GEISINGER MEDICAL CENTER MUNCY: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- GEISINGER MEDICAL CENTER MUNCY (EIN 85-1226106)
- Tax period
- 2022-01-01 to 2022-12-31
- Filed
- 2023-11-14
- IRS object ID
- 202313189349304846
- Schema version
- 2022v5.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-11-14T11:18:54-05:00 | ReturnTs |
| Tax Period End | 2022-12-31 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2022-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 851226106 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GEISINGER MEDICAL CENTER MUNCY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | GEIS | 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 | SPENCER KOWAL | PersonNm |
| Person Title | TREASURER, DIRECTOR | PersonTitleTxt |
| Phone | 5702716624 | PhoneNum |
| Signature | 2023-11-07 | SignatureDt |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | SPENCER | PersonFirstNm |
| Person Last | KOWAL | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | XXX-XX-XXXX | SSN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | false | IRSResponsiblePrtyInfoCurrInd |
| Tax | 2022 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MATTHEW WALSH | 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 | 178229800 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $38,229,009 | 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 | 2020 | FormationYr |
| Legal Domicile State | PA | LegalDomicileStateCd |
| Activity Or Mission | GEISINGER MEDICAL CENTER MUNCY STRIVES TO MAKE BETTER HEALTH EASIER IN THE COMMUNITIES IT SERVES BY PROVIDING ACCESS TO AFFORDABLE, QUALITY HEALTH SERVICES THROUGH AN INNOVATIVE MODEL OF CARE AND..........SEE SCHEDULE O | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 1 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 1 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| CY Program Service Revenue | $37,588,211 | CYProgramServiceRevenueAmt |
| CY Investment Income | $227 | CYInvestmentIncomeAmt |
| CY Other Revenue | $169,378 | CYOtherRevenueAmt |
| CY Total Revenue | $37,757,816 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| CY Salaries Comp Emp Bnft Paid | $0 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $3,116,050 | PYOtherExpensesAmt |
| CY Other Expenses | $52,785,128 | CYOtherExpensesAmt |
| PY Total Expenses | $3,116,050 | PYTotalExpensesAmt |
| CY Total Expenses | $52,785,128 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$3,116,050 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$15,027,312 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $4,031,970 | TotalAssetsBOYAmt |
| Total Assets EOY | $108,332,555 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $7,148,020 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $40,051,584 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$3,116,050 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $68,280,971 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | GEISINGER MEDICAL CENTER MUNCY STRIVES TO MAKE BETTER HEALTH EASIER IN THE COMMUNITIES IT SERVES BY PROVIDING ACCESS TO AFFORDABLE, QUALITY HEALTH SERVICES THROUGH AN INNOVATIVE MODEL OF CARE AND COVERAGE BASED ON A BALANCED PROGRAM OF PATIENT AND MEMBER CARE, EDUCATION, RESEARCH, AND COMMUNITY SERVICE. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $51,173,741 | ExpenseAmt |
| Revenue | $37,635,574 | RevenueAmt |
| Desc | I. GENERAL INFORMATION GEISINGER MEDICAL CENTER MUNCY, (GMCM), A 501(C )(3) NOT-FOR-PROFIT CORPORATION OWNS AND OPERATES A 20 BED ACUTE CARE HOSPITAL IN MUNCY, PA. GMCM BEGAN SEEING PATIENTS JANUARY 10, 2022. GMCM IS MAKING BETTER HEALTH EASIER FOR LYCOMING COUNTY AND THE SURROUNDING AREA. IN ADDITION TO BEING A FULL-SERVICE HOSPITAL, THE NEW FACILITY BRINGS CARE CLOSER TO HOME BY CENTRALIZING SERVICES, LESSENING TRAVEL TIME FOR PATIENTS WHO WENT TO LARGER MEDICAL FACILITIES FOR THEIR CARE. THE 120,000-SQUARE FOOT, THREE-STORY FACILITY IS A 100 MILLION+ INVESTMENT IN MUNCY AND THE SURROUNDING COMMUNITIES AND IS PART OF THE CLINICAL JOINT VENTURE FORMED BY GEISINGER AND HIGHMARK HEALTH IN 2019. FEATURING AN EMERGENCY ROOM, CLINICAL DECISION UNIT, ACUTE CARE UNIT, SURGICAL SUITES AND PRIMARY AND SPECIALTY CARE AREAS, GEISINGER MEDICAL CENTER MUNCY IS DESIGNED TO MEET THE ROUTINE AND ACUTE CARE NEEDS OF THOSE LIVING IN LYCOMING, SULLIVAN, CLINTON AND TIOGA COUNTIES. THE NEW FACILITY INCLUDES THE LATEST INNOVATIONS IN PATIENT-CENTERED CARE AND TECHNOLOGY. THE CLINICAL DECISION UNIT IS A UNIQUE CARE MODEL NEW TO THE COMMUNITY. IT PROVIDES HOSPITAL CARE BUT SERVES AS A MIDDLE GROUND, ALLOWING CLINICIANS TO WORK WITH AND GUIDE PATIENTS SO THEY GET THE RIGHT CARE IN THE RIGHT PLACE. THAT COULD MEAN ADMISSION TO THE HOSPITAL, PROVIDING RESOURCES SO THE PATIENT CAN MANAGE THEIR CONDITION AND AVOID A TRIP TO THE HOSPITAL, OR ARRANGING A VISIT TO A PRIMARY CARE PROVIDER OR OTHER SPECIALIST. THE HOSPITAL'S 20 INPATIENT ROOMS ARE OUTFITTED WITH DIGITAL WHITE BOARDS DISPLAYING REAL-TIME HEALTH INFORMATION TO BETTER COORDINATE CARE. THE WHITE BOARDS SERVE AS A CENTRALIZED INFORMATION HUB THAT CAN BE CONNECTED ACROSS SEVERAL DEVICES AND WILL BE ACCESSIBLE TO THE PATIENT, FAMILY AND CARE TEAM. MESSAGING CAPABILITIES STREAMLINE INTERACTIONS WHILE IMPROVING COMMUNICATION ABOUT THE HOSPITAL STAY AND PROVIDING PATIENTS WITH PERSONALIZED HEALTH INFORMATION AND EDUCATIONAL CONTENT. FOR ROUTINE CARE, THE FACILITY INCLUDES A MULTISPECIALTY CLINIC WITH ADULT AND PEDIATRIC PRIMARY CARE, ORTHOPAEDICS, CARDIOLOGY, OPHTHALMOLOGY, PULMONARY SERVICES AND WOMEN'S HEALTH SERVICES. ALSO AVAILABLE ARE IMAGING AND LAB SERVICES, MEDICAL ONCOLOGY SERVICES, CHEMOTHERAPY AND INFUSIONS, GENERAL SURGERY SERVICES. ADULT AND PEDIATRIC PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY SERVICES ARE ALSO PROVIDED. II. MAJOR PROGRAM SERVICES SERVICES OFFERED BY GMCM: ADULT AND PEDIATRIC PRIMARY CARE DERMATOLOGY PHARMACY IMAGING INPATIENT UNIT LAB SERVICES EMERGENCY ROOM INFUSIONS MEDICATION THERAPY MANAGEMENT PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY PULMONOLOGY SPECIALTY CLINICS INCLUDING: CARDIOLOGY HEMATOLOGY AND ONCOLOGY GASTROENTEROLOGY ORTHOPAEDICS EYE CARE PODIATRY SURGERY WOMEN'S HEALTH SERVICES TELEMEDICINE UROLOGY III. PROGRAM SERVICE ACCOMPLISHMENTS UNCOMPENSATED CARE GMCM RECOGNIZES THAT ITS MISSION IS TO SERVE ALL THE MEMBERS OF THE COMMUNITY WITH RESPECT TO THE PROVISION OF HEALTHCARE SERVICES AND HEALTHCARE EDUCATION. GMCM PROVIDES QUALITY MEDICAL HEALTHCARE REGARDLESS OF RACE, RELIGION, ETHNICITY, SEXUAL ORIENTATION, GENDER IDENTIY, HANDICAP, AGE OR ABILITY TO PAY. IN THIS REGARD, GMCM PROVIDES FREE CARE OR SUBSIDIZED CARE, TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT OR BELOW COST, AND PROVIDES VARIOUS HEALTH ACTIVITIES AND PROGRAMS IN SUPPORT OF THE COMMUNITIES WHERE GMCM PRACTICES. A. CHARITY CARE THE PRIMARY CONCERN OF GMCM IS THE DELIVERY OF HEALTH CARE TO ALL THE CITIZENS IN ITS PENNSYLVANIA SERVICE AREA, REGARDLESS OF THEIR ABILITY TO PAY. THE UNREIMBURSED COST OF CHARITY CARE REPRESENTS THE COST GMCM INCURRED BY PROVIDING FREE OR DISCOUNTED SERVICES TO THOSE WHO COULD NOT AFFORD TO PAY. FOR THE YEAR ENDED DECEMBER 31, 2022, THE COST OF CHARITY CARE WAS 589,874. B. MEDICARE/MEDICAID RECOGNIZING ITS MISSION TO THE COMMUNITY, SERVICES ARE PROVIDED TO THE ELDERLY (MEDICARE) AND THE POOR (MEDICAID). GMCM PROVIDES CARE, BELOW COST, TO PERSONS COVERED BY THESE GOVERNMENTAL PROGRAMS. TO THE EXTENT REIMBURSEMENT IS BELOW THE COST OF PROVIDING HEALTHCARE, GMCM IS FURTHERING ITS MISSION TO THE ENTIRE COMMUNITY. THE UNREIMBURSED VALUE OF MEDICARE AND/OR MEDICAID IS EQUAL TO THE COST OF PROVIDING SERVICES LESS THE AMOUNT OF REIMBURSEMENT RECEIVED UNDER THE PROGRAM. FOR THE YEAR ENDED DECEMBER 31, 2022, THE UNREIMBURSED VALUE OF PROVIDING CARE TO THESE PATIENTS WAS 18,449,007. C. OTHER UNCOMPENSATED PATIENT SERVICES IN ADDITION, GMCM PROVIDES OTHER PATIENT SERVICES FOR WHICH FULL PAYMENT IS NOT RECEIVED. THE UNCOMPENSATED COST OF PROVIDING SUCH PATIENT SERVICES DURING THE YEAR ENDED DECEMBER 31, 2022, WAS 211,290. III. COMMUNITY HEALTH, EDUCATION, AND OUTREACH GMCM STRIVES TO BE A VALUABLE RESOURCE FOR THE COMMUNITY AND ITS RESIDENTS. GMCM PROVIDES REDUCED-PRICE SERVICES AND FREE PROGRAMS THROUGHOUT THE YEAR THAT SERVE COMMUNITY HEALTH NEEDS. THESE SERVICES AND PROGRAMS INCLUDE COMMUNITY BASED CLINICAL HEALTH SCREENINGS, COMMUNITY HEALTH EDUCATION, AND OTHER UNIQUE SERVICES. A.HEALTH CARE SUPPORT ACTIVITIES GMCM PROVIDED TRANSPORTATION FOR INDIGENT PATIENTS AT A COST OF 48,148. B.HEALTH PROFESSIONS EDUCATION GMCM PROVIDED 19,563 IN SUPERVISION OF NURSING AND PHARMACY STUDENTS COMPLETING ROTATIONS AS PART OF THEIR STUDIES DURING THE YEAR ENDED DECEMBER 31, 2022. C.OTHER COMMUNITY BENEFIT IN 2022, GMCM PARTICIPATED IN THE GEISINGER ANNUAL VETERAN'S APPRECIATION DINNER AT A COST OF 5,329. D. VOLUNTEER SERVICES IT IS ANTICIPATED, THE VOLUNTEERS OF GEISINGER MEDICAL CENTER MUNCY WILL BE AN ACTIVE AND VITAL PART OF THE ACTIVITIES OF THE HOSPITAL. THE HOURS OF VOLUNTEER SERVICES ARE AN IMPORTANT CONTRIBUTION TO THE MISSION OF GMCM. DURING ITS START-UP YEAR, VOLUNTEERS FROM LOCAL COMMUNITIES CONTRIBUTED 13 HOURS TOWARD THE COMMON PURPOSE OF SERVICING THE HEALTHCARE OF THE COMMUNITY. THE VALUE OF THIS CONTRIBUTION OF 392 IS GIVEN BACK TO THE COMMUNITY THROUGH LOWER COSTS IN BOTH PATIENT SERVICES AND "WELLNESS" PROGRAMS. IV. COMMUNITY BENEFITS SUMMARY CHARITY CARE 589,874 MEDICARE/MEDICAID/OTHER GOVERNMENTAL 18,449,007 OTHER UNCOMPENSATED CARE 211,290 COMMUNITY HEALTH, EDUCATION, AND OUTREACH 73,040 VOLUNTEER SERVICES (VALUED AT 01/01/2022 392 PA STATEWIDE AVERAGE WEEKLY WAGE) TOTAL 19,323,603 V. STATISTICAL SUMMARY YEAR ENDED DECEMBER 31, 2022 DISCHARGES 872 AVERAGE LENGTH OF STAY 3.3 PERCENT OF OCCUPANCY 38.9% PATIENT DAYS 2,839 TOTAL OR CASES 1,353 OUTPATIENT VISITS (INCLUDES OUTPATIENT ER VISITS) 59,098 OUTPATIENT EMERGENCY ROOM VISITS 11,291 BEDS 20 | Desc |
| Total Program Service Expenses | $51,173,741 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | 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 | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | 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 | false | 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 | false | 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 | false | 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 | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 0 | EmployeeCnt |
| 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 | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 1 | 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 | false | InvestmentInJointVentureInd |
| 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 (10 entries)
| TitleTitleTxt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd | Average Hours Per WeekAverageHoursPerWeekRt |
|---|---|---|---|---|---|---|---|---|
| JAEWON RYU MD JD | ||||||||
| DIRECTOR | 40.00 | Yes (X) | $0 | $5,545,041 | $1,560,940 | |||
| MATTHEW WALSH | ||||||||
| PRESIDENT, D | 40.00 | Yes (X) | $0 | $1,371,594 | $307,990 | Yes (X) | ||
| GERALD V MALONEY DO | ||||||||
| DIRECTOR | 40.00 | Yes (X) | $0 | $809,293 | $133,494 | |||
| SPENCER KOWAL | ||||||||
| TREASURER, D | 40.00 | Yes (X) | $0 | $736,198 | $131,053 | Yes (X) | ||
| JAMES C ARMSTRONG CPA FHFMA CGMC | ||||||||
| FORMER OFFIC | 40.00 | $0 | $730,338 | $0 | Yes (X) | |||
| JASON SCHAUER MD | ||||||||
| DIRECTOR | 40.00 | Yes (X) | $0 | $453,959 | $53,767 | |||
| TRACEY W WOLFE MHA | ||||||||
| DIRECTOR | 40.00 | Yes (X) | $0 | $403,527 | $86,024 | |||
| JEFFREY J ADAMS | ||||||||
| DIRECTOR | 40.00 | Yes (X) | $0 | $375,311 | $91,480 | |||
| TAMMY ANDERER CRNP PHD | ||||||||
| SECRETARY, D | 40.00 | Yes (X) | $0 | $290,901 | $36,905 | Yes (X) | ||
| JACQUELINE HOLDER DO MBA | ||||||||
| DIRECTOR | Yes (X) | $0 | $0 | $0 | 0.25 | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Reportable Comp Rltd Org | $10,716,162 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $2,401,653 | TotalOtherCompensationAmt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (3 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | CompensationCompensationAmt |
|---|---|---|---|---|
| HCSC | ||||
| PO BOX 8016 | LANCASTER | PA | 17601 | $243,175 |
| ETTINGERS LANDSCAPING | ||||
| 2345 WARRENSVILLE ROAD | MONTOURSVILLE | PA | 17754 | $131,347 |
| QUEST DIAGNOSTICS | ||||
| PO BOX 912512 | PASADENA | CA | 91110 | $101,239 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 3 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| PATIENT HEALTHCARE | 622110 | $36,636,200 | $36,636,200 | |
| RENTAL INCOME | 531120 | $952,011 | $952,011 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $37,588,211 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $227 | TotalRevenueColumnAmt |
| Exclusion | $227 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Personal | $471,193 | PersonalAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Personal | $471,193 | PersonalAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|---|
| CAFE SALES | 722514 | $119,771 | $119,771 | |
| PURCHASE DISCOUNTS | 900099 | $47,363 | $47,363 | |
| VENDING COMMISSIONS | 900099 | $2,200 | $2,200 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $44 | TotalRevenueColumnAmt |
| Exclusion | $44 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $169,378 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $37,757,816 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $36,683,563 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $1,074,253 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $99 | TotalAmt |
| Management And General | $99 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,831 | TotalAmt |
| Program Services | $3,725 | ProgramServicesAmt |
| Management And General | $6,106 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,261,378 | TotalAmt |
| Program Services | $18,500,864 | ProgramServicesAmt |
| Management And General | $760,514 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,089,561 | TotalAmt |
| Program Services | $925,340 | ProgramServicesAmt |
| Management And General | $164,221 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $89,742 | TotalAmt |
| Program Services | $77,256 | ProgramServicesAmt |
| Management And General | $12,486 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,737,014 | TotalAmt |
| Program Services | $1,609,709 | ProgramServicesAmt |
| Management And General | $127,305 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $39,952 | TotalAmt |
| Program Services | $34,035 | ProgramServicesAmt |
| Management And General | $5,917 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $37 | TotalAmt |
| Program Services | $37 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,702,436 | TotalAmt |
| Program Services | $6,647,876 | ProgramServicesAmt |
| Management And General | $54,560 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $218,413 | TotalAmt |
| Program Services | $46,559 | ProgramServicesAmt |
| Management And General | $171,854 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $15,340,986 | $15,340,175 | $811 |
| INTERCOMPANY EXPENSE | $7,644,854 | $7,339,801 | $305,053 |
| UNCOLLECTIBLE EXPENSE | $622,414 | $622,414 | |
| BOOKS, LICENSES, DUES | $26,288 | $23,827 | $2,461 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,123 | TotalAmt |
| Program Services | $2,123 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $52,785,128 | TotalAmt |
| Program Services | $51,173,741 | ProgramServicesAmt |
| Management And General | $1,611,387 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part X | Yes (X) | InfoInScheduleOPartXInd |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,073 | BOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $3,218,865 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $5,049,929 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $2,252,025 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,440,673 | BOYAmt |
| EOY | $298,190 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $103,624,810 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $7,219,471 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,590,132 | BOYAmt |
| EOY | $96,405,339 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $92 | BOYAmt |
| EOY | $1,108,207 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,031,970 | BOYAmt |
| EOY | $108,332,555 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,168 | BOYAmt |
| EOY | $191,141 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $30,424 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,133,852 | BOYAmt |
| EOY | $39,830,019 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,148,020 | BOYAmt |
| EOY | $40,051,584 | 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 | -$3,116,050 | BOYAmt |
| EOY | $68,280,971 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$3,116,050 | BOYAmt |
| EOY | $68,280,971 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,031,970 | BOYAmt |
| EOY | $108,332,555 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$15,027,312 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $86,424,333 | 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 | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
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 | $99 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $99 | 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
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,590,132 | OtherCostOrOtherBasisAmt |
| Book Value | $2,590,132 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $34,678,429 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,786,296 | DepreciationAmt |
| Book Value | $32,892,133 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $61,695,977 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,404,361 | DepreciationAmt |
| Book Value | $56,291,616 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,660,272 | OtherCostOrOtherBasisAmt |
| Depreciation | $28,814 | DepreciationAmt |
| Book Value | $4,631,458 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $96,405,339 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO AFFILIATES | $39,363,401 |
| THIRD PARTY LIABILITIES | $373,296 |
| ACCOUNTS RECEIVABLE CREDIT BALANCES | $93,322 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $39,830,019 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE D, PAGE 4, PART XIII | FormAndLineReferenceDesc |
| Explanation | PART X, LINE 2 - LIABILITY FOR UNCERTAIN TAX POSITIONS EFFECTIVE JULY 1, 2007, GEISINGER (1) ADOPTED ACCOUNTING STANDARDS CODIFICATION 740 (FIN 48), (FORMERLY KNOWN AS "STATEMENT 109: ACCOUNTING FOR INCOME TAXES- OR "FAS 109"). FIN 48 CLARIFIES THE ACCOUNTING AND REPORTING FOR INCOME TAXES WHERE INTERPRETATION OF THE TAX LAW MAY BE UNCERTAIN. FIN 48 PRESCRIBES A COMPREHENSIVE MODEL FOR THE FINANCIAL STATEMENT RECOGNITION, MEASUREMENT, PRESENTATION AND DISCLOSURE OF INCOME TAX UNCERTAINTIES WITH RESPECT TO POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN INCOME TAX RETURNS. THE ADOPTION OF FIN 48 HAD NO IMPACT ON UNRESTRICTED NET ASSETS AS OF THE END OF THE FISCAL YEAR OR ANY PREVIOUS YEARS SINCE ADOPTION. ACCORDINGLY, NO FIN 48 FOOTNOTE DISCLOSURE WAS MADE IN THE GEISINGER CONSOLIDATED FINANCIAL STATEMENTS. (1) 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. | 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 | $589,874 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $589,874 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01120 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $8,225,754 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,321,640 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,904,114 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.11190 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $334,858 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $181,638 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $153,220 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00290 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $9,150,486 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,503,278 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,647,208 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.12590 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $73,040 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $73,040 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00140 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $73,040 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $73,040 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00140 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $9,223,526 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,503,278 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,720,248 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.12730 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $601,566 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $11,211 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $9,226,186 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $8,806,021 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $420,165 | 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 | GEISINGER MEDICAL CENTER MUNCY | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 255 US-220 | AddressLine1Txt |
| City | MUNCY | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 17756 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.GEISINGER.ORG | WebsiteAddressTxt |
| State License | 50730101 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GEISINGER MEDICAL CENTER MUNCY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | Yes (true) | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | Yes (true) | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | false | CHNAConductedInd |
| 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 (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FACILITY 1, GEISINGER MEDICAL CENTER MUNCY - PART V, LINE 2 | GEISINGER MEDICAL CENTER MUNCY WAS FORMED ON JUNE 11, 2020 AND WAS ISSUED AN IRS DETERMINATION LETTER ON JULY 27, 2022 WITH AN EXEMPTION EFFECTIVE DATE OF JUNE 11, 2020. GEISINGER MEDICAL CENTER MUNCY WAS LICENSED AS A HOSPITAL BY THE STATE OF PENNSYLVANIA ON JANUARY 5, 2022. |
| FACILITY 1, GEISINGER MEDICAL CENTER MUNCY - PART V, LINE 13B | RECENT WAGE STATEMENTS, UNEMPLOYMENT OR OTHER DOCUMENTATION OF BENEFITS OR COMPENSATION RECEIVED MAY BE CONSIDERED IN DETERMINING FINANCIAL ASSISTANCE ELIGIBILITY. |
| FACILITY 1, GEISINGER MEDICAL CENTER MUNCY - PART V, LINE 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, GEISINGER MEDICAL CENTER MUNCY - PART V, LINE 20E | REFER TO RESPONSE FOR PART III, LINE 9B |
Supplemental Information Detail SupplementalInformationDetail (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 2 | REFER TO THE RESPONSE FOR PART III, LINE 4. |
| SCHEDULE H, PART III, LINE 3 | PATIENTS' ACCOUNTS ARE MONITORED THROUGHOUT THE BILLING PROCESS AND ARE RECLASSIFIED TO CHARITY CARE (100% DISCOUNTED CARE) WHENEVER A PATIENT BECOMES ELIGIBLE UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE/CHARITY CARE POLICY. DURING CALENDAR 2022, APPROXIMATELY 2% OF THE BAD DEBT ACCOUNTS WERE SUBSEQUENTLY RECLASSIFIED TO UNCOMPENSATED OR CHARITY CARE. |
| SCHEDULE H, PART III, LINE 4 | PART III, LINES 2 AND 4: GEISINGER HEALTH AND ITS AFFILIATES ("GEISINGER"), THAT INCLUDES THE HOSPITAL, PREPARE AND ISSUE AUDITED CONSOLIDATED FINANCIAL STATEMENTS, ANNUALLY. FOOTNOTE 2, SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES BEGINNING AT PAGE 7 WITHIN THESE FINANCIAL STATEMENTS INCLUDES A DESCRIPTION OF THE ACCOUNTING FOR NET PATIENT SERVICE REVENUE AND ACCOUNTS RECEIVABLE. THIS DISCLOSURE ALSO DESCRIBES THE RELATED EXPLICIT AND IMPLICIT PRICE CONCESSIONS AND BAD DEBTS EXPENSE. CHARITY CARE IS ALSO DESCRIBED IN THE SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES. GEISINGER'S PRICE CONCESSIONS, BAD DEBTS AND CHARITY CARE METHODOLOGIES ARE CONSISTENTLY APPLIED ACROSS ALL CHARITABLE AFFILIATES. |
| SCHEDULE H, PART III, LINE 8 | PART III, LINE 3-BAD DEBT: MEDICARE COSTS WERE DERIVED FROM THE MEDICARE COST REPORT AND THE COST ACCOUNTING SYSTEM. THE ORGANIZATION BELIEVES THAT MEDICARE UNDERPAYMENTS (SHORTFALL) AND THE COST OF BAD DEBT 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 THAT MEDICARE UNDERPAYMENTS (SHORTFALLS) AND BAD DEBT 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 12,391,672 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. BOTH THE HOSPITAL AND THE AHA BELIEVE THAT PATIENT BAD DEBT BE REPORTED AS A COMMUNITY BENEFIT ON FORM 990, SCHEDULE H, PART I, LINE 7. LIKE MEDICARE UNDERPAYMENTS (SHORTFALLS), BAD DEBT SHOULD BE REPORTED AS COMMUNITY BENEFIT BECAUSE: -A SIGNIFICANT PORTION OF BAD DEBT IS ATTRIBUTABLE TO LOW-INCOME PATIENTS, WHO FOR MANY REASONS DECLINE TO COMPLETE THE FORMS REQUIRED TO ESTABLISH ELIGIBILITY UNDER THE HOSPITAL'S CHARITY CARE OR FINANCIAL ASSISTANCE POLICY (FAP). A 2006 CONGRESSIONAL BUDGET OFFICE ("CBO"), "NONPROFIT HOSPITALS AND THE PROVISION OF COMMUNITY BENEFIT", CITED TWO STUDIES INDICATING THAT "THE GREAT MAJORITY OF BAD DEBT WAS ATTRIBUTABLE TO PATIENTS WITH INCOMES BELOW 200% OF THE FEDERAL POVERTY LINE." -THE CBO REPORT ALSO NOTED THAT A SUBSTANTIAL PORTION OF THE BAD DEBT IS PENDING CHARITY CARE. UNLIKE BAD DEBT IN OTHER INDUSTRIES, HOSPITAL BAD DEBT IS COMPLICATED BY THE FACT THAT HOSPITALS FOLLOW THEIR CHARITABLE MISSION TO THE COMMUNITY AND TREAT EVERY PATIENT THAT COMES THROUGH THE EMERGENCY DEPARTMENT, REGARDLESS OF ABILITY TO PAY. PATIENTS WHO HAVE OUTSTANDING BILLS ARE NOT TURNED AWAY, UNLIKE OTHER INDUSTRIES. BAD DEBT IS FURTHER COMPLICATED BY THE AUDITING INDUSTRY'S STANDARDS ON REPORTING CHARITY CARE. MANY PATIENTS CANNOT OR DO NOT PROVIDE THE NECESSARY DOCUMENTATION REQUIRED TO BE DEEMED CHARITY CARE BY AUDITORS. AS A RESULT, ACCORDING TO THE CBO REPORT, ROUGHLY 40% OF BAD DEBT IS PENDING CHARITY CARE. (DURING THE YEAR ENDED DECEMBER 31, 2022, APPROXIMATELY 2% OF THE HOSPITAL'S BAD DEBT WAS SUBSEQUENTLY RECLASSIFIED TO CHARITY CARE.) THE CBO CONCLUDED THAT ITS FINDINGS "SUPPORT THE VALIDITY OF THE USE OF UNCOMPENSATED CARE (BAD DEBT AND CHARITY CARE) AS A MEASURE OF COMMUNITY BENEFITS" ASSUMING THE FINDINGS ARE GENERALIZED NATIONALLY. THE EXPERIENCE OF HOSPITALS NATIONWIDE REINFORCE THAT THEY ARE GENERALIZABLE. AS OUTLINED BY THE AHA, DESPITE THE HOSPITAL'S BEST EFFORTS AND DUE DILIGENCE, PATIENT BAD DEBT IS A PART OF THE CHARITABLE MISSION AND CHARITABLE PURPOSES. BAD DEBT REPRESENTS PART OF THE BURDEN HOSPITALS' BEAR IN SERVING ALL PATIENTS REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. IN ADDITION, THE HOSPITAL INVESTS SIGNIFICANT RESOURCES IN SYSTEMS AND STAFF TRAINING TO ASSIST PATIENTS THAT ARE IN NEED OF FINANCIAL ASSISTANCE. FOR THE |
| 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. HOSPITAL 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 THE HOSPITAL 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 THE HOSPITAL'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 HOSPITAL 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. THE HOSPITAL MAY OFFER EXTENDED PAYMENT PLANS TO PATIENTS WHO ARE COOPERATING IN GOOD FAITH TO RESOLVE THEIR HOSPITAL BILLS. EMERGENCY & MEDICALLY NECESSARY SERVICES: THE HOSPITAL 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, THE HOSPITAL 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 HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM. ADVANCE PAYMENT IS NOT REQUIRED FOR ANY MEDICALLY NECESSARY SERVICES. COMPLIANCE WITH INTERNAL REVENUE CODE SECTION 501(R)(6): THE HOSPITAL 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 THE HOSPITAL, 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. THE HOSPITAL 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 THE HOSPITAL 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. THE HOSPITAL 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. |
| 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 | POPULATION TRENDS THE NORTH CENTRAL REGION IS PREDOMINANTLY RURAL. TOTAL POPULATION OF THE NORTH CENTRAL REGION IS APPROXIMATELY 150,000; 75% OF THE POPULATION IS LOCATED WITHIN LYCOMING COUNTY. WILLIAMSPORT (LYCOMING COUNTY) IS THE LARGEST MUNICIPALITY IN THE REGION WITH APPROXIMATELY 30,000 RESIDENTS. THE WILLIAMSPORT POPULATION IS MORE DIVERSE IN AGE, RACE, AND ETHNICITY THAN THE SURROUNDING MUNICIPALITIES. LYCOMING COLLEGE (1,100 STUDENT BODY) AND PENNSYLVANIA COLLEGE OF TECHNOLOGY, KNOWN AS PENN COLLEGE, (5,000 STUDENT BODY) ARE LOCATED IN WILLIAMSPORT. LOCK HAVEN IS THE LARGEST CITY CENTER IN CLINTON COUNTY WITH APPROXIMATELY 10,000 RESIDENTS. LOCK HAVEN IS THE COUNTY SEAT AND HOME TO LOCK HAVEN UNIVERSITY OF PENNSYLVANIA WITH A STUDENT BODY OF ABOUT 3,400. AS A WHOLE, THE NORTH CENTRAL REGION IS SIGNIFICANTLY LESS DIVERSE AND OLDER AS COMPARED TO STATE AND/OR NATIONAL BENCHMARKS. PENNSYLVANIA AND THE NORTH CENTRAL REGION HAVE A HIGHER MEDIAN AGE THAN THE NATION. APPROXIMATELY 20% OF RESIDENTS ACROSS THE STATE AND REGION ARE AGE 65 OR OVER, AND THAT PERCENTAGE IS PROJECTED TO INCREASE NEARLY 7 PERCENTAGE POINTS BY 2025. THE CLINTON COUNTY POPULATION DECLINED BY 5.1% FROM 2017- 2020, THE LARGEST POPULATION DECLINE IN THE GEISINGER SERVICE AREA. THIS PACE IS PROJECTED TO SLOW BY 2025 AND ALIGN WITH LYCOMING COUNTY AT ABOUT -1.5%. ABOUT 5% OF RESIDENTS IN LYCOMING COUNTY ARE BLACK COMPARED TO 1.6% IN CLINTON COUNTY, AND LESS THAN 3% OF RESIDENTS IN EITHER COUNTY IDENTIFY AS LATINX (OF ANY RACE). GREATER DIVERSITY IN LYCOMING COUNTY IS DRIVEN PRIMARILY BY THE WILLIAMSPORT CITY POPULATION, WHERE 14% OF THE POPULATION IS BLACK AND ABOUT 4% OF THE POPULATION IS LATINX (OF ANY RACE). THE AMISH POPULATION MAKES UP APPROXIMATELY 2.5% OF THE TOTAL NORTH CENTRAL REGION POPULATION. CLINTON COUNTY HAS MORE THAN TWICE AS MANY AMISH (2,527) AS LYCOMING COUNTY (1,194). THE ESTIMATED AMISH POPULATION FOR THE REGION INCREASED NEARLY 11% FROM 3,360 TO 3,721 FROM 2017 TO 2020. DISABILITY-BOTH PHYSICAL AND COGNITIVE-IS MORE PREVALENT AMONG PEOPLE IN THE NORTH CENTRAL REGION THAN IN OTHER PA COUNTIES. WHILE SENIORS COMPRISE THE MAJORITY OF INDIVIDUALS WITH A DISABILITY, WITHIN CLINTON COUNTY, MORE THAN 7% OF YOUTH REPORT A DISABILITY COMPARED TO 5% STATEWIDE. SOCIOECONOMIC TRENDS CLINTON AND LYCOMING COUNTIES BOAST RICH NATURAL RESOURCES AND A LONG HERITAGE IN AGRICULTURE AND MANUFACTURING. MULTIPLE GENERATIONS OF FAMILIES RESIDE WITHIN WELL-ESTABLISHED COMMUNITIES, ANCHORED BY FAITH AND PREDOMINANTLY CONSERVATIVE-LEANING VALUES. THE SOCIOECONOMICS OF CLINTON AND LYCOMING COUNTIES ARE CONSISTENT WITH OTHER RURAL COMMUNITIES ACROSS PA. COMMON FACTORS INCLUDE A PREDOMINANTLY BLUE-COLLAR WORKFORCE; LOWER MEDIAN INCOME LEVELS; INCREASED FOOD INSECURITY; AVERAGE HIGH SCHOOL GRADUATION RATES WITH LESS COLLEGE DEGREES; AND MORE HOME OWNERSHIP WITH LOWER HOUSING COST BURDEN. DESPITE COMMON FACTORS ACROSS THE NORTH CENTRAL REGION, DISTINCT DIFFERENCES EXIST BETWEEN THE TWO COUNTIES. CLINTON COUNTY IS MORE RURAL THAN LYCOMING COUNTY WITH MORE THAN 60% OF THE COUNTY DESIGNATED AS STATE LAND AND OPEN TO THE PUBLIC. THE CITY OF WILLIAMSPORT (LYCOMING COUNTY) BOASTS CULTURAL ATTRACTIONS INCLUDING THE LITTLE LEAGUE WORLD SERIES AND LITTLE LEAGUE HALL OF FAME. THESE RESOURCES LEND TO STRONG TOURISM IN BOTH COUNTIES. FULLTIME CLINTON COUNTY RESIDENTS EXPERIENCE MORE POVERTY AND RELATED CONCERNS THAN LYCOMING COUNTY RESIDENTS. IN CLINTON COUNTY, 17% OF ALL RESIDENTS AND 23% OF CHILDREN LIVE IN POVERTY COMPARED TO 14% OF LYCOMING COUNTY RESIDENTS AND 21% OF CHILDREN AND STATEWIDE PERCENTAGES OF 13% AND 18%, RESPECTIVELY. ONE IN FIVE (20%) OF CHILDREN LIVE IN FOOD INSECURE HOUSEHOLDS COMPARED TO 18% IN LYCOMING COUNTY AND 15% STATEWIDE AND NATIONALLY. THE PERCENTAGE OF RENTERS IS EQUAL IN BOTH COUNTIES, BUT LYCOMING COUNTY RENTERS ARE MORE LIKELY TO BE COST BURDENED THAN CLINTON COUNTY RENTERS. BOTH COUNTIES ARE LESS COST BURDENED THAN THE STATE OR NATIONAL AVERAGES. HOUSING COST BURDEN IS DEFINED AS SPENDING 30% OR MORE OF HOUSEHOLD INCOME ON RENT OR MORTGAGE EXPENSES. HOUSING STOCK IN LYCOMING COUNTY IS GENERALLY OLDER THAN IN CLINTON COUNTY, AND THE STATE AND NATION. FRACKING, OR HYDROFRACKING, HAS BEEN A CONTROVERSIAL INDUSTRY ACROSS PA AND THE NORTH CENTRAL REGION. IT HAS BROUGHT ECONOMIC BENEFIT TO THE NORTH CENTRAL REGION, BUT IT HAS ALSO GENERATED CONCERNS ABOUT HEALTH, INCREASED HOUSING RENTAL COSTS, DECREASED PROPERTY VALUES, AND LONG-TERM ENVIRONMENT IMPACT. CONTINUED MONITORING OF HEALTH, SOCIOECONOMIC, AND ENVIRONMENTAL FACTORS IS ESSENTIAL TO BETTER UNDERSTAND THE FULL IMPACT OF THIS INDUSTRY ON THE NORTH CENTRAL REGION. AS A RESULT OF THE COVID-19 PANDEMIC, THE NORTH CENTRAL REGION UNEMPLOYMENT RATE MORE THAN DOUBLED IN CLINTON COUNTY AND NEARLY TRIPLED IN LYCOMING COUNTY FROM MAY 2019 TO MAY 2020. AS OF MAY 2020, UNEMPLOYMENT RATES IN CLINTON (11%) AND LYCOMING (13%) COUNTIES WERE SIMILAR TO OR LOWER THAN THE STATE AND NATION (13%). HEALTH TRENDS ACCESS TO HEALTHCARE THE PRIMARY CARE PROVIDER RATE, A MEASURE OF PROVIDER AVAILABILITY, INCREASED IN LYCOMING COUNTY AND IS SIMILAR TO THE STATE RATE. THE CLINTON COUNTY PROVIDER RATE DECREASED AND IS NEARLY 30 POINTS LOWER THAN THE STATE. THE NORTH CENTRAL REGION HAS FEWER DENTISTS THAN THE STATE AND NATION; BOTH CLINTON AND LYCOMING COUNTIES ARE DENTAL HEALTH PROFESSIONAL SHORTAGE AREAS (HPSAS) FOR LOW-INCOME RESIDENTS. BOTH COUNTIES ARE ALSO MENTAL HEALTH HPSAS. KEY INFORMANT SURVEY RESPONDENTS AFFIRMED THE NEED FOR ADDITIONAL BEHAVIORAL HEALTH SERVICES, PARTICULARLY MENTAL HEALTH SERVICES. MENTAL HEALTH SERVICES WERE THE TOP RANKED MISSING RESOURCE IN THE REGION, IDENTIFIED BY 63% OF RESPONDENTS. SUBSTANCE USE DISORDER SERVICES WERE THE THIRD RANKED MISSING RESOURCE, IDENTIFIED BY 33% OF RESPONDENTS. ACROSS THE NORTH CENTRAL REGION, UNINSURED RATES AMONG ADULTS ARE DECREASING AND GENERALLY IN LINE WITH THE STATE AND BETTER THAN THE NATIONAL AVERAGE. HOWEVER, THE PERCENTAGE OF UNINSURED YOUTH IN CLINTON COUNTY IS MORE THAN DOUBLE STATE AND NATIONAL AVERAGES. MOST UNINSURED RESIDENTS IN CLINTON COUNTY ARE WHITE, WHILE BLACK AND/OR LATINX RESIDENTS EXPERIENCE DISPARITIES IN HEALTH INSURANCE COVERAGE IN LYCOMING COUNTY. CHRONIC DISEASE PREVENTION AND MANAGEMENT ABOUT 59% OF KEY INFORMANT SURVEY RESPONDENTS NAMED OVERWEIGHT/OBESITY AMONG THE TOP THREE HEALTH CONCERNS, RANKING IT AS THE 1 CONCERN FOR THE REGION. OBESITY AMONG ADULTS AND CHILDREN IN THE NORTH CENTRAL REGION CONTINUES TO INCREASE AND EXCEEDS STATE AND NATIONAL BENCHMARKS. AS OF 2017, APPROXIMATELY 40% OF ADULTS IN BOTH COUNTIES WERE OBESE AND NEARLY 30% OF STUDENTS IN GRADES 7-12 WERE OBESE COMPARED TO 19.5% OF THEIR PEERS STATEWIDE. IN CONTRAST TO NATIONAL TRENDS, TOBACCO USE IS INCREASING AMONG ADULTS IN PA AND THE NORTH CENTRAL REGION. LYCOMING COUNTY HAS THE HIGHEST RATE OF ADULT SMOKING, EXCEEDING THE STATE AND NATION, BUT CLINTON COUNTY SAW THE GREATEST INCREASE IN ADULT SMOKING (3 POINTS) FROM 2016 TO 2017. YOUTH VAPING/E-CIGARETTE USE IS ALSO ON THE RISE. FROM 2015 TO 2019, THE PERCENTAGE OF LYCOMING COUNTY YOUTH WHO REPORTED RECENT VAPING OR E- CIGARETTE USE INCREASED FROM 17% TO 23% AND CURRENTLY EXCEEDS THE STATEWIDE AVERAGE OF 19%. THESE RISK FACTORS MAY CONTRIBUTE TO HIGHER DEATH RATES FROM CHRONIC DISEASE. THE NORTH CENTRAL REGION HAS HIGHER DEATH RATES THAN THE STATE AND NATION FOR CANCER, CHRONIC LOWER RESPIRATORY DISEASE, AND DIABETES. CLINTON COUNTY ALSO HAS A HIGHER, INCREASING DEATH RATE DUE TO HEART DISEASE. CONSISTENT WITH STATE AND NATIONAL DATA, CANCER DEATH RATES ARE DECLINING WITHIN THE NORTH CENTRAL REGION. HIGHER POVERTY RATES, LOWER EDUCATIONAL ATTAINMENT, AND RURAL GEOGRAPHIES CONSISTENT WITH MOST OF THE NORTH CENTRAL REGION CONTRIBUTE TO HEALTH DISPARITIES AND REDUCE RESIDENTS' ABILITY TO ACCESS NEEDED HEALTH AND SOCIAL SERVICES. PEOPLE OF COLOR HISTORICALLY AND FREQUENTLY EXPERIENCE A HIGHER INCIDENCE OF POOR HEALTH AND SOCIOECONOMIC STATUS THAN WHITE PEOPLE. WHILE THE NORTH CENTRAL REGION IS SIGNIFICANTLY LESS DIVERSE COMPARED TO THE STATE AND NATION, CITY CENTERS THAT BENEFIT FROM MORE DIVERSITY, LIKE WILLIAMSPORT, MUST BE MONITORED TO APPRECIATE THE NATURE AND EXTENT OF DISPARITIES AMONG RACIAL AND ETHNIC SUBPOPULATIONS. BEHAVIORAL HEALTH BEHAVIORAL HEALTH, PARTICULARLY MENTAL HEALTH, WAS SEEN AS A TOP COMMUNITY HEALTH NEED BY KEY INFORMANT SURVEY RESPONDENTS. NORTH CENTRAL REGION ADULTS AND YOUTH EXPERIENCE MORE MENTAL DISTRESS THAN THEIR PEERS STATEWIDE AND NATIONALLY. THE LYCOMING COUNTY SUICIDE DEATH RATE IS INCREASING AND CURRENTLY EXCEEDS STATE AND NATIONAL BENCHMARKS. CLINTON COUNTY SUICIDE DEATH DATA ARE LIMITED, BUT AVAILABLE DATA INDICATE SIMILAR, HIGH RATES. THESE FINDINGS, COUPLED WITH A MENTAL HEALTH HPSA DESIGNATION, INDICATE THAT NORTH CENTRAL REGION RESIDENTS LIKELY DO NOT RECEIVE THE MENTAL HEALTHCARE THEY NEED. LYCOMING COUNTY YOUTH ARE ALSO MORE LIKELY TO REPORT FEELINGS OF DEPRESSION, ATTE |
| SCHEDULE H, PART VI, LINE 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 | AS OF DECEMBER 31, 2021, 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. SEE SCHEDULE R FOR A LIST OF THE AFFILIATED ORGANIZATIONS COMPRISING 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: FORM 990, SCHEDULE H, PART VI, LINE 7, STATE FILING OF COMMUNITY BENEFIT REPORT: AT THIS TIME, THE HOSPITAL AND ITS AFFILIATES ARE NOT REQUIRED TO FILE A COMMUNITY BENEFIT REPORT WITH ANY STATE. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | Yes (true) | 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 (9 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 | Bonus Related OrganizationsBonusRelatedOrganizationsAmt |
|---|---|---|---|---|---|---|---|
| JAEWON RYU MD JD | |||||||
| DIRECTOR | $4,189,940 | $1,355,101 | $1,526,570 | $34,370 | $7,105,981 | $1,322,351 | |
| MATTHEW WALSH | |||||||
| PRESIDENT, DIRECTOR | $1,219,503 | $152,091 | $271,570 | $36,420 | $1,679,584 | $123,179 | |
| GERALD V MALONEY DO | |||||||
| DIRECTOR | $679,749 | $129,544 | $91,570 | $41,924 | $942,787 | $70,375 | |
| SPENCER KOWAL | |||||||
| TREASURER, DIRECTOR | $681,009 | $55,189 | $91,570 | $39,483 | $867,251 | ||
| JAMES C ARMSTRONG CPA FHFMA CGMC | |||||||
| FORMER OFFICER | $730,338 | $730,338 | $138,031 | ||||
| JASON SCHAUER MD | |||||||
| DIRECTOR | $431,179 | $22,530 | $21,570 | $32,197 | $507,726 | $250 | |
| TRACEY W WOLFE MHA | |||||||
| DIRECTOR | $397,983 | $5,544 | $60,636 | $25,388 | $489,551 | ||
| JEFFREY J ADAMS | |||||||
| DIRECTOR | $358,927 | $16,384 | $59,570 | $31,910 | $466,791 | ||
| TAMMY ANDERER CRNP PHD | |||||||
| SECRETARY, DIRECTOR | $274,811 | $16,090 | $19,519 | $17,386 | $327,806 | ||
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE J, PAGE 1, PART I, LINE 4 | JAEWON RYU, MD, JD 0 1,322,351 0 MATTHEW WALSH 0 123,179 0 GERALD V. MALONEY, DO 0 70,375 0 JAMES C. ARMSTRONG, CPA, FHFMA, CGMC 553,769 176,570 0 |
| SCHEDULE J, PART III | PART I, LINE 4A - SEVERANCE PAYMENT UPON INVOLUNTARY SEPARATION, EMPLOYEES MAY BE ELIGIBLE TO RECEIVE CONTINUATION OF SALARY FOR A TERM THAT IS BASED ON THEIR YEARS OF GEISINGER SERVICE AND POSIITON. PART I, LINE 4B - SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN ELIGIBLE EMPLOYEE COMPENSATION MAY BE DEFERRED TO A 457(F)NONQUALIFIED PLAN THAT VESTS WITH COMPLETION OF SERVICE, DEATH AND/OR PERMANENT DISABILITY. __________________________________________________________________________ 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 O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990 - ORGANIZATION'S MISSION | GEISINGER MEDICAL CENTER MUNCY STRIVES TO MAKE BETTER HEALTH EASIER IN THE COMMUNITIES IT SERVES BY PROVIDING ACCESS TO AFFORDABLE, QUALITY HEALTH SERVICES THROUGH AN INNOVATIVE MODEL OF CARE AND COVERAGE BASED ON A BALANCED PROGRAM OF PATIENT AND MEMBER CARE, EDUCATION, RESEARCH, AND COMMUNITY SERVICE. |
| FORM 990, PAGE 2, PART III, LINE 4A | I. GENERAL INFORMATION GEISINGER MEDICAL CENTER MUNCY, (GMCM), A 501(C )(3) NOT-FOR-PROFIT CORPORATION OWNS AND OPERATES A 20 BED ACUTE CARE HOSPITAL IN MUNCY, PA. GMCM BEGAN SEEING PATIENTS JANUARY 10, 2022. GMCM IS MAKING BETTER HEALTH EASIER FOR LYCOMING COUNTY AND THE SURROUNDING AREA. IN ADDITION TO BEING A FULL-SERVICE HOSPITAL, THE NEW FACILITY BRINGS CARE CLOSER TO HOME BY CENTRALIZING SERVICES, LESSENING TRAVEL TIME FOR PATIENTS WHO WENT TO LARGER MEDICAL FACILITIES FOR THEIR CARE. THE 120,000-SQUARE FOOT, THREE-STORY FACILITY IS A 100 MILLION+ INVESTMENT IN MUNCY AND THE SURROUNDING COMMUNITIES AND IS PART OF THE CLINICAL JOINT VENTURE FORMED BY GEISINGER AND HIGHMARK HEALTH IN 2019. FEATURING AN EMERGENCY ROOM, CLINICAL DECISION UNIT, ACUTE CARE UNIT, SURGICAL SUITES AND PRIMARY AND SPECIALTY CARE AREAS, GEISINGER MEDICAL CENTER MUNCY IS DESIGNED TO MEET THE ROUTINE AND ACUTE CARE NEEDS OF THOSE LIVING IN LYCOMING, SULLIVAN, CLINTON AND TIOGA COUNTIES. THE NEW FACILITY INCLUDES THE LATEST INNOVATIONS IN PATIENT-CENTERED CARE AND TECHNOLOGY. THE CLINICAL DECISION UNIT IS A UNIQUE CARE MODEL NEW TO THE COMMUNITY. IT PROVIDES HOSPITAL CARE BUT SERVES AS A MIDDLE GROUND, ALLOWING CLINICIANS TO WORK WITH AND GUIDE PATIENTS SO THEY GET THE RIGHT CARE IN THE RIGHT PLACE. THAT COULD MEAN ADMISSION TO THE HOSPITAL, PROVIDING RESOURCES SO THE PATIENT CAN MANAGE THEIR CONDITION AND AVOID A TRIP TO THE HOSPITAL, OR ARRANGING A VISIT TO A PRIMARY CARE PROVIDER OR OTHER SPECIALIST. THE HOSPITAL'S 20 INPATIENT ROOMS ARE OUTFITTED WITH DIGITAL WHITE BOARDS DISPLAYING REAL-TIME HEALTH INFORMATION TO BETTER COORDINATE CARE. THE WHITE BOARDS SERVE AS A CENTRALIZED INFORMATION HUB THAT CAN BE CONNECTED ACROSS SEVERAL DEVICES AND WILL BE ACCESSIBLE TO THE PATIENT, FAMILY AND CARE TEAM. MESSAGING CAPABILITIES STREAMLINE INTERACTIONS WHILE IMPROVING COMMUNICATION ABOUT THE HOSPITAL STAY AND PROVIDING PATIENTS WITH PERSONALIZED HEALTH INFORMATION AND EDUCATIONAL CONTENT. FOR ROUTINE CARE, THE FACILITY INCLUDES A MULTISPECIALTY CLINIC WITH ADULT AND PEDIATRIC PRIMARY CARE, ORTHOPAEDICS, CARDIOLOGY, OPHTHALMOLOGY, PULMONARY SERVICES AND WOMEN'S HEALTH SERVICES. ALSO AVAILABLE ARE IMAGING AND LAB SERVICES, MEDICAL ONCOLOGY SERVICES, CHEMOTHERAPY AND INFUSIONS, GENERAL SURGERY SERVICES. ADULT AND PEDIATRIC PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY SERVICES ARE ALSO PROVIDED. II. MAJOR PROGRAM SERVICES SERVICES OFFERED BY GMCM: ADULT AND PEDIATRIC PRIMARY CARE DERMATOLOGY PHARMACY IMAGING INPATIENT UNIT LAB SERVICES EMERGENCY ROOM INFUSIONS MEDICATION THERAPY MANAGEMENT PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY PULMONOLOGY SPECIALTY CLINICS INCLUDING: CARDIOLOGY HEMATOLOGY AND ONCOLOGY GASTROENTEROLOGY ORTHOPAEDICS EYE CARE PODIATRY SURGERY WOMEN'S HEALTH SERVICES TELEMEDICINE UROLOGY III. PROGRAM SERVICE ACCOMPLISHMENTS UNCOMPENSATED CARE GMCM RECOGNIZES THAT ITS MISSION IS TO SERVE ALL THE MEMBERS OF THE COMMUNITY WITH RESPECT TO THE PROVISION OF HEALTHCARE SERVICES AND HEALTHCARE EDUCATION. GMCM PROVIDES QUALITY MEDICAL HEALTHCARE REGARDLESS OF RACE, RELIGION, ETHNICITY, SEXUAL ORIENTATION, GENDER IDENTIY, HANDICAP, AGE OR ABILITY TO PAY. IN THIS REGARD, GMCM PROVIDES FREE CARE OR SUBSIDIZED CARE, TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT OR BELOW COST, AND PROVIDES VARIOUS HEALTH ACTIVITIES AND PROGRAMS IN SUPPORT OF THE COMMUNITIES WHERE GMCM PRACTICES. A. CHARITY CARE THE PRIMARY CONCERN OF GMCM IS THE DELIVERY OF HEALTH CARE TO ALL THE CITIZENS IN ITS PENNSYLVANIA SERVICE AREA, REGARDLESS OF THEIR ABILITY TO PAY. THE UNREIMBURSED COST OF CHARITY CARE REPRESENTS THE COST GMCM INCURRED BY PROVIDING FREE OR DISCOUNTED SERVICES TO THOSE WHO COULD NOT AFFORD TO PAY. FOR THE YEAR ENDED DECEMBER 31, 2022, THE COST OF CHARITY CARE WAS 589,874. B. MEDICARE/MEDICAID RECOGNIZING ITS MISSION TO THE COMMUNITY, SERVICES ARE PROVIDED TO THE ELDERLY (MEDICARE) AND THE POOR (MEDICAID). GMCM PROVIDES CARE, BELOW COST, TO PERSONS COVERED BY THESE GOVERNMENTAL PROGRAMS. TO THE EXTENT REIMBURSEMENT IS BELOW THE COST OF PROVIDING HEALTHCARE, GMCM IS FURTHERING ITS MISSION TO THE ENTIRE COMMUNITY. THE UNREIMBURSED VALUE OF MEDICARE AND/OR MEDICAID IS EQUAL TO THE COST OF PROVIDING SERVICES LESS THE AMOUNT OF REIMBURSEMENT RECEIVED UNDER THE PROGRAM. FOR THE YEAR ENDED DECEMBER 31, 2022, THE UNREIMBURSED VALUE OF PROVIDING CARE TO THESE PATIENTS WAS 18,449,007. C. OTHER UNCOMPENSATED PATIENT SERVICES IN ADDITION, GMCM PROVIDES OTHER PATIENT SERVICES FOR WHICH FULL PAYMENT IS NOT RECEIVED. THE UNCOMPENSATED COST OF PROVIDING SUCH PATIENT SERVICES DURING THE YEAR ENDED DECEMBER 31, 2022, WAS 211,290. III. COMMUNITY HEALTH, EDUCATION, AND OUTREACH GMCM STRIVES TO BE A VALUABLE RESOURCE FOR THE COMMUNITY AND ITS RESIDENTS. GMCM PROVIDES REDUCED-PRICE SERVICES AND FREE PROGRAMS THROUGHOUT THE YEAR THAT SERVE COMMUNITY HEALTH NEEDS. THESE SERVICES AND PROGRAMS INCLUDE COMMUNITY BASED CLINICAL HEALTH SCREENINGS, COMMUNITY HEALTH EDUCATION, AND OTHER UNIQUE SERVICES. A.HEALTH CARE SUPPORT ACTIVITIES GMCM PROVIDED TRANSPORTATION FOR INDIGENT PATIENTS AT A COST OF 48,148. B.HEALTH PROFESSIONS EDUCATION GMCM PROVIDED 19,563 IN SUPERVISION OF NURSING AND PHARMACY STUDENTS COMPLETING ROTATIONS AS PART OF THEIR STUDIES DURING THE YEAR ENDED DECEMBER 31, 2022. C.OTHER COMMUNITY BENEFIT IN 2022, GMCM PARTICIPATED IN THE GEISINGER ANNUAL VETERAN'S APPRECIATION DINNER AT A COST OF 5,329. D. VOLUNTEER SERVICES IT IS ANTICIPATED, THE VOLUNTEERS OF GEISINGER MEDICAL CENTER MUNCY WILL BE AN ACTIVE AND VITAL PART OF THE ACTIVITIES OF THE HOSPITAL. THE HOURS OF VOLUNTEER SERVICES ARE AN IMPORTANT CONTRIBUTION TO THE MISSION OF GMCM. DURING ITS START-UP YEAR, VOLUNTEERS FROM LOCAL COMMUNITIES CONTRIBUTED 13 HOURS TOWARD THE COMMON PURPOSE OF SERVICING THE HEALTHCARE OF THE COMMUNITY. THE VALUE OF THIS CONTRIBUTION OF 392 IS GIVEN BACK TO THE COMMUNITY THROUGH LOWER COSTS IN BOTH PATIENT SERVICES AND "WELLNESS" PROGRAMS. IV. COMMUNITY BENEFITS SUMMARY CHARITY CARE 589,874 MEDICARE/MEDICAID/OTHER GOVERNMENTAL 18,449,007 OTHER UNCOMPENSATED CARE 211,290 COMMUNITY HEALTH, EDUCATION, AND OUTREACH 73,040 VOLUNTEER SERVICES (VALUED AT 01/01/2022 392 PA STATEWIDE AVERAGE WEEKLY WAGE) TOTAL 19,323,603 V. STATISTICAL SUMMARY YEAR ENDED DECEMBER 31, 2022 DISCHARGES 872 AVERAGE LENGTH OF STAY 3.3 PERCENT OF OCCUPANCY 38.9% PATIENT DAYS 2,839 TOTAL OR CASES 1,353 OUTPATIENT VISITS (INCLUDES OUTPATIENT ER VISITS) 59,098 OUTPATIENT EMERGENCY ROOM VISITS 11,291 BEDS 20 |
| 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 1099'S FILED BY GSS FOR THE 2022 REPORTING PERIOD ON BEHALF OF ITSELF AND ITS AFFILIATES WAS 1,353. |
| FORM 990, PART VI | FORM 990, PART VI, SECTION A, LINE 1B: ENTER THE NUMBER OF VOTING MEMBERS THAT ARE INDEPENDENT. BASED ON THE FORM 990 DEFINITION OF "INDEPENDENCE" AS IT RELATES TO VOTING MEMBERS OF THE GOVERNING BODY, EIGHT VOTING MEMBERS ARE NOT INDEPENDENT BECAUSE THEY ARE COMPENSATED AS EMPLOYEES OF RELATED TAX-EXEMPT ORGANIZATIONS. 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? GERALD V. MALONEY, DO, JACQUELINE HOLDER, DO, MBA, JAEWON RYU, MD, JD, JEFFREY J. ADAMS, MATTHEW WALSH, SPENCER KOWAL AND TAMMY ANDERER, CRNP, PHD ALL HAVE A BUSINESS RELATIONSHIP WITH ONE ANOTHER BECAUSE THEY SERVE AS OFFICERS AND/OR DIRECTORS ON ONE OR MORE FOR-PROFIT AFFILIATE OF THE ENTITY. ALL OF THE AFFILIATES ARE PART OF GEISINGER. |
| 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 MEMBER OF THE CORPORATION SHALL HAVE THE AUTHORITY TO APPOINT AND REMOVE DIRECTORS, APPOINT AND REMOVE THE PRESIDENT, ADOPT, AMEND AND REPEAL THE CORPORATION'S ARTICLES AND BYLAWS, VOTE ON ALL MATTERS PERTAINING TO THE MEMBER AND SUCH OTHER AUTHORITY AS SET FORTH IN THE PENNSYLVANIA NONPROFIT CORPORATION LAW.SPECIFICALLY, THE FOLLOWING SHALL REQUIRE APPROVAL OF THE MEMBER: A)THE CORPORATION'S STRATEGIC APPROACH TO CLINICAL PROGRAMMING, CONTRACTING, CONTRACTING GUIDELINES AND FRAMEWORK; B)CORPORATION PARTNERSHIPS OR STRATEGIC ALLIANCES WITH THIRD PARTIES; C)APPROVAL OF BUSINESS PLANS INCLUDING OPERATING AND CAPITAL BUDGETS, AND ANY UNBUDGETED CAPITAL EXPENDITURE IF, AFTER GIVING EFFECT THERETO, THE AGGREGATE OF ALL UNBUDGETED CAPITAL EXPENDITURES IN ANY GIVEN FISCAL YEAR WOULD BE GREATER THAN 250,000; FURTHERMORE, NOTWITHSTANDING ANY OTHER PROVISION IN THESE BYLAWS TO THE CONTRARY, THE FOLLOWING SHALL REQUIRE APPROVAL BY A SUPERMAJORITY VOTE OF THE BOARD OF MANAGERS OF THE MEMBER: A)APPROVAL OF ANY PLAN OF MERGER OR CONSOLIDATION, ANY SALE, LEASE, EXCHANGE, MORTGAGE, PLEDGE OR OTHER DISPOSITION OF ALL, OR SUBSTANTIALLY ALL, THE PROPERTY AND ASSETS OF THE CORPORATION, OR REVOCATION OF VOLUNTARY DISSOLUTION PROCEEDINGS; B)TO APPROVE THE CREATION OR ACQUISITION OF ANY SUBSIDIARY OF THE CORPORATION, OR THE CREATION OF ANY OTHER CORPORATION OF WHICH THE CORPORATION IS TO BE A MEMBER, AND TO APPROVE ANY DISSOLUTION OR OTHER CHANGE IN ANY SUCH LEGAL RELATIONSHIP PREVIOUSLY APPROVED BY IT; C)APPOINTMENT AND REMOVAL OF DIRECTORS, APPOINTMENT AND REMOVAL OF THE PRESIDENT, ADOPTION, AMENDMENT AND REPEAL OF THE CORPORATION'S ARTICLES AND BYLAWS, VOTE; AND D)PERMITTING THE CORPORATION TO BORROW MONEY, REFINANCE EXISTING INDEBTEDNESS FOR BORROWED MONEY AND GUARANTEEING OBLIGATIONS OF OTHERS. |
| FORM 990, PAGE 6, PART VI, LINE 11B | 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. 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. THE CHIEF FINANCIAL OFFICER (CFO) OF GEISINGER AND THE INDIVIDUAL ORGANIZATIONS SENIOR FINANCIAL MANAGERS REVIEW THEIR RESPECTIVE FORM 990 PRIOR TO MAKING THE FINAL RETURN AVAILABLE TO THE BOARD. IN ADDITION, THE CHIEF LEGAL OFFICER AND CHIEF HUMAN RESOURCE OFFICER OF GEISINGER REVIEW THE INFORMATION DISCLOSED ON THE FORM 990 RELEVANT TO THEIR RESPECTIVE AREAS OF RESPONSIBILITY. FOR PURPOSES OF THEIR ANNUAL AUDIT OF GEISINGER CONSOLIDATED FINANCIAL STATEMENTS, INDEPENDENT AUDITORS REVIEW ALL FEDERAL TAX RETURNS FILED BY GEISINGER ORGANIZATIONS TO IDENTIFY MATERIAL ITEMS, INCLUDING IF THERE ARE ANY UNCERTAIN TAX POSITIONS THAT MAY BE REQUIRED TO BE RECOGNIZED. THE COMPANY HAD NO UNCERTAIN TAX POSITIONS REQUIRED TO BE REPORTED FOR REPORTING PERIOD. |
| 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 IX, LINE 11G | CONTRACTED LABOR SERVICES 18,015,985 282,127 0 OUTSIDE PURCHASED SERVICES 204,785 397,007 0 PATIENT TRANSPORTATION 48,148 0 0 OUTSIDE TESTS PURCHASED 111,846 0 0 CONSULTING 0 13,052 0 EQUIPMENT MAINTENANCE 103,487 61,284 0 REPAIR OF EQUIPMENT 16,613 7,044 0 TOTAL 18,500,864 760,514 0 |
| FORM 990, PART XI, LINE 9 | TRANSFER FM PARENT, GEISINGER-HM JOINT VENTURE LLC 86,424,333 |
| FORM 990, PART XII | FOOTNOTE: THROUGHOUT THIS DOCUMENT, THE TERMS "GEISINGER- OR "GEISINGER HEALTH" SHALL REFER TO THE ENTIRE HEALTH CARE SYSTEM COMPRISED OF GEISINGER HEALTH FOUNDATION (THE "FOUNDATION") AS PARENT AND ALL SUBSIDIARY CORPORATE ENTITIES COMPRISING THE HEALTH CARE SYSTEM. IN ADDITION, THROUGHOUT THIS DOCUMENT, THE TERM "SYSTEM" SHALL REFER TO THE ENTIRE HEALTH CARE SYSTEM AS PREVIOUSLY DEFINED PLUS ITS AFFILIATES. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (21 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 AVENUE MC 49-70 | DANVILLE | PA | 17822 | 231995911 | PHILANTHRO | PA | 501C3 | 7 | N/A | false | |
| GEISINGER MEDICAL CENTER | |||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 240795959 | HOSPITAL | PA | 501C3 | 3 | false | GH | |
| GEISINGER CLINIC | |||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 236291113 | PHYSN SVCS | PA | 501C3 | 3 | false | GH | |
| GEISINGER WYOMING VALLEY MED CTR | |||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 231996150 | HOSPITAL | PA | 501C3 | 3 | false | GH | |
| MARWORTH | |||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 232171417 | D&A REHAB | PA | 501C3 | 3 | false | GH | |
| GEISINGER HEALTH PLAN | |||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 232311553 | HMO | PA | 501C4 | false | GH | ||
| GEISINGER SYSTEM SERVICES | |||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 232164794 | SUPPORT SV | PA | 501C3 | 12A | false | GH | |
| GEISINGER COMMUNITY HEALTH SERVICES | |||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 232967235 | HEALTHCARE | PA | 501C3 | 10 | false | GSS | |
| GEISINGER INSURANCE CORPORATIONRRG | |||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 141909894 | SELF INS | VT | 501C3 | 12A | false | GH | |
| COMMUNITY MEDICAL CENTER | |||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 240862246 | HOSPITAL | PA | 501C3 | 3 | false | GH | |
| GEISINGER-BLOOMSBURG HOSPITAL | |||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 232193572 | HOSPITAL | PA | 501C3 | 3 | false | GH | |
| GEISINGER-LEWISTOWN HOSPITAL | |||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 231352187 | HOSPITAL | PA | 501C3 | 3 | false | GH | |
| LEWISTOWN AMBULATORY CARE CORP | |||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 232344362 | HOLDING CO | PA | 501C3 | 12A | false | GH | |
| FAMILY HEALTH ASSOCIATES OF GLH | |||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 251651582 | PHYSN SVCS | PA | 501C3 | 12A | false | GH | |
| KEYSTONE HEALTH INFORMATION EXCH | |||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 464359893 | RHIO | PA | 501C3 | 12A | false | GH | |
| WEST SHORE ADVANCED LIFE SUPP SVCS | |||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 232463002 | HEALTHCARE | PA | 501C3 | 10 | false | GC | |
| GEISINGER COMMONWEALTH SCH OF MED | |||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 260812968 | EDUCATION | PA | 501C3 | 2 | false | GH | |
| GEISINGER JERSEY SHORE HOSPITAL | |||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 240792115 | HOSPITAL | PA | 501C3 | 3 | false | GH | |
| GNJ PHYSICIANS GROUP PC | |||||||||||
| 100 NORTH ACADEMY AVENUE 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 (10 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 | 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 AVENUE MC 49-70 | DANVILLE | PA | 17822 | 455484165 | ACO | PA | N/A | false | false | ||||||
| GEISINGER ENCOMPASS HEALTH LLC | |||||||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 721398803 | PHY THERAP | PA | N/A | false | false | ||||||
| EVANGELICAL-GEISINGER HEALTH LLC | |||||||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 460567687 | HEALTHCARE | PA | N/A | false | false | ||||||
| LACKAWANNA PHYS AMB SURG CTRLLC | |||||||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 233024998 | HEALTHCARE | PA | N/A | false | false | ||||||
| GEISINGER-HM JOINT VENTURE LLC | |||||||||||||||
| 100 NORTH ACADEMY AVENUE 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 | ||||||
| COMMONWEALTH MSO LLC | |||||||||||||||
| 270 SUSQUEHANNA VALLEY MALL DRIVE | SELINSGROVE | PA | 17870 | 862178965 | HEALTHCARE | PA | N/A | false | false | ||||||
| PHARMACY INNOVATION ALLIANCE LLC | |||||||||||||||
| 100 NORTH ACADEMY AVENUE 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 | |||||
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (11 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 AVENUE MC 49-70 | DANVILLE | PA | 17822 | 232077663 | CLINIC ENG | PA | N/A | false | ||||||
| GEISINGER INDEMNITY INSURANCE CO | ||||||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 232815174 | HLTH INSUR | PA | N/A | false | ||||||
| GEISINGER QUALITY OPTIONS INC | ||||||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 204275139 | HLTH INSUR | PA | N/A | false | ||||||
| GEISINGER ASSURANCE COMPANY LTD | ||||||||||||||
| 981016737 | INSURANCE | 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 | ||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (true) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | 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 | false | 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 CLINIC | ||
| M | $3,585 | GAAP |
| GEISINGER-HM JOINT VENTURE LLC | ||
| A | $1,251,060 | FMV |
| GEISINGER JERSEY SHORE HOSPITAL | ||
| M | $21 | GAAP |
| GEISINGER MEDICAL CENTER | ||
| M | $3,379,412 | GAAP |
| GEISINGER WYOMING VALLEY MED CTR | ||
| M | $2,968 | GAAP |
| ISS SOLUTIONS INC | ||
| M | $112,325 | GAAP |
| GEISINGER CLINIC | ||
| L | $804 | GAAP |
| GEISINGER CLINIC | ||
| A | $167,069 | FMV |
| GEISINGER HEALTH PLAN | ||
| L | $6,948,568 | GAAP |
| GEISINGER INDEMNITY INSURANCE CO | ||
| L | $924,257 | GAAP |
| GEISINGER JERSEY SHORE HOSPITAL | ||
| L | $170 | GAAP |
| GEISINGER LEWISTOWN HOSPITAL | ||
| L | $16 | GAAP |
| GEISINGER MEDICAL CENTER | ||
| L | $7,931 | GAAP |
| GEISINGER PHARMACY LLC | ||
| A | $5,075 | FMV |
| GEISINGER QUALITY OPTIONS INC | ||
| L | $1,039,920 | GAAP |
| GEISINGER SYSTEM SERVICES | ||
| L | $29 | GAAP |
| GEISINGER SYSTEM SERVICES | ||
| M | $4,391,485 | GAAP |
| GEISINGER ASSURANCE CO LTD | ||
| M | $8,766 | GAAP |
| GEISINGER INSURANCE CORP RRG | ||
| P | $113,447 | GAAP |
| WEST SHORE ADVANCED LIFE SUPP SVCS | ||
| M | $1,223 | GAAP |
| GEISINGER-HM JOINT VENTURE LLC | ||
| S | $86,424,333 | 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, GEISINGER MEDICAL CENTER MUNCY IS CLOSELY AFFILIATED WITH SEVERAL OTHER ORGANIZATIONS. IN THE NORMAL COURSE OF THE OPERATIONS OF THESE AFFILIATED ORGANIZATIONS THERE ARE NUMEROUS INTER ORGANIZATIONAL TRANSACTIONS, WHICH MAY INCLUDE SALES, EXCHANGES AND LEASES OF PROPERTY, EXTENSIONS OF CREDIT, FURNISHING OF GOODS, SERVICES AND FACILITIES, AND TRANSFERS OF ASSETS. THESE INTERORGANIZATION TRANSACTIONS PROMOTE THE EFFICIENT OPERATION OF THE VARIOUS ORGANIZATIONS AND THE ATTAINMENT OF THEIR TAX EXEMPT PURPOSES. THESE TYPES OF INTER ORGANIZATION TRANSACTIONS WERE DESCRIBED TO THE INTERNAL REVENUE SERVICE IN A RULING APPLICATION AND WERE RECOGNIZED BY THE NATIONAL OFFICE OF THE IRS IN A SERIES OF GEISINGER PRIVATE RULINGS AS BEING ENTIRELY CONSISTENT WITH THE ORGANIZATIONS' TAX EXEMPT STATUS. | ExplanationTxt |