Geisinger

What it reported doing in 2024

I. General program service information geisinger community health services (gchs) was established in july 1998 as a 501(c)(3) not-for-profit corporation. Gchs operates geisinger's life program. Gchs strives to provide clinical excellence, advocacy, and innovative solutions to enhance the health and independence of all its community members. Gchs provides quality medical healthcare regardless of race, creed, sex, national origin, or handicap. Life geisinger (living independently for elders) provides additional independence for older individuals and their caregivers. Life geisinger is a coordinated, comprehensive model of care which provides services that help older adults maintain their quality of life and independence while living at home. These services include primary care, transportation, in-home care, therapy and other services. Life geisinger is recognized by the state of Pennsylvania and the centers for medicare and medicaid services as a pace provider. Pace means programs for all-inclusive care of the elderly - those that offer older adults a variety of services designed to maintain health, prevent nursing home placement, and improve the quality of life. Funding for the life program is received from medicare, medicaid and/or private monies. To qualify to become a life geisinger participant, individuals must: -be 55 years of age or older -meet eligibility criteria for nursing facility level of care -live in one of the following counties: columbia, juniata, lackawanna, luzerne, mifflin, montour, northumberland, schuylkill, or snyder -be able to live safely within the community with services provided by life geisinger -financial eligibility is based on current medical assistance criteria or the ability to pay privately the program operates four full life centers located in scranton, lewistown, kulpmont, wilkes-barre, and minersville. Total program member months for 2024 were 5,087 for an average census of 424 program participants. Ii. Uncompensated care gchs recognizes that its mission is to serve all the members of the community with respect to the provision of healthcare services and healthcare education. Gchs provides quality medical healthcare regardless of race, creed, sex, national origin, handicap, age or ability to pay. In this regard, gchs provides free care or subsidized care, to persons covered by governmental programs at or below cost and provides various health activities and programs in support of the communities where gchs practices. A. Medicare/medicaid in recognizing its mission to the community, gchs provides care, below cost, to persons covered by governmental programs. To the extent reimbursement is below the cost of providing healthcare, gchs is furthering its mission to the community. The unreimbursed value of medicare and/or medicaid is equal to the cost of providing services less the amount received as reimbursement under the program. The unreimbursed value of providing care to these patients was $4,412,454 during the year ended december 31, 2024. V. Community benefit summary medicare/medicaid shortfall $4,412,454

Financial Efficiency

• Mission deployment rate: 100%; rating input score 100
• Program expense ratio: 99.2%; rating input score 99
• Fundraising efficiency: Limited

Transparency & Controls

• Consistency checks: 91.7%; rating input score 92; 6th percentile among comparable filings
• Pay-setting controls: 6 of 6 controls in place; rating input score 100
  • Compensation committee: Pass
  • Independent consultant: Pass
  • Other Form 990s reviewed: Pass
  • Written employment contract: Pass
  • Compensation survey or study: Pass
  • Board or committee approval: Pass
• Foreign activity oversight: Limited
• Grant itemization coverage: Limited
• Major donor itemization: Limited
• Related-party transparency: Scored; rating input score 0

Accountability

• Independent voting board: 0%; rating input score 0; 3rd percentile among comparable filings
• Governance controls: 9 of 9 controls in place; rating input score 100
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: Pass
  • Other executive compensation review process: Pass
  • Form 990 shared with the board: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: -9.5%; rating input score 11; 11th percentile among comparable filings
• Total-asset coverage ratio: 0.56; rating input score 18; 18th percentile among comparable filings
• Liabilities to assets ratio: 0.9; rating input score 10; 10th percentile among comparable filings
• Officer compensation ratio: 4.8%; rating input score 52; 52nd percentile among comparable filings

Growth

• Program expense growth: -0.4% per year; rating input score 0; 10th percentile among comparable filings
• Revenue growth: 0.5% per year; rating input score 100; 10th percentile among comparable filings
• Asset growth: 6.4% per year; rating input score 100; 45th percentile among comparable filings