2011-05-13T13:44:09-05:00 2010-06-30 990 2009-07-01 232164794 GEISINGER SYSTEM SERVICES GEIS 5702716624 100 NORTH ACADEMY AVENUE MC 30-50 DANVILLE PA 17822 DAVID J FELICIO ESQUIRE 5702716624 2011-05-11 2011-05-13 2009 2016-02-24 21:20:13Z GLENN D STEELE JR MD PHD 100 NORTH ACADEMY AVENUE MC 22-01 DANVILLE PA 17822 375530322 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 4729 5910667 5617 0 344754396 373063892 -3144879 1972116 892245 467098 342507379 375503106 249 0 0 233631598 245066277 0 0 107245220 123945512 340877067 369011789 1630312 6491317 269555094 325725998 284798170 336438265 -15243076 -10712267 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 349131742 SEE SCHEDULE O I. MISSION: GEISINGER SYSTEM SERVICES 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. II. 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 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. III. 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 132,257 OF IN-KIND SUPPORT TO NUMEROUS HEALTH RELATED PROGRAMS, SOME OF WHICH ARE LISTED BELOW: AMERICAN RED CROSS AARP DRIVER SAFETY PROGRAM BREAST HEALTH SEMINARS CAMP VICTORY (SPINA BIFIDA CAMP) CANCER SURVIVORS DAY CALL THE DOC RADIO SHOW COMMUNITY HEALTH SCREENIGS DIABETES EDUCATION & SEMINARS H1N1 SCHOOL VACCINATIONS OSTEOPOROSIS SEMINAR PROSTATE EDUCATION & SEMINARS RONALD MCDONALD HOUSE SKIN CANCER SCREENINGS & SEMINARS WOMEN'S HEART SCREENINGS & EDUCATION YMCA HEALTHY KIDS DAY 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 217,251. SOME OF THE SERVICES PROVIDED INCLUDE: COMMUNITY EVENTS AD (MONTHLY) YMCA HEALTHY KIDS DAY C. DONATED PROPERTY GEISINGER SYSTEM SERVICES PROVIDED 48,629 THROUGH DONATIONS OF OFFICE FURNITURE, PERSONAL COMPUTERS, LAPTOP COMPUTERS AND COMPUTER EQUIPMENT TO NUMEROUS RECIPIENTS, WHICH INCLUDED: CENTRAL SUSQUEHANNA LPN CAREER CENTER CLEARFIELD YMCA DANVILLE POLICE DEPARTMENT HABITAT FOR HUMANITY HAZELTON AREA FOOTBALL LEAGUE MARIA JOSEPH MANOR CONTINUING CARE MULTIPLE RELIGIOUS CHARITIES AND CHURCHES OPERATION PLUS ALTERNATIVE LEARNING 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, TAX REPORTING, LEGAL SERVICES, INFORMATION TECHNOLOGY, REPROGRAPHICS, PUBLIC RELATIONS AND MARKETING VALUED AT 232,207: ACTION HEALTH CENTRAL PA WORKFORCE INVESTMENT BOARD COLUMBIA/MONTOUR CHAMBER OF COMMERCE DIVERSITY INSTITUTE AT MISERICORDIA KEYSTONE HEALTH INFORMATION EXCHANGE LIBERTY VALLEY HOME SCHOOL ASSOCIATION LIGHT THE NIGHT WALK MARIA JOSEPH MANOR NORTHEAST PA DIVERSITY EDUCATION CONSORTIUM PA WORKFORCE INVESTMENT BOARD SUNCOM INDUSTRIES IV. COMMUNITY SERVICE SUMMARY COMMUNITY HEALTH, EDUCATION, AND OUTREACH 630,344 349131742 true false false true false false false false false true false true false false false false false false false false false false false true false false false true false false false true false false false false false true true true false true 1138 0 true 4729 true true true false false false false false false false false 9 8 true false true false true true true true true false false true true true true true true true true false PA CA X JAMES ARMSTRONG VP FINANCE 5702715253 100 NORTH ACADEMY AVENUE DANVILLE PA 17822 GLENN D STEELE JR MD PHD 40.00 X X 2018878 0 365448 WILLIAM H ALEXANDER 2.00 X 0 0 0 DORRANCE R BELIN ESQUIRE 2.00 X 0 0 0 E ALLEN DEAVER 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 ROBERT E POOLE 2.00 X 0 0 0 DON A ROSINI 2.00 X 0 0 0 GEORGE B SORDONI 2.00 X 0 0 0 FRANK J TREMBULAK 40.00 X 846738 0 193052 KEVIN F BRENNAN 40.00 X 785980 0 183310 DAVID J FELICIO ESQUIRE 40.00 X 474561 0 79093 EDWARD J ZYCH ESQUIRE 40.00 X 243024 0 37560 JOANNE E WADE 40.00 X 850243 0 186118 RONALD A PAULUS MD 40.00 X 732651 0 194715 RICHARD J GILFILLAN MD 40.00 X 603750 0 128118 FRANCIS M RICHARDS 40.00 X 462360 0 78842 RICHARD E MERKLE 40.00 X 432356 0 70795 ROBERT W DAVIES 40.00 X 316780 0 31969 BARBARA M TAPSCOTT 40.00 X 283066 0 26217 KEVIN J KERESTUS 40.00 X 187841 0 31445 ROY GOLDMAN FSA PHD 40.00 X 441573 0 31108 JAMES C ARMSTRONG 40.00 X 437048 0 33538 DUDLEY F GEROW 40.00 X 429053 0 68032 NANCY L RIZZO 40.00 X 416450 0 27094 JACQUELYN PAUL 40.00 X 342877 0 24461 KENNETH A HOLDREN 40.00 X 0 439785 82224 ROBERT J KALLIN 40.00 X 0 235061 36899 10305229 674846 1910038 167 true true false TORCON INC 328 NEWMAN SPRINGS ROAD RED BANK NJ 077015654 CONSTRUCTION 41681621 ALEXANDER BUILDING CONSTRUCTION 315 VAUGHN STREET HARRISBURG PA 171101327 CONSTRUCTION 9061200 MARIANO CONSTRUCTION 1123 OLD BERWICK ROAD BLOOMSBURG PA 178152913 CONSTRUCTION 5543755 ALVIN H BUTZ INC PO BOX 509 ALLENTOWN PA 181050509 CONSTRUCTION 4871184 FRONTIER COMMUNICATIONS CORP 39 PULIC SQUARE WILKES BARRE PA 187012509 TELEPHONE 3483835 126 INTERCOMPANY SUPPORT SERVICES 541900 359252333 359252333 REV - FOR-PROFIT AFFILIATES 541900 5779320 5779320 FOOD SERVICES 722210 4973851 4973851 PREMIER PURCHASING PTRS K-1 541900 2395902 2395902 OTHER SUPPORT SERVICES 541900 423909 423909 238577 95371 125144 18062 373063892 1165621 6203 1159418 1141 1141 15342 16242 -900 -900 -900 802704 13624 10974 802704 2650 805354 805354 CANTEEN VENDING & COMMISSION 900099 213793 213793 EPAYABLE REBATES 900099 154325 154325 DIRECTOR'S FEES 541900 65000 65000 34880 5806 29074 467998 375503106 367366497 5910667 2225942 9284816 2024868 7259948 2041529 1012189 1029340 178095549 172507624 5587925 10256019 9934226 321793 31546158 30556365 989793 13842206 13407893 434313 7273314 7045106 228208 108711 105300 3411 546380 529237 17143 260466 252294 8172 27787217 26915365 871852 3073463 2977030 96433 17740084 17183472 556612 22021090 21330156 690934 5693420 5514783 178637 1992740 1930216 62524 2012 1949 63 162963 157850 5113 3775442 3656984 118458 24597264 23825500 771764 368116 356566 11550 INTER-ENTITY EXPENSE 6671177 6461862 209315 BOOKS,LICENSES,FEES,DUES 1211024 1173027 37997 MISCELLANEOUS 516702 132469 384233 TAXES - OTHER 143927 139411 4516 369011789 349131742 19880047 0 235308 23219042 42139882 796103 70859 115259 1751 21113 7497 82764 231865 203060 240130 249679 10415880 13217447 307301434 152496806 157745242 154804628 4559624 3385516 4169220 11071645 2724073 2507107 47013763 116052635 269555094 325725998 166204492 163610120 101787039 116851341 16806639 55976804 284798170 336438265 X -15243076 -10712267 -15243076 -10712267 269555094 325725998 X false true true X false X X X false false false GEISINGER MEDICAL CENTER 240795959 7 true false false 2183556 5 2203459 false false false X 546380 574174 546380 574174 368465409 2035993413 369011789 2036567587 1000000 1000000 250000 250000 false 1000000 1000000 1000000 1000000 4000000 6000000 238875 247880 402712 574174 1463641 250000 250000 250000 250000 1000000 1500000 3904 277 4181 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 32304374 8425117 23879257 252184973 142760071 109424902 19171605 1311618 17859987 154804628 DUE FROM AFFILIATES 68508670 DEFERRED COMPENSATION 46759184 OTHER RECEIVABLE 763559 SWAP RECEIVABLE 16222 OTHER ASSET 5000 116052635 DEFERRED COMPENSATION 46759184 DERIVATIVE OBLIGATION 7653318 RETIREE BENEFITS 1229142 EXECUTIVE RELOCATION 253333 BOND REBATE PAYABLE 81827 55976804 375503106 369011789 6491317 419055 -2379563 -1960508 4530809 375439924 419055 88537 507592 374932332 48126 522648 570774 375503106 370909115 640495 1445696 2086191 368822924 48126 140739 188865 369011789 RECONCILIATION OF CHANGES - OTHER SCHEDULE D, PAGE 4, PART XI, LINE 8 LOSSES REPORTED ON RETURN 640,495 TRANSFER FROM AFFILIATES PP&E 88,537 RENTAL EXPENSES RECLASSED AGAINST RENTAL REVENUE 16,242 GAIN/LOSS ON ASSET DISPOSAL -2,650 E-PAYABLES REBATE -154,325 PREMIER PARTNERSHIP K-1 -381,915 CHANGE IN VALUE OF DERIVATIVES -1,445,696 E-PAYABLES REBATE 154,325 PARTNERSHIP K-1 EXPENSES 6 RECLASS RENTAL EXPENSES -16,242 RECLASS GAIN/LOSS ON ASSETS 2,650 REVENUE AMOUNTS INCLUDED IN FINANCIALS - OTHER SCHEDULE D, PAGE 4, PART XII, LINE 2D TRANSFER FROM AFFILIATES PP&E 88,537 REVENUE AMOUNTS INCLUDED ON RETURN - OTHER SCHEDULE D, PAGE 4, PART XII, LINE 4B RENTAL EXPENSES RECLASSED AGAINST RENTAL REVENUE -16,242 GAIN/LOSS ON ASSET DISPOSAL 2,650 E-PAYABLES REBATE 154,325 PREMIER PARTNERSHIP K-1 381,915 EXPENSE AMOUNTS INCLUDED IN FINANCIALS - OTHER SCHEDULE D, PAGE 4, PART XIII, LINE 2D CHANGE IN VALUE OF DERIVATIVES 1,445,696 EXPENSE AMOUNTS INCLUDED ON RETURN - OTHER SCHEDULE D, PAGE 4, PART XIII, LINE 4B E-PAYABLES REBATE 154,325 PARTNERSHIP K-1 EXPENSES 6 RECLASS RENTAL EXPENSES -16,242 RECLASS GAIN/LOSS ON ASSETS 2,650 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 STATMENT RECOGNITION, MEASUREMENT, PRESENTATION AND DISCLOSURE OF INCOME TAX UNCERTAINTIES WITH RESPECT TO POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN INCOME TAX RETURNS. THE ADOPTION OF FIN 48 HAD NO IMPACT ON UNRESTRICTED NET ASSETS AS OF JUNE 30, 2010 OR ANY PREVIOUS YEARS SINCE ADOPTION. ACCORDINGLY, NO FIN 48 FOOTNOTE DISCLOSURE WAS MADE IN THE JUN 30, 2010 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 930649 660000 428229 335552 29896 2384326 241531 FRANK J TREMBULAK 546363 255671 44704 184306 8746 1039790 KEVIN F BRENNAN 457470 257271 71239 163707 19603 969290 32739 DAVID J FELICIO ESQUIRE 312016 134278 28267 61652 17441 553654 EDWARD J ZYCH ESQUIRE 202318 33699 7007 17483 20077 280584 JOANNE E WADE 526047 256010 68186 178354 7764 1036361 34886 RONALD A PAULUS MD 448916 236708 47027 173904 20811 927366 RICHARD J GILFILLAN MD 344636 156752 102362 117285 10833 731868 47276 FRANCIS M RICHARDS 332426 123265 6669 61401 17441 541202 RICHARD E MERKLE 289913 112817 29626 58553 12242 503151 ROBERT W DAVIES 206306 81990 28484 17778 14191 348749 BARBARA M TAPSCOTT 197325 82497 3244 17778 8439 309283 KEVIN J KERESTUS 156230 28256 3355 12740 18705 219286 ROY GOLDMAN FSA PHD 287596 118447 35530 17778 13330 472681 JAMES C ARMSTRONG 280484 120000 36564 17778 15760 470586 DUDLEY F GEROW 281711 83719 63623 17778 50254 497085 NANCY L RIZZO 286304 100467 29679 17778 9316 443544 JACQUELYN PAUL 236791 83697 22389 17778 6683 367338 KENNETH A HOLDREN 291344 119661 28780 60501 21723 522009 ROBERT J KALLIN 205568 29493 16269 20630 271960 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 GEISINGER 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 GEISINGER HEALTH SYSTEM 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 THAT 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. ___________________________________________________________________________ SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTS SCHEDULE J, PAGE 1, PART I, LINE 4 GLENN D. STEELE JR., MD PHD 0 241,531 0 FRANK J. TREMBULAK 0 2,659 0 KEVIN F. BRENNAN 0 32,739 0 JOANNE E. WADE 0 34,886 0 NON-FIXED PAYMENTS PROVIDED SCHEDULE J, PAGE 1, PART I, LINE 7 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 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. 103877 PREMIER INC SCHEDULE O 51000 EXEC ADVISORY FEES false PREMIER INC SCHEDULE O 6601 BENCHMARKING false PREMIER INC SCHEDULE O 210125 SAFETY SURVEILLOR false PREMIER INC SCHEDULE O 279168 HEALTH QUALITY MGR. false GEISINGER MEDICAL MANAGEMENT CORP SCHEDULE O 2127548 IC SHARED SERV REV false GEISINGER MEDICAL MANAGEMENT CORP SCHEDULE O 307282 IC SHARED SERV EXP false GEISINGER MEDICAL MANAGEMENT CORP BUSINESS 3849 LEASE REVENUE false GEISINGER INDEMNITY INSURANCE COMP BUSINESS 652001 IC SHARED SERV REV false GEISINGER INDEMNITY INSURANCE COMP BUSINESS 665835 IC SHARED SERV EXP false GEISINGER QUALITY OPTIONS INC BUSINESS 3346366 IC SHARED SERV EXP false GEISINGER QUALITY OPTIONS INC BUSINESS 1538002 IC SHARED SERV REV false INTERNATIONAL SHARED SERVICES INC BUSINESS 2728927 IC SHARED SERV EXP false INTERNATIONAL SHARED SERVICES INC BUSINESS 1821919 IC SHARED SERV REV false FIRST ACHIEVEMENT DESCRIPTION FORM 990, PAGE 2, PART III, LINE 4A I. MISSION: GEISINGER SYSTEM SERVICES 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. II. 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 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. III. 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 132,257 OF IN-KIND SUPPORT TO NUMEROUS HEALTH RELATED PROGRAMS, SOME OF WHICH ARE LISTED BELOW: AMERICAN RED CROSS AARP DRIVER SAFETY PROGRAM BREAST HEALTH SEMINARS CAMP VICTORY (SPINA BIFIDA CAMP) CANCER SURVIVORS DAY CALL THE DOC RADIO SHOW COMMUNITY HEALTH SCREENIGS DIABETES EDUCATION & SEMINARS H1N1 SCHOOL VACCINATIONS OSTEOPOROSIS SEMINAR PROSTATE EDUCATION & SEMINARS RONALD MCDONALD HOUSE SKIN CANCER SCREENINGS & SEMINARS WOMEN'S HEART SCREENINGS & EDUCATION YMCA HEALTHY KIDS DAY 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 217,251. SOME OF THE SERVICES PROVIDED INCLUDE: COMMUNITY EVENTS AD (MONTHLY) YMCA HEALTHY KIDS DAY C. DONATED PROPERTY GEISINGER SYSTEM SERVICES PROVIDED 48,629 THROUGH DONATIONS OF OFFICE FURNITURE, PERSONAL COMPUTERS, LAPTOP COMPUTERS AND COMPUTER EQUIPMENT TO NUMEROUS RECIPIENTS, WHICH INCLUDED: CENTRAL SUSQUEHANNA LPN CAREER CENTER CLEARFIELD YMCA DANVILLE POLICE DEPARTMENT HABITAT FOR HUMANITY HAZELTON AREA FOOTBALL LEAGUE MARIA JOSEPH MANOR CONTINUING CARE MULTIPLE RELIGIOUS CHARITIES AND CHURCHES OPERATION PLUS ALTERNATIVE LEARNING 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, TAX REPORTING, LEGAL SERVICES, INFORMATION TECHNOLOGY, REPROGRAPHICS, PUBLIC RELATIONS AND MARKETING VALUED AT 232,207: ACTION HEALTH CENTRAL PA WORKFORCE INVESTMENT BOARD COLUMBIA/MONTOUR CHAMBER OF COMMERCE DIVERSITY INSTITUTE AT MISERICORDIA KEYSTONE HEALTH INFORMATION EXCHANGE LIBERTY VALLEY HOME SCHOOL ASSOCIATION LIGHT THE NIGHT WALK MARIA JOSEPH MANOR NORTHEAST PA DIVERSITY EDUCATION CONSORTIUM PA WORKFORCE INVESTMENT BOARD SUNCOM INDUSTRIES IV. COMMUNITY SERVICE SUMMARY COMMUNITY HEALTH, EDUCATION, AND OUTREACH 630,344 RELATED PARTY INFORMATION AMONG OFFICERS FORM 990, PAGE 6, PART VI, LINE 2 SEE SCHEDULE O SIGNIFICANT CHANGES TO ORGANIZATIONAL DOCUMENTS FORM 990, PAGE 6, PART VI, LINE 4 ON JUNE 28, 2010, THE TRUSTEE AGREEMENT DATED JUNE 30, 2000 WAS AMENDED TO SIMPLIFY THE REQUIREMENTS OF THE TRUST. ON MARCH 18, 2010, THE BOARD OF DIRECTORS OF GEISINGER HEALTH SYSTEM FOUNDATION, A 501(C)(3) CORPORATION AND PARENT OF GEISINGER SYSTEM SERVICES, APPROVED BYLAW CHANGES THAT ESTABLISHED CLASSES OF DIRECTORS WITH STAGGERED TERMS OF SERVICE, SET TERM LIMITATIONS, CLARIFIED NO AGE LIMITATION, ESTABLISHED BOARD AND COMMITTEE QUORUM REQUIREMENTS, ESTABLISHED THE PROCESS FOR BOARD LEADERSHIP SUCCESSION, AND DESIGNATED THE DEVELOPMENT COMMITTEE AS A STANDING COMMITTEE OF THE BOARD. IN JUNE 2010, THE BOARDS OF DIRECTORS OF THE FOLLOWING AFFILIATED ORGANIZATIONS: GEISINGER CLINIC, GEISINGER MEDICAL CENTER, GEISINGER WYOMING VALLEY MEDICAL CENTER, HERSHEY MEDICAL CENTER, GEISINGER SYSTEM SERVICES, AND MARWORTH APPROVED SIMILAR CHANGES, FOLLOWED BY THE BOARD OF DIRECTORS OF GEISINGER COMMUNITY HEALTH SERVICES IN OCTOBER 2010. 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 11 ALL OFFICERS AND DIRECTORS WERE ELECTRONICALLY PROVIDED A FINAL COPY OF THE FORM 990 PRIOR TO FILING THE RETURN WITH THE IRS. AN EXECUTIVE SUMMARY OF THE INFORMATION REPORTED ON THE RETURN IS PROVIDED TO ASSIST IN THE REVIEW. IN ACCORDANCE WITH THE GEISINGER HEALTH SYSTEM FOUNDATION BOARD OF DIRECTOR'S FINANCE COMMITTEE CHARTER, STAFF PERIODICALLY REVIEWS THE GHS ORGANIZATIONS' FORM 990 FILINGS. THE FORM 990 IS PREPARED BY THE GEISINGER HEALTH SYSTEM (GHS) TAX AND FINANCIAL REPORTING DEPARTMENTS WITH INFORMATION PROVIDED FROM FINANCE, TAX, HUMAN RESOURCES, LEGAL SERVICES AND OTHER RELEVANT DEPARTMENTS WITHIN THE GEISINGER HEALTH SYSTEM. THE CHIEF FINANCIAL OFFICER (CFO) OF GHS AND THE INDIVIDUAL ORGANIZATIONS SENIOR FINANCIAL MANAGERS REVIEW THEIR RESPECTIVE FORM 990 PRIOR TO MAKING THE FINAL RETURN AVAILABLE TO THE BOARD. IN ADDITION, THE CHIEF LEGAL OFFICER AND CHIEF HUMAN RESOURCE OFFICER OF GHS REVIEW THE INFORMATION DISCLOSED ON THE FORM 990 RELEVANT TO THEIR RESPECTIVE AREAS OF RESPONSIBILITY. FOR PURPOSES OF THEIR ANNUAL AUDIT OF THE GHS CONSOLIDATED FINANCIAL STATEMENTS, INDEPENDENT AUDITORS REVIEW ALL FEDERAL TAX RETURNS FILED BY THE GHS ORGANIZATIONS TO IDENTIFY MATERIAL ITEMS, INCLUDING IF THERE ARE ANY UNCERTAIN TAX POSITIONS THAT MAY BE REQUIRED TO BE RECOGNIZED. THE COMPANY HAD NO UNCERTAIN TAX POSITIONS REQUIRED TO BE REPORTED FOR FISCAL YEAR-ENDED JUNE 30, 2010. 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 ANNUAL REPORT FOR THE GEISINGER HEALTH SYSTEM, CONTAINING CONSOLIDATED FINANCIAL STATEMENT INFORMATION, COMMUNITY BENEFIT REPORT AND OTHER INFORMATION, IS AVAILABLE ON THE SYSTEM WEBSITE AT: WWW.GEISINGER.ORG. FINANCIAL STATEMENTS ALONG WITH THE COMPLETE FORM 990 AND 990-T ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE GEISINGER HEALTH SYSTEM CONFLICTS OF INTEREST POLICY IS AVAILABLE ON THE SYSTEM WEBSITE AT: WWW.GEISINGER.ORG. 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. ___________________________________________________________________________ FORM 990, SCHEDULE R-1, PART IV - IDENTIFICATION OF RELATED ORGANIZATIONS TAXABLE AS A CORPORATION OR TRUST: GEISINGER ASSURANCE COMPANY, LTD IS A FOREIGN ORGANIZATION INCORPORATED IN THE CAYMAN ISLANDS; AS SUCH, IT DOES NOT HAVE AN EIN AND IT IS NOT SUBJECT TO FEDERAL TAXATION. ___________________________________________________________________________ ADDITIONAL INFORMATION SCHEDULE O ___________________________________________________________________________ FORM 990, PART I, SECTION A, LINE 4, FORM 990, PART VI, SECTION A, LINE 1B: BASED ON THE FORM 990 DEFINITION OF "INDEPENDENCE" AS IT RELATES TO VOTING MEMBERS OF THE GOVERNING BODY ONE VOTING MEMBER OF THE GOVERNING BODY 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 THE 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 AN 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 IV, LINE 24A: 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 649,942,049 INCLUSIVE OF UNAMORTIZED ORIGINAL ISSUE DISCOUNT, AS OF JUNE 30, 2010. THESE LIABILITIES ARE REFLECTED ON THE BALANCE SHEETS OF GEISINGER MEDICAL CENTER, GEISINGER WYOMING VALLEY MEDICAL CENTER, GEISINGER CLINIC, MARWORTH, AND GEISINGER SYSTEM SERVICES BECAUSE THE BOND PROCEEDS HAVE BEEN DISBURSED TO THESE AFFILIATED ORGANIZATIONS. SCHEDULE K WAS PREPARED ON A CONSOLIDATED BASIS AND IS INCLUDED IN THE FORM 990 FILING OF GEISINGER HEALTH SYSTEM FOUNDATION. ___________________________________________________________________________ FORM 990, PART V, LINE 1A: GEISINGER SYSTEM SERVICES (GSS), AN AFFILIATE OF THE ORGANIZATION, PROVIDES A CENTRALIZED ACCOUNTS PAYABLE FUNCTION FOR ALL ORGANIZATIONS OF THE GEISINGER HEALTH SYSTEM (THE SYSTEM).AS THE ACCOUNTS PAYABLE PROCESSOR FOR THE SYSTEM, 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 1099S 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. ___________________________________________________________________________ FORM 990, PART VI, SECTION A, LINE 2 - DID ANY OFFICER, DIRECTOR, TRUSTEE, OR KEY EMPLOYEE HAVE A FAMILY OR BUSINESS RELATIONSHIP WITH ANY OTHER OFFICER, DIRECTOR, TRUSTEE, OR KEY EMPLOYEE?: GLENN D. STEELE JR. M.D. PH.D., FRANK J. TREMBULAK, DAVID J. FELICIO ESQUIRE, EDWARD J. ZYCH, ESQUIRE, WILLIAM H. ALEXANDER, WILLIAM R. GRUVER, THOMAS H. LEE, JR., M.D., ROBERT E. POOLE, DON A. ROSINI, AND GEORGE B. SORDONI 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 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 ORGANZIATIONS AND RELATED ORGANIZATIONS OF THE GEISINGER HEALTH SYSTEM, AS APPLICABLE. FORMER OFFICERS, DIRECTORS, KEY EMPLOYEES AND FIVE HIGHEST COMPENSATED EMPLOYEES WORK A MINIMUM OF 40 HOURS PER WEEK FOR RELATED ORGANIZATIONS. ___________________________________________________________________________ FORM 990, PART XI, LINE 3A - AS A RESULT OF A FEDERAL AWARD, WAS THE ORGANIZATION REQUIRED TO UNDERGO AN AUDIT OR AUDITS AS SET FORTH IN THE SINGLE AUDIT ACT OR OMB CIRCULAR A-133: FEDERAL AWARDS ARE AUDITED AS PART OF THE GEISINGER HEALTH SYSTEM'S CONSOLIDATED REPORT ON FEDERAL AWARDS IN ACCORDANCE WITH OMB CIRULAR A-133. ___________________________________________________________________________ FORM 990, SCHEDULE L, PART IV - BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: 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 TYPES OF INTER-ORGANIZATIONAL 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 PRIVATE LETTER RULINGS AS BEING ENTIRELY CONSISTENT WITH THE ORGANIZATION'S TAX EXEMPT STATUS. THE FOLLOWING ORGANIZATIONS REPRESENT THE AFFILIATED FOR-PROFIT 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 OR 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., M.D., PH.D. IS THE PRESIDENT, CHAIRMAN OF THE BOARD AND DIRECTOR (EX-OFFICIO) 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 IF THE ASSISTANT SECRETARY OF GSS AND GMMC. WILLIAM 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. GEORGE B. SORDONI IS A DIRECTOR OF GSS AND GMMC. GEISINGER INDEMNITY INSURANCE COMPANY (GIIC): DAVID J. FELICIO, ESQUIRE IS THE CHIEF LEGAL OFFICER AND SECRETARY OF GSS AND GIIC. GLENN D. STEELE, JR., M.D., PH.D. IS THE CHAIRMAN OF THE BOARD AND DIRECTOR (EX-OFFICIO) OF GSS AND GIIC. FRANK J. TREMBULAK IS THE SENIOR VICE PRESIDENT AND TREASURER OF GSS AND THE SENIOR VICE PRESIDENT, TREASURER, AND DIRECTOR OR GIIC. WILLIAM ALEXANDER IS A DIRECTOR OF GSS AND GIIC. THOMAS H. LEE, JR. IS A DIRETCOR OF GSS AND GIIC. DON A. ROSINI IS A DIRECTOR OF GSS AND GIIC. GEISINGER QUALITY OPTIONS, INC. (GQO): DAVID J. FELICIO, ESQUIRE IS THE CHIEF LEGAL OFFICER AND SECRETARY OF GSS AND GQO. GLENN D. STEELE, JR., M.D., PH.D. IS THE CHAIRMAN OF THE BOARD AND DIRECTOR (EX-OFFICIO) OF GSS AND GQO. FRANK J. TREMBULAK IS THE SENIOR VICE PRESIDENT AND TREASURER OF GSS AND THE SENIOR VICE PRESIDENT, TREASURER, AND DIRECTOR OF GQO. WILLIAM ALEXANDER IS A DIRECTOR OF GSS AND GQO. DON A. ROSINI IS A DIRECTOR OF GSS AND GQO. THOMAS H. LEE, JR. IS A DIRETCOR 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., M.D., PH.D. IS THE PRESIDENT, CHAIRMAN OF THE BOARD AND DIRECTOR (EX-OFFICIO) OF GSS AND THE PRESIDENT, 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. ___________________________________________________________________________ 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 501 3 GHSF GEISINGER MEDICAL CENTER 100 NORTH ACADEMY AVENUE MC 30-50 DANVILLE PA 17822 240795959 HOSPITAL PA 501 3 GHSF MARWORTH 100 NORTH ACADEMY AVENUE MC 30-50 DANVILLE PA 17822 232171417 D&A REHAB PA 501 3 GHSF GEISINGER HEALTH SYSTEM FOUNDATION 100 NORTH ACADEMY AVENUE MC 30-50 DANVILLE PA 17822 231995911 PHILANTHRO PA 501 7 GHSF GEISINGER COMMUNITY HEALTH SERVICES 100 NORTH ACADEMY AVENUE MC 30-50 DANVILLE PA 17822 232967235 HEALTHCARE PA 501 9 GSS GEISINGER CLINIC 100 NORTH ACADEMY AVENUE MC 30-50 DANVILLE PA 17822 236291113 PHYSN SVCS PA 501 11A GHSF GEISINGER INSURANCE CORP RRG 100 NORTH ACADEMY AVENUE MC 30-50 DANVILLE PA 17822 141909894 INSURANCE VT 501 11A GHSF GEISINGER MED CTR PROF LIAB TRUST 100 NORTH ACADEMY AVENUE MC 30-50 DANVILLE PA 17822 256220019 SELF INSUR PA 501 11A GMC GEISINGER EXCESS COV PROF LIAB TR 100 NORTH ACADEMY AVENUE MC 30-50 DANVILLE PA 17822 236852932 SELF INSUR PA 501 11A GMC GEISINGER HEALTH PLAN 100 NORTH ACADEMY AVENUE MC 30-50 DANVILLE PA 17822 232311553 HMO PA 501 GHSF HEALTHSOUTH GHS LLC 100 NORTH ACADEMY AVENUE MC 30-50 DANVILLE PA 17822 721398803 PHYS THERA PA N/A false false CLINICAL COMMUNITY PHARMACY CO 100 NORTH ACADEMY AVENUE MC 30-50 DANVILLE PA 17822 562457548 INACTIVE DE N/A GEISINGER ASSURANCE COMPANY LTD PO BOX 2196GT GRAND CAYMAN GRAND CAYMAN CJ 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 false true false false false false false false true true true false false true true false true GEISINGER ASSURANCE COMPANY LTD K 556000 GEISINGER CLINIC A 6668 GEISINGER CLINIC L 556472 GEISINGER CLINIC P 17184023 GEISINGER CLINIC K 71529403 GEISINGER COMMUNITY HEALTH SERVICES P 1055699 GEISINGER COMMUNITY HEALTH SERVICES K 2587925 GEISINGER HEALTH PLAN O 71415457 GEISINGER HEALTH PLAN K 87162249 GEISINGER HEALTH SYSTEM FOUNDATION P 155025 GEISINGER HEALTH SYSTEM FOUNDATION K 2090505 GEISINGER INDEMNITY INSURANCE CO K 652001 GEISINGER INDEMNITY INSURANCE CO O 665835 GEISINGER MEDICAL CENTER A 15481 GEISINGER MEDICAL CENTER J 2168075 GEISINGER MEDICAL CENTER P 23235755 GEISINGER MEDICAL CENTER K 135262019 GEISINGER MEDICAL MANAGEMENT CORP A 3849 GEISINGER MEDICAL MANAGEMENT CORP P 169892 GEISINGER MEDICAL MANAGEMENT CORP L 307282 GEISINGER MEDICAL MANAGEMENT CORP K 1955161 GEISINGER QUALITY OPTIONS INC K 1538002 GEISINGER QUALITY OPTIONS INC O 3346366 GEISINGER WYOMING VALLEY MED CTR P 7321865 GEISINGER WYOMING VALLEY MED CTR K 58270722 HEALTHSOUTH GHS LLC A 2250 INTERNATIONAL SHARED SERVICES INC P 750107 INTERNATIONAL SHARED SERVICES INC K 1071812 INTERNATIONAL SHARED SERVICES INC L 2728927 MARWORTH P 462913 MARWORTH K 2379574 GEISINGER COMMUNITY HEALTH SERVICES L 18910 GEISINGER WYOMING VALLEY MED CENTER L 993 GEISINGER MEDICAL MANAGEMENT CORP A 2495 GEISINGER SOUTH WILKES-BARRE R 534138