Geisinger-Lewistown Hospital

“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. 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? William h. Alexander, albert bothe, jr., m.d., e. Allen deaver, robert j. Dietz, david t. Feinberg, m.d., mba, david j. Felicio, esquire, richard a. Grafmyre, william r. Gruver, kay hamilton, frank m. Henry, thomas h. Lee, jr., m.d., robert e. Poole, don a. Rosini, glenn d. Steele, jr., m.d., ph.d., robert l. Tambur, frank j. Trembulak, and edward j. Zych, esquire, 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-lewistown hospital. All of the affiliates are part of the geisinger health system.”

“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.”

“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.”

“All officers and directors were electronically provided a final copy of the form 990 prior to filing the return with the irs. An executive summary of the information reported on the return is provided to assist in the review. In accordance with the geisinger health system foundation board of director's finance committee charter, staff periodically reviews the ghs organizations' form 990 filings. The form 990 is prepared by the geisinger health system (ghs) tax and financial reporting departments with information provided from finance, tax, human resources, legal services and other relevant departments within the geisinger health system. The chief financial officer (cfo) of ghs and the individual organizations senior financial managers review their respective form 990 prior to making the final return available to the board. In addition, the chief legal officer and chief human resource officer of ghs review the information disclosed on the form 990 relevant to their respective areas of responsibility. For purposes of their annual audit of the ghs consolidated financial statements, independent auditors review all federal tax returns filed by the ghs organizations to identify material items, including if there are any uncertain tax positions that may be required to be recognized. The company had no uncertain tax positions required to be reported for fiscal year-ended june 30, 2015.”

“The officers and directors of the organization are subject to the ghs conflict of interest policy for directors, officers and senior leaders (may include independent contractors). At least once each year directors, officers, key employees, senior leaders (including independent contractors) and others designated by the board of directors are required to disclose in writing the existence of any potential financial interests that may give rise to a conflict of interest with any affiliate within the geisinger health system. The disclosures are reveiwed by the office of the chief legal officer and reported to the audit committee and board of directors. After review of the financial interest and all material facts, input from department of legal services and any discussion with the person desired by the board or committee, the board decides if a conflict exists and takes appropriate action. The individual disclosing the financial interest is absent during the board deliberations and decisions on the matter.”

“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.”

“See schedule o response to form 990, part vi section b, question 15a.”

“The mission statement is available on the geisinger health system website at www.geisinger.org. The annual report for geisinger health system, containing community benefit information, consolidated financial information and other information, are available on the geisinger health system website. Go to: www.geisinger.org/pages/about-geisinger and select annual reports. Financial statements, the complete form 990 and form 990-t, the conflicts of interest policy, and other governing documents are available to the public upon request.”

“Form 990, part viii, line 2c: the ic support service revenue represents revenue from intercompany management, administrative, and consulting services provided to related taxable organizations. The organization and related taxable organizations are all controlled by geisinger health system foundation. The services, provided at or below cost, are performed without a profit motive to promote the efficient operation of the geisinger health system in carrying out its charitable mission. The services are not offered to unrelated organizations or to the general public. Under irs advisory dated march 7, 2014, these intercompany shared services are not included in the definition of unrelated business income and should not to be included on form 990-t due to the absence of the following two conditions: (1) the services must be above cost or at fair market value, and (2) there must be a profit motive.”

“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? Ghsf is currently the sole obligor under a series of bond issues with a total outstanding balance of 1,230,762,550, inclusive of unamortized original issue discount as of june 30, 2015. Because the bond proceeds are disbursed to ghsf 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 community medical center, ein: 24-0862246 mountain view nursing home, inc., ein: 23-2568288 geisinger-bloomsburg hospital, ein: 23-2193572 geisinger-bloomsburg health care center, ein: 23-2242854 geisinger-lewistown hospital, ein: 23-1352187 holy spirit hospital, ein: 23-1512747 schedule k was prepared on a consolidated basis and is included in the form 990 filing of geisinger health system foundation, ein: 23-1995911.”

“I. Mission: to enhance the quality of life of the population served by providing access to quality population health and hospital services through an integrated service organization based on a balanced program of patient care, education, research, and community service. Ii.general information geisinger-lewistown hospital (glh), a 501(c)(3) not-for-profit corporation and member of geisinger health system, owns and operates a 123 bed acute care hospital in lewistown, pa. Glh is conveniently located only a few miles from several central pennsylvania major highways. The facility opened in 1905 in response to a pressing need for health and wellness care in the community. During the fiscal year ended june 30, 2015, glh provided 19,067 patient days; 4,700 same day surgical procedures; and 28,938 emergency room visits. Glh provides quality medical healthcare regardless of race, creed, sex, national origin, handicap, age, or ability to pay. The organization also provides uncompensated care to patients who met certain criteria without charge or at amounts less than established rates. Services offered by glh include: general medical care is provided by in-house hospitalists and supported by consultative services in the areas of cardiology, neurology, pulmonology, orthopedics, hematology/oncology, otolaryngology, gastroenterology. The emergency department (ed) is committed to providing high quality, prompt emergency services. Glh's ed is staffed 24/7 with full-time physicians and nurses who are trained in all specialties from pediatrics to critical care. Immediate access to laboratory services, imaging services such as, cat scans, ultrasound, mri, and surgical services. Most insurances, including medicare and medicaid, are accepted and no patient is refused treatment because of inability to pay. Ob/gyn focuses on all aspects of women's health and education, providing obstetrical and gynecological care for women of all ages. Services include but are not limited to routine visits and treatments, preventative healthcare, birth control education, family planning, obstetrics, surgery & surgery consultations, menopause counseling, and midwifery. Mental health & psychiatric provides adult inpatient services designed to help individuals live as independently as possible. Patients can access quick, efficient admission 24/7 and receive treatment through a psychiatrist available on a daily basis. Admissions are confidential and may be made by professionals as well by individuals concerned about themselves or others. During hospitalization, patient care is provided through multiple professionals who comprise the treatment team. Other services include: cardiac services neurosurgery respiratory services sleep center orthopedic general surgery radiology other surgery specialties iccu urology pain management laboratory services gynecology wound management physical therapy otolaryngology weight management pediatrics newborn nursery gastroenterology nephrology opthamology pathology community cancer treatment/oncology iii. Uncompensated care geisinger-lewistown hospital recognizes its mission is to serve all members of the community with respect to the provision of healthcare services and education. In this regard, glh provides free or subsidized care below cost and supports various health-related activities and programs in support of the community. A.charity care the primary concern of glh is the delivery of health care to all citizens of central pennsylvania regardless of their ability to pay. The unreimbursed cost of charity care represents the cost glh incurs by providing free or discounted services to those who cannot afford to pay. For the fiscal year ended june 30, 2015, the cost of the charity care was 1.3 million. B.medicare/medicaid in recognizing its mission to the community, glh provides services to the elderly (medicare) and the indigent (medicaid). Glh provides care, below cost, to persons covered by these governmental programs to the extent t”

“Pension adjustment -4,772,766 transfer to affiliate, ghs foundation -4,062,935 other changes in temporarily restricted -18,511 transfer from affiliate, health enterprises, inc. 43,749 total other changes in net assets -8,810,463”

“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.”