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      <Desc>SEE SCHEDULE O 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 INFORMATION SYSTEMS AUTOMOTIVE SERVICES INTERNAL AUDIT BUSINESS OFFICE LAUNDRY CARE SUPPORT SERVICES LEGAL SERVICES CLINICAL INNOVATION MAIL SERVICES CORPORATE COMMUNICATIONS MARKET PLANNING CUSTOMER ACCESS MEDICAL LIBRARY CUSTOMER SERVICE CALL CENTER MEDICAL PHOTOGRAPHY ELEVATOR OPERATIONS PATIENT TRANSPORT EMPLOYEE BENEFIT ADMINISTRATION PLANT ENGINEERING FACILITIES PLANNING AND MANAGEMENT POWER PLANT FINANCIAL SERVICES QUALITY AND SAFETY FOOD SERVICES REPROGRAPHICS QUALITY AND SAFETY GENERAL MAINTENANCE RISK MANAGEMENT GROUNDS SECURITY HOUSEKEEPING TELECOMMUNICATION HUMAN RESOURCES TRANSCRIPTION SERVICES INCLUDES THE OPERATION AND MAINTENANCE OF THE ELECTRONIC HEALTH RECORDS FOR ALL PATIENTS OF THE 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 75,854 OF IN-KIND SUPPORT TO NUMEROUS HEALTH RELATED PROGRAMS, SOME OF WHICH ARE LISTED BELOW: AMERICAN HEALTH WALK BLOOD DRIVE CANCER SUPPORT GROUP &amp; HEALTH PROGRAMS SILVER CIRCLE MOVING TO MUSIC CLASSES 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 892 THROUGH DONATIONS OF OFFICE FURNITURE AND LAPTOP COMPUTERS TO VARIOUS COMMUNITY RECIPIENTS. C. OTHER IN-KIND SERVICES AND CONTRIBUTIONS ADDITIONALLY, THE FOLLOWING ORGANIZATIONS, AND OTHERS NOT LISTED BELOW, RECEIVED CASH CONTRIBUTIONS OR IN-KIND SERVICES INCLUDING FOOD SERVICES, INFORMATION TECHNOLOGY, MEDICAL HEALTH PHYSICS, PUBLIC RELATIONS AND MARKETING VALUED AT 829,025: BLOOMSBURG THEATRE ENSEMBLE (CLOSED CAPTIONING PROGRAM FOR HEARING IMPAIRED) BLOOMSBURG UNIVERSITY (CAREER DAY) DALLAS HIGH SCHOOL (CAREER FAIR) DANVILLE BOROUGH (MONTOUR STREET BRIDGE) EXPRESSIONS OF SYMPATHY FIRE PREVENTION PROGRAMS AT VARIOUS COMMUNITY LOCATIONS GREATER SUSQUEHANNA VALLEY UNITED WAY PINWHEELS FOR PREVENTION OF CHILD ABUSE REDUCED RENT FOR SISTERS OF CHRISTIAN CHARITY AT MONTOUR STREET CONVENT RONALD MCDONALD HOUSE SERVICES PROVIDED (MAINTENANCE, HOUSEKEEPING, ETC.) TRUSTED ADVISOR TRAINING (MARKET PLACE INSURANCE GUIDANCE FOR COMMUNITY) III. COMMUNITY SERVICE SUMMARY COMMUNITY HEALTH, EDUCATION AND OUTREACH 905,771 EFFECTIVE JANUARY 1, 2018, SEVERAL SUPPORT SERVICE AREAS ARE TRANSFERRING FROM GEISINGER SYSTEM SERVICES TO AFFILIATED 501(C)(3) TAX-EXEMPT ORGANIZATIONS, WHICH INCLUDE GEISINGER MEDICAL CENTER, GEISINGER WYOMING VALLEY MEDICAL CENTER, MARWORTH, GEISINGER BLOOMSBURG HOSPITAL, AND GEISINGER CLINIC. THE MOVE WILL ALLOW THESE ORGANIZATION TO BENCHMARK MORE ACCURATELY WITH OTHER HEALTH CARE ORGANIZATIONS WHO DIRECTLY ACCOUNT FOR THE SUPPORT SERVICES BEING TRANSFERRED.</Desc>
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        <PersonNm>ROBERT J DIETZ</PersonNm>
        <TitleTxt>CHAIR, DIREC</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ROBERT E POOLE</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>3.25</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>THOMAS H LEE JR MD MSC</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>3.50</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>V CHRIS HOLCOMBE PE</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>VIRGINIA MCGREGOR</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>WILLIAM H ALEXANDER</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>WILLIAM R GRUVER</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>WILLIAM E SORDONI</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DAVID T FEINBERG MD MBA</PersonNm>
        <TitleTxt>PRESIDENT, C</TitleTxt>
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        <OfficerInd>X</OfficerInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>FRANK J TREMBULAK</PersonNm>
        <TitleTxt>SR VP, TREAS</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KEVIN F BRENNAN CPA FHFMA</PersonNm>
        <TitleTxt>EVP, CFO, TR</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DANIEL E LOHR ESQUIRE</PersonNm>
        <TitleTxt>ACLO, ASST S</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DAVID J FELICIO ESQUIRE</PersonNm>
        <TitleTxt>EVP, CLO, SE</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>AMY B BRAYFORD</PersonNm>
        <TitleTxt>CHIEF HR OFF</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>BARBARA M TAPSCOTT</PersonNm>
        <TitleTxt>VP REVENUE M</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DAVID H LEDBETTER PHD FACMG</PersonNm>
        <TitleTxt>EVP,CH. SCI.</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DAVID P TILTON MBA FACHE</PersonNm>
        <TitleTxt>EVP, CHIEF I</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DOMINIC MOFFA MDA FACHE</PersonNm>
        <TitleTxt>EVP STRATR P</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>FRANCIS M RICHARDS</PersonNm>
        <TitleTxt>CIO, EMERITU</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN M KRAVITZ</PersonNm>
        <TitleTxt>CIO</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KEVIN J KERESTUS CIA</PersonNm>
        <TitleTxt>VP, IA, ISO</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ROBERT W DAVIES</PersonNm>
        <TitleTxt>CHIEF SUPPOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JAMES C ARMSTRONG CPA FHFMA CGMC</PersonNm>
        <TitleTxt>SYSTEM VP, F</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DEBORAH PETRETICH-TEMPLETON RPH MH</PersonNm>
        <TitleTxt>CHIEF, SUPPO</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SUSAN M ROBEL MHA BSN RN NEA-BC</PersonNm>
        <TitleTxt>EVP, CNO</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DOLPH COURCHAINE</PersonNm>
        <TitleTxt>ACIO, VP, IT</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JACQUELYN PAUL</PersonNm>
        <TitleTxt>SVP BUSINESS</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JOANNE E WADE</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>THOMAS A BIELECKI</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>TIMOTHY D FITZGERALD CFA FHFMA</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>EARL P STEINBERG MD MPP</PersonNm>
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        <PersonNm>EDWARD J ZYCH ESQUIRE</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JANET F TOMCAVAGE RN MSN</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JOSEPH E HADDOCK</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>STEVEN R YOUSO</PersonNm>
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          <BusinessName>
            <BusinessNameLine1Txt>SORDONI CONSTRUCTION SERVICES</BusinessNameLine1Txt>
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          <USAddress>
            <AddressLine1Txt>45 OWEN ST</AddressLine1Txt>
            <CityNm>FORTY FORT</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>18704</ZIPCd>
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          <BusinessName>
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          <USAddress>
            <AddressLine1Txt>375 TECHNOLOGY DRIVE</AddressLine1Txt>
            <CityNm>MALVERN</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>19355</ZIPCd>
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        <ContractorName>
          <BusinessName>
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          <USAddress>
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            <CityNm>ATLANTA</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>30384</ZIPCd>
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        <ServicesDesc>IT SERVICES</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>EMC CORP</BusinessNameLine1Txt>
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          <USAddress>
            <AddressLine1Txt>4246 COLLECTIONS CENTER DR</AddressLine1Txt>
            <CityNm>CHICAGO</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60693</ZIPCd>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MICROSOFT CORP</BusinessNameLine1Txt>
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          <USAddress>
            <AddressLine1Txt>ONE MICROSOFT WAY</AddressLine1Txt>
            <CityNm>REDMOND</CityNm>
            <StateAbbreviationCd>WA</StateAbbreviationCd>
            <ZIPCd>98052</ZIPCd>
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        <ServicesDesc>IT SERVICES</ServicesDesc>
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        <Desc>IC SUPPORT SERVICES</Desc>
        <BusinessCd>541900</BusinessCd>
        <TotalRevenueColumnAmt>522373191</TotalRevenueColumnAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>IC SUPPORT SERVICE-SCHEDULE O</Desc>
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      <ProgramServiceRevenueGrp>
        <Desc>PREMIER PURCHASING INCOME</Desc>
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        <TotalRevenueColumnAmt>8063938</TotalRevenueColumnAmt>
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      <ProgramServiceRevenueGrp>
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          <BusinessNameLine1Txt>GEISINGER INSURANCE CORPORATION RISK RETENTION GROUP</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>ATLANTICARE REGIONAL MEDICAL CENTER</BusinessNameLine1Txt>
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        <EIN>210634549</EIN>
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          <BusinessNameLine1Txt>ATLANTICARE BEHAVORIAL HEALTH INC</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>ATLANTICARE HEALTH SERVICES INC</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>GEISINGER COMMONWEALTH SCHOOL OF MEDICINE</BusinessNameLine1Txt>
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        <EIN>260812968</EIN>
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        <OperateBenefitNonSuprtOrgInd>true</OperateBenefitNonSuprtOrgInd>
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      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART I, LINE 11H</FormAndLineReferenceDesc>
        <ExplanationTxt>COMMUNITY MEDICAL CENTER 24-0862246 3 0 0 MOUNTAIN VIEW NURSING HOME, INC. 23-2568288 10 0 0 GEISINGER BLOOMSBURG HOSPITAL 23-2193572 3 0 0 GEISINGER BLOOMSBURG HEALTHCARE CENTER 23-2242854 10 0 0 GEISINGER LEWISTOWN HOSPITAL 23-1352187 3 0 0 SUN HOME HEALTH SERVICES INC 23-1736912 10 0 0 HOLY SPIRIT HOSPITAL OF THE SISTERS OF CHRISTIAN CHARIT 23-1512747 3 0 0 SPIRIT PHYSICIANS SERVICES, INC 25-1766971 10 0 0 WEST SHORE ADVANCED LIFE SUPPORT SERVICES, INC 23-2463002 7 0 0 GEISINGER CLINIC 23-6291113 10 0 0 LEWISTOWN AMBULATORY CARE CORPORATION 23-2344362 10 0 0 GEISINGER HEALTH PLAN 23-2311553 10 0 0 FAMILY HEALTH ASSOCIATES OF GEISINGER LEWISTOWN HOSP. 25-1651582 10 0 0 KEYSTONE HEALTH INFORMATION EXCHANGE, INC. 46-4359893 10 0 0 HOLY SPIRIT HEALTH SYSTEM 25-1865142 7 0 0 HOLY SPIRIT CORPORATION 23-2214540 10 0 0 GEISINGER INSURANCE CORPORATION, RISK RETENTION GROUP 14-1909894 10 0 0 ATLANTICARE HEALTH SYSTEM, INC. 22-3265213 7 0 0 ATLANTICARE REGIONAL MEDICAL CENTER 21-0634549 3 0 0 ATLANTICARE BEHAVORIAL HEALTH, INC. 21-0721208 7 0 0 ATLANTICARE FOUNDATION 22-2148992 7 0 0 ATLANTICARE HEALTH SERVICES, INC. 22-3265214 10 0 0 GEISINGER COMMONWEALTH SCHOOL OF MEDICINE 26-0812968 2 0 0</ExplanationTxt>
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      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART IV, SECTION A, LINE 1</FormAndLineReferenceDesc>
        <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>
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      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART IV, SECTION A, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>GEISINGER SYSTEM SERVICE ANNUALLY 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 ORGANIZATION, 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 ALL OF ITS AFFILIATED ORGANIZATIONS IN THE GEISINGER 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 INFORMATION SYSTEMS AUTOMOTIVE SERVICES INTERNAL AUDIT BUSINESS OFFICE LAUNDRY CARE SUPPORT SERVICES LEGAL SERVICES CLINICAL INNOVATION MAIL SERVICES CORPORATE COMMUNICATIONS MARKET PLANNING CUSTOMER ACCESS MEDICAL LIBRARY CUSTOMER SERVICE CALL CENTER MEDICAL PHOTOGRAPHY ELEVATOR OPERATIONS PATIENT TRANSPORT EMPLOYEE BENEFIT ADMINISTRATION PLANT ENGINEERING FACILITIES PLANNING AND MANAGEMENT POWER PLANT FINANCIAL SERVICES QUALITY AND SAFETY FOOD SERVICES REPROGRAPHICS QUALITY &amp; SAFETY GENERAL MAINTENANCE RISK MANAGEMENT GROUNDS SECURITY HOUSEKEEPING TELECOMMUNICATION HUMAN RESOURCES TRANSCRIPTION SERVICES INCLUDES THE OPERATION AND MAINTENANCE OF THE ELECTRONIC HEALTH RECORDS FOR ALL PATIENTS OF 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>
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      <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 ANNUALLY CALCULATES THE 509(A)(2) PUBLIC SUPPORT TEST TO ENSURE THAT THE 501(C)(4) ORGANIZATION CONTINUES TO SATISFY THE TEST.</ExplanationTxt>
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      <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>
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      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART IV, SECTION A, LINE 5A</FormAndLineReferenceDesc>
        <ExplanationTxt>ORGANIZATIONS ADDED: (I) GEISINGER COMMONWEALTH SCHOOL OF MEDICINE, EIN: 26-0812968 (II) DURING THE FISCAL YEAR, PURSUANT TO GEISINGER HEALTH BOARD APPROVAL, GEISINGER COMMONWEALTH SCHOOL OF MEDICINE WAS ACQUIRED BY GEISINGER HEALTH, EIN: 23-1995911, PARENT ORGANIZATION OF GEISINGER SYSTEM SERVICES. (III),(IV): NO ACTION WAS REQUIRED BY GEISINGER SYSTEM SERVICES TO ADD THE SUPPORTED ORGANIZATIONS. PER GEISINGER SYSTEM SERVICES ARTICLES OF INCORPORATION, GEISINGER SYSTEM SERVICES IS ORGANIZED TO SUPPORT THE GEISINGER HEALTH SYSTEM FOUNDATION, NOW GEISINGER HEALTH, ORGANIZATIONS AFFILIATED WITH SUCH FOUNDATION AND OTHER ORGANIZATIONS, AND TO MAKE DONATIONS AND OTHER TRANSFERS TO THE GEISINGER HEALTH SYSTEM FOUNDATION, NOW GEISINGER HEALTH, 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.</ExplanationTxt>
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        <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 1,571 PHYSICIANS PRACTICING AT 213 PRIMARY AND SPECIALTY CLINICS; AND 3. ONE OF THE NATION'S LARGEST RURAL HEALTH INSURANCE ORGANIZATIONS WITH 551,000 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>
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      <PaidStaffOrManagementInd>true</PaidStaffOrManagementInd>
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        <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 GEISINGER SYSTEM SERVICES MAINTAINS A GOVERNMENT RELATIONS DEPARTMENT WHOSE PRIMARY PURPOSE 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. LINE 1I 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.</ExplanationTxt>
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        <OtherCostOrOtherBasisAmt>66519661</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>22026247</DepreciationAmt>
        <BookValueAmt>44493414</BookValueAmt>
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      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>3553050</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>2862111</DepreciationAmt>
        <BookValueAmt>690939</BookValueAmt>
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      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>405937601</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>234970432</DepreciationAmt>
        <BookValueAmt>170967169</BookValueAmt>
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      <OtherLandBuildingsGrp>
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        <BookValueAmt>29573161</BookValueAmt>
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        <MethodValuationCd>F</MethodValuationCd>
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        <BookValueAmt>134250373</BookValueAmt>
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        <BookValueAmt>132780187</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>INSURANCE RECOVERIES</Desc>
        <BookValueAmt>40474743</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>RENT RECEIVABLE</Desc>
        <BookValueAmt>184270</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>OTHER RECEIVABLE</Desc>
        <BookValueAmt>89619</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>OTHER ASSET</Desc>
        <BookValueAmt>15000</BookValueAmt>
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      <TotalBookValueOtherAssetsAmt>307794192</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>DEFERRED COMPENSATION</Desc>
        <Amt>132780187</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>INSURANCE RECOVERIES</Desc>
        <Amt>40474743</Amt>
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        <Desc>FINANCIAL CONTRACT</Desc>
        <Amt>1295023</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>RETIREE BENEFITS</Desc>
        <Amt>415130</Amt>
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      <TotalLiabilityAmt>174965083</TotalLiabilityAmt>
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        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 4, PART XIII</FormAndLineReferenceDesc>
        <ExplanationTxt>PART X, LINE 2-LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48(ASC 740): 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>
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    <IRS990ScheduleF documentId="RetDoc5">
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>CENTRAL AMERICA AND THE CARIBBEAN</RegionTxt>
        <TypeOfActivitiesConductedTxt>INVESTMENTS</TypeOfActivitiesConductedTxt>
      </AccountActivitiesOutsideUSGrp>
      <TransferToForeignCorpInd>true</TransferToForeignCorpInd>
      <InterestInForeignTrustInd>false</InterestInForeignTrustInd>
      <ForeignCorpOwnershipInd>true</ForeignCorpOwnershipInd>
      <PassiveForeignInvestmestCoInd>true</PassiveForeignInvestmestCoInd>
      <ForeignPartnershipInd>true</ForeignPartnershipInd>
      <BoycottCountriesInd>false</BoycottCountriesInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE F, PAGE 1, PART I, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>CENTRAL AMERICA AND THE CARIBBEAN 0 0</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE F, PAGE 5, PART V</FormAndLineReferenceDesc>
        <ExplanationTxt>DURING THE FISCAL YEAR, GEISINGER SYSTEM SERVICES SOLD ITS INVESTMENTS WHICH WERE DOMICILED IN THE CENTRAL AMERICA / CARRIBEAN REGION. THEREFORE, THERE IS NO INVESTMENT BALANCE REPORTED AS OF JUNE 30, 2017. SCHEDULE F IS INCLUDED IN FORM 990 SINCE THE INVESTMENTS EXISTED FOR A PORTION OF THE FISCAL YEAR.</ExplanationTxt>
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        <DeferredCompRltdOrgsAmt>200377</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>16151</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>1209645</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PAGE 1, PART I, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>FIRST CLASS OR CHARTER TRAVEL - FIRST CLASS TRAVEL FOR A LIMITED NUMBER OF GEISINGER EXECUTIVE STAFF HAS BEEN APPROVED BY THE BOARD FOR TRAVEL RELATED TO GEISINGER BUSINESS. GEISINGER DOES NOT OWN OR CHARTER AN AIRPLANE, TRAIN OR BOAT FOR DIRECTOR, OFFICER, OR EMPLOYEE USE. TRAVEL FOR COMPANIONS - FROM TIME TO TIME, WHEN THE GEISINGER CHIEF EXECUTIVE OFFICER IS TRAVELING ON BUSINESS, FIRST CLASS TRAVEL EXPENSES ARE REIMBURSED FOR THE SPOUSE OF THE CHIEF EXECUTIVE OFFICER. SUCH REIMBURSEMENT FOR BUSINESS TRAVEL HAS BEEN APPROVED BY THE BOARD AND IS REPORTED AS COMPENSATION TO THE CHIEF EXECUTIVE OFFICER. 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 0 180,093 0 FRANK J. TREMBULAK 0 815,306 0 KEVIN F. BRENNAN, CPA, FHFMA 0 358,535 0 DAVID J. FELICIO, ESQUIRE 0 68,090 0 AMY B. BRAYFORD 0 45,322 0 BARBARA M. TAPSCOTT 0 41,582 0 DAVID H. LEDBETTER, PHD, FACMG 0 177,364 0 DAVID P. TILTON, MBA, FACHE 392,293 728,642 0 DOMINIC MOFFA, MDA, FACHE 0 629,042 0 FRANCIS M. RICHARDS 0 58,419 0 DEBORAH PETRETICH-TEMPLETON, RPH, MH 0 27,288 0 SUSAN M. ROBEL, MHA, BSN, RN, NEA-BC 0 114,339 0 JOANNE E. WADE 0 196,082 0 THOMAS A. BIELECKI 0 38,164 0 EDWARD J. ZYCH, ESQUIRE 123,125 0 0</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PAGE 1, PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>BECAUSE THE PAYMENT OF EARNED PERFORMANCE BASED COMPENSATION IS AT THE DISCRETION OF MANAGEMENT AND THE BOARD OF DIRECTORS, SUCH PAYMENTS MAY BE CONSIDERED NON-FIXED PAYMENTS. PERFORMANCE BASED COMPENSATION IS DETERMINED BY MEETING INDIVIDUALLY MEASURED PERFORMANCE GOALS THAT ARE ALIGNED WITH OVERALL GEISINGER OBJECTIVES, INCLUDING: CLINICAL QUALITY, COMMUNITY MISSION ACHIEVEMENT, AND FINANCIAL STEWARDSHIP.</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="RetDoc7">
      <LoansBtwnOrgInterestedPrsnGrp>
        <PersonNm>DAVID T FEINBERG MD MBA</PersonNm>
        <RelationshipWithOrgTxt>DIRECTOR, OFFICER</RelationshipWithOrgTxt>
        <LoanPurposeTxt>RECRUITMENT</LoanPurposeTxt>
        <LoanFromOrganizationInd>X</LoanFromOrganizationInd>
        <OriginalPrincipalAmt>150000</OriginalPrincipalAmt>
        <BalanceDueAmt>88399</BalanceDueAmt>
        <DefaultInd>false</DefaultInd>
        <BoardOrCommitteeApprovalInd>true</BoardOrCommitteeApprovalInd>
        <WrittenAgreementInd>true</WrittenAgreementInd>
      </LoansBtwnOrgInterestedPrsnGrp>
      <LoansBtwnOrgInterestedPrsnGrp>
        <PersonNm>DOLPH COURCHAINE</PersonNm>
        <RelationshipWithOrgTxt>5 HIGHEST COMPEN.</RelationshipWithOrgTxt>
        <LoanPurposeTxt>RECRUITMENT</LoanPurposeTxt>
        <LoanFromOrganizationInd>X</LoanFromOrganizationInd>
        <OriginalPrincipalAmt>40000</OriginalPrincipalAmt>
        <BalanceDueAmt>5202</BalanceDueAmt>
        <DefaultInd>false</DefaultInd>
        <BoardOrCommitteeApprovalInd>true</BoardOrCommitteeApprovalInd>
        <WrittenAgreementInd>true</WrittenAgreementInd>
      </LoansBtwnOrgInterestedPrsnGrp>
      <TotalBalanceDueAmt>93601</TotalBalanceDueAmt>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>JAKE T MANGELS</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>FAMILY</RelationshipDescriptionTxt>
        <TransactionAmt>117100</TransactionAmt>
        <TransactionDesc>EMPLOYEE COMP/BEN</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>SORDONI CONSTRUCTION INC</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>BUSINESS</RelationshipDescriptionTxt>
        <TransactionAmt>14072105</TransactionAmt>
        <TransactionDesc>CONSTRUCTION</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE L, PART V</FormAndLineReferenceDesc>
        <ExplanationTxt>JAKE T. MANGELS IS A FAMILY MEMBER OF FRANK J. TREMBULAK, SENIOR VICE PRESIDENT AND TREASURER OF GEISINGER SYSTEM SERVICES. WILLIAM E. SORDONI IS A GEISINGER SYSTEM SERVICES DIRECTOR AND SHAREHOLDER, PRESIDENT AND CHIEF EXECUTIVE OFFICER OF SORDONI CONSTRUCTION, INC. SORDONI CONSTRUCTION, INC. PROVIDES CONSTRUCTION PROJECT SERVICES TO GEISINGER SYSTEM SERVICES. GEISINGER SYSTEM SERVICES COORDINATES CONSTRUCTION PROJECTS FOR GEISINGER AFFILIATES.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc8">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 - ORGANIZATION'S MISSION</FormAndLineReferenceDesc>
        <ExplanationTxt>CONTINUOUSLY STRIVING TO PROVIDE BEST IN CLASS ADMINISTRATIVE, MANAGEMENT AND OTHER SUPPORT SERVICES FOR THE GEISINGER HEALTH SYSTEM FOUNDATION AND ALL AFFILIATES AND SUBSIDIARIES IN A COST EFFECTIVE MANNER WHILE MAINTAINING EXCELLENT CUSTOMER SERVICE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990, PART IV, LINE 24A: DID THE ORGANIZATION HAVE A TAX-EXEMPT BOND ISSUE WITH AN OUTSTANDING PRINCIPAL AMOUNT OF MORE THAN 100,000 AS OF THE LAST DAY OF THE YEAR, THAT WAS ISSUED AFTER DECEMBER 31, 2002? GEISINGER HEALTH (GH) IS CURRENTLY THE SOLE OBLIGOR UNDER A SERIES OF BOND ISSUES WITH A TOTAL OUTSTANDING BALANCE OF 1,766,170,995, INCLUSIVE OF UNAMORTIZED ORIGINAL ISSUE DISCOUNT AS OF JUNE 30, 2017. 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 MOUNTAIN VIEW NURSING HOME, INC. EIN: 23-2568288 GEISINGER-BLOOMSBURG HOSPITAL EIN: 23-2193572 GEISINGER-BLOOMSBURG HEALTH CARE CENTER EIN: 23-2242854 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 INFORMATION SYSTEMS AUTOMOTIVE SERVICES INTERNAL AUDIT BUSINESS OFFICE LAUNDRY CARE SUPPORT SERVICES LEGAL SERVICES CLINICAL INNOVATION MAIL SERVICES CORPORATE COMMUNICATIONS MARKET PLANNING CUSTOMER ACCESS MEDICAL LIBRARY CUSTOMER SERVICE CALL CENTER MEDICAL PHOTOGRAPHY ELEVATOR OPERATIONS PATIENT TRANSPORT EMPLOYEE BENEFIT ADMINISTRATION PLANT ENGINEERING FACILITIES PLANNING AND MANAGEMENT POWER PLANT FINANCIAL SERVICES QUALITY AND SAFETY FOOD SERVICES REPROGRAPHICS QUALITY AND SAFETY GENERAL MAINTENANCE RISK MANAGEMENT GROUNDS SECURITY HOUSEKEEPING TELECOMMUNICATION HUMAN RESOURCES TRANSCRIPTION SERVICES INCLUDES THE OPERATION AND MAINTENANCE OF THE ELECTRONIC HEALTH RECORDS FOR ALL PATIENTS OF THE 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 75,854 OF IN-KIND SUPPORT TO NUMEROUS HEALTH RELATED PROGRAMS, SOME OF WHICH ARE LISTED BELOW: AMERICAN HEALTH WALK BLOOD DRIVE CANCER SUPPORT GROUP &amp; HEALTH PROGRAMS SILVER CIRCLE MOVING TO MUSIC CLASSES 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 892 THROUGH DONATIONS OF OFFICE FURNITURE AND LAPTOP COMPUTERS TO VARIOUS COMMUNITY RECIPIENTS. C. OTHER IN-KIND SERVICES AND CONTRIBUTIONS ADDITIONALLY, THE FOLLOWING ORGANIZATIONS, AND OTHERS NOT LISTED BELOW, RECEIVED CASH CONTRIBUTIONS OR IN-KIND SERVICES INCLUDING FOOD SERVICES, INFORMATION TECHNOLOGY, MEDICAL HEALTH PHYSICS, PUBLIC RELATIONS AND MARKETING VALUED AT 829,025: BLOOMSBURG THEATRE ENSEMBLE (CLOSED CAPTIONING PROGRAM FOR HEARING IMPAIRED) BLOOMSBURG UNIVERSITY (CAREER DAY) DALLAS HIGH SCHOOL (CAREER FAIR) DANVILLE BOROUGH (MONTOUR STREET BRIDGE) EXPRESSIONS OF SYMPATHY FIRE PREVENTION PROGRAMS AT VARIOUS COMMUNITY LOCATIONS GREATER SUSQUEHANNA VALLEY UNITED WAY PINWHEELS FOR PREVENTION OF CHILD ABUSE REDUCED RENT FOR SISTERS OF CHRISTIAN CHARITY AT MONTOUR STREET CONVENT RONALD MCDONALD HOUSE SERVICES PROVIDED (MAINTENANCE, HOUSEKEEPING, ETC.) TRUSTED ADVISOR TRAINING (MARKET PLACE INSURANCE GUIDANCE FOR COMMUNITY) III. COMMUNITY SERVICE SUMMARY COMMUNITY HEALTH, EDUCATION AND OUTREACH 905,771 EFFECTIVE JANUARY 1, 2018, SEVERAL SUPPORT SERVICE AREAS ARE TRANSFERRING FROM GEISINGER SYSTEM SERVICES TO AFFILIATED 501(C)(3) TAX-EXEMPT ORGANIZATIONS, WHICH INCLUDE GEISINGER MEDICAL CENTER, GEISINGER WYOMING VALLEY MEDICAL CENTER, MARWORTH, GEISINGER BLOOMSBURG HOSPITAL, AND GEISINGER CLINIC. THE MOVE WILL ALLOW THESE ORGANIZATION TO BENCHMARK MORE ACCURATELY WITH OTHER HEALTH CARE ORGANIZATIONS WHO DIRECTLY ACCOUNT FOR THE SUPPORT SERVICES BEING TRANSFERRED.</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? CHRISTOPHER B. SULLIVAN, DANIEL E. LOHR, ESQUIRE, DAVID J. FELICIO, ESQUIRE, DAVID T. FEINBERG, MD, MBA, E. ALLEN DEAVER, EARL FOURA, EDELYN L. MILLER, EUGENE ARNONE, FRANK J. TREMBULAK, FRANK M. HENRY, GAIL R. WILENSKY, PHD, HEATHER M. ACKER, JAEWON RYU, MD, JD, JEFF JACOBSON, JOHN C. BRAVMAN, PHD, KAREN DAVIS, PHD, KEVIN F. BRENNAN, CPA, FHFMA, RICHARD A. GRAFMYRE, ROBERT E. POOLE, ROBERT J. DIETZ, THOMAS H. LEE, JR, MD, MSC, V. CHRIS HOLCOMBE, PE, VIRGINIA MCGREGOR, WILLIAM E. SORDONI, WILLIAM H. ALEXANDER, AND WILLIAM R. GRUVER ALL HAVE A BUSINESS RELATIONSHIP WITH ONE ANOTHER BECAUSE THEY SERVE AS OFFICERS AND/OR DIRECTORS ON ONE OR MORE FOR-PROFIT AFFILIATE OF THE ENTITY. ALL OF THE AFFILIATES ARE PART OF GEISINGER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>IN DECEMBER 2016, THE BOARD DELEGATED TO LEADERSHIP AND/OR BOARD STANDING COMMITTEES, CERTAIN OF ITS GENERAL POWERS, INCLUDING REVIEW OF ANNUAL BOARD ASSESSMENT, REVIEW AND APPROVAL OF DEFINED CONTRIBUTION PLANS, ORIENTATION OF NEW BOARD MEMBERS, CONTINUING EDUCATION FOR BOARD MEMBERS, APPROVAL OF INDEBTEDNESS AND THE PURCHASE, SALE OR MORTGAGE OF REAL PROPERTY UP TO 15 MILLION AND CREDENTIALING OF PROVIDERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>IN DECEMBER 2016, THE NUMBER OF DIRECTORS THAT SERVE ON THE ORGANIZATIONS BOARDS CHANGED FROM NO MORE THAN 15, TO SUCH NUMBER AS DETERMINED BY THE MEMBERS, INCLUDING GEISINGER EX-OFFICIO DIRECTORS. THE BOARD OF DIRECTORS SHALL CONSIST OF THE PRESIDENT OF THE CORPORATION, GEISINGER'S EXECUTIVE VICE-PRESIDENT, CHIEF MEDICAL OFFICER; GEISINGER'S EXECUTIVE VICE PRESIDENT, CHIEF ADMINISTRATIVE OFFICER, CLINICAL OPERATIONS (EX-OFFICIO DIRECTORS); TWO AT-LARGE DIRECTORS WHO ALSO SERVE AS MEMBERS OF THE GEISINGER HEALTH BOARD OF DIRECTORS, TWO (2) INDEPENDENT DIRECTORS AND SUCH NUMBER OF ADDITIONAL DIRECTORS AS THE MEMBERS MAY FROM TIME TO TIME DETERMINE.</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 TO BE INCLUDED ON FORM 990-T DUE TO THE ABSENCE OF THE FOLLOWING TWO CONDITIONS: (1) THE SERVICES MUST BE ABOVE COST OR AT FAIR MARKET VALUE, AND (2) THERE MUST BE A PROFIT MOTIVE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>CLEANING SERVICES 534,652 25,204 0 CONSULTING FEES 33,284,208 1,569,059 0 COLLECTION AGENCY FEES 1,207,116 56,905 0 EQUIP MAINT SVC CONTRACTS 3,077,328 145,069 0 OUTSIDE PURCHASED SERVICE 35,146,987 1,656,873 0 REPAIR OF EQUIPMENT 368,417 17,368 0 RECRUIT NONPROVIDER 2,768,881 130,528 0 TOTAL 76,387,589 3,601,006 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>
    <IRS990ScheduleR documentId="RetDoc9">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>GEISINGER HEALTH</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>100 NORTH ACADEMY AVENUE MC 49-70</AddressLine1Txt>
          <CityNm>DANVILLE</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>17822</ZIPCd>
        </USAddress>
        <EIN>231995911</EIN>
        <PrimaryActivitiesTxt>PHILANTHRO</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>7</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>GEISINGER MEDICAL CENTER</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>100 NORTH ACADEMY AVENUE MC 49-70</AddressLine1Txt>
          <CityNm>DANVILLE</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>17822</ZIPCd>
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        <EIN>240795959</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>GH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>GEISINGER CLINIC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>100 NORTH ACADEMY AVENUE MC 49-70</AddressLine1Txt>
          <CityNm>DANVILLE</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>17822</ZIPCd>
        </USAddress>
        <EIN>236291113</EIN>
        <PrimaryActivitiesTxt>PHYSICIAN</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12A</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>GH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>GEISINGER WYOMING VALLEY MED CTR</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>100 NORTH ACADEMY AVENUE MC 49-70</AddressLine1Txt>
          <CityNm>DANVILLE</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>17822</ZIPCd>
        </USAddress>
        <EIN>231996150</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>GH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MARWORTH</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>100 NORTH ACADEMY AVENUE MC 49-70</AddressLine1Txt>
          <CityNm>DANVILLE</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>17822</ZIPCd>
        </USAddress>
        <EIN>232171417</EIN>
        <PrimaryActivitiesTxt>D&amp;A REHAB</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>GH</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>GEISINGER HEALTH PLAN</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>100 NORTH ACADEMY AVENUE MC 49-70</AddressLine1Txt>
          <CityNm>DANVILLE</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>17822</ZIPCd>
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        <EIN>232311553</EIN>
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        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>GH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>GEISINGER COMMUNITY HEALTH SERVICES</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>100 NORTH ACADEMY AVENUE MC 49-70</AddressLine1Txt>
          <CityNm>DANVILLE</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>17822</ZIPCd>
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        <EIN>232967235</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>GSS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>GEISINGER INSURANCE CORPORATIONRRG</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>100 NORTH ACADEMY AVENUE MC 49-70</AddressLine1Txt>
          <CityNm>DANVILLE</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>17822</ZIPCd>
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        <EIN>141909894</EIN>
        <PrimaryActivitiesTxt>SELF INS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>VT</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12A</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>GH</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>true</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>COMMUNITY MEDICAL CENTER</BusinessNameLine1Txt>
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          <AddressLine1Txt>100 NORTH ACADEMY AVENUE MC 49-70</AddressLine1Txt>
          <CityNm>DANVILLE</CityNm>
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          <ZIPCd>17822</ZIPCd>
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        <EIN>240862246</EIN>
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          <BusinessNameLine1Txt>GH</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>true</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MOUNTAIN VIEW NURSING HOME INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>100 NORTH ACADEMY AVENUE MC 49-70</AddressLine1Txt>
          <CityNm>DANVILLE</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>17822</ZIPCd>
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        <EIN>232568288</EIN>
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          <BusinessNameLine1Txt>GH</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>true</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>GEISINGER-BLOOMSBURG HOSPITAL</BusinessNameLine1Txt>
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          <AddressLine1Txt>100 NORTH ACADEMY AVENUE MC 49-70</AddressLine1Txt>
          <CityNm>DANVILLE</CityNm>
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          <ZIPCd>17822</ZIPCd>
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          <BusinessNameLine1Txt>GH</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>GEISINGER-BLOOMSBURG HEALTHCARE CTR</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>100 NORTH ACADEMY AVENUE MC 49-70</AddressLine1Txt>
          <CityNm>DANVILLE</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>17822</ZIPCd>
        </USAddress>
        <EIN>232242854</EIN>
        <PrimaryActivitiesTxt>SKILLED NU</PrimaryActivitiesTxt>
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        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>GH</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>GEISINGER-LEWISTOWN HOSPITAL</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>100 NORTH ACADEMY AVENUE MC 49-70</AddressLine1Txt>
          <CityNm>DANVILLE</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>17822</ZIPCd>
        </USAddress>
        <EIN>231352187</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
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        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>GH</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>true</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>LEWISTOWN AMBULATORY CARE CORP</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>100 NORTH ACADEMY AVENUE MC 49-70</AddressLine1Txt>
          <CityNm>DANVILLE</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>17822</ZIPCd>
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        <EIN>232344362</EIN>
        <PrimaryActivitiesTxt>HOLDING CO</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>GH</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>true</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>FAMILY HEALTH ASSOCIATES OF GLH</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>100 NORTH ACADEMY AVENUE MC 49-70</AddressLine1Txt>
          <CityNm>DANVILLE</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>17822</ZIPCd>
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          <BusinessNameLine1Txt>GH</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>true</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>KEYSTONE HEALTH INFORMATION EXCH</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>100 NORTH ACADEMY AVENUE MC 49-70</AddressLine1Txt>
          <CityNm>DANVILLE</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>17822</ZIPCd>
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        <EIN>464359893</EIN>
        <PrimaryActivitiesTxt>RHIO</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>GH</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>true</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>HEALTH CARE CORP OF NORTHEAST PA</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>100 NORTH ACADEMY AVENUE MC 49-70</AddressLine1Txt>
          <CityNm>DANVILLE</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>17822</ZIPCd>
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        <EIN>232337286</EIN>
        <PrimaryActivitiesTxt>SUPPORT SV</PrimaryActivitiesTxt>
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        <ControlledOrganizationInd>true</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>SUN HOME HEALTH SERVICES INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>100 NORTH ACADEMY AVENUE MC 49-70</AddressLine1Txt>
          <CityNm>DANVILLE</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>17822</ZIPCd>
        </USAddress>
        <EIN>231736912</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
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        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>GCHS</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>true</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>HOLY SPIRIT HEALTH SYSTEM</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>100 NORTH ACADEMY AVENUE MC 49-70</AddressLine1Txt>
          <CityNm>DANVILLE</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>17822</ZIPCd>
        </USAddress>
        <EIN>251865142</EIN>
        <PrimaryActivitiesTxt>PHILANTHRO</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12A</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>GH</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>HOLY SPIRIT HOSPITAL</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>100 NORTH ACADEMY AVENUE MC 49-70</AddressLine1Txt>
          <CityNm>DANVILLE</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>17822</ZIPCd>
        </USAddress>
        <EIN>231512747</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>HSHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>HOLY SPIRIT CORPORATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>100 NORTH ACADEMY AVENUE MC 49-70</AddressLine1Txt>
          <CityNm>DANVILLE</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>17822</ZIPCd>
        </USAddress>
        <EIN>232214540</EIN>
        <PrimaryActivitiesTxt>HOLDING CO</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C2</ExemptCodeSectionTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>HSHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>SPIRIT PHYSICIAN SERVICES INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>100 NORTH ACADEMY AVENUE MC 49-70</AddressLine1Txt>
          <CityNm>DANVILLE</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>17822</ZIPCd>
        </USAddress>
        <EIN>251766971</EIN>
        <PrimaryActivitiesTxt>PHYSICIAN</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>HSHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>WEST SHORE ADVANCED LIFE SUPP SVCS</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>100 NORTH ACADEMY AVENUE MC 49-70</AddressLine1Txt>
          <CityNm>DANVILLE</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>17822</ZIPCd>
        </USAddress>
        <EIN>232463002</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>HSHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>GEISINGER COMMONWEALTH SCH OF MED</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>525 PINE STREET</AddressLine1Txt>
          <CityNm>SCRANTON</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>18509</ZIPCd>
        </USAddress>
        <EIN>260812968</EIN>
        <PrimaryActivitiesTxt>EDUCATION</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>2</PublicCharityStatusTxt>
        <DirectControllingEntityName>
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          <BusinessNameLine1Txt>COOPERATIVE HEALTH SRVS OF S JERSEY</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>ISS SOLUTIONS INC</BusinessNameLine1Txt>
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          <AddressLine1Txt>100 NORTH ACADEMY AVENUE MC 49-70</AddressLine1Txt>
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          <BusinessNameLine1Txt>GEISINGER INDEMNITY INSURANCE CO</BusinessNameLine1Txt>
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          <AddressLine1Txt>100 NORTH ACADEMY AVENUE MC 49-70</AddressLine1Txt>
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          <BusinessNameLine1Txt>GEISINGER QUALITY OPTIONS INC</BusinessNameLine1Txt>
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          <AddressLine1Txt>100 NORTH ACADEMY AVENUE MC 49-70</AddressLine1Txt>
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          <BusinessNameLine1Txt>XG HEALTH SOLUTIONS INC</BusinessNameLine1Txt>
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          <AddressLine1Txt>100 NORTH ACADEMY AVENUE MC 49-70</AddressLine1Txt>
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          <BusinessNameLine1Txt>GEISINGER ASSURANCE COMPANY LTD</BusinessNameLine1Txt>
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          <AddressLine1Txt>878 WEST BAY ROAD PO BOX 1159</AddressLine1Txt>
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        <TransactionTypeTxt>L</TransactionTypeTxt>
        <InvolvedAmt>382290</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>GAAP</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>XG HEALTH SOLUTIONS INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>A</TransactionTypeTxt>
        <InvolvedAmt>410589</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>XG HEALTH SOLUTIONS INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>M</TransactionTypeTxt>
        <InvolvedAmt>1099939</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>GAAP</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>XG HEALTH SOLUTIONS INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>L</TransactionTypeTxt>
        <InvolvedAmt>9928</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>GAAP</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>GEISINGER HEALTH</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>B</TransactionTypeTxt>
        <InvolvedAmt>41000000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>GAAP</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE R</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990, SCHEDULE R, PART V - TRANSACTIONS WITH RELATED ORGANIZATIONS: AS SHOWN IN FORM 990, SCHEDULE R, GEISINGER 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>
      </SupplementalInformationDetail>
    </IRS990ScheduleR>
  </ReturnData>
</Return>