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Nonprofiteer
← GEISINGER-LEWISTOWN HOSPITAL

Form 990 for tax year 2023

Filed by GEISINGER-LEWISTOWN HOSPITAL.

Totals

Total revenue
$238,487,629
Total expenses
$206,026,246
Contributions and grants received
$7,168,233
Grants paid
$0
Program services expenses (Part IX)
$195,103,238
Management and general expenses
$10,923,008
Fundraising expenses
$0
Program service expenses (Part III)
$195,103,238

Program services were 94.7% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • JAEWON RYU MD JD

    PRESIDENT, D

    Total calculated
    $7,064,026
    From this org
    $0
    From related orgs
    $5,492,112
    Other
    $1,571,914

    Schedule J breakdown matched by us

    Base
    not reported + $4,389,743 related
    Bonus
    not reported
    Other
    not reported + $1,102,369 related
    Deferred
    not reported + $1,528,292 related
    Nontaxable benefits
    not reported + $43,622 related
    Filer's total
    not reported + $7,064,026 related

  • KEVIN V ROBERTS MBA CPA

    EVP, CFO, TR

    Total calculated
    $3,648,273
    From this org
    $0
    From related orgs
    $3,588,266
    Other
    $60,007

    Schedule J breakdown matched by us

    Base
    not reported + $1,697,460 related
    Bonus
    not reported
    Other
    not reported + $1,890,806 related
    Deferred
    not reported + $23,292 related
    Nontaxable benefits
    not reported + $36,715 related
    Filer's total
    not reported + $3,648,273 related

  • MATTHEW WALSH

    DIRECTOR

    Total calculated
    $1,814,302
    From this org
    $0
    From related orgs
    $1,500,068
    Other
    $314,234

    Schedule J breakdown matched by us

    Base
    not reported + $1,248,929 related
    Bonus
    not reported
    Other
    not reported + $251,139 related
    Deferred
    not reported + $273,292 related
    Nontaxable benefits
    not reported + $40,942 related
    Filer's total
    not reported + $1,814,302 related

  • STEVEN B BENDER ESQUIRE

    EVP, CLO, SE

    Total calculated
    $1,255,549
    From this org
    $0
    From related orgs
    $1,008,985
    Other
    $246,564

    Schedule J breakdown matched by us

    Base
    not reported + $879,843 related
    Bonus
    not reported
    Other
    not reported + $129,142 related
    Deferred
    not reported + $203,292 related
    Nontaxable benefits
    not reported + $43,272 related
    Filer's total
    not reported + $1,255,549 related

  • GERALD V MALONEY DO

    DIRECTOR

    Total calculated
    $942,390
    From this org
    $0
    From related orgs
    $815,329
    Other
    $127,061

    Schedule J breakdown matched by us

    Base
    not reported + $699,927 related
    Bonus
    not reported
    Other
    not reported + $115,402 related
    Deferred
    not reported + $95,392 related
    Nontaxable benefits
    not reported + $31,669 related
    Filer's total
    not reported + $942,390 related

  • MICHAEL T HEGSTROM MD

    CMO

    Total calculated
    $591,875
    From this org
    $0
    From related orgs
    $532,194
    Other
    $59,681

    Schedule J breakdown matched by us

    Base
    not reported + $517,063 related
    Bonus
    not reported
    Other
    not reported + $15,131 related
    Deferred
    not reported + $23,292 related
    Nontaxable benefits
    not reported + $36,389 related
    Filer's total
    not reported + $591,875 related

  • ROSS ELLISON MD

    INTERIM CMO

    Total calculated
    $566,815
    From this org
    $0
    From related orgs
    $502,071
    Other
    $64,744

    Schedule J breakdown matched by us

    Base
    not reported + $398,078 related
    Bonus
    not reported
    Other
    not reported + $103,993 related
    Deferred
    not reported + $23,292 related
    Nontaxable benefits
    not reported + $41,452 related
    Filer's total
    not reported + $566,815 related

  • LORI R GRAMLEY ESQUIRE

    ACLO, ASST.

    Total calculated
    $402,424
    From this org
    $0
    From related orgs
    $354,475
    Other
    $47,949

    Schedule J breakdown matched by us

    Base
    not reported + $326,632 related
    Bonus
    not reported
    Other
    not reported + $27,843 related
    Deferred
    not reported + $23,292 related
    Nontaxable benefits
    not reported + $24,657 related
    Filer's total
    not reported + $402,424 related

  • KIRK E THOMAS FACHE MHA RRT

    CAO

    Total calculated
    $350,725
    From this org
    $311,950
    From related orgs
    $0
    Other
    $38,775
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $226,251
    Bonus
    not reported
    Other
    $85,699
    Deferred
    $15,919
    Nontaxable benefits
    $22,856
    Filer's total
    $350,725

  • STACEY M OSBORNE DNPMSNRNNEA-BC

    VP, CNO

    Total calculated
    $249,327
    From this org
    $222,246
    From related orgs
    $0
    Other
    $27,081
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $209,740
    Bonus
    not reported
    Other
    $12,506
    Deferred
    $13,639
    Nontaxable benefits
    $13,442
    Filer's total
    $249,327

  • KRISTY M HINE

    FORMER 5 HIG

    Total calculated
    $248,375
    From this org
    $0
    From related orgs
    $199,002
    Other
    $49,373

    Schedule J breakdown matched by us

    Base
    not reported + $195,894 related
    Bonus
    not reported
    Other
    not reported + $3,108 related
    Deferred
    not reported + $12,278 related
    Nontaxable benefits
    not reported + $37,095 related
    Filer's total
    not reported + $248,375 related

  • AARON J HARTSOCK

    AVP CLINICAL

    Total calculated
    $215,867
    From this org
    $172,225
    From related orgs
    $0
    Other
    $43,642
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $156,598
    Bonus
    not reported
    Other
    $15,627
    Deferred
    $8,337
    Nontaxable benefits
    $35,305
    Filer's total
    $215,867

  • BRIAN D SIMPKINS PHARMD BCPS

    DIRECTOR, PH

    Total calculated
    $209,730
    From this org
    $163,945
    From related orgs
    $0
    Other
    $45,785
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $158,736
    Bonus
    not reported
    Other
    $5,209
    Deferred
    $8,700
    Nontaxable benefits
    $37,085
    Filer's total
    $209,730

  • KATHRYN COLE RN

    INPATIENT RN

    Total calculated
    $209,513
    From this org
    $179,807
    From related orgs
    $0
    Other
    $29,706
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $162,310
    Bonus
    $10,000
    Other
    $7,497
    Deferred
    $9,769
    Nontaxable benefits
    $19,937
    Filer's total
    $209,513

  • KEITH S GRAHAM

    ACUTE CARE P

    Total calculated
    $182,106
    From this org
    $128,594
    From related orgs
    $28,343
    Other
    $25,169
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $120,211 + $27,858 related
    Bonus
    $1,458 + $200 related
    Other
    $6,925 + $285 related
    Deferred
    $6,291 + $1,452 related
    Nontaxable benefits
    $14,075 + $3,351 related
    Filer's total
    $148,960 + $33,146 related

  • OLIVER RUIZ MD

    PHY. HOSPITA

    Total calculated
    $169,303
    From this org
    $34,714
    From related orgs
    $118,187
    Other
    $16,402
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $34,590 + $102,247 related
    Bonus
    not reported
    Other
    $124 + $15,940 related
    Deferred
    not reported + $5,724 related
    Nontaxable benefits
    $7,004 + $3,674 related
    Filer's total
    $41,718 + $127,585 related

  • JEFFREY A JACOBSON

    CHAIR, DIREC

    Total calculated
    $0
    Hours/week
    0.25 + 2.75 related

  • BENJAMIN K CHU MD MPH MACP

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.25 + 3.25 related

  • VIRGINIA MCGREGOR

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.25 + 3 related

  • V CHRIS HOLCOMBE PE

    VICE CHAIR,

    Total calculated
    $0
    Hours/week
    0.25 + 2.75 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 — 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

  • 1a · Tax indemnification and gross-up payments
  • 1b · Written policy on the line-1a expenses
  • 2 · Substantiation required before reimbursing expenses
  • 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
  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 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 1A
TAX INDEMNIFICATION AND GROSS-UP PAYMENTS - FROM TIME TO TIME, THE GEISINGER BOARD OF DIRECTORS OR GEISINGER SENIOR MANAGEMENT APPROVE THE GROSS-UP OF EXPENSES, WHICH FURTHER GEISINGER BUSINESS, FOR TAX OBLIGATIONS.
SCHEDULE J, PAGE 1, PART I, LINE 4
JAEWON RYU, MD, JD 0 1,064,507 0 KEVIN V. ROBERTS, MBA, CPA 0 1,488,942 0 MATTHEW WALSH 0 219,524 0 STEVEN B. BENDER, ESQUIRE 0 88,396 0 GERALD V. MALONEY, DO 0 64,210 0 KIRK E. THOMAS, FACHE, MHA, RRT 65,795 0 0
SCHEDULE J, PART III
PART I, LINE 4A - SEVERANCE PAYMENT UPON INVOLUNTARY SEPARATION, EMPLOYEES MAY BE ELIGIBLE TO RECEIVE CONTINUATION OF SALARY FOR A TERM THAT IS BASED ON THEIR YEARS OF GEISINGER SERVICE AND POSITION. 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.

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.

Provenance

Return type
form_990
Tax year
2023
Filed
14 November 2024
IRS schema version
2023v5.0
Source object
202403209349311730

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

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