2013-05-13T15:18:11-05:00 2012-06-30 990 2011-07-01 232164794 GEISINGER SYSTEM SERVICES GEIS 5702716624 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 DAVID J FELICIO ESQUIRE 5702716624 2013-05-08 2013-05-13 2011 2016-02-24 21:20:13Z GLENN D STEELE JR MD PHD 100 NORTH ACADEMY AVENUE MC 22-01 DANVILLE PA 17822 475414803 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. 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 INFORMATION SYSTEMS AUTOMOTIVE SERVICES INTERNAL AUDIT BUSINESS OFFICE LAUNDRY CLINICAL CONTENT MANAGEMENT LEGAL SERVICES CLINICAL EFFECTIVENESS MAIL SERVICES COMMUNICATION AND PUBLIC RELATIONS MAR 9 8 5419 10043332 0 410824040 472508821 3953095 2063590 2738098 765678 417515233 475338089 0 0 267808277 306067379 0 0 139547298 161634620 407355575 467701999 10159658 7636090 372662272 397441652 378473904 400283519 -5811632 -2841867 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. 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 INFORMATION SYSTEMS AUTOMOTIVE SERVICES INTERNAL AUDIT BUSINESS OFFICE LAUNDRY CLINICAL CONTENT MANAGEMENT LEGAL SERVICES CLINICAL EFFECTIVENESS MAIL SERVICES COMMUNICATION AND PUBLIC RELATIONS MAR false false 438409429 SEE SCHEDULE O 438409429 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 1212 0 true 5419 true true true false false false false false false false false false X 9 8 true false false false true true true true true false false true true true true true true true true true true PA CA NC X SUSAN HEINTZELMAN DIRECTOR 5702142299 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 X WILLIAM H ALEXANDER 2.00 X 0 0 0 E ALLEN DEAVER 2.00 X 0 0 0 DORRANCE R BELIN ESQUIRE 2.00 X 0 0 0 RICHARD A GRAFMYRE 2.00 X 0 0 0 WILLIAM R GRUVER 2.00 X 0 0 0 FRANK M HENRY 2.00 X 0 0 0 THOMAS H LEE JR MD 2.00 X 0 0 0 GLENN D STEELE JR MD PHD 40.00 X X 5048679 0 390571 ROBERT E POOLE 2.00 X 0 0 0 DON A ROSINI 2.00 X 0 0 0 DAVID J FELICIO ESQUIRE 40.00 X 475750 0 133442 EDWARD J ZYCH ESQUIRE 40.00 X 336473 0 63965 KEVIN F BRENNAN CPA FHFMA 40.00 X 970130 0 192289 FRANK J TREMBULAK 40.00 X 934746 0 206030 AMY BRAYFORD 40.00 X 274147 0 34576 KEVIN J KERESTUS CIA 40.00 X 223720 0 34839 ROBERT W DAVIES 40.00 X 360955 0 32598 ANDREW M DEUBLER 40.00 X 539988 0 115221 DAVID H LEDBETTER PHD FACMG 40.00 X 788283 57297 150180 JAMES C ARMSTRONG CPA FHFMA 40.00 X 471771 0 34050 JEAN HAYNES 40.00 X 830176 0 194983 RICHARD KWEI 40.00 X 435340 0 39171 EARL P STEINBERG MD MPP 40.00 X 242997 0 15845 RICHARD E MERKLE 40.00 X 490620 0 73937 EDELYN L MILLER 40.00 X 713020 0 136125 FRANCIS M RICHARDS 40.00 X 538623 0 77926 BARBARA M TAPSCOTT 40.00 X 328083 0 54311 JOANNE E WADE 40.00 X 1043337 0 193326 DUDLEY F GEROW 40.00 X 415714 0 35670 JOSEPH HADDOCK 40.00 X 399970 0 39668 JACQUELYN PAUL 40.00 X 402084 0 24728 NANCY L RIZZO 40.00 X 475872 0 28288 GEORGE A SCHNEIDER 40.00 X 425003 0 36027 KENNETH A HOLDREN 40.00 X 0 490934 83050 17165481 548231 2420816 232 true true false APOLLO GROUP 190 MATSON AVE WILKESBARRE PA 18705 ELECTRICAL CONT 5133200 PENN STATE MECHANICAL PO BOX 1027 WILKESBARRE PA 18703 CONTRACTORS 5092916 EPIC SYSTEMS PO BOX 88314 MILWAUKEE WI 532880314 SOFTWARE MAINT 4838356 HCSC LAUNDRY PO BOX 25092 LEHIGH VALLEY PA 180025092 LAUNDRY 3207178 MASONRY PRESERVATION SERVICES 7255 OLD BERWICK ROAD BLOOMSBURG PA 17815 MASONRY 3166500 359 INTERCOMPANY SUPPORT SERVICES 541900 452180963 452180963 INTERCOMPANY SUPPORT SERVCS 541900 9979147 9979147 FOOD SERVICES 722210 5970244 5970244 PREMIER PURCHASING/K-1 541900 2945141 2945141 OTHER SUPPORT SERVICES 541900 1371697 1371697 61629 61629 472508821 914438 2556 911882 7694 7694 1759 1759 57900 76714 -18814 -18814 -18814 1138513 2945 1138513 2945 1141458 1141458 PURCHASE DISCOUNTS 900099 459909 459909 CANTEEN VENDING & COMMISSION 900099 252069 252069 DIRECTOR'S FEES 541900 51900 51900 18855 18855 782733 475338089 464069412 10043332 1225345 12866430 1628275 11238155 2431836 1954211 477625 223118723 214450114 8668609 11097297 10666145 431152 39569229 38031885 1537344 16983864 16324007 659857 7285568 7002509 283059 158432 152277 6155 574019 551717 22302 419892 403578 16314 39209309 37685949 1523360 3917363 3765166 152197 27254669 26195770 1058899 31760987 30527009 1233978 7127523 6850605 276918 2930978 2817104 113874 1669 1604 65 169291 162714 6577 4669344 4487931 181413 25907018 24900478 1006540 317799 305452 12347 INTER-ENTITY EXPENSE 8435930 8108177 327753 BOOKS, LISC, FEES, DUES 1491973 1434007 57966 UBI TAX 2856 2745 111 467701999 438409429 29292570 0 31281382 23349371 18370201 13273716 123574 115938 83024 183095 416641 448122 199642 273756 17309767 18845259 350280223 171662830 151045999 178617393 9362325 3673172 30079596 18994014 2556281 3087319 111833840 136580497 372662272 397441652 179805660 207631726 133403524 119514727 65264720 73137066 378473904 400283519 X -5811632 -2841867 -5811632 -2841867 372662272 397441652 X 7636090 -4666325 X X false true true X false X X X false false false GEISINGER MEDICAL CENTER 240795959 3 true false true 0 8 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 INFORMATION SYSTEMS AUTOMOTIVE SERVICES INTERNAL AUDIT BUSINESS OFFICE LAUNDRY CLINICAL CONTENT MANAGEMENT LEGAL SERVICES CLINICAL EFFECTIVENESS MAIL SERVICES COMMUNICATION AND PUBLIC RELATIONS MARKET PLANNING CUSTOMER ACCESS MATERIAL MANAGEMENT CUSTOMER SERVICE CALL CENTER MEDICAL LIBRARY ELEVATOR OPERATIONS MEDICAL PHOTOGRAPHY EMPLOYEE BENEFIT ADMINISTRATION PATIENT TRANSPORT FACILITIES PLANNING AND MANAGEMENT PLANT ENGINEERING FINANCIAL SERVICES POWER PLANT FOOD SERVICES REPROGRAPHICS GENERAL MAINTENANCE RISK MANAGEMENT GROUNDS SECURITY HOUSEKEEPING TELECOMMUNICATIONS HUMAN RESOURCES 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. false false false X 574019 640652 574019 640652 467127980 2670639189 467701999 2671279841 1000000 1000000 250000 250000 false 1000000 1000000 1000000 1000000 4000000 6000000 402712 574174 611545 640652 2229083 250000 250000 250000 250000 1000000 1500000 false false false false false false false false false false false false false false false false false false false false false false false false 3640482 3640482 34729603 10568317 24161286 283125814 159638400 123487414 28784324 1456113 27328211 178617393 DUE FROM AFFILIATES 71950331 DEFERRED COMPENSATION 62480849 OTHER RECEIVABLE 2097707 OTHER ASSET 27319 SWAP RECEIVABLE 24291 136580497 DEFERRED COMPENSATION 62097138 FINANCIAL CONTRACT 9904600 RETIREE BENEFITS 881995 RELOCATION 253333 REBATE PAYABLE 73137066 SUPPLEMENTAL FINANCIAL INFORMATION SCHEDULE D, PAGE 4, PART XIV 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, 2012 OR ANY PREVIOUS YEARS SINCE ADOPTION. ACCORDINGLY, NO FIN 48 FOOTNOTE DISCLOSURE WAS MADE IN THE JUNE 30, 2012 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 4322393 4322393 CENTRAL AMERICA AND THE CARIBBEAN 0 4,322,393 X 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 978712 825000 3244967 359130 31441 5439250 2824875 DAVID J FELICIO ESQUIRE 293852 144222 37676 115877 17565 609192 EDWARD J ZYCH ESQUIRE 244966 72505 19002 42780 21185 400438 KEVIN F BRENNAN CPA FHFMA 481220 297816 191094 170858 21431 1162419 155504 FRANK J TREMBULAK 574658 303886 56202 195777 10253 1140776 AMY BRAYFORD 191446 59705 22996 17778 16798 308723 KEVIN J KERESTUS CIA 172254 48065 3401 15962 18877 258559 ROBERT W DAVIES 225288 96603 39064 17778 14820 393553 ANDREW M DEUBLER 312737 131180 96071 83781 31440 655209 DAVID H LEDBETTER PHD FACMG 478230 42952 228381 81672 14345 120593 2188 23748 3651 932624 63136 JAMES C ARMSTRONG CPA FHFMA 318189 121070 32512 17778 16272 505821 JEAN HAYNES 488365 276989 64822 171586 23397 1025159 RICHARD KWEI 275494 125627 34219 17778 21393 474511 EARL P STEINBERG MD MPP 205020 37977 15665 180 258842 RICHARD E MERKLE 306490 106081 78049 60713 13224 564557 40982 EDELYN L MILLER 407160 228002 77858 124280 11845 849145 33169 FRANCIS M RICHARDS 350909 136883 50831 64807 13119 616549 42273 BARBARA M TAPSCOTT 237332 86252 4499 46778 7533 382394 JOANNE E WADE 553391 281613 208333 184461 8865 1236663 173267 DUDLEY F GEROW 293774 115620 6320 17778 17892 451384 JOSEPH HADDOCK 253843 113132 32995 17778 21890 439638 JACQUELYN PAUL 256068 108767 37249 17778 6950 426812 NANCY L RIZZO 297679 135365 42828 17778 10510 504160 GEORGE A SCHNEIDER 283878 116883 24242 17778 18249 461030 KENNETH A HOLDREN 303836 117414 69684 61192 21858 573984 40540 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. HEALTH OR SOCIAL CLUB DUES OR INITIATION FEES - THE GEISINGER HEALTH SYSTEM FOUNDATION BOARD OF DIRECTORS APPROVED CLUB MEMBERSHIP FOR BUSINESS USE BY THE CHIEF EXECUTIVE OFFICER. THE DUES/FEES ARE REPORTED AS COMPENSATION TO THE CHIEF EXECUTIVE OFFICER. SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTS SCHEDULE J, PAGE 1, PART I, LINE 4 GLENN D. STEELE JR., M.D., PH.D. 0 3,128,364 0 KEVIN F. BRENNAN, CPA, FHFMA 0 155,504 0 FRANK J. TREMBULAK 0 3,662 0 RICHARD E. MERKLE 0 40,982 0 EDELYN L . MILLER 0 33,169 0 FRANCIS M. RICHARDS 0 42,273 0 JOANNE E. WADE 0 173,267 0 KENNETH A. HOLDREN 0 40,540 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 LEDBETTER RECRUITMENT X 150000 97113 false true true JEAN HAYNES RECRUITMENT X 100000 35924 false true true GEORGE SCHNEIDER RECRUITMENT X 40000 25787 false true true EDWARD J ZYCH ESQUIRE RETENTION X 30000 16971 false true true ANDREW DEUBLER RECRUITMENT X 20000 7300 false true true 183095 PREMIER INC BUSINESS 51500 EXEC ADVISORY FEES false PREMIER INC BUSINESS 379984 SAFETY SURVEILLOR false PREMIER INC BUSINESS 323670 HEALTH QUALITY MGR. false PREMIER INC BUSINESS 20833 QUALITY ASSURANCE false GEISINGER MEDICAL MANAGEMENT CORP BUSINESS 3303043 IC SHARED SERV REV false GEISINGER MEDICAL MANAGEMENT CORP BUSINESS 436562 IC SHARED SERV EXP false GEISINGER INDEMNITY INSURANCE COMP BUSINESS 774851 IC SHARED SERV REV false GEISINGER INDEMNITY INSURANCE COMP BUSINESS 1673958 IC SHARED SERV EXP false GEISINGER QUALITY OPTIONS INC BUSINESS 6232071 IC SHARED SERV EXP false GEISINGER QUALITY OPTIONS INC BUSINESS 3925000 IC SHARED SERV REV false INTERNATIONAL SHARED SERVICES INC BUSINESS 3447252 IC SHARED SERV EXP false INTERNATIONAL SHARED SERVICES INC BUSINESS 3189472 IC SHARED SERV REV false INTERNATIONAL SHARED SERVICES INC BUSINESS 27252 LEASE REVENUE false GEISINGER ASSURANCE COMPANY LTD BUSINESS 632999 IC SHARED REVENUE false JAKE T MANGELS FAMILY 68322 EMPLOYEE COMP. false JESSICA HAYNES FAMILY 85112 EMPLOYEE COMP. false MICHAEL HAYNES FAMILY 11867 EMPLOYEE COMP. false JESSE R MILLER FAMILY 36355 EMPLOYEE COMP. false BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS SCHEDULE L PART IV INTERNATIONAL SHARED SERVICES INC 3447252 BUSINESS IC SHARED SERV EXP INTERNATIONAL SHARED SERVICES INC 3189472 BUSINESS IC SHARED SERV REV INTERNATIONAL SHARED SERVICES INC 27252 BUSINESS LEASE REVENUE GEISINGER ASSURANCE COMPANY LTD 632999 BUSINESS IC SHARED REVENUE JAKE T MANGELS 68322 FAMILY EMPLOYEE COMP JESSICA HAYNES 85112 FAMILY EMPLOYEE COMP MICHAEL HAYNES 11867 FAMILY EMPLOYEE COMP JESSE R MILLER 36355 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 OFFICERS AND DIRECTORS OF GEISINGER SYSTEM SERVICES ARE OFFICERS AND DIRECTORS OF THESE ORGANIZATIONS AS DESCRIBED BELOW GEISINGER MEDICAL MANAGEMENT CORPORATION GMMC DAVID J FELICIO ESQUIRE IS THE CHIEF LEGAL OFFICER AND SECRETARY OF GSS AND GMMC GLENN D STEELE JR MD PHD IS THE PRESIDENT CHAIRMAN OF THE BOARD AND DIRECTOR EXOFFICIO OF GSS AND THE PRESIDENT CHAIRMAN OF THE BOARD AND DIRECTOR OF GMMC FRANK J TREMBULAK IS THE SENIOR VICE PRESIDENT AND TREASURER OF GSS AND GMMC EDWARD J ZYCH ESQUIRE IS THE ASSISTANT SECRETARY OF GSS AND GMMC WILLIAM H ALEXANDER IS A DIRECTOR OF GSS AND GMMC RICHARD GRAFMYRE IS A DIRECTOR OF GSS AND GMMC WILLIAM R GRUVER IS A DIRECTOR OF GSS AND GMMC ROBERT E POOLE IS A DIRECTOR OF GSS AND GMMC DON A ROSINI IS A DIRECTOR OF GSS AND GMMC GEISINGER QUALITY OPTIONS INC GQO DAVID J FELICIO ESQUIRE IS THE CHIEF LEGAL OFFICER AND SECRETARY OF GSS AND GQO GLENN D STEELE JR MD PHD IS THE PRESIDENT CHAIRMAN OF THE BOARD AND DIRECTOR EXOFFICIO OF GSS AND THE CHAIRMAN OF THE BOARD AND DIRECTOR EXOFFICIO OF GQO FRANK J TREMBULAK IS THE SENIOR VICE PRESIDENT AND TREASURER OF GSS AND SENIOR VICE PRESIDENT TREASURER AND DIRECTOR OF GQO WILLIAM H ALEXANDER IS A DIRECTOR OF GSS AND GQO RICHARD GRAFMYRE IS A DIRECTOR OF GSS AND GQO DON A ROSINI IS A DIRECTOR OF GSS AND GQO THOMAS H LEE JR IS A DIRECTOR OF GSS AND GQO INTERNATIONAL SHARED SERVICES INC ISS DAVID J FELICIO ESQUIRE IS THE CHIEF LEGAL OFFICER AND SECRETARY OF GSS AND ISS GLENN D STEELE JR MD PHD IS THE PRESIDENT CHAIRMAN OF THE BOARD AND DIRECTOR EXOFFICIO OF GSS AND THE CHAIRMAN OF THE BOARD AND DIRECTOR OF ISS FRANK J TREMBULAK IS THE SENIOR VICE PRESIDENT AND TREASURER OF GSS AND THE SENIOR VICE PRESIDENT TREASURER AND DIRECTOR OF ISS EDWARD J ZYCH ESQUIRE IS THE ASSISTANT SECRETARY OF GSS AND ISS GEISINGER INDEMNITY INSURANCE COMPANY GIIC DAVID J FELICIO ESQUIRE IS THE CHIEF LEGAL OFFICER AND SECRETARY OF GSS AND GIIC GLENN D STEELE JR MD PHD IS THE PRESIDENT CHAIRMAN OF THE BOARD AND DIRECTOR EXOFFICIO OF GSS AND THE CHAIRMAN OF THE BOARD AND DIRECTOR EXOFFICIO OF GIIC FRANK J TREMBULAK IS THE SENIOR VICE PRESIDENT AND TREASURER OF GSS AND SENIOR VICE PRESIDENT TREASURER AND DIRECTOR OF GIIC WILLIAM H ALEXANDER IS A DIRECTOR OF GSS AND GIIC RICHARD GRAFMYRE IS A DIRECTOR OF GSS AND GIIC DON A ROSINI IS A DIRECTOR OF GSS AND GIIC THOMAS H LEE JR IS A DIRECTOR OF GSS AND GIIC GEISINGER ASSURANCE COMPANY LTD GAC DAVID J FELICIO ESQUIRE IS THE CHIEF LEGAL OFFICER AND SECRETARY OF GSS AND A SECRETRAY AND DIRECTOR OF GAC GLENN D STEELE JR MD PHD IS THE PRESIDENT CHAIRMAN OF THE BOARD AND DIRECTOR EXOFFICIO OF GSS AND THE CHAIRMAN OF THE BOARD AND DIRECTOR OF GAC FRANK J TREMBULAK IS THE SENIOR VICE PRESIDENT AND TREASURER OF GSS AND THE PRESIDENT CHIEF EXECUTIVE OFFICER AND DIRECTOR OF GAC EDWARD J ZYCH ESQUIRE IS THE ASSISTANT SECRETARY OF GSS AND GAC ORGANIZATION'S MISSION FORM 990 - ORGANIZATION'S MISSION 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. 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 INFORMATION SYSTEMS AUTOMOTIVE SERVICES INTERNAL AUDIT BUSINESS OFFICE LAUNDRY CLINICAL CONTENT MANAGEMENT LEGAL SERVICES CLINICAL EFFECTIVENESS MAIL SERVICES COMMUNICATION AND PUBLIC RELATIONS MARKET PLANNING CUSTOMER ACCESS MEDICAL LIBRARY CUSTOMER SERVICE CALL CENTER MEDICAL PHOTOGRAPHY ELEVATOR OPERATIONS PATIENT TRANSPORT EMPLOYEE BENEFIT ADMINISTRATION PLANT ENGINEERING FACILITIES PLANNING AND MANAGEMENT POWER PLANT FINANCIAL SERVICES REPROGRAPHICS FOOD SERVICES RISK MANAGEMENT GENERAL MAINTENANCE SECURITY GROUNDS SUPPLY CHAIN SERVICES HOUSEKEEPING TELECOMMUNICATIONS HUMAN RESOURCES 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 106,244 OF IN-KIND SUPPORT TO NUMEROUS HEALTH RELATED PROGRAMS, SOME OF WHICH ARE LISTED BELOW: BREAST HEALTH SEMINARS RED CROSS BLOOD DONATIONS CANCER SURVIVORS DAY & SUPPORT RONALD MCDONALD HOUSE CLINICAL NUTRITION SERVICES SKIN CANCER SEMINARS & SCREENINGS COMMUNITY HEALTH SCREENINGS WOMEN'S HEART SCREENINGS & EDUCATION DIABETES EDUCATION & SEMINARS HEALTHCARE ORGS CONFERENCE 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 66,211. THE SERVICES PROVIDED INCLUDE: MARCH FOR BABIES ADS MONTHLY COMMUNITY EVENT ADS C.DONATED PROPERTY GEISINGER SYSTEM SERVICES PROVIDED 8,441 THROUGH DONATIONS OF OFFICE FURNITURE, PERSONAL COMPUTERS, LAPTOP COMPUTERS AND COMPUTER EQUIPMENT TO NUMEROUS RECIPIENTS, WHICH INCLUDE: AGAPE LOVE FROM ABOVE MILTON AREA SCHOOL DISTRICT COLUMBIA HOSE CO. 2 MOUNT CARMEL BOROUGH POLICE DEPT GRACE LUTHERAN CHURCH NORTHUMBERLAND CHRISTIAN SCHOOL HAZELTON CHAMBER OF COMMERCE OTTERBEIN UNITED METHODIST CHURCH HOUSING TRANSITION INC. ST. JAMES LUTHERAN CHURCH 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 184,708: AMERICAN CANCER SOCIETY SPCA OF LUZERNE COUNTY ALZHEIMER'S ASSOCIATION SUNCOM AMERICAN HEART ASSOCIATION SUSQUEHANNA ECONOMIC DEVELOPMENT COLUMBIA COUNTY CHAMBER OF COMMERCE ASSOC. LEUKEMIA & LYMPHOMA SOCIETY THE HOSPICE HOUSE METRO HEALTH SYSTEM THE LUZERNE FOUNDATION NORTHEAST PA DIVERSITY EDUCATION CONSORTIUM IV.COMMUNITY SERVICE SUMMARY COMMUNITY HEALTH, EDUCATION AND OUTREACH 365,604 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 845,252,950 INCLUSIVE OF UNAMORTIZED ORIGINAL ISSUE DISCOUNT AS OF JUNE 30, 2012. 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 SIX VOTING MEMBERS OF THE GOVERNING BODY ARE ALSO VOTING MEMBERS OF AFFILIATED TAXABLE ORGANIZATIONS FOR WHICH BUSINESS TRANSACTIONS MAY BE 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 AFFILIATED 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 AFFILIATED 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. 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. FORM 990, PART VI, SECTION B, LINE 13: DID THE ORGANIZATION HAVE A WRITTEN WHISTLEBLOWER POLICY?; LINE 14: DID THE ORGANIZATION HAVE A WRITTEN DOCUMENT RETENTION AND DESTRUCTION POLICY?; LINE 16B: DID THE ORGANIZATION HAVE A WRITTEN JOINT VENTURE POLICY? THE GEISINGER HEALTH SYSTEM WHISTLEBLOWER POLICY, DOCUMENT RETENTION AND DESTRUCTION POLICY, AND JOINT VENTURE POLICY HAVE BEEN IN EFFECT AND ENFORCED FOR MANY YEARS. IN ADDITION TO THE POLICIES BEING A BEST PRACTICE, GEISINGER HEALTH SYSTEM RECOGNIZES THEIR VALUE AS A GUIDE TO THE GOVERNING BODY OF THE ORGANIZATION, EMPLOYEES, AND OTHERS. THE BOARD OF DIRECTORS OF GEISINGER HEALTH SYSTEM FORMALLY ADOPTED THE POLICIES IN THE SPRING OF 2013 AUTHORITY DELEGATED TO COMMITTEE EXPLANATION FORM 990, PAGE 6, PART VI, LINE 1A OTHER THAN THE COMMITTEES' LISTED IN THE IRS INSTRUCTIONS AND THE MEDICAL AFFAIRS COMMITTEE WHOSE AUTHORITY IS LIMITED IN SCOPE, THERE WAS A DELEGATION OF AUTHORITY TO THE GEISINGER HEALTH SYSTEM FOUNDATION (GHSF) EXECUTIVE COMMITTEE WHICH IS COMPRISED OF THOSE INDIVIDUALS WHO SERVE AS GHSF BOARD MEMBERS. UNDER THE NONPROFIT CORPORATION LAW AND UNDER GHSF'S CORPORATE BYLAWS, THE EXECUTIVE COMMITTEE HAS THE FULL AUTHORITY TO ACT ON BEHALF OF THE FULL BOARD OF DIRECTORS WHEN IT IS NOT IN SESSION. 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. DECISIONS SUBJECT TO APPROVAL OF MEMBERS FORM 990, PAGE 6, PART VI, LINE 7B 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. 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, 2012. 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 COMMUNITY BENEFIT REPORT AND ANNUAL REPORT FOR GEISINGER HEALTH SYSTEM, CONTAINING CONSOLIDATED FINANCIAL INFORMATION AND OTHER INFORMATION, ARE AVAILABLE ON THE GEISINGER HEALTH SYSTEM WEBSITE AT: WWW.GEISINGER.ORG/ABOUT/2011_AR_FINAL.PDF 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 VII FORM 990, PART VII, SECTION A, COLUMN B - AVERAGE HOURS PER WEEK: FOR ALL CURRENT OFFICERS, DIRECTORS, KEY EMPLOYEES, AND FIVE HIGHEST COMPENSATED EMPLOYEES REPORTED IN FORM 990, PART VII, THE AVERAGE HOURS PER WEEK REPRESENTS THE MINIMUM HOURS DEVOTED TO THE ORGANIZATION AND RELATED ORGANIZATIONS OF THE GEISINGER HEALTH SYSTEM, AS APPLICABLE. FORMER OFFICERS, DIRECTORS, KEY EMPLOYEES, AND FIVE HIGHEST COMPENATED EMPLOYEES WORK A MINIMUM OF 40 HOURS PER WEEK FOR RELATED ORGANIZATIONS. OTHER CHANGES IN NET ASSETS EXPLANATION FORM 990, PART XI, LINE 5 INCREASES TO NET ASSETS: TRANSFER FROM AFFILIATE 462,804 PREMIER PARTNERSHIP BOOK TO TAX DIFFERENCE 134,145 DECREASES TO NET ASSETS: UNREALIZED GAIN/LOSS ON INVESTMENTS -2,150,805 CHANGE IN DERIVATIVE VALUE -1,153,768 UNREALIZED GAIN/LOSS ON DERIVATIVE -1,958,701 TOTAL OTHER CHANGES IN NET ASSETS -4,666,325 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 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 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 GEISINGER MEDICAL MANAGEMENT CORP 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232077663 HOTEL/REST PA N/A INTERNATIONAL SHARED SERVICES INC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232159597 COMPUTER PA N/A GEISINGER INDEMNITY INSURANCE COMP 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232815174 HLTH INSUR PA N/A GEISINGER QUALITY OPTIONS INC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 204275139 HLTH INSUR PA N/A GEISINGER ASSURANCE COMPANY LTD PO BOX 2196GT GRAND CAYMAN CJ 981016737 INSURANCE CJ N/A GEISINGER MEDICAL MANAGEMENT CORP 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232077663 HOTEL/REST PA N/A INTERNATIONAL SHARED SERVICES INC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232159597 COMPUTER PA N/A GEISINGER INDEMNITY INSURANCE COMP 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232815174 HLTH INSUR PA N/A GEISINGER QUALITY OPTIONS INC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 204275139 HLTH INSUR PA N/A GEISINGER ASSURANCE COMPANY LTD PO BOX 2196GT GRAND CAYMAN CJ 981016737 INSURANCE CJ N/A true false true false false false false false true false true true false false true true false false GEISINGER ASSURANCE COMPANY LTD K 632999 GAAP GEISINGER CLINIC K 82028982 GAAP GEISINGER CLINIC L 1657592 GAAP GEISINGER CLINIC P 21633736 GAAP GEISINGER COMMUNITY HEALTH SERVICES K 3723489 GAAP GEISINGER COMMUNITY HEALTH SERVICES P 1366568 GAAP GEISINGER HEALTH PLAN A 201258 FMV GEISINGER HEALTH PLAN K 121945025 GAAP GEISINGER HEALTH PLAN O 88282851 GAAP GEISINGER HEALTH SYSTEM FOUNDATION K 2613818 GAAP GEISINGER HEALTH SYSTEM FOUNDATION P 270967 GAAP GEISINGER HEALTH SYSTEM FOUNDATION C 462804 GAAP GEISINGER INDEMNITY INSURANCE CO K 774851 GAAP GEISINGER INDEMNITY INSURANCE CO O 1673958 GAAP GEISINGER MEDICAL CENTER K 165057536 GAAP GEISINGER MEDICAL CENTER P 28098294 GAAP GEISINGER MEDICAL CENTER L 123465 GAAP GEISINGER MEDICAL CENTER I 2767855 FMV GEISINGER MEDICAL MANAGEMENT CORP K 3137728 GAAP GEISINGER MEDICAL MANAGEMENT CORP L 436562 GAAP GEISINGER MEDICAL MANAGEMENT CORP P 164315 GAAP GEISINGER QUALITY OPTIONS INC K 3925000 GAAP GEISINGER QUALITY OPTIONS INC O 6232071 GAAP GEISINGER WYOMING VALLEY MED CTR K 71211594 GAAP GEISINGER WYOMING VALLEY MED CTR P 10010106 GAAP INTERNATIONAL SHARED SERVICES INC A 27252 FMV INTERNATIONAL SHARED SERVICES INC K 1481317 GAAP INTERNATIONAL SHARED SERVICES INC L 3447252 GAAP INTERNATIONAL SHARED SERVICES INC P 1680903 GAAP MARWORTH K 2703568 GAAP MARWORTH P 497832 GAAP COMMUNITY MEDICAL CENTER K 2716901 GAAP GEISINGER ASSURANCE COMPANY LTD K 632999 GAAP GEISINGER CLINIC K 82028982 GAAP GEISINGER CLINIC L 1657592 GAAP GEISINGER CLINIC P 21633736 GAAP GEISINGER COMMUNITY HEALTH SERVICES K 3723489 GAAP GEISINGER COMMUNITY HEALTH SERVICES P 1366568 GAAP GEISINGER HEALTH PLAN A 201258 FMV GEISINGER HEALTH PLAN K 121945025 GAAP GEISINGER HEALTH PLAN O 88282851 GAAP GEISINGER HEALTH SYSTEM FOUNDATION K 2613818 GAAP GEISINGER HEALTH SYSTEM FOUNDATION P 270967 GAAP GEISINGER HEALTH SYSTEM FOUNDATION C 462804 GAAP GEISINGER INDEMNITY INSURANCE CO K 774851 GAAP GEISINGER INDEMNITY INSURANCE CO O 1673958 GAAP GEISINGER MEDICAL CENTER K 165057536 GAAP GEISINGER MEDICAL CENTER P 28098294 GAAP GEISINGER MEDICAL CENTER L 123465 GAAP GEISINGER MEDICAL CENTER I 2767855 FMV GEISINGER MEDICAL MANAGEMENT CORP K 3137728 GAAP GEISINGER MEDICAL MANAGEMENT CORP L 436562 GAAP GEISINGER MEDICAL MANAGEMENT CORP P 164315 GAAP GEISINGER QUALITY OPTIONS INC K 3925000 GAAP GEISINGER QUALITY OPTIONS INC O 6232071 GAAP GEISINGER WYOMING VALLEY MED CTR K 71211594 GAAP GEISINGER WYOMING VALLEY MED CTR P 10010106 GAAP INTERNATIONAL SHARED SERVICES INC A 27252 FMV INTERNATIONAL SHARED SERVICES INC K 1481317 GAAP INTERNATIONAL SHARED SERVICES INC L 3447252 GAAP INTERNATIONAL SHARED SERVICES INC P 1680903 GAAP MARWORTH K 2703568 GAAP MARWORTH P 497832 GAAP COMMUNITY MEDICAL CENTER K 2716901 GAAP GEISINGER ASSURANCE COMPANY LTD K 632999 GAAP GEISINGER CLINIC K 82028982 GAAP GEISINGER CLINIC L 1657592 GAAP GEISINGER CLINIC P 21633736 GAAP GEISINGER COMMUNITY HEALTH SERVICES K 3723489 GAAP GEISINGER COMMUNITY HEALTH SERVICES P 1366568 GAAP GEISINGER HEALTH PLAN A 201258 FMV GEISINGER HEALTH PLAN K 121945025 GAAP GEISINGER HEALTH PLAN O 88282851 GAAP GEISINGER HEALTH SYSTEM FOUNDATION K 2613818 GAAP GEISINGER HEALTH SYSTEM FOUNDATION P 270967 GAAP GEISINGER HEALTH SYSTEM FOUNDATION C 462804 GAAP GEISINGER INDEMNITY INSURANCE CO K 774851 GAAP GEISINGER INDEMNITY INSURANCE CO O 1673958 GAAP GEISINGER MEDICAL CENTER K 165057536 GAAP GEISINGER MEDICAL CENTER P 28098294 GAAP GEISINGER MEDICAL CENTER L 123465 GAAP GEISINGER MEDICAL CENTER I 2767855 FMV GEISINGER MEDICAL MANAGEMENT CORP K 3137728 GAAP GEISINGER MEDICAL MANAGEMENT CORP L 436562 GAAP GEISINGER MEDICAL MANAGEMENT CORP P 164315 GAAP GEISINGER QUALITY OPTIONS INC K 3925000 GAAP GEISINGER QUALITY OPTIONS INC O 6232071 GAAP GEISINGER WYOMING VALLEY MED CTR K 71211594 GAAP GEISINGER WYOMING VALLEY MED CTR P 10010106 GAAP INTERNATIONAL SHARED SERVICES INC A 27252 FMV INTERNATIONAL SHARED SERVICES INC K 1481317 GAAP INTERNATIONAL SHARED SERVICES INC L 3447252 GAAP INTERNATIONAL SHARED SERVICES INC P 1680903 GAAP MARWORTH K 2703568 GAAP MARWORTH P 497832 GAAP COMMUNITY MEDICAL CENTER K 2716901 GAAP GEISINGER ASSURANCE COMPANY LTD K 632999 GAAP GEISINGER CLINIC K 82028982 GAAP GEISINGER CLINIC L 1657592 GAAP GEISINGER CLINIC P 21633736 GAAP GEISINGER COMMUNITY HEALTH SERVICES K 3723489 GAAP GEISINGER COMMUNITY HEALTH SERVICES P 1366568 GAAP GEISINGER HEALTH PLAN A 201258 FMV GEISINGER HEALTH PLAN K 121945025 GAAP GEISINGER HEALTH PLAN O 88282851 GAAP GEISINGER HEALTH SYSTEM FOUNDATION K 2613818 GAAP GEISINGER HEALTH SYSTEM FOUNDATION P 270967 GAAP GEISINGER HEALTH SYSTEM FOUNDATION C 462804 GAAP GEISINGER INDEMNITY INSURANCE CO K 774851 GAAP GEISINGER INDEMNITY INSURANCE CO O 1673958 GAAP GEISINGER MEDICAL CENTER K 165057536 GAAP GEISINGER MEDICAL CENTER P 28098294 GAAP GEISINGER MEDICAL CENTER L 123465 GAAP GEISINGER MEDICAL CENTER I 2767855 FMV GEISINGER MEDICAL MANAGEMENT CORP K 3137728 GAAP GEISINGER MEDICAL MANAGEMENT CORP L 436562 GAAP GEISINGER MEDICAL MANAGEMENT CORP P 164315 GAAP GEISINGER QUALITY OPTIONS INC K 3925000 GAAP GEISINGER QUALITY OPTIONS INC O 6232071 GAAP GEISINGER WYOMING VALLEY MED CTR K 71211594 GAAP GEISINGER WYOMING VALLEY MED CTR P 10010106 GAAP INTERNATIONAL SHARED SERVICES INC A 27252 FMV INTERNATIONAL SHARED SERVICES INC K 1481317 GAAP INTERNATIONAL SHARED SERVICES INC L 3447252 GAAP INTERNATIONAL SHARED SERVICES INC P 1680903 GAAP MARWORTH K 2703568 GAAP MARWORTH P 497832 GAAP COMMUNITY MEDICAL CENTER K 2716901 GAAP GEISINGER ASSURANCE COMPANY LTD K 632999 GAAP GEISINGER CLINIC K 82028982 GAAP GEISINGER CLINIC L 1657592 GAAP GEISINGER CLINIC P 21633736 GAAP GEISINGER COMMUNITY HEALTH SERVICES K 3723489 GAAP GEISINGER COMMUNITY HEALTH SERVICES P 1366568 GAAP GEISINGER HEALTH PLAN A 201258 FMV GEISINGER HEALTH PLAN K 121945025 GAAP GEISINGER HEALTH PLAN O 88282851 GAAP GEISINGER HEALTH SYSTEM FOUNDATION K 2613818 GAAP GEISINGER HEALTH SYSTEM FOUNDATION P 270967 GAAP GEISINGER HEALTH SYSTEM FOUNDATION C 462804 GAAP GEISINGER INDEMNITY INSURANCE CO K 774851 GAAP GEISINGER INDEMNITY INSURANCE CO O 1673958 GAAP GEISINGER MEDICAL CENTER K 165057536 GAAP GEISINGER MEDICAL CENTER P 28098294 GAAP GEISINGER MEDICAL CENTER L 123465 GAAP GEISINGER MEDICAL CENTER I 2767855 FMV GEISINGER MEDICAL MANAGEMENT CORP K 3137728 GAAP GEISINGER MEDICAL MANAGEMENT CORP L 436562 GAAP GEISINGER MEDICAL MANAGEMENT CORP P 164315 GAAP GEISINGER QUALITY OPTIONS INC K 3925000 GAAP GEISINGER QUALITY OPTIONS INC O 6232071 GAAP GEISINGER WYOMING VALLEY MED CTR K 71211594 GAAP GEISINGER WYOMING VALLEY MED CTR P 10010106 GAAP INTERNATIONAL SHARED SERVICES INC A 27252 FMV INTERNATIONAL SHARED SERVICES INC K 1481317 GAAP INTERNATIONAL SHARED SERVICES INC L 3447252 GAAP INTERNATIONAL SHARED SERVICES INC P 1680903 GAAP MARWORTH K 2703568 GAAP MARWORTH P 497832 GAAP COMMUNITY MEDICAL CENTER K 2716901 GAAP GEISINGER ASSURANCE COMPANY LTD K 632999 GAAP GEISINGER CLINIC K 82028982 GAAP GEISINGER CLINIC L 1657592 GAAP GEISINGER CLINIC P 21633736 GAAP GEISINGER COMMUNITY HEALTH SERVICES K 3723489 GAAP GEISINGER COMMUNITY HEALTH SERVICES P 1366568 GAAP GEISINGER HEALTH PLAN A 201258 FMV GEISINGER HEALTH PLAN K 121945025 GAAP GEISINGER HEALTH PLAN O 88282851 GAAP GEISINGER HEALTH SYSTEM FOUNDATION K 2613818 GAAP GEISINGER HEALTH SYSTEM FOUNDATION P 270967 GAAP GEISINGER HEALTH SYSTEM FOUNDATION C 462804 GAAP GEISINGER INDEMNITY INSURANCE CO K 774851 GAAP GEISINGER INDEMNITY INSURANCE CO O 1673958 GAAP GEISINGER MEDICAL CENTER K 165057536 GAAP GEISINGER MEDICAL CENTER P 28098294 GAAP GEISINGER MEDICAL CENTER L 123465 GAAP GEISINGER MEDICAL CENTER I 2767855 FMV GEISINGER MEDICAL MANAGEMENT CORP K 3137728 GAAP GEISINGER MEDICAL MANAGEMENT CORP L 436562 GAAP GEISINGER MEDICAL MANAGEMENT CORP P 164315 GAAP GEISINGER QUALITY OPTIONS INC K 3925000 GAAP GEISINGER QUALITY OPTIONS INC O 6232071 GAAP GEISINGER WYOMING VALLEY MED CTR K 71211594 GAAP GEISINGER WYOMING VALLEY MED CTR P 10010106 GAAP INTERNATIONAL SHARED SERVICES INC A 27252 FMV INTERNATIONAL SHARED SERVICES INC K 1481317 GAAP INTERNATIONAL SHARED SERVICES INC L 3447252 GAAP INTERNATIONAL SHARED SERVICES INC P 1680903 GAAP MARWORTH K 2703568 GAAP MARWORTH P 497832 GAAP COMMUNITY MEDICAL CENTER K 2716901 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