2025-11-17T13:29:45-06:00 2024-12-31 PwC US Tax LLP 2001 MARKET ST SUITE 1800 PHILADELPHIA PA 19103 990 2024-01-01 141909894 GEISINGER INSURANCE CORPORATION RISK RETENTION GROUP % AON INSURANCE MANAGERS GEIS 5702716624 100 N ACADEMY AVE MC 49-70 DANVILLE PA 178229800 ERIN M FITZGERALD CPA INTERIM CO-CFO 5702716624 2025-11-11 true ROBERT W FRIZ P00438748 2673303000 2025-11-10 2024 2025-03-06 01:10:19Z TERRY GILLILAND MD 100 N ACADEMY AVE MC 22-01 DANVILLE PA 178229800 2052974 false X WWW.GEISINGER.ORG X 2004 VT GEISINGER INSURANCE CORPORATION, RISK RETENTION GROUP PROVIDES COST EFFECTIVE LIABILITY INSURANCE OPTIONS TO TO ITS NONPROFIT MEMBERS IN ORDER TO FACILITATE THE ACHIEVEMENT OF THE ACHIEVEMENT OF THEIR MISSION. 6 1 0 1 329 0 0 0 1958173 2005769 4953 47205 0 0 1963126 2052974 0 0 0 0 0 0 0 0 0 1684727 1667180 1684727 1667180 278399 385794 5054824 4707997 2445549 1713250 2609275 2994747 X GEISINGER INSURANCE CORPORATION, RISK RETENTION GROUP PROVIDES COST EFFECTIVE LIABILITY INSURANCE OPTIONS TO ITS NONPROFIT MEMBERS IN ORDER TO FACILITATE THE ACHIEVEMENT OF THEIR MISSION. false false 1581344 0 2005769 GEISINGER INSURANCE CORPORATION, RISK RETENTION GROUP (THE COMPANY) IS A SELF-INSURANCE FUNDING VEHICLE FOR AFFILIATED ENTITIES, AND AS SUCH AN INTEGRAL PART OF EACH OF THEIR NONPROFIT, CHARITABLE HEALTHCARE OPERATIONS. THE COMPANY WAS FORMED PRIMARILY TO ADDRESS THE LACK OF MEDICAL PROFESSIONAL LIABILITY COVERAGE IN THE COMMONWEALTH OF PENNSYLVANIA, AND TO ENABLE GEISINGER TO COMPLY WITH THE PENNSYLVANIA MEDICAL CARE AVAILABILITY AND REDUCTION OF ERROR ACT (MCARE) (1), WHICH REQUIRES PENNSYLVANIA PHYSICIANS AND HEALTHCARE INSTITUTIONS TO OBTAIN PRIMARY PROFESSIONAL LIABILITY COVERAGE FROM A QUALIFIED SELF-INSURANCE TRUST OR AN INSURER LICENSED TO PROVIDE SUCH LIABILITY COVERAGE IN PENNSLYVANIA. THE COMPANY IS ORGANIZED AND OPERATED AS A NONPROFIT MEMBERSHIP CORPORATION UNDER THE VERMONT NONPROFIT CORPORATION ACT, TITLE 11B OF THE VERMONT STATUES ANNOTATED. THE COMPANY'S MEMBERSHIP IS LIMITED TO THE FOLLOWING MEMBER ORGANIZATIONS OF GEISINGER, EACH OF WHICH IS INSURED BY THE COMPANY: GEISINGER MEDICAL CENTER GEISINGER COMMUNITY HEALTH SERVICES GEISINGER WYOMING VALLEY MEDICAL CENTER GEISINGER CLINIC COMMUNITY MEDICAL CENTER DBA: GEISINGER COMMUNITY MEDICAL CENTER GEISINGER-BLOOMSBURG HOSPITAL GEISINGER-LEWISTOWN HOSPITAL GEISINGER JERSEY SHORE HOSPITAL GEISINGER MEDICAL CENTER MUNCY THE COMPANY PROVIDES MEDICAL PROFESSIONAL LIABILITY COVERAGE EXCLUSIVELY TO THE GEISINGER 501(C)(3) MEMBER AFFILIATES. 1581344 true false false false false false false false false false false false false false true false true true false false false false false false false false false false false true false false false false false false false false false false false false false true true true false false true 45 0 true 0 false false false false false false false false false false false false X 6 1 true false false false true true true true true false false true true true true true true true true false PA X AON INSURANCE MANAGERS 8022644593 100 BANK STREET BURLINGTON VT 05401 JAEWON RYU MD JD PRESIDENT, DIRECTOR 0.0 40.0 X X 0 8428472 5867423 TERRY GILLILAND MD PRESIDENT, DIRECTOR 0.0 40.0 X X 0 2349920 867580 KEVIN V ROBERTS MBA CPA DIRECTOR OF TREASURY 0.0 40.0 X 0 2685093 66232 JAMES E HARTLE MD VP, DIRECTOR 0.0 40.0 X X 0 1912326 64660 CINDY SHERIDAN ESQUIRE SECRETARY, DIRECTOR 0.0 40.0 X X 0 365736 43050 TAMMY LEIBY DIRECTOR 0.0 40.0 X 0 342156 52120 PATTI F PALLITO FORMER OFFICER 0.0 0.0 X 0 189955 46518 EDELYN MILLER FORMER OFFICER 0.0 40.0 X 0 103645 0 SHERI TREMBLAY CPA AIAF ASSISTANT SECRETARY, DIRECTOR 0.25 0.0 X X 0 0 0 0 16377303 7007583 0 true true false AON INSURANCE MANAGERS USA INC 100 BANK STREET SUITE 630 Burlington VT 05401 MANAGEMENT 126564 1 0 PREMIUMS EARNED 524298 2005769 2005440 329 2005769 45853 45853 0 0 0 0 0 1352 1352 1352 1352 0 0 0 0 0 0 0 0 0 0 2052974 2005440 329 47205 0 0 0 0 0 0 0 0 0 0 0 7673 7673 164760 81743 83017 0 0 45920 45920 43547 40728 2819 0 0 0 0 0 0 0 0 0 0 0 0 PREMIUM TAXES 908079 908079 LOSS ADJUSTMENT EXPENSES 500000 500000 UNRELATED BUSINESS INC. TAX -5332 -5332 LICENSES, FEES, AND DUES 2533 2533 1667180 1581344 85836 0 0 0 2832449 3256311 0 0 0 0 0 0 0 0 0 0 0 0 1246011 480678 0 0 975020 970928 0 0 0 0 0 0 1344 80 5054824 4707997 957765 195240 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1487784 1518010 2445549 1713250 X 0 0 1260000 1260000 1349275 1734747 2609275 2994747 5054824 4707997 385794 -322 X X false true X true false X X X 9 GEISINGER MEDICAL CENTER 240795959 3 true 0 0 GEISINGER WYOMING VALLEY MEDICAL CENTER 231996150 3 true 0 0 GEISINGER COMMUNITY MEDICAL CENTER 240862246 3 true 0 0 GEISINGER-BLOOMSBURG HOSPITAL 232193572 3 true 0 0 GEISINGER-LEWISTOWN HOSPITAL 231352187 3 true 0 0 GEISINGER COMMUNITY HEALTH SERVICES 232967235 10 true 0 0 GEISINGER JERSEY SHORE HOSPITAL 240792115 3 true 0 0 GEISINGER CLINIC 236291113 3 true 0 0 GEISINGER MEDICAL CENTER MUNCY 851226106 3 true 0 0 9 0 0 false false false false false false false false false false false false false false false true false PART IV, SECTION A, LINE 1 SUPPORTED ORGANIZATIONS NOT LISTED BY NAME GEISINGER INSURANCE CORPORATION, RISK RETENTION GROUP'S (RRG) SUPPORTED ORGANIZATIONS ARE DESIGNATED BY CLASS AND PURPOSE. PER ARTICLE IV OF THE RRG ARTICLES OF INCORPORATION, THE PURPOSES OF THE CORPORATION ARE TO ENGAGE IN THE BUSINESS OF INSURING AND REINSURING VARIOUS TYPES OF RISKS AS A CAPTIVE INSURANCE COMPANY PURSUANT TO CHAPTER I 41 OF TITLE 8 OF THE VERMONT STATUTES ANNOTATED AND AS A RISK RETENTION GROUP PURSUANT TO THE FEDERAL LIABILITY RISK RETENTION ACT, 15 U.S.C. 3901 ET SEQ., CONDUCTING ALL ACTIVITIES NECESSARY OR INCIDENTAL TO THE FOREGOING, AND ENGAGING IN ANY OTHER LAWFUL BUSINESS OR ACTIVITY. NOTWITHSTANDING ANY OTHER PROVISION OF THESE ARTICLES OF INCORPORATION, THE CORPORATION IS ORGANIZED AND SHALL AT ALL TIMES BE OPERATED EXCLUSIVELY FOR CHARITABLE, RELIGIOUS, LITERARY, SCIENTIFIC OR EDUCATIONAL PURPOSES AS AN ORGANIZATION DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986 (OR THE CORRESPONDING PROVISIONS OF ANY FUTURE UNITED STATES INTERNAL REVENUE LAW) (THE "CODE"), FOR THE BENEFIT OF THE ORGANIZATIONS COMPRISING GEISINGER, WHICH ARE CHARITABLE ORGANIZATIONS DESCRIBED IN SECTION 501(C)(3) OF THE CODE. GEISINGER INSURANCE CORPORATION, RISK RETENTION GROUP (RRG) PROVIDES INSURANCE COVERAGE ON A CLAIMS-MADE WRITTEN BASIS AND CONTINUES TO HAVE AN OBLIGATION TO PAY FOR CLAIMS INCURRED FOR HOLY SPIRIT HOSPITAL AND SPIRIT PHYSICIAN SERVICES, INC. WHILE THEY WERE MEMBERS OF THE (RRG), THOUGH HOLY SPIRIT HOSPITAL AND SPIRIT PHYSICIAN SERVICES, INC. CEASED BEING SUPPORTED ORGANIZATIONS NOVEMBER 1, 2020. FOOTNOTE: GEISINGER HEALTH AND ITS SUBSIDIARIES (COLLECTIVELY REFERRED TO AS "GEISINGER") COMPRISE A PHYSICIAN-LED, INTEGRATED HEALTH SERVICES ORGANIZATION THAT HAS AS ITS MAIN COMPONENTS: 1. AN ARRAY OF HEALTH SERVICES PROVIDERS, INCLUDING EIGHT WHOLLY CONTROLLED ACUTE CARE HOSPITALS WITH MULTIPLE CAMPUSES, JOINT VENTURE FACILITIES, AND A DRUG AND ALCOHOL TREATMENT FACILITY. 2. A MULTISPECIALTY PHYSICIAN GROUP PRACTICE WITH PHYSICIANS AND ADVANCED PRACTITIONERS PRACTICING AT PRIMARY AND SPECIALTY CLINICS, HOSPITALS AND OTHER CLINICAL FACILITIES. 3. INSURANCE OPERATIONS, INCLUDING A LICENSED HEALTH MAINTENANCE ORGANIZATION AND A NON-LICENSED, RISK ASSUMING PREFERRED PROVIDER ORGANIZATION, AND 4. A COMMUNITY BASED MEDICAL COLLEGE AND DEGREE GRANTING INSTITUTION, GEISINGER COMMONWEALTH SCHOOL OF MEDICINE, THAT EDUCATES MEDICAL STUDENTS, GRADUATE STUDENTS, AND NURSING STUDENTS. GEISINGER OPERATES ACROSS PENNSYLVANIA, WITH THE MOST CONCENTRATED CLINICAL PRESENCE IN CENTRAL AND NORTHEASTERN PENNSYLVANIA, OUTSIDE THE MAJOR METROPOLITAN AREAS. 0 DUE TO AFFILIATES 1017732 Retained Risk Portion 250274 RRG SELF INSURED RISK PORTION 250004 1518010 2052652 -322 -322 2052974 2052974 1667180 1667180 1667180 PART XIII - SUPPLEMENTAL FINANCIAL INFORMATION EFFECTIVE JULY 1, 2007, GEISINGER ADOPTED ACCOUNTING STANDARDS CODIFICATION 740 (FIN 48), (FORMERLY KNOWN AS "STATEMENT 109: ACCOUNTING FOR INCOME TAXES"FAS 109"). FIN 48 CLARIFIES THE ACCOUNTING AND REPORTING FOR INCOME TAXES WHERE INTERPRETATION OF THE TAX LAW MAY BE UNCERTAIN. FIN 48 PRESCRIBES A COMPREHENSIVE MODEL FOR THE FINANCIAL STATEMENT RECOGNITION, MEASUREMENT, PRESENTATION AND DISCLOSURE OF INCOME TAX UNCERTAINTIES WITH RESPECT TO POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN INCOME TAX RETURNS. THE ADOPTION OF FIN 48 HAD NO IMPACT ON UNRESTRICTED NET ASSETS AS OF THE END OF THE CALENDAR YEAR OR ANY PREVIOUS YEAR SINCE ADOPTION. ACCORDINGLY, NO FIN 48 FOOTNOTE DISCLOSURE WAS MADE IN THE GEISINGER CONSOLIDATED FINANCIAL STATEMENTS. false true false false false false false false false JAEWON RYU MD JD PRESIDENT, DIRECTOR 0 2822318 0 3931000 0 1675154 0 5848696 0 18727 0 14295895 0 1316166 TERRY GILLILAND MD PRESIDENT, DIRECTOR 0 2212113 0 0 0 137807 0 836806 0 30774 0 3217500 0 0 KEVIN V ROBERTS MBA CPA DIRECTOR OF TREASURY 0 1749843 0 525000 0 410250 0 24306 0 41926 0 2751325 0 0 JAMES E HARTLE MD VP, DIRECTOR 0 1384763 0 0 0 527563 0 24306 0 40354 0 1976986 0 0 CINDY SHERIDAN ESQUIRE SECRETARY, DIRECTOR 0 340655 0 0 0 25081 0 24306 0 18744 0 408786 0 0 TAMMY LEIBY DIRECTOR 0 333409 0 0 0 8747 0 24071 0 28049 0 394276 0 0 EDELYN MILLER FORMER OFFICER 0 0 0 0 0 103645 0 0 0 0 0 103645 0 19586 PATTI F PALLITO FORMER OFFICER 0 161640 0 19411 0 8904 0 33524 0 12994 0 236473 0 0 PART I, LINE 3 - RELATED ORGANIZATION METHODS USED FOR COMP THE ORGANIZATIONS EXECUTIVES ARE COMPENSATED BY RELATED ORGANIZATIONS. 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. PART I, LINE 4 - SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTS SEVERANCE NONQUALIFIED EQUITY-BASED JAEWON RYU, MD, JD 0 1,479,829 0 EDELYN MILLER 0 103,645 0 PART I, LINE 4B - SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN COMPENSATION FOR ELIGIBLE EMPLOYEES MAY BE DEFERRED TO A 457(F) NONQUALIFIED PLAN THAT VESTS WITH COMPLETION OF SERVICE, DEATH AND/OR PERMANENT DISABILITY. FORM 990, PART VI, SECTION A, LINE 2 - FAMILY & BUSINESS RELATIONSHIPS CINDY SHERIDAN, ESQUIRE, JAEWON RYU, MD, JD, JAMES E. HARTLE, MD, KEVIN V. ROBERTS, MBA, CPA, TAMMY LEIBY AND TERRY GILLILAND, MD 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. FORM 990, PART VI, LINE 6 - CLASSES OF MEMBERS OR STOCKHOLDERS 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. FORM 990, PART VI, LINE 7A - ELECTION OF MEMBERS AND THEIR RIGHTS 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. FORM 990, PART VI, LINE 7B - DECISIONS SUBJECT TO APPROVAL OF MEMBERS 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. FORM 990, PART VI, LINE 11B - ORGANIZATION'S PROCESS TO REVIEW FORM 990 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. FORM 990, PART VI, LINE 12C - ENFORCEMENT OF CONFLICTS POLICY 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. FORM 990, PART VI, LINE 15A - COMPENSATION PROCESS FOR TOP OFFICIAL 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. FORM 990, PART VI, LINE 15B - COMPENSATION PROCESS FOR OFFICERS SEE SCHEDULE O RESPONSE TO FORM 990, PART VI, SECTION B, QUESTION 15A. FORM 990, PART VI, LINE 19 - GOVERNING DOCUMENTS DISCLOSURE EXPLANATION FINANCIAL STATEMENTS, FORM 990, FORM 990-T, THE CONFLICTS OF INTEREST POLICY, AND OTHER GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990 PART XII, LINE 3A - AUDIT REQUIREMENT FEDERAL AWARDS ARE AUDITED AS A PART OF THE GEISINGER'S CONSOLIDATED REPORT ON FEDERAL AWARDS IN ACCORDANCE WITH UNIFORM GUIDANCE, 2 CFR 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. KAISER FOUNDATION HOSPITALS ONE KAISER PLAZA - 26TH FL OAKLAND CA 94612 941105628 HEALTH CARE CA 501(C)(3) 3 NA false KAISER FOUNDATION HEALTH PLAN INC ONE KAISER PLAZA - 26TH FL OAKLAND CA 94612 941340523 HEALTH CARE CA 501(C)(3) 10 NA false KAISER FDN HEALTH PLAN OF COLORADO ONE KAISER PLAZA - 26TH FL OAKLAND CA 94612 840591617 HEALTH CARE CO 501(C)(3) 10 KFHP INC false KAISER FDN HEALTH PLAN OF GEORGIA INC ONE KAISER PLAZA - 26TH FL OAKLAND CA 94612 581592076 HEALTH CARE GA 501(C)(3) 10 KFHP INC false KAISER FOUNDATION HEALTH PLAN OF THE MAS ONE KAISER PLAZA - 26TH FL OAKLAND CA 94612 520954463 HEALTH CARE MD 501(C)(3) 10 KFHP INC false KAISER FDN HEALTH PLAN OF THE NORTHWEST ONE KAISER PLAZA - 26TH FL OAKLAND CA 94612 930798039 HEALTH CARE OR 501(C)(3) 10 KFHP INC false KAISER FDN HEALTH PLAN OF WASHINGTON ONE KAISER PLAZA - 26TH FL OAKLAND CA 94612 910511770 HEALTH CARE WA 501(C)(3) 3 KFHPW HLDGS false KAISER HOSPITAL ASSET MANAGEMENT INC ONE KAISER PLAZA - 26TH FL OAKLAND CA 94612 943299125 ASSET MGMT CA 501(C)(3) 12-I KFH false KAISER HEALTH PLAN ASSET MANAGEMENT INC ONE KAISER PLAZA - 26TH FL OAKLAND CA 94612 943299124 ASSET MGMT CA 501(C)(3) 12-I KFHP INC false CAMP BOWIE SERVICE CENTER ONE KAISER PLAZA - 26TH FL OAKLAND CA 94612 943299123 ADMIN CA 501(C)(3) 12-I KFHP INC false LOKAHI ASSURANCE LTD ONE KAISER PLAZA - 26TH FL OAKLAND CA 94612 912171891 WC PLACEMENT HI 501(C)(3) 12-I KFHP INC false 1800 HARRISON FOUNDATION ONE KAISER PLAZA - 26TH FL OAKLAND CA 94612 943317484 FINANCING CA 501(C)(3) 12-I KFHP INC false KAISER HOSPITAL ASSISTANCE CORPORATION ONE KAISER PLAZA - 26TH FL OAKLAND CA 94612 311779500 FINANCING CA 501(C)(3) 12-I KFH false KAISER HEALTH ALTERNATIVES ONE KAISER PLAZA - 26TH FL OAKLAND CA 94612 930954562 HEALTH CARE OR 501(C)(3) 10 KFHP INC false KP BERNARD J TYSON SCHOOL OF MEDICINE ONE KAISER PLAZA - 26TH FL OAKLAND CA 94612 814053028 MEDICAL EDUCA CA 501(C)(3) 2 KFH false KFHPW HOLDINGS ONE KAISER PLAZA - 26TH FL OAKLAND CA 94612 930480268 HEALTH CARE WA 501(C)(3) 12-I KFHP INC false GROUP HEALTH NORTHWEST ONE KAISER PLAZA - 26TH FL OAKLAND CA 94612 911216856 INACTIVE WA 501(C)(3) 12-I KFHP OF WA false KAISER FDN FOR THE ADV OF INTEGRATED HC ONE KAISER PLAZA - 26TH FL OAKLAND CA 94612 823819611 ADVOCACY CA 501(C)(4) N/A KFHP INC false KAISER FDN HEALTH PLAN OF NEVADA INC ONE KAISER PLAZA - 26TH FL OAKLAND CA 94612 372097870 HEALTH CARE DE 501(C)(4) N/A KFHP INC false KP MEDICAL FOUNDATION ONE KAISER PLAZA - 26TH FL OAKLAND CA 94612 920685740 HEALTH CARE DE 501(C)(3) 12-I KFHP INC false KFH HOLDINGS INC ONE KAISER PLAZA - 26TH FL OAKLAND CA 94612 884172095 HOLDING CO DE 501(C)(3) 12-I KFH false RISANT HEALTH INC ONE KAISER PLAZA - 26TH FL OAKLAND CA 94612 923467590 HEALTH CARE DE 501(C)(3) 12-I RISANT HLTH false GEISINGER HEALTH 100 N ACADEMY AVE MC 49-70 DANVILLE PA 17822 231995911 PHILANTHROPY PA 501(C)(3) 7 RISANT HLTH false COMMUNITY MEDICAL CENTER 100 N ACADEMY AVE MC 49-70 DANVILLE PA 17822 240862246 HEALTH CARE PA 501(C)(3) 3 GH false GEISINGER-BLOOMSBURG HOSPITAL 100 N ACADEMY AVE MC 49-70 DANVILLE PA 17822 232193572 HEALTH CARE PA 501(C)(3) 3 GH false GEISINGER CLINIC 100 N ACADEMY AVE MC 49-70 DANVILLE PA 17822 236291113 HEALTH CARE PA 501(C)(3) 3 GH false GEISINGER COMMONWEALTH SCH OF MEDICINE 100 N ACADEMY AVE MC 49-70 DANVILLE PA 17822 260812968 MEDICAL EDU PA 501(C)(3) 2 GH false GEISINGER COMMUNITY HEALTH SERVICES 100 N ACADEMY AVE MC 49-70 DANVILLE PA 17822 232967235 HEALTH CARE PA 501(C)(3) 10 GSS false GEISINGER HEALTH PLAN 100 N ACADEMY AVE MC 49-70 DANVILLE PA 17822 232311553 HEALTH CARE PA 501(C)(4) N/A GH false GEISINGER JERSEY SHORE HOSPITAL 100 N ACADEMY AVE MC 49-70 DANVILLE PA 17822 240792115 HEALTH CARE PA 501(C)(3) 3 GH false GEISINGER-LEWISTOWN HOSPITAL 100 N ACADEMY AVE MC 49-70 DANVILLE PA 17822 231352187 HEALTH CARE PA 501(C)(3) 3 GH false GEISINGER MEDICAL CENTER 100 N ACADEMY AVE MC 49-70 DANVILLE PA 17822 240795959 HEALTH CARE PA 501(C)(3) 3 GH false GEISINGER MEDICAL CENTER MUNCY 100 N ACADEMY AVE MC 49-70 DANVILLE PA 17822 851226106 HEALTH CARE PA 501(C)(3) 3 GHMJV false GEISINGER SYSTEM SERVICES 100 N ACADEMY AVE MC 49-70 DANVILLE PA 17822 232164794 SUPPORT SVCS PA 501(C)(3) 12-I GH false GSL HOSPITAL 801 OSTRUM STREET BETHLEHEM PA 18015 824432109 HEALTH CARE PA 501(C)(3) 3 GH false GSLPG INC 801 OSTRUM STREET BETHLEHEM PA 18015 825423865 HEALTH CARE PA 501(C)(3) 3 GSL HOSPITAL false GEISINGER WYOMING VALLEY MEDICAL CENTER 100 N ACADEMY AVE MC 49-70 DANVILLE PA 17822 231996150 HEALTH CARE PA 501(C)(3) 3 GH false KEYSTONE HEALTH INFORMATION EXCHANGEINC 100 N ACADEMY AVE MC 49-70 DANVILLE PA 17822 464359893 HEALTH CARE PA 501(C)(3) 12-I GH false MARWORTH 100 N ACADEMY AVE MC 49-70 DANVILLE PA 17822 232171417 HEALTH CARE PA 501(C)(3) 3 GH false WEST SHORE ADVANCED LIFE SUPPORT SVCS 100 N ACADEMY AVE MC 49-70 DANVILLE PA 17822 232463002 HEALTH CARE PA 501(C)(3) 7 GC false GNJ PHYSICIANS GROUP PC 100 N ACADEMY AVE MC 49-70 DANVILLE PA 17822 820681884 HEALTH CARE NJ 501(C)(3) 10 GH false THE MOSES H CONE MEMORIAL HOSPITAL 1200 NORTH ELM ST GREENSBORO NC 27401 560532302 HEALTH CARE NC 501(C)(3) 12-II RISANT HLTH false THE MOSES H CONE MEMORIAL HOPS OPER CORP 1200 NORTH ELM ST GREENSBORO NC 27401 581588823 HEALTH CARE NC 501(C)(3) 3 MC HOSPITAL false MOSES CONE AFFILIATED PHYSICIANS INC 1200 NORTH ELM ST GREENSBORO NC 27401 300554775 HEALTH CARE NC 501(C)(3) 3 MC HOSPITAL false MOSES CONE PHYSICIAN SERVICES INC 1200 NORTH ELM ST GREENSBORO NC 27401 800249057 HEALTH CARE NC 501(C)(3) 3 MC HOSPITAL false MOSES CONE MEDICAL SERVICES INC 1200 NORTH ELM ST GREENSBORO NC 27401 561714318 HEALTH CARE NC 501(C)(3) 3 MC HOSPITAL false REIDSVILLE OB & GYN PHYSICIANS INC 1200 NORTH ELM ST GREENSBORO NC 27401 800217430 HEALTH CARE NC 501(C)(3) 3 MC HOSPITAL false ARMC HEALTH CARE 1200 NORTH ELM ST GREENSBORO NC 27401 581681363 HEALTH CARE NC 501(C)(3) 3 MC HOSPITAL false ALAMANCE REGIONAL MEDICAL CENTER INC 1200 NORTH ELM ST GREENSBORO NC 27401 560529994 HEALTH CARE NC 501(C)(3) 3 ARMC HC false CONE HEALTH PHILANTHROPIC FOUNDATION 1200 NORTH ELM ST GREENSBORO NC 27401 581681560 FUNDRAISING NC 501(C)(3) 12-II ALAMANCE MC false ARMC PHYSICIANS CARE INC 1200 NORTH ELM ST GREENSBORO NC 27401 562095382 HEALTH CARE NC 501(C)(3) 3 ARMC HC false THE MOSES CONE - WESLEY LONG HEALTH FDN 1200 NORTH ELM ST GREENSBORO NC 27401 562001399 FUNDING NC 501(C)(3) 12-II MC HOSPITAL false ALAMANCE COMMUNITY & HEALTH FDN INC 1200 NORTH ELM ST GREENSBORO NC 27401 462505818 FUNDING NC 501(C)(3) 12-II ALAMANCE MC false REF CONE INC 20 NORTH BENBOW ROAD GREENSBORO NC 27411 991330813 REAL ESTATE NC 501(C)(3) 12-I MC HOSPITAL false NXT CAP SR LOAN FUND I LLC 191 N WACKER DR STE 1200 CHICAGO IL 60606 371651297 INVESTMENT DE NA N/A 0 0 0 0.00000 MAUI NUI ASC HOLDCO LLC ONE KAISER PLAZA - 26TH FL OAKLAND CA 94612 HOLDING CO HI NA N/A 0 0 0 0.00000 KEYSTONE ACCOUNTABLE CARE ORGANIZATION 100 N ACADEMY AVE MC 49-70 DANVILLE PA 17822 455484165 ACCOUNTABLE CARE PA NA N/A 0 0 0 0.00000 NSC GREENSBORO WEST 3000 RIVERCHASE GALLERIA BIRMINGHAM AL 35244 561963226 HEALTH CARE AL NA N/A 0 0 0 0.00000 GEISINGER HM JOINT VENTURE LLC 100 N ACADEMY AVE MC 49-70 DANVILLE PA 17822 831871064 HEALTH CARE PA NA N/A 0 0 0 0.00000 EVANGELICAL-GEISINGER HEALTH LLC 100 N ACADEMY AVE MC 49-70 DANVILLE PA 17822 460567687 HEALTH CARE PA NA N/A 0 0 0 0.00000 GEISINGER ENCOMPASS HEALTH LLC 100 N ACADEMY AVE MC 49-70 DANVILLE PA 17822 721398803 HEALTH CARE PA NA N/A 0 0 0 0.00000 KEYSTONE HEALTHCARE PARTNERSHIP LLC 100 N ACADEMY AVE MC 49-70 DANVILLE PA 17822 833134941 HEALTH CARE PA NA N/A 0 0 0 0.00000 HTA HOLDINGS LLC 1200 NORTH ELM ST GREENSBORO NC 27401 920615196 HOLDING COMPANY NC NA N/A 0 0 0 0.00000 CONE HEALTH VENTURES LLC 1200 NORTH ELM ST GREENSBORO NC 27401 920712783 INNOVATION NC NA N/A 0 0 0 0.00000 OAK TREE ASSURANCE LTD ONE KAISER PLAZA - 26TH FL OAKLAND CA 94612 030329760 INSURANCE VT NA C CORP 0 0 0.00000 false KAISER PERMANENTE INSURANCE COMPANY ONE KAISER PLAZA - 26TH FL OAKLAND CA 94612 943203402 INSURANCE CA NA C CORP 0 0 0.00000 false KAISER PERMANENTE INTERNATIONAL ONE KAISER PLAZA - 26TH FL OAKLAND CA 94612 943245176 CONSULTING CA NA C CORP 0 0 0.00000 false KFHP OF WASHINGTON OPTIONS INC ONE KAISER PLAZA - 26TH FL OAKLAND CA 94612 911467158 INSURANCE WA NA C CORP 0 0 0.00000 false GROUP HEALTH OF WASHINGTON ONE KAISER PLAZA - 26TH FL OAKLAND CA 94612 911314907 INACTIVE WA NA C CORP 0 0 0.00000 false GARFIELD HEALTH SOLUTIONS EAST PVT LTD LEVEL 10 TOWER C PANCHSHIL BUSINESS BALEWADI PUNE IN 411045 ADMIN IN NA C CORP 0 0 0.00000 false GARFIELD HEALTH SOLUTIONS WEST SRL ULTRAPARK II FREE TRADE ZONE BLD 4 LAGUNILLA HEREDIA CS ADMIN CS NA C CORP 0 0 0.00000 false GEISINGER ASSURANCE COMPANY LTD PO BOX 1159 GRAND CAYMAN CJ KY1-1102 981016737 FINANCIAL CJ NA C CORP 0 0 0.00000 false GEISINGER INDEMNITY INSURANCE COMPANY 100 N ACADEMY AVE MC 49-70 DANVILLE PA 17822 232815174 INSURANCE PA NA C CORP 0 0 0.00000 false GEISINGER QUALITY OPTIONS INC 100 N ACADEMY AVE MC 49-70 DANVILLE PA 17822 204275139 INSURANCE PA NA C CORP 0 0 0.00000 false ISS SOLUTIONS INC 100 N ACADEMY AVE MC 49-70 DANVILLE PA 17822 232077663 CLIN ENGINEERING PA NA C CORP 0 0 0.00000 false CARE N' CARE INSURANCE CO NORTH CAROLINA 1200 NORTH ELM ST GREENSBORO NC 27401 472847536 INSURANCE NC NA C CORP 0 0 0.00000 false WESLEY LONG COMMUNITY HEALTH SVCS INC 1200 NORTH ELM ST GREENSBORO NC 27401 561441377 HEALTH CARE NC NA C CORP 0 0 0.00000 false INSURANCE CASUALTY AND RISK ENTERPRISE PO BOX 1159 GRAND CAYMAN CJ KY1-1102 981491204 INSURANCE CJ NA C CORP 0 0 0.00000 false PIEDMONT PRACTICE ASSOCIATES INC 1200 NORTH ELM ST GREENSBORO NC 27401 561954739 HEALTH CARE NC NA C CORP 0 0 0.00000 false false false false false false false false false false false false false false false false true true false false COMMUNITY MEDICAL CENTER Q 1794901 GAAP GEISINGER ASSURANCE COMPANY LTD P 15156000 GAAP GEISINGER ASSURANCE COMPANY LTD Q 39421157 GAAP GEISINGER CLINIC Q 19589206 GAAP GEISINGER COMMUNITY HEALTH SERVICES Q 132162 GAAP GEISINGER JERSEY SHORE HOSPITAL Q 235840 GAAP GEISINGER MEDICAL CENTER Q 14066571 GAAP GEISINGER MEDICAL CENTER MUNCY Q 211836 GAAP GEISINGER WYOMING VALLEY MEDICAL CENTER Q 4200450 GAAP GEISINGER-BLOOMSBURG HOSPITAL Q 949068 GAAP GEISINGER-LEWISTOWN HOSPITAL Q 227757 GAAP FORM 990, SCHEDULE R, PART V - TRANSACTIONS WITH RELATED ORGANIZATIONS AS SHOWN IN FORM 990, SCHEDULE R, GEISINGER INSURANCE CORPORATION, RISK RETENTION GROUP IS CLOSELY AFFILIATED WITH SEVERAL OTHER ORGANIZATIONS. IN THE NORMAL COURSE OF THE OPERATIONS OF THESE AFFILIATED ORGANIZATIONS THERE ARE NUMEROUS INTER ORGANIZATIONAL TRANSACTIONS, WHICH MAY INCLUDE SALES, EXCHANGES AND LEASES OF PROPERTY, EXTENSIONS OF CREDIT, FURNISHING OF GOODS, SERVICES AND FACILITIES, AND TRANSFERS OF ASSETS. THESE INTER ORGANIZATION TRANSACTIONS PROMOTE THE EFFICIENT OPERATION OF THE VARIOUS ORGANIZATIONS AND THE ATTAINMENT OF THEIR TAX EXEMPT PURPOSES. THESE TYPES OF INTER ORGANIZATION TRANSACTIONS WERE DESCRIBED TO THE INTERNAL REVENUE SERVICE IN A RULING APPLICATION AND WERE RECOGNIZED BY THE NATIONAL OFFICE OF THE IRS IN A SERIES OF GEISINGER PRIVATE RULINGS AS BEING ENTIRELY CONSISTENT WITH THE ORGANIZATIONS' TAX EXEMPT STATUS.