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← FAMILY HEALTH ASSOCIATES OF GEISINGER-LEWISTOWN HOSPITAL

Form 990 for tax year 2022

Filed by FAMILY HEALTH ASSOCIATES OF GEISINGER-LEWISTOWN HOSPITAL.

Totals

Total revenue
$338,182
Total expenses
$338,182
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$338,182
Investment income
$0
Other revenue
$0
Total assets, end of year
$0
Total liabilities, end of year
$0
Net assets or fund balances, end of year
$0
Program services expenses (Part IX)
$338,182
Management and general expenses
$0
Fundraising expenses
$0
Program service expenses (Part III)
$338,182

Program services were 100.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 2a · Program service revenue: NET PATIENT SERVICE REVENUE

    total $338,182 · related or exempt $338,182

Functional expenses

Part IX, the statement of functional expenses.

  • 24a · Other expenses: INTERCOMPANY

    total $337,919 · program services $337,919

  • 24b · Other expenses: UNCOLLECTIBLE EXPENSE

    total $263 · program services $263

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $606,700

  • 17 · Accounts payable and accrued expenses

    beginning of year $61,787

  • 19 · Deferred revenue

    beginning of year $11,523

  • 25 · Other liabilities

    beginning of year $355,726

  • 27 · Net assets without donor restrictions

    beginning of year $177,664

Mission and programs · 2022

Mission

STRIVE TO MAKE BETTER HEALTH EASIER BY PROVIDING ACCESS TO AFFORDABLE, HIGH QUALITY HEALTH SERVICES THROUGH EQUITABLE, INNOVATIVE, AND INCLUSIVE CARE MODELS THAT SUPPORT PATIENT CARE, EDUCATION, RESEARCH, & COMMUNITY SERVICE.

  • GENERAL INFORMATION FAMILY HEALTH ASSOCIATES OF GEISINGER-LEWISTOWN HOSPITAL (FHA), A 501(C)(3) NOT-FOR-PROFIT CORPORATION AND MEMBER OF GEISINGER, IS A PHYSICIAN PRACTICE THAT WAS FORMED IN 1991 WITH THE MISSION OF PROVIDING QUALITY FAMILY PRACTICE AMBULATORY CARE IN THE COMMUNITIES OF MIFFLIN AND JUNIATA COUNTIES IN PA. SINCE ITS FORMATION, FHA HAS GROWN TO INCLUDE THE SPECIALTY SERVICES OF GENERAL SURGERY, PULMONARY AND INTERNAL MEDICINE, AND SLEEP MEDICINE. FOR THE YEAR ENDED DECEMBER 31, 2022, FHA UTILIZED FAMILY PRACTICE PHYSICIANS AND SPECIALTY PHYSICIANS ALONG WITH SEVERAL MID-LEVEL PROVIDERS TO SERVICE THEIR PATIENT POPULATION. EFFECTIVE DECEMBER 31, 2022, FHA MERGED INTO GEISINGER CLINIC, A 501(C)(3) NOT-FOR-PROFIT CORPORATION AND MEMBER OF GEISINGER UNCOMPENSATED CARE FHA RECOGNIZES THAT ITS MISSION IS TO SERVE ALL THE MEMBERS OF THE COMMUNITY WITH RESPECT TO THE PROVISION OF HEALTHCARE SERVICES AND HEALTHCARE EDUCATION. FHA PROVIDES QUALITY MEDICAL HEALTHCARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. IN THIS REGARD, FHA 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 FHA PRACTICES. A.CHARITY CARE/ OTHER UNCOMPENSATED CARE THE PRIMARY CONCERN OF FHA IS THE DELIVERY OF HEALTH CARE TO ALL CITIZENS OF CENTRAL PENNSYLVANIA REGARDLESS OF THEIR ABILITY TO PAY. THE UNREIMBURSED COST OF CHARITY CARE AND OTHER UNCOMPENSATED CARE REPRESENTS THE COST FHA INCURS BY PROVIDING FREE OR DISCOUNTED SERVICES TO THOSE WHO CANNOT AFFORD TO PAY. FOR THE YEAR ENDED DECEMBER 31, 2022, THE COST OF THE CHARITY CARE WAS 2,310. B.MEDICARE/MEDICAID IN RECOGNIZING ITS MISSION TO THE COMMUNITY, FHA PROVIDES SERVICES TO THE ELDERLY (MEDICARE) AND THE INDIGENT (MEDICAID). FHA PROVIDES CARE, BELOW COST, TO PERSONS COVERED BY THESE GOVERNMENTAL PROGRAMS TO THE EXTENT THE GOVERNMENT REIMBURSEMENT IS BELOW THE COST OF PROVIDING HEALTH CARE. 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 COST OF PROVIDING HEALTHCARE SERVICES TO MEDICARE AND MEDICAID PATIENTS EXCEEDED REIMBURSEMENT BY APPROXIMATELY 233,018 DURING THE YEAR ENDED DECEMBER 31, 2022. COMMUNITY SERVICE SUMMARY AT COST CHARITY CARE 2,310 MEDICARE/MEDICAID/OTHER GOVERNMENTAL 233,018 ----------- TOTAL 235,328 ===========

    Expenses $338,182 · Revenue $338,182

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Jaewon Ryu MD JD

    PRESIDENT, D

    Total calculated
    $7,105,981
    From this org
    $0
    From related orgs
    $5,545,041
    Other
    $1,560,940

    Schedule J breakdown matched by us

    Base
    not reported + $4,189,940 related
    Bonus
    not reported
    Other
    not reported + $1,355,101 related
    Deferred
    not reported + $1,526,570 related
    Nontaxable benefits
    not reported + $34,370 related
    Filer's total
    not reported + $7,105,981 related

  • Kevin V Roberts MBA CPA

    EVP, CFO, TR

    Total calculated
    $2,110,506
    From this org
    $0
    From related orgs
    $1,735,635
    Other
    $374,871

    Schedule J breakdown matched by us

    Base
    not reported + $1,652,425 related
    Bonus
    not reported
    Other
    not reported + $83,210 related
    Deferred
    not reported + $348,862 related
    Nontaxable benefits
    not reported + $26,009 related
    Filer's total
    not reported + $2,110,506 related

  • Matthew Walsh

    DIRECTOR

    Total calculated
    $1,679,584
    From this org
    $0
    From related orgs
    $1,371,594
    Other
    $307,990

    Schedule J breakdown matched by us

    Base
    not reported + $1,219,503 related
    Bonus
    not reported
    Other
    not reported + $152,091 related
    Deferred
    not reported + $271,570 related
    Nontaxable benefits
    not reported + $36,420 related
    Filer's total
    not reported + $1,679,584 related

  • Steven B Bender Esquire

    EVP, CLO, SE

    Total calculated
    $1,101,512
    From this org
    $0
    From related orgs
    $885,926
    Other
    $215,586

    Schedule J breakdown matched by us

    Base
    not reported + $846,303 related
    Bonus
    not reported
    Other
    not reported + $39,623 related
    Deferred
    not reported + $181,570 related
    Nontaxable benefits
    not reported + $34,016 related
    Filer's total
    not reported + $1,101,512 related

  • Gerald V Maloney Do

    DIRECTOR

    Total calculated
    $942,787
    From this org
    $0
    From related orgs
    $809,293
    Other
    $133,494

    Schedule J breakdown matched by us

    Base
    not reported + $679,749 related
    Bonus
    not reported
    Other
    not reported + $129,544 related
    Deferred
    not reported + $91,570 related
    Nontaxable benefits
    not reported + $41,924 related
    Filer's total
    not reported + $942,787 related

  • Michael T Hegstrom MD

    CMO

    Total calculated
    $595,904
    From this org
    $0
    From related orgs
    $539,391
    Other
    $56,513

    Schedule J breakdown matched by us

    Base
    not reported + $508,035 related
    Bonus
    not reported
    Other
    not reported + $31,356 related
    Deferred
    not reported + $21,570 related
    Nontaxable benefits
    not reported + $34,943 related
    Filer's total
    not reported + $595,904 related

  • Lori R Gramley Esquire

    ACLO, ASST S

    Total calculated
    $392,858
    From this org
    $0
    From related orgs
    $347,436
    Other
    $45,422

    Schedule J breakdown matched by us

    Base
    not reported + $321,611 related
    Bonus
    not reported
    Other
    not reported + $25,825 related
    Deferred
    not reported + $21,570 related
    Nontaxable benefits
    not reported + $23,852 related
    Filer's total
    not reported + $392,858 related

  • Kirk E Thomas Fache Mha Rrt

    CAO

    Total calculated
    $350,974
    From this org
    $0
    From related orgs
    $302,490
    Other
    $48,484

    Schedule J breakdown matched by us

    Base
    not reported + $279,993 related
    Bonus
    not reported
    Other
    not reported + $22,497 related
    Deferred
    not reported + $21,418 related
    Nontaxable benefits
    not reported + $27,066 related
    Filer's total
    not reported + $350,974 related

  • Jeffrey A Jacobson

    CHAIR, DIREC

    Total calculated
    $0
    Hours/week
    0.25 + 3.25 related

  • Benjamin K Chu MD MPH Macp

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.25 + 3.75 related

  • Virginia McGregor

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.25 + 3.5 related

  • V Chris Holcombe PE

    VICE CHAIR,

    Total calculated
    $0
    Hours/week
    0.25 + 3.25 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 3 · Compensation committee
  • 3 · Independent compensation consultant
  • 3 · Form 990 of other organizations
  • 3 · Written employment contract
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

SCHEDULE J, PAGE 1, PART I, LINE 4
JAEWON RYU, MD, JD 0 1,322,351 0 MATTHEW WALSH 0 123,179 0 GERALD V. MALONEY, DO 0 70,375 0
SCHEDULE J, PART III
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. __________________________________________________________________________ FOOTNOTE: THROUGHOUT THIS DOCUMENT, THE TERMS "GEISINGER- OR "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.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

  • KEYSTONE ACCOUNTABLE CARE ORG LLC

    ACO · PA

  • GEISINGER ENCOMPASS HEALTH LLC

    PHY THERAP · PA

  • EVANGELICAL-GEISINGER HEALTH LLC

    HEALTHCARE · PA

  • LACKAWANNA PHYS AMB SURG CTRLLC

    HEALTHCARE · PA

  • GEISINGER-HM JOINT VENTURE LLC

    HEALTHCARE · PA

  • KEYSTONE HEALTHCARE PARTNERSHIPLLC

    HOME HLTH · PA

  • COMMONWEALTH MSO LLC

    HEALTHCARE · PA

  • PHARMACY INNOVATION ALLIANCE LLC

    PURCHASING · DE

  • KKA VALUE FUND II GMBH & CO

    INVESTMENT · GM

  • KKA CO-INVEST I GMBH & CO KG

    INVESTMENT · GM

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • ISS SOLUTIONS INC

    CLINIC ENG · PA

  • GEISINGER INDEMNITY INSURANCE CO

    HLTH INSUR · PA

  • GEISINGER QUALITY OPTIONS INC

    HLTH INSUR · PA

  • GEISINGER ASSURANCE COMPANY LTD

    FINANCIAL · CJ

  • CT WAREHOUSE GMBH

    HOLDING CO · GM

  • KKA PROJECT 3 HOLDING GMBH

    HOLDING CO · GM

  • KKA PROJECT 4 HOLDING GMBH

    HOLDING CO · GM

  • RTNX TOP GMBH

    HOLDING CO · GM

  • KKA WAREHOUSE GMBH

    HOLDING CO · GM

  • KKA PROJECT 2 HOLDING GMBH

    HOLDING CO · GM

  • PROJECT 4 WAREHOUSE GMBH

    HOLDING CO · GM

Assets distributed on this return

Schedule N, as filed: what the organization did with its assets when it liquidated or dissolved, or disposed of more than a quarter of them, and who received them. A recipient with an EIN is usually a successor organization; filers also list expenses such as legal fees here.

2 distributions to recipients named as people, $243,546 in total. Counted where the filer named the recipient as a person, as filed. Who received them, and what, are not published.

Provenance

Return type
form_990
Tax year
2022
Filed
7 November 2023
IRS schema version
2022v5.0
Source object
202343189349303929

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