Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for instructions and the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
|
Total |
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Calendar year (or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | 24,435,775 | 94,194,751 | 577,656,675 | 71,461,949 | 9,904,516 | 777,653,666 |
| 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 | 24,435,775 | 94,194,751 | 577,656,675 | 71,461,949 | 9,904,516 | 777,653,666 |
| 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. | 777,653,666 | |||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 24,435,775 | 94,194,751 | 577,656,675 | 71,461,949 | 9,904,516 | 777,653,666 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | 36,961,394 | 33,645,026 | 33,789,414 | 476,483 | 497,616 | 105,369,933 |
| 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.).. | 631,326 | 542,537 | 430,947 | 426,083 | 373,681 | 2,404,574 |
| 11 | Total support. Add lines 7 through 10 | 885,428,173 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (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.) | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (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.).. | ||||||
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
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| 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): |
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| 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 | ||||
| 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 2019 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-2019 |
(iii) Distributable Amount for 2019 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2019 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI). See instructions. |
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| 3 Excess distributions carryover, if any, to 2019: | ||||
| a From 2014....... | ||||
| b From 2015....... | ||||
| c From 2016....... | ||||
| d From 2017....... | ||||
| e From 2018....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2019 distributable amount | ||||
|
i
Carryover from 2014 not applied (see instructions) |
||||
| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2019 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2019 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2019, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
6
Remaining underdistributions for 2019. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
7 Excess distributions carryover to 2020. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2015..... | ||||
| b Excess from 2016..... | ||||
| c Excess from 2017..... | ||||
| d Excess from 2018..... | ||||
| e Excess from 2019..... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|---|
| PART II, LINE 10 | FUNDRAISING - 4TH PRECEDING YEAR 527,488 GAMING - 4TH PRECEDING YEAR 103,838 FUNDRAISING - 3RD PRECEDING YEAR 423,359 GAMING - 3RD PRECEDING YEAR 117,813 PHEAA WORK STUDY -3RD PRECEDING YEAR 2,412 FUNDRAISING - 2ND PRECEDING YEAR 317,573 GAMING - 2ND PRECEDING YEAR 112,327 FUNDRAISING - 1ST PRECEDING YEAR 348,050 GAMING - FIRST PRECEDING YEAR 78,033 FUNDRAISING - CURRENT YEAR 287,071 GAMING - CURRENT YEAR 86,610 |
| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| FORM 990 - ORGANIZATION'S MISSION | GEISINGER HEALTH SERVES TO ENSURE GEISINGER AFFILIATE ENTITIES HAVE ADEQUATE FINANCIAL RESOURCES TO FULFILL THEIR MISSIONS AND TO INITIATE AND ADMINISTER GRANT AND PHILANTHROPIC SUPPORT PROGRAMS FOR ALL GEISINGER ENTITIES. |
| 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? GEISINGER HEALTH (GH) IS CURRENTLY THE SOLE OBLIGOR UNDER A SERIES OF BOND ISSUES WITH A TOTAL OUTSTANDING BALANCE OF 1,745,563,379, INCLUSIVE OF UNAMORTIZED ORIGINAL ISSUE DISCOUNT AS OF JUNE 30, 2018. BECAUSE THE BOND PROCEEDS ARE DISBURSED TO GH 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 GEISINGER-BLOOMSBURG HOSPITAL EIN: 23-2193572 GEISINGER-LEWISTOWN HOSPITAL EIN: 23-1352187 HOLY SPIRIT HOSPITAL EIN: 23-1512747 GEISINGER COMMONWEALTH SCHOOL OF MEDICINE EIN: 26-0812968 ATLANTICARE REGIONAL MEDICAL CENTER EIN: 21-0634549 SCHEDULE K WAS PREPARED ON A CONSOLIDATED BASIS AND IS INCLUDED IN THE FORM 990 FILING OF GEISINGER HEALTH, EIN: 23-1995911. |
| FORM 990, PAGE 2, PART III, LINE 4A | I. MISSION, VISION, VALUES - GEISINGERS PURPOSE: EVERYTHING WE DO IS ABOUT CARING FOR OUR PATIENTS, OUR MEMBERS, OUR GEISINGER FAMILY OF PHYSICIANS AND EMPLOYEES, AND OUR COMMUNITIES. - AT GEISINGER WE VALUE: KINDNESS - WE STRIVE TO TREAT EVERYONE AS WE WOULD HOPE TO BE TREATED OURSELVES. EXCELLENCE WE TREASURE COLLEAGUES WHO HUMBLY STRIVE FOR EXCELLENCE. LEARNING WE SHARE OUR KNOWLEDGE WITH THE BEST AND BRIGHTEST TO BETTER PREPARE THE CAREGIVERS OF TOMORROW. INNOVATION WE CONSTANTLY SEEK NEW AND BETTER WAYS TO CARE FOR OUR PATIENTS, OUR MEMBERS, OUR COMMUNITIES AND THE NATION. II. GENERAL INFORMATION GEISINGER HEALTH (GH), A 501(C)(3) NOT FOR PROFIT CORPORATION, IS THE PARENT ORGANIZATION OF THE VARIOUS GEISINGER ENTITIES. ITS GOVERNING BOARD OVERSEES THE COLLECTIVE EFFORTS OF THE FORTY-FIVE GEISINGER AFFILIATED ENTITIES (THIRTY-SEVEN NOT-FOR-PROFIT ENTITIES, SIX FOR PROFIT ENTITIES AND TWO FOREIGN CORPORATIONS) AND THEIR ACTIVITIES IN HEALTH CARE AND RELATED BUSINESSES. GH IS INVOLVED WITH INITIATING AND ADMINISTERING GRANT AND PHILANTHROPIC SUPPORT PROGRAMS FOR ALL THE GEISINGER HEALTH SYSTEM NOT- FOR-PROFIT ENTITIES. THE AFFILIATED ENTITIES OF GH ARE: - GEISINGER MEDICAL CENTER (GMC) IS A PENNSYLVANIA 501(C)(3) NOT-FOR-PROFIT CORPORATION OWNING AND OPERATING A REGIONAL REFERRAL TERTIARY CARE MEDICAL CENTER IN DANVILLE, PENNSYLVANIA, A SEPARATE OUTPATIENT AMBULATORY CAMPUS ON WOODBINE LANE, DANVILLE, PENNSYLVANIA, AND GEISINGER SHAMOKIN AREA COMMUNITY HOSPITAL (GSACH) WHICH IS A CAMPUS OF GEISINGER MEDICAL CENTER IN SHAMOKIN, PENNSYLVANIA. - COMMUNITY MEDICAL CENTER, DBA GEISINGER-COMMUNITY MEDICAL CENTER(CMC) IS A PENNSYLVANIA 501(C)(3) NOT-FOR-PROFIT CORPORATION OWNING AND OPERATING AN ACUTE CARE HOSPITAL IN SCRANTON, PENNSYLVANIA. - GEISINGER-BLOOMSBURG HOSPITAL (GBH), IS A PENNSYLVANIA 501(C)(3) NOT-FOR- PROFIT CORPORATION OWNING AND OPERATING A GENERAL COMMUNITY-BASED HOSPITAL IN BLOOMSBURG, PENNSYLVANIA. - GEISINGER WYOMING VALLEY MEDICAL CENTER (GWV) IS A PENNSYLVANIA 501(C)(3) NOT-FOR-PROFIT CORPORATION OWNING AND OPERATING AN ACUTE CARE, OPEN-STAFF COMMUNITY HOSPITAL IN WILKES-BARRE, PENNSYLVANIA, AND GEISINGER SOUTH WILKES-BARRE CAMPUS(GSWB) WHICH IS AN AMBULATORY CAMPUS LOCATED IN SOUTH WILKES-BARRE, PENNSYLVANIA. - GEISINGER-LEWISTOWN HOSPITAL (GLH), IS A PENNSYLVANIA 501(C)(3) NOT- FOR-PROFIT CORPORATION OWNING AND OPERATING A GENERAL COMMUNITY-BASED HOSPITAL IN LEWISTOWN, PENNSYLVANIA. - HOLY SPIRIT HOSPITAL OF THE SISTER OF CHRISTIAN CHARITY (HSH) IS A PENNSYLVANIA 501(C)(3) NOT-FOR-PROFIT COMMUNITY CATHOLIC HOSPITAL PROVIDING HIGH QUALITY, COST-EFFECTIVE HEALTH SERVICES TO PATIENTS IN THE GREATER HARRISBURG AREA AND SOUTH CENTRAL PENNSYLVANIA. - GEISINGER CLINIC (GC) IS A PENNSYLVANIA 501(C)(3) NOT-FOR-PROFIT CORPORATION WHICH OPERATES A MULTI-SPECIALTY GROUP MEDICAL PRACTICE. GEISINGER CLINIC PROVIDES PHYSICIAN STAFF FOR PATIENT CARE, EDUCATION AND CLINICAL RESEARCH AND OPERATES CARESITE PHARMACIES. - FAMILY HEALTH ASSOCIATES OF GEISINGER-LEWISTOWN HOSPITAL (FHA) IS A PENNSYLVANIA 501(C)(3) NOT-FOR-PROFIT CORPORATION WHICH OPERATES A MULTI- SPECIALTY GROUP PRACTICE IN LEWISTOWN, PENNSYLVANIA. - SPIRIT PHYSICIANS SERVICES, INC., (SPSI)(DOING BUSINESS AS HOLY SPIRIT MEDICAL GROUP) IS A PENNSYLVANIA 501(C)(3) AND 509(A)(2) CORPORATION WHICH PROVIDES CONVENIENT HEALTH CARE TO THE COMMUNITY THROUGH ITS SIX FAMILY HEALTH CENTERS, AN INTERNAL MEDICINE PRACTICE, TWO WOMEN'S HEALTH CENTERS, A GENERAL SURGERY PRACTICE, A PEDIATRICS PRACTICE, A CARDIOTHORACIC SURGERY PRACTICE, GENERAL INTERNAL MEDICINE HOSPITALIST SERVICES AND NEUROLOGICAL HOSPITALIST SERVICES. - MARWORTH (MW) IS A PENNSYLVANIA 501(C)(3) NOT-FOR-PROFIT RESIDENTIAL ALCOHOL AND CHEMICAL DEPENDENCY DETOXIFICATION AND REHABILITATION FACILITY IN WAVERLY, PENNSYLVANIA, WITH AN INPATIENT CENTER AND OUTPATIENT AND FAMILY ADDICTION TREATMENT PROGRAMS. - GEISINGER COMMUNITY HEALTH SERVICES (GCHS) IS A PENNSYLVANIA 501(C)(3) NOT-FOR-PROFIT ORGANIZATION DESIGNED TO CONDUCT CHARITABLE, SCIENTIFIC AND EDUCATION ACTIVITIES FOR THE CITIZENS OF THE COMMUNITIES SERVED BY GEISINGER INCLUDING THE OPERATION OF A MEDICARE-CERTIFIED HOME HEALTH AGENCY AND THE PROVISION OF HEALTH CARE SERVICES IN A PATIENT'S HOME OR PLACE OF RESIDENCE. - GEISINGER-BLOOMSBURG HEALTH CARE CENTER (GBHCC), IS A PENNSYLVANIA 501 (C)(3) NOT-FOR-PROFIT ENTITY OPERATING A LONG-TERM CARE NURSING HOME LOCATED IN BLOOMSBURG, PENNSYLVANIA. THE FACILITY WAS SOLD 01/31/18. - MOUNTAIN VIEW NURSING HOME, INC.,(MVNH)(DOING BUSINESS AS MOUNTAIN VIEW CARE CENTER) IS A PENNSYLVANIA 501(C)(3) NOT-FOR-PROFIT ENTITY OPERATING A LONG-TERM CARE, SKILLED NURSING AND REHABILITATION FACILITY PROVIDING SKILLED NURSING CARE IN SCRANTON, PENNSYLVANIA. THE FACILITY WAS SOLD 01/31/18. - WEST SHORE ADVANCED LIFE SUPPORT SERVICES, INC. (WSALS) (DOING BUSINESS AS GEISINGER HOLY SPIRIT EMS), IS A PENNSYLVANIA 501(C)(3) NOT-FOR-PROFIT CORPORATION WHICH PROVIDES AMBULANCE AND MEDICAL TRANSPORT SERVICES ACROSS CENTRAL PENNSYLVANIA. - GEISINGER HEALTH PLAN (GHP) IS A PENNSYLVANIA 501(C)(4) NOT-FOR-PROFIT HEALTH MAINTENANCE CORPORATION OPERATING HEALTH INSURANCE PRODUCT LINES. - GEISINGER SYSTEM SERVICES IS A PENNSYLVANIA 501(C)(3) NOT-FOR-PROFIT SUPPORT SERVICE CORPORATION PROVIDING FINANCIAL SERVICES, HUMAN RESOURCES, INFORMATION SYSTEMS, INTERNAL AUDITS, LEGAL SERVICES, STRATEGIC PLANNING, MARKETING AND PUBLIC RELATIONS, AND FACILITIES SERVICES TO GEISINGER AFFILIATES. - KEYSTONE HEALTH INFORMATION EXCHANGE, INCORPORATED (KEYHIE), IS A PENNSYLVANIA 501(C)(3) AND 509(A)(1) NOT-FOR-PROFIT CORPORATION WHICH COLLABORATES WITH OTHER HEALTH CARE ORGANIZATIONS TO IMPROVE ACCESS TO HEALTH INFORMATION TECHNOLOGY FOR ALL PROVIDERS IN GEISINGER'S SERVICE AREA AND TO IMPROVE THE EXCHANGE OF HEALTH CARE INFORMATION WHEN PATIENTS TRANSITION FROM ONE HEALTH CARE SETTING TO ANOTHER. - GEISINGER INSURANCE CORPORATION, RISK RETENTION GROUP (RRG) - IS A NON- PROFIT CORPORATION DOMICILED IN THE STATE OF VERMONT AND REGISTERED BY THE PENNSYLVANIA INSURANCE DEPARTMENT, TO PROVIDE PRIMARY PROFESSIONAL LIABILITY COVERAGE FOR SEVERAL SYSTEM ENTITIES INCLUDING GEISINGER MEDICAL CENTER, GEISINGER CLINIC, GEISINGER WYOMING VALLEY MEDICAL CENTER, COMMUNITY MEDICAL CENTER, GEISINGER - BLOOMSBURG HOSPITAL, MOUNTAIN VIEW CARE CENTER AND GEISINGER - BLOOMSBURG HEALTH CARE CENTER. - HOLY SPIRIT HEALTH SYSTEM (HSHS) (REFERRED TO AS GEISINGER HOLY SPIRIT) IS A PENNSYLVANIA 501(C)(3) NOT-FOR-PROFIT CORPORATION THAT SERVES AS THE CORPORATE PARENT FOR HOLY SPIRIT HOSPITAL OF THE SISTERS OF CHRISTIAN CHARITY, SPIRIT PHYSICIAN SERVICES, INCORPORATED, HOLY SPIRIT VENTURES, INCORPORATED, AND HOLY SPIRIT CORPORATION. - HOLY SPIRIT CORPORATION (HSC) IS A PENNSYLVANIA 501(C)(2) NOT-FOR-PROFIT REAL ESTATE HOLDING CORPORATION WITH PROPERTIES IN CAMP HILL, DILLSBURG AND MECHANICSBURG, INCLUDING THE MEDICAL ARTS BUILDING, AMERICAN OFFICE CENTER AND KINDER CARE CENTER. - LEWISTOWN AMBULATORY CARE CORPORATION (LACC) IS A PENNSYLVANIA 501(C)(3) NOT-FOR-PROFIT CORPORATION OPERATING A REAL ESTATE HOLDING COMPANY THAT OWNS AND/OR MANAGES THE LEWISTOWN NON-HOSPITAL REAL ESTATE ASSETS. - GEISINGER ASSURANCE COMPANY, LTD. (GAC) IS FOR-PROFIT COMPANY DOMICILED IN THE CAYMAN ISLANDS WHICH PROVIDES REINSURANCE AGAINST LIABILITY ARISING OUT OF SYSTEM ACTIVITIES, INCLUDING MEDICAL, LEGAL AND GENERAL LIABILITY. THE GEISINGER ASSURANCE COMPANY PROVIDES 100% OF THE REINSURANCE FOR THE SYSTEM'S PRIMARY LIABILITY COVERAGE. - ATLANTICARE BEHAVORIAL HEALTH, INC (A MEMBER OF GEISINGER) IS A NEW JERSEY 501(C)(3) NOT-FOR-PROFIT CORPORATION PROVIDING OUTPATIENT MENTAL HEALTH, SUBSTANCE ABUSE/ADDICTION RECOVERY SERVICES AND FAMILY CARE SERVICES TO RESIDENTS OF SOUTHEASTERN NEW JERSEY. - ATLANTICARE FOUNDATION (A MEMBER OF GEISINGER) IS A NEW JERSEY 501(C)(3) NOT-FOR-PROFIT CHARITABLE FUNDRAISING ORGANIZATION. - ATLANTICARE HEALTH ENGAGEMENT, INC. (A MEMBER OF GEISINGER) IS A NEW JERSEY 501(C)(3) NOT-FOR-PROFIT CORPORATION PROVIDING WELLNESS AND TRANSFORMATION SERVICES TO ATLANTICARE REGIONAL MEDICAL CENTER, INC., ATLANTICARE PHYSICIAN GROUP, PC, AND ATLANTICARE HEALTH SOLUTIONS, INC. - ATLANTICARE HEALTH SERVICES, INC. IS A NEW JERSEY 501(C)(3) NOT-FOR- PROFIT CORPORATION PROVIDING HOSPICE, OUTPATIENT LAB, HOME CARE SERVICES AS WELL AS OPERATING A MEDICALLY INTEGRATED FITNESS CENTER AND LEASING SURGICAL AND MEDICAL OFFICE SUITES. - ATLANTICARE HEALTH SYSTEM, INC. (A MEMBER OF GEISINGER) IS A NEW JERSEY 501(C)(3) NOT-FOR-PROFIT SUPPORT SERVICE CORPORATION PROVIDING FINANCIAL SERVICES, HUMAN RESOURCES, INFORMATION SYSTEMS, INTERNAL AUDITS, LEGAL SERVICES, STRATEGIC PLANNING, MARKETING AND PUBLIC RELATIONS AND IS THE SOLE MEMBER OF ATLANTICARE REGIONAL HEALTH SERVICES, INC., ATLANTICARE FOUNDATION, ATLANTICARE HEALTH ENGAGEMENT, INC., AND ATLANTICARE HEALTH SOLUTIONS, INC. - ATLANTICARE REGIONAL MEDICAL CENTER INC. (A MEMBER OF GEISINGER) IS A 501(C)(3) NOT-FOR-PROFIT CORPORATION OWNING AND OPERATING ACUTE CA |
| FORM 990, PART V | FORM 990, PART V, LINE 1A: ENTER THE NUMBER REPORTED IN BOX 3 OF FORM 1096, ANNUAL SUMMARY AND TRANSMITTAL OF U.S. INFORMATION RETURNS. GEISINGER SYSTEM SERVICES (GSS), AN AFFILIATE OF THE ORGANIZATION, PROVIDES A CENTRALIZED ACCOUNTS PAYABLE FUNCTION FOR ALL GEISINGER ORGANIZATIONS. AS THE ACCOUNTS PAYABLE PROCESSOR, GSS PREPARES AND FILES FORM 1099 UNDER ITS EIN FOR CERTAIN REPORTABLE PAYMENTS OF THE FILING ORGANIZATION. THE NUMBER OF 1099'S FILED BY GSS FOR THE 2017 REPORTING PERIOD ON BEHALF OF ITSELF AND ITS AFFILIATES WAS 1,739. THE RESPONSE ENTERED ON LINE 1A FOR THE ORGANIZATION INCLUDES ONLY THOSE FORM 1099S FILED UNDER THE ORGANIZATIONS EIN. IT DOES NOT INCLUDE THOSE FILED BY GSS ON ITS BEHALF. |
| FORM 990, PART V, LINE 4B | CAYMAN ISLANDS |
| 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? CHRISTOPHER B. SULLIVAN, DANIEL E. LOHR, ESQUIRE, DAVID J. FELICIO, ESQUIRE, DAVID T. FEINBERG, MD, MBA, EDELYN L. MILLER, HEATHER M. ACKER, JAEWON RYU, MD, JD, JOHN C. BRAVMAN, PHD, KAREN DAVIS, PHD, KEVIN F. BRENNAN, CPA, FHFMA, PAMELA KEHALY, ROBERT E. POOLE, ROBERT J. DIETZ, STEVEN R. YOUSO, THOMAS H. LEE, JR, MD, MSC, VIRGINIA MCGREGOR, AND WILLIAM E. SORDONI ALL HAVE A BUSINESS RELATIONSHIP WITH ONE ANOTHER BECAUSE THEY SERVE AS OFFICERS AND/OR DIRECTORS ON ONE OR MORE FOR-PROFIT AFFILIATE OF THE ENTITY. ALL OF THE AFFILIATES ARE PART OF GEISINGER. |
| FORM 990, PAGE 6, PART VI, LINE 1A | THERE WAS A DELEGATION OF AUTHORITY TO THE GEISINGER HEALTH EXECUTIVE COMMITTEE WHICH IS COMPRISED OF THOSE INDIVIDUALS WHO SERVE AS GEISINGER HEALTH BOARD MEMBERS. UNDER THE NONPROFIT CORPORATION LAW AND UNDER GEISINGER HEALTH'S CORPORATE BYLAWS, THE EXECUTIVE COMMITTEE HAS FULL AUTHORITY TO ACT ON BEHALF OF THE FULL BOARD OF DIRECTORS WHEN IT IS NOT IN SESSION. |
| FORM 990, PAGE 6, PART VI, LINE 11B | ALL OFFICERS AND DIRECTORS WERE ELECTRONICALLY PROVIDED A FINAL COPY OF THE FORM 990 PRIOR TO FILING THE RETURN WITH THE IRS. AN EXECUTIVE SUMMARY OF THE INFORMATION REPORTED ON THE RETURN IS PROVIDED TO ASSIST IN THE REVIEW. IN ACCORDANCE WITH THE GEISINGER HEALTH BOARD OF DIRECTOR'S FINANCE COMMITTEE CHARTER, GEISINGER ORGANIZATIONS' FORM 990 FILINGS ARE REVIEWED ANNUALLY. THE FORM 990 IS PREPARED BY GEISINGER TAX AND FINANCIAL REPORTING DEPARTMENTS WITH INFORMATION PROVIDED FROM FINANCE, TAX, HUMAN RESOURCES, LEGAL SERVICES AND OTHER RELEVANT DEPARTMENTS WITHIN GEISINGER. THE CHIEF FINANCIAL OFFICER (CFO) OF GEISINGER AND THE INDIVIDUAL ORGANIZATIONS SENIOR FINANCIAL MANAGERS REVIEW THEIR RESPECTIVE FORM 990 PRIOR TO MAKING THE FINAL RETURN AVAILABLE TO THE BOARD. IN ADDITION, THE CHIEF LEGAL OFFICER AND CHIEF HUMAN RESOURCE OFFICER OF GEISINGER REVIEW THE INFORMATION DISCLOSED ON THE FORM 990 RELEVANT TO THEIR RESPECTIVE AREAS OF RESPONSIBILITY. FOR PURPOSES OF THEIR ANNUAL AUDIT OF GEISINGER CONSOLIDATED FINANCIAL STATEMENTS, INDEPENDENT AUDITORS REVIEW ALL FEDERAL TAX RETURNS FILED BY GEISINGER ORGANIZATIONS TO IDENTIFY MATERIAL ITEMS, INCLUDING IF THERE ARE ANY UNCERTAIN TAX POSITIONS THAT MAY BE REQUIRED TO BE RECOGNIZED. THE COMPANY HAD NO UNCERTAIN TAX POSITIONS REQUIRED TO BE REPORTED FOR REPORTING PERIOD. |
| FORM 990, PAGE 6, PART VI, LINE 12C | THE OFFICERS AND DIRECTORS OF THE ORGANIZATION ARE SUBJECT TO THE GEISINGER CONFLICT OF INTEREST POLICY FOR DIRECTORS, OFFICERS AND SENIOR LEADERS. AT LEAST ONCE EACH YEAR DIRECTORS, OFFICERS, KEY EMPLOYEES, SENIOR LEADERS AND OTHERS DESIGNATED BY THE BOARD OF DIRECTORS ARE REQUIRED TO DISCLOSE IN WRITING THE EXISTENCE OF ANY POTENTIAL FINANCIAL INTERESTS THAT MAY GIVE RISE TO A CONFLICT OF INTEREST WITH ANY AFFILIATE WITHIN GEISINGER. THE DISCLOSURES ARE REVIEWED BY THE OFFICE OF THE CHIEF LEGAL OFFICER AND REPORTED TO THE AUDIT AND COMPLIANCE COMMITTEES 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 GEISINGER EMPLOYED BOARD DIRECTORS, OFFICERS, AND EXECUTIVE MANAGEMENT IS DESIGNED TO SATISFY THE REBUTTABLE PRESUMPTION PROCEDURE AVAILABLE FOR INTERMEDIATE SANCTION PURPOSES. THE PROCESS REQUIRES A REVIEW OF COMPENSATION DETERMINATIONS BY DISINTERESTED PARTIES, USE OF APPROPRIATE COMPARABILITY DATA AND CONTEMPORANEOUS DOCUMENTATION OF THE PROCESS. ON AN ANNUAL BASIS AN INDEPENDENT, NATIONALLY RECOGNIZED COMPENSATION CONSULTANT COMPLETES A COMPARATIVE ASSESSMENT OF COMPENSATION FOR THE CEO AND SENIOR MANAGEMENT WITHIN GEISINGER. THE CONSULTANT'S REPORT IS PRESENTED TO THE GEISINGER FAMILY COMMITTEE PRIOR TO ANY COMPENSATION ADJUSTMENT. THE REPORT SUPPORTS THE RIGOROUS REVIEW COMPLETED BY THE GEISINGER FAMILY COMMITTEE TO ENSURE THAT THE PROGRAM IS RESPONSIBLE TO THE GEISINGER CHARITABLE MISSION, REFLECTS REASONABLE COMPENSATION WITHIN THE NONPROFIT MARKET AND IS COMPLIANT WITH THE IRS'S INTERMEDIATE SANCTION REQUIREMENTS. THE SURVEY DATA IN THE COMPARATIVE ANALYSIS IS CAPTURED FOR FUNCTIONALLY COMPARABLE POSITIONS IN MULTIPLE SIMILAR NONPROFIT ORGANIZATIONS AND REFLECTS TOTAL REMUNERATION PROVIDED IN THE MARKET. ALL SURVEYS ARE CONDUCTED BY THIRD PARTY ORGANIZATIONS AND NOT CONDUCTED AT THE SPECIFIC DIRECTION OF GEISINGER. ANY COMPENSATION ADJUSTMENTS ARE APPROVED BY THE GEISINGER FAMILY COMMITTEE PRIOR TO THE EFFECTIVE DATE OF THE PAYMENT. THE GEISINGER FAMILY COMMITTEE AT ITS SOLE DISCRETION MAY POSITIVELY OR NEGATIVELY ADJUST ANY RECOMMENDED COMPENSATION. |
| FORM 990, PAGE 6, PART VI, LINE 15B | SEE SCHEDULE O RESPONSE TO FORM 990, PART VI, SECTION B, QUESTION 15A. |
| FORM 990, PAGE 6, PART VI, LINE 19 | THE ANNUAL REPORT FOR GEISINGER, CONTAINING COMMUNITY BENEFIT INFORMATION, CONSOLIDATED FINANCIAL INFORMATION AND OTHER INFORMATION, IS AVAILABLE ON THE GEISINGER WEBSITE. GO TO: HTTPS://WWW.GEISINGER.ORG/ABOUT- GEISINGER/NEWS-AND-MEDIA/FOR-MEDIA/ANNUAL-REPORTS. FINANCIAL STATEMENTS, FORM 990, FORM 990-T, THE CONFLICTS OF INTEREST POLICY, AND OTHER GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART XI, LINE 9 | CONTRIBUTIONS TO AFFILIATES -444,169,480 TRANSFERS FROM AFFILIATES 54,503,500 CHANGE IN SUBSIDIARY EQUITY -8,528,451 CONTRIBUTION FROM ACQUISITION-RESTRICTED -17,119 CONTRIBUTION FROM ACQUISITION - UR GJSH 6,087,735 CONTRIBUTION FROM ACQUISITION - UR GJSHF 5,842,110 TOTAL -386,281,705 |
| 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'S CONSOLIDATED REPORT ON FEDERAL AWARDS IN ACCORDANCE WITH OMB CIRCULAR A-133. FOOTNOTE: THROUGHOUT FORM 990, THE TERMS "GEISINGER- AND "SYSTEM" SHALL REFER TO THE ENTIRE HEALTHCARE SYSTEM COMPRISED OF GEISINGER HEALTH AS PARENT AND ALL SUBSIDIARY CORPORATIONS COMPRISING THE SYSTEM. |
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