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? Benjamin k. Chu, md, mph, macp, gerald v. Maloney, do , jaewon ryu, md, jd, jeffrey a. Jacobson, kevin v. Roberts, mba, cpa, lori r. Gramley, esquire, matthew walsh, steven b. Bender, esquire, v. Chris holcombe, pe, and virginia mcgregor 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.”

“There was a delegation of authority to the geisinger health emergency action committee, which is comprised of the chair of the board, vice-chair of the board, the president and ceo (ex-officio director), chair of the finance committee and chair of the patient experience, academic affairs and quality committee. Under the nonprofit corporation law and under geisinger health's corporate bylaws, the emergency action committee shall exercise the power and authority of the board of directors to act on emergency matters between meetings of the board of directors.”

“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.”

“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 pennsylvania nonprofit corporation law.”

“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 finance 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 compliance officer and reported to the audit and compliance committee and/or 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 committee/board decides if a conflict exists and takes appropriate action. The individual disclosing the financial interest is absent during the committee/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.”

“Financial statements, form 990, form 990-t, the conflicts of interest policy, and other governing documents are available to the public upon request.”

“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, including tax-exempt bonds issued prior to december 31, 2002, with a total outstanding balance at december 31, 2022 of 1,656,231,705, inclusive of unamortized original issue discount. Because the bond proceeds are disbursed to gh subsidiaries, the tax-exempt 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 geisinger-bloomsburg hospital ein: 23-2193572 geisinger-lewistown hospital ein: 23-1352187 geisinger commonwealth school of medicine ein: 26-0812968 geisinger jersey shore hospital ein: 24-0792115 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, dba geisinger 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 is celebrating its 41st year of caring for patients from pennsylvania, new jersey, new york and new england. More than 40,000 people have chosen marworth for treatment since 1982. Marworth provides both inpatient and outpatient care at its 101-bed facility near scranton, in waverly, pennsylvania. The bed capacity increased from 77 to 91 in january 2006. An additional increase from 91 to 101 was approved in january 2021 to support social distancing requirements in response to covid19. Marworth is requesting from its state licensing agency to reduce bed capacity to 91 to reflect bed capacity needs prior to the pandemic. (1) an addiction treatment program, which provides evidence- based services to initiate and sustain recovery from substance use disorders. The program consists of three phases: (a) asam level 3.7 inpatient detox (b) asam level 3.5 high intensity inpatient rehabilitation (c) asam level 1 and 2 outpatient services (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. Since covid19, these services are provided virtually. (3) non-residential services. Marworth also provides outpatient treatment services. Marworth is operated in close cooperation with educational activities of geisinger clinic and hospital facilities of geisinger community medical center and geisinger wyoming valley medical center. (4) specialized therapies and programs. A. Recreational therapy marworth's recreational therapy program features a high ropes course, 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. B. 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. C. 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. D. Trauma the connection between addiction and trauma is strong. Marworth's seeking safety: trauma & ptsd support groups for trauma survivors struggling with addiction focus on coping skills, asking for help and boundaries. Picc line patients patients with peripherally inserted central catheters (picc lines) who are being treated for various infectious complications arising from their substance use can be admitted to the residential program. These patients are treated on an individual basis. Length of stay may depend on the number of days required for appropriate antibiotic therapy. If the patient has been stabilized on a maintenance dose of buprenorphine, he or she will be given the option to continue this therapy or be tapered off and transitioned to an opioid blocker. These patients will undergo detoxification from all other potentially abusable substances. Buprenorphine stabilization and maintenance patients with an opioid use disorder may be started and maintained on buprenorphine, the gold standard in evidence-based treatment for this disease. These patients will be maintained on the established maintenance dose of buprenorphine and will undergo detoxification from all other potentially”

“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 certain reportable payments of the filing organization. The number of 1099's filed by gss for the 2022 reporting period on behalf of itself and its affiliates was 1,353.”

“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 uniform guidance, 2 c.f.r. Part 200, subpart f? Federal awards are audited as a part of the geisinger's consolidated report on federal awards in accordance with uniform guidance, 2 c.f.r. Part 200, subpart f. Footnote: throughout this document, the terms "geisinger- or "geisinger health" shall refer to the entire health care system comprised of geisinger health foundation (the "foundation") as parent and all subsidiary corporate entities comprising the health care system. In addition, throughout this document, the term "system" shall refer to the entire health care system as previously defined plus its affiliates.”