, PART VI, LINE 15B SEE SCHEDULE O RESPONSE TO FORM 990, PART VI, SECTION B, QUESTION 15A.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATION FORM 990, PAGE 6, PART VI, LINE 19 THE MISSION STATEMENT IS AVAILABLE ON THE GEISINGER HEALTH SYSTEM WEBSITE AT WWW.GEISINGER.ORG. THE ANNUAL REPORT FOR GEISINGER HEALTH SYSTEM, CONTAINING COMMUNITY BENEFIT INFORMATION, CONSOLIDATED FINANCIAL INFORMATION AND OTHER INFORMATION, ARE AVAILABLE ON THE GEISINGER HEALTH SYSTEM WEBSITE. GO TO: WWW.GEISINGER.ORG/ABOUT/MISSION.HTML AND SELECT 2013 ANNUAL REPORT. FINANCIAL STATEMENTS, THE COMPLETE FORM 990 AND FORM 990-T, THE CONFLICTS OF INTEREST POLICY, AND OTHER GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
ADDITIONAL INFORMATION 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 SYSTEM FOUNDATION. THE SERVICES, PROVIDED AT OR BELOW COST, ARE PERFORMED WITHOUT A PROFIT MOTIVE TO PROMOTE THE EFFICIENT OPERATION OF THE GEISINGER HEALTH SYSTEM 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.
OTHER FEES FOR SERVICES FORM 990, PART IX, LINE 11G EMERG TRANSPORTION SVC 3,500 0 0 OUTSIDE AGENCY CLINICAL 189,624 0 0 CONTRACTED PT_OT SERVICES 10,920 0 0 CONTRACTED OUTPATIENT SERVICE 573,305 0 0 CONTRACTED INPATIENT SERVICES 2,792,362 0 0 IC EXP TPA 1,383,369 0 0 CLEANING SERVICES 82,130 24,250 0 CONSULTING FEES 46,410 39,005 0 COLLECTION AGENCY FEES 4,050 0 0 EQUIP MAINT SVC CONTRACTS 2,299 0 0 OUTSIDE PURCHASED SERVICE 947,481 17,664 0 REPAIR OF EQUIPMENT 4,083 0 0 RESPITE CARE HOSPICE 5,964 0 0
OTHER CHANGES IN NET ASSETS EXPLANATION FORM 990, PART XI, LINE 9 ENTITY TRANSFER 2,500,000
ADDITIONAL INFORMATION 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 AUDIT ACT OR OMB CIRCULAR A-133? FEDERAL AWARDS ARE AUDITED AS A PART OF THE GEISINGER HEALTH SYSTEM'S CONSOLIDATED REPORT ON FEDERAL AWARDS IN ACCORDANCE WITH OMB CIRCULAR A-133. FOOTNOTE: THROUGHOUT FORM 990, THE TERMS "GEISINGER HEALTH SYSTEM" AND "SYSTEM" OR THE ACRONYM "GHS" SHALL REFER TO THE ENTIRE HEALTHCARE SYSTEM COMPRISED OF GEISINGER HEALTH SYSTEM FOUNDATION ("THE FOUNDATION") AS PARENT AND ALL SUBSIDIARY CORPORATIONS COMPRISING THE SYSTEM.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2012

Additional Data


Software ID:  
Software Version:  
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBulletAttach to Form 990. MediumBullet See separate instructions.

OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
GEISINGER COMMUNITY HEALTH SERVICES
 
Employer identification number

23-2967235
Part I
Identification of Disregarded Entities (Complete if the organization answered "Yes" to Form 990, Part IV, line 33.)
(a)
Name, address, and EIN (if applicable) of disregarded entity


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Total income


 		(e)
End-of-year assets


 		(f)
Direct controlling
entity










Part II
Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" to Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)
(a)
Name, address, and EIN of related organization


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section


 		(e)
Public charity status
(if section 501(c)(3))

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled entity?
Yes No
(1) GEISINGER HEALTH SYSTEM FOUNDATION

100 NORTH ACADEMY AVENUE MC 49-70

DANVILLE,PA17822
23-1995911 		PHILANTHRO PA 501C3 7 NA
 
Yes
 
(2) GEISINGER MEDICAL CENTER

100 NORTH ACADEMY AVENUE MC 49-70

DANVILLE,PA17822
24-0795959 		HOSPITAL PA 501C3 3 GHSF
 
Yes
 
(3) GEISINGER CLINIC

100 NORTH ACADEMY AVENUE MC 49-70

DANVILLE,PA17822
23-6291113 		PHYSICIAN PA 501C3 11A GHSF
 
Yes
 
(4) GEISINGER WYOMING VALLEY MED CTR

100 NORTH ACADEMY AVENUE MC 49-70

DANVILLE,PA17822
23-1996150 		HOSPITAL PA 501C3 3 GHSF
 
Yes
 
(5) MARWORTH

100 NORTH ACADEMY AVENUE MC 49-70

DANVILLE,PA17822
23-2171417 		D&A REHAB PA 501C3 3 GHSF
 
Yes
 
(6) GEISINGER HEALTH PLAN

100 NORTH ACADEMY AVENUE MC 49-70

DANVILLE,PA17822
23-2311553 		HEALTH INS PA 501C4   GHSF
 
Yes
 
(7) HERSHEY MEDICAL CENTER

100 NORTH ACADEMY AVENUE MC 49-70

DANVILLE,PA17822
23-2891807 		HOSPITAL PA 501C3 3 GHSF
 
Yes
 
(8) GEISINGER SYSTEM SERVICES

100 NORTH ACADEMY AVENUE MC 49-70

DANVILLE,PA17822
23-2164794 		SUPPORT SV PA 501C3 11A GHSF
 
Yes
 
(9) GEISINGER INSURANCE CORPORATIONRRG

100 NORTH ACADEMY AVENUE MC 49-70

DANVILLE,PA17822
14-1909894 		SELF INS VT 501C3 11A GHSF
 
Yes
 
(10) GEISINGER MED CTR PROF LIAB TRUST

100 NORTH ACADEMY AVENUE MC 49-70

DANVILLE,PA17822
25-6220019 		SELF INS PA 501C3 11A GMC
 
Yes
 
(11) GEISINGER EXCESS COV PROF LIAB TR

100 NORTH ACADEMY AVENUE MC 49-70

DANVILLE,PA17822
23-6852932 		SELF INS PA 501C3 11A GMC
 
Yes
 
(12) COMMUNITY MEDICAL CENTER

100 NORTH ACADEMY AVENUE MC 49-70

DANVILLE,PA17822
24-0862246 		HOSPITAL PA 501C3 3 GHSF
 
Yes
 
(13) COMMUNITY MEDICAL CARE INC

100 NORTH ACADEMY AVENUE MC 49-70

DANVILLE,PA17822
23-2429776 		PHYSICIAN PA 501C3 9 GHSF
 
Yes
 
(14) MEDICAL DIMENSIONS INC

100 NORTH ACADEMY AVENUE MC 49-70

DANVILLE,PA17822
23-2369788 		RE HOLDIN PA 501C2   GHSF
 
Yes
 
(15) CMC HEALTHCARE SYS MED PROF LIAB TR

100 NORTH ACADEMY AVENUE MC 49-70

DANVILLE,PA17822
04-6990600 		SELF INS PA 501C3 11A GHSF
 
Yes
 
(16) MOUNTAIN VIEW NURSING HOME INC

100 NORTH ACADEMY AVENUE MC 49-70

DANVILLE,PA17822
23-2568288 		LONG TERM PA 501C3 9 GHSF
 
Yes
 
(17) COMMUNITY MEDICAL CTR HEALTHCARE SY

100 NORTH ACADEMY AVENUE MC 49-70

DANVILLE,PA17822
23-2279376 		SUPPORT SV PA 501C3 11A GHSF
 
Yes
 
(18) NORTHEAST CANCER CENTER INC

100 NORTH ACADEMY AVENUE MC 49-70

DANVILLE,PA17822
20-1687320 		HEALTHCARE PA 501C3 3 NA
 
Yes
 
(19) HEALTH CARE CORP OF NORTHEAST PA

100 NORTH ACADEMY AVENUE MC 49-70

DANVILLE,PA17822
23-2337286 		SUPPORT SV PA 501C3 11A NA
 
Yes
 
(20) GEISINGER-BLOOMSBURG HOSPITAL

100 NORTH ACADEMY AVENUE MC 49-70

DANVILLE,PA17822
23-2193572 		HOSPITAL PA 501C3 3 GHSF
 
Yes
 
(21) BLOOMSBURG PHYSICIANS SERVICES

100 NORTH ACADEMY AVENUE MC 49-70

DANVILLE,PA17822
23-2979856 		PHYS SVCS PA 501C3 3 GHSF
 
Yes
 
(22) GEISINGER-BLOOMSBURG HEALTHCARE CTR

100 NORTH ACADEMY AVENUE MC 49-70

DANVILLE,PA17822
23-2242854 		SKLD NURSE PA 501C3 9 GHSF
 
Yes
 
(23) COLUMBIA-MONTOUR HOME HEALTH SVC

100 NORTH ACADEMY AVENUE MC 49-70

DANVILLE,PA17822
23-1704399 		HOME HLTH PA 501C3 9 GHSF
 
Yes
 
(24) BLOOMSBURG HOSP MED PROF LIAB TRUST

100 NORTH ACADEMY AVENUE MC 49-70

DANVILLE,PA17822
14-6222837 		SELF INS PA 501C3 11B GHSF
 
Yes
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" to Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



 		(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




 		(i)
Code V—UBI
amount in box 20 of
Schedule K-1
(Form 1065)
 		(j)
General or
managing
partner?



 		(k)
Percentage
ownership
Yes No Yes No
(1) KEYSTONE ACCOUNTABLE CARE ORG LLC

100 NORTH ACADEMY AVENUE MC 49-70
DANVILLE,PA17822
45-4475297 		ACO PA N/A
         No     No  
(2) LIFESOURCE GEISINGER BLOOD CTR LLC

100 NORTH ACADEMY AVENUE MC 49-70
DANVILLE,PA17822
36-4718005 		BLOOD COLL PA N/A
         No     No  
(3) MERIDIAN GEISINGER HLTH NTWRK LLC

100 NORTH ACADEMY AVENUE MC 49-70
DANVILLE,PA17822
45-5484165 		ORG DL SYS NJ N/A
         No     No  
(4) HEALTHSOUTH GHS LLC

100 NORTH ACADEMY AVENUE MC 49-70
DANVILLE,PA17822
72-1398803 		PHY THERAP PA N/A
         No     No  
(5) EVANGELICAL-GEISINGER HEALTH LLC

100 NORTH ACADEMY AVENUE MC 49-70
DANVILLE,PA17822
46-0567687 		HEALTHCARE PA N/A
         No     No  
(6) GEISINGER-SCA HOLDINGS LLC

100 NORTH ACADEMY AVENUE MC 49-70
DANVILLE,PA17822
46-1615328 		HOLDING CO DE N/A
         No     No  
(7) LACKAWANNA PHYSICIANS AMB SURG CTR

100 NORTH ACADEMY AVENUE MC 49-70
DANVILLE,PA17822
23-3024998 		HEALTHCARE PA N/A
         No     No  
(8) KEYSTONE ACCOUNTABLE CARE ORG LLC

100 NORTH ACADEMY AVENUE MC 49-70
DANVILLE,PA17822
45-4475297 		ACO PA N/A
         No     No  
(9) LIFESOURCE GEISINGER BLOOD CTR LLC

100 NORTH ACADEMY AVENUE MC 49-70
DANVILLE,PA17822
36-4718005 		BLOOD COLL PA N/A
         No     No  
(10) MERIDIAN GEISINGER HLTH NTWRK LLC

100 NORTH ACADEMY AVENUE MC 49-70
DANVILLE,PA17822
45-5484165 		ORG DL SYS NJ N/A
         No     No  
(11) HEALTHSOUTH GHS LLC

100 NORTH ACADEMY AVENUE MC 49-70
DANVILLE,PA17822
72-1398803 		PHY THERAP PA N/A
         No     No  
(12) EVANGELICAL-GEISINGER HEALTH LLC

100 NORTH ACADEMY AVENUE MC 49-70
DANVILLE,PA17822
46-0567687 		HEALTHCARE PA N/A
         No     No  
(13) GEISINGER-SCA HOLDINGS LLC

100 NORTH ACADEMY AVENUE MC 49-70
DANVILLE,PA17822
46-1615328 		HOLDING CO DE N/A
         No     No  
(14) LACKAWANNA PHYSICIANS AMB SURG CTR

100 NORTH ACADEMY AVENUE MC 49-70
DANVILLE,PA17822
23-3024998 		HEALTHCARE PA N/A
         No     No  
Part IV
Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" to Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)
(a)
Name, address, and EIN of
related organization
 		(b)
Primary activity
 		(c)
Legal
domicile
(state or foreign
country)
 		(d)
Direct controlling
entity
 		(e)
Type of entity
(C corp, S corp,
or trust) 		(f)
Share of total income
 		(g)
Share of end-of-year
assets
 		(h)
Percentage
ownership
 		(i)
Section 512(b)(13) controlled entity?
Yes No
(1) GEISINGER MEDICAL MANAGEMENT CORP

100 NORTH ACADEMY AVENUE MC 49-70
DANVILLE,PA17822
23-2077663 		CONSULTING PA N/A
         Yes  
(2) INTERNATIONAL SHARED SERVICES INC

100 NORTH ACADEMY AVENUE MC 49-70
DANVILLE,PA17822
23-2159597 		COMPUTER PA N/A
         Yes  
(3) GEISINGER INDEMNITY INSURANCE COMP

100 NORTH ACADEMY AVENUE MC 49-70
DANVILLE,PA17822
23-2815174 		HLTH INSUR PA N/A
         Yes  
(4) GEISINGER QUALITY OPTIONS INC

100 NORTH ACADEMY AVENUE MC 49-70
DANVILLE,PA17822
20-4275139 		HLTH INSUR PA N/A
         Yes  
(5) GEISINGER ASSURANCE COMPANY LTD

PO BOX 2196GT
  GRAND CAYMAN  
CJ
98-1016737 		INSURANCE CJ N/A
         Yes  
(6) XG HEALTH SOLUTIONS INC

100 NORTH ACADEMY AVENUE MC 49-70
DANVILLE,PA17822
46-1657345 		CONSULTING DE N/A
         Yes  
(7) GEISINGER MEDICAL MANAGEMENT CORP

100 NORTH ACADEMY AVENUE MC 49-70
DANVILLE,PA17822
23-2077663 		CONSULTING PA N/A
         Yes  
(8) INTERNATIONAL SHARED SERVICES INC

100 NORTH ACADEMY AVENUE MC 49-70
DANVILLE,PA17822
23-2159597 		COMPUTER PA N/A
         Yes  
(9) GEISINGER INDEMNITY INSURANCE COMP

100 NORTH ACADEMY AVENUE MC 49-70
DANVILLE,PA17822
23-2815174 		HLTH INSUR PA N/A
         Yes  
(10) GEISINGER QUALITY OPTIONS INC

100 NORTH ACADEMY AVENUE MC 49-70
DANVILLE,PA17822
20-4275139 		HLTH INSUR PA N/A
         Yes  
(11) GEISINGER ASSURANCE COMPANY LTD

PO BOX 2196GT
  GRAND CAYMAN  
CJ
98-1016737 		INSURANCE CJ N/A
         Yes  
(12) XG HEALTH SOLUTIONS INC

100 NORTH ACADEMY AVENUE MC 49-70
DANVILLE,PA17822
46-1657345 		CONSULTING DE N/A
         Yes  
Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
Page 3
Part V
Transactions With Related Organizations (Complete if the organization answered "Yes" to Form 990, Part IV, line 34, 35b, or 36.)
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest (ii) annuities (iii) royalties or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
Yes
 
b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
 
No
c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
Yes
 
d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
 
No
e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
 
No
f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
 
No
k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1k
Yes
 
l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .
1l
Yes
 
m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .
1m
Yes
 
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .
1n
 
No
o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
 
No
p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
Yes
 
q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
 
No
r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
 
No
s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1s
 
No
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of other organization 		(b)
Transaction
type (a-s) 		(c)
Amount involved 		(d)
Method of determining amount involved
(1) GEISINGER HEALTH PLAN

 M 6,641,230 GAAP
(2) GEISINGER SYSTEM SERVICES

 M 3,684,518 GAAP
(3) GEISINGER HEALTH SYSTEM FOUNDATION

 C 2,500,000 GAAP
(4) GEISINGER SYSTEM SERVICES

 P 1,662,462 GAAP
(5) GEISINGER QUALITY OPTIONS INC

 L 828,629 GAAP
(6) GEISINGER MEDICAL CENTER

 M 803,237 GAAP
(7) GEISINGER CLINIC

 M 758,167 GAAP
(8) GEISINGER INDEMNITY INSURANCE CO

 L 525,680 GAAP
(9) GEISINGER MEDICAL MANAGEMENT CORP

 L 291,021 GAAP
(10) COMMUNITY MEDICAL CENTER

 M 269,182 GAAP
(11) GEISINGER MEDICAL MANAGEMENT CORP

 M 268,113 GAAP
(12) GEISINGER INDEMNITY INSURANCE CO

 M 230,148 GAAP
(13) GEISINGER MEDICAL CENTER

 L 152,399 GAAP
(14) GEISINGER-BLOOMSBURG HEALTHCARE CTR

 M 147,186 GAAP
(15) GEISINGER MEDICAL CENTER

 A 124,391 GAAP
(16) MOUNTAIN VIEW NURSING HOME INC

 M 110,680 GAAP
(17) GESINGER WYOMING VALLEY MED CENTER

 L 109,789 GAAP
(18) GEISINGER CLINIC

 L 67,124 GAAP
(19) GEISINGER CLINIC

 A 31,478 FMV
(20) INTERNATIONAL SHARED SERVICES INC

 A 25,534 FMV
(21) GEISINGER SYSTEM SERVICES

 A 13,247 FMV
(22) GEISINGER MEDICAL MANAGEMENT CORP

 A 11,079 FMV
(23) GEISINGER CLINIC

 K 11,704 FMV
(24) GEISINGER HEALTH PLAN

 M 6,641,230 GAAP
(25) GEISINGER SYSTEM SERVICES

 M 3,684,518 GAAP
(26) GEISINGER HEALTH SYSTEM FOUNDATION

 C 2,500,000 GAAP
(27) GEISINGER SYSTEM SERVICES

 P 1,662,462 GAAP
(28) GEISINGER QUALITY OPTIONS INC

 L 828,629 GAAP
(29) GEISINGER MEDICAL CENTER

 M 803,237 GAAP
(30) GEISINGER CLINIC

 M 758,167 GAAP
(31) GEISINGER INDEMNITY INSURANCE CO

 L 525,680 GAAP
(32) GEISINGER MEDICAL MANAGEMENT CORP

 L 291,021 GAAP
(33) COMMUNITY MEDICAL CENTER

 M 269,182 GAAP
(34) GEISINGER MEDICAL MANAGEMENT CORP

 M 268,113 GAAP
(35) GEISINGER INDEMNITY INSURANCE CO

 M 230,148 GAAP
(36) GEISINGER MEDICAL CENTER

 L 152,399 GAAP
(37) GEISINGER-BLOOMSBURG HEALTHCARE CTR

 M 147,186 GAAP
(38) GEISINGER MEDICAL CENTER

 A 124,391 GAAP
(39) MOUNTAIN VIEW NURSING HOME INC

 M 110,680 GAAP
(40) GESINGER WYOMING VALLEY MED CENTER

 L 109,789 GAAP
(41) GEISINGER CLINIC

 L 67,124 GAAP
(42) GEISINGER CLINIC

 A 31,478 FMV
(43) INTERNATIONAL SHARED SERVICES INC

 A 25,534 FMV
(44) GEISINGER SYSTEM SERVICES

 A 13,247 FMV
(45) GEISINGER MEDICAL MANAGEMENT CORP

 A 11,079 FMV
(46) GEISINGER CLINIC

 K 11,704 FMV
(47) GEISINGER HEALTH PLAN

 M 6,641,230 GAAP
(48) GEISINGER SYSTEM SERVICES

 M 3,684,518 GAAP
(49) GEISINGER HEALTH SYSTEM FOUNDATION

 C 2,500,000 GAAP
(50) GEISINGER SYSTEM SERVICES

 P 1,662,462 GAAP
(51) GEISINGER QUALITY OPTIONS INC

 L 828,629 GAAP
(52) GEISINGER MEDICAL CENTER

 M 803,237 GAAP
(53) GEISINGER CLINIC

 M 758,167 GAAP
(54) GEISINGER INDEMNITY INSURANCE CO

 L 525,680 GAAP
(55) GEISINGER MEDICAL MANAGEMENT CORP

 L 291,021 GAAP
(56) COMMUNITY MEDICAL CENTER

 M 269,182 GAAP
(57) GEISINGER MEDICAL MANAGEMENT CORP

 M 268,113 GAAP
(58) GEISINGER INDEMNITY INSURANCE CO

 M 230,148 GAAP
(59) GEISINGER MEDICAL CENTER

 L 152,399 GAAP
(60) GEISINGER-BLOOMSBURG HEALTHCARE CTR

 M 147,186 GAAP
(61) GEISINGER MEDICAL CENTER

 A 124,391 GAAP
(62) MOUNTAIN VIEW NURSING HOME INC

 M 110,680 GAAP
(63) GESINGER WYOMING VALLEY MED CENTER

 L 109,789 GAAP
(64) GEISINGER CLINIC

 L 67,124 GAAP
(65) GEISINGER CLINIC

 A 31,478 FMV
(66) INTERNATIONAL SHARED SERVICES INC

 A 25,534 FMV
(67) GEISINGER SYSTEM SERVICES

 A 13,247 FMV
(68) GEISINGER MEDICAL MANAGEMENT CORP

 A 11,079 FMV
(69) GEISINGER CLINIC

 K 11,704 FMV
(70) GEISINGER HEALTH PLAN

 M 6,641,230 GAAP
(71) GEISINGER SYSTEM SERVICES

 M 3,684,518 GAAP
(72) GEISINGER HEALTH SYSTEM FOUNDATION

 C 2,500,000 GAAP
(73) GEISINGER SYSTEM SERVICES

 P 1,662,462 GAAP
(74) GEISINGER QUALITY OPTIONS INC

 L 828,629 GAAP
(75) GEISINGER MEDICAL CENTER

 M 803,237 GAAP
(76) GEISINGER CLINIC

 M 758,167 GAAP
(77) GEISINGER INDEMNITY INSURANCE CO

 L 525,680 GAAP
(78) GEISINGER MEDICAL MANAGEMENT CORP

 L 291,021 GAAP
(79) COMMUNITY MEDICAL CENTER

 M 269,182 GAAP
(80) GEISINGER MEDICAL MANAGEMENT CORP

 M 268,113 GAAP
(81) GEISINGER INDEMNITY INSURANCE CO

 M 230,148 GAAP
(82) GEISINGER MEDICAL CENTER

 L 152,399 GAAP
(83) GEISINGER-BLOOMSBURG HEALTHCARE CTR

 M 147,186 GAAP
(84) GEISINGER MEDICAL CENTER

 A 124,391 GAAP
(85) MOUNTAIN VIEW NURSING HOME INC

 M 110,680 GAAP
(86) GESINGER WYOMING VALLEY MED CENTER

 L 109,789 GAAP
(87) GEISINGER CLINIC

 L 67,124 GAAP
(88) GEISINGER CLINIC

 A 31,478 FMV
(89) INTERNATIONAL SHARED SERVICES INC

 A 25,534 FMV
(90) GEISINGER SYSTEM SERVICES

 A 13,247 FMV
(91) GEISINGER MEDICAL MANAGEMENT CORP

 A 11,079 FMV
(92) GEISINGER CLINIC

 K 11,704 FMV
Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" to Form 990, Part IV, line 37.)
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity 		(b)
Primary activity 		(c)
Legal domicile
(state or foreign
country) 		(d)
Predominant income (related, unrelated, excluded from tax under section 512-514)

(e)
Are all partners
section
501(c)(3)
organizations? 		(f)
Share of total income




 		(g)
Share of
end-of-year
assets 		(h)
Disproprtionate allocations? 		(i)
Code V—UBI
amount in box 20
of Schedule K-1
(Form 1065) 		(j)
General or
managing
partner? 		(k)
Percentage
ownership
Yes No Yes No Yes No






























Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
Page 5
Part VII
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule R (see instructions).
Identifier Return Reference Explanation
ADDITIONAL INFORMATION SCHEDULE R FORM 990 SCHEDULE R PART V TRANSACTIONS WITH RELATED ORGANIZATIONS AS SHOWN IN THE RESPONSE 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 GHS PRIVATE RULINGS AS BEING ENTIRELY CONSISTENT WITH THE ORGANIZATIONS TAX EXEMPT STATUS

Additional Data


Software ID:  
Software Version:  






TY 2012 AffiliatedGroupSchedule
Name:
GEISINGER COMMUNITY HEALTH SERVICES
EIN: 23-2967235
Affiliated Group Business Name:
GEISINGER HEALTH SYSTEM FOUNDATION
 
Address. Either US or Foreign Type:
100 NORTH ACADEMY AVENUE
DANVILLE, PA17822    
EIN:
23-1995911
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
0
Total Lobbying Expenditures:
0
Other Exempt Purpose Expenditures:
0
Total Exempt Purpose Expenditures:
0
Lobbying Nontaxable Amount:
0
Grassroots Nontaxable Amount:
0
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
GEISINGER MEDICAL CENTER
 
Address. Either US or Foreign Type:
100 NORTH ACADEMY AVENUE
DANVILLE, PA17822    
EIN:
24-0795959
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
29,290
Total Lobbying Expenditures:
29,290
Other Exempt Purpose Expenditures:
909,722,334
Total Exempt Purpose Expenditures:
909,751,624
Lobbying Nontaxable Amount:
310,143
Grassroots Nontaxable Amount:
77,536
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
GEISINGER CLINIC
 
Address. Either US or Foreign Type:
100 NORTH ACADEMY AVENUE
DANVILLE, PA17822    
EIN:
23-6291113
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
37,359
Total Lobbying Expenditures:
37,359
Other Exempt Purpose Expenditures:
777,143,985
Total Exempt Purpose Expenditures:
777,181,344
Lobbying Nontaxable Amount:
264,949
Grassroots Nontaxable Amount:
66,237
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
GEISINGER SYSTEM SERVICES
 
Address. Either US or Foreign Type:
100 NORTH ACADEMY AVENUE
DANVILLE, PA17822    
EIN:
23-2164794
Electing Organization Checkbox:
Total Grassroots Lobbying:
1,437
Total Direct Lobbying:
560,350
Total Lobbying Expenditures:
561,787
Other Exempt Purpose Expenditures:
512,135,793
Total Exempt Purpose Expenditures:
512,697,580
Lobbying Nontaxable Amount:
174,784
Grassroots Nontaxable Amount:
43,696
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
GEISINGER WYOMING VALLEY MEDICAL CTR
 
Address. Either US or Foreign Type:
100 NORTH ACADEMY AVENUE
DANVILLE, PA17822    
EIN:
23-1996150
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
7,636
Total Lobbying Expenditures:
7,636
Other Exempt Purpose Expenditures:
413,534,594
Total Exempt Purpose Expenditures:
413,542,230
Lobbying Nontaxable Amount:
140,981
Grassroots Nontaxable Amount:
35,245
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
MARWORTH
 
Address. Either US or Foreign Type:
100 NORTH ACADEMY AVENUE
DANVILLE, PA17822    
EIN:
23-2171417
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
5,667
Total Lobbying Expenditures:
5,667
Other Exempt Purpose Expenditures:
12,161,456
Total Exempt Purpose Expenditures:
12,167,123
Lobbying Nontaxable Amount:
4,148
Grassroots Nontaxable Amount:
1,037
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
HERSHEY MEDICAL CENTER
 
Address. Either US or Foreign Type:
100 NORTH ACADEMY AVENUE
DANVILLE, PA17822    
EIN:
23-2891807
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
0
Total Lobbying Expenditures:
0
Other Exempt Purpose Expenditures:
0
Total Exempt Purpose Expenditures:
0
Lobbying Nontaxable Amount:
0
Grassroots Nontaxable Amount:
0
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
GEISINGER COMMUNITY HEALTH SERVICES
 
Address. Either US or Foreign Type:
100 NORTH ACADEMY AVENUE
DANVILLE, PA17822    
EIN:
23-2967235
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
4,568
Total Lobbying Expenditures:
4,568
Other Exempt Purpose Expenditures:
40,789,275
Total Exempt Purpose Expenditures:
40,793,843
Lobbying Nontaxable Amount:
13,907
Grassroots Nontaxable Amount:
3,477
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
GEISINGER INSURANCE CORP RRG
 
Address. Either US or Foreign Type:
100 NORTH ACADEMY AVENUE
DANVILLE, PA17822    
EIN:
14-1909894
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
0
Total Lobbying Expenditures:
0
Other Exempt Purpose Expenditures:
986,617
Total Exempt Purpose Expenditures:
986,617
Lobbying Nontaxable Amount:
336
Grassroots Nontaxable Amount:
84
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
GEISINGER MED CTR PROF LIAB TRUST
 
Address. Either US or Foreign Type:
100 NORTH ACADEMY AVENUE
DANVILLE, PA17822    
EIN:
25-6220019
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
0
Total Lobbying Expenditures:
0
Other Exempt Purpose Expenditures:
5,147
Total Exempt Purpose Expenditures:
5,147
Lobbying Nontaxable Amount:
2
Grassroots Nontaxable Amount:
0
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
GEISINGER EXCESS COV PROF LIAB TRUST
 
Address. Either US or Foreign Type:
100 NORTH ACADEMY AVENUE
DANVILLE, PA17822    
EIN:
23-6852932
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
0
Total Lobbying Expenditures:
0
Other Exempt Purpose Expenditures:
0
Total Exempt Purpose Expenditures:
0
Lobbying Nontaxable Amount:
0
Grassroots Nontaxable Amount:
0
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
COMMUNITY MEDICAL CENTER
 
Address. Either US or Foreign Type:
100 NORTH ACADEMY AVENUE
DANVILLE, PA17822    
EIN:
24-0862246
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
2,518
Total Lobbying Expenditures:
2,518
Other Exempt Purpose Expenditures:
184,555,653
Total Exempt Purpose Expenditures:
184,558,171
Lobbying Nontaxable Amount:
62,918
Grassroots Nontaxable Amount:
15,729
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
COMMUNITY MED CTR HEALTHCARE SYSTEM
 
Address. Either US or Foreign Type:
100 NORTH ACADEMY AVENUE
DANVILLE, PA17822    
EIN:
23-2279376
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
0
Total Lobbying Expenditures:
0
Other Exempt Purpose Expenditures:
15,061
Total Exempt Purpose Expenditures:
15,061
Lobbying Nontaxable Amount:
5
Grassroots Nontaxable Amount:
1
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
COMMUNITY MED CTR HLTHCARE SYS TRUST
 
Address. Either US or Foreign Type:
100 NORTH ACADEMY AVENUE
DANVILLE, PA17822    
EIN:
04-6990600
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
0
Total Lobbying Expenditures:
0
Other Exempt Purpose Expenditures:
1,279,441
Total Exempt Purpose Expenditures:
1,279,441
Lobbying Nontaxable Amount:
436
Grassroots Nontaxable Amount:
109
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
COMMUNITY MEDICAL CARE INC
 
Address. Either US or Foreign Type:
100 NORTH ACADEMY AVENUE
DANVILLE, PA17822    
EIN:
23-2429776
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
1,029
Total Lobbying Expenditures:
1,029
Other Exempt Purpose Expenditures:
10,186,478
Total Exempt Purpose Expenditures:
10,187,507
Lobbying Nontaxable Amount:
3,473
Grassroots Nontaxable Amount:
868
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
MOUNTAIN VIEW NURSING HOME INC
 
Address. Either US or Foreign Type:
100 NORTH ACADEMY AVENUE
DANVILLE, PA17822    
EIN:
23-2568288
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
0
Total Lobbying Expenditures:
0
Other Exempt Purpose Expenditures:
16,731,974
Total Exempt Purpose Expenditures:
16,731,974
Lobbying Nontaxable Amount:
5,704
Grassroots Nontaxable Amount:
1,426
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
GEISINGER-BLOOMSBURG HOSPITAL
 
Address. Either US or Foreign Type:
100 NORTH ACADEMY AVENUE
DANVILLE, PA17822    
EIN:
23-2193572
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
209
Total Lobbying Expenditures:
209
Other Exempt Purpose Expenditures:
36,430,143
Total Exempt Purpose Expenditures:
36,430,352
Lobbying Nontaxable Amount:
12,419
Grassroots Nontaxable Amount:
3,105
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
BLOOMSBURG PHYSICIAN SERVICES
 
Address. Either US or Foreign Type:
100 NORTH ACADEMY AVENUE
DANVILLE, PA17822    
EIN:
23-2979856
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
0
Total Lobbying Expenditures:
0
Other Exempt Purpose Expenditures:
2,231,806
Total Exempt Purpose Expenditures:
2,231,806
Lobbying Nontaxable Amount:
761
Grassroots Nontaxable Amount:
190
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
GEISINGER-BLOOMSBURG HEALTH CARE CTR
 
Address. Either US or Foreign Type:
100 NORTH ACADEMY AVENUE
DANVILLE, PA17822    
EIN:
23-2242854
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
0
Total Lobbying Expenditures:
0
Other Exempt Purpose Expenditures:
9,965,074
Total Exempt Purpose Expenditures:
9,965,074
Lobbying Nontaxable Amount:
3,397
Grassroots Nontaxable Amount:
849
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
COLUMBIA-MONTOUR HOME HEALTH SVCS
 
Address. Either US or Foreign Type:
100 NORTH ACADEMY AVENUE
DANVILLE, PA17822    
EIN:
23-1704399
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
112
Total Lobbying Expenditures:
112
Other Exempt Purpose Expenditures:
4,748,651
Total Exempt Purpose Expenditures:
4,748,763
Lobbying Nontaxable Amount:
1,619
Grassroots Nontaxable Amount:
405
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
BLOOMSBURG HOSPITAL MED PROFL SIT
 
Address. Either US or Foreign Type:
100 NORTH ACADEMY AVENUE
DANVILLE, PA17822    
EIN:
14-6222837
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
0
Total Lobbying Expenditures:
0
Other Exempt Purpose Expenditures:
52,214
Total Exempt Purpose Expenditures:
52,214
Lobbying Nontaxable Amount:
18
Grassroots Nontaxable Amount:
4
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0