TIN:
SCHEDULE O
(Form 990)
Department of the Treasury
Internal Revenue Service
(Form 990)
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.
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2021
Open to Public
Inspection
Inspection
Name of the organization
GEISINGER HEALTH PLAN
Employer identification number
23-2311553
23-2311553
| Return Reference | Explanation |
|---|---|
| FORM 990 | FORM 990, PART IX STATEMENT OF FUNCTIONAL EXPENSES, LINE 24E: FEDERAL AND STATE UNRELATED BUSINESS INCOME TAX EXPENSE WAS 180,982 FOR THE REPORTING PERIOD. FORM 990, PART III. LINE 4A, FIRST ACCOMPLISHMENT I. GENERAL INFORMATION THREE COMPANIES COMPRISE WHAT IS KNOWN AS GEISINGER HEALTH PLAN: GEISINGER HEALTH PLAN ("GHP"), TRADITIONAL HEALTH MAINTENANCE ORGANIZATION (HMO); GEISINGER QUALITY OPTIONS, INC, PREFERRED PROVIDER ORGANIZATION (PPO); AND GEISINGER INDEMNITY INSURANCE COMPANY (GIIC), A THIRD PARTY ADMINISTRATOR (TPA) PROVIDING ADMINISTRATIVE ONLY SERVICES. THE THREE COMPANIES BASED IN DANVILLE, PENNSYLVANIA, HAD MORE THAN 612,050 MEMBERS AS OF DECEMBER 31, 2022. GHP, A NOT FOR PROFIT ORGANIZATION, PROVIDES PREPAID MANAGED HEALTHCARE TO MEMBERS. AT DECEMBER 31, 2022, GHP PREDOMINATELY PROVIDED MANAGED HEALTHCARE TO GOVERNMENT PROGRAMS INCLUDING 326,265 MEDICAID MEMBERS, 61,985 MEDICARE ADVANTAGE MEMBERS AND 10,993 CHIP MEMBERS. GHP ALSO PROVIDED MANAGED HEALTHCARE TO 44,450 COMMERCIAL MEMBERS. FOUNDED IN 1972, INCORPORATED IN 1984, AND LICENSED BY THE DEPARTMENT OF INSURANCE IN 1985, GHP OPERATES IN 48 CONTIGUOUS COUNTIES IN MOSTLY RURAL CENTRAL AND NORTHEASTERN PA. GHP CONTRACTS WITH MORE THAN 65,441 PROVIDERS AND 213 HOSPITALS. GHP IS CONSISTENTLY RECOGNIZED FOR QUALITY AND HAS BEEN ACCREDITED FOR QUALITY BY THE NATIONAL COMMITTEE FOR QUALITY ASSURANCE (NCQA) SINCE 1993. THE COMMERCIAL AND MEDICARE HMOS ARE RATED ONE OF THE TOP HEALTH PLANS IN THE NATION IN THE 2020 2021 NCQA HEALTH INSURANCE PLAN RATINGS. NEW FACILITIES AND MORE SERVICES GHP, A 501(C)(4) NONPROFIT ORGANIZATION, INVESTS REVENUES IN EXCESS OF COSTS TO PROVIDE HEALTHCARE TO MEMBERS TO IMPROVE FACILITIES AND SERVICES, INCREASE BENEFITS AND PROVIDE AFFORDABLE RATES. GHP TYPICALLY MAKES ANNUAL CONTRIBUTIONS TO GEISINGER HEALTH (GH), IT'S 501(C)(3) PARENT, TO ENHANCE TEACHING, EDUCATION AND RESEARCH PROJECTS TO BENEFIT ALL PENNSYLVANIANS. THESE CONTRIBUTIONS ARE USED TO FUND NEW FACILITIES AND TO ADD SERVICES TO OUR EXISTING HOSPITALS AND PHYSICIAN CLINICS IN DIRECT SUPPORT OF GH'S CHARITABLE MISSION AND OF ITS CHARITABLE AFFILIATES BY ENHANCING HEALTHCARE PROGRAMS AND SERVICES THROUGHOUT THE REGION WHILE IMPROVING THE AVAILABILITY OF PATIENT CARE IN OUR SERVICE AREA. PROVIDING AFFORDABLE, HIGH QUALITY, COMPREHENSIVE HEALTHCARE AND BENEFITS INCREASES ACCESS OF CARE TO THOSE WHO MIGHT NOT OTHERWISE BE ABLE TO AFFORD HEALTHCARE AND CONTRIBUTES TO QUALITY OF LIFE IN THE COMMUNITIES WE SERVE. GHP PROVIDES COMPLETE HEALTHCARE SERVICES ON A PREPAID BASIS THROUGH AN INTEGRATED HEALTHCARE DELIVERY SYSTEM, PROVIDING HEALTHCARE TO THE ENTIRE COMMUNITY. GHP CHANNELS EXPERIENCE, KNOWLEDGE AND FUNDS TO PURSUE GEISINGER'S PROJECTS. NO OTHER ORGANIZATION IN THIS REGION HAS BOTH PROVIDER AND PAYER JOINED TOGETHER TO CREATE SYNERGIES TO IMPROVE THE HEALTH OF THE COMMUNITIES SERVED. PROVENHEALTH NAVIGATOR (PHN) GHP'S PROVENHEALTH NAVIGATOR IS A PARTNERSHIP BETWEEN PATIENTS, PRIMARY CARE PROVIDERS AND GHP TO IMPROVE MEMBERS' HEALTH. ALSO KNOWN AS A "MEDICAL HOME," PHN PROVIDES A CASE MANAGER WHO WORKS WITH THE MEMBER'S HEALTHCARE PROVIDERS, THE MEMBER AND THE MEMBER'S FAMILY COORDINATING CARE WITH HOSPITALS, SPECIALISTS, PHARMACISTS AND SKILLED NURSING FACILITIES. THE MODEL BLENDS ASPECTS OF CHRONIC CARE, MEDICAL HOME AND PATIENT CENTERED PRIMARY CARE MODELS. ADDITIONAL FUNCTIONAL COMPONENTS ARE INCLUDED, CREATING A NEW HEALTHCARE DELIVERY VEHICLE: HEALTH NAVIGATOR ("HN"). ACTING AS THE FIRST LINE CAREGIVER AND GUIDE, GHP NURSE CASE MANAGERS HELP MEMBERS NAVIGATE THE HEALTH CARE SYSTEM. HN'S KEY STRATEGY OFFERS MEMBERS ACCESS TO AN HN CASE MANAGER 24 HOURS A DAY, 7 DAYS A WEEK. THE PRIMARY CARE PRACTICE TEAM AND GHP, WORKING WITH THE MEMBER AT THE CORE OF THE SYSTEM, ACCEPT RESPONSIBILITY TO OPTIMIZE HEALTH STATUS FOR EACH INDIVIDUAL MEETING WITH PREESTABLISHED QUALITY, EFFICIENCY, AND MEMBER SATISFACTION OUTCOME TARGETS FOR THE PRACTICE POPULATION. THE COST OF PROVIDING PHN TO NONMEMBERS WAS 2.6M DURING 2022. PROVENCARE CHRONIC DISEASE GEISINGER IDENTIFIED COMMON CHRONIC DISEASES (DIABETES, CORONARY ARTERY DISEASE, CONGESTIVE HEART FAILURE) AND ADULT PREVENTION MEASURES (IMMUNIZATIONS, COLONOSCOPIES, ETC.). USING EVIDENCE BASED BEST PRACTICES, CARE WAS "BUNDLED" TO INCLUDE THE MOST EFFECTIVE TREATMENT. SUCCESS IS MEASURED BY MEETING 100% OF THE BUNDLE REQUIREMENTS, TRACKED OVER TIME. GEISINGER'S MADE SIGNIFICANT IMPROVEMENT MEETING THE BUNDLE REQUIREMENTS FOR DIABETES AND PREVENTIVE CARE FOR ADULTS. PROVENCARE ACUTE EPISODIC CARE (THE "WARRANTY") BEGINNING WITH CORONARY ARTERY BYPASS GRAFTS (CABG), THE PROCESS INCLUDES IDENTIFYING HIGH VOLUME DIAGNOSIS RELATED GROUPS (DRGS), DETERMINING BEST PRACTICE TECHNIQUES AND DELIVERING EVIDENCE BASED CARE. THE GEISINGER CLINICAL ENTERPRISE WORKED WITH GHP TO ESTABLISH A GLOBAL FEE THAT INCLUDES PREOPERATIVE CARE, HOSPITALIZATION, PHYSICIAN FEES, REHABILITATION, AND CARE (ADMISSIONS DUE TO COMPLICATIONS) RELATED TO THE SURGERY WITHIN 90 DAYS. THIS ADDITIONAL CARE IS NOT CHARGED (IF SEEN AT A GEISINGER FACILITY). THIS "WARRANTED" CARE HAS BEEN SUCCESSFUL AND FEATURED IN THE NEW YORK TIMES AND IN THE ANNALS OF SURGERY. GEISINGER HAS PROGRAMS FOR ANGIOPLASTY WITH ACUTE MYOCARDIAL INFARCTION (HEART ATTACK), HIP REPLACEMENT, CATARACTS, ERYTHROPOIETIN (A DRUG USED FOR KIDNEY PATIENTS), PERINATAL CARE, LOW BACK PAIN AND BARIATRIC SURGERY. |
| FORM 990, PAGE 2, PART III, LINE 4A | TRANSITIONS OF CARE HELPING PATIENTS TRANSITION THROUGH LEVELS OF CARE, FROM HOSPITAL TO HOME, IS AN IMPORTANT COMPONENT OF ENSURING COMPREHENSIVE AND HIGH QUALITY HEALTHCARE SERVICES. GEISINGER HAS IMPLEMENTED NEW STRATEGIES WITHIN THE HOSPITAL AND PRIMARY AND SPECIALTY SETTINGS TO ANTICIPATE PATIENT NEEDS AND COORDINATE SERVICES TO ASSURE TIMELY AND SAFE TRANSITIONS. THESE STRATEGIES INCORPORATED TIMELY COMMUNICATION FROM THE HOSPITAL TO PRIMARY CARE PROVIDERS, LEVERAGED DATA FROM ELECTRONIC HEALTH RECORDS & CLAIMS TO IDENTIFY RISK AND USED CASE MANAGERS TO PROVIDE EARLY FOLLOW UP SERVICES. GEISINGER'S EFFORTS AROUND TRANSITIONS HAVE DEMONSTRATED MORE COORDINATED FOLLOW THROUGH AFTER DISCHARGE AND REDUCTIONS IN READMISSIONS. ELECTRONIC HEALTH RECORD (EHR) GEISINGER IS ON THE FOREFRONT IN THE DEVELOPMENT AND USE OF THE EHR. GHP HELPED SUPPORT THE 100 MILLION INVESTED IN EHR OVER THE LAST SEVERAL YEARS. ENDLESS POSSIBILITIES EXIST FOR IMPROVING THE QUALITY OF CARE WITH THE EHR. GHP USES THE EHR TO COMMUNICATE WITH MEMBERS WHO ARE INVOLVED IN MEDICAL OR DISEASE MANAGEMENT PROGRAMS AND THEIR PHYSICIANS. GEISINGER ALLOWS COMMUNITY HOSPITALS AND PHYSICIANS TO ACCESS PATIENT INFORMATION TO CARE FOR THEIR PATIENTS. DISEASE AND CASE MANAGEMENT SERVICES TO IMPROVE THE HEALTH OF MEMBERS, GHP PROVIDES DISEASE AND CASE MANAGEMENT PROGRAMS AND SERVICES TO COORDINATE CARE FOR THOSE WITH CHRONIC CONDITIONS. THE PROGRAMS ARE FOCUSED ON CONGESTIVE HEART FAILURE, HYPERTENSION, DIABETES, CORONARY ARTERY DISEASE, OSTEOPOROSIS, CHRONIC OBSTRUCTIVE PULMONARY DISEASE, CHRONIC KIDNEY DISEASE, ASTHMA, TOBACCO CESSATION AND WEIGHT MANAGEMENT. THESE PROGRAMS WERE THE RESULT OF A COLLABORATION OF EXPERTISE BETWEEN GHP AND GEISINGER PROVIDERS AND HAVE ATTAINED NATIONAL RECOGNITION BY HEALTH MANAGEMENT ORGANIZATIONS & INDUSTRY GROUPS. THIS SUCCESSFUL COLLABORATION IS AN EXAMPLE OF HOW THIS UNIQUE RELATIONSHIP BENEFITS THE COMMUNITY. COMMUNITY HEALTH, EDUCATION AND OUTREACH GHP EMPLOYEES PROVIDE THE PUBLIC WITH INFORMATION ON TOPICS SUCH AS INSURANCE EDUCATION, ADVANCE DIRECTIVES, DENTAL AND HAND HYGIENE, ASTHMA CARE, THE IMPORTANCE OF SCREENINGS & IMMUNIZATIONS AND WELLNESS. GHP PROVIDED INFORMATION TO 64,809 INDIVIDUALS AT 1,765 EVENTS INCLUDING HEALTH FAIRS, SCHOOL BASED PRESENTATIONS, SEMINARS AND ORGANIZATIONAL MEETINGS. THIS EDUCATION INCLUDED: 1.169 HEALTH EDUCATION EVENTS FOR CHILDREN WERE HELD COVERING DENTAL, NUTRITION & PHYSICAL ACTIVITY, HAND HYGIENE AND SUN SAFETY TOPICS. MORE THAN 2,165 CHILDREN ATTENDED THE EVENTS. 2.OVER 375 EVENTS SUPPORTED EVIDENCE BASED CHRONIC DISEASE PROGRAMMING, REACHING A TOTAL PARTICIPATION OF NEARLY 250 INDIVIDUALS. 3.OVER 1,220 WELLNESS ACTIVITIES WERE HELD AT EMPLOYER GROUPS AND COMMUNITY EVENTS. ALL OF OUR PROGRAMS ARE AVAILABLE TO OUR COMMERCIAL MEMBERS WHICH REPRESENT APPROXIMATELY 142,523 INDIVIDUALS. 4.MORE THAN 164 EMPLOYER GROUP AND COMMUNITY FLU EVENTS WERE HELD, PROVIDING 6,561 FLU SHOTS. GHP EDUCATES THE GENERAL PUBLIC, MEMBERS, EMPLOYER GROUPS, BROKERS, PARTICIPATING PROVIDERS AND OFFICE PERSONNEL ON HEALTH AND WELLNESS TOPICS RANGING FROM WOMEN'S HEALTH TO COLD AND FLU PREVENTION. THE INFORMATION IS AVAILABLE IN A VARIETY OF FORMATS INCLUDING NEWSPAPER ARTICLES, NEWSLETTERS, EMAILS, BROCHURES AND POSTERS. GHP SUPPORTS MANY LOCAL ORGANIZATIONS THROUGH COMMUNITY SPONSORSHIPS. THE ORGANIZATIONS INCLUDED LOCAL CHAMBERS OF COMMERCE AND THE BOY SCOUTS OF AMERICA. THE COST OF COMMUNITY HEALTH, EDUCATION AND OUTREACH ACTIVITIES WAS 4.8M DURING 2022. HEALTH EQUITY AT GEISINGER, WE STRIVE TO ENSURE WE CREATE A CULTURE OF BELONGING AND INCLUSION WHERE THE WORKFORCE REFLECTS THE PEOPLE WE SERVE, AND OUR LEADERS REFLECT OUR OVERALL WORKFORCE. IN 2021, GEISINGER HIRED ITS FIRST CHIEF DIVERSITY, EQUITY AND INCLUSION (DEI) OFFICER AND DEVELOPED A SYSTEM-WIDE DE&I COUNCIL, DE&I TEAM, AND HEALTH EQUITY STEERING COMMITTEE (HESC) THAT SUPPORTS THE CLINICAL ENTERPRISE AND GEISINGER HEALTH PLAN. OUR APPROACH TO ACHIEVING THIS GOAL IS THROUGH A MULTI-YEAR STRATEGY AND INFRASTRUCTURE THAT REINFORCES OUR CULTURE OF INCLUSION AND BELONGING. THE MAIN PILLARS OF THE DIVERSITY, EQUITY AND INCLUSION STRATEGY FOCUS ON CULTURE, TALENT, COMMUNITY, SUPPLIER DIVERSITY, AND HEALTH EQUITY. THE OUTPUT OF THE STRATEGY AND CONTINUAL PROGRESS IS SEEN ANNUALLY IN THE FOLLOWING RESULTS: 1.INCREASED DIVERSITY OF PEOPLE IN THE ORGANIZATION. 2.INCREASED EMPLOYEE ENGAGEMENT AND SENTIMENTS ABOUT DIVERSITY, EQUITY, AND INCLUSION. 3.DECREASED TURNOVER OF HISTORICALLY MINORITIZED EMPLOYEES 4.INCREASED ENGAGEMENT AND CONFIDENCE IN GEISINGER AMONG THE BLACK AND LATINO COMMUNITIES. A SEPARATE STEERING COMMITTEE WILL BE DEVELOPED IN JANUARY 2023 TO SUPPORT WORKFLOWS AND PROCESSES UNIQUE TO THE HEALTH PLAN. STARTING IN 2019, AS AN INTEGRATED HEALTH DELIVERY SYSTEM, WE DEFINED DATA ELEMENTS, CLINICAL WORKFLOWS, AND ORGANIZATIONAL PRACTICE IN OUR ELECTRONIC HEALTH RECORD TO ASK PATIENTS AND MEMBERS THEIR RACE, ETHNICITY, LANGUAGE PREFERENCE, SEX, GENDER IDENTITY, SEX ASSIGNED AT BIRTH, ORGAN INVENTORY, AND AFFIRMATION HISTORY, PRONOUNS AND SEXUAL ORIENTATION, AS WELL AS VETERAN STATUS. THE QUESTIONS ARE EITHER ANSWERED BY THE PATIENTS IN ADVANCE OF A VISIT OR ASKED IN CLINICAL SETTINGS. THE RESPONSES ARE USED TO HELP CLINICIANS AND STAFF HAVE APPROPRIATE AND CULTURALLY RESPONSIVE CONVERSATIONS WITH PATIENTS AND MEMBERS. IN OUR HEALTH PLAN, WE HAVE ADOPTED THE SAME DATA ELEMENTS AROUND DEMOGRAPHICS AND EQUITY. IN 2023 WILL BE WORKING TO IDENTIFY PATHWAYS TO ASK MEMBERS DEMOGRAPHIC AND HEALTH EQUITY INFORMATION, DEVELOP WORKFLOWS AND ORGANIZATIONAL PRACTICES, SURFACE NEEDS AND ADDRESS DISPARITIES IN OUR MEMBERSHIP POPULATION IN ORDER TO DEVELOP NEW AND TARGET INTERVENTIONS AND PROGRAMMING. TO ENSURE GEISINGER AND HEALTH PLANS STAFF ARE TRAINED, THE DE&I OFFICE HAS DEVELOPED A SUITE OF TRAINING PROGRAMS, MATERIALS, AND RESOURCES FOR ALL STAFF TO HELP BUILD OUR KNOWLEDGE AROUND DEI AS WELL AS SUPPORT THE CURRENT DEI STRATEGIC INITIATIVES AT GEISINGER. FOR EXAMPLE, TRAINING TOPICS INCLUDE: UNCONSCIOUS BIAS, SEXUAL ORIENTATION AND GENDER IDENTITY, SEXUAL HARASSMENT, AND CULTURAL COMPETENCE, PROACTIVE AND INCLUSIVE POLICIES THAT ENSURE DIVERSITY IS CONSIDERED IN ALL STRATEGIC MANAGEMENT INITIATIVES. SOCIAL DETERMINANTS OF HEALTH GEISINGER IS PROACTIVELY ADDRESSING SOCIAL DETERMINANTS OF HEALTH AND HEALTH DISPARITIES IN A VARIETY OF WAYS. WE HAVE MOVED BEYOND TRADITIONAL MEDICAL CARE TO PROVIDE COORDINATED SOCIAL SERVICES AND OPPORTUNITIES TO OUR PATIENTS AND HEALTH PLAN MEMBERS WHILE CONNECTING THEM WITH COMMUNITY- BASED ORGANIZATIONS. WE ARE WORKING ACROSS SECTORS TO FIND CREATIVE, INNOVATIVE WAYS TO HELP INDIVIDUALS ADDRESS THE SOCIAL AND ENVIRONMENTAL FACTORS THAT IMPACT THEIR HEALTH. OUR SDOH STRATEGY ALIGNS DATA, COMMUNITY ENGAGEMENT, CONNECTION TO RESOURCES, AND SUSTAINED OUTCOMES TO HELP THE NEEDS OF OUR PATIENTS, MEMBERS, AND GEISINGER COMMUNITIES. COMMUNITY HEALTH BENEFIT FUND WHILE STABLE HOUSING, FRESH FRUITS, VEGETABLES, AND TRANSPORTATION OPTIONS ARE OFTEN NOT DEEMED HEALTH CARE NEEDS, THEY, ALONG WITH OTHER NECESSITIES, ARE VITAL TO POSITIVE HEALTH OUTCOMES. THE COMMUNITY HEALTH BENEFIT FUND WAS ESTABLISHED TO PROVIDE COMMUNITY ORGANIZATIONS WITH RESOURCES AND SERVICES NEEDED TO FOSTER POSITIVE HEALTH OUTCOMES. THE KEY AREAS WITH FUNDING NEEDS IDENTIFIED INCLUDE: 1.FOOD INSECURITY 2.TRANSPORTATION 3.HOUSING STABILITY 4.OPIOID PREVENTION AND TREATMENT 5.COMBATTING PEDIATRIC OBESITY 6.ACCESS TO DENTAL CARE 7.BEHAVIORAL HEALTH FUND RECIPIENTS ARE CHOSEN BY THE COMMUNITY HEALTH BENEFIT FUND COMMITTEE WHO MEET QUARTERLY TO DISCUSS NEEDS AND SUBMIT APPROVAL OF ALLOCATED FUNDING WITHIN THE GEISINGER FOOTPRINT. FOOD INSECURITY & SDOH SCREENING STARTED IN NOVEMBER 2018, AS A HEALTH PLAN MEMBER ENROLLED WITH OUR CARE TEAMS, OR SPECIAL NEEDS UNIT (SNU) ARE SCREENED FOR SDOH NEEDS USING A UNIVERSAL ASSESSMENT. QUESTIONS ARE ASKED AROUND ECONOMIC STABILITY, FOOD SECURITY, EDUCATION, SOCIAL AND COMMUNITY CONTEXT, ACCESS TO HEALTH CARE, TRANSPORTATION AND ENVIRONMENTAL CONDITIONS. ALL NEW MEDICAID MEMBERS ARE SCREENED FOR HEALTH DISPARITIES AFTER ENROLLMENT AND CONNECTED TO RESOURCES. FROM JUNE 2018-JUNE 2021, OUR PATIENTS AND MEMBERS WERE ALSO SCREENED FOR FOOD INSECURITY ANNUALLY DURING THE PATIENT ROOMING PROCESS IN PRIMARY CARE, PEDIATRICS, INTERNAL MEDICINE, AS WELL AS URGENT CARE; THOSE IDENTIFIED ARE REFERRED TO A SOCIAL SERVICE PARTNER. IDENTIFICATION OF NEEDS: WE HAVE BEEN SCREENING OUR MEMBERS AND PATIENTS FOR SOCIAL NEEDS SINCE 2018 AND MOST RECENTLY IN 2021 IMPLEMENTED A NEW SOCIAL NEEDS SCREENING TO IDENTIFY URGENT NEEDS WITH MEMBERS AND PATIENTS WENT LIVE IN JULY 2021. THE NEW SCREENING INCLUDES 13 QUESTIONS ACROSS 11 DOMAINS: FOOD INSECURITY, HEALTH CARE/MEDICAL ACCESS/AFFORDABILITY, HOUSING, TRANSPORTATION, CHILDCARE, EMPLOYMENT, UTILITIES, CLOTHING, FINANCIAL STRAIN, CONNECTIONS (SOCIAL ISOLATION), AND SAFETY. THE SCREENING IS DESIGNED TO SURFACE THE |
| FORM 990, PART V | FORM 990, PART V, LINE 1A: ENTER THE NUMBER REPORTED IN BOX 3 OF FORM 1096, ANNUAL SUMMARY AND TRANSMITTAL OF U.S. INFORMATION RETURNS. GEISINGER SYSTEM SERVICES (GSS), AN AFFILIATE OF THE ORGANIZATION, PROVIDES A CENTRALIZED ACCOUNTS PAYABLE FUNCTION FOR ALL GEISINGER ORGANIZATIONS. AS THE ACCOUNTS PAYABLE PROCESSOR, GSS PREPARES AND FILES FORM 1099 UNDER ITS EIN FOR CERTAIN REPORTABLE PAYMENTS OF THE FILING ORGANIZATION. THE NUMBER OF FORM 1099'S FILED BY GSS FOR THE 2022 REPORTING PERIOD ON BEHALF OF ITSELF AND ITS AFFILIATES WAS 1,353. THE RESPONSE ENTERED ON LINE 1A FOR THE ORGANIZATION INCLUDES ONLY THOSE FORM 1099S FILED UNDER THE ORGANIZATIONS EIN, IT DOES NOT INCLUDE THOSE FILED BY GSS ON ITS BEHALF. |
| FORM 990, PART VI | FORM 990, PART I, SECTION A, LINE 4: FORM 990, PART VI, SECTION A, LINE 1B: ENTER THE NUMBER OF VOTING MEMBERS THAT ARE INDEPENDENT. BASED ON THE FORM 990 DEFINITION OF "INDEPENDENCE" AS IT RELATES TO VOTING MEMBERS OF THE GOVERNING BODY, TWO VOTING MEMBERS ARE NOT INDEPENDENT BECAUSE THEY ARE COMPENSATED AS EMPLOYEES OF THIS OR RELATED TAX-EXEMPT ORGANIZATIONS. FORM 990, PART VI, SECTION A, LINE 2: DID ANY OFFICER, DIRECTOR, TRUSTEE, OR KEY EMPLOYEE HAVE A FAMILY RELATION- SHIP OR BUSINESS RELATIONSHIP WITH ANY OTHER OFFICER, DIRECTOR, TRUSTEE, OR KEY EMPLOYEE? BENJAMIN K. CHU, MD, MPH, MACP, CHRISTOPHER B. SULLIVAN, DAVID J. WEADER, ESQUIRE, DONALD T. ROSINI, HEATHER M. ACKER, JAEWON RYU, MD, JD, JOHN C. BRAVMAN, PHD, KEVIN V. ROBERTS, MBA, CPA, KURT WROBEL, FSA, MAAA, MARK MCCULLOUGH, SHERRY A. GLIED, PHD, STEVEN B. BENDER, ESQUIRE, THOMAS H. LEE, JR, MD, MSC, THOMAS J. LISTON, AND V. CHRIS HOLCOMBE ALL HAVE A BUSINESS RELATIONSHIP WITH ONE ANOTHER BECAUSE THEY SERVE AS OFFICERS AND/OR DIRECTORS ON ONE OR MORE FOR-PROFIT AFFILIATE OF THE ENTITY. ALL OF THE AFFILIATES ARE PART OF GEISINGER. |
| FORM 990, PAGE 6, PART VI, LINE 1A | THERE WAS A DELEGATION OF AUTHORITY TO THE GEISINGER HEALTH EMERGENCY ACTION COMMITTEE, WHICH IS COMPRISED OF THE CHAIR OF THE BOARD, VICE-CHAIR OF THE BOARD, THE PRESIDENT AND CEO (EX-OFFICIO DIRECTOR), CHAIR OF THE FINANCE COMMITTEE AND CHAIR OF THE PATIENT EXPERIENCE, ACADEMIC AFFAIRS AND QUALITY COMMITTEE. UNDER THE NONPROFIT CORPORATION LAW AND UNDER GEISINGER HEALTH'S CORPORATE BYLAWS, THE EMERGENCY ACTION COMMITTEE SHALL EXERCISE THE POWER AND AUTHORITY OF THE BOARD OF DIRECTORS TO ACT ON EMERGENCY MATTERS BETWEEN MEETINGS OF THE BOARD OF DIRECTORS. |
| FORM 990, PAGE 6, PART VI, LINE 6 | THE MEMBERS OF THE CORPORATION HAVE THE POWER AND AUTHORITY TO ELECT AND REMOVE THE DIRECTORS; ELECT AND REMOVE THE PRESIDENT AND FILL ANY VACANCY IN THE OFFICE OF THE PRESIDENT OF THE CORPORATION; AND, MAY APPROVE AMENDMENTS TO THE CORPORATE BYLAWS IN LIEU OF SUCH APPROVAL BY THE BOARD OF DIRECTORS. THE MEMBERS ALSO HAVE THE RESERVE POWERS AS SET FORTH IN THE PENNSYLVANIA NONPROFIT CORPORATION LAW. |
| FORM 990, PAGE 6, PART VI, LINE 7A | THE BOARD OF DIRECTORS OF THE CORPORATION SHALL SERVE AS THE GOVERNING BODY OF THE CORPORATION. THE PRESIDENT OF THE CORPORATION SHALL BE A DIRECTOR BY REASON OF HOLDING SUCH OFFICE. THE REMAINING DIRECTORS SHALL BE ELECTED BY THE MEMBERS AT THE ANNUAL MEETING OF THE MEMBERS. THE MEMBERS OF THE CORPORATION MAY SERVE AS DIRECTORS AND DIRECTORS MAY SUCCEED THEMSELVES FROM TERM TO TERM. VACANCIES ON THE BOARD OF DIRECTORS SHALL BE FILLED BY THE MEMBERS AT THEIR DISCRETION AT THE ANNUAL MEETING OF THE MEMBERS OR AT A SPECIAL MEETING CALLED FOR SUCH PURPOSE. |
| FORM 990, PAGE 6, PART VI, LINE 7B | THE MEMBERS OF THE CORPORATION HAVE THE POWER AND AUTHORITY TO ELECT AND REMOVE THE DIRECTORS; ELECT AND REMOVE THE PRESIDENT AND FILL ANY VACANCY IN THE OFFICE OF THE PRESIDENT OF THE CORPORATION; AND, MAY APPROVE AMENDMENTS TO THE CORPORATE BYLAWS IN LIEU OF SUCH APPROVAL BY THE BOARD OF DIRECTORS. THE MEMBERS ALSO HAVE THE RESERVE POWERS AS SET FORTH IN PENNSYLVANIA NONPROFIT CORPORATION LAW. |
| FORM 990, PAGE 6, PART VI, LINE 11B | ALL OFFICERS AND DIRECTORS WERE ELECTRONICALLY PROVIDED A FINAL COPY OF THE FORM 990 PRIOR TO FILING THE RETURN WITH THE IRS. AN EXECUTIVE SUMMARY OF THE INFORMATION REPORTED ON THE RETURN IS PROVIDED TO ASSIST IN THE REVIEW. IN ACCORDANCE WITH THE GEISINGER HEALTH BOARD OF DIRECTOR'S FINANCE COMMITTEE CHARTER, GEISINGER ORGANIZATIONS' FORM 990 FILINGS ARE REVIEWED ANNUALLY. THE FORM 990 IS PREPARED BY GEISINGER TAX AND FINANCE DEPARTMENTS WITH INFORMATION PROVIDED FROM FINANCE, TAX, HUMAN RESOURCES, LEGAL SERVICES AND OTHER RELEVANT DEPARTMENTS WITHIN GEISINGER. THE CHIEF FINANCIAL OFFICER (CFO) OF GEISINGER AND THE INDIVIDUAL ORGANIZATIONS SENIOR FINANCIAL MANAGERS REVIEW THEIR RESPECTIVE FORM 990 PRIOR TO MAKING THE FINAL RETURN AVAILABLE TO THE BOARD. IN ADDITION, THE CHIEF LEGAL OFFICER AND CHIEF HUMAN RESOURCE OFFICER OF GEISINGER REVIEW THE INFORMATION DISCLOSED ON THE FORM 990 RELEVANT TO THEIR RESPECTIVE AREAS OF RESPONSIBILITY. FOR PURPOSES OF THEIR ANNUAL AUDIT OF GEISINGER CONSOLIDATED FINANCIAL STATEMENTS, INDEPENDENT AUDITORS REVIEW ALL FEDERAL TAX RETURNS FILED BY GEISINGER ORGANIZATIONS TO IDENTIFY MATERIAL ITEMS, INCLUDING IF THERE ARE ANY UNCERTAIN TAX POSITIONS THAT MAY BE REQUIRED TO BE RECOGNIZED. THE COMPANY HAD NO UNCERTAIN TAX POSITIONS REQUIRED TO BE REPORTED FOR REPORTING PERIOD. |
| FORM 990, PAGE 6, PART VI, LINE 12C | THE OFFICERS AND DIRECTORS OF THE ORGANIZATION ARE SUBJECT TO THE GEISINGER CONFLICT OF INTEREST POLICY FOR DIRECTORS, OFFICERS AND SENIOR LEADERS. AT LEAST ONCE EACH YEAR DIRECTORS, OFFICERS, KEY EMPLOYEES, SENIOR LEADERS AND OTHERS DESIGNATED BY THE BOARD OF DIRECTORS ARE REQUIRED TO DISCLOSE IN WRITING THE EXISTENCE OF ANY POTENTIAL FINANCIAL INTERESTS THAT MAY GIVE RISE TO A CONFLICT OF INTEREST WITH ANY AFFILIATE WITHIN GEISINGER. THE DISCLOSURES ARE REVIEWED BY THE OFFICE OF THE CHIEF COMPLIANCE OFFICER AND REPORTED TO THE AUDIT AND COMPLIANCE COMMITTEE AND/OR BOARD OF DIRECTORS. AFTER REVIEW OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, INPUT FROM DEPARTMENT OF LEGAL SERVICES AND ANY DISCUSSION WITH THE PERSON DESIRED BY THE BOARD OR COMMITTEE, THE COMMITTEE/BOARD DECIDES IF A CONFLICT EXISTS AND TAKES APPROPRIATE ACTION. THE INDIVIDUAL DISCLOSING THE FINANCIAL INTEREST IS ABSENT DURING THE COMMITTEE/BOARD DELIBERATIONS AND DECISIONS ON THE MATTER. |
| FORM 990, PAGE 6, PART VI, LINE 15A | THE PROCESS TO REVIEW AND APPROVE THE COMPENSATION OF GEISINGER EMPLOYED BOARD DIRECTORS, OFFICERS, AND EXECUTIVE MANAGEMENT IS DESIGNED TO SATISFY THE REBUTTABLE PRESUMPTION PROCEDURE AVAILABLE FOR INTERMEDIATE SANCTION PURPOSES. THE PROCESS REQUIRES A REVIEW OF COMPENSATION DETERMINATIONS BY DISINTERESTED PARTIES, USE OF APPROPRIATE COMPARABILITY DATA AND CONTEMPORANEOUS DOCUMENTATION OF THE PROCESS. ON AN ANNUAL BASIS AN INDEPENDENT, NATIONALLY RECOGNIZED COMPENSATION CONSULTANT COMPLETES A COMPARATIVE ASSESSMENT OF COMPENSATION FOR THE CEO AND SENIOR MANAGEMENT WITHIN GEISINGER. THE CONSULTANT'S REPORT IS PRESENTED TO THE GEISINGER FAMILY COMMITTEE PRIOR TO ANY COMPENSATION ADJUSTMENT. THE REPORT SUPPORTS THE RIGOROUS REVIEW COMPLETED BY THE GEISINGER FAMILY COMMITTEE TO ENSURE THAT THE PROGRAM IS RESPONSIBLE TO THE GEISINGER CHARITABLE MISSION, REFLECTS REASONABLE COMPENSATION WITHIN THE NONPROFIT MARKET AND IS COMPLIANT WITH THE IRS'S INTERMEDIATE SANCTION REQUIREMENTS. THE SURVEY DATA IN THE COMPARATIVE ANALYSIS IS CAPTURED FOR FUNCTIONALLY COMPARABLE POSITIONS IN MULTIPLE SIMILAR NONPROFIT ORGANIZATIONS AND REFLECTS TOTAL REMUNERATION PROVIDED IN THE MARKET. ALL SURVEYS ARE CONDUCTED BY THIRD PARTY ORGANIZATIONS AND NOT CONDUCTED AT THE SPECIFIC DIRECTION OF GEISINGER. ANY COMPENSATION ADJUSTMENTS ARE APPROVED BY THE GEISINGER FAMILY COMMITTEE PRIOR TO THE EFFECTIVE DATE OF THE PAYMENT. THE GEISINGER FAMILY COMMITTEE AT ITS SOLE DISCRETION MAY POSITIVELY OR NEGATIVELY ADJUST ANY RECOMMENDED COMPENSATION. |
| FORM 990, PAGE 6, PART VI, LINE 15B | SEE SCHEDULE O RESPONSE TO FORM 990, PART VI, SECTION B, QUESTION 15A. |
| FORM 990, PAGE 6, PART VI, LINE 19 | FINANCIAL STATEMENTS, FORM 990, THE CONFLICTS OF INTEREST POLICY, AND OTHER GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART VIII | FORM 990, PART VIII, LINE 2B: THE IC SUPPORT SERVICE REVENUE REPRESENTS REVENUE FROM INTERCOMPANY MANAGEMENT, ADMINISTRATIVE, AND CONSULTING SERVICES PROVIDED TO RELATED TAXABLE ORGANIZATIONS. THE ORGANIZATION AND RELATED TAXABLE ORGANIZATIONS ARE ALL CONTROLLED BY GEISINGER HEALTH. THE SERVICES, PROVIDED AT OR BELOW COST, ARE PERFORMED WITHOUT A PROFIT MOTIVE TO PROMOTE THE EFFICIENT OPERATION OF GEISINGER IN CARRYING OUT ITS CHARITABLE MISSION. THE SERVICES ARE NOT OFFERED TO UNRELATED ORGANIZATIONS OR TO THE GENERAL PUBLIC. UNDER IRS ADVISORY DATED MARCH 7, 2014, THESE INTERCOMPANY SHARED SERVICES ARE NOT INCLUDED IN THE DEFINITION OF UNRELATED BUSINESS INCOME AND SHOULD NOT TO BE INCLUDED ON FORM 990-T DUE TO THE ABSENCE OF THE FOLLOWING TWO CONDITIONS: (1) THE SERVICES MUST BE ABOVE COST OR AT FAIR MARKET VALUE, AND (2) THERE MUST BE A PROFIT MOTIVE. |
| FORM 990, PART XI, LINE 9 | FORM 990T BOOK TO TAX ADJUSTMENT: 481A REVENUE -2,240 |
| FORM 990, PART XII | FORM 990, PART XII, LINE 3A: AS A RESULT OF A FEDERAL AWARD, WAS THE ORGANIZATION REQUIRED TO UNDERGO AN AUDIT OR AUDITS AS SET FORTH IN THE UNIFORM GUIDANCE, 2 C.F.R. PART 200, SUBPART F? FEDERAL AWARDS ARE AUDITED AS A PART OF THE GEISINGER'S CONSOLIDATED REPORT ON FEDERAL AWARDS IN ACCORDANCE WITH UNIFORM GUIDANCE, 2 C.F.R. PART 200, SUBPART F. FOOTNOTE: THROUGHOUT THIS DOCUMENT, THE TERMS "GEISINGER- OR "GEISINGER HEALTH" SHALL REFER TO THE ENTIRE HEALTH CARE SYSTEM COMPRISED OF GEISINGER HEALTH FOUNDATION (THE "FOUNDATION") AS PARENT AND ALL SUBSIDIARY CORPORATE ENTITIES COMPRISING THE HEALTH CARE SYSTEM. IN ADDITION, THROUGHOUT THIS DOCUMENT, THE TERM "SYSTEM" SHALL REFER TO THE ENTIRE HEALTH CARE SYSTEM AS PREVIOUSLY DEFINED PLUS ITS AFFILIATES. |
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990) 2021
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