Geisinger Endowment Report 2020

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Endowment Report

Fiscal year 2020 (July 1, 2019–June 30, 2020)

Investment management at Geisinger

The Geisinger Health Board of Directors has established a Finance Committee and an Investment Subcommittee to assist with oversight and monitoring of Geisinger’s investments. The Investment Subcommittee monitors performance relative to Geisinger’s investment objectives, and meets regularly to discuss capital markets, investment strategy, risk parameters, investment policies and asset allocations. Endowment assets are invested alongside other long-term operating assets of Geisinger and managed by an outsourced chief investment officer (OCIO). The OCIO is a fiduciary responsible for oversight and daily investment management including selection and monitoring of investments, tactical asset allocation, and facilitation of trading and fund flows. Geisinger also engages an independent investment consultant to assist with oversight of investment assets. These parties coordinate closely with Geisinger leadership on the day-to-day management and operations of Geisinger’s investments.

Endowment investment objectives

• Preserve the real spending power of the assets

• Grow assets over the long term in excess of inflation

• Optimize the long-term investment return for an appropriate level of risk

Endowment investment strategy and asset allocation is developed in adherence with these principles:

• The focus on a long-term investment horizon (perpetuity) can provide opportunities to avoid distractions from, and take advantage of, short-term volatility.

• Investment markets are largely efficient, yet not perfectly efficient, which allows for targeted opportunities to exploit these inefficiencies.

• Investment markets are increasingly global, and it is important to understand the differing risk and return profiles across all assets, globally.

• We seek to exploit opportunities to enhance total portfolio returns through broad diversification across asset classes with low correlations.

Endowment structure

As of June 30, 2020, approximately 190 individual restricted endowment funds, comprising $75.5 million, were held as investments for Geisinger. Endowments have been created to support a broad range of programs, departments, and initiatives across Geisinger. Critical to our future, endowments afford us the financial stability to make strategic investments in the health and well-being of our communities. As our research programs continue to expand and grow, these gifts will allow leadership to plan and allocate resources knowing that funding sources are secured. The chart (to the right) shows a break-down of endowment funds categorized by purpose.

GEISINGER HEALTH FOUNDATION
Scholarship 4% Clinical 58% Community 4% Research and Innovation 4%

Endowment growth

An important component of maintaining the value of endowments into perpetuity is to set a sustainable endowment spending rate that balances near-term objectives with the need to maintain the real value into perpetuity. Spend too much and the real purchasing power will erode through time, while spending too little will fail to adequately support the near-term needs of the designated purpose of the endowment. To aid in the analysis of the spending rate, leadership gathers and analyzes extensive forward capital market assumptions from our consultant and other sources that are based on both near-term and longer-term projections.

For the current year, the Investment Subcommittee approved leadership’s recommendation of a 4.25 percent spending rate calculated from the average fair market values for the proceeding three years. We use a three-year rolling average market value in order to help smooth the impact from short-term market volatility.

Recent peer studies show that Geisinger’s effective spending rates are broadly in line with the average endowment spending rates over the prior ten-year period.

Waterfall of total endowment flows

Over the past fiscal year, Geisinger received $2.4 million in gifts and transfer into endowment assets while providing $3 million in spending support to Geisinger entities.

Over a longer ten-year period, Geisinger received approximately $17 million in gifts and transfers into endowment funds, provided $27 million of support, and had net realized and unrealized gains of more than $37 million.

Portfolio positioning and performance

Historical data verifies that asset allocation is the biggest determinant of risk and return. Geisinger’s endowment asset allocation is reviewed and approved by the Finance Committee upon input from the Investment Subcommittee, OCIO, consultant, and leadership. The asset allocation seeks to diversify the portfolio across asset classes to maximize returns within the risk constraints of the funds.

Long-term fund asset allocation (as of June 30, 2020)

Long-term fund asset sub-allocation (as of June 30, 2020)

Long-Term Fund Performance

Endowment returns for the prior one-, three-, five-, and ten- year periods are included in the chart below. Over longer-term time periods including the prior five and ten years, Geisinger’s long-term fund has generated returns that exceed the median of other healthcare operating funds.

[1] Data from Investment Metrics. The # of portfolios in the comparison include: 124 (1-Year), 118 (3-Year), 104 (5-Year), and 84 (10-Year)

Geisinger has maintained historical fund and performance data of the long-term fund since October 1, 2003. Over this 16.75-year period, the endowment has matched its policy objective of CPI +4%. The hypothetical growth of $1 million is shown in the chart below.

Long-term fund: hypothetical growth of $1 million

Geisinger Long-Term Fund CPI+4%

Target Total Equity Total Fixed Income 31.0% 69.0%
0 5% 10% 15% 20% 25% 30% US Equity International Equity REITs Commodities Private Equity US Aggregate Bonds US Intermediate Credit US Long Treasury US Long Credit US High Yield TIPs 29 30 28 29 5 3 4 4 3 3 6 0 4 9 3 2 3 4 10 12 5 5 Strategic Target Actual
Geisinger long-term fund Median return of other healthcare operating funds [1] -0.6% 4.2% 4.3% 6.6% 2.7% 4.2% 4.1% 6.1% 1-Year 2-Year 5-Year 10-year 80M 70M 60M 50M 40M 30M 20M 10M 0 48.8 16.7 (27.0) 37.0 75.5 Starting balance Contributions Spending Net Gains/Losses Ending balance Increase Total Decrease 10-Year Endowment Flow
$1,000,000 $1,500,000 $2,000,000 $2,500,000 $3,000,000
Oct. 2003 Oct. 2004 Oct. 2005 Oct. 2006 Oct. 2007 Oct. 2008 Oct. 2009 Oct. 2010 Oct. 2011 Oct. 2012 Oct. 2013 Oct. 2014 Oct. 2015 Oct. 2016 Oct. 2017 Oct. 2018 Oct. 2019 Jun. 2020
Actual Total Equity Total Fixed Income 30.5% 68.5%

Endowment Impact

Building healthcare teams of the future

Geisinger Commonwealth School of Medicine (GCSOM) Scholarships

Medical school will always be a costly endeavor and there will always be deserving students who need help to achieve their dreams. A solution-driven approach to healthcare is relevant now more than ever, and the need for local and highly trained physicians has never been more apparent. As the medical school continues to grow, endowed support is critical to ensuring the brightest medical minds are not denied an education simply because they can’t afford it.

Receiving a scholarship can be a life-changing event for students like Giovanni Baiamonte, Class of 2023 (pictured below), who is passionate about emergency medicine and plans to stay in northeast PA as he progresses into his career as a physician.

“Coming from a lower socioeconomic background, the cost of medical school is something I worry about every day. As I progressed into medical school, I was convinced the only way I was going to be able to afford rent, books, and other necessities was if I worked during my time as a student.

“The scholarships I receive help to lift that burden, I can focus my time and energy on being a student and learning as much as I can so I can give my future patients the care they deserve. I don’t have to worry about hundreds of thousands of dollars hanging over my head or lurking behind me in the shadows as I progress through this journey.

“These scholarships are truly life changing for me and I am truly grateful for the amazing people who selflessly give to students in need.”

Nursing Scholarships

Philanthropy plays a vital role in helping our patients on their journey to better health. Equally as crucial to our patients’ journeys are the nurses who excel in caring for them. Our nurses are recognized nationally for their experience, professionalism, and compassionate high-quality care, and it’s no surprise Geisinger remains a leader in nursing education and training. But much of this is only possible because of donors like you, whose support allows us to prepare and recruit the best and brightest so that our legacy of nursing excellence will endure.

Children’s Hospital Operating Endowment

Endowed support for Geisinger Janet Weis Children’s Hospital allows us to continue its foundational mission while delivering compassionate care every day. We’re improving access to exceptional pediatric care, ensuring care is available for every patient, in every community we serve. Delivering excellent care also requires us to respond to evolving needs in our collective communities. Although no organization can solve these tragic and highly complex problems alone, Geisinger is proud to be at the forefront by providing innovative, compassionate and family-centered behavioral healthcare to Pennsylvania.

Geisinger Health Foundation

100 North Academy Avenue

MC 40-36

Danville, PA 17822

570-271-6461

GeisingerFoundation@geisinger.edu

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