KEYSTONE HEALTH INFORMATION EXCHANGE INC: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- KEYSTONE HEALTH INFORMATION EXCHANGE INC (EIN 46-4359893)
- Tax period
- 2020-07-01 to 2020-12-31
- Filed
- 2021-11-11
- IRS object ID
- 202103159349302390
- Schema version
- 2020v4.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-11-11T09:42:09-06:00 | ReturnTs |
| Tax Period End | 2020-12-31 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 464359893 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KEYSTONE HEALTH INFORMATION | BusinessNameLine1Txt |
| Business Name Line2 | EXCHANGE INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | KEYS | BusinessNameControlTxt |
| Phone | 5702716624 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 N ACADEMY AVE MC 49-70 | AddressLine1Txt |
| City | DANVILLE | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 178229800 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | KEVIN V ROBERTS MBA CPA | PersonNm |
| Person Title | EVP, CFO, TREASURER | PersonTitleTxt |
| Phone | 5702716624 | PhoneNum |
| Signature | 2021-11-05 | SignatureDt |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | KEVIN | PersonFirstNm |
| Person Last | ROBERTS | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | XXX-XX-XXXX | SSN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MATTHEW WALSH | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 N ACADEMY AVE MC 22-01 | AddressLine1Txt |
| City | DANVILLE | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 178229800 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $3,599,592 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.KEYHIE.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2014 | FormationYr |
| Legal Domicile State | PA | LegalDomicileStateCd |
| Activity Or Mission | KEYSTONE HEALTH INFORMATION EXCHANGE, INC., (DBA KEYHIE), SERVES TO ENHANCE HEALTHCARE DELIVERY THROUGH A COLLABORATIVE PLATFORM THAT PROVIDES A TIMELY AND SECURE PATIENT-FOCUSED EXCHANGE OF MEANINGFUL HEALTH INFORMATION. | ActivityOrMissionDesc |
| Voting Members Governing Body | 5 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 0 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| CY Contributions Grants | $1,435,250 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $4,782,860 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $2,163,993 | CYProgramServiceRevenueAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| CY Other Revenue | $349 | CYOtherRevenueAmt |
| PY Total Revenue | $4,782,860 | PYTotalRevenueAmt |
| CY Total Revenue | $3,599,592 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| CY Salaries Comp Emp Bnft Paid | $0 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $6,437,370 | PYOtherExpensesAmt |
| CY Other Expenses | $3,057,993 | CYOtherExpensesAmt |
| PY Total Expenses | $6,437,370 | PYTotalExpensesAmt |
| CY Total Expenses | $3,057,993 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$1,654,510 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $541,599 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $142,333 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,605,905 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,776,154 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $2,698,127 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$1,633,821 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$1,092,222 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | KEYSTONE HEALTH INFORMATION EXCHANGE, INC., (DBA KEYHIE), SERVES TO ENHANCE HEALTHCARE DELIVERY THROUGH A COLLABORATIVE PLATFORM THAT PROVIDES A TIMELY AND SECURE PATIENT-FOCUSED EXCHANGE OF MEANINGFUL HEALTH INFORMATION. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $2,960,270 | ExpenseAmt |
| Revenue | $2,164,342 | RevenueAmt |
| Desc | KEYSTONE HEALTH INFORMATION EXCHANGE, INC. ("KEYHIE"), A 501(C)(3) TAX- EXEMPT ORGANIZATION, WAS INCORPORATED IN DECEMBER 2013 IN SUPPORT OF GEISINGER HEALTH ("GH"), A 501(C)(3) TAX EXEMPT ORGANIZATION, AND THE PARENT OF GEISINGER. KEYHIE WAS FORMED TO DEVELOP AND OPERATE A REGIONAL HEALTH INFORMATION SHARING NETWORK FOR USE BY LICENSED HEALTHCARE PROVIDERS WHEN TREATING PATIENTS THAT HAVE MEDICAL RECORDS HELD WITHIN THE PARTICIPATING HEALTHCARE ORGANIZATIONS. KEYHIE IS A HEALTH INFORMATION ORGANIZATION ("HIO"), WHICH IS A MULTI-STAKEHOLDER ORGANIZATION CREATED TO FACILITATE A HEALTH INFORMATION EXCHANGE ("HIE"): THE TRANSFER OF HEALTHCARE INFORMATION ELECTRONICALLY ACROSS ORGANIZATIONS AMONG STAKEHOLDERS OF THAT REGION'S HEALTHCARE SYSTEM. THE ULTIMATE OBJECTIVE IS TO IMPROVE THE SAFETY, QUALITY, AND EFFICIENCY OF HEALTHCARE AS WELL AS ACCESS TO HEALTHCARE THROUGH THE EFFICIENT APPLICATION OF HEALTH INFORMATION TECHNOLOGY, HIOS ARE ALSO INTENDED TO SUPPORT SECONDARY USE OF CLINICAL DATA FOR RESEARCH AS WELL AS INSTITUTION/PROVIDER QUALITY ASSESSMENT AND IMPROVEMENT. KEYHIE'S GOAL IS TO ENABLE THE EXCHANGE OF HEALTH INFORMATION AMONG THE CORPORATION'S MEMBERS AND OTHER PARTICIPANTS SO THAT THE CORPORATION'S MEMBERS AND PARTICIPANTS WILL BE ABLE TO DELIVER AFFORDABLE, HIGH QUALITY, CONVENIENT AND EFFICIENT HEALTHCARE THROUGHOUT PENNSYLVANIA AND THEREBY LESSEN THE BURDENS OF GOVERNMENT. AS OF DECEMBER 2020 KEYHIE'S MEMBERSHIP INCLUDED 203 HEALTHCARE ORGANIZATIONS REPRESENTING 39 HOSPITALS, 281 MEDICAL PRACTICES, 80 LONG- TERM CARE CENTERS, 30 HOME HEALTH AGENCY LOCATIONS, 18 PHARMACY, 3 EMS LOCATIONS, 19 URGENT CARE, AND 5 INSURANCE PAYORS. GEISINGER IS A PHYSICIAN-LED, INTEGRATED HEALTH SERVICES ORGANIZATION THAT HAS AS ITS MAIN COMPONENTS: 1) AN ARRAY OF HEALTH SERVICES PROVIDERS; INCLUDING SEVEN ACUTE CARE HOSPITALS AND A DRUG AND ALCOHOL TREATMENT FACILITY; 2) A MULTISPECIALTY PHYSICIAN GROUP PRACTICE OF 1,720 PHYSICIANS PRACTICING AT 120 CLINIC SITES; AND 3) ONE OF THE NATION'S LARGEST RURAL HEALTH INSURANCE ORGANIZATIONS WITH 544,000 MEMBERS. DURING THE SHORT PERIOD ENDED DECEMBER 31, 2020, GEISINGER OPERATED IN 45 OF PENNSYLVANIA'S 67 COUNTIES, WITH A SIGNIFICANT PRESENCE IN CENTRAL, SOUTH-CENTRAL AND NORTHEAST PENNSYLVANIA, OUTSIDE THE MAJOR METROPOLITAN AREAS, AND IN 7 COUNTIES IN SOUTHERN NEW JERSEY. GEISINGERS MISSION OF ENHANCING THE QUALITY OF LIFE THROUGH THE INTEGRATED HEALTH SERVICE ORGANIZATION IS BASED UPON A BALANCED PROGRAM OF PATIENT CARE, EDUCATION, RESEARCH, AND COMMUNITY SERVICE. KEYHIE SUPPORTS THIS MISSION THROUGH COLLABORATION WITH OTHER HEALTHCARE ORGANIZATIONS BY IMPROVING THE ACCESS TO HEALTH INFORMATION TECHNOLOGY TOOLS FOR ALL PROVIDERS IN THE GEISINGER SERVICE AREA, AND IMPROVING THE EXCHANGE OF HEALTHCARE INFORMATION WHEN PATIENTS TRASITION FROM ONE SETTING TO ANOTHER. AT ITS CORE, KEYHIE LINKS TOGETHER PATIENT RECORDS FROM MULTIPLE, DISPARATE HEALTHCARE ORGANIZATIONS SO INFORMATION FROM THESE ORGANIZATIONS ABOUT EACH PATIENT CAN BE PULLED TOGETHER INTO A SINGLE PATIENT-CENTERED VIEW. NOT ONLY IS THIS CRITICAL FOR GOOD PATIENT CARE, BUT IT CAN ALSO ASSIST (AFTER APPROPRIATE PATIENT CONSENTS AND LEGAL CONTRACTS) WITH IRB-APPROVED ("INSTITUTIONAL REVIEW BOARD") RESEARCH AND CONTRACTED ANALYTIC REPORTING FOR ACCOUNTABLE CARE ORGANIZATIONS AND OTHER POPULATION HEALTH REPORTING. | Desc |
| Total Program Service Expenses | $2,960,270 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | false | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | Yes (true) | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 5 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 0 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | PA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ERIN FITZGERALD CPA VP AND CAO | PersonNm |
| Phone | 5702142299 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 N ACADEMY AVE MC 49-70 | AddressLine1Txt |
| City | DANVILLE | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 178229800 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (10 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|---|
| KEVIN V ROBERTS MBA CPA | ||||||||
| EVP, CFO, TR | 0.00 | 40.00 | Yes (X) | $0 | $1,882,714 | $369,951 | ||
| DAVID J FELICIO ESQUIRE | ||||||||
| FORMER OFFIC | 0.00 | 40.00 | $0 | $1,533,441 | $23,238 | Yes (X) | ||
| MATTHEW WALSH | ||||||||
| CHAIR,PRESID | 0.00 | 40.00 | Yes (X) | $0 | $1,090,100 | $234,541 | Yes (X) | |
| JOHN M KRAVITZ | ||||||||
| CEO, VICE CH | 0.00 | 40.00 | Yes (X) | $0 | $700,440 | $107,132 | Yes (X) | |
| JOHN B BULGER DO | ||||||||
| DIRECTOR | 0.00 | 40.00 | $0 | $673,102 | $114,812 | Yes (X) | ||
| DANIEL E LOHR ESQUIRE | ||||||||
| FORMER OFFIC | 0.00 | 40.00 | $0 | $543,748 | $20,957 | Yes (X) | ||
| STEVEN B BENDER ESQUIRE | ||||||||
| CLO, SECRETA | 0.00 | 40.00 | Yes (X) | $0 | $409,979 | $114,735 | ||
| BENJAMIN A HOHMUTH MD | ||||||||
| DIRECTOR | 0.00 | 40.00 | $0 | $407,699 | $52,771 | Yes (X) | ||
| ANDREW BOELL DO MS-HQSM CHIE FHM | ||||||||
| DIRECTOR | 0.00 | 40.00 | $0 | $399,018 | $49,632 | Yes (X) | ||
| LORI R GRAMLEY ESQUIRE | ||||||||
| ACLO, ASST S | 0.00 | 40.00 | Yes (X) | $0 | $330,159 | $31,545 | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Reportable Comp Rltd Org | $7,970,400 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,119,314 | TotalOtherCompensationAmt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (2 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| ORION HEALTH INC | |||||
| 7350 E EVANS RD C-100 | SCOTTSDALE | AZ | 85260 | INFO TECHNOLOGY | $267,441 |
| ENABLECARE LLC | |||||
| 6240 WEST 135TH STREET | OVERLAND PARK | KS | 66223 | CONSULTING | $160,479 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 2 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $1,435,250 | GovernmentGrantsAmt |
| Total Contributions | $1,435,250 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | HEALTH INFO SUBSCRIPTION | Desc |
| Business | 519100 | BusinessCd |
| Total Revenue Column | $2,163,993 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,163,993 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $2,163,993 | TotalProgramServiceRevenueAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PURCHASE DISCOUNTS | Desc |
| Business | 561000 | BusinessCd |
| Total Revenue Column | $349 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $349 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $349 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,599,592 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,164,342 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,697,745 | TotalAmt |
| Program Services | $1,697,745 | ProgramServicesAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $341,240 | TotalAmt |
| Program Services | $341,240 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | INTER-ENTITY EXPENSE | Desc |
| Total | $1,019,008 | TotalAmt |
| Program Services | $921,285 | ProgramServicesAmt |
| Management And General | $97,723 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,057,993 | TotalAmt |
| Program Services | $2,960,270 | ProgramServicesAmt |
| Management And General | $97,723 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $142,333 | BOYAmt |
| EOY | $266,422 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $1,307,990 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $31,493 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $142,333 | BOYAmt |
| EOY | $1,605,905 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,515,757 | BOYAmt |
| EOY | $2,301,617 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,136 | BOYAmt |
| EOY | $1,600 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $259,261 | BOYAmt |
| EOY | $394,910 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,776,154 | BOYAmt |
| EOY | $2,698,127 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$1,633,821 | BOYAmt |
| EOY | -$1,092,222 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$1,633,821 | BOYAmt |
| EOY | -$1,092,222 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $142,333 | BOYAmt |
| EOY | $1,605,905 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $541,599 | ReconcilationRevenueExpnssAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | Yes (X) | SupportingOrganization509a3Ind |
| Supporting Org Type1 | Yes (X) | SupportingOrgType1Ind |
| Supported Organizations | 1 | SupportedOrganizationsCnt |
Supported Org Information SupportedOrgInformationGrp
Supported Organization Name SupportedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GEISINGER HEALTH | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 231995911 | EIN |
| Organization Type | 7 | OrganizationTypeCd |
| Governing Document Listed | Yes (true) | GoverningDocumentListedInd |
| Support | $0 | SupportAmt |
| Other Support | $0 | OtherSupportAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supported Organizations Total | 1 | SupportedOrganizationsTotalCnt |
| Other Support Sum | $0 | OtherSupportSumAmt |
Form990 Sch A Supporting Org Form990SchASupportingOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Listed By Name Governing Doc | Yes (true) | ListedByNameGoverningDocInd |
| Suprt Org No IRS Determination | false | SuprtOrgNoIRSDeterminationInd |
| Supported Org Section C456 | false | SupportedOrgSectionC456Ind |
| Supported Org Not Organized US | false | SupportedOrgNotOrganizedUSInd |
| Organization Change Suprt Org | false | OrganizationChangeSuprtOrgInd |
| Support Non Supported Org | false | SupportNonSupportedOrgInd |
| Payment Substantial Contribtr | false | PaymentSubstantialContribtrInd |
| Loan Disqualified Person | false | LoanDisqualifiedPersonInd |
| Controlled Disqualified Prsn | false | ControlledDisqualifiedPrsnInd |
| Disqualified Prsn Controll Int | false | DisqualifiedPrsnControllIntInd |
| Disqualified Prsn Ownr Int | false | DisqualifiedPrsnOwnrIntInd |
| Excess Business Holdings Rules | false | ExcessBusinessHoldingsRulesInd |
| Contribution Controller | false | ContributionControllerInd |
| Contribution Family | false | ContributionFamilyInd |
| Contribution35 Controlled | false | Contribution35ControlledInd |
Form990 Sch A Type1 Suprt Org Form990SchAType1SuprtOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Power Appoint Majority Dir Trst | Yes (true) | PowerAppointMajorityDirTrstInd |
| Operate Benefit Non Suprt Org | false | OperateBenefitNonSuprtOrgInd |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SUPPLEMENTAL INFORMATION | FormAndLineReferenceDesc |
| Explanation | KEYSTONE HEALTH INFORMATION EXCHANGE, INC. (KEYHIE), IS A SUBSIDIARY ORGANIZATION OF GEISINGER HEALTH, A SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION AND PARENT CORPORATION OF GEISINGER. GEISINGER IS A PHYSICIAN-LED, INTEGRATED HEALTH SERVICES ORGANIZATION THAT HAS AS ITS MAIN COMPONENTS: 1. AN ARRAY OF HEALTH SERVICES PROVIDERS, INCLUDING SEVEN ACUTE CARE HOSPITALS AND A DRUG AND ALCOHOL TREATMENT FACILITY; 2. A MULTISPECIALTY PHYSICIAN GROUP PRACTICE OF 1,712 PHYSICIANS PRACTICING AT 258 CLINIC SITES; AND 3. ONE OF THE NATION'S LARGEST RURAL HEALTH INSURANCE ORGANIZATIONS WITH 542,900 MEMBERS. GEISINGERS MISSION OF ENHANCING THE QUALITY OF LIFE THROUGH AN INTEGRATED HEALTH SERVICE ORGANIZATION IS BASED UPON A BALANCED APPROACH OF PATIENT CARE, EDUCATION, RESEARCH, AND COMMUNITY SERVICE. KEYHIE SUPPORTS THIS MISSION THROUGH COLLABORATION WITH OTHER HEALTHCARE ORGANIZATIONS BY IMPROVING THE ACCESS TO HEALTH INFORMATION TECHNOLOGY TOOLS FOR ALL PROVIDERS IN THE GEISINGER SERVICE AREA, AND IMPROVING THE EXCHANGE OF HEALTHCARE INFORMATION WHEN PATIENTS TRANSITION FROM ONE SETTING TO ANOTHER. KEYHIE'S GOAL IS TO ENABLE THE EXCHANGE OF HEALTH INFORMATION AMONG THE CORPORATION'S MEMBERS AND OTHER PARTICIPANTS SO THAT THE CORPORATION'S MEMBERS AND PARTICIPANTS WILL BE ABLE TO DELIVER AFFORDABLE, HIGH QUALITY, CONVENIENT AND EFFICIENT HEALTHCARE THROUGHOUT PENNSYLVANIA AND THEREBY LESSEN THE BURDENS OF GOVERNMENT. | ExplanationTxt |
Schedule D IRS990ScheduleD
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | CONTRACTED SERVICES | Desc |
| Amt | $394,910 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $394,910 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE D, PAGE 4, PART XIII | FormAndLineReferenceDesc |
| Explanation | EFFECTIVE JULY 1, 2007, GEISINGER(1) ADOPTED ACCOUNTING STANDARDS CODIFICATION 740 (FIN 48), (FORMERLY KNOWN AS "STATEMENT 109: ACCOUNTING FOR INCOME TAXES- OR "FAS 109"). FIN 48 CLARIFIES THE ACCOUNTING AND REPORTING FOR INCOME TAXES WHERE INTERPRETATION OF THE TAX LAW MAY BE UNCERTAIN. FIN 48 PRESCRIBES A COMPREHENSIVE MODEL FOR THE FINANCIAL STATEMENT RECOGNITION, MEASUREMENT, PRESENTATION AND DISCLOSURE OF INCOME TAX UNCERTAINTIES WITH RESPECT TO POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN INCOME TAX RETURNS. THE ADOPTION OF FIN 48 HAD NO IMPACT ON UNRESTRICTED NET ASSETS AS OF THE END OF THE FISCAL YEAR OR ANY PREVIOUS YEARS SINCE ADOPTION. ACCORDINGLY, NO FIN 48 FOOTNOTE DISCLOSURE WAS MADE IN THE GEISINGER CONSOLIDATED FINANCIAL STATEMENTS. (1) THROUGHOUT THIS DOCUMENT, THE TERMS "SYSTEM- OR "GEISINGER", SHALL REFER TO THE ENTIRE HEALTHCARE SYSTEM COMPRISED OF GEISINGER HEALTH "GH" AS PARENT AND ALL SUBSIDIARY ENTITIES COMPRISING THE SYSTEM. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (true) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)
| TitleTitleTxt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|
| KEVIN V ROBERTS MBA CPA | |||||||
| EVP, CFO, TREASURER | $1,490,425 | $310,003 | $82,286 | $339,451 | $30,500 | $2,252,665 | |
| DAVID J FELICIO ESQUIRE | |||||||
| FORMER OFFICER | $182,951 | $55,278 | $1,295,212 | $17,757 | $5,481 | $1,556,679 | $357,000 |
| MATTHEW WALSH | |||||||
| CHAIR,PRESIDENT,DIR | $882,363 | $148,404 | $59,333 | $202,267 | $32,274 | $1,324,641 | |
| JOHN M KRAVITZ | |||||||
| CEO, VICE CHAIR, DIR | $604,187 | $96,253 | $83,020 | $24,112 | $807,572 | $67,202 | |
| JOHN B BULGER DO | |||||||
| DIRECTOR | $558,097 | $82,100 | $32,905 | $82,142 | $32,670 | $787,914 | |
| DANIEL E LOHR ESQUIRE | |||||||
| FORMER OFFICER | $370,625 | $170,000 | $3,123 | $20,142 | $815 | $564,705 | |
| STEVEN B BENDER ESQUIRE | |||||||
| CLO, SECRETARY | $360,976 | $49,003 | $97,643 | $17,092 | $524,714 | ||
| BENJAMIN A HOHMUTH MD | |||||||
| DIRECTOR | $382,880 | $24,819 | $20,142 | $32,629 | $460,470 | ||
| ANDREW BOELL DO MS-HQSM CHIE FHM | |||||||
| DIRECTOR | $313,191 | $85,827 | $20,142 | $29,490 | $448,650 | ||
| LORI R GRAMLEY ESQUIRE | |||||||
| ACLO, ASST SECTY | $276,263 | $53,896 | $20,142 | $11,403 | $361,704 | ||
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE J, PAGE 1, PART I, LINE 4 | DAVID J. FELICIO, ESQUIRE 679,965 575,879 0 JOHN M. KRAVITZ 0 67,202 0 |
| SCHEDULE J, PART III | 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 FORM 990, THE TERMS "GEISINGER- AND "SYSTEM" REFER TO THE ENTIRE HEALTHCARE SYSTEM COMPRISED OF GEISINGER HEALTH "GH" AS PARENT AND ALL SUBSIDIARY CORPORATIONS COMPRISING THE SYSTEM. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 2, PART III, LINE 4A | KEYSTONE HEALTH INFORMATION EXCHANGE, INC. ("KEYHIE"), A 501(C)(3) TAX- EXEMPT ORGANIZATION, WAS INCORPORATED IN DECEMBER 2013 IN SUPPORT OF GEISINGER HEALTH ("GH"), A 501(C)(3) TAX EXEMPT ORGANIZATION, AND THE PARENT OF GEISINGER. KEYHIE WAS FORMED TO DEVELOP AND OPERATE A REGIONAL HEALTH INFORMATION SHARING NETWORK FOR USE BY LICENSED HEALTHCARE PROVIDERS WHEN TREATING PATIENTS THAT HAVE MEDICAL RECORDS HELD WITHIN THE PARTICIPATING HEALTHCARE ORGANIZATIONS. KEYHIE IS A HEALTH INFORMATION ORGANIZATION ("HIO"), WHICH IS A MULTI-STAKEHOLDER ORGANIZATION CREATED TO FACILITATE A HEALTH INFORMATION EXCHANGE ("HIE"): THE TRANSFER OF HEALTHCARE INFORMATION ELECTRONICALLY ACROSS ORGANIZATIONS AMONG STAKEHOLDERS OF THAT REGION'S HEALTHCARE SYSTEM. THE ULTIMATE OBJECTIVE IS TO IMPROVE THE SAFETY, QUALITY, AND EFFICIENCY OF HEALTHCARE AS WELL AS ACCESS TO HEALTHCARE THROUGH THE EFFICIENT APPLICATION OF HEALTH INFORMATION TECHNOLOGY, HIOS ARE ALSO INTENDED TO SUPPORT SECONDARY USE OF CLINICAL DATA FOR RESEARCH AS WELL AS INSTITUTION/PROVIDER QUALITY ASSESSMENT AND IMPROVEMENT. KEYHIE'S GOAL IS TO ENABLE THE EXCHANGE OF HEALTH INFORMATION AMONG THE CORPORATION'S MEMBERS AND OTHER PARTICIPANTS SO THAT THE CORPORATION'S MEMBERS AND PARTICIPANTS WILL BE ABLE TO DELIVER AFFORDABLE, HIGH QUALITY, CONVENIENT AND EFFICIENT HEALTHCARE THROUGHOUT PENNSYLVANIA AND THEREBY LESSEN THE BURDENS OF GOVERNMENT. AS OF DECEMBER 2020 KEYHIE'S MEMBERSHIP INCLUDED 203 HEALTHCARE ORGANIZATIONS REPRESENTING 39 HOSPITALS, 281 MEDICAL PRACTICES, 80 LONG- TERM CARE CENTERS, 30 HOME HEALTH AGENCY LOCATIONS, 18 PHARMACY, 3 EMS LOCATIONS, 19 URGENT CARE, AND 5 INSURANCE PAYORS. GEISINGER IS A PHYSICIAN-LED, INTEGRATED HEALTH SERVICES ORGANIZATION THAT HAS AS ITS MAIN COMPONENTS: 1) AN ARRAY OF HEALTH SERVICES PROVIDERS; INCLUDING SEVEN ACUTE CARE HOSPITALS AND A DRUG AND ALCOHOL TREATMENT FACILITY; 2) A MULTISPECIALTY PHYSICIAN GROUP PRACTICE OF 1,720 PHYSICIANS PRACTICING AT 120 CLINIC SITES; AND 3) ONE OF THE NATION'S LARGEST RURAL HEALTH INSURANCE ORGANIZATIONS WITH 544,000 MEMBERS. DURING THE SHORT PERIOD ENDED DECEMBER 31, 2020, GEISINGER OPERATED IN 45 OF PENNSYLVANIA'S 67 COUNTIES, WITH A SIGNIFICANT PRESENCE IN CENTRAL, SOUTH-CENTRAL AND NORTHEAST PENNSYLVANIA, OUTSIDE THE MAJOR METROPOLITAN AREAS, AND IN 7 COUNTIES IN SOUTHERN NEW JERSEY. GEISINGERS MISSION OF ENHANCING THE QUALITY OF LIFE THROUGH THE INTEGRATED HEALTH SERVICE ORGANIZATION IS BASED UPON A BALANCED PROGRAM OF PATIENT CARE, EDUCATION, RESEARCH, AND COMMUNITY SERVICE. KEYHIE SUPPORTS THIS MISSION THROUGH COLLABORATION WITH OTHER HEALTHCARE ORGANIZATIONS BY IMPROVING THE ACCESS TO HEALTH INFORMATION TECHNOLOGY TOOLS FOR ALL PROVIDERS IN THE GEISINGER SERVICE AREA, AND IMPROVING THE EXCHANGE OF HEALTHCARE INFORMATION WHEN PATIENTS TRASITION FROM ONE SETTING TO ANOTHER. AT ITS CORE, KEYHIE LINKS TOGETHER PATIENT RECORDS FROM MULTIPLE, DISPARATE HEALTHCARE ORGANIZATIONS SO INFORMATION FROM THESE ORGANIZATIONS ABOUT EACH PATIENT CAN BE PULLED TOGETHER INTO A SINGLE PATIENT-CENTERED VIEW. NOT ONLY IS THIS CRITICAL FOR GOOD PATIENT CARE, BUT IT CAN ALSO ASSIST (AFTER APPROPRIATE PATIENT CONSENTS AND LEGAL CONTRACTS) WITH IRB-APPROVED ("INSTITUTIONAL REVIEW BOARD") RESEARCH AND CONTRACTED ANALYTIC REPORTING FOR ACCOUNTABLE CARE ORGANIZATIONS AND OTHER POPULATION HEALTH REPORTING. |
| FORM 990, PART V | 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 REPORTABLE PAYMENTS OF THE FILING ORGANIZATION. THE NUMBER OF FORM 1099'S FILED BY GSS FOR THE 2020 REPORTING PERIOD ON BEHALF OF ITSELF AND ITS AFFILIATES WAS 1,542. |
| FORM 990, PART VI | FORM 990, PART I, SECTION A, LINE 4: FORM 990, PART VI, SECTION A, LINE 1B: ENTER THE NUMBER OF VOTING MEMBERS THAT ARE INDEPENDENT. BASED ON THE FORM 990 DEFINITION OF "INDEPENDENCE" AS IT RELATES TO VOTING MEMBERS OF THE GOVERNING BODY, FIVE VOTING MEMBERS ARE NOT INDEPENDENT BECAUSE THEY ARE COMPENSATED AS EMPLOYEES OF RELATED TAX-EXEMPT ORGANIZATIONS. FORM 990, PART VI, SECTION A, LINE 2: DID ANY OFFICER, DIRECTOR, TRUSTEE, OR KEY EMPLOYEE HAVE A FAMILY RELATION- SHIP OR BUSINESS RELATIONSHIP WITH ANY OTHER OFFICER, DIRECTOR, TRUSTEE, OR KEY EMPLOYEE? JOHN B. BULGER, DO, FACOI, FACP, KEVIN V. ROBERTS, MBA, CPA, LORI R. GRAMLEY, ESQUIRE, MATTHEW WALSH, AND STEVEN B. BENDER, ESQUIRE ALL HAVE A BUSINESS RELATIONSHIP WITH ONE ANOTHER BECAUSE THEY SERVE AS OFFICERS AND/OR DIRECTORS ON ONE OR MORE FOR-PROFIT AFFILIATE OF THE ENTITY. ALL OF THE AFFILIATES ARE PART OF GEISINGER. |
| FORM 990, PAGE 6, PART VI, LINE 6 | THE MEMBERS OF THE CORPORATION HAVE THE POWER AND AUTHORITY TO ELECT AND REMOVE THE DIRECTORS; ELECT AND REMOVE THE PRESIDENT AND FILL ANY VACANCY IN THE OFFICE OF THE PRESIDENT OF THE CORPORATION; AND, MAY APPROVE AMENDMENTS TO THE CORPORATE BYLAWS IN LIEU OF SUCH APPROVAL BY THE BOARD OF DIRECTORS. THE MEMBERS ALSO HAVE THE RESERVE POWERS AS SET FORTH IN THE PENNSYLVANIA NONPROFIT CORPORATION LAW. |
| FORM 990, PAGE 6, PART VI, LINE 7A | THE BOARD OF DIRECTORS OF THE CORPORATION SHALL SERVE AS THE GOVERNING BODY OF THE CORPORATION. THE PRESIDENT OF THE CORPORATION SHALL BE A DIRECTOR BY REASON OF HOLDING SUCH OFFICE. THE REMAINING DIRECTORS SHALL BE ELECTED BY THE MEMBERS AT THE ANNUAL MEETING OF THE MEMBERS. THE MEMBERS OF THE CORPORATION MAY SERVE AS DIRECTORS AND DIRECTORS MAY SUCCEED THEMSELVES FROM TERM TO TERM. VACANCIES ON THE BOARD OF DIRECTORS SHALL BE FILLED BY THE MEMBERS AT THEIR DISCRETION AT THE ANNUAL MEETING OF THE MEMBERS OR AT A SPECIAL MEETING CALLED FOR SUCH PURPOSE. |
| FORM 990, PAGE 6, PART VI, LINE 7B | THE MEMBERS OF THE CORPORATION HAVE THE POWER AND AUTHORITY TO ELECT AND REMOVE THE DIRECTORS; ELECT AND REMOVE THE PRESIDENT AND FILL ANY VACANCY IN THE OFFICE OF THE PRESIDENT OF THE CORPORATION; AND, MAY APPROVE AMENDMENTS TO THE CORPORATE BYLAWS IN LIEU OF SUCH APPROVAL BY THE BOARD OF DIRECTORS. THE MEMBERS ALSO HAVE THE RESERVE POWERS AS SET FORTH IN 15 PA. C.S.A. SUPBCHATER E OF THE PENNSYLVANIA NONPROFIT CORPORATION LAW. |
| FORM 990, PAGE 6, PART VI, LINE 11B | ALL OFFICERS AND DIRECTORS WERE ELECTRONICALLY PROVIDED A FINAL COPY OF THE FORM 990 PRIOR TO FILING THE RETURN WITH THE IRS. AN EXECUTIVE SUMMARY OF THE INFORMATION REPORTED ON THE RETURN IS PROVIDED TO ASSIST IN THE REVIEW. IN ACCORDANCE WITH THE GEISINGER HEALTH BOARD OF DIRECTOR'S FINANCE COMMITTEE CHARTER, GEISINGER ORGANIZATIONS' FORM 990 FILINGS ARE REVIEWED ANNUALLY. THE FORM 990 IS PREPARED BY GEISINGER TAX AND FINANCIAL REPORTING DEPARTMENTS WITH INFORMATION PROVIDED FROM FINANCE, TAX, HUMAN RESOURCES, LEGAL SERVICES AND OTHER RELEVANT DEPARTMENTS WITHIN GEISINGER. THE CHIEF FINANCIAL OFFICER (CFO) OF GEISINGER AND THE INDIVIDUAL ORGANIZATIONS SENIOR FINANCIAL MANAGERS REVIEW THEIR RESPECTIVE FORM 990 PRIOR TO MAKING THE FINAL RETURN AVAILABLE TO THE BOARD. IN ADDITION, THE CHIEF LEGAL OFFICER AND CHIEF HUMAN RESOURCE OFFICER OF GEISINGER REVIEW THE INFORMATION DISCLOSED ON THE FORM 990 RELEVANT TO THEIR RESPECTIVE AREAS OF RESPONSIBILITY. FOR PURPOSES OF THEIR ANNUAL AUDIT OF GEISINGER CONSOLIDATED FINANCIAL STATEMENTS, INDEPENDENT AUDITORS REVIEW ALL FEDERAL TAX RETURNS FILED BY GEISINGER ORGANIZATIONS TO IDENTIFY MATERIAL ITEMS, INCLUDING IF THERE ARE ANY UNCERTAIN TAX POSITIONS THAT MAY BE REQUIRED TO BE RECOGNIZED. THE COMPANY HAD NO UNCERTAIN TAX POSITIONS REQUIRED TO BE REPORTED FOR REPORTING PERIOD. |
| FORM 990, PAGE 6, PART VI, LINE 12C | THE OFFICERS AND DIRECTORS OF THE ORGANIZATION ARE SUBJECT TO THE GEISINGER CONFLICT OF INTEREST POLICY FOR DIRECTORS, OFFICERS AND SENIOR LEADERS. AT LEAST ONCE EACH YEAR DIRECTORS, OFFICERS, KEY EMPLOYEES, SENIOR LEADERS AND OTHERS DESIGNATED BY THE BOARD OF DIRECTORS ARE REQUIRED TO DISCLOSE IN WRITING THE EXISTENCE OF ANY POTENTIAL FINANCIAL INTERESTS THAT MAY GIVE RISE TO A CONFLICT OF INTEREST WITH ANY AFFILIATE WITHIN GEISINGER. THE DISCLOSURES ARE REVIEWED BY THE OFFICE OF THE CHIEF COMPLIANCE OFFICER AND REPORTED TO THE AUDIT AND COMPLIANCE COMMITTEE AND/OR BOARD OF DIRECTORS. AFTER REVIEW OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, INPUT FROM DEPARTMENT OF LEGAL SERVICES AND ANY DISCUSSION WITH THE PERSON DESIRED BY THE BOARD OR COMMITTEE, THE COMMITTEE/BOARD DECIDES IF A CONFLICT EXISTS AND TAKES APPROPRIATE ACTION. THE INDIVIDUAL DISCLOSING THE FINANCIAL INTEREST IS ABSENT DURING THE COMMITTEE/BOARD DELIBERATIONS AND DECISIONS ON THE MATTER. |
| FORM 990, PAGE 6, PART VI, LINE 15A | THE PROCESS TO REVIEW AND APPROVE THE COMPENSATION OF GEISINGER EMPLOYED BOARD DIRECTORS, OFFICERS, AND EXECUTIVE MANAGEMENT IS DESIGNED TO SATISFY THE REBUTTABLE PRESUMPTION PROCEDURE AVAILABLE FOR INTERMEDIATE SANCTION PURPOSES. THE PROCESS REQUIRES A REVIEW OF COMPENSATION DETERMINATIONS BY DISINTERESTED PARTIES, USE OF APPROPRIATE COMPARABILITY DATA AND CONTEMPORANEOUS DOCUMENTATION OF THE PROCESS. ON AN ANNUAL BASIS AN INDEPENDENT, NATIONALLY RECOGNIZED COMPENSATION CONSULTANT COMPLETES A COMPARATIVE ASSESSMENT OF COMPENSATION FOR THE CEO AND SENIOR MANAGEMENT WITHIN GEISINGER. THE CONSULTANT'S REPORT IS PRESENTED TO THE GEISINGER FAMILY COMMITTEE PRIOR TO ANY COMPENSATION ADJUSTMENT. THE REPORT SUPPORTS THE RIGOROUS REVIEW COMPLETED BY THE GEISINGER FAMILY COMMITTEE TO ENSURE THAT THE PROGRAM IS RESPONSIBLE TO THE GEISINGER CHARITABLE MISSION, REFLECTS REASONABLE COMPENSATION WITHIN THE NONPROFIT MARKET AND IS COMPLIANT WITH THE IRS'S INTERMEDIATE SANCTION REQUIREMENTS. THE SURVEY DATA IN THE COMPARATIVE ANALYSIS IS CAPTURED FOR FUNCTIONALLY COMPARABLE POSITIONS IN MULTIPLE SIMILAR NONPROFIT ORGANIZATIONS AND REFLECTS TOTAL REMUNERATION PROVIDED IN THE MARKET. ALL SURVEYS ARE CONDUCTED BY THIRD PARTY ORGANIZATIONS AND NOT CONDUCTED AT THE SPECIFIC DIRECTION OF GEISINGER. ANY COMPENSATION ADJUSTMENTS ARE APPROVED BY THE GEISINGER FAMILY COMMITTEE PRIOR TO THE EFFECTIVE DATE OF THE PAYMENT. THE GEISINGER FAMILY COMMITTEE AT ITS SOLE DISCRETION MAY POSITIVELY OR NEGATIVELY ADJUST ANY RECOMMENDED COMPENSATION. |
| FORM 990, PAGE 6, PART VI, LINE 15B | SEE SCHEDULE O RESPONSE TO FORM 990, PART VI SECTION B, QUESTION 15A. |
| FORM 990, PAGE 6, PART VI, LINE 19 | FINANCIAL STATEMENTS, FORM 990, FORM 990-T, THE CONFLICTS OF INTEREST POLICY, AND OTHER GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | CONSULTING FEES 64,900 0 0 EQUIP MAINT SVC CONTRACTS 150 0 0 OUTSIDE PURCHASED SERVICES 1,632,695 0 0 TOTAL 1,697,745 0 0 |
| FORM 990, PART XII | FORM 990, PART XII, LINE 3A: AS A RESULT OF A FEDERAL AWARD, WAS THE ORGANIZATION REQUIRED TO UNDERGO AN AUDIT OR AUDITS AS SET FORTH IN THE SINGLE AUDIT ACT AND OMB CIRCULAR A-133? FEDERAL AWARDS ARE AUDITED AS A PART OF THE GEISINGER'S CONSOLIDATED REPORT ON FEDERAL AWARDS IN ACCORDANCE WITH OMB CIRCULAR A-133. FOOTNOTE: THROUGHOUT FORM 990, THE TERMS "GEISINGER- AND "SYSTEM" SHALL REFER TO THE ENTIRE HEALTHCARE SYSTEM COMPRISED OF GEISINGER HEALTH AS PARENT AND ALL SUBSIDIARY CORPORATIONS COMPRISING THE SYSTEM. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (37 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| GEISINGER HEALTH | |||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 231995911 | PHILANTHRO | PA | 501C3 | 7 | N/A | false | |
| GEISINGER MEDICAL CENTER | |||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 240795959 | HOSPITAL | PA | 501C3 | 3 | false | GH | |
| GEISINGER CLINIC | |||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 236291113 | PHYSN SVCS | PA | 501C3 | 12A | false | GH | |
| GEISINGER WYOMING VALLEY MED CTR | |||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 231996150 | HOSPITAL | PA | 501C3 | 3 | false | GH | |
| MARWORTH | |||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 232171417 | D&A REHAB | PA | 501C3 | 3 | false | GH | |
| GEISINGER HEALTH PLAN | |||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 232311553 | HMO | PA | 501C4 | false | GH | ||
| GEISINGER SYSTEM SERVICES | |||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 232164794 | SUPPORT SV | PA | 501C3 | 12A | false | GH | |
| GEISINGER COMMUNITY HEALTH SERVICES | |||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 232967235 | HEALTHCARE | PA | 501C3 | 10 | false | GSS | |
| GEISINGER INSURANCE CORPORATIONRRG | |||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 141909894 | SELF INS | VT | 501C3 | 12A | false | GH | |
| COMMUNITY MEDICAL CENTER | |||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 240862246 | HOSPITAL | PA | 501C3 | 3 | false | GH | |
| MOUNTAIN VIEW NURSING HOME INC | |||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 232568288 | LNGTM CARE | PA | 501C3 | 10 | false | GH | |
| GEISINGER-BLOOMSBURG HOSPITAL | |||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 232193572 | HOSPITAL | PA | 501C3 | 3 | false | GH | |
| GEISINGER-BLOOMSBURG HEALTHCARE CTR | |||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 232242854 | SKILLED NU | PA | 501C3 | 10 | false | GH | |
| GEISINGER-LEWISTOWN HOSPITAL | |||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 231352187 | HOSPITAL | PA | 501C3 | 3 | false | GH | |
| LEWISTOWN AMBULATORY CARE CORP | |||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 232344362 | HOLDING CO | PA | 501C3 | 12A | false | GH | |
| FAMILY HEALTH ASSOCIATES OF GLH | |||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 251651582 | PHYSN SVCS | PA | 501C3 | 12A | false | GH | |
| HEALTH CARE CORP OF NORTHEAST PA | |||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 232337286 | SUPPORT SV | PA | 501C3 | 12A | false | CMC | |
| HOLY SPIRIT HEALTH SYSTEM | |||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 251865142 | PHILANTHRO | PA | 501C3 | 12A | false | GH | |
| HOLY SPIRIT HOSPITAL | |||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 231512747 | HOSPITAL | PA | 501C3 | 3 | false | HSHS | |
| HOLY SPIRIT CORPORATION | |||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 232214540 | HOLDING CO | PA | 501C2 | false | HSHS | ||
| SPIRIT PHYSICIAN SERVICES INC | |||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 251766971 | PHYSN SVCS | PA | 501C3 | 10 | false | HSHS | |
| WEST SHORE ADVANCED LIFE SUPP SVCS | |||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 232463002 | HEALTHCARE | PA | 501C3 | 10 | false | GC | |
| GEISINGER COMMONWEALTH SCH OF MED | |||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 260812968 | EDUCATION | PA | 501C3 | 2 | false | GH | |
| GEISINGER JERSEY SHORE HOSPITAL | |||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 240792115 | HOSPITAL | PA | 501C3 | 3 | false | GH | |
| GEISINGER MEDICAL CENTER MUNCY | |||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 851226106 | HOSPITAL | PA | 501C3 | 3 | false | GH | |
| GNJ PHYSICIANS GROUP PC | |||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 820681884 | PHYSN SVCS | NJ | 501C3 | 10 | false | GH | |
| GSL HOSPITAL | |||||||||||
| 801 OSTRUM STREET | BETHLEHEM | PA | 18015 | 824432109 | HOSPITAL | PA | 501C3 | 3 | N/A | false | |
| GSLPG INC | |||||||||||
| 801 OSTRUM STREET | BETHLEHEM | PA | 18015 | 825423865 | HEALTHCARE | PA | 501C3 | 3 | false | GSL HOSP | |
| ATLANTICARE BEHAVORIAL HEALTH INC | |||||||||||
| 2511 FIRE ROAD | EGG HARBOR TOWNSHIP | NJ | 08234 | 210721208 | HEALTHCARE | NJ | 501C3 | 7 | false | ARHS | |
| ATLANTICARE FOUNDATION INC | |||||||||||
| 6725 DELILAH ROAD | EGG HARBOR TOWNSHIP | NJ | 08234 | 222148992 | SUPPORT AR | NJ | 501C3 | 7 | false | AH SYSTEM | |
| ATLANTICARE HEALTH ENGAGEMENT INC | |||||||||||
| 2500 ENGLISH CREEK AVENUE | EGG HARBOR TOWNSHIP | NJ | 08234 | 611608389 | HEALTHCARE | NJ | 501C3 | 12A | false | AH SYSTEM | |
| ATLANTICARE HEALTH SERVICES INC | |||||||||||
| 2500 ENGLISH CREEK AVENUE | EGG HARBOR TOWNSHIP | NJ | 08234 | 223265214 | HEALTHCARE | NJ | 501C3 | 10 | false | ARHS | |
| ATLANTICARE HEALTH SYSTEM INC | |||||||||||
| 2500 ENGLISH CREEK AVENUE | EGG HARBOR TOWNSHIP | NJ | 08234 | 223265213 | SUPPORT AR | NJ | 501C3 | 12A | false | GH | |
| ATLANTICARE REGIONAL MEDICAL CENTER | |||||||||||
| 1925 PACIFIC AVENUE | ATLANTIC CITY | NJ | 08401 | 210634549 | HOSPITAL | NJ | 501C3 | 3 | false | ARHS | |
| ATLANTICARE PHYSICIAN GROUP PA | |||||||||||
| 2500 ENGLISH CREEK AVENUE | EGG HARBOR TOWNSHIP | NJ | 08234 | 020701782 | HEALTHCARE | NJ | 501C3 | 10 | false | AH SYSTEM | |
| ATLANTICARE REGIONAL HEALTH SERVICE | |||||||||||
| 2500 ENGLISH CREEK AVENUE | EGG HARBOR TOWNSHIP | NJ | 08234 | 800834222 | HOLDING CO | NJ | 501C3 | 12A | false | AH SYSTEM | |
| COOPERATIVE HOME HLTH CARE ATL CNTY | |||||||||||
| 6550 DELILAH ROAD SUITE 304 | EGG HARBOR TOWNSHIP | NJ | 08234 | 233836022 | HOME HEALT | NJ | 501C3 | 10 | false | AH SYSTEM | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (11 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd |
|---|---|---|---|---|---|---|---|---|---|
| KEYSTONE ACCOUNTABLE CARE ORG LLC | |||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 455484165 | ACO | PA | N/A | false | false |
| GEISINGER ENCOMPASS HEALTH LLC | |||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 721398803 | PHY THERAP | PA | N/A | false | false |
| EVANGELICAL-GEISINGER HEALTH LLC | |||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 460567687 | HEALTHCARE | PA | N/A | false | false |
| CAMP HILL AMBULATORY CENTERS | |||||||||
| 569 BROOKWOOD VILLAGE SUITE 901 | BIRMINGHAM | AL | 35209 | 521597478 | HEALTHCARE | PA | N/A | false | false |
| GRANDVIEW SURGERY CENTER LTD | |||||||||
| 569 BROOKWOOD VILLAGE SUITE 901 | BIRMINGHAM | AL | 35209 | 521597483 | HEALTHCARE | PA | N/A | false | false |
| LACKAWANNA PHYS AMB SURG CTRLLC | |||||||||
| 569 BROOKWOOD VILLAGE SUITE 901 | BIRMINGHAM | AL | 35209 | 233024998 | HEALTHCARE | PA | N/A | false | false |
| ATLANTICARE SURGERY CENTER LLC | |||||||||
| 2500 ENGLISH CREEK AVENUE | EGG HARBOR TOWNSHIP | NJ | 08234 | 223491867 | HEALTHCARE | NJ | N/A | false | false |
| COOPERATIVE HEALTH SRVS OF S JERSEY | |||||||||
| 1301 ATLANTIC AVENUE | ATLANTIC CITY | NJ | 08401 | 223619231 | PURCHASING | NJ | N/A | false | false |
| GEISINGER-HM JOINT VENTURE LLC | |||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 831871064 | HEALTHCARE | PA | N/A | false | false |
| KEYSTONE HEALTHCARE PARTNERSHIPLLC | |||||||||
| 901 HUGH WALLIS ROAD | LAFAYETTE | LA | 70508 | 833134941 | HOME HLTH | PA | N/A | false | false |
| SOUTHERN JERSEY MEDICAL PROPERTIES | |||||||||
| 2500 ENGLISH CREEK AVENUE | EGG HARBOR TOWNSHIP | NJ | 08234 | 383830843 | REAL ESTAT | NJ | N/A | false | false |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (8 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | Province Or StateForeignAddress/ProvinceOrStateNm | CountryForeignAddress/CountryCd | Foreign PostalForeignAddress/ForeignPostalCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ISS SOLUTIONS INC | ||||||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 232077663 | CLINIC ENG | PA | N/A | false | ||||||
| GEISINGER INDEMNITY INSURANCE CO | ||||||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 232815174 | HLTH INSUR | PA | N/A | false | ||||||
| GEISINGER QUALITY OPTIONS INC | ||||||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 204275139 | HLTH INSUR | PA | N/A | false | ||||||
| GEISINGER ASSURANCE COMPANY LTD | ||||||||||||||
| 981016737 | FINANCIAL | N/A | false | 23 LINE TREE BAY AVE PO BOX 1159 | GRAND CAYMAN | GRAND CAYMAN | CJ | KY1-1102 | CJ | |||||
| HOLY SPIRIT VENTURES INC | ||||||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 232407709 | MED. SERV. | PA | N/A | false | ||||||
| ENGLISH CREEK ASSURANCE LTD | ||||||||||||||
| 980656394 | FINANCIAL | N/A | false | 44 CHURCH STREET HM12 HAMILTON | BERMUDA | BERMUDA | BD | BD | ||||||
| ATLANTICARE HEALTH SOLUTIONS INC | ||||||||||||||
| 2500 ENGLISH CREEK AVENUE BLDG 500 | EGG HARBOR TOWNSHIP | NJ | 08234 | 383856295 | ACO/HEALTH | NJ | N/A | false | ||||||
| ATLANTICARE ASSURANCE ALLIANCE INC | ||||||||||||||
| 2500 ENGLISH CREEK AVENUE BLDG 500 | EGG HARBOR TOWNSHIP | NJ | 08234 | 463730123 | HEALTHCARE | NJ | N/A | false | ||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (4 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| GEISINGER SYSTEM SERVICES | ||
| L | $650,193 | GAAP |
| GEISINGER HEALTH PLAN | ||
| L | $486,908 | GAAP |
| GEISINGER SYSTEM SERVICES | ||
| M | $205,640 | GAAP |
| GEISINGER MEDICAL CENTER | ||
| L | $68,469 | GAAP |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE R | FormAndLineReferenceDesc |
| Explanation | FORM 990, SCHEDULE R, PART V - TRANSACTIONS WITH RELATED ORGANIZATIONS: AS SHOWN IN FORM 990, SCHEDULE R, KEYSTONE HEALTH INFORMATION EXCHANGE, INC. 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 |
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