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, three voting members are not independent because they are compensated as employees of related tax-exempt organizations. 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? Christopher b. Sullivan, daniel e. Lohr, esquire, david j. Felicio, esquire, david t. Feinberg, md, mba, e. Allen deaver, earl foura, edelyn l. Miller, eugene arnone, frank j. Trembulak, frank m. Henry, gail r. Wilensky, phd, heather m. Acker, jaewon ryu, md, jd, jeff jacobson, john c. Bravman, phd, karen davis, phd, kevin f. Brennan, cpa, fhfma, richard a. Grafmyre, robert e. Poole, robert j. Dietz, thomas h. Lee, jr, md, msc, v. Chris holcombe, pe, virginia mcgregor, william e. Sordoni, william h. Alexander, and william r. Gruver all have a business relationship with one another because they serve as officers and/or directors on one or more for-profit affiliate of the entity. All of the affiliates are part of geisinger.”

“In december 2016, the board delegated to leadership and/or board standing committees, certain of its general powers, including review of annual board assessment, review and approval of defined contribution plans, orientation of new board members, continuing education for board members, approval of indebtedness and the purchase, sale or mortgage of real property up to 15 million and credentialing of providers.”

“In december 2016, the number of directors that serve on the organizations boards changed from no more than 15, to such number as determined by the members, including geisinger ex-officio directors. The board of directors shall consist of the president of the corporation, geisinger's executive vice-president, chief medical officer; geisinger's executive vice president, chief administrative officer, clinical operations (ex-officio directors); two at-large directors who also serve as members of the geisinger health board of directors, two (2) independent directors and such number of additional directors as the members may from time to time determine.”

“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 board of director's finance committee charter, geisinger organizations' form 990 filings are reviewed annually. The form 990 is prepared by geisinger tax and financial reporting departments with information provided from finance, tax, human resources, legal services and other relevant departments within geisinger. The chief financial officer (cfo) of geisinger 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 geisinger review the information disclosed on the form 990 relevant to their respective areas of responsibility. For purposes of their annual audit of geisinger consolidated financial statements, independent auditors review all federal tax returns filed by geisinger 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 reporting period.”

“The officers and directors of the organization are subject to the geisinger conflict of interest policy for directors, officers and senior leaders. At least once each year directors, officers, key employees, senior leaders 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 geisinger. The disclosures are reviewed by the office of the chief legal officer and reported to the audit and compliance committees 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 geisinger 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 geisinger. The consultant's report is presented to the geisinger family committee prior to any compensation adjustment. The report supports the rigorous review completed by the geisinger family 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 the geisinger family committee prior to the effective date of the payment. The geisinger family 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 annual report for geisinger, containing community benefit information, consolidated financial information and other information, is available on the geisinger website. Go to: https://www.geisinger.org/about- geisinger/news-and-media/for-media/annual-reports. Financial statements, form 990, 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.”

“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 (gh) is currently the sole obligor under a series of bond issues with a total outstanding balance of 1,766,170,995, inclusive of unamortized original issue discount as of june 30, 2017. Because the bond proceeds are disbursed to gh 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 geisinger commonwealth school of medicine ein: 26-0812968 atlanticare regional medical center ein: 21-0634549 schedule k was prepared on a consolidated basis and is included in the form 990 filing of geisinger health, ein: 23-1995911.”

“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 partial hospitalization 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. (4) specialized therapies and programs. Recreational therapy geisinger marworth's recreational therapy program features a low elements ropes course, fitness center and other experiential learning mediums. More than just exercise, rec therapy activities simulate a wide array of addiction recovery themes, such as group problem solving, learning to trust others, asking for help and confronting compulsive/impulsive behavior. Expressive therapy expressive therapies, such as music therapy and sand tray therapy, allow individuals in recovery to express themselves with words. The process is powerful in strengthening physical, emotional, cognitive and social needs. Acupuncture when performed during the detoxification phase of treatment, acupuncture at acupoints in the ear can decrease cravings, depression and anxiety as well as improve sleep and concentration. Dialectical behavioral therapy dialectical behavioral therapy (dbt) skills training teaches individuals in addiction treatment the critical coping skills of mindfulness, distress tolerance, interpersonal effectiveness and emotion regulation. Trauma the connection between addiction and trauma is strong. Geisinger marworth's seeking safety: trauma & ptsd support groups for trauma survivors struggling with addiction focus on coping skills, asking for help and boundaries. 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, 2017 was 268 thousand. B. Other governmental in recognizing its mission to the community, marworth provides services to medicaid patients through act 152 and county pro”

“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 geisinger organizations. 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 2016 reporting period on behalf of itself and its affiliates was 1,877.”

“Transfer to parent - geisinger health -1,000,000”

“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's consolidated report on federal awards in accordance with omb circular a-133. Footnote: throughout form 990, the terms "geisinger- and "system" shall refer to the entire healthcare system comprised of geisinger health as parent and all subsidiary corporations comprising the system.”