TY 2014 Form 990

(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)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(1) DAVID T FEINBERG MD MBA........................................................................ PRES, CHAIR,	40.00 .......................	X	X		0	0
(2) DON A ROSINI........................................................................ DIRECTOR	0.25 .......................6.00	X			0	0
(3) E ALLEN DEAVER........................................................................ DIRECTOR	0.25 .......................4.75	X			0	0
(4) FRANK M HENRY........................................................................ DIRECTOR	0.25 .......................4.75	X			0	0
(5) GLENN D STEELE JR MD PHD........................................................................ PRES, CHAIR,	40.00 .......................	X	X		4,288,180	472,126
(6) RICHARD A GRAFMYRE........................................................................ DIRECTOR	0.25 .......................5.75	X			0	0
(7) ROBERT E POOLE........................................................................ DIRECTOR	0.25 .......................5.00	X			0	0
(8) THOMAS H LEE JR MD........................................................................ DIRECTOR	0.25 .......................5.50	X			0	0
(9) WILLIAM R GRUVER........................................................................ DIRECTOR	0.25 .......................5.00	X			0	0
(10) WILLIAM H ALEXANDER........................................................................ DIRECTOR	0.25 .......................5.50	X			0	0
(11) ROBERT J DIETZ........................................................................ DIRECTOR	0.25 .......................4.75	X			0	0
(12) ROBERT L TAMBUR........................................................................ DIRECTOR, VI	0.25 .......................4.75	X			0	0
(13) DAVID J FELICIO ESQUIRE........................................................................ CLO, SECRETA	40.00 .......................		X		662,625	101,181
(14) FRANK J TREMBULAK........................................................................ SR VP, TREAS	40.00 .......................		X		1,192,394	219,582
(15) EDWARD J ZYCH ESQUIRE........................................................................ ACLO, ASST S	40.00 .......................		X		390,565	42,470
(16) KEVIN F BRENNAN CPA FHFMA........................................................................ EVP, FINANCE	40.00 .......................		X		1,028,344	201,791
(17) ANDREW M DEUBLER........................................................................ EVP, DEVELOP	40.00 .......................			X	597,467	137,290

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(F) Estimated amount of other compensation from the organization and related organizations
(18) BARBARA M TAPSCOTT........................................................................ VP REVENUE M	40.00 .......................	X		423,753	0	28,972
(19) DAVID H LEDBETTER PHD FACMG........................................................................ EVP,CH. SCI.	40.00 .......................	X		1,017,517	0	208,911
(20) EDELYN L MILLER........................................................................ EVP, CLINICA	40.00 .......................	X		948,072	0	191,685
(21) FRANCIS M RICHARDS........................................................................ CIO	40.00 .......................	X		608,336	0	89,702
(22) JOANNE E WADE........................................................................ EVP STRAT. P	40.00 .......................	X		1,132,509	0	210,554
(23) KEVIN J KERESTUS CIA........................................................................ VP, IA, ISO	40.00 .......................	X		280,348	0	41,746
(24) RICHARD KWEI........................................................................ COO, GHP	40.00 .......................	X		470,685	0	43,431
(25) ROBERT W DAVIES........................................................................ CHIEF SUPP S	40.00 .......................	X		483,584	0	42,635
(26) AMY BRAYFORD........................................................................ CHIEF HR OFF	40.00 .......................	X		460,552	0	84,812
(27) JAMES C ARMSTRONG CPA FHFMA CGMA........................................................................ SYSTEM VP, F	40.00 .......................	X		498,974	0	33,803
(28) EARL P STEINBERG MD MPP........................................................................ EVP, INNOVAT	4.00 .......................0.50	X		59,185	1,130,376	5,766
(29) SUSAN M ROBEL RN BSN MHA NEA-BC........................................................................ EVP, CNO	40.00 .......................	X		586,976	0	130,447
(30) STEVEN R YOUSO........................................................................ EVP, CEO, IN	40.00 .......................	X		183,386	43,350	35,739
(31) DUDLEY F GEROW........................................................................ CHIEF GOVERN	40.00 .......................		X	634,478	0	81,575
(32) GEORGE A SCHNEIDER........................................................................ CFO, GIO	40.00 .......................		X	510,238	0	40,334
(33) JACQUELYN PAUL........................................................................ SVP BUSINESS	40.00 .......................		X	447,847	0	26,663
(34) NANCY L RIZZO........................................................................ SVP, CONSULT	40.00 .......................		X	487,705	0	26,909
(35) JANET F TOMCAVAGE RN MSN........................................................................ SVP, VALUE B	40.00 .......................		X	323,751	280,947	71,012

(A) Name and business address	(B) Description of services	(C) Compensation
ALEXANDER BUILDING CONSTRUCTION 315 VAUGHN STREET HARRISBURG,PA17110	GEN CONTRACTOR	4,054,357
WHITE AND WHITE 1650 MARKET STREET SUITE 1800 PHILADELPHIA,PA19103	ATTORNEYS	3,250,177
CARADIGM USA LLC 500 108TH AVE NE SUITE 300 BELLEVUE,WA98004	POPUL HEALTH	2,863,437
GARDNER RESOURCES CONSULTING 110 CEDAR ST WELLESLEY HILLS,MA02481	EMPLOY AGENCY	2,539,030
HTMS AN EMDEON CO PO BOX 42329 INDIANAPOLIS,IN46242	CONSULTING	1,657,344
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 74

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 domestic organizations and domestic governments. See Part IV, line 21 ....
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ....
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16 ............
4	Benefits paid to or for members ....
5	Compensation of current officers, directors, trustees, and key employees ....	16,180,671	2,055,567	14,125,104
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	508,233	392,530	115,703
7	Other salaries and wages ....	237,827,166	227,214,367	10,612,799
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	13,331,830	12,736,910	594,920
9	Other employee benefits .......	48,516,019	46,351,040	2,164,979
10	Payroll taxes ...........	17,653,254	16,865,495	787,759
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	12,292,352	11,743,818	548,534
c	Accounting ...........	183,799	175,597	8,202
d	Lobbying ...........	563,445	538,302	25,143
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	266,653	254,754	11,899
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ....	38,295,936	36,587,018	1,708,918
12	Advertising and promotion ....	1,633,983	1,561,068	72,915
13	Office expenses .......	29,047,859	27,751,627	1,296,232
14	Information technology ......	42,171,393	40,289,537	1,881,856
15	Royalties ..
16	Occupancy ...........	7,622,014	7,281,889	340,125
17	Travel ............	3,305,242	3,157,749	147,493
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......	2,195	2,097	98
19	Conferences, conventions, and meetings ....	48,995	46,809	2,186
20	Interest ...........	4,532,109	4,329,868	202,241
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization .....	32,649,399	31,192,452	1,456,947
23	Insurance ..............	556,114	531,298	24,816
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	INTER-ENTITY EXPENSE	12,129,475	11,588,209	541,266
b	BOOKS, LISC, FEES, DUES	1,868,052	1,784,693	83,359
c	INTERCOMPANY TEACHING	90,093	86,073	4,020
d	OTHER TAXES	36,062	34,453	1,609
e	All other expenses
25	Total functional expenses. Add lines 1 through 24e	521,312,343	484,553,220	36,759,123	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 if following SOP 98-2 (ASC 958-720).

Part X Balance Sheet Check if Schedule O contains a response or note to any line in this Part X ..............
	1	Cash–non-interest-bearing .............	18,802,036	1
2	Savings and temporary cash investments .........	8,790,980	2	3,296,402
3	Pledges and grants receivable, net ...........		3
4	Accounts receivable, net .............	237,324	4	6,294,049
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
		17,525	5	145,282
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 .............	390,409	7	93,619
8	Inventories for sale or use ..............		8	1,402,917
9	Prepaid expenses and deferred charges ..........	22,583,914	9	15,410,974
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	444,459,744
b	Less: accumulated depreciation .....	10b	212,582,358	227,380,281	10c	231,877,386
11	Investments—publicly traded securities ..........	2,958,054	11	3,607,485
12	Investments—other securities. See Part IV, line 11 .....	12,044,451	12	26,916,863
13	Investments—program-related. See Part IV, line 11 .....	4,476,683	13	10,432,766
14	Intangible assets ...............		14
15	Other assets. See Part IV, line 11 ...........	249,760,136	15	354,918,228
16	Total assets. Add lines 1 through 15 (must equal line 34)......	547,441,793	16	654,395,971
	17	Accounts payable and accrued expenses .........	268,269,510	17	322,901,112
18	Grants payable .................		18
19	Deferred revenue ................		19	53,596
20	Tax-exempt bond liabilities .............	149,996,179	20	138,067,917
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....................	99,865,666	25	134,578,584
26	Total liabilities. Add lines 17 through 25.........	518,131,355	26	595,601,209
		Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............	29,310,438	27	58,794,762
28	Temporarily restricted net assets ...........		28
29	Permanently restricted net assets ...........		29
	Organizations that do not follow SFAS 117 (ASC 958), check here 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 ...........	29,310,438	33	58,794,762
34	Total liabilities and net assets/fund balances ........	547,441,793	34	654,395,971

- TIN:

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.
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Attach to Form 990 or Form 990-EZ.
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Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public
Inspection

Name of the organization

GEISINGER SYSTEM SERVICES

Employer identification number

23-2164794

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.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross

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.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box in lines 11a through 11d that describes the type of supporting organization and complete lines 11e, 11f, and 11g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ............................. 15

Provide the following information about the supported organization(s).

(i)Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i)Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(A) GEISINGER MEDICAL CENTER	240795959		No	0	0
(B) GEISINGER WYOMING VALLEY MEDICAL CENTER	231996150		No	0	0
(C) MARWORTH	232171417		No	0	0
(D) GEISINGER HEALTH SYSTEM FOUNDATION	231995911	Yes		0	0
(E) GEISINGER COMMUNITY HEALTH SERVICES	232967235		No	0	0
(F) COMMUNITY MEDICAL CENTER	240862246		No	0	0
(G) COMMUNITY MEDICAL CARE INC	232429776		No	0	0
(H) MOUNTAIN VIEW NURSING HOME INC	232568288		No	0	0
(I) GEISINGER BLOOMSBURG HOSPITAL	232193572		No	0	0
(J) GEISINGER BLOOMSBURG HEALTHCARE CENTER	232242854		No	0	0
(K) GEISINGER LEWISTOWN HOSPITAL	231352187		No	0	0
(L) SUN HOME HEALTH SERVICES INC	231736912		No	0	0
(M) HOLY SPIRIT HOSPITAL OF THE SISTERS OF CHRISTIAN CHARIT	231512747		No	0	0
(N) SPIRIT PHYSICIANS SERVICES INC	251766971		No	0	0
(O) WEST SHORE ADVANCED LIFE SUPPORT SERVICES INC	232463002		No	0	0
Total 15				0

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2014

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)		(a) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(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)		(a) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(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 VI.)..
11	Total support Add lines 7 through 10.

Gross receipts from related activities, etc. (see instructions) ..................

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2014 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2013 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2014. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2013. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2014. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2013. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

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) 2014

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)		(a) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
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......
3	Gross receipts from activities that are not an unrelated trade or business under section 513..
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.
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.
c	Add lines 7a and 7b..
8	Public support (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2014 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2013 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2014 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2013 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2014. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2013. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990 or 990-EZ) 2014

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 11 of Part I. If you checked 11a of Part I, complete Sections A and B. If you checked 11b of Part I, complete Sections A and C. If you checked 11c of Part I, complete Sections A, D, and E. If you checked 11d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Yes

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Yes

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Yes

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 11a or 11b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations....

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed, (ii) the reasons for each such action, (iii) the authority under the organization's organizing document authorizing such action, and (iv) how the action was accomplished (such as by amendment to the organizing document).

Yes

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Yes

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (a) its supported organizations; (b) individuals that are part of the charitable class benefited by one or more of its supported organizations; or (c) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in IRC 4958(c)(3)(C)), a family member of a substantial contributor, or a 35-percent controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part II of Schedule L (Form 990).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9(a)) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9(a)) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of IRC 4943 because of IRC 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

A family member of a person described in (a) above?

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Schedule A (Form 990 or 990-EZ) 2014

Page 5

Part IV

Supporting Organizations (continued)

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Yes

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Yes

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (1) a written notice describing the type and amount of support provided during the prior tax year, (2) a copy of the Form 990 that was most recently filed as of the date of notification, and (3) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2014

Page 6

Part V – Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

1. Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970. See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by .035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6
7	Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2014

Page 7

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 2014 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2014	(iii) Distributable Amount for 2014
1 Distributable amount for 2014 from Section C, line 6
2 Underdistributions, if any, for years prior to 2014 (reasonable cause required--see instructions)
3 Excess distributions carryover, if any, to 2014:
a From 2009.......X
b From 2010.......X
c From 2011.......X
d From 2012.......X
e From 2013.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2014 distributable amount
i Carryover from 2009 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2014 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2014 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2014, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions)
6 Remaining underdistributions for 2014. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions)
7 Excess distributions carryover to 2015. Add lines 3j and 4c.
8 Breakdown of line 7:
a From 2010.......X
b From 2011.......X
c From 2012.......X
d From 2013.......
e From 2014.......

Schedule A (Form 990 or 990-EZ) (2014)

Schedule A (Form 990 or 990-EZ) 2014

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation
PART I, LINE 11H	COMMUNITY MEDICAL CENTER 24-0862246 3 0 0 COMMUNITY MEDICAL CARE, INC. 23-2429776 9 0 0 MOUNTAIN VIEW NURSING HOME, INC. 23-2568288 9 0 0 GEISINGER BLOOMSBURG HOSPITAL 23-2193572 3 0 0 GEISINGER BLOOMSBURG HEALTHCARE CENTER 23-2242854 9 0 0 GEISINGER LEWISTOWN HOSPITAL 23-1352187 3 0 0 SUN HOME HEALTH SERVICES INC 23-1736912 9 0 0 HOLY SPIRIT HOSPITAL OF THE SISTERS OF CHRISTIAN CHARIT 23-1512747 3 0 0 SPIRIT PHYSICIANS SERVICES, INC 25-1766971 9 0 0 WEST SHORE ADVANCED LIFE SUPPORT SERVICES, INC 23-2463002 7 0 0
PART IV, LINE 1	GEISINGER SYSTEM SERVICES SUPPORTED ORGANIZATIONS ARE DESIGNATED BY CLASS AND PURPOSE. PER GSS'S ARTICLES OF INCORPORATION, THE CORPORATION IS INCORPORATED UNDER THE NONPROFIT CORPORATION LAW OF 1972 OF THE COMMONWEALTH OF PENNSYLVANIA, AS AMENDED, FOR THE PURPOSE OF CONDUCTING EXCLUSIVELY CHARITABLE, SCIENTIFIC AND EDUCATIONAL ACTIVITIES WITHIN THE MEANING OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1954, AS AMENDED (OR THE CORRESPONDING PROVISION OF ANY SUCCESSOR UNITED STATES INTERNAL REVENUE LAW) (THE "INTERNAL REVENUE CODE"), INCLUDING THE PROVISION OF ADMINISTRATIVE, MANAGEMENT AND OTHER SUPPORT SERVICES FOR THE GEISINGER HEALTH SYSTEM FOUNDATION, ORGANIZATIONS AFFILIATED WITH SUCH FOUNDATION AND OTHER ORGANIZATIONS AND MAKING DONATIONS AND OTHER TRANSFERS TO THE GEISINGER HEALTH SYSTEM FOUNDATION AND TO ORGANIZATIONS CONTROLLED BY SUCH FOUNDATION AND DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, CONSISTENT WITH AND IN FURTHERANCE OF THESE PURPOSES. THE CORPORATION SHALL ENGAGE IN ALL ACTIVITIES PROPERLY RELATED TO THE FOREGOING, INCLUDING THE SOLICITATION OF FUNDS FROM INDIVIDUALS, CORPORATIONS AND OTHER EXEMPT ORGANIZATIONS FOR FINANCING THE SERVICES TO BE PROVIDED.
PART IV, LINE 3B	THE 501(C)(4) ORGANIZATION SUPPORTED BY GEISINGER SYSTEM SERVICES RECEIVED AN IRS DETERMINATION LETTER CONFIRMING ITS STATUS AS A 501(C)(4) ORGANIZATION ON AUGUST 1, 1990. GEISINGER SYSTEM SERVICE ANNUALLY CALCULATES THE 509(A)(2) PUBLIC SUPPORT TEST TO ENSURE THAT THE 501(C)(4) ORGANIZATION CONTINUES TO SATISFY THE TEST.
PART IV, LINE 3C	TO ENSURE THAT ALL SUPPORT IS USED EXCLUSIVELY FROM SECTION 170(C)(2)(B) PURPOSES, THE FOLLOWING CONTROLS ARE IN PLACE: (1) GEISINGER SYSTEM SERVICES RECEIVED A PRIVATE LETTER RULING FROM THE IRS ON AUGUST 1, 1990. THE RULING INDICATES THAT THE PROVISION OF MANAGEMENT AND SUPPORT SERVICES TO THE 501(C)(4) ORGANIZATION CONTRIBUTES IMPORTANTLY TO THE ACCOMPLISHMENT OF GEISINGER SYSTEM SERVICES'S EXEMPT PURPOSE, THE PROMOTION OF HEALTH. THE PROVISION OF SERVICE TO THE 501(C)(4) ORGANIZATION WERE DEEMED RELATED AND NOT SUBJECT TO THE UNRELATED BUSINESS INCOME TAX. IN ADDITION, GEISINGER SYSTEM SERVICES DOES NOT PROVIDE MONITARY SUPPORT TO THE 501(C)(4) ORGANIZATION. (2) THE ARTICLES OF INCORPORATION OF THE 501(C)(4) ORGANIZATION STATE THAT UPON THE DISSOLUTION OF THE CORPORATION, THE BOARD OF DIRECTORS SHALL, AFTER PAYING OR MAKING PROVISION FOR THE PAYMENT OF ALL OF THE LIABILITIES AND OBLIGATIONS OF THEE CORPORATION, PAY OVER AND TRANSFER, SUBJECT TO THE PRIOR APPROVAL OF THE TRUSTEE OF THE ABIGAIL GEISINGER TRUST, OR ITS SUCCESSOR, ALL OF THE ASSETS OF THE CORPORATION TO AN ORGANIZATION OR ORGANIZATIONS ORGANIZED AND OPERATED EXCLUSIVELY FOR CHARITABLE, EDUCATIONAL OR SCIENTIFIC PURPOSES, PROVIDED THAT AT SUCH TIME THE RECIPIENT QUALIFIES AS AN ORGANIZATION EXEMPT FROM TAX UNDER THE INTERNAL REVENUE CODE. NO PORTION OF THE ASSETS SHALL INURE TO THE BENEFIT OF ANY DIRECTOR, OFFICER OR MEMBER OF THE CORPORATION OR ANY ENTERPRISE ORGANIZED FOR PROFIT. (3) THE ARTICLES OF INCORPORATION OF THE 501(C)(4) CORPORATION CANNOT NOT BE AMENDED WITHOUT THE PRIOR APPROVAL OF THE GEISINGER HEALTH SYSTEM FOUNDATION, THE 501(C)(3) PARENT ORGANIZATION.
PART IV, LINE 5A	ORGANIZATIONS REMOVED: (I) BLOOMSBURG PHYSICIAN SERVICES (BPS), EIN 23-2979856, AND COLUMBIA MONTOUR HOME HEALTH SERVICES-VISITING NURSE ASSOCIATION, INC.(CMHHS), EIN 23-1704399, 501(C)(3) AFFILIATES OF GEISINGER SYSTEM SERVICES WERE REMOVED. (II) BPS WAS REMOVED BECAUSE IT WAS DISSOLVED EFFECTIVE JULY 8, 2014. CMHHS WAS REMOVED BECAUSE IT MERGED INTO A 501(C)(3) AFFILIATE, GEISINGER COMMUNITY HEALTH SERVICES, EIN: 23-2967235, EFFECTIVE JUNE 1, 2014. (III) NO AUTHORITY WAS REQUIRED TO REMOVE THE ORGANIZATIONS WHICH CEASED EXISTENCE. (IV) NO ACTION WAS REQUIRED BY GEISINGER SYSTEM SERVICES TO REMOVE BPS OR CMHHS AS SUPPORTED ORGANIZATIONS. BPS FILED ARTICLES OF DISSOLUTION WITH THE STATE OF PENNSYLVANIA AND FILED IT'S FINAL FORM 990 FOR THE FISCAL YEAR ENDED JUNE 30, 2014. CMHHS FILED ARTICLES OF MERGER WITH THE STATE OF PENNSYLVANIA AND FILED IT'S FINAL FORM 990 FOR THE FISCAL YEAR ENDED JUNE 30, 2014. ORGANIZATIONS ADDED: (I) SUN HOME HEALTH SERVICES, INC. (SUN), EIN 23-1736912 HOLY SPIRIT HOSPITAL OF THE SISTERS OF CHRISTIAN CHARITY (HSH), EIN 23-1512747 SPIRIT PHYSICIAN SERVICES, INC. (SPSI), EIN 25-1766971 WEST SHORE ADVANCED LIFE SUPPORT SERVICES, INC. (WSALS), EIN 23-2463002 (II) DURING THE FISCAL YEAR, SUN WAS ACQUIRED BY GEISINGER COMMUNITY HEALTH SERVICES, EIN 23-2967235, AN AFFILIATE OF THE GEIISNGER HEALTH SYSTEM. HSH, SPSI, AND WSALS WERE ACQUIRED BY GEISINGER HEALTH SYSTEM FOUNDATION, EIN 23-1995911, PARENT ORGANIZATION OF GEISINGER SYSTEM SERVICES. (IV) NO ACTION WAS REQUIRED BY GEISINGER SYSTEM SERVICES TO ADD THE SUPPORTED ORGANIZATIONS. PER GEISINGER SYSTEM SERVICES ARTICLES OF INCORPORATION, GEISINGER SYSTEM SERVICES IS ORGANIZED TO SUPPORT THE GEISINGER HEALTH SYSTEM FOUNDATION, ORGANIZATIONS AFFILIATED WITH SUCH FOUNDATION AND OTHER ORGANIZATIONS, AND TO MAKE DONATIONS AND OTHER TRANSFERS TO THE GEISINGER HEALTH SYSTEM FOUNDATION AND TO ORGANIZATIONS CONTROLLED BY SUCH FOUNDATION AND DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, CONSISTENT WITH AND IN FURTHERANCE OF THESE PURPOSES.
PART IV, LINE 5B	GEISINGER SYSTEM SERVICES IS A TYPE I SUPPORTING ORGANIZATION. ALL SUPPORTED ORGANIZATIONS ADDED DURING THE FISCAL YEAR WERE 501(C)(3) ORGANIZATIONS AND MEMBERS OF THE GEISINGER HEALTH SYSTEM AND ARE THEREFORE INCLUDED IN THE CLASS DESIGNATED AS SUPPORTED ORGANIZATIONS IN GEISINGER SYSTEM SERVICES'S ARTICLES OF INCORPORATION. REFER TO THE RESPONSE TO SCHEDULE A, PART IV, SECTION A, QUESTION 1.
PART IV, SECTION B, LINE 2	GEISINGER HEALTH SYSTEM IS A PHYSICIAN-LED, INTEGRATED HEALTH SERVICES ORGANIZATION THAT HAS AS ITS MAIN COMPONENTS: 1. AN ARRAY OF HEALTH SERVICES PROVIDERS, INCLUDING FIVE ACUTE CARE HOSPITALS AND A DRUG AND ALCOHOL TREATMENT FACILITY; 2. A MULTISPECIALTY PHYSICIAN GROUP PRACTICE OF 1,136 PHYSICIANS PRACTICING AT 91 PRIMARY AND SPECIALTY CLINICS; AND 3. ONE OF THE NATION'S LARGEST RURAL HEALTH INSURANCE ORGANIZATIONS WITH 478,501 MEMBERS. GEISINGER HEALTH SYSTEM FOUNDATION, PARENT ORGANIZATION OF THE GEISINGER HEALTH SYSTEM AND THE ORGANIZATION WHICH HAS THE POWER TO REGULARLY APPOINT AT LEAST A MAJORITY OF GEISINGER SYSTEM SERVICES'S DIRECTORS, IS INCORPORATED FOR THE CHARITABLE PURPOSE OF CONDUCTING EXCLUSIVELY CHARITABLE, SCIENTIFIC AND EDUCATIONAL ACTIVITIES WITHIN THE MEANING OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED (OR THE CORRESPONDING PROVISION OF ANY SUCCESSOR UNITED STATES INTERNAL REVENUE LAW) (THE "INTERNAL REVENUE CODE"), INCLUDING, DIRECTLY OR INDIRECTLY, SUPPORTING THE PURPOSES OF, GEISINGER MEDICAL CENTER OR ANY OTHER ORGANIZATION AFFILIATED WITH THE CORPORATION WHICH QUALIFIES AS AN EXEMPT ORGANIZATION UNDER SECTION 501(C)(3)OF THE INTERNAL REVENUE CODE. GEISINGER HEALTH SYSTEM FOUNDATION ENGAGES IN ALL ACTIVITIES PROPERLY RELATED TO THE FOREGOING, INCLUDING THE SOLICITATION OF FUNDS FROM INDIVIDUALS, CORPORATIONS AND OTHER ORGANIZATIONS FOR FINANCING THE SERVICES TO BE PROVIDED. THEREFORE, GEISINGER SYSTEM SERVICES'S SUPPORT OF OTHER 501(C)(3) ORGANIZATIONS WITHIN THE GEISINGER HEALTH SYSTEM AND AFFILIATED WITH GEISINGER MEDICAL CENTER AND GEISINGER HEALTH SYSTEM FOUNDATION SERVES TO SUPPORT THE CHARITABLE PURPOSES OF GEISINGER HEALTH SYSTEM FOUNDATION.
SUPPLEMENTAL INFORMATION	IN ADDITION TO THE ORGANIZATIONS LISTED IN PART I, LINE 11, GEISINGER SYSTEM SERVICES (GSS) ALSO SUPPORTS THE FOLLOWING GEISINGER HEALTH SYSTEM AFFILIATED 501(C)(3), 509(A)(3) SUPPORTING ORGANIZATIONS WHOSE PURPOSES INCLUDE SUPPORTING OTHER MEMBERS WITHIN THE GEISINGER HEALTH SYSTEM AS DESCRIBED IN THEIR RESPECTIVE ARTICLES OF INCORPORATION. NAME OF SUPPORTING ORGANIZATION EIN GEISINGER CLINIC 23-6291113 GEIISNGER INSURANCE CORPORATION, RISK RETENTION GROUP 14-1909894 COMMUNITY MEDICAL CENTER HEALTHCARE SYSTEM 23-2279376 LEWISTOWN AMBULATORY CARE CORPORATION 23-2344362 FAMILY HEALTH ASSOCIATES OF GEISINGER-LEWISTOWN HOSPITAL 25-1651582 KEYSTONE HEALTH INFORMATION EXCHANGE, INC. 46-4359893 LEWISTOWN HEALTHCARE FOUNDATION 23-2344363 HOLY SPIRIT HEALTH SYSTEM 25-1865142 IN ADDITION, GSS SUPPORTS GEISINGER HEALTH PLAN, AN AFFILIATED 501(C)(4) ORGANIZATION AND HOLY SPIRIT CORPORATION, AN AFFILIATED 501 (C)(2) ORGANIZATION. BY SUPPORTING THESE ORGANIZATION, GEISINGER SYSTEM SERVICES IS FULFILLING ITS MISSION TO SUPPORT THE GEISINGER HEALTH SYSTEM FOUNDATION IN ITS CHARITABLE MISSION OF DIRECTLY OR INDIRECTLY SUPPORTING THE PURPOSES OF GEISINGER MEDICAL CENTER OR ANY OTHER ORGANIZATION AFFILIATED WITH GEISINGER HEALTH SYSTEM FOUNDATION WHICH QUALIFIES AS AN EXEMPT ORGANIZATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. GEISINGER SYSTEM SERVICES (GSS), A 501(C)(3)NOT-FOR-PROFIT CORPORATION,SUPPORTS ALL OF ITS AFFILIATED ORGANIZATIONS IN THE GEISINGER HEALTH SYSTEM BY PROVIDING MANAGEMENT AND CONSULTATIVE SERVICES, AT COST. GSS PREPARES, IMPLEMENTS AND AUDITS POLICIES AND PROCEDURES OF SYSTEM WIDE RELEVANCE AND IMPLEMENTS UNIFORM STANDARDS AND METHODS OF MANAGEMENT THROUGHOUT THE SYSTEM. SERVICES HISTORICALLY PROVIDED BY GSS TO OTHER ENTITIES WITHIN THE GEISINGER HEALTH SYSTEM INCLUDE: APPOINTMENT SERVICES HUMAN RESOURCES AUTOMOTIVE SERVICES INFORMATION SYSTEMS BUSINESS OFFICE INTERNAL AUDIT CARE SUPPORT SERVICES LAUNDRY CLINICAL CONTENT MANAGEMENT LEGAL SERVICES CLINICAL EFFECTIVENESS MAIL SERVICES CLINICAL INNOVATION MARKET PLANNING COMMUNICATION AND PUBLIC RELATIONS MEDICAL LIBRARY CUSTOMER ACCESS MEDICAL PHOTOGRAPHY CUSTOMER SERVICE CALL CENTER PATIENT TRANSPORT ELEVATOR OPERATIONS PLANT ENGINEERING EMPLOYEE BENEFIT ADMINISTRATION POWER PLANT FACILITIES PLANNING AND MANAGEMENT QUALITY AND SAFETY FINANCIAL SERVICES REPROGRAPHICS FOOD SERVICES RISK MANAGEMENT GENERAL MAINTENANCE SECURITY GROUNDS TELECOMMUNICATIONS HOUSEKEEPING TRANSCRIPTION SERVICES INCLUDES THE OPERATION AND MAINTENANCE OF THE ELECTRONIC HEALTH RECORDS FOR ALL PATIENTS OF GEISINGER HEALTH SYSTEM PROVIDERS. THESE INTER-ORGANIZATION TRANSACTIONS PROMOTE THE EFFICIENT OPERATION OF THE VARIOUS AFFILIATED 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. 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 A (Form 990 or 990-EZ) 2014

Additional Data

Software ID:
Software Version:

- TIN:

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

Information about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

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) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

GEISINGER SYSTEM SERVICES

Employer identification number

23-2164794

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV.

Political expenditures .................................... SchCMd Bullet

Volunteer hours ........................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ......... SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ...... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............

Yes No

Was a correction made? .........................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ................................... SchCMd Bullet

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

Did the filing organization file Form 1120-POL for this year? ..........................

Yes No

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) 2014

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 Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

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) ......
b	Total lobbying expenditures to influence a legislative body (direct lobbying) .......	565,045	672,443
c	Total lobbying expenditures (add lines 1a and 1b) ...................	565,045	672,443
d	Other exempt purpose expenditures ........................	520,747,298	3,815,671,532
e	Total exempt purpose expenditures (add lines 1c and 1d) ...............	521,312,343	3,816,343,975
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? ......................................		Yes No

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 separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2011	(b) 2012	(c) 2013	(d) 2014	(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	640,652	650,175	710,974	672,443	2,674,244

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) 2014

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)

Yes

(b)

Amount

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:

Volunteers? .........................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....

Media advertisements? ....................................

Mailings to members, legislators, or the public? .........................

Publications, or published or broadcast statements? .......................

Grants to other organizations for lobbying purposes? .......................

Direct contact with legislators, their staffs, government officials, or a legislative body? ........

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......

Other activities? ..........................

Total. Add lines 1c through 1i ...............................

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 .................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....

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

Were substantially all (90% or more) dues received nondeductible by members? ................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ................

Did the organization agree to carry over lobbying and political expenditures from the prior year? ..........

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."

Dues, assessments and similar amounts from members .....................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).

Current year .........................................

Carryover from last year ....................................

Total ............................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

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? ................................

Taxable amount of lobbying and political expenditures (see instructions) ..............

Part IV

Supplemental Information

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, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation

Schedule C (Form 990 or 990EZ) 2014

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

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.
Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization

GEISINGER SYSTEM SERVICES

Employer identification number

23-2164794

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 value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

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? ............

Yes No

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? ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

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.


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

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

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)? .......................................

Yes No

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.

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.

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)

Revenue included in Form 990, Part VIII, line 1 ........................ SchDMd Bullet

(ii)

Assets included in Form 990, Part X .............................. SchDMd Bullet

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:

Revenue included in Form 990, Part VIII, line 1 .......................... SchDMd Bullet

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) 2014

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

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):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

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?........

Yes No

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.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No

If "Yes," explain the arrangement in Part XIII and complete the following table:


c	Beginning balance .................................	1c
d	Additions during the year ..............................	1d
e	Distributions during the year .............................	1e
f	Ending balance ...................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability?

Yes No

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 ....
b	Contributions ........
c	Net investment earnings, gains, and losses
d	Grants or scholarships .....
e	Other expenditures for facilities and programs ........
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

Temporarily restricted endowment SchDMd Bullet

The percentages in lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations ........................

3a(i)

(ii) related organizations ........................

3a(ii)

If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................	8,999,275		8,999,275
b	Buildings ................	64,613,625	17,516,614	47,097,011
c	Leasehold improvements ............
d	Equipment ................	345,251,180	193,022,955	152,228,225
e	Other .................	25,595,664	2,042,789	23,552,875
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......				231,877,386

Schedule D (Form 990) 2014

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11b. 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.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment		(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.)

Part IX

Other Assets. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1) DUE FROM AFFILIATES				223,393,072
(2) DEFERRED COMPENSATION				101,503,112
(3) INSURANCE RECOVERIES				29,781,950
(4) OTHER RECEIVABLE				220,415
(5) OTHER ASSET				15,259
(6) SWAP RECEIVABLE				4,420



Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				354,918,228

Part X

Other Liabilities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability		(b) Book value
Federal income taxes
DEFERRED COMPENSATION		101,431,208
INSURANCE RECOVERIES		29,781,950
FINANCIAL CONTRACT		2,601,995
RETIREE BENEFITS		763,431





Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)		134,578,584
2. Liability for uncertain tax positions. 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) 2014

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
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 (losses) 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. Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
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

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.

Return Reference	Explanation
SCHEDULE D, PAGE 4, PART XIII	PART X - LIABILITY UNDER FIN 48 FOOTNOTE EFFECTIVE JULY 1, 2007, GEISINGER HEALTH SYSTEM(1) (GHS) ADOPTED ACCOUNTING STANDARDS CODIFICATION 740 (FIN 48),(FORMERLY KNOWN AS "STATEMENT 109: ACCOUNTING FOR INCOME TAXES- OR "FAS 109"). FIN 48 CLARIFIES THE ACCOUNTING AND REPORTING FOR INCOME TAXES WHERE INTERPRETATION OF THE TAX LAW MAY BE UNCERTAIN. FIN 48 PRESCRIBES A COMPREHENSIVE MODEL FOR THE FINANCIAL STATEMENT RECOGNITION, MEASUREMENT, PRESENTATION AND DISCLOSURE OF INCOME TAX UNCERTAINTIES WITH RESPECT TO POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN INCOME TAX RETURNS. THE ADOPTION OF FIN 48 HAD NO IMPACT ON UNRESTRICTED NET ASSETS AS OF THE END OF THE FISCAL YEAR OR ANY PREVIOUS YEAR SINCE ADOPTION. ACCORDINGLY, NO FIN 48 FOOTNOTE DISCLOSURE WAS MADE IN THE 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.

Return Reference

Explanation

SCHEDULE D, PAGE 4, PART XIII

PART X - LIABILITY UNDER FIN 48 FOOTNOTE EFFECTIVE JULY 1, 2007, GEISINGER HEALTH SYSTEM(1) (GHS) ADOPTED ACCOUNTING STANDARDS CODIFICATION 740 (FIN 48),(FORMERLY KNOWN AS "STATEMENT 109: ACCOUNTING FOR INCOME TAXES- OR "FAS 109"). FIN 48 CLARIFIES THE ACCOUNTING AND REPORTING FOR INCOME TAXES WHERE INTERPRETATION OF THE TAX LAW MAY BE UNCERTAIN. FIN 48 PRESCRIBES A COMPREHENSIVE MODEL FOR THE FINANCIAL STATEMENT RECOGNITION, MEASUREMENT, PRESENTATION AND DISCLOSURE OF INCOME TAX UNCERTAINTIES WITH RESPECT TO POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN INCOME TAX RETURNS. THE ADOPTION OF FIN 48 HAD NO IMPACT ON UNRESTRICTED NET ASSETS AS OF THE END OF THE FISCAL YEAR OR ANY PREVIOUS YEAR SINCE ADOPTION. ACCORDINGLY, NO FIN 48 FOOTNOTE DISCLOSURE WAS MADE IN THE 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) 2014

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE F(Form 990)

Department of the Treasury
Internal Revenue Service

Statement of Activities Outside the United States

Complete if the organization answered "Yes" to Form 990,Part IV, line 14b, 15, or 16. Right pointing arrow large image

Attach to Form 990. Right pointing arrow large image

Information about Schedule F (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization
GEISINGER SYSTEM SERVICES

Employer identification number

23-2164794

Part I

General Information on Activities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 14b.

For grantmakers. Does the organization maintain records to substantiate the amount of its grants

and other assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria

used to award the grants or assistance? ...........................

Yes

For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.

Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)

(a) Region		(d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region)	(f) Total expenditures for and investments in region
	CENTRAL AMERICA AND THE CARIBBEAN	INVESTMENTS	167,009
















3a	Sub-total .....		167,009
b	Total from continuation sheets to Part I ...
c	Totals (add lines 3a and 3b)		167,009

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2014

Schedule F (Form 990) 2014

Page 2

Part II

Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.

1 (a) Name of organization		(b) IRS code section and EIN (if applicable)	(a)(c) Region	(b)(d) Purpose of grant	(e) Amount of cash grant	(f) Manner of cash disbursement	(g) Amount of non-cash assistance	(h) Description of non-cash assistance	(i) Method of valuation (book, FMV, appraisal, other)

Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .... MediumBullet

Enter total number of other organizations or entities ....................... MediumBullet

Schedule F (Form 990) 2014

Schedule F (Form 990) 2014Page 3

Part III

Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 16.

Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance		(b) Region	(c) Number of recipients	(d) Amount of cash grant	(e) Manner of cash disbursement	(f) Amount of non-cash assistance	(g) Description of non-cash assistance	(h) Method of valuation (book, FMV, appraisal, other)

Schedule F (Form 990) 2014

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2014

Page 5

Part V

Supplemental Information
Provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information (see instructions).

ReturnReference	Explanation
SCHEDULE F, PAGE 1, PART I, LINE 3	CENTRAL AMERICA AND THE CARIBBEAN 0 167,009

Schedule F (Form 990) 2014

Additional Data

Software ID:
Software Version:

- TIN:

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, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization

GEISINGER SYSTEM SERVICES

Employer identification number

23-2164794

Part I

Questions Regarding Compensation

Yes

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.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

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....

Yes

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..

Yes

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.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

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:

Receive a severance payment or change-of-control payment? ................

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

Yes

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), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

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:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 5a or 5b, describe in Part III.

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:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 6a or 6b, describe in Part III.

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 ............

Yes

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 .............................

Yes

If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

Yes

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2014

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 in column(B) reported as deferred in prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1GLENN D STEELE JR MD PHDPRES, CHAIR, DIR	(i) (ii)	1,091,895 ...............................	1,131,217 ...............................	2,065,068 ...............................	440,136 ...............................	31,990 ...............................	4,760,306 ...............................	1,191,920 ...............................
2DAVID J FELICIO ESQUIRECLO, SECRETARY	(i) (ii)	390,448 ...............................	164,846 ...............................	107,331 ...............................	76,118 ...............................	25,063 ...............................	763,806 ...............................	61,110 ...............................
3FRANK J TREMBULAKSR VP, TREASURER	(i) (ii)	628,294 ...............................	313,196 ...............................	250,904 ...............................	208,746 ...............................	10,836 ...............................	1,411,976 ...............................	209,318 ...............................
4EDWARD J ZYCH ESQUIREACLO, ASST SECTY	(i) (ii)	262,471 ...............................	80,515 ...............................	47,579 ...............................	18,720 ...............................	23,750 ...............................	433,035 ...............................	30,485 ...............................
5KEVIN F BRENNAN CPA FHFMAEVP, FINANCE, CFO	(i) (ii)	531,656 ...............................	273,329 ...............................	223,359 ...............................	176,933 ...............................	24,858 ...............................	1,230,135 ...............................	185,023 ...............................
6ANDREW M DEUBLEREVP, DEVELOPMENT	(i) (ii)	310,357 ...............................	143,342 ...............................	143,768 ...............................	116,700 ...............................	20,590 ...............................	734,757 ...............................	83,192 ...............................
7BARBARA M TAPSCOTTVP REVENUE MGMT	(i) (ii)	268,386 ...............................	100,011 ...............................	55,356 ...............................	18,720 ...............................	10,252 ...............................	452,725 ...............................	35,361 ...............................
8DAVID H LEDBETTER PHD FACMGEVP,CH. SCI. OFFICER	(i) (ii)	544,014 ...............................	249,891 ...............................	223,612 ...............................	178,849 ...............................	30,062 ...............................	1,226,428 ...............................	128,033 ...............................
9EDELYN L MILLEREVP, CLINICAL OPS	(i) (ii)	578,335 ...............................	196,400 ...............................	173,337 ...............................	176,564 ...............................	15,121 ...............................	1,139,757 ...............................	129,861 ...............................
10FRANCIS M RICHARDSCIO	(i) (ii)	389,585 ...............................	146,929 ...............................	71,822 ...............................	73,235 ...............................	16,467 ...............................	698,038 ...............................	57,344 ...............................
11JOANNE E WADEEVP STRAT. PRGM DEV	(i) (ii)	601,054 ...............................	285,040 ...............................	246,415 ...............................	197,332 ...............................	13,222 ...............................	1,343,063 ...............................	201,464 ...............................
12KEVIN J KERESTUS CIAVP, IA, ISO	(i) (ii)	199,674 ...............................	72,504 ...............................	8,170 ...............................	18,720 ...............................	23,026 ...............................	322,094 ...............................	...............................
13RICHARD KWEICOO, GHP	(i) (ii)	315,555 ...............................	126,758 ...............................	28,372 ...............................	18,720 ...............................	24,711 ...............................	514,116 ...............................	...............................
14ROBERT W DAVIESCHIEF SUPP SRVS	(i) (ii)	295,168 ...............................	120,805 ...............................	67,611 ...............................	18,720 ...............................	23,915 ...............................	526,219 ...............................	...............................
15AMY BRAYFORDCHIEF HR OFFICER	(i) (ii)	306,353 ...............................	117,412 ...............................	36,787 ...............................	63,066 ...............................	21,746 ...............................	545,364 ...............................	...............................
16JAMES C ARMSTRONG CPA FHFMA CGMASYSTEM VP, FINANCE	(i) (ii)	348,339 ...............................	120,313 ...............................	30,322 ...............................	18,720 ...............................	15,083 ...............................	532,777 ...............................	...............................
17EARL P STEINBERG MD MPPEVP, INNOVATION	(i) (ii)	45,564 ............................... 387,404	13,621 ............................... 152,000	............................... 590,972	2,959 ...............................	............................... 2,807	62,144 ............................... 1,133,183	...............................
18SUSAN M ROBEL RN BSN MHA NEA-BCEVP, CNO	(i) (ii)	324,714 ...............................	108,167 ...............................	154,095 ...............................	109,508 ...............................	20,939 ...............................	717,423 ...............................	116,063 ...............................
19STEVEN R YOUSOEVP, CEO, INS OPS	(i) (ii)	153,885 ............................... 40,720	...............................	29,501 ............................... 2,630	12,405 ............................... 2,044	20,071 ............................... 1,219	215,862 ............................... 46,613	...............................
20DUDLEY F GEROWCHIEF GOVERNMENT PRG	(i) (ii)	429,550 ...............................	176,452 ...............................	28,476 ...............................	63,107 ...............................	18,468 ...............................	716,053 ...............................	...............................
21GEORGE A SCHNEIDERCFO, GIO	(i) (ii)	351,642 ...............................	132,943 ...............................	25,653 ...............................	18,720 ...............................	21,614 ...............................	550,572 ...............................	...............................
22JACQUELYN PAULSVP BUSINESS DEV.	(i) (ii)	295,151 ...............................	113,980 ...............................	38,716 ...............................	18,720 ...............................	7,943 ...............................	474,510 ...............................	...............................
23NANCY L RIZZOSVP, CONSULTING	(i) (ii)	334,448 ...............................	105,643 ...............................	47,614 ...............................	18,720 ...............................	8,189 ...............................	514,614 ...............................	...............................
24JANET F TOMCAVAGE RN MSNSVP, VALUE BASED CAR	(i) (ii)	178,160 ............................... 151,635	115,093 ............................... 2,578	30,498 ............................... 126,734	49,411 ...............................	13,480 ............................... 8,121	386,642 ............................... 289,068	...............................

Schedule J (Form 990) 2014

Page 3

Part III

Supplemental Information

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.

Return Reference	Explanation
SCHEDULE J, PAGE 1, PART I, LINE 1A	FIRST CLASS OR CHARTER TRAVEL - FIRST CLASS TRAVEL FOR THE CHIEF EXECUTIVE OFFICER OF THE GEISINGER HEALTH SYSTEM (GHS) HAS BEEN APPROVED BY THE BOARD FOR TRAVEL RELATED TO GHS BUSINESS. GHS DOES NOT OWN OR CHARTER AN AIRPLANE, TRAIN OR BOAT FOR DIRECTOR, OFFICER, OR EMPLOYEE USE. TRAVEL FOR COMPANIONS - FROM TIME TO TIME, WHEN THE GHS CHIEF EXECUTIVE OFFICER IS TRAVELING ON BUSINESS, FIRST CLASS TRAVEL EXPENSES ARE REIMBURSED FOR THE SPOUSE OF THE CHIEF EXECUTIVE OFFICER. SUCH REIMBURSEMENT FOR BUSINESS TRAVEL HAS BEEN APPROVED BY THE BOARD AND IS REPORTED AS COMPENSATION TO THE CHIEF EXECUTIVE OFFICER. TAX INDEMNIFICATION AND GROSS-UP PAYMENTS - FROM TIME TO TIME, THE GHS BOARD OF DIRECTORS OR GHS SENIOR MANAGEMENT APPROVE THE GROSS-UP OF EXPENSES, WHICH FURTHER GHS BUSINESS, FOR TAX OBLIGATIONS.
SCHEDULE J, PAGE 1, PART I, LINE 4	GLENN D. STEELE JR., MD PHD 0 1,908,021 0 DAVID J. FELICIO, ESQUIRE 0 61,110 0 FRANK J. TREMBULAK 0 209,318 0 EDWARD J. ZYCH, ESQUIRE 0 30,485 0 KEVIN F. BRENNAN, CPA, FHFMA 0 185,023 0 ANDREW M. DEUBLER 0 83,192 0 BARBARA M. TAPSCOTT 0 35,361 0 DAVID H. LEDBETTER, PHD, FACMG 0 128,033 0 EDELYN L. MILLER 0 129,861 0 FRANCIS M. RICHARDS 0 57,344 0 JOANNE E. WADE 0 201,464 0 EARL P. STEINBERG, MD, MPP 0 0 574,159 SUSAN M. ROBEL, RN, BSN, MHA, NEA-BC 0 116,063 0 JANET F. TOMCAVAGE, RN, MSN 0 0 125,722
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.
SCHEDULE J, PAGE 1, PART I, LINE 8	THE EMPLOYEES LISTED PARTICIPATE IN A COMPENSATION PROGRAM DESIGNED TO BE MARKET COMPETITIVE. FROM TIME TO TIME, DEPENDING ON THE AVAILABILITY OF QUALIFIED APPLICANTS, RECRUITMENT LOANS MAY BE MADE AVAILABLE TO QUALIFIED APPLICANTS IN DIFFICULT TO RECRUIT POSITIONS. SUCH LOANS ARE ONLY PROVIDED IF TOTAL COMPENSATION, INCLUDING THE LOAN AMOUNT, IS CONSIDERED REASONABLE COMPENSATION PER INDEPENDENT SALARY SURVEYS.
SCHEDULE J, PART III	PART I, LINE 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 ("GHSF") AS PARENT AND ALL SUBSIDIARY CORPORATIONS COMPRISING THE SYSTEM.

Schedule J (Form 990) 2014

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

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

Information about Schedule L (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization

GEISINGER SYSTEM SERVICES

Employer identification number

23-2164794

Part I

Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and 501(c)(29) 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	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image

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?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e)Original principal amount	(f)Balance due	Yes	No	Yes	No	Yes	No
(1) DAVID T FEINBERG MD MBA	OFFICER	RECRUITMENT		X	150,000	145,282		No	Yes		Yes





Total ...... $						145,282

Part III

Grants or Assistance Benefiting 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) 2014

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?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) JAKE T MANGELS	FAMILY	106,871	EMPLOYEE COMP/BEN		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference	Explanation
SCHEDULE L, PART V	JAKE T. MANGELS IS A FAMILY MEMBER OF FRANK J. TREMBULAK, SENIOR VICE PRESIDENT AND TREASURER OF GEISINGER SYSTEM SERVICES.

Schedule L (Form 990 or 990-EZ) 2014

Additional Data

Software ID:
Software Version:

- TIN:

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 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public
Inspection

Name of the organization

GEISINGER SYSTEM SERVICES

Employer identification number

23-2164794

Return Reference	Explanation
FORM 990	FORM 990, PART IV, LINE 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? GHSF IS CURRENTLY THE SOLE OBLIGOR UNDER A SERIES OF BOND ISSUES WITH A TOTAL OUTSTANDING BALANCE OF 1,230,762,550, INCLUSIVE OF UNAMORTIZED ORIGINAL ISSUE DISCOUNT AS OF JUNE 30, 2015. BECAUSE THE BOND PROCEEDS ARE DISBURSED TO GHSF SUBSIDIARIES, THE BOND LIABILITIES ARE REFLECTED ON THE BALANCE SHEETS OF THE FOLLOWING SUBSIDIARY ORGANIZATIONS: GEISINGER MEDICAL CENTER, EIN: 24-0795959 GEISINGER WYOMING VALLEY MEDICAL CENTER, EIN: 23-1996150 GEISINGER CLINIC, EIN: 23-6291113 MARWORTH, EIN: 23-2171417 GEISINGER SYSTEM SERVICES, EIN: 23-2164794 COMMUNITY MEDICAL CENTER, EIN: 24-0862246 MOUNTAIN VIEW NURSING HOME, INC., EIN: 23-2568288 GEISINGER-BLOOMSBURG HOSPITAL, EIN: 23-2193572 GEISINGER-BLOOMSBURG HEALTH CARE CENTER, EIN: 23-2242854 GEISINGER-LEWISTOWN HOSPITAL, EIN: 23-1352187 HOLY SPIRIT HOSPITAL, EIN: 23-1512747 SCHEDULE K WAS PREPARED ON A CONSOLIDATED BASIS AND IS INCLUDED IN THE FORM 990 FILING OF GEISINGER HEALTH SYSTEM FOUNDATION, EIN: 23-1995911.
FORM 990, PAGE 2, PART III, LINE 4A	FORM 990, PART III, LINE 4 - STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS: I. GENERAL PROGRAM SERVICE INFORMATION GEISINGER SYSTEM SERVICES (GSS), A 501(C)(3) NOT FOR PROFIT CORPORATION, PROVIDES MANAGEMENT AND CONSULTATIVE SERVICES, AT COST, TO OTHER ENTITIES WITHIN THE GEISINGER HEALTH SYSTEM. GSS PREPARES, IMPLEMENTS, AND AUDITS POLICIES AND PROCEDURES OF SYSTEM WIDE RELEVANCE AND IMPLEMENTS UNIFORM STANDARDS AND METHODS OF MANAGEMENT THROUGHOUT THE SYSTEM. SERVICES HISTORICALLY PROVIDED BY GSS TO OTHER ENTITIES WITHIN THE GEISINGER HEALTH SYSTEM INCLUDE: APPOINTMENT SERVICES HUMAN RESOURCES AUTOMOTIVE SERVICES INFORMATION SYSTEMS BUSINESS OFFICE INTERNAL AUDIT CARE SUPPORT SERVICES LAUNDRY CLINICAL CONTENT MANAGEMENT LEGAL SERVICES CLINICAL EFFECTIVENESS MAIL SERVICES CLINICAL INNOVATION MARKET PLANNING CORPORATE COMMUNICATIONS MEDICAL LIBRARY CUSTOMER ACCESS MEDICAL PHOTOGRAPHY CUSTOMER SERVICE CALL CENTER PATIENT TRANSPORT ELEVATOR OPERATIONS PLANT ENGINEERING EMPLOYEE BENEFIT ADMINISTRATION POWER PLANT FACILITIES PLANNING AND MANAGEMENT QUALITY AND SAFETY FINANCIAL SERVICES REPROGRAPHICS FOOD SERVICES RISK MANAGEMENT GENERAL MAINTENANCE SECURITY GROUNDS TELECOMMUNICATIONS HOUSEKEEPING TRANSCRIPTION SERVICES INCLUDES THE OPERATION AND MAINTENANCE OF THE ELECTRONIC HEALTH RECORDS FOR ALL PATIENTS OF THE GEISINGER HEALTH SYSTEM PROVIDERS. II.COMMUNITY HEALTH, EDUCATION, AND OUTREACH GEISINGER SYSTEM SERVICES PROVIDES REDUCED PRICE SERVICES AND FREE PROGRAMS THROUGHOUT THE YEAR TO VARIOUS ORGANIZATIONS. THE PROVISION OF THESE SERVICES AND PROGRAMS IS BASED UPON THE ACTIVITIES AND SERVICES THAT THE ORGANIZATIONS PROVIDE FOR THE COMMUNITY AND WHICH GEISINGER SYSTEM SERVICES BELIEVES WILL SERVE A BONA FIDE COMMUNITY NEED. THESE COMMUNITY SERVICES AND ORGANIZATIONS RECEIVED CASH DONATIONS OR IN-KIND SERVICES DESCRIBED BELOW. A. HEALTH RELATED PROGRAMS GSS PROVIDED 54,932 OF IN-KIND SUPPORT TO NUMEROUS HEALTH RELATED PROGRAMS, SOME OF WHICH ARE LISTED BELOW: BEREAVEMENT SUPPORT GROUP HEALTHY EATING CLASSES HERNIA SEMINARS LIFESOURCE GEISINGER BLOOD CENTER, LLC SILVER CIRCLE BALANCE & FLEX CLASSES SILVER CIRCLE CARDIO CLASSES SILVER CIRCLE STRESS & MEDITATION CLASSES SILVER CIRCLE TAI CHI & YOGA CLASSES TRUSTED ADVISOR PROGRAM TRAINING FOR PA HEALTH INSURANCE MARKETPLACE CONSUMERS B. DONATED PROPERTY GEISINGER SYSTEM SERVICES PROVIDED 30,029 THROUGH DONATIONS OF OFFICE FURNITURE, PERSONAL COMPUTERS, LAPTOP COMPUTERS AND COMPUTER EQUIPMENT TO VARIOUS COMMUNITY RECIPIENTS. C. OTHER IN-KIND SERVICES AND CONTRIBUTIONS ADDITIONALLY, THE FOLLOWING ORGANIZATIONS AND OTHERS NOT LISTED BELOW RECEIVED CASH CONTRIBUTIONS OR IN-KIND SERVICES INCLUDING HUMAN RESOURCES, FOOD SERVICES, LEGAL SERVICES, INFORMATION TECHNOLOGY, REPROGRAPHICS, PUBLIC RELATIONS AND MARKETING VALUED AT 625,767: ABIGAIL'S ATTIC ALZHEIMER'S ASSOCIATION AMERICAN CANCER SOCIETY AMERICAN HEART ASSOCIATION COLUMBIA COUNTY CHAMBER OF COMMERCE DANVILLE BOROUGH FOR PAVING CENTER STREET HUMAN SERVICES COALITION PARTICIPATION IN VARIOUS COMMUNITY BOARDS PAYMENT OF BROADBAND TELECOMMUNICATION COSTS FOR NON-GEISINGER SITES FOR TELEMEDICINE RACE FOR THE CURE RONALD MCDONALD HOUSE SOCIETY OF SISTERS OF CHRISTIAN CHARITY III. COMMUNITY SERVICE SUMMARY COMMUNITY HEALTH, EDUCATION AND OUTREACH 710,728
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) 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 ITSELF AND CERTAIN AFFILIATES, AND CERTAIN REPORTABLE PAYMENTS OF SOME OF ITS AFFILIATES. THEREFORE, THE NUMBER OF FORM 1099'S FILED BY GSS FOR THE REPORTING PERIOD AS REPORTED ON LINE 1A INCLUDES THE NUMBER OF FORM 1099S FILED ON BEHALF OF ITSELF AND ITS AFFILIATES.
FORM 990, PART VI	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, ONE VOTING MEMBER IS NOT INDEPENDENT BECAUSE HE IS COMPENSATED AS AN EMPLOYEE OF A RELATED TAX-EXEMPT ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 2: DID ANY OFFICER, DIRECTOR, TRUSTEE, OR KEY EMPLOYEE HAVE A FAMILY RELATION- SHIP OR BUSINESS RELATIONSHIP WITH ANY OTHER OFFICER, DIRECTOR, TRUSTEE, OR KEY EMPLOYEE? WILLIAM H. ALEXANDER, E. ALLEN DEAVER, ROBERT J. DIETZ, DAVID T. FEINBERG, MD, MBA, DAVID J. FELICIO, ESQUIRE, RICHARD A. GRAFMYRE, WILLIAM R. GRUVER, FRANK M. HENRY, THOMAS H. LEE, JR. MD, EDELYN L. MILLER, ROBERT E. POOLE, DON A. ROSINI, GLENN D. STEELE, JR., MD, PHD, EARL P. STEINBERG, MD, ROBERT L. TAMBUR, FRANK J. TREMBULAK, STEVEN R. YOUSO AND EDWARD J. ZYCH, ESQUIRE, ALL HAVE A BUSINESS RELATIONSHIP WITH ONE ANOTHER BECAUSE THEY SERVE AS OFFICERS AND/OR DIRECTORS ON ONE OR MORE FOR-PROFIT AFFILIATES OF GEISINGER SYSTEM SERVICES. ALL OF THE AFFILIATES ARE PART OF THE GEISINGER HEALTH SYSTEM.
FORM 990, PAGE 6, PART VI, LINE 6	THE MEMBERS OF THE CORPORATION HAVE THE POWER AND AUTHORITY TO ELECT AND REMOVE THE DIRECTORS; ELECT AND REMOVE THE PRESIDENT AND FILL ANY VACANCY IN THE OFFICE OF THE PRESIDENT OF THE CORPORATION; AND, MAY APPROVE AMENDMENTS TO THE CORPORATE BYLAWS IN LIEU OF SUCH APPROVAL BY THE BOARD OF DIRECTORS. THE MEMBERS ALSO HAVE THE RESERVE POWERS AS SET FORTH IN THE PENNSYLVANIA NONPROFIT CORPORATION LAW.
FORM 990, PAGE 6, PART VI, LINE 7A	THE BOARD OF DIRECTORS OF THE CORPORATION SHALL SERVE AS THE GOVERNING BODY OF THE CORPORATION. THE PRESIDENT OF THE CORPORATION SHALL BE A DIRECTOR BY REASON OF HOLDING SUCH OFFICE. THE REMAINING DIRECTORS SHALL BE ELECTED BY THE MEMBERS AT THE ANNUAL MEETING OF THE MEMBERS. THE MEMBERS OF THE CORPORATION MAY SERVE AS DIRECTORS AND DIRECTORS MAY SUCCEED THEMSELVES FROM TERM TO TERM. VACANCIES ON THE BOARD OF DIRECTORS SHALL BE FILLED BY THE MEMBERS AT THEIR DISCRETION AT THE ANNUAL MEETING OF THE MEMBERS OR AT A SPECIAL MEETING CALLED FOR SUCH PURPOSE.
FORM 990, PAGE 6, PART VI, LINE 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 GHS. 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, 2015.
FORM 990, PAGE 6, PART VI, LINE 12C	THE OFFICERS AND DIRECTORS OF GEISINGER SYSTEM SERVICES 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.
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.
FORM 990, PAGE 6, PART VI, LINE 15B	SEE SCHEDULE O RESPONSE TO FORM 990, PART VI, SECTION B, QUESTION 15A.
FORM 990, PAGE 6, PART VI, LINE 19	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/PAGES/ABOUT-GEISINGER AND SELECT ANNUAL REPORTS. 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.
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.
FORM 990, PART XI, LINE 9	ENTITY TRANSFER 13,000,000 OTHER FUND BALANCE ACTIVITY (PPE) 7,100 TOTAL OTHER CHANGES IN NET ASSETS 13,007,100
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) 2014

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization

GEISINGER SYSTEM SERVICES

Employer identification number

23-2164794

Part I

Identification of Disregarded Entities Complete if the organization answered "Yes" on 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" on 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?
(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	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 MEDICAL CT 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) GEISINGER COMMUNITY HEALTH SERVICES 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE,PA17822 23-2967235	HEALTHCARE	PA	501C3	9	GSS	Yes
(8) GEISINGER INSURANCE CORPORATIONRRG 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE,PA17822 14-1909894	SELF INS	VT	501C3	11A	GHSF	Yes
(9) COMMUNITY MEDICAL CENTER 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE,PA17822 24-0862246	HOSPITAL	PA	501C3	3	GHSF	Yes
(10) COMMUNITY MEDICAL CARE INC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE,PA17822 23-2429776	PHYSICIAN	PA	501C3	9	GHSF	Yes
(11) MOUNTAIN VIEW NURSING HOME INC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE,PA17822 23-2568288	LONG TERM	PA	501C3	9	GHSF	Yes
(12) COMMUNITY MEDICAL CTR HEALTHCARE SY 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE,PA17822 23-2279376	SUPPORT SV	PA	501C3	11A	GHSF	Yes
(13) GEISINGER-BLOOMSBURG HOSPITAL 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE,PA17822 23-2193572	HOSPITAL	PA	501C3	3	GHSF	Yes
(14) GEISINGER-BLOOMSBURG HEALTHCARE CTR 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE,PA17822 23-2242854	SKILLED NU	PA	501C3	9	GHSF	Yes
(15) LEWISTOWN HEALTHCARE FOUNDATION 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE,PA17822 23-2344363	PHILANTHRO	PA	501C3	11A	GHSF	Yes
(16) GEISINGER-LEWISTOWN HOSPITAL 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE,PA17822 23-1352187	HOSPITAL	PA	501C3	3	GHSF	Yes
(17) LEWISTOWN AMBULATORY CARE CORP 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE,PA17822 23-2344362	RE HOLDIN	PA	501C3	11A	GHSF	Yes
(18) FAM HEALTH ASSOC OF GEISINGER-LEWIS 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE,PA17822 25-1651582	PHYSICIAN	PA	501C3	11A	GHSF	Yes
(19) KEYSTONE HEALTH INFO EXCHANGE INC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE,PA17822 46-4359893	RHIO	PA	501C3	11A	GHSF	Yes
(20) HEALTH CARE CORP OF NORTHEAST PA 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE,PA17822 23-2337286	SUPPORT SV	PA	501C3	11A	CMC	Yes
(21) SUN HOME HEALTH SERVICES INC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE,PA17822 23-1736912	HEALTHCARE	PA	501C3	9	GCHS	Yes
(22) HOLY SPIRIT HEALTH SYSTEM 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE,PA17822 25-1865142	PHILANTHRO	PA	501C3	11A	GHSF	Yes
(23) HOLY SPIRIT HOSPITAL 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE,PA17822 23-1512747	HOSPITAL	PA	501C3	3	HSHS	Yes
(24) HOLY SPIRIT CORPORATION 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE,PA17822 23-2214540	REALESTATE	PA	501C2		HSHS	Yes
(25) SPIRIT PHYSICIAN SERVICES INC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE,PA17822 25-1766971	PHYSICIAN	PA	501C3	9	HSHS	Yes
(26) WEST SHORE ADVANCED LIFE SUPPORT 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE,PA17822 23-2463002	HEALTHCARE	PA	501C3	7	HSHS	Yes

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2014

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on 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	(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?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	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 NETWORKLLC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE,PA17822 45-5484165	ORG DEL SY	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) LEMED II 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE,PA17822 23-2391766	RENTAL	PA	N/A				No			No
(7) GEISINGER-SCA HOLDINGS LLC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE,PA17822 46-1615328	MANAGEMENT	DE	N/A				No			No
(8) CAMP HILL AMBULATORY SURG CTR LLC 569 BROOKWOOD VILLAGE SUITE 901 BIRMINGHAM,AL35209 52-1597478	HEALTHCARE	PA	N/A				No			No
(9) HS ORTHOPEDIC MANAGEMENT CO LLC 503 NORTH 21ST STREET CANP HILL,PA17011 46-0887384	MANAGEMENT	PA	N/A				No			No
(10) CAELIAN MEDICAL LLC 880 CENTURY DRIVE MECHANICSBURG,PA17055 20-8018724	HEALTHCARE	PA	N/A				No			No
(11) GRANDVIEW SURGERY CENTER LTD 569 BROOKWOOD VILLAGE SUITE 901 BIRMINGHAM,AL35209 52-1597483	HEALTHCARE	PA	N/A				No			No
(12) LACKAWANNA PHYS AMB SURG CTRLLC 569 BROOKWOOD VILLAGE SUITE 901 BIRMINGHAM,AL35209 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" on 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	(i) Section 512(b)(13) controlled entity?
(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	Yes	No
(1) GEISINGER MEDICAL MANAGEMENT CORP 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE,PA17822 23-2077663	HOTEL/REST	PA	N/A				Yes
(2) GEISINGER INDEMNITY INSURANCE CO 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE,PA17822 23-2815174	HLTH INSUR	PA	N/A				Yes
(3) GEISINGER QUALITY OPTIONS INC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE,PA17822 20-4275139	HLTH INSUR	PA	N/A				Yes
(4) HEALTH ENTERPRISES INC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE,PA17822 23-2353212	PHARMACY	PA	N/A				Yes
(5) XG HEALTH SOLUTIONS INC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE,PA17822 46-1657345	CONSULTING	DE	N/A				Yes
(6) GEISINGER ASSURANCE COMPANY LTD 23 LINE TREE BAY AVE PO BOX 1159 GRAND CAYMAN,GRAND CAYMANKY1-1102 CJ 98-1016737	INSURANCE	CJ	N/A				Yes
(7) HOLY SPIRIT VENTURES INC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE,PA17822 23-2407709	MED. SERV.	PA	N/A				Yes

Schedule R (Form 990) 2014

Page 3

Part V

Transactions With Related Organizations Complete if the organization answered "Yes" on 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

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 . . . . . . . . . . . . . . . . . . . . . . .

Yes

b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .

k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .

Yes

m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .

Yes

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .

o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

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 related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) COMMUNITY MEDICAL CARE INC	L	19,593	GAAP
(2) COMMUNITY MEDICAL CENTER	L	12,565,731	GAAP
(3) COMMUNITY MEDICAL CENTER	M	15,324	GAAP
(4) FAM HLTH ASSOC OF GEISINGER-LEWIST	L	238,239	GAAP
(5) GEISINGER ASSURANCE COMPANY LTD	L	1,109,004	GAAP
(6) GEISINGER ASSURANCE COMPANY LTD	P	1,184,463	GAAP
(7) GEISINGER CLINIC	L	105,114,372	GAAP
(8) GEISINGER CLINIC	M	2,010,773	GAAP
(9) GEISINGER CLINIC	C	7,100	GAAP
(10) GEISINGER COMMUNITY HEALTH SERVICES	K	20,397	FMV
(11) GEISINGER COMMUNITY HEALTH SERVICES	L	4,155,928	GAAP
(12) GEISINGER HEALTH PLAN	A	149,222	FMV
(13) GEISINGER HEALTH PLAN	L	23,683,638	GAAP
(14) GEISINGER HEALTH PLAN	L	54,746,692	GAAP
(15) GEISINGER HEALTH PLAN	M	2,453	GAAP
(16) GEISINGER HEALTH PLAN	P	1,094,189	GAAP
(17) GEISINGER HEALTH SYSTEM FOUNDATION	C	60,000,000	GAAP
(18) GEISINGER HEALTH SYSTEM FOUNDATION	L	3,549,773	GAAP
(19) GEISINGER HEALTH SYSTEM FOUNDATION	M	84,721	GAAP
(20) GEISINGER HEALTH SYSTEM FOUNDATION	B	47,000,000	GAAP
(21) GEISINGER HEALTH SYSTEM FOUNDATION	S	150,216	GAAP
(22) GEISINGER INDEMNITY INSURANCE COMP	L	3,016,373	GAAP
(23) GEISINGER INDEMNITY INSURANCE COMP	M	163	GAAP
(24) GEISINGER INDEMNITY INSURANCE COMP	P	20,462,124	GAAP
(25) GEISINGER LEWISTOWN HOSPITAL	L	4,635,046	GAAP
(26) GEISINGER LEWISTOWN HOSPITAL	M	100	GAAP
(27) GEISINGER MEDICAL CENTER	L	186,208,055	GAAP
(28) GEISINGER MEDICAL CENTER	M	209,449	GAAP
(29) GEISINGER MEDICAL CENTER	K	3,067,663	GAAP
(30) GEISINGER MEDICAL MANAGEMENT CORP	K	69,696	GAAP
(31) GEISINGER MEDICAL MANAGEMENT CORP	L	3,812,214	GAAP
(32) GEISINGER MEDICAL MANAGEMENT CORP	M	4,819,461	GAAP
(33) GEISINGER QUALITY OPTIONS INC	L	6,479,000	GAAP
(34) GEISINGER QUALITY OPTIONS INC	M	16,141	GAAP
(35) GEISINGER SCA HOLDINGS LLC	L	12,503	GAAP
(36) GEISINGER WYOMING VALLEY MED CTR	L	85,241,330	GAAP
(37) GEISINGER WYOMING VALLEY MED CTR	M	854	GAAP
(38) GEISINGER-BLOOMSBURG HEALTHCARE CTR	L	118,061	GAAP
(39) GEISINGER-BLOOMSBURG HOSPITAL	L	5,758,121	GAAP
(40) GEISINGER-BLOOMSBURG HOSPITAL	M	634	GAAP
(41) HEALTH ENTERPRISES INC	L	16,152	GAAP
(42) KEYSTONE HEALTH INFO EXCHANGE INC	L	2,206,404	GAAP
(43) KEYSTONE HEALTH INFO EXCHANGE INC	M	830,000	GAAP
(44) MARWORTH	L	3,047,502	GAAP
(45) MOUNTAIN VIEW NURSING HOME INC	L	2,271	GAAP
(46) MOUNTAIN VIEW NURSING HOME INC	M	567	GAAP
(47) XG HEALTH SOLUTIONS INC	A	338,293	FMV
(48) XG HEALTH SOLUTIONS INC	M	1,045,279	GAAP
(49) XG HEALTH SOLUTIONS INC	L	38,371	GAAP
(50) HOLY SPIRIT HOSPITAL	L	3,294,721	GAAP
(51) HOLY SPIRIT HOSPITAL	M	42,043	GAAP
(52) LEWISTOWN AMBULATORY CARE CORP	L	229	GAAP
(53) SPIRIT PHYSICIAN SERVICES INC	L	1,462,319	GAAP
(54) SUN HOME HEALTH SERVICES INC	L	357	GAAP

Schedule R (Form 990) 2014

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on 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)	(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?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2014

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R (see instructions).

Return Reference

Explanation

SCHEDULE R

FORM 990, SCHEDULE R, PART V - TRANSACTIONS WITH RELATED ORGANIZATIONS: AS SHOWN IN THE RESPONSE TO FORM 990, SCHEDULE R, GEISINGER SYSTEM SERVICES IS CLOSELY AFFILIATED WITH SEVERAL OTHER ORGANIZATIONS. IN THE NORMAL COURSE OF THE OPERATIONS OF THESE AFFILIATED ORGANIZATIONS THERE ARE NUMEROUS INTER ORGANIZATIONAL TRANSACTIONS, WHICH MAY INCLUDE SALES, EXCHANGES AND LEASES OF PROPERTY, EXTENSIONS OF CREDIT, FURNISHING OF GOODS, SERVICES AND FACILITIES, AND TRANSFERS OF ASSETS. THESE INTER ORGANIZATION TRANSACTIONS PROMOTE THE EFFICIENT OPERATION OF THE VARIOUS ORGANIZATIONS AND THE ATTAINMENT OF THEIR TAX EXEMPT PURPOSES. THESE TYPES OF INTER ORGANIZATION TRANSACTIONS WERE DESCRIBED TO THE INTERNAL REVENUE SERVICE IN A RULING APPLICATION AND WERE RECOGNIZED BY THE NATIONAL OFFICE OF THE IRS IN A SERIES OF GHS PRIVATE RULINGS AS BEING ENTIRELY CONSISTENT WITH THE ORGANIZATIONS' TAX EXEMPT STATUS. ___________________________________________________________________________

Schedule R (Form 990) 2014

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: TO PROVIDE ADMINISTRATIVE, MANAGEMENT AND OTHER SUPPORT SERVICES FOR THE GEISINGER HEALTH SYSTEM FOUNDATION AND ALL AFFILIATES AND SUBSIDIARIES IN A COST EFFECTIVE MANNER WHILE MAINTAINING EXCELLENT CUSTOMER SERVICE.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	11
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	10
5	Total number of individuals employed in calendar year 2014 (Part V, line 2a) ......	5	6,399
6	Total number of volunteers (estimate if necessary) .............	6
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	92,993
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	10,844

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........		0
9	Program service revenue (Part VIII, line 2g) .........	579,606,966	532,611,061
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	2,052,854	2,118,584
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	952,913	891,142
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	582,612,733	535,620,787
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)	386,861,517	334,017,173
16a	Professional fundraising fees (Part IX, column (A), line 11e).....		0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	175,702,271	187,295,170
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	562,563,788	521,312,343
19	Revenue less expenses. Subtract line 18 from line 12.......	20,048,945	14,308,444
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	547,441,793	654,395,971
21	Total liabilities (Part X, line 26).............	518,131,355	595,601,209
22	Net assets or fund balances. Subtract line 21 from line 20.....	29,310,438	58,794,762

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 484,553,220 including grants of $ ) (Revenue $ 532,610,554 )
	SEE SCHEDULE O FORM 990, PART III, LINE 4 - STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS: I. GENERAL PROGRAM SERVICE INFORMATION GEISINGER SYSTEM SERVICES (GSS), A 501(C)(3) NOT FOR PROFIT CORPORATION, PROVIDES MANAGEMENT AND CONSULTATIVE SERVICES, AT COST, TO OTHER ENTITIES WITHIN THE GEISINGER HEALTH SYSTEM. GSS PREPARES, IMPLEMENTS, AND AUDITS POLICIES AND PROCEDURES OF SYSTEM WIDE RELEVANCE AND IMPLEMENTS UNIFORM STANDARDS AND METHODS OF MANAGEMENT THROUGHOUT THE SYSTEM. SERVICES HISTORICALLY PROVIDED BY GSS TO OTHER ENTITIES WITHIN THE GEISINGER HEALTH SYSTEM INCLUDE: APPOINTMENT SERVICES HUMAN RESOURCES AUTOMOTIVE SERVICES INFORMATION SYSTEMS BUSINESS OFFICE INTERNAL AUDIT CARE SUPPORT SERVICES LAUNDRY CLINICAL CONTENT MANAGEMENT LEGAL SERVICES CLINICAL EFFECTIVENESS MAIL SERVICES CLINICAL INNOVATION MARKET PLANNING CORPORATE COMMUNICATIONS MEDICAL LIBRARY CUSTOMER ACCESS MEDICAL PHOTOGRAPHY CUSTOMER SERVICE CALL CENTER PATIENT TRANSPORT ELEVATOR OPERATIONS PLANT ENGINEERING EMPLOYEE BENEFIT ADMINISTRATION POWER PLANT FACILITIES PLANNING AND MANAGEMENT QUALITY AND SAFETY FINANCIAL SERVICES REPROGRAPHICS FOOD SERVICES RISK MANAGEMENT GENERAL MAINTENANCE SECURITY GROUNDS TELECOMMUNICATIONS HOUSEKEEPING TRANSCRIPTION SERVICES INCLUDES THE OPERATION AND MAINTENANCE OF THE ELECTRONIC HEALTH RECORDS FOR ALL PATIENTS OF THE GEISINGER HEALTH SYSTEM PROVIDERS. II.COMMUNITY HEALTH, EDUCATION, AND OUTREACH GEISINGER SYSTEM SERVICES PROVIDES REDUCED PRICE SERVICES AND FREE PROGRAMS THROUGHOUT THE YEAR TO VARIOUS ORGANIZATIONS. THE PROVISION OF THESE SERVICES AND PROGRAMS IS BASED UPON THE ACTIVITIES AND SERVICES THAT THE ORGANIZATIONS PROVIDE FOR THE COMMUNITY AND WHICH GEISINGER SYSTEM SERVICES BELIEVES WILL SERVE A BONA FIDE COMMUNITY NEED. THESE COMMUNITY SERVICES AND ORGANIZATIONS RECEIVED CASH DONATIONS OR IN-KIND SERVICES DESCRIBED BELOW. A. HEALTH RELATED PROGRAMS GSS PROVIDED 54,932 OF IN-KIND SUPPORT TO NUMEROUS HEALTH RELATED PROGRAMS, SOME OF WHICH ARE LISTED BELOW: BEREAVEMENT SUPPORT GROUP HEALTHY EATING CLASSES HERNIA SEMINARS LIFESOURCE GEISINGER BLOOD CENTER, LLC SILVER CIRCLE BALANCE & FLEX CLASSES SILVER CIRCLE CARDIO CLASSES SILVER CIRCLE STRESS & MEDITATION CLASSES SILVER CIRCLE TAI CHI & YOGA CLASSES TRUSTED ADVISOR PROGRAM TRAINING FOR PA HEALTH INSURANCE MARKETPLACE CONSUMERS B. DONATED PROPERTY GEISINGER SYSTEM SERVICES PROVIDED 30,029 THROUGH DONATIONS OF OFFICE FURNITURE, PERSONAL COMPUTERS, LAPTOP COMPUTERS AND COMPUTER EQUIPMENT TO VARIOUS COMMUNITY RECIPIENTS. C. OTHER IN-KIND SERVICES AND CONTRIBUTIONS ADDITIONALLY, THE FOLLOWING ORGANIZATIONS AND OTHERS NOT LISTED BELOW RECEIVED CASH CONTRIBUTIONS OR IN-KIND SERVICES INCLUDING HUMAN RESOURCES, FOOD SERVICES, LEGAL SERVICES, INFORMATION TECHNOLOGY, REPROGRAPHICS, PUBLIC RELATIONS AND MARKETING VALUED AT 625,767: ABIGAIL'S ATTIC ALZHEIMER'S ASSOCIATION AMERICAN CANCER SOCIETY AMERICAN HEART ASSOCIATION COLUMBIA COUNTY CHAMBER OF COMMERCE DANVILLE BOROUGH FOR PAVING CENTER STREET HUMAN SERVICES COALITION PARTICIPATION IN VARIOUS COMMUNITY BOARDS PAYMENT OF BROADBAND TELECOMMUNICATION COSTS FOR NON-GEISINGER SITES FOR TELEMEDICINE RACE FOR THE CURE RONALD MCDONALD HOUSE SOCIETY OF SISTERS OF CHRISTIAN CHARITY III. COMMUNITY SERVICE SUMMARY COMMUNITY HEALTH, EDUCATION AND OUTREACH 710,728

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 expenses484,553,220

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	17,717,471	1,454,673	2,569,136

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512-514
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.......
			Business Code
2a	IC SUPPORT SERVICES		541900	496,198,596	496,198,596
b	IC SUPPORT SERVICE-SCHEDULE O		541900	14,483,617	14,483,617
c	PREMIER PURCHASING INCOME		722210	7,690,322	7,690,322
d	FOOD SERVICES		541900	7,040,576	7,040,576
e	COMPUTER SOFTWARE DEVELOPMENT		541900	3,409,251	3,409,251
f	All other program service revenue .			3,788,699	3,696,213	92,486
g	Total. Add lines 2a–2f........			532,611,061
3	Investment income (including dividends, interest, and other similar amounts).......			1,324,791			1,324,791
4	Income from investment of tax-exempt bond proceeds..			1,452			1,452
5	Royalties...........
		(i) Real	(ii) Personal
6a	Gross rents	33,928
b	Less: rental expenses	46,662
c	Rental income or (loss)	-12,734
d	Net rental income or (loss).......			-12,734			-12,734
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	792,998	1,300
b	Less: cost or other basis and sales expenses		1,957
c	Gain or (loss)	792,998	-657
d	Net gain or (loss)..........			792,341			792,341
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..
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...
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..
Miscellaneous Revenue			Business Code
11a	PURCHASE DISCOUNTS		900099	578,879	578,879
b	CANTEEN VENDING & COMMISSION		900099	313,407			313,407
c	LIBRARY FEES		541900	7,041			7,041
d	All other revenue ....			4,549		507	4,042
e	Total. Add lines 11a–11d ......			903,876
12	Total revenue. See Instructions......			535,620,787	533,097,454	92,993	2,430,340


				(A) Beginning of year		(B) End of year
1	Cash–non-interest-bearing .............			18,802,036	1
2	Savings and temporary cash investments .........			8,790,980	2	3,296,402
3	Pledges and grants receivable, net ...........				3
4	Accounts receivable, net .............			237,324	4	6,294,049
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
				17,525	5	145,282
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 .............			390,409	7	93,619
8	Inventories for sale or use ..............				8	1,402,917
9	Prepaid expenses and deferred charges ..........			22,583,914	9	15,410,974
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	444,459,744
b	Less: accumulated depreciation .....	10b	212,582,358	227,380,281	10c	231,877,386
11	Investments—publicly traded securities ..........			2,958,054	11	3,607,485
12	Investments—other securities. See Part IV, line 11 .....			12,044,451	12	26,916,863
13	Investments—program-related. See Part IV, line 11 .....			4,476,683	13	10,432,766
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			249,760,136	15	354,918,228
16	Total assets. Add lines 1 through 15 (must equal line 34)......			547,441,793	16	654,395,971
17	Accounts payable and accrued expenses .........			268,269,510	17	322,901,112
18	Grants payable .................				18
19	Deferred revenue ................				19	53,596
20	Tax-exempt bond liabilities .............			149,996,179	20	138,067,917
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....................			99,865,666	25	134,578,584
26	Total liabilities. Add lines 17 through 25.........			518,131,355	26	595,601,209
	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............			29,310,438	27	58,794,762
28	Temporarily restricted net assets ...........				28
29	Permanently restricted net assets ...........				29
	Organizations that do not follow SFAS 117 (ASC 958), check here 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 ...........			29,310,438	33	58,794,762
34	Total liabilities and net assets/fund balances ........			547,441,793	34	654,395,971

1	Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes,"the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926)......................................	Yes	No
2	Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may be required to file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A; do not file with Form 990)............................	Yes	No
3	Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471)..............................	Yes	No
4	Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If “Yes,” the organization may be required to file Form 8621, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621)...............................................	Yes	No
5	Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships. (see Instructions for Form 8865)....................................	Yes	No
6	Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to file Form 5713, International Boycott Report (see Instructions for Form 5713; do not file with Form 990).....................................	Yes	No