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      <Desc>I. VISION AND VALUES VISION: MAKING BETTER HEALTH EASY VALUES: KINDNESS - WE TREAT EVERYONE AS WE WOULD HOPE TO BE TREATED OURSELVES. EXCELLENCE - WE WILL HUMBLY STRIVE FOR EXCELLENCE IN ALL WE DO. SAFETY - WE WILL PROVIDE A SAFE ENVIRONMENT FOR OUR PATIENTS AND MEMBERS AND THE GEISINGER FAMILY. 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 VARIOUS GEISINGER AFFILIATED ENTITIES' ACTIVITIES IN HEALTH CARE AND RELATED BUSINESSES. IN ADDITION TO ENSURING GEISINGER AFFILIATES HAVE ADEQUATE FINANCIAL RESOURCES TO FULFILL THEIR MISSIONS, GH IS INVOLVED WITH INITIATING AND ADMINISTERING GRANT AND PHILANTHROPIC SUPPORT PROGRAMS FOR ALL THE GEISINGER 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 LOCATED IN SHAMOKIN, PENNSYLVANIA. - GEISINGER ENCOMPASS HEALTH LIMITED LIABILITY COMPANY IS A PENNSYLVANIA LIMITED LIABILITY COMPANY REPRESENTING A JOINT VENTURE BETWEEN GEISINGER MEDICAL CENTER AND ENCOMPASS HEALTH (FORMERLY HEALTHSOUTH CORPORATION) TO PROVIDE FOR THE DEVELOPMENT, MANAGEMENT, FINANCING AND OPERATION OF A FREESTANDING REHABILITATION HOSPITAL (GEISINGER ENCOMPASS HEALTH REHABILITATION HOSPITAL) ON THE GMC CAMPUS, AND THE DEVELOPMENT OF A NETWORK TO PROVIDE OUTPATIENT REHABILITATION CENTERS AND OTHER PROGRAMS TO GEISINGER PATIENTS. -GEISINGER-HM JOINT VENTURE, LLC, ("GHM") IS A PENNSYLVANIA LIMITED LIABILITY COMPANY REPRESENTING A JOINT VENTURE BETWEEN GEISINGER MEDICAL CENTER AND HIGHMARK HEALTH. GHM IS ORGANIZED TO PROVIDE HIGH QUALITY, INNOVATIVE, COST-EFFECTIVE CLINICAL CARE TO PATIENTS IN ITS SERVICE AREA AND TO ENGAGE IN ANY ACTIVITIES AND TRANSACTIONS AS MAY BE NECESSARY TO ACCOMPLISH THE SAME INCLUDING OWNING AND/OR OPERATING HOSPITALS OR OTHER HEALTH CARE FACILITIES. GEISINGER-HM JOINT VENTURE (G-HM) OPERATES LICENSED LABORATORY SERVICES KNOWN AS GEISINGER MEDICAL LABORATORIES (GML). GEISINGER-HM JOINT VENTURE(G-HM) OWNS AND OPERATES THE AMBULATORY SURGERY CENTER/FACILITY KNOWN AS GEISINGER ENDOSCOPY - MONTOURSVILLE. -GEISINGER MEDICAL CENTER MUNCY, FORMED JUNE 11, 2020 AND RECEIVED ITS HOSPITAL FACILITY LICENSE ON JANUARY 5, 2022, WELCOMING ITS FIRST PATIENTS, MONDAY, JAN. 10, 2022. THE FULL-SERVICE HOSPITAL, INCLUDING AN EMERGENCY ROOM, CLINICAL DECISION UNIT, INTENSIVE CARE UNIT, SURGICAL SUITES AND PRIMARY AND SPECIALTY CARE AREAS IS PART OF A CLINICAL JOINT VENTURE BETWEEN GEISINGER AND HIGHMARK HEALTH THAT EXPANDS ACCESS TO CARE FOR THOSE IN A FOUR-COUNTY REGION COVERING CLINTON, LYCOMING, SULLIVAN, AND TIOGA COUNTIES. - 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. -COMMUNITY MEDICAL CENTER HOLDS A 100% MEMBERSHIP INTEREST IN GEISINGER SCA HOLDINGS, LLC, A DELAWARE LIMITED LIABILITY COMPANY, WHICH IN TURN IS THE MAJORITY OWNER OF LACKAWANNA PHYSICIANS AMBULATORY SURGERY CENTER, LLC, DOING BUSINESS AS NORTH EAST SURGERY CENTER, OPERATING AN AMBULATORY SURGERY CENTER LOCATED IN DICKSON CITY, PA. - GEISINGER-BLOOMSBURG HOSPITAL (GBH), IS A PENNSYLVANIA 501(C)(3) NOT-FOR PROFIT CORPORATION OWNING AND OPERATING A GENERAL COMMUNITY-BASED ACUTE- CARE 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, 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 ACUTE- CARE HOSPITAL IN LEWISTOWN, 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 GEISINGER CONVENIENT CARE CLINICS (FORMERLY KNOWN AS CAREWORKS). - GC IS THE SINGLE MEMBER OF GEISINGER PHARMACY, LLC A PENNSYLVANIA LIMITED LIABILITY COMPANY PROVIDING PHARMACY SERVICES SUCH AS SPECIALTY, MAIL ORDER, HOME INFUSION AND PHARMACY AT VARIOUS LOCATIONS THROUGHOUT THE GEISINGER SERVICE AREA. -GEISINGER CLINIC (GC) HAS PRIMARY OWNERSHIP (75%) IN KEYSTONE ACCOUNTABLE CARE ORGANIZATION (KACO), A PARTNERSHIP WITH EVANGELICAL COMMUNITY HOSPITAL (10%), THE WRIGHT CENTER (10%), AND WAYNE MEMORIAL HOSPITAL (5%). KACO PARTNERS WITH DOCTORS, HOSPITALS AND OTHER HEALTHCARE PROVIDERS WHO WORK TOGETHER TO PROVIDE BETTER, MORE COORDINATED CARE. - 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. FHA MERGED INTO GEISINGER CLINIC, EFFECTIVE JANUARY 1, 2023. - 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), A PENNSYLVANIA 501(C)(3) NOT-FOR-PROFIT ORGANIZATION, OPERATES A PACE PROGRAM (PROGRAM OF ALL- INCLUSIVE CARE FOR THE ELDERLY) UNDER THE LIFE GEISINGER BRAND. - WEST SHORE ADVANCED LIFE SUPPORT SERVICES, INC. (WSALS) (DOING BUSINESS AS GEISINGER 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, HEALTHCARE TRANSFORMATION, 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 VARIOUS GEISINGER ENTITIES. - 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. LACC MERGED INTO GEISINGER-LEWISTOWN HOSPITAL, EFFECTIVE JUNE 1, 2022. - 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. - ISS SOLUTIONS INC. (FORMERLY KNOWN AS GEISINGER MEDICAL MANAGEMENT CORP.) IS A PENNSYLVANIA FOR-PROFIT CORPORATION THAT DELIVERS CLINICAL AND INFORMATIONAL TECHNOLOGY SERVICES AND BUSINESS SOFTWARE SOLUTIONS TO CLIENTS THROUGHOUT THE UNITED STATES, AND OWNS AND OPERATES THE PINE BARN INN, A RESTAURANT, HOTEL, AND SPECIAL EVENTS VENUE LOCATED IN DANVILLE, PENNSYLVANIA. - GEISINGER INDEMNITY INSURANCE COMPANY IS A PENNSYLVANIA FOR-PROFIT CORPORATION PROVIDING INDEMNITY HEALTH INSURANCE. - GEISINGER QUALITY OPTIONS, INC. 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        <PersonNm>KEVIN V ROBERTS MBA CPA</PersonNm>
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        <PersonNm>AMY B BRAYFORD</PersonNm>
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        <PersonNm>MATTHEW WALSH</PersonNm>
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        <PersonNm>JAMES E HARTLE MD</PersonNm>
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        <PersonNm>DOMINIC MOFFA MBA FACHE</PersonNm>
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        <PersonNm>KURT WROBEL FSA MAAA</PersonNm>
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        <PersonNm>JULIE BYERLEY MD MPH</PersonNm>
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        <PersonNm>KAREN MURPHY RN PHD</PersonNm>
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        <PersonNm>STEVEN B BENDER ESQUIRE</PersonNm>
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        <PersonNm>JANET F TOMCAVAGE RN MSN</PersonNm>
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        <PersonNm>NANCY G LAWTON</PersonNm>
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        <PersonNm>LORI R GRAMLEY ESQUIRE</PersonNm>
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        <PersonNm>ROBIN ENDICOTT</PersonNm>
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        <PersonNm>DAVID H LEDBETTER PHD FACMG</PersonNm>
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        <PersonNm>STEVEN J SCHEINMAN MD</PersonNm>
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        <PersonNm>CRYSTAL QUINTIN</PersonNm>
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        <PersonNm>JUDY GRAHAM</PersonNm>
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        <PersonNm>BRIAN EBERSOLE</PersonNm>
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        <PersonNm>ANGELA BROUSE</PersonNm>
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        <PersonNm>CHERYL CONNOLLY</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>GLENN BERNIUS</PersonNm>
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        <PersonNm>HEATHER M ACKER</PersonNm>
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        <PersonNm>JOSEPH JOHN BRIDY</PersonNm>
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        <PersonNm>JEFFREY A JACOBSON</PersonNm>
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        <PersonNm>BENJAMIN K CHU MD MPH MACP</PersonNm>
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        <PersonNm>THOMAS H LEE JR MD MSC</PersonNm>
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        <PersonNm>VIRGINIA MCGREGOR</PersonNm>
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        <PersonNm>GAIL R WILENSKY PHD</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN C BRAVMAN PHD</PersonNm>
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        <PersonNm>SHERRY A GLIED PHD</PersonNm>
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        <PersonNm>ROBERT E POOLE</PersonNm>
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        <PersonNm>DONALD T ROSINI</PersonNm>
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        <PersonNm>WILLIAM E SORDONI</PersonNm>
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        <PersonNm>CHRISTOPHER B SULLIVAN</PersonNm>
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      <FundraisingAmt>858614</FundraisingAmt>
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        <ExplanationTxt>CENTRAL AMERICA AND THE CARIBBEAN 0 360,629,123 EAST ASIA AND THE PACIFIC 0 2,575,694 EUROPE 0 146,849,333 NORTH AMERICA 0 1,296,382 SOUTH AMERICA 0 211,134</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleF>
    <IRS990ScheduleG documentId="RetDoc6">
      <MailSolicitationsInd>X</MailSolicitationsInd>
      <EmailSolicitationsInd>X</EmailSolicitationsInd>
      <PhoneSolicitationsInd>X</PhoneSolicitationsInd>
      <InPersonSolicitationsInd>X</InPersonSolicitationsInd>
      <SolicitationOfNonGovtGrantsInd>X</SolicitationOfNonGovtGrantsInd>
      <SolicitationOfGovtGrantsInd>X</SolicitationOfGovtGrantsInd>
      <SpecialFundraisingEventsInd>X</SpecialFundraisingEventsInd>
      <AgrmtProfFundraisingActyInd>true</AgrmtProfFundraisingActyInd>
      <FundraiserActivityInfoGrp>
        <PersonNm>THE GOBEL GROUP LLC</PersonNm>
        <USAddress>
          <AddressLine1Txt>PO BOX 2011</AddressLine1Txt>
          <CityNm>WEST CHESTER</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>193802011</ZIPCd>
        </USAddress>
        <ActivityTxt>CMPGN CNSL</ActivityTxt>
        <FundraiserControlOfFundsInd>false</FundraiserControlOfFundsInd>
        <RetainedByContractorAmt>72000</RetainedByContractorAmt>
        <NetToOrganizationAmt>-72000</NetToOrganizationAmt>
      </FundraiserActivityInfoGrp>
      <FundraiserActivityInfoGrp>
        <PersonNm>MAJOR PLANNED GIVING DEVELOPMENT</PersonNm>
        <USAddress>
          <AddressLine1Txt>1104 HARROGATE WAY</AddressLine1Txt>
          <CityNm>AMBLER</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19002</ZIPCd>
        </USAddress>
        <ActivityTxt>PLANGIVING</ActivityTxt>
        <FundraiserControlOfFundsInd>false</FundraiserControlOfFundsInd>
        <RetainedByContractorAmt>20000</RetainedByContractorAmt>
        <NetToOrganizationAmt>-20000</NetToOrganizationAmt>
      </FundraiserActivityInfoGrp>
      <TotalRetainedByContractorsAmt>92000</TotalRetainedByContractorsAmt>
      <TotalNetToOrganizationAmt>-92000</TotalNetToOrganizationAmt>
      <LicensedStatesCd>FL</LicensedStatesCd>
      <LicensedStatesCd>KY</LicensedStatesCd>
      <LicensedStatesCd>MA</LicensedStatesCd>
      <LicensedStatesCd>NJ</LicensedStatesCd>
      <LicensedStatesCd>NY</LicensedStatesCd>
      <LicensedStatesCd>PA</LicensedStatesCd>
      <LicensedStatesCd>VA</LicensedStatesCd>
      <LicensedStatesCd>MN</LicensedStatesCd>
      <LicensedStatesCd>MI</LicensedStatesCd>
      <LicensedStatesCd>MD</LicensedStatesCd>
      <FundraisingEventInformationGrp>
        <Event1Nm>GCSOM GALA</Event1Nm>
        <GrossReceiptsEvent1Amt>228235</GrossReceiptsEvent1Amt>
        <CharitableContriEvent1Amt>165751</CharitableContriEvent1Amt>
        <GrossRevenueEvent1Amt>62484</GrossRevenueEvent1Amt>
        <OtherDirectExpensesEvent1Amt>263190</OtherDirectExpensesEvent1Amt>
        <Event2Nm>EMERALD CITY BA</Event2Nm>
        <GrossReceiptsEvent2Amt>505080</GrossReceiptsEvent2Amt>
        <CharitableContriEvent2Amt>377915</CharitableContriEvent2Amt>
        <GrossRevenueEvent2Amt>127165</GrossRevenueEvent2Amt>
        <OtherDirectExpensesEvent2Amt>223549</OtherDirectExpensesEvent2Amt>
        <OtherEventsTotalCnt>5</OtherEventsTotalCnt>
        <GrossReceiptsOtherEventsAmt>364901</GrossReceiptsOtherEventsAmt>
        <CharitableContriOtherEventsAmt>314948</CharitableContriOtherEventsAmt>
        <GrossRevenueOtherEventsAmt>49953</GrossRevenueOtherEventsAmt>
        <OthDirectExpnssOtherEventsAmt>129709</OthDirectExpnssOtherEventsAmt>
        <GrossReceiptsTotalAmt>1098216</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>858614</CharitableContributionsTotAmt>
        <GrossRevenueTotalEventsAmt>239602</GrossRevenueTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>616448</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>616448</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>-376846</NetIncomeSummaryAmt>
      </FundraisingEventInformationGrp>
      <GamingInformationGrp>
        <VolunteerLaborBingoInd>false</VolunteerLaborBingoInd>
        <VolunteerLaborPullTabsInd>false</VolunteerLaborPullTabsInd>
        <GrossRevenueOtherGamingAmt>54947</GrossRevenueOtherGamingAmt>
        <CashPrizesOtherGamingAmt>15386</CashPrizesOtherGamingAmt>
        <NonCashPrizesOtherGamingAmt>11885</NonCashPrizesOtherGamingAmt>
        <VolunteerLaborOtherGamingInd>false</VolunteerLaborOtherGamingInd>
        <GrossRevenueTotalGamingAmt>54947</GrossRevenueTotalGamingAmt>
        <CashPrizesTotalGamingAmt>15386</CashPrizesTotalGamingAmt>
        <NonCashPrizesTotalGamingAmt>11885</NonCashPrizesTotalGamingAmt>
        <DirectExpenseSummaryGamingAmt>27271</DirectExpenseSummaryGamingAmt>
        <NetGamingIncomeSummaryAmt>27676</NetGamingIncomeSummaryAmt>
      </GamingInformationGrp>
      <StatesWhereGamingConductedCd>PA</StatesWhereGamingConductedCd>
      <LicensedInd>true</LicensedInd>
      <LicenseSuspendedEtcInd>false</LicenseSuspendedEtcInd>
      <GamingWithNonmembersInd>false</GamingWithNonmembersInd>
      <MemberOfOtherEntityInd>false</MemberOfOtherEntityInd>
      <GamingOwnFacilityPct>0.01000</GamingOwnFacilityPct>
      <GamingOtherFacilityPct>0.99000</GamingOtherFacilityPct>
      <IndividualWithBooksNm>LINDA J VAJI</IndividualWithBooksNm>
      <PersonsWithBooksUSAddress>
        <AddressLine1Txt>100 NORTH ACADEMY AVENUE MC 24-20</AddressLine1Txt>
        <CityNm>DANVILLE</CityNm>
        <StateAbbreviationCd>PA</StateAbbreviationCd>
        <ZIPCd>178212576</ZIPCd>
      </PersonsWithBooksUSAddress>
      <CntrctWith3rdPrtyForGameRevInd>false</CntrctWith3rdPrtyForGameRevInd>
      <GamingManagerPersonNm>NANCY LAWTON-KLUCK</GamingManagerPersonNm>
      <GamingManagerServicesProvTxt>CHIEF PHILANTHROPY OFFICER</GamingManagerServicesProvTxt>
      <GamingManagerIsEmployeeInd>X</GamingManagerIsEmployeeInd>
      <CharitableDistributionRqrInd>false</CharitableDistributionRqrInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE G, PART IV</FormAndLineReferenceDesc>
        <ExplanationTxt>THE GAMING MANAGER IS NOT COMPENSATED SPECIFICALLY FOR GAMING ACTIVITIES; THESE ACTIVITIES ARE ONLY A SMALL PERCENTAGE OF HER RESPONSIBILITIES.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleG>
    <IRS990ScheduleI documentId="RetDoc7">
      <GrantRecordsMaintainedInd>true</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>ALL OTHER ASSISTANCE COMBINED</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>EACH INDIVIDUALLY 5000 OR LESS</AddressLine1Txt>
          <CityNm>DANVILLE</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>17822</ZIPCd>
        </USAddress>
        <CashGrantAmt>120599</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT PROGRAMS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>AMGA FOUNDATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>ONE PRINCESTREET</AddressLine1Txt>
          <CityNm>ALEXANDRIA</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>22314</ZIPCd>
        </USAddress>
        <RecipientEIN>546059304</RecipientEIN>
        <IRCSectionDesc>3</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT MISSION</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>BLACK SCRANTON PROJECT</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1902 NORTH MAIN ST</AddressLine1Txt>
          <CityNm>SCRANTON</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>18509</ZIPCd>
        </USAddress>
        <RecipientEIN>842222145</RecipientEIN>
        <IRCSectionDesc>3</IRCSectionDesc>
        <CashGrantAmt>15000</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT PROGRAM</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>BLOOMSBURG FIRE DEPT</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>301 EAST SECOND STREET</AddressLine1Txt>
          <CityNm>BLOOMSBURG</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>17821</ZIPCd>
        </USAddress>
        <RecipientEIN>232847253</RecipientEIN>
        <IRCSectionDesc>3</IRCSectionDesc>
        <CashGrantAmt>25000</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT PROGRAM</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>BLOOMSBURG UNIVERSITY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>50 EAST MAIN ST</AddressLine1Txt>
          <AddressLine2Txt>4TH FLOOR</AddressLine2Txt>
          <CityNm>BLOOMSBURG</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>17815</ZIPCd>
        </USAddress>
        <RecipientEIN>237088491</RecipientEIN>
        <IRCSectionDesc>3</IRCSectionDesc>
        <CashGrantAmt>40000</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT PROGRAM</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CANDYS PLACE CANCER WELLNESS CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>190 WELLES ST STE 166</AddressLine1Txt>
          <CityNm>FORTY FORT</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>18704</ZIPCd>
        </USAddress>
        <RecipientEIN>232973385</RecipientEIN>
        <IRCSectionDesc>3</IRCSectionDesc>
        <CashGrantAmt>5500</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT MISSION</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CENTRE VOLUNTEERS IN MEDICINE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2520 GREEN TECH DRIVE UNIT D</AddressLine1Txt>
          <CityNm>STATE COLLEGE</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>16803</ZIPCd>
        </USAddress>
        <RecipientEIN>251897969</RecipientEIN>
        <IRCSectionDesc>3</IRCSectionDesc>
        <CashGrantAmt>25000</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT MISSION</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>COLUMBIA COUNTY VOLUNTEERS IN MED</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>310 EAST THIRD ST</AddressLine1Txt>
          <AddressLine2Txt>PO BOX 416</AddressLine2Txt>
          <CityNm>MIFFLINVILLE</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>18631</ZIPCd>
        </USAddress>
        <RecipientEIN>205695518</RecipientEIN>
        <IRCSectionDesc>3</IRCSectionDesc>
        <CashGrantAmt>11465</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT PROGRAM</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CARING COMMUNITY HEALTH CARE</BusinessNameLine1Txt>
          <BusinessNameLine2Txt>CCHC</BusinessNameLine2Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>175 SOUTH WILKES BARRE BLVD</AddressLine1Txt>
          <CityNm>WILKES BARRE</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>18702</ZIPCd>
        </USAddress>
        <RecipientEIN>831838249</RecipientEIN>
        <IRCSectionDesc>3</IRCSectionDesc>
        <CashGrantAmt>4452000</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT MISSION</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>COUNTRYSIDE CONSERVANCY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 55</AddressLine1Txt>
          <CityNm>LA PLUME</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>184400055</ZIPCd>
        </USAddress>
        <RecipientEIN>232787790</RecipientEIN>
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        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT MISSION</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>EAST END FIRE COMPANY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>954 BLOOM ROAD</AddressLine1Txt>
          <CityNm>DANVILLE</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>17821</ZIPCd>
        </USAddress>
        <RecipientEIN>231718398</RecipientEIN>
        <IRCSectionDesc>3</IRCSectionDesc>
        <CashGrantAmt>25000</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT PROGRAM</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>FOUNDATION OF PA MEDICAL SOCIETY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>400 WINDING CREEK BLVD</AddressLine1Txt>
          <CityNm>MECHANICSBURG</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>17055</ZIPCd>
        </USAddress>
        <RecipientEIN>231511600</RecipientEIN>
        <IRCSectionDesc>3</IRCSectionDesc>
        <CashGrantAmt>15000</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT MISSION</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>FRIENDS OF THE POOR</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2300 ADAMS AVE</AddressLine1Txt>
          <CityNm>SCRANTON</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>18509</ZIPCd>
        </USAddress>
        <RecipientEIN>260046876</RecipientEIN>
        <IRCSectionDesc>3</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT PROGRAM</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>FRIENDSHIP FIRE CO 1</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>219 FERRY ST</AddressLine1Txt>
          <CityNm>DANVILLE</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>17821</ZIPCd>
        </USAddress>
        <RecipientEIN>240789604</RecipientEIN>
        <IRCSectionDesc>3</IRCSectionDesc>
        <CashGrantAmt>50000</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT PROGRAMS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>GEISINGER BLOOMSBURG HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>100 NORTH ACADEMY AVENUE</AddressLine1Txt>
          <CityNm>DANVILLE</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>17822</ZIPCd>
        </USAddress>
        <RecipientEIN>232193572</RecipientEIN>
        <IRCSectionDesc>3</IRCSectionDesc>
        <CashGrantAmt>57442</CashGrantAmt>
        <PurposeOfGrantTxt>CAPITAL/PROG SERVICE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>GEISINGER CLINIC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>100 NORTH ACADEMY AVENUE</AddressLine1Txt>
          <CityNm>DANVILLE</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>178229800</ZIPCd>
        </USAddress>
        <RecipientEIN>236291113</RecipientEIN>
        <IRCSectionDesc>3</IRCSectionDesc>
        <CashGrantAmt>4701404</CashGrantAmt>
        <PurposeOfGrantTxt>CAPITAL/PROG SERVICE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>GEISINGER COMMONWEALTH SCHOOL OF ME</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>525 PINE STREET</AddressLine1Txt>
          <CityNm>SCRANTON</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>18509</ZIPCd>
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        <RecipientEIN>260812968</RecipientEIN>
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        <CashGrantAmt>1144693</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT MISSION</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>GEISINGER COMMUNITY MEDICAL CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>100 NORTH ACADEMY AVENUE</AddressLine1Txt>
          <CityNm>DANVILLE</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>17822</ZIPCd>
        </USAddress>
        <RecipientEIN>232279376</RecipientEIN>
        <IRCSectionDesc>3</IRCSectionDesc>
        <CashGrantAmt>101234</CashGrantAmt>
        <PurposeOfGrantTxt>CAPITAL/PROG SERVICE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>GEISINGER JERSEY SHORE HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1020 THOMPSON</AddressLine1Txt>
          <CityNm>JERSEY SHORE</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>17740</ZIPCd>
        </USAddress>
        <RecipientEIN>240792115</RecipientEIN>
        <IRCSectionDesc>3</IRCSectionDesc>
        <CashGrantAmt>503000</CashGrantAmt>
        <PurposeOfGrantTxt>CAPITAL/PROG SERVICE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>GEISINGER LEWISTOWN HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>400 HIGHLAND AVENUE</AddressLine1Txt>
          <CityNm>LEWISTOWN</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>17044</ZIPCd>
        </USAddress>
        <RecipientEIN>231352187</RecipientEIN>
        <IRCSectionDesc>3</IRCSectionDesc>
        <CashGrantAmt>51913</CashGrantAmt>
        <PurposeOfGrantTxt>CAPITAL PROG/SERVICE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>GEISINGER MEDICAL CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>100 NORTH ACADEMY AVENUE</AddressLine1Txt>
          <CityNm>DANVILLE</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>178229800</ZIPCd>
        </USAddress>
        <RecipientEIN>240795959</RecipientEIN>
        <IRCSectionDesc>3</IRCSectionDesc>
        <CashGrantAmt>1627761</CashGrantAmt>
        <PurposeOfGrantTxt>CAPITAL/PROG SERVICE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>GEISINGER SYSTEM SERVICES</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>100 NORTH ACADEMY AVENUE</AddressLine1Txt>
          <CityNm>DANVILLE</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>178229800</ZIPCd>
        </USAddress>
        <RecipientEIN>232164794</RecipientEIN>
        <IRCSectionDesc>3</IRCSectionDesc>
        <CashGrantAmt>256150</CashGrantAmt>
        <PurposeOfGrantTxt>CAPITAL/PROG SERVICE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>GEISINGER WYOMING VALLEY MED CTR</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1000 EAST MOUNTAIN DRIVE</AddressLine1Txt>
          <CityNm>WILKES BARRE</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>187110027</ZIPCd>
        </USAddress>
        <RecipientEIN>231996150</RecipientEIN>
        <IRCSectionDesc>3</IRCSectionDesc>
        <CashGrantAmt>654691</CashGrantAmt>
        <PurposeOfGrantTxt>CAPITAL/PROG SERVICE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>HAZLETON INTEGRATION PROGRAM</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>225 EAST FOURTH ST</AddressLine1Txt>
          <CityNm>HAZLETON</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>18201</ZIPCd>
        </USAddress>
        <RecipientEIN>453444683</RecipientEIN>
        <IRCSectionDesc>3</IRCSectionDesc>
        <CashGrantAmt>15000</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT PROGRAM</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>HEALTH CARE IMPROVEMENT</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>TEN PENN CENTER</AddressLine1Txt>
          <AddressLine2Txt>1801 MARKET ST STE 710</AddressLine2Txt>
          <CityNm>PHILADELPHIA</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19103</ZIPCd>
        </USAddress>
        <RecipientEIN>232152039</RecipientEIN>
        <IRCSectionDesc>3</IRCSectionDesc>
        <CashGrantAmt>25000</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT MISSION</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>KEYSTONE HEALTH INFORMATION EXCHANG</BusinessNameLine1Txt>
          <BusinessNameLine2Txt>KEYHIE</BusinessNameLine2Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>100 NORTH ACADEMY AVENUE</AddressLine1Txt>
          <CityNm>DANVILLE</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>178224031</ZIPCd>
        </USAddress>
        <RecipientEIN>464359893</RecipientEIN>
        <IRCSectionDesc>3</IRCSectionDesc>
        <CashGrantAmt>6000</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT PROGRAM</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MARWORTH</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 36</AddressLine1Txt>
          <CityNm>WAVERLY</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>184717736</ZIPCd>
        </USAddress>
        <RecipientEIN>232171417</RecipientEIN>
        <IRCSectionDesc>3</IRCSectionDesc>
        <CashGrantAmt>50920</CashGrantAmt>
        <PurposeOfGrantTxt>CAPITAL/PROG SERVICE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>NATL ASSOC FOR ADVANCEMENT OF COLOR</BusinessNameLine1Txt>
          <BusinessNameLine2Txt>NAACP</BusinessNameLine2Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 20023</AddressLine1Txt>
          <CityNm>SCRANTON</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>18502</ZIPCd>
        </USAddress>
        <RecipientEIN>660987863</RecipientEIN>
        <IRCSectionDesc>3</IRCSectionDesc>
        <CashGrantAmt>15000</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT PROGRAM</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>NEW BERLIN FIRE COMPANY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>415 HIGH STREET</AddressLine1Txt>
          <CityNm>NEW BERLIN</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>17855</ZIPCd>
        </USAddress>
        <RecipientEIN>342065069</RecipientEIN>
        <IRCSectionDesc>3</IRCSectionDesc>
        <CashGrantAmt>8050</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT PROGRAM</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>NICHOLAS WOLFF FOUNDATION INC</BusinessNameLine1Txt>
          <BusinessNameLine2Txt>CAMP VICTORY</BusinessNameLine2Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>58 CAMP VICTORY ROAD</AddressLine1Txt>
          <CityNm>MILLVILLE</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>17846</ZIPCd>
        </USAddress>
        <RecipientEIN>232481065</RecipientEIN>
        <IRCSectionDesc>3</IRCSectionDesc>
        <CashGrantAmt>9500</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT MISSION</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>OASIS COMMUNITY RECOVERY CLUB INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>707 N LIBERTY ST</AddressLine1Txt>
          <CityNm>SHAMOKIN</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>17872</ZIPCd>
        </USAddress>
        <RecipientEIN>842237846</RecipientEIN>
        <IRCSectionDesc>3</IRCSectionDesc>
        <CashGrantAmt>8290</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT MISSION</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>PA STATE SYSTEM OF HIGH EDUC FOUN</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2986 N 2ND STREET</AddressLine1Txt>
          <CityNm>HARRISBURG</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>17110</ZIPCd>
        </USAddress>
        <RecipientEIN>222686249</RecipientEIN>
        <IRCSectionDesc>3</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT MISSION</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>VOLUNTEERS IN MEDICINE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>190 NORTH PENNSYLVANIA AVENUE</AddressLine1Txt>
          <CityNm>WILKESBARRE</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>18702</ZIPCd>
        </USAddress>
        <RecipientEIN>203531527</RecipientEIN>
        <IRCSectionDesc>3</IRCSectionDesc>
        <CashGrantAmt>100000</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT MISSION</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>WOMENS RESOURCE CENTER SCRANTON</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 975</AddressLine1Txt>
          <CityNm>SCRANTON</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>18501</ZIPCd>
        </USAddress>
        <RecipientEIN>232003915</RecipientEIN>
        <IRCSectionDesc>3</IRCSectionDesc>
        <CashGrantAmt>20000</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT MISSION</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>36</Total501c3OrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE I, PAGE 1, PART I, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>GEISINGER HEALTH DOES NOT AWARD GRANTS; GEISINGER HEALTH PROVIDES ASSISTANCE IN THE FORM OF CHARITABLE CONTRIBUTIONS TO TAX-EXEMPT ORGANIZATIONS THAT QUALIFY FOR 501 (C)(3)STATUS UNDER THE INTERNAL REVENUE CODE, LIMITED 501(C)(4) ORGANIZATIONS BASED ON EXPLICIT CRITERIA, PUBLIC BENEFIT OR NON-EXEMPT ORGANIZATIONS WHOSE ACTIVITIES FURTHER THE EXEMPT PURPOSE OF GEISINGER HEALTH. GEISINGER HEALTH NOTIFIES THE PUBLIC BENEFIT OR NON-EXEMPT ORGANIZATIONS OF THE INTENT AND PURPOSE OF THE CHARITABLE CONTRIBUTION. ORGANIZATIONS SEEKING SUPPORT MUST DEMONSTRATE THAT THEY EFFECTIVELY MEET AN IMPORTANT COMMUNITY NEED.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc8">
      <IdemnificationGrossUpPmtsInd>X</IdemnificationGrossUpPmtsInd>
      <WrittenPolicyRefTAndEExpnssInd>true</WrittenPolicyRefTAndEExpnssInd>
      <SubstantiationRequiredInd>true</SubstantiationRequiredInd>
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <IndependentConsultantInd>X</IndependentConsultantInd>
      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>true</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>true</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JAEWON RYU MD JD</PersonNm>
        <TitleTxt>PRES, CEO, DIRECTOR</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>4189940</CompensationBasedOnRltdOrgsAmt>
        <OtherCompensationRltdOrgsAmt>1355101</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>1526570</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>34370</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>7105981</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990RltdOrgsAmt>1322351</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KEVIN V ROBERTS MBA CPA</PersonNm>
        <TitleTxt>EVP, CFO, TREASURER</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>1652425</CompensationBasedOnRltdOrgsAmt>
        <OtherCompensationRltdOrgsAmt>83210</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>348862</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>26009</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>2110506</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>AMY B BRAYFORD</PersonNm>
        <TitleTxt>EVP,CHIEF OF STAFF</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>1194600</CompensationBasedOnRltdOrgsAmt>
        <OtherCompensationRltdOrgsAmt>316822</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>253076</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>35700</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>1800198</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990RltdOrgsAmt>289290</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MATTHEW WALSH</PersonNm>
        <TitleTxt>EVP, COO</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>1219503</CompensationBasedOnRltdOrgsAmt>
        <OtherCompensationRltdOrgsAmt>152091</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>271570</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>36420</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>1679584</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990RltdOrgsAmt>123179</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JAMES E HARTLE MD</PersonNm>
        <TitleTxt>EVP, CMO</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>1313772</CompensationBasedOnRltdOrgsAmt>
        <OtherCompensationRltdOrgsAmt>21744</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>286570</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>30483</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>1652569</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DOMINIC MOFFA MBA FACHE</PersonNm>
        <TitleTxt>EVP, CH. STRATEGY OF</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>973165</CompensationBasedOnRltdOrgsAmt>
        <OtherCompensationRltdOrgsAmt>316123</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>217381</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>28525</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>1535194</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990RltdOrgsAmt>273879</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KURT WROBEL FSA MAAA</PersonNm>
        <TitleTxt>EVP, INSURANCE OPS</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>940946</CompensationBasedOnRltdOrgsAmt>
        <OtherCompensationRltdOrgsAmt>131010</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>297570</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>34977</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>1404503</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990RltdOrgsAmt>95748</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JULIE BYERLEY MD MPH</PersonNm>
        <TitleTxt>EVP, CAO, DEAN GCSOM</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>711710</CompensationBasedOnRltdOrgsAmt>
        <OtherCompensationRltdOrgsAmt>113194</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>331570</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>36900</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>1193374</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KAREN MURPHY RN PHD</PersonNm>
        <TitleTxt>EVP, CHIEF INNOVATIO</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>790834</CompensationBasedOnRltdOrgsAmt>
        <OtherCompensationRltdOrgsAmt>145799</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>181570</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>15290</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>1133493</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990RltdOrgsAmt>108481</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>STEVEN B BENDER ESQUIRE</PersonNm>
        <TitleTxt>EVP, CLO, SECRETARY</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>846303</CompensationBasedOnRltdOrgsAmt>
        <OtherCompensationRltdOrgsAmt>39623</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>181570</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>34016</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>1101512</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JANET F TOMCAVAGE RN MSN</PersonNm>
        <TitleTxt>EVP, CNO</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>694056</CompensationBasedOnRltdOrgsAmt>
        <OtherCompensationRltdOrgsAmt>41848</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>166570</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>29699</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>932173</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>NANCY G LAWTON</PersonNm>
        <TitleTxt>CH. PHILANTHROPY OFF</TitleTxt>
        <BaseCompensationFilingOrgAmt>366846</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>7159</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>21570</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>37177</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>432752</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LORI R GRAMLEY ESQUIRE</PersonNm>
        <TitleTxt>ACLO, ASST SECTY</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>321611</CompensationBasedOnRltdOrgsAmt>
        <OtherCompensationRltdOrgsAmt>25825</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>21570</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>23852</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>392858</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ROBIN ENDICOTT</PersonNm>
        <TitleTxt>VP PHILANTHROPY</TitleTxt>
        <BaseCompensationFilingOrgAmt>230118</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>15282</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>16074</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>12490</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>273964</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DAVID H LEDBETTER PHD FACMG</PersonNm>
        <TitleTxt>FORMER OFFICER</TitleTxt>
        <OtherCompensationRltdOrgsAmt>265747</OtherCompensationRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>3426</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>269173</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>STEVEN J SCHEINMAN MD</PersonNm>
        <TitleTxt>FORMER OFFICER</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>27982</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>200000</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>6775</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>15165</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>51</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>249973</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CRYSTAL QUINTIN</PersonNm>
        <TitleTxt>AVP, GRANTS</TitleTxt>
        <BaseCompensationFilingOrgAmt>140936</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>17725</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>7299</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>33401</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>199361</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JUDY GRAHAM</PersonNm>
        <TitleTxt>PRINCIPAL GIFT OFFIC</TitleTxt>
        <BaseCompensationFilingOrgAmt>164134</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>13303</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>8892</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>163</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>186492</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BRIAN EBERSOLE</PersonNm>
        <TitleTxt>FORMER 5 HIGHEST</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>146580</CompensationBasedOnRltdOrgsAmt>
        <OtherCompensationRltdOrgsAmt>1638</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>7901</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>25744</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>181863</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ANGELA BROUSE</PersonNm>
        <TitleTxt>REGIONAL DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>130721</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>1457</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>6927</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>34743</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>173848</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CHERYL CONNOLLY</PersonNm>
        <TitleTxt>REGIONAL DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>127921</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>3113</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>6509</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>31684</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>169227</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>GLENN BERNIUS</PersonNm>
        <TitleTxt>SYSTEM DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>135379</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>793</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>7031</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>23263</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>166466</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PAGE 1, PART I, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>TAX INDEMNIFICATION AND GROSS-UP PAYMENTS - FROM TIME TO TIME, THE GEISINGER BOARD OF DIRECTORS OR GEISINGER SENIOR MANAGEMENT APPROVE THE GROSS-UP OF EXPENSES, WHICH FURTHER GEISINGER BUSINESS, FOR TAX OBLIGATIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PAGE 1, PART I, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>JAEWON RYU, MD, JD 0 1,322,351 0 AMY B. BRAYFORD 0 289,290 0 MATTHEW WALSH 0 123,179 0 DOMINIC MOFFA, MBA, FACHE 0 273,879 0 KURT WROBEL, FSA, MAAA 0 95,748 0 KAREN MURPHY, RN, PHD 0 108,481 0 DAVID H. LEDBETTER, PHD, FACMG 261,807 0 0</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART III</FormAndLineReferenceDesc>
        <ExplanationTxt>PART I, LINE 4A - SEVERANCE PAYMENT UPON INVOLUNTARY SEPARATION, EMPLOYEES MAY BE ELIGIBLE TO RECEIVE CONTINUATION OF SALARY FOR A TERM THAT IS BASED ON THEIR YEARS OF GEISINGER SERVICE AND POSITION. 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 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.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
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        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
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        <BondReferenceCd>B</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
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      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
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        <BondReferenceCd>D</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>DIFFERENCES IN ISSUE PRICE EXPLANATION</FormAndLineReferenceDesc>
        <ExplanationTxt>GEISINGER AUTHORITY SERIES 2007 955,503 REPRESENTS INVESTMENT INCOME EARNED ON PROGRAM FUNDS LESS REBATE PAID.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>DIFFERENCES IN ISSUE PRICE EXPLANATION</FormAndLineReferenceDesc>
        <ExplanationTxt>GEISINGER AUTHORITY SERIES 2014 20,783 REPRESENTS INVESTMENT INCOME EARNED ON PROGRAM FUNDS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>DIFFERENCES IN ISSUE PRICE EXPLANATION</FormAndLineReferenceDesc>
        <ExplanationTxt>GEISINGER AUTHORITY SERIES2017A1,A2 7,517,387 REPRESENTS INVESTMENT INCOME EARNED ON PROGRAM AND ESCROW FUNDS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>DIFFERENCES IN ISSUE PRICE EXPLANATION</FormAndLineReferenceDesc>
        <ExplanationTxt>GEISINGER AUTHORITY SERIES2020A,B,C THE 76,821 ISUE PRICE DIFFERENCE IS COMPRISED OF 72,353 INVESTMENT INCOME EARNED ON PROGRAM AND PROCEEDS FUNDS AND 4,468 FUNDS FROM EQUITY CONTRIBUTION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PURPOSE OF ISSUE DESCRIPTION</FormAndLineReferenceDesc>
        <ExplanationTxt>GEISINGER AUTHORITY SERIES 2007 LOANED TO 501(C)(3)S TO FUND HOSPITAL IMPROVEMENTS</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PURPOSE OF ISSUE DESCRIPTION</FormAndLineReferenceDesc>
        <ExplanationTxt>GEISINGER AUTHORITY SERIES 2014 REFUND 2005C, 2011C</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PURPOSE OF ISSUE DESCRIPTION</FormAndLineReferenceDesc>
        <ExplanationTxt>GEISINGER AUTHORITY SERIES2017A1,A2 CURR REF,FIN CAPITAL</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PURPOSE OF ISSUE DESCRIPTION</FormAndLineReferenceDesc>
        <ExplanationTxt>GEISINGER AUTHORITY SERIES2020A,B,C CURR REF,FIN CAPITAL</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>DATE REBATE COMPUTATION PERFORMED</FormAndLineReferenceDesc>
        <ExplanationTxt>GEISINGER AUTHORITY SERIES2017A1,A2 05/09/22</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>ADDITIONAL INFORMATION</FormAndLineReferenceDesc>
        <ExplanationTxt>GEISINGER AUTHORITY SERIES 2007 THE PROCEEDS OF 120.0 MILLION FROM THE SALE OF THE SERIES 2007 BONDS WERE USED TO ESTABLISH A REVOLVING POOLED LOAN PROGRAM TO FINANCE CERTAIN ONGOING CAPITAL EXPENDITURES. DURING FISCAL 2009, 51.2 MILLION OF THE SERIES 2007 BONDS WERE CURRENTLY REFUNDED BY A PORTION OF THE SERIES A OF 2009 BONDS, LEAVING AN OUTSTANDING BALANCE OF 68.9 MILLION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>ADDITIONAL INFORMATION</FormAndLineReferenceDesc>
        <ExplanationTxt>GEISINGER AUTHORITY SERIES 2014 THE PROCEEDS FROM THE SALE OF THE SERIES 2014 BONDS WERE USED TO PROVIDE FOR THE CURRENT REFUNDING OF THE AUTHORITYS HEALTH SYSTEM REVENUE BONDS, SERIES 2005C, ISSUED 07/07/2005 AND SERIES 2011C, ISSUED 06/09/2011, OUTSTANDING IN THE AGGREGATE AMOUNT OF 112.7 MILLION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>ADDITIONAL INFORMATION</FormAndLineReferenceDesc>
        <ExplanationTxt>GEISINGER AUTHORITY SERIES2017A1,A2 THE PROCEEDS FROM THE SALE OF THE SERIES 2017 BONDS WERE USED TO PROVIDE FOR: 1. THE CURRENT REFUNDING OF: (I) THE AUTHORITY'S HEALTH SYSTEM REVENUE BONDS, SERIES 2002, ISSUED 12/11/2002, OUTSTANDING IN THE AGGREGATE AMOUNT OF 50.0 MILLION, (II) THE AUTHORITY'S HEALTH SYSTEM REVENUE BONDS, SERIES B OF 2013, ISSUED 10/30/2013 OUTSTANDING IN THE AGGREGATE AMOUNT OF 50.0 MILLION (III) LEWISTOWN HOSPITAL SERIES 2007, ISSUED 06/13/2007, IN THE AGGREGATE AMOUNT OF 16.9 MILLION, (IV) PART OF THE HOLY SPIRIT SERIES A AND B OF 2011, ISSUED 02/15/2011 AND 11/30/2011, RESPECTIVELY,IN THE AGGREGATE AMOUNT OF 27.7 MILLION,AND (V) GEISINGER COMMONWEALTH SCHOOL OF MEDICINE (GCSOM) BRIDGE LOAN IN THE AGGREGATE AMOUNT OF 34.8 MILLION. 2. THE ADVANCE-REFUNDING OF THE GEISINGER AUTHORITY'S HEALTH SYSTEM REVENUE BONDS, SERIES 2009A, ISSUED 06/04/2009. THIS ADVANCE-REFUNDING WAS ACCOMPLISHED BY CREATING AN IRREVOCABLE TRUST CONTAINING US GOVERNMENT SECURITIES OR SECURITIES COLLATERALIZED BY U.S. GOVERNMENT SECURITIES. THE SECURITIES AND EARNINGS THEREON ARE CONSIDERED SUFFICIENT TO FULLY SERVICE THE DEBT UNTIL THEY ARE CALLED OR MATURE. FOR FINANCIAL REPORTING PURPOSES, THE DEBT IS CONSIDERED DEFEASED, AND 3. TO ESTABLISH A REVOLVING POOL LOAN PROGRAM TO FINANCE CERTAIN ONGOING CAPITAL EXPENDITURES. THE SERIES A-1 OF 2017 BONDS ARE COMPRISED OF 350.4 MILLION OF FIXED RATE BONDS DUE IN ANNUAL INSTALLMENTS. THE SERIES A-2 OF 2017 BONDS ARE COMPRISED OF 235.7 MILLION OF FIXED RATE BONDS DUE IN ANNUAL INSTALLMENTS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>ADDITIONAL INFORMATION</FormAndLineReferenceDesc>
        <ExplanationTxt>GEISINGER AUTHORITY SERIES2020A,B,C GEISINGER AUTHORITY SERIES 2020A,B,C THE PROCEEDS FROM THE SALE OF THE SERIES 2020 BONDS WERE USED TO PROVIDE FOR: THE CURRENT REFUNDING OF: (I) THE AUTHORITY'S HEALTH SYSTEM REVENUE BONDS, SERIES A OF 2005, ISSUED 07/07/2005, OUTSTANDING IN THE AGGREGATE AMOUNT OF 65.0 MILLION, (II) THE AUTHORITY'S HEALTH SYSTEM REVENUE BONDS, SERIES B OF 2005, ISSUED 07/07/2005, OUTSTANDING IN THE AGGREGATE AMOUNT OF 62.3 MILLION, (III) THE AUTHORITY'S HEALTH SYSTEM REVENUE BONDS, SERIES B OF 2011, ISSUED 06/09/2011, OUTSTANDING IN THE AGGREGATE AMOUNT OF 50.0 MILLION, (IV) THE AUTHORITY'S HEALTH SYSTEM REVENUE BONDS, SERIES A OF 2013, ISSUED 10/30/2013, OUTSTANDING IN THE AGGREGATE AMOUNT OF 65.0 MILLION, (V) THE AUTHORITY'S HEALTH SYSTEM REVENUE BONDS, SERIES C OF 2013, ISSUED 10/30/2013, OUTSTANDING IN THE AGGREGATE AMOUNT OF 84.7 MILLION, (VI) THE AUTHORITY'S HEALTH SYSTEM REVENUE BONDS, SERIES D OF 2013, ISSUED 10/30/2013, OUTSTANDING IN THE AGGREGATE AMOUNT OF 84.7 MILLION, (VII) THE AUTHORITY'S HEALTH SYSTEM REVENUE BONDS, SERIES E OF 2015, ISSUED 12/15/2015, OUTSTANDING IN THE AGGREGATE AMOUNT OF 50.0 MILLION, (VIII) THE AUTHORITY'S HEALTH SYSTEM REVENUE BONDS, SERIES F OF 2015, ISSUED 12/15/2015, OUTSTANDING IN THE AGGREGATE AMOUNT OF 65.0 MILLION, (IX) JERSEY SHORE HOSPITAL NOTE PAYABLE IN THE AGGREGATE AMOUNT OF 13.1 MILLION, AND (X) HOLY SPIRIT SERIES A AND B OF 2011 IN THE AGGREGATE AMOUNT OF 35.8 MILLION. AND TO ESTABLISH A REVOLVING POOL LOAN PROGRAM TO FINANCE CERTAIN ONGOING CAPITAL EXPENDITURES. THE SERIES A OF 2020 BONDS ARE COMPRISED OF 480.1 MILLION OF FIXED RATE BONDS DUE IN VARIOUS INSTALLMENTS RANGING BETWEEN 3.9 MILLION TO 156.3 MILLION FROM APRIL 1, 2022 TO APRIL 1, 2050. THE BONDS CAN BE MARKETED IN VARYING INTEREST RATE MODES UNDER THE TERMS OF THE TRUST INDENTURE. THE EFFECTIVE INTEREST RATE, INCLUDING THE IMPACT OF A NET PREMIUM, IS FIXED AT 3.67%. THE SERIES B OF 2020 BONDS ARE COMPRISED OF 139.6 MILLION OF FIXED RATE BONDS DUE IN FULL ON APRIL 1, 2043. THE EFFECTIVE INTEREST RATE, INCLUDING THE IMPACT OF A NET PREMIUM, IS FIXED AT 1.49%. THE SERIES C OF 2020 BONDS ARE COMPRISED OF 89.5 MILLION OF FIXED RATE BONDS DUE IN FULL ON APRIL 1, 2043. THE EFFECTIVE INTEREST RATE, INCLUDING THE IMPACT OF A NET PREMIUM, IS FIXED AT 1.87%.</ExplanationTxt>
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        <RebateNotDueYetInd>true</RebateNotDueYetInd>
        <ExceptionToRebateInd>false</ExceptionToRebateInd>
        <NoRebateDueInd>false</NoRebateDueInd>
        <VariableRateIssueInd>false</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
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      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PURPOSE OF ISSUE DESCRIPTION</FormAndLineReferenceDesc>
        <ExplanationTxt>GEISINGER AUTHORITY SERIES 2021 TO CURRENT REFUND ALL OF THE GEISINGER AUTHORITY SERIES 2011A ISSUED 06/09/2011.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
    <IRS990ScheduleM documentId="RetDoc11">
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        <NoncashContributionsRptF990Amt>5221</NoncashContributionsRptF990Amt>
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      <ClothingAndHouseholdGoodsGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <NoncashContributionsRptF990Amt>11363</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>MARKET VALUE</MethodOfDeterminingRevenuesTxt>
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      <SecuritiesPubliclyTradedGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>4</ContributionCnt>
        <NoncashContributionsRptF990Amt>2772238</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>MARKET VALUE</MethodOfDeterminingRevenuesTxt>
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      <ScientificSpecimensGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>3</ContributionCnt>
        <NoncashContributionsRptF990Amt>6036</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>MARKET VALUE</MethodOfDeterminingRevenuesTxt>
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      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>FOOD</Desc>
        <ContributionCnt>3</ContributionCnt>
        <NoncashContributionsRptF990Amt>30904</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>MARKET VALUE</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>GIFT CERTIFICAT</Desc>
        <ContributionCnt>4</ContributionCnt>
        <NoncashContributionsRptF990Amt>3550</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FACE VALUE</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>JEWELRY</Desc>
        <ContributionCnt>4</ContributionCnt>
        <NoncashContributionsRptF990Amt>5945</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>MARKET VALUE</MethodOfDeterminingRevenuesTxt>
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      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>TOYS</Desc>
        <ContributionCnt>8</ContributionCnt>
        <NoncashContributionsRptF990Amt>17142</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>MARKET VALUE</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <AnyPropertyThatMustBeHeldInd>false</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>true</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>false</ThirdPartiesUsedInd>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="RetDoc12">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 - ORGANIZATION'S MISSION</FormAndLineReferenceDesc>
        <ExplanationTxt>GEISINGER HEALTH SERVES TO ENSURE GEISINGER AFFILIATE ENTITIES HAVE ADEQUATE FINANCIAL RESOURCES TO FULFILL THEIR CHARITABLE PURPOSE, TO INITIATE AND ADMINISTER GRANT AND PHILANTHROPIC SUPPORT PROGRAMS FOR ALL GEISINGER ENTITIES, AND THE PATIENTS THEY SERVE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990</FormAndLineReferenceDesc>
        <ExplanationTxt>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, INCLUDING TAX-EXEMPT BONDS ISSUED PRIOR TO DECEMBER 31, 2002, WITH A TOTAL OUTSTANDING BALANCE AT DECEMBER 31, 2022 OF 1,656,231,705, INCLUSIVE OF UNAMORTIZED ORIGINAL ISSUE DISCOUNT. BECAUSE THE BOND PROCEEDS ARE DISBURSED TO GH SUBSIDIARIES, THE TAX-EXEMPT 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 GEISINGER COMMONWEALTH SCHOOL OF MEDICINE EIN: 26-0812968 GEISINGER JERSEY SHORE HOSPITAL EIN: 24-0792115 SCHEDULE K WAS PREPARED ON A CONSOLIDATED BASIS AND IS INCLUDED IN THE FORM 990 FILING OF GEISINGER HEALTH, EIN: 23-1995911.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>I. VISION AND VALUES VISION: MAKING BETTER HEALTH EASY VALUES: KINDNESS - WE TREAT EVERYONE AS WE WOULD HOPE TO BE TREATED OURSELVES. EXCELLENCE - WE WILL HUMBLY STRIVE FOR EXCELLENCE IN ALL WE DO. SAFETY - WE WILL PROVIDE A SAFE ENVIRONMENT FOR OUR PATIENTS AND MEMBERS AND THE GEISINGER FAMILY. 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 VARIOUS GEISINGER AFFILIATED ENTITIES' ACTIVITIES IN HEALTH CARE AND RELATED BUSINESSES. IN ADDITION TO ENSURING GEISINGER AFFILIATES HAVE ADEQUATE FINANCIAL RESOURCES TO FULFILL THEIR MISSIONS, GH IS INVOLVED WITH INITIATING AND ADMINISTERING GRANT AND PHILANTHROPIC SUPPORT PROGRAMS FOR ALL THE GEISINGER 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 LOCATED IN SHAMOKIN, PENNSYLVANIA. - GEISINGER ENCOMPASS HEALTH LIMITED LIABILITY COMPANY IS A PENNSYLVANIA LIMITED LIABILITY COMPANY REPRESENTING A JOINT VENTURE BETWEEN GEISINGER MEDICAL CENTER AND ENCOMPASS HEALTH (FORMERLY HEALTHSOUTH CORPORATION) TO PROVIDE FOR THE DEVELOPMENT, MANAGEMENT, FINANCING AND OPERATION OF A FREESTANDING REHABILITATION HOSPITAL (GEISINGER ENCOMPASS HEALTH REHABILITATION HOSPITAL) ON THE GMC CAMPUS, AND THE DEVELOPMENT OF A NETWORK TO PROVIDE OUTPATIENT REHABILITATION CENTERS AND OTHER PROGRAMS TO GEISINGER PATIENTS. -GEISINGER-HM JOINT VENTURE, LLC, ("GHM") IS A PENNSYLVANIA LIMITED LIABILITY COMPANY REPRESENTING A JOINT VENTURE BETWEEN GEISINGER MEDICAL CENTER AND HIGHMARK HEALTH. GHM IS ORGANIZED TO PROVIDE HIGH QUALITY, INNOVATIVE, COST-EFFECTIVE CLINICAL CARE TO PATIENTS IN ITS SERVICE AREA AND TO ENGAGE IN ANY ACTIVITIES AND TRANSACTIONS AS MAY BE NECESSARY TO ACCOMPLISH THE SAME INCLUDING OWNING AND/OR OPERATING HOSPITALS OR OTHER HEALTH CARE FACILITIES. GEISINGER-HM JOINT VENTURE (G-HM) OPERATES LICENSED LABORATORY SERVICES KNOWN AS GEISINGER MEDICAL LABORATORIES (GML). GEISINGER-HM JOINT VENTURE(G-HM) OWNS AND OPERATES THE AMBULATORY SURGERY CENTER/FACILITY KNOWN AS GEISINGER ENDOSCOPY - MONTOURSVILLE. -GEISINGER MEDICAL CENTER MUNCY, FORMED JUNE 11, 2020 AND RECEIVED ITS HOSPITAL FACILITY LICENSE ON JANUARY 5, 2022, WELCOMING ITS FIRST PATIENTS, MONDAY, JAN. 10, 2022. THE FULL-SERVICE HOSPITAL, INCLUDING AN EMERGENCY ROOM, CLINICAL DECISION UNIT, INTENSIVE CARE UNIT, SURGICAL SUITES AND PRIMARY AND SPECIALTY CARE AREAS IS PART OF A CLINICAL JOINT VENTURE BETWEEN GEISINGER AND HIGHMARK HEALTH THAT EXPANDS ACCESS TO CARE FOR THOSE IN A FOUR-COUNTY REGION COVERING CLINTON, LYCOMING, SULLIVAN, AND TIOGA COUNTIES. - 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. -COMMUNITY MEDICAL CENTER HOLDS A 100% MEMBERSHIP INTEREST IN GEISINGER SCA HOLDINGS, LLC, A DELAWARE LIMITED LIABILITY COMPANY, WHICH IN TURN IS THE MAJORITY OWNER OF LACKAWANNA PHYSICIANS AMBULATORY SURGERY CENTER, LLC, DOING BUSINESS AS NORTH EAST SURGERY CENTER, OPERATING AN AMBULATORY SURGERY CENTER LOCATED IN DICKSON CITY, PA. - GEISINGER-BLOOMSBURG HOSPITAL (GBH), IS A PENNSYLVANIA 501(C)(3) NOT-FOR PROFIT CORPORATION OWNING AND OPERATING A GENERAL COMMUNITY-BASED ACUTE- CARE 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, 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 ACUTE- CARE HOSPITAL IN LEWISTOWN, 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 GEISINGER CONVENIENT CARE CLINICS (FORMERLY KNOWN AS CAREWORKS). - GC IS THE SINGLE MEMBER OF GEISINGER PHARMACY, LLC A PENNSYLVANIA LIMITED LIABILITY COMPANY PROVIDING PHARMACY SERVICES SUCH AS SPECIALTY, MAIL ORDER, HOME INFUSION AND PHARMACY AT VARIOUS LOCATIONS THROUGHOUT THE GEISINGER SERVICE AREA. -GEISINGER CLINIC (GC) HAS PRIMARY OWNERSHIP (75%) IN KEYSTONE ACCOUNTABLE CARE ORGANIZATION (KACO), A PARTNERSHIP WITH EVANGELICAL COMMUNITY HOSPITAL (10%), THE WRIGHT CENTER (10%), AND WAYNE MEMORIAL HOSPITAL (5%). KACO PARTNERS WITH DOCTORS, HOSPITALS AND OTHER HEALTHCARE PROVIDERS WHO WORK TOGETHER TO PROVIDE BETTER, MORE COORDINATED CARE. - 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. FHA MERGED INTO GEISINGER CLINIC, EFFECTIVE JANUARY 1, 2023. - 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), A PENNSYLVANIA 501(C)(3) NOT-FOR-PROFIT ORGANIZATION, OPERATES A PACE PROGRAM (PROGRAM OF ALL- INCLUSIVE CARE FOR THE ELDERLY) UNDER THE LIFE GEISINGER BRAND. - WEST SHORE ADVANCED LIFE SUPPORT SERVICES, INC. (WSALS) (DOING BUSINESS AS GEISINGER 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, HEALTHCARE TRANSFORMATION, 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 VARIOUS GEISINGER ENTITIES. - 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. LACC MERGED INTO GEISINGER-LEWISTOWN HOSPITAL, EFFECTIVE JUNE 1, 2022. - 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. - ISS SOLUTIONS INC. (FORMERLY KNOWN AS GEISINGER MEDICAL MANAGEMENT CORP.) IS A PENNSYLVANIA FOR-PROFIT CORPORATION THAT DELIVERS CLINICAL AND INFORMATIONAL TECHNOLOGY SERVICES AND BUSINESS SOFTWARE SOLUTIONS TO CLIENTS THROUGHOUT THE UNITED STATES, AND OWNS AND OPERATES THE PINE BARN INN, A RESTAURANT, HOTEL, AND SPECIAL EVENTS VENUE LOCATED IN DANVILLE, PENNSYLVANIA. - GEISINGER INDEMNITY INSURANCE COMPANY IS A PENNSYLVANIA FOR-PROFIT CORPORATION PROVIDING INDEMNITY HEALTH INSURANCE. - GEISINGER QUALITY OPTIONS, INC. IS A PENNSYLVANIA FOR-PROFIT CORPORATION PROVIDING INDEMNITY HEALTH INSURANCE. - GEISINGER COMMONWEALTH SCHOOL OF MEDICINE, FORMERLY KNOWN AS THE COMMONWEALTH MEDICAL COLLEGE, IS A PENNSYLVANIA 501(C)(3) NOT-FOR-PROFIT COMMUNITY-BASED MEDICAL COLLEGE AND GRADUATE DEGREE-GRANTING INSTITUTION, WHICH HAS BEEN GRANTED DEGREE GRANTING AUTHORITY BY THE COMMONWEALTH OF PENNSYLVANIA AND IS FULLY ACCRED</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART V</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART V, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>CAYMAN ISLANDS</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI</FormAndLineReferenceDesc>
        <ExplanationTxt>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 THE VOTING MEMBER 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? BENJAMIN K. CHU, MD, MPH, MACP , CHRISTOPHER B. SULLIVAN, DONALD T. ROSINI, HEATHER M. ACKER, JAEWON RYU, MD, JAMES E. HARTLE, MD, JANET F. TOMCAVAGE, RN, MSN, JEFFREY A, JACOBSON, JOHN C BRAVMAN, PHD, KAREN MURPHY, RN, PHD, KEVIN V. ROBERTS, MBA, CPA, KURT WROBEL, FSA, MAAA, LORI R. GRAMLEY, ESQUIRE, MATTHEW WALSH, SHERRY A. GLIED, PHD, STEVEN B. BENDER, ESQUIRE, THOMAS H. LEE, JR, MD, MSC, AND VIRGINIA MCGREGOR 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE SCHEDULE O RESPONSE TO FORM 990, PART VI, SECTION B, QUESTION 15A.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>FINANCIAL STATEMENTS, FORM 990, FORM 990-T, THE CONFLICTS OF INTEREST POLICY, AND OTHER GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI</FormAndLineReferenceDesc>
        <ExplanationTxt>RECORDED A 80K CHANGE IN CONTRIBUTIONS RELATED TO PRIOR YEAR ACCRUAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>HOLY SPIRIT RELEASE OF FUNDS 22,489 HOLY SPIRIT IMPAIRMENT 16,184,533 CONTRIBUTION ADJUSTMENT 80,000 CONTRIBUTIONS TO AFFILIATES -499,119,393 GAIN/LOSS ON SUBSIDIARIES -123,364,813 CHANGE IN PARTNERSHIP EQUITY -1,983,602 HOLY SPIRIT NET ASSET TRANSFER -4,400,815 TOTAL -612,581,601 HOLY SPIRIT IMPAIRMENT CHARGE 16,184,533 RELATED TO RUN OUT OF ASSETS AND LIABILITIES OF HOLY SPIRIT HOSPITAL AND SPIRIT PHYSICIAN SERVICES, INC. THAT WERE RETAINED BY GEISINGER AFTER THE DIVESTITURE OF HOLY SPIRIT HEALTH SYSTEM AND AFFILIATES EFFECTIVE NOVEMBER 1, 2020. TRANSFER OF NET ASSETS OF HOLY SPIRIT HOSPITAL AND SPIRIT PHYSICIAN SERVICES, INC. 4,400,815 WERE RETAINED BY GEISINGER AFTER THE DIVESTITURE OF HOLY SPIRIT HEALTH SYSTEM AND AFFILIATES EFFECTIVE NOVEMBER 1, 2020.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
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          <AddressLine1Txt>801 OSTRUM STREET</AddressLine1Txt>
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        <TransactionTypeTxt>C</TransactionTypeTxt>
        <InvolvedAmt>7000000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>GAAP</MethodOfAmountDeterminationTxt>
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          <BusinessNameLine1Txt>GEISINGER JERSEY SHORE HOSPITAL</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>GEISINGER LEWISTOWN HOSPITAL</BusinessNameLine1Txt>
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        <MethodOfAmountDeterminationTxt>GAAP</MethodOfAmountDeterminationTxt>
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          <BusinessNameLine1Txt>GEISINGER MEDICAL CENTER</BusinessNameLine1Txt>
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        <InvolvedAmt>401448</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>GAAP</MethodOfAmountDeterminationTxt>
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          <BusinessNameLine1Txt>GEISINGER MEDICAL CENTER</BusinessNameLine1Txt>
        </OtherOrganizationName>
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        <MethodOfAmountDeterminationTxt>GAAP</MethodOfAmountDeterminationTxt>
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          <BusinessNameLine1Txt>GEISINGER MEDICAL CENTER</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>M</TransactionTypeTxt>
        <InvolvedAmt>21001</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>GAAP</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
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          <BusinessNameLine1Txt>GEISINGER MEDICAL CENTER</BusinessNameLine1Txt>
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        <TransactionTypeTxt>R</TransactionTypeTxt>
        <InvolvedAmt>1441232</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>GAAP</MethodOfAmountDeterminationTxt>
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        <OtherOrganizationName>
          <BusinessNameLine1Txt>ISS SOLUTIONS INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>R</TransactionTypeTxt>
        <InvolvedAmt>58220</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>GAAP</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>GEISINGER PHARMACY LLC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>B</TransactionTypeTxt>
        <InvolvedAmt>12000000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>GAAP</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>GEISINGER PHARMACY LLC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>R</TransactionTypeTxt>
        <InvolvedAmt>719</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>GAAP</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>GEISINGER SYSTEM SERVICES</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>K</TransactionTypeTxt>
        <InvolvedAmt>20607</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>GAAP</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>GEISINGER SYSTEM SERVICES</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>M</TransactionTypeTxt>
        <InvolvedAmt>593662</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>GAAP</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>GEISINGER SYSTEM SERVICES</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>R</TransactionTypeTxt>
        <InvolvedAmt>257150</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>GAAP</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>GEISINGER WYOMING VALLEY MEDICAL CT</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>B</TransactionTypeTxt>
        <InvolvedAmt>40431708</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>GAAP</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>GEISINGER WYOMING VALLEY MEDICAL CT</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>L</TransactionTypeTxt>
        <InvolvedAmt>1047220</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>GAAP</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>GEISINGER WYOMING VALLEY MEDICAL CT</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>M</TransactionTypeTxt>
        <InvolvedAmt>40000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>GAAP</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>GEISINGER WYOMING VALLEY MEDICAL CT</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>R</TransactionTypeTxt>
        <InvolvedAmt>271914</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>GAAP</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>GEISINGER-BLOOMSBURG HOSPITAL</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>B</TransactionTypeTxt>
        <InvolvedAmt>54998</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>GAAP</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>GEISINGER-BLOOMSBURG HOSPITAL</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>C</TransactionTypeTxt>
        <InvolvedAmt>10000000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>GAAP</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>GEISINGER-BLOOMSBURG HOSPITAL</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>L</TransactionTypeTxt>
        <InvolvedAmt>83075</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>GAAP</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>GEISINGER-BLOOMSBURG HOSPITAL</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>R</TransactionTypeTxt>
        <InvolvedAmt>2444</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>GAAP</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>GEISINGER-HM JOINT VENTURE LLC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>R</TransactionTypeTxt>
        <InvolvedAmt>7800</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>GAAP</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>GEISINGER-LEWISTOWN HOSPITAL</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>L</TransactionTypeTxt>
        <InvolvedAmt>231778</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>GAAP</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>GEISINGER-LEWISTOWN HOSPITAL</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>R</TransactionTypeTxt>
        <InvolvedAmt>63527</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>GAAP</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>GNJ PHYSICIANS GROUP PC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>C</TransactionTypeTxt>
        <InvolvedAmt>109167</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>GAAP</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>KEYSTONE HEALTH INFORMATION EXCHANG</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>R</TransactionTypeTxt>
        <InvolvedAmt>6000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>GAAP</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>MARWORTH</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>R</TransactionTypeTxt>
        <InvolvedAmt>50920</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>GAAP</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>WEST SHORE ADVANCED LIFE SUPP SRVCS</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>B</TransactionTypeTxt>
        <InvolvedAmt>2000000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>GAAP</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>KKA CO-INVEST 1 GMBH &amp; CO</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>R</TransactionTypeTxt>
        <InvolvedAmt>11705501</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>KKA VALUE FUND II GMBH &amp; CO KG</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>R</TransactionTypeTxt>
        <InvolvedAmt>32433024</InvolvedAmt>
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      </TransactionsRelatedOrgGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE R</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990, SCHEDULE R, PART V - TRANSACTIONS WITH RELATED ORGANIZATIONS: AS SHOWN IN FORM 990, SCHEDULE R, GEISINGER HEALTH IS CLOSELY AFFILIATED WITH SEVERAL OTHER ORGANIZATIONS. IN THE NORMAL COURSE OF THE OPERATIONS OF THESE AFFILIATED ORGANIZATIONS THERE ARE NUMEROUS INTER ORGANIZATIONAL TRANSACTIONS, WHICH MAY INCLUDE SALES, EXCHANGES AND LEASES OF PROPERTY, EXTENSIONS OF CREDIT, FURNISHING OF GOODS, SERVICES AND FACILITIES, AND TRANSFERS OF ASSETS. THESE INTER ORGANIZATION TRANSACTIONS PROMOTE THE EFFICIENT OPERATION OF THE VARIOUS ORGANIZATIONS AND THE ATTAINMENT OF THEIR TAX EXEMPT PURPOSES. THESE TYPES OF INTER ORGANIZATION TRANSACTIONS WERE DESCRIBED TO THE INTERNAL REVENUE SERVICE IN A RULING APPLICATION AND WERE RECOGNIZED BY THE NATIONAL OFFICE OF THE IRS IN A SERIES OF GEISINGER PRIVATE RULINGS AS BEING ENTIRELY CONSISTENT WITH THE ORGANIZATIONS' TAX EXEMPT STATUS. ___________________________________________________________________________</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleR>
  </ReturnData>
</Return>
