2017-05-15T07:25:16-05:00 2016-06-30 390859910 BAKER TILLY VIRCHOW KRAUSE LLP 1650 MARKET STREET SUITE 4500 PHILADELPHIA PA 19103 990 2015-07-01 260812968 GEISINGER COMMONWEALTH SCHOOL OF MEDICINE GEIS 5705047000 525 PINE STREET SCRANTON PA 18509 STEVEN J SCHEINMAN MD PRESIDENT & DEAN 5705047000 2017-05-12 1 JULIUS C GREEN CPA P00350393 2159720701 2015 2021-01-29 14:40:06Z GEISINGER COMMONWEALTH STEVEN J SCHEINMAN MD 525 PINE STREET SCRANTON PA 18509 46962337 0 X WWW.TCMC.EDU X 2007 PA TO EDUCATE ASPIRING PHYSICIANS AND SCIENTISTS TO SERVE SOCIETY. 11 11 282 1232 0 0 9019050 11091881 21211566 23628365 727172 -135619 443698 330820 31401486 34915447 1190479 1312608 0 0 17103770 18307178 67401 134798 1394407 15669046 14985752 34030696 34740336 -2629210 175111 118883936 118925686 45049745 46698629 73834191 72227057 X GEISINGER COMMONWEALTH SCHOOL OF MEDICINE EDUCATES ASPIRING PHYSICIANS AND SCIENTISTS TO SERVE SOCIETY USING A COMMUNITY-BASED, PATIENT-CENTERED, INTER-PROFESSIONAL AND EVIDENCE-BASED MODEL OF EDUCATION THAT IS COMMITTED TO INCLUSION, PROMOTES DISCOVERY AND UTILIZES INNOVATIVE TECHNIQUES. 0 0 17416355 1312608 23186615 ACADEMIC PROGRAMS - GEISINGER COMMONWEALTH SCHOOL OF MEDICINE (GCSM) OFFERS TWO SEPARATE DEGREE PROGRAMS A DOCTOR OF MEDICINE (MD) PROGRAM AND A MASTER OF BIOMEDICAL SCIENCE (MBS) PROGRAM. GCSM ALSO OFFERS AN MD/MPH (MASTER OF PUBLIC HEALTH) PROGRAM IN PARTNERSHIP WITH EAST STROUDSBURG UNIVERSITY AND AN MD/MHA DUAL DEGREE TOGETHER WITH THE UNIVERSITY OF SCRANTON. GCSM FOCUSES BIOMEDICAL RESEARCH AND TRAINING PROGRAMS ON HEALTH ISSUES PREVALENT IN NORTHEASTERN AND NORTH CENTRAL PENNSYLVANIA, A 17-COUNTY REGION WITH 1.8 MILLION RESIDENTS. THE REGION HAS AN AGEING POPULATION - 17 PERCENT OF RESIDENTS ARE OLDER THAN AGE 65, COMPARED TO 13.5 PERCENT NATIONALLY. MOREOVER, THE REGION HAS HIGH INCIDENCES OF BREAST, LUNG, COLORECTAL AND PROSTATE CANCERS, AS WELL AS HIGH INCIDENCES OF NON-HODGKIN'S LYMPHOMA, OTHER CHRONIC DISEASE ASSOCIATED WITH AGEING, AND SIGNIFICANT NEEDS IN PRIMARY CARE, MENTAL/BEHAVIORAL HEALTH AND COMMUNITY MEDICINE. STUDENTS SERVE THE COMMUNITY FROM THE MOMENT THEY ARRIVE AT GCSM. THEY ARE ASSIGNED TO ONE OF GCSM'S FOUR REGIONAL CAMPUSES, WHERE THEY WILL VOLUNTEER AT NONPROFIT AGENCIES AND TRAIN IN MEDICAL SETTINGS. THE FOUR REGIONAL CAMPUSES ARE NORTH (SCRANTON AND POCONO), SOUTH (WILKES-BARRE), WEST (WILLIAMSPORT) AND GUTHRIE (SAYRE). FOR THEIR FIRST TWO YEARS, STUDENTS ARE PAIRED WITH A MULTI-GENERATIONAL FAMILY COPING WITH A DISABILITY OR CHRONIC ILLNESS. THIS IS DONE TO FACILITATE STUDENTS' UNDERSTANDING FROM THE ENTIRE FAMILY'S PERSPECTIVE. STUDENTS GAIN EARLY CLINICAL EXPERIENCE AS THEY WORK WITH A PHYSICIAN MENTOR DURING THREE ONE-WEEK ROTATIONS IN THE REGIONS DURING THEIR FIRST AND SECOND YEARS OF MEDICAL SCHOOL. STUDENTS ALSO PARTICIPATE IN A COMMUNITY HEALTH RESEARCH PROJECT AND A QUALITY IMPROVEMENT COMMUNITY COLLABORATIVE WITHIN THEIR REGIONS TO GAIN RESEARCH EXPERIENCE, TO INVESTIGATE AND/OR SOLVE A COMMUNITY HEALTH ISSUE, TO MAKE AN IMMEDIATE IMPROVEMENT IN THEIR REGIONAL CAMPUS COMMUNITY AND TO ENHANCE THE HEALTH OF THE REGION'S CITIZENS. IN ADDITION, EVERY MD STUDENT IS REQUIRED TO COMPLETE 100 COMMUNITY SERVICE HOURS. GCSM STUDENTS HAVE VOLUNTEERED MORE THAN 40,000 HOURS SINCE THE COLLEGE'S INCEPTION. THE STUDENTS ORGANIZE BLOOD DRIVES AND HEALTH FAIRS, TUTOR LOCAL CHILDREN, COLLECT FOOD AND WARM CLOTHING FOR THE HOMELESS AND COMPLETE MANY OTHER HELPFUL ACTS THAT IMMERSE THEM IN AND IMPROVE THE WELL-BEING OF THE COMMUNITY. THE MBS CURRICULUM HAS BEEN DESIGNED TO PROVIDE STUDENTS WITH A UNIQUE, PERSONAL EDUCATION THAT WILL HELP THEM TO ACHIEVE THEIR CAREER GOALS. SMALL CLASS SIZES AND A COMMITMENT TO STUDENT-CENTERED LEARNING ARE COMBINED WITH INDIVIDUALIZED CAREER AND EDUCATION PLANNING SERVICES. THE MBS PROGRAM IS DIRECTED TOWARD STUDENTS WHO ARE EITHER SEEKING TO STRENGTHEN THEIR CREDENTIALS FOR APPLICATION TO MEDICAL/HEALTH PROFESSION SCHOOL OR WHO WANT TO WORK IN PUBLIC HEALTH, SCIENTIFIC RESEARCH OR IN OTHER HEALTH AND HEALTH-RELATED INDUSTRIES (SUCH AS LIFE SCIENCES, PHARMACEUTICALS OR MEDICAL DEVICE FIRMS). 2698193 0 441750 RESEARCH PROGRAMS - THE GCSM RESEARCH MISSION IS TO IMPROVE THE HEALTH AND WELL-BEING OF ITS 17-COUNTY COMMUNITY THROUGH THE COLLABORATIVE DISCOVERY AND DISSEMINATION OF KNOWLEDGE GAINED THROUGH RESEARCH, TECHNOLOGY DEVELOPMENT, COMMUNITY ENGAGEMENT AND EDUCATION. BECAUSE IT IS OUR VISION TO BE IN SERVICE TO OUR COMMUNITY, WE STRIVE TO BE A CATALYST FOR STRATEGIC RESEARCH PARTNERSHIPS, TO BE A LEADER FOR ADVANCING BIOMEDICAL RESEARCH AND TO BE A KEYSTONE FOR IMPROVING HEALTH OUTCOMES THROUGH TRANSLATIONAL RESEARCH. WE INCORPORATE VALUES OF COLLABORATION, INTEGRITY, INNOVATION, TRANSLATION AND ENGAGEMENT. AT GCSM, STUDENTS HAVE THE OPPORTUNITY TO CONDUCT RESEARCH UNDER THE MENTORSHIP AND GUIDANCE OF DISTINGUISHED FACULTY. RESEARCH PROJECTS DEVELOPED BY FACULTY RESEARCH MENTORS WHO ARE SEEKING RESEARCH ASSISTANTS ARE DESCRIBED BELOW. THESE ARE POSITIONS FOR WHICH STUDENTS DO NOT NEED SUBSTANTIAL EXPERIENCE, YET THESE RESEARCH ACTIVITIES AND THE MENTORS WHO GUIDE THEM PROVIDE UNIQUE AND RICH EDUCATIONAL OPPORTUNITIES. GCSM HAS MULTIPLE, ORGANIZED RESEARCH OPPORTUNITIES, INCLUDING THE SUMMER RESEARCH PROGRAM, FOR STUDENTS ENTERING THEIR SECOND YEAR OF MEDICAL SCHOOL AT GCSM. UNDERGRADUATE STUDENTS FROM AFFILIATED INSTITUTIONS ARE ALSO ENCOURAGED TO APPLY FOR RESEARCH ASSISTANTSHIPS. GCSM HAS AFFILIATION AGREEMENTS WITH MANY AREA COLLEGES, INCLUDING BUT NOT LIMITED TO THE UNIVERSITY OF SCRANTON, EAST STROUDSBURG UNIVERSITY, MARYWOOD UNIVERSITY, PHILADELPHIA UNIVERSITY OF THE SCIENCES, WILKES UNIVERSITY AND THE UNIVERSITY OF PITTSBURGH. 2019568 0 0 STUDENT AFFAIRS - THE STUDENT AFFAIRS TEAM SUPPORTS GCSM'S INSTITUTIONAL MISSION AND VALUES BY FOSTERING STUDENTS' ACADEMIC, PROFESSIONAL AND PERSONAL GROWTH. GCSM ADMITS ACADEMICALLY SUCCESSFUL, PASSIONATE, INNOVATIVE AND COMMUNITY-MINDED STUDENTS WITH AN APTITUDE FOR BIOMEDICAL SCIENCES AND A SINCERE COMMITMENT TO IMPROVING THE QUALITY OF HEALTHCARE. THE OFFICE PROVIDES A HOST OF PERSONAL, ACADEMIC AND REFERRAL SERVICES TO ENHANCE THE INTERPERSONAL AND EDUCATIONAL EXPERIENCES OF GCSM STUDENTS. STUDENT AFFAIRS PROMOTES STUDENT ENGAGEMENT AND PARTICIPATION IN SOCIAL, CULTURAL AND INTELLECTUAL LIFE AT GCSM. THE OFFICE IS THE PRINCIPAL ADVISOR TO STUDENT COUNCILS, CLUBS AND ORGANIZATIONS. THE OFFICE ALSO WORKS WITH STUDENTS FOR CAREER ADVISING AND PLANNING, AND ASSISTS STUDENTS WITH IDENTIFYING THE FINANCIAL RESOURCES NEEDED TO ACHIEVE THEIR INDIVIDUAL EDUCATIONAL GOALS. 22134116 1 1 0 1 0 0 0 1 1 1 1 0 0 0 1 1 1 0 1 0 0 0 0 1 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 1 164 0 1 282 1 0 0 0 0 0 1 1 0 0 0 0 X 11 11 1 0 0 0 0 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X ANNA M RUSNAK-NOON CPA MBA 5705049695 525 PINE STREET SCRANTON PA 18509 LOUIS DENAPLES CHAIR 5.00 X X 0 0 0 THOMAS F KARAM VICE CHAIR 5.00 X X 0 0 0 JOHN GRAHAM TREASURER 5.00 X X 0 0 0 JOHN MOSES ESQ SECRETARY 5.00 X X 0 0 0 STEVEN J SCHEINMAN MD PRESIDENT & DEAN (NONVOTING) 65.00 X X 862284 0 19699 DAVID HAWK TRUSTEE 2.00 X 0 0 0 JOHN J MENAPACE TRUSTEE 2.00 X 0 0 0 EDITH P MITCHELL MD FACP TRUSTEE 2.00 X 0 0 0 ROBERT W NAISMITH PHD TRUSTEE 2.00 X 0 0 0 SUSAN F SORDONI MD TRUSTEE 2.00 X 0 0 0 GREGORY A THREATTE MD TRUSTEE 2.00 X 0 0 0 ROBERT WRIGHT MD TRUSTEE 2.00 X 0 0 0 ANNA M RUSNAK-NOON CPA MBA VP FINANCE & ADMIN/CFO 58.00 X 247889 0 31750 WILLIAM IOBST MD VICE DEAN, VP ACADEM. AFFAIRS 60.00 X 427388 0 37409 DIANA CALLENDAR MBBS DM CHAIR CLINICAL SCI. 50.00 X 269822 0 33529 MARISE GARAFOLO VP INSTITUTIONAL ADVANCEMENT 50.00 X 175738 0 32305 JANET TOWNSEND MD SR ASSOC DEAN REGIONAL CAMPUS 65.00 X 343077 0 35037 SHUBHRA SHETTY MD PROF OF INTERNAL MED/REG. DEAN 40.00 X 239528 0 32337 DAVID AVERILL PHD PROFESSOR OF PHYSIOLOGY 60.00 X 213675 0 37140 JEFFERY HOLT PHD PROFESSOR OF PATHOLOGY 66.00 X 221645 0 30837 JENNIFER JOYCE MD PROFESSOR OF FAMILY MEDICINE 52.00 X 213506 0 21832 3214552 0 311875 41 0 1 0 SUSQUEHANNA HEALTH MEDICAL GROUP 77 RURAL AVENUE WILLIAMSPORT PA 17701 PROFESSIONAL SERVICES 313176 GUTHRIE MEDICAL GROUP PC 1 GUTHRIE SQUARE GUTHRIE PA 18840 PROFESSIONAL SERVICES 243768 KRAYER DETECTIVE AGENCY 107 NORTH APPLE STREET DUNMORE PA 18512 PUBLIC SAFETY 177534 SR WOJDAK AND ASSOCIATES 200 S BROAD STREET PHILADELPHIA PA 19102 LOBBYING 153520 THE WRIGHT CENTER MEDICAL GROUP 501 MADISON AVENUE SCRANTON PA 18510 STUDENT SERVICES 152250 6 427915 831634 9832332 70199 11091881 TUITION AND FEES 611310 23628365 23628365 23628365 683944 683944 10983290 11572669 230184 -589379 -230184 -819563 -819563 72662 427915 238080 -165418 -165418 93 5957 -5864 -5864 TABLE GAME REVENUE 900099 225637 225637 PHYSICIAN CONTRACT INCOME 900099 97282 97282 LAB SERVICE FEES 900099 41030 41030 138153 138153 502102 34915447 23628365 0 195201 1312608 1312608 2148501 1064443 1084058 12715552 8696631 3355241 663680 1039343 711677 274572 53094 1464950 1009908 389632 65410 938832 640824 247236 50772 86057 86057 65902 65902 211656 211656 134798 134798 69312 69312 2499495 1847823 445598 206074 97668 27856 69812 317410 239109 64883 13418 1314329 1157310 140564 16455 1349477 608611 740866 43405 30081 11607 1717 350690 236111 91104 23475 944331 425891 518440 4673298 2107647 2565651 340766 153685 187081 BANK/BOND FEES 807576 364215 443361 LIBRARY 480936 480936 LAB RESEARCH 436009 436009 RENTAL EXPENSES 245528 193124 52404 651907 417473 138732 95702 34740336 22134116 11211813 1394407 21247 57462 12140883 4939612 3958648 11429362 112039 79062 9998 1417606 1606785 100886643 28925355 76119423 71961288 24308795 28099647 795297 752468 118883936 118925686 3102301 3757662 881572 882986 36886373 35797034 3211 2900 4176288 6258047 45049745 46698629 X 40672540 35905743 31534689 34403225 1626962 1918089 73834191 72227057 118883936 118925686 X 175111 92553 206960 -2081758 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 211656 0 0 211656 0 PART II-B, LINE 1: THE COLLEGE'S $211,656 IN EXPENDITURES REPORTED ON LINE 1 REPRESENT FEES PAID PURSUANT TO A CONTRACT WITH TWO CONSULTANTS TO LOBBY ON BEHALF OF THE COLLEGE. THESE CONSULTANTS ASSIST WITH MEETINGS WITH LEGISLATORS TO KEEP THEM INFORMED ON ISSUES IN BOTH HEALTHCARE AND HIGHER EDUCATION AND THEY ASSIST WITH GCSM'S FUNDING AND GOVERNMENT-RELATIONS SERVICES. 1 0 1 X 1184831 193655 11653 3733 1386406 760012 388975 50244 4400 10000 1184831 720000 40000 1548 482 1054 760012 710025 10000 1189 379 835 720000 706521 10000 1807 2314 5989 710025 0.00000 0.96840 0.03160 0 0 1991580 1991580 82437225 15463055 66974170 13108257 11968078 1140179 3349581 1494222 1855359 71961288 INTEREST RATE SWAP 6258047 6258047 X 32060937 92553 206960 -3398060 -3098547 35159484 -244037 -244037 34915447 33668071 244037 244037 33424034 1316302 1316302 34740336 PART III, LINE 4: A GLASS WALL COLLECTION (TWO PIECES) WAS GIVEN TO GCSM TO DISPLAY ON A WALL OF THE NEW MEDICAL SCIENCES BUILDING. PART IV, LINE 2B: THE COLLEGE IS A CUSTODIAN OF ACCOUNTS FOR ITS STUDENT AFFILIATED CHAPTERS OF NATIONAL ORGANIZATIONS. THE AMOUNTS HELD ARE RECORDED AS CASH AND A CORRESPONDING LIABILITY ON THE BALANCE SHEET. THE COLLEGE PROCESSES CHECK REQUESTS AUTHORIZED BY THE CHAPTER OFFICERS. PART V, LINE 4: THE COLLEGE HAS ESTABLISHED A PERMANENT ENDOWMENT TO SUPPORT GENERAL SCHOOL OPERATIONS, TO FUND FUTURE SCHOLARSHIPS, AND SUPPORT OTHER EDUCATIONAL AND ACADEMIC ACTIVITIES OF THE SCHOOL. PART X, LINE 2: GCSM IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE IRC AND IS EXEMPT FROM FEDERAL INCOME TAXES ON ITS EXEMPT INCOME UNDER SECTION 501(A) OF THE IRC. A TAX POSITION IS RECOGNIZED OR DERECOGNIZED BY GCSM BASED ON A "MORE LIKELY THAN NOT" THRESHOLD. THIS APPLIES TO POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. GCSM DOES NOT BELIEVE ITS FINANCIAL STATEMENTS INCLUDE ANY MATERIAL UNCERTAIN TAX POSITIONS. AS OF JUNE 30, 2016, GCSM'S TAX PERIODS ENDED JUNE 30, 2013 THROUGH JUNE 30, 2016 FOR THE FEDERAL TAX JURISDICTION REMAIN OPEN TO EXAMINATION. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN FAIR VALUE OF INTEREST RATE SWAPS -2,081,758. SCHOLARSHIPS -1,312,608. INVESTMENT EXPENSES -3,694. PART XI, LINE 4B - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES -238,080. COST OF GOODS SOLD -5,957. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES 238,080. COST OF GOODS SOLD 5,957. PART XII, LINE 4B - OTHER ADJUSTMENTS: SCHOLARSHIPS 1,312,608. INVESTMENT EXPENSES 3,694. 1 1 1 1 1 1 1 0 0 0 0 0 0 0 0 1 0 1 SCHEDULE E, PART I, LINE 3 THE FOLLOWING STATEMENT IS INCLUDED ON ALL BROCHURES AND MAILINGS. "GEISINGER COMMONWEALTH SCHOOL OF MEDICINE IS COMMITTED TO NON-DISCRIMINATION IN ALL OF ITS EMPLOYMENT AND EDUCATIONAL OPPORTUNITIES." IN ADDITION, THE COLLEGE ADVERTISED ITS NONDISCRIMINATORY POLICY. SCHEDULE E, PART I, LINE 6 IN FY 2016 GEISINGER COMMONWEALTH SCHOOL OF MEDICINE RECOGNIZED GRANT REVENUE FROM FEDERAL AND STATE GOVERNMENTS IN THE AMOUNT OF $831,634. X X X X X X X 1 PTM PRESIDENTIAL TRANSITION MANAGEMENT 147 COLLINGWOOD AVENUE FAIRFIELD CT 06825 FUNDRAISING SERVICES 0 95123 134798 -39675 95123 134798 -39675 PA GALA 376988 345063 31925 55323 48003 64255 GOLF TOURNAMENT 108038 78788 29250 18748 11267 24933 1 15551 4064 11487 3736 11815 500577 427915 72662 77807 59270 101003 238080 -165418 1 SCHOLARSHIPS 203 1312608 PART I, LINE 2: GEISINGER COMMONWEALTH SCHOOL OF MEDICINE PROVIDES FINANCIAL AID TO ELIGIBLE STUDENTS INCLUDING SCHOLARSHIPS AND NEED-BASED FINANCIAL AID. GCSM FORMED A SCHOLARSHIP COMMITTEE TO REVIEW AND SELECT SCHOLARSHIP RECIPIENTS ACCORDING TO CRITERIA SPECIFIED BY THE DONOR. THE ADMISSIONS OFFICE IDENTIFIES ALL STUDENTS WHO MEET THE CRITERIA AND THOSE STUDENTS ARE THEN SUBMITTED FOR REVIEW BY THE COMMITTEE. NEED-BASED AWARDS ARE DETERMINED AND AWARDED BY THE FINANCIAL AID OFFICE AFTER A REVIEW OF QUALIFIED APPLICANTS. THERE IS AN EXTENSIVE REVIEW PROCESS CONDUCTED BY THE FINANCIAL AID OFFICE TO DETERMINE THE RECIPIENTS OF SUCH AID. FINANCIAL AID, INCLUDING SCHOLARSHIPS, IS SUPPORTED BY INTERNAL FUNDS, GIFTS FROM PRIVATE DONORS AND INCOME EARNED ON ENDOWMENT FUNDS, DONOR RESTRICTED SCHOLARSHIPS AND OTHER STUDENT AID. ALL SCHOLARSHIPS ARE APPLIED ONLY TO GCSM'S TUITION AND FEES. NO CASH PAYMENTS ARE MADE TO STUDENTS FOR THESE SCHOLARSHIPS. X 1 1 X X X X X 0 1 0 0 0 0 0 1 0 STEVEN J SCHEINMAN MD PRESIDENT & DEAN (NONVOTING) 602949 0 200000 0 59335 0 15900 0 3799 0 881983 0 0 0 ANNA M RUSNAK-NOON CPA MBA VP FINANCE & ADMIN/CFO 234146 0 0 0 13743 0 15021 0 16729 0 279639 0 0 0 WILLIAM IOBST MD VICE DEAN, VP ACADEM. AFFAIRS 392097 0 0 0 35291 0 15900 0 21509 0 464797 0 0 0 DIANA CALLENDAR MBBS DM CHAIR CLINICAL SCI. 227401 0 0 0 42421 0 15900 0 17629 0 303351 0 0 0 MARISE GARAFOLO VP INSTITUTIONAL ADVANCEMENT 131190 0 10924 0 33624 0 14257 0 18048 0 208043 0 0 0 JANET TOWNSEND MD SR ASSOC DEAN REGIONAL CAMPUS 327844 0 0 0 15233 0 15900 0 19137 0 378114 0 0 0 SHUBHRA SHETTY MD PROF OF INTERNAL MED/REG. DEAN 211579 0 0 0 27949 0 14553 0 17784 0 271865 0 0 0 DAVID AVERILL PHD PROFESSOR OF PHYSIOLOGY 200662 0 0 0 13013 0 17103 0 20037 0 250815 0 0 0 JEFFERY HOLT PHD PROFESSOR OF PATHOLOGY 187297 0 0 0 34348 0 13352 0 17485 0 252482 0 0 0 JENNIFER JOYCE MD PROFESSOR OF FAMILY MEDICINE 195647 0 0 0 17859 0 12861 0 8971 0 235338 0 0 0 PART I, LINE 1A THE COLLEGE PAID THE DUES TO THE WESTMORELAND CLUB (A SOCIAL CLUB) ON BEHALF OF PRESIDENT & DEAN, STEVEN J. SCHEINMAN, MD, WHICH IS USED FOR BUSINESS MEETINGS. THESE DUES ARE NOT TAXABLE TO THE PRESIDENT AS THEY ARE A CONDITION OF HIS EMPLOYMENT. PART I, LINE 4B DURING CALENDAR YEAR 2015 THE FOLLOWING INDIVIDUALS PARTICIPATED IN THE SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN: STEVEN SCHEINMAN, MD JANET TOWNSEND, MD WILLIAM IOBST, MD DIANA CALLENDER, MBBS, DM THERE WERE CONTRIBUTIONS TO THE SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN OF $57,642 IN CALENDAR YEAR 2015. THERE WERE NO DISTRIBUTIONS. PART I, LINE 7 THE VICE PRESIDENT OF INSTITUTIONAL ADVANCEMENT'S PERFORMANCE BONUS (7% OF GROSS PAY) IS PAID IF THE TOTAL AMOUNT OF FUNDRAISING DOLLARS RAISED DURING A CALENDAR YEAR EXCEEDS $2.5M. THE DEAN IS ELIGIBLE FOR A DEFERRED COMPENSATION PAYMENT EQUAL TO 6% OF HIS BASE PAY (EACH YEAR) AS EARNED AND THE DEAN IS ALSO ELIGIBLE FOR A 10% (OF BASE SALARY EACH YEAR) PERFORMANCE BONUS UPON SATISFACTORY PERFORMANCE REVIEW AND MEETING PREDETERMINED ANNUAL GOALS. ADDITIONAL BONUS PAY FOR GOALS EXPANDING THE FIVE-YEAR CONTRACT PERIOD MAY ALSO BE EARNED. A NORTHEASTERN PENNSYLVANIA HOSPITAL AND EDUCATION AUTHORITY 237394107 66455NAB6 2009-03-25 40000000 TO FINANCE VARIOUS CONSTRUCTION AND AQUISITION PROJECTS 0 0 0 A 4093700 40055598 2915390 750000 769572 35570636 50000 2012 0 0 1 1 A 0 1 1 1 1 1 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 1 1 1 PNC BANK NA 24.700000000000 0 0 0 0 1 A 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: NORTHEASTERN PENNSYLVANIA HOSPITAL AND EDUCATION AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 03/01/2014 SCHEDULE K, PART II, LINE 3 PROCEEDS REPORTED IN PART II ARE HIGHER THAN THE PROCEEDS REPORTED IN PART I DUE TO INVESTMENT EARNINGS. SCHEDULE K, PART III, LINE 7 AS PROVIDED IN TREASURY REGULATION SECTION 1.141-4(C)(2)(I)(B), THE AMOUNT OF PRIVATE PAYMENTS TAKEN INTO ACCOUNT UNDER THE PRIVATE PAYMENT TEST MAY NOT EXCEED THE AMOUNT OF PRIVATE BUSINESS USED AND/OR UNRELATED TRADE OR BUSINESS USE. ACCORDINGLY, THE AMOUNT OF PRIVATE PAYMENTS FOR THE REPORTING PERIOD DOES NOT EXCEED THE AMOUNT STATED IN PART III, LINE 6. THE ORGANIZATION HAS NOT UNDERTAKEN AN ANALYSIS OF THE PRIVATE SECURITY TEST WITH RESPECT TO THE BONDS, AS THE LEVEL OF PRIVATE BUSINESS USE AND/OR UNRELATED TRADE OR BUSINESS REPORTED IN PART III, LINE 6, IS NOT IN EXCESS OF AMOUNTS PERMITTED UNDER SECTION 145 OF THE CODE. X 3302 COST X 24 3763 COST X FUNDRAISING EVENT DISCOUNT 3 38215 COST X GOLF PASSES 4 15560 COST X GIFT CARDS 22 3654 COST X HOTEL STAY 9 3446 COST X PROMOTIONAL ITEMS/MATERIALS 2 1780 COST X TABLET 1 399 COST X EVENT TICKETS 2 80 COST 0 1 1 PART I, LINE 32B: FIDELITY DEPOSIT AND DISCOUNT BANK IS THE ORGANIZATION'S BROKER TO SELL SECURITIES RECEIVED AS GIFTS. FORM 990, PART III, LINE 1: STUDENTS ENGAGE IN A COMMUNITY PUBLIC HEALTH PROJECT, EMPHASIZING GCSM'S COMMITMENT TO IMPROVING THE QUALITY OF HEALTH CARE IN OUR REGION. IN ADDITION, EACH STUDENT MUST COMPLETE 100 HOURS OF COMMUNITY SERVICE IN NORTHEAST OR NORTH CENTRAL PENNSYLVANIA. GCSM FACULTY HAVE BEEN RECOGNIZED NATIONALLY AND INTERNATIONALLY FOR THEIR SCHOLARLY WORK, PUBLISHING HUNDREDS OF SCHOLARLY PAPERS, AND PRESENTING AT CONFERENCES, AND TO DATE HAVE BEEN AWARDED OVER $5.3 MILLION IN RESEARCH GRANTS, $5.8 MILLION IN TRAINING AND EDUCATION GRANTS AND $2.8 MILLION IN EQUIPMENT/OTHER GRANTS. THE COLLEGE FOCUSES ON CREATING A UNIQUE MEDICAL EDUCATION EXPERIENCE THAT FOSTERS COLLABORATION AMONG INTERDISCIPLINARY TEAM MEMBERS, PATIENT-CENTERED CARE, AND IMPROVING THE HEALTH OF THE LOCAL POPULATION. THE COLLEGE BEGAN OFFERING ACADEMIC PROGRAMS AND AWARD DEGREES IN A PROGRAM IN MEDICINE LEADING TO THE DEGREE OF DOCTOR OF MEDICINE (MD) AND IN A PROGRAM OF BIOMEDICAL SCIENCES LEADING TO THE DEGREE OF MASTER OF BIOMEDICAL SCIENCES (MBS). GCSM ALSO PARTNERS WITH EAST STROUDSBURG UNIVERSITY TO OFFER A JOINT MD / MASTER OF PUBLIC HEALTH (MPH) DEGREE. THE COLLEGE CONTINUED ITS PROGRAMS TO SUPPORT THE BASIC AND CLINICAL SCIENCES THROUGH BIOMEDICAL, BEHAVIORAL, EPIDEMIOLOGICAL, EDUCATIONAL AND HEALTH SCIENCES RESEARCH. IN MAY OF 2010, GCSM'S FIRST CLASS OF MBS STUDENTS GRADUATED AND IN MAY 2016 OUR SEVENTH CLASS GRADUATED. GCSM GRADUATED ITS CHARTER DOCTOR OF MEDICINE CLASS IN MAY 2013 AND A FOURTH CLASS IN MAY 2016. FORM 990, PART VI, SECTION A, LINE 1 THE PRESIDENT & DEAN ARE EX-OFFICIO MEMBERS AND CAN APPOINT A FACULTY MEMBER IF THE PRESIDENT & DEAN ARE THE SAME PERSON. NEITHER OF THESE POSITIONS ARE VOTING MEMBERS. FORM 990, PART VI, SECTION A, LINE 2 TRUSTEES LOUIS DENAPLES, JOHN MOSES, AND JOHN MENAPACE HAVE A BUSINESS RELATIONSHIP. MR. DENAPLES, ATTORNEY MOSES, AND MR MENAPACE ARE BOARD MEMBERS OF BLUE CROSS OF NORTHEASTERN PENNSYLVANIA, AN ORGANIZATION THAT TRANSACTS BUSINESS WITH GEISINGER COMMONWEALTH SCHOOL OF MEDICINE. FORM 990, PART VI, SECTION A, LINE 7A SPONSORSHIP TRUSTEES - DURING THE TERM OF A CERTAIN SPONSORSHIP AGREEMENT BY AND BETWEEN BLUE CROSS OF NORTHEASTERN PENNSYLVANIA (BCNEPA), WHICH COMMENCED ON OCT 23, 2007 AND WILL CONCLUDE ON OCT 22, 2020, AND THE CORPORATION, BCNEPA SHALL BE ENTITLED TO APPOINT THAT NUMBER OF INDIVIDUALS AS IS SUFFICIENT TO CONSTITUTE AT LEAST TWENTY-FIVE PERCENT (25%) OF THE TOTAL NUMBER OF VOTING MEMBERS OF THE BOARD. TRUSTEES SO APPOINTED SHALL SERVE FOR TERMS ENDING ON OCT 22, 2020 OR UPON EARLIER TERMINATION, FOR ANY REASON, OF THE SPONSORSHIP AGREEMENT. SUCH TRUSTEES SHALL BE REMOVED FROM THE BOARD ONLY "FOR CAUSE" PURSUANT TO SECTION 6 OF THIS ARTICLE. IN THE EVENT ANY SPONSORSHIP TRUSTEE IS REMOVED FOR CAUSE, OR CEASES TO SERVE BY REASON OF DEATH, RESIGNATION OR OTHERWISE, BCNEPA SHALL APPOINT ANOTHER INDIVIDUAL TO FILL SUCH VACANCY FOR THE REMAINDER OF THE TERM. UNDER AN ASSIGNMENT AND ASSUMPTION AGREEMENT BETWEEN BCNEPA AND ALLONE FOUNDATION DATED JUNE 1, 2015, BCNEPA ASSIGNED ALL OF ITS RIGHTS AND INTERESTS UNDER ITS SPONSORSHIP AGREEMENT WITH GCSM TO THE ALLONE FOUNDATION, A 501(C)(3) ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7B THESE ARTICLES OF INCORPORATION MAY BE AMENDED OR RESTATED BY A SUPER MAJORITY VOTE (AS HEREINAFTER DEFINED) OF THE BOARD OF DIRECTORS OF THE CORPORATION OR BY UNANIMOUS WRITTEN CONSENT OF ALL MEMBERS OF THE BOARD OF DIRECTORS OF THE CORPORATION. THIS PROVISION IS PURSUANT TO PROCEDURES SET FORTH IN THE BYLAWS, PROVIDED THAT NO AMENDMENT OF ARTICLE X OR OF ARTICLE XII OF THESE ARTICLES SHALL BE EFFECTIVE AND NO AMENDMENT OF ANY OTHER PROVISION OF THESE ARTICLES THAT IS CONSISTENT WITH ARTICLE X OR ARTICLE XII SHALL BECOME EFFECTIVE, UNLESS APPROVED IN WRITING BY BLUE CROSS OF NORTHEASTERN PENNSYLVANIA, NOW THE ALLONE FOUNDATION. FOR PURPOSES HEREOF, A "SUPER MAJORITY VOTE" MEANS THE AFFIRMATIVE VOTE OF AT LEAST SEVENTY-SIX PERCENT (76%) OF THE VOTING MEMBERS OF THE BOARD OF DIRECTORS IN OFFICE OR THE UNANIMOUS WRITTEN CONSENT OF ALL VOTING MEMBERS OF THE BOARD OF DIRECTORS. THE AFFIRMATIVE VOTE OF AT LEAST SEVENTY-SIX PERCENT (76%) OF THE VOTING TRUSTEES IN OFFICE SHALL BE REQUIRED FOR BOARD APPROVAL OF THE FOLLOWING ACTIONS OF THE CORPORATION OR FOR THE CORPORATION'S INCURRING ANY OBLIGATION OR MAKING ANY COMMITMENT IN RESPECT OF SUCH ACTIONS - I ELECTION OR APPOINTMENT OF A CHAIRMAN OF THE BOARD, II APPROVAL OF ANY FUNDAMENTAL TRANSACTION (AS DEFINED BELOW), III APPROVAL OF THE CORPORATION'S ANNUAL OPERATING BUDGET AND CAPITAL BUDGETS AND ANY MATERIAL VARIATIONS THEREFROM, IV APPROVAL OF STRATEGIC BUSINESS PLANS AND MATERIAL VARIATIONS THEREFROM, V THE FILLING OF VACANCIES WITHIN THE BOARD, VI APPROVAL OF ANY INCREASE OR REDUCTION IN THE SIZE OF THE BOARD, VII APPROVAL OF ANY NEW INDEBTEDNESS FOR BORROWED MONEY OR ANY OBLIGATION SECURED BY ANY ASSET OF THE CORPORATION, VIII APPROVAL OF ANY AMENDMENT OF THE TERMS OF THE CORPORATION'S INDEBTEDNESS FOR BORROWED MONEY OR SECURED INDEBTEDNESS OR OF ANY RESTRUCTURING OR REFINANCING OF ANY SUCH INDEBTEDNESS, AND IX APPROVAL OF ANY AMENDMENT OF THE CORPORATION'S BYLAWS OR ARTICLES OF INCORPORATION. FORM 990, PART VI, SECTION B, LINE 11 THE COLLEGE'S FORM 990 WAS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM IN CONJUNCTION WITH THE COLLEGE'S ACCOUNTING DEPARTMENT. A COPY OF THE FORM 990 WAS CIRCULATED TO THE BOARD OF TRUSTEES BY THE VICE PRESIDENT OF FINANCE AND BY THE ADMINISTRATION FOR DISCUSSION AND COMMENT. EACH TRUSTEE WAS PROVIDED AMPLE OPPORTUNITY TO COMMENT ON THE INFORMATION CONTAINED IN THE 990 PRIOR TO ITS ELECTRONIC FILING WITH THE INTERNAL REVENUE SERVICE. THE TRUSTEES HAVE REVIEWED THE "AS FILED" COPY OF THE 990. FORM 990, PART VI, SECTION B, LINE 12C EACH OFFICER, DIRECTOR, TRUSTEE, KEY EMPLOYEE, FINANCE AND ACCOUNTING STAFF AND ALL FINANCIAL MANAGERS OF THE COLLEGE ARE REQUIRED TO ANNUALLY DISCLOSE ANY CONFLICTS OF INTEREST THAT ARISE BY VIRTUE OF THEIR EMPLOYMENT, BOARD SERVICE OR THEIR POSITION WITH THE COLLEGE. THE COLLEGE MONITORS COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY THROUGH AN ANNUAL QUESTIONNAIRE/DISCLOSURE STATEMENT THAT IS DISTRIBUTED TO THESE INDIVIDUALS. POTENTIAL CONFLICTS OF INTEREST ARE REQUIRED TO BE DISCLOSED. THE EXECUTIVE OFFICE ASSISTANT MONITORS THE POLICY AND REVIEWS ANY POTENTIAL CONFLICTS AND DISCLOSURE FORMS WITH THE VICE PRESIDENT/CFO. ANY SUCH CONFLICTS WOULD REQUIRE THAT INDIVIDUAL TO REFRAIN FROM VOTING. FORM 990, PART VI, SECTION B, LINE 15 THE COLLEGE UNDERTAKES A THOROUGH PROCESS TO ENSURE THAT THE EXECUTIVE COMPENSATION IT PAYS ITS TOP MANAGEMENT OFFICIAL AND ALL OF THE OFFICERS AND KEY EMPLOYEES IS REASONABLE GIVEN THE MARKET IN WHICH THE COLLEGE COMPETES AND OPERATES. IN RELEVANT PART, THE BOARD OF DIRECTORS HAS ESTABLISHED A COMPENSATION COMMITTEE OF INDEPENDENT PERSONS WHO HAVE NO PERSONAL INTEREST IN THE PROPOSED COMPENSATION AGREEMENT. THE COMPENSATION COMMITTEE CONTRACTS WITH A COMPENSATION CONSULTANT EVERY TWO YEARS TO COMPLETE A MARKET ASSESSMENT AND COMPETITIVE ANALYSIS FOR THE COLLEGE'S TOP EXECUTIVES. THE COMPENSATION CONSULTANT UTILIZES COMPARABILITY AND BENCHMARKING DATA TO ENSURE THAT THE COLLEGE COMPENSATES ITS EXECUTIVES COMMENSURATE WITH THE MARKET. THE COMPENSATION COMMITTEE WILL THEN SET THE COMPENSATION FOR THE PRESIDENT AND DEAN AND DOCUMENT THE DECISION IN BOARD MINUTES. OTHER POSITIONS ARE SET BY THE PRESIDENT AND DEAN GIVEN MARKET ASSESSMENTS AND COMPETITIVE POSITIONS, AS WELL AS INFORMATION FROM THE EXECUTIVE COMPENSATION REVIEW. THESE DETERMINATIONS ARE DOCUMENTED BY THE CONSULTANT, REVIEWED AND APPROVED BY THE COMPENSATION COMMITTEE AND APPROVED BY THE FULL BOARD. FORM 990, PART VI, SECTION C, LINE 19 THE COLLEGE MAKES ITS 990 AVAILABLE TO THE PUBLIC BY RETAINING A COPY AT ITS PLACE OF BUSINESS. THE FORM 990 IS LIKEWISE PUBLISHED ON THE INTERNET AT WWW.GUIDESTAR.ORG. THE ORGANIZATIONS'S FINANCIAL STATEMENTS, GOVERNING DOCUMENTS, AND CONFLICT OF INTEREST POLICY ARE NOT ORDINARILY MADE AVAILABLE TO THE PUBLIC, BUT IF REQUESTED, WILL BE PROVIDED AT MANAGEMENT'S DISCRETION. FORM 990, PART XI, LINE 9: CHANGE IN FAIR VALUE OF INTEREST RATE SWAPS -2,081,758. NORTHEASTERN PA MEDICAL EDUCATION DEVELOPMENT 525 PINE STREET SCRANTON PA 18509 203099187 INACTIVE PA 501(C)(3) LINE 2 N/A 0 COMMONWEALTH MEDICAL ASSOCIATES PC 525 PINE STREET SCRANTON PA 18509 264319644 INACTIVE PA 501(C)(3) LINE 9 N/A 0 COMMONWEALTH MEDICAL COLLEGE FOUNDATION 525 PINE STREET SCRANTON PA 18509 273395484 INACTIVE PA 501(C)(3) LINE 7 N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0