COMMUNITY MEDICAL CENTER: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization: COMMUNITY MEDICAL CENTER (EIN 24-0862246)
Tax period: 2023-01-01 to 2023-12-31
Filed: 2024-11-15
IRS object ID: 202443209349307744
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule H
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2024-11-15T11:29:31-05:00	ReturnTs
Tax Period End	2023-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	920460586	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	PWC US TAX LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	2001 MARKET ST SUITE 1800	AddressLine1Txt
City	PHILADELPHIA	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	19103	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2023-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	240862246	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	COMMUNITY MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	COMM	BusinessNameControlTxt
Phone	5702716624	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	100 N ACADEMY AVE MC 49-70	AddressLine1Txt
City	DANVILLE	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	178229800	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	KEVIN V ROBERTS MBA CPA	PersonNm
Person Title	EVP, CFO, TREASURER	PersonTitleTxt
Phone	5702716640	PhoneNum
Signature	2024-11-14	SignatureDt

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	false	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	ROBERT W FRIZ	PreparerPersonNm
PTIN	P00438748	PTIN
Phone	2673303000	PhoneNum
Preparation	2024-11-15	PreparationDt

Field	Value	IRS element (for citing)
Tax	2023	TaxYr
Build TS	2024-10-15 13:58:12Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	GEISINGER COMMUNITY MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	TERRY GILLILAND MD JD	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	100 N ACADEMY AVE MC 22-01	AddressLine1Txt
City	DANVILLE	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	17822	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$528,095,277	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.GEISINGER.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1962	FormationYr
Legal Domicile State	PA	LegalDomicileStateCd
Activity Or Mission	STRIVE TO MAKE BETTER HEALTH EASIER BY PROVIDING ACCESS TO AFFORDABLE, HIGH QUALITY HEALTH SERVICES THROUGH EQUITABLE, INNOVATIVE, AND INCLUSIVE CARE MODELS THAT SUPPORT PATIENT CARE, EDUCATION, RESEARCH, & COMMUNITY SERVICE.	ActivityOrMissionDesc
Voting Members Governing Body	7	VotingMembersGoverningBodyCnt
Voting Members Independent	3	VotingMembersIndependentCnt
Total Employee	2450	TotalEmployeeCnt
Total Volunteers	106	TotalVolunteersCnt
Total Gross UBI	$304,921	TotalGrossUBIAmt
PY Contributions Grants	$315,000	PYContributionsGrantsAmt
CY Contributions Grants	$14,057,056	CYContributionsGrantsAmt
PY Program Service Revenue	$464,235,585	PYProgramServiceRevenueAmt
CY Program Service Revenue	$507,070,216	CYProgramServiceRevenueAmt
PY Investment Income	$7,152,944	PYInvestmentIncomeAmt
CY Investment Income	$4,106,474	CYInvestmentIncomeAmt
PY Other Revenue	$1,758,487	PYOtherRevenueAmt
CY Other Revenue	$2,184,320	CYOtherRevenueAmt
PY Total Revenue	$473,462,016	PYTotalRevenueAmt
CY Total Revenue	$527,418,066	CYTotalRevenueAmt
PY Grants And Similar Paid	$169,917	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$156,887,345	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$178,613,311	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$321,499,671	PYOtherExpensesAmt
CY Other Expenses	$297,640,935	CYOtherExpensesAmt
PY Total Expenses	$478,556,933	PYTotalExpensesAmt
CY Total Expenses	$476,254,246	CYTotalExpensesAmt
PY Revenues Less Expenses	-$5,094,917	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$51,163,820	CYRevenuesLessExpensesAmt
Total Assets BOY	$357,519,851	TotalAssetsBOYAmt
Total Assets EOY	$350,921,818	TotalAssetsEOYAmt
Total Liabilities BOY	$194,337,178	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$161,398,314	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$163,182,673	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$189,523,504	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	STRIVE TO MAKE BETTER HEALTH EASIER BY PROVIDING ACCESS TO AFFORDABLE, HIGH QUALITY HEALTH SERVICES THROUGH EQUITABLE, INNOVATIVE, AND INCLUSIVE CARE MODELS THAT SUPPORT PATIENT CARE, EDUCATION, RESEARCH, & COMMUNITY SERVICE.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$458,649,637	ExpenseAmt
Revenue	$508,490,360	RevenueAmt
Desc	I. GENERAL INFORMATION COMMUNITY MEDICAL CENTER (CMC), DOING BUSINESS AS GEISINGER COMMUNITY MEDICAL CENTER (GCMC), IS A TAX-EXEMPT, PENNSYLVANIA NOT-FOR-PROFIT CORPORATION ORGANIZED UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. GCMC IS A 265-BED ACUTE CARE HOSPITAL IN SCRANTON, PA. ORIGINALLY CALLED HAHNEMANN HOSPITAL, IT WAS FOUNDED IN 1897 BY A GROUP OF 15 PHILANTHROPIC WOMEN. THE HOSPITAL WAS SCRANTON'S FIRST AND CURRENTLY ONLY ACUTE CARE HOSPITAL DEDICATED TO SERVING THE COMMUNITY AND THEIR HEALTH NEEDS THROUGH A CHARITABLE PURPOSE. GCMC CONTINUES TO PROVIDE THE COMMUNITY WITH A VARIETY OF SERVICES AS PART OF AN INTEGRATED HEALTH CARE DELIVERY SYSTEM. THIS CONTINUUM OF CARE INCLUDES PREVENTIVE, AMBULATORY, INPATIENT AND EMERGENCY SERVICES. GCMC IS A NOTED REGIONAL REFERRAL CENTER WITH COMPREHENSIVE ACUTE CARE MEDICAL SERVICES AND HAS DEVELOPED MANY SPECIFIC AREAS OF EXPERTISE. PATIENT ORIGIN AND SERVICE AREA: THE HOSPITAL'S PRIMARY SERVICE AREA IS COMPRISED OF LACKAWANNA, LUZERNE, AND WAYNE COUNTIES. SECONDARY SERVICE AREAS INCLUDE MONROE, PIKE, SUSQUEHANNA, AND WYOMING COUNTIES. II. MAJOR PROGRAM SERVICE ACTIVITIES SPECIALIZED / REGIONAL SERVICES, CENTERS OF EXCELLENCE: GCMC IS THE ONLY LEVEL II TRAUMA CENTER IN LACKAWANNA COUNTY. THE NORTHEAST PA TRAUMA CENTER, DESIGNATED BY THE PENNSYLVANIA TRAUMA SYSTEMS FOUNDATION IN 1988, PROVIDES 24-HOUR COMPREHENSIVE SURGICAL INTERVENTION FOR CRITICALLY INJURED PATIENTS. THE TRAUMA CENTER IS STAFFED CONTINUOUSLY BY AN EMERGENCY PHYSICIAN, TRAUMA SURGEON, AND NURSES CERTIFIED IN CRITICAL CARE, TRAUMA, ORTHOPEDICS, AND THE NEUROSCIENCES. CARDIOLOGY SERVICES AT THE HOSPITAL INCLUDE THE REGION'S FIRST ELECTROPHYSIOLOGY LAB AND AN OPEN-HEART SURGERY CENTER AS WELL AS A CARDIAC REHAB PROGRAM. THE NON-INVASIVE CARDIOVASCULAR DEPARTMENT IS ACCREDITED IN ADULT TRANSTHORACIC ECHOCARDIOGRAPHY BY THE INTERSOCIETAL ACCREDITATION COMMISSION (IAC). GCMC IS ALSO A CERTIFIED CAROTID STENT FACILITY AND CERTIFIED HEART ATTACK RECEIVING CENTER. GCMC CARDIOLOGY HAS EARNED THE AMERICAN HEART ASSOCIATION'S MISSION: LIFELINE HEART ATTACK RECEIVING CENTER AWARD AND HIGHMARK'S BLUE DISTINCTION CENTER+ FOR CARDIAC CARE. IN 2019, GCMC OPENED A 4 MILLION HEART AND VASCULAR CENTER. THIS BRAND NEW 10,000 SQUARE FOOT CLINIC FEATURES 22 EXAM ROOMS AND STREAMLINES CARDIOLOGY, CARDIAC, AND THORACIC SURGERY AT GCMC. IN 2022 GCMC EARNED THE COMPREHENSIVE HEART ATTACK CENTER CERTIFICATION FROM THE JOINT COMMISSION AND THE AMERICAN HEART ASSOCIATION, JOINING GEISINGER WYOMING VALLEY MEDICAL CENTER AND GEISINGER MEDICAL CENTER AS THE FIRST THREE HOSPITALS IN THE COUNTRY TO BECOME CERTIFIED. NEUROSCIENCES AT GCMC SPECIALIZES IN THE CARE OF PEOPLE WITH BRAIN AND SENSE ORGAN DISORDERS. GCMC WAS AWARDED WITH THE AMERICAN STROKE ASSOCIATION'S GET WITH THE GUIDELINES GOLD PLUS QUALITY ACHIEVEMENT AWARD WITH TARGET: STROKE HONOR ROLL ELITE AND TYPE 2 DIABETES HONOR ROLL. GCMC ALSO EARNED THE JOINT COMMISSION'S GOLD SEAL OF APPROVAL FOR CERTIFICATION AS A PRIMARY STROKE CENTER (ONLY ONE OF 54 MEDICAL CENTERS IN PENNSYLVANIA TO OBTAIN THIS). IN ADDITION, GCMC IS THE ONLY HOSPITAL IN THE REGION TO OFFER A 10-BED ADULT INPATIENT EPILEPSY MONITORING UNIT. OTHER SPECIALIZED SERVICES INCLUDE: INTERVENTIONAL RADIOLOGY THE HOSPITAL'S INTERVENTIONAL RADIOLOGY SUITE OFFERS A STATE-OF-THE-ART SPACE FOR MINIMALLY INVASIVE SURGICAL PROCEDURES THAT TREAT VASCULAR ISSUES, TRAUMA, CANCERS, UTERINE FIBROIDS, KIDNEY STONES AND OTHER CONDITIONS. THE 2.9 MILLION, 2,110-SQUARE-FOOT SPACE BOASTS ADVANCED, HIGH-TECH IMAGING EQUIPMENT FOR MORE PRECISE IMAGING, BETTER DIAGNOSES AND MORE FOCUSED TREATMENT. COMPREHENSIVE BARIATRICS PROGRAM SCRANTON-AREA RESIDENTS COPING WITH SEVERE OBESITY AND OBESITY-RELATED HEALTH DISORDERS DON'T HAVE TO TRAVEL FAR TO FIND HIGH-QUALITY CARE THAT GOES WELL BEYOND TRADITIONAL WEIGHT-LOSS SURGERY WITH GCMC'S PROVENCARE BARIATRIC PROGRAM. THE PROGRAM OFFERS MORE THAN JUST SURGERY - IT'S AN ENTIRE PATHWAY OF CARE THAT STARTS WITH A FULL MEDICAL SCREENING AND EVALUATION BY A NUTRITIONIST. PATIENTS IN THE PROGRAM RECEIVE SEVERAL MONTHS OF CARE, INCLUDING BEHAVIOR MODIFICATION STRATEGIES, NUTRITION AND EXERCISE THERAPY AND GROUP EDUCATION SERVICES BEFORE THEIR SURGERY. GCMC'S PROGRAM IS NATIONALLY ACCREDITED BY THE METABOLIC AND BARIATRIC SURGERY ACCREDITATION AND QUALITY IMPROVEMENT PROGRAM, THE ONLY ONE IN LACKAWANNA COUNTY. GENERAL SURGERY GCMC'S GENERAL SURGEONS PERFORM LAPAROSCOPIC AND OPEN BARIATRICS, LAPAROSCOPIC BOWEL RESECTIONS, MINIMALLY INVASIVE CARDIAC SURGERY, MINIMALLY INVASIVE SPINAL SURGERY, ROBOTIC-ASSISTED SURGERY, AND MINIMALLY INVASIVE AND ENDOVASCULAR PROCEDURES ON HEART VALVES. SURGEONS IN GCMC'S HYBRID OR ARE PERFORMING RADIOLOGICALLY ASSISTED VASCULAR PROCEDURES, AND GCMC OFFERS THE MOST UP-TO-DATE APPROACH TO HIP ARTHROPLASTY IN THE COUNTRY. IN 2023 GCMC WAS LISTED IN U.S. NEWS & WORLD REPORT BEST HOSPITALS RANKINGS FOR HEART FAILURE, KIDNEY FAILURE, STROKE, COPD, KNEE REPLACEMENT. CANCER CENTER OPENED IN SEPTEMBER 2016, THE HENRY CANCER CENTER SCRANTON CAMPUS IS A 6,500-SQUARE-FOOT CANCER CENTER OFFERS MEDICAL ONCOLOGY SERVICES SUCH AS CHEMOTHERAPY, BLOOD THERAPIES AND INFUSION MEDICATIONS. THE 2.1 MILLION SPACE FEATURES A SOFTLY LIT WAITING AREA, ITS OWN PHARMACY STOCKED FOR THE UNIQUE NEEDS OF CANCER PATIENTS, 7 EXAM ROOMS AND 11 INFUSION BAYS WITH HEATED CHAIRS TO INCREASE PATIENT COMFORT. LABOR AND DELIVERY IN OCTOBER 2019, GCMC BEGAN DELIVERING BABIES AGAIN. THE 15 MILLION MATERNITY CENTER OFFERS THE COMBINED EXPERTISE OF OB/GYNS AND CERTIFIED NURSE MIDWIVES (CNMS) TO ALLOWS EXPECTANT MOTHERS TO TAILOR THEIR BIRTH PLAN TO THEIR PREFERENCES AND HAVE THE RESOURCES TO DEVIATE FROM THAT PLAN IF NECESSARY; FEATURES 8 SPACIOUS SUITES DESIGNED FOR LABOR, DELIVERY AND RECOVERY, BIRTHING BALLS, HYDROTHERAPY TUBS AND STATE-OF-THE-ART MONITORING TECHNOLOGY. SINCE IT'S OPENING, THE CHILDBIRTH CENTER AT GCMC HAS BEEN SUCCESSFUL IN KEEPING THE NUMBER OF CESAREAN BIRTHS BELOW THE STATE AVERAGE. GEISINGER VIEWMONT OUTPATIENT ANCILLARY SERVICES UNDER THE NAME OF GEISINGER VIEWMONT, GCMC OFFERS A COMPREHENSIVE SET OF OUTPATIENT LAB, RADIOLOGY, AND PHYSICAL AND OCCUPATIONAL THERAPY SERVICES AT CONVENIENT LOCATIONS THROUGHOUT LACKAWANNA COUNTY. WITH EXPANDED HOURS AND WEEKEND APPOINTMENTS, GCMC PROVIDES THESE CRITICAL TESTING AND THERAPY SERVICES TO PATIENTS FOR TIMELY RESULTS. OTHER SERVICES GCMC ALSO OFFERS A SAME-DAY OUTPATIENT SURGERY CENTER, AN ORTHOPEDIC TRAUMA PROGRAM, A FULL SUITE OF RADIOLOGY AND LABORATORY SERVICES, PULMONOLOGY, WOUND CARE AND HYPERBARIC OXYGEN CHAMBER TREATMENTS, AND PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPY. IN OCTOBER 2020, GCMC OPENED THEIR NEW PROGRESSIVE CARE UNIT FEATURING 18 PRIVATE ROOMS AND A NURSING CARE MODEL THAT ALLOWS FOR DIRECT OVERSIGHT OF ALL PATIENTS. THE UNIT IS PART OF A 16M PROJECT THAT BEGINS GCMC'S PROCESS OF SHIFTING TO A PRIVATE-ROOM MODEL. IN AUGUST 2023, GEISINGER BEHAVIORAL HEALTH CENTER NORTHEAST BEGAN SEEING PATIENTS. THE 96-BED FACILITY PROVIDES CARE FOR ADULT, PEDIATRIC AND ADOLESCENT PATIENTS WHO STRUGGLE WITH ACUTE SYMPTOMS OF BEHAVIORAL HEALTH DISORDERS SUCH AS ANXIETY, DEPRESSION, BIPOLAR DISORDER, PSYCHOSIS AND POSTTRAUMATIC STRESS DISORDER. BEHAVIORAL HEALTH CENTER NORTHEAST WAS BUILT TO HELP ADDRESS THE INCREASED NEED FOR MENTAL HEALTH CARE IN PENNSYLVANIA. ACCORDING TO DATA FROM THE NATIONAL ALLIANCE ON MENTAL ILLNESS (NAMI), 1 IN 5 U.S. ADULTS EXPERIENCE MENTAL ILLNESS EACH YEAR. THREE OUT OF 5 PENNSYLVANIA COMMUNITIES DO NOT HAVE ENOUGH MENTAL HEALTH PROVIDERS, AND MORE THAN 1.8 MILLION ADULTS IN PENNSYLVANIA HAVE A MENTAL HEALTH CONDITION. IN SEPTEMBER 2023, GEISINGER ORTHOPAEDICS AND SPORTS MEDICINE SCRANTON OPENED ITS SECOND PHASE IN THE MARKETPLACE AT STEAMTOWN. THE 83,000 SQUARE-FOOT FACILITY IS THE LARGEST BONE, MUSCLE AND JOINT CARE FACILITY IN LACKAWANNA COUNTY. IN ADDITION TO SPORTS MEDICINE AND ORTHOPAEDIC CARE FOR ALL AGES, ORTHOPAEDICS AND SPORTS MEDICINE SCRANTON OFFERS PODIATRY, WOUND CARE AND PHYSICAL AND OCCUPATIONAL THERAPY. AWARDS AND RECOGNITIONS IN 2023 NEWSWEEK'S LIST OF HIGH PERFORMANCE IN HEART FAILURE, HEART ATTACK AND STROKE AMERICAN HEART ASSOCIATION'S MISSION: LIFELINE STEMI RECEIVING CENTER GOLD PLUS RECOGNITION NAMED "BIRTHING-FRIENDLY" HOSPITAL BY BIDEN ADMINISTRATION III. PROGRAM SERVICE ACCOMPLISHMENTS UNCOMPENSATED CARE: GCMC RECOGNIZES THAT ITS MISSION IS TO SERVE ALL THE MEMBERS OF THE COMMUNITY WITH RESPECT TO THE PROVISION OF HEALTHCARE SERVICES AND HEALTHCARE EDUCATION. GCMC PROVIDES QUALITY MEDICAL HEALTHCARE REGARDLESS OF RACE, RELIGION, ETHNICITY, SEXUAL ORIENTATION, GENDER IDENTITY, HANDICAP, AGE OR ABILITY TO PAY. IN THIS REGARD, GCMC 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 GCMC PRACTICES. A. CHARITY CARE THE PRIMARY CONCERN OF GCMC IS THE DELIVERY OF H	Desc
Total Program Service Expenses	$458,649,637	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (true)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	Yes (true)	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	4	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	2450	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	7	GoverningBodyVotingMembersCnt
Independent Voting Member	3	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	PA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	ERIN FITZGERALD CPA VP AND CAO	PersonNm
Phone	5702142299	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	100 N ACADEMY AVE MC 49-70	AddressLine1Txt
City	DANVILLE	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	178229800	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)

TitleTitleTxt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Average Hours Per WeekAverageHoursPerWeekRt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Key EmployeeKeyEmployeeInd
JAEWON RYU MD JD
PRESIDENT, D	40.00	Yes (X)	Yes (X)	$0	$5,492,112	$1,571,914
KEVIN V ROBERTS MBA CPA
EVP, CFO, TR	40.00		Yes (X)	$0	$3,588,266	$60,007
MATTHEW WALSH
DIRECTOR	40.00	Yes (X)		$0	$1,500,068	$314,234
STEVEN B BENDER ESQUIRE
EVP, CLO, SE	40.00		Yes (X)	$0	$1,008,985	$246,564
GERALD V MALONEY DO
DIRECTOR	40.00	Yes (X)		$0	$815,329	$127,061
NAVNEET S DANG MD
INTERIM CMO	40.00		Yes (X)	$0	$644,926	$58,941
ROSE A SADOWSKI CRNA
CRNA, PASNAP				$551,280	$0	$34,717	40.00	Yes (X)
GARY SEBASTIANELLI CRNA
CRNA, LEAD				$412,041	$0	$51,723	40.00	Yes (X)
MARIA MCGRAW CRNA
CRNA, LEAD				$430,184	$0	$27,606	40.00	Yes (X)
MARK ANTONIO CRNA
CRNA, PASNAP				$385,921	$0	$59,428	40.00	Yes (X)
LORI R GRAMLEY ESQUIRE
ACLO, ASST.	40.00		Yes (X)	$0	$354,475	$47,949
JOHN DITCHKUS CRNA
CRNA, PASNAP				$346,443	$0	$46,820	40.00	Yes (X)
RENEE F BLAKIEWICZ RN BSN
INTERIM VP,				$216,486	$0	$47,398	40.00		Yes (X)
JEFFREY A JACOBSON
CHAIR, DIREC	2.75	Yes (X)		$0	$0	$0	0.25
BENJAMIN K CHU MD MPH MACP
DIRECTOR	3.25	Yes (X)		$0	$0	$0	0.25
VIRGINIA MCGREGOR
DIRECTOR	3.00	Yes (X)		$0	$0	$0	0.25
V CHRIS HOLCOMBE PE
VICE CHAIR,	2.75	Yes (X)		$0	$0	$0	0.25

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,342,355	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$13,404,161	TotReportableCompRltdOrgAmt
Total Other Compensation	$2,694,362	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	305	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt	Address Line2ContractorAddress/USAddress/AddressLine2Txt
MEDEFIS CONSOLIDATED
PO BOX 5068	NEW YORK	NY	100875068	STAFFING	$12,196,481
WRIGHT CENTER FOR MEDICAL GRAD
501 S WASHINGTON AVE	SCRANTON	PA	18505	PHYS RESIDENTS	$3,384,414	SUITE 1000
PRIMEMED PC
5 MORGAN HIGHWAY	SCRANTON	PA	18508	CONSULT & DEVEL	$1,566,179	SUITE 6
HCSC
PO BOX 8016	LANCASTER	PA	17604	LAUNDRY	$1,304,762
EMERGENCY SERVICES PC
100 DUNHAM DRIVE	DUNMORE	PA	18512	ER STAFFING	$1,121,386

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	25	CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIII	Yes (X)	InfoInScheduleOPartVIIIInd
Government Grants	$14,047,056	GovernmentGrantsAmt
All Other Contributions	$10,000	AllOtherContributionsAmt
Total Contributions	$14,057,056	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT HEALTHCARE	622110	$501,302,120	$501,302,120
PATIENT CARE REV- PHARMACY	622110	$4,198,626	$4,198,626
RENTAL INCOME	531120	$1,264,102		$1,264,102
PHARMACY	622110	$304,921			$304,921
IC SHARED SERVICES-SCHEDULE O	622110	$447	$447

Field	Value	IRS element (for citing)
Total Program Service Revenue	$507,070,216	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,445,389	TotalRevenueColumnAmt
Exclusion	$2,445,389	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$331,583	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$677,211	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$345,628	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$345,628	TotalRevenueColumnAmt
Exclusion	-$345,628	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$1,645,200	SecuritiesAmt
Other	$15,885	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$1,645,200	SecuritiesAmt
Other	$15,885	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,661,085	TotalRevenueColumnAmt
Exclusion	$1,661,085	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt
PURCHASE DISCOUNTS	900099	$1,419,219	$1,419,219
DIETARY INCOME	722514	$928,532		$928,532
PARKING GARAGE REVENUE	812930	$117,178		$117,178

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$65,019	TotalRevenueColumnAmt
Related Or Exempt Func Income	$925	RelatedOrExemptFuncIncomeAmt
Exclusion	$64,094	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$2,529,948	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$527,418,066	TotalRevenueColumnAmt
Related Or Exempt Func Income	$506,921,337	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$304,921	UnrelatedBusinessRevenueAmt
Exclusion	$6,134,752	ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$263,147	TotalAmt
Program Services	$263,147	ProgramServicesAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$177,626	TotalAmt
Program Services	$177,626	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$132,171,932	TotalAmt
Program Services	$128,948,236	ProgramServicesAmt
Management And General	$3,223,696	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$10,231,556	TotalAmt
Program Services	$9,982,837	ProgramServicesAmt
Management And General	$248,719	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$25,884,274	TotalAmt
Program Services	$25,255,136	ProgramServicesAmt
Management And General	$629,138	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$9,884,776	TotalAmt
Program Services	$9,653,849	ProgramServicesAmt
Management And General	$230,927	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,083,954	TotalAmt
Program Services	$1,083,954	ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$9,540	TotalAmt
Program Services	$9,540	ProgramServicesAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$2,967	TotalAmt
Management And General	$2,967	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$324,616	TotalAmt
Program Services	$312,242	ProgramServicesAmt
Management And General	$12,374	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$31,930,677	TotalAmt
Program Services	$28,396,066	ProgramServicesAmt
Management And General	$3,534,611	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$5,744	TotalAmt
Program Services	$5,744	ProgramServicesAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$8,422,350	TotalAmt
Program Services	$8,224,823	ProgramServicesAmt
Management And General	$197,527	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$993,844	TotalAmt
Program Services	$666,949	ProgramServicesAmt
Management And General	$326,895	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$6,550,549	TotalAmt
Program Services	$6,307,159	ProgramServicesAmt
Management And General	$243,390	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$320,561	TotalAmt
Program Services	$293,456	ProgramServicesAmt
Management And General	$27,105	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$92,914	TotalAmt
Program Services	$92,914	ProgramServicesAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$3,961,920	TotalAmt
Program Services	$3,814,712	ProgramServicesAmt
Management And General	$147,208	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$17,446,142	TotalAmt
Program Services	$16,775,666	ProgramServicesAmt
Management And General	$670,476	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$6,585,290	TotalAmt
Program Services	$5,553,153	ProgramServicesAmt
Management And General	$1,032,137	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
INTER-ENTITY EXPENSES	$107,642,786	$100,571,312	$7,071,474
MEDICAL SUPPLIES	$104,715,934	$104,714,536	$1,398
MA MODERNIZATION FEE	$6,490,361	$6,490,361
BOOKS, LICENSES, FEES, DU	$666,067	$661,500	$4,567

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$394,719	TotalAmt
Program Services	$394,719	ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$476,254,246	TotalAmt
Program Services	$458,649,637	ProgramServicesAmt
Management And General	$17,604,609	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$10,066	BOYAmt
EOY	$1,505	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$8,320,100	BOYAmt
EOY	$9,359,519	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$39,489,228	BOYAmt
EOY	$43,335,613	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$9,239	BOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$2,757,497	BOYAmt
EOY	$3,327,292	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$9,797,577	BOYAmt
EOY	$11,815,044	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,723,498	BOYAmt
EOY	$1,377,717	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$309,498,858	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$136,972,715	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$174,349,529	BOYAmt
EOY	$172,526,143	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$39,052,980	BOYAmt
EOY	$27,934,917	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$27,046,537	BOYAmt
EOY	$20,888,034	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$45,262,963	BOYAmt
EOY	$45,174,307	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$9,700,637	BOYAmt
EOY	$15,181,727	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$357,519,851	BOYAmt
EOY	$350,921,818	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$7,362,862	BOYAmt
EOY	$3,735,430	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$121,768,892	BOYAmt
EOY	$121,121,579	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$3,081,740	BOYAmt
EOY	$2,722,496	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$62,123,684	BOYAmt
EOY	$33,818,809	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$194,337,178	BOYAmt
EOY	$161,398,314	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$160,727,230	BOYAmt
EOY	$187,151,296	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,455,443	BOYAmt
EOY	$2,372,208	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$163,182,673	BOYAmt
EOY	$189,523,504	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$357,519,851	BOYAmt
EOY	$350,921,818	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$51,163,820	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$4,424,353	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$29,247,342	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$2,967	OtherActivitiesAmt
Total Lobbying Expenditures	$2,967	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE C, PART II-B, LINE 1	FormAndLineReferenceDesc
Explanation	LINE 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

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$361,844,000	BeginningYearBalanceAmt
Contributions	$1,066,000	ContributionsAmt
Investment Earnings Or Losses	$15,229,000	InvestmentEarningsOrLossesAmt
Other Expenditures	$4,466,000	OtherExpendituresAmt
End Year Balance	$373,673,000	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$385,529,000	BeginningYearBalanceAmt
Contributions	$1,170,000	ContributionsAmt
Investment Earnings Or Losses	-$20,189,000	InvestmentEarningsOrLossesAmt
Other Expenditures	$4,666,000	OtherExpendituresAmt
End Year Balance	$361,844,000	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$372,716,000	BeginningYearBalanceAmt
Contributions	$699,000	ContributionsAmt
Investment Earnings Or Losses	$19,881,000	InvestmentEarningsOrLossesAmt
Other Expenditures	$7,767,000	OtherExpendituresAmt
End Year Balance	$385,529,000	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$369,232,000	BeginningYearBalanceAmt
Contributions	$1,328,000	ContributionsAmt
Investment Earnings Or Losses	$20,022,000	InvestmentEarningsOrLossesAmt
Other Expenditures	$17,866,000	OtherExpendituresAmt
End Year Balance	$372,716,000	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$373,558,000	BeginningYearBalanceAmt
Contributions	$290,000	ContributionsAmt
Investment Earnings Or Losses	-$502,000	InvestmentEarningsOrLossesAmt
Other Expenditures	$4,114,000	OtherExpendituresAmt
End Year Balance	$369,232,000	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.75510	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.18170	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.06320	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (true)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (true)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$19,908,821	OtherCostOrOtherBasisAmt
Book Value	$19,908,821	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$190,308,826	OtherCostOrOtherBasisAmt
Depreciation	$71,175,999	DepreciationAmt
Book Value	$119,132,827	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,492,527	OtherCostOrOtherBasisAmt
Depreciation	$2,479,403	DepreciationAmt
Book Value	$13,124	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$83,883,773	OtherCostOrOtherBasisAmt
Depreciation	$62,437,844	DepreciationAmt
Book Value	$21,445,929	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$12,904,911	OtherCostOrOtherBasisAmt
Depreciation	$879,469	DepreciationAmt
Book Value	$12,025,442	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$172,526,143	TotalBookValueLandBuildingsAmt

Closely Held Equity Interests CloselyHeldEquityInterestsGrp

Field	Value	IRS element (for citing)
Book Value	$20,888,034	BookValueAmt
Method Valuation	F	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Securities	$20,888,034	TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
DUE TO AFFILIATES	$28,820,289
THIRD PARTY LIABILITIES	$3,308,351
PATIENT RECEIVABLE CREDIT BALANCES	$1,668,802
SECURITY DEPOSITS	$21,367

Field	Value	IRS element (for citing)
Total Liability	$33,818,809	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

SCHEDULE D, PAGE 2, PART V, LINE 4

TO SUPPORT RESEARCH, CAPITAL, AND PROGRAM EXPENSES AND PATIENT CARE AND PATIENT AND EMPLOYEE EDUCATION.

SCHEDULE D, PAGE 4, PART XIII

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 RETURN. THE ADOPTION OF FIN 48 HAD NO IMPACT ON UNRESTRICTED NET ASSETS AS OF THE END OF THE CALENDAR YEAR OR ANY PREVIOUS YEARS SINCE ADOPTION. ACCORDINGLY, NO FIN 48 FOOTNOTE DISCLOSURE WAS MADE IN THE GEISINGER CONSOLIDATED FINANCIAL STATEMENTS.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (6 entries)

RegionRegionTxt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Region Total ExpendituresRegionTotalExpendituresAmt
CENTRAL AMERICA AND THE CARIBBEAN	INVESTMENT	$3,652,273
EAST ASIA AND THE PACIFIC	INVESTMENT	$90,313
EUROPE	INVESTMENT	$2,993,402
NORTH AMERICA	INVESTMENT	$157,519
SOUTH AMERICA	INVESTMENT	$10,399
MIDDLE EAST & NORTH AFRICA	INVESTMENT	$60,914

Field	Value	IRS element (for citing)
Subtotal Spent	$6,964,820	SubtotalSpentAmt
Total Spent	$6,964,820	TotalSpentAmt
Transfer To Foreign Corp	false	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	false	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	false	PassiveForeignInvestmestCoInd
Foreign Partnership	false	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE F, PAGE 1, PART I, LINE 3	FormAndLineReferenceDesc
Explanation	CENTRAL AMERICA AND THE CARIBBEAN 0 3,652,273 EAST ASIA AND THE PACIFIC 0 90,313 EUROPE 0 2,993,402 NORTH AMERICA 0 157,519 SOUTH AMERICA 0 10,399 MIDDLE EAST & NORTH AFRICA 0 60,914	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	3.000000000000	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	false	FPGReferenceDiscountedCareInd
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,207,643	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,207,643	NetCommunityBenefitExpnsAmt
Total Expense	0.00670	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$86,714,055	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$71,248,730	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$15,465,325	NetCommunityBenefitExpnsAmt
Total Expense	0.03250	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,033,604	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$950,497	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$83,107	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$90,955,302	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$72,199,227	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$18,756,075	NetCommunityBenefitExpnsAmt
Total Expense	0.03940	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,932,334	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,932,334	NetCommunityBenefitExpnsAmt
Total Expense	0.00830	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,979,375	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,680,627	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,298,748	NetCommunityBenefitExpnsAmt
Total Expense	0.01110	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$94,091	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$94,091	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$11,005,800	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,680,627	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,325,173	NetCommunityBenefitExpnsAmt
Total Expense	0.01960	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$101,961,102	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$73,879,854	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$28,081,248	NetCommunityBenefitExpnsAmt
Total Expense	0.05900	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Reimbursed By Medicare	$83,268,087	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$99,850,221	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$16,582,134	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost Accounting System	Yes (X)	CostAccountingSystemInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	COMMUNITY MEDICAL CENTER	BusinessNameLine1Txt
Business Name Line2	DBA GEISINGER-COMMUNITY MEDICAL CTR	BusinessNameLine2Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1822 MULBERRY STREET	AddressLine1Txt
City	SCRANTON	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	18510	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.GEISINGER.ORG	WebsiteAddressTxt
State License	037101	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	COMMUNITY MEDICAL CENTER	BusinessNameLine1Txt
Business Name Line2	DBA GEISINGER-COMMUNITY MEDICAL CTR	BusinessNameLine2Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
Other	Yes (X)	OtherInd
CHNA Conducted	20	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	WWW.GEISINGER.ORG	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	21	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	REFER TO RESPONSE TO 7D	StrategyWebsiteURLTxt
Strategy Attached	false	StrategyAttachedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	300.000000000000	FPGFamilyIncmLmtFreeCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	WWW.GEISINGER.ORG - REFER TO SECTION C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	WWW.GEISINGER.ORG - REFER TO SECTION C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	WWW.GEISINGER.ORG - REFER TO SECTION C	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Other Actions Taken	Yes (X)	OtherActionsTakenInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Prospective Medicare Medicaid	Yes (X)	ProspectiveMedicareMedicaidInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FACILITY 1, COMMUNITY MEDICAL CENTER - PART V, LINE 3E	PRIORITIZED COMMUNITY HEALTH NEEDS TO WORK TOWARD HEALTH EQUITY, IT IS IMPERATIVE TO PRIORITIZE RESOURCES AND ACTIVITIES TOWARD THE MOST PRESSING AND CROSS-CUTTING HEALTH NEEDS WITHIN THE COMMUNITY. PRIORITIES WERE JOINTLY DETERMINED BY THE CHNA COLLABORATING HEALTH SYSTEMS USING FEEDBACK FROM COMMUNITY STAKEHOLDERS. THROUGH THIS PROCESS, CHNA PARTNERS AFFIRMED THE FOLLOWING PRIORITY HEALTH NEEDS: ACCESS TO CARE BEHAVIORAL HEALTH CHRONIC DISEASE PREVENTION AND MANAGEMENT THESE PRIORITIES ARE CONSISTENT WITH THOSE DETERMINED IN THE PREVIOUS FY2019 CHNA AND REFLECT COMPLEX NEEDS REQUIRING SUSTAINED COMMITMENT AND RESOURCES. MATERNAL AND CHILD HEALTH NEEDS ARE ALSO PREVALENT ACROSS THE SERVICE AREA. WHILE CHNA PARTNERS DID NOT IDENTIFY MATERNAL AND CHILD HEALTH AS A PRIORITY ISSUE DUE TO THE NEED TO FOCUS AVAILABLE RESOURCES, MANY OF THE HOSPITALS SUPPORT MATERNAL AND CHILD HEALTH STRATEGIES AS PART OF THEIR IMPLEMENTATION PLAN. THESE STRATEGIES INCLUDE FREE OR LOW-COST CLASSES AND SUPPORT GROUPS FOR PREGNANT AND NEW MOTHERS, LACTATION CONSULTATION, TREATMENT AND SUPPORT SERVICES FOR MOTHERS IN RECOVERY, SOCIAL ASSISTANCE, AND POSTPARTUM DEPRESSION SCREENING, AMONG OTHERS. CHNA IMPLEMENTATION PLAN TO DIRECT COMMUNITY BENEFIT AND HEALTH IMPROVEMENT ACTIVITIES, CHNA PARTNERS CREATED INDIVIDUAL HOSPITAL IMPLEMENTATION PLANS TO DETAIL THE RESOURCES AND SERVICES THAT WILL BE USED TO ADDRESS HEALTH PRIORITIES. THE IMPLEMENTATION PLANS BUILD UPON PREVIOUS HEALTH IMPROVEMENT ACTIVITIES AND TAKE INTO CONSIDERATION NEW HEALTH NEEDS AND THE CHANGING HEALTH CARE DELIVERY ENVIRONMENT AS DETAILED IN THE 2021 CHNA.
FACILITY 1, COMMUNITY MEDICAL CENTER - PART V, LINE 5	SECTION B., COMMUNITY HEALTH NEEDS ASSESSMENT, LINES 3, 5 AND 6A: CHNA 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. CHNA LEADERSHIP THE 2021 CHNA WAS OVERSEEN BY A PLANNING COMMITTEE OF REPRESENTATIVES FROM EACH HEALTH SYSTEM, AS WELL AS A REGIONAL ADVISORY COMMITTEE OF HOSPITAL AND HEALTH SYSTEM REPRESENTATIVES. COMMUNITY HEALTH CONSULTANTS ASSISTED IN ALL PHASES OF THE CHNA, INCLUDING PROJECT MANAGEMENT, DATA COLLECTION AND ANALYSIS, AND REPORT WRITING. CHNA METHODOLOGY THE 2021 CHNA WAS CONDUCTED FROM JULY TO DECEMBER 2020. QUANTITATIVE AND QUALITATIVE METHODS, REPRESENTING BOTH PRIMARY AND SECONDARY RESEARCH, WERE USED TO ILLUSTRATE AND COMPARE HEALTH AND SOCIAL TRENDS AND DISPARITIES ACROSS EACH REGION AND HOSPITAL SERVICE AREA. THE FOLLOWING RESEARCH METHODS WERE USED TO DETERMINE COMMUNITY HEALTH NEEDS: -STATISTICAL ANALYSIS OF HEALTH AND SOCIOECONOMIC DATA INDICATORS; A FULL LISTING OF DATA REFERENCES IS INCLUDED IN THE CHNA -ELECTRONIC SURVEY OF KEY STAKEHOLDERS, INCLUDING EXPERTS IN PUBLIC HEALTH AND INDIVIDUALS REPRESENTING MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS; A LIST OF KEY INFORMANTS AND THEIR RESPECTIVE ORGANIZATIONS IS INCLUDED IN THE CHNA -DISCUSSION AND PRIORITIZATION OF COMMUNITY HEALTH NEEDS TO DETERMINE THE MOST PRESSING HEALTH ISSUES ON WHICH TO FOCUS COMMUNITY HEALTH IMPROVEMENT EFFORTS COMMUNITY ENGAGEMENT COMMUNITY ENGAGEMENT WAS AN INTEGRAL PART OF THE 2021 CHNA. A VIRTUAL TOWN HALL WAS HELD IN AUGUST 2020 TO ANNOUNCE THE ONSET OF THE CHNA AND ENCOURAGE BROAD STAKEHOLDER PARTICIPATION. A KEY INFORMANT SURVEY WAS SENT TO NEARLY 1,000 COMMUNITY STAKEHOLDERS TO SOLICIT INPUT ON HEALTH DISPARITIES, OPPORTUNITIES FOR COLLABORATION, COVID-19 RESPONSE, COMMUNITY HEALTH PRIORITIES, AMONG OTHER INSIGHTS. CONTINUED COMMUNITY ENGAGEMENT ACTIVITIES ARE PLANNED TO ENSURE ONGOING DIALOGUE AND A FORUM FOR ADDRESSING COMMUNITY HEALTH NEEDS. CHNA IMPLEMENTATION PLAN TO DIRECT COMMUNITY BENEFIT AND HEALTH IMPROVEMENT ACTIVITIES, CHNA PARTNERS CREATED INDIVIDUAL HOSPITAL IMPLEMENTATION PLANS TO DETAIL THE RESOURCES AND SERVICES THAT WILL BE USED TO ADDRESS HEALTH PRIORITIES. THE IMPLEMENTATION PLANS BUILD UPON PREVIOUS HEALTH IMPROVEMENT ACTIVITIES AND TAKE INTO CONSIDERATION NEW HEALTH NEEDS AND THE CHANGING HEALTH CARE DELIVERY ENVIRONMENT AS DETAILED IN THE 2021 CHNA. BOARD APPROVAL THE 2021 CHNA WAS CONDUCTED IN A TIMELINE TO COMPLY WITH IRS TAX CODE 501 (R) REQUIREMENTS TO CONDUCT A CHNA EVERY THREE YEARS AS SET FORTH BY THE AFFORDABLE CARE ACT (ACA). THE RESEARCH FINDINGS WILL BE USED TO GUIDE COMMUNITY BENEFIT INITIATIVES FOR THE HOSPITALS AND ENGAGE LOCAL PARTNERS TO COLLECTIVELY ADDRESS IDENTIFIED HEALTH NEEDS. THE CHNA REPORT WAS PRESENTED TO THE GEISINGER BOARD OF DIRECTORS AND APPROVED IN DECEMBER 2020. GEISINGER IS COMMITTED TO ADVANCING INITIATIVES AND COMMUNITY COLLABORATION TO SUPPORT THE ISSUES IDENTIFIED THROUGH THE CHNA. FOLLOWING THE BOARD'S APPROVAL, ALL CHNA REPORTS WERE MADE AVAILABLE TO THE PUBLIC VIA THE GEISINGER WEBSITE AT HTTPS://WWW.GEISINGER.ORG/ABOUT- GEISINGER/COMMUNITY-ENGAGEMENT/CHNA. 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.
FACILITY 1, COMMUNITY MEDICAL CENTER - PART V, LINE 6A	ALLIED SERVICES REHABILITATION HOSPITAL, HEINZ REHABILITATION HOSPITAL, EVANGELICAL COMMUNITY HOSPITAL, GEISINGER MEDICAL CENTER (INCLUDES GEISINGER-SHAMOKIN AREA COMMUNITY HOSPITAL), GEISINGER ENCOMPASS HEALTH LIMITED LIABILITY COMPANY (DBA GEISINGER ENCOMPASS HEALTH REHABILITATION HOSPITAL), GEISINGER WYOMING VALLEY MEDICAL CENTER (INCLUDES GEISINGER SOUTH WILKES-BARRE), GEISINGER-BLOOMSBURG HOSPITAL, COMMUNITY MEDICAL CENTER (DBA GEISINGER COMMUNITY MEDICAL CENTER), GEISINGER JERSEY SHORE HOSPITAL, GEISINGER-LEWISTOWN HOSPITAL, AND GEISINGER MEDICAL CENTER MUNCY.
FACILITY 1, COMMUNITY MEDICAL CENTER - PART V, LINE 7D	THE HOSPITAL'S CHNA AND CHNA IMPLEMENTATION STRATEGY ARE POSTED ON THE HOSPITAL'S WEBSITE AT WWW.GEISINGER.ORG/ABOUT-GEISINGER/COMMUNITY- ENGAGEMENT/CHNA.
FACILITY 1, COMMUNITY MEDICAL CENTER - PART V, LINE 11	GEISINGER, AS PART OF ITS ENDURING DEDICATION TO COMMUNITY WELL-BEING, METICULOUSLY CONDUCTS COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNAS) IN CLOSE COLLABORATION WITH VARIOUS PARTNERS. THESE ASSESSMENTS ENCOMPASS GATHERING VALUABLE FEEDBACK FROM THE POPULATION WE SERVE, INCLUSIVE OF EXPERT INSIGHTS FROM MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY COMMUNITIES. THROUGH A RIGOROUS EXAMINATION OF PREVAILING COMMUNITY HEALTH DEMANDS, AVAILABLE RESOURCES, AND GAPS IN SERVICE DELIVERY, GEISINGER IDENTIFIES AND PRIORITIZES KEY HEALTH IMPERATIVES IN ITS OPERATIONAL FOOTPRINT. THESE PRIORITIES ENCOMPASS ACCESSIBILITY TO HEALTHCARE, BEHAVIORAL HEALTH, AND THE PREVENTION AND MANAGEMENT OF CHRONIC DISEASES. AS A HEALTH SYSTEM, WE REMAIN STEADFAST IN OUR COMMITMENT TO MEETING THE DIVERSE NEEDS OF THE COMMUNITIES WITHIN OUR OPERATIONAL FOOTPRINT. WE STRIVE TO DELIVER HIGHLY LOCALIZED SUPPORT TO THE AREAS SURROUNDING OUR FACILITIES AND LINES OF BUSINESS. ACCESS TO CARE: OUR ASSESSMENTS CONSISTENTLY HIGHLIGHTED THE PRESSING NEED FOR HEALTHCARE ACCESS, PARTICULARLY AMONG VULNERABLE POPULATIONS. THESE GROUPS ENCOMPASSED INDIVIDUALS RESIDING IN RURAL AREAS, FACING A SCARCITY OF HEALTHCARE PROFESSIONALS, PATIENTS LACKING TRANSPORTATION, ELDERLY INDIVIDUALS WITH COMPLEX MEDICAL CONDITIONS, THE HOMEBOUND, THOSE WITH INADEQUATE INSURANCE COVERAGE, AND INDIVIDUALS WHO REFRAINED FROM SEEKING MEDICAL CARE DUE TO CULTURAL REASONS. BEARING THESE CHALLENGES IN MIND, GEISINGER TAILORED ITS ACCESS TO CARE COMMUNITY INITIATIVES TO ENSURE REGULAR AND DEPENDABLE ACCESS TO HEALTH SERVICES, ENABLING EARLY DETECTION, TREATMENT OF ILLNESSES, AND EFFECTIVE DISEASE MANAGEMENT AND PREVENTION FOR OUR DIVERSE PATIENT POPULATION. GEISINGER'S COVID-19 RESPONSE IN RESPONSE TO THE FORMIDABLE CHALLENGE POSED BY THE PANDEMIC, GEISINGER SWIFTLY ADAPTED ITS OPERATIONS TO SUPPORT THE COMMUNITIES WE SERVE, MANIFESTING IN THE FOLLOWING WAYS: - VACCINE DISTRIBUTION: GEISINGER FACILITATED THE DISTRIBUTION OF OVER 320,000 VACCINES TO DATE. WE REPURPOSED VACANT OFFICE SPACES INTO VACCINATION CENTERS, EFFICIENTLY INOCULATING BOTH OUR EMPLOYEES AND THE WIDER COMMUNITY. - OUR WALK-IN CARE LOCATIONS SEAMLESSLY TRANSITIONED INTO TESTING FACILITIES, PROVIDING ESSENTIAL TESTING SERVICES AND ACTING AS A VALUABLE RESOURCE FOR SCHOOLS AND EMPLOYERS SEEKING TESTING AND RETURN TO WORK/SCHOOL DOCUMENTATION. - A COLLABORATIVE EFFORT INVOLVED COORDINATING 2,300 DEPLOYMENTS/INTERVENTIONS WITH SKILLED NURSING FACILITIES ACROSS THE STATE. WE PROVIDED CRUCIAL ASSISTANCE IN RAPID RESPONSE, ENSURING ADEQUATE PPE, CONDUCTING NECESSARY TESTING, IMPLEMENTING INFECTION PREVENTION MEASURES, AND ADMINISTERING VACCINES. - CONTACT TRACING: WHILE TYPICALLY A RESPONSIBILITY OF PUBLIC HEALTH, GEISINGER TOOK PROACTIVE MEASURES TO INTERCEPT THE VIRUS'S SPREAD THROUGH COMPREHENSIVE CONTACT TRACING EFFORTS. WE REDEPLOYED DOZENS OF EMPLOYEES TO BOLSTER OUR CONTACT TRACING INITIATIVES. IN THE SPRING AND SUMMER OF 2020, GEISINGER SUCCESSFULLY COMPLETED OVER 3,000 NOTIFICATIONS AS PART OF OUR EXTENSIVE CONTACT TRACING EFFORTS. - COMMUNITY SUPPORT: GEISINGER ORCHESTRATED A SERIES OF INFORMATIVE WEBINARS, TOWN HALLS, AND DIGITAL RESOURCES AIMED AT KEEPING SCHOOLS, COMMUNITY GROUPS, CHAMBERS, AND EMPLOYERS WELL-INFORMED ABOUT THE EVER- EVOLVING PANDEMIC. OUR FRESH FOOD FARMACY INITIATIVE PLAYED A VITAL ROLE BY PROVIDING AN IMPRESSIVE 42,000 MEALS PER MONTH TO PARTICIPANTS, ADDRESSING A CRUCIAL NEED IN THE COMMUNITY. FURTHER EXTENDING OUR SUPPORT, OUR 65 FORWARD LOCATIONS ORGANIZED OUTDOOR EXERCISE CLASSES AND DISTRIBUTED CARE PACKAGES CONTAINING ESSENTIAL PERSONAL CARE ITEMS TO INDIVIDUALS WHO WERE CONFINED TO THEIR HOMES. ANY PLAN AIMED AT REDUCING BARRIERS TO CARE HAD TO INCORPORATE TELEMEDICINE OPTIONS. THE COVID-19 PANDEMIC SAW A SIGNIFICANT SURGE IN TELEHEALTH UTILIZATION ACROSS THE NATION, AND GEISINGER CAPITALIZED ON THIS OPPORTUNITY, EMERGING AS A LEADING TELEHEALTH NETWORK IN THE US, SURPASSING NATIONAL AVERAGES FOR TELEMEDICINE USE. AS PART OF OUR ROUTINE SCHEDULING PROCESS, WE INQUIRED IF PATIENTS PREFERRED A TELEHEALTH VISIT. IF SO, WE PROMPTLY ARRANGED THE APPOINTMENT AND SENT AN EMAIL WITH A DIRECT LINK TO THEIR PROVIDER OR ANY OF THE 72 SPECIALTIES AVAILABLE FOR VIRTUAL CONSULTATIONS. FOR PATIENTS LACKING INTERNET ACCESS AT HOME, GEISINGER OFFERED TELEHEALTH VISITS AT THEIR NEAREST HEALTH CLINIC. TELEMEDICINE NOT ONLY BENEFITED PATIENTS WITHOUT TRANSPORTATION BUT ALSO CATERED TO THOSE WHO ENDURED LENGTHY DRIVES OR CHALLENGING WEATHER CONDITIONS TO VISIT THEIR DOCTOR, CIRCUMSTANCES THAT MIGHT HAVE LED TO APPOINTMENT CANCELLATIONS. IN MANY CASES, TELEMEDICINE ENABLED WAGE-EARNING PATIENTS TO CONSULT THEIR DOCTOR WITHOUT CLOCKING OUT AND LOSING PAY, AS OUR DOCTORS COULD CONNECT WITH THEM BEFORE WORK OR DURING THEIR LUNCH HOUR. GEISINGER HAD INTEGRATED CLINICAL AND POPULATION HEALTH EXPERTISE TO ADDRESS ACCESS NEEDS FOR TWO DISTINCT PATIENT POPULATIONS: THOSE BURDENED BY THE RISING COSTS OF HEALTHCARE SERVICES AND THE RAPIDLY GROWING SENIOR POPULATION. WE HAD INTEGRATED A RANGE OF HEALTH AND WELLNESS SERVICES CRUCIAL FOR THESE DEMOGRAPHICS, INCORPORATING CARE MODELS SUCH AS TRADITIONAL HOSPITAL SERVICES, 65 FORWARD (SENIOR PRIMARY CARE), CONVENIENT CARE (WALK-IN CLINICS AND URGENT CARE), COMMUNITY CARE CLINICS (URGENT CARE AND PRIMARY CARE), AND VIRTUAL HEALTH INITIATIVES. THIS INTEGRATION ENABLED US TO EFFICIENTLY ADDRESS ACUTE, CHRONIC, AND URGENT CARE NEEDS IN THE MOST COST-EFFECTIVE SETTINGS WHILE ENHANCING ACCESS TO OUTPATIENT CARE FOR DISEASE MANAGEMENT AND PREVENTION. IN 2022, GEISINGER COMMONWEALTH SCHOOL OF MEDICINE (GCSOM) MADE STRIDES TOWARD SOLIDIFYING A PARTNERSHIP TO REOPEN THE LEAHY CLINIC, A PROVIDER OF FREE NON-EMERGENCY HEALTHCARE, AT THE UNIVERSITY OF SCRANTON, TRANSFORMING IT INTO A LONGITUDINAL FREE CLINIC FOR LACKAWANNA COUNTY. IN LINE WITH THIS COMMITMENT, GEISINGER HAD CONTRIBUTED TO "A COMMUNITY CLINIC", WHICH PROVIDED HEALTHCARE FOR THE UNINSURED IN SUNBURY, OFFERING SUPPORT IN MARKETING, REFERRALS, AND PROVIDING LAB AND X-RAY SUPPORT TO THE CLINIC. IN THE PURSUIT OF HEALTH EQUITY, GEISINGER HAD DEVELOPED OUTREACH PROGRAMS IN COLLABORATION WITH COMMUNITY ORGANIZATIONS, NONPROFITS, AND FAITH-BASED GROUPS, AIMED AT EDUCATING, INFORMING, AND GUIDING INDIVIDUALS TOWARDS WELLNESS CARE. ENSURING HEALTHCARE ACCESS HAD NECESSITATED AN ADEQUATE NUMBER OF HEALTHCARE PROFESSIONALS TO SERVE THE PATIENT POPULATION. GEISINGER HAD SUCCESSFULLY RECRUITED AND RETAINED HEALTHCARE PROFESSIONALS WITHIN THE SYSTEM THROUGH A SERIES OF INITIATIVES. OUR SYSTEMWIDE CLINICAL CO-OP PROGRAM ENGAGED HIGH SCHOOL AND TECHNICAL SCHOOL SENIORS INTERESTED IN HEALTHCARE, PROVIDING THEM THE OPPORTUNITY TO WORK AS NURSING ASSISTANTS FOR A YEAR. THEY GAINED EXPOSURE BY SHADOWING OUR NURSES IN PHLEBOTOMY OR SURGICAL TECH. THESE CO-OP PROGRAMS ENCOURAGED MANY TO ENROLL IN NURSING SCHOOL WITH OUR SUPPORT AND SUBSEQUENTLY JOIN GEISINGER UPON GRADUATION. OUR NURSE RESIDENCY PROGRAM HAD TARGETED RECENT NURSING GRADUATES, SUPPORTING THEM THROUGH THEIR INITIAL AND OFTEN CHALLENGING YEAR OF NURSING PRACTICE BY PROVIDING EDUCATION THROUGH RESIDENCY SESSIONS, CLASSES, AND SIMULATIONS CONDUCTED BY OUR STAFF. AS PART OF THIS PROGRAM, WE HAD OFFERED A SIX-MONTH MEDICAL SURGICAL FELLOWSHIP FOR NEW NURSES SEEKING SPECIALIZATION IN CARDIAC, ONCOLOGY, TRAUMA, OR SURGERY. FELLOWSHIP COURSES WERE LED BY OUR EXPERIENCED NURSES, PHYSICIAN ASSISTANTS, AND SURGEONS. THE ABIGAIL GEISINGER SCHOLARS PROGRAM HAD CATERED TO GCSOM STUDENTS WILLING TO WORK AT GEISINGER AS PHYSICIANS IN FAMILY MEDICINE, INTERNAL MEDICINE, MEDICINE/PEDIATRICS, OR PSYCHIATRY. IN EXCHANGE FOR A WORK COMMITMENT OF UP TO FOUR YEARS, SELECTED SCHOLARS HAD RECEIVED TUITION SUPPORT AND A MONTHLY STIPEND. MOREOVER, AN ABIGAIL GEISINGER SCHOLAR PROGRAM WAS OPEN TO ANYONE WORKING IN OUR NURSING DEPARTMENT. WHEN THEY MET THE CRITERIA, WE HAD ASSISTED THEM IN ENROLLING IN NURSING SCHOOL. THESE COMPETITIVE RECRUITMENT PROGRAMS HAD ENSURED A CONSISTENT PIPELINE OF NURSES AND PHYSICIANS TO SERVE OUR COMMUNITIES IN THE FUTURE. GEISINGER COMMONWEALTH SCHOOL OF MEDICINE (GCSOM) HAD RECEIVED A SIGNIFICANT PASMART ADVANCING COMPUTER SCIENCE AND STEM EDUCATION GRANT FROM THE PENNSYLVANIA DEPARTMENT OF EDUCATION. THE GRANT, AMOUNTING TO 494,262, HAD BEEN AIMED AT FOSTERING PARTNERSHIPS WITH VARIOUS SCHOOLS TO PREPARE STUDENTS IN HAZLETON, SCRANTON, WILKES-BARRE, COLUMBIA, AND NORTHUMBERLAND COUNTIES FOR CAREERS IN MEDICINE AND STEM-RELATED FIELDS. THIS INITIATIVE, KNOWN AS THE PA PHYSICIAN READY PROGRAM, HAD NOT ONLY ADDRESSED THE PHYSICIAN SHORTAGE BUT HAD ALSO INCREASED DIVERSITY IN MEDICAL CAREERS AND MET THE HEALTHCARE WORKFORCE DEMANDS IN PENNSYLVANIA. BY TARGETING UNDERREPRESENTED HIGH SCHOOL STUDENTS AND THOSE FACING BARRIERS TO HIGHER EDUCATION, THIS PROGRAM HAD STRIVED TO BRIDGE GAPS AND PAVE THE WAY FOR A DIVERSE AND QUALIFIED HEALTHCARE WORKFORCE. TO ADDRESS THE NEEDS OF MED
FACILITY 1, COMMUNITY MEDICAL CENTER - PART V, LINE 13B	RECENT WAGE STATEMENTS, UNEMPLOYMENT OR OTHER DOCUMENTATION OF BENEFITS OR COMPENSATION RECEIVED MAY BE CONSIDERED IN DETERMINING FINANCIAL ASSISTANCE ELIGIBILITY.
FACILITY 1, COMMUNITY MEDICAL CENTER - PART V, LINE 16J	THE 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, COMMUNITY MEDICAL CENTER - PART V, LINE 20E	REFER TO RESPONSE FOR PART III, LINE 9B

Supplemental Information Detail SupplementalInformationDetail (13 entries)

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SCHEDULE H, PART I, LINE 3C	SUPPORTING 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 6A	COMMUNITY 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 7G	THERE ARE NO PHYSICIAN CLINICAL SERVICES INCLUDED IN SUBSIDIZED HEALTH SERVICES.
SCHEDULE H, PART I, LINE 7	A 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 4	EXPLICIT 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 8	MEDICARE 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 36,610,713 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 9B	THE 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 2	CHNA 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. SEE ALSO THE DISCUSSION RELATED TO THE RESPONSE TO PART V, LINE 5.
SCHEDULE H, PART VI, LINE 3	GEISINGER 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 4	THE NORTHEAST REGION IS COMPRISED OF FOUR COUNTIES AND IS PRIMARILY SERVED BY THE FOLLOWING HOSPITALS: COMMUNITY MEDICAL CENTER (DBA GEISINGER COMMUNITY MEDICAL CENTER (GCMC)), GEISINGER WYOMING VALLEY MEDICAL CENTER (GWV) (INCLUDES GEISINGER SOUTH WILKES-BARRE (GSWB)), ALLIED SERVICES REHAB HOSPITAL, AND HEINZ REHAB HOSPITAL. GCMC DEFINED ITS PRIMARY SERVICE AREA AS 25 ZIP CODES, PRIMARILY WITHIN THE NORTHEAST REGION. THE PRIMARY SERVICE AREA WAS IDENTIFIED BASED ON THE PATIENT ZIP CODES OF ORIGIN COMPRISING 80% OR MORE OF HOSPITAL DISCHARGES IN FISCAL YEAR 2019. NORTHEAST REGION POPULATION TRENDS THE NORTHEAST REGION IS PREDOMINANTLY RURAL WITH SIGNIFICANT URBAN SETTINGS IN SCRANTON (LACKAWANNA COUNTY), WILKES-BARRE (LUZERNE COUNTY), AND HAZLETON (LUZERNE COUNTY). WITH A POPULATION OF ABOUT 76,200, SCRANTON IS THE LARGEST CITY IN NORTHEASTERN PA, FOLLOWED BY NEIGHBORING WILKES-BARRE WITH ABOUT 42,200 RESIDENTS. HAZLETON (LUZERNE COUNTY) HAS ABOUT 26,700 RESIDENTS. WAYNE COUNTY, WITH A TOTAL POPULATION OF ABOUT 54,000, AND WYOMING COUNTY, WITH ABOUT 28,000, ARE MORE RURAL OVERALL WITH LESS DENSE POPULATION CLUSTERS. DRIVEN BY THE SCRANTON-WILKES-BARRE-HAZLETON METROPOLITAN STATISTICAL AREA, APPROXIMATELY HALF OF ALL NORTHEAST REGION RESIDENTS LIVE IN LUZERNE COUNTY AND ONE-THIRD LIVE IN LACKAWANNA COUNTY. ALL NORTHEAST REGION COUNTIES HAVE A HIGHER PERCENTAGE OF SENIORS AND A HIGHER MEDIAN AGE COMPARED TO THE STATE AND NATION. WAYNE COUNTY HAS THE OLDEST POPULATION: 24% OF RESIDENTS ARE AGE 65 OR OVER AND THE MEDIAN AGE IS 48.6 COMPARED TO 41.6 STATEWIDE. CONSISTENT WITH MUCH OF PA'S RURAL GEOGRAPHY, THE POPULATION OF THE NORTHEAST REGION IS SLIGHTLY DECLINING AND PROJECTED TO DECREASE BY 0.1% BY 2025. THE LARGEST POPULATION DECLINE IS EXPECTED IN WYOMING COUNTY. WAYNE COUNTY HAD THE LARGEST POPULATION GROWTH IN THE NORTHEAST REGION FROM 2017 -2020 AT ABOUT 3%. AS A WHOLE, THE NORTHEAST REGION IS LESS DIVERSE COMPARED TO STATE OR NATIONAL BENCHMARKS, BUT THE CITIES OF SCRANTON, WILKES-BARRE, AND HAZLETON ARE SIGNIFICANTLY MORE DIVERSE THAN SURROUNDING TOWNS. HAZLETON BENEFITS FROM THE GREATEST DIVERSITY AMONG CITIES IN THE REGION. IN HAZLETON, APPROXIMATELY 64% OF RESIDENTS ARE LATINX (OF ANY RACE); 48% ARE WHITE; 6% ARE BLACK; AND 1% ARE ASIAN. IN WILKES-BARRE, 64% OF THE POPULATION IS WHITE; ABOUT 27% ARE LATINX; 16% ARE BLACK; AND 2% ARE ASIAN. IN SCRANTON, ABOUT 75% OF THE POPULATION IS WHITE; 17% ARE LATINX; 8% ARE BLACK; AND 6% ARE ASIAN. THE SCRANTON-WILKES-BARRE AREA IS HOME TO MULTIPLE COLLEGES AND UNIVERSITIES: THE UNIVERSITY OF SCRANTON, GEISINGER COMMONWEALTH SCHOOL OF MEDICINE, JOHNSON COLLEGE, KING'S COLLEGE, LACKAWANNA COLLEGE, MARYWOOD UNIVERSITY, MISERICORDIA UNIVERSITY, AND WILKES UNIVERSITY. SATELLITE CAMPUSES, COMMUNITY COLLEGES, AND VOCATIONAL SCHOOLS INCLUDE FORTIS INSTITUTE, LUZERNE COUNTY COMMUNITY COLLEGE, PENN FOSTER CAREER SCHOOL, PENN STATE SCRANTON, AND PENN STATE WILKES-BARRE. UNIVERSITY AND COLLEGE CAMPUSES OFTEN BRING GREATER COMMUNITY DIVERSITY, PARTICULARLY WITH REGARD TO AGE. DUE TO PARTIAL YEAR RESIDENCY, STUDENT POPULATIONS CAN IMPACT COMMUNITY DEMOGRAPHICS AND NEEDED SERVICES. SOCIOECONOMIC TRENDS THE ECONOMY IN THE NORTHEAST REGION GREW FROM ITS EARLY ROOTS IN IRON AND COAL PRODUCTION, ATTRACTING A DIVERSE LABOR FORCE TO WORK IN THE INDUSTRIAL CENTER. TODAY, THE TOP INDUSTRIES ACROSS THE REGION ARE HEALTH AND HUMAN SERVICES, PROFESSIONAL SERVICES, AND RETAIL. TOURISM IS AN IMPORTANT ECONOMIC ENGINE FOR THE REGION. MAJOR REVITALIZATION PROJECTS HAVE BEEN UNDERWAY IN RECENT YEARS IN SCRANTON, WILKES-BARRE, HAZLETON, CARBONDALE, AND OTHER TOWN CENTERS ACROSS THE REGION TO PRESERVE THE RICH HERITAGE OF THE AREA AND DESIGN FOR THE FUTURE. SCRANTON IS THE GEOGRAPHIC AND CULTURAL CENTER OF THE LACKAWANNA RIVER VALLEY AND NORTHEASTERN PA. LACKAWANNA AND LUZERNE COUNTY RESIDENTS, PARTICULARLY CHILDREN, EXPERIENCE MORE POVERTY AND RELATED CONCERNS THAN WAYNE AND WYOMING COUNTY RESIDENTS. IN LACKAWANNA AND LUZERNE COUNTIES, APPROXIMATELY 15% OF RESIDENTS LIVE IN POVERTY COMPARED TO 13% STATEWIDE. APPROXIMATELY 22% OF LACKAWANNA COUNTY CHILDREN AND 26% OF LUZERNE COUNTY CHILDREN LIVE IN POVERTY COMPARED TO 18% STATEWIDE. NEARLY ONE IN FIVE CHILDREN IN EITHER COUNTY LIVE IN FOOD INSECURE HOUSEHOLDS COMPARED TO 15% STATEWIDE AND NATIONALLY. POVERTY WAS WIDELY SEEN BY KEY INFORMANT SURVEY RESPONDENTS AS A KEY CONTRIBUTOR TO POORER HEALTH OUTCOMES. HEALTHCARE AND SOCIAL SERVICES WERE LISTED AMONG THE COMMUNITY'S STRENGTHS, YET ABOUT ONE-THIRD OF KEY INFORMANTS INDICATED A COMMUNITY NEED FOR MORE SOCIOECONOMIC ASSISTANCE, ESPECIALLY AFFORDABLE HOUSING. HIGHER POVERTY RATES WITHIN LACKAWANNA AND LUZERNE COUNTIES ARE PARTIALLY DRIVEN BY INCOME AND EDUCATION INEQUALITY AMONG RACIAL AND ETHNIC GROUPS. ACROSS BOTH COUNTIES, 35%-45% OF BLACK AND LATINX RESIDENTS LIVE IN POVERTY COMPARED TO 12%-14% OF WHITE RESIDENTS. APPROXIMATELY 8%-12% OF BLACK RESIDENTS AND 10%-13% OF LATINX RESIDENTS HAVE A BACHELOR'S DEGREE COMPARED TO 24%-28% OF WHITE RESIDENTS. IN COMPARISON TO THE STATE AND NATION, RESIDENTS OF WAYNE AND WYOMING COUNTIES ARE MORE LIKELY TO OWN THEIR HOME, WHILE RESIDENTS OF LACKAWANNA AND LUZERNE COUNTIES ARE JUST AS LIKELY TO OWN THEIR HOME. WAYNE COUNTY HAS THE HIGHEST MEDIAN HOME VALUE AND NEWEST HOUSING STOCK IN THE REGION, AND A HIGHER PERCENTAGE OF COST BURDENED HOMEOWNERS (SPENDING 30% OR MORE OF HOUSEHOLD INCOME ON MORTGAGE EXPENSES). HOUSING STOCK IN LACKAWANNA AND LUZERNE COUNTIES IS GENERALLY OLDER THAN IN WAYNE AND WYOMING COUNTIES, AND THE STATE AND NATION. AS A RESULT OF THE COVID-19 PANDEMIC, THE NORTHEAST REGION UNEMPLOYMENT RATE MORE THAN TRIPLED IN LACKAWANNA, LUZERNE, AND WAYNE COUNTIES AND MORE THAN DOUBLED IN WYOMING COUNTY FROM MAY 2019 TO MAY 2020. AS OF MAY 2020, LUZERNE COUNTY HAS THE HIGHEST UNEMPLOYMENT AT 16%, NEARLY 3 PERCENTAGE POINTS HIGHER THAN THE STATE UNEMPLOYMENT. HEALTH TRENDS ACCESS TO HEALTHCARE THE TOTAL UNINSURED POPULATION ACROSS THE NORTHEAST REGION HAS STEADILY DECLINED SINCE 2010, AND ALL COUNTIES HAVE FEWER UNINSURED ADULTS AND CHILDREN COMPARED TO THE STATE AND NATION. UNINSURED RATES AMONG MINORITY RESIDENTS ALSO DECLINED, BUT CONTINUE TO BE DISPROPORTIONATELY HIGHER COMPARED TO WHITES. AVAILABILITY OF PRIMARY CARE PROVIDERS AND DENTISTS IN LACKAWANNA AND LUZERNE COUNTIES IS COMPARABLE TO STATE AND NATIONAL RATES, WHILE THE PROVIDER RATES IN WAYNE AND WYOMING COUNTIES ARE NOTABLY LOWER. WYOMING COUNTY IN PARTICULAR HAS LOWER PROVIDER RATES THAN OTHER COUNTIES, AND A DECLINING DENTAL PROVIDER RATE. ALL COUNTIES ARE DENTAL HEALTH PROFESSIONAL SHORTAGE AREAS (HPSAS) FOR LOW-INCOME RESIDENTS. WHILE THE MENTAL HEALTH PROVIDER RATE INCREASED IN THE NORTHEAST REGION, ALL COUNTIES HAVE A LOWER PROVIDER RATE THAN THE STATE AND NATION. WAYNE COUNTY IS A MENTAL HEALTH HPSA. KEY INFORMANT SURVEY RESPONDENTS AFFIRMED THE NEED FOR ADDITIONAL BEHAVIORAL HEALTH SERVICES, PARTICULARLY MENTAL HEALTH SERVICES. CHRONIC DISEASE PREVENTION AND MANAGEMENT OBESITY AMONG ADULTS IN THE NORTHEAST REGION IS ON PAR OR SLIGHTLY HIGHER THAN STATE AND NATIONAL AVERAGES, BUT OBESITY AMONG SCHOOL STUDENTS IS HIGHER FOR EVERY REPORTED AGE GROUP AND IN EVERY COUNTY COMPARED TO THE STATE. OBESITY AMONG STUDENTS IN GRADES 7-12 INCREASED FOR ALL COUNTIES. KEY INFORMANTS SAW HEALTH HABITS AS A TOP CONTRIBUTING FACTOR TO OBESITY AND OTHER REGIONAL HEALTH CONCERNS. IN CONTRAST TO NATIONAL TRENDS, TOBACCO USE IS INCREASING AMONG ADULTS IN PA AND THE NORTHEAST REGION. LACKAWANNA (20.3%) AND LUZERNE (19.3%) COUNTIES EXCEED THE STATE (18.8%) AND NATION (17.1%) FOR THE PERCENTAGE OF ADULTS WHO SMOKE. VAPING AND E-CIGARETTE USE HAS SURPASSED TRADITIONAL CIGARETTE USE AMONG STUDENTS, AND THE PERCENTAGE OF STUDENTS USING VAPING OR E-CIGARETTE PRODUCTS IN THE NORTHEAST REGION IS HIGHER THAN STATEWIDE AVERAGES. LACKAWANNA COUNTY SAW THE GREATEST INCREASE IN ADULT SMOKING, AND HAS A HIGHER, INCREASING RATE OF DEATH DUE TO CHRONIC LOWER RESPIRATORY DISEASE. THE COUNTY ALSO HAS A HIGHER PERCENTAGE OF YOUTH WITH DIAGNOSED ASTHMA. HEALTH RISK FACTORS MAY CONTRIBUTE TO HIGHER DEATH RATES FROM CHRONIC DISEASE. THE NORTHEAST REGION HAS HIGHER DEATH RATES THAN THE STATE AND NATION FOR HEART DISEASE AND DIABETES. CANCER DEATH RATES ARE ALSO HIGHER AND INCREASING IN LACKAWANNA AND WYOMING COUNTIES. OF NOTE, DEATHS DUE TO CHRONIC DISEASE ARE DECREASING IN WAYNE COUNTY. NOTABLE HEALTH DISPARITIES EXIST WITHIN LUZERNE AND WYOMING COUNTIES. BOTH COUNTIES HAVE THE HIGHEST PREVALENCE OF ADULT OBESITY AND DIABETES IN THE REGION, AS WELL AS THE HIGHEST DEATH RATES DUE TO DIABETES. WYOMING COUNTY SAW INCREASES IN BOTH DIABETES PREVALENCE AND DEATH RATES. WYOMING COUNTY ALSO HAS THE HIGHEST RATES OF DEATH DUE TO CANCER AND CLRD IN THE REGION; DEATH RATES INCREASED AND EXCEED STATE AND NATIONAL BENCHMARKS. HIGHER POVERTY RATES, LOWER EDUCATION ATTAINMENT, AND RURAL GEOGRAPHIES CONSISTENT WITH MOST OF THE NORTHEAST REGION CONTRIBU
SCHEDULE H, PART VI, LINE 5	SCHEDULE 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 6	GEISINGER 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 VI	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

Field	Value	IRS element (for citing)
Idemnification Gross Up Pmts	Yes (X)	IdemnificationGrossUpPmtsInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)

TitleTitleTxt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt
JAEWON RYU MD JD
PRESIDENT, DIRECTOR	$4,389,743	$1,102,369	$1,528,292	$43,622	$7,064,026	$1,064,507
KEVIN V ROBERTS MBA CPA
EVP, CFO, TREASURER	$1,697,460	$1,890,806	$23,292	$36,715	$3,648,273	$1,488,942
MATTHEW WALSH
DIRECTOR	$1,248,929	$251,139	$273,292	$40,942	$1,814,302	$219,524
STEVEN B BENDER ESQUIRE
EVP, CLO, SECRETARY	$879,843	$129,142	$203,292	$43,272	$1,255,549	$88,396
GERALD V MALONEY DO
DIRECTOR	$699,927	$115,402	$95,392	$31,669	$942,390	$64,210
NAVNEET S DANG MD
INTERIM CMO	$527,405	$117,521	$23,292	$35,649	$703,867
ROSE A SADOWSKI CRNA
CRNA, PASNAP							$496,318	$47,601	$7,361	$23,292	$11,425	$585,997
GARY SEBASTIANELLI CRNA
CRNA, LEAD							$399,082		$12,959	$23,292	$28,431	$463,764
MARIA MCGRAW CRNA
CRNA, LEAD							$419,838		$10,346	$23,292	$4,314	$457,790
MARK ANTONIO CRNA
CRNA, PASNAP							$364,481	$12,638	$8,802	$23,292	$36,136	$445,349
LORI R GRAMLEY ESQUIRE
ACLO, ASST. SECY.	$326,632	$27,843	$23,292	$24,657	$402,424
JOHN DITCHKUS CRNA
CRNA, PASNAP							$339,133	$375	$6,935	$23,292	$23,528	$393,263
RENEE F BLAKIEWICZ RN BSN
INTERIM VP, CNO							$196,942		$19,544	$13,626	$33,772	$263,884

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE J, PAGE 1, PART I, LINE 1A	TAX INDEMNIFICATION AND GROSS-UP PAYMENTS - FROM TIME TO TIME, THE GEISINGER BOARD OF DIRECTORS OR GEISINGER SENIOR MANAGEMENT APPROVE THE GROSS-UP OF EXPENSES, WHICH FURTHER GEISINGER BUSINESS, FOR TAX OBLIGATIONS.
SCHEDULE J, PAGE 1, PART I, LINE 4	JAEWON RYU, MD, JD 0 1,064,507 0 KEVIN V. ROBERTS, MBA, CPA 0 1,488,942 0 MATTHEW WALSH 0 219,524 0 STEVEN B. BENDER, ESQUIRE 0 88,396 0 GERALD V. MALONEY, DO 0 64,210 0
SCHEDULE J, PART III	PART I, LINE 4B - SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN COMPENSATION FOR ELIGIBLE EMPLOYEES MAY BE DEFERRED TO A 457(F) NONQUALIFIED PLAN THAT VESTS WITH COMPLETION OF SERVICE, DEATH AND/OR PERMANENT DISABILITY.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	VIRGINIA MCGREGOR	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	FAMILY	RelationshipDescriptionTxt
Transaction	$117,024	TransactionAmt
Transaction	EMPLOYEE COMP/BEN	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE L, PART V	FormAndLineReferenceDesc
Explanation	VIRGINIA MCGREGOR IS A FAMILY MEMBER OF VIRGINIA MCGREGOR, A DIRECTOR OF COMMUNITY MEDICAL CENTER.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990	FORM 990, PART IV, LINE 24A: DID THE ORGANIZATION HAVE A TAX-EXEMPT BOND ISSUE WITH AN OUTSTANDING PRINCIPAL AMOUNT OF MORE THAN 100,000 AS OF THE LAST DAY OF THE YEAR, THAT WAS ISSUED AFTER DECEMBER 31, 2002? GEISINGER HEALTH (GH) IS CURRENTLY THE SOLE OBLIGOR UNDER A SERIES OF BOND ISSUES, INCLUDING TAX-EXEMPT BONDS ISSUED PRIOR TO DECEMBER 31, 2002, WITH A TOTAL OUTSTANDING BALANCE AT DECEMBER 31, 2023 OF 1,637,871,513, INCLUSIVE OF UNAMORTIZED ORIGINAL ISSUE DISCOUNT. BECAUSE THE BOND PROCEEDS ARE DISBURSED TO GH SUBSIDIARIES, THE TAX-EXEMPT BOND LIABILITIES ARE REFLECTED ON THE BALANCE SHEETS OF THE FOLLOWING SUBSIDIARY ORGANIZATIONS: GEISINGER MEDICAL CENTER EIN: 24-0795959 GEISINGER WYOMING VALLEY MEDICAL CENTER EIN: 23-1996150 GEISINGER CLINIC EIN: 23-6291113 MARWORTH EIN: 23-2171417 GEISINGER SYSTEM SERVICES EIN: 23-2164794 COMMUNITY MEDICAL CENTER EIN: 24-0862246 GEISINGER-BLOOMSBURG HOSPITAL EIN: 23-2193572 GEISINGER-LEWISTOWN HOSPITAL EIN: 23-1352187 GEISINGER COMMONWEALTH SCHOOL OF MEDICINE EIN: 26-0812968 GEISINGER JERSEY SHORE HOSPITAL EIN: 24-0792115 SCHEDULE K WAS PREPARED ON A CONSOLIDATED BASIS AND IS INCLUDED IN THE FORM 990 FILING OF GEISINGER HEALTH, EIN: 23-1995911.
FORM 990, PAGE 2, PART III, LINE 4A	I. GENERAL INFORMATION COMMUNITY MEDICAL CENTER (CMC), DOING BUSINESS AS GEISINGER COMMUNITY MEDICAL CENTER (GCMC), IS A TAX-EXEMPT, PENNSYLVANIA NOT-FOR-PROFIT CORPORATION ORGANIZED UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. GCMC IS A 265-BED ACUTE CARE HOSPITAL IN SCRANTON, PA. ORIGINALLY CALLED HAHNEMANN HOSPITAL, IT WAS FOUNDED IN 1897 BY A GROUP OF 15 PHILANTHROPIC WOMEN. THE HOSPITAL WAS SCRANTON'S FIRST AND CURRENTLY ONLY ACUTE CARE HOSPITAL DEDICATED TO SERVING THE COMMUNITY AND THEIR HEALTH NEEDS THROUGH A CHARITABLE PURPOSE. GCMC CONTINUES TO PROVIDE THE COMMUNITY WITH A VARIETY OF SERVICES AS PART OF AN INTEGRATED HEALTH CARE DELIVERY SYSTEM. THIS CONTINUUM OF CARE INCLUDES PREVENTIVE, AMBULATORY, INPATIENT AND EMERGENCY SERVICES. GCMC IS A NOTED REGIONAL REFERRAL CENTER WITH COMPREHENSIVE ACUTE CARE MEDICAL SERVICES AND HAS DEVELOPED MANY SPECIFIC AREAS OF EXPERTISE. PATIENT ORIGIN AND SERVICE AREA: THE HOSPITAL'S PRIMARY SERVICE AREA IS COMPRISED OF LACKAWANNA, LUZERNE, AND WAYNE COUNTIES. SECONDARY SERVICE AREAS INCLUDE MONROE, PIKE, SUSQUEHANNA, AND WYOMING COUNTIES. II. MAJOR PROGRAM SERVICE ACTIVITIES SPECIALIZED / REGIONAL SERVICES, CENTERS OF EXCELLENCE: GCMC IS THE ONLY LEVEL II TRAUMA CENTER IN LACKAWANNA COUNTY. THE NORTHEAST PA TRAUMA CENTER, DESIGNATED BY THE PENNSYLVANIA TRAUMA SYSTEMS FOUNDATION IN 1988, PROVIDES 24-HOUR COMPREHENSIVE SURGICAL INTERVENTION FOR CRITICALLY INJURED PATIENTS. THE TRAUMA CENTER IS STAFFED CONTINUOUSLY BY AN EMERGENCY PHYSICIAN, TRAUMA SURGEON, AND NURSES CERTIFIED IN CRITICAL CARE, TRAUMA, ORTHOPEDICS, AND THE NEUROSCIENCES. CARDIOLOGY SERVICES AT THE HOSPITAL INCLUDE THE REGION'S FIRST ELECTROPHYSIOLOGY LAB AND AN OPEN-HEART SURGERY CENTER AS WELL AS A CARDIAC REHAB PROGRAM. THE NON-INVASIVE CARDIOVASCULAR DEPARTMENT IS ACCREDITED IN ADULT TRANSTHORACIC ECHOCARDIOGRAPHY BY THE INTERSOCIETAL ACCREDITATION COMMISSION (IAC). GCMC IS ALSO A CERTIFIED CAROTID STENT FACILITY AND CERTIFIED HEART ATTACK RECEIVING CENTER. GCMC CARDIOLOGY HAS EARNED THE AMERICAN HEART ASSOCIATION'S MISSION: LIFELINE HEART ATTACK RECEIVING CENTER AWARD AND HIGHMARK'S BLUE DISTINCTION CENTER+ FOR CARDIAC CARE. IN 2019, GCMC OPENED A 4 MILLION HEART AND VASCULAR CENTER. THIS BRAND NEW 10,000 SQUARE FOOT CLINIC FEATURES 22 EXAM ROOMS AND STREAMLINES CARDIOLOGY, CARDIAC, AND THORACIC SURGERY AT GCMC. IN 2022 GCMC EARNED THE COMPREHENSIVE HEART ATTACK CENTER CERTIFICATION FROM THE JOINT COMMISSION AND THE AMERICAN HEART ASSOCIATION, JOINING GEISINGER WYOMING VALLEY MEDICAL CENTER AND GEISINGER MEDICAL CENTER AS THE FIRST THREE HOSPITALS IN THE COUNTRY TO BECOME CERTIFIED. NEUROSCIENCES AT GCMC SPECIALIZES IN THE CARE OF PEOPLE WITH BRAIN AND SENSE ORGAN DISORDERS. GCMC WAS AWARDED WITH THE AMERICAN STROKE ASSOCIATION'S GET WITH THE GUIDELINES GOLD PLUS QUALITY ACHIEVEMENT AWARD WITH TARGET: STROKE HONOR ROLL ELITE AND TYPE 2 DIABETES HONOR ROLL. GCMC ALSO EARNED THE JOINT COMMISSION'S GOLD SEAL OF APPROVAL FOR CERTIFICATION AS A PRIMARY STROKE CENTER (ONLY ONE OF 54 MEDICAL CENTERS IN PENNSYLVANIA TO OBTAIN THIS). IN ADDITION, GCMC IS THE ONLY HOSPITAL IN THE REGION TO OFFER A 10-BED ADULT INPATIENT EPILEPSY MONITORING UNIT. OTHER SPECIALIZED SERVICES INCLUDE: INTERVENTIONAL RADIOLOGY THE HOSPITAL'S INTERVENTIONAL RADIOLOGY SUITE OFFERS A STATE-OF-THE-ART SPACE FOR MINIMALLY INVASIVE SURGICAL PROCEDURES THAT TREAT VASCULAR ISSUES, TRAUMA, CANCERS, UTERINE FIBROIDS, KIDNEY STONES AND OTHER CONDITIONS. THE 2.9 MILLION, 2,110-SQUARE-FOOT SPACE BOASTS ADVANCED, HIGH-TECH IMAGING EQUIPMENT FOR MORE PRECISE IMAGING, BETTER DIAGNOSES AND MORE FOCUSED TREATMENT. COMPREHENSIVE BARIATRICS PROGRAM SCRANTON-AREA RESIDENTS COPING WITH SEVERE OBESITY AND OBESITY-RELATED HEALTH DISORDERS DON'T HAVE TO TRAVEL FAR TO FIND HIGH-QUALITY CARE THAT GOES WELL BEYOND TRADITIONAL WEIGHT-LOSS SURGERY WITH GCMC'S PROVENCARE BARIATRIC PROGRAM. THE PROGRAM OFFERS MORE THAN JUST SURGERY - IT'S AN ENTIRE PATHWAY OF CARE THAT STARTS WITH A FULL MEDICAL SCREENING AND EVALUATION BY A NUTRITIONIST. PATIENTS IN THE PROGRAM RECEIVE SEVERAL MONTHS OF CARE, INCLUDING BEHAVIOR MODIFICATION STRATEGIES, NUTRITION AND EXERCISE THERAPY AND GROUP EDUCATION SERVICES BEFORE THEIR SURGERY. GCMC'S PROGRAM IS NATIONALLY ACCREDITED BY THE METABOLIC AND BARIATRIC SURGERY ACCREDITATION AND QUALITY IMPROVEMENT PROGRAM, THE ONLY ONE IN LACKAWANNA COUNTY. GENERAL SURGERY GCMC'S GENERAL SURGEONS PERFORM LAPAROSCOPIC AND OPEN BARIATRICS, LAPAROSCOPIC BOWEL RESECTIONS, MINIMALLY INVASIVE CARDIAC SURGERY, MINIMALLY INVASIVE SPINAL SURGERY, ROBOTIC-ASSISTED SURGERY, AND MINIMALLY INVASIVE AND ENDOVASCULAR PROCEDURES ON HEART VALVES. SURGEONS IN GCMC'S HYBRID OR ARE PERFORMING RADIOLOGICALLY ASSISTED VASCULAR PROCEDURES, AND GCMC OFFERS THE MOST UP-TO-DATE APPROACH TO HIP ARTHROPLASTY IN THE COUNTRY. IN 2023 GCMC WAS LISTED IN U.S. NEWS & WORLD REPORT BEST HOSPITALS RANKINGS FOR HEART FAILURE, KIDNEY FAILURE, STROKE, COPD, KNEE REPLACEMENT. CANCER CENTER OPENED IN SEPTEMBER 2016, THE HENRY CANCER CENTER SCRANTON CAMPUS IS A 6,500-SQUARE-FOOT CANCER CENTER OFFERS MEDICAL ONCOLOGY SERVICES SUCH AS CHEMOTHERAPY, BLOOD THERAPIES AND INFUSION MEDICATIONS. THE 2.1 MILLION SPACE FEATURES A SOFTLY LIT WAITING AREA, ITS OWN PHARMACY STOCKED FOR THE UNIQUE NEEDS OF CANCER PATIENTS, 7 EXAM ROOMS AND 11 INFUSION BAYS WITH HEATED CHAIRS TO INCREASE PATIENT COMFORT. LABOR AND DELIVERY IN OCTOBER 2019, GCMC BEGAN DELIVERING BABIES AGAIN. THE 15 MILLION MATERNITY CENTER OFFERS THE COMBINED EXPERTISE OF OB/GYNS AND CERTIFIED NURSE MIDWIVES (CNMS) TO ALLOWS EXPECTANT MOTHERS TO TAILOR THEIR BIRTH PLAN TO THEIR PREFERENCES AND HAVE THE RESOURCES TO DEVIATE FROM THAT PLAN IF NECESSARY; FEATURES 8 SPACIOUS SUITES DESIGNED FOR LABOR, DELIVERY AND RECOVERY, BIRTHING BALLS, HYDROTHERAPY TUBS AND STATE-OF-THE-ART MONITORING TECHNOLOGY. SINCE IT'S OPENING, THE CHILDBIRTH CENTER AT GCMC HAS BEEN SUCCESSFUL IN KEEPING THE NUMBER OF CESAREAN BIRTHS BELOW THE STATE AVERAGE. GEISINGER VIEWMONT OUTPATIENT ANCILLARY SERVICES UNDER THE NAME OF GEISINGER VIEWMONT, GCMC OFFERS A COMPREHENSIVE SET OF OUTPATIENT LAB, RADIOLOGY, AND PHYSICAL AND OCCUPATIONAL THERAPY SERVICES AT CONVENIENT LOCATIONS THROUGHOUT LACKAWANNA COUNTY. WITH EXPANDED HOURS AND WEEKEND APPOINTMENTS, GCMC PROVIDES THESE CRITICAL TESTING AND THERAPY SERVICES TO PATIENTS FOR TIMELY RESULTS. OTHER SERVICES GCMC ALSO OFFERS A SAME-DAY OUTPATIENT SURGERY CENTER, AN ORTHOPEDIC TRAUMA PROGRAM, A FULL SUITE OF RADIOLOGY AND LABORATORY SERVICES, PULMONOLOGY, WOUND CARE AND HYPERBARIC OXYGEN CHAMBER TREATMENTS, AND PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPY. IN OCTOBER 2020, GCMC OPENED THEIR NEW PROGRESSIVE CARE UNIT FEATURING 18 PRIVATE ROOMS AND A NURSING CARE MODEL THAT ALLOWS FOR DIRECT OVERSIGHT OF ALL PATIENTS. THE UNIT IS PART OF A 16M PROJECT THAT BEGINS GCMC'S PROCESS OF SHIFTING TO A PRIVATE-ROOM MODEL. IN AUGUST 2023, GEISINGER BEHAVIORAL HEALTH CENTER NORTHEAST BEGAN SEEING PATIENTS. THE 96-BED FACILITY PROVIDES CARE FOR ADULT, PEDIATRIC AND ADOLESCENT PATIENTS WHO STRUGGLE WITH ACUTE SYMPTOMS OF BEHAVIORAL HEALTH DISORDERS SUCH AS ANXIETY, DEPRESSION, BIPOLAR DISORDER, PSYCHOSIS AND POSTTRAUMATIC STRESS DISORDER. BEHAVIORAL HEALTH CENTER NORTHEAST WAS BUILT TO HELP ADDRESS THE INCREASED NEED FOR MENTAL HEALTH CARE IN PENNSYLVANIA. ACCORDING TO DATA FROM THE NATIONAL ALLIANCE ON MENTAL ILLNESS (NAMI), 1 IN 5 U.S. ADULTS EXPERIENCE MENTAL ILLNESS EACH YEAR. THREE OUT OF 5 PENNSYLVANIA COMMUNITIES DO NOT HAVE ENOUGH MENTAL HEALTH PROVIDERS, AND MORE THAN 1.8 MILLION ADULTS IN PENNSYLVANIA HAVE A MENTAL HEALTH CONDITION. IN SEPTEMBER 2023, GEISINGER ORTHOPAEDICS AND SPORTS MEDICINE SCRANTON OPENED ITS SECOND PHASE IN THE MARKETPLACE AT STEAMTOWN. THE 83,000 SQUARE-FOOT FACILITY IS THE LARGEST BONE, MUSCLE AND JOINT CARE FACILITY IN LACKAWANNA COUNTY. IN ADDITION TO SPORTS MEDICINE AND ORTHOPAEDIC CARE FOR ALL AGES, ORTHOPAEDICS AND SPORTS MEDICINE SCRANTON OFFERS PODIATRY, WOUND CARE AND PHYSICAL AND OCCUPATIONAL THERAPY. AWARDS AND RECOGNITIONS IN 2023 NEWSWEEK'S LIST OF HIGH PERFORMANCE IN HEART FAILURE, HEART ATTACK AND STROKE AMERICAN HEART ASSOCIATION'S MISSION: LIFELINE STEMI RECEIVING CENTER GOLD PLUS RECOGNITION NAMED "BIRTHING-FRIENDLY" HOSPITAL BY BIDEN ADMINISTRATION III. PROGRAM SERVICE ACCOMPLISHMENTS UNCOMPENSATED CARE: GCMC RECOGNIZES THAT ITS MISSION IS TO SERVE ALL THE MEMBERS OF THE COMMUNITY WITH RESPECT TO THE PROVISION OF HEALTHCARE SERVICES AND HEALTHCARE EDUCATION. GCMC PROVIDES QUALITY MEDICAL HEALTHCARE REGARDLESS OF RACE, RELIGION, ETHNICITY, SEXUAL ORIENTATION, GENDER IDENTITY, HANDICAP, AGE OR ABILITY TO PAY. IN THIS REGARD, GCMC 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 GCMC PRACTICES. A. CHARITY CARE THE PRIMARY CONCERN OF GCMC IS THE DELIVERY OF H
FORM 990, PART V	FORM 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. THE RESPONSE ENTERED ON LINE 1A FOR THE ORGANIZATION INCLUDES ONLY THOSE FORM 1099S FILED UNDER THE ORGANIZATIONS EIN, IT DOES NOT INCLUDE THOSE FILED BY GSS ON ITS BEHALF.
FORM 990, PART VI	FORM 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? BENJAMIN K. CHU, MD, MPH, MACP, GERALD V. MALONEY, DO , JAEWON RYU, MD, JD, JEFFREY A. JACOBSON, KEVIN V. ROBERTS, MBA, CPA, LORI R. GRAMLEY, ESQUIRE, MATTHEW WALSH, NAVNEET S. DANG, MD, STEVEN B. BENDER, ESQUIRE, V. CHRIS HOLCOMBE, PE, AND VIRGINIA MCGREGOR 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 1A	THERE WAS A DELEGATION OF AUTHORITY TO THE GEISINGER HEALTH EMERGENCY ACTION COMMITTEE, WHICH IS COMPRISED OF THE CHAIR OF THE BOARD, VICE-CHAIR OF THE BOARD, THE PRESIDENT AND CEO (EX-OFFICIO DIRECTOR), CHAIR OF THE FINANCE COMMITTEE AND CHAIR OF THE PATIENT EXPERIENCE, ACADEMIC AFFAIRS AND QUALITY COMMITTEE. UNDER THE NONPROFIT CORPORATION LAW AND UNDER GEISINGER HEALTH'S CORPORATE BYLAWS, THE EMERGENCY ACTION COMMITTEE SHALL EXERCISE THE POWER AND AUTHORITY OF THE BOARD OF DIRECTORS TO ACT ON EMERGENCY MATTERS BETWEEN MEETINGS OF THE BOARD OF DIRECTORS.
FORM 990, PAGE 6, PART VI, LINE 6	THE 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 7A	THE 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 7B	THE 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 PENNSYLVANIA NONPROFIT CORPORATION LAW.
FORM 990, PAGE 6, PART VI, LINE 11B	THE 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 12C	THE 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 15A	THE 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 15B	SEE SCHEDULE O RESPONSE TO FORM 990, PART VI, SECTION B, QUESTION 15A.
FORM 990, PAGE 6, PART VI, LINE 19	FINANCIAL 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 VIII	FORM 990, PART VIII, LINE 2C: THE IC SHARED SERVICE REVENUE REPRESENTS REVENUE FROM INTERCOMPANY MANAGEMENT, ADMINISTRATIVE, AND CONSULTING SERVICES PROVIDED TO RELATED TAXABLE ORGANIZATIONS. THE ORGANIZATION AND RELATED TAXABLE ORGANIZATIONS ARE ALL CONTROLLED BY GEISINGER HEALTH. THE SERVICES, PROVIDED AT OR BELOW COST, ARE PERFORMED WITHOUT A PROFIT MOTIVE TO PROMOTE THE EFFICIENT OPERATION OF GEISINGER IN CARRYING OUT ITS CHARITABLE MISSION. THE SERVICES ARE NOT OFFERED TO UNRELATED ORGANIZATIONS OR TO THE GENERAL PUBLIC. UNDER IRS ADVISORY DATED MARCH 7, 2014, THESE INTERCOMPANY SHARED SERVICES ARE NOT INCLUDED IN THE DEFINITION OF UNRELATED BUSINESS INCOME AND SHOULD NOT BE INCLUDED ON FORM 990-T DUE TO THE ABSENCE OF THE FOLLOWING TWO CONDITIONS: (1) THE SERVICES MUST BE ABOVE COST OR AT FAIR MARKET VALUE, AND (2) THERE MUST BE A PROFIT MOTIVE.
FORM 990, PART XI, LINE 9	TRANSFER FROM GEISINGER HEALTH 145,071 RECONCILATION OF PENSION LIABILTY 6,926,979 TRANSFER TO GEISINGER HEALTH -36,319,392 TOTAL -29,247,342
FORM 990, PART XII	FORM 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 Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	GEISINGER-SCA HOLDINGS LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	100 NORTH ACADEMY AVE MC 49-70	AddressLine1Txt
City	DANVILLE	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	17822	ZIPCd

Field	Value	IRS element (for citing)
EIN	461615328	EIN
Primary Activities	HOLD CO	PrimaryActivitiesTxt
Legal Domicile State	DE	LegalDomicileStateCd
Total Income	$412,154	TotalIncomeAmt
End Of Year Assets	$6,570,089	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	CMC	BusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (19 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
GEISINGER HEALTH
100 NORTH ACADEMY AVE MC 49-70	DANVILLE	PA	17822	231995911	PHILANTHRO	PA	501C3	7	N/A	false
GEISINGER MEDICAL CENTER
100 NORTH ACADEMY AVE MC 49-70	DANVILLE	PA	17822	240795959	HOSPITAL	PA	501C3	3		Yes (true)	GH
GEISINGER CLINIC
100 NORTH ACADEMY AVE MC 49-70	DANVILLE	PA	17822	236291113	PHYSN SVCS	PA	501C3	3		Yes (true)	GH
GEISINGER WYOMING VALLEY MED CTR
100 NORTH ACADEMY AVE MC 49-70	DANVILLE	PA	17822	231996150	HOSPITAL	PA	501C3	3		Yes (true)	GH
MARWORTH
100 NORTH ACADEMY AVE MC 49-70	DANVILLE	PA	17822	232171417	D&A REHAB	PA	501C3	3		Yes (true)	GH
GEISINGER HEALTH PLAN
100 NORTH ACADEMY AVE MC 49-70	DANVILLE	PA	17822	232311553	HMO	PA	501C4			false	GH
GEISINGER SYSTEM SERVICES
100 NORTH ACADEMY AVE MC 49-70	DANVILLE	PA	17822	232164794	SUPPORT SV	PA	501C3	12A		Yes (true)	GH
GEISINGER COMMUNITY HEALTH SERVICES
100 NORTH ACADEMY AVE MC 49-70	DANVILLE	PA	17822	232967235	HEALTHCARE	PA	501C3	10		Yes (true)	GSS
GEISINGER INSURANCE CORPORATIONRRG
100 NORTH ACADEMY AVE MC 49-70	DANVILLE	PA	17822	141909894	SELF INS	VT	501C3	12A		Yes (true)	GH
GEISINGER-BLOOMSBURG HOSPITAL
100 NORTH ACADEMY AVE MC 49-70	DANVILLE	PA	17822	232193572	HOSPITAL	PA	501C3	3		Yes (true)	GH
GEISINGER-LEWISTOWN HOSPITAL
100 NORTH ACADEMY AVE MC 49-70	DANVILLE	PA	17822	231352187	HOSPITAL	PA	501C3	3		Yes (true)	GH
KEYSTONE HEALTH INFORMATION EXCH
100 NORTH ACADEMY AVE MC 49-70	DANVILLE	PA	17822	464359893	RHIO	PA	501C3	12A		false	GH
WEST SHORE ADVANCED LIFE SUPP SVCS
100 NORTH ACADEMY AVE MC 49-70	DANVILLE	PA	17822	232463002	HEALTHCARE	PA	501C3	7		Yes (true)	GC
GEISINGER COMMONWEALTH SCH OF MED
100 NORTH ACADEMY AVE MC 49-70	DANVILLE	PA	17822	260812968	EDUCATION	PA	501C3	2		false	GH
GEISINGER JERSEY SHORE HOSPITAL
100 NORTH ACADEMY AVE MC 49-70	DANVILLE	PA	17822	240792115	HOSPITAL	PA	501C3	3		Yes (true)	GH
GEISINGER MEDICAL CENTER MUNCY
100 NORTH ACADEMY AVE MC 49-70	DANVILLE	PA	17822	851226106	HOSPITAL	PA	501C3	3		false	GHM
GNJ PHYSICIANS GROUP PC
100 NORTH ACADEMY AVE MC 49-70	DANVILLE	PA	17822	820681884	PHYSN SVCS	NJ	501C3	10		false	GH
GSL HOSPITAL
801 OSTRUM STREET	BETHLEHEM	PA	18015	824432109	HOSPITAL	PA	501C3	3	N/A	false
GSLPG INC
801 OSTRUM STREET	BETHLEHEM	PA	18015	825423865	HEALTHCARE	PA	501C3	3		false	GSL HOSP

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (11 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	Province Or StateForeignAddress/ProvinceOrStateNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
KEYSTONE ACCOUNTABLE CARE ORG LLC
100 NORTH ACADEMY AVE MC 49-70	DANVILLE	PA	17822	455484165	ACO	PA	N/A	false	false
GEISINGER ENCOMPASS HEALTH LLC
100 NORTH ACADEMY AVE MC 49-70	DANVILLE	PA	17822	721398803	PHY THERAP	PA	N/A	false	false
EVANGELICAL-GEISINGER HEALTH LLC
100 NORTH ACADEMY AVE MC 49-70	DANVILLE	PA	17822	460567687	HEALTHCARE	PA	N/A	false	false
LACKAWANNA PHYS AMB SURG CTRLLC
100 NORTH ACADEMY AVE MC 49-70	DANVILLE	PA	17822	233024998	HEALTHCARE	PA		false	Yes (true)	CMC	RELATED	-$107,332	$770,729	0.85410
GEISINGER-HM JOINT VENTURE LLC
100 NORTH ACADEMY AVE MC 49-70	DANVILLE	PA	17822	831871064	HEALTHCARE	PA	N/A	false	false
KEYSTONE HEALTHCARE PARTNERSHIPLLC
901 HUGH WALLIS ROAD	LAFAYETTE	LA	70508	833134941	HOME HLTH	PA	N/A	false	false
PHARMACY INNOVATION ALLIANCE LLC
100 NORTH ACADEMY AVE MC 49-70	DANVILLE	PA	17822	831871064	PURCHASING	DE	N/A	false	false
KKA VALUE FUND II GMBH & CO
				981686914	INVESTMENT		N/A	false	false						GIPSSTRABE 8	BERLIN	GERMANY	GM	10119	GM
KKA CO-INVEST I GMBH & CO KG
				981685919	INVESTMENT		N/A	false	false						GIPSSTRABE 8	BERLIN	GERMANY	GM	10119	GM
FORMENTERA PARTNERS FUND II-A LP
300 COLORADO ST STE 1900	AUSTIN	TX	78701	882933731	INVESTMENT	TX	N/A	false	false
VOLPI CAPITAL CARBON CO-INVEST SCSP
				981723571	INVESTMENT		N/A	false	false						8 RUE LOU HEMMER	SENNINGERBERG	LUXENBOURG	LU	L-1748	LU

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (13 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	Province Or StateForeignAddress/ProvinceOrStateNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
ISS SOLUTIONS INC
100 NORTH ACADEMY AVE MC 49-70	DANVILLE	PA	17822	232077663	CLINIC ENG	PA	N/A	false
GEISINGER INDEMNITY INSURANCE CO
100 NORTH ACADEMY AVE MC 49-70	DANVILLE	PA	17822	232815174	HLTH INSUR	PA	N/A	false
GEISINGER QUALITY OPTIONS INC
100 NORTH ACADEMY AVE MC 49-70	DANVILLE	PA	17822	204275139	HLTH INSUR	PA	N/A	false
GEISINGER ASSURANCE COMPANY LTD
				981016737	FINANCIAL		N/A	false	23 LINE TREE BAY AVE PO BOX 1159	GRAND CAYMAN	GRAND CAYMAN	CJ	KY1-1102	CJ
CT WAREHOUSE GMBH
					HOLDING CO		N/A	false	GIPSSTRABE 8	BERLIN	BERLIN	GM	10119	GM
KKA PROJECT 3 HOLDING GMBH
					HOLDING CO		N/A	false	GIPSSTRABE 8	BERLIN	BERLIN	GM	10119	GM
KKA PROJECT 4 HOLDING GMBH
					HOLDING CO		N/A	false	GIPSSTRABE 8	BERLIN	BERLIN	GM	10119	GM
RTNX TOP GMBH
					HOLDING CO		N/A	false	GIPSSTRABE 8	BERLIN	BERLIN	GM	10119	GM
KKA WAREHOUSE GMBH
					HOLDING CO		N/A	false	GIPSSTRABE 8	BERLIN	BERLIN	GM	10119	GM
KKA PROJECT 2 HOLDING GMBH
					HOLDING CO		N/A	false	GIPSSTRABE 8	BERLIN	BERLIN	GM	10119	GM
PROJECT 4 WAREHOUSE GMBH
					HOLDING CO		N/A	false	GIPSSTRABE 8	BERLIN	BERLIN	GM	10119	GM
SCHRODERS CAPITAL CODA FUND LTD
					INVESTMENT		N/A	false	PO BOX 309 UGLAND HOUSE	GRAND CAYMAN	CAYMAN ISLANDS	CJ	KY1-1104	CJ
SCHRODERS CAPITAL CODA MASTER FUND
					INVESTMENT		N/A	false	PO BOX 309 UGLAND HOUSE	GRAND CAYMAN	GRAND CAYMAN	CJ	KY1-1104	CJ

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (true)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (21 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
GEISINGER WYOMING VALLEY MED CTR
A	$36,121	FMV
GEISINGER SYSTEM SERVICES
A	$56,338	FMV
GEISINGER HEALTH PLAN
A	$82,971	FMV
GEISINGER CLINIC
A	$523,261	FMV
GEISINGER HEALTH
B	$36,000,000	GAAP
GEISINGER HEALTH
C	$145,071	GAAP
GEISINGER CLINIC
K	$74,524	FMV
GEISINGER COMMUNITY HEALTH SERVICES
L	$629,132	GAAP
GEISINGER QUALITY OPTIONS INC
L	$5,975,753	GAAP
GEISINGER CLINIC
L	$7,813,149	GAAP
GEISINGER INDEMNITY INSURANCE COMP
L	$13,608,003	GAAP
GEISINGER HEALTH PLAN
L	$89,202,690	GAAP
LACKAWANNA PHYSICIANS AMB SURG CTR
M	$353,398	GAAP
GEISINGER HEALTH
M	$545,598	GAAP
GEISINGER ASSURANCE COMPANY LTD
M	$1,686,512	GAAP
ISS SOLUTIONS INC
M	$1,961,839	GAAP
GEISINGER PHARMACY LLC
M	$10,161,852	GAAP
GEISINGER MEDICAL CENTER
M	$11,936,404	GAAP
GEISINGER CLINIC
M	$30,231,446	GAAP
GEISINGER SYSTEM SERVICES
M	$62,026,271	GAAP
GEISINGER INSURANCE CORPORATIONRRG
P	$1,749,730	GAAP

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE R	FormAndLineReferenceDesc
Explanation	FORM 990, SCHEDULE R, PART V - TRANSACTIONS WITH RELATED ORGANIZATIONS: AS SHOWN IN FORM 990, SCHEDULE R, COMMUNITY MEDICAL CENTER 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 INTER ORGANIZATION 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