2014-05-13T10:59:06-05:00 2013-06-30 990 2012-07-01 232164794 GEISINGER SYSTEM SERVICES GEIS 5702716624 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 DAVID J FELICIO ESQUIRE 5702716624 2014-05-02 false 2014-05-13 2012 2015-11-30 17:44:51Z GLENN D STEELE JR MD PHD 100 NORTH ACADEMY AVENUE MC 22-01 DANVILLE PA 17822 519536827 false X WWW.GEISINGER.ORG X 1981 PA TO PROVIDE ADMINISTRATIVE, MANAGEMENT AND OTHER SUPPORT SERVICES FOR THE GEISINGER HEALTH SYSTEM FOUNDATION AND ALL AFFILIATES AND SUBSIDIARIES IN A COST EFFECTIVE MANNER WHILE MAINTAINING EXCELLENT CUSTOMER SERVICE. 10 9 6014 176824 92031 0 472508821 517083755 2063590 1477963 765678 919418 475338089 519481136 0 0 306238750 348932836 0 0 161463249 163764744 467701999 512697580 7636090 6783556 397441652 442128218 400283519 433488800 -2841867 8639418 X TO PROVIDE ADMINISTRATIVE, MANAGEMENT AND OTHER SUPPORT SERVICES FOR THE GEISINGER HEALTH SYSTEM FOUNDATION AND ALL AFFILIATES AND SUBSIDIARIES IN A COST EFFECTIVE MANNER WHILE MAINTAINING EXCELLENT CUSTOMER SERVICE. false false 482675378 SEE SCHEDULE O FORM 990, PART III, LINE 4 - STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS: I. GENERAL PROGRAM SERVICE INFORMATION GEISINGER SYSTEM SERVICES (GSS), A 501(C)(3) NOT FOR PROFIT CORPORATION, PROVIDES MANAGEMENT AND CONSULTATIVE SERVICES, AT COST, TO OTHER ENTITIES WITHIN THE GEISINGER HEALTH SYSTEM. GSS PREPARES, IMPLEMENTS, AND AUDITS POLICIES AND PROCEDURES OF SYSTEM WIDE RELEVANCE AND IMPLEMENTS UNIFORM STANDARDS AND METHODS OF MANAGEMENT THROUGHOUT THE SYSTEM. SERVICES HISTORICALLY PROVIDED BY GSS TO OTHER ENTITIES WITHIN THE GEISINGER HEALTH SYSTEM INCLUDE: APPOINTMENT SERVICES HUMAN RESOURCES AUTOMOTIVE SERVICES INFORMATION SYSTEMS BUSINESS OFFICE INTERNAL AUDIT CARE SUPPORT SERVICES LAUNDRY CLINICAL CONTENT MANAGEMENT LEGAL SERVICES CLINICAL EFFECTIVENESS MAIL SERVICES CLINICAL INNOVATION MARKET PLANNING COMMUNICATION AND PUBLIC RELATIONS MEDICAL LIBRARY CUSTOMER ACCESS MEDICAL PHOTOGRAPHY CUSTOMER SERVICE CALL CENTER PATIENT TRANSPORT ELEVATOR OPERATIONS PLANT ENGINEERING EMPLOYEE BENEFIT ADMINISTRATION POWER PLANT FACILITIES PLANNING AND MANAGEMENT QUALITY AND SAFETY FINANCIAL SERVICES REPROGRAPHICS FOOD SERVICES RISK MANAGEMENT GENERAL MAINTENANCE SECURITY GROUNDS TELECOMMUNICATIONS HOUSEKEEPING TRANSCRIPTION SERVICES INCLUDES THE OPERATION AND MAINTENANCE OF THE ELECTRONIC HEALTH RECORDS FOR ALL PATIENTS OF THE GEISINGER HEALTH SYSTEM PROVIDERS. II.COMMUNITY HEALTH, EDUCATION, AND OUTREACH GEISINGER SYSTEM SERVICES PROVIDES REDUCED PRICE SERVICES AND FREE PROGRAMS THROUGHOUT THE YEAR TO VARIOUS ORGANIZATIONS. THE PROVISION OF THESE SERVICES AND PROGRAMS IS BASED UPON THE ACTIVITIES AND SERVICES THAT THE ORGANIZATIONS PROVIDE FOR THE COMMUNITY AND WHICH GEISINGER SYSTEM SERVICES BELIEVES WILL SERVE A BONAFIDE COMMUNITY NEED. THESE COMMUNITY SERVICES AND ORGANIZATIONS RECEIVED CASH DONATIONS OR IN-KIND SERVICES DESCRIBED BELOW. A.HEALTH RELATED PROGRAMS GSS PROVIDED 92,190 OF IN-KIND SUPPORT TO NUMEROUS HEALTH RELATED PROGRAMS, SOME OF WHICH ARE LISTED BELOW: BREAST HEALTH SEMINARS GREAT AMERICAN SMOKE OUT CANCER SURVIVORS DAY & SUPPORT RED CROSS BLOOD DONATIONS CLINICAL NUTRITION SERVICES RONALD MCDONALD HOUSE COMMUNITY HEALTH SCREENINGS SKIN CANCER SEMINARS & SCREENINGS DIABETES EDUCATION & SEMINARS WOMEN'S HEART SCREENINGS & EDUCATION B.MEDIA NEWS SERVICE HEALTH CARE PUBLIC SERVICE BROADCASTS OVER LOCAL RADIO STATIONS, COMMUNITY OUTREACH NEWSLETTER AND WEEKLY NEWSPAPER COLUMNS OF HEALTH INFORMATION VALUED AT 146,106. THE SERVICES PROVIDED INCLUDE: CALL THE DOCTOR (WVIA) MONTHLY COMMUNITY EVENT ADS MARCH FOR BABIES ADS C.DONATED PROPERTY GEISINGER SYSTEM SERVICES PROVIDED 20,511 THROUGH DONATIONS OF OFFICE FURNITURE, PERSONAL COMPUTERS, LAPTOP COMPUTERS AND COMPUTER EQUIPMENT TO NUMEROUS RECIPIENTS, WHICH INCLUDE, BUT NOT LIMITED TO: AGAPE LOVE FROM ABOVE GREENWOOD FRIENDS SCHOOL AVOCA HOSE COMPANY 1 MONTOUR COUNTY HISTORICAL SOCIETY COLUMBIA HOSE COMPANY 2 MOUNT CARMEL BOROUGH POLICE DEPT DANVILLE ASSEMBLY OF GOD CHURCH NORTHUMBERLAND CHRISTIAN SCHOOL FIRST BAPTIST CHURCH DANVILLE ST. NICHOLAS ORTHODOX CATHOLIC CHURCH FIRST PRESBYTERIAN CH. MIFFLINBURG D.OTHER IN-KIND SERVICES AND CONTRIBUTIONS ADDITIONALLY, THE FOLLOWING ORGANIZATIONS AND OTHERS NOT LISTED BELOW RECEIVED CASH CONTRIBUTIONS OR IN-KIND SERVICES INCLUDING HUMAN RESOURCES, FOOD SERVICES, LEGAL SERVICES, INFORMATION TECHNOLOGY, REPROGRAPHICS, PUBLIC RELATIONS AND MARKETING VALUED AT 217,270: AMERICAN CANCER SOCIETY MERCY CENTER CARE HOME ALZHEIMER'S ASSOCIATION NEPA DIVERSITY EDUCATION CONSORTIUM AMERICAN HEART ASSOCIATION SPCA OF LUZERNE COUNTY COLUMBIA COUNTY CHAMBER OF COMMERCE ST. COLUMBA CATHOLIC CHURCH THE HOSPICE HOUSE ST. JUDE'S RESEARCH HOSPITAL LYMPHOMA SOCIETY TEMPLE TIFERETH ISRAEL HEBREW SCH. THE LUZERNE FOUNDATION VNA HOSPICE OF LACKAWANNA COUNTY IV.COMMUNITY SERVICE SUMMARY COMMUNITY HEALTH, EDUCATION AND OUTREACH 476,077 482675378 true false false true false false false false false false true false false true true false false true false false true false false false false false false false false true false false false true false false true true false false false false false true true true true false true X 1387 0 true 6014 true true true false false false false false false false false false X 10 9 true false false false true true false true true false false true true true true true true true true true true PA CA NC X JAMES ARMSTRONGCFOVP FINANCE 5702715253 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 WILLIAM H ALEXANDER 0.25 5.25 X 0 0 0 E ALLEN DEAVER 0.25 4.25 X 0 0 0 DORRANCE R BELIN ESQUIRE 0.25 4.25 X 0 0 0 RICHARD A GRAFMYRE 0.25 5.25 X 0 0 0 WILLIAM R GRUVER 0.25 4.50 X 0 0 0 FRANK M HENRY 0.25 4.25 X 0 0 0 THOMAS H LEE JR MD 0.25 5.00 X 0 0 0 GLENN D STEELE JR MD PHD 40.00 0.00 X X 2062556 0 418454 ROBERT E POOLE 0.25 4.50 X 0 0 0 DON A ROSINI 0.25 5.25 X 0 0 0 KEVIN F BRENNAN CPAFHFMA 40.00 0.00 X 1079326 0 202187 DAVID J FELICIO ESQUIRE 40.00 0.00 X 512681 0 140659 EDWARD J ZYCH ESQUIRE 40.00 0.00 X 344575 0 65798 FRANK J TREMBULAK 40.00 0.00 X 1245352 0 216867 JAMES C ARMSTRONG 40.00 0.00 X 478796 0 30684 AMY BRAYFORD 40.00 0.00 X 377691 0 70833 KEVIN J KERESTUS CIA 40.00 0.00 X 232997 0 36505 ROBERT W DAVIES 40.00 0.00 X 382911 0 34733 ANDREW M DEUBLER 40.00 0.00 X 513658 0 132178 DAVID H LEDBETTER PHD FACMG 40.00 0.00 X 860333 0 197213 JEAN HAYNES 40.00 0.00 X 244203 0 185496 RICHARD KWEI 40.00 0.00 X 405607 0 40573 EARL P STEINBERG MD MPP 40.00 0.00 X 670013 0 104460 RICHARD E MERKLE 40.00 0.00 X 413035 0 64873 EDELYN L MILLER 40.00 0.00 X 850926 0 176567 FRANCIS M RICHARDS 40.00 0.00 X 600093 0 81757 BARBARA M TAPSCOTT 40.00 0.00 X 372958 0 61333 JOANNE E WADE 40.00 0.00 X 1170997 0 201114 CONNIE L BEDNAR 40.00 0.00 X 400779 0 36861 DUDLEY F GEROW 40.00 0.00 X 409607 0 37073 JACQUELYN PAUL 40.00 0.00 X 430359 0 24799 NANCY L RIZZO 40.00 0.00 X 480294 0 29412 GEORGE A SCHNEIDER 40.00 0.00 X 446320 0 35525 KENNETH A HOLDREN 0.00 40.00 X 0 532349 85746 14986067 532349 2711700 294 true true false ALEXANDER BUILDING CONSTRUCTION 315 VAUGHN STREET HARRISBURG PA 17110 CONTRACTORS 9893114 APOLLO GROUP 440 PIERCE STREET KINGSTON PA 18704 ELECTRICAL CONT 7305876 EPIC SYSTEMS PO BOX 88314 MILWAUKEE WI 532880314 SOFTWARE MAINT 4807919 MARIANO CONSTRUCTION INC 72 EDWARDS DRIVE BLOOMSBURG PA 17815 CONSTRUCTION 4570392 PENN STATE MECHANICAL PO BOX 1027 WILKESBARRE PA 18703 CONTRACTORS 4293311 408 X IC SUPPORT SERVICES 541900 491305070 491305070 IC SUPPORT SERVICE-SCHEDULE O 541900 13434111 13434111 FOOD SERVICES 722210 6870442 6870442 PREMIER PURCHASING INCOME 541900 3548702 3548702 OTHER SUPPORT SERVICES 541900 1749244 1749244 176186 176186 517083755 1387637 638 1386999 5193 5193 1335 1335 33500 55193 -21693 -21693 -21693 79129 6502 498 79129 6004 85133 85133 PURCHASE DISCOUNTS 900099 516965 516965 CANTEEN VENDING & COMMISSION 900099 328890 328890 DIRECTOR'S FEES 541900 72500 72500 21421 21421 939776 519481136 517424534 176824 1879778 13956365 2143650 11812715 2095340 1651867 443473 253140506 244085164 9055342 13896659 13399548 497111 46981339 45300723 1680616 18862627 18187873 674754 9884130 9530555 353575 192831 185933 6898 561787 541691 20096 150974 145573 5401 34604115 33366257 1237858 2794738 2694765 99973 29423296 28370766 1052530 29878284 28809478 1068806 7394970 7130437 264533 3627779 3498006 129773 3506 3381 125 90378 87145 3233 4322167 4167554 154613 29074443 28034393 1040050 331027 319186 11841 INTER-ENTITY EXPENSE 9672577 9326570 346007 BOOKS, LISC, FEES, DUES 1641005 1582302 58703 OTHER TAXES 81853 78925 2928 UBI TAX 34884 33636 1248 512697580 482675378 30022202 0 23349371 13273716 4749176 115938 99260 183095 93052 448122 392922 273756 18845259 20752112 407508671 189820183 178617393 217688488 3673172 206506 18994014 1072224 3087319 3760333 136580497 193314145 397441652 442128218 207631726 241267156 119514727 110103619 73137066 82118025 400283519 433488800 X -2841867 8639418 -2841867 8639418 397441652 442128218 6783556 4697729 X X false true X true false X X X false false false GEISINGER MEDICAL CENTER 240795959 3 true false true 0 GEISINGER WYOMING VALLEY MEDICAL CENTER 231996150 3 true false true 0 MARWORTH 232171417 3 true false true 0 GEISINGER HEALTH SYSTEM FOUNDATION 231995911 7 true false true 0 GEISINGER COMMUNITY HEALTH SERVICES 232967235 9 true false true 0 COMMUNITY MEDICAL CENTER 240862246 3 true false true 0 COMMUNITY MEDICAL CARE INC 232429776 9 true false true 0 MOUNTAIN VIEW NURSING HOME INC 232568288 9 true false true 0 GEISINGER BLOOMSBURG HOSPITAL 232193572 3 true false true 0 BLOOMSBURG PHYSICIANS SERVICES 232979856 9 true false true 0 GEISINGER BLOOMSBURG HEALTHCARE CENTER 232242854 9 true false true 0 COLUMBIA MONTOUR HOME HEALTH SERVICES VISITING NURSES A 231704399 9 true false true 0 12 GEISINGER SYSTEM SERVICES (GSS), A 501(C)(3)NOT-FOR-PROFIT CORPORATION, PROVIDES MANAGEMENT AND CONSULTATIVE SERVICES, AT COST, TO OTHER ENTITIES WITHIN THE GEISINGER HEALTH SYSTEM. GSS PREPARES, IMPLEMENTS AND AUDITS POLICIES AND PROCEDURES OF SYSTEM WIDE RELEVANCE AND IMPLEMENTS UNIFORM STANDARDS AND METHODS OF MANAGEMENT THROUGHOUT THE SYSTEM. SERVICES HISTORICALLY PROVIDED BY GSS TO OTHER ENTITIES WITHIN THE GEISINGER HEALTH SYSTEM INCLUDE: APPOINTMENT SERVICES HUMAN RESOURCES AUTOMOTIVE SERVICES INFORMATION SYSTEMS BUSINESS OFFICE INTERNAL AUDIT CARE SUPPORT SERVICES LAUNDRY CLINICAL CONTENT MANAGEMENT LEGAL SERVICES CLINICAL EFFECTIVENESS MAIL SERVICES CLINICAL INNOVATION MARKET PLANNING COMMUNICATION AND PUBLIC RELATIONS MEDICAL LIBRARY CUSTOMER ACCESS MEDICAL PHOTOGRAPHY CUSTOMER SERVICE CALL CENTER PATIENT TRANSPORT ELEVATOR OPERATIONS PLANT ENGINEERING EMPLOYEE BENEFIT ADMINISTRATION POWER PLANT FACILITIES PLANNING AND MANAGEMENT QUALITY AND SAFETY FINANCIAL SERVICES REPROGRAPHICS FOOD SERVICES RISK MANAGEMENT GENERAL MAINTENANCE SECURITY GROUNDS TELECOMMUNICATIONS HOUSEKEEPING TRANSCRIPTION SERVICES INCLUDES THE OPERATION AND MAINTENANCE OF THE ELECTRONIC HEALTH RECORDS FOR ALL PATIENTS OF GEISINGER HEALTH SYSTEM PROVIDERS. THESE INTER-ORGANIZATION TRANSACTIONS PROMOTE THE EFFICIENT OPERATION OF THE VARIOUS AFFILIATED ORGANIZATIONS AND THE ATTAINMENT OF THEIR TAX EXEMPT PURPOSES. THESE TYPES OF INTER-ORGANIZATION TRANSACTIONS WERE DESCRIBED TO THE INTERNAL REVENUE SERVICE IN A RULING APPLICATION AND WERE RECOGNIZED BY THE NATIONAL OFFICE OF THE IRS IN A SERIES OF GHS PRIVATE RULINGS AS BEING ENTIRELY CONSISTENT WITH THE ORGANIZATIONS' TAX EXEMPT STATUS. X 1437 1437 560350 648738 561787 650175 512135793 2932675696 512697580 2933325871 1000000 1000000 250000 250000 1000000 1000000 1000000 1000000 4000000 6000000 574174 611545 640652 650175 2476546 250000 250000 250000 250000 1000000 1500000 1437 1437 7709130 7709130 35883045 12292224 23590821 311232801 175954941 135277860 52683695 1573018 51110677 217688488 DUE FROM AFFILIATES 115718960 DEFERRED COMPENSATION 74969041 OTHER RECEIVABLE 2537547 SWAP RECEIVABLE 61278 OTHER ASSET 27319 193314145 DEFERRED COMPENSATION 74969057 FINANCIAL CONTRACT 6449247 RETIREE BENEFITS 699721 82118025 SUPPLEMENTAL FINANCIAL INFORMATION SCHEDULE D, PAGE 4, PART XIII PART X - LIABILITY UNDER FIN 48 FOOTNOTE EFFECTIVE JULY 1, 2007, GEISINGER HEALTH SYSTEM(1) ("GHS") ADOPTED FASB INTERPRETATION NO. 48, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES, AND INTERPRETATION OF FASB STATEMENT NO. 109 ("FIN 48"). 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 NET ASSETS AS OF JUNE 30, 2013 OR ANY PREVIOUS YEARS SINCE ADOPTION. ACCORDINGLY, NO FIN 48 FOOTNOTE DISCLOSURE WAS MADE IN THE JUNE 30, 2013 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 GEISINGER HEALTH SYSTEM FOUNDATION ("THE FOUNDATION") AS PARENT AND ALL SUBSIDIARY CORPORATE ENTITIES COMPRISING THE SYSTEM. CENTRAL AMERICA AND THE CARIBBEAN INVESTMENTS 176748 176748 true false true false true false ACTIVITIES PER REGION SCHEDULE F, PAGE 1, PART I, LINE 3 CENTRAL AMERICA AND THE CARIBBEAN 0 176,748 X X X true true X X X X X X false true false false false false false true true true GLENN D STEELE JR MD PHD 1021563 920000 120993 388588 29866 2481010 KEVIN F BRENNAN CPAFHFMA 501671 290967 286688 181114 21073 1281513 247768 DAVID J FELICIO ESQUIRE 313540 152506 46635 120520 20139 653340 EDWARD J ZYCH ESQUIRE 250888 74435 19252 43763 22035 410373 FRANK J TREMBULAK 592806 305296 347250 203077 13790 1462219 274280 JAMES C ARMSTRONG 327893 124704 26199 18096 12588 509480 AMY BRAYFORD 257059 91279 29353 53068 17765 448524 KEVIN J KERESTUS CIA 179748 48224 5025 16563 19942 269502 ROBERT W DAVIES 240106 99357 43448 18096 16637 417644 ANDREW M DEUBLER 324127 139995 49536 112976 19202 645836 DAVID H LEDBETTER PHD FACMG 522476 245709 92148 172976 24237 1057546 JEAN HAYNES 201178 43025 174906 10590 429699 RICHARD KWEI 284359 101154 20094 18096 22477 446180 EARL P STEINBERG MD MPP 416240 187058 66715 104100 360 774473 RICHARD E MERKLE 100003 108282 204750 59696 5177 477908 116437 EDELYN L MILLER 499776 240005 111145 163699 12868 1027493 62877 FRANCIS M RICHARDS 365907 146516 87670 68188 13569 681850 78891 BARBARA M TAPSCOTT 267638 100471 4849 53506 7827 434291 JOANNE E WADE 574175 286871 309951 191976 9138 1372111 272636 CONNIE L BEDNAR 197145 24002 179632 18096 18765 437640 DUDLEY F GEROW 310192 93552 5863 18096 18977 446680 JACQUELYN PAUL 271023 123765 35571 18096 6703 455158 NANCY L RIZZO 311082 124161 45051 18096 11316 509706 GEORGE A SCHNEIDER 310128 106002 30190 18096 17429 481845 KENNETH A HOLDREN 315794 115347 101208 63583 22163 618095 65305 FRINGE OR EXPENSE EXPLANATION SCHEDULE J, PAGE 1, PART I, LINE 1A FIRST CLASS OR CHARTER TRAVEL - FIRST CLASS TRAVEL FOR THE CHIEF EXECUTIVE OFFICER OF THE GEISINGER HEALTH SYSTEM (GHS) HAS BEEN APPROVED BY THE BOARD FOR TRAVEL RELATED TO GHS BUSINESS. GHS DOES NOT OWN OR CHARTER AN AIRPLANE, TRAIN OR BOAT FOR DIRECTOR, OFFICER, OR EMPLOYEE USE. TRAVEL FOR COMPANIONS - FROM TIME TO TIME, WHEN THE GHS CHIEF EXECUTIVE OFFICER IS TRAVELING ON BUSINESS, FIRST CLASS TRAVEL EXPENSES ARE REIMBURSED FOR THE SPOUSE OF THE CHIEF EXECUTIVE OFFICER. SUCH REIMBURSEMENT FOR BUSINESS TRAVEL HAS BEEN APPROVED BY THE BOARD AND IS REPORTED AS COMPENSATION TO THE CHIEF EXECUTIVE OFFICER. TAX INDEMNIFICATION AND GROSS-UP PAYMENTS - FROM TIME TO TIME, THE GHS BOARD OF DIRECTORS OR GHS SENIOR MANAGEMENT APPROVE THE GROSS-UP OF EXPENSES, WHICH FURTHER GHS BUSINESS, FOR TAX OBLIGATIONS. SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTS SCHEDULE J, PAGE 1, PART I, LINE 4 KEVIN F. BRENNAN, CPA,FHFMA 0 247,768 0 FRANK J. TREMBULAK 0 276,507 0 RICHARD E. MERKLE 0 116,437 0 EDELYN L . MILLER 0 62,877 0 FRANCIS M. RICHARDS 0 78,891 0 JOANNE E. WADE 0 272,636 0 KENNETH A. HOLDREN 0 65,305 0 NON-FIXED PAYMENTS PROVIDED 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 SYSTEM OBJECTIVES, INCLUDING: CLINICAL QUALITY, COMMUNITY MISSION ACHIEVEMENT, AND FINANCIAL STEWARDSHIP. PURSUANT TO CONTRACT PER REGS. SECTION 53.4958-4(A)(3) SCHEDULE J, PAGE 1, PART I, LINE 8 THE EMPLOYEES LISTED PARTICIPATE IN A COMPENSATION PROGRAM DESIGNED TO BE MARKET COMPETITIVE. FROM TIME TO TIME, DEPENDING ON THE AVAILABILITY OF QUALIFIED APPLICANTS, RECRUITMENT LOANS MAY BE MADE AVAILABLE TO QUALIFIED APPLICANTS IN DIFFICULT TO RECRUIT POSITIONS. SUCH LOANS ARE ONLY PROVIDED IF TOTAL COMPENSATION, INCLUDING THE LOAN AMOUNT, IS CONSIDERED REASONABLE COMPENSATION PER INDEPENDENT SALARY SURVEYS. OTHER ADDITIONAL INFORMATION 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 ("THE FOUNDATION") AS PARENT AND ALL SUBSIDIARY CORPORATIONS COMPRISING THE SYSTEM. DAVID H LEDBETTER PHD FACMG KEY EMPLOYEE RECRUITMENT X 150000 52702 false true true CONNIE L BEDNAR EMPLOYEE RECRUITMENT X 40000 18106 false true true GEORGE A SCHNEIDER EMPLOYEE RECRUITMENT X 40000 13969 false true true EDWARD J ZYCH ESQUIRE OFFICER RETENTION X 30000 8275 false true true 93052 PREMIER INC BUSINESS 72500 EXEC ADVISORY FEES false PREMIER INC BUSINESS 88993 SAFETY SURVEILLOR false PREMIER INC BUSINESS 176875 HEALTH QUALITY MGR. false PREMIER INC BUSINESS 178568 QUALITY ADVISOR false PREMIER INC BUSINESS 1483 FEES false GEISINGER MEDICAL MANAGEMENT CORP BUSINESS 4880979 IC SHARED SERV REV false GEISINGER MEDICAL MANAGEMENT CORP BUSINESS 2979852 IC SHARED SERV EXP false GEISINGER INDEMNITY INSURANCE COMP BUSINESS 1460845 IC SHARED SERV REV false GEISINGER INDEMNITY INSURANCE COMP BUSINESS 1890922 IC SHARED SERV EXP false GEISINGER QUALITY OPTIONS INC BUSINESS 6584587 IC SHARED SERV EXP false GEISINGER QUALITY OPTIONS INC BUSINESS 6115000 IC SHARED SERV REV false INTERNATIONAL SHARED SERVICES INC BUSINESS 1739248 IC SHARED SERV EXP false INTERNATIONAL SHARED SERVICES INC BUSINESS 1751592 IC SHARED SERV REV false INTERNATIONAL SHARED SERVICES INC BUSINESS 27252 LEASE REVENUE false GEISINGER ASSURANCE COMPANY LTD BUSINESS 995992 IC SHARED REVENUE false JAKE T MANGELS FAMILY 73111 EMPLOYEE COMP. false JESSICA HAYNES FAMILY 81990 EMPLOYEE COMP. false MICHAEL HAYNES FAMILY 53073 EMPLOYEE COMP. false JESSE R MILLER FAMILY 18367 EMPLOYEE COMP. false BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS SCHEDULE L PART IV GEISINGER QUALITY OPTIONS INC 6115000 BUSINESS IC SHARED SERV REV INTERNATIONAL SHARED SERVICES INC 1739248 BUSINESS IC SHARED SERV EXP INTERNATIONAL SHARED SERVICES INC 1751592 BUSINESS IC SHARED SERV REV INTERNATIONAL SHARED SERVICES INC 27252 BUSINESS LEASE REVENUE GEISINGER ASSURANCE COMPANY LTD 995992 BUSINESS IC SHARED REVENUE JAKE T MANGELS 73111 FAMILY EMPLOYEE COMP JESSICA HAYNES 81990 FAMILY EMPLOYEE COMP MICHAEL HAYNES 53073 FAMILY EMPLOYEE COMP JESSE R MILLER 18367 FAMILY EMPLOYEE COMP ADDITIONAL INFORMATION SCHEDULE L PART V GLENN D STEELEJR MD PHD CHAIRMAN OF THE BOARD PRESIDENT AND DIRECTOR EXOFFICIO OF GSS IS A DIRECTOR OF PREMIER INC JAKE T MANGELS IS A FAMILY MEMBER OF FRANK J TREMBULAK SENIOR VICE PRESIDENT AND TREASURER OF GSS JESSICA HAYNES AND MICHAEL HAYNES ARE FAMILY MEMBER OF JEAN HAYNES A KEY EMPLOYEE OF GSS JESSE MILLER IS A FAMILY MEMBER OF EDELYN L MILLER A KEY EMPLOYEE OF GSS GEISINGER SYSTEM SERVICES GSS IS CLOSELY AFFILIATED WITH SEVERAL OTHER ORGANIZATIONS IN THE NORMAL COURSE OF OPERATIONS OF THESE AFFILIATED ORGANIZATIONS THERE ARE NUMEROUS INTERORGANIZATIONAL TRANSACTIONS WHICH MAY INCLUDE SALES EXCHANGES AND LEASE OF PROPERTY EXTENSIONS OF CREDIT FURNISHING OF GOODS SERVICES AND FACILITIES AND TRANSFERS OF ASSETS THESE TYPES OF INTERORGANIZATIONAL TRANSACTIONS WERE DESCRIBED TO THE INTERNAL REVENUE SERVICE IRS IN A RULING APPLICATION AND WERE RECOGNIZED BY THE NATIONAL OFFICE OF THE IRS IN A SERIES OF PRIVATE LETTER RULINGS AS BEING ENTIRELY CONSISTENT WITH THE ORGANIZATIONS TAX EXEMPT STATUS THE FOLLOWING ORGANIZATIONS REPRESENT THE AFFILIATED FORPROFIT ORGANIZATIONS WITHIN THE GEISINGER HEALTH SYSTEM FOR WHOM BUSINESS TRANSACTIONS MUST BE DISCLOSED FOR PURPOSES OF SCHEDULE L PART IV TRANSACTIONS WITH INTERESTED PERSONS GEISINGER MEDICAL MANAGEMENT CORPORATION INTERNATIONAL SHARED SERVICES INC GEISINGER INDEMNITY INSURANCE COMPANY GEISINGER QUALITY OPTIONS INC GEISINGER ASSURANCE COMPANY LTD THE FOLLOWING OFFICERS ANDOR DIRECTORS OF GEISINGER SYSTEM SERVICES ARE OFFICERS ANDOR DIRECTORS OF SOME OR ALL OF THESE ORGANIZATIONS WILLIAM H ALEXANDER DAVID J FELICIO ESQUIRE RICHARD A GRAFMYRE WILLIAM R GRUVER THOMAS H LEE JR MD ROBERT E POOLE DON A ROSINI GLENN D STEELE MD PHD FRANK J TREMBULAK EDWARD J ZYCH ESQUIRE 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 FIRST ACCOMPLISHMENT DESCRIPTION FORM 990, PAGE 2, PART III, LINE 4A FORM 990, PART III, LINE 4 - STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS: I. GENERAL PROGRAM SERVICE INFORMATION GEISINGER SYSTEM SERVICES (GSS), A 501(C)(3) NOT FOR PROFIT CORPORATION, PROVIDES MANAGEMENT AND CONSULTATIVE SERVICES, AT COST, TO OTHER ENTITIES WITHIN THE GEISINGER HEALTH SYSTEM. GSS PREPARES, IMPLEMENTS, AND AUDITS POLICIES AND PROCEDURES OF SYSTEM WIDE RELEVANCE AND IMPLEMENTS UNIFORM STANDARDS AND METHODS OF MANAGEMENT THROUGHOUT THE SYSTEM. SERVICES HISTORICALLY PROVIDED BY GSS TO OTHER ENTITIES WITHIN THE GEISINGER HEALTH SYSTEM INCLUDE: APPOINTMENT SERVICES HUMAN RESOURCES AUTOMOTIVE SERVICES INFORMATION SYSTEMS BUSINESS OFFICE INTERNAL AUDIT CARE SUPPORT SERVICES LAUNDRY CLINICAL CONTENT MANAGEMENT LEGAL SERVICES CLINICAL EFFECTIVENESS MAIL SERVICES CLINICAL INNOVATION MARKET PLANNING COMMUNICATION AND PUBLIC RELATIONS MEDICAL LIBRARY CUSTOMER ACCESS MEDICAL PHOTOGRAPHY CUSTOMER SERVICE CALL CENTER PATIENT TRANSPORT ELEVATOR OPERATIONS PLANT ENGINEERING EMPLOYEE BENEFIT ADMINISTRATION POWER PLANT FACILITIES PLANNING AND MANAGEMENT QUALITY AND SAFETY FINANCIAL SERVICES REPROGRAPHICS FOOD SERVICES RISK MANAGEMENT GENERAL MAINTENANCE SECURITY GROUNDS TELECOMMUNICATIONS HOUSEKEEPING TRANSCRIPTION SERVICES INCLUDES THE OPERATION AND MAINTENANCE OF THE ELECTRONIC HEALTH RECORDS FOR ALL PATIENTS OF THE GEISINGER HEALTH SYSTEM PROVIDERS. II.COMMUNITY HEALTH, EDUCATION, AND OUTREACH GEISINGER SYSTEM SERVICES PROVIDES REDUCED PRICE SERVICES AND FREE PROGRAMS THROUGHOUT THE YEAR TO VARIOUS ORGANIZATIONS. THE PROVISION OF THESE SERVICES AND PROGRAMS IS BASED UPON THE ACTIVITIES AND SERVICES THAT THE ORGANIZATIONS PROVIDE FOR THE COMMUNITY AND WHICH GEISINGER SYSTEM SERVICES BELIEVES WILL SERVE A BONAFIDE COMMUNITY NEED. THESE COMMUNITY SERVICES AND ORGANIZATIONS RECEIVED CASH DONATIONS OR IN-KIND SERVICES DESCRIBED BELOW. A.HEALTH RELATED PROGRAMS GSS PROVIDED 92,190 OF IN-KIND SUPPORT TO NUMEROUS HEALTH RELATED PROGRAMS, SOME OF WHICH ARE LISTED BELOW: BREAST HEALTH SEMINARS GREAT AMERICAN SMOKE OUT CANCER SURVIVORS DAY & SUPPORT RED CROSS BLOOD DONATIONS CLINICAL NUTRITION SERVICES RONALD MCDONALD HOUSE COMMUNITY HEALTH SCREENINGS SKIN CANCER SEMINARS & SCREENINGS DIABETES EDUCATION & SEMINARS WOMEN'S HEART SCREENINGS & EDUCATION B.MEDIA NEWS SERVICE HEALTH CARE PUBLIC SERVICE BROADCASTS OVER LOCAL RADIO STATIONS, COMMUNITY OUTREACH NEWSLETTER AND WEEKLY NEWSPAPER COLUMNS OF HEALTH INFORMATION VALUED AT 146,106. THE SERVICES PROVIDED INCLUDE: CALL THE DOCTOR (WVIA) MONTHLY COMMUNITY EVENT ADS MARCH FOR BABIES ADS C.DONATED PROPERTY GEISINGER SYSTEM SERVICES PROVIDED 20,511 THROUGH DONATIONS OF OFFICE FURNITURE, PERSONAL COMPUTERS, LAPTOP COMPUTERS AND COMPUTER EQUIPMENT TO NUMEROUS RECIPIENTS, WHICH INCLUDE, BUT NOT LIMITED TO: AGAPE LOVE FROM ABOVE GREENWOOD FRIENDS SCHOOL AVOCA HOSE COMPANY 1 MONTOUR COUNTY HISTORICAL SOCIETY COLUMBIA HOSE COMPANY 2 MOUNT CARMEL BOROUGH POLICE DEPT DANVILLE ASSEMBLY OF GOD CHURCH NORTHUMBERLAND CHRISTIAN SCHOOL FIRST BAPTIST CHURCH DANVILLE ST. NICHOLAS ORTHODOX CATHOLIC CHURCH FIRST PRESBYTERIAN CH. MIFFLINBURG D.OTHER IN-KIND SERVICES AND CONTRIBUTIONS ADDITIONALLY, THE FOLLOWING ORGANIZATIONS AND OTHERS NOT LISTED BELOW RECEIVED CASH CONTRIBUTIONS OR IN-KIND SERVICES INCLUDING HUMAN RESOURCES, FOOD SERVICES, LEGAL SERVICES, INFORMATION TECHNOLOGY, REPROGRAPHICS, PUBLIC RELATIONS AND MARKETING VALUED AT 217,270: AMERICAN CANCER SOCIETY MERCY CENTER CARE HOME ALZHEIMER'S ASSOCIATION NEPA DIVERSITY EDUCATION CONSORTIUM AMERICAN HEART ASSOCIATION SPCA OF LUZERNE COUNTY COLUMBIA COUNTY CHAMBER OF COMMERCE ST. COLUMBA CATHOLIC CHURCH THE HOSPICE HOUSE ST. JUDE'S RESEARCH HOSPITAL LYMPHOMA SOCIETY TEMPLE TIFERETH ISRAEL HEBREW SCH. THE LUZERNE FOUNDATION VNA HOSPICE OF LACKAWANNA COUNTY IV.COMMUNITY SERVICE SUMMARY COMMUNITY HEALTH, EDUCATION AND OUTREACH 476,077 ADDITIONAL INFORMATION FORM 990, PART V FORM 990, PART IV, LINE 24A: DID THE ORGANIZATION HAVE A TAX-EXEMPT BOND ISSUE WITH AN OUTSTANDING PRINCIPAL AMOUNT OF MORE THAN 100,000 AS OF THE LAST DAY OF THE YEAR, THAT WAS ISSUED AFTER DECEMBER 31, 2002? GEISINGER HEALTH SYSTEM FOUNDATION, PARENT OF GEISINGER SYSTEM SERVICES IS CURRENTLY THE SOLE OBLIGOR UNDER A SERIES OF BOND ISSUES WITH A TOTAL OUTSTANDING BALANCE OF 842,322,715 INCLUSIVE OF UNAMORTIZED ORIGINAL ISSUE DISCOUNT AS OF JUNE 30, 2013. BECAUSE THE BOND PROCEEDS ARE DISBURSED TO GEISINGER HEALTH SYSTEM FOUNDATION SUBSIDIARIES, THE BOND LIABILITIES ARE REFLECTED ON THE BALANCE SHEETS OF THE FOLLOWING SUBSIDIARY ORGANIZATIONS: GEISINGER MEDICAL CENTER, EIN: 24-0795959 GEISINGER WYOMING VALLEY MEDICAL CENTER, EIN: 23-1996150 GEISINGER CLINIC, EIN: 23-6291113 MARWORTH, EIN: 23-2171417 GEISINGER SYSTEM SERVICES, EIN: 23-2164794 SCHEDULE K WAS PREPARED ON A CONSOLIDATED BASIS AND IS INCLUDED IN THE FORM 990 FILING OF GEISINGER HEALTH SYSTEM FOUNDATION, EIN: 23-1995911. FORM 990, PART V, LINE 1A: ENTER THE NUMBER REPORTED IN BOX 3 OF FORM 1096, ANNUAL SUMMARY AND TRANSMITTAL OF U.S. INFORMATION RETURNS. GEISINGER SYSTEM SERVICES (GSS) PROVIDES A CENTRALIZED ACCOUNTS PAYABLE FUNCTION FOR ALL ORGANIZATIONS OF THE GEISINGER HEALTH SYSTEM. AS THE ACCOUNTS PAYABLE PROCESSOR, GSS PREPARES AND FILES FORM 1099 UNDER ITS EIN FOR ALL REPORTABLE PAYMENTS OF ITSELF AND CERTAIN AFFILIATES, AND CERTAIN REPORTABLE PAYMENTS OF SOME OF ITS AFFILIATES. THEREFORE, THE NUMBER OF FORM 1099'S FILED BY GSS FOR THE REPORTING PERIOD AS REPORTED ON LINE 1A INCLUDES THE NUMBER OF FORM 1099S FILED ON BEHALF OF ITSELF AND ITS AFFILIATES. ADDITIONAL INFORMATION 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, ONE VOTING MEMBER IS NOT INDEPENDENT BECAUSE HE IS COMPENSATED AS AN EMPLOYEE OF A RELATED TAX-EXEMPT ORGANIZATION. INCLUDING THE VOTING MEMBER DESCRIBED ABOVE, A TOTAL OF SEVEN VOTING MEMBERS OF THE GOVERNING BODY ARE ALSO VOTING MEMBERS OF RELATED TAXABLE ORGANIZATIONS FOR WHICH BUSINESS TRANSACTIONS ARE DISCLOSED ON SCHEDULE L, PART IV. HOWEVER, IF THE RELATED TAXABLE ORGANIZATIONS WERE REQUIRED TO FILE SCHEDULE L, THESE TRANSACTIONS WOULD NOT BE OF A TYPE THAT WOULD BE REPORTABLE ON THEIR SCHEDULE L. IN ADDITION, THESE VOTING MEMBERS ARE NOT COMPENSATED BY THE RELATED TAXABLE ORGANIZATIONS FOR WHICH TRANSACTIONS ARE DISCLOSED IN SCHEDULE L, PART IV, DO NOT HAVE AN OWNERSHIP INTEREST IN OR RECEIVE ANY ECONOMIC BENEFIT FROM THE ACTIVITIES OF THESE RELATED TAXABLE ORGANIZATIONS, RECEIVE NO PRIVATE INUREMENT / PRIVATE BENEFIT FROM THE TRANSACTIONS WITH THE RELATED TAXABLE ORGANIZATIONS AND THE VOTING MEMBERS OF THE GOVERNING BODY ABSTAIN FROM VOTING AND ARE ABSENT FROM BOARD DELIBERATIONS AND DECISIONS ON MATTERS IF A CONFLICT EXISTS. REFER TO THE RESPONSE FOR FORM 990, PART VI, SECTION B, QUESTION 12A, 12B, AND 12C REGARDING THE GEISINGER HEALTH SYSTEM CONFLICTS OF INTEREST POLICY, DISCLOSURE, AND ENFORCEMENT. 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? GLENN D. STEELE, JR. M.D., PH.D., DAVID J. FELICIO, ESQUIRE, FRANK J. TREMBULAK, EDWARD J. ZYCH, ESQUIRE, WILLIAM H. ALEXANDER, RICHARD GRAFMYRE WILLIAM R. GRUVER, THOMAS H. LEE, JR., M.D., ROBERT E. POOLE, AND DON A. ROSINI ALL HAVE A BUSINESS RELATIONSHIP WITH ONE ANOTHER BECAUSE THEY SERVE AS OFFICERS AND/OR DIRECTORS ON ONE OR MORE FOR-PROFIT AFFILIATES OF GEISINGER SYSTEM SERVICES. ALL OF THE AFFILIATES ARE PART OF THE GEISINGER HEALTH SYSTEM. CLASSES OF MEMBERS OR STOCKHOLDERS 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. ELECTION OF MEMBERS AND THEIR RIGHTS 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. ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 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 GHS. 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, 2013. ENFORCEMENT OF CONFLICTS POLICY FORM 990, PAGE 6, PART VI, LINE 12C THE OFFICERS AND DIRECTORS OF GEISINGER SYSTEM SERVICES 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. COMPENSATION PROCESS FOR TOP OFFICIAL 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. COMPENSATION PROCESS FOR OFFICERS FORM 990, PAGE 6, PART VI, LINE 15B SEE SCHEDULE O RESPONSE TO FORM 990, PART VI, SECTION B, QUESTION 15A. GOVERNING DOCUMENTS DISCLOSURE EXPLANATION 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/ABOUT/MISSION.HTML AND SELECT 2013 ANNUAL REPORT. 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. ADDITIONAL INFORMATION FORM 990, PART VIII FORM 990, PART VIII, LINE 2B: THE IC SUPPORT SERVICE REVENUE REPRESENTS REVENUE FROM INTERCOMPANY MANAGEMENT, ADMINISTRATIVE, AND CONSULTING SERVICES PROVIDED TO RELATED TAXABLE ORGANIZATIONS. THE ORGANIZATION AND RELATED TAXABLE ORGANIZATIONS ARE ALL CONTROLLED BY GEISINGER HEALTH SYSTEM FOUNDATION. THE SERVICES, PROVIDED AT OR BELOW COST, ARE PERFORMED WITHOUT A PROFIT MOTIVE TO PROMOTE THE EFFICIENT OPERATION OF THE GEISINGER HEALTH SYSTEM IN CARRYING OUT ITS CHARITABLE MISSION. THE SERVICES ARE NOT OFFERED TO UNRELATED ORGANIZATIONS OR TO THE GENERAL PUBLIC. UNDER IRS ADVISORY DATED MARCH 7, 2014, THESE INTERCOMPANY SHARED SERVICES ARE NOT INCLUDED IN THE DEFINITION OF UNRELATED BUSINESS INCOME AND SHOULD NOT TO BE INCLUDED ON FORM 990-T DUE TO THE ABSENCE OF THE FOLLOWING TWO CONDITIONS: (1) THE SERVICES MUST BE ABOVE COST OR AT FAIR MARKET VALUE, AND (2) THERE MUST BE A PROFIT MOTIVE. ADDITIONAL INFORMATION 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 MED CTR 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 HERSHEY MEDICAL CENTER 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232891807 HOSPITAL PA 501C3 3 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 GEISINGER MED CTR PROF LIAB TRUST 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 256220019 SELF INS PA 501C3 11A GMC true GEISINGER EXCESS COV PROF LIAB TR 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 236852932 SELF INS PA 501C3 11A GMC 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 MEDICAL DIMENSIONS INC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232369788 RE HOLDIN PA 501C2 GHSF true CMC HEALTHCARE SYS MED PROF LIAB TR 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 046990600 SELF INS PA 501C3 11A 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 NORTHEAST CANCER CENTER INC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 201687320 HEALTHCARE PA 501C3 3 NA true HEALTH CARE CORP OF NORTHEAST PA 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232337286 SUPPORT SV PA 501C3 11A NA true GEISINGER-BLOOMSBURG HOSPITAL 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232193572 HOSPITAL PA 501C3 3 GHSF true BLOOMSBURG PHYSICIANS SERVICES 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232979856 PHYS SVCS PA 501C3 3 GHSF true GEISINGER-BLOOMSBURG HEALTHCARE CTR 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232242854 SKLD NURSE PA 501C3 9 GHSF true COLUMBIA-MONTOUR HOME HEALTH SVC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 231704399 HOME HLTH PA 501C3 9 GHSF true BLOOMSBURG HOSP MED PROF LIAB TRUST 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 146222837 SELF INS PA 501C3 11B GHSF 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 NTWRK LLC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 455484165 ORG DL SYS 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 GEISINGER-SCA HOLDINGS LLC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 461615328 HOLDING CO DE N/A false false LACKAWANNA PHYSICIANS AMB SURG CTR 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 233024998 HEALTHCARE PA N/A false false 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 NTWRK LLC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 455484165 ORG DL SYS 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 GEISINGER-SCA HOLDINGS LLC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 461615328 HOLDING CO DE N/A false false LACKAWANNA PHYSICIANS AMB SURG CTR 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 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 INTERNATIONAL SHARED SERVICES INC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232159597 COMPUTER PA N/A true GEISINGER INDEMNITY INSURANCE COMP 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232815174 HLTH INSUR 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true true false true false false false false false false true false true true false false true true false false GEISINGER-BLOOMSBURG HEALTHCARE CTR L 99666 GAAP BLOOMSBURG PHYSICIANS SERVICES L 1557 GAAP COLUMBIA-MONTOUR HOME HEALTH SVC L 2933 GAAP COMMUNITY MEDICAL CENTER M 40 GAAP COMMUNITY MEDICAL CENTER L 11089063 GAAP GEISINGER ASSURANCE COMPANY LTD L 995992 GAAP GEISINGER-BLOOMSBURG HOSPITAL L 611210 GAAP GEISINGER CLINIC L 89708546 GAAP GEISINGER CLINIC M 1827967 GAAP GEISINGER CLINIC Q 25508296 GAAP GEISINGER COMMUNITY HEALTH SERVICES L 3684515 GAAP GEISINGER COMMUNITY HEALTH SERVICES Q 1662462 GAAP GEISINGER COMMUNITY HEALTH SERVICES M 680 GAAP COMMUNITY MEDICAL CARE INC L 33162 GAAP GEISINGER HEALTH PLAN A 201258 FMV GEISINGER HEALTH PLAN L 124421697 GAAP GEISINGER HEALTH PLAN P 104868404 GAAP GEISINGER HEALTH PLAN M 41126 GAAP GEISINGER HEALTH SYSTEM FOUNDATION M 80589 GAAP GEISINGER HEALTH SYSTEM FOUNDATION L 3486270 GAAP GEISINGER HEALTH SYSTEM FOUNDATION Q 364316 GAAP GEISINGER INDEMNITY INSURANCE COMP L 1460845 GAAP GEISINGER INDEMNITY INSURANCE COMP P 1890922 GAAP GEISINGER MEDICAL CENTER L 175917530 GAAP GEISINGER MEDICAL CENTER M 3003075 GAAP GEISINGER MEDICAL CENTER Q 32794107 GAAP GEISINGER MEDICAL MANAGEMENT CORP L 4049222 GAAP GEISINGER MEDICAL MANAGEMENT CORP M 2979852 GAAP GEISINGER MEDICAL MANAGEMENT CORP Q 831757 GAAP GEISINGER QUALITY OPTIONS INC P 6584587 GAAP GEISINGER QUALITY OPTIONS INC L 6115000 GAAP GEISINGER WYOMING VALLEY MED CTR L 76088930 GAAP GEISINGER WYOMING VALLEY MED CTR Q 11829041 GAAP INTERNATIONAL SHARED SERVICES INC A 27252 FMV INTERNATIONAL SHARED SERVICES INC M 1739248 GAAP INTERNATIONAL SHARED SERVICES INC Q 965792 GAAP MARWORTH L 3238984 GAAP MARWORTH Q 503999 GAAP MOUNTAIN VIEW NURSING HOME INC L 16 GAAP INTERNATIONAL SHARED SERVICES L 785800 GAAP GEISINGER-BLOOMSBURG HEALTHCARE CTR L 99666 GAAP BLOOMSBURG PHYSICIANS SERVICES L 1557 GAAP COLUMBIA-MONTOUR HOME HEALTH SVC L 2933 GAAP COMMUNITY MEDICAL CENTER M 40 GAAP COMMUNITY MEDICAL CENTER L 11089063 GAAP GEISINGER ASSURANCE COMPANY LTD L 995992 GAAP GEISINGER-BLOOMSBURG HOSPITAL L 611210 GAAP GEISINGER CLINIC L 89708546 GAAP GEISINGER CLINIC M 1827967 GAAP GEISINGER CLINIC Q 25508296 GAAP GEISINGER COMMUNITY HEALTH SERVICES L 3684515 GAAP GEISINGER COMMUNITY HEALTH SERVICES Q 1662462 GAAP GEISINGER COMMUNITY HEALTH SERVICES M 680 GAAP COMMUNITY MEDICAL CARE INC L 33162 GAAP GEISINGER HEALTH PLAN A 201258 FMV GEISINGER HEALTH PLAN L 124421697 GAAP GEISINGER HEALTH PLAN P 104868404 GAAP GEISINGER HEALTH PLAN M 41126 GAAP GEISINGER HEALTH SYSTEM FOUNDATION M 80589 GAAP GEISINGER HEALTH SYSTEM FOUNDATION L 3486270 GAAP GEISINGER HEALTH SYSTEM FOUNDATION Q 364316 GAAP GEISINGER INDEMNITY INSURANCE COMP L 1460845 GAAP GEISINGER INDEMNITY INSURANCE COMP P 1890922 GAAP GEISINGER MEDICAL CENTER L 175917530 GAAP GEISINGER MEDICAL CENTER M 3003075 GAAP GEISINGER MEDICAL CENTER Q 32794107 GAAP GEISINGER MEDICAL MANAGEMENT CORP L 4049222 GAAP GEISINGER MEDICAL MANAGEMENT CORP M 2979852 GAAP GEISINGER MEDICAL MANAGEMENT CORP Q 831757 GAAP GEISINGER QUALITY OPTIONS INC P 6584587 GAAP GEISINGER QUALITY OPTIONS INC L 6115000 GAAP GEISINGER WYOMING VALLEY MED CTR L 76088930 GAAP GEISINGER WYOMING VALLEY MED CTR Q 11829041 GAAP INTERNATIONAL SHARED SERVICES INC A 27252 FMV INTERNATIONAL SHARED SERVICES INC M 1739248 GAAP INTERNATIONAL SHARED SERVICES INC Q 965792 GAAP MARWORTH L 3238984 GAAP MARWORTH Q 503999 GAAP MOUNTAIN VIEW NURSING HOME INC L 16 GAAP INTERNATIONAL SHARED SERVICES L 785800 GAAP GEISINGER-BLOOMSBURG HEALTHCARE CTR L 99666 GAAP BLOOMSBURG PHYSICIANS SERVICES L 1557 GAAP COLUMBIA-MONTOUR HOME HEALTH SVC L 2933 GAAP COMMUNITY MEDICAL CENTER M 40 GAAP COMMUNITY MEDICAL CENTER L 11089063 GAAP GEISINGER ASSURANCE COMPANY LTD L 995992 GAAP GEISINGER-BLOOMSBURG HOSPITAL L 611210 GAAP GEISINGER CLINIC L 89708546 GAAP GEISINGER CLINIC M 1827967 GAAP GEISINGER CLINIC Q 25508296 GAAP GEISINGER COMMUNITY HEALTH SERVICES L 3684515 GAAP GEISINGER COMMUNITY HEALTH SERVICES Q 1662462 GAAP GEISINGER COMMUNITY HEALTH SERVICES M 680 GAAP COMMUNITY MEDICAL CARE INC L 33162 GAAP GEISINGER HEALTH PLAN A 201258 FMV GEISINGER HEALTH PLAN L 124421697 GAAP GEISINGER HEALTH PLAN P 104868404 GAAP GEISINGER HEALTH PLAN M 41126 GAAP GEISINGER HEALTH SYSTEM FOUNDATION M 80589 GAAP GEISINGER HEALTH SYSTEM FOUNDATION L 3486270 GAAP GEISINGER HEALTH SYSTEM FOUNDATION Q 364316 GAAP GEISINGER INDEMNITY INSURANCE COMP L 1460845 GAAP GEISINGER INDEMNITY INSURANCE COMP P 1890922 GAAP GEISINGER MEDICAL CENTER L 175917530 GAAP GEISINGER MEDICAL CENTER M 3003075 GAAP GEISINGER MEDICAL CENTER Q 32794107 GAAP GEISINGER MEDICAL MANAGEMENT CORP L 4049222 GAAP GEISINGER MEDICAL MANAGEMENT CORP M 2979852 GAAP GEISINGER MEDICAL MANAGEMENT CORP Q 831757 GAAP GEISINGER QUALITY OPTIONS INC P 6584587 GAAP GEISINGER QUALITY OPTIONS INC L 6115000 GAAP GEISINGER WYOMING VALLEY MED CTR L 76088930 GAAP GEISINGER WYOMING VALLEY MED CTR Q 11829041 GAAP INTERNATIONAL SHARED SERVICES INC A 27252 FMV INTERNATIONAL SHARED SERVICES INC M 1739248 GAAP INTERNATIONAL SHARED SERVICES INC Q 965792 GAAP MARWORTH L 3238984 GAAP MARWORTH Q 503999 GAAP MOUNTAIN VIEW NURSING HOME INC L 16 GAAP INTERNATIONAL SHARED SERVICES L 785800 GAAP GEISINGER-BLOOMSBURG HEALTHCARE CTR L 99666 GAAP BLOOMSBURG PHYSICIANS SERVICES L 1557 GAAP COLUMBIA-MONTOUR HOME HEALTH SVC L 2933 GAAP COMMUNITY MEDICAL CENTER M 40 GAAP COMMUNITY MEDICAL CENTER L 11089063 GAAP GEISINGER ASSURANCE COMPANY LTD L 995992 GAAP GEISINGER-BLOOMSBURG HOSPITAL L 611210 GAAP GEISINGER CLINIC L 89708546 GAAP GEISINGER CLINIC M 1827967 GAAP GEISINGER CLINIC Q 25508296 GAAP GEISINGER COMMUNITY HEALTH SERVICES L 3684515 GAAP GEISINGER COMMUNITY HEALTH SERVICES Q 1662462 GAAP GEISINGER COMMUNITY HEALTH SERVICES M 680 GAAP COMMUNITY MEDICAL CARE INC L 33162 GAAP GEISINGER HEALTH PLAN A 201258 FMV GEISINGER HEALTH PLAN L 124421697 GAAP GEISINGER HEALTH PLAN P 104868404 GAAP GEISINGER HEALTH PLAN M 41126 GAAP GEISINGER HEALTH SYSTEM FOUNDATION M 80589 GAAP GEISINGER HEALTH SYSTEM FOUNDATION L 3486270 GAAP GEISINGER HEALTH SYSTEM FOUNDATION Q 364316 GAAP GEISINGER INDEMNITY INSURANCE COMP L 1460845 GAAP GEISINGER INDEMNITY INSURANCE COMP P 1890922 GAAP GEISINGER MEDICAL CENTER L 175917530 GAAP GEISINGER MEDICAL CENTER M 3003075 GAAP GEISINGER MEDICAL CENTER Q 32794107 GAAP GEISINGER MEDICAL MANAGEMENT CORP L 4049222 GAAP GEISINGER MEDICAL MANAGEMENT CORP M 2979852 GAAP GEISINGER MEDICAL MANAGEMENT CORP Q 831757 GAAP GEISINGER QUALITY OPTIONS INC P 6584587 GAAP GEISINGER QUALITY OPTIONS INC L 6115000 GAAP GEISINGER WYOMING VALLEY MED CTR L 76088930 GAAP GEISINGER WYOMING VALLEY MED CTR Q 11829041 GAAP INTERNATIONAL SHARED SERVICES INC A 27252 FMV INTERNATIONAL SHARED SERVICES INC M 1739248 GAAP INTERNATIONAL SHARED SERVICES INC Q 965792 GAAP MARWORTH L 3238984 GAAP MARWORTH Q 503999 GAAP MOUNTAIN VIEW NURSING HOME INC L 16 GAAP INTERNATIONAL SHARED SERVICES L 785800 GAAP GEISINGER-BLOOMSBURG HEALTHCARE CTR L 99666 GAAP BLOOMSBURG PHYSICIANS SERVICES L 1557 GAAP COLUMBIA-MONTOUR HOME HEALTH SVC L 2933 GAAP COMMUNITY MEDICAL CENTER M 40 GAAP COMMUNITY MEDICAL CENTER L 11089063 GAAP GEISINGER ASSURANCE COMPANY LTD L 995992 GAAP GEISINGER-BLOOMSBURG HOSPITAL L 611210 GAAP GEISINGER CLINIC L 89708546 GAAP GEISINGER CLINIC M 1827967 GAAP GEISINGER CLINIC Q 25508296 GAAP GEISINGER COMMUNITY HEALTH SERVICES L 3684515 GAAP GEISINGER COMMUNITY HEALTH SERVICES Q 1662462 GAAP GEISINGER COMMUNITY HEALTH SERVICES M 680 GAAP COMMUNITY MEDICAL CARE INC L 33162 GAAP GEISINGER HEALTH PLAN A 201258 FMV GEISINGER HEALTH PLAN L 124421697 GAAP GEISINGER HEALTH PLAN P 104868404 GAAP GEISINGER HEALTH PLAN M 41126 GAAP GEISINGER HEALTH SYSTEM FOUNDATION M 80589 GAAP GEISINGER HEALTH SYSTEM FOUNDATION L 3486270 GAAP GEISINGER HEALTH SYSTEM FOUNDATION Q 364316 GAAP GEISINGER INDEMNITY INSURANCE COMP L 1460845 GAAP GEISINGER INDEMNITY INSURANCE COMP P 1890922 GAAP GEISINGER MEDICAL CENTER L 175917530 GAAP GEISINGER MEDICAL CENTER M 3003075 GAAP GEISINGER MEDICAL CENTER Q 32794107 GAAP GEISINGER MEDICAL MANAGEMENT CORP L 4049222 GAAP GEISINGER MEDICAL MANAGEMENT CORP M 2979852 GAAP GEISINGER MEDICAL MANAGEMENT CORP Q 831757 GAAP GEISINGER QUALITY OPTIONS INC P 6584587 GAAP GEISINGER QUALITY OPTIONS INC L 6115000 GAAP GEISINGER WYOMING VALLEY MED CTR L 76088930 GAAP GEISINGER WYOMING VALLEY MED CTR Q 11829041 GAAP INTERNATIONAL SHARED SERVICES INC A 27252 FMV INTERNATIONAL SHARED SERVICES INC M 1739248 GAAP INTERNATIONAL SHARED SERVICES INC Q 965792 GAAP MARWORTH L 3238984 GAAP MARWORTH Q 503999 GAAP MOUNTAIN VIEW NURSING HOME INC L 16 GAAP INTERNATIONAL SHARED SERVICES L 785800 GAAP GEISINGER-BLOOMSBURG HEALTHCARE CTR L 99666 GAAP BLOOMSBURG PHYSICIANS SERVICES L 1557 GAAP COLUMBIA-MONTOUR HOME HEALTH SVC L 2933 GAAP COMMUNITY MEDICAL CENTER M 40 GAAP COMMUNITY MEDICAL CENTER L 11089063 GAAP GEISINGER ASSURANCE COMPANY LTD L 995992 GAAP GEISINGER-BLOOMSBURG HOSPITAL L 611210 GAAP GEISINGER CLINIC L 89708546 GAAP GEISINGER CLINIC M 1827967 GAAP GEISINGER CLINIC Q 25508296 GAAP GEISINGER COMMUNITY HEALTH SERVICES L 3684515 GAAP GEISINGER COMMUNITY HEALTH SERVICES Q 1662462 GAAP GEISINGER COMMUNITY HEALTH SERVICES M 680 GAAP COMMUNITY MEDICAL CARE INC L 33162 GAAP GEISINGER HEALTH PLAN A 201258 FMV GEISINGER HEALTH PLAN L 124421697 GAAP GEISINGER HEALTH PLAN P 104868404 GAAP GEISINGER HEALTH PLAN M 41126 GAAP GEISINGER HEALTH SYSTEM FOUNDATION M 80589 GAAP GEISINGER HEALTH SYSTEM FOUNDATION L 3486270 GAAP GEISINGER HEALTH SYSTEM FOUNDATION Q 364316 GAAP GEISINGER INDEMNITY INSURANCE COMP L 1460845 GAAP GEISINGER INDEMNITY INSURANCE COMP P 1890922 GAAP GEISINGER MEDICAL CENTER L 175917530 GAAP GEISINGER MEDICAL CENTER M 3003075 GAAP GEISINGER MEDICAL CENTER Q 32794107 GAAP GEISINGER MEDICAL MANAGEMENT CORP L 4049222 GAAP GEISINGER MEDICAL MANAGEMENT CORP M 2979852 GAAP GEISINGER MEDICAL MANAGEMENT CORP Q 831757 GAAP GEISINGER QUALITY OPTIONS INC P 6584587 GAAP GEISINGER QUALITY OPTIONS INC L 6115000 GAAP GEISINGER WYOMING VALLEY MED CTR L 76088930 GAAP GEISINGER WYOMING VALLEY MED CTR Q 11829041 GAAP INTERNATIONAL SHARED SERVICES INC A 27252 FMV INTERNATIONAL SHARED SERVICES INC M 1739248 GAAP INTERNATIONAL SHARED SERVICES INC Q 965792 GAAP MARWORTH L 3238984 GAAP MARWORTH Q 503999 GAAP MOUNTAIN VIEW NURSING HOME INC L 16 GAAP INTERNATIONAL SHARED SERVICES L 785800 GAAP GEISINGER-BLOOMSBURG HEALTHCARE CTR L 99666 GAAP BLOOMSBURG PHYSICIANS SERVICES L 1557 GAAP COLUMBIA-MONTOUR HOME HEALTH SVC L 2933 GAAP COMMUNITY MEDICAL CENTER M 40 GAAP COMMUNITY MEDICAL CENTER L 11089063 GAAP GEISINGER ASSURANCE COMPANY LTD L 995992 GAAP GEISINGER-BLOOMSBURG HOSPITAL L 611210 GAAP GEISINGER CLINIC L 89708546 GAAP GEISINGER CLINIC M 1827967 GAAP GEISINGER CLINIC Q 25508296 GAAP GEISINGER COMMUNITY HEALTH SERVICES L 3684515 GAAP GEISINGER COMMUNITY HEALTH SERVICES Q 1662462 GAAP GEISINGER COMMUNITY HEALTH SERVICES M 680 GAAP COMMUNITY MEDICAL CARE INC L 33162 GAAP GEISINGER HEALTH PLAN A 201258 FMV GEISINGER HEALTH PLAN L 124421697 GAAP GEISINGER HEALTH PLAN P 104868404 GAAP GEISINGER HEALTH PLAN M 41126 GAAP GEISINGER HEALTH SYSTEM FOUNDATION M 80589 GAAP GEISINGER HEALTH SYSTEM FOUNDATION L 3486270 GAAP GEISINGER HEALTH SYSTEM FOUNDATION Q 364316 GAAP GEISINGER INDEMNITY INSURANCE COMP L 1460845 GAAP GEISINGER INDEMNITY INSURANCE COMP P 1890922 GAAP GEISINGER MEDICAL CENTER L 175917530 GAAP GEISINGER MEDICAL CENTER M 3003075 GAAP GEISINGER MEDICAL CENTER Q 32794107 GAAP GEISINGER MEDICAL MANAGEMENT CORP L 4049222 GAAP GEISINGER MEDICAL MANAGEMENT CORP M 2979852 GAAP GEISINGER MEDICAL MANAGEMENT CORP Q 831757 GAAP GEISINGER QUALITY OPTIONS INC P 6584587 GAAP GEISINGER QUALITY OPTIONS INC L 6115000 GAAP GEISINGER WYOMING VALLEY MED CTR L 76088930 GAAP GEISINGER WYOMING VALLEY MED CTR Q 11829041 GAAP INTERNATIONAL SHARED SERVICES INC A 27252 FMV INTERNATIONAL SHARED SERVICES INC M 1739248 GAAP INTERNATIONAL SHARED SERVICES INC Q 965792 GAAP MARWORTH L 3238984 GAAP MARWORTH Q 503999 GAAP MOUNTAIN VIEW NURSING HOME INC L 16 GAAP INTERNATIONAL SHARED SERVICES L 785800 GAAP ADDITIONAL INFORMATION SCHEDULE R FORM 990 SCHEDULE R PART V TRANSACTIONS WITH RELATED ORGANIZATIONS AS SHOWN IN THE RESPONSE TO FORM 990 SCHEDULE R GEISINGER SYSTEM SERVICES IS CLOSELY AFFILIATED WITH SEVERAL OTHER ORGANIZATIONS IN THE NORMAL COURSE OF THE OPERATIONS OF THESE AFFILIATED ORGANIZATIONS THERE ARE NUMEROUS INTER ORGANIZATIONAL TRANSACTIONS WHICH MAY INCLUDE SALES EXCHANGES AND LEASES OF PROPERTY EXTENSIONS OF CREDIT FURNISHING OF GOODS SERVICES AND FACILITIES AND TRANSFERS OF ASSETS THESE INTER ORGANIZATION TRANSACTIONS PROMOTE THE EFFICIENT OPERATION OF THE VARIOUS ORGANIZATIONS AND THE ATTAINMENT OF THEIR TAX EXEMPT PURPOSES THESE TYPES OF INTER ORGANIZATION TRANSACTIONS WERE DESCRIBED TO THE INTERNAL REVENUE SERVICE IN A RULING APPLICATION AND WERE RECOGNIZED BY THE NATIONAL OFFICE OF THE IRS IN A SERIES OF GHS PRIVATE RULINGS AS BEING ENTIRELY CONSISTENT WITH THE ORGANIZATIONS TAX EXEMPT STATUS GEISINGER HEALTH SYSTEM FOUNDATION 100 NORTH ACADEMY AVENUE DANVILLE PA 17822 231995911 X 0 0 0 0 0 0 0 0 0 0 GEISINGER MEDICAL CENTER 100 NORTH ACADEMY AVENUE DANVILLE PA 17822 240795959 X 0 29290 29290 909722334 909751624 310143 77536 0 0 0 GEISINGER CLINIC 100 NORTH ACADEMY AVENUE DANVILLE PA 17822 236291113 X 0 37359 37359 777143985 777181344 264949 66237 0 0 0 GEISINGER SYSTEM SERVICES 100 NORTH ACADEMY AVENUE DANVILLE PA 17822 232164794 X 1437 560350 561787 512135793 512697580 174784 43696 0 0 0 GEISINGER WYOMING VALLEY MEDICAL CTR 100 NORTH ACADEMY AVENUE DANVILLE PA 17822 231996150 X 0 7636 7636 413534594 413542230 140981 35245 0 0 0 MARWORTH 100 NORTH ACADEMY AVENUE DANVILLE PA 17822 232171417 X 0 5667 5667 12161456 12167123 4148 1037 0 0 0 HERSHEY MEDICAL CENTER 100 NORTH ACADEMY AVENUE DANVILLE PA 17822 232891807 X 0 0 0 0 0 0 0 0 0 0 GEISINGER COMMUNITY HEALTH SERVICES 100 NORTH ACADEMY AVENUE DANVILLE PA 17822 232967235 X 0 4568 4568 40789275 40793843 13907 3477 0 0 0 GEISINGER INSURANCE CORP RRG 100 NORTH ACADEMY AVENUE DANVILLE PA 17822 141909894 0 0 0 986617 986617 336 84 0 0 0 GEISINGER MED CTR PROF LIAB TRUST 100 NORTH ACADEMY AVENUE DANVILLE PA 17822 256220019 0 0 0 5147 5147 2 0 0 0 0 GEISINGER EXCESS COV PROF LIAB TRUST 100 NORTH ACADEMY AVENUE DANVILLE PA 17822 236852932 0 0 0 0 0 0 0 0 0 0 COMMUNITY MEDICAL CENTER 100 NORTH ACADEMY AVENUE DANVILLE PA 17822 240862246 X 0 2518 2518 184555653 184558171 62918 15729 0 0 0 COMMUNITY MED CTR HEALTHCARE SYSTEM 100 NORTH ACADEMY AVENUE DANVILLE PA 17822 232279376 0 0 0 15061 15061 5 1 0 0 0 COMMUNITY MED CTR HLTHCARE SYS TRUST 100 NORTH ACADEMY AVENUE DANVILLE PA 17822 046990600 0 0 0 1279441 1279441 436 109 0 0 0 COMMUNITY MEDICAL CARE INC 100 NORTH ACADEMY AVENUE DANVILLE PA 17822 232429776 0 1029 1029 10186478 10187507 3473 868 0 0 0 MOUNTAIN VIEW NURSING HOME INC 100 NORTH ACADEMY AVENUE DANVILLE PA 17822 232568288 0 0 0 16731974 16731974 5704 1426 0 0 0 GEISINGER-BLOOMSBURG HOSPITAL 100 NORTH ACADEMY AVENUE DANVILLE PA 17822 232193572 0 209 209 36430143 36430352 12419 3105 0 0 0 BLOOMSBURG PHYSICIAN SERVICES 100 NORTH ACADEMY AVENUE DANVILLE PA 17822 232979856 0 0 0 2231806 2231806 761 190 0 0 0 GEISINGER-BLOOMSBURG HEALTH CARE CTR 100 NORTH ACADEMY AVENUE DANVILLE PA 17822 232242854 0 0 0 9965074 9965074 3397 849 0 0 0 COLUMBIA-MONTOUR HOME HEALTH SVCS 100 NORTH ACADEMY AVENUE DANVILLE PA 17822 231704399 0 112 112 4748651 4748763 1619 405 0 0 0 BLOOMSBURG HOSPITAL MED PROFL SIT 100 NORTH ACADEMY AVENUE DANVILLE PA 17822 146222837 0 0 0 52214 52214 18 4 0 0 0