2017-05-11T11:42:21-04:00 2016-06-30 990 2015-07-01 251766971 SPIRIT PHYSICIAN SERVICES INC SPIR 5702716624 100 N ACADEMY AVE MC 49-70 DANVILLE PA 178229800 DAVID J FELICIO ESQUIRE SECRETARY 5702716624 2017-05-08 2015 2021-01-29 14:40:06Z STEVEN J TRACY RPH 100 NORTH ACADEMY AVENUE MC 22-01 DANVILLE PA 17822 48682182 false X WWW.HSH.ORG X 1995 PA TO PROVIDE RESOURCES FOR THE RESTORATION AND MAINTENANCE OF HEALTH AND THE PREVENTION OF DISEASE. 11 6 607 0 34841081 130132 44223920 47812563 46271 6283 1905016 733204 81016288 48682182 18333 0 0 51633170 60297434 0 0 15789273 20688705 67440776 80986139 13575512 -32303957 23003704 16331653 13637663 10472049 9366041 5859604 X SPIRIT PHYSICIAN SERVICES, INC. HEALTHCARE MISSION IS TO PROVIDE CHARITY CARE AND EXPAND ACCESS TO AFFORDABLE PRIMARY AND SPECIALITY OUTPATIENT MEDICAL SERVICES. THE CLINICS OFFER PREVENTATIVE, DIAGNOSTIC, AND THERAPEUTIC MEDICAL SERVICES ON AN OUTPATIENT BASIS. false false 70801450 48497535 PHYSICIAN SERVICES - SEE SCHEDULE O SPIRIT PHYSICIAN SERVICES, INC'S. (SPSI) FAMILY HEALTH CENTERS OFFER PREVENTATIVE DIAGNOSTIC AND THERAPEUTIC MEDICAL SERVICES ON AN OUTPATIENT BASIS. THE FAMILY HEALTH CENTERS PROVIDE AN OUTREACH TO COMMUNITY RESIDENTS WITH MEDICAL CONDITIONS WHICH, IF NOT PROPERLY TREATED IN AN OUTPATIENT SETTING, MIGHT ULTIMATELY REQUIRE MORE EXPENSIVE AND CRITICAL INPATIENT CARE. THUS, THE CLINICS REDUCE HOSPITAL ADMISSIONS, DAYS OF STAY AND SURGICAL RATES. THE CENTER FOR WOMEN'S HEALTH OFFERS FREE INTRODUCTORY SESSIONS TO THE CREIGHTON MODEL FERTILITY CARE SYSTEM AND NAPRO TECHNOLOGY. THIS IS A FULLY INTEGRATED APPROACH TO WOMEN'S HEALTH THAT IS COMPLETELY PRO-LIFE IN ITS OUTLOOK AND THE TECHNIQUES IT EMPLOYS. IT IS PARTICULARLY USEFUL FOR EVALUATING AND TREATING INFERTILITY, RECURRENT PREGNANCY LOSS, ENDOMETRIOSIS, IRREGULAR PERIODS, PMS, OVARIAN CYSTS, AND POLYCYSTIC OVARY SYNDROME, AS WELL AS FOR FAMILY PLANNING. CVSI IS A GROUP OF CARDIOVASCULAR HEART SURGEONS. THIS GROUP USES ROBOTICS DURING SPECIFIC SURGERIES. SPSI HEALTHSHARE IS A MEDICAL SERVICE PROGRAM THAT PROVIDES INFORMATION ON THE AVAILABILITY OF MEDICAL CARE AND DISCOUNTED MEDICAL SERVICES FOR THOSE WHO DO NOT QUALIFY FOR TRADITIONAL PUBLIC ASSISTANCE PROGRAMS. KUNKEL SURGERY IS A GROUP OF GENERAL SURGEONS. THIS GROUP PERFORMS A LARGE ASSORTMENT OF GENERAL SURGERY PROCEDURES. UNCOMPENSATED CARE SPIRIT PHYSICIAN SERVICES, INC. (SPSI) RECOGNIZES THAT ITS MISSION IS TO SERVE ALL THE MEMBERS OF THE COMMUNITY WITH RESPECT TO THE PROVISION OF HEALTHCARE SERVICES AND HEALTHCARE EDUCATION. SPSI PROVIDES QUALITY MEDICAL HEALTHCARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. IN THIS REGARD, SPSI PROVIDES FREE CARE OR SUBSIDIZED CARE, TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT OR BELOW COST, AND PROVIDES VARIOUS HEALTH ACTIVITIES AND PROGRAMS IN SUPPORT OF THE COMMUNITIES WHERE SPSI PRACTICES. A. CHARITY CARE THE PRIMARY CONCERN OF SPSI IS THE DELIVERY OF HEALTH CARE TO ALL THE CITIZENS IN ALL THE CITIZENS OF THE GREATER HARRISBURG AREA AND SOUTH CENTRAL PENNSYLVANIA, REGARDLESS OF THEIR ABILITY TO PAY. THE UNREIMBURSED COST OF CHARITY CARE REPRESENTS THE COST SPSI INCURS BY PROVIDING FREE OR DISCOUNTED SERVICES TO THOSE WHO CANNOT AFFORD TO PAY. FOR FISCAL YEAR ENDED JUNE 30, 2016, THE COST OF CHARITY CARE WAS 370,607. B. MEDICARE/MEDICAID RECOGNIZING ITS MISSION TO THE COMMUNITY, SERVICES ARE PROVIDED TO THE ELDERLY (MEDICARE) AND THE POOR (MEDICAID). SPSI PROVIDES CARE, BELOW COST, TO PERSONS COVERED BY THESE GOVERNMENTAL PROGRAMS. TO THE EXTENT REIMBURSEMENT IS BELOW THE COST OF PROVIDING HEALTHCARE, SPSI IS FURTHERING ITS MISSION TO THE ENTIRE COMMUNITY. THE UNREIMBURSED VALUE OF MEDICARE AND/OR MEDICAID IS EQUAL TO THE COST OF PROVIDING SERVICES LESS THE AMOUNT OF REIMBURSEMENT RECEIVED UNDER THE PROGRAM. FOR FISCAL YEAR ENDED JUNE 30, 2016, THE UNREIMBURSED VALUE OF PROVIDING CARE TO THESE PATIENTS WAS 17,415,934. C. OTHER UNCOMPENSATED PATIENT SERVICES IN ADDITION, SPSI PROVIDES OTHER PATIENT SERVICES FOR WHICH FULL PAYMENT IS NOT RECEIVED. THE UNCOMPENSATED COST OF PROVIDING SUCH PATIENT SERVICES DURING THE FISCAL YEAR ENDED JUNE 30, 2016, WAS 1,607,419. COMMUNITY HEALTH, EDUCATION AND OUTREACH SPIRIT PHYSICIAN SERVICES, INC. STRIVES TO SERVE AS PARTNERS TO THE COMMUNITIES IN WHICH THEY ARE LOCATED, SPSI PROVIDES CARE TO THE COMMUNITY THROUGH REDUCED PRICE SERVICES AND FREE PROGRAMS THROUGHOUT THE YEAR BASED UPON ACTIVITIES AND SERVICES THAT SPSI BELIEVES WILL SERVE A CONFIDE COMMUNITY HEALTH NEED. THESE SERVICES AND PROGRAMS MAY INCLUDE SUPPORT GROUPS, HEALTH EDUCATION, WELLNESS FAIRS, HEALTH SCREENINGS, OR OTHER HEALTH RELATED PROGRAMS. THE COST OF THESE SERVICES TOTALED 12,829 IN FISCAL YEAR ENDED JUNE 30, 2016. COMMUNITY BENEFIT SUMMARY CHARITY CARE 370,607 MEDICARE/MEDICAID 17,415,934 OTHER UNCOMPENSATED PATIENT SERVICES 1,607,419 COMMUNITY HEALTH EDUCATION AND OUTREACH 12,829 TOTAL COMMUNITY BENEFIT 19,406,789 70801450 true true false true false false false false false true true false false true true false false true false false false false false false false false false false false true false false false true false false false false false false false false false true true true true false true X 0 0 true 607 true false false false false false false false false false false false false X 11 6 true false false false true true false true true true false true true true true true true true true false PA X RANDY B MORRIS VP FINANCE HSHS 7177632130 100 N ACADEMY AVE MC 86-22 DANVILLE PA 17822 CARRIE L DELONE MD DIRECTOR 40.00 X 59972 0 406 GREG GUNN DIRECTOR 0.25 0.25 X 0 0 0 JOSEPH SCHATT DIRECTOR 0.25 X 0 0 0 LORI L WALLOWER DO DIRECTOR 40.00 X 152899 0 33454 MARY KAY DURHAM DIRECTOR 0.25 X 0 0 0 MARGUERITE MACDONALD DIRECTOR, CH 0.25 X X 0 0 0 NORA HABIG DIRECTOR 0.25 0.25 X 0 0 0 PAUL A KUNKEL MD DIRECTOR 40.00 X 349497 0 45976 ROBERT KEITH VICE CHAIR, 0.25 X X 0 0 0 ROBERT SCAER DIRECTOR 0.25 0.25 X 0 0 0 RYAN B BROWN VICE CHAIR, 0.25 X X 0 0 0 SISTER ROMAINE NIEMEYER SCC DIRECTOR 0.25 1.00 X 0 0 0 WILLIAM KEEN DIRECTOR 0.25 0.25 X 0 0 0 DAVID A GATESMAN VICE PRESIDE 40.00 X X 58044 163014 41064 JOSEPH A TORCHIA MD PRESIDENT, D 40.00 X X 0 444566 26227 DANIEL E LOHR ESQUIRE ASST SECRETA 40.00 X 0 329289 40678 DAVID J FELICIO ESQUIRE SECRETARY 40.00 X 0 766266 102890 KEVIN F BRENNAN CPA FHFMA EVP, FINANCE 40.00 X 0 1083348 211615 MANUEL J EVANS TREASURER 40.00 X 0 474426 22041 RANDY B MORRIS TREASURER 40.00 X 0 233161 22035 DAVID C MAN MD FACC PHYSICIAN 40.00 X 754312 0 46748 ANDREAS U WALI MD FACC FSCAI PHYSICIAN 40.00 X 841118 0 51051 RAJESH M DAVE MD FACC FSCAI PHYSICIAN 40.00 X 1057170 0 28696 STEPHEN J MILITO MD PHYSICIAN 40.00 X 793391 0 22361 VENKATESH K NADAR MD PHYSICIAN 40.00 X 796788 0 54786 D BRUCE HAGA FORMER OFFIC 40.00 X 337611 0 12985 EDWARD J ZYCH ESQUIRE FORMER OFFIC 40.00 X 0 326218 16680 RICHARD LAVANTURE FORMER OFFIC 40.00 X 0 377107 49552 SHUBRA KUMAR-BRADLEY MD FORMER KEY E 40.00 X 326616 0 40441 5527418 4197395 869686 125 true true false NORWOOD COMPANY 375 TECHNOLOGY DRIVE MALVERN PA 19355 CONSTRUCTION 794992 WEATHERBY LOCUMS INC 6451 NORTH FEDERAL HIGHWAY SUITE 800 FORT LAUDERDALE FL 33308 LCUM 624218 SPRING MEDICAL LLC 23221 ALDINE WESTFIELD SUITE 200 SPRING TX 77373 MEDICAL SERVICE 357840 LINDE HEALTHCARE STAFFING 3668 SOUTH GEYER ROAD SUITE 100 ST LOUIS MO 63127 LOCUM 311802 LOCUMTENENSCOM 2655 NORTHWINDS PARKWAY ALPHARETTA GA 30009 LOCUM 244953 15 128892 1240 130132 PATIENT HEALTHCARE 541900 39112832 39112832 IC MARKET BASED SUPPORT 621110 8306464 8306464 CARDIOLOGY RESEARCH 621110 308627 308627 RENTALS 621110 42249 42249 HALIFAX RENTAL INCOME 531120 24979 24979 17412 17412 47812563 6283 6283 HIGHMARK QUALITY BLUE 900099 320978 320978 E HEALTH RECORDS INCOME 900099 289308 289308 MEDICAL DIRECTOR NURSING HOME 900099 30000 30000 92918 44686 48232 733204 48682182 48430307 121743 871574 496294 375280 622693 368707 253986 50678883 46809840 3869043 1747382 1716139 31243 3510593 3018985 491608 2866309 2454155 412154 8630 8630 107260 4125 103135 7912 7912 83704 19810 63894 6096398 5759041 337357 66171 62708 3463 1165275 1128972 36303 491216 122007 369209 3618609 3166998 451611 84096 53995 30101 325954 311677 14277 369650 323517 46133 1364113 1181642 182471 INTER ENTITY EXP 3496856 401004 3095852 CONTRIBUTION EXP 1807846 1807846 MEDICAL SUPPLIES 1545302 1544930 372 BOOK, LICENSE, FEE, TAX 37844 31516 6328 11869 8912 2957 80986139 70801450 10184689 0 3803 4626249 14520494 2516837 5038825 21598 735653 32294 467519 3707811 436592 2454849 3271219 194499 310288 3280928 1860302 23003704 16331653 8444013 1421465 5193650 9050584 13637663 10472049 X 9366041 5859604 9366041 5859604 23003704 16331653 X -32303957 28797520 X X false true X true false X 16222623 16209048 15001572 34841081 130132 82404456 33279316 40797732 43856772 44977952 48430307 211342079 49501939 57006780 58858344 79819033 48560439 293746535 293746535 192 211 477 18642 6283 25805 192 211 477 18642 6283 25805 651389 404781 757903 1133380 115460 3062913 50153520 57411772 59616724 80971055 48682182 296835253 0.98960 0.98770 0.00000 0.00000 X PART III, LINE 12 2011 ADMINISTRATIVE SERVICES 189,643 2011 BILLING SERVICES 272,828 2011 OB EMERGENCY ROOM 113,215 2011 OTHER 75,703 2012 ADMINISTRATIVE SERVICES 46,597 2012 BILLING SERVICES 257,781 2012 OTHER 100,403 2013 ADMINISTRATIVE SERVICES 286,821 2013 OTHER 157,631 2013 RESEARCH PAYMENTS 313,451 2014 ADMINISTRATIVE SERVICES 665,433 2014 OTHER 209,068 2014 RESEARCH PAYMENTS 258,879 2015 RENTAL 67,228 2015 ADMINISTRATIVE SERVICES 46,060 2015 PURCHASE DISCOUNT 2,172 SUPPLEMENTAL INFORMATION TOTAL 3,062,913 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 7912 7912 false SCHEDULE C, PART II-B, LINE 1 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. 2821921 -51358 1752 2768811 2848959 -22308 4730 2821921 2563164 285795 2848959 2470802 7245 178061 92727 217 2563164 2540943 9388 70652 8877 2470802 1.00000 false true true 385865 7983 377882 1951801 149342 1802459 1115634 279267 836367 254511 254511 3271219 DUE FROM AFFILIATE 1860302 1860302 DUE TO AFFILIATES 7461355 ESTIMATED MEDICAL MALPRACTICE CLAIMS 822895 ESTIMATED THIRD PARTY LIABILITY 638372 UNFAV LEASE LIABILITY 127962 9050584 SCHEDULE D, PAGE 2, PART V, LINE 4 INTEREST EARNED IS UNRESTRICTED AND TRANSFERRED TO THE OPERATING FUND. SCHEDULE D, PAGE 4, PART XIII 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. X X X X X X true true false false false false false true false LORI L WALLOWER DO DIRECTOR 152300 599 8589 24865 186353 PAUL A KUNKEL MD DIRECTOR 319686 29811 18500 27476 395473 DAVID A GATESMAN VICE PRESIDENT, DIR. 57758 131495 28800 286 2719 1639 9955 8927 20543 68610 193512 JOSEPH A TORCHIA MD PRESIDENT, DIRECTOR 366344 55589 22633 14015 12212 470793 DANIEL E LOHR ESQUIRE ASST SECRETARY 231485 76502 21302 19110 21568 369967 DAVID J FELICIO ESQUIRE SECRETARY 402686 156692 206888 77507 25383 869156 152495 KEVIN F BRENNAN CPA FHFMA EVP, FINANCE, CFO 541622 299769 241957 185717 25898 1294963 202451 MANUEL J EVANS TREASURER 258674 215752 11093 10948 496467 RANDY B MORRIS TREASURER 184501 41539 7121 11125 10910 255196 DAVID C MAN MD FACC PHYSICIAN 702297 31650 20365 16422 30326 801060 ANDREAS U WALI MD FACC FSCAI PHYSICIAN 787106 33425 20587 23443 27608 892169 RAJESH M DAVE MD FACC FSCAI PHYSICIAN 934232 102573 20365 18087 10609 1085866 STEPHEN J MILITO MD PHYSICIAN 776091 17300 7433 14928 815752 VENKATESH K NADAR MD PHYSICIAN 585337 191109 20342 22639 32147 851574 D BRUCE HAGA FORMER OFFICER 104096 233515 5682 7303 350596 EDWARD J ZYCH ESQUIRE FORMER OFFICER 108861 217357 5645 11035 342898 32454 RICHARD LAVANTURE FORMER OFFICER 306576 48445 22086 17257 32295 426659 SHUBRA KUMAR-BRADLEY MD FORMER KEY EMPLOYEE 300958 25000 658 14752 25689 367057 SCHEDULE J, PAGE 1, PART I, LINE 4 DAVID J. FELICIO, ESQUIRE 0 152,495 0 KEVIN F. BRENNAN, CPA, FHFMA 0 202,451 0 MANUEL J. EVANS 110,179 0 0 EDWARD J. ZYCH, ESQUIRE 0 32,454 0 SCHEDULE J, PAGE 1, PART I, LINE 7 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. SCHEDULE J, PART III PART I, LINE 4A - SEVERANCE PAYMENT UPON INVOLUNTARY SEPARATION, EMPLOYEES MAY BE ELIGIBLE TO RECEIVE CONTINUATION OF SALARY FOR A TERM THAT IS BASED ON THEIR YEARS OF GEISINGER SERVICE AND POSITION. PART I, LINE 4B - SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN COMPENSATION FOR ELIGIBLE EMPLOYEES MAY BE DEFERRED TO A 457(F) NONQUALIFIED PLAN THAT VESTS WITH COMPLETION OF SERVICE, DEATH AND/OR PERMANENT DISABILITY. __________________________________________________________________________ FOOTNOTE: THROUGHOUT FORM 990, THE TERMS "GEISINGER- AND "SYSTEM" REFER TO THE ENTIRE HEALTHCARE SYSTEM COMPRISED OF GEISINGER HEALTH "GH" AS PARENT AND ALL SUBSIDIARY CORPORATIONS COMPRISING THE SYSTEM. STEPHEN J MILITO MD FIVE HIGHEST COMPED RECRUITMENT X 35000 21598 false true true 21598 FORM 990 - ORGANIZATION'S MISSION SPIRIT PHYSICIAN SERVICES, INC. HEALTHCARE MISSION IS TO PROVIDE CHARITY CARE AND EXPAND ACCESS TO AFFORDABLE PRIMARY AND SPECIALITY OUTPATIENT MEDICAL SERVICES. THE CLINICS OFFER PREVENTATIVE, DIAGNOSTIC, AND THERAPEUTIC MEDICAL SERVICES ON AN OUTPATIENT BASIS. FORM 990, PAGE 2, PART III, LINE 4A SPIRIT PHYSICIAN SERVICES, INC'S. (SPSI) FAMILY HEALTH CENTERS OFFER PREVENTATIVE DIAGNOSTIC AND THERAPEUTIC MEDICAL SERVICES ON AN OUTPATIENT BASIS. THE FAMILY HEALTH CENTERS PROVIDE AN OUTREACH TO COMMUNITY RESIDENTS WITH MEDICAL CONDITIONS WHICH, IF NOT PROPERLY TREATED IN AN OUTPATIENT SETTING, MIGHT ULTIMATELY REQUIRE MORE EXPENSIVE AND CRITICAL INPATIENT CARE. THUS, THE CLINICS REDUCE HOSPITAL ADMISSIONS, DAYS OF STAY AND SURGICAL RATES. THE CENTER FOR WOMEN'S HEALTH OFFERS FREE INTRODUCTORY SESSIONS TO THE CREIGHTON MODEL FERTILITY CARE SYSTEM AND NAPRO TECHNOLOGY. THIS IS A FULLY INTEGRATED APPROACH TO WOMEN'S HEALTH THAT IS COMPLETELY PRO-LIFE IN ITS OUTLOOK AND THE TECHNIQUES IT EMPLOYS. IT IS PARTICULARLY USEFUL FOR EVALUATING AND TREATING INFERTILITY, RECURRENT PREGNANCY LOSS, ENDOMETRIOSIS, IRREGULAR PERIODS, PMS, OVARIAN CYSTS, AND POLYCYSTIC OVARY SYNDROME, AS WELL AS FOR FAMILY PLANNING. CVSI IS A GROUP OF CARDIOVASCULAR HEART SURGEONS. THIS GROUP USES ROBOTICS DURING SPECIFIC SURGERIES. SPSI HEALTHSHARE IS A MEDICAL SERVICE PROGRAM THAT PROVIDES INFORMATION ON THE AVAILABILITY OF MEDICAL CARE AND DISCOUNTED MEDICAL SERVICES FOR THOSE WHO DO NOT QUALIFY FOR TRADITIONAL PUBLIC ASSISTANCE PROGRAMS. KUNKEL SURGERY IS A GROUP OF GENERAL SURGEONS. THIS GROUP PERFORMS A LARGE ASSORTMENT OF GENERAL SURGERY PROCEDURES. UNCOMPENSATED CARE SPIRIT PHYSICIAN SERVICES, INC. (SPSI) RECOGNIZES THAT ITS MISSION IS TO SERVE ALL THE MEMBERS OF THE COMMUNITY WITH RESPECT TO THE PROVISION OF HEALTHCARE SERVICES AND HEALTHCARE EDUCATION. SPSI PROVIDES QUALITY MEDICAL HEALTHCARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. IN THIS REGARD, SPSI PROVIDES FREE CARE OR SUBSIDIZED CARE, TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT OR BELOW COST, AND PROVIDES VARIOUS HEALTH ACTIVITIES AND PROGRAMS IN SUPPORT OF THE COMMUNITIES WHERE SPSI PRACTICES. A. CHARITY CARE THE PRIMARY CONCERN OF SPSI IS THE DELIVERY OF HEALTH CARE TO ALL THE CITIZENS IN ALL THE CITIZENS OF THE GREATER HARRISBURG AREA AND SOUTH CENTRAL PENNSYLVANIA, REGARDLESS OF THEIR ABILITY TO PAY. THE UNREIMBURSED COST OF CHARITY CARE REPRESENTS THE COST SPSI INCURS BY PROVIDING FREE OR DISCOUNTED SERVICES TO THOSE WHO CANNOT AFFORD TO PAY. FOR FISCAL YEAR ENDED JUNE 30, 2016, THE COST OF CHARITY CARE WAS 370,607. B. MEDICARE/MEDICAID RECOGNIZING ITS MISSION TO THE COMMUNITY, SERVICES ARE PROVIDED TO THE ELDERLY (MEDICARE) AND THE POOR (MEDICAID). SPSI PROVIDES CARE, BELOW COST, TO PERSONS COVERED BY THESE GOVERNMENTAL PROGRAMS. TO THE EXTENT REIMBURSEMENT IS BELOW THE COST OF PROVIDING HEALTHCARE, SPSI IS FURTHERING ITS MISSION TO THE ENTIRE COMMUNITY. THE UNREIMBURSED VALUE OF MEDICARE AND/OR MEDICAID IS EQUAL TO THE COST OF PROVIDING SERVICES LESS THE AMOUNT OF REIMBURSEMENT RECEIVED UNDER THE PROGRAM. FOR FISCAL YEAR ENDED JUNE 30, 2016, THE UNREIMBURSED VALUE OF PROVIDING CARE TO THESE PATIENTS WAS 17,415,934. C. OTHER UNCOMPENSATED PATIENT SERVICES IN ADDITION, SPSI PROVIDES OTHER PATIENT SERVICES FOR WHICH FULL PAYMENT IS NOT RECEIVED. THE UNCOMPENSATED COST OF PROVIDING SUCH PATIENT SERVICES DURING THE FISCAL YEAR ENDED JUNE 30, 2016, WAS 1,607,419. COMMUNITY HEALTH, EDUCATION AND OUTREACH SPIRIT PHYSICIAN SERVICES, INC. STRIVES TO SERVE AS PARTNERS TO THE COMMUNITIES IN WHICH THEY ARE LOCATED, SPSI PROVIDES CARE TO THE COMMUNITY THROUGH REDUCED PRICE SERVICES AND FREE PROGRAMS THROUGHOUT THE YEAR BASED UPON ACTIVITIES AND SERVICES THAT SPSI BELIEVES WILL SERVE A CONFIDE COMMUNITY HEALTH NEED. THESE SERVICES AND PROGRAMS MAY INCLUDE SUPPORT GROUPS, HEALTH EDUCATION, WELLNESS FAIRS, HEALTH SCREENINGS, OR OTHER HEALTH RELATED PROGRAMS. THE COST OF THESE SERVICES TOTALED 12,829 IN FISCAL YEAR ENDED JUNE 30, 2016. COMMUNITY BENEFIT SUMMARY CHARITY CARE 370,607 MEDICARE/MEDICAID 17,415,934 OTHER UNCOMPENSATED PATIENT SERVICES 1,607,419 COMMUNITY HEALTH EDUCATION AND OUTREACH 12,829 TOTAL COMMUNITY BENEFIT 19,406,789 FORM 990, PART V ENTER THE NUMBER REPORTED IN BOX 3 OF FORM 1096, ANNUAL SUMMARY AND TRANSMITTAL OF U.S. INFORMATION RETURNS. HOLY SPIRIT HEALTH SYSTEM (HSHS), PARENT OF THE ORGANIZATION, PREPARED AND FILED FORM 1099 UNDER ITS EIN FOR ALL REPORTABLE PAYMENTS OF THE FILING ORGANIZATION AND ITS AFFILIATES. THE NUMBER OF 1099'S FILED BY HSHS FOR THE 2015 REPORTING PERIOD ON BEHALF OF ITSELF AND ITS AFFILIATES WAS 170. THE RESPONSE ENTERED ON LINE 1A FOR THE ORGANIZATION INCLUDES ONLY THOSE FORM 1099S FILED UNDER THE ORGANIZATION'S EIN. IT DOES NOT INCLUDE THOSE FILED BY HSHS ON ITS BEHALF. FORM 990, PART VI FORM 990, PART VI, SECTION A, LINE 1B: ENTER THE NUMBER OF VOTING MEMBERS THAT ARE INDEPENDENT. BASED ON THE FORM 990 DEFINITION OF "INDEPENDENCE" AS IT RELATES TO VOTING MEMBERS OF THE GOVERNING BODY, FIVE VOTING MEMBERS ARE NOT INDEPENDENT BECAUSE THEY ARE COMPENSATED AS EMPLOYEES OF RELATED TAX-EXEMPT ORGANIZATIONS. FORM 990, PART VI, SECTION A, LINE 2: DID ANY OFFICER, DIRECTOR, TRUSTEE, OR KEY EMPLOYEE HAVE A FAMILY RELATION- SHIP OR BUSINESS RELATIONSHIP WITH ANY OTHER OFFICER, DIRECTOR, TRUSTEE, OR KEY EMPLOYEE? DANIEL E. LOHR, ESQUIRE, SISTER ROMAINE NIEMEYER, SCC, RANDY B. MORRIS, MANUEL J. EVANS, KEVIN F. BRENNAN, CPA, FHFMA, AND DAVID J. FELICIO, ESQUIRE ALL HAVE A BUSINESS RELATIONSHIP WITH ONE ANOTHER BECAUSE THEY SERVE AS OFFICERS AND/OR DIRECTORS ON ONE OR MORE FOR-PROFIT AFFILIATES OF SPIRIT PHYSICIAN SERVICES, INC. ALL AFFILIATES ARE PART OF GEISINGER. FORM 990, PAGE 6, PART VI, LINE 1A EFFECTIVE OCTOBER 1, 2014, HOLY SPIRIT HEALTH SYSTEM AND AFFILIATES (HOLY SPIRIT HOSPITAL OF THE SISTERS OF CHRISTIAN CHARITY, WEST SHORE ADVANCED LIFE SUPPORT SERVICES, INC., SPIRIT PHYSICIAN SERVICES, INC., HOLY SPIRIT CORPORATION, AND HOLY SPIRIT VENTURES, INC.) DELEGATED CERTAIN AUTHORITIES TO GEISINGER SYSTEM SERVICES' GEISINGER FAMILY COMMITTEE TO REVIEW AND APPROVE MATTERS RELATING TO EMPLOYEE BENEFIT PLANS, EXECUTIVE LEADERSHIP, SENIOR LEADERSHIP AND STAFF PERFORMANCE AND COMPENSATION. HOLY SPIRIT HEALTH SYSTEM AND AFFILIATES ALSO DELEGATED TO GEISINGER CLINIC'S GEISINGER FAMILY COMMITTEE THE REVIEW AND APPROVAL OF MATTERS RELATING TO PHYSICIAN COMPENSATION. GEISINGER SYSTEM SERVICES AND GEISINGER CLINIC ARE 501(C)(3) TAX-EXEMPT AFFILIATES OF HOLY SPIRIT HEALTH SYSTEM AND AFFILIATES. FORM 990, PAGE 6, PART VI, LINE 6 GEISINGER HEALTH SERVES AS THE SOLE CORPORATE MEMBER OF HOLY SPIRIT HEALTH SYSTEM AND HOLY SPIRIT HEALTH SYSTEM SERVES AS CORPORATE MEMBER FOR HOLY SPIRIT HOSPITAL OF THE SISTERS OF CHRISTIAN CHARITY, SPIRIT PHYSICIAN SERVICES, INC., WEST SHORE ADVANCED LIFE SUPPORT SERVICES, INC., HOLY SPIRIT CORPORATION AND SOLE SHAREHOLDER OF HOLY SPIRIT VENTURES INC. THE MEMBERS OF THE CORPORATION HAVE THE POWER AND AUTHORITY TO ELECT AND REMOVE THE DIRECTORS; ELECT AND REMOVE THE PRESIDENT AND FILL ANY VACANCY IN THE OFFICE OF THE PRESIDENT OF THE CORPORATION; AND, MAY APPROVE AMENDMENTS TO THE CORPORATE BYLAWS IN LIEU OF SUCH APPROVAL BY THE BOARD OF DIRECTORS. THE MEMBERS ALSO HAVE THE RESERVE POWERS AS SET FORTH IN THE PENNSYLVANIA NONPROFIT CORPORATION LAW. FORM 990, PAGE 6, PART VI, LINE 7A THE BOARD OF DIRECTORS OF THE CORPORATION SHALL SERVE AS THE GOVERNING BODY OF THE CORPORATION. THE PRESIDENT OF THE CORPORATION SHALL BE A DIRECTOR BY REASON OF HOLDING SUCH OFFICE. THE REMAINING DIRECTORS SHALL BE ELECTED BY THE MEMBERS AT THE ANNUAL MEETING OF THE MEMBERS. THE MEMBERS OF THE CORPORATION MAY SERVE AS DIRECTORS AND DIRECTORS MAY SUCCEED THEMSELVES FROM TERM TO TERM. VACANCIES ON THE BOARD OF DIRECTORS SHALL BE FILLED BY THE MEMBERS AT THEIR DISCRETION AT THE ANNUAL MEETING OF THE MEMBERS OR AT A SPECIAL MEETING CALLED FOR SUCH PURPOSE. FORM 990, PAGE 6, PART VI, LINE 9 DAVID A. GATESMAN FORM 990, PAGE 6, PART VI, LINE 11B ALL OFFICERS AND DIRECTORS WERE ELECTRONICALLY PROVIDED A FINAL COPY OF THE FORM 990 PRIOR TO FILING THE RETURN WITH THE IRS. AN EXECUTIVE SUMMARY OF THE INFORMATION REPORTED ON THE RETURN IS PROVIDED TO ASSIST IN THE REVIEW. IN ACCORDANCE WITH THE GEISINGER HEALTH BOARD OF DIRECTOR'S FINANCE COMMITTEE CHARTER, GEISINGER ORGANIZATIONS' FORM 990 FILINGS ARE REVIEWED ANNUALLY. THE FORM 990 IS PREPARED BY GEISINGER TAX AND FINANCIAL REPORTING DEPARTMENTS WITH INFORMATION PROVIDED FROM FINANCE, TAX, HUMAN RESOURCES, LEGAL SERVICES AND OTHER RELEVANT DEPARTMENTS WITHIN GEISINGER. THE CHIEF FINANCIAL OFFICER (CFO) OF GEISINGER AND THE INDIVIDUAL ORGANIZATIONS SENIOR FINANCIAL MANAGERS REVIEW THEIR RESPECTIVE FORM 990 PRIOR TO MAKING THE FINAL RETURN AVAILABLE TO THE BOARD. IN ADDITION, THE CHIEF LEGAL OFFICER AND CHIEF HUMAN RESOURCE OFFICER OF GEISINGER REVIEW THE INFORMATION DISCLOSED ON THE FORM 990 RELEVANT TO THEIR RESPECTIVE AREAS OF RESPONSIBILITY. FOR PURPOSES OF THEIR ANNUAL AUDIT OF GEISINGER CONSOLIDATED FINANCIAL STATEMENTS, INDEPENDENT AUDITORS REVIEW ALL FEDERAL TAX RETURNS FILED BY GEISINGER ORGANIZATIONS TO IDENTIFY MATERIAL ITEMS, INCLUDING IF THERE ARE ANY UNCERTAIN TAX POSITIONS THAT MAY BE REQUIRED TO BE RECOGNIZED. THE COMPANY HAD NO UNCERTAIN TAX POSITIONS REQUIRED TO BE REPORTED FOR REPORTING PERIOD. FORM 990, PAGE 6, PART VI, LINE 12C THE OFFICERS AND DIRECTORS OF THE ORGANIZATION ARE SUBJECT TO THE GEISINGER CONFLICT OF INTEREST POLICY FOR DIRECTORS, OFFICERS AND SENIOR LEADERS (MAY INCLUDE INDEPENDENT CONTRACTORS). AT LEAST ONCE EACH YEAR DIRECTORS, OFFICERS, KEY EMPLOYEES, SENIOR LEADERS (INCLUDING INDEPENDENT CONTRACTORS) 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 COMMITTEE 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. FORM 990, PAGE 6, PART VI, LINE 15A THE PROCESS TO REVIEW AND APPROVE THE COMPENSATION OF GEISINGER EMPLOYED BOARD DIRECTORS, OFFICERS, AND EXECUTIVE MANAGEMENT IS DESIGNED TO SATISFY THE REBUTTABLE PRESUMPTION PROCEDURE AVAILABLE FOR INTERMEDIATE SANCTION PURPOSES. THE PROCESS REQUIRES A REVIEW OF COMPENSATION DETERMINATIONS BY DISINTERESTED PARTIES, USE OF APPROPRIATE COMPARABILITY DATA AND CONTEMPORANEOUS DOCUMENTATION OF THE PROCESS. ON AN ANNUAL BASIS AN INDEPENDENT, NATIONALLY RECOGNIZED COMPENSATION CONSULTANT COMPLETES A COMPARATIVE ASSESSMENT OF COMPENSATION FOR THE CEO AND SENIOR MANAGEMENT WITHIN GEISINGER. THE CONSULTANT'S REPORT IS PRESENTED TO THE GEISINGER FAMILY COMMITTEE PRIOR TO ANY COMPENSATION ADJUSTMENT. THE REPORT SUPPORTS THE RIGOROUS REVIEW COMPLETED BY THE GEISINGER FAMILY COMMITTEE TO ENSURE THAT THE PROGRAM IS RESPONSIBLE TO THE GEISINGER CHARITABLE MISSION, REFLECTS REASONABLE COMPENSATION WITHIN THE NONPROFIT MARKET AND IS COMPLIANT WITH THE IRS'S INTERMEDIATE SANCTION REQUIREMENTS. THE SURVEY DATA IN THE COMPARATIVE ANALYSIS IS CAPTURED FOR FUNCTIONALLY COMPARABLE POSITIONS IN MULTIPLE SIMILAR NONPROFIT ORGANIZATIONS AND REFLECTS TOTAL REMUNERATION PROVIDED IN THE MARKET. ALL SURVEYS ARE CONDUCTED BY THIRD PARTY ORGANIZATIONS AND NOT CONDUCTED AT THE SPECIFIC DIRECTION OF GEISINGER. ANY COMPENSATION ADJUSTMENTS ARE APPROVED BY THE GEISINGER FAMILY COMMITTEE PRIOR TO THE EFFECTIVE DATE OF THE PAYMENT. THE GEISINGER FAMILY COMMITTEE AT ITS SOLE DISCRETION MAY POSITIVELY OR NEGATIVELY ADJUST ANY RECOMMENDED COMPENSATION. FORM 990, PAGE 6, PART VI, LINE 15B SEE SCHEDULE O RESPONSE TO FORM 990, PART VI SECTION B, QUESTION 15A. FORM 990, PAGE 6, PART VI, LINE 19 THE ANNUAL REPORT FOR GEISINGER, CONTAINING COMMUNITY BENEFIT INFORMATION, CONSOLIDATED FINANCIAL INFORMATION AND OTHER INFORMATION, IS AVAILABLE ON THE GEISINGER WEBSITE. GO TO: WWW.GEISINGER.ORG/PAGES/ABOUT-GEISINGER AND SELECT 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. FORM 990, PART XI, LINE 9 TRANSFERS FROM AFFILIATED ORGANIZATIONS 28,797,520 TOTAL 28,797,520 TRANSFER FROM PARENT, HOLY SPIRIT HEALTH SYSTEM 28,000,000 TRANSFER FROM AFFILIATE, HOLY SPIRIT HOSPITAL 797,520 TOTAL TRANSFERS RECEIVED 28,797,520 FORM 990, PART XII FORM 990, PART XII, LINE 3A: AS A RESULT OF A FEDERAL AWARD, WAS THE ORGANIZATION REQUIRED TO UNDERGO AN AUDIT OR AUDITS AS SET FORTH IN THE 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. GEISINGER HEALTH 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 231995911 PHILANTHRO PA 501C3 7 N/A true GEISINGER MEDICAL CENTER 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 240795959 HOSPITAL PA 501C3 3 GH true GEISINGER CLINIC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 236291113 PHYSICIAN PA 501C3 11A GH true GEISINGER WYOMING VALLEY MEDICAL CE 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 231996150 HOSPITAL PA 501C3 3 GH true MARWORTH 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232171417 D&A REHAB PA 501C3 3 GH true GEISINGER HEALTH PLAN 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232311553 HEALTH INS PA 501C4 GH true GEISINGER SYSTEM SERVICES 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232164794 SUPPORT SV PA 501C3 11A GH true GEISINGER COMMUNITY HEALTH SERVICES 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232967235 HEALTHCARE PA 501C3 9 GSS true GEISINGER INSURANCE CORPORATION RR 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 141909894 SELF INS VT 501C3 11A GH true COMMUNITY MEDICAL CENTER 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 240862246 HOSPITAL PA 501C3 3 GH true MOUNTAIN VIEW NURSING HOME INC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232568288 LONG TERM PA 501C3 9 GH true COMMUNITY MEDICAL CENTER HEALTHCARE 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232279376 SUPPORT SV PA 501C3 11A GH true GEISINGER-BLOOMSBURG HOSPITAL 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232193572 HOSPITAL PA 501C3 3 GH true GEISINGER-BLOOMSBURG HEALTHCARE CEN 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232242854 SKILLED NU PA 501C3 9 GH true LEWISTOWN HEALTH CARE FOUNDATION 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232344363 PHILANTHRO PA 501C3 11A GH true GEISINGER-LEWISTOWN HOSPITAL 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 231352187 HOSPITAL PA 501C3 3 GH true LEWISTOWN AMBULATORY CARE CORPORATI 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232344362 HOLDING CO PA 501C3 11A GH true FAMILY HEALTH ASSOCIATES OF GEISING 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 251651582 PHYSICIAN PA 501C3 11A GH true KEYSTONE HEALTH INFORMATION EXCHANG 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 464359893 RHIO PA 501C3 11A GH true HEALTH CARE CORP OF NORTHEAST PA 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232337286 SUPPORT SV PA 501C3 11A CMC true SUN HOME HEALTH SERVICES INC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 231736912 HEALTHCARE PA 501C3 9 GCHS true HOLY SPIRIT HEALTH SYSTEM 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 251865142 PHILANTHRO PA 501C3 11A GH true HOLY SPIRIT HOSPITAL 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 231512747 HOSPITAL PA 501C3 3 HSHS true HOLY SPIRIT CORPORATION 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232214540 HOLDING CO PA 501C2 HSHS true WEST SHORE ADVANCED LIFE SUPPORT SE 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232463002 HEALTHCARE PA 501C3 7 HSHS true ATLANTICARE BEHAVORIAL HEALTH INC 2511 FIRE ROAD EGG HARBOR TOWNSHIP NJ 08234 210721208 HEALTHCARE NJ 501C3 7 ARHS true ATLANTICARE FOUNDATION 6725 DELILAH ROAD EGG HARBOR TOWNSHIP NJ 08234 222148992 SUPPORT AR NJ 501C3 7 AH SYSTEM true ATLANTICARE HEALTH ENGAGEMENT INC 2500 ENGLISH CREEK AVENUE EGG HARBOR TOWNSHIP NJ 08234 611608389 HEALTHCARE NJ 501C3 11A AH SYSTEM true ATLANTICARE HEALTH SERVICES INC 2500 ENGLISH CREEK AVENUE EGG HARBOR TOWNSHIP NJ 08234 223265214 HEALTHCARE NJ 501C3 9 ARHS true ATLANTICARE HEALTH SYSTEM INC 2500 ENGLISH CREEK AVENUE EGG HARBOR TOWNSHIP NJ 08234 223265213 SUPPORT AR NJ 501C3 11A GH true ATLANTICARE REGIONAL MEDICAL CENTER 1925 PACIFIC AVENUE ATLANTIC CITY NJ 08401 210634549 HOSPITAL NJ 501C3 3 ARHS true ATLANTICARE PHYSICIAN GROUP PA 2500 ENGLISH CREEK AVENUE EGG HARBOR TOWNSHIP NJ 08234 020701782 HEALTHCARE NJ 501C3 9 AH SYSTEM true INFOSHARE INC 2500 ENGLISH CREEK AVENUE EGG HARBOR TOWNSHIP NJ 08234 223337816 INFO SERVI NJ 501C3 11A AH SYSTEM true ATLANTICARE REGIONAL HEALTH SERVICE 2500 ENGLISH CREEK AVENUE EGG HARBOR TOWNSHIP NJ 08234 800834222 HOLDING CO NJ 501C3 11A AH SYSTEM true KEYSTONE ACCOUNTABLE CARE ORG LLC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 454475297 ACO PA N/A false false LIFESOURCE GEISINGER BLOOD CTR LLC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 364718005 BLOOD COLL PA N/A false false MERIDIAN GEISINGER HLTH NETWORKLLC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 455484165 ORG DEL SY NJ N/A false false HEALTHSOUTH GHS LLC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 721398803 PHY THERAP PA N/A false false EVANGELICAL-GEISINGER HEALTH LLC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 460567687 HEALTHCARE PA N/A false false LEMED II 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232391766 RENTAL PA N/A false false GEISINGER-SCA HOLDINGS LLC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 461615328 HEALTHCARE DE N/A false false CAMP HILL AMBULATORY SURG CTR LLC 569 BROOKWOOD VILLAGE SUITE 901 BIRMINGHAM AL 35209 521597478 HEALTHCARE PA N/A false false HS ORTHOPEDIC MANAGEMENT CO LLC 503 NORTH 21ST STREET CANP HILL PA 17011 460887384 HEALTHCARE PA N/A false false CAELIAN MEDICAL LLC 880 CENTURY DRIVE MECHANICSBURG PA 17055 208018724 HEALTHCARE PA N/A false false GRANDVIEW SURGERY CENTER LTD 569 BROOKWOOD VILLAGE SUITE 901 BIRMINGHAM AL 35209 521597483 HEALTHCARE PA N/A false false LACKAWANNA PHYS AMB SURG CTRLLC 569 BROOKWOOD VILLAGE SUITE 901 BIRMINGHAM AL 35209 233024998 HEALTHCARE PA N/A false false SOUTHERN JERSEY ONCOLOGY PROPERTIES 2500 ENGLISH CREEK AVENUE EGG HARBOR TOWNSHIP NJ 08234 943463625 HEALTHCARE NJ N/A false false ATLANTICARE SURGERY CENTER LLC 2500 ENGLISH CREEK AVENUE EGG HARBOR TOWNSHIP NJ 08234 223491867 HEALTHCARE NJ N/A false false COOPERATIVE HEALTH SRVS OF S JERSEY 1301 ATLANTIC AVENUE ATLANTIC CITY NJ 08401 223619231 PURCHASING NJ N/A false false GEISINGER MEDICAL MANAGEMENT CORP 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232077663 HOTEL/REST PA N/A true GEISINGER INDEMNITY INSURANCE CO 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232815174 HLTH INSUR PA N/A true GEISINGER QUALITY OPTIONS INC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 204275139 HLTH INSUR PA N/A true XG HEALTH SOLUTIONS INC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 461657345 CONSULTING DE N/A true GEISINGER ASSURANCE COMPANY LTD 878 WEST BAY ROAD PO BOX 1159 GRAND CAYMAN GRAND CAYMAN CJ KY1-1102 981016737 INSURANCE CJ N/A true HOLY SPIRIT VENTURES INC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232407709 MED. SERV. PA N/A true ATLANTICARE HEALTH PLANS INC 1001 SOUTH GRAND ST PO BOX 941 HAMMONTON NJ 08037 223265212 INACTIVE NJ N/A true ENGLISH CREEK ASSURANCE LTD 44 CHURCH STREET HM12 HAMILTON BERMUDA BERMUDA BD 980656394 FINANCIAL BD N/A true ATLANTICARE HEALTH SOLUTIONS INC 2500 ENGLISH CREEK AVENUE BLDG 500 EGG HARBOR TOWNSHIP NJ 08234 383856295 ACO/HEALTH NJ N/A true ATLANTICARE ASSURANCE ALLIANCE INC 2500 ENGLISH CREEK AVENUE BLDG 500 EGG HARBOR TOWNSHIP NJ 08234 463730123 HEALTHCARE NJ N/A true true false true false false false false false false false true true true false false true true false false GEISINGER HEALTH PLAN L 859248 GAAP GEISINGER CLINIC A 42909 GAAP GEISINGER INDEMNITY INSURANCE COMPA P 922523 GAAP GEISINGER MEDICAL CENTER M 19672 GAAP GEISINGER CLINIC M 46304 GAAP GEISINGER SYSTEM SERVICES M 2832940 GAAP XG HEALTH SOLUTIONS M 1874 GAAP HOLY SPIRIT HOSPITAL K 381732 GAAP HOLY SPIRIT CORPORATION K 1279003 GAAP HOLY SPIRIT VENTURES K 22012 GAAP HOLY SPIRIT HOSPITAL L 230268 GAAP WEST SHORE ADVANCED SUPPORT SERVICE L 9274 GAAP HOLY SPIRIT VENTURES L 23434 GAAP HOLY SPIRIT HEALTH SYSTEM L 43717 GAAP HOLY SPIRIT HOSPITAL A 7504469 GAAP GEISINGER LEWISTOWN HOSPITAL Q 835 GAAP GEISINGER LEWISTOWN HOSPITAL M 15624 GAAP HOLY SPIRIT HOSPITAL M 801160 GAAP HOLY SPIRIT HEALTH SYSTEM C 28000000 GAAP SCHEDULE R FORM 990, SCHEDULE R, PART V - TRANSACTIONS WITH RELATED ORGANIZATIONS: AS SHOWN IN THE RESPONSE TO FORM 990, SCHEDULE R, THE ORGANIZATION 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 INTERORGANIZATION 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 GHS PRIVATE RULINGS AS BEING ENTIRELY CONSISTENT WITH THE ORGANIZATIONS' TAX EXEMPT STATUS. ___________________________________________________________________________