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        <ReportableCompFromOrgAmt>1226356</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>258632</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DOMINIC MOFFA MBA FACHE</PersonNm>
        <TitleTxt>EVP, CH. STR</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>971721</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>249263</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JEAN A ADAMS</PersonNm>
        <TitleTxt>ACIO/CH NSG</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>356717</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>64103</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN CADY</PersonNm>
        <TitleTxt>CH. TECH AND</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>506928</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>32733</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN M KRAVITZ</PersonNm>
        <TitleTxt>CIO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>602913</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>103720</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KAREN MURPHY RN PHD</PersonNm>
        <TitleTxt>EVP,CHIEF IN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>680347</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>162720</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KEVIN F BRENNAN CPA FHFMA</PersonNm>
        <TitleTxt>EVP, CFO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>1020252</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>29604</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KEVIN J KERESTUS CIA</PersonNm>
        <TitleTxt>CHIEF ASSURA</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>410540</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>49766</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SUSAN M ROBEL RNC BSN MHA</PersonNm>
        <TitleTxt>EVP, CNO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>693519</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>173386</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JAMES C ARMSTRONG CPA FHFMA CGMC</PersonNm>
        <TitleTxt>SYSTEM VP, F</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>547419</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>82105</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DEBORAH PETRETICH-TEMPLETON RPH MH</PersonNm>
        <TitleTxt>CHIEF, SUPPO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>525473</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>71734</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DIANA SCALISE</PersonNm>
        <TitleTxt>VP, STRAT &amp;</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>421213</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>29054</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DONALD A STANZIANO</PersonNm>
        <TitleTxt>CHIEF MARKET</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>518020</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>32002</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KEVIN LANCIOTTI</PersonNm>
        <TitleTxt>VP, FINANCE</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>395482</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>49554</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>THOMAS A BIELECKI</PersonNm>
        <TitleTxt>VP, FINANCE,</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>380003</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>46492</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TIMOTHY D FITZGERALD CFA FHFMA</PersonNm>
        <TitleTxt>VP,TREAS AND</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>498477</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>66105</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>EARL P STEINBERG MD MPP</PersonNm>
        <TitleTxt>FORMER KEY E</TitleTxt>
        <AverageHoursPerWeekRltdOrgRt>40.00</AverageHoursPerWeekRltdOrgRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>735661</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>14916</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>FRANCIS M RICHARDS</PersonNm>
        <TitleTxt>FORMER KEY E</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>446764</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>2947</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOANNE E WADE</PersonNm>
        <TitleTxt>FORMER KEY E</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>211788</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>446072</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>7950</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ROBERT W DAVIES</PersonNm>
        <TitleTxt>FORMER KEY E</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>203554</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>6324</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>STEVEN R YOUSO</PersonNm>
        <TitleTxt>FORMER KEY E</TitleTxt>
        <AverageHoursPerWeekRltdOrgRt>40.00</AverageHoursPerWeekRltdOrgRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>1713650</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>231760</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JANET F TOMCAVAGE RN MSN</PersonNm>
        <TitleTxt>FORMER 5 HIG</TitleTxt>
        <AverageHoursPerWeekRltdOrgRt>40.00</AverageHoursPerWeekRltdOrgRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>533617</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>42716</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DAVID P TILTON MBA FACHE</PersonNm>
        <TitleTxt>FORMER KEY E</TitleTxt>
        <AverageHoursPerWeekRt>0.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>40.00</AverageHoursPerWeekRltdOrgRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>829445</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>6435</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>19737710</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>6239668</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>4563546</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>418</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>true</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>OWENS AND MINOR</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 8500-55182</AddressLine1Txt>
            <CityNm>PHILADELPHIA</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>19178</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>IT SERVICES</ServicesDesc>
        <CompensationAmt>34756898</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>EPLUS TECHNOLOGY INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 404398</AddressLine1Txt>
            <CityNm>ATLANTA</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>30384</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>IT SERVICES</ServicesDesc>
        <CompensationAmt>19628208</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>EPIC SYSTEMS CORP</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 88314</AddressLine1Txt>
            <CityNm>MILWAUKEE</CityNm>
            <StateAbbreviationCd>WI</StateAbbreviationCd>
            <ZIPCd>53288</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>IT SERVICES</ServicesDesc>
        <CompensationAmt>11203593</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MICROSOFT CORP</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1950 N STEMMONS FWY STE 5010</AddressLine1Txt>
            <CityNm>DALLAS</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>75207</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>IT SERVICES</ServicesDesc>
        <CompensationAmt>10871777</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>APOLLO GROUP INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>440 PIERCE ST</AddressLine1Txt>
            <CityNm>KINGSTON</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>18704</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSTR SERVICES</ServicesDesc>
        <CompensationAmt>7596646</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>269</CntrctRcvdGreaterThan100KCnt>
      <InfoInScheduleOPartVIIIInd>X</InfoInScheduleOPartVIIIInd>
      <ProgramServiceRevenueGrp>
        <Desc>IC SHARED SERVICES</Desc>
        <BusinessCd>541900</BusinessCd>
        <TotalRevenueColumnAmt>516295374</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>516295374</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>IC SHARED SERVICE-SCHEDULE O</Desc>
        <BusinessCd>541900</BusinessCd>
        <TotalRevenueColumnAmt>14473021</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>14473021</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PREMIER PURCHASING INCOME</Desc>
        <BusinessCd>541900</BusinessCd>
        <TotalRevenueColumnAmt>9434389</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>9434389</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>OTHER SUPPORT SERVICES</Desc>
        <BusinessCd>541900</BusinessCd>
        <TotalRevenueColumnAmt>2575846</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>2575846</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>INTERCOMPANY LEASE</Desc>
        <BusinessCd>531120</BusinessCd>
        <TotalRevenueColumnAmt>2225971</TotalRevenueColumnAmt>
        <ExclusionAmt>2225971</ExclusionAmt>
      </ProgramServiceRevenueGrp>
      <TotalOthProgramServiceRevGrp>
        <TotalRevenueColumnAmt>269157</TotalRevenueColumnAmt>
        <UnrelatedBusinessRevenueAmt>269157</UnrelatedBusinessRevenueAmt>
      </TotalOthProgramServiceRevGrp>
      <TotalProgramServiceRevenueAmt>545273758</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>652734</TotalRevenueColumnAmt>
        <ExclusionAmt>652734</ExclusionAmt>
      </InvestmentIncomeGrp>
      <IncmFromInvestBondProceedsGrp>
        <TotalRevenueColumnAmt>11816</TotalRevenueColumnAmt>
        <ExclusionAmt>11816</ExclusionAmt>
      </IncmFromInvestBondProceedsGrp>
      <GrossRentsGrp>
        <RealAmt>11279</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>31604</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>-20325</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>-20325</TotalRevenueColumnAmt>
        <ExclusionAmt>-20325</ExclusionAmt>
      </NetRentalIncomeOrLossGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>3560813</SecuritiesAmt>
        <OtherAmt>3075484</OtherAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <OtherAmt>4068649</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>3560813</SecuritiesAmt>
        <OtherAmt>-993165</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>2567648</TotalRevenueColumnAmt>
        <ExclusionAmt>2567648</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <OtherRevenueMiscGrp>
        <Desc>PURCHASE DISCOUNTS</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>561908</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>561908</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>LIBRARY FEES</Desc>
        <BusinessCd>541900</BusinessCd>
        <TotalRevenueColumnAmt>4517</TotalRevenueColumnAmt>
        <ExclusionAmt>4517</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>WAGE ATTACHMENT FEES</Desc>
        <BusinessCd>541900</BusinessCd>
        <TotalRevenueColumnAmt>4082</TotalRevenueColumnAmt>
        <ExclusionAmt>4082</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <MiscellaneousRevenueGrp>
        <TotalRevenueColumnAmt>482</TotalRevenueColumnAmt>
        <ExclusionAmt>482</ExclusionAmt>
      </MiscellaneousRevenueGrp>
      <OtherRevenueTotalAmt>570989</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>549056620</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>543340538</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>269157</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>5446925</ExclusionAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>16487107</TotalAmt>
        <ProgramServicesAmt>2464351</ProgramServicesAmt>
        <ManagementAndGeneralAmt>14022756</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <CompDisqualPersonsGrp>
        <TotalAmt>1326000</TotalAmt>
        <ProgramServicesAmt>904092</ProgramServicesAmt>
        <ManagementAndGeneralAmt>421908</ManagementAndGeneralAmt>
      </CompDisqualPersonsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>216751048</TotalAmt>
        <ProgramServicesAmt>206238839</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10512209</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>8439624</TotalAmt>
        <ProgramServicesAmt>8030311</ProgramServicesAmt>
        <ManagementAndGeneralAmt>409313</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>46132739</TotalAmt>
        <ProgramServicesAmt>43895347</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2237392</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>16579078</TotalAmt>
        <ProgramServicesAmt>15775009</ProgramServicesAmt>
        <ManagementAndGeneralAmt>804069</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>4501085</TotalAmt>
        <ProgramServicesAmt>4282787</ProgramServicesAmt>
        <ManagementAndGeneralAmt>218298</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>226724</TotalAmt>
        <ProgramServicesAmt>215728</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10996</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>406166</TotalAmt>
        <ProgramServicesAmt>386466</ProgramServicesAmt>
        <ManagementAndGeneralAmt>19700</ManagementAndGeneralAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>984921</TotalAmt>
        <ProgramServicesAmt>937153</ProgramServicesAmt>
        <ManagementAndGeneralAmt>47768</ManagementAndGeneralAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>79606076</TotalAmt>
        <ProgramServicesAmt>75745262</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3860814</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>5101708</TotalAmt>
        <ProgramServicesAmt>4854280</ProgramServicesAmt>
        <ManagementAndGeneralAmt>247428</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>16824425</TotalAmt>
        <ProgramServicesAmt>16008457</ProgramServicesAmt>
        <ManagementAndGeneralAmt>815968</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>64835836</TotalAmt>
        <ProgramServicesAmt>61691363</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3144473</ManagementAndGeneralAmt>
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        <ExplanationTxt>GEISINGER SYSTEM SERVICES SUPPORTED ORGANIZATIONS ARE DESIGNATED BY CLASS AND PURPOSE. PER GSS'S ARTICLES OF INCORPORATION, THE CORPORATION IS INCORPORATED UNDER THE NONPROFIT CORPORATION LAW OF 1972 OF THE COMMONWEALTH OF PENNSYLVANIA, AS AMENDED, FOR THE PURPOSE OF CONDUCTING EXCLUSIVELY CHARITABLE, SCIENTIFIC AND EDUCATIONAL ACTIVITIES WITHIN THE MEANING OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1954, AS AMENDED (OR THE CORRESPONDING PROVISION OF ANY SUCCESSOR UNITED STATES INTERNAL REVENUE LAW) (THE "INTERNAL REVENUE CODE"), INCLUDING THE PROVISION OF ADMINISTRATIVE, MANAGEMENT AND OTHER SUPPORT SERVICES FOR THE GEISINGER HEALTH SYSTEM FOUNDATION, ORGANIZATIONS AFFILIATED WITH SUCH FOUNDATION AND OTHER ORGANIZATIONS AND MAKING DONATIONS AND OTHER TRANSFERS TO THE GEISINGER HEALTH SYSTEM FOUNDATION AND TO ORGANIZATIONS CONTROLLED BY SUCH FOUNDATION AND DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, CONSISTENT WITH AND IN FURTHERANCE OF THESE PURPOSES. THE CORPORATION SHALL ENGAGE IN ALL ACTIVITIES PROPERLY RELATED TO THE FOREGOING, INCLUDING THE SOLICITATION OF FUNDS FROM INDIVIDUALS, CORPORATIONS AND OTHER EXEMPT ORGANIZATIONS FOR FINANCING THE SERVICES TO BE PROVIDED. GEISINGER HEALTH SYSTEM FOUNDATION IS NOW GEISINGER HEALTH.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART IV, SECTION A, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>GEISINGER SYSTEM SERVICES PERIODICALLY CALCULATES THE 509(A)(1) AND/OR 509 (A)(2) PUBLIC SUPPORT TEST TO ENSURE THAT THEY ARE SATISFIED BY ITS AFFILAITED 501(C)(3), 509(A)(3)ORGANIZATIONS. THE GEISINGER AFFILIATED 501(C)(3), 509(A)(3) SUPPORTING ORGANIZATIONS WHOSE PURPOSES INCLUDE SUPPORTING OTHER MEMBERS WITHIN GEISINGER AS DESCRIBED IN THEIR RESPECTIVE ARTICLES OF INCORPORATION, INCLUDE: NAME OF SUPPORTING ORGANIZATION EIN GEISINGER CLINIC 23-6291113 GEIISNGER INSURANCE CORPORATION, RISK RETENTION GROUP 14-1909894 LEWISTOWN AMBULATORY CARE CORPORATION 23-2344362 FAMILY HEALTH ASSOCIATES OF GEISINGER-LEWISTOWN HOSPITAL 25-1651582 KEYSTONE HEALTH INFORMATION EXCHANGE, INC. 46-4359893 ATLANTICARE HEALTH SYSTEM, INC. 22-3265213 THESE ORGANIZATIONS ARE LISTED IN FORM 990, SCHEDULE A, PART 1, LINE 11. THE TYPE OF ORGANIZATION REPORTED IN COLUMN (III) IDENTIFIES THE PUBLIC SUPPORT TEST SATISIFIED BY EACH ORGANIZATION. IN ADDITION, GSS SUPPORTS GEISINGER HEALTH PLAN, AN AFFILIATED 501(C)(4) ORGANIZATION AND HOLY SPIRIT CORPORATION, AN AFFILIATED 501 (C)(2) ORGANIZATION. BY SUPPORTING THESE ORGANIZATIONS, GEISINGER SYSTEM SERVICES IS FULFILLING ITS MISSION TO SUPPORT GEISINGER HEALTH IN ITS CHARITABLE MISSION OF DIRECTLY OR INDIRECTLY SUPPORTING THE PURPOSES OF GEISINGER MEDICAL CENTER OR ANY OTHER ORGANIZATION AFFILIATED WITH GEISINGER HEALTH WHICH QUALIFIES AS AN EXEMPT ORGANIZATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. GEISINGER SYSTEM SERVICES (GSS), A 501(C)(3)NONPROFIT CORPORATION,SUPPORTS AFFILIATED GEISINGER ORGANIZATIONS BY PROVIDING MANAGEMENT AND CONSULTATIVE SERVICES, AT COST. GSS PREPARES, IMPLEMENTS AND AUDITS POLICIES AND PROCEDURES OF SYSTEM WIDE RELEVANCE AND IMPLEMENTS UNIFORM STANDARDS AND METHODS OF MANAGEMENT THROUGHOUT THE SYSTEM. SERVICES HISTORICALLY PROVIDED BY GSS TO OTHER ENTITIES WITHIN GEISINGER INCLUDE: APPOINTMENT SERVICES INTERNAL AUDIT AUTOMOTIVE SERVICES LEGAL SERVICES BUSINESS OFFICE MAIL SERVICES CARE SUPPORT SERVICES MARKETING COURIER SERVICES MEDICAL LIBRARY CUSTOMER ACCESS MEDICAL RECORDS CUSTOMER SERVICE CALL CENTER PATIENT EXPERIENCE ELEVATOR OPERATIONS PATIENT PLACEMENT SERVICES EMPLOYEE BENEFIT ADMINISTRATION PLANT ENGINEERING FACILITIES PLANNING AND MANAGEMENT POWER PLANT FINANCIAL SERVICES QUALITY AND SAFETY GENERAL MAINTENANCE REPROGRAPHICS GROUNDS RISK MANAGEMENT HUMAN RESOURCES TRANSCRIPTION SERVICES INFORMATION SYSTEMS INCLUDES THE OPERATION AND MAINTENANCE OF THE ELECTRONIC HEALTH RECORDS FOR ALL PATIENTS OF THE VARIOUS GEISINGER PROVIDERS. THESE INTER-ORGANIZATION TRANSACTIONS PROMOTE THE EFFICIENT OPERATION OF THE VARIOUS AFFILIATED ORGANIZATIONS AND THE ATTAINMENT OF THEIR TAX EXEMPT PURPOSES. THESE TYPES OF INTER-ORGANIZATION TRANSACTIONS WERE DESCRIBED TO THE INTERNAL REVENUE SERVICE IN A RULING APPLICATION AND WERE RECOGNIZED BY THE NATIONAL OFFICE OF THE IRS IN A SERIES OF GEISINGER PRIVATE RULINGS AS BEING ENTIRELY CONSISTENT WITH THE ORGANIZATIONS' TAX EXEMPT STATUS. FOOTNOTE: THROUGHOUT FORM 990, THE TERMS "GEISINGER- AND "SYSTEM" SHALL REFER TO THE ENTIRE HEALTHCARE SYSTEM COMPRISED OF GEISINGER HEALTH (GH) AS PARENT AND ALL SUBSIDIARY CORPORATIONS COMPRISING THE SYSTEM.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART IV, SECTION A, LINE 3B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE 501(C)(4) ORGANIZATION SUPPORTED BY GEISINGER SYSTEM SERVICES RECEIVED AN IRS DETERMINATION LETTER CONFIRMING ITS STATUS AS A 501(C)(4) ORGANIZATION ON AUGUST 1, 1990. GEISINGER SYSTEM SERVICE PERIODICALLY CALCULATES THE 509(A)(2) PUBLIC SUPPORT TEST TO ENSURE THAT THE 501(C)(4) ORGANIZATION CONTINUES TO SATISFY THE TEST.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART IV, SECTION A, LINE 3C</FormAndLineReferenceDesc>
        <ExplanationTxt>TO ENSURE THAT ALL SUPPORT IS USED EXCLUSIVELY FROM SECTION 170(C)(2)(B) PURPOSES, THE FOLLOWING CONTROLS ARE IN PLACE: (1) GEISINGER SYSTEM SERVICES RECEIVED A PRIVATE LETTER RULING FROM THE IRS ON AUGUST 1, 1990. THE RULING INDICATES THAT THE PROVISION OF MANAGEMENT AND SUPPORT SERVICES TO THE 501(C)(4) ORGANIZATION CONTRIBUTES IMPORTANTLY TO THE ACCOMPLISHMENT OF GEISINGER SYSTEM SERVICES EXEMPT PURPOSE, THE PROMOTION OF HEALTH. THE PROVISION OF SERVICES TO THE 501(C)(4) ORGANIZATION WAS DEEMED RELATED AND NOT SUBJECT TO THE UNRELATED BUSINESS INCOME TAX. IN ADDITION, GEISINGER SYSTEM SERVICES DOES NOT PROVIDE MONETARY SUPPORT TO THE 501(C)(4) ORGANIZATION. (2) THE ARTICLES OF INCORPORATION OF THE 501(C)(4) ORGANIZATION STATE THAT UPON THE DISSOLUTION OF THE CORPORATION, THE BOARD OF DIRECTORS SHALL, AFTER PAYING OR MAKING PROVISION FOR THE PAYMENT OF ALL OF THE LIABILITIES AND OBLIGATIONS OF THE CORPORATION, PAY OVER AND TRANSFER, SUBJECT TO THE PRIOR APPROVAL OF THE TRUSTEE OF THE ABIGAIL GEISINGER TRUST, OR ITS SUCCESSOR, ALL OF THE ASSETS OF THE CORPORATION TO AN ORGANIZATION OR ORGANIZATIONS ORGANIZED AND OPERATED EXCLUSIVELY FOR CHARITABLE, EDUCATIONAL OR SCIENTIFIC PURPOSES, PROVIDED THAT AT SUCH TIME THE RECIPIENT QUALIFIES AS AN ORGANIZATION EXEMPT FROM TAX UNDER THE INTERNAL REVENUE CODE. NO PORTION OF THE ASSETS SHALL INURE TO THE BENEFIT OF ANY DIRECTOR, OFFICER OR MEMBER OF THE CORPORATION OR ANY ENTERPRISE ORGANIZED FOR PROFIT. (3) THE ARTICLES OF INCORPORATION OF THE 501(C)(4) CORPORATION CANNOT BE AMENDED WITHOUT THE PRIOR APPROVAL OF THE GEISINGER HEALTH SYSTEM FOUNDATION, NOW GEISINGER HEALTH, THE 501(C)(3) PARENT ORGANIZATION.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART IV, SECTION B, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>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 1,985 PHYSICIANS PRACTICING AT 261 PRIMARY AND SPECIALTY CLINICS; AND 3. ONE OF THE NATION'S LARGEST RURAL HEALTH INSURANCE ORGANIZATIONS WITH 551,687 MEMBERS. GEISINGER HEALTH, PARENT ORGANIZATION OF GEISINGER AND THE ORGANIZATION WHICH HAS THE POWER TO REGULARLY APPOINT AT LEAST A MAJORITY OF GEISINGER SYSTEM SERVICES'S DIRECTORS, IS INCORPORATED FOR THE CHARITABLE PURPOSE OF CONDUCTING EXCLUSIVELY CHARITABLE, SCIENTIFIC AND EDUCATIONAL ACTIVITIES WITHIN THE MEANING OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED (OR THE CORRESPONDING PROVISION OF ANY SUCCESSOR UNITED STATES INTERNAL REVENUE LAW) (THE "INTERNAL REVENUE CODE"), INCLUDING, DIRECTLY OR INDIRECTLY, SUPPORTING THE PURPOSES OF, GEISINGER MEDICAL CENTER OR ANY OTHER ORGANIZATION AFFILIATED WITH THE CORPORATION WHICH QUALIFIES AS AN EXEMPT ORGANIZATION UNDER SECTION 501(C)(3)OF THE INTERNAL REVENUE CODE. GEISINGER HEALTH ENGAGES IN ALL ACTIVITIES PROPERLY RELATED TO THE FOREGOING, INCLUDING THE SOLICITATION OF FUNDS FROM INDIVIDUALS, CORPORATIONS AND OTHER ORGANIZATIONS FOR FINANCING THE SERVICES TO BE PROVIDED. THEREFORE, GEISINGER SYSTEM SERVICES'S SUPPORT OF OTHER 501(C)(3) ORGANIZATIONS WITHIN GEISINGER, AND AFFILIATED WITH GEISINGER MEDICAL CENTER AND GEISINGER HEALTH, SERVES TO SUPPORT THE CHARITABLE PURPOSES OF GEISINGER HEALTH.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleC documentId="RetDoc3">
      <VolunteersInd>false</VolunteersInd>
      <PaidStaffOrManagementInd>true</PaidStaffOrManagementInd>
      <MediaAdvertisementsInd>false</MediaAdvertisementsInd>
      <MailingsMembersInd>false</MailingsMembersInd>
      <PublicationsOrBroadcastInd>false</PublicationsOrBroadcastInd>
      <GrantsOtherOrganizationsInd>false</GrantsOtherOrganizationsInd>
      <DirectContactLegislatorsInd>true</DirectContactLegislatorsInd>
      <DirectContactLegislatorsAmt>395753</DirectContactLegislatorsAmt>
      <RalliesDemonstrationsInd>false</RalliesDemonstrationsInd>
      <OtherActivitiesInd>true</OtherActivitiesInd>
      <OtherActivitiesAmt>121707</OtherActivitiesAmt>
      <TotalLobbyingExpendituresAmt>517460</TotalLobbyingExpendituresAmt>
      <NotDescribedSection501c3Ind>false</NotDescribedSection501c3Ind>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE C, PART II-B, LINE 1</FormAndLineReferenceDesc>
        <ExplanationTxt>LINE 1D: MAILINGS TO MEMBERS, LEGISLATORS, OR THE PUBLIC CONSIST PRIMARILY OF EMAILS TO LEGISLATORS BY THE ORGANIZATION'S GOVERNMENT RELATIONS DEPARTMENT. WHILE THE AMOUNT FOR MAILINGS IS NOT READILY QUANTIFIABLE, THE ORGANIZATION RECOGNIZES THAT THESE EXPENSES MAY OCCUR IN THE COURSE OF BUSINESS. LINE 1G: 164,761 OF EXPENDITURES ON LINE 1G REPRESENT THE WAGES AND BENEFITS OF THE COLLEGE'S EMPLOYEES WHO ASSIST THE GOVERNMENT RELATIONS DEPARTMENT OF THE ORGANIZATION'S AFFILIATE, GEISINGER SYSTEM SERVICES. THE PRIMARY PURPOSE OF THE GOVERNMENT RELATIONS DEPARTMENT IS TO MAINTAIN CONTACT WITH FEDERAL, STATE, AND LOCAL GOVERNMENT OFFICIALS. THE DEPARTMENT PROMOTES LEGISLATIVE ACTIONS WITH RESPECT TO HEALTHCARE RELATED ISSUES THAT COULD IMPACT THE ORGANIZATION AND ITS AFFILIATES. 230,992 OF EXPENDITURES ON LINE 1G REPRESENT FEES PAID TO CONSULTANTS TO LOBBY ON BEHALF OF THE GOVERNMENT RELATIONS DEPARTMENT REGARDING FEDERAL AND STATE LEGISLATION RELATED TO HEALTHCARE ISSUES. LINE 1I: 111,677 OF OTHER LOBBYING ACTIVITIES REPORTED ON LINE 1I REPRESENTS THE PORTION OF MEMBERSHIP DUES, PAID BY THE ORGANIZATION TO TRADE OR PROFESSIONAL ASSOCIATIONS, ATTRIBUTABLE TO LOBBYING ACTIVITIES. LINE 1I ALSO INCLUDES 10,030 OF FLOW THROUGH LOBBYING EXPENSES FROM A PARTNERSHIP K-1.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc4">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>5441084</OtherCostOrOtherBasisAmt>
        <BookValueAmt>5441084</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>68963190</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>28297847</DepreciationAmt>
        <BookValueAmt>40665343</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>3720710</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>3191852</DepreciationAmt>
        <BookValueAmt>528858</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>463550565</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>301186252</DepreciationAmt>
        <BookValueAmt>162364313</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>59822685</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>3463808</DepreciationAmt>
        <BookValueAmt>56358877</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>265358475</TotalBookValueLandBuildingsAmt>
      <CloselyHeldEquityInterestsGrp>
        <BookValueAmt>113546326</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </CloselyHeldEquityInterestsGrp>
      <TotalBookValueSecuritiesAmt>113546326</TotalBookValueSecuritiesAmt>
      <OtherAssetsOrgGrp>
        <Desc>DUE FROM AFFILIATES</Desc>
        <BookValueAmt>247616415</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>DEFERRED COMPENSATION</Desc>
        <BookValueAmt>175416181</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>INSURANCE RECOVERIES</Desc>
        <BookValueAmt>67992957</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>OTHER ASSET</Desc>
        <BookValueAmt>266873</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>491292426</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>DEFERRED COMPENSATION</Desc>
        <Amt>175416181</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>MEDICAL LEGAL LIABILITY/DEFENSE</Desc>
        <Amt>113876055</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>INSURANCE RECOVERIES</Desc>
        <Amt>67992957</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>FINANCIAL CONTRACT</Desc>
        <Amt>1074919</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>RETIREE BENEFITS</Desc>
        <Amt>237797</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>358597909</TotalLiabilityAmt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 4, PART XIII</FormAndLineReferenceDesc>
        <ExplanationTxt>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 HEALTHCARESYSTEM COMPRISED OF GEISINGER HEALTH "GH" AS PARENT AND ALL SUBSIDIARY ENTITIES COMPRISING THE SYSTEM.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc5">
      <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>true</InitialContractExceptionInd>
      <RebuttablePresumptionProcInd>true</RebuttablePresumptionProcInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>EDELYN L MILLER</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <OtherCompensationFilingOrgAmt>229463</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>245682</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>21426</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>1516066</TotalCompensationFilingOrgAmt>
        <CompReportPrior990FilingOrgAmt>188139</CompReportPrior990FilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>GERALD V MALONEY DO</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>518410</CompensationBasedOnRltdOrgsAmt>
        <OtherCompensationRltdOrgsAmt>40717</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>74568</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>33817</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>667512</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JAEWON RYU MD JD</PersonNm>
        <TitleTxt>INTERIM PRES, DIRECT</TitleTxt>
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        <OtherCompensationRltdOrgsAmt>70681</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>273817</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>31964</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>1727877</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DAVID T FEINBERG MD MBA</PersonNm>
        <TitleTxt>PRESIDENT, DIRECTOR</TitleTxt>
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        <BonusFilingOrganizationAmount>100</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>212761</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>1158031</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>25230</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>4767882</TotalCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DANIEL E LOHR ESQUIRE</PersonNm>
        <TitleTxt>ACLO, ASST SECTY</TitleTxt>
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        <OtherCompensationFilingOrgAmt>22646</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>19614</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>26366</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>430262</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DAVID J FELICIO ESQUIRE</PersonNm>
        <TitleTxt>EVP, CLO, SECRETARY</TitleTxt>
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        <OtherCompensationFilingOrgAmt>138025</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>192060</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>27281</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>1137874</TotalCompensationFilingOrgAmt>
        <CompReportPrior990FilingOrgAmt>74220</CompReportPrior990FilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KEVIN V ROBERTS MBA CPA</PersonNm>
        <TitleTxt>EVP, CFO, TREASURER</TitleTxt>
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        <OtherCompensationFilingOrgAmt>49742</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>329614</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>15608</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>1478038</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LORI R GRAMLEY ESQUIRE</PersonNm>
        <TitleTxt>ACLO, ASST SECTY</TitleTxt>
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        <OtherCompensationFilingOrgAmt>2715</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>14621</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>10150</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>244787</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>AMY B BRAYFORD</PersonNm>
        <TitleTxt>EVP, CH OF STAFF, CH</TitleTxt>
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        <DeferredCompensationFlngOrgAmt>189102</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>28890</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>1341871</TotalCompensationFilingOrgAmt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BARBARA M TAPSCOTT</PersonNm>
        <TitleTxt>VP REVENUE MGMT</TitleTxt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DAVID H LEDBETTER PHD FACMG</PersonNm>
        <TitleTxt>EVP,CH. SCI. OFFICER</TitleTxt>
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        <BonusFilingOrganizationAmount>100</BonusFilingOrganizationAmount>
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        <DeferredCompensationFlngOrgAmt>220558</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>38074</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>1484988</TotalCompensationFilingOrgAmt>
        <CompReportPrior990FilingOrgAmt>194899</CompReportPrior990FilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DOMINIC MOFFA MBA FACHE</PersonNm>
        <TitleTxt>EVP, CH. STRATEGY OF</TitleTxt>
        <BaseCompensationFilingOrgAmt>887386</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>84335</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>217830</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>31433</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>1220984</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JEAN A ADAMS</PersonNm>
        <TitleTxt>ACIO/CH NSG INFO OFF</TitleTxt>
        <BaseCompensationFilingOrgAmt>340353</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>16364</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>37678</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>26425</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>420820</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOHN CADY</PersonNm>
        <TitleTxt>CH. TECH AND DATA OF</TitleTxt>
        <BaseCompensationFilingOrgAmt>467390</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>39538</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>19614</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>13119</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>539661</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOHN M KRAVITZ</PersonNm>
        <TitleTxt>CIO</TitleTxt>
        <BaseCompensationFilingOrgAmt>573638</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>29275</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>79214</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>24506</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>706633</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KAREN MURPHY RN PHD</PersonNm>
        <TitleTxt>EVP,CHIEF INNOVATION</TitleTxt>
        <BaseCompensationFilingOrgAmt>627684</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>52663</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>149618</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>13102</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>843067</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KEVIN F BRENNAN CPA FHFMA</PersonNm>
        <TitleTxt>EVP, CFO</TitleTxt>
        <BaseCompensationFilingOrgAmt>540734</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>200000</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>279518</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>19614</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>9990</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>1049856</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KEVIN J KERESTUS CIA</PersonNm>
        <TitleTxt>CHIEF ASSURANCE OFF</TitleTxt>
        <BaseCompensationFilingOrgAmt>398184</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>12356</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>19614</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>30152</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>460306</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SUSAN M ROBEL RNC BSN MHA</PersonNm>
        <TitleTxt>EVP, CNO</TitleTxt>
        <BaseCompensationFilingOrgAmt>543123</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>150396</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>145229</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>28157</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>866905</TotalCompensationFilingOrgAmt>
        <CompReportPrior990FilingOrgAmt>108598</CompReportPrior990FilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JAMES C ARMSTRONG CPA FHFMA CGMC</PersonNm>
        <TitleTxt>SYSTEM VP, FINANCE</TitleTxt>
        <BaseCompensationFilingOrgAmt>517928</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>100</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>29391</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>76316</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>5789</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>629524</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DEBORAH PETRETICH-TEMPLETON RPH MH</PersonNm>
        <TitleTxt>CHIEF, SUPPORT SVCS</TitleTxt>
        <BaseCompensationFilingOrgAmt>473945</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>51528</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>70536</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>1198</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>597207</TotalCompensationFilingOrgAmt>
        <CompReportPrior990FilingOrgAmt>25694</CompReportPrior990FilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DIANA SCALISE</PersonNm>
        <TitleTxt>VP, STRAT &amp; MARKET</TitleTxt>
        <BaseCompensationFilingOrgAmt>385541</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>35672</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>19614</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>9440</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>450267</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DONALD A STANZIANO</PersonNm>
        <TitleTxt>CHIEF MARKETING OFF</TitleTxt>
        <BaseCompensationFilingOrgAmt>452291</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>65729</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>19614</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>12388</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>550022</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KEVIN LANCIOTTI</PersonNm>
        <TitleTxt>VP, FINANCE</TitleTxt>
        <BaseCompensationFilingOrgAmt>365265</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>30217</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>19614</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>29940</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>445036</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>THOMAS A BIELECKI</PersonNm>
        <TitleTxt>VP, FINANCE, GNE</TitleTxt>
        <BaseCompensationFilingOrgAmt>157569</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>222434</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>37323</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>9169</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>426495</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TIMOTHY D FITZGERALD CFA FHFMA</PersonNm>
        <TitleTxt>VP,TREAS AND FIN SYS</TitleTxt>
        <BaseCompensationFilingOrgAmt>470064</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>28413</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>64060</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>2045</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>564582</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>EARL P STEINBERG MD MPP</PersonNm>
        <TitleTxt>FORMER KEY EMPLOYEE</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>289262</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>43799</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>402600</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>11000</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>3916</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>750577</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>FRANCIS M RICHARDS</PersonNm>
        <TitleTxt>FORMER KEY EMPLOYEE</TitleTxt>
        <OtherCompensationFilingOrgAmt>446764</OtherCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>2947</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>449711</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOANNE E WADE</PersonNm>
        <TitleTxt>FORMER KEY EMPLOYEE</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>154083</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>11441</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>211788</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>280548</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>6623</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>1327</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>211788</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>454022</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ROBERT W DAVIES</PersonNm>
        <TitleTxt>FORMER KEY EMPLOYEE</TitleTxt>
        <OtherCompensationFilingOrgAmt>203554</OtherCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>6324</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>209878</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>STEVEN R YOUSO</PersonNm>
        <TitleTxt>FORMER KEY EMPLOYEE</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>978780</CompensationBasedOnRltdOrgsAmt>
        <OtherCompensationRltdOrgsAmt>734870</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>213579</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>18181</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>1945410</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990RltdOrgsAmt>686446</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JANET F TOMCAVAGE RN MSN</PersonNm>
        <TitleTxt>FORMER 5 HIGHEST</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>494636</CompensationBasedOnRltdOrgsAmt>
        <OtherCompensationRltdOrgsAmt>38981</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>19614</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>23102</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>576333</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DAVID P TILTON MBA FACHE</PersonNm>
        <TitleTxt>FORMER KEY EMPLOYEE</TitleTxt>
        <OtherCompensationRltdOrgsAmt>829445</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>6435</DeferredCompRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>835880</TotalCompensationRltdOrgsAmt>
      </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>EDELYN L. MILLER 0 188,139 0 DAVID J. FELICIO, ESQUIRE 0 74,220 0 AMY B. BRAYFORD 0 70,989 0 BARBARA M. TAPSCOTT 0 45,484 0 DAVID H. LEDBETTER, PHD, FACMG 0 194,899 0 JEAN A. ADAMS 0 4,155 0 KEVIN F. BRENNAN, CPA, FHFMA 0 248,228 0 SUSAN M. ROBEL, RNC, BSN, MHA 0 108,598 0 DEBORAH PETRETICH-TEMPLETON, RPH, MH 0 32,282 0 THOMAS A. BIELECKI 185,031 4,764 0 EARL P. STEINBERG, MD, MPP 398,028 0 0 FRANCIS M. RICHARDS 425,705 0 0 JOANNE E. WADE 277,119 211,788 0 ROBERT W. DAVIES 174,653 0 0 STEVEN R. YOUSO 0 686,446 0 DAVID P. TILTON, MBA, FACHE 829,445 0 0</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PAGE 1, PART I, LINE 8</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EMPLOYEES LISTED PARTICIPATE IN A COMPENSATION PROGRAM DESIGNED TO BE MARKET COMPETITIVE. FROM TIME TO TIME, DEPENDING ON THE AVAILABILITY OF QUALIFIED APPLICANTS, RECRUITMENT LOANS MAY BE MADE AVAILABLE TO QUALIFIED APPLICANTS IN DIFFICULT TO RECRUIT POSITIONS. SUCH LOANS ARE ONLY PROVIDED IF TOTAL COMPENSATION, INCLUDING THE LOAN AMOUNT, IS CONSIDERED REASONABLE COMPENSATION PER INDEPENDENT SALARY SURVEYS.</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 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.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="RetDoc6">
      <LoansBtwnOrgInterestedPrsnGrp>
        <PersonNm>KEVIN V ROBERTS MBA CPA</PersonNm>
        <RelationshipWithOrgTxt>OFFICER</RelationshipWithOrgTxt>
        <LoanPurposeTxt>RECRUITMENT</LoanPurposeTxt>
        <LoanFromOrganizationInd>X</LoanFromOrganizationInd>
        <OriginalPrincipalAmt>150000</OriginalPrincipalAmt>
        <BalanceDueAmt>118411</BalanceDueAmt>
        <DefaultInd>false</DefaultInd>
        <BoardOrCommitteeApprovalInd>true</BoardOrCommitteeApprovalInd>
        <WrittenAgreementInd>true</WrittenAgreementInd>
      </LoansBtwnOrgInterestedPrsnGrp>
      <LoansBtwnOrgInterestedPrsnGrp>
        <PersonNm>JAEWON RYU MD JD</PersonNm>
        <RelationshipWithOrgTxt>OFFICER, DIRECTOR</RelationshipWithOrgTxt>
        <LoanPurposeTxt>RECRUITMENT</LoanPurposeTxt>
        <LoanFromOrganizationInd>X</LoanFromOrganizationInd>
        <OriginalPrincipalAmt>150000</OriginalPrincipalAmt>
        <BalanceDueAmt>55739</BalanceDueAmt>
        <DefaultInd>false</DefaultInd>
        <BoardOrCommitteeApprovalInd>true</BoardOrCommitteeApprovalInd>
        <WrittenAgreementInd>true</WrittenAgreementInd>
      </LoansBtwnOrgInterestedPrsnGrp>
      <LoansBtwnOrgInterestedPrsnGrp>
        <PersonNm>DONALD A STANZIANO</PersonNm>
        <RelationshipWithOrgTxt>HIGHEST COMPENSATED</RelationshipWithOrgTxt>
        <LoanPurposeTxt>RECRUITMENT</LoanPurposeTxt>
        <LoanFromOrganizationInd>X</LoanFromOrganizationInd>
        <OriginalPrincipalAmt>60000</OriginalPrincipalAmt>
        <BalanceDueAmt>32534</BalanceDueAmt>
        <DefaultInd>false</DefaultInd>
        <BoardOrCommitteeApprovalInd>true</BoardOrCommitteeApprovalInd>
        <WrittenAgreementInd>true</WrittenAgreementInd>
      </LoansBtwnOrgInterestedPrsnGrp>
      <LoansBtwnOrgInterestedPrsnGrp>
        <PersonNm>KAREN MURPHY RN PHD</PersonNm>
        <RelationshipWithOrgTxt>KEY EMPLOYEE</RelationshipWithOrgTxt>
        <LoanPurposeTxt>RECRUITMENT</LoanPurposeTxt>
        <LoanFromOrganizationInd>X</LoanFromOrganizationInd>
        <OriginalPrincipalAmt>50000</OriginalPrincipalAmt>
        <BalanceDueAmt>28055</BalanceDueAmt>
        <DefaultInd>false</DefaultInd>
        <BoardOrCommitteeApprovalInd>true</BoardOrCommitteeApprovalInd>
        <WrittenAgreementInd>true</WrittenAgreementInd>
      </LoansBtwnOrgInterestedPrsnGrp>
      <LoansBtwnOrgInterestedPrsnGrp>
        <PersonNm>JOHN CADY</PersonNm>
        <RelationshipWithOrgTxt>KEY EMPLOYEE</RelationshipWithOrgTxt>
        <LoanPurposeTxt>RECRUITMENT</LoanPurposeTxt>
        <LoanFromOrganizationInd>X</LoanFromOrganizationInd>
        <OriginalPrincipalAmt>30000</OriginalPrincipalAmt>
        <BalanceDueAmt>7766</BalanceDueAmt>
        <DefaultInd>false</DefaultInd>
        <BoardOrCommitteeApprovalInd>true</BoardOrCommitteeApprovalInd>
        <WrittenAgreementInd>true</WrittenAgreementInd>
      </LoansBtwnOrgInterestedPrsnGrp>
      <TotalBalanceDueAmt>242505</TotalBalanceDueAmt>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc7">
      <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 BONDS ISSUED PRIOR TO DECEMBER 31, 2002, WITH A TOTAL OUTSTANDING BALANCE OF 1,719,446,520, INCLUSIVE OF UNAMORTIZED ORIGINAL ISSUE DISCOUNT AS OF JUNE 30, 2019. BECAUSE THE BOND PROCEEDS ARE DISBURSED TO GH SUBSIDIARIES, THE BOND LIABILITIES ARE REFLECTED ON THE BALANCE SHEETS OF THE FOLLOWING SUBSIDIARY ORGANIZATIONS: GEISINGER MEDICAL CENTER EIN: 24-0795959 GEISINGER WYOMING VALLEY MEDICAL CENTER EIN: 23-1996150 GEISINGER CLINIC EIN: 23-6291113 MARWORTH EIN: 23-2171417 GEISINGER SYSTEM SERVICES EIN: 23-2164794 COMMUNITY MEDICAL CENTER EIN: 24-0862246 GEISINGER-BLOOMSBURG HOSPITAL EIN: 23-2193572 GEISINGER-LEWISTOWN HOSPITAL EIN: 23-1352187 HOLY SPIRIT HOSPITAL EIN: 23-1512747 GEISINGER COMMONWEALTH SCHOOL OF MEDICINE EIN: 26-0812968 ATLANTICARE REGIONAL MEDICAL CENTER EIN: 21-0634549 SCHEDULE K WAS PREPARED ON A CONSOLIDATED BASIS AND IS INCLUDED IN THE FORM 990 FILING OF GEISINGER HEALTH, EIN: 23-1995911.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>I. GENERAL PROGRAM SERVICE INFORMATION GEISINGER SYSTEM SERVICES (GSS), A 501(C)(3) NON-PROFIT CORPORATION, PROVIDES MANAGEMENT AND CONSULTATIVE SERVICES, AT COST, TO OTHER ENTITIES WITHIN GEISINGER. GSS PREPARES, IMPLEMENTS, AND AUDITS POLICIES AND PROCEDURES OF SYSTEM WIDE RELEVANCE AND IMPLEMENTS UNIFORM STANDARDS AND METHODS OF MANAGEMENT THROUGHOUT THE SYSTEM. SERVICES HISTORICALLY PROVIDED BY GSS TO OTHER ENTITIES WITHIN GEISINGER INCLUDE: APPOINTMENT SERVICES INTERNAL AUDIT AUTOMOTIVE SERVICES LEGAL SERVICES BUSINESS OFFICE MAIL SERVICES CARE SUPPORT SERVICES MARKETING COURIER SERVICES MEDICAL LIBRARY CUSTOMER ACCESS MEDICAL RECORDS CUSTOMER SERVICE CALL CENTER PATIENT EXPERIENCE ELEVATOR OPERATIONS PATIENT PLACEMENT SERVICES EMPLOYEE BENEFIT ADMINISTRATION PLANT ENGINEERING FACILITIES PLANNING AND MANAGEMENT POWER PLANT FINANCIAL SERVICES QUALITY AND SAFETY GENERAL MAINTENANCE REPROGRAPHICS GROUNDS RISK MANAGEMENT HUMAN RESOURCES TRANSCRIPTION SERVICES INFORMATION SYSTEMS INCLUDES THE OPERATION AND MAINTENANCE OF THE ELECTRONIC HEALTH RECORDS FOR ALL PATIENTS OF THE VARIOUS GEISINGER PROVIDERS. II. COMMUNITY HEALTH, EDUCATION, AND OUTREACH GEISINGER SYSTEM SERVICES PROVIDES REDUCED PRICE SERVICES AND FREE PROGRAMS THROUGHOUT THE YEAR TO VARIOUS ORGANIZATIONS. THE PROVISION OF THESE SERVICES AND PROGRAMS IS BASED UPON THE ACTIVITIES AND SERVICES THAT THE ORGANIZATIONS PROVIDE FOR THE COMMUNITY AND WHICH GEISINGER SYSTEM SERVICES BELIEVES WILL SERVE A BONA FIDE COMMUNITY NEED. THESE COMMUNITY SERVICES AND ORGANIZATIONS RECEIVED CASH DONATIONS OR IN-KIND SERVICES DESCRIBED BELOW. A. HEALTH RELATED PROGRAMS GSS PROVIDED 73,504 OF IN-KIND SUPPORT TO NUMEROUS HEALTH RELATED PROGRAMS, SOME OF WHICH ARE LISTED BELOW: BLOOD DRIVES SILVER CIRCLE SIT AND BE FIT CLASSES SILVER CIRCLE TAI CHI CLASSES SILVER CIRCLE YOGA CLASSES TRUSTED ADVISOR OPEN ENROLLMENT EDUCATION PROGRAMS B. DONATED PROPERTY GEISINGER SYSTEM SERVICES PROVIDED 5,680 THROUGH A DONATION OF OFFICE FURNITURE TO A COMMUNITY RECIPIENT. C. OTHER IN-KIND SERVICES AND CONTRIBUTIONS ADDITIONALLY, THE FOLLOWING ORGANIZATIONS, AND OTHERS NOT LISTED BELOW, RECEIVED CASH CONTRIBUTIONS OR IN-KIND SERVICES INCLUDING MAINTENANCE, INFORMATION TECHNOLOGY, MEDICAL HEALTH PHYSICS, PUBLIC RELATIONS AND MARKETING VALUED AT 693,792: BLOOMSBURG FAIR - GENERAL HEALTH EDUCATION BLOOMSBURG YMCA - COMMUNITY BUILDING ACTIVITIES COMMUNITY EVENTS CALENDARS - ALL REGIONS DONATION OF OFFICE FURNITURE/EQUIPMENT LUZERNE COUNTY EMA - CALIBRATING RADIATION DETECTION EQUIPMENT RONALD MCDONALD HOUSE - SERVICES PROVIDED: MAINTENANCE, PRINT SHOP, POSTAGE, ETC.) TRUSTED ADVISOR TRAINING (MARKET PLACE INSURANCE GUIDANCE FOR COMMUNITY) III. COMMUNITY SERVICE SUMMARY COMMUNITY HEALTH, EDUCATION AND OUTREACH 767,296</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) 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 ALL REPORTABLE PAYMENTS OF ITSELF AND CERTAIN AFFILIATES, AND CERTAIN REPORTABLE PAYMENTS OF SOME OF ITS AFFILIATES. THEREFORE, THE NUMBER OF FORM 1099'S FILED BY GSS FOR THE REPORTING PERIOD AS REPORTED ON LINE 1A INCLUDES THE NUMBER OF FORM 1099S FILED ON BEHALF OF ITSELF AND ITS AFFILIATES.</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, THREE VOTING MEMBERS ARE NOT INDEPENDENT BECAUSE THEY ARE COMPENSATED AS EMPLOYEES OF THIS OR RELATED TAX-EXEMPT ORGANIZATIONS. FORM 990, PART VI, SECTION A, LINE 2: DID ANY OFFICER, DIRECTOR, TRUSTEE, OR KEY EMPLOYEE HAVE A FAMILY RELATION- SHIP OR BUSINESS RELATIONSHIP WITH ANY OTHER OFFICER, DIRECTOR, TRUSTEE, OR KEY EMPLOYEE? GERALD V. MALONEY, DO, DANIEL E. LOHR, ESQUIRE, JEFFREY A. JACOBSON, LORI R. GRAMLEY, ESQUIRE, ROBERT J. DIETZ, VIRGINIA MCGREGOR, V. CHRIS HOLCOMBE, PE, DAVID J. FELICIO, ESQUIRE, JAEWON RYU, MD, JD, DAVID T. FEINBERG, MD, MBA, KEVIN V. ROBERTS, MBA, CPA, AND EDELYN L. MILLER 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 6</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</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 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.</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 LEGAL OFFICER AND REPORTED TO THE AUDIT AND COMPLIANCE COMMITTEES AND BOARD OF DIRECTORS. AFTER REVIEW OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, INPUT FROM DEPARTMENT OF LEGAL SERVICES AND ANY DISCUSSION WITH THE PERSON DESIRED BY THE BOARD OR COMMITTEE, THE BOARD DECIDES IF A CONFLICT EXISTS AND TAKES APPROPRIATE ACTION. THE INDIVIDUAL DISCLOSING THE FINANCIAL INTEREST IS ABSENT DURING THE BOARD DELIBERATIONS AND DECISIONS ON THE MATTER.</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>THE ANNUAL REPORT FOR GEISINGER, CONTAINING COMMUNITY BENEFIT INFORMATION, CONSOLIDATED FINANCIAL INFORMATION AND OTHER INFORMATION, IS AVAILABLE ON THE GEISINGER WEBSITE. GO TO: HTTPS://WWW.GEISINGER.ORG/ABOUT- GEISINGER/NEWS-AND-MEDIA/FOR-MEDIA/ANNUAL-REPORTS. FINANCIAL STATEMENTS, FORM 990, FORM 990-T, THE CONFLICTS OF INTEREST POLICY, AND OTHER GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VIII</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990, PART VIII, LINE 2B: THE IC SUPPORT SERVICE REVENUE REPRESENTS REVENUE FROM INTERCOMPANY MANAGEMENT, ADMINISTRATIVE, AND CONSULTING SERVICES PROVIDED TO RELATED TAXABLE ORGANIZATIONS. THE ORGANIZATION AND RELATED TAXABLE ORGANIZATIONS ARE ALL CONTROLLED BY GEISINGER HEALTH. THE SERVICES, PROVIDED AT OR BELOW COST, ARE PERFORMED WITHOUT A PROFIT MOTIVE TO PROMOTE THE EFFICIENT OPERATION OF GEISINGER IN CARRYING OUT ITS CHARITABLE MISSION. THE SERVICES ARE NOT OFFERED TO UNRELATED ORGANIZATIONS OR TO THE GENERAL PUBLIC. UNDER IRS ADVISORY DATED MARCH 7, 2014, THESE INTERCOMPANY SHARED SERVICES ARE NOT INCLUDED IN THE DEFINITION OF UNRELATED BUSINESS INCOME AND SHOULD NOT BE INCLUDED ON FORM 990-T DUE TO THE ABSENCE OF THE FOLLOWING TWO CONDITIONS: (1) THE SERVICES MUST BE ABOVE COST OR AT FAIR MARKET VALUE, AND (2) THERE MUST BE A PROFIT MOTIVE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>CLEANING SERVICES 512,659 26,131 0 CONSULTING FEES 18,474,634 941,671 0 COLLECTION AGENCY FEES 1,686,869 85,981 0 EQUIP MAINT SVC CONTRACTS 3,350,556 170,781 0 OUTSIDE PURCHASED SERVICE 44,834,473 2,285,260 0 REPAIR OF EQUIPMENT 257,674 13,134 0 RECRUIT NONPROVIDER 4,768,316 243,046 0 OUT AGENCY NONCLIN TEMP 986,596 50,288 0 RECRUIT &amp; ADS EXECUTIVE 873,485 44,522 0 TOTAL 75,745,262 3,860,814 0</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 AUDIT ACT OR OMB CIRCULAR A-133? FEDERAL AWARDS ARE AUDITED AS A PART OF THE GEISINGER'S CONSOLIDATED REPORT ON FEDERAL AWARDS IN ACCORDANCE WITH OMB CIRCULAR A-133. FOOTNOTE: THROUGHOUT FORM 990, THE TERMS "GEISINGER- AND "SYSTEM" SHALL REFER TO THE ENTIRE HEALTHCARE SYSTEM COMPRISED OF GEISINGER HEALTH AS PARENT AND ALL SUBSIDIARY CORPORATIONS COMPRISING THE SYSTEM.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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          <BusinessNameLine1Txt>GEISINGER-BLOOMSBURG HOSPITAL</BusinessNameLine1Txt>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>GEISINGER-BLOOMSBURG HEALTHCARE CTR</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>HOLY SPIRIT HEALTH SYSTEM</BusinessNameLine1Txt>
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          <AddressLine1Txt>2500 ENGLISH CREEK AVENUE</AddressLine1Txt>
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          <BusinessNameLine1Txt>COOPERATIVE HOME HLTH CARE ATL CNTY</BusinessNameLine1Txt>
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          <AddressLine1Txt>6550 DELILAH ROAD SUITE 304</AddressLine1Txt>
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          <BusinessNameLine1Txt>GEISINGER-BLOOMSBURG HOSPITAL</BusinessNameLine1Txt>
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        <InvolvedAmt>616</InvolvedAmt>
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          <BusinessNameLine1Txt>HOLY SPIRIT CORPORATION</BusinessNameLine1Txt>
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        <InvolvedAmt>31168</InvolvedAmt>
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          <BusinessNameLine1Txt>HOLY SPIRIT HEALTH SYSTEM</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>HOLY SPIRIT HOSPITAL</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>ISS SOLUTIONS INC</BusinessNameLine1Txt>
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        <InvolvedAmt>41818</InvolvedAmt>
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          <BusinessNameLine1Txt>KEYSTONE ACCOUNTABLE CARE ORG LLC</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>KEYSTONE HEALTH INFORMATION EXCH</BusinessNameLine1Txt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE R</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990, SCHEDULE R, PART V - TRANSACTIONS WITH RELATED ORGANIZATIONS: AS SHOWN IN FORM 990, SCHEDULE R, GEISINGER SYSTEM SERVICES IS CLOSELY AFFILIATED WITH SEVERAL OTHER ORGANIZATIONS. IN THE NORMAL COURSE OF THE OPERATIONS OF THESE AFFILIATED ORGANIZATIONS THERE ARE NUMEROUS INTER ORGANIZATIONAL TRANSACTIONS, WHICH MAY INCLUDE SALES, EXCHANGES AND LEASES OF PROPERTY, EXTENSIONS OF CREDIT, FURNISHING OF GOODS, SERVICES AND FACILITIES, AND TRANSFERS OF ASSETS. THESE INTER ORGANIZATION TRANSACTIONS PROMOTE THE EFFICIENT OPERATION OF THE VARIOUS ORGANIZATIONS AND THE ATTAINMENT OF THEIR TAX EXEMPT PURPOSES. THESE TYPES OF INTER ORGANIZATION TRANSACTIONS WERE DESCRIBED TO THE INTERNAL REVENUE SERVICE IN A RULING APPLICATION AND WERE RECOGNIZED BY THE NATIONAL OFFICE OF THE IRS IN A SERIES OF GEISINGER PRIVATE RULINGS AS BEING ENTIRELY CONSISTENT WITH THE ORGANIZATIONS' TAX EXEMPT STATUS. ___________________________________________________________________________</ExplanationTxt>
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    </IRS990ScheduleR>
  </ReturnData>
</Return>