2016-05-13T09:53:32-05:00 2015-06-30 990 2014-07-01 464359893 KEYSTONE HEALTH INFORMATION EXCHANGE INC KEYS 5702716624 100 N ACADEMY AVE MC 49-70 DANVILLE PA 178229800 DAVID J FELICIO ESQUIRE SECRETARY 5702716624 2016-05-06 2014 2016-08-17 19:52:53Z DAVID T FEINBERG MD MBA 100 N ACADEMY AVE MC 22-01 DANVILLE PA 178229800 2083088 false X WWW.KEYHIE.ORG X 2014 PA NONE 4 0 0 0 0 878235 2083088 0 0 878235 2083088 0 0 0 0 0 878235 2207254 878235 2207254 -124166 181245 74790 181245 198956 -124166 X NONE false false 2207254 2083088 REGIONAL HEALTH INFORMATION SHARING NETWORK - SEE SCHEDULE O KEYSTONE HEALTH INFORMATION EXCHANGE, INC. ("KEYHIE"), A 501(C)(3) TAX- EXEMPT ORGANIZATION, WAS INCORPORATED IN DECEMBER 2013 IN SUPPORT OF GEISINGER HEALTH SYSTEM FOUNDATION ("GHSF"), A 501(C)(3) TAX EXEMPT ORGANIZATION, AND THE PARENT CORPORATION IN THE GEISINGER HEALTH SYSTEM ("GHS"). KEYHIE WAS FORMED TO DEVELOP AND OPERATE A REGIONAL HEALTH INFORMATION SHARING NETWORK FOR USE BY LICENSED HEALTHCARE PROVIDERS WHEN TREATING PATIENTS THAT HAVE MEDICAL RECORDS HELD WITHIN THE PARTICIPATING HEALTHCARE ORGANIZATIONS. KEYHIE IS A HEALTH INFORMATION ORGANIZATION ("HIO"), WHICH IS A MULTI-STAKEHOLDER ORGANIZATION CREATED TO FACILITATE A HEALTH INFORMATION EXCHANGE ("HIE"): THE TRANSFER OF HEALTHCARE INFORMATION ELECTRONICALLY ACROSS ORGANIZATIONS AMONG STAKEHOLDERS OF THAT REGION'S HEALTHCARE SYSTEM. THE ULTIMATE OBJECTIVE IS TO IMPROVE THE SAFETY, QUALITY, AND EFFICIENCY OF HEALTHCARE AS WELL AS ACCESS TO HEALTHCARE THROUGH THE EFFICIENT APPLICATION OF HEALTH INFORMATION TECHNOLOGY, HIOS ARE ALSO INTENDED TO SUPPORT SECONDARY USE OF CLINICAL DATA FOR RESEARCH AS WELL AS INSTITUTION/PROVIDER QUALITY ASSESSMENT AND IMPROVEMENT. KEYHIE'S GOAL IS TO ENABLE THE EXCHANGE OF HEALTH INFORMATION AMONG THE CORPORATION'S MEMBERS AND OTHER PARTICIPANTS SO THAT THE CORPORATION'S MEMBERS AND PARTICIPANTS WILL BE ABLE TO DELIVER AFFORDABLE, HIGH QUALITY, CONVENIENT AND EFFICIENT HEALTHCARE THROUGHOUT PENNSYLVANIA AND THEREBY LESSEN THE BURDENS OF GOVERNMENT. AS OF JUNE 2015 KEYHIE'S MEMBERSHIP INCLUDED 47 HEALTHCARE ORGANIZATIONS REPRESENTING 20 HOSPITALS, 239 MEDICAL PRACTICES, 69 LONG-TERM CARE CENTERS, 30 HOME HEALTH AGENCY LOCATIONS, 1 PHARMACY, 1 LTACH AND 2 EMS LOCATIONS. OVER THE COURSE OF THE LAST FISCAL YEAR, KEYHIE PROVIDED UNCOMPENSATED ACCESS TO THE HEALTH INFORMATION EXCHANGE ENVIRONMENT VALUED AT 54,000.00. GHS IS A PHYSICIAN-LED, INTEGRATED HEALTH SERVICES ORGANIZATION THAT HAS AS ITS MAIN COMPONENTS: 1) AN ARRAY OF HEALTH SERVICES PROVIDERS; INCLUDING FOUR ACUTE CARE HOSPITALS AND A DRUG AND ALCOHOL TREATMENT FACILITY; 2) A MULTISPECIALTY PHYSICIAN GROUP PRACTICE OF 1,200 PHYSICIANS PRACTICING AT 78 PRIMARY AND SPECIALY CLINICS; AND 3) ONE OF THE NATION'S LARGEST RURAL HEALTH INSURANCE ORGANIZATIONS WITH 492,832 PARTICIPANTS. GHS OPERATES IN 48 OF PENNSYLVANIA'S 67 COUNTIES, WITH A SIGNIFICANT PRESENCE IN CENTRAL AND NORTHEASTERN PENNSYLVANIA, PRIMARILY OUTSIDE THE MAJOR METROPOLITAN AREAS. GHS' MISSION OF ENHANCING THE QUALITY OF LIFE THROUGH THE INTEGRATED HEALTH SERVICE ORGANIZATION IS BASED UPON A BALANCED PROGRAM OF PATIENT CARE, EDUCATION, RESEARCH, AND COMMUNITY SERVICE. KEYHIE SUPPORTS THIS MISSION THROUGH COLLABORATION WITH OTHER HEALTHCARE ORGANIZATIONS BY IMPROVING THE ACCESS TO HEALTH INFORMATION TECHNOLOGY TOOLS FOR ALL PROVIDERS IN THE GHS SERVICE AREA, AND IMPROVING THE EXCHANGE OF HEALTHCARE INFORMATION WHEN PATIENTS TRASITION FROM ONE SETTING TO ANOTHER. AT ITS CORE, KEYHIE LINKS TOGETHER PATIENT RECORDS FROM MULTIPLE, DISPARATE HEALTHCARE ORGANIZATIONS SO INFORMATION FROM THESE ORGANIZATIONS ABOUT EACH PATIENT CAN BE PULLED TOGETHER INTO A SINGLE PATIENT-CENTERED VIEW. NOT ONLY IS THIS CRITICAL FOR GOOD PATIENT CARE, BUT IT CAN ALSO ASSIST (AFTER APPROPRIATE PATIENT CONSENTS AND LEGAL CONTRACTS) WITH IRB-APPROVED ("INSTITUTIONAL REVIEW BOARD") RESEARCH AND CONTRACTED ANALYTIC REPORTING FOR ACCOUNTABLE CARE ORGANIZATIONS AND OTHER POPULATION HEALTH REPORTING. 2207254 true false 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 false false true false false false false false false false false false false false false false true true true false false true X 0 0 true 0 false false false false false false false false false false X 4 0 true false false false true true false true true false false true true true true true true true true false PA X X X KENNETH A BARTLETT AVP FINANCE 5702715555 100 NORTH ACADEMY AVE MC 49-52 DANVILLE PA 17822 DAVID T FEINBERG MD MBA PRES, CHAIR, 40.00 X X 0 0 0 FRANK J TREMBULAK SR VP, TREAS 40.00 X X 0 1192394 219582 FRANCIS M RICHARDS CEO, DIRECTO 40.00 X X 0 608336 89702 GLENN D STEELE JR MD PHD PRES, CHAIR, 40.00 X X 0 4288180 472126 JOANNE E WADE DIRECTOR 40.00 X 0 1132509 210554 DAVID J FELICIO ESQUIRE CLO, SECRETA 40.00 X 0 662625 101181 EDWARD J ZYCH ESQUIRE ASSISTANT SE 40.00 X 0 390565 42470 KEVIN F BRENNAN CPA FHFMA EVP, FINANCE 40.00 X 0 1028344 201791 9302953 1337406 false true false HEALTH INFO SUBSCRIPTION 519100 2083088 2083088 2083088 2083088 2083088 INTER-ENTITY EXPENSE 2206404 2206404 LICENCES AND FEES 850 850 2207254 2207254 0 0 181245 74790 181245 74790 177662 198956 3583 181245 198956 X -124166 0 -124166 181245 74790 -124166 X X false true X true false X X 1 GEISINGER HEALTH SYSTEM FOUNDATION 231995911 7 true 0 0 1 0 0 true false false false false false false false false false false false false false false true false SUPPLEMENTAL INFORMATION KEYSTONE HEALTH INFORMATION EXCHANGE, INC. (KEYHIE), IS A SUBSIDIARY ORGANIZATION IN THE GEISINGER HEALTH SYSTEM ("GHS"). GEISINGER HEALTH SYSTEM FOUNDATION (GHSF), A SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION IS THE PARENT CORPORATION OF GHS. GHS IS A PHYSICIAN-LED, INTEGRATED HEALTH SERVICES ORGANIZATION THAT HAS AS ITS MAIN COMPONENTS: 1) AN ARRAY OF HEALTH SERVICES PROVIDERS; INCLUDING FOUR ACUTE CARE HOSPITALS AND A DRUG AND ALCOHOL TREATMENT FACILITY; 2) A MULTISPECIALTY PHYSICIAN GROUP PRACTICE OF 1,055 PHYSICIANS PRACTICING AT 78 PRIMARY AND SPECIALTY CLINICS; AND 3) ONE OF THE NATION'S LARGEST RURAL HEALTH INSURANCE ORGANIZATIONS WITH 429,135 PARTICIPANTS. GHS OPERATES IN 44 OF PENNSYLVANIA'S 67 COUNTIES, WITH A SIGNIFICANT PRESENCE IN CENTRAL AND NORTHEASTERN PENNSYLVANIA, PRIMARILY OUTSIDE THE MAJOR METROPOLITAN AREAS. GHS' MISSION OF ENHANCING THE QUALITY OF LIFE THROUGH AN INTEGRATED HEALTH SERVICE ORGANIZATION IS BASED UPON A BALANCED APPROACH OF PATIENT CARE, EDUCATION, RESEARCH, AND COMMUNITY SERVICE. KEYHIE SUPPORTS THIS MISSION THROUGH COLLABORATION WITH OTHER HEALTHCARE ORGANIZATIONS BY IMPROVING THE ACCESS TO HEALTH INFORMATION TECHNOLOGY TOOLS FOR ALL PROVIDERS IN THE GHS SERVICE AREA, AND IMPROVING THE EXCHANGE OF HEALTHCARE INFORMATION WHEN PATIENTS TRANSITION FROM ONE SETTING TO ANOTHER. KEYHIE'S GOAL IS TO ENABLE THE EXCHANGE OF HEALTH INFORMATION AMONG THE CORPORATION'S MEMBERS AND OTHER PARTICIPANTS SO THAT THE CORPORATION'S MEMBERS AND PARTICIPANTS WILL BE ABLE TO DELIVER AFFORDABLE, HIGH QUALITY, CONVENIENT AND EFFICIENT HEALTHCARE THROUGHOUT PENNSYLVANIA AND THEREBY LESSEN THE BURDENS OF GOVERNMENT. DUE FROM AFFILIATE 55040 OTHER RECEIVABLE OTHER 19750 74790 SCHEDULE D, PAGE 4, PART XIII PART X - LIABILITY UNDER FIN 48 FOOTNOTE 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 PREVIUOS YEARS SINCE ADOPTION. ACCORDINGLY, NO FIN 48 FOOTNOTE DISCLOSURE WAS MADE IN THE GHS CONSOLIDATED FINANCIAL STATEMENTS. (1) THROUGHOUT THIS DOCUMENT, THE ACRONYM "GHS- OR THE TERMS "SYSTEM", "GEISINGER", OR "GEISINGER HEALTH SYSTEM" SHALL REFER TO THE ENTIRE HEALTHCARE SYSTEM COMPRISED OF THE GEISISNGER HEALTH SYSTEM FOUNDATION (THE FOUNDATION) AS PARENT AND ALL SUBSIDIARY CORPORATE ENTITIES COMPRISING THE SYSTEM. X X X X X X false true false false false false false false false FRANK J TREMBULAK SR VP, TREAS., DIR. 628294 313196 250904 208746 10836 1411976 209318 FRANCIS M RICHARDS CEO, DIRECTOR 389585 146929 71822 73235 16467 698038 57344 GLENN D STEELE JR MD PHD PRES, CHAIR,DIRECTOR 1091895 1131217 2065068 440136 31990 4760306 1191920 JOANNE E WADE DIRECTOR 601054 285040 246415 197332 13222 1343063 201464 DAVID J FELICIO ESQUIRE CLO, SECRETARY 390448 164846 107331 76118 25063 763806 61110 EDWARD J ZYCH ESQUIRE ASSISTANT SECRETARY 262471 80515 47579 18720 23750 433035 30485 KEVIN F BRENNAN CPA FHFMA EVP, FINANCE, CFO 531656 273329 223359 176933 24858 1230135 185023 SCHEDULE J, PAGE 1, PART I, LINE 4 FRANK J. TREMBULAK 0 209,318 0 FRANCIS M. RICHARDS 0 57,344 0 GLENN D. STEELE JR., MD PHD 0 1,908,021 0 JOANNE E. WADE 0 201,464 0 DAVID J. FELICIO, ESQUIRE 0 61,110 0 EDWARD J. ZYCH, ESQUIRE 0 30,485 0 KEVIN F. BRENNAN, CPA, FHFMA 0 185,023 0 SCHEDULE J, PART III 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 HEALTH SYSTEM- AND "SYSTEM- OR THE ACRONYM "GHS" SHALL REFER TO THE ENTIRE HEALTHCARE SYSTEM COMPRISED OF GEISINGER HEALTH SYSTEM FOUNDATION ("GHSF") AS PARENT AND ALL SUBSIDIARY CORPORATIONS COMPRISING THE SYSTEM. FORM 990, PAGE 2, PART III, LINE 4A KEYSTONE HEALTH INFORMATION EXCHANGE, INC. ("KEYHIE"), A 501(C)(3) TAX- EXEMPT ORGANIZATION, WAS INCORPORATED IN DECEMBER 2013 IN SUPPORT OF GEISINGER HEALTH SYSTEM FOUNDATION ("GHSF"), A 501(C)(3) TAX EXEMPT ORGANIZATION, AND THE PARENT CORPORATION IN THE GEISINGER HEALTH SYSTEM ("GHS"). KEYHIE WAS FORMED TO DEVELOP AND OPERATE A REGIONAL HEALTH INFORMATION SHARING NETWORK FOR USE BY LICENSED HEALTHCARE PROVIDERS WHEN TREATING PATIENTS THAT HAVE MEDICAL RECORDS HELD WITHIN THE PARTICIPATING HEALTHCARE ORGANIZATIONS. KEYHIE IS A HEALTH INFORMATION ORGANIZATION ("HIO"), WHICH IS A MULTI-STAKEHOLDER ORGANIZATION CREATED TO FACILITATE A HEALTH INFORMATION EXCHANGE ("HIE"): THE TRANSFER OF HEALTHCARE INFORMATION ELECTRONICALLY ACROSS ORGANIZATIONS AMONG STAKEHOLDERS OF THAT REGION'S HEALTHCARE SYSTEM. THE ULTIMATE OBJECTIVE IS TO IMPROVE THE SAFETY, QUALITY, AND EFFICIENCY OF HEALTHCARE AS WELL AS ACCESS TO HEALTHCARE THROUGH THE EFFICIENT APPLICATION OF HEALTH INFORMATION TECHNOLOGY, HIOS ARE ALSO INTENDED TO SUPPORT SECONDARY USE OF CLINICAL DATA FOR RESEARCH AS WELL AS INSTITUTION/PROVIDER QUALITY ASSESSMENT AND IMPROVEMENT. KEYHIE'S GOAL IS TO ENABLE THE EXCHANGE OF HEALTH INFORMATION AMONG THE CORPORATION'S MEMBERS AND OTHER PARTICIPANTS SO THAT THE CORPORATION'S MEMBERS AND PARTICIPANTS WILL BE ABLE TO DELIVER AFFORDABLE, HIGH QUALITY, CONVENIENT AND EFFICIENT HEALTHCARE THROUGHOUT PENNSYLVANIA AND THEREBY LESSEN THE BURDENS OF GOVERNMENT. AS OF JUNE 2015 KEYHIE'S MEMBERSHIP INCLUDED 47 HEALTHCARE ORGANIZATIONS REPRESENTING 20 HOSPITALS, 239 MEDICAL PRACTICES, 69 LONG-TERM CARE CENTERS, 30 HOME HEALTH AGENCY LOCATIONS, 1 PHARMACY, 1 LTACH AND 2 EMS LOCATIONS. OVER THE COURSE OF THE LAST FISCAL YEAR, KEYHIE PROVIDED UNCOMPENSATED ACCESS TO THE HEALTH INFORMATION EXCHANGE ENVIRONMENT VALUED AT 54,000.00. GHS IS A PHYSICIAN-LED, INTEGRATED HEALTH SERVICES ORGANIZATION THAT HAS AS ITS MAIN COMPONENTS: 1) AN ARRAY OF HEALTH SERVICES PROVIDERS; INCLUDING FOUR ACUTE CARE HOSPITALS AND A DRUG AND ALCOHOL TREATMENT FACILITY; 2) A MULTISPECIALTY PHYSICIAN GROUP PRACTICE OF 1,200 PHYSICIANS PRACTICING AT 78 PRIMARY AND SPECIALY CLINICS; AND 3) ONE OF THE NATION'S LARGEST RURAL HEALTH INSURANCE ORGANIZATIONS WITH 492,832 PARTICIPANTS. GHS OPERATES IN 48 OF PENNSYLVANIA'S 67 COUNTIES, WITH A SIGNIFICANT PRESENCE IN CENTRAL AND NORTHEASTERN PENNSYLVANIA, PRIMARILY OUTSIDE THE MAJOR METROPOLITAN AREAS. GHS' MISSION OF ENHANCING THE QUALITY OF LIFE THROUGH THE INTEGRATED HEALTH SERVICE ORGANIZATION IS BASED UPON A BALANCED PROGRAM OF PATIENT CARE, EDUCATION, RESEARCH, AND COMMUNITY SERVICE. KEYHIE SUPPORTS THIS MISSION THROUGH COLLABORATION WITH OTHER HEALTHCARE ORGANIZATIONS BY IMPROVING THE ACCESS TO HEALTH INFORMATION TECHNOLOGY TOOLS FOR ALL PROVIDERS IN THE GHS SERVICE AREA, AND IMPROVING THE EXCHANGE OF HEALTHCARE INFORMATION WHEN PATIENTS TRASITION FROM ONE SETTING TO ANOTHER. AT ITS CORE, KEYHIE LINKS TOGETHER PATIENT RECORDS FROM MULTIPLE, DISPARATE HEALTHCARE ORGANIZATIONS SO INFORMATION FROM THESE ORGANIZATIONS ABOUT EACH PATIENT CAN BE PULLED TOGETHER INTO A SINGLE PATIENT-CENTERED VIEW. NOT ONLY IS THIS CRITICAL FOR GOOD PATIENT CARE, BUT IT CAN ALSO ASSIST (AFTER APPROPRIATE PATIENT CONSENTS AND LEGAL CONTRACTS) WITH IRB-APPROVED ("INSTITUTIONAL REVIEW BOARD") RESEARCH AND CONTRACTED ANALYTIC REPORTING FOR ACCOUNTABLE CARE ORGANIZATIONS AND OTHER POPULATION HEALTH REPORTING. FORM 990, PART V ENTER THE NUMBER REPORTED IN BOX 3 OF FORM 1096, ANNUAL SUMMARY AND TRANSMITTAL OF U.S. INFORMATION RETURNS. GEISINGER SYSTEM SERVICES (GSS), AN AFFILIATE OF THE ORGANIZATION, PROVIDES A CENTRALIZED ACCOUNTS PAYABLE FUNCTION FOR ALL ORGANIZATIONS OF THE GEISINGER HEALTH SYSTEM. AS THE ACCOUNTS PAYABLE PROCESSOR, GSS PREPARES AND FILES FORM 1099 UNDER ITS EIN FOR REPORTABLE PAYMENTS OF THE FILING ORGANIZATION. THE NUMBER OF FORM 1099'S FILED BY GSS FOR THE 2014 REPORTING PERIOD ON BEHALF OF ITSELF AND ITS AFFILIATES WAS 1,582. 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 GSS ON ITS BEHALF. FORM 990, PART VI FORM 990, PART I, SECTION A, LINE 4: FORM 990, PART VI, SECTION A, LINE 1B: ENTER THE NUMBER OF VOTING MEMBERS THAT ARE INDEPENDENT. BASED ON THE FORM 990 DEFINITION OF "INDEPENDENCE" AS IT RELATES TO VOTING MEMBERS OF THE GOVERNING BODY, FOUR 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? DAVID T. FEINBERG, M.D., MBA, DAVID J. FELICIO, ESQUIRE, GLENN D. STEELE, JR., M.D., PH.D., FRANK J. TREMBULAK, AND EDWARD J. ZYCH, ESQUIRE ALL HAVE A BUSINESS RELATIONSHIP WITH ONE ANOTHER BECAUSE THEY SERVE OFFICERS AND/OR DIRECTORS ON ONE OR MORE FOR-PROFIT AFFILIATES OF KEYSTONE HEALTH INFORMATION EXCHANGE, INC. ALL OF THE AFFILIATES ARE PART OF THE GEISINGER HEALTH SYSTEM. FORM 990, PAGE 6, PART VI, LINE 6 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 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 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, PAGE 6, PART VI, 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 REVEIWED 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, PAGE 6, PART VI, LINE 15A 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 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 GHS. THE CONSULTANT'S REPORT IS PRESENTED TO THE MANAGEMENT AND COMPENSATION COMMITTEE PRIOR TO ANY COMPENSATION 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, 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 MISSION STATEMENT IS AVAILABLE ON THE GEISINGER HEALTH SYSTEM WEBSITE AT WWW.GEISINGER.ORG. 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. 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 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 HEALTH SYSTEM'S CONSOLIDATED REPORT ON FEDERAL AWARDS IN ACCORDANCE WITH OMB CIRCULAR A-133. 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. GEISINGER HEALTH SYSTEM FOUNDATION 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 231995911 PHILANTHRO PA 501C3 7 NA true GEISINGER MEDICAL CENTER 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 240795959 HOSPITAL PA 501C3 3 GHSF true GEISINGER CLINIC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 236291113 PHYSICIAN PA 501C3 11A GHSF true GEISINGER WYOMING VALLEY MEDICAL CT 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 231996150 HOSPITAL PA 501C3 3 GHSF true MARWORTH 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232171417 D&A REHAB PA 501C3 3 GHSF true GEISINGER HEALTH PLAN 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232311553 HEALTH INS PA 501C4 GHSF true GEISINGER SYSTEM SERVICES 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232164794 SUPPORT SV PA 501C3 11A GHSF true GEISINGER COMMUNITY HEALTH SERVICES 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232967235 HEALTHCARE PA 501C3 9 GSS true GEISINGER INSURANCE CORPORATIONRRG 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 141909894 SELF INS VT 501C3 11A GHSF true COMMUNITY MEDICAL CENTER 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 240862246 HOSPITAL PA 501C3 3 GHSF true COMMUNITY MEDICAL CARE INC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232429776 PHYSICIAN PA 501C3 9 GHSF true MOUNTAIN VIEW NURSING HOME INC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232568288 LONG TERM PA 501C3 9 GHSF true COMMUNITY MEDICAL CTR HEALTHCARE SY 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232279376 SUPPORT SV PA 501C3 11A GHSF true GEISINGER-BLOOMSBURG HOSPITAL 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232193572 HOSPITAL PA 501C3 3 GHSF true GEISINGER-BLOOMSBURG HEALTHCARE CTR 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232242854 SKILLED NU PA 501C3 9 GHSF true LEWISTOWN HEALTHCARE FOUNDATION 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232344363 PHILANTHRO PA 501C3 11A GHSF true GEISINGER-LEWISTOWN HOSPITAL 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 231352187 HOSPITAL PA 501C3 3 GHSF true LEWISTOWN AMBULATORY CARE CORP 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232344362 RE HOLDIN PA 501C3 11A GHSF true FAM HEALTH ASSOC OF GEISINGER-LEWIS 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 251651582 PHYSICIAN PA 501C3 11A GHSF 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 GHSF 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 REALESTATE PA 501C2 HSHS true SPIRIT PHYSICIAN SERVICES INC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 251766971 PHYSICIAN PA 501C3 9 HSHS true WEST SHORE ADVANCED LIFE SUPPORT 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232463002 HEALTHCARE PA 501C3 7 HSHS 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 MANAGEMENT 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 MANAGEMENT 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 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 HEALTH ENTERPRISES INC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232353212 PHARMACY 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 23 LINE TREE BAY AVE 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 false false false false false false false false false false false true true false false false false false false GEISINGER HEALTH PLAN L 500000 GAAP GEISINGER SYSTEM SERVICES L 830000 GAAP GEISINGER SYSTEM SERVICES M 2206404 GAAP GEISINGER-LEWISTOWN HOSPITAL L 4320 GAAP HOLY SPIRIT HOSPITAL L 145290 GAAP SCHEDULE R FORM 990, SCHEDULE R, PART V - TRANSACTIONS WITH RELATED ORGANIZATIONS: AS SHOWN IN THE RESPONSE TO FORM 990, SCHEDULE R, KEYSTONE HEALTH INFORMATION EXCHANGE, INC. 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. ___________________________________________________________________________