Marworth

“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, e. Allen deaver, robert j. Dietz, david t. Feinberg, m.d., mba, david j. Felicio, esquire, richard a. Grafmyre, william r. Gruver, 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, edward j. Zych, esquire all have a business relationship with one another because they are officers and/or directors on one or more for-profit affiliates of the organization. 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 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 action 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, payroll, 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 marworth 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.”

“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.”

“To improve the physical, spiritual and emotional health of the alcoholic and chemically dependent person and their family through an integrated system of addiction medicine, nursing and counseling services based on a balanced program of patient care, education and performance measurement. I. General program service information marworth, a 501(c)(3) not for profit corporation, owns and operates a facility for alcohol and chemical detoxification and rehabilitation. Marworth provides services without regard to the patient's ability to pay. Marworth provides both inpatient and outpatient care at its 91-bed facility near scranton, in waverly, pennsylvania, which opened in 1982. The bed capacity increased from 77 to 91 in january 2006. On may 16, 2012 marworth celebrated its 30th anniversary with the dedication of a new dietary wing and fitness center. The 2.2 million addition included a new 5,000 square foot dietary wing to better accommodate marworth patients. Marworth's activities include: (1)an alcohol and chemical dependency detoxification and rehabilitation program, which attempts to free patients of their dependence on alcohol and other drugs by taking a multidisciplinary approach to treatment. The program consists of three phases: (a) intake and detoxification (b) rehabilitation (c) aftercare (2) family treatment. A vital program component of marworth is family treatment that provides education and counseling to family members, assuring the recovery and the well-being of the entire family unit. This program is provided at no charge to the family while the patient is receiving treatment. (3) non-residential services. Marworth also provides treatment services in the form of outpatient, and intensive outpatient programs. Marworth is operated in close cooperation with educational activities of geisinger clinic and hospital facilities of geisinger medical center and geisinger wyoming valley medical center. Ii. Uncompensated care marworth recognizes that its mission is to serve all the members of the community with respect to the provision of healthcare services and education. Marworth provides quality medical healthcare regardless of race, creed, sex, national origin, handicap, age or ability to pay. In this regard marworth provides free or subsidized care below cost and supports various health activities and programs in support of the community. A. Charity care the primary concern of marworth is the delivery of care to all, regardless of their ability to pay. The unreimbursed cost of charity care represents the cost that marworth incurs by providing free or discounted services to those who cannot afford to pay for services. The cost to marworth of providing this charity care and policy deductions during the fiscal year ended june 30, 2015 was 425 thousand. B. Other governmental in recognizing its mission to the community, marworth provides services to medicaid patients through act 152 and county programs. Marworth provides care, below cost, to persons covered by governmental programs. To the extent reimbursement is below the cost of providing health care, marworth is furthering its charitable mission to the entire community. The unreimbursed value of providing care to act 152/county patients during the fiscal year ended june 30, 2015 was 130 thousand. C. Other uncompensated patient services in addition to the above, marworth provides other patient services for which full payment is not received. The uncompensated cost of providing such patient services during the fiscal year ended june 30, 2015 was 31 thousand. Iii. Community health, education, and outreach marworth presents lectures and seminars that serve an educational purpose by informing the general public about substance abuse, one of america's major health problems. Marworth also provides educational opportunities, through its internship program for college students studying counseling and human services or related fields. The cost of the lectures and the cost of training”

“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.”

“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), an affiliate of the organization, provides a centralized accounts payable function for all organizations of the geisinger health system. As the accounts payable processor, gss prepares and files form 1099 under its ein for all reportable payments of the filing organization. The number of form 1099's filed by gss for the 2014 reporting period on behalf of itself and its affiliates was 1,582.”

“Transfer from affiliate 30,382 transfer to affiliate -3,900,000 total other changes in net assets -3,869,618”

“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.”