Geisinger Clinic

“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.”

“Did any officer, director, trustee, or key employee have a family relationship 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, james e. Hartle, md, jeffrey a. Jacobson, jeffrey j. Adams, jonathan welch, md, kevin v. Roberts, mba, cpa, lori r. Gramley, esquire, michael a. Evans, ronald beer, mha, fache, steven b. Bender, esquire, mha, terry gilliland, md, 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 affiliates of the entity. All of the affiliates are part of geisinger.”

“Benjamin k. Chu, md, mph, macp, gerald v. Maloney, do , jaewon ryu, md, jd, james e. Hartle, md, jeffrey a. Jacobson, jeffrey j. Adams, jonathan welch, md, kevin v. Roberts, mba, cpa, lori r. Gramley, esquire, michael a. Evans, ronald beer, mha, fache, steven b. Bender, esquire, mha, terry gilliland, md, 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 affiliates of the entity. All of the affiliates are part of geisinger.”

“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.”

“The form 990 is prepared by kaiser foundation health plan, inc.'s tax preparation and oversight department with information provided from geisinger finance, human resources, legal services and other relevant departments within geisinger. Prior to finalization, the return is reviewed by pwc us tax, llp. The chief financial officer of geisinger and the individual organizations senior financial managers review their respective form 990 prior to making the final return available to the board. 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 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. 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.”

“Line 2a includes $568,555 of ic support service revenue. This 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. The services, provided at or below cost, are performed without a profit motive to promote the efficient operation of geisinger 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 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.”

“I. General information geisinger clinic (gc), a 501(c)(3) not for profit corporation, employs 1,772 physicians practicing at 143 sites in 55 communities of northeastern and central pennsylvania. Gc provides the multi-specialty physician group practice for geisinger. The salaried physician staff is dedicated to improving the health of the people of pennsylvania through an integrated system of health services based upon a balanced program of patient care, education and research. Some of the locations in which geisinger clinic practices include: bellefonte minersville benton montoursville berwick moosic bloomsuburg mountain top burnham mt carmel carbondale mt pocono clarks summit muncy coal township nanticoke dallas nicholson danville orwigsburg dickson city philipsburg dunmore pittston elysburg port matilda forty fort pottsville frackville reedsville harrisburg scranton hazle township selinsgrove hazleton shamokin dam huntingdon south abington twp jersey shore state college kingston sunbury kulpmont taylor lewsiburg tunkhannock lewistown waverly lock haven west hazelton mahanoy city wilkes-barre mifflintown williamsport milton ii. Uncompensated care geisinger clinic recognizes that its mission is to serve all the members of the community with respect to the provision of healthcare services and healthcare education. Gc provides quality medical healthcare regardless of race, religion, ethnicity, sexual orientation, gender identity, handicap, age or ability to pay. In this regard, gc provides free care or subsidized care, to persons covered by governmental programs at or below cost and provides various health activities and programs in support of the communities where gc practices. A. Charity care the primary concern of gc is the delivery of health care to all the citizens in northeastern and central pennsylvania, regardless of their ability to pay. The unreimbursed cost of charity care represents the cost gc incurs by providing free or discounted services to those who cannot afford to pay. For the year ended december 31, 2024, the cost of charity care was $20,928,188. B. Medicare/medicaid/other governmental recognizing its mission to the community, services are provided to the elderly (medicare) and the poor (medicaid). Clinic provides care, below cost, to persons covered by these governmental programs. To the extent reimbursement is below the cost of providing healthcare, gc is furthering its mission to the entire community. The unreimbursed value of medicare, medicaid and other governmental payers is equal to the cost of providing services less the amount of reimbursement received under the program. For the year ended december 31, 2024, the unreimbursed value of providing care to these patients was $483,645,481. Iii. Research support geisinger clinic supports its charitable mission through medical research activities at two facilities on the campus of the geisinger medical center: the siegfried and janet weis center for research (wcr) and the henry hood center for health research. The wcr provides a focus for laboratory research and research training and supports the clinical staff in their research programs. The primary mission of the wcr is to conduct original and innovative research that contributes new knowledge to biomedical science. Scientists apply modern molecular and cellular approaches to diverse research problems in the areas of cardiovascular function, cancer and developmental biology. The henry hood center for research houses two research programs: the geisinger center for health research (gchr) and the center for clinical studies (ccs). Gchr conducts health services, epidemiologic and population genetics research on the broad range of conditions typically seen in primary and specialty care settings. The mission of the ccs is to plan, conduct, foster and support innovative clinical research trials to help advance diagnosis and treatment of disease and improve patient care. All three research programs investigate ext”

“Geisinger system services (gss), an affiliate of the organization, provides a centralized accounts payable function for all geisinger organizations. The accounts payable processor, gss prepares and files form 1099 under its ein for certain reportable payments of the filing organization. The number of form 1099's filed by gss for the 2024 reporting period on behalf of itself and its affiliates was 1,166. The response entered on line 1a for the organization includes only those form 1099s filed under the organizations ein, it does not include those filed by gss on its behalf.”

“Net transfers <to>/from parent, geisinger health $ 75,222,072 loss on extinguishment of debt 11,616,241 gain from subsidiary, keystone accountable care 9,046,636 transfer from kaiser 1,073,483 transf to affiliate, geisinger medical center (742,500) transf to affiliate, geisinger wyoming valley medical center (252,507) transf to affiliate, geisinger community health services (123,200) transf to affiliate, geisinger commonwealth school of med. (100,000) transf to affiliate, geisinger jersey shore hospital (92,250) total $ 95,647,975”

“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"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.”