Mountain View Nursing Home Inc

“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? Anthony d. Aquilina, do, daniel e. Lohr, esquire, david j. Felicio, esquire, david t. Feinberg, md, mba, earl foura, edelyn l. Miller, jaewon ryu, md, jd, kevin f. Brennan, cpa, fhfma, robert j. Dietz, 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.”

“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 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 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.”

“Mountain view nursing home, incorporated, (doing business as mountain view care center) strives to provide excellent geriatric care that is person centered, evidence based and enables the elders it serves to attain and maintain their highest level of functioning.”

“Effective february 1, 2018, mountain view nursing home, inc "mvnh") ceased operations and sold its building to mot menashe realty,llc and its equipment to mountain view care and rehabilitation center. Both transactions were conducted at fair market value and in accordance with mvnh's governing documents. The facility is now operated by mountain view care and rehabilitation center, an organization not affiliated with geisinger(1). (1)throughout this document, the terms "system- or "geisinger", shall refer to the entire healthcare system comprised of geisinger health "gh" as parent and all subsidiary entities comprising the system.”

“I. General program service information mountain view nursing home, inc. ("mvnh") is a tax-exempt, pennsylvania not-for-profit corporation organized under section 501(c)(3) of the internal revenue code which owns and operates a 180-bed long-term care, skilled nursing, and rehabilitation facility. Mvnh is located in the city of scranton approximately four and a half miles from community medical center dba geisinger-community medical center (gcmc). Mvnh provides nursing and medical services to residents at varying levels of care including rehabilitative therapies, assistance with daily living activities, and 24- hour skilled nursing care. The rehabilitative therapies that mvnh provides include physical, respiratory, occupational, and speech. The therapies are designed to assist residents in their pursuit of improved health and wellness. Fifty-eight percent of mvnh discharges were to home or other less acute settings. In addition to nursing assistance and skilled nursing, mvnh also has a 24- bed unit specializing in the care of individuals with alzheimer's disease. This unit's staff is specially trained to deal with residents with dementia, especially through behavioral management and communication techniques. To enhance their quality of life, all residents have activities incorporated into their daily routine. There are many activities that are available, such as exercise programs and pet therapy. Each activity is selected for the residents based on individual needs and abilities. In fy2018, mvnh provided their services to 334 individuals. Ii. Uncompensated care mountain view nursing home, inc. Recognizes its mission is to serve all members of the community with respect to the provision of healthcare services and education. In this regard, mvhn provides free or subsidized care below cost and supports various health-related activities and programs in support of the community. A. Medicare/medicaid in recognizing its mission to the community, mvnh provides services to the elderly (medicare) and the indigent (medicaid). Mvnh provides care, below cost, to persons covered by these governmental programs to the extent the government reimbursement is below the cost of providing health care. The unreimbursed value of medicare and/or medicaid is equal to the cost of providing services less the amount received as reimbursement under the program. The cost of providing healthcare services to medicare and medicaid patients exceeded reimbursement by approximately 3,776,725 during the fiscal year ended june 30, 2018. B. Other uncompensated patient services in addition, mvnh provides services for which full payment is not received. The uncompensated cost of providing such patient services during the fiscal year ended june 30, 2018, was 1,260,514. Iii. Community benefit summary medicaid shortfall 3,776,725 uncompensated care 1,260,514 total 5,037,239 iv. Statistics fiscal year ended june 30, 2018 admissions 208 discharges 207 patient service days 35,908 average length of stay 107.5 percent of occupancy 93.7% beds, licensed and staffed 180 v. Operational changes effective february 1, 2018, mountain view nursing home, inc ceased operations and sold its building to mot menashe realty, llc and its equipment to mountain view care and rehabilitation center. Both transactions were conducted at fair market value and in accordance with our governing documents. The facility is now operated by mountain view care and rehabilitation center, an organization not affiliated with geisinger.”

“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 2017 reporting period on behalf of itself and its affiliates was 1,739.”

“Outside agency - clinical 1,804,919 0 0 outside purchased svcs 38,899 65,740 0 emergency transport 22,812 0 0 consulting fees 0 24,250 0 contract phys svcs other 16,418 0 0 equip maint svc contracts 1,282 0 0 total 1,884,330 89,990 0”

“Contribution from parent, geisinger health 10,000,000 transfer from affiliate, community medical center 15,450 total 10,015,450”

“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.”