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GEISINGER MEDICAL CENTER MUNCY: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization
GEISINGER MEDICAL CENTER MUNCY (EIN 85-1226106)
Tax period
2023-01-01 to 2023-12-31
Filed
2024-11-15
IRS object ID
202433209349319718
Schema version
2023v5.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2024-11-15T15:56:41-05:00ReturnTs
Tax Period End2023-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN920460586PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PWC US TAX LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12001 MARKET ST SUITE 1800AddressLine1Txt
CityPHILADELPHIACityNm
State AbbreviationPAStateAbbreviationCd
ZIP19103ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2023-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN851226106EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1GEISINGER MEDICAL CENTER MUNCYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlGEISBusinessNameControlTxt
Phone5702716624PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 N ACADEMY AVE MC 49-70AddressLine1Txt
CityDANVILLECityNm
State AbbreviationPAStateAbbreviationCd
ZIP178229800ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSPENCER KOWALPersonNm
Person TitleTREASURER, DIRECTORPersonTitleTxt
Phone5702716624PhoneNum
Signature2024-11-14SignatureDt
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrfalseIRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonROBERT W FRIZPreparerPersonNm
PTINP00438748PTIN
Phone2673303000PhoneNum
Preparation2024-11-15PreparationDt
FieldValueIRS element (for citing)
Tax2023TaxYr
Build TS2024-10-15 13:58:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerKAREN MURPHY RN PHDPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 N ACADEMY AVE MC 22-01AddressLine1Txt
CityDANVILLECityNm
State AbbreviationPAStateAbbreviationCd
ZIP178229800ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$60,104,821GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.GEISINGER.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2020FormationYr
Legal Domicile StatePALegalDomicileStateCd
Activity Or MissionGEISINGER MEDICAL CENTER MUNCY STRIVES TO MAKE BETTER HEALTH EASIER IN THE COMMUNITIES IT SERVES BY PROVIDING ACCESS TO AFFORDABLE, QUALITY HEALTH SERVICES THROUGH AN INNOVATIVE MODEL OF CARE AND..........SEE SCHEDULE OActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent0VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers2TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$37,588,211PYProgramServiceRevenueAmt
CY Program Service Revenue$59,348,757CYProgramServiceRevenueAmt
PY Investment Income$227PYInvestmentIncomeAmt
CY Investment Income$67CYInvestmentIncomeAmt
PY Other Revenue$169,378PYOtherRevenueAmt
CY Other Revenue$272,420CYOtherRevenueAmt
PY Total Revenue$37,757,816PYTotalRevenueAmt
CY Total Revenue$59,621,244CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$52,785,128PYOtherExpensesAmt
CY Other Expenses$68,293,061CYOtherExpensesAmt
PY Total Expenses$52,785,128PYTotalExpensesAmt
CY Total Expenses$68,293,061CYTotalExpensesAmt
PY Revenues Less Expenses-$15,027,312PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$8,671,817CYRevenuesLessExpensesAmt
Total Assets BOY$108,332,555TotalAssetsBOYAmt
Total Assets EOY$111,026,726TotalAssetsEOYAmt
Total Liabilities BOY$40,051,584TotalLiabilitiesBOYAmt
Total Liabilities EOY$51,417,572TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$68,280,971NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$59,609,154NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionGEISINGER MEDICAL CENTER MUNCY STRIVES TO MAKE BETTER HEALTH EASIER IN THE COMMUNITIES IT SERVES BY PROVIDING ACCESS TO AFFORDABLE, QUALITY HEALTH SERVICES THROUGH AN INNOVATIVE MODEL OF CARE AND COVERAGE BASED ON A BALANCED PROGRAM OF PATIENT AND MEMBER CARE, EDUCATION, RESEARCH, AND COMMUNITY SERVICE.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$64,443,141ExpenseAmt
Revenue$59,446,282RevenueAmt
DescI. GENERAL INFORMATION GEISINGER MEDICAL CENTER MUNCY, (GMCM), A 501(C )(3) NOT-FOR-PROFIT CORPORATION OWNS AND OPERATES A 20 BED ACUTE CARE HOSPITAL IN MUNCY, PA. GMCM BEGAN SEEING PATIENTS JANUARY 10, 2022. GMCM IS MAKING BETTER HEALTH EASIER FOR LYCOMING COUNTY AND THE SURROUNDING AREA. IN ADDITION TO BEING A FULL-SERVICE HOSPITAL, THE NEW FACILITY BRINGS CARE CLOSER TO HOME BY CENTRALIZING SERVICES, LESSENING TRAVEL TIME FOR PATIENTS WHO WENT TO LARGER MEDICAL FACILITIES FOR THEIR CARE. THE 120,000-SQUARE FOOT, THREE-STORY FACILITY IS A 100 MILLION+ INVESTMENT IN MUNCY AND THE SURROUNDING COMMUNITIES AND IS PART OF THE CLINICAL JOINT VENTURE FORMED BY GEISINGER AND HIGHMARK HEALTH IN 2019. FEATURING AN EMERGENCY ROOM, CLINICAL DECISION UNIT, ACUTE CARE UNIT, SURGICAL SUITES AND PRIMARY AND SPECIALTY CARE AREAS, GEISINGER MEDICAL CENTER MUNCY IS DESIGNED TO MEET THE ROUTINE AND ACUTE CARE NEEDS OF THOSE LIVING IN LYCOMING, SULLIVAN, CLINTON AND TIOGA COUNTIES. THE HOSPITAL'S 20 INPATIENT ROOMS ARE OUTFITTED WITH DIGITAL WHITE BOARDS DISPLAYING REAL-TIME HEALTH INFORMATION TO BETTER COORDINATE CARE. THE WHITE BOARDS SERVE AS A CENTRALIZED INFORMATION HUB THAT CAN BE CONNECTED ACROSS SEVERAL DEVICES AND WILL BE ACCESSIBLE TO THE PATIENT, FAMILY AND CARE TEAM. MESSAGING CAPABILITIES STREAMLINE INTERACTIONS WHILE IMPROVING COMMUNICATION ABOUT THE HOSPITAL STAY AND PROVIDING PATIENTS WITH PERSONALIZED HEALTH INFORMATION AND EDUCATIONAL CONTENT. FOR ROUTINE CARE, THE FACILITY INCLUDES A MULTISPECIALTY CLINIC WITH ADULT AND PEDIATRIC PRIMARY CARE, ORTHOPAEDICS, CARDIOLOGY, OPHTHALMOLOGY, PULMONARY SERVICES AND WOMEN'S HEALTH SERVICES. ALSO AVAILABLE ARE IMAGING AND LAB SERVICES, MEDICAL ONCOLOGY SERVICES, CHEMOTHERAPY AND INFUSIONS, GENERAL SURGERY SERVICES. ADULT AND PEDIATRIC PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY SERVICES ARE ALSO PROVIDED. II. MAJOR PROGRAM SERVICES SERVICES OFFERED BY GMCM: -ADULT AND PEDIATRIC PRIMARY CARE -DERMATOLOGY -PHARMACY -IMAGING -INPATIENT UNIT -LAB SERVICES -EMERGENCY ROOM -INFUSIONS -MEDICATION THERAPY MANAGEMENT -PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY -PULMONOLOGY -SPECIALTY CLINICS INCLUDING: CARDIOLOGY EYE CARE HEMATOLOGY AND ONCOLOGY PODIATRY GASTROENTEROLOGY SURGERY ORTHOPAEDICS WOMEN'S HEALTH SERVICES -TELEMEDICINE -UROLOGY III. PROGRAM SERVICE ACCOMPLISHMENTS UNCOMPENSATED CARE GMCM RECOGNIZES THAT ITS MISSION IS TO SERVE ALL THE MEMBERS OF THE COMMUNITY WITH RESPECT TO THE PROVISION OF HEALTHCARE SERVICES AND HEALTHCARE EDUCATION. GMCM PROVIDES QUALITY MEDICAL HEALTHCARE REGARDLESS OF RACE, RELIGION, ETHNICITY, SEXUAL ORIENTATION, GENDER IDENTIY, HANDICAP, AGE OR ABILITY TO PAY. IN THIS REGARD, GMCM 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 GMCM PRACTICES. A. CHARITY CARE THE PRIMARY CONCERN OF GMCM IS THE DELIVERY OF HEALTH CARE TO ALL THE CITIZENS IN ITS PENNSYLVANIA SERVICE AREA, REGARDLESS OF THEIR ABILITY TO PAY. THE UNREIMBURSED COST OF CHARITY CARE REPRESENTS THE COST GMCM INCURRED BY PROVIDING FREE OR DISCOUNTED SERVICES TO THOSE WHO COULD NOT AFFORD TO PAY. FOR THE YEAR ENDED DECEMBER 31, 2023, THE COST OF CHARITY CARE WAS 914,189. B. MEDICARE/MEDICAID AND OTHER GOVERNMENTAL PROGRAMS RECOGNIZING ITS MISSION TO THE COMMUNITY, SERVICES ARE PROVIDED TO THE ELDERLY (MEDICARE) AND THE POOR (MEDICAID). GMCM PROVIDES CARE, BELOW COST, TO PERSONS COVERED BY THESE GOVERNMENTAL PROGRAMS. TO THE EXTENT REIMBURSEMENT IS BELOW THE COST OF PROVIDING HEALTHCARE, GMCM IS FURTHERING ITS MISSION TO THE ENTIRE COMMUNITY. THE UNREIMBURSED VALUE OF MEDICARE AND/OR MEDICAID IS EQUAL TO THE COST OF PROVIDING SERVICES LESS THE AMOUNT OF REIMBURSEMENT RECEIVED UNDER THE PROGRAM. FOR THE YEAR ENDED DECEMBER 31, 2023, THE UNREIMBURSED VALUE OF PROVIDING CARE TO THESE PATIENTS WAS 15,797,604. III. COMMUNITY HEALTH, EDUCATION, AND OUTREACH GMCM STRIVES TO BE A VALUABLE RESOURCE FOR THE COMMUNITY AND ITS RESIDENTS. GMCM PROVIDES REDUCED-PRICE SERVICES AND FREE PROGRAMS THROUGHOUT THE YEAR THAT SERVE COMMUNITY HEALTH NEEDS. THESE SERVICES AND PROGRAMS INCLUDE COMMUNITY BASED CLINICAL HEALTH SCREENINGS, COMMUNITY HEALTH EDUCATION, AND OTHER UNIQUE SERVICES. A.HEALTH CARE SUPPORT ACTIVITIES GMCM PROVIDED TRANSPORTATION FOR INDIGENT PATIENTS AT A COST OF 95,692. B.HEALTH PROFESSIONS EDUCATION GMCM PROVIDED 34,081 IN SUPERVISION OF NURSING AND PHARMACY STUDENTS COMPLETING ROTATIONS AS PART OF THEIR STUDIES DURING THE YEAR ENDED DECEMBER 31, 2023. C. VOLUNTEER SERVICES IT IS ANTICIPATED, THE VOLUNTEERS OF GEISINGER MEDICAL CENTER MUNCY WILL BE AN ACTIVE AND VITAL PART OF THE ACTIVITIES OF THE HOSPITAL. THE HOURS OF VOLUNTEER SERVICES ARE AN IMPORTANT CONTRIBUTION TO THE MISSION OF GMCM. DURING ITS START-UP YEAR, VOLUNTEERS FROM LOCAL COMMUNITIES CONTRIBUTED 10 HOURS TOWARD THE COMMON PURPOSE OF SERVICING THE HEALTHCARE OF THE COMMUNITY. THE VALUE OF THIS CONTRIBUTION OF 318 IS GIVEN BACK TO THE COMMUNITY THROUGH LOWER COSTS IN BOTH PATIENT SERVICES AND "WELLNESS" PROGRAMS. IV. COMMUNITY BENEFITS SUMMARY CHARITY CARE 914,189 MEDICARE/MEDICAID/OTHER GOVERNMENTAL 15,797,604 COMMUNITY HEALTH, EDUCATION, AND OUTREACH 129,773 VOLUNTEER SERVICES (VALUED AT 01/01/2023 PA STATEWIDE AVERAGE WEEKLY WAGE) 318 TOTAL 16,841,884 V. STATISTICAL SUMMARY DISCHARGES 1,284 AVERAGE LENGTH OF STAY 2.9 PERCENT OF OCCUPANCY 50.1% PATIENT DAYS 3,660 TOTAL OR CASES 2,401 OUTPATIENT VISITS (INCLUDES OUTPATIENT ER VISITS) 59,098 OUTPATIENT EMERGENCY ROOM VISITS 15,039 BEDS 20Desc
Total Program Service Expenses$64,443,141TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgYes (true)TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members9GoverningBodyVotingMembersCnt
Independent Voting Member0IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldPAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonERIN FITZGERALD CPA VP AND CAOPersonNm
Phone5702142299PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 N ACADEMY AVE MC 49-70AddressLine1Txt
CityDANVILLECityNm
State AbbreviationPAStateAbbreviationCd
ZIP178229800ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (10 entries)

TitleTitleTxtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndAverage Hours Per WeekAverageHoursPerWeekRt
JAEWON RYU MD JD
DIRECTOR40.00Yes (X)$0$5,492,112$1,571,914
MATTHEW WALSH
CHAIR, PRES.40.00Yes (X)$0$1,500,068$314,234Yes (X)
GERALD V MALONEY DO
DIRECTOR40.00Yes (X)$0$815,329$127,061
SPENCER KOWAL
TREASURER, D40.00Yes (X)$0$747,984$140,684Yes (X)
TRACEY W WOLFE MHA
DIRECTOR40.00Yes (X)$0$613,738$76,731
JEFFREY J ADAMS
DIRECTOR40.00Yes (X)$0$481,446$98,126
JASON SCHAUER MD
DIRECTOR40.00Yes (X)$0$461,209$57,412
MATTHEW VAN LEEUWE
DIRECTOR40.00Yes (X)$0$416,413$71,450
TAMMY ANDERER CRNP PHD
SECRETARY, D40.00Yes (X)$0$300,866$37,766Yes (X)
JACQUELINE HOLDER DO MBA
DIRECTORYes (X)$0$0$00.25
FieldValueIRS element (for citing)
Tot Reportable Comp Rltd Org$10,829,165TotReportableCompRltdOrgAmt
Total Other Compensation$2,495,378TotalOtherCompensationAmt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
WHITE & WILLIAMS LLP
1650 MARKET STREET SUITE 1800PHILADELPHIAPA191037395LEGAL SERVICES$1,056,613
HCSC
PO BOX 8016LANCASTERPA17601LAUNDRY SERVICE$249,725
JAFFE RAITT HEUER & WEISS PROF CORP
277777 FRANKLIN RD SUITE 2500SOUTHFIELDMI48034LEGAL SERVICES$164,440
QUEST DIAGNOSTICS
PO BOX 912512PASADENACA91110MEDICAL TESTING$156,330
ETTINGERS LANDSCAPING
2345 WARRENSVILLE ROADMONTOURSVILLEPA17754LANDSCAPING$126,864
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K6CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
PATIENT HEALTHCARE621110$58,403,346$58,403,346
RENTAL INCOME531120$930,475$930,475
INTERCOMPANY REVENUE541900$14,936$14,936
FieldValueIRS element (for citing)
Total Program Service Revenue$59,348,757TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$67TotalRevenueColumnAmt
Exclusion$67ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Personal$483,577PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Personal$483,577PersonalAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CAFE SALES722514$167,880$167,880
PURCHASE DISCOUNTS900099$97,525$97,525
VENDING COMMISSIONS900099$6,218$6,218

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$797TotalRevenueColumnAmt
Exclusion$797ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$272,420OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$59,621,244TotalRevenueColumnAmt
Related Or Exempt Func Income$58,515,807RelatedOrExemptFuncIncomeAmt
Exclusion$1,105,437ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$2,729,290TotalAmt
Program Services$2,722,540ProgramServicesAmt
Management And General$6,750ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$161TotalAmt
Management And General$161ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$17,744TotalAmt
Program Services$4,748ProgramServicesAmt
Management And General$12,996ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$22,233,536TotalAmt
Program Services$21,524,587ProgramServicesAmt
Management And General$708,949ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,560,210TotalAmt
Program Services$1,472,616ProgramServicesAmt
Management And General$87,594ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$45,046TotalAmt
Program Services$43,777ProgramServicesAmt
Management And General$1,269ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,252,850TotalAmt
Program Services$1,142,247ProgramServicesAmt
Management And General$110,603ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$50,468TotalAmt
Program Services$45,617ProgramServicesAmt
Management And General$4,851ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$8,039,106TotalAmt
Program Services$7,755,561ProgramServicesAmt
Management And General$283,545ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$278,623TotalAmt
Program Services$256,044ProgramServicesAmt
Management And General$22,579ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$20,960,483$20,959,957$526
INTERCOMPANY EXPENSE$10,424,264$7,824,892$2,599,372
MA MODERNIZATION FEES$647,537$647,537
BOOKS, LICENSES, DUES$53,445$43,018$10,427

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$298TotalAmt
Management And General$298ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$68,293,061TotalAmt
Program Services$64,443,141ProgramServicesAmt
Management And General$3,849,920ManagementAndGeneralAmt
Fundraising$0FundraisingAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XYes (X)InfoInScheduleOPartXInd

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$3,218,865BOYAmt
EOY$2,134,672EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$5,049,929BOYAmt
EOY$5,104,181EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$2,252,025BOYAmt
EOY$1,903,262EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$298,190BOYAmt
EOY$98,560EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$117,004,762LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$16,352,664LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$96,405,339BOYAmt
EOY$100,652,098EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,108,207BOYAmt
EOY$1,133,953EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$108,332,555BOYAmt
EOY$111,026,726EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$191,141BOYAmt
EOY$204,491EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$30,424BOYAmt
EOY$27,669EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$39,830,019BOYAmt
EOY$51,185,412EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$40,051,584BOYAmt
EOY$51,417,572EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$68,280,971BOYAmt
EOY$59,609,154EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$68,280,971BOYAmt
EOY$59,609,154EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$108,332,555BOYAmt
EOY$111,026,726EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$8,671,817ReconcilationRevenueExpnssAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$161OtherActivitiesAmt
Total Lobbying Expenditures$161TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE C, PART II-B, LINE 1FormAndLineReferenceDesc
ExplanationLINE 1I: OTHER LOBBYING ACTIVITIES REPORTED ON LINE 1I REPRESENTS THE PORTION OF MEMBERSHIP DUES, PAID BY THE ORGANIZATION TO TRADE OR PROFESSIONAL ASSOCIATIONS, ATTRIBUTABLE TO LOBBYING ACTIVITIES.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,590,132OtherCostOrOtherBasisAmt
Book Value$2,590,132BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$35,934,378OtherCostOrOtherBasisAmt
Depreciation$3,732,073DepreciationAmt
Book Value$32,202,305BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$70,302,034OtherCostOrOtherBasisAmt
Depreciation$12,558,178DepreciationAmt
Book Value$57,743,856BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$8,178,218OtherCostOrOtherBasisAmt
Depreciation$62,413DepreciationAmt
Book Value$8,115,805BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$100,652,098TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
DUE TO AFFILIATES$50,284,379
THIRD PARTY LIABILITIES$737,272
ACCOUNTS RECEIVABLE CREDIT BALANCES$163,761
FieldValueIRS element (for citing)
Total Liability$51,185,412TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE D, PAGE 4, PART XIIIFormAndLineReferenceDesc
ExplanationPART X, LINE 2 - LIABILITY FOR UNCERTAIN TAX POSITIONS EFFECTIVE JULY 1, 2007, GEISINGER ADOPTED ACCOUNTING STANDARDS CODIFICATION 740 (FIN 48), (FORMERLY KNOWN AS "STATEMENT 109: ACCOUNTING FOR INCOME TAXES- OR "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.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other3.000000000000FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CarefalseFPGReferenceDiscountedCareInd
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$914,189TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$914,189NetCommunityBenefitExpnsAmt
Total Expense0.01340TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$10,494,355TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,639,150DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,855,205NetCommunityBenefitExpnsAmt
Total Expense0.08570TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$555,271TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$331,975DirectOffsettingRevenueAmt
Net Community Benefit Expns$223,296NetCommunityBenefitExpnsAmt
Total Expense0.00330TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$11,963,815TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,971,125DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,992,690NetCommunityBenefitExpnsAmt
Total Expense0.10240TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$129,773TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$129,773NetCommunityBenefitExpnsAmt
Total Expense0.00190TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$129,773TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$129,773NetCommunityBenefitExpnsAmt
Total Expense0.00190TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$12,093,588TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,971,125DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,122,463NetCommunityBenefitExpnsAmt
Total Expense0.10430TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Reimbursed By Medicare$7,850,278ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$15,468,248CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$7,617,970MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost Accounting SystemYes (X)CostAccountingSystemInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1GEISINGER MEDICAL CENTER MUNCYBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1255 US-220AddressLine1Txt
CityMUNCYCityNm
State AbbreviationPAStateAbbreviationCd
ZIP17756ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.GEISINGER.ORGWebsiteAddressTxt
State License50730101StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1GEISINGER MEDICAL CENTER MUNCYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYYes (true)FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYYes (true)TaxExemptHospitalCYOrPYInd
CHNA ConductedfalseCHNAConductedInd
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care300.000000000000FPGFamilyIncmLmtFreeCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLWWW.GEISINGER.ORG - REFER TO SECTION CFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLWWW.GEISINGER.ORG - REFER TO SECTION CFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLWWW.GEISINGER.ORG - REFER TO SECTION CFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Other Actions TakenYes (X)OtherActionsTakenInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Prospective Medicare MedicaidYes (X)ProspectiveMedicareMedicaidInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FACILITY 1, GEISINGER MEDICAL CENTER MUNCY - PART V, LINE 2GEISINGER MEDICAL CENTER MUNCY WAS FORMED ON JUNE 11, 2020 AND WAS ISSUED AN IRS DETERMINATION LETTER ON JULY 27, 2022 WITH AN EXEMPTION EFFECTIVE DATE OF JUNE 11, 2020. GEISINGER MEDICAL CENTER MUNCY WAS LICENSED AS A HOSPITAL BY THE STATE OF PENNSYLVANIA ON JANUARY 5, 2022.
FACILITY 1, GEISINGER MEDICAL CENTER MUNCY - PART V, LINE 13BRECENT WAGE STATEMENTS, UNEMPLOYMENT OR OTHER DOCUMENTATION OF BENEFITS OR COMPENSATION RECEIVED MAY BE CONSIDERED IN DETERMINING FINANCIAL ASSISTANCE ELIGIBILITY.
FACILITY 1, GEISINGER MEDICAL CENTER MUNCY - PART V, LINE 16JTHE FAP, FAP APPLICATION, AND A PLAIN LANGUAGE SUMMARY OF THE FAP ARE WIDELY AVAILABLE AT HTTPS://WWW.GEISINGER.ORG/PATIENT-CARE/PATIENTS-AND- VISITORS/BILLING-AND-INSURANCE/NEED-HELP. IN ADDITION, REGISTRATION PERSONNEL ALSO REFER UNINSURED AND/OR LOW INCOME PATIENTS TO FINANCIAL COUNSELORS TO DISCUSS THE FINANCIAL ASSISTANCE POLICY.
FACILITY 1, GEISINGER MEDICAL CENTER MUNCY - PART V, LINE 20EREFER TO RESPONSE FOR PART III, LINE 9B

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART I, LINE 3CSUPPORTING DOCUMENTATION FOR ELIGIBILITY MAY CONSIST OF INCOME AND ASSET INFORMATION, INCLUSIVE BUT NOT LIMITED TO: FEDERAL INCOME TAX FORM 1040 FROM THE PRIOR YEAR, PAY STUB COPIES, WRITTEN VERIFICATION OF ANY OTHER INCOME RECEIVED (I.E. SOCIAL SECURITY, ADC, CHILD SUPPORT, ALIMONY, ETC.), CURRENT CREDIT REPORTS AND ASSET VERIFICATION. THE HOSPITAL MAY ALSO UTILIZE INDUSTRY TESTED EXTERNAL ANALYTICAL TOOLS TO QUALIFY PATIENTS FOR UNCOMPENSATED CARE (AKA PRESUMPTIVE CHARITY). GEISINGER PROVIDERS, WITHOUT DISCRIMINATION, CARE FOR ALL EMERGENCY MEDICAL CONDITIONS TO INDIVIDUALS REGARDLESS OF THEIR FINANCIAL ASSISTANCE ELIGIBILITY OR ABILITY TO PAY. IT IS THE POLICY OF GEISINGER HOSPITAL FACILITIES TO COMPLY WITH THE STANDARDS OF THE FEDERAL EMERGENCY MEDICAL TREATMENT AND ACTIVE LABOR TRANSPORT ACT OF 1986 ("EMTLA") AND REGULATIONS IN PROVIDING MEDICAL SCREENING EXAMINATION AND SUCH FURTHER TREATMENT AS MAY BE NECESSARY TO STABILIZE AN EMERGENCY MEDICAL CONDITION FOR ANY INDIVIDUAL PRESENTING TO THE EMERGENCY DEPARTMENT SEEKING TREATMENT.
SCHEDULE H, PART I, LINE 6ACOMMUNITY BENEFIT REPORT: A COMMUNITY BENEFIT REPORT IS PROVIDED BY THE HOSPITAL AND ITS RELATED CHARITABLE ORGANIZATIONS TO THE GEISINGER HEALTH FINANCE COMMITTEE EACH YEAR.
SCHEDULE H, PART I, LINE 7GTHERE ARE NO PHYSICIAN CLINICAL SERVICES INCLUDED IN SUBSIDIZED HEALTH SERVICES.
SCHEDULE H, PART I, LINE 7A COST ACCOUNTING SYSTEM WAS USED TO DETERMINE THE COSTS REPORTED ON LINE 7 AND ADDRESSED PATIENT SEGMENTS BY PAYOR (E.G. MEDICARE, MEDICAID, COMMERCIAL PAYERS, SELF-PAY, ETC.). A COST TO CHARGE RATIO, CALCULATED PURSUANT TO WORKSHEET 2 OF THE FORM 990 INSTRUCTIONS, WAS USED TO CALCULATE THE COST OF CHARITY CARE.
SCHEDULE H, PART III, LINE 4EXPLICIT AND IMPLICIT PRICE CONCESSIONS TO PATIENT SERVICE REVENUE ARE RECORDED AT THE TIME THE PERFORMANCE OBLIGATIONS ARE SATISFIED. SUBSTANTIALLY ALL CHANGES TO THESE CONCESSIONS, AS A RESULT OF SUBSEQUENT REASSESSMENT, ARE RECOGNIZED IN THE PERIOD THE CHANGE IS IDENTIFIED AS ADJUSTMENTS TO PATIENT SERVICE REVENUE. AMOUNTS RECOGNIZED DUE TO CHANGES IN ESTIMATES OF EXPLICIT AND IMPLICIT PRICE CONCESSIONS FOR THE YEARS ENDED DECEMBER 31, 2023 AND 2022 ARE NOT SIGNIFICANT. SUBSEQUENT CHANGES THAT ARE DETERMINED TO BE A RESULT OF AN ADVERSE CHANGE IN THE PATIENT'S OR PAYOR'S ABILITY TO PAY AND ARE MATERIAL ARE RECORDED AS BAD DEBT EXPENSE. NO BAD DEBT EXPENSE WAS RECORDED FOR THE YEARS ENDED DECEMBER 31, 2023 AND 2022 RELATED TO PATIENT SERVICE REVENUE.
SCHEDULE H, PART III, LINE 8MEDICARE COSTS WERE DERIVED FROM THE MEDICARE COST REPORT AND THE COST ACCOUNTING SYSTEM. THE ORGANIZATION BELIEVES THE MEDICARE UNDERPAYMENTS (SHORTFALL) ARE COMMUNITY BENEFIT AND SHOULD BE INCLUDED ON FORM 990, SCHEDULE H, PART I. AS OUTLINED MORE FULLY BELOW, THE ORGANIZATION BELIEVES THAT THESE SERVICES AND RELATED COSTS PROMOTE THE HEALTH OF THE COMMUNITY AS A WHOLE AND ARE RENDERED IN CONJUNCTION WITH THE ORGANIZATION'S CHARITABLE TAX-EXEMPT PURPOSES AND MISSION IN PROVIDING MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER WITHOUT REGARD TO RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY AND IS CONSISTENT WITH THE COMMUNITY BENEFIT STANDARD PROMULGATED BY THE IRS. THE COMMUNITY BENEFIT STANDARD IS THE CURRENT STANDARD FOR A TAX-EXEMPT AND CHARITABLE ORGANIZATION UNDER THE INTERNAL REVENUE CODE ("IRC") 501(C)(3). SATISFYING THE "COMMUNITY BENEFIT STANDARD," AS ARTICULATED BY THE INTERNAL REVENUE SERVICE (IRS) IN REVENUE RULING 69-545, IS CURRENTLY REQUIRED FOR A HOSPITAL TO BE RECOGNIZED AS A CHARITABLE ORGANIZATION UNDER INTERNAL REVENUE CODE (IRC) 501(C)(3). THIS RULING REMOVED THE PREVIOUS REQUIREMENT OF REVENUE RULING 56-185, KNOWN AS THE "CHARITY CARE STANDARD," THAT IN ORDER TO BE A CHARITABLE ORGANIZATION, A HOSPITAL HAD TO PROVIDE, TO THE EXTENT OF ITS FINANCIAL ABILITY, FREE OR REDUCED-COST CARE TO PATIENTS UNABLE TO PAY FOR THEIR CARE. THIS EARLIER RULING EMPHASIZED THAT A LOW LEVEL OF CHARITY CARE DID NOT MEAN THAT A HOSPITAL WAS CHARITABLE SINCE THAT LEVEL COULD REFLECT THE HOSPITAL'S FINANCIAL ABILITY TO PROVIDE SUCH CARE. REVENUE RULING 56-185 ALSO NOTED THAT PUBLICLY SUPPORTED COMMUNITY HOSPITALS WOULD NORMALLY QUALIFY AS CHARITABLE BECAUSE THEY SERVE THE ENTIRE COMMUNITY AND A LOW LEVEL OF CHARITY CARE WOULD NOT IMPACT A HOSPITAL'S CHARITABLE STATUS IF IT WAS DUE TO THE SURROUNDING COMMUNITY'S LACK OF CHARITABLE DEMANDS. AS DEVELOPED IN REVENUE RULING 69-545, UNDER THE COMMUNITY BENEFIT STANDARD, HOSPITALS WERE JUDGED ON WHETHER THEY PROMOTE THE HEALTH OF A BROAD CLASS OF INDIVIDUALS IN THE COMMUNITY. THIS RULING INVOLVED A HOSPITAL THAT ONLY ADMITTED THOSE WHO COULD PAY FOR THE SERVICES EITHER BY THEMSELVES, THROUGH PRIVATE INSURANCE OR PUBLIC PROGRAMS SUCH AS MEDICARE. IN ADDITION, THE HOSPITAL OPERATED A FULL-TIME EMERGENCY ROOM THAT WAS OPEN TO EVERYONE. THE IRS RULED THAT THE HOSPITAL WAS CHARITABLE BECAUSE IT PROMOTED THE HEALTH OF PEOPLE IN ITS COMMUNITY. THE IRS REASONED THAT BECAUSE THE PROMOTION OF HEALTH WAS A CHARITABLE PURPOSE ACCORDING TO THE GENERAL LAW OF CHARITY, IT FELL WITHIN THE "GENERALLY ACCEPTED LEGAL SENSE" OF THE TERM CHARITABLE, AS REQUIRED BY TREASURY REGULATION SECTION 1.501 (C)(3)-1(D)(2). THE IRS RULED THAT THE PROMOTION OF HEALTH, LIKE RELIEF OF POVERTY AND THE ADVANCEMENT OF EDUCATION AND RELIGION, IS ONE OF THE PURPOSES OF THE GENERAL LAW OF CHARITY THAT IS DEEMED BENEFICIAL TO THE COMMUNITY AS A WHOLE EVEN THOUGH THE CLASS OF BENEFICIARIES ELIGIBLE TO RECEIVE A DIRECT BENEFIT FROM ITS ACTIVITIES DOES NOT INCLUDE ALL MEMBERS OF THE COMMUNITY, SUCH AS INDIGENT MEMBERS OF THE COMMUNITY, PROVIDED THAT THE CLASS IS NOT SO SMALL THAT ITS RELIEF IS NOT OF BENEFIT TO THE COMMUNITY. THE IRS CONCLUDED THAT THE HOSPITAL WAS "PROMOTING THE HEALTH OF A CLASS OF PERSONS THAT IS BROAD ENOUGH TO BENEFIT THE COMMUNITY" BECAUSE ITS EMERGENCY ROOM WAS OPEN TO ALL AND IT PROVIDED CARE TO THOSE WHO COULD PAY, WHETHER DIRECTLY OR THROUGH THIRD-PARTY REIMBURSEMENT. OTHER FACTORS THAT DEMONSTRATED COMMUNITY BENEFIT INCLUDED: SURPLUS FUNDS WERE USED TO IMPROVE PATIENT CARE, EXPAND FACILITIES AND ADVANCE MEDICAL TRAINING, EDUCATION AND RESEARCH; AND IT WAS CONTROLLED BY A BOARD OF DIRECTORS THAT CONSISTED OF INDEPENDENT CIVIC LEADERS. THE AMERICAN HOSPITAL ASSOCIATION ("AHA") BELIEVES THE MEDICARE UNDERPAYMENTS (SHORTFALLS) SHOULD BE REPORTED AS COMMUNITY BENEFIT ON FORM 990, SCHEDULE H, PART I, LINE 7. THIS ORGANIZATION AGREES WITH THE AHA'S LETTER TO THE IRS DATED AUGUST 21, 2007 RESPONDING TO A DRAFT OF THE NEW FORM 990 AND SCHEDULE H, THE AHA ARGUED THAT MEDICARE UNDERPAYMENTS (SHORTFALLS) IS COMMUNITY BENEFIT FOR THE FOLLOWING REASONS: -PROVIDING CARE FOR THE ELDERLY AND SERVING MEDICARE PATIENTS REMAINS AN ESSENTIAL PART OF THE COMMUNITY BENEFIT STANDARD. -MEDICARE, LIKE MEDICAID, DOES NOT PAY THE FULL COST OF CARE. RECENTLY, MEDICARE REIMBURSES ONLY 92 CENTS FOR EVERY DOLLAR HOSPITALS SPEND TO CARE FOR MEDICARE PATIENTS. THE MEDICARE PAYMENT ADVISORY COMMISSION ("MEDPAC") IN ITS MARCH 2007 REPORT TO CONGRESS CAUTIONED THAT UNDERPAYMENT WILL GET EVEN WORSE, WITH MARGINS REACHING A 10 YEAR LOW AT NEGATIVE 5.4 PERCENT. -MANY MEDICARE PATIENTS, LIKE THEIR MEDICAID COUNTERPARTS, ARE POOR. MORE THAN 46% OF MEDICARE SPENDING IS FOR BENEFICIARIES WHOSE INCOME IS BELOW 200% OF THE FEDERAL POVERTY LEVEL. MANY ARE ALSO ELIGIBLE FOR MEDICAID, SO CALLED -DUAL ELIGIBLES". PENNSYLVANIA REQUIRES NON-PROFIT HOSPITALS TO PROVIDE A MINIMUM LEVEL OF COMMUNITY BENEFIT TO RETAIN EXEMPTION FROM STATE AND LOCAL TAXES. ACCORDING TO STATE GUIDANCE AND CASE LAW, THE UNREIMBURSED COST OF MEDICARE AND BAD DEBT IS CONSIDERED TO BE COMMUNITY BENEFIT FOR STATE TAX EXEMPTION PURPOSES. PART III, LINE 6 ONLY INCLUDES THOSE COSTS THAT ARE PERMITTED TO BE REPORTED IN THE HOSPITAL'S MEDICARE COST REPORT THAT IS REQUIRED TO BE FILED WITH THE FEDERAL GOVERNMENT. THE HOSPITAL CONSIDERS THE TOTAL MEDICARE UNDERPAYMENTS (SHORTFALL) OF 9,719,103 SHOULD BE REPORTED AS COMMUNITY BENEFIT ON THE FORM 990, SCHEDULE H, PART I, LINE 7. ALONG WITH PROVIDING CARE TO MEDICAID PATIENTS AND PROVIDING FREE OR DISCOUNTED CARE TO OTHER LOW-INCOME PATIENTS, THE IRS COMMUNITY BENEFIT STANDARD INCLUDES THE PROVISION OF CARE TO THE ELDERLY AND MEDICARE PATIENTS. LIKE MEDICAID, MEDICARE DOES NOT PAY THE FULL COST OF PROVIDING CARE TO THESE PATIENTS, FORCING THE HOSPITAL TO USE OTHER FUNDS TO COVER THE SHORTFALL. MEDICARE SHORTFALLS MUST BE ABSORBED BY THE HOSPITAL IN ORDER TO CONTINUE TREATING THE ELDERLY IN OUR COMMUNITIES. THE HOSPITAL PROVIDES CARE REGARDLESS OF THE MEDICARE SHORTFALL AND IS THEREBY PROVIDING ACCESS TO MEDICAL SERVICES FOR THE ELDERLY AND RELIEVING THE FEDERAL GOVERNMENT OF THE BURDEN OF PAYING THE FULL COST FOR PROVIDING CARE TO MEDICARE PATIENTS. ABSENT THE MEDICARE PROGRAM, IT IS LIKELY THAT MANY MEDICARE PATIENTS WOULD BE ELIGIBLE FOR CHARITY CARE OR OTHER NEED-BASED GOVERNMENT PROGRAMS. THE AMOUNT EXPENDED TO COVER THE SHORTFALL IS MONEY NOT AVAILABLE FOR FINANCIAL ASSISTANCE AND OTHER COMMUNITY BENEFIT NEEDS.
SCHEDULE H, PART III, LINE 9BTHE HOSPITAL IS COMMITTED TO PROVIDING MEDICALLY NECESSARY SERVICES TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY AND THE HOSPITAL'S COLLECTION ACTIONS ARE CONSISTENTLY APPLIED TO ALL PATIENTS. IT IS THE HOSPITAL'S POLICY TO PROVIDE FINANCIAL ASSISTANCE AND COUNSELING TO PATIENTS WITH LIMITED FINANCIAL MEANS. A PATIENT MAY BECOME ELIGIBLE FOR FINANCIAL ASSISTANCE AT ANY TIME DURING TREATMENT OR DURING THE CONTINUUM OF THE FINANCIAL/BILLING AND COLLECTION PROCESS. IN ANY STAGE OF THE BILLING PROCESS, COLLECTION ACTIONS ARE NOT PURSUED WHENEVER A PATIENT APPLIES AND IS BEING EVALUATED FOR FINANCIAL ASSISTANCE. UNDER NO CIRCUMSTANCES WILL THE HOSPITAL FREEZE OR ATTACH BANK ACCOUNTS OF A PATIENT, ENFORCE LIENS, ACTIVELY PURSUE ASSETS FROM A PRIOR JUDGMENT OR GARNISH THE WAGES OF A PATIENT AND/OR FAMILY MEMBER BEFORE DETERMINING IF THE PATIENT IS ELIGIBLE FOR ASSISTANCE UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM. GEISINGER MANAGEMENT HAS DEVELOPED POLICIES AND PROCEDURES FOR INTERNAL AND EXTERNAL COLLECTION PRACTICES THAT TAKE INTO ACCOUNT THE EXTENT TO WHICH THE PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE, A PATIENT'S GOOD FAITH EFFORT TO APPLY FOR GOVERNMENTAL PROGRAMS OR FINANCIAL ASSISTANCE FROM GEISINGER AND A PATIENT'S GOOD FAITH EFFORT TO COMPLY WITH HIS OR HER PAYMENT AGREEMENTS. BILLING AND COLLECTION POLICY: THE BILLING AND COLLECTION POLICY IS ADMINISTERED IN ACCORDANCE WITH THE MISSION AND VALUES OF THE HOSPITAL AS WELL AS FEDERAL AND STATE LAW. THE POLICY IS DESIGNED TO PROMOTE APPROPRIATE ACCESS TO MEDICAL CARE FOR ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY WHILE MAINTAINING GEISINGER'S FISCAL RESPONSIBILITY TO MAXIMIZE REIMBURSEMENT AND MINIMIZE BAD DEBT. THE ORGANIZATION'S BILLING AND COLLECTION POLICY IS INTENDED TO TAKE INTO ACCOUNT EACH INDIVIDUAL'S ABILITY TO CONTRIBUTE TO THE COST OF HIS OR HER CARE. THE ORGANIZATION MAKES SURE THAT PATIENTS ARE ASSISTED IN OBTAINING HEALTH INSURANCE COVERAGE FROM PRIVATELY AND PUBLICLY FUNDED SOURCES, WHENEVER POSSIBLE. ALL BUSINESS OFFICE CUSTOMER SERVICE DEPARTMENT REPRESENTATIVES ARE EDUCATED ON ALL ASPECTS OF THE BILLING AND COLLECTION POLICY AND ARE EXPECTED TO ADMINISTER THE POLICY ON A REGULAR AND CONSISTENT BASIS. BUSINESS OFFICE CUSTOMER SERVICE REPRESENTATIVES ARE HELD ACCOUNTABLE TO TREAT ALL PATIENTS WITH COURTESY, RESPECT, CONFIDENTIALITY AND CULTURAL SENSITIVITY. THE BILLING AND COLLECTION POLICY IS ADMINISTERED IN CONJUNCTION WITH THE PROCEDURES OUTLINED IN INTERNAL ADMINISTRATIVE POLICIES. THE GEISINGER EXECUTIVE VICE PRESIDENT, CHIEF FINANCIAL OFFICER AND VICE PRESIDENT, CHIEF REVENUE OFFICER HAVE OVERALL RESPONSIBILITY FOR THE BILLING AND COLLECTION ACTIVITIES OF THE HOSPITAL. THE BUSINESS OFFICE CUSTOMER SERVICE DEPARTMENT STAFF IS RESPONSIBLE FOR THE DAY-TO-DAY ENFORCEMENT OF APPROVED POLICIES AND PROCEDURES. GEISINGER MAY OFFER EXTENDED PAYMENT PLANS TO PATIENTS WHO ARE COOPERATING IN GOOD FAITH TO RESOLVE THEIR HOSPITAL BILLS. EMERGENCY & MEDICALLY NECESSARY SERVICES: GEISINGER DOES NOT ENGAGE IN ANY ACTIONS THAT DISCOURAGE INDIVIDUALS FROM SEEKING EMERGENCY MEDICAL CARE. THE ORGANIZATION WILL NEVER DEMAND THAT AN EMERGENCY DEPARTMENT PATIENT PAY BEFORE RECEIVING TREATMENT FOR EMERGENCY MEDICAL CONDITIONS. ADDITIONALLY, GEISINGER DOES NOT PERMIT DEBT COLLECTION ACTIVITIES IN THE EMERGENCY DEPARTMENT OR OTHER AREAS WHERE SUCH ACTIVITIES COULD INTERFERE WITH THE PROVISION OF EMERGENCY CARE ON A NONDISCRIMINATORY BASIS. ALL MEDICALLY NECESSARY HOSPITAL SERVICES ARE PROVIDED WITHOUT CONSIDERATION OF ABILITY TO PAY AND ARE NOT DELAYED PENDING APPLICATION OR APPROVAL OF MEDICAL ASSISTANCE OR THE GEISINGER FINANCIAL ASSISTANCE PROGRAM. ADVANCE PAYMENT IS NOT REQUIRED FOR ANY MEDICALLY NECESSARY SERVICES. COMPLIANCE WITH INTERNAL REVENUE CODE SECTION 501(R)(6): GEISINGER DOES NOT ENGAGE IN ANY EXTRAORDINARY COLLECTION ACTIONS ("ECAS") AS DEFINED BY INTERNAL REVENUE CODE SECTION 501(R)(6) PRIOR TO THE EXPIRATION OF THE NOTIFICATION PERIOD. THE NOTIFICATION PERIOD IS DEFINED AS A 120-DAY PERIOD OR GREATER, WHICH BEGINS ON THE DATE OF THE 1ST POST-DISCHARGE BILLING STATEMENT, IN WHICH NO ECAS ARE INITIATED AGAINST THE PATIENT. SUBSEQUENT TO THE NOTIFICATION PERIOD GEISINGER, OR ANY THIRD PARTIES ACTING ON ITS BEHALF, MAY INITIATE THE FOLLOWING ECAS AGAINST A PATIENT FOR AN UNPAID BALANCE IF THE FINANCIAL ASSISTANCE ELIGIBILITY DETERMINATION HAS NOT BEEN MADE OR IF AN INDIVIDUAL IS INELIGIBLE FOR FINANCIAL ASSISTANCE. GEISINGER MAY AUTHORIZE THIRD PARTIES TO REPORT ADVERSE INFORMATION ABOUT THE INDIVIDUAL TO CONSUMER CREDIT REPORTING AGENCIES OR CREDIT BUREAUS ON DELINQUENT PATIENT ACCOUNTS AFTER THE NOTIFICATION PERIOD. THE ORGANIZATION ENSURES REASONABLE EFFORTS HAVE BEEN TAKEN TO DETERMINE WHETHER AN INDIVIDUAL IS ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THE FINANCIAL ASSISTANCE POLICY AND ENSURES THE FOLLOWING ACTIONS ARE TAKEN AT LEAST 30 DAYS PRIOR TO INITIATING ANY ECA: 1) THE PATIENT IS PROVIDED WITH WRITTEN NOTICE WHICH: INDICATES THAT FINANCIAL ASSISTANCE IS AVAILABLE FOR ELIGIBLE PATIENTS; IDENTIFIES THE ECA(S) THAT GEISINGER INTENDS TO INITIATE TO OBTAIN PAYMENT FOR THE CARE; AND STATES A DEADLINE AFTER WHICH SUCH ECAS MAY BE INITIATED. 2) THE PATIENT IS PROVIDED WITH A COPY OF THE PLAIN LANGUAGE SUMMARY; AND 3) REASONABLE EFFORTS ARE MADE TO ORALLY NOTIFY THE PATIENT ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE AND HOW THE INDIVIDUAL MAY OBTAIN ASSISTANCE WITH THE FINANCIAL ASSISTANCE APPLICATION PROCESS. GEISINGER PROCESSES ALL APPLICATIONS FOR FINANCIAL ASSISTANCE SUBMITTED DURING THE APPLICATION PERIOD. THE APPLICATION PERIOD BEGINS ON THE DATE THE CARE IS PROVIDED AND ENDS ON THE 240TH DAY AFTER THE DATE OF THE FIRST POST-DISCHARGE BILLING STATEMENT.
SCHEDULE H, PART VI, LINE 2CHNA COLLABORATING HEALTH SYSTEMS THE 2021 GEISINGER COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED IN PARTNERSHIP WITH GEISINGER, ALLIED SERVICES INTEGRATED HEALTH SYSTEM, AND EVANGELICAL COMMUNITY HOSPITAL. THE STUDY AREA INCLUDED 15 COUNTIES ACROSS CENTRAL AND NORTHEASTERN PENNSYLVANIA, WHICH REPRESENTED THE HEALTH SYSTEMS' COLLECTIVE SERVICE AREAS. COLLABORATION IN THIS WAY CONSERVES VITAL COMMUNITY RESOURCES WHILE FOSTERING A PLATFORM FOR "COLLECTIVE IMPACT" THAT ALIGNS COMMUNITY EFFORTS TOWARD A COMMON GOAL OR ACTION. TO DISTINGUISH UNIQUE SERVICE AREAS AMONG HOSPITALS, REGIONAL RESEARCH AND REPORTING WAS DEVELOPED. 2021 CHNA GEOGRAPHIC REGIONS AND PRIMARY SERVICE COUNTIES 1- CENTRAL REGION INCLUDING THE COUNTIES OF COLUMBIA, MONTOUR, NORTHUMBERLAND, SCHUYLKILL, SNYDER AND UNION REPRESENTED BY GEISINGER- BLOOMSBURG HOSPITAL, GEISINGER MEDICAL CENTER (INCLUDES GEISINGER SHAMOKIN AREA COMMUNITY HOSPITAL), GEISINGER ENCOMPASS HEALTH LIMITED LIABILITY COMPANY (DBA GEISINER ENCOMPASS HEALTH REHABILITATION HOSPITAL) AND EVANGELICAL COMMUNITY HOSPITAL. 2- NORTH CENTRAL REGION INCLUDING THE COUNTIES OF CLINTON AND LYCOMING REPRESENTED BY GEISINGER JERSEY SHORE HOSPITAL AND GEISINGER MEDICAL CENTER MUNCY (LICENSED/OPERATIONAL JANUARY 2022) 3- NORTHEAST REGION INCLUDING THE COUNTIES OF LACKAWANNA, LUZERNE, WAYNE AND WYOMING REPRESENTED BY ALLIED SERVICES REHAB HOSPITAL, COMMUNITY MEDICAL CENTER (DBA GEISINGER COMMUNITY MEDICAL CENTER, GEISINGER WYOMING VALLEY MEDICAL CENTER (INCLUDES GEISINGER SOUTH WILKES-BARRE) AND HEINZ REHAB HOSPITAL. 4- WESTERN REGION INCLUDING THE COUNTIES OF CENTRE, JUNIATA AND MIFFLIN REPRESENTED BY GEISINGER-LEWISTOWN HOSPITAL. GEISINGER SYSTEMWIDE CHNA APPROACH THE 2021 CHNA FOCUSED ON THE PRIMARY SERVICE AREAS OF EACH OF GEISINGER'S NINE HOSPITAL CAMPUSES. UNDERSTANDING OVERLAPPING GEOGRAPHIC BOUNDARIES, SOCIOECONOMICS, AND RELATED COMMUNITY INDICATORS, GEISINGER HOSPITALS WERE GROUPED INTO REGIONS TO ALLOW FOR LOCALIZED DATA COMPARISONS. SYSTEMWIDE PRIORITIES WERE DETERMINED TO ADDRESS COMMON NEEDS ACROSS THE WHOLE SERVICE AREA, WHILE INDIVIDUAL HOSPITAL IMPLEMENTATION PLANS OUTLINED SPECIFIC STRATEGIES TO GUIDE LOCAL EFFORTS AND COLLABORATION WITH COMMUNITY PARTNERS.
SCHEDULE H, PART VI, LINE 3GEISINGER IS COMMITTED TO PROVIDING THE HIGHEST QUALITY HEALTHCARE SERVICES TO OUR COMMUNITY. GEISINGER IS COMMITTED TO A SERVICE EXCELLENCE PHILOSOPHY THAT STRIVES TO MEET OR EXCEED PATIENT EXPECTATIONS. ALL PATIENTS WILL RECEIVE A UNIFORM STANDARD OF CARE THROUGHOUT ALL GEISINGER FACILITIES, REGARDLESS OF SOCIAL, CULTURAL, FINANCIAL, RELIGIOUS, RACIAL, GENDER OR SEXUAL ORIENTATION. GEISINGER STRIVES TO ENSURE THAT ALL PATIENTS RECEIVE ESSENTIAL EMERGENCY AND OTHER MEDICALLY NECESSARY HEALTH SERVICES REGARDLESS OF THEIR ABILITY TO PAY. FOR URGENT AND EMERGENT SERVICES, PATIENTS ARE PROVIDED CARE REGARDLESS OF THEIR ABILITY TO PAY. IN THE EVENT A PATIENT HAS AN EMERGENCY MEDICAL CONDITION; TREATMENT IS NOT DELAYED TO PERMIT AN INQUIRY REGARDING A PATIENT'S METHOD OF PAYMENT OR INSURANCE STATUS. FOR OTHER THAN URGENT AND EMERGENT SERVICES, THE HOSPITAL PROVIDES UNCOMPENSATED CARE, FREE OF CHARGE, OR ON A 100% DISCOUNTED BASIS, TO THOSE PATIENTS WHO DEMONSTRATE AN INABILITY TO PAY. DEPENDING UPON FAMILY SIZE AND INCOME, FREE OR 100% DISCOUNTED SERVICES ARE AVAILABLE TO A PATIENT WITH FAMILY INCOME OF 300% OR LESS OF THE FEDERAL POVERTY GUIDELINES. IT IS THE HOSPITAL'S POLICY TO PROVIDE FINANCIAL ASSISTANCE AND FINANCIAL COUNSELING TO PATIENTS OF LIMITED MEANS. A PATIENT MAY BECOME ELIGIBLE FOR CHARITY CARE OR FINANCIAL ASSISTANCE AT ANY TIME DURING TREATMENT OR DURING THE CONTINUUM OF THE FINANCIAL/BILLING PROCESS. INFORMATION (SIGNS, BROCHURES, ETC.) REGARDING THE HOSPITAL'S CHARITY CARE AND FINANCIAL ASSISTANCE POLICIES ARE PROVIDED AT THE EMERGENCY ROOM, REGISTRATION AND VARIOUS ACCESS POINTS THROUGHOUT THE HOSPITAL. REGISTRATION PERSONNEL ALSO REFER UNINSURED AND/OR LOW INCOME PATIENTS TO FINANCIAL COUNSELORS TO DISCUSS THE FINANCIAL ASSISTANCE POLICY. NOTICE OF THE HOSPITAL'S CHARITY CARE AND FINANCIAL ASSISTANCE POLICIES CAN ALSO BE FOUND ON THE GEISINGER WEB SITE AT WWW.GEISINGER.ORG. PATIENTS ARE ALSO PROVIDED INFORMATION ON THE HOSPITAL'S CHARITY CARE AND FINANCIAL ASSISTANCE POLICIES WITH EACH PATIENT BILL. THE FINANCIAL ASSISTANCE POLICY ("FAP"), THE FAP APPLICATION AND PLAIN LANGUAGE SUMMARY ("PLS") ARE AVAILABLE ON-LINE. PAPER COPIES ARE AVAILABLE UPON REQUEST WITHOUT CHARGE BY MAIL OR ARE AVAILABLE AT REGISTRATION AREAS WHICH INCLUDES EMERGENCY ROOMS, ADMITTING AND REGISTRATION DEPARTMENTS, HOSPITAL-BASED CLINICS AND PATIENT FINANCIAL SERVICES DEPARTMENTS. ALL FAP DOCUMENTS ARE AVAILABLE IN ENGLISH AND IN THE PRIMARY LANGUAGE OF POPULATIONS WITH LIMITED ENGLISH PROFICIENCY ("LEP") THAT CONSTITUTE THE LESSER OF 1,000 INDIVIDUALS OR 5% OF THE HOSPITAL'S SERVICE AREA. SIGNS OR DISPLAYS ARE CONSPICUOUSLY POSTED IN PUBLIC HOSPITAL LOCATIONS INCLUDING THE EMERGENCY DEPARTMENT, ADMISSIONS DEPARTMENT AND REGISTRATION DEPARTMENT THAT INFORM PATIENTS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE. ALL PATIENTS ARE OFFERED A COPY OF THE PLS AS PART OF THE INTAKE AND DISCHARGE PROCESSES. ADDITIONALLY, FINANCIAL COUNSELORS AND CUSTOMER SERVICE REPRESENTATIVES ARE AVAILABLE TO ASSIST PATIENTS WITH CONCERNS.
SCHEDULE H, PART VI, LINE 4POPULATION TRENDS THE NORTH CENTRAL REGION IS PREDOMINANTLY RURAL. TOTAL POPULATION OF THE NORTH CENTRAL REGION IS APPROXIMATELY 150,000; 75% OF THE POPULATION IS LOCATED WITHIN LYCOMING COUNTY. WILLIAMSPORT (LYCOMING COUNTY) IS THE LARGEST MUNICIPALITY IN THE REGION WITH APPROXIMATELY 30,000 RESIDENTS. THE WILLIAMSPORT POPULATION IS MORE DIVERSE IN AGE, RACE, AND ETHNICITY THAN THE SURROUNDING MUNICIPALITIES. LYCOMING COLLEGE (1,100 STUDENT BODY) AND PENNSYLVANIA COLLEGE OF TECHNOLOGY, KNOWN AS PENN COLLEGE, (5,000 STUDENT BODY) ARE LOCATED IN WILLIAMSPORT. LOCK HAVEN IS THE LARGEST CITY CENTER IN CLINTON COUNTY WITH APPROXIMATELY 10,000 RESIDENTS. LOCK HAVEN IS THE COUNTY SEAT AND HOME TO LOCK HAVEN UNIVERSITY OF PENNSYLVANIA WITH A STUDENT BODY OF ABOUT 3,400. AS A WHOLE, THE NORTH CENTRAL REGION IS SIGNIFICANTLY LESS DIVERSE AND OLDER AS COMPARED TO STATE AND/OR NATIONAL BENCHMARKS. PENNSYLVANIA AND THE NORTH CENTRAL REGION HAVE A HIGHER MEDIAN AGE THAN THE NATION. APPROXIMATELY 20% OF RESIDENTS ACROSS THE STATE AND REGION ARE AGE 65 OR OVER, AND THAT PERCENTAGE IS PROJECTED TO INCREASE NEARLY 7 PERCENTAGE POINTS BY 2025. THE CLINTON COUNTY POPULATION DECLINED BY 5.1% FROM 2017- 2020, THE LARGEST POPULATION DECLINE IN THE GEISINGER SERVICE AREA. THIS PACE IS PROJECTED TO SLOW BY 2025 AND ALIGN WITH LYCOMING COUNTY AT ABOUT -1.5%. ABOUT 5% OF RESIDENTS IN LYCOMING COUNTY ARE BLACK COMPARED TO 1.6% IN CLINTON COUNTY, AND LESS THAN 3% OF RESIDENTS IN EITHER COUNTY IDENTIFY AS LATINX (OF ANY RACE). GREATER DIVERSITY IN LYCOMING COUNTY IS DRIVEN PRIMARILY BY THE WILLIAMSPORT CITY POPULATION, WHERE 14% OF THE POPULATION IS BLACK AND ABOUT 4% OF THE POPULATION IS LATINX (OF ANY RACE). THE AMISH POPULATION MAKES UP APPROXIMATELY 2.5% OF THE TOTAL NORTH CENTRAL REGION POPULATION. CLINTON COUNTY HAS MORE THAN TWICE AS MANY AMISH (2,527) AS LYCOMING COUNTY (1,194). THE ESTIMATED AMISH POPULATION FOR THE REGION INCREASED NEARLY 11% FROM 3,360 TO 3,721 FROM 2017 TO 2020. DISABILITY-BOTH PHYSICAL AND COGNITIVE-IS MORE PREVALENT AMONG PEOPLE IN THE NORTH CENTRAL REGION THAN IN OTHER PA COUNTIES. WHILE SENIORS COMPRISE THE MAJORITY OF INDIVIDUALS WITH A DISABILITY, WITHIN CLINTON COUNTY, MORE THAN 7% OF YOUTH REPORT A DISABILITY COMPARED TO 5% STATEWIDE. SOCIOECONOMIC TRENDS CLINTON AND LYCOMING COUNTIES BOAST RICH NATURAL RESOURCES AND A LONG HERITAGE IN AGRICULTURE AND MANUFACTURING. MULTIPLE GENERATIONS OF FAMILIES RESIDE WITHIN WELL-ESTABLISHED COMMUNITIES, ANCHORED BY FAITH AND PREDOMINANTLY CONSERVATIVE-LEANING VALUES. THE SOCIOECONOMICS OF CLINTON AND LYCOMING COUNTIES ARE CONSISTENT WITH OTHER RURAL COMMUNITIES ACROSS PA. COMMON FACTORS INCLUDE A PREDOMINANTLY BLUE-COLLAR WORKFORCE; LOWER MEDIAN INCOME LEVELS; INCREASED FOOD INSECURITY; AVERAGE HIGH SCHOOL GRADUATION RATES WITH LESS COLLEGE DEGREES; AND MORE HOME OWNERSHIP WITH LOWER HOUSING COST BURDEN. DESPITE COMMON FACTORS ACROSS THE NORTH CENTRAL REGION, DISTINCT DIFFERENCES EXIST BETWEEN THE TWO COUNTIES. CLINTON COUNTY IS MORE RURAL THAN LYCOMING COUNTY WITH MORE THAN 60% OF THE COUNTY DESIGNATED AS STATE LAND AND OPEN TO THE PUBLIC. THE CITY OF WILLIAMSPORT (LYCOMING COUNTY) BOASTS CULTURAL ATTRACTIONS INCLUDING THE LITTLE LEAGUE WORLD SERIES AND LITTLE LEAGUE HALL OF FAME. THESE RESOURCES LEND TO STRONG TOURISM IN BOTH COUNTIES. FULLTIME CLINTON COUNTY RESIDENTS EXPERIENCE MORE POVERTY AND RELATED CONCERNS THAN LYCOMING COUNTY RESIDENTS. IN CLINTON COUNTY, 17% OF ALL RESIDENTS AND 23% OF CHILDREN LIVE IN POVERTY COMPARED TO 14% OF LYCOMING COUNTY RESIDENTS AND 21% OF CHILDREN AND STATEWIDE PERCENTAGES OF 13% AND 18%, RESPECTIVELY. ONE IN FIVE (20%) OF CHILDREN LIVE IN FOOD INSECURE HOUSEHOLDS COMPARED TO 18% IN LYCOMING COUNTY AND 15% STATEWIDE AND NATIONALLY. THE PERCENTAGE OF RENTERS IS EQUAL IN BOTH COUNTIES, BUT LYCOMING COUNTY RENTERS ARE MORE LIKELY TO BE COST BURDENED THAN CLINTON COUNTY RENTERS. BOTH COUNTIES ARE LESS COST BURDENED THAN THE STATE OR NATIONAL AVERAGES. HOUSING COST BURDEN IS DEFINED AS SPENDING 30% OR MORE OF HOUSEHOLD INCOME ON RENT OR MORTGAGE EXPENSES. HOUSING STOCK IN LYCOMING COUNTY IS GENERALLY OLDER THAN IN CLINTON COUNTY, AND THE STATE AND NATION. FRACKING, OR HYDROFRACKING, HAS BEEN A CONTROVERSIAL INDUSTRY ACROSS PA AND THE NORTH CENTRAL REGION. IT HAS BROUGHT ECONOMIC BENEFIT TO THE NORTH CENTRAL REGION, BUT IT HAS ALSO GENERATED CONCERNS ABOUT HEALTH, INCREASED HOUSING RENTAL COSTS, DECREASED PROPERTY VALUES, AND LONG-TERM ENVIRONMENT IMPACT. CONTINUED MONITORING OF HEALTH, SOCIOECONOMIC, AND ENVIRONMENTAL FACTORS IS ESSENTIAL TO BETTER UNDERSTAND THE FULL IMPACT OF THIS INDUSTRY ON THE NORTH CENTRAL REGION. AS A RESULT OF THE COVID-19 PANDEMIC, THE NORTH CENTRAL REGION UNEMPLOYMENT RATE MORE THAN DOUBLED IN CLINTON COUNTY AND NEARLY TRIPLED IN LYCOMING COUNTY FROM MAY 2019 TO MAY 2020. AS OF MAY 2020, UNEMPLOYMENT RATES IN CLINTON (11%) AND LYCOMING (13%) COUNTIES WERE SIMILAR TO OR LOWER THAN THE STATE AND NATION (13%). HEALTH TRENDS ACCESS TO HEALTHCARE THE PRIMARY CARE PROVIDER RATE, A MEASURE OF PROVIDER AVAILABILITY, INCREASED IN LYCOMING COUNTY AND IS SIMILAR TO THE STATE RATE. THE CLINTON COUNTY PROVIDER RATE DECREASED AND IS NEARLY 30 POINTS LOWER THAN THE STATE. THE NORTH CENTRAL REGION HAS FEWER DENTISTS THAN THE STATE AND NATION; BOTH CLINTON AND LYCOMING COUNTIES ARE DENTAL HEALTH PROFESSIONAL SHORTAGE AREAS (HPSAS) FOR LOW-INCOME RESIDENTS. BOTH COUNTIES ARE ALSO MENTAL HEALTH HPSAS. KEY INFORMANT SURVEY RESPONDENTS AFFIRMED THE NEED FOR ADDITIONAL BEHAVIORAL HEALTH SERVICES, PARTICULARLY MENTAL HEALTH SERVICES. MENTAL HEALTH SERVICES WERE THE TOP RANKED MISSING RESOURCE IN THE REGION, IDENTIFIED BY 63% OF RESPONDENTS. SUBSTANCE USE DISORDER SERVICES WERE THE THIRD RANKED MISSING RESOURCE, IDENTIFIED BY 33% OF RESPONDENTS. ACROSS THE NORTH CENTRAL REGION, UNINSURED RATES AMONG ADULTS ARE DECREASING AND GENERALLY IN LINE WITH THE STATE AND BETTER THAN THE NATIONAL AVERAGE. HOWEVER, THE PERCENTAGE OF UNINSURED YOUTH IN CLINTON COUNTY IS MORE THAN DOUBLE STATE AND NATIONAL AVERAGES. MOST UNINSURED RESIDENTS IN CLINTON COUNTY ARE WHITE, WHILE BLACK AND/OR LATINX RESIDENTS EXPERIENCE DISPARITIES IN HEALTH INSURANCE COVERAGE IN LYCOMING COUNTY. CHRONIC DISEASE PREVENTION AND MANAGEMENT ABOUT 59% OF KEY INFORMANT SURVEY RESPONDENTS NAMED OVERWEIGHT/OBESITY AMONG THE TOP THREE HEALTH CONCERNS, RANKING IT AS THE 1 CONCERN FOR THE REGION. OBESITY AMONG ADULTS AND CHILDREN IN THE NORTH CENTRAL REGION CONTINUES TO INCREASE AND EXCEEDS STATE AND NATIONAL BENCHMARKS. AS OF 2017, APPROXIMATELY 40% OF ADULTS IN BOTH COUNTIES WERE OBESE AND NEARLY 30% OF STUDENTS IN GRADES 7-12 WERE OBESE COMPARED TO 19.5% OF THEIR PEERS STATEWIDE. IN CONTRAST TO NATIONAL TRENDS, TOBACCO USE IS INCREASING AMONG ADULTS IN PA AND THE NORTH CENTRAL REGION. LYCOMING COUNTY HAS THE HIGHEST RATE OF ADULT SMOKING, EXCEEDING THE STATE AND NATION, BUT CLINTON COUNTY SAW THE GREATEST INCREASE IN ADULT SMOKING (3 POINTS) FROM 2016 TO 2017. YOUTH VAPING/E-CIGARETTE USE IS ALSO ON THE RISE. FROM 2015 TO 2019, THE PERCENTAGE OF LYCOMING COUNTY YOUTH WHO REPORTED RECENT VAPING OR E- CIGARETTE USE INCREASED FROM 17% TO 23% AND CURRENTLY EXCEEDS THE STATEWIDE AVERAGE OF 19%. THESE RISK FACTORS MAY CONTRIBUTE TO HIGHER DEATH RATES FROM CHRONIC DISEASE. THE NORTH CENTRAL REGION HAS HIGHER DEATH RATES THAN THE STATE AND NATION FOR CANCER, CHRONIC LOWER RESPIRATORY DISEASE, AND DIABETES. CLINTON COUNTY ALSO HAS A HIGHER, INCREASING DEATH RATE DUE TO HEART DISEASE. CONSISTENT WITH STATE AND NATIONAL DATA, CANCER DEATH RATES ARE DECLINING WITHIN THE NORTH CENTRAL REGION. HIGHER POVERTY RATES, LOWER EDUCATIONAL ATTAINMENT, AND RURAL GEOGRAPHIES CONSISTENT WITH MOST OF THE NORTH CENTRAL REGION CONTRIBUTE TO HEALTH DISPARITIES AND REDUCE RESIDENTS' ABILITY TO ACCESS NEEDED HEALTH AND SOCIAL SERVICES. PEOPLE OF COLOR HISTORICALLY AND FREQUENTLY EXPERIENCE A HIGHER INCIDENCE OF POOR HEALTH AND SOCIOECONOMIC STATUS THAN WHITE PEOPLE. WHILE THE NORTH CENTRAL REGION IS SIGNIFICANTLY LESS DIVERSE COMPARED TO THE STATE AND NATION, CITY CENTERS THAT BENEFIT FROM MORE DIVERSITY, LIKE WILLIAMSPORT, MUST BE MONITORED TO APPRECIATE THE NATURE AND EXTENT OF DISPARITIES AMONG RACIAL AND ETHNIC SUBPOPULATIONS. BEHAVIORAL HEALTH BEHAVIORAL HEALTH, PARTICULARLY MENTAL HEALTH, WAS SEEN AS A TOP COMMUNITY HEALTH NEED BY KEY INFORMANT SURVEY RESPONDENTS. NORTH CENTRAL REGION ADULTS AND YOUTH EXPERIENCE MORE MENTAL DISTRESS THAN THEIR PEERS STATEWIDE AND NATIONALLY. THE LYCOMING COUNTY SUICIDE DEATH RATE IS INCREASING AND CURRENTLY EXCEEDS STATE AND NATIONAL BENCHMARKS. CLINTON COUNTY SUICIDE DEATH DATA ARE LIMITED, BUT AVAILABLE DATA INDICATE SIMILAR, HIGH RATES. THESE FINDINGS, COUPLED WITH A MENTAL HEALTH HPSA DESIGNATION, INDICATE THAT NORTH CENTRAL REGION RESIDENTS LIKELY DO NOT RECEIVE THE MENTAL HEALTHCARE THEY NEED. LYCOMING COUNTY YOUTH ARE ALSO MORE LIKELY TO REPORT FEELINGS OF DEPRESSION, ATTE
SCHEDULE H, PART VI, LINE 5SCHEDULE H, PART I IN ADDITION TO THE NET COMMUNITY BENEFIT COSTS INCURRED BY THE ORGANIZATION AS REPORTED IN SCHEDULE H, PART I, LINE 7; PLEASE REFER TO SCHEDULE O OF THIS FORM 990 FOR THE ORGANIZATION'S NARRATIVE COMMUNITY BENEFIT STATEMENT FOR ADDITIONAL INFORMATION ON HOW THE ORGANIZATION PROMOTES HEALTH AND PROVIDES HEALTHCARE SERVICES TO THE COMMUNITY REGARDLESS OF THE INDIVIDUAL'S ABILITY TO PAY IN FURTHERANCE OF ITS CHARITABLE TAX EXEMPT PURPOSE.
SCHEDULE H, PART VI, LINE 6GEISINGER HEALTH AND ITS SUBSIDIARIES (COLLECTIVELY REFERRED TO AS "GEISINGER") COMPRISE A PHYSICIAN-LED, INTEGRATED HEALTH SERVICES ORGANIZATION THAT HAS AS ITS MAIN COMPONENTS: (I) AN ARRAY OF HEALTH SERVICES PROVIDERS, INCLUDING SIX WHOLLY-CONTROLLED ACUTE-CARE HOSPITALS WITH MULTIPLE CAMPUSES, A JOINT VENTURE HOSPITAL AND A DRUG AND ALCOHOL TREATMENT FACILITY; (II) MULTISPECIALTY PHYSICIAN GROUP PRACTICES; (III) INSURANCE OPERATIONS, INCLUDING A LICENSED HEALTH MAINTENANCE ORGANIZATION; AND (IV) A COMMUNITY-BASED MEDICAL COLLEGE AND DEGREE-GRANTING INSTITUTION. GEISINGER OPERATES IN 46 OF PENNSYLVANIA'S 67 COUNTIES, WITH A SIGNIFICANT PRESENCE IN CENTRAL AND NORTHEASTERN PENNSYLVANIA. THE HOSPITAL IS AN AFFILIATE WITHIN GEISINGER. CORPORATE STRUCTURE. THE ORGANIZATIONAL STRUCTURE OF GEISINGER REFLECTS THE STRATEGIC GOAL OF OPERATING AS A FULLY INTEGRATED HEALTHCARE SYSTEM WHOSE CORPORATE COMPONENTS SHARE THE COMMON GOALS OF MANAGING AND IMPROVING THE HEALTHCARE OF ITS PATIENTS AND MEMBERS, WHILE RECOGNIZING AND RESPECTING THE CORPORATE IDENTITY OF EACH ENTITY. THIS INTEGRATION LINKS THE AREAS OF PHYSICIANS, HOSPITALS/CLINICS, AND HEALTHCARE INSURANCE. HISTORY. GEISINGER HAD ITS BEGINNINGS IN THE SMALL COMMUNITY OF DANVILLE, LOCATED IN CENTRAL PENNSYLVANIA ON THE NORTHERN BRANCH OF THE SUSQUEHANNA RIVER. THERE, IN 1915, ABIGAIL A. GEISINGER FOUNDED THE GEORGE F. GEISINGER MEMORIAL HOSPITAL IN MEMORY OF HER HUSBAND. FROM THE BEGINNING, THE NEW HOSPITAL WAS DESIGNED AS A COMPREHENSIVE HEALTHCARE INSTITUTION THAT WOULD OFFER SPECIALIZED MEDICAL CARE TO PEOPLE IN THE RURAL AREAS OF CENTRAL AND NORTHEASTERN PENNSYLVANIA. UNLIKE MOST HEALTHCARE SYSTEMS, WHICH EVOLVED WITH A HOSPITAL FOCUS, GEISINGER'S HISTORY AND TRADITION IS THAT OF A PHYSICIAN-LED AND PHYSICIAN-DRIVEN HEALTHCARE ORGANIZATION. THIS TRADITION BEGAN WHEN MRS. GEISINGER BROUGHT DR. HAROLD FOSS, A MAYO CLINIC TRAINED PHYSICIAN, TO BE HER HOSPITAL'S FIRST CHIEF OF STAFF. TODAY, GEISINGER IS REGARDED AS A NATIONAL MODEL OF HEALTHCARE DELIVERY CENTERED ON A SOPHISTICATED MULTISPECIALTY GROUP PRACTICE. SINCE THE 1970S, GEISINGER'S STRATEGY OF INTEGRATING PHYSICIANS AND HOSPITALS EXPANDED TO INCLUDE THE MANAGEMENT OF HEALTH AND THE FINANCING OF HEALTHCARE SERVICES THROUGH ITS WHOLLY CONTROLLED HEALTH MAINTENANCE ORGANIZATION, GEISINGER HEALTH PLAN. TWO INDEMNITY HEALTH INSURERS, GEISINGER INDEMNITY INSURANCE COMPANY AND GEISINGER QUALITY OPTIONS, INC. WERE ALSO ADDED. SEE SCHEDULE R FOR A LIST OF THE AFFILIATED ORGANIZATIONS COMPRISING GEISINGER.
SCHEDULE H, PART VIPART VI, LINE 7: FORM 990, SCHEDULE H, PART VI, LINE 7, STATE FILING OF COMMUNITY BENEFIT REPORT: AT THIS TIME, THE HOSPITAL AND ITS AFFILIATES ARE NOT REQUIRED TO FILE A COMMUNITY BENEFIT REPORT WITH ANY STATE.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)

TitleTitleTxtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JAEWON RYU MD JD
DIRECTOR$4,389,743$1,102,369$1,528,292$43,622$7,064,026$1,064,507
MATTHEW WALSH
CHAIR, PRES., DIR$1,248,929$251,139$273,292$40,942$1,814,302$219,524
GERALD V MALONEY DO
DIRECTOR$699,927$115,402$95,392$31,669$942,390$64,210
SPENCER KOWAL
TREASURER, DIRECTOR$690,795$57,189$94,902$45,782$888,668
TRACEY W WOLFE MHA
DIRECTOR$276,001$337,737$59,739$16,992$690,469$194,010
JEFFREY J ADAMS
DIRECTOR$397,610$83,836$61,292$36,834$579,572$11,973
JASON SCHAUER MD
DIRECTOR$442,315$18,894$23,292$34,120$518,621
MATTHEW VAN LEEUWE
DIRECTOR$373,526$42,887$60,792$10,658$487,863
TAMMY ANDERER CRNP PHD
SECRETARY, DIRECTOR$283,578$17,288$19,910$17,856$338,632

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE J, PAGE 1, PART I, LINE 4JAEWON RYU, MD, JD 0 1,064,507 0 MATTHEW WALSH 0 219,524 0 GERALD V. MALONEY, DO 0 64,210 0 TRACEY W. WOLFE, MHA 139,160 196,454 0 JEFFREY J. ADAMS 0 78,816 0
SCHEDULE J, PART IIIPART 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 POSIITON. PART I, LINE 4B - SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN ELIGIBLE EMPLOYEE COMPENSATION MAY BE DEFERRED TO A 457(F)NONQUALIFIED PLAN THAT VESTS WITH COMPLETION OF SERVICE, DEATH AND/OR PERMANENT DISABILITY.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990 - ORGANIZATION'S MISSIONGEISINGER MEDICAL CENTER MUNCY STRIVES TO MAKE BETTER HEALTH EASIER IN THE COMMUNITIES IT SERVES BY PROVIDING ACCESS TO AFFORDABLE, QUALITY HEALTH SERVICES THROUGH AN INNOVATIVE MODEL OF CARE AND COVERAGE BASED ON A BALANCED PROGRAM OF PATIENT AND MEMBER CARE, EDUCATION, RESEARCH, AND COMMUNITY SERVICE.
FORM 990, PAGE 2, PART III, LINE 4AI. GENERAL INFORMATION GEISINGER MEDICAL CENTER MUNCY, (GMCM), A 501(C )(3) NOT-FOR-PROFIT CORPORATION OWNS AND OPERATES A 20 BED ACUTE CARE HOSPITAL IN MUNCY, PA. GMCM BEGAN SEEING PATIENTS JANUARY 10, 2022. GMCM IS MAKING BETTER HEALTH EASIER FOR LYCOMING COUNTY AND THE SURROUNDING AREA. IN ADDITION TO BEING A FULL-SERVICE HOSPITAL, THE NEW FACILITY BRINGS CARE CLOSER TO HOME BY CENTRALIZING SERVICES, LESSENING TRAVEL TIME FOR PATIENTS WHO WENT TO LARGER MEDICAL FACILITIES FOR THEIR CARE. THE 120,000-SQUARE FOOT, THREE-STORY FACILITY IS A 100 MILLION+ INVESTMENT IN MUNCY AND THE SURROUNDING COMMUNITIES AND IS PART OF THE CLINICAL JOINT VENTURE FORMED BY GEISINGER AND HIGHMARK HEALTH IN 2019. FEATURING AN EMERGENCY ROOM, CLINICAL DECISION UNIT, ACUTE CARE UNIT, SURGICAL SUITES AND PRIMARY AND SPECIALTY CARE AREAS, GEISINGER MEDICAL CENTER MUNCY IS DESIGNED TO MEET THE ROUTINE AND ACUTE CARE NEEDS OF THOSE LIVING IN LYCOMING, SULLIVAN, CLINTON AND TIOGA COUNTIES. THE HOSPITAL'S 20 INPATIENT ROOMS ARE OUTFITTED WITH DIGITAL WHITE BOARDS DISPLAYING REAL-TIME HEALTH INFORMATION TO BETTER COORDINATE CARE. THE WHITE BOARDS SERVE AS A CENTRALIZED INFORMATION HUB THAT CAN BE CONNECTED ACROSS SEVERAL DEVICES AND WILL BE ACCESSIBLE TO THE PATIENT, FAMILY AND CARE TEAM. MESSAGING CAPABILITIES STREAMLINE INTERACTIONS WHILE IMPROVING COMMUNICATION ABOUT THE HOSPITAL STAY AND PROVIDING PATIENTS WITH PERSONALIZED HEALTH INFORMATION AND EDUCATIONAL CONTENT. FOR ROUTINE CARE, THE FACILITY INCLUDES A MULTISPECIALTY CLINIC WITH ADULT AND PEDIATRIC PRIMARY CARE, ORTHOPAEDICS, CARDIOLOGY, OPHTHALMOLOGY, PULMONARY SERVICES AND WOMEN'S HEALTH SERVICES. ALSO AVAILABLE ARE IMAGING AND LAB SERVICES, MEDICAL ONCOLOGY SERVICES, CHEMOTHERAPY AND INFUSIONS, GENERAL SURGERY SERVICES. ADULT AND PEDIATRIC PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY SERVICES ARE ALSO PROVIDED. II. MAJOR PROGRAM SERVICES SERVICES OFFERED BY GMCM: -ADULT AND PEDIATRIC PRIMARY CARE -DERMATOLOGY -PHARMACY -IMAGING -INPATIENT UNIT -LAB SERVICES -EMERGENCY ROOM -INFUSIONS -MEDICATION THERAPY MANAGEMENT -PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY -PULMONOLOGY -SPECIALTY CLINICS INCLUDING: CARDIOLOGY EYE CARE HEMATOLOGY AND ONCOLOGY PODIATRY GASTROENTEROLOGY SURGERY ORTHOPAEDICS WOMEN'S HEALTH SERVICES -TELEMEDICINE -UROLOGY III. PROGRAM SERVICE ACCOMPLISHMENTS UNCOMPENSATED CARE GMCM RECOGNIZES THAT ITS MISSION IS TO SERVE ALL THE MEMBERS OF THE COMMUNITY WITH RESPECT TO THE PROVISION OF HEALTHCARE SERVICES AND HEALTHCARE EDUCATION. GMCM PROVIDES QUALITY MEDICAL HEALTHCARE REGARDLESS OF RACE, RELIGION, ETHNICITY, SEXUAL ORIENTATION, GENDER IDENTIY, HANDICAP, AGE OR ABILITY TO PAY. IN THIS REGARD, GMCM 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 GMCM PRACTICES. A. CHARITY CARE THE PRIMARY CONCERN OF GMCM IS THE DELIVERY OF HEALTH CARE TO ALL THE CITIZENS IN ITS PENNSYLVANIA SERVICE AREA, REGARDLESS OF THEIR ABILITY TO PAY. THE UNREIMBURSED COST OF CHARITY CARE REPRESENTS THE COST GMCM INCURRED BY PROVIDING FREE OR DISCOUNTED SERVICES TO THOSE WHO COULD NOT AFFORD TO PAY. FOR THE YEAR ENDED DECEMBER 31, 2023, THE COST OF CHARITY CARE WAS 914,189. B. MEDICARE/MEDICAID AND OTHER GOVERNMENTAL PROGRAMS RECOGNIZING ITS MISSION TO THE COMMUNITY, SERVICES ARE PROVIDED TO THE ELDERLY (MEDICARE) AND THE POOR (MEDICAID). GMCM PROVIDES CARE, BELOW COST, TO PERSONS COVERED BY THESE GOVERNMENTAL PROGRAMS. TO THE EXTENT REIMBURSEMENT IS BELOW THE COST OF PROVIDING HEALTHCARE, GMCM IS FURTHERING ITS MISSION TO THE ENTIRE COMMUNITY. THE UNREIMBURSED VALUE OF MEDICARE AND/OR MEDICAID IS EQUAL TO THE COST OF PROVIDING SERVICES LESS THE AMOUNT OF REIMBURSEMENT RECEIVED UNDER THE PROGRAM. FOR THE YEAR ENDED DECEMBER 31, 2023, THE UNREIMBURSED VALUE OF PROVIDING CARE TO THESE PATIENTS WAS 15,797,604. III. COMMUNITY HEALTH, EDUCATION, AND OUTREACH GMCM STRIVES TO BE A VALUABLE RESOURCE FOR THE COMMUNITY AND ITS RESIDENTS. GMCM PROVIDES REDUCED-PRICE SERVICES AND FREE PROGRAMS THROUGHOUT THE YEAR THAT SERVE COMMUNITY HEALTH NEEDS. THESE SERVICES AND PROGRAMS INCLUDE COMMUNITY BASED CLINICAL HEALTH SCREENINGS, COMMUNITY HEALTH EDUCATION, AND OTHER UNIQUE SERVICES. A.HEALTH CARE SUPPORT ACTIVITIES GMCM PROVIDED TRANSPORTATION FOR INDIGENT PATIENTS AT A COST OF 95,692. B.HEALTH PROFESSIONS EDUCATION GMCM PROVIDED 34,081 IN SUPERVISION OF NURSING AND PHARMACY STUDENTS COMPLETING ROTATIONS AS PART OF THEIR STUDIES DURING THE YEAR ENDED DECEMBER 31, 2023. C. VOLUNTEER SERVICES IT IS ANTICIPATED, THE VOLUNTEERS OF GEISINGER MEDICAL CENTER MUNCY WILL BE AN ACTIVE AND VITAL PART OF THE ACTIVITIES OF THE HOSPITAL. THE HOURS OF VOLUNTEER SERVICES ARE AN IMPORTANT CONTRIBUTION TO THE MISSION OF GMCM. DURING ITS START-UP YEAR, VOLUNTEERS FROM LOCAL COMMUNITIES CONTRIBUTED 10 HOURS TOWARD THE COMMON PURPOSE OF SERVICING THE HEALTHCARE OF THE COMMUNITY. THE VALUE OF THIS CONTRIBUTION OF 318 IS GIVEN BACK TO THE COMMUNITY THROUGH LOWER COSTS IN BOTH PATIENT SERVICES AND "WELLNESS" PROGRAMS. IV. COMMUNITY BENEFITS SUMMARY CHARITY CARE 914,189 MEDICARE/MEDICAID/OTHER GOVERNMENTAL 15,797,604 COMMUNITY HEALTH, EDUCATION, AND OUTREACH 129,773 VOLUNTEER SERVICES (VALUED AT 01/01/2023 PA STATEWIDE AVERAGE WEEKLY WAGE) 318 TOTAL 16,841,884 V. STATISTICAL SUMMARY DISCHARGES 1,284 AVERAGE LENGTH OF STAY 2.9 PERCENT OF OCCUPANCY 50.1% PATIENT DAYS 3,660 TOTAL OR CASES 2,401 OUTPATIENT VISITS (INCLUDES OUTPATIENT ER VISITS) 59,098 OUTPATIENT EMERGENCY ROOM VISITS 15,039 BEDS 20
FORM 990, PART VFORM 990, PART V, LINE 1A: ENTER THE NUMBER REPORTED IN BOX 3 OF FORM 1096, ANNUAL SUMMARY AND TRANSMITTAL OF U.S. INFORMATION RETURNS. GEISINGER SYSTEM SERVICES (GSS), AN AFFILIATE OF THE ORGANIZATION, PROVIDES A CENTRALIZED ACCOUNTS PAYABLE FUNCTION FOR ALL GEISINGER ORGANIZATIONS. AS THE ACCOUNTS PAYABLE PROCESSOR, GSS PREPARES AND FILES FORM 1099 UNDER ITS EIN FOR CERTAIN REPORTABLE PAYMENTS OF THE FILING ORGANIZATION. THE NUMBER OF FORM 1099'S FILED BY GSS FOR THE 2023 REPORTING PERIOD ON BEHALF OF ITSELF AND ITS AFFILIATES WAS 1,321.
FORM 990, PART VIFORM 990, PART VI, SECTION A, LINE 2: DID ANY OFFICER, DIRECTOR, TRUSTEE, OR KEY EMPLOYEE HAVE A FAMILY RELATION- SHIP OR BUSINESS RELATIONSHIP WITH ANY OTHER OFFICER, DIRECTOR, TRUSTEE, OR KEY EMPLOYEE? GERALD V. MALONEY, DO, JACQUELINE HOLDER, DO, MBA, JAEWON RYU, MD, JD, JEFFREY J. ADAMS, MATTHEW VAN LEEUWE, MATTHEW WALSH, SPENCER KOWAL AND TAMMY ANDERER, CRNP, PHD 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 AFFILIATES ARE PART OF GEISINGER.
FORM 990, PAGE 6, PART VI, LINE 6THE 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, PAGE 6, PART VI, LINE 7ATHE 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, PAGE 6, PART VI, LINE 7BTHE MEMBER OF THE CORPORATION SHALL HAVE THE AUTHORITY TO APPOINT AND REMOVE DIRECTORS, APPOINT AND REMOVE THE PRESIDENT, ADOPT, AMEND AND REPEAL THE CORPORATION'S ARTICLES AND BYLAWS, VOTE ON ALL MATTERS PERTAINING TO THE MEMBER AND SUCH OTHER AUTHORITY AS SET FORTH IN THE PENNSYLVANIA NONPROFIT CORPORATION LAW. SPECIFICALLY, THE FOLLOWING SHALL REQUIRE APPROVAL OF THE MEMBER: A)THE CORPORATION'S STRATEGIC APPROACH TO CLINICAL PROGRAMMING, CONTRACTING, CONTRACTING GUIDELINES AND FRAMEWORK; B)CORPORATION PARTNERSHIPS OR STRATEGIC ALLIANCES WITH THIRD PARTIES; C)APPROVAL OF BUSINESS PLANS INCLUDING OPERATING AND CAPITAL BUDGETS, AND ANY UNBUDGETED CAPITAL EXPENDITURE IF, AFTER GIVING EFFECT THERETO, THE AGGREGATE OF ALL UNBUDGETED CAPITAL EXPENDITURES IN ANY GIVEN FISCAL YEAR WOULD BE GREATER THAN 250,000; FURTHERMORE, NOTWITHSTANDING ANY OTHER PROVISION IN THESE BYLAWS TO THE CONTRARY, THE FOLLOWING SHALL REQUIRE APPROVAL BY A SUPERMAJORITY VOTE OF THE BOARD OF MANAGERS OF THE MEMBER: A)APPROVAL OF ANY PLAN OF MERGER OR CONSOLIDATION, ANY SALE, LEASE, EXCHANGE, MORTGAGE, PLEDGE OR OTHER DISPOSITION OF ALL, OR SUBSTANTIALLY ALL, THE PROPERTY AND ASSETS OF THE CORPORATION, OR REVOCATION OF VOLUNTARY DISSOLUTION PROCEEDINGS; B)TO APPROVE THE CREATION OR ACQUISITION OF ANY SUBSIDIARY OF THE CORPORATION, OR THE CREATION OF ANY OTHER CORPORATION OF WHICH THE CORPORATION IS TO BE A MEMBER, AND TO APPROVE ANY DISSOLUTION OR OTHER CHANGE IN ANY SUCH LEGAL RELATIONSHIP PREVIOUSLY APPROVED BY IT; C)APPOINTMENT AND REMOVAL OF DIRECTORS, APPOINTMENT AND REMOVAL OF THE PRESIDENT, ADOPTION, AMENDMENT AND REPEAL OF THE CORPORATION'S ARTICLES AND BYLAWS, VOTE; AND D)PERMITTING THE CORPORATION TO BORROW MONEY, REFINANCE EXISTING INDEBTEDNESS FOR BORROWED MONEY AND GUARANTEEING OBLIGATIONS OF OTHERS.
FORM 990, PAGE 6, PART VI, LINE 11BTHE FORM 990 IS PREPARED BY GEISINGER TAX AND FINANCE DEPARTMENTS WITH INFORMATION PROVIDED FROM FINANCE, TAX, 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, PAGE 6, PART VI, LINE 12CTHE 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, PAGE 6, PART VI, LINE 15ATHE 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, PAGE 6, PART VI, LINE 15BSEE SCHEDULE O RESPONSE TO FORM 990, PART VI SECTION B, QUESTION 15A.
FORM 990, PAGE 6, PART VI, LINE 19FINANCIAL 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 IX, LINE 11GCONTRACTED LABOR SERVICES 20,139,488 250,729 0 OUTSIDE PURCHASED SERVICES 293,501 336,924 0 PATIENT TRANSPORTATION 95,692 0 0 OUTSIDE TESTS PURCHASED 155,474 0 0 EQUIPMENT MAINTENANCE 727,238 112,557 0 REPAIR OF EQUIPMENT 27,098 8,739 0 RECRUITING 314 0 0 OUTSIDE PURCHASED VENDORS 85,782 0 0 TOTAL 21,524,587 708,949 0
FORM 990, PART XIIFORM 990, PART XII, LINE 3A: AS A RESULT OF A FEDERAL AWARD, WAS THE ORGANIZATION REQUIRED TO UNDERGO AN AUDIT OR AUDITS AS SET FORTH IN THE UNIFORM GUIDANCE, 2 C.F.R. PART 200, SUBPART F? FEDERAL AWARDS ARE AUDITED AS A PART OF THE GEISINGER'S CONSOLIDATED REPORT ON FEDERAL AWARDS IN ACCORDANCE WITH UNIFORM GUIDANCE, 2 C.F.R. PART 200, SUBPART F. 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.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (19 entries)

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MARWORTH
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GEISINGER COMMUNITY HEALTH SERVICES
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GEISINGER INSURANCE CORPORATIONRRG
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COMMUNITY MEDICAL CENTER
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GSL HOSPITAL
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Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (11 entries)

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GEISINGER ENCOMPASS HEALTH LLC
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EVANGELICAL-GEISINGER HEALTH LLC
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LACKAWANNA PHYS AMB SURG CTRLLC
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GEISINGER-HM JOINT VENTURE LLC
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PHARMACY INNOVATION ALLIANCE LLC
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KKA VALUE FUND II GMBH & CO
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KKA CO-INVEST I GMBH & CO KG
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FORMENTERA PARTNERS FUND II-A LP
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VOLPI CAPITAL CARBON CO-INVEST SCSP
981723571INVESTMENTN/Afalsefalse8 RUE LOU HEMMERSENNINGERBERGLUXENBOURGLUL-1748LU

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (13 entries)

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ISS SOLUTIONS INC
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GEISINGER INDEMNITY INSURANCE CO
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GEISINGER QUALITY OPTIONS INC
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GEISINGER ASSURANCE COMPANY LTD
981016737INSURANCEN/Afalse23 LINE TREE BAY AVE PO BOX 1159GRAND CAYMANGRAND CAYMANCJKY1-1102CJ
CT WAREHOUSE GMBH
HOLDING CON/AfalseGIPSSTRABE 8BERLINBERLINGM10119GM
KKA PROJECT 3 HOLDING GMBH
HOLDING CON/AfalseGIPSSTRABE 8BERLINBERLINGM10119GM
KKA PROJECT 4 HOLDING GMBH
HOLDING CON/AfalseGIPSSTRABE 8BERLINBERLINGM10119GM
RTNX TOP GMBH
HOLDING CON/AfalseGIPSSTRABE 8BERLINBERLINGM10119GM
KKA WAREHOUSE GMBH
HOLDING CON/AfalseGIPSSTRABE 8BERLINBERLINGM10119GM
KKA PROJECT 2 HOLDING GMBH
HOLDING CON/AfalseGIPSSTRABE 8BERLINBERLINGM10119GM
PROJECT 4 WAREHOUSE GMBH
HOLDING CON/AfalseGIPSSTRABE 8BERLINBERLINGM10119GM
SCHRODERS CAPITAL CODA FUND LTD
INVESTMENTN/AfalsePO BOX 309 UGLAND HOUSEGRAND CAYMANCAYMAN ISLANDSCJKY1-1104CJ
SCHRODERS CAPITAL CODA MASTER FUND
INVESTMENTN/AfalsePO BOX 309 UGLAND HOUSEGRAND CAYMANGRAND CAYMANCJKY1-1104CJ
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (true)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (12 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
GEISINGER CLINIC
A$134,654FMV
GEISINGER PHARMACY LLC
A$12,180FMV
GEISINGER-HM JOINT VENTURE LLC
A$1,251,060FMV
GEISINGER HEALTH PLAN
L$9,727,420GAAP
GEISINGER INDEMNITY INSURANCE CO
L$2,754,806GAAP
GEISINGER QUALITY OPTIONS INC
L$1,799,142GAAP
GEISINGER ASSURANCE CO LTD
M$216,862GAAP
GEISINGER MEDICAL CENTER
M$3,712,762GAAP
GEISINGER PHARMACY LLC
M$190,469GAAP
GEISINGER SYSTEM SERVICES
M$6,630,084GAAP
ISS SOLUTIONS INC
M$122,379GAAP
GEISINGER INSURANCE CORP RRG
P$220,930GAAP

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE RFormAndLineReferenceDesc
ExplanationFORM 990, SCHEDULE R, PART V - TRANSACTIONS WITH RELATED ORGANIZATIONS: AS SHOWN IN FORM 990, SCHEDULE R, GEISINGER MEDICAL CENTER MUNCY 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 INTERORGANIZATION 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.ExplanationTxt