2016-05-16T07:53:38-05:00 2015-06-30 390859910 BAKER TILLY VIRCHOW KRAUSE LLP 1650 MARKET STREET SUITE 4500 PHILADELPHIA PA 19103 990 2014-07-01 251865142 HOLY SPIRIT HEALTH SYSTEM HOLY 5702716461 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 DAVID J FELICIO ESQUIRE SECRETARY 5702716461 2016-05-13 1 JULIUS C GREEN CPA JD P00350393 2159720701 2014 2016-08-17 19:52:53Z X SISTER ROMAINE NIEMEYER 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 93179557 0 X WWW.HSH.ORG X 1999 PA TO PROVIDE RESOURCES FOR THE RESTORATION AND MAINTENANCE OF HEALTH AND THE PREVENTION OF DISEASE. 10 8 20 0 0 0 15897679 87646709 0 0 322407 4315732 1789363 1120778 18009449 93083219 16418705 35144625 0 0 1329727 1312060 112490 0 484475 1069814 470801 18930736 36927486 -921287 56155733 13181589 62061224 348247 250712 12833342 61810512 X HOLY SPIRIT HEALTH SYSTEM IS A COMMUNITY CATHOLIC HEALTH SYSTEM, IN AFFILIATION WITH GEISINGER HEALTH SYSTEM, FORMED TO CARRY OUT THE HEALING MINISTRY OF JESUS CHRIST TO ALL IN NEED. WE PROVIDE HIGH QUALITY, COST-EFFECTIVE HEALTH SERVICES IN A CARING, PATIENT-FOCUSED ENVIRONMENT TO DEVELOP HEALTHY COMMUNITIES IN THE GREATER HARRISBURG AREA AND SOUTH CENTRAL PENNSYLVANIA. 0 0 35560422 35144625 SUPPORTED AND CARRIED OUT THE MISSION OF, AND IDENTIFIED WITH THE ETHICAL PRINCIPLES OF THE ROMAN CATHOLIC CHURCH TO PROVIDE RESOURCES FOR THE RESTORATION AND MAINTENANCE OF HEALTH AND THE PREVENTION OF DISEASE.HOLY SPIRIT HEALTH SYSTEM PROVIDES FINANCIAL SUPPORT TO ITS CONTROLLED ENTITIES TO ALLOW THESE ENTITIES TO CARRY ON WITH THEIR EXEMPT PURPOSES OF PROVIDING AFFORDABLE HEALTHCARE AND MEDICAL SERVICES TO RESIDENTS OF CAMP HILL PENNSYLVANIA AND SURROUNDING COMMUNITIES. 35560422 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 1 0 0 1 181 0 1 20 1 0 0 0 0 0 1 1 0 0 0 0 X 10 8 1 0 1 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 PA X RANDY B MORRIS CFO 7177632130 100 N ACADEMY AVE MC 86-22 DANVILLE PA 17822 BRUCE J BROWN CHAIRPERSON 0.50 1.00 X X 0 0 0 ELIZABETH BERGEY MD VICE CHAIRPERSON 0.50 X 0 0 0 LAWRENCE KLUGER DIRECTOR 0.50 X 0 0 0 LEON FEINERMAN DIRECTOR 0.50 X 0 0 0 NILES BENN ESQ DIRECTOR 0.50 X 0 0 0 ROBERT DIETZ DIRECTOR 0.50 18.00 X X 0 0 0 SR JOAN DANIEL HEALY SCC DIRECTOR 0.50 0.30 X 0 0 0 SR MARY JOSEPH SCHULTZ SCC DIRECTOR 0.50 0.30 X 0 0 0 SR MARY MARK SMITH SCC DIRECTOR 0.50 X 0 0 0 SR ROMAINE NIEMEYER SCC CHIEF ADMINISTRATIVE OFFICER 1.00 39.00 X X 0 0 0 WILLIAM KEEN DIRECTOR 0.50 0.30 X 0 0 0 GLENN D STEEL JR MD PHD DIRECTOR 0.50 40.00 X 0 4288180 472126 FRANK J TREMBULAK DIRECTOR 0.50 40.00 X 0 1192394 219582 KEVIN F BRENNAN CPA FHFMA EVP, FINANCE/CFO 1.00 40.00 X 0 1028344 201791 MANUEL J EVANS TREASURER 1.00 40.00 X 0 626112 63461 DAVID J FELICIO ESQ SECRETARY 1.00 40.00 X 0 662625 101181 EDWARD ZYCH ASSOC CHIEF LEGAL OFFICER/ASST SECRETARY 1.00 40.00 X 0 390565 42470 0 8188220 1100611 0 0 1 0 BAKER TILLY VIRCHOW KRAUSE LLP PO BOX 7398 MADISON WI 53707 AUDIT SERVICES 117150 1 116533 87246983 283193 87646709 1126983 1126983 3188749 0 3188749 3188749 3188749 82142 116533 96338 -14196 -14196 CORPORATE COMPLIANCE REV 900099 615733 615733 RESOURCE DEVELOPMENT 900099 486096 486096 MISSION INTEGRATION 900099 33145 33145 1134974 93083219 0 0 5436510 35144625 35144625 1073011 311835 460241 300935 42227 13306 15524 13397 110588 41084 42698 26806 86234 27653 34812 23769 17592 17592 60969 60969 57275 56878 397 102638 90 38108 64440 63820 63820 72996 1344 58256 13396 56911 11019 18730 27162 4261 2965 1296 7734 317 6418 999 6928 1654 3491 1783 COMMUNITY RELATED ACTIV 9657 9657 MEDICAL SUPPLIES 7495 7495 DUES AND SUBSCRIPTIONS 1105 915 190 DONOR RECOGNITION 825 825 595 347 248 36927486 35560422 882589 484475 500 500 531759 523597 162949 90460 54657 52530 143181 7090 20528 136091 8209049 60279898 3922536 279611 978148 13181589 62061224 240230 178868 108017 53664 0 18180 348247 250712 X 12670392 61720052 162950 90460 12833342 61810512 13181589 62061224 X 56155733 -3287533 -3891030 X X 0 1 X 1 0 X X 5 HOLY SPIRIT HOSPITAL OF THE SISTERS OF CHRISTIAN CHARITY 231512747 3 1 287139 0 SPIRIT PHYSICIAN SERVICES INC 251766971 9 1 34841081 0 WEST SHORE ADVANCED LIFE SUPPORT SERVICES INC 232463002 7 1 16405 0 GEISINGER HEALTH SYSTEM FOUNDATION 231995911 7 1 0 0 SISTERS OF CHRISTIAN CHARITY HEALTH CARE CORPORATION 232322926 1 1 0 0 5 35144625 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 PART IV, SECTION A, LINE 2: HOLY SPIRIT HEALTH SYSTEM SUPPORTS ITS 501(C) (2) AFFILIATE, HOLY SPIRIT CORPORATION (HSC). HSC IS A REAL ESTATE HOLDING AND PROPERTY MANAGEMENT COMPANY HISTORICALLY SPONSORED BY THE SISTERS OF CHRISTIAN CHARITY HEALTH CARE CORPORATION, A PUBLIC CHARITY. HSC SUPPORTS THE HEALING MINISTRY OF THE SISTERS OF CHRISTIAN CHARITY HEALTH CARE CORPORATION AND THE HOLY SPIRIT HEALTH SYSTEM THROUGH RESPONSIBLE STEWARDSHIP OF ITS RESOURCES. HSC OWNS MEDICAL FACILITIES (OFFICE SPACE AND CLINICAL SPACE) AND LEASES THE MEDICAL FACILITIES TO ITS AFFILIATED 501(C) (3) HOLY SPIRIT HEALTH SYSTEM ORGANIZATIONS WHICH BECAME PART OF THE GEISINGER HEALTH SYSTEM ON OCTOBER 1, 2014. THE NET INCOME FROM LEASING THE REAL ESTATE IS EITHER RETAINED BY HSC OR DISTRIBUTED TO THE HOLY SPIRIT HEALTH SYSTEM. THE HOLY SPIRIT HEALTH SYSTEM CONTINUES TO SUPPORT THE SISTERS OF CHRISTIAN CHARITY HEALTH CARE CORPORATION. PART IV, SECTION A, LINE 5A: ORGANIZATIONS ADDED: (I) GEISINGER HEALTH SYSTEM FOUNDATION, EIN: 23-1995911 (II) DURING THE FISCAL YEAR, HOLY SPIRIT HEALTH SYSTEM (HSHS) WAS ACQUIRED BY GEISINGER HEALTH SYSTEM FOUNDATION (GHSF). (III) PRIOR TO OCTOBER 1, 2014, HSHS WAS A SUPPORTING ORGANIZATION OF SISTERS OF CHRISTIAN CHARITY HEALTH CARE CORPORATION, A PUBLIC CHARITY, WHICH WAS (UNTIL OCTOBER 1, 2014) THE SOLE MEMBER OF HSHS, WITH THE POWER TO APPOINT THE MEMBERS OF HSHS'S BOARD OF DIRECTORS. PURSUANT TO AN INTEGRATION AGREEMENT, THE AFFILIATION WITH GHSF, EFFECTIVE OCTOBER 1, 2014, RESULTED IN GHSF BECOMING A SUPPORTED PUBLIC CHARITY OF HSHS AS WELL AS BEING SUBSTITUTED FOR SISTERS OF CHRISTIAN CHARITY HEALTH CARE CORPORATION AS THE SOLE MEMBER OF HSHS. THE BOARD OF TRUSTEES OF THE SISTERS OF CHRISTIAN CHARITY HEALTH CARE CORPORATION ADOPTED A RESOLUTION DATED SEPTEMBER 27, 2014, WHICH, AMONG OTHER PROVISIONS: 1. APPROVED THE ADOPTION OF THE AMENDED AND RESTATED ARTICLES OF INCORPORATION OF HSHS AND ITS AFFILIATES; 2. AUTHORIZED, DIRECTED AND EMPOWERED EACH OF THE OFFICERS AND DIRECTORS OF HSHS OR GHSF, AS APPLICABLE, FOR AND ON BEHALF OF HSHS, TO (I) FILE THE AMENDED ARTICLES OF INCORPORATION OF HSHS WITH THE SECRETARY OF STATE OF THE COMMONWEALTH OF PENNSYLVANIA AND ANY OTHER AGENCY OR ORGANIZATION, AS REQUIRED BY APPLICABLE LAW OR STATUTE AND (II) INCUR AND PAY ANY FEES AND EXPENSES AND DO SUCH OTHER ACTS AND THINGS AS MAY BE DEEMED NECESSARY OR ADVISABLE IN CONNECTION WITH THE CARRYING OUT OF ANY OF THE MATTERS OR PURPOSES AS OUTLINED IN THE RESOLUTION; THE ACTIONS WERE WITHIN THE CORPORATE POWERS AND AUTHORITY OF HSHS TO PERFORM ON ITS BEHALF AND ON BEHALF OF THE HSHS AFFILIATES, WERE NOT IN CONTRAVENTION OF THE TERMS OF THE ORGANIZATIONAL DOCUMENTS OF HSHS OR THE HSHS AFFILIATES AS SUCH DOCUMENTS WILL BE AMENDED AS SET FORTH HEREIN, AND HAVE BEEN DULY AUTHORIZED BY ALL APPROPRIATE CORPORATE ACTIONS, WHICH ACTIONS REMAIN IN FULL FORCE AND EFFECT. (IV) HOLY SPIRIT HEALTH SYSTEM, UNDER DIRECTION OF THE BOARD OF TRUSTEES OF THE SISTERS OF CHRISTIAN CHARITY HEALTH CARE CORPORATION, IT SOLE MEMBER UNTIL OCTOBER 1, 2014, AMENDED ITS ARTICLES OF INCORPORATION AND CORPORATE BYLAWS TO REFLECT ITS MERGER AND INTEGRATION WITH GEISINGER HEALTH SYSTEM FOUNDATION IN WHICH GEISINGER HEALTH SYSTEM FOUNDATION BECAME THE SOLE MEMBER OF HOLY SPIRIT HEALTH SYSTEM. PART IV, SECTION B, LINE 2: GEISINGER HEALTH SYSTEM IS A PHYSICIAN-LED, INTEGRATED HEALTH SERVICES ORGANIZATION THAT HAS AS ITS MAIN COMPONENTS: 1. AN ARRAY OF HEALTH SERVICES PROVIDERS, INCLUDING FIVE ACUTE CARE HOSPITALS AND A DRUG AND ALCOHOL TREATMENT FACILITY; 2. A MULTISPECIALTY PHYSICIAN GROUP PRACTICE OF 1,136 PHYSICIANS PRACTICING AT 91 PRIMARY AND SPECIALTY CLINICS; AND 3. ONE OF THE NATION'S LARGEST RURAL HEALTH INSURANCE ORGANIZATIONS WITH 478,501 MEMBERS. GEISINGER HEALTH SYSTEM FOUNDATION, PARENT ORGANIZATION OF THE GEISINGER HEALTH SYSTEM, AND SOLE MEMBER OF HOLY SPIRIT HEALTH SYSTEM WHICH HAS THE POWER TO REGULARLY APPOINT OR APPROVE THE APPOINTMENT OF AT LEAST A MAJORITY OF HOLY SPIRIT HEALTH SYSTEM'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 SYSTEM FOUNDATION 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, HOLY SPIRIT HEALTH SYSTEM'S SUPPORT OF OTHER 501(C)(3) ORGANIZATIONS WITHIN THE GEISINGER HEALTH SYSTEM AND AFFILIATED WITH GEISINGER MEDICAL CENTER AND GEISINGER HEALTH SYSTEM FOUNDATION SERVES TO SUPPORT THE CHARITABLE PURPOSES OF GEISINGER HEALTH SYSTEM FOUNDATION. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 128608 6418 122190 422 422 14151 672 13479 136091 457B PLAN PAYABLE 18180 18180 PART X, LINE 2: EFFECTIVE JULY 1, 2007, GEISINGER HEALTH SYSTEM(1) (GHS) 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 YEAR SINCE ADOPTION. ACCORDINGLY, NO FIN 48 FOOTNOTE DISCLOSURE WAS MADE IN THE FISCAL YEAR END GHS CONSOLIDATED FINANCIAL STATEMENTS. GOLF TOURNAMENT 198675 116533 82142 21014 1262 33526 26212 14324 198675 116533 82142 21014 1262 33526 26212 14324 96338 -14196 1 SPIRIT PHYSICIAN SERVICES INC 503 NORTH 21ST STREET CAMP HILL PA 17011 251766971 501(C)(3) 34841081 CASH N/A PROVIDE FINANCIAL SUPPORT FOR OPERATIONS. HOLY SPIRIT HOSPITAL 503 NORTH 21ST STREET CAMP HILL PA 17011 231512747 501(C)(3) 287139 CASH N/A PROVIDE FINANCIAL SUPPORT FOR OPERATIONS. WEST SHORE ADVANCED LIFE SUPPORT SERVICES 503 NORTH 21ST STREET CAMP HILL PA 17011 232463002 501(C)(3) 16405 CASH N/A PROVIDE FINANCIAL SUPPORT FOR OPERATIONS. 2 0 PART I, LINE 2: ASSISTANCE IS PROVIDED TO RELATED ENTITIES FOR FINANCIAL SUPPORT. MANAGEMENT OF THE HEALTH SYSTEM OVERSEES THE USE OF FUNDS AT THE AFFILIATED ENTITIES. 0 1 0 0 0 0 0 0 0 GLENN D STEEL JR MD PHD DIRECTOR 0 1091895 0 1131217 0 2065068 0 440136 0 31990 0 4760306 0 1191920 FRANK J TREMBULAK DIRECTOR 0 628294 0 313196 0 250904 0 208746 0 10836 0 1411976 0 209318 KEVIN F BRENNAN CPA FHFMA EVP, FINANCE/CFO 0 531656 0 273329 0 223359 0 176933 0 24858 0 1230135 0 185023 MANUEL J EVANS TREASURER 0 365396 0 150000 0 110716 0 51649 0 11812 0 689573 0 91773 DAVID J FELICIO ESQ SECRETARY 0 390448 0 164846 0 107331 0 76118 0 25063 0 763806 0 61110 EDWARD ZYCH ASSOC CHIEF LEGAL OFFICER/ASST SECRE 0 262471 0 80515 0 47579 0 18720 0 23750 0 433035 0 30485 PART I, LINE 3 COMPENSATION IS DETERMINED UNDER THE GEISINGER HEALTH SYSTEM PROCESS DESIGNED TO SATISFY THE REBUTTABLE PRESUMPTION PROCEDURE. THE FOLLOWING ARE USED TO ESTABLISH COMPENSATION: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, FORM 990 OF OTHER ORGANIZATIONS, WRITTEN EMPLOYMENT CONTRACTS, COMPENSATION SURVEY OR STUDIES, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. PART I, LINE 4B COMPENSATION FOR ELIGIBLE EMPLOYEES MAY BE DEFERRED TO A 457(F) NONQUALIFIED PLAN THAT VESTS WITH COMPLETION OF SERVICE, DEATH AND/OR PERMANENT DISABILITY. THE FOLLOWING INDIVIDUALS PARTICIPATED IN A NONQUALIFIED RETIREMENT PLAN: MANUEL EVANS - $101,511 KEVIN BRENNAN - $185,023 DAVID FELICIO - $61,110 GLENN STEELE - $1,908,021 FRANK TREMBULAK - $209,318 EDWARD ZYCH - $30,485 FOOTNOTE: THROUGHOUT FORM 990, THE TERMS "GEISINGER HEALTH SYSTEM AND "SYSTEM OR THE ACRONYM "GHS" SHALL REFER TO THE ENTIRE HEALTHCARE SYSTEM COMPRISED OF GEISINGER HEALTH SYSTEM FOUNDATION ("THE FOUNDATION") AS PARENT AND ALL SUBSIDIARY CORPORATIONS COMPRISING THE SYSTEM. CASH AND INVESTMENTS 2014-10-01 90757361 MARKET VALUE AT DATE OF TRANSFER 231995911 GEISINGER HEALTH SYSTEM FOUNDATION 100 N ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 501(C)(3) RECEIVABLES 2014-10-01 36101902 BOOK VALUE 231995911 GEISINGER HEALTH SYSTEM FOUNDATION 100 N ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 501(C)(3) INVENTORIES AND OTHER 2014-10-01 3694328 BOOK VALUE 231995911 GEISINGER HEALTH SYSTEM FOUNDATION 100 N ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 501(C)(3) PROPERTY & EQUIPMENT 2014-10-01 138727311 BOOK VALUE 231995911 GEISINGER HEALTH SYSTEM FOUNDATION 100 N ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 501(C)(3) OTHER ASSETS 2014-10-01 8540906 BOOK VALUE 231995911 GEISINGER HEALTH SYSTEM FOUNDATION 100 N ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 501(C)(3) 1 0 0 0 PART II, LINE 2E: EXPLANATION OF INVOLVEMENT: ROBERT DIETZ, A DIRECTOR OF HOLY SPIRIT HEALTH SYSTEM BECAME A DIRECTOR OF GEISINGER HEALTH SYSTEM FOUNDATION. FORM 990, PART VI, SECTION A, LINE 1 EFFECTIVE, OCTOBER 1, 2014, HOLY SPIRIT HEALTH SYSTEM AND AFFILIATES (HOLY SPIRIT HEALTH SYSTEM, 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' (GSS, A RELATED TAX-EXEMPT ORGANIZATION) MANAGEMENT AND COMPENSATION COMMITTEE TO REVIEW AND APPROVE MATTERS RELATING TO EMPLOYEE BENEFIT PLANS, EXECUTIVE LEADERSHIP, SENIOR LEADERSHIP AND STAFF PERFORMANCE AND COMPENSATION AND GEISINGER CLINIC'S (GC, A RELATED TAX-EXEMPT ORGANIZATION) MANAGEMENT AND COMPENSATION COMMITTEE TO REVIEW AND APPROVE MATTERS RELATING TO PHYSICIAN COMPENSATION. FORM 990, PART VI, SECTION A, LINE 2 BRUCE J. BROWN, CPA, ROBERT J. DIETZ, MANUEL J. EVANS, DAVID J. FELICIO, ESQUIRE, SISTER ROMAINE NIEMEYER, SCC, GLENN D. STEELE, JR., M.D., PH.D., AND FRANK J. TREMBULAK ALL HAVE A BUSINESS RELATIONSHIP WITH ONE ANOTHER BECAUSE THEY SERVE AS OFFICERS AND/OR DIRECTORS ON ONE OR MORE FOR-PROFIT AFFILIATES OF HOLY SPIRIT HEALTH SYSTEM. ALL OF THE AFFILIATES ARE PART OF THE GEISINGER HEALTH SYSTEM. FORM 990, PART VI, SECTION A, LINE 4 ON OCTOBER 1, 2014, HOLY SPIRIT HEALTH SYSTEMS CHANGED ITS RESPECTIVE ARTICLES OF INCORPORATION AND CORPORATE BYLAWS TO REFLECT ITS MERGER AND INTEGRATION WITH GEISINGER HEALTH SYSTEM IN WHICH GEISINGER HEALTH SYSTEM FOUNDATION BECAME THE SOLE CORPORATE MEMBER OF HOLY SPIRIT HEALTH SYSTEM. HOLY SPIRIT HOSPITAL OF THE SISTERS OF CHRISTIAN CHARIY, SPIRIT PHYSICIAN SERVICES, INC., WEST SHORE ADVANCED LIFE SUPPORT SERVICES, INC., HOLY SPIRIT CORPORATION AND HOLY SPIRIT VENTURES CHANGED THEIR RESPECTIVE BYLAWS TO REFLECT GEISINGER HEALTH SYSTEM FOUNDATION'S APPROVAL OF ANY AMENDMENTS TO THE CORPORATE BYLAWS. FORM 990, PART VI, SECTION A, LINE 6 GEISINGER HEALTH SYSTEM FOUNDATION 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. FORM 990, PART VI, SECTION A, 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, PART VI, SECTION B, LINE 11 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 SYSTEM FOUNDATION BOARD OF DIRECTOR'S FINANCE COMMITTEE CHARTER, STAFF PERIODICALLY REVIEWS THE GHS ORGANIZATIONS' FORM 990 FILINGS. THE FORM 990 IS PREPARED BY THE GEISINGER HEALTH SYSTEM (GHS) TAX AND FINANCIAL REPORTING DEPARTMENTS WITH INFORMATION PROVIDED FROM FINANCE, TAX, HUMAN RESOURCES, LEGAL SERVICES AND OTHER RELEVANT DEPARTMENTS WITHIN THE GEISINGER HEALTH SYSTEM. THE CHIEF FINANCIAL OFFICER (CFO) OF GHS 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 GHS REVIEW THE INFORMATION DISCLOSED ON THE FORM 990 RELEVANT TO THEIR RESPECTIVE AREAS OF RESPONSIBILITY. FOR PURPOSES OF THEIR ANNUAL AUDIT OF THE GHS CONSOLIDATED FINANCIAL STATEMENTS, INDEPENDENT AUDITORS REVIEW ALL FEDERAL TAX RETURNS FILED BY THE GHS 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 FISCAL YEAR-ENDED JUNE 30, 2015. FORM 990, PART VI, SECTION B, LINE 12C THE OFFICERS AND DIRECTORS OF THE ORGANIZATION ARE SUBJECT TO THE GHS 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 THE GEISINGER HEALTH SYSTEM. THE DISCLOSURES ARE REVIEWED BY THE OFFICE OF THE CHIEF LEGAL OFFICER AND REPORTED TO THE AUDIT 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, PART VI, SECTION B, LINE 15 THE PROCESS TO REVIEW AND APPROVE THE COMPENSATION OF GHS 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 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 GHS. THE CONSULTANT'S REPORT IS PRESENTED TO THE MANAGEMENT AND COMPENSATION COMMITTEE PRIOR TO ANY COMPENSATION DISINTERESTED PARTIES, USE OF APPROPRIATE COMPARABILITY DATA AND ADJUSTMENT. THE REPORT SUPPORTS THE RIGOROUS REVIEW COMPLETED BY THE MANAGEMENT AND COMPENSATION 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 MANAGEMENT AND COMPENSATION COMMITTEE PRIOR TO THE EFFECTIVE DATE OF THE PAYMENT. THE MANAGEMENT AND COMPENSATION COMMITTEE AT ITS SOLE DISCRETION MAY POSITIVELY OR NEGATIVELY ADJUST ANY RECOMMENDED COMPENSATION. FORM 990, PART VI, SECTION C, LINE 19 THE ANNUAL REPORT FOR GEISINGER HEALTH SYSTEM, CONTAINING COMMUNITY BENEFIT INFORMATION, CONSOLIDATED FINANCIAL INFORMATION AND OTHER INFORMATION, ARE AVAILABLE ON THE GEISINGER HEALTH SYSTEM WEBSITE. GO TO: WWW.GEISINGER.ORG/PAGES/ABOUT-GEISINGER AND SELECT ANNUAL REPORTS. THE ORGANIZATIONS FINANCIAL STATEMENTS, THE COMPLETE FORM 990 AND 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: ACCOUNTING POLICY ADJUSTMENTS -3,891,030. FORM 990, PART XII, LINE 2C: EFFECTIVE OCTOBER 1, 2104, HOLY SPIRIT HEALTH SYSTEM WAS INTEGRATED INTO THE GEISINGER HEALTH SYSTEM, AS A RESULT OF THAT INTEGRATION, THE GEISINGER HEALTH SYSTEM FORM 990 REVIEW PROCESS, AS DESCRIBED IN THE SCHEDULE O RESPONSE TO FORM 990, PART VI, LINE 11, WAS IMPLEMENTED. IN ADDITION, THE GEISINGER HEALTH SYSTEM AUDIT COMMITTEE IS NOW RESPONSIBLE FOR THE OVERSIGHT OF THE CONSOLIDATED AUDIT AND SELECTION OF THE INDEPENDENT AUDITORS. FORM 990, PART XII, LINE 3B: FEDERAL AWARDS ARE AUDITED AS A PART OF THE GEISINGER HEALTH SYSTEM'S CONSOLIDATED REPORT ON FEDERAL AWARDS IN ACCORDANCE WITH OMB CIRCULAR A-133. GEISINGER HEALTH SYSTEM FOUNDATION 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 231995911 PHILANTHROPY PA 501(C)(3) 7 N/A 0 GEISINGER MEDICAL CENTER 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 240795959 HOSPITAL PA 501(C)(3) 3 GHSF 1 GEISINGER CLINIC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 236291113 PHYSICIAN PA 501(C)(3) 11A GHSF 1 GEISINGER WYOMING VALLEY MEDICAL CT 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 231996150 HOSPITAL PA 501(C)(3) 3 GHSF 1 MARWORTH 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232171417 D&A REHAB PA 501(C)(3) 3 GHSF 1 GEISINGER HEALTH PLAN 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232311553 HEALTH INS PA 501(C)(4) GHSF 1 GEISINGER SYSTEM SERVICES 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232164794 SUPPORT SVC PA 501(C)(3) 11A GHSF 1 GEISINGER COMMUNITY HEALTH SERVICES 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232967235 HEALTH CARE PA 501(C)(3) 9 GSS 1 GEISINGER INSURANCE CORPORATIONRRG 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 141909894 SELF INS VT 501(C)(3) 11A GHSF 1 COMMUNITY MEDICAL CENTER 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 240862246 HOSPITAL PA 501(C)(3) 3 GHSF 1 COMMUNITY MEDICAL CARE INC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232429776 PHYSICIAN PA 501(C)(3) 9 GHSF 1 MOUNTAIN VIEW NURSING HOME INC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232568288 LONG TERM PA 501(C)(3) 9 GHSF 1 COMMUNITY MEDICAL CTR HEALTHCARE SYSTEM 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232279376 SUPPORT SVC PA 501(C)(3) 11A GHSF 1 GEISINGER-BLOOMSBURG HOSPITAL 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232193572 HOSPITAL PA 501(C)(3) 3 GHSF 1 GEISINGER-BLOOMSBURG HEALTHCARE CTR 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232242854 SKILLED NU PA 501(C)(3) 9 GHSF 1 GEISINGER-LEWISTOWN HOSPITAL 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 231352187 HOSPITAL PA 501(C)(3) 3 GHSF 1 LEWISTOWN HEALTH CARE FOUNDATION 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232344363 PHILANTHROPY PA 501(C)(3) 11A GHSF 1 LEWISTOWN AMBULATORY CARE CORP 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232344362 RE HOLDING PA 501(C)(3) 11A GHSF 1 FAM HEALTH ASSOC OF GEISINGER-LEWISTOWN HOSPITAL 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 251651582 PHYSICIAN PA 501(C)(3) 11A GHSF 1 KEYSTONE HEALTH INFORMATION EXCHANGE INC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 464359893 RHIO PA 501(C)(3) 11A GHSF 1 HEALTH CARE CORP OF NORTHEAST PA 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232337286 SUPPORT SV PA 501(C)(3) 11A CMC 1 SUN HOME HEALTH SERVICES INC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 231736912 HEALTH CARE PA 501(C)(3) 9 GCHS 1 HOLY SPIRIT HOSPITAL 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 231512747 HOSPITAL PA 501(C)(3) 3 HSHS 1 HOLY SPIRIT CORPORATION 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232214540 REAL ESTATE PA 501(C)(2) HSHS 1 SPIRIT PHYSICIAN SERVICES INC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 251766971 PHYSICIAN PA 501(C)(3) 9 HSHS 1 WEST SHORE ADVANCED LIFE SUPPORT 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232463002 HEALTH CARE PA 501(C)(3) 7 HSHS 1 SISTERS OF CHRISTIAN CHARITY HEALTH CARE CORPORATION MALLINCKRODT CONVENT MENDHAM NJ 07945 232322926 HEALTH CARE NJ 501(C)(3) 1 N/A 0 KEYSTONE ACCOUNTABLE CARE ORG LLC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 454475297 ACO PA N/A LIFESOURCE GEISINGER BLOOD CTR LLC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 364718005 BLOOD COLLECTION PA N/A MERIDIAN GEISINGER HLTH NETWORK LLC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 455484165 ORG DEL SY NJ N/A HEALTHSOUTH I GHS LLC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 721398803 PHY THERAEPY PA N/A EVANGELICAL-GEISINGER HEALTH LLC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 460567687 HEALTH CARE PA N/A LEMED II 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232391766 RENTAL PA N/A GEISINGER - SCA HOLDINGS LLC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 461615328 MANAGEMENT DE N/A CAMP HILL AMBULATORY SURG CTR LLC 569 BROOKWOOD VILLAGE SUITE 901 BIRMINGHAM AL 35209 521597478 HEALTH CARE PA N/A HS ORTHOPEDIC MANAGEMENT CO LLC 503 NORTH 21ST STREET CAMP HILL PA 17011 460887384 HEALTH CARE PA N/A CAELIAN MEDICAL LLC 880 CENTURY DRIVE MECHANICSBURG PA 17055 208018724 HEALTH CARE RENTAL PA N/A GRANDVIEW SURGERY CENTER LTD 569 BROOKWOOD VILLAGE SUITE 901 BIRMINGHAM AL 35209 521597483 HEALTH CARE PA N/A LACKAWANNA PHYSICIANS AMBULATORY SURGERY CENTER LLC 569 BROOKWOOD VILLAGE SUITE 901 BIRMINGHAM AL 35209 233024998 HEALTH CARE PA N/A GEISINGER MEDICAL MANAGEMENT CORP 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232077663 HOTEL/REST PA N/A C 1 GEISINGER INDEMNITY INSURANCE CO 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232815174 HLTH INSURANCE PA N/A C 1 GEISINGER QUALITY OPTIONS INC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 204275139 HLTH INSURANCE PA N/A C 1 HEALTH ENTERPRISES INC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232353212 PHARMACY PA N/A C 1 XG HEALTH SOLUTIONS INC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 461657345 CONSULTING DE N/A C 1 GEISINGER ASSURANCE COMPANY LTD 23 LINE TREE BAY AVE PO BOX 1159 GRAND CAYMAN CJ KY1-1102 981016737 INSURANCE CJ N/A C 1 HOLY SPIRIT VENTURES INC NORTH 21ST STREET CAMP HILL PA 17011 232407709 MEDICAL SERVICES PA HOLY SPIRIT HEALTH SYSTEM C 728094 8237105 1.00000 1 0 1 1 0 0 0 0 0 0 0 1 1 0 0 0 0 0 1 1 HOLY SPIRIT CORPORATION K 20548 GAAP HOLY SPIRIT VENTURES K 13617 GAAP HOLY SPIRIT HOSPITAL L 761948 GAAP SPIRIT PHYSICIAN SERVICES INC L 60429 GAAP WEST SHORE ALS L 9454 GAAP GEISINGER HEALTH SYSTEM FOUNDATION C 50000000 GAAP GEISINGER HEALTH SYSTEM FOUNDATION B 76206357 GAAP GEISINGER - LEWISTOWN HOSPITAL L 27262 GAAP HOLY SPIRIT HOSPITAL S 37130483 GAAP SPIRIT PHYSICIAN SERVICES INC R 19823777 GAAP 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.