Civic Intelligence

Gslpg Inc.

990 • Fiscal year 2020 • EIN 82-5423865

Jul 01, 2019 to Jun 30, 2020 • Filed on May 11, 2021

1110 St Lukes WayAllentown, PA 18109

(484) 526-4000

Siviq Scores

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

Liabilities / Assets

93rd percentile

1.00x

Higher debt load relative to assets than 93% of similar nonprofits.

2020 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2020

Liabilities / Revenue

53rd percentile

0.23x

Higher debt load relative to revenue than 53% of similar nonprofits.

2020 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2020

Net Margin

55th percentile

6.5%

Higher net margin than 55% of similar nonprofits.

2020 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2020

Top Officer Pay

21st percentile

$0

Higher top officer pay than 21% of similar nonprofits.

Top officer pay equals 0.0% of source-year revenue.

2020 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2020

Asset Growth

100th percentile

135383%

Faster asset growth than 100% of similar nonprofits.

2020 filings • 501(c)3 • $5M-$10M nonprofits • Annualized from 2018 to 2020

Revenue Growth

Score unavailable

No value available

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

Annualized from 2018 to 2020

Assets

Up

$1,835,564

Up $1,835,563 (+183556300%) from 2018

Net Assets

$0

No earlier filing loaded for comparison.

Liabilities

Up

$1,835,564

Up $1,835,564 from 2018

Revenue

Up

$7,814,876

Up $7,814,876 from 2018

Expenses

Up

$7,304,563

Up $7,304,563 from 2018

Net Income

Up

$510,313

Up $510,313 from 2018

Historical Trend

Balance Sheet Trend

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

$3.0M$2.0M$1.0M$0-$1.0MAssets 2018: $1Liabilities 2018: $02018Assets 2020: $1,835,564Liabilities 2020: $1,835,564Net Assets 2020: $02020Assets 2021: $2,068,397Liabilities 2021: $2,068,816Net Assets 2021: -$4192021Assets 2022: $1,639,006Liabilities 2022: $1,639,424Net Assets 2022: -$4182022Assets 2023: $2,077,910Liabilities 2023: $2,078,335Net Assets 2023: -$4252023Assets 2024: $1,797,944Liabilities 2024: $1,798,361Net Assets 2024: -$4172024

Highlighted filing

2020

Assets$1,835,564
Liabilities$1,835,564
Net Assets$0

Operations Trend

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

$30M$20M$10M$0-$10MRevenue 2018: $0Expenses 2018: $0Net Income 2018: $02018Revenue 2020: $7,814,876Expenses 2020: $7,304,563Net Income 2020: $510,3132020Revenue 2021: $14,256,674Expenses 2021: $14,256,674Net Income 2021: $02021Revenue 2022: $16,898,844Expenses 2022: $16,893,634Net Income 2022: $5,2102022Revenue 2023: $19,043,998Expenses 2023: $19,043,619Net Income 2023: $3792023Revenue 2024: $21,189,012Expenses 2024: $21,190,341Net Income 2024: -$1,3292024

Highlighted filing

2020

Revenue$7,814,876
Expenses$7,304,563
Net Income$510,313
Jump To
Filing Snapshot
Filing Period
Jul 1, 2019 to Jun 30, 2020
Signed
May 11, 2021
Return Version
2019v5.1
Gross Receipts
$7,814,876
Mission and Program Overview

Mission

The mission of the organization is to care for the sick and injured and improve our community's health regardless of of race, color, creed, sex, national origin or ability to pay. In addition, the organization will support and promote the health, charitable and educational purposes of gsl hospital, geisinger health and st. Luke's health network, inc.

To promote the health, charitable and educational purposes of gsl hospital, geisinger health and st. Luke's health network, inc.

Balance Sheet Detail
LineBeginningEndChange
Assets
Accounts Receivable$0$1,435,681▲ $1,435,681
Land, Buildings, and Equipment, Net$0$285,500▲ $285,500
Cash and Non-Interest-Bearing Accounts$0$82,359▲ $82,359
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
Prepaid Expenses and Deferred Charges$0$0→ $0
Total Assets$0$1,835,564▲ $1,835,564
Other Assets Total$0$32,024▲ $32,024
Liabilities
Other Liabilities$0$1,329,614▲ $1,329,614
Accounts Payable and Accrued Expenses$0$505,950▲ $505,950
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$0$1,835,564▲ $1,835,564
Net Assets / Fund Balance
Net Assets With Donor Restrictions$0$0→ $0
Net Assets Without Donor Restrictions$0$0→ $0
Total Net Assets Fund Balance$0$0→ $0
Total Liabilities and Net Assets / Fund Balance$0$1,835,564▲ $1,835,564

Asset Categories

AssetBook ValueDepreciationBasis
Other Land Buildings$285,500-$285,500
Compensation and Service Providers

Board Members and Trustees

NameTitle
Joel D FagerstromChairman - Trustee
Gabriel Kamarousky FachePresident Gsl Hospital
Jeffrey AdamsVice Chairman - Trustee
Gerald Maloney Do FacpTrustee
Robert E MartinTrustee
Thomas P LichtenwalnerTrustee
Thomas P SokolaTrustee
Steven YousoTrustee (termed 6/12/20)

Highest Paid Contractors

ContractorServicesLocationCompensation
St Luke's Physician Group INCManagement801 OSTRUM STREET, Bethlehem, PA 18015$1,099,500
Revenue and Support

Revenue Composition

Contributions and Grants
$36,617
Program Service Revenue
$7,769,075
Investment Income
$9,184
Other Revenue
$0
Change in Net Assets
$510,313
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$7,304,563
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Services Management$1,001,644$97,856-$1,099,500
Office Expenses$28,757$2,809-$31,566
Other Expenses$8,208$802$0$9,010
Conferences and Meetings$1,708$167-$1,875
Travel$513$50-$563
Total Functional Expenses$6,654,456$650,107$0$7,304,563
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 Third Parties$1,100,103
Due to Affiliates$229,511
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with 35% controlled entity
No
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

This organization is an affiliate within gsl network, which includes gsl hospital; a joint venture hospital between geisinger health ("geisinger") and st. Luke's university health network ("st. Luke's"); both tax-exempt 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. Luke's. Thus, the organization is controlled by geisinger and st. Luke's; both of which are governed by a board whose majority is comprised of independent voting members.

CORE FORM, PART V; QUESTION 1A & CORE FORM, PART VII; SECTION B

The organization's form 990 reports that no forms 1099 were filed with the internal revenue service ("irs"). Gsl hospital, a related internal revenue code section 501(c)(3) tax-exempt organization pays all outstanding accounts payable invoices on behalf of this organization. In conjunction with this service, gsl hospital also prepares and issues forms 1099 to these vendors receiving payments where applicable and files these forms 1099 with the irs. Gsl hospital allocates these payments to the organization via an intercompany account. In addition, this organization's form 990 reflects no compensated individuals from this entity. St. Luke's hospital of bethlehem, pennsylvania (ein: 23-1352213) issues forms w-2 to individuals who provide services at gslpg, inc., and files the applicable forms with the internal revenue service. St. Luke's hospital of bethlehem, pennsylvania allocates these payments to this organization.

CORE FORM, PART VI, SECTION A; QUESTION 3

This organization is an affiliate within gsl network, which includes gsl hospital; a joint venture hospital between geisinger health ("geisinger") and st. Luke's university health network ("st. Luke's"); both tax-exempt integrated healthcare delivery systems. This organization operates under gsl hospital, which operates under geisinger and st. Luke's with funding and governance shared equally between the tax-exempt integrated healthcare delivery systems. Under terms of the organization's management agreement, st. Luke's will provide certain pre-planning, management, staffing and other services to gsl 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

Gsl hospital is the sole member of this organization. Gsl hospital has the right to elect the members of this organization's board of trustees and has certain reserved powers as defined in this organization's bylaws.

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, 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 organization's 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

Joel d. Fagerstrom, thomas p. Lichtenwalner and robert e. Martin are members of this organization's governing body; an uncompensated position. 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, chief strategy officer of st. Luke's. Each of these individuals receive a federal form w-2 from st. Luke's hospital of bethlehem pennsylvania; an internal revenue code section 501(c)(3) tax-exempt organization. However, their common law employer/employee relationship is with st. Luke's health network, inc. Therefore, their reportable compensation, retirement/other deferred compensation and non-taxable benefits are reported within core form, part vii and schedule j of the st. Luke's health network, inc. (ein: 23-2384282) federal form 990. Please refer to the st. Luke's health network, inc. Form 990 for this information. Jeffrey adams is a member of this organization's governing body; an uncompensated position. Mr. Adams is an employee of geisinger health and receives a federal form w-2 from geisinger clinic; an internal revenue code section 501(c)(3) tax-exempt organization. Mr. Adams' reportable compensation, retirement/other deferred compensation and non-taxable benefits are reported within core form, part vii and schedule j of the gsl hospital (ein: 82-4432109) federal form 990. Please refer to the gsl hospital form 990 for this information. Gabriel kamarousky, fache is the president of gsl hospital; a related internal revenue code section 501(c)(3) tax-exempt organization. Mr. Kamarousky receives a federal form w-2 from st. Luke's hospital of bethlehem pennsylvania; an internal revenue code section 501(c)(3) tax-exempt organization. However, his common law employer/employee relationship is with gsl hospital. Therefore, his reportable compensation, retirement/other deferred compensation and non-taxable benefits are reported within core form, part vii and schedule j of the gsl hospital (ein: 82-4432109) federal form 990. Please refer to the gsl hospital form 990 for this information. Gerald v. Maloney, d.o., facp is a member of this organization's governing body; an uncompensated position. Dr. Maloney is the chief medical officer 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. Thomas p. Sokola is a member of this organization's governing body; an uncompensated position. Mr. Sokola is the chief administrative officer of geisinger medical center. Mr. Sokola receives a federal form w-2 from geisinger medical center; an internal revenue code section 501(c)(3) tax-exempt organization. Mr. Sokola's reportable compensation, retirement/other deferred compensation and non-taxable benefits are reported within core form, part vii and schedule j of the geisinger medical center (ein: 24-0795959) federal form 990. Please refer to the geisinger medical center form 990 for this information. Steven youso was a member of this organization's governing body through june 20, 2020; an uncompensated position. 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 of the geisinger health plan (ein: 23-2311553) federal form 990. Please refer to the geisinger health plan form 990 for this information.

Filing and Contact Details

Filer

Filer Name
Gslpg Inc
EIN
82-5423865
In Care Of
% THOMAS P LICHTENWALNER
Phone
4845264000
Address
1110 ST LUKES WAY, ALLENTOWN, PA 18109
Doing Business As
Gsl Physician Group

Signing Officer

Name
Thomas P Lichtenwalner
Title
SVP Finance/CFO
Phone
4845264000
Signed
2021-05-11
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Thomas P Lichtenwalner
Formed
2018
Legal Domicile
Pa
Voting Board Members
6
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 III; QUESTION 2

On november 20, 2019, gsl hospital; a related internal revenue code section 501(c)(3) tax-exempt organization officially opened its 80-bed hospital facility in orwigsburg pennsylvania. Simultaneously, this organization began providing primary care and specialty healthcare services to its community.

Core Form, Part XI, Question 9

Other changes in net assets or fund balances include: - start-up costs - ($512,307); and - other changes in unrestricted net assets - $27.

CORE FORM, PART XII; QUESTION 2

This organization is an affiliate within gsl network, which includes gsl hospital; a joint venture hospital between geisinger health ("geisinger") and st. Luke's university health network ("st. Luke's"); both tax-exempt integrated healthcare delivery systems. An independent cpa firm audited the consolidated financial statements of gsl network for the years ended june 30, 2020 and june 30, 2019; respectively and issued a consolidated financial statement. An unmodified opinion was issued each year by the independent cpa firm. Together, geisinger and st. Luke's have oversight of the organization's finances and assume the responsibility for oversight of the audit of the consolidated financial statements and the selection of an independent auditor.

CORE FORM, PART XII; QUESTION 3

This organization is an affiliate within gsl network, which includes gsl hospital; a joint venture hospital between geisinger health ("geisinger") and st. Luke's university health network ("st. Luke's"); both tax-exempt integrated healthcare delivery systems. Together, these organization's engaged an independent accounting firm to prepare and issue a consolidated audit under the single audit act and omb circular a-133.

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IRS990/Form990PartVIISectionAGrp/PersonNm4ROBERT E MARTIN
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IRS990/Form990PartVIISectionAGrp/TitleTxt6TRUSTEE (TERMED 6/12/20)
IRS990/Form990PartVIISectionAGrp/TitleTxt7PRESIDENT GSL HOSPITAL
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IRS990/MissionDesc0THE MISSION OF THE ORGANIZATION IS TO CARE FOR THE SICK AND INJURED AND IMPROVE OUR COMMUNITY'S HEALTH REGARDLESS OF OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. IN ADDITION, THE ORGANIZATION WILL SUPPORT AND PROMOTE THE HEALTH, CHARITABLE AND EDUCATIONAL PURPOSES OF GSL HOSPITAL, GEISINGER HEALTH AND ST. LUKE'S HEALTH NETWORK, INC.
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IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt0TAXABLE COMPENSATION REPORTED HEREIN IS DERIVED FROM 2019 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 2019 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 2019 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/FormAndLineReferenceDesc0CORE FORM, PART VII AND SCHEDULE J
IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc1SCHEDULE J, PART I; QUESTION 3
IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc2SCHEDULE J, PART I; QUESTIONS 6A AND 6B
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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THIS ORGANIZATION IS AN AFFILIATE WITHIN GSL NETWORK, WHICH INCLUDES GSL HOSPITAL; A JOINT VENTURE HOSPITAL BETWEEN GEISINGER HEALTH ("GEISINGER") AND ST. LUKE'S UNIVERSITY HEALTH NETWORK ("ST. LUKE'S"); BOTH TAX-EXEMPT 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. LUKE'S. THUS, THE ORGANIZATION IS CONTROLLED BY GEISINGER AND ST. LUKE'S; BOTH OF WHICH ARE GOVERNED BY A BOARD WHOSE MAJORITY IS COMPRISED OF INDEPENDENT VOTING MEMBERS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1ON NOVEMBER 20, 2019, GSL HOSPITAL; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION OFFICIALLY OPENED ITS 80-BED HOSPITAL FACILITY IN ORWIGSBURG PENNSYLVANIA. SIMULTANEOUSLY, THIS ORGANIZATION BEGAN PROVIDING PRIMARY CARE AND SPECIALTY HEALTHCARE SERVICES TO ITS COMMUNITY.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2THE ORGANIZATION'S FORM 990 REPORTS THAT NO FORMS 1099 WERE FILED WITH THE INTERNAL REVENUE SERVICE ("IRS"). GSL HOSPITAL, A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION PAYS ALL OUTSTANDING ACCOUNTS PAYABLE INVOICES ON BEHALF OF THIS ORGANIZATION. IN CONJUNCTION WITH THIS SERVICE, GSL HOSPITAL ALSO PREPARES AND ISSUES FORMS 1099 TO THESE VENDORS RECEIVING PAYMENTS WHERE APPLICABLE AND FILES THESE FORMS 1099 WITH THE IRS. GSL HOSPITAL ALLOCATES THESE PAYMENTS TO THE ORGANIZATION VIA AN INTERCOMPANY ACCOUNT. IN ADDITION, THIS ORGANIZATION'S FORM 990 REFLECTS NO COMPENSATED INDIVIDUALS FROM THIS ENTITY. ST. LUKE'S HOSPITAL OF BETHLEHEM, PENNSYLVANIA (EIN: 23-1352213) ISSUES FORMS W-2 TO INDIVIDUALS WHO PROVIDE SERVICES AT GSLPG, INC., AND FILES THE APPLICABLE FORMS WITH THE INTERNAL REVENUE SERVICE. ST. LUKE'S HOSPITAL OF BETHLEHEM, PENNSYLVANIA ALLOCATES THESE PAYMENTS TO THIS ORGANIZATION.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3THIS ORGANIZATION IS AN AFFILIATE WITHIN GSL NETWORK, WHICH INCLUDES GSL HOSPITAL; A JOINT VENTURE HOSPITAL BETWEEN GEISINGER HEALTH ("GEISINGER") AND ST. LUKE'S UNIVERSITY HEALTH NETWORK ("ST. LUKE'S"); BOTH TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEMS. THIS ORGANIZATION OPERATES UNDER GSL HOSPITAL, WHICH OPERATES UNDER GEISINGER AND ST. LUKE'S WITH FUNDING AND GOVERNANCE SHARED EQUALLY BETWEEN THE TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEMS. UNDER TERMS OF THE ORGANIZATION'S MANAGEMENT AGREEMENT, ST. LUKE'S WILL PROVIDE CERTAIN PRE-PLANNING, MANAGEMENT, STAFFING AND OTHER SERVICES TO GSL HOSPITAL. ST. LUKE'S AND GEISINGER WILL BOTH CONTRIBUTE PHYSICIANS AND SPECIALTY SUPPORT STAFF AND EXPERTISE.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4GSL HOSPITAL IS THE SOLE MEMBER OF THIS ORGANIZATION. GSL HOSPITAL HAS THE RIGHT TO ELECT THE MEMBERS OF THIS ORGANIZATION'S BOARD OF TRUSTEES AND HAS CERTAIN RESERVED POWERS AS DEFINED IN THIS ORGANIZATION'S BYLAWS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5THE 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/ExplanationTxt6THE 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/ExplanationTxt7THE ORGANIZATION CURRENTLY HAS NO COMPENSATED INDIVIDUALS. HOWEVER, 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 ORGANIZATION'S 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/ExplanationTxt8THE ORGANIZATION'S FILED CERTIFICATE OF INCORPORATION AND ANY AMENDMENTS CAN BE OBTAINED AND REVIEWED THROUGH THE COMMONWEALTH OF PENNSYLVANIA.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt9JOEL D. FAGERSTROM, THOMAS P. LICHTENWALNER AND ROBERT E. MARTIN ARE MEMBERS OF THIS ORGANIZATION'S GOVERNING BODY; AN UNCOMPENSATED POSITION. 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, CHIEF STRATEGY OFFICER OF ST. LUKE'S. EACH OF THESE INDIVIDUALS RECEIVE A FEDERAL FORM W-2 FROM ST. LUKE'S HOSPITAL OF BETHLEHEM PENNSYLVANIA; AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. HOWEVER, THEIR COMMON LAW EMPLOYER/EMPLOYEE RELATIONSHIP IS WITH ST. LUKE'S HEALTH NETWORK, INC. THEREFORE, THEIR REPORTABLE COMPENSATION, RETIREMENT/OTHER DEFERRED COMPENSATION AND NON-TAXABLE BENEFITS ARE REPORTED WITHIN CORE FORM, PART VII AND SCHEDULE J OF THE ST. LUKE'S HEALTH NETWORK, INC. (EIN: 23-2384282) FEDERAL FORM 990. PLEASE REFER TO THE ST. LUKE'S HEALTH NETWORK, INC. FORM 990 FOR THIS INFORMATION. JEFFREY ADAMS IS A MEMBER OF THIS ORGANIZATION'S GOVERNING BODY; AN UNCOMPENSATED POSITION. MR. ADAMS IS AN EMPLOYEE OF GEISINGER HEALTH AND RECEIVES A FEDERAL FORM W-2 FROM GEISINGER CLINIC; AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. MR. ADAMS' REPORTABLE COMPENSATION, RETIREMENT/OTHER DEFERRED COMPENSATION AND NON-TAXABLE BENEFITS ARE REPORTED WITHIN CORE FORM, PART VII AND SCHEDULE J OF THE GSL HOSPITAL (EIN: 82-4432109) FEDERAL FORM 990. PLEASE REFER TO THE GSL HOSPITAL FORM 990 FOR THIS INFORMATION. GABRIEL KAMAROUSKY, FACHE IS THE PRESIDENT OF GSL HOSPITAL; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. MR. KAMAROUSKY RECEIVES A FEDERAL FORM W-2 FROM ST. LUKE'S HOSPITAL OF BETHLEHEM PENNSYLVANIA; AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. HOWEVER, HIS COMMON LAW EMPLOYER/EMPLOYEE RELATIONSHIP IS WITH GSL HOSPITAL. THEREFORE, HIS REPORTABLE COMPENSATION, RETIREMENT/OTHER DEFERRED COMPENSATION AND NON-TAXABLE BENEFITS ARE REPORTED WITHIN CORE FORM, PART VII AND SCHEDULE J OF THE GSL HOSPITAL (EIN: 82-4432109) FEDERAL FORM 990. PLEASE REFER TO THE GSL HOSPITAL FORM 990 FOR THIS INFORMATION. GERALD V. MALONEY, D.O., FACP IS A MEMBER OF THIS ORGANIZATION'S GOVERNING BODY; AN UNCOMPENSATED POSITION. DR. MALONEY IS THE CHIEF MEDICAL OFFICER 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. THOMAS P. SOKOLA IS A MEMBER OF THIS ORGANIZATION'S GOVERNING BODY; AN UNCOMPENSATED POSITION. MR. SOKOLA IS THE CHIEF ADMINISTRATIVE OFFICER OF GEISINGER MEDICAL CENTER. MR. SOKOLA RECEIVES A FEDERAL FORM W-2 FROM GEISINGER MEDICAL CENTER; AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. MR. SOKOLA'S REPORTABLE COMPENSATION, RETIREMENT/OTHER DEFERRED COMPENSATION AND NON-TAXABLE BENEFITS ARE REPORTED WITHIN CORE FORM, PART VII AND SCHEDULE J OF THE GEISINGER MEDICAL CENTER (EIN: 24-0795959) FEDERAL FORM 990. PLEASE REFER TO THE GEISINGER MEDICAL CENTER FORM 990 FOR THIS INFORMATION. STEVEN YOUSO WAS A MEMBER OF THIS ORGANIZATION'S GOVERNING BODY THROUGH JUNE 20, 2020; AN UNCOMPENSATED POSITION. 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 OF THE GEISINGER HEALTH PLAN (EIN: 23-2311553) FEDERAL FORM 990. PLEASE REFER TO THE GEISINGER HEALTH PLAN FORM 990 FOR THIS INFORMATION.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt10OTHER CHANGES IN NET ASSETS OR FUND BALANCES INCLUDE: - START-UP COSTS - ($512,307); AND - OTHER CHANGES IN UNRESTRICTED NET ASSETS - $27.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt11THIS ORGANIZATION IS AN AFFILIATE WITHIN GSL NETWORK, WHICH INCLUDES GSL HOSPITAL; A JOINT VENTURE HOSPITAL BETWEEN GEISINGER HEALTH ("GEISINGER") AND ST. LUKE'S UNIVERSITY HEALTH NETWORK ("ST. LUKE'S"); BOTH TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEMS. AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF GSL NETWORK FOR THE YEARS ENDED JUNE 30, 2020 AND JUNE 30, 2019; RESPECTIVELY AND ISSUED A CONSOLIDATED FINANCIAL STATEMENT. AN UNMODIFIED OPINION WAS ISSUED EACH YEAR BY THE INDEPENDENT CPA FIRM. TOGETHER, GEISINGER AND ST. LUKE'S HAVE OVERSIGHT OF THE ORGANIZATION'S FINANCES AND ASSUME THE RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF THE CONSOLIDATED FINANCIAL STATEMENTS AND THE SELECTION OF AN INDEPENDENT AUDITOR.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt12THIS ORGANIZATION IS AN AFFILIATE WITHIN GSL NETWORK, WHICH INCLUDES GSL HOSPITAL; A JOINT VENTURE HOSPITAL BETWEEN GEISINGER HEALTH ("GEISINGER") AND ST. LUKE'S UNIVERSITY HEALTH NETWORK ("ST. LUKE'S"); BOTH TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEMS. TOGETHER, THESE ORGANIZATION'S ENGAGED AN INDEPENDENT ACCOUNTING FIRM TO PREPARE AND ISSUE A CONSOLIDATED AUDIT UNDER THE SINGLE AUDIT ACT AND OMB CIRCULAR A-133.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0CORE FORM, PART I, LINE 4 & CORE FORM, PART VI, LINE 1B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1CORE FORM, PART III; QUESTION 2
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2CORE FORM, PART V; QUESTION 1A & CORE FORM, PART VII; SECTION B

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