Civic Intelligence

Gsl Hospital

990 • Fiscal year 2019 • EIN 82-4432109

Jul 01, 2018 to Jun 30, 2019 • Filed on Jun 18, 2020

801 Ostrum StreetBethlehem, PA 18015

(484) 526-4000

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

13th percentile

0.01x

Higher debt load relative to assets than 13% of similar nonprofits.

2019 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2019

Liabilities / Revenue

Score unavailable

No value available

Liabilities-to-revenue requires both liabilities and revenue on this filing.

Source year 2019

Net Margin

Score unavailable

No value available

Net margin requires both revenue and expenses on this filing.

Source year 2019

Top Officer Pay

66th percentile

$324,028

Higher top officer pay than 66% of similar nonprofits.

2019 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2019

Asset Growth

100th percentile

5876%

Faster asset growth than 100% of similar nonprofits.

2019 filings • 501(c)3 • $25M-$50M nonprofits • Annualized from 2018 to 2019

Revenue Growth

Score unavailable

No value available

A valid growth rate could not be computed from the available filing history.

Annualized from 2018 to 2019

Assets

Up

$38,659,249

Up $38,012,356 (+5876%) from 2018

Net Assets

Up

$38,152,597

Up $38,152,597 from 2018

Liabilities

Down

$506,652

Down $140,241 (-22%) from 2018

Revenue

Flat

$0

Flat from 2018

Expenses

Flat

$0

Flat from 2018

Net Income

Flat

$0

Flat from 2018

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$150M$100M$50M$0Assets 2018: $646,893Liabilities 2018: $646,893Net Assets 2018: $02018Assets 2019: $38,659,249Liabilities 2019: $506,652Net Assets 2019: $38,152,5972019Assets 2020: $79,865,338Liabilities 2020: $7,689,027Net Assets 2020: $72,176,3112020Assets 2021: $96,235,498Liabilities 2021: $23,859,617Net Assets 2021: $72,375,8812021Assets 2022: $92,631,141Liabilities 2022: $20,557,486Net Assets 2022: $72,073,6552022Assets 2023: $96,510,130Liabilities 2023: $26,846,210Net Assets 2023: $69,663,9202023Assets 2024: $106,275,979Liabilities 2024: $33,147,474Net Assets 2024: $73,128,5052024

Highlighted filing

2019

Assets$38,659,249
Liabilities$506,652
Net Assets$38,152,597

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$100M$50M$0-$50MRevenue 2018: $0Expenses 2018: $0Net Income 2018: $02018Revenue 2019: $0Expenses 2019: $0Net Income 2019: $02019Revenue 2020: $16,576,450Expenses 2020: $36,065,017Net Income 2020: -$19,488,5672020Revenue 2021: $59,633,302Expenses 2021: $59,135,035Net Income 2021: $498,2672021Revenue 2022: $70,768,939Expenses 2022: $71,049,229Net Income 2022: -$280,2902022Revenue 2023: $76,134,827Expenses 2023: $78,543,017Net Income 2023: -$2,408,1902023Revenue 2024: $94,362,514Expenses 2024: $90,903,267Net Income 2024: $3,459,2472024

Highlighted filing

2019

Revenue$0
Expenses$0
Net Income$0
Jump To
Filing Snapshot
Filing Period
Jul 1, 2018 to Jun 30, 2019
Signed
Jun 18, 2020
Return Version
2018v3.3
Gross Receipts
$0
Mission and Program Overview

Mission

Upon completion of construction and an official opening of a new hospital the organization will support the charitable mission and activities of geisinger health and st. Luke's health network, inc. D/b/a st. Luke's university health network. The organization will provide for the general welfare and promote the health of members within its community by providing healthcare services, including establishing, owning and maintaining a hospital facility, nursing facilities, ancillary care facilities and the provision of physician services.

To support the charitable mission and activities of geisinger health and st. Luke's health network, inc d/b/a st. Luke's university health network.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$631,767$38,232,304▲ $37,600,537
Accounts Receivable$0$411,386▲ $411,386
Prepaid Expenses and Deferred Charges$0$11,987▲ $11,987
Cash and Non-Interest-Bearing Accounts$15,126$3,572▼ $11,554
Savings and Temporary Cash Investments$0$0→ $0
Other Notes and Loans Receivable, Net$0$0→ $0
Pledges and Grants Receivable$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0$0→ $0
Investments Program Related$0$0→ $0
Investments in Publicly Traded Securities$0$0→ $0
Intangible Assets$0$0→ $0
Inventories for Sale or Use$0$0→ $0
Loans From Officers Directors$0$0→ $0
Total Assets$646,893$38,659,249▲ $38,012,356
Other Assets Total$0$0→ $0
Liabilities
Other Liabilities$646,893$394,903▼ $251,990
Accounts Payable and Accrued Expenses$0$111,749▲ $111,749
Grants Payable$0$0→ $0
Mortgage Notes Payable Secured by Investment Property$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Deferred Revenue$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$646,893$506,652▼ $140,241
Net Assets / Fund Balance
Unrestricted Net Assets$0$38,152,597▲ $38,152,597
Permanently Rstr Net Assets$0$0→ $0
Temporarily Rstr Net Assets$0$0→ $0
Total Net Assets Fund Balance$0$38,152,597▲ $38,152,597
Total Liabilities and Net Assets / Fund Balance$646,893$38,659,249▲ $38,012,356

Asset Categories

AssetBook ValueDepreciationBasis
Other Land Buildings$38,232,304-$38,232,304
Compensation and Service Providers

Board Members and Trustees

NameTitle
Joel D FagerstromChairman - Trustee
Gabriel Kamarousky FacheTrustee - President
Steven YousoVice Chairman - Trustee
Gerald Maloney Do FacpTrustee
Jeffrey AdamsTrustee
Robert E MartinTrustee
Thomas P LichtenwalnerTrustee
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$0
Investment Income
$0
Other Revenue
$0
Change in Net Assets
$0
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$0
Other Expenses$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$0
Fundraising Gross Income$0
Gaming Direct Expenses$0
Gaming Gross Income$0
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Affiliates$394,903
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
Yes

Governance Explanations

Core Form, Part I, Line 4 & Core Form, Part VI, Line 1B

The organization is a joint venture hospital between geisinger health ("geisinger") and st. Lukes university health network ("st. Luke's"); both of which are the tax-exempt parent entities of their respective integrated healthcare delivery systems. Although this federal form 990 shows no independent board of trustee members under the internal revenue service ("irs") definition, this organization acts in a charitable tax-exempt manner and has received its tax-exempt status from the irs pursuant to internal revenue code section 501(c)(3). The organization is governed by its board of trustees, which is comprised solely of representatives of geisinger and st. Lukes. Thus, the organization is controlled by geisinger and st. Lukes; both of which are governed by a board whose majority is comprised of independent voting members.

CORE FORM, PART VI, SECTION A; QUESTION 3

In march 2018 geisinger health ("geisinger") and st. Lukes university health network ("st. Luke's") announced that the organizations had entered into a joint venture to build a new acute care hospital in the borough of orwigsburg pennsylvania. The 80-bed hospital, scheduled to open in november of 2019, is to feature an emergency department and a range of specialties and services. Under terms of the agreement, the new hospital will operate under geisinger and st. Luke's as a joint venture, with funding and governance shared equally between the tax-exempt integrated healthcare delivery systems. St. Luke's will build and manage the hospital. St. Luke's and geisinger will both contribute physicians and specialty support staff and expertise.

CORE FORM, PART VI, SECTION A; QUESTIONS 6 & 7

Geisinger health and st. Luke's health network, inc. Are the sole members of this organization. The organization shall be managed, conducted and directed by its board of trustees. In accordance with the organization's bylaws, each member shall appoint three (3) trustees to its governing body (board of trustees).

CORE FORM, PART VI, SECTION B; QUESTION 11B

The organization's federal form 990 was provided to each voting member of the organization's governing body (its board of trustees) prior to the filing with the internal revenue service ("irs"). As part of the organization's federal form 990 tax return preparation process the organization hired a professional certified public accounting ("cpa") firm with experience and expertise in both healthcare and not-for-profit tax return preparation to prepare the federal form 990. The cpa firm's tax professionals worked closely with the organization's finance personnel to obtain the information needed in order to prepare a complete and accurate tax return. The cpa firm prepared a draft federal form 990 and furnished it to the organization's finance personnel for their review. The organization's finance personnel reviewed the draft federal form 990 and discussed questions and comments with the cpa firm. Revisions were made to the draft federal form 990 where necessary and a final draft was furnished by the cpa firm for final review and approval. Thereafter, the form 990 was provided to each voting member of the organization's governing body prior to filing with the irs.

CORE FORM, PART VI, SECTION B; QUESTION 12

The organization has a written conflict of interest policy and regularly monitors and enforces compliance with that policy. Every covered individual is required to submit, atleast annually, a conflict of interest disclosure statement which lists all financial and conflicting interests. These disclosures are then shared with the chairman of the board. If a covered individual discloses an interest that could give rise to a conflict, the potential conflict may be disclosed to the organization's governing body, which evaluates the conflict and its potential impact on the covered individuals participation. After consultation and discussion, the board of trustees may take action, if appropriate and necessary, to address any such conflict in a manner consistent with the organization's conflict of interest policy.

CORE FORM, PART VI, SECTION B; QUESTION 15

The organization currently has no compensated individuals. However, once the organization becomes operational, the compensation payable to senior executives and medical chiefs will be determined by the organization's executive compensation committee and its board of trustees based on guidance from an independent executive compensation consultant with expertise in this field. The consultant is engaged by and reports directly to the executive compensation committee and the board of trustees. The consultant will provide a full report to the executive compensation committee and board of trustees every two years. The consultant will review the roles of the organization's executives, determine applicable peer organizations, collect and analyzes published compensation survey data, confirm the data based on publicly available information and compare the compensation of the organizations executives and medical chiefs to the market data. The consultant will provide a report of its market findings and present the report to the executive compensation committee of the board of trustees. Finally, the consultant will prepare a letter commenting on the reasonableness of the organization's compensation. A portion of the compensation payable to senior executives and medical chiefs will be contingent upon the achievement of performance measures set in advance by the board of trustees based on recommendations from the executive compensation committee. The contingent portion, referred to as "incentive compensation", is forfeited upon failure to achieve a minimum level of operating surplus or the loss of certain key hospital and service line accreditations. The performance measures change from year to year as determined by the executive compensation committee and the board of trustees and typically include measures based on quality, patient satisfaction and fiscal responsibility. The executive compensation committee has adopted a written executive compensation philosophy which it follows when it reviews and approves of the compensation and benefits. The will committee review the "total compensation" which is intended to include both current and deferred compensation and all employee benefits, both qualified and non-qualified. The committee's review will be done on at least an annual basis and ensures that the "total compensation" of senior management is reasonable. The actions taken by the committee enable the organization to receive the rebuttable presumption of reasonableness for purposes of internal revenue code section 4958 with respect to the total compensation of senior management.

CORE FORM, PART VI, SECTION C; QUESTION 19

The organization's filed certificate of incorporation and any amendments can be obtained and reviewed through the commonwealth of pennsylvania.

Core Form, Part VII and Schedule J

The organization is a joint venture hospital between geisinger health ("geisinger") and st. Lukes university health network ("st. Luke's"); both tax-exempt integrated healthcare delivery systems. In accordance with the organizations bylaws, the property and affairs of the organization shall be managed, conducted and directed by its governing body (board of trustees). Joel d. Fagerstrom, thomas p. Lichtenwalner and robert e. Martin are members of this organization's governing body and are not compensated for serving as trustees of the organization. Mr. Fagerstrom is the executive vice president and chief operating officer, mr. Lichtenwalner is the senior vice president/chief financial officer, and mr. Martin is the senior vice president, network development of st. Luke's. Each of these individuals receive a federal form w-2 from st. Lukes hospital of bethlehem pennsylvania; an internal revenue code section 501(c)(3) tax-exempt organization. Their reportable compensation, retirement/other deferred compensation and non-taxable benefits are reported within core form, part vii and schedule j of the st. Lukes health network, inc. (ein: 23-2384282) federal form 990. Please refer to the st. Lukes health network, inc. Form 990 for this information. Steven youso is a member of this organization's governing body and is not compensated for serving as a trustee of the organization. Mr. Youso is the president/chief executive officer of geisinger health plan. Mr. Youso receives a federal form w-2 from geisinger health plan; an internal revenue code section 501(c)(3) tax-exempt organization. Mr. Youso's reportable compensation, retirement/other deferred compensation and non-taxable benefits are reported within core form, part vii and schedule j of the geisinger health plan (ein: 23-2311553) federal form 990. Please refer to the geisinger health plan form 990 for this information. Gerald v. Maloney, d.o., facp is a member of this organization's governing body and is not compensated for serving as a trustee of the organization. Dr. Maloney is the chief medical office of geisinger hospitals. Dr. Maloney receives a federal form w-2 from geisinger clinic; an internal revenue code section 501(c)(3) tax-exempt organization. Dr. Maloney's reportable compensation, retirement/other deferred compensation and non-taxable benefits are reported within core form, part vii and schedule j of the geisinger clinic (ein: 23-6291113) federal form 990. Please refer to the geisinger clinic form 990 for this information.

Filing and Contact Details

Filer

Filer Name
Gsl Hospital
EIN
82-4432109
In Care Of
% THOMAS P LICHTENWALNER
Phone
4845264000
Address
801 OSTRUM STREET, BETHLEHEM, PA 18015

Signing Officer

Name
Thomas P Lichtenwalner
Title
SVP Finance & CFO
Phone
4845464000
Signed
2020-06-18
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Thomas P Lichtenwalner
Formed
2017
Legal Domicile
Pa
Voting Board Members
7
Independent Board Members
0
Employees
0
Volunteers
0

Preparer

Firm
WithumSmithBrown PC
Address
200 Jefferson Park Suite 400, Whippany, NJ 07981-1070
Preparer
Scott J Mariani
Phone
9738989494
Supplemental Narrative

Additional Explanations

Core Form, Part XI, Question 9

- transfer from geisinger health; a related internal revenue code section 501(c)(3) tax-exempt organization - $20,110,325; - transfer from st. Luke's health network, inc.; a related internal revenue code section 501(c)(3) tax-exempt organization - $19,116,152; - pre-acquisition/merger/start-up costs - ($1,067,420); and - donations to other organization - ($6,460).

CORE FORM, PART XII; QUESTION 2

An independent cpa firm audited the consolidated financial statements of gsl hospital and its controlled affiliate for the year ended june 30, 2019. An unmodified opinion was issued by the independent cpa firm for the year ended june 30, 2019. The organization is a joint venture hospital between geisinger health ("geisinger") and st. Lukes university health network ("st. Luke's"); both tax-exempt integrated healthcare delivery systems. Together, these organizations have oversight of the organizations finances and assume the responsibility for oversight of the audit of the consolidated financial statements and the selection of an independent auditor.

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IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt0TAXABLE COMPENSATION REPORTED HEREIN IS DERIVED FROM 2018 FORMS W-2.
IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt1COMPENSATION REVIEW ------------------- EXECUTIVE COMPENSATION FOR THE ORGANIZATION CONSISTS OF FIXED SALARY, AT-RISK COMPENSATION AND OTHER DEFERRED COMPENSATION ARRANGEMENTS. TOTAL COMPENSATION FOR EXECUTIVES IS APPROVED ANNUALLY BY THE NETWORK'S BOARD OF TRUSTEES. THE RECOMMENDED COMPENSATION IS ESTABLISHED THROUGH A MULTI-FACETED APPROACH INCLUDING USE OF AN INDEPENDENT CONSULTANT ENGAGED ON AN ONGOING BASIS BY THE BOARD OF TRUSTEES AND WHO WORKS DIRECTLY WITH THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD. ALSO INCLUDED IS THE REVIEW OF FORMS 990 AND COMPENSATION SURVEYS OF OTHER COMPARABLE HEALTHCARE ORGANIZATIONS. BONUS/INCENTIVE --------------- THE AT-RISK COMPENSATION IS APPROVED BY THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD AND IS BASED ON SEVERAL QUALITATIVE AND QUANTITATIVE COMPONENTS, INCLUDING JOINT COMMISSION, PENNSYLVANIA DEPARTMENT OF HEALTH AND PENNSYLVANIA TRAUMA SYSTEMS FOUNDATION ACCREDITATIONS, EVIDENCE-BASED HOSPITAL PROCESS OF CARE MEASURES, OUTCOME MEASURES, SUCH AS PATIENT SATISFACTION, MORTALITY RATE, AND LENGTH OF STAY; EFFICIENCY MEASURES AS DEMONSTRATED BY COST-PER-ADJUSTED DISCHARGE AND NET INCOME. OTHER REPORTABLE COMPENSATION ----------------------------- OTHER BENEFITS INCLUDE DEFERRED COMPENSATION BENEFITS THAT HAD ACCUMULATED OVER YEARS OF SERVICE AND WAS REPORTED AND DISTRIBUTED IN ACCORDANCE WITH VESTING REQUIREMENTS AND INTERNAL REVENUE SERVICE RULES AND REGULATIONS. DEFERRED COMPENSATION --------------------- DEFERRED COMPENSATION REPRESENTS RETIREMENT BENEFITS EARNED DURING THE REPORTING PERIOD, NOT RECOGNIZED AS COMPENSATION ON THE EMPLOYEE'S 2018 FORM W-2. NONTAXABLE BENEFITS ------------------- NONTAXABLE BENEFITS REPRESENTS HEALTH AND WELFARE BENEFITS RECEIVED DURING THE REPORTING PERIOD, NOT RECOGNIZED AS COMPENSATION ON THE EMPLOYEE'S 2018 FORM W-2. COMPENSATION REPORTED ON PRIOR 990 ---------------------------------- TOTAL COMPENSATION REPORTED ON PRIOR FORMS 990 REPRESENTS RECOGNITION OF DEFERRED COMPENSATION BENEFITS THAT HAD ACCUMULATED OVER YEARS OF SERVICE AND WAS REPORTED AND DISTRIBUTED IN ACCORDANCE WITH VESTING REQUIREMENTS AND INTERNAL REVENUE SERVICE RULES AND REGULATIONS. THESE AMOUNTS WERE PREVIOUSLY REPORTED IN SCHEDULE J, COLUMN C - RETIREMENT AND OTHER DEFERRED COMPENSATION.
IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt2THE EXECUTIVE COMPENSATION PACKAGE FOR THE ORGANIZATION CONSISTS OF BOTH A FIXED SALARY AND ADDITIONAL AT-RISK COMPENSATION THAT IS BASED ON SEVERAL QUALITATIVE AND QUANTITATIVE COMPONENTS. THE COMPONENTS OF THE AT-RISK COMPENSATION PLAN INCLUDES JCAHO, DEPARTMENT OF HEALTH AND TRAUMA CENTER ACCREDITATIONS, EVIDENCE BASED HOSPITAL PROCESS OF CARE MEASURES, OUTCOME MEASURES SUCH AS PATIENT SATISFACTION, MORTALITY RATE, LENGTH OF STAY, EFFICIENCY MEASURES AS DEMONSTRATED BY COST PER ADJUSTED DISCHARGE AND FINALLY NET INCOME.
IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt3THE INDIVIDUAL INCLUDED IN SCHEDULE J, PART II RECEIVED AT-RISK COMPENSATION DURING CALENDAR YEAR 2018 WHICH WAS INCLUDED IN SCHEDULE J, PART II, COLUMN B(II) HEREIN AND IN THE INDIVIDUAL'S 2018 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES. PLEASE REFER TO THIS SECTION OF THE FORM 990, SCHEDULE J FOR THIS INFORMATION.
IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc0CORM FORM, PART VII AND SCHEDULE J
IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc1SCHEDULE J, PART I; QUESTION 3
IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc2SCHEDULE J, PART I; QUESTIONS 6A AND 6B
IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc3SCHEDULE J, PART I; QUESTION 7
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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE ORGANIZATION IS A JOINT VENTURE HOSPITAL BETWEEN GEISINGER HEALTH ("GEISINGER") AND ST. LUKES UNIVERSITY HEALTH NETWORK ("ST. LUKE'S"); BOTH OF WHICH ARE THE TAX-EXEMPT PARENT ENTITIES OF THEIR RESPECTIVE INTEGRATED HEALTHCARE DELIVERY SYSTEMS. ALTHOUGH THIS FEDERAL FORM 990 SHOWS NO INDEPENDENT BOARD OF TRUSTEE MEMBERS UNDER THE INTERNAL REVENUE SERVICE ("IRS") DEFINITION, THIS ORGANIZATION ACTS IN A CHARITABLE TAX-EXEMPT MANNER AND HAS RECEIVED ITS TAX-EXEMPT STATUS FROM THE IRS PURSUANT TO INTERNAL REVENUE CODE SECTION 501(C)(3). THE ORGANIZATION IS GOVERNED BY ITS BOARD OF TRUSTEES, WHICH IS COMPRISED SOLELY OF REPRESENTATIVES OF GEISINGER AND ST. LUKES. THUS, THE ORGANIZATION IS CONTROLLED BY GEISINGER AND ST. LUKES; BOTH OF WHICH ARE GOVERNED BY A BOARD WHOSE MAJORITY IS COMPRISED OF INDEPENDENT VOTING MEMBERS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1IN MARCH 2018 GEISINGER HEALTH ("GEISINGER") AND ST. LUKES UNIVERSITY HEALTH NETWORK ("ST. LUKE'S") ANNOUNCED THAT THE ORGANIZATIONS HAD ENTERED INTO A JOINT VENTURE TO BUILD A NEW ACUTE CARE HOSPITAL IN THE BOROUGH OF ORWIGSBURG PENNSYLVANIA. THE 80-BED HOSPITAL, SCHEDULED TO OPEN IN NOVEMBER OF 2019, IS TO FEATURE AN EMERGENCY DEPARTMENT AND A RANGE OF SPECIALTIES AND SERVICES. UNDER TERMS OF THE AGREEMENT, THE NEW HOSPITAL WILL OPERATE UNDER GEISINGER AND ST. LUKE'S AS A JOINT VENTURE, WITH FUNDING AND GOVERNANCE SHARED EQUALLY BETWEEN THE TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEMS. ST. LUKE'S WILL BUILD AND MANAGE THE HOSPITAL. ST. LUKE'S AND GEISINGER WILL BOTH CONTRIBUTE PHYSICIANS AND SPECIALTY SUPPORT STAFF AND EXPERTISE.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2GEISINGER HEALTH AND ST. LUKE'S HEALTH NETWORK, INC. ARE THE SOLE MEMBERS OF THIS ORGANIZATION. THE ORGANIZATION SHALL BE MANAGED, CONDUCTED AND DIRECTED BY ITS BOARD OF TRUSTEES. IN ACCORDANCE WITH THE ORGANIZATION'S BYLAWS, EACH MEMBER SHALL APPOINT THREE (3) TRUSTEES TO ITS GOVERNING BODY (BOARD OF TRUSTEES).
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3THE ORGANIZATION'S FEDERAL FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY (ITS BOARD OF TRUSTEES) PRIOR TO THE FILING WITH THE INTERNAL REVENUE SERVICE ("IRS"). AS PART OF THE ORGANIZATION'S FEDERAL FORM 990 TAX RETURN PREPARATION PROCESS THE ORGANIZATION HIRED A PROFESSIONAL CERTIFIED PUBLIC ACCOUNTING ("CPA") FIRM WITH EXPERIENCE AND EXPERTISE IN BOTH HEALTHCARE AND NOT-FOR-PROFIT TAX RETURN PREPARATION TO PREPARE THE FEDERAL FORM 990. THE CPA FIRM'S TAX PROFESSIONALS WORKED CLOSELY WITH THE ORGANIZATION'S FINANCE PERSONNEL TO OBTAIN THE INFORMATION NEEDED IN ORDER TO PREPARE A COMPLETE AND ACCURATE TAX RETURN. THE CPA FIRM PREPARED A DRAFT FEDERAL FORM 990 AND FURNISHED IT TO THE ORGANIZATION'S FINANCE PERSONNEL FOR THEIR REVIEW. THE ORGANIZATION'S FINANCE PERSONNEL REVIEWED THE DRAFT FEDERAL FORM 990 AND DISCUSSED QUESTIONS AND COMMENTS WITH THE CPA FIRM. REVISIONS WERE MADE TO THE DRAFT FEDERAL FORM 990 WHERE NECESSARY AND A FINAL DRAFT WAS FURNISHED BY THE CPA FIRM FOR FINAL REVIEW AND APPROVAL. THEREAFTER, THE FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY PRIOR TO FILING WITH THE IRS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4THE ORGANIZATION HAS A WRITTEN CONFLICT OF INTEREST POLICY AND REGULARLY MONITORS AND ENFORCES COMPLIANCE WITH THAT POLICY. EVERY COVERED INDIVIDUAL IS REQUIRED TO SUBMIT, ATLEAST ANNUALLY, A CONFLICT OF INTEREST DISCLOSURE STATEMENT WHICH LISTS ALL FINANCIAL AND CONFLICTING INTERESTS. THESE DISCLOSURES ARE THEN SHARED WITH THE CHAIRMAN OF THE BOARD. IF A COVERED INDIVIDUAL DISCLOSES AN INTEREST THAT COULD GIVE RISE TO A CONFLICT, THE POTENTIAL CONFLICT MAY BE DISCLOSED TO THE ORGANIZATION'S GOVERNING BODY, WHICH EVALUATES THE CONFLICT AND ITS POTENTIAL IMPACT ON THE COVERED INDIVIDUALS PARTICIPATION. AFTER CONSULTATION AND DISCUSSION, THE BOARD OF TRUSTEES MAY TAKE ACTION, IF APPROPRIATE AND NECESSARY, TO ADDRESS ANY SUCH CONFLICT IN A MANNER CONSISTENT WITH THE ORGANIZATION'S CONFLICT OF INTEREST POLICY.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5THE ORGANIZATION CURRENTLY HAS NO COMPENSATED INDIVIDUALS. HOWEVER, ONCE THE ORGANIZATION BECOMES OPERATIONAL, THE COMPENSATION PAYABLE TO SENIOR EXECUTIVES AND MEDICAL CHIEFS WILL BE DETERMINED BY THE ORGANIZATION'S EXECUTIVE COMPENSATION COMMITTEE AND ITS BOARD OF TRUSTEES BASED ON GUIDANCE FROM AN INDEPENDENT EXECUTIVE COMPENSATION CONSULTANT WITH EXPERTISE IN THIS FIELD. THE CONSULTANT IS ENGAGED BY AND REPORTS DIRECTLY TO THE EXECUTIVE COMPENSATION COMMITTEE AND THE BOARD OF TRUSTEES. THE CONSULTANT WILL PROVIDE A FULL REPORT TO THE EXECUTIVE COMPENSATION COMMITTEE AND BOARD OF TRUSTEES EVERY TWO YEARS. THE CONSULTANT WILL REVIEW THE ROLES OF THE ORGANIZATION'S EXECUTIVES, DETERMINE APPLICABLE PEER ORGANIZATIONS, COLLECT AND ANALYZES PUBLISHED COMPENSATION SURVEY DATA, CONFIRM THE DATA BASED ON PUBLICLY AVAILABLE INFORMATION AND COMPARE THE COMPENSATION OF THE ORGANIZATIONS EXECUTIVES AND MEDICAL CHIEFS TO THE MARKET DATA. THE CONSULTANT WILL PROVIDE A REPORT OF ITS MARKET FINDINGS AND PRESENT THE REPORT TO THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES. FINALLY, THE CONSULTANT WILL PREPARE A LETTER COMMENTING ON THE REASONABLENESS OF THE ORGANIZATION'S COMPENSATION. A PORTION OF THE COMPENSATION PAYABLE TO SENIOR EXECUTIVES AND MEDICAL CHIEFS WILL BE CONTINGENT UPON THE ACHIEVEMENT OF PERFORMANCE MEASURES SET IN ADVANCE BY THE BOARD OF TRUSTEES BASED ON RECOMMENDATIONS FROM THE EXECUTIVE COMPENSATION COMMITTEE. THE CONTINGENT PORTION, REFERRED TO AS "INCENTIVE COMPENSATION", IS FORFEITED UPON FAILURE TO ACHIEVE A MINIMUM LEVEL OF OPERATING SURPLUS OR THE LOSS OF CERTAIN KEY HOSPITAL AND SERVICE LINE ACCREDITATIONS. THE PERFORMANCE MEASURES CHANGE FROM YEAR TO YEAR AS DETERMINED BY THE EXECUTIVE COMPENSATION COMMITTEE AND THE BOARD OF TRUSTEES AND TYPICALLY INCLUDE MEASURES BASED ON QUALITY, PATIENT SATISFACTION AND FISCAL RESPONSIBILITY. THE EXECUTIVE COMPENSATION COMMITTEE HAS ADOPTED A WRITTEN EXECUTIVE COMPENSATION PHILOSOPHY WHICH IT FOLLOWS WHEN IT REVIEWS AND APPROVES OF THE COMPENSATION AND BENEFITS. THE WILL COMMITTEE REVIEW THE "TOTAL COMPENSATION" WHICH IS INTENDED TO INCLUDE BOTH CURRENT AND DEFERRED COMPENSATION AND ALL EMPLOYEE BENEFITS, BOTH QUALIFIED AND NON-QUALIFIED. THE COMMITTEE'S REVIEW WILL BE DONE ON AT LEAST AN ANNUAL BASIS AND ENSURES THAT THE "TOTAL COMPENSATION" OF SENIOR MANAGEMENT IS REASONABLE. THE ACTIONS TAKEN BY THE COMMITTEE ENABLE THE ORGANIZATION TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS FOR PURPOSES OF INTERNAL REVENUE CODE SECTION 4958 WITH RESPECT TO THE TOTAL COMPENSATION OF SENIOR MANAGEMENT.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6THE ORGANIZATION'S FILED CERTIFICATE OF INCORPORATION AND ANY AMENDMENTS CAN BE OBTAINED AND REVIEWED THROUGH THE COMMONWEALTH OF PENNSYLVANIA.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt7THE ORGANIZATION IS A JOINT VENTURE HOSPITAL BETWEEN GEISINGER HEALTH ("GEISINGER") AND ST. LUKES UNIVERSITY HEALTH NETWORK ("ST. LUKE'S"); BOTH TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEMS. IN ACCORDANCE WITH THE ORGANIZATIONS BYLAWS, THE PROPERTY AND AFFAIRS OF THE ORGANIZATION SHALL BE MANAGED, CONDUCTED AND DIRECTED BY ITS GOVERNING BODY (BOARD OF TRUSTEES). JOEL D. FAGERSTROM, THOMAS P. LICHTENWALNER AND ROBERT E. MARTIN ARE MEMBERS OF THIS ORGANIZATION'S GOVERNING BODY AND ARE NOT COMPENSATED FOR SERVING AS TRUSTEES OF THE ORGANIZATION. MR. FAGERSTROM IS THE EXECUTIVE VICE PRESIDENT AND CHIEF OPERATING OFFICER, MR. LICHTENWALNER IS THE SENIOR VICE PRESIDENT/CHIEF FINANCIAL OFFICER, AND MR. MARTIN IS THE SENIOR VICE PRESIDENT, NETWORK DEVELOPMENT OF ST. LUKE'S. EACH OF THESE INDIVIDUALS RECEIVE A FEDERAL FORM W-2 FROM ST. LUKES HOSPITAL OF BETHLEHEM PENNSYLVANIA; AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. THEIR REPORTABLE COMPENSATION, RETIREMENT/OTHER DEFERRED COMPENSATION AND NON-TAXABLE BENEFITS ARE REPORTED WITHIN CORE FORM, PART VII AND SCHEDULE J OF THE ST. LUKES HEALTH NETWORK, INC. (EIN: 23-2384282) FEDERAL FORM 990. PLEASE REFER TO THE ST. LUKES HEALTH NETWORK, INC. FORM 990 FOR THIS INFORMATION. STEVEN YOUSO IS A MEMBER OF THIS ORGANIZATION'S GOVERNING BODY AND IS NOT COMPENSATED FOR SERVING AS A TRUSTEE OF THE ORGANIZATION. MR. YOUSO IS THE PRESIDENT/CHIEF EXECUTIVE OFFICER OF GEISINGER HEALTH PLAN. MR. YOUSO RECEIVES A FEDERAL FORM W-2 FROM GEISINGER HEALTH PLAN; AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. MR. YOUSO'S REPORTABLE COMPENSATION, RETIREMENT/OTHER DEFERRED COMPENSATION AND NON-TAXABLE BENEFITS ARE REPORTED WITHIN CORE FORM, PART VII AND SCHEDULE J OF THE GEISINGER HEALTH PLAN (EIN: 23-2311553) FEDERAL FORM 990. PLEASE REFER TO THE GEISINGER HEALTH PLAN FORM 990 FOR THIS INFORMATION. GERALD V. MALONEY, D.O., FACP IS A MEMBER OF THIS ORGANIZATION'S GOVERNING BODY AND IS NOT COMPENSATED FOR SERVING AS A TRUSTEE OF THE ORGANIZATION. DR. MALONEY IS THE CHIEF MEDICAL OFFICE OF GEISINGER HOSPITALS. DR. MALONEY RECEIVES A FEDERAL FORM W-2 FROM GEISINGER CLINIC; AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. DR. MALONEY'S REPORTABLE COMPENSATION, RETIREMENT/OTHER DEFERRED COMPENSATION AND NON-TAXABLE BENEFITS ARE REPORTED WITHIN CORE FORM, PART VII AND SCHEDULE J OF THE GEISINGER CLINIC (EIN: 23-6291113) FEDERAL FORM 990. PLEASE REFER TO THE GEISINGER CLINIC FORM 990 FOR THIS INFORMATION.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt8- TRANSFER FROM GEISINGER HEALTH; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION - $20,110,325; - TRANSFER FROM ST. LUKE'S HEALTH NETWORK, INC.; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION - $19,116,152; - PRE-ACQUISITION/MERGER/START-UP COSTS - ($1,067,420); AND - DONATIONS TO OTHER ORGANIZATION - ($6,460).
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt9AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF GSL HOSPITAL AND ITS CONTROLLED AFFILIATE FOR THE YEAR ENDED JUNE 30, 2019. AN UNMODIFIED OPINION WAS ISSUED BY THE INDEPENDENT CPA FIRM FOR THE YEAR ENDED JUNE 30, 2019. THE ORGANIZATION IS A JOINT VENTURE HOSPITAL BETWEEN GEISINGER HEALTH ("GEISINGER") AND ST. LUKES UNIVERSITY HEALTH NETWORK ("ST. LUKE'S"); BOTH TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEMS. TOGETHER, THESE ORGANIZATIONS HAVE OVERSIGHT OF THE ORGANIZATIONS FINANCES AND ASSUME THE RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF THE CONSOLIDATED FINANCIAL STATEMENTS AND THE SELECTION OF AN INDEPENDENT AUDITOR.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0CORE FORM, PART I, LINE 4 & CORE FORM, PART VI, LINE 1B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1CORE FORM, PART VI, SECTION A; QUESTION 3
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2CORE FORM, PART VI, SECTION A; QUESTIONS 6 & 7
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3CORE FORM, PART VI, SECTION B; QUESTION 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4CORE FORM, PART VI, SECTION B; QUESTION 12
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5CORE FORM, PART VI, SECTION B; QUESTION 15
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6CORE FORM, PART VI, SECTION C; QUESTION 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc7CORE FORM, PART VII AND SCHEDULE J
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc8CORE FORM, PART XI, QUESTION 9
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc9CORE FORM, PART XII; QUESTION 2
IRS990ScheduleR/AssetExchangeInd0false
IRS990ScheduleR/AssetPurchaseFromOtherOrgInd0false
IRS990ScheduleR/AssetSaleToOtherOrgInd0false
IRS990ScheduleR/DivRelatedOrganizationInd0false
IRS990ScheduleR/GiftGrntCapContriFromOthOrgInd0false
IRS990ScheduleR/GiftGrntOrCapContriToOthOrgInd0false
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd0false
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd1false
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd2true
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DirectControllingEntityName/BusinessNameLine1Txt0NA
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DirectControllingEntityName/BusinessNameLine1Txt1NA
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DirectControllingEntityName/BusinessNameLine1Txt2GSL HOSPITAL
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt0ST LUKE'S HEALTH NETWORK INC
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt1GEISINGER HEALTH
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt2GSLPG INC
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN0232384282
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN1231995911
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN2825423865
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ExemptCodeSectionTxt0501(C)(3)
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ExemptCodeSectionTxt1501(C)(3)
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ExemptCodeSectionTxt2501(C)(3)
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/LegalDomicileStateCd0PA
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/LegalDomicileStateCd1PA
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/LegalDomicileStateCd2PA
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt0HEALTH SVCS.
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt1HEALTH SVCS.
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt2INACTIVE
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PublicCharityStatusTxt0509(A)(3)

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