Spirit Physician Services 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, two 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? Daniel e. Lohr, esquire, lori r. Gramley, esquire, kyle c. Snyder, mha, deborah keys, hank straub, laurie saltzgiver, esquire, lenke erki, md, nora habig, patricia husic, randy b. Morris, reverend robert f. Sharman, ron drnevich, sister joann marie aumand, scc, sister marie pauline demek, scc, and david j. Felicio, esquire 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.”

“Geisinger health serves as the sole corporate member of holy spirit health system and holy spirit health system serves as corporate member for holy spirit hospital of the sisters of christian charity, spirit physician services, inc., holy spirit corporation and sole shareholder of holy spirit ventures inc. 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.”

“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.”

“Spirit physician services, inc's. (spsi) family health centers offer preventative diagnostic and therapeutic medical services on an outpatient basis. The family health centers provide an outreach to community residents with medical conditions which, if not properly treated in an outpatient setting, might ultimately require more expensive and critical inpatient care. Thus, the clinics reduce hospital admissions, days of stay and surgical rates. Geisinger holy spirit ob/gyn offers free introductory sessions to the creighton model fertility caretm system and naprotechnology. This is a fully integrated approach to women's health that is completely pro-life in its outlook and the techniques it employs. It is particularly useful for evaluating and treating infertility, recurrent pregnancy loss, endometriosis, irregular periods, pms, ovarian cysts, and polycystic ovary syndrome, as well as for family planning. Cvsi is a group of cardiovascular heart surgeons. This group uses robotics during specific surgeries. General surgery is a group of general surgeons. This group performs a large assortment of general surgery and trauma surgery procedures. Orthopedic practice is a group of orthopedic physicians. This group performs a large assortment of office procedures, orthopedic surgery, and trauma surgery procedures. Dermatology practice is a group of dermatology physicians. This group performs general dermatology care and skin cancer screenings and mohs surgery for skin cancer which allows the greatest amount of healthy tissue while removing basal cell or squamous cell carcinomas. Infectious disease practice is a group of board-certified, fellowship- trained disease specialist physicians. This group focuses on all types of infections, including those caused by bacteria, viruses, fungi, and parasites of the sinuses, heart, lungs, urinary tract, bones, and pelvic organs. They also have insight into the use of antibiotics and their potential adverse effects. Uncompensated care spirit physician services, inc. (spsi) recognizes that its mission is to serve all the members of the community with respect to the provision of healthcare services and healthcare education. Spsi provides quality medical healthcare regardless of race, creed, sex, national origin, handicap, age or ability to pay. In this regard, spsi 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 spsi practices. A. Charity care the primary concern of spsi is the delivery of health care to all the citizens in all the citizens of the greater harrisburg area and south central pennsylvania, regardless of their ability to pay. The unreimbursed cost of charity care represents the cost spsi incurs by providing free or discounted services to those who cannot afford to pay. For fiscal year ended june 30, 2019, the cost of charity care was 1,625,405. B. Medicare/medicaid recognizing its mission to the community, services are provided to the elderly (medicare) and the poor (medicaid). Spsi provides care, below cost, to persons covered by these governmental programs. To the extent reimbursement is below the cost of providing healthcare, spsi is furthering its mission to the entire community. The unreimbursed value of medicare and/or medicaid is equal to the cost of providing services less the amount of reimbursement received under the program. For fiscal year ended june 30, 2019, the unreimbursed value of providing care to these patients was 34,014,160. C. Other uncompensated patient services in addition, spsi 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, 2019, was 1,413,239. Community health, education and outreach spirit physician services, inc. Strives to serve as partners to the communities in which they are located, spsi provides care t”

“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 2018 reporting period on behalf of itself and its affiliates was 1,602. 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.”

“Form 990, part ix statement of functional expenses, line 24e: unrelated business income tax expense -359.”

“Transfers parent, holy spirit health system 50,000,000 transfer from geisinger health 18,325 asset revaluation to fair market value -3,570,183 total 46,448,142 the 3,570,183 decrease in net assets represents the adjustment of spirit physician services, inc.s land, buildings, and equipment to fair market value. The 50,018,325 increase in net assets represents 50,000,000 transferred from affiliate, holy spirit health system and 18,325 transferred from geisinger health for pp&e.”

“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.”