2012-05-11T13:30:30-05:00 2011-06-30 990 2010-07-01 232164794 GEISINGER SYSTEM SERVICES GEIS 5702716624 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 DAVID J FELICIO ESQUIRE 5702716624 2012-04-19 2012-05-11 2010 2016-02-24 21:20:13Z X GLENN D STEELE JR MD PHD 100 NORTH ACADEMY AVENUE MC 22-01 DANVILLE PA 17822 417563223 false X WWW.GEISINGER.ORG X 1981 PA TO PROVIDE ADMINISTRATIVE, MANAGEMENT AND OTHER SUPPORT SERVICES FOR THE GEISINGER HEALTH SYSTEM FOUNDATION AND ALL SUBSIDIARY ENTITIES IN A COST EFFECTIVE MANNER WHILE MAINTAINING EXCELLENT CUSTOMER SERVICE. 9 8 4946 8368490 0 373063892 410824040 1972116 3953095 467098 2738098 375503106 417515233 0 0 245066277 267808277 0 0 123945512 139547298 369011789 407355575 6491317 10159658 325725998 372662272 336438265 378473904 -10712267 -5811632 X TO PROVIDE ADMINISTRATIVE, MANAGEMENT AND OTHER SUPPORT SERVICES FOR THE GEISINGER HEALTH SYSTEM FOUNDATION AND ALL SUBSIDIARY ENTITIES IN A COST EFFECTIVE MANNER WHILE MAINTAINING EXCELLENT CUSTOMER SERVICE. false false 387421045 SEE SCHEDULE O 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 BUSINESS OFFICE INTERNAL AUDIT CLINICAL CONTENT MANAGEMENT LAUNDRY CLINICAL EFFECTIVENESS LEGAL SERVICES COMMUNICATION AND PUBLIC RELATIONS MAIL SERVICES CUSTOMER ACCESS MARKET PLANNING CUSTOMER SERVICE CALL CENTER MATERIAL MANAGEMENT ELEVATOR OPERATIONS MEDICAL LIBRARY EMPLOYEE BENEFIT ADMINISTRATION MEDICAL PHOTOGRAPHY FACILITIES PLANNING AND MANAGEMENT PATIENT TRANSPORT FINANCIAL SERVICES PLANT ENGINEERING FOOD SERVICES POWER PLANT GENERAL MAINTENANCE REPROGRAPHICS GROUNDS RISK MANAGEMENT HOUSEKEEPING SECURITY HUMAN RESOURCES TELECOMMUNICATIONS TRANSCRIPTION SERVICES INCLUDES THE OPERATION AND MAINTENANCE OF THE ELECTRONIC HEALTH RECORDS FOR ALL PATIENTS OF 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 67,953 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 RONALD MCDONALD HOUSE COMMUNITY HEALTH SCREENIGS SKIN CANCER SCREENING & SEMINARS 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 71,134. SOME OF THE SERVICES PROVIDED INCLUDE: MONTHLY COMMUNITY EVENTS AD MS EVENTS SERIES ADS C. DONATED PROPERTY GEISINGER SYSTEM SERVICES PROVIDED 17,037 THROUGH DONATIONS OF OFFICE FURNITURE, PERSONAL COMPUTERS, LAPTOP COMPUTERS AND COMPUTER EQUIPMENT TO NUMEROUS RECIPIENTS, WHICH INCLUDED: ABUNDANT LIFE MINISTRIES MEADOWBROOK CHRISTIAN SCHOOL COMMUNITY BIBLE CHURCH NORTHUMBERLAND CHRISTIAN SCHOOL BLOOMSBURG POLICE DEPARTMENT POTOMAC PRESBYTERIAN CHURCH DANVILLE AREA SCHOOL DISTRICT SON RISE FELLOWSHIP CHURCH DANVILLE POLICE DEPARTMENT 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 182,662: AMERICAN CANCER SOCIETY BLOOMSBURG UNIVERSITY CENTRAL PA WORKFORCE INVESTMENT BOARD COLUMBIA COUNTY CHAMBER OF COMMERCE KEYSTONE HEALTH INFORMATION EXCHANGE MARIA JOSEPH MANOR NORTHEAST PA DIVERSITY EDUCATION CONSORTIUM SUNCOM INDUSTRIES THE UNITED WAY III. COMMUNITY SERVICE SUMMARY COMMUNITY HEALTH, EDUCATION, AND OUTREACH 338,786 387421045 true false false true false false false false false false true true false true true false false true false false false 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 1113 0 true 4946 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 false PA CA X JAMES ARMSTRONGVP FINANCE 5702715253 100 NORTH ACADEMY AVENUE 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 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 2043610 0 372104 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 491282 0 81063 EDWARD J ZYCH ESQUIRE 40.00 X 268638 0 37700 KEVIN F BRENNAN CPA FHFMA 40.00 X 809261 0 184136 FRANK J TREMBULAK 40.00 X 883837 0 194894 KEVIN J KERESTUS CIA 40.00 X 189203 0 31017 ROBERT W DAVIES 40.00 X 337290 0 31206 JEAN HAYNES 40.00 X 826693 0 137321 RICHARD J GILFILLAN MD 40.00 X 408737 0 22070 RONALD A PAULUS MD 40.00 X 583752 0 182536 RICHARD E MERKLE 40.00 X 432104 0 71480 EDELYN L MILLER 40.00 X 0 504513 71935 FRANCIS M RICHARDS 40.00 X 465151 0 76269 BARBARA M TAPSCOTT 40.00 X 268942 0 25646 JOANNE E WADE 40.00 X 884047 0 186303 JAMES C ARMSTRONG CPA FHFMA 40.00 X 441784 0 33496 DUDLEY F GEROW 40.00 X 417062 0 34914 JOSEPH E HADDOCK 40.00 X 412166 0 36152 RICHARD KWEI 40.00 X 387114 0 38244 NANCY L RIZZO 40.00 X 435898 0 26850 KENNETH A HOLDREN 40.00 X 0 433844 82399 10986571 938357 1957735 192 true true false TORCON INC 328 NEWMAN SPRINGS ROAD RED BANK NJ 077015654 CONSTRUCTION 21744269 NAVIGANT CONSULTING INC 4511 PAYSHERE CIRCLE CHICAGO IL 60674 CONSULTING 3502085 EPIC SYSTEMS PO BOX 88314 MILWAUKEE WI 532880314 SOFTWARE MAINT 3214472 HCSC LAUNDRY PO BOX 25092 LEHIGH VALLEY PA 180025092 LAUNDRY 2894617 APOLLO GROUP 190 MATSON AVE WILKESBARRE PA 18705 ELECTRICAL CONT 2533177 131 INTERCOMPANY SUPPORT SERVICES 541900 393395046 393395046 INTERCOMPANY SUPPORT SERVCS 541900 8345781 8345781 FOOD SERVICES 722210 5483990 5483990 PREMIER PURCHASING PTRS K-1 541900 2665532 2665532 OTHER SUPPORT SERVICES 541900 912499 912499 21192 21192 410824040 3677919 1517 3676402 34100 47990 -13890 -13890 -13890 260926 14250 260926 14250 275176 275176 ACTUARIAL ADJUSTMENT 900099 2002000 2002000 REBATE 900099 349737 349737 CANTEEN VENDING & COMMISSION 541900 278062 278062 122189 65732 56457 2751988 417515233 404874536 8368490 4272207 9909879 2507972 7401907 1785321 1358401 426920 195475659 189758582 5717077 12414024 12050951 363073 33338085 32363046 975039 14885309 14449958 435351 7738910 7512570 226340 88622 86030 2592 571550 554834 16716 342712 332689 10023 34588945 33577322 1011623 2785023 2703569 81454 20175787 19585705 590082 24072348 23368304 704044 6904712 6702770 201942 2556142 2481383 74759 1881 1826 55 156955 152365 4590 4258836 4134278 124558 25779549 25025574 753975 209270 203149 6121 INTER-ENTITY EXPENSE 7359823 7144570 215253 BOOKS,LICENSES,FEES,DUES 1286470 1248845 37625 MISCELLANEOUS 662139 108951 553188 UBIT 7624 7401 223 407355575 387421045 19934530 0 23219042 31281382 796103 18370201 115259 123574 21113 83024 82764 203060 416641 249679 199642 13217447 17309767 304597090 153551091 154804628 151045999 3385516 9362325 11071645 30079596 2507107 2556281 116052635 111833840 325725998 372662272 163610120 179805660 116851341 133403524 55976804 65264720 336438265 378473904 X -10712267 -5811632 -10712267 -5811632 325725998 372662272 X 10159658 -5259023 X X false true true X false X X X false false false GEISINGER MEDICAL CENTER 240795959 3 true false false 2395114 5 2411622 GEISINGER SYSTEM SERVICES (GSS), A 501(C)(3), 509(A)(3) TAX EXEMPT ORGANIZATION, PROVIDES SUPPORT TO IT'S AFFILIATED ORGANIZATIONS THROUGH THE PROVISION OF MANAGEMENT AND CONSULTATIVE SERVICES, AT COST. GSS PREPARES, IMPLEMENTS, AND AUDITS POLICIES AND PROCEDURES OF SYSTEM WIDE RELEVANCE AND IMPLEMENTS UNIFORM STANDARDS AND METHODS OF MANAGEMENT THROUGHOUT THE SYSTEM. SUPPORT 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 571550 611545 571550 611545 406784025 2224325905 407355575 2224937450 1000000 1000000 250000 250000 false 1000000 1000000 1000000 1000000 4000000 6000000 247880 402712 574174 611545 1836311 250000 250000 250000 250000 1000000 1500000 277 277 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 29772761 9101105 20671656 253083453 143074298 110009155 18100394 1375688 16724706 151045999 30079596 F 30079596 DEFERRED COMPENSATION 57202137 DUE FROM AFFILIATES 53341210 OTHER RECEIVABLE 1259978 SWAP RECEIVABLE 15515 OTHER ASSET 15000 111833840 DEFERRED COMPENSATION 57202137 FINANCIAL CONTRACT 6792131 RETIREE BENEFITS 1009700 RELOCATION 253333 REBATE PAYABLE 7419 65264720 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, 2011 OR ANY PREVIOUS YEARS SINCE ADOPTION. ACCORDINGLY, NO FIN 48 FOOTNOTE DISCLOSURE WAS MADE IN THE JUNE 30, 2011 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. 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 940039 719216 384355 339686 32418 2415714 241531 DAVID J FELICIO ESQUIRE 318670 123064 49548 64346 16717 572345 19288 EDWARD J ZYCH ESQUIRE 222920 31827 13891 17778 19922 306338 KEVIN F BRENNAN CPA FHFMA 463447 268032 77782 164879 19257 993397 41972 FRANK J TREMBULAK 552005 285273 46559 184975 9919 1078731 KEVIN J KERESTUS CIA 159907 26114 3182 12867 18150 220220 ROBERT W DAVIES 210869 94817 31604 17778 13428 368496 JEAN HAYNES 468873 264619 93201 114781 22540 964014 RICHARD J GILFILLAN MD 187307 107800 113630 17778 4292 430807 46934 RONALD A PAULUS MD 331500 218409 33843 169124 13412 766288 RICHARD E MERKLE 293575 105892 32637 59864 11616 503584 EDELYN L MILLER 331602 132506 40405 59906 12029 576448 FRANCIS M RICHARDS 336480 120265 8406 63636 12633 541420 BARBARA M TAPSCOTT 204798 59997 4147 17778 7868 294588 JOANNE E WADE 531456 268237 84354 177664 8639 1070350 47691 JAMES C ARMSTRONG CPA FHFMA 292649 107309 41826 17778 15718 475280 DUDLEY F GEROW 284214 116875 15973 17778 17136 451976 JOSEPH E HADDOCK 213192 21423 177551 17778 18374 448318 RICHARD KWEI 270884 100851 15379 17778 20466 425358 NANCY L RIZZO 288090 107147 40661 17778 9072 462748 KENNETH A HOLDREN 293580 109661 30603 61246 21153 516243 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. 0 241,531 0 DAVID J. FELICIO, ESQUIRE 0 19,288 0 KEVIN F. BRENNAN, CPA, FHFMA 0 41,972 0 FRANK J. TREMBULAK 0 3,293 0 RICHARD J. GILFILLAN, M.D. 0 46,934 0 JOANNE E. WADE 0 47,691 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. FORM TIME TO TIME, DEPENDING UPON 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. JEAN HAYNES RECRUITMENT X 100000 59685 false true true EDWARD J ZYCH ESQUIRE RETENTION X 30000 23339 false true true 83024 PREMIER INC BUSINESS 37000 EXEC ADVISORY FEES false PREMIER INC BUSINESS 279825 SAFETY SURVEILLOR false PREMIER INC BUSINESS 261274 HEALTH QUALITY MGR. false GEISINGER MEDICAL MANAGEMENT CORP BUSINESS 3570338 IC SHARED SERV REV false GEISINGER MEDICAL MANAGEMENT CORP BUSINESS 472712 IC SHARED SERV EXP false GEISINGER MEDICAL MANAGEMENT CORP BUSINESS 378 LEASE REVENUE false GEISINGER INDEMNITY INSURANCE COMP BUSINESS 483990 IC SHARED SERV REV false GEISINGER INDEMNITY INSURANCE COMP BUSINESS 1437234 IC SHARED SERV EXP false GEISINGER QUALITY OPTIONS INC BUSINESS 4270973 IC SHARED SERV EXP false GEISINGER QUALITY OPTIONS INC BUSINESS 2869031 IC SHARED SERV REV false INTERNATIONAL SHARED SERVICES INC BUSINESS 3116417 IC SHARED SERV EXP false INTERNATIONAL SHARED SERVICES INC BUSINESS 2093985 IC SHARED SERV REV false INTERNATIONAL SHARED SERVICES INC BUSINESS 27252 LEASE REVENUE false GEISINGER ASSURANCE COMPANY LTD BUSINESS 540350 IC SHARED REVENUE false JAKE T MANGELS FAMILY 82391 EMPLOYEE COMP. false BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS SCHEDULE L PART IV INTERNATIONAL SHARED SERVICES INC 3116417 BUSINESS IC SHARED SERV EXP INTERNATIONAL SHARED SERVICES INC 2093985 BUSINESS IC SHARED SERV REV INTERNATIONAL SHARED SERVICES INC 27252 BUSINESS LEASE REVENUE GEISINGER ASSURANCE COMPANY LTD 540350 BUSINESS IC SHARED REVENUE JAKE T MANGELS 82391 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 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 ASSISTANCT SECRETARY OF GSS AND GMMC WILLIAM H ALEXANDER 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 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 ASSISTANCT 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 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 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 ACHIEVEMENT DESCRIPTION FORM 990, PAGE 2, PART III, LINE 4A 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 BUSINESS OFFICE INTERNAL AUDIT CLINICAL CONTENT MANAGEMENT LAUNDRY CLINICAL EFFECTIVENESS LEGAL SERVICES COMMUNICATION AND PUBLIC RELATIONS MAIL SERVICES CUSTOMER ACCESS MARKET PLANNING CUSTOMER SERVICE CALL CENTER MATERIAL MANAGEMENT ELEVATOR OPERATIONS MEDICAL LIBRARY EMPLOYEE BENEFIT ADMINISTRATION MEDICAL PHOTOGRAPHY FACILITIES PLANNING AND MANAGEMENT PATIENT TRANSPORT FINANCIAL SERVICES PLANT ENGINEERING FOOD SERVICES POWER PLANT GENERAL MAINTENANCE REPROGRAPHICS GROUNDS RISK MANAGEMENT HOUSEKEEPING SECURITY HUMAN RESOURCES TELECOMMUNICATIONS TRANSCRIPTION SERVICES INCLUDES THE OPERATION AND MAINTENANCE OF THE ELECTRONIC HEALTH RECORDS FOR ALL PATIENTS OF 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 67,953 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 RONALD MCDONALD HOUSE COMMUNITY HEALTH SCREENIGS SKIN CANCER SCREENING & SEMINARS 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 71,134. SOME OF THE SERVICES PROVIDED INCLUDE: MONTHLY COMMUNITY EVENTS AD MS EVENTS SERIES ADS C. DONATED PROPERTY GEISINGER SYSTEM SERVICES PROVIDED 17,037 THROUGH DONATIONS OF OFFICE FURNITURE, PERSONAL COMPUTERS, LAPTOP COMPUTERS AND COMPUTER EQUIPMENT TO NUMEROUS RECIPIENTS, WHICH INCLUDED: ABUNDANT LIFE MINISTRIES MEADOWBROOK CHRISTIAN SCHOOL COMMUNITY BIBLE CHURCH NORTHUMBERLAND CHRISTIAN SCHOOL BLOOMSBURG POLICE DEPARTMENT POTOMAC PRESBYTERIAN CHURCH DANVILLE AREA SCHOOL DISTRICT SON RISE FELLOWSHIP CHURCH DANVILLE POLICE DEPARTMENT 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 182,662: AMERICAN CANCER SOCIETY BLOOMSBURG UNIVERSITY CENTRAL PA WORKFORCE INVESTMENT BOARD COLUMBIA COUNTY CHAMBER OF COMMERCE KEYSTONE HEALTH INFORMATION EXCHANGE MARIA JOSEPH MANOR NORTHEAST PA DIVERSITY EDUCATION CONSORTIUM SUNCOM INDUSTRIES THE UNITED WAY III. COMMUNITY SERVICE SUMMARY COMMUNITY HEALTH, EDUCATION, AND OUTREACH 338,786 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 850,319,214 INCLUSIVE OF UNAMORTIZED ORIGINAL ISSUE DISCOUNT AS OF JUNE 30, 2011. 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 - ADDITIONAL INFORMATION: 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 IT'S EIN FOR ALL REPORTABLE PAYMENTS OF ITSELF AND CERTAIN AFFILIATES, AND CERTAIN REPORTABLE PAYMENTS OF SOME OF IT'S 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 IT'S 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, 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 APPROVE AMENDMENTS TO THE CORPORATE BYLAWS. 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 THE GEISINGER HEALTH SYSTEM. THE CHIEF FINANCIAL OFFICER (CFO) OF GHS AND THE INDIVIDUAL ORGANIZATIONS SENIOR FINANCIAL MANAGERS REVIEW THEIR RESPECTIVE FORM 990 PRIOR TO MAKING THE FINAL RETURN AVAILABLE TO THE BOARD. IN ADDITION, THE CHIEF LEGAL OFFICER AND CHIEF HUMAN RESOURCE OFFICER OF GHS REVIEW THE INFORMATION DISCLOSED ON THE FORM 990 RELEVANT TO THEIR RESPECTIVE AREAS OF RESPONSIBILITY. FOR PURPOSES OF THEIR ANNUAL AUDIT OF THE GHS CONSOLIDATED FINANCIAL STATEMENTS, INDEPENDENT AUDITORS REVIEW ALL FEDERAL TAX RETURNS FILED BY THE GHS ORGANIZATIONS TO IDENTIFY MATERIAL ITEMS, INCLUDING IF THERE ARE ANY UNCERTAIN TAX POSITIONS THAT MAY BE REQUIRED TO BE RECOGNIZED. THE COMPANY HAD NO UNCERTAIN TAX POSITIONS REQUIRED TO BE REPORTED FOR FISCAL YEAR-ENDED JUNE 30, 2011. ENFORCEMENT OF CONFLICTS POLICY FORM 990, PAGE 6, PART VI, LINE 12C THE OFFICERS AND DIRECTORS OF GEISINGER MEDICAL CENTER 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. 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 OTHER CHANGES IN NET ASSETS OR FUND BALANCES: INCREASES: UNREALIZED GAIN ON INVESTMENTS 4,042,274 UNREALIZED GAIN ON DERIVATIVE 861,187 DECREASES: TRANSFER TO AFFILIATE - 10,000,000 K-1 BOOK TO TAX ADJUSTMENT - 98,524 LOSS ON EXTINGUISHMENT OF DEBT - 63,960 TOTAL NET DECREASE - 5,259,023 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 WYOMING VALLEY MEDICAL CT 100 NORTH ACADEMY AVENUE MC 30-50 DANVILLE PA 17822 231996150 HOSPITAL PA 501C3 3 GHSF true GEISINGER MEDICAL CENTER 100 NORTH ACADEMY AVENUE MC 30-50 DANVILLE PA 17822 240795959 HOSPITAL PA 501C3 3 GHSF true MARWORTH 100 NORTH ACADEMY AVENUE MC 30-50 DANVILLE PA 17822 232171417 D&A REHAB PA 501C3 3 GHSF true GEISINGER HEALTH SYSTEM FOUNDATION 100 NORTH ACADEMY AVENUE MC 30-50 DANVILLE PA 17822 231995911 PHILANTHRO PA 501C3 7 GHSF true GEISINGER COMMUNITY HEALTH SERVICES 100 NORTH ACADEMY AVENUE MC 30-50 DANVILLE PA 17822 232967235 HEALTHCARE PA 501C3 9 GSS true GEISINGER CLINIC 100 NORTH ACADEMY AVENUE MC 30-50 DANVILLE PA 17822 236291113 PHYSN SVCS PA 501C3 11A GHSF true GEISINGER INSURANCE CORP RRG 100 NORTH ACADEMY AVENUE MC 30-50 DANVILLE PA 17822 141909894 INSURANCE VT 501C3 11A GHSF true GEISINGER MED CTR PROF LIAB TRUST 100 NORTH ACADEMY AVENUE MC 30-50 DANVILLE PA 17822 256220019 SELF INSUR PA 501C3 11A GMC true GEISINGER EXCESS COV PROF LIAB TR 100 NORTH ACADEMY AVENUE MC 30-50 DANVILLE PA 17822 236852932 SELF INSUR PA 501C3 11A GMC true GEISINGER HEALTH PLAN 100 NORTH ACADEMY AVENUE MC 30-50 DANVILLE PA 17822 232311553 HMO PA 501C4 GHSF true HERSHEY MEDICAL CENTER 100 NORTH ACADEMY AVENUE MC 30-50 DANVILLE PA 17822 232891807 HOSPITAL PA 501C3 3 GHSF true HEALTHSOUTH GHS LLC 100 NORTH ACADEMY AVENUE MC 30-50 DANVILLE PA 17822 721398803 PHYS THERA PA N/A false false HEALTHSOUTH GHS LLC 100 NORTH ACADEMY AVENUE MC 30-50 DANVILLE PA 17822 721398803 PHYS THERA PA N/A false false GEISINGER ASSURANCE COMPANY LTD PO BOX 2196GT GRAND CAYMAN GRAND CAYMAN CJ 981016737 INSURANCE CJ N/A GEISINGER INDEMNITY INSURANCE CO 100 NORTH ACADEMY AVENUE MC 30-50 DANVILLE PA 17822 232815174 HEALTH INS PA N/A GEISINGER MEDICAL MANAGEMENT CORP 100 NORTH ACADEMY AVENUE MC 30-50 DANVILLE PA 17822 232077663 LAB/CONSUL PA N/A GEISINGER QUALITY OPTIONS INC 100 NORTH ACADEMY AVENUE MC 30-50 DANVILLE PA 17822 204275139 HEALTH INS PA N/A INTERNATIONAL SHARED SERVICES INC 100 NORTH ACADEMY AVENUE MC 30-50 DANVILLE PA 17822 232159597 CLIN ENGIN PA N/A GEISINGER ASSURANCE COMPANY LTD PO BOX 2196GT GRAND CAYMAN GRAND CAYMAN CJ 981016737 INSURANCE CJ N/A GEISINGER INDEMNITY INSURANCE CO 100 NORTH ACADEMY AVENUE MC 30-50 DANVILLE PA 17822 232815174 HEALTH INS PA N/A GEISINGER MEDICAL MANAGEMENT CORP 100 NORTH ACADEMY AVENUE MC 30-50 DANVILLE PA 17822 232077663 LAB/CONSUL PA N/A GEISINGER QUALITY OPTIONS INC 100 NORTH ACADEMY AVENUE MC 30-50 DANVILLE PA 17822 204275139 HEALTH INS PA N/A INTERNATIONAL SHARED SERVICES INC 100 NORTH ACADEMY AVENUE MC 30-50 DANVILLE PA 17822 232159597 CLIN ENGIN PA N/A true true false false false false false false true false true true false false true true false false GEISINGER ASSURANCE COMPANY LTD K 540350 GAAP GEISINGER CLINIC K 69959177 GAAP GEISINGER CLINIC L 1341570 GAAP GEISINGER CLINIC P 18787216 GAAP GEISINGER COMMUNITY HEALTH SERVICES K 2873367 GAAP GEISINGER COMMUNITY HEALTH SERVICES P 1233990 GAAP GEISINGER HEALTH PLAN A 126888 FMV GEISINGER HEALTH PLAN K 101347733 GAAP GEISINGER HEALTH PLAN O 76571849 GAAP GEISINGER HEALTH SYSTEM FOUNDATION K 1709475 GAAP GEISINGER HEALTH SYSTEM FOUNDATION C 149564 GAAP GEISINGER HEALTH SYSTEM FOUNDATION B 10000000 GAAP GEISINGER HEALTH SYSTEM FOUNDATION P 144551 GAAP GEISINGER INDEMNITY INSURANCE CO K 483990 GAAP GEISINGER INDEMNITY INSURANCE CO O 1437234 GAAP GEISINGER MEDICAL CENTER K 147276979 GAAP GEISINGER MEDICAL CENTER J 2373010 GAAP GEISINGER MEDICAL CENTER P 24433503 GAAP GEISINGER MEDICAL MANAGEMENT CORP A 378 GAAP GEISINGER MEDICAL MANAGEMENT CORP K 3351696 GAAP GEISINGER MEDICAL MANAGEMENT CORP L 472712 GAAP GEISINGER MEDICAL MANAGEMENT CORP P 218642 GAAP GEISINGER QUALITY OPTIONS INC K 2869031 GAAP GEISINGER QUALITY OPTIONS INC O 4270973 GAAP GEISINGER WYOMING VALLEY MED CTR K 64901511 GAAP GEISINGER WYOMING VALLEY MED CTR P 8117092 GAAP INTERNATIONAL SHARED SERVICES INC A 27252 FMV INTERNATIONAL SHARED SERVICES INC K 1100711 GAAP INTERNATIONAL SHARED SERVICES INC L 3116417 GAAP INTERNATIONAL SHARED SERVICES INC P 993274 GAAP MARWORTH K 2449276 GAAP MARWORTH P 470127 GAAP GEISINGER ASSURANCE COMPANY LTD K 540350 GAAP GEISINGER CLINIC K 69959177 GAAP GEISINGER CLINIC L 1341570 GAAP GEISINGER CLINIC P 18787216 GAAP GEISINGER COMMUNITY HEALTH SERVICES K 2873367 GAAP GEISINGER COMMUNITY HEALTH SERVICES P 1233990 GAAP GEISINGER HEALTH PLAN A 126888 FMV GEISINGER HEALTH PLAN K 101347733 GAAP GEISINGER HEALTH PLAN O 76571849 GAAP GEISINGER HEALTH SYSTEM FOUNDATION K 1709475 GAAP GEISINGER HEALTH SYSTEM FOUNDATION C 149564 GAAP GEISINGER HEALTH SYSTEM FOUNDATION B 10000000 GAAP GEISINGER HEALTH SYSTEM FOUNDATION P 144551 GAAP GEISINGER INDEMNITY INSURANCE CO K 483990 GAAP GEISINGER INDEMNITY INSURANCE CO O 1437234 GAAP GEISINGER MEDICAL CENTER K 147276979 GAAP GEISINGER MEDICAL CENTER J 2373010 GAAP GEISINGER MEDICAL CENTER P 24433503 GAAP GEISINGER MEDICAL MANAGEMENT CORP A 378 GAAP GEISINGER MEDICAL MANAGEMENT CORP K 3351696 GAAP GEISINGER MEDICAL MANAGEMENT CORP L 472712 GAAP GEISINGER MEDICAL MANAGEMENT CORP P 218642 GAAP GEISINGER QUALITY OPTIONS INC K 2869031 GAAP GEISINGER QUALITY OPTIONS INC O 4270973 GAAP GEISINGER WYOMING VALLEY MED CTR K 64901511 GAAP GEISINGER WYOMING VALLEY MED CTR P 8117092 GAAP INTERNATIONAL SHARED SERVICES INC A 27252 FMV INTERNATIONAL SHARED SERVICES INC K 1100711 GAAP INTERNATIONAL SHARED SERVICES INC L 3116417 GAAP INTERNATIONAL SHARED SERVICES INC P 993274 GAAP MARWORTH K 2449276 GAAP MARWORTH P 470127 GAAP GEISINGER ASSURANCE COMPANY LTD K 540350 GAAP GEISINGER CLINIC K 69959177 GAAP GEISINGER CLINIC L 1341570 GAAP GEISINGER CLINIC P 18787216 GAAP GEISINGER COMMUNITY HEALTH SERVICES K 2873367 GAAP GEISINGER COMMUNITY HEALTH SERVICES P 1233990 GAAP GEISINGER HEALTH PLAN A 126888 FMV GEISINGER HEALTH PLAN K 101347733 GAAP GEISINGER HEALTH PLAN O 76571849 GAAP GEISINGER HEALTH SYSTEM FOUNDATION K 1709475 GAAP GEISINGER HEALTH SYSTEM FOUNDATION C 149564 GAAP GEISINGER HEALTH SYSTEM FOUNDATION B 10000000 GAAP GEISINGER HEALTH SYSTEM FOUNDATION P 144551 GAAP GEISINGER INDEMNITY INSURANCE CO K 483990 GAAP GEISINGER INDEMNITY INSURANCE CO O 1437234 GAAP GEISINGER MEDICAL CENTER K 147276979 GAAP GEISINGER MEDICAL CENTER J 2373010 GAAP GEISINGER MEDICAL CENTER P 24433503 GAAP GEISINGER MEDICAL MANAGEMENT CORP A 378 GAAP GEISINGER MEDICAL MANAGEMENT CORP K 3351696 GAAP GEISINGER MEDICAL MANAGEMENT CORP L 472712 GAAP GEISINGER MEDICAL MANAGEMENT CORP P 218642 GAAP GEISINGER QUALITY OPTIONS INC K 2869031 GAAP GEISINGER QUALITY OPTIONS INC O 4270973 GAAP GEISINGER WYOMING VALLEY MED CTR K 64901511 GAAP GEISINGER WYOMING VALLEY MED CTR P 8117092 GAAP INTERNATIONAL SHARED SERVICES INC A 27252 FMV INTERNATIONAL SHARED SERVICES INC K 1100711 GAAP INTERNATIONAL SHARED SERVICES INC L 3116417 GAAP INTERNATIONAL SHARED SERVICES INC P 993274 GAAP MARWORTH K 2449276 GAAP MARWORTH P 470127 GAAP GEISINGER ASSURANCE COMPANY LTD K 540350 GAAP GEISINGER CLINIC K 69959177 GAAP GEISINGER CLINIC L 1341570 GAAP GEISINGER CLINIC P 18787216 GAAP GEISINGER COMMUNITY HEALTH SERVICES K 2873367 GAAP GEISINGER COMMUNITY HEALTH SERVICES P 1233990 GAAP GEISINGER HEALTH PLAN A 126888 FMV GEISINGER HEALTH PLAN K 101347733 GAAP GEISINGER HEALTH PLAN O 76571849 GAAP GEISINGER HEALTH SYSTEM FOUNDATION K 1709475 GAAP GEISINGER HEALTH SYSTEM FOUNDATION C 149564 GAAP GEISINGER HEALTH SYSTEM FOUNDATION B 10000000 GAAP GEISINGER HEALTH SYSTEM FOUNDATION P 144551 GAAP GEISINGER INDEMNITY INSURANCE CO K 483990 GAAP GEISINGER INDEMNITY INSURANCE CO O 1437234 GAAP GEISINGER MEDICAL CENTER K 147276979 GAAP GEISINGER MEDICAL CENTER J 2373010 GAAP GEISINGER MEDICAL CENTER P 24433503 GAAP GEISINGER MEDICAL MANAGEMENT CORP A 378 GAAP GEISINGER MEDICAL MANAGEMENT CORP K 3351696 GAAP GEISINGER MEDICAL MANAGEMENT CORP L 472712 GAAP GEISINGER MEDICAL MANAGEMENT CORP P 218642 GAAP GEISINGER QUALITY OPTIONS INC K 2869031 GAAP GEISINGER QUALITY OPTIONS INC O 4270973 GAAP GEISINGER WYOMING VALLEY MED CTR K 64901511 GAAP GEISINGER WYOMING VALLEY MED CTR P 8117092 GAAP INTERNATIONAL SHARED SERVICES INC A 27252 FMV INTERNATIONAL SHARED SERVICES INC K 1100711 GAAP INTERNATIONAL SHARED SERVICES INC L 3116417 GAAP INTERNATIONAL SHARED SERVICES INC P 993274 GAAP MARWORTH K 2449276 GAAP MARWORTH P 470127 GAAP GEISINGER ASSURANCE COMPANY LTD K 540350 GAAP GEISINGER CLINIC K 69959177 GAAP GEISINGER CLINIC L 1341570 GAAP GEISINGER CLINIC P 18787216 GAAP GEISINGER COMMUNITY HEALTH SERVICES K 2873367 GAAP GEISINGER COMMUNITY HEALTH SERVICES P 1233990 GAAP GEISINGER HEALTH PLAN A 126888 FMV GEISINGER HEALTH PLAN K 101347733 GAAP GEISINGER HEALTH PLAN O 76571849 GAAP GEISINGER HEALTH SYSTEM FOUNDATION K 1709475 GAAP GEISINGER HEALTH SYSTEM FOUNDATION C 149564 GAAP GEISINGER HEALTH SYSTEM FOUNDATION B 10000000 GAAP GEISINGER HEALTH SYSTEM FOUNDATION P 144551 GAAP GEISINGER INDEMNITY INSURANCE CO K 483990 GAAP GEISINGER INDEMNITY INSURANCE CO O 1437234 GAAP GEISINGER MEDICAL CENTER K 147276979 GAAP GEISINGER MEDICAL CENTER J 2373010 GAAP GEISINGER MEDICAL CENTER P 24433503 GAAP GEISINGER MEDICAL MANAGEMENT CORP A 378 GAAP GEISINGER MEDICAL MANAGEMENT CORP K 3351696 GAAP GEISINGER MEDICAL MANAGEMENT CORP L 472712 GAAP GEISINGER MEDICAL MANAGEMENT CORP P 218642 GAAP GEISINGER QUALITY OPTIONS INC K 2869031 GAAP GEISINGER QUALITY OPTIONS INC O 4270973 GAAP GEISINGER WYOMING VALLEY MED CTR K 64901511 GAAP GEISINGER WYOMING VALLEY MED CTR P 8117092 GAAP INTERNATIONAL SHARED SERVICES INC A 27252 FMV INTERNATIONAL SHARED SERVICES INC K 1100711 GAAP INTERNATIONAL SHARED SERVICES INC L 3116417 GAAP INTERNATIONAL SHARED SERVICES INC P 993274 GAAP MARWORTH K 2449276 GAAP MARWORTH P 470127 GAAP GEISINGER ASSURANCE COMPANY LTD K 540350 GAAP GEISINGER CLINIC K 69959177 GAAP GEISINGER CLINIC L 1341570 GAAP GEISINGER CLINIC P 18787216 GAAP GEISINGER COMMUNITY HEALTH SERVICES K 2873367 GAAP GEISINGER COMMUNITY HEALTH SERVICES P 1233990 GAAP GEISINGER HEALTH PLAN A 126888 FMV GEISINGER HEALTH PLAN K 101347733 GAAP GEISINGER HEALTH PLAN O 76571849 GAAP GEISINGER HEALTH SYSTEM FOUNDATION K 1709475 GAAP GEISINGER HEALTH SYSTEM FOUNDATION C 149564 GAAP GEISINGER HEALTH SYSTEM FOUNDATION B 10000000 GAAP GEISINGER HEALTH SYSTEM FOUNDATION P 144551 GAAP GEISINGER INDEMNITY INSURANCE CO K 483990 GAAP GEISINGER INDEMNITY INSURANCE CO O 1437234 GAAP GEISINGER MEDICAL CENTER K 147276979 GAAP GEISINGER MEDICAL CENTER J 2373010 GAAP GEISINGER MEDICAL CENTER P 24433503 GAAP GEISINGER MEDICAL MANAGEMENT CORP A 378 GAAP GEISINGER MEDICAL MANAGEMENT CORP K 3351696 GAAP GEISINGER MEDICAL MANAGEMENT CORP L 472712 GAAP GEISINGER MEDICAL MANAGEMENT CORP P 218642 GAAP GEISINGER QUALITY OPTIONS INC K 2869031 GAAP GEISINGER QUALITY OPTIONS INC O 4270973 GAAP GEISINGER WYOMING VALLEY MED CTR K 64901511 GAAP GEISINGER WYOMING VALLEY MED CTR P 8117092 GAAP INTERNATIONAL SHARED SERVICES INC A 27252 FMV INTERNATIONAL SHARED SERVICES INC K 1100711 GAAP INTERNATIONAL SHARED SERVICES INC L 3116417 GAAP INTERNATIONAL SHARED SERVICES INC P 993274 GAAP MARWORTH K 2449276 GAAP MARWORTH P 470127 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