PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization: PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER (EIN 23-1512747)
Tax period: 2020-07-01 to 2021-06-30
Filed: 2022-05-16
IRS object ID: 202221369349315642
Schema version: 2020v4.2
Source: Download XML · Original 990 at ProPublica

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

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2022-05-16T18:20:46-05:00	ReturnTs
Tax Period End	2021-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	366055558	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	GRANT THORNTON LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	2001 MARKET STREET SUITE 700	AddressLine1Txt
City	PHILADELPHIA	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	19103	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2020-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	231512747	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	PENN STATE HEALTH HOLY	BusinessNameLine1Txt
Business Name Line2	SPIRIT MEDICAL CENTER	BusinessNameLine2Txt

Field	Value	IRS element (for citing)
Business Name Control	PENN	BusinessNameControlTxt
Phone	7177632100	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	100 CRYSTAL A DRIVE MC CA210	AddressLine1Txt
City	HERSHEY	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	17033	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	RANDY MORRIS	PersonNm
Person Title	EVP & CFO	PersonTitleTxt
Phone	5702716624	PhoneNum
Signature	2022-05-16	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	RANDY	PersonFirstNm
Person Last	MORRIS	PersonLastNm

Field	Value	IRS element (for citing)
SSN	XXX-XX-XXXX	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	RUSSLEE ARMSTRONG	PreparerPersonNm
PTIN	P00288383	PTIN
Phone	2155614200	PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	2	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2020	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Address Change	Yes (X)	AddressChangeInd
Name Change	Yes (X)	NameChangeInd
Principal Officer	STEVE MASSINI	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	100 CRYSTAL A DRIVE MC CA210	AddressLine1Txt
City	HERSHEY	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	17033	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$327,946,189	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.PENNSTATEHEALTH.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1963	FormationYr
Legal Domicile State	PA	LegalDomicileStateCd
Activity Or Mission	PROVIDES HEALTH SERVICES IN THE GREATER HARRISBURG AREA AND SOUTH CENTRAL PENNSYLVANIA.	ActivityOrMissionDesc
Voting Members Governing Body	4	VotingMembersGoverningBodyCnt
Voting Members Independent	1	VotingMembersIndependentCnt
Total Employee	1948	TotalEmployeeCnt
Total Volunteers	20	TotalVolunteersCnt
Total Gross UBI	$687,540	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$25,794	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$14,670	PYContributionsGrantsAmt
CY Contributions Grants	$822,106	CYContributionsGrantsAmt
PY Program Service Revenue	$320,273,050	PYProgramServiceRevenueAmt
CY Program Service Revenue	$321,655,253	CYProgramServiceRevenueAmt
PY Investment Income	$919,010	PYInvestmentIncomeAmt
CY Investment Income	$21,248	CYInvestmentIncomeAmt
PY Other Revenue	$4,981,329	PYOtherRevenueAmt
CY Other Revenue	$5,400,587	CYOtherRevenueAmt
PY Total Revenue	$326,188,059	PYTotalRevenueAmt
CY Total Revenue	$327,899,194	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$122,110,150	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$122,990,725	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$173,950,626	PYOtherExpensesAmt
CY Other Expenses	$171,454,575	CYOtherExpensesAmt
PY Total Expenses	$296,060,776	PYTotalExpensesAmt
CY Total Expenses	$294,445,300	CYTotalExpensesAmt
PY Revenues Less Expenses	$30,127,283	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$33,453,894	CYRevenuesLessExpensesAmt
Total Assets BOY	$95,423,962	TotalAssetsBOYAmt
Total Assets EOY	$191,198,839	TotalAssetsEOYAmt
Total Liabilities BOY	$108,756,493	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$52,802,270	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	-$13,332,531	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$138,396,569	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	PROVIDES HEALTH SERVICES IN THE GREATER HARRISBURG AREA AND SOUTH CENTRAL PENNSYLVANIA.FOUNDED IN 1963 BY THE SISTERS OF CHRISTIAN (CONTINUED IN SCH O)CHARITY, HOLY SPIRIT MEDICAL CENTER HAS EARNED NATIONAL ACCREDITATIONS FOR ITS CENTERS OF EXCELLENCE IN THE TREATMENT OF CARDIAC CARE, ATRIAL FIBRILLATION, HEART ATTACK (STEMI), HEART FAILURE, STROKE, DIABETES, KNEE AND HIP REPLACEMENT, SPINE SURGERY AND BARIATRIC SURGERY. HOLY SPIRIT MEDICAL CENTER JOINED PENN STATE HEALTH IN 2020.PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER IS A COMMUNITY CATHOLIC HOSPITAL SPONSORED BY THE SISTERS OF CHRISTIAN CHARITY TO CARRY OUT THE HEALING MINISTRY OF JESUS CHRIST TO ALL IN NEED. WE PROVIDE HIGH-QUALITY, ETHICALLY GUIDED AND COST-EFFECTIVE HEALTH SERVICES IN A CARING, PATIENT-FOCUSED ENVIRONMENT TO DEVELOP HEALTHY COMMUNITIES IN THE GREATER HARRISBURG AREA AND SOUTH CENTRAL PENNSYLVANIA.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$271,094,953	ExpenseAmt
Revenue	$326,746,718	RevenueAmt
Desc	A 307-BED ACUTE CARE HOSPITAL, PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER SERVES THE GREATER HARRISBURG REGION WITH OUTPATIENT AND INPATIENT DIAGNOSTIC, MEDICAL AND SURGICAL SERVICES ON ITS EAST PENNSBORO TOWNSHIP CAMPUS AND OUTPATIENT LOCATIONS IN CUMBERLAND, DAUPHIN, PERRY AND NORTHERN YORK COUNTIES. THE FOUR-STORY ORTENZIO HEART CENTER AT PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER IS DEVOTED TO THE CARE AND TREATMENT OF PATIENTS WITH HEART PROBLEMS. ITS LEVEL II TRAUMA CENTER PHYSICIANS AND STAFF PROVIDE AROUND-THE-CLOCK COMPLEX CRITICAL CARE FOR THOSE SUFFERING FROM LIFE-THREATENING INJURIES.PENN STATE HEALTH (PSH), GEISINGER AND HOLY SPIRIT HEALTH SYSTEM (HSHS) ENTERED INTO A MEMBER SUBSTITUTION AGREEMENT ON (CONTINUED IN SCH O)OCTOBER 30, 2020. PSH, GEISINGER AND HSHS ENTERED INTO THE MEMBER SUBSTITUTION AGREEMENT PURSUANT TO WHICH PSH HAS AGREED TO REPLACE GEISINGER AS THE SOLE CORPORATE MEMBER OF HSHS IN ORDER TO FULLY INTEGRATE HSHS AND THE HSHS ENTITIES INTO PSH. THEREFORE, HSHS EFFECTIVELY DISSOLVED ON THE EFFECTIVE DATE OF THE MERGER, OCTOBER 30, 2020. ANY FINANCIAL ACTIVITY THROUGH THE END OF THE FISCAL YEAR WAS REPORTED ON THE FILING ORGANIZATIONS TAX RETURN.	Desc
Total Program Service Expenses	$271,094,953	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (1)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	Yes (1)	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	0	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	1948	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	4	GoverningBodyVotingMembersCnt
Independent Voting Member	1	IndependentVotingMemberCnt
Family Or Business Rln	Yes (1)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (1)	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	PA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	PAULA TINCH EVP & CFO	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	7177632100	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	100 CRYSTAL A DR MC CA210	AddressLine1Txt
City	HERSHEY	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	17033	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (33 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
STEPHEN MASSINI
DIRECTOR / PSH CEO (BEG 11/1/2020)	1.00	49.00	Yes (X)	$0	$1,317,348	$150,412
PETER DILLON MD
DIRECTOR (BEG 11/1/2020)	1.00	39.00	Yes (X)	$0	$829,140	$119,389
LENKE ERKI MD
DIRECTOR (THRU 10/31/2020)	0.25	40.25	Yes (X)	$0	$490,486	$46,282
KYLE C SNYDER MHA
CAO, DIRECTOR (THRU 10/31/2020)	40.00	0.75	Yes (X)	$437,581	$0	$82,168	Yes (X)
AJAY K SAINI MD
DIRECTOR (THRU 10/31/2020)	0.25	40.25	Yes (X)	$0	$294,761	$48,458
DONALD MCKENNA
PRESIDENT (BEG 11/1/2020)	1.00	49.00	Yes (X)	$0	$325,971	$20,400	Yes (X)
RON DRNEVICH
CHAIR, DIRECTOR (THRU 10/31/2020)	0.25	0.50	Yes (X)	$0	$0	$0	Yes (X)
LAURIE SALTZGIVER ESQUIRE
VICE CHAIR, DIRECTOR (THRU 10/31/2020)	0.25	0.50	Yes (X)	$0	$0	$0	Yes (X)
CHRISTOPHER MOYER DO
DIRECTOR (THRU 10/31/2020)	0.25	0.50	Yes (X)	$0	$0	$0
DEBORAH KEYS
DIRECTOR (THRU 10/31/2020)	0.25	0.50	Yes (X)	$0	$0	$0
HANK STRAUB
DIRECTOR (THRU 10/31/2020)	0.25	0.50	Yes (X)	$0	$0	$0
NORA HABIG
DIRECTOR (THRU 10/31/2020)	0.25	0.50	Yes (X)	$0	$0	$0
REVEREND DAVID DANNEKER
DIRECTOR (THRU 10/31/2020)	0.25	0.50	Yes (X)	$0	$0	$0
SISTER ESTHER FALZONE SCC
DIRECTOR (THRU 10/31/2020)	0.25	0.50	Yes (X)	$0	$0	$0
SISTER JOANN MARIE AUMAND SCC
DIRECTOR	0.25	0.75	Yes (X)	$0	$0	$0
SISTER MARIE PAULINE DEMEK SCC
DIRECTOR (THRU 10/31/2020)	0.25	0.50	Yes (X)	$0	$0	$0
SISTER PATRICE OWENS SCC
DIRECTOR (THRU 10/31/2020)	0.25	0.50	Yes (X)	$0	$0	$0
PAULA TINCH
TREASURER (BEG 11/1/2020)	1.00	49.00		$0	$606,379	$121,832	Yes (X)
ANNEMARIE BOYAN
SECRETARY (BEG 11/1/2020)	1.00	49.00		$0	$548,004	$53,177	Yes (X)
RANDY B MORRIS
TREASURER (THRU 10/31/2020)	40.00	2.50		$387,011	$0	$37,903	Yes (X)
LORI R GRAMLEY ESQUIRE
ASST. SECRETARY (THRU 10/31/2020)	0.25	40.75		$0	$330,159	$31,545	Yes (X)
GLORIA SANTOS
VP, CNO	40.00	0.00		$276,956	$0	$43,118		Yes (X)
JOSEPH A TORCHIA MD
CMO, HSHS	40.00	0.00		$380,019	$0	$0			Yes (X)
RICHARD SCHREIBER
ASSOCIATE CIO	40.00	0.00		$272,442	$0	$37,891			Yes (X)
ELLEN R LENKEVICH CRNP
VP, CHIEF NURSING OFFICER HSHS	40.00	0.00		$248,096	$0	$32,877			Yes (X)
ROBYN RHOADES
AVP, NURSING	40.00	0.00		$208,077	$0	$23,742			Yes (X)
JANE STUBB
AVP, FINANCIAL RPTG	40.00	0.00		$156,250	$0	$21,191			Yes (X)
DAVID J FELICIO ESQUIRE
FORMER OFFICER	0.00	40.00		$0	$1,533,441	$23,238				Yes (X)
DANIEL E LOHR ESQUIRE
FORMER OFFICER	0.00	40.00		$0	$543,748	$20,957				Yes (X)
THOMAS J GRIFONE MD
FORMER 5 HIGHEST	0.00	40.00		$0	$385,612	$43,112				Yes (X)
PAUL D BRETTSCHNEIDER MD
FORMER 5 HIGHEST	0.00	40.00		$0	$275,897	$43,310				Yes (X)
ANDREW R WALKER MD
FORMER 5 HIGHEST	0.00	40.00		$0	$266,979	$42,937				Yes (X)
BARBARA SUMBATIAN MD
FORMER 5 HIGHEST	0.00	40.00		$0	$208,287	$33,358				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,366,432	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$7,956,212	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,077,297	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	53	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
GEISINGER HEALTH SYSTEM
100 NORTH ACADEMY DRIVE	DANVILLE	PA	17822	PURCHASED SERVICES	$8,991,138
SODEXO INC
9801 WASHINGTONIAN BLVD	GATHERSBURG	MD	20878	DIETARY ETC	$5,397,841
H AND N LANDSCAPING LLC
675 WILLIAMS GROVE RD	MECHANICSBURG	PA	17055	LANDSCAPING	$601,953
TOTAL RENAL CARE INC
PO BOX 781607	PHILADELPHIA	PA	191781607	PURCHASED SERVICES	$500,916
HCSC LAUNDRY - A DIVI OF HOSP CENTR
PO BOX 25092	LEHIGH VALLEY	PA	180025092	HOUSEKEEPING	$495,029

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	14	CntrctRcvdGreaterThan100KCnt
All Other Contributions	$822,106	AllOtherContributionsAmt
Total Contributions	$822,106	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICE REV.	621110	$320,307,024	$320,307,024
SELECT SPECIALTY HOSP	531120	$687,540		$687,540
INTERCOMPANY REVENUE	621110	$421,893	$421,893
SALES REV GENERAL	621110	$230,802	$230,802
EDUCATION	621110	$7,994	$7,994

Field	Value	IRS element (for citing)
Total Program Service Revenue	$321,655,253	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$12,656	TotalRevenueColumnAmt
Exclusion	$12,656	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$282,585	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$282,585	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$282,585	TotalRevenueColumnAmt
Exclusion	$282,585	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$8,592	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$8,592	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$8,592	TotalRevenueColumnAmt
Exclusion	$8,592	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$73,532	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$46,995	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$26,537	TotalRevenueColumnAmt
Exclusion	$26,537	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
SERVICES RENDERED CONT	900099	$3,816,621	$3,816,621
REBATE REVENUE	900099	$752,484	$752,484

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$522,360	TotalRevenueColumnAmt
Related Or Exempt Func Income	$522,360	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$5,091,465	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$327,899,194	TotalRevenueColumnAmt
Related Or Exempt Func Income	$326,059,178	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$687,540	UnrelatedBusinessRevenueAmt
Exclusion	$330,370	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,264,737	TotalAmt
Program Services	$1,011,790	ProgramServicesAmt
Management And General	$252,947	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$94,816,444	TotalAmt
Program Services	$75,853,155	ProgramServicesAmt
Management And General	$18,963,289	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$4,145,619	TotalAmt
Program Services	$3,316,495	ProgramServicesAmt
Management And General	$829,124	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$15,914,110	TotalAmt
Program Services	$12,731,288	ProgramServicesAmt
Management And General	$3,182,822	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$6,849,815	TotalAmt
Program Services	$6,849,815	ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$9,680	TotalAmt
Program Services	$9,680	ProgramServicesAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$122,165	TotalAmt
Management And General	$122,165	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$58,026,486	TotalAmt
Program Services	$58,026,486	ProgramServicesAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$61,797	TotalAmt
Program Services	$61,797	ProgramServicesAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,782,677	TotalAmt
Program Services	$4,782,677	ProgramServicesAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$6,481,133	TotalAmt
Program Services	$6,481,133	ProgramServicesAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$8,281,547	TotalAmt
Program Services	$8,281,547	ProgramServicesAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$90,090	TotalAmt
Program Services	$90,090	ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$2,142	TotalAmt
Program Services	$2,142	ProgramServicesAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$51,862	TotalAmt
Program Services	$51,862	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$11,053,836	TotalAmt
Program Services	$11,053,836	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$12,988,745	TotalAmt
Program Services	$12,988,745	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt
MEDICAL SUPPLIES	$52,526,227	$52,526,227
INTERCOMPANY EXPENSE	$16,430,792	$16,430,792
BOOKS,LIC,FEES,DUES	$436,151	$436,151
MISC EXPENSES	$109,245	$109,245

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$294,445,300	TotalAmt
Program Services	$271,094,953	ProgramServicesAmt
Management And General	$23,350,347	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$343,100	BOYAmt
EOY	$21,424,367	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$24,235,536	BOYAmt
EOY	$1,565,598	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$35,356,135	BOYAmt
EOY	$27,722,678	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$19,743	BOYAmt
EOY	$1,977	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$2,648,664	BOYAmt
EOY	$1,376,663	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$5,554,233	BOYAmt
EOY	$5,610,501	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$2,731,775	BOYAmt
EOY	$894,020	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$90,042,770	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$4,853,126	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$20,536,369	BOYAmt
EOY	$85,189,644	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$3,998,407	BOYAmt
EOY	$3,061,643	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$44,351,748	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$95,423,962	BOYAmt
EOY	$191,198,839	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$3,838,457	BOYAmt
EOY	$37,685,555	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$25,790,683	BOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$4,194,445	BOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$603,410	BOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$11,549,513	BOYAmt
EOY	$9,891,233	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$62,779,985	BOYAmt
EOY	$5,225,482	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$108,756,493	BOYAmt
EOY	$52,802,270	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	-$15,970,066	BOYAmt
EOY	$135,334,926	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,637,535	BOYAmt
EOY	$3,061,643	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	-$13,332,531	BOYAmt
EOY	$138,396,569	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$95,423,962	BOYAmt
EOY	$191,198,839	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$33,453,894	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$10,695	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$118,285,901	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	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 (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (1)	DirectContactLegislatorsInd
Direct Contact Legislators	$382	DirectContactLegislatorsAmt
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	0	OtherActivitiesInd
Total Lobbying Expenditures	$382	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE C, PART II-B, LINE 1	FormAndLineReferenceDesc
Explanation	AMOUNT REPORTED ON LINE 1G REPRESENTS AN ALLOCATION OF THE WAGES AND BENEFITS OF EMPLOYEES WHO ASSIST THE GOVERNMENT RELATIONS DEPARTMENT OF THE ORGANIZATION'S AFFILIATE, GEISINGER SYSTEM SERVICES. THE PRIMARY PURPOSE OF THE GOVERNMENT RELATIONS DEPARTMENT IS TO MAINTAIN CONTACT WITH FEDERAL, STATE, AND LOCAL GOVERNMENT OFFICIALS. THE DEPARTMENT PROMOTES LEGISLATIVE ACTIONS WITH RESPECT TO HEALTHCARE RELATED ISSUES THAT COULD IMPACT THE ORGANIZATION AND ITS AFFILIATES.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$373,386,246	BeginningYearBalanceAmt
Contributions	$196,220	ContributionsAmt
Investment Earnings Or Losses	$132,619	InvestmentEarningsOrLossesAmt
Other Expenditures	$370,741,853	OtherExpendituresAmt
End Year Balance	$2,973,232	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$376,968,866	BeginningYearBalanceAmt
Contributions	$290,000	ContributionsAmt
Investment Earnings Or Losses	$241,380	InvestmentEarningsOrLossesAmt
Other Expenditures	$4,114,000	OtherExpendituresAmt
End Year Balance	$373,386,246	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$373,733,399	BeginningYearBalanceAmt
Contributions	$2,213,000	ContributionsAmt
Investment Earnings Or Losses	$4,955,467	InvestmentEarningsOrLossesAmt
Other Expenditures	$3,933,000	OtherExpendituresAmt
End Year Balance	$376,968,866	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$367,695,505	BeginningYearBalanceAmt
Contributions	$954,000	ContributionsAmt
Investment Earnings Or Losses	$8,736,894	InvestmentEarningsOrLossesAmt
Other Expenditures	$3,653,000	OtherExpendituresAmt
End Year Balance	$373,733,399	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$107,084,811	BeginningYearBalanceAmt
Contributions	$253,720,000	ContributionsAmt
Investment Earnings Or Losses	$10,710,694	InvestmentEarningsOrLossesAmt
Other Expenditures	$3,820,000	OtherExpendituresAmt
End Year Balance	$367,695,505	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	1.00000	PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (1)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (1)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,725,000	OtherCostOrOtherBasisAmt
Book Value	$1,725,000	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$71,098,254	OtherCostOrOtherBasisAmt
Book Value	$71,098,254	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$16,929,838	OtherCostOrOtherBasisAmt
Depreciation	$4,853,126	DepreciationAmt
Book Value	$12,076,712	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$289,678	OtherCostOrOtherBasisAmt
Book Value	$289,678	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$85,189,644	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDesc	Book ValueBookValueAmt
DUE FROM GEISINGER	$24,087,765
DUE FROM AFFILIATES	$20,263,983

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$44,351,748	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
PATIENT CREDIT BALANCE	$2,908,158
OTHER LIABILITIES	$2,317,324

Field	Value	IRS element (for citing)
Total Liability	$5,225,482	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE D, PAGE 2, PART V, LINE 4	FormAndLineReferenceDesc
Explanation	THE BEGINNING BALANCE REPRESENTS THE GEISINGER HEALTH SYSTEM ENDOWMENT. DUE TO A SOLE MEMBER SUBSTITUTION FROM GEISINGER HEALTH SYSTEM TO PENN STATE HEALTH, THE ENDING BALANCE REPRESENTS THE ENDOWMENT OF PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	300.000000000000	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	0	FPGReferenceDiscountedCareInd
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,173,940	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,173,940	NetCommunityBenefitExpnsAmt
Total Expense	0.00740	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,230,775	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,243,675	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,987,100	NetCommunityBenefitExpnsAmt
Total Expense	0.01690	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$10,404,715	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,243,675	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,161,040	NetCommunityBenefitExpnsAmt
Total Expense	0.02430	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,178,934	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,178,934	NetCommunityBenefitExpnsAmt
Total Expense	0.00400	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$4,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,182,934	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,182,934	NetCommunityBenefitExpnsAmt
Total Expense	0.00400	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$11,587,649	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,243,675	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,343,974	NetCommunityBenefitExpnsAmt
Total Expense	0.02830	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$26,089,128	BadDebtExpenseAmt
Bad Debt Expense Attributable	$3,652,478	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$60,191,580	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$68,449,359	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$8,257,779	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 (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	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	PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	503 NORTH 21ST STREET	AddressLine1Txt
City	CAMP HILL	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	17011	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.PENNSTATEHEALTH.ORG	WebsiteAddressTxt
State License	340801	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	HOLY SPIRIT MEDICAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
CHNA Conducted	18	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	0	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	WWW.PENNSTATEHEALTH.ORG/COMMUNITY	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	19	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	WWW.PENNSTATEHEALTH.ORG/COMMUNITY	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	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 (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	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 (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE PART V, Q 16 NARRATIVE	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE PART V, Q 16 NARRATIVE	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE PART V, Q 16 NARRATIVE	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 (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	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
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Prospective Medicare Medicaid	Yes (X)	ProspectiveMedicareMedicaidInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
HOLY SPIRIT MEDICAL	PART V, SECTION B, LINE 5: A COLLABORATIVE APPROACH TO COMMUNITY HEALTH IMPROVEMENT, THE 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 19 COUNTIES ACROSS CENTRAL, NORTHEASTERN, AND SOUTH CENTRAL PENNSYLVANIA WHICH REPRESENT THE COLLECTIVE SERVICE AREAS OF THE COLLABORATING HOSPITALS. TO DISTINGUISH UNIQUE SERVICE AREAS AMONG HOSPITALS AND FOSTER COOPERATION WITH LOCAL COMMUNITY PARTNERS TO IMPACT HEALTH NEEDS, REGIONAL RESEARCH AND LOCAL REPORTING WAS DEVELOPED.THE COLLABORATING HEALTH SYSTEMS AGREED THAT BY COORDINATING EFFORTS TO IDENTIFY COMMUNITY HEALTH NEEDS ACROSS THE REGION, THE HEALTH SYSTEMS WOULD CONSERVE COMMUNITY RESOURCES WHILE DEMONSTRATING LEADERSHIP IN CONVENING LOCAL COMMUNITY PARTNERS TO ADDRESS COMMON PRIORITY NEEDS.BEST PRACTICES IN COMMUNITY HEALTH IMPROVEMENT DEMONSTRATE THAT FOSTERING "COLLECTIVE IMPACT" IS AMONG THE MOST SUCCESSFUL WAYS TO AFFECT THE HEALTH OF A COMMUNITY. COLLECTIVE IMPACT IS ACHIEVED BY COMMITTING A DIVERSE GROUP OF STAKEHOLDERS TOWARD A COMMON GOAL OR ACTION, PARTICULARLY TO IMPACT DEEP ROOTED SOCIAL OR HEALTH NEEDS.BY TAKING A COLLABORATIVE APPROACH TO THE CHNA, GEISINGER, ALLIED SERVICES INTEGRATED HEALTH SYSTEM, AND EVANGELICAL COMMUNITY HOSPITAL ARE LEADING THE WAY TO IMPROVE THE HEALTH OF COMMUNITIES IN CENTRAL, NORTHEASTERN, AND SOUTH CENTRAL PENNSYLVANIA. THE FOLLOWING PAGES DESCRIBE THE PROCESS AND RESEARCH METHODS USED IN THE CHNA AND THE FINDINGS THAT PORTRAY THE HEALTH STATUS OF THE COMMUNITIES WE SERVE AND OUTLINE OPPORTUNITIES TO WORK WITH OUR COMMUNITY PARTNERS TO ADVANCE HEALTH AMONG ALL RESIDENTS ACROSS OUR SERVICE AREAS.CHNA LEADERSHIPTHE CHNA WAS OVERSEEN BY A PLANNING COMMITTEE OF REPRESENTATIVES FROM EACH HEALTH SYSTEM, AS WELL AS A REGIONAL ADVISORY COMMITTEE OF REPRESENTATIVES FROM EACH HOSPITAL.COMMUNITY ENGAGEMENTCOMMUNITY ENGAGEMENT WAS AN INTEGRAL PART OF THE CHNA. WEBINARS WERE HELD IN OCTOBER AND NOVEMBER 2017 TO ANNOUNCE THE ONSET OF THE CHNA AND ENCOURAGE BROAD PARTICIPATION ACROSS THE REGION. THROUGHOUT OCTOBER AND NOVEMBER 2017, A KEY INFORMANT SURVEY WAS SENT TO APPROXIMATELY 1,000 REPRESENTATIVES OF HEALTH AND HUMAN SERVICE ORGANIZATIONS, RELIGIOUS INSTITUTIONS, CIVIC ASSOCIATIONS, BUSINESSES, ELECTED OFFICIALS AND OTHER COMMUNITY REPRESENTATIVES. PARTNER FORUMS WERE HELD THROUGHOUT THE REGION IN JANUARY 2018 TO BRING TOGETHER THESE PARTNERS TO REVIEW RESEARCH FINDINGS AND PROVIDE FEEDBACK ON THE MOST PRESSING COMMUNITY HEALTH NEEDS. IN MARCH AND APRIL 2018, FOCUS GROUPS WITH SENIORS WERE HELD TO BETTER UNDERSTAND CHALLENGES AND OPPORTUNITIES TO IMPROVING HEALTH AMONG HIGH RISK POPULATIONS. COMMUNITY FORUMS WERE HELD IN FALL 2018 TO PRESENT CHNA FINDINGS AND IMPLEMENTATION PLANS TO COMMUNITY RESIDENTS AND PROVIDE A FORUM FOR DIALOGUE ABOUT ADDRESSING COMMUNITY HEALTH NEEDS.CHNA METHODOLOGYTHE CHNA WAS CONDUCTED FROM SEPTEMBER 2017 TO APRIL 2018 AND USED BOTH PRIMARY AND SECONDARY RESEARCH TO ILLUSTRATE AND COMPARE HEALTH TRENDS AND DISPARITIES ACROSS THE REGION. PRIMARY RESEARCH WAS USED TO SOLICIT INPUT FROM KEY COMMUNITY STAKEHOLDERS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY, INCLUDING EXPERTS IN PUBLIC HEALTH AND INDIVIDUALS REPRESENTING MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS. FOCUS GROUPS AND INTERVIEWS WERE USED TO COLLECT IN-DEPTH INSIGHT FROM HEALTH CONSUMERS REPRESENTING MEDICALLY UNDERSERVED OR HIGH RISK POPULATIONS. EXISTING DATA SOURCES, INCLUDING PUBLIC HEALTH STATISTICS, DEMOGRAPHIC AND SOCIAL MEASURES, AND HEALTHCARE UTILIZATION, WERE COLLECTED AND ANALYZED TO IDENTIFY HEALTH TRENDS ACROSS HOSPITAL SERVICE AREAS. SPECIFIC RESEARCH METHODS INCLUDED: -AN ANALYSIS OF STATISTICAL HEALTH AND SOCIOECONOMIC INDICATORS FROM ACROSS THE REGION -AN ANALYSIS AND COMPARISON OF ACUTE HOSPITAL UTILIZATION DATA -A KEY INFORMANT SURVEY WITH 113 COMMUNITY LEADERS AND REPRESENTATIVES -SIX REGIONAL PARTNER FORUMS WITH COMMUNITY BASED ORGANIZATIONS TO IDENTIFY COMMUNITY HEALTH PRIORITIES AND FACILITATE COLLABORATION TOWARD COMMUNITY HEALTH IMPROVEMENT-TWELVE FOCUS GROUPS WITH SENIORS TO EXAMINE PREFERENCES, CHALLENGES, AND OPPORTUNITIES TO ACCESSING AND RECEIVING HEALTHCARE -PRIORITIZATION OF COMMUNITY HEALTH NEEDS TO DETERMINE THE MOST PRESSING HEALTH ISSUES ON WHICH TO FOCUS COMMUNITY HEALTH IMPROVEMENT EFFORTSTHE CHNA BUILT UPON THE HOSPITALS' PREVIOUS CHNAS AND SUBSEQUENT IMPLEMENTATION PLANS. THE RESEARCH FINDINGS WILL BE USED TO GUIDE COMMUNITY BENEFIT INITIATIVES FOR THE HOSPITALS AND ENGAGE LOCAL PARTNERS TO COLLECTIVELY ADDRESS IDENTIFIED HEALTH NEEDS.PRIORITIZED COMMUNITY HEALTH NEEDSIN ASSESSING THE HEALTH NEEDS OF THE COMMUNITY, GEISINGER AND ITS CHNA PARTNERS SOLICITED AND RECEIVED INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITIES SERVED BY EACH HOSPITAL, INCLUDING THOSE WITH EXPERTISE IN PUBLIC HEALTH, REPRESENTATIVES OF MEDICALLY UNDERSERVED, LOW INCOME, AND MINORITY POPULATIONS, AND OTHER COMMUNITY STAKEHOLDERS WHO BROUGHT WIDE PERSPECTIVES ON COMMUNITY HEALTH NEEDS, EXISTING COMMUNITY RESOURCES TO MEET THOSE NEEDS, AND GAPS IN THE CURRENT SERVICE DELIVERY SYSTEM. THROUGH FACILITATED DIALOGUE AND A SERIES OF CRITERIA-BASED VOTING EXERCISES, THE FOLLOWING HEALTH ISSUES WERE PRIORITIZED AS THE MOST SIGNIFICANT HEALTH NEEDS ACROSS THE REGION ON WHICH TO FOCUS HEALTH IMPROVEMENT EFFORTS OVER THE COMING THREE-YEAR CYCLE.-ACCESS TO CARE-BEHAVIORAL HEALTH (TO INCLUDE SUBSTANCE ABUSE AND MENTAL HEALTH STRATEGIES)-CHRONIC DISEASE PREVENTION AND MANAGEMENT (WITH A FOCUS ON INCREASING HEALTHY HABITS)TO DIRECT COMMUNITY BENEFIT AND HEALTH IMPROVEMENT ACTIVITIES, GEISINGER AND ITS CHNA PARTNERS CREATED INDIVIDUAL IMPLEMENTATION PLANS FOR EACH HOSPITAL TO DETAIL THE RESOURCES AND SERVICES THAT WILL BE USED TO ADDRESS THESE IDENTIFIED HEALTH PRIORITIES.BOARD APPROVALTHE GEISINGER CHNA FINAL REPORTS WERE REVIEWED AND APPROVED BY THE GEISINGER HEALTH AFFILIATE BOARDS ON JUNE 20, 2018 AND THE GEISINGER HEALTH BOARD OF DIRECTORS ON JUNE 21, 2018. FOLLOWING THE BOARDS' APPROVAL, ALL CHNA REPORTS WERE MADE AVAILABLE TO THE PUBLIC VIA THE GEISINGER WEBSITE AT HTTPS://WWW.GEISINGER.ORG/ABOUT-GEISINGER/COMMUNITY-ENGAGEMENT/CHNA. RESEARCH PARTNER BAKER TILLY WAS ENGAGED AS OUR CHNA RESEARCH PARTNER. BAKER TILLY ASSISTED IN ALL PHASES OF THE CHNA INCLUDING PROJECT MANAGEMENT, QUANTITATIVE AND QUALITATIVE DATA COLLECTION, SMALL AND LARGE GROUP FACILITATION AND REPORT WRITING. THE BAKER TILLY TEAM HAS WORKED WITH MORE THAN 100 HOSPITALS AND THOUSANDS OF THEIR COMMUNITY PARTNERS ACROSS THE NATION TO ASSESS HEALTH NEEDS AND DEVELOP ACTIONABLE PLANS FOR COMMUNITY HEALTH IMPROVEMENT.THROUGHOUT THIS DOCUMENT THE TERMS "SYSTEM OR "GEISINGER" SHALL REFER TO THE ENTIRE HEALTHCARE SYSTEM COMPRISED OF GEISINGER HEALTH ("GH") AS PARENT AND ALL SUBSIDIARY ENTITIES COMPRISING THE SYSTEM.*PLEASE NOTE, PSHHSMC HAS BEEN INCLUDED IN THE PENN STATE HEALTH SYSTEM'S 2021 CHNA AND SUCH RELATIVE INFORMATION WILL BE REFLECTED IN NEXT YEAR'S FORM 990, SCHEDULE H.
HOLY SPIRIT MEDICAL	PART V, SECTION B, LINE 6A: ALLIED SERVICES REHABILITATION HOSPITAL, JOHN HEINZ REHABILITATION HOSPITAL, EVANGELICAL COMMUNITY HOSPITAL, GEISINGER MEDICAL CENTER (INCLUDES GEISINGER-SHAMOKIN AREA COMMUNITY HOSPITAL), GEISINGER ENCOMPASS HEALTH LIMITED LIABILITY COMPANY (DBA GEISINGER ENCOMPASS HEALTH REHABILITATION HOSPITAL), GEISINGER WYOMING VALLEY MEDICAL CENTER (INCLUDES GEISINGER SOUTH WILKES-BARRE), GEISINGER-BLOOMSBURG HOSPITAL, COMMUNITY MEDICAL CENTER (DBA GEISINGER COMMUNITY MEDICAL CENTER), GEISINGER JERSEY SHORE HOSPITAL, GEISINGER-LEWISTOWN HOSPITAL, AND HOLY SPIRIT HOSPITAL (DBA GEISINGER HOLY SPIRIT).
HOLY SPIRIT MEDICAL	PART V, SECTION B, LINE 11: FIVE PRIORITY AREAS WERE IDENTIFIED WITHIN OUR CURRENT CHNA: ACCESS TO CARE, BEHAVIORAL HEALTH, CHRONIC DISEASE, MATERNAL/INFANT HEALTH, AND SENIOR HEALTH. IN ASSESSING THE HEALTH NEEDS OF THE COMMUNITY, GEISINGER AND ITS CHNA PARTNERS SOLICITED AND RECEIVED INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITIES SERVED BY EACH HOSPITAL, INCLUDING THOSE WITH EXPERTISE IN PUBLIC HEALTH, REPRESENTATIVES OF MEDICALLY UNDERSERVED, LOW INCOME, AND MINORITY POPULATIONS, AND OTHER COMMUNITY STAKEHOLDERS WHO BROUGHT WIDE PERSPECTIVES ON COMMUNITY HEALTH NEEDS, EXISTING COMMUNITY RESOURCES TO MEET THOSE NEEDS, AND GAPS IN THE CURRENT SERVICE DELIVERY SYSTEM. THROUGH FACILITATED DIALOGUE AND A SERIES OF CRITERIA-BASED VOTING EXERCISES, THE FOLLOWING HEALTH ISSUES WERE PRIORITIZED AS THE MOST SIGNIFICANT HEALTH NEEDS ACROSS THE REGION ON WHICH TO FOCUS HEALTH IMPROVEMENT EFFORTS OVER THE COMING THREE-YEAR CYCLE: ACCESS TO CARE, BEHAVIORAL HEALTH, AND CHRONIC DISEASE. PROGRAMMING AND CLINICAL SERVICES WITHIN THESE PRIORITY AREAS IMPACT THE POPULATIONS OF MATERNAL/INFANT HEALTH AND SENIOR HEALTH AND ARE THEREBY SERVED THROUGH ALL APPROPRIATE HEALTH IMPROVEMENT EFFORTS.BELOW ARE SYSTEMWIDE PROGRAMS OFFERED BY GEISINGER TO FULFILL COMMUNITY NEEDS THAT WERE IDENTIFIED IN THE HOSPITAL'S MOST RECENT CHNA. SOME PROGRAMS ARE COMPLETELY OPERATED OR FUNDED BY GEISINGER AND SOME ARE OFFERED IN COOPERATION WITH LOCAL HEALTH AND HUMAN SERVICE AGENCIES. FOR MORE SPECIFIC NEEDS FOUND IN OUR LOCAL COMMUNITIES, WE OFFER PROGRAMS TO SERVE PATIENTS CLOSE TO HOME. THE TOP THREE NEEDS IDENTIFIED IN THE MOST RECENT AND/OR PAST CHNA SURVEYS FALL INTO ONE OF THREE COMMUNITY NEED CATEGORIES:1)IMPROVING ACCESS TO HEALTHCARE: THE MOST SIGNIFICANT NEED IDENTIFIED WAS FOR BETTER, FASTER, MORE CONVENIENT AND LESS COSTLY ACCESS TO HEALTHCARE SERVICES. GEISINGER IS TAKING INNOVATIVE STEPS TO ADDRESS BARRIERS TO HEALTHCARE BY: INCREASING THE NUMBER OF RESIDENTS WHO HAVE A REGULAR PRIMARY CARE PROVIDER, INCREASING ACCESS TO PRIMARY AND SPECIALTY CARE PROVIDERS, REDUCING BARRIERS TO RECEIVING CARE FOR RESIDENTS WITHOUT TRANSPORTATION, PROMOTING AWARENESS OF AVAILABLE OPTIONS FOR ASSISTANCE TO PAY FOR HEALTHCARE NEEDS AND FOSTERING THE PURSUIT OF HEALTH CAREERS AND ONGOING TRAINING OF HEALTH PROFESSIONALS.2)ADDRESSING BEHAVIORAL HEALTH AND SUBSTANCE ABUSE: GEISINGER IS COMMITTED TO HELPING PATIENTS FIND HEALTHCARE SERVICES WHEN THEY ARE FACING BEHAVIORAL HEALTH CHALLENGES OR STRUGGLING WITH ADDICTION. WE ADVANCE DIALOGUE AT THE LOCAL AND STATE LEVEL TO ADDRESS BEHAVIORAL HEALTH NEEDS. WE FOSTER INTEGRATION OF BEHAVIOR AND PRIMARY HEALTH CARE. WE PROVIDE EDUCATION TO INCREASE RESIDENTS' AWARENESS OF BEHAVIORAL HEALTH ISSUES AND REDUCE THE STIGMA ASSOCIATED WITH BEHAVIORAL HEALTH CONDITIONS. AND WE STRIVE TO INCREASE ACCESS TO BEHAVIORAL HEALTH SERVICES.3)MANAGING CHRONIC CONDITIONS: GEISINGER HAS NUMEROUS PROGRAMS TO HELP PATIENTS PREVENT AND MANAGE CHRONIC CONDITIONS. EFFORTS INCLUDE ENCOURAGING COMMUNITY INITIATIVES THAT SUPPORT ACCESS TO AND AVAILABILITY OF HEALTHY LIFESTYLE CHOICES, INITIATING EARLY-STAGE INTERVENTIONS FOR INDIVIDUALS AT HIGH RISK FOR CHRONIC DISEASE, AND DEVELOPING INTEGRATIVE CARE MODELS TO IMPROVE OUTCOMES FOR PATIENTS WITH CHRONIC DISEASE.ACCESS TO CAREGEISINGER HOLY SPIRIT HAS TAKEN NUMEROUS STEPS TO PROVIDE PEOPLE IN OUR LOCAL COMMUNITY WITH MORE ACCESS TO CARE. WE'VE HIRED MORE PROVIDER IN PEDIATRICS, INTERNAL MEDICINE AND FAMILY MEDICINE. IN FACT, OUR NUMBER OF PROVIDERS IN THOSE AREAS IS UP 37% OVER LAST YEAR. WE'RE INTEGRATING PEDIATRICIANS INTO PRIMARY CARE CLINICS TO CREATE TRUE OPTIONS FOR FAMILY MEDICINE AND WHEN WE LEARNED THAT BOYS AGING OUT OF PEDIATRICS OFTEN PREFERRED TO BE SEEN BY A MALE PROVIDER, WE MADE SURE TO BALANCE OUR RECRUITMENT EFFORTS TO MEET THOSE NEEDS.WE IMPROVED OFFICE EFFICIENCY BY ADDING A DESIGNATED CALL CENTER FOR PRIMARY CARE APPOINTMENT SCHEDULING. CALLERS NO LONGER DEAL WITH VOICE MAIL AND CAN BE SCHEDULED RIGHT AWAY WHILE REGULAR STAFF IS FREED UP TO DO OTHER THINGS. OUR APPOINTMENTS HAVE INCREASED 20% TO 23% SINCE THE CALL CENTER OPENED.GEISINGER HOLY SPIRIT HAS ALSO REDESIGNED TRANSITIONS OF CARE SO THAT PATIENTS DISCHARGED FROM THE HOSPITAL ARE SEEN BY THEIR PRIMARY CARE PROVIDERS WITHIN TWO TO FIVE DAYS. THIS APPROACH HAS CUT DOWN ON READMISSION RATES SIGNIFICANTLY BECAUSE PREVIOUSLY, PATIENTS WOULD WAIT TWO TO THREE WEEKS TO BE SEEN AND OFTEN NEEDED ATTENTION BEFORE THEN. WE ARE ALSO IMPROVING ACCESS TO CARE BY PARTNERING WITH COMMUNITY AGENCIES AND HEALTHCARE COALITIONS, ESPECIALLY IN PERRY COUNTY, WHICH IS IN THE BOTTOM 5% OF COUNTIES IN PENNSYLVANIA TO HAVE HEALTHCARE PROVIDERS. GEISINGER HOLY SPIRIT HAS A STRONG PRESENCE ON MANY BOARDS OF DIRECTORS. WE WORK WITH THE UNITED WAY AND HAMILTON HEALTHCARE TO ENSURE TWO COMMUNITY HEALTH WORKS ARE ON SITE AT THE HOSPITAL, ESPECIALLY IN THE EMERGENCY DEPARTMENT, LOOKING FOR PEOPLE WITHOUT PRIMARY CARE PROVIDERS OR INSURANCE TO HELP THEM FIND THE COVERAGE AND CARE THEY NEED. THIS COORDINATED EFFORT HAS SHOWN IMPRESSIVE RESULTS.GEISINGER HOLY SPIRIT IS EXTENDING SPECIALTY CARE OUTREACH BY SENDING CARDIOLOGISTS, ORTHOPAEDISTS AND PHARMACISTS OUT TO CLINICS IN MORE RURAL LOCATIONS ON A WEEKLY BASIS.WE ARE CURRENTLY LOOKING FOR FUNDING TO OFFER MORE TELEMEDICINE OPTIONS. ONE PROGRAM WE DO HAVE IN PLACE IS A PARTNERSHIP WITH LEHIGH VALLEY MEDICAL CENTER, THROUGH WHICH CONSULTATIONS WITH REMOTE BURN SPECIALISTS ARE PROVIDED ALONG WITH TRANSFERS, WHEN NECESSARY.TO ENCOURAGE INTEREST IN MEDICAL CAREERS, OUR ADVANCED PRACTITIONERS REACH OUT TO COMMUNITY HIGH SCHOOLS AND COLLEGES AS WELL AS THE REGIONAL CAMPUS OF THE GEISINGER COMMONWEALTH SCHOOL OF MEDICINE.BEHAVIORAL HEALTHGEISINGER HOLY SPIRIT TEENLINE HAS BEEN HELPING STUDENTS, FAMILIES, AND COMMUNITY MEMBERS IN THE CUMBERLAND-PERRY COUNTY AREA FOR 34 YEARS. TEENLINE OPERATES ON THE PENNSYLVANIA STATE STUDENT ASSISTANCE PROGRAM MODEL (SAP). TEENLINE COUNSELORS PROVIDE MENTAL HEALTH ASSESSMENTS AS AN OUTCOME OF THE SAP SCREENING AND RECOMMENDATION PROCESS. TEENLINE ASSISTS FAMILIES WITH CONNECTING WITH RECOMMENDED SERVICES ONCE THEY HAVE COMPLETED THE ASSESSMENT AND DISCUSSED RECOMMENDATIONS WITH THE FAMILY. IN THE SCHOOL YEAR 2017-18, TEENLINE CONDUCTED 611 MENTAL HEALTH ASSESSMENTS; IN THE SCHOOL YEAR 2018-19, 650 STUDENTS RECEIVED A MENTAL HEALTH ASSESSMENT. IN ADDITION, TEENLINE ATTENDS SCHOOL FUNCTIONS, SUCH AS PTO MEETINGS AND BACK TO SCHOOL NIGHTS, TO INCREASE MENTAL HEALTH AWARENESS, SHARE INFORMATION FOR STUDENT ASSISTANCE PROGRAMS AND ANSWER QUESTIONS. TEENLINE COUNSELORS CONDUCT IN-SERVICES ON REQUESTED MENTAL HEALTH TOPICS TO ASSIST SCHOOL PERSONNEL WITH MENTAL HEALTH-RELATED INFORMATION. IN 2019, TEENLINE HAD 20 SCHOOL MENTAL HEALTH PRESENTATIONS. THEY WORK CLOSELY WITH SCHOOL ADMINISTRATION AND STAFF AND GIVE INPUT INTO PROCEDURES FOR SAP.TEENLINE COUNSELORS RESPOND TO REQUESTS FOR ASSISTANCE WHEN THERE IS A DEATH OF A STUDENT OR STAFF MEMBER. IN 2018, TEENLINE RESPONDED TO 8 POSTVENTIONS AND 10 POSTVENTIONS IN 2019.THE GEISINGER HOLY SPIRIT BEHAVIORAL HEALTH DEPARTMENT OFFERS A WEEKLY SUPPORT GROUP FOR EXPECTING AND NEW MOTHERS, PARTICULARLY WITH A FOCUS ON MOTHERS WHO HAVE A BEHAVIORAL HEALTH DIAGNOSIS AND ARE STRUGGLING OR SYMPTOMATIC. OVER THE PAST 2 YEARS, GROUP MEMBERS HAVE BEEN MORE BLENDED. WE FOUND THAT MEMBERS WERE USING MORE ONLINE TOOLS AND WERE ALSO ABLE TO FIND INFORMATION ABOUT THE GROUP. THUS, THIS HAS SHIFTED OUR THINKING AND DESIGN OF THE GROUP. IT IS INCLUSIVE OF ALL WOMEN WHO ARE PREGNANT OR POSTPARTUM, AND WE CAN IDENTIFY WOMEN WHO ARE EXPERIENCING CLINICAL PERIPARTUM AND POSTPARTUM ISSUES EARLIER. WE SERVED 15 WOMEN IN 2020, WHO ATTENDED AT LEAST 2 TIMES A MONTH FOR 13 MONTHS. WE ALSO HAVE IDENTIFIED PROVIDERS WHO SPECIALIZE IN BEHAVIORAL HEALTH ISSUES DURING PERI-PARTUM AND POSTPARTUM PERIODS.GEISINGER HOLY SPIRIT MATERNAL ASSISTANCE PROGRAM OFFERS INTENSIVE CASE MANAGEMENT TO WOMEN IN THE PRENATAL THROUGH POSTPARTUM STAGE. THE PROGRAMOFFERS HOME VISITS, FOLLOW-UP, SUBSTANCE ABUSE TREATMENT REFERRAL, EDUCATION, AND SMOKING CESSATION INFORMATION. THE GOAL IS TO ASSIST WOMEN TO DELIVER A HEALTHY BABY AND OFFER SUPPORT TO LIVE A SUBSTANCE-FREE LIFESTYLE.IN AN EFFORT TO INTEGRATE BEHAVIORAL HEALTH SERVICES WITH PRIMARY CARE, GEISINGER HOLY SPIRIT IDENTIFIED TWO PSYCHIATRISTS FOR INTEGRATION. HOWEVER, BOTH PROVIDERS HAVE EITHER LEFT THE EMPLOYMENT OF GHS OR ARE NOW FLEX PROVIDERS. OUR GOAL IS TO RE-EVALUATE OUR POOL OF PROVIDERS IN ADDITION TO HIRING, AND EARMARK BEHAVIORAL HEALTH INTEGRATION INTO PRIMARY CARE AS A PRIORITY.
HOLY SPIRIT MEDICAL	PART V, SECTION B, LINE 13B: RECENT WAGE STATEMENTS, UNEMPLOYMENT OR OTHER DOCUMENTATION OF BENEFITS OR COMPENSATION RECEIVED MAY BE CONSIDERED IN DETERMINING FINANCIAL ASSISTANCE ELIGIBILITY.
HOLY SPIRIT MEDICAL	PART V, SECTION B, LINE 16J: IN ADDITION, REGISTRATION PERSONNEL ALSO REFER UNINSURED AND/OR LOW-INCOME PATIENTS TO FINANCIAL COUNSELORS TO DISCUSS THE FINANCIAL ASSISTANCE POLICY.
PART V, LINE 11 (CONTINUED)	CHRONIC DISEASE MANAGEMENT AND PREVENTIONGEISINGER HOLY SPIRIT ENCOURAGES COMMUNITY INITIATIVES THAT SUPPORT ACCESS TO AND AVAILABILITY OF HEALTHY LIFESTYLE CHOICES. WE OFFER FREE PROGRAMS TO LOCAL RESIDENTS, INCLUDING THE MYCODE INNOVATIONS IN HEALTHCARE SERIES AS WELL AS LECTURES ON DIABETES AND HEART DISEASE, UNDERSTANDING HEART MEDICATIONS AND PARTIAL KNEE REPLACEMENTS.WE PROVIDE SUBSIDIZED EXERCISE CLASSES FOR SILVER CIRCLE MEMBERS AGE 55 OR OLDER AND SUPPORT COMMUNITY RACES, FUN RUNS, WALKS AND OTHER EVENTS THAT PROMOTE PHYSICAL ACTIVITY, INCLUDING FURRY FRIENDS, RACE FOR THEIR LIVES, ZERO PROSTATE CANCER WALK/RUN, TUSCARORA WILDLAND FIRE CREW, 5K BRUSH RUSH, SHAULL ELEMENTARY SCHOOL, FUN RUN, ROTARY CLUB OF MECHANICSBURG, 5K RUN TO END POLIO, ST. JOSEPH'S SCHOOL, RACE FOR EDUCATION AND THE KIWANIS CLUB OF DILLSBURG, 5K PICKLE CHASE.WE PARTICIPATE IN OR HOST FREE COMMUNITY HEALTH FAIRS TARGETING DIVERSE POPULATIONS, INCLUDING A MEN'S HEALTH EVENT IN PARTNERSHIP WITH UCPA (OFFERING PSA BLOOD TEST, BLOOD PRESSURE SCREENINGS, BMI, BONE DENSITY, SLEEP ASSESSMENT), 11/3 SCREENING EVENT (BLOOD PRESSURE, CHOLESTEROL/GLUCOSE, BONE DENSITY, BMI, MYCODE, CARDIAC RISK ASSESSMENT), A DAY.
PART V, SECTION B, LINE 16A/B/C	THE FAP, FAP APPLICATION AND PLAIN LANGUAGE SUMMARY OF THE FAP ARE WIDELY AVAILABLE AT THE FOLLOWING WEBSITES FOR EACH HEALTH SYSTEM:WWW.PENNSTATEHEALTH.ORG/PATIENTS-VISITORS/BILLING-MEDICAL-RECORDS/FINANCIAL-ASSISTANCEWWW.GEISINGER.ORG/PATIENT-CARE/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/NEED-HELP

Supplemental Information Detail SupplementalInformationDetail (15 entries)

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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.
PART I, LINE 6A:	A SUMMARY OF THE COMMUNITY BENEFIT PROVIDED BY THE HOSPITAL AND ITS RELATED CHARITABLE ORGANIZATIONS IS INCLUDED IN GEISINGER'S ANNUAL REPORT AND IS MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
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.
PART I, LINE 7G:	THERE ARE NO PHYSICIAN CLINICAL SERVICES INCLUDED IN SUBSIDIZED HEALTH SERVICES.
PART II, COMMUNITY BUILDING ACTIVITIES:	PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER DOES NOT HAVE COMMUNITY BUILDING ACTIVITIES TO REPORT AT THIS TIME.
PART III, LINE 2:	REFER TO THE RESPONSE FOR PART III, LINE 4.
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 UNCOMPENSATED OR CHARITY CARE POLICY.
PART III, LINE 4:	PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER ADOPTED FASB ASU 2014-09 REVENUE FROM CONTRACTS WITH CUSTOMERS (TOPIC 606); AS A RESULT, THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS NO LONGER ADDRESS BAD DEBT EXPENSE.
PART III, LINE 8:	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.-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. 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. 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.
PART III, LINE 9B:	THE HOSPITAL IS COMMITTED TO PROVIDING MEDICALLY NECESSARY SERVICES TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY AND THE HOSPITAL'S COLLECTION ACTIONS ARE CONSISTENTLY APPLIED TO ALL PATIENTS. IT IS THE HOSPITAL'S POLICY TO PROVIDE FINANCIAL ASSISTANCE AND COUNSELING TO PATIENTS WITH LIMITED FINANCIAL MEANS. A PATIENT MAY BECOME ELIGIBLE FOR FINANCIAL ASSISTANCE AT ANY TIME DURING TREATMENT OR DURING THE CONTINUUM OF THE FINANCIAL/BILLING AND COLLECTION PROCESS. IN ANY STAGE OF THE BILLING PROCESS, COLLECTION ACTIONS ARE NOT PURSUED WHENEVER A PATIENT APPLIES AND IS BEING EVALUATED FOR FINANCIAL ASSISTANCE.UNDER NO CIRCUMSTANCES WILL THE HOSPITAL FREEZE OR ATTACH BANK ACCOUNTS OF A PATIENT, ENFORCE LIENS, ACTIVELY PURSUE ASSETS FROM A PRIOR JUDGMENT OR GARNISH THE WAGES OF A PATIENT AND/OR FAMILY MEMBER BEFORE DETERMINING IF THE PATIENT IS ELIGIBLE FOR ASSISTANCE UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM.GEISINGER MANAGEMENT HAS DEVELOPED POLICIES AND PROCEDURES FOR INTERNAL AND EXTERNAL COLLECTION PRACTICES THAT TAKE INTO ACCOUNT THE EXTENT TO WHICH THE PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE, A PATIENT'S GOOD FAITH EFFORT TO APPLY FOR GOVERNMENTAL PROGRAMS OR FINANCIAL ASSISTANCE FROM GEISINGER AND A PATIENT'S GOOD FAITH EFFORT TO COMPLY HIS OR HER PAYMENT AGREEMENTS.BILLING AND COLLECTION POLICY: THE BILLING AND COLLECTION POLICY IS ADMINISTERED IN ACCORDANCE WITH THE MISSION AND VALUES OF THE HOSPITAL AS WELL AS FEDERAL AND STATE LAW. THE POLICY IS DESIGNED TO PROMOTE APPROPRIATE ACCESS TO MEDICAL CARE FOR ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY WHILE MAINTAINING GEISINGER'S FISCAL RESPONSIBILITY TO MAXIMIZE REIMBURSEMENT AND MINIMIZE BAD DEBT.THE ORGANIZATION'S BILLING AND COLLECTION POLICY IS INTENDED TO TAKE INTO ACCOUNT EACH INDIVIDUAL'S ABILITY TO CONTRIBUTE TO THE COST OF HIS OR HER CARE. THE ORGANIZATION MAKES SURE THAT PATIENTS ARE ASSISTED IN OBTAINING HEALTH INSURANCE COVERAGE FROM PRIVATELY AND PUBLICLY FUNDED SOURCES, WHENEVER POSSIBLE.ALL BUSINESS OFFICE CUSTOMER SERVICE DEPARTMENT REPRESENTATIVES ARE EDUCATED ON ALL ASPECTS OF THE BILLING AND COLLECTION POLICY AND ARE EXPECTED TO ADMINISTER THE POLICY ON A REGULAR AND CONSISTENT BASIS. BUSINESS OFFICE CUSTOMER SERVICE REPRESENTATIVES ARE HELD ACCOUNTABLE TO TREAT ALL PATIENTS WITH COURTESY, RESPECT, CONFIDENTIALITY AND CULTURAL SENSITIVITY.THE BILLING AND COLLECTION POLICY IS ADMINISTERED IN CONJUNCTION WITH THE PROCEDURES OUTLINED IN INTERNAL ADMINISTRATIVE POLICIES. THE GEISINGER EXECUTIVE VICE PRESIDENT, CHIEF FINANCIAL OFFICER AND VICE PRESIDENT, CHIEF REVENUE OFFICER HAVE OVERALL RESPONSIBILITY FOR THE BILLING AND COLLECTION ACTIVITIES OF THE HOSPITAL. THE BUSINESS OFFICE CUSTOMER SERVICE DEPARTMENT STAFF IS RESPONSIBLE FOR THE DAY-TO-DAY ENFORCEMENT OF APPROVED POLICIES AND PROCEDURES. GEISINGER MAY OFFER EXTENDED PAYMENT PLANS TO PATIENTS WHO ARE COOPERATING IN GOOD FAITH TO RESOLVE THEIR HOSPITAL BILLS.EMERGENCY & MEDICALLY NECESSARY SERVICES: GEISINGER DOES NOT ENGAGE IN ANY ACTIONS THAT DISCOURAGE INDIVIDUALS FROM SEEKING EMERGENCY MEDICAL CARE. THE ORGANIZATION WILL NEVER DEMAND THAT AN EMERGENCY DEPARTMENT PATIENT PAY BEFORE RECEIVING TREATMENT FOR EMERGENCY MEDICAL CONDITIONS. ADDITIONALLY, GEISINGER DOES NOT PERMIT DEBT COLLECTION ACTIVITIES IN THE EMERGENCY DEPARTMENT OR OTHER AREAS WHERE SUCH ACTIVITIES COULD INTERFERE WITH THE PROVISION OF EMERGENCY CARE ON A NONDISCRIMINATORY BASIS. ALL MEDICALLY NECESSARY HOSPITAL SERVICES ARE PROVIDED WITHOUT CONSIDERATION OF ABILITY TO PAY AND ARE NOT DELAYED PENDING APPLICATION OR APPROVAL OF MEDICAL ASSISTANCE OR THE GEISINGER FINANCIAL ASSISTANCE PROGRAM. ADVANCE PAYMENT IS NOT REQUIRED FOR ANY MEDICALLY NECESSARY SERVICES.COMPLIANCE WITH INTERNAL REVENUE CODE SECTION 501(R)(6): GEISINGER DOES NOT ENGAGE IN ANY EXTRAORDINARY COLLECTION ACTIONS ("ECAS") AS DEFINED BY INTERNAL REVENUE CODE SECTION 501(R)(6) PRIOR TO THE EXPIRATION OF THE NOTIFICATION PERIOD. THE NOTIFICATION PERIOD IS DEFINED AS A 120-DAY PERIOD OR GREATER, WHICH BEGINS ON THE DATE OF THE 1ST POST-DISCHARGE BILLING STATEMENT, IN WHICH NO ECAS ARE INITIATED AGAINST THE PATIENT.SUBSEQUENT TO THE NOTIFICATION PERIOD GEISINGER, OR ANY THIRD PARTIES ACTING ON ITS BEHALF, MAY INITIATE THE FOLLOWING ECAS AGAINST A PATIENT FOR AN UNPAID BALANCE IF THE FINANCIAL ASSISTANCE ELIGIBILITY DETERMINATION HAS NOT BEEN MADE OR IF AN INDIVIDUAL IS INELIGIBLE FOR FINANCIAL ASSISTANCE. GEISINGER MAY AUTHORIZE THIRD PARTIES TO REPORT ADVERSE INFORMATION ABOUT THE INDIVIDUAL TO CONSUMER CREDIT REPORTING AGENCIES OR CREDIT BUREAUS ON DELINQUENT PATIENT ACCOUNTS AFTER THE NOTIFICATION PERIOD.THE ORGANIZATION ENSURES REASONABLE EFFORTS HAVE BEEN TAKEN TO DETERMINE WHETHER AN INDIVIDUAL IS ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THE FINANCIAL ASSISTANCE POLICY AND ENSURES THE FOLLOWING ACTIONS ARE TAKEN AT LEAST 30 DAYS PRIOR TO INITIATING ANY ECA: 1) THE PATIENT IS PROVIDED WITH WRITTEN NOTICE WHICH: INDICATES THAT FINANCIAL ASSISTANCE IS AVAILABLE FOR ELIGIBLE PATIENTS; IDENTIFIES THE ECA(S) THAT GEISINGER INTENDS TO INITIATE TO OBTAIN PAYMENT FOR THE CARE; AND STATES A DEADLINE AFTER WHICH SUCH ECAS MAY BE INITIATED. 2) THE PATIENT IS PROVIDED WITH A COPY OF THE PLAIN LANGUAGE SUMMARY; AND 3) REASONABLE EFFORTS ARE MADE TO ORALLY NOTIFY THE PATIENT ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE AND HOW THE INDIVIDUAL MAY OBTAIN ASSISTANCE WITH THE FINANCIAL ASSISTANCE APPLICATION PROCESS.GEISINGER PROCESSES ALL APPLICATIONS FOR FINANCIAL ASSISTANCE SUBMITTED DURING THE APPLICATION PERIOD. THE APPLICATION PERIOD BEGINS ON THE DATE THE CARE IS PROVIDED AND ENDS ON THE 240TH DAY AFTER THE DATE OF THE FIRST POST-DISCHARGE BILLING STATEMENT.
PART VI, LINE 2:	SEE PART V, LINE 5 NARRATIVE
PART VI, LINE 3:	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.
PART VI, LINE 4:	GEISINGER HOLY SPIRIT PRIMARILY SERVES RESIDENTS IN 25 ZIP CODES SPANNING CUMBERLAND, DAUPHIN, PERRY, AND YORK COUNTIES IN PENNSYLVANIA. THE 2017 POPULATION OF THE SERVICE AREA IS 454,584 AND IS PROJECTED TO INCREASE 3.7% BY 2022.ZIP CODE OF RESIDENCE IS ONE OF THE MOST IMPORTANT PREDICTORS OF HEALTH DISPARITY; WHERE RESIDENTS LIVE MATTERS IN DETERMINING THEIR HEALTH. THE COMMUNITY NEED INDEX (CNI) WAS DEVELOPED BY DIGNITY HEALTH AND TRUVEN HEALTH ANALYTICS TO ILLUSTRATE THE POTENTIAL FOR HEALTH DISPARITY AT THE ZIP CODE LEVEL. THE CNI SCORES ZIP CODES ON A SCALE OF 1.0 (LOW NEED) TO 5.0 (HIGH NEED) BASED ON 2015 DATA INDICATORS FOR FIVE SOCIO-ECONOMIC BARRIERS:- INCOME: POVERTY AMONG ELDERLY HOUSEHOLDS, FAMILIES WITH CHILDREN, AND SINGLE FEMALE-HEADED FAMILIES WITH CHILDREN - CULTURE/LANGUAGE: MINORITY POPULATIONS AND ENGLISH LANGUAGE BARRIERS- EDUCATION: POPULATION OVER 25 YEARS WITHOUT A HIGH SCHOOL DIPLOMA- INSURANCE COVERAGE: UNEMPLOYMENT RATE AMONG POPULATION 16 YEARS OR OVER AND POPULATION WITHOUT HEALTH INSURANCE- HOUSING STATUS: HOUSEHOLDERS RENTING THEIR HOMETHE WEIGHTED AVERAGE CNI SCORE FOR GEISINGER HOLY SPIRIT'S 25 ZIP CODE SERVICE AREA IS 2.5, INDICATING LOWER OVERALL COMMUNITY NEED. SEVERAL ZIP CODES WITHIN HARRISBURG HAVE HIGHER CNI SCORES, INCLUDING 17102, 17104, 17110, AND 17113. ZIP CODE 17104 HAS THE HIGHEST SCORE (4.8). A SIGNIFICANT PORTION OF HARRISBURG CITY IS DESIGNATED AS A MEDICALLY UNDERSERVED AREA. POPULATIONS IN HARRISBURG ZIP CODES 17104 AND 17102 HAVE THE HIGHEST POVERTY, UNEMPLOYMENT, AND/OR UNINSURED RATES; ZIP CODE 17104 ALSO HAS THE LOWEST EDUCATIONAL ATTAINMENT AMONG RESIDENTS. POPULATIONS IN THE ZIP CODES ARE DIVERSE; APPROXIMATELY 38% TO 47% OF RESIDENTS IDENTIFY AS BLACK/AFRICAN AMERICAN AND 12% TO 31% OF RESIDENTS IDENTIFY AS HISPANIC/LATINO. RESIDENTS IN ZIP CODE 17043, LEMOYNE, ALSO EXPERIENCE POORER SOCIAL DETERMINANTS OF HEALTH. THE ZIP CODE HAS THE HIGHEST POVERTY AND UNINSURED RATES IN THE CUMBERLAND COUNTY SERVICE AREA. RESIDENTS ARE MORE LIKELY TO BE HISPANIC/LATINO AND SPEAK A LANGUAGE OTHER THAN ENGLISH. THE SOUTH CENTRAL REGION IS COMPRISED OF FOUR COUNTIES AND IS SERVED BY GEISINGER HOLY SPIRIT. THE SOUTH CENTRAL REGION POPULATION IS PRIMARILY WHITE, BUT DIVERSITY IS INCREASING. THE WHITE POPULATION AS A PERCENTAGE OF THE TOTAL POPULATION IS DECLINING IN ALL COUNTIES, WHILE BLACK/AFRICAN AMERICAN AND HISPANIC/LATINO POPULATIONS ARE GROWING. THE DEMOGRAPHIC SHIFT IS A STATEWIDE TREND; MINORITY POPULATIONS ARE THE ONLY GROWING DEMOGRAPHIC IN PENNSYLVANIA. THE HISPANIC/LATINO POPULATION IS ONE OF THE FASTEST GROWING DEMOGRAPHIC GROUPS; DAUPHIN AND YORK COUNTIES ARE PROJECTED TO EXPERIENCE THE GREATEST INCREASE IN THE POPULATION. PENNSYLVANIA FARES BETTER THAN THE NATION ON MOST ECONOMIC INDICATORS. PENNSYLVANIA RESIDENTS ARE LESS LIKELY TO LIVE IN POVERTY, HAVE A SIMILAR UNEMPLOYMENT RATE AS THE NATION'S AVERAGE, AND ARE MORE LIKELY TO HAVE ATTAINED AT LEAST A HIGH SCHOOL DIPLOMA. WITHIN THE SOUTH CENTRAL REGION, RESIDENTS HAVE A HIGHER MEDIAN HOUSEHOLD INCOME THAN THE STATE AND THE NATION, AND RESIDENTS IN ALL COUNTIES EXCEPT DAUPHIN HAVE LOWER POVERTY RATES. DAUPHIN COUNTY POVERTY RATES ARE SIMILAR TO STATE RATES. ALL COUNTIES ALSO HAVE A LOWER PERCENTAGE OF RESIDENTS WITH LESS THAN A HIGH SCHOOL EDUCATION WHEN COMPARED TO THE NATION. RACIAL AND ETHNIC MINORITY GROUPS LIKE BLACK/AFRICAN AMERICAN OR HISPANIC/LATINO RESIDENTS ARE MORE LIKELY TO BE IMPACTED BY ADVERSE SOCIOECONOMIC FACTORS, INCLUDING POVERTY, UNEMPLOYMENT, OR EDUCATION ATTAINMENT. POVERTY IS ONE OF THE BIGGEST DRIVERS OF DISPARITY IN THE SOUTH CENTRAL REGION. POVERTY RATES AMONG MINORITY POPULATIONS ARE DOUBLE THE RATES AMONG WHITES. SOCIOECONOMIC DISPARITY CONTRIBUTES TO WORSE HEALTH OUTCOMES. BECAUSE POPULATION COUNTS FOR MINORITY RESIDENTS ACROSS THE REGION ARE LOW, HEALTH DISPARITIES ARE PRIMARILY EVIDENCED BY STATE AND NATIONAL TRENDS. THE 2017 POPULATION OF THE SOUTH CENTRAL REGION IS 1,026,593. YORK COUNTY COMPRISES THE LARGEST PORTION OF THE POPULATION (44%), FOLLOWED BY DAUPHIN COUNTY (27%). COUNTY POPULATIONS ARE EXPECTED TO GROW WITH INCREASES OF 1% (PERRY) TO 6% (CUMBERLAND) BY 2022. THE SOUTH CENTRAL REGION POPULATION IS PRIMARILY WHITE, BUT INCREASINGLY DIVERSE. THE PERCENTAGE OF WHITE RESIDENTS DECREASED FROM 2010 TO 2017 AND IS PROJECTED TO DECREASE THROUGH 2022. THE PERCENTAGE OF RESIDENTS IDENTIFYING AS BLACK/AFRICAN AMERICAN AND/OR HISPANIC/LATINO IS INCREASING. DAUPHIN COUNTY HAS THE MOST DIVERSE POPULATION; RESIDENTS ARE LESS LIKELY TO SPEAK ENGLISH AS THEIR PRIMARY LANGUAGE WHEN COMPARED TO THE STATE. RESIDENTS IN ALL COUNTIES ARE MORE LIKELY TO SPEAK PRIMARILY ENGLISH WHEN COMPARED TO THE NATION. PENNSYLVANIA HAS A HIGHER MEDIAN AGE THAN THE NATION. THE MEDIAN AGE OF THE SOUTH CENTRAL REGION COUNTIES IS CONSISTENT WITH THE STATE. PERRY COUNTY HAS THE HIGHEST MEDIAN AGE, EXCEEDING THE NATION BY 5 POINTS. ALL SOUTH CENTRAL REGION COUNTIES HAVE A HIGHER MEDIAN HOUSEHOLD INCOME THAN THE STATE AND THE NATION. ALL COUNTIES EXCEPT DAUPHIN ALSO HAVE LOWER POVERTY RATES. DAUPHIN COUNTY POVERTY RATES ARE SIMILAR TO THE STATE. APPROXIMATELY 20% OF CHILDREN IN THE COUNTY LIVE IN POVERTY. CUMBERLAND AND DAUPHIN COUNTIES HAVE A MORE PROMINENT WHITE-COLLAR WORKFORCE COMPARED TO OTHER COUNTIES IN THE REGION AND THE STATE AND THE NATION. PERRY AND YORK COUNTIES HAVE A LARGER BLUE-COLLAR WORKFORCE. ALL COUNTIES EXCEPT YORK HAVE A LOWER UNEMPLOYMENT RATE THAN THE STATE AND THE NATION. THE YORK COUNTY UNEMPLOYMENT RATE IS SIMILAR TO THE NATION. HOMEOWNERSHIP IS A MEASURE OF HOUSING AFFORDABILITY AND ECONOMIC STABILITY. HOUSEHOLDERS IN ALL SERVICE COUNTIES EXCEPT DAUPHIN ARE MORE LIKELY TO OWN THEIR HOME WHEN COMPARED TO THE STATE AND THE NATION; DAUPHIN COUNTY MIRRORS THE NATION FOR HOME OWNERSHIP. DAUPHIN COUNTY HAS A SIMILAR MEDIAN HOUSEHOLD INCOME AND MEDIAN HOME VALUE TO PERRY COUNTY, BUT THE PERCENTAGE OF HOMEOWNERS IN PERRY COUNTY IS 10 POINTS HIGHER THAN IN DAUPHIN COUNTY. EDUCATION IS THE LARGEST PREDICTOR OF POVERTY AND ONE OF THE MOST EFFECTIVE MEANS OF REDUCING INEQUALITIES. RESIDENTS IN ALL SERVICE COUNTIES ARE MORE LIKELY TO HAVE GRADUATED FROM HIGH SCHOOL WHEN COMPARED TO THE NATION. A HIGHER PERCENTAGE OF RESIDENTS IN PERRY AND YORK COUNTIES COMPLETED THEIR EDUCATION WITH A HIGH SCHOOL DIPLOMA. RESIDENTS IN CUMBERLAND AND DAUPHIN COUNTIES ARE MORE LIKELY TO HAVE ATTAINED HIGHER EDUCATION; CUMBERLAND COUNTY EXCEEDS THE STATE AND THE NATION FOR THIS MEASURE.
PART VI, LINE 5:	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.
PART VI, LINE 6:	THROUGH OCTOBER 31, 2020, THE HOSPITAL WAS AN AFFILIATE WITHIN GEISINGER, AN INTEGRATED HEALTH SERVICES ORGANIZATION THAT INCLUDES 13 HOSPITAL CAMPUSES, A NEARLY 600,000-MEMBER HEALTH PLAN, TWO RESEARCH CENTERS, THE GEISINGER LEWISTOWN HOSPITAL SCHOOL OF NURSING AND THE GEISINGER COMMONWEALTH SCHOOL OF MEDICINE. AND GEISINGER'S MYCODE COMMUNITY HEALTH INITIATIVE, THE LARGEST HEALTHCARE SYSTEM-BASED PRECISION HEALTH PROJECT IN THE WORLD, WITH NEARLY 200,000 VOLUNTEERS ENROLLED, IS CONDUCTING EXTENSIVE RESEARCH AND RETURNING MEDICALLY ACTIONABLE RESULTS TO PARTICIPANTS.BEGINNING NOVEMBER 1, 2020, THE HOSPITAL WAS AN AFFILIATE WITHIN THE PENN STATE HEALTH SYSTEM. PENN STATE HEALTH IS A MULTI-HOSPITAL HEALTH SYSTEM SERVING PATIENTS AND COMMUNITIES ACROSS 29 COUNTIES IN PENNSYLVANIA. ITS MISSION IS TO CONTINUALLY IMPROVE THE HEALTH AND WELL-BEING OF THE PEOPLE OF PENNSYLVANIA, AND BEYOND. THE SYSTEM INCLUDES PENN STATE HEALTH MILTON S. HERSHEY MEDICAL CENTER, INCLUDING PENN STATE HEALTH CHILDREN'S HOSPITAL AND PENN STATE CANCER INSTITUTE; PENN STATE HEALTH HAMPDEN MEDICAL CENTER; PENN STATE HEALTH LANCASTER MEDICAL CENTER; AND PENN STATE HEALTH ST. JOSEPH MEDICAL CENTER, AND 126 PRACTICES IN 94 UNIQUE OUTPATIENT LOCATIONS SPANNING 10 COUNTIES. PENN STATE HEALTH EMPLOYS MORE THAN 17,000 PEOPLE, INCLUDING 2,400 PHYSICIANS AND ADVANCED PRACTICE PROVIDERS. PENN STATE HEALTH SHARES AN INTEGRATED PLAN AND OPERATIONS WITH PENN STATE COLLEGE OF MEDICINE, THE UNIVERSITY'S MEDICAL SCHOOL. WITH CAMPUSES IN STATE COLLEGE AND HERSHEY, THE COLLEGE OF MEDICINE BOASTS A PORTFOLIO OF MORE THAN $155 MILLION IN FUNDED RESEARCH AND MORE THAN 1,700 STUDENTS AND TRAINEES IN MEDICINE, NURSING, AND OTHER HEALTH CARE PROFESSIONS AND BIOMEDICAL RESEARCH. SEE SCHEDULE R FOR A LIST OF THE AFFILIATED ORGANIZATIONS COMPRISING GEISINGER AND PENN STATE HEALTH.PART VI, LINE 7AT 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 (1)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	Yes (1)	InitialContractExceptionInd
Rebuttable Presumption Proc	0	RebuttablePresumptionProcInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (22 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
DAVID J FELICIO ESQUIRE
FORMER OFFICER	$0	$182,951	$0	$55,278	$0	$1,295,212	$0	$23,238	$0	$0	$0	$1,556,679	$0	$0
STEPHEN MASSINI
DIRECTOR / PSH CEO (BEG 11/1/2020)	$0	$1,285,930	$0	$0	$0	$31,418	$0	$107,924	$0	$42,488	$0	$1,467,760	$0	$0
PETER DILLON MD
DIRECTOR (BEG 11/1/2020)	$0	$806,961	$0	$0	$0	$22,179	$0	$81,892	$0	$37,497	$0	$948,529	$0	$0
PAULA TINCH
TREASURER (BEG 11/1/2020)	$0	$593,613	$0	$0	$0	$12,766	$0	$79,503	$0	$42,329	$0	$728,211	$0	$0
ANNEMARIE BOYAN
SECRETARY (BEG 11/1/2020)	$0	$538,490	$0	$0	$0	$9,514	$0	$26,477	$0	$26,700	$0	$601,181	$0	$0
DANIEL E LOHR ESQUIRE
FORMER OFFICER	$0	$370,625	$0	$170,000	$0	$3,123	$0	$20,957	$0	$0	$0	$564,705	$0	$0
LENKE ERKI MD
DIRECTOR (THRU 10/31/2020)	$0	$467,267	$0	$0	$0	$23,219	$0	$43,226	$0	$3,056	$0	$536,768	$0	$0
KYLE C SNYDER MHA
CAO, DIRECTOR (THRU 10/31/2020)	$370,594	$0	$0	$0	$66,987	$0	$78,662	$0	$3,506	$0	$519,749	$0	$0	$0
THOMAS J GRIFONE MD
FORMER 5 HIGHEST	$0	$361,693	$0	$0	$0	$23,919	$0	$37,358	$0	$5,754	$0	$428,724	$0	$0
RANDY B MORRIS
TREASURER (THRU 10/31/2020)	$293,764	$0	$70,000	$0	$23,247	$0	$33,418	$0	$4,485	$0	$424,914	$0	$0	$0
JOSEPH A TORCHIA MD
CMO, HSHS	$0	$0	$0	$0	$380,019	$0	$0	$0	$0	$0	$380,019	$0	$0	$0
LORI R GRAMLEY ESQUIRE
ASST. SECRETARY (THRU 10/31/2020)	$0	$276,263	$0	$0	$0	$53,896	$0	$31,545	$0	$0	$0	$361,704	$0	$0
DONALD MCKENNA
PRESIDENT (BEG 11/1/2020)	$0	$317,951	$0	$0	$0	$8,020	$0	$12,846	$0	$7,554	$0	$346,371	$0	$0
AJAY K SAINI MD
DIRECTOR (THRU 10/31/2020)	$0	$255,715	$0	$0	$0	$39,046	$0	$43,265	$0	$5,193	$0	$343,219	$0	$0
GLORIA SANTOS
VP, CNO	$254,758	$0	$0	$0	$22,198	$0	$39,012	$0	$4,106	$0	$320,074	$0	$0	$0
PAUL D BRETTSCHNEIDER MD
FORMER 5 HIGHEST	$0	$259,954	$0	$0	$0	$15,943	$0	$38,330	$0	$4,980	$0	$319,207	$0	$0
RICHARD SCHREIBER
ASSOCIATE CIO	$248,891	$0	$0	$0	$23,551	$0	$33,792	$0	$4,099	$0	$310,333	$0	$0	$0
ANDREW R WALKER MD
FORMER 5 HIGHEST	$0	$245,317	$0	$0	$0	$21,662	$0	$37,997	$0	$4,940	$0	$309,916	$0	$0
ELLEN R LENKEVICH CRNP
VP, CHIEF NURSING OFFICER HSHS	$242,783	$0	$0	$0	$5,313	$0	$31,103	$0	$1,774	$0	$280,973	$0	$0	$0
BARBARA SUMBATIAN MD
FORMER 5 HIGHEST	$0	$187,081	$0	$0	$0	$21,206	$0	$33,358	$0	$0	$0	$241,645	$0	$0
ROBYN RHOADES
AVP, NURSING	$176,945	$0	$0	$0	$31,132	$0	$21,266	$0	$2,476	$0	$231,819	$0	$0	$0
JANE STUBB
AVP, FINANCIAL RPTG	$134,207	$0	$0	$0	$22,043	$0	$21,191	$0	$0	$0	$177,441	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART I, LINES 4A-B

SEVERANCE PAYMENT: THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS DURING THE CALENDAR YEAR ENDING WITHIN THIS FISCAL YEAR ENDED JUNE 30, 2021: JOSEPH A. TORCHIA, MD (GEISINGER): $379,631 DAVID J. FELICIO, ESQUIRE (GEISINGER): $679,965 DURING THE CALENDAR YEAR ENDING WITHIN THIS FISCAL YEAR ENDED JUNE 30, 2021, CERTAIN OFFICERS AND KEY EMPLOYEES PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. THE BELOW LISTED INDIVIDUALS' CONTRIBUTIONS HAVE NOT YET VESTED; UNVESTED CONTRIBUTIONS ARE REPORTED ON SCHEDULE J, PART II, COLUMN C, RETIREMENT AND OTHER DEFERRED COMPENSATION. DAVID J. FELICIO, ESQUIRE (GEISINGER): $575,879 STEPHEN MASSINI (PSH): $81,924 PETER DILLON, MD (PSH): $55,892 KYLE C. SNYDER, MHA (GEISINGER): $39,854 PAULA TINCH (PSH): $34,003 DONALD MCKENNA (PSH): $3,161

PART I, LINE 8

PURSUANT TO CONTRACT PER REGS. SECTION 53.4958-4(A)(3) THE EMPLOYEES LISTED PARTICIPATE IN A COMPENSATION PROGRAM DESIGNED TO BE MARKET COMPETITIVE FROM TIME TO TIME, DEPENDING ON THE AVAILABILITY OF QUALIFIED APPLICANTS, RECRUITMENT LOANS MAY BE MADE AVAILABLE TO QUALIFIED APPLICANTS IN DIFFICULT TO RECRUIT POSITIONS SUCH LOANS ARE ONLY PROVIDED IF TOTAL COMPENSATION, INCLUDING THE LOAN AMOUNT, IS CONSIDERED REASONABLE COMPENSATION PER INDEPENDENT SALARY SURVEYS.

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp

Field	Value	IRS element (for citing)
Person	GLORIA SANTOS	PersonNm
Relationship With Org	KE	RelationshipWithOrgTxt
Loan Purpose	RECRUITMENT	LoanPurposeTxt
Loan From Organization	Yes (X)	LoanFromOrganizationInd
Original Principal	$25,000	OriginalPrincipalAmt
Balance Due	$1,977	BalanceDueAmt
Default	0	DefaultInd
Board Or Committee Approval	Yes (1)	BoardOrCommitteeApprovalInd
Written Agreement	Yes (1)	WrittenAgreementInd

Field	Value	IRS element (for citing)
Total Balance Due	$1,977	TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ALEXANDRA B POCHAK	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Relationship Description	FAMILY	RelationshipDescriptionTxt
Transaction	$61,881	TransactionAmt
Transaction	COMP/BEN	TransactionDesc
Sharing Of Revenues	0	SharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE L, PART V - ADDITIONAL INFORMATION	FormAndLineReferenceDesc
Explanation	ALEXANDRA B. POCHAK IS A FAMILY MEMBER OF RANDY B. MORRIS, AN OFFICER OF PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART V, LINE 1A	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 FORMS 1099 FILED BY GSS FOR THE 2020 REPORTING PERIOD ON BEHALF OF ITSELF AND ITS AFFILIATES WAS 1,542. EFFECTIVE NOVEMBER 1, 2020, FORM 1096 FOR THE FILING ORGANIZATION IS PROCESSED AND REPORTED BY ITS RELATED ORGANIZATION PENN STATE HEALTH (EIN: 47-3769205).
FORM 990, PART VI, SECTION A, LINE 2	CERTAIN LISTED OFFICERS AND BOARD MEMBERS ALSO SERVE AS OFFICERS AND BOARD MEMBERS OF A TAXABLE ENTITY.
FORM 990, PART VI, SECTION A, LINE 4	THE ARTICLES OF INCORPORATION OF THE FILING ORGANIZATION WERE AMENDED AND RESTATED TO REFLECT THAT THE SOLE MEMBER OF THE FILING ORGANIZATION SHALL BE PENN STATE HEALTH, A PENNSYLVANIA NONPROFIT CORPORATION.
FORM 990, PART VI, SECTION A, LINE 6	AS OF NOVEMBER 1, 2020 THE FILING ORGANIZATION'S SOLE MEMBER IS PENN STATE HEALTH, A PENNSYLVANIA NOT FOR PROFIT COMPANY.
FORM 990, PART VI, SECTION A, LINE 7A	ELECTION OF MEMBERS AND THEIR RIGHTS DIRECTORS SHALL BE ELECTED BY THE CORPORATE MEMBER, PENN STATE HEALTH. THE CORPORATE MEMBER MAY AT ANY TIME REMOVE, WITH OR WITHOUT CAUSE, ANY MEMBER OF THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 7B	DECISIONS REQUIRING APPROVAL BY MEMBERS OR STOCKHOLDERS PURSUANT TO SPECIFICATIONS DEFINED IN THE BYLAWS THE CORPORATE MEMBERS HAVE RESERVED POWERS AS FOLLOWS: TO DETERMINE THE NUMBER OF AND TO ELECT AND REMOVE, WITH OR WITHOUT CAUSE, THE DIRECTORS OF THE FILING ORGANIZATION; TO ELECT AND REMOVE, WITH OR WITHOUT CAUSE, THE CHAIRPERSON AND VICE CHAIRPERSON OF THE FILING ORGANIZATION; TO INITIATE OR APPROVE ANY AND ALL AMENDMENTS TO THE ARTICLES OF INCORPORATION AND BYLAWS OF THE FILING ORGANIZATION; TO INITIATE OR APPROVE ALL FUNDAMENTAL CHANGE TRANSACTIONS AND ALL OTHER TRANSACTIONS NOT IN THE ORDINARY COURSE OF BUSINESS, INCLUDING WITHOUT LIMITATION, ALL MERGERS, CONSOLIDATIONS, DIVISIONS, SALES OF SUBSTANTIALLY ALL ASSETS, AND LIQUIDATION OR DISSOLUTION OF THE FILING ORGANIZATION; TO GIVE SUCH OTHER APPROVALS AND TAKE SUCH OTHER ACTIONS AS ARE SPECIFICALLY RESERVED TO MEMBERS OF PENNSYLVANIA NONPROFIT CORPORATIONS.
FORM 990, PART VI, SECTION A, LINE 7B	DECISIONS REQUIRING APPROVAL BY MEMBERS OR STOCKHOLDERS: DESCRIBED IN THE BYLAWS DATED MAY 8, 2020 AND OTHER APPLICABLE DOCUMENTS, THE MEMBERS OF PENN STATE HEALTH ARE THE PENNSYLVANIA STATE UNIVERSITY ("PSU") AND HIGHMARK HEALTH ("HH"). SUBJECT TO CERTAIN LIMITATIONS AND CONDITIONS DESCRIBED IN THE BYLAWS AND OTHER APPLICABLE DOCUMENTS, THE MEMBERS HAVE RESERVED POWERS AS FOLLOWS: PSU: - TO DETERMINE THE NUMBER OF DIRECTORS THAT WILL COMPRISE THE BOARD OF DIRECTORS OF THE CORPORATION, AND TO APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, A SPECIFIED NUMBER OF DIRECTORS OF THE CORPORATION; - TO APPROVE AMENDMENTS TO THE ARTICLES OF INCORPORATION AND BYLAWS OF THE CORPORATION; - TO APPROVE ALL FUNDAMENTAL CHANGE TRANSACTIONS AND ALL OTHER TRANSACTIONS NOT IN THE ORDINARY COURSE OF BUSINESS, INCLUDING WITHOUT LIMITATION, ALL MERGERS, CONSOLIDATIONS, DIVISIONS, SALES OF SUBSTANTIALLY ALL ASSETS, AND THE LIQUIDATION OR DISSOLUTION OF THE CORPORATION; - TO APPROVE ANY INDEBTEDNESS OF THE CORPORATION OR ITS CONTROLLED AFFILIATES THAT WOULD CAUSE THE DEBT TO CAPITALIZATION RATIO OF THE CORPORATION ON A CONSOLIDATED BASIS TO BE HIGHER THAN A SPECIFIED LEVEL; - TO APPROVE CERTAIN CAPITAL PROJECTS; - TO APPROVE THE SALE, LEASE, TRANSFER OR OTHER DISPOSITION, AND CERTAIN USES, OF THE LAND OR BUILDINGS LOCATED ON THE EAST CAMPUS OF THE MILTON S. HERSHEY MEDICAL CENTER; - TO APPROVE ANY CHANGE IN THE MISSION OF THE MILTON S. HERSHEY MEDICAL CENTER; - TO EXERCISE THE CORPORATION'S POWER TO APPOINT AND REMOVE DIRECTORS OF THE MILTON S. HERSHEY MEDICAL CENTER; - TO APPROVE ANY CHANGE IN THE ACADEMIC AFFILIATION OF THE CORPORATION OR ANY OF ITS CONTROLLED AFFILIATES; AND - SUBJECT TO SECTION 2.2 AND 2.3, THE MEMBER SHALL HAVE THE RIGHT AND POWER TO GIVE SUCH APPROVALS AND TAKE SUCH OTHER ACTIONS AS ARE SPECIFICALLY RESERVED TO MEMBERS OF PENNSYLVANIA NONPROFIT CORPORATIONS UNDER THE PENNSYLVANIA NONPROFIT CORPORATION LAW. HH: - TO APPROVE: (I) THE CONVERSION OF THE CORPORATION TO A FOR-PROFIT ENTITY OR THE MERGER OF THE CORPORATION UNLESS IT IS THE SURVIVING ENTITY, (II) VOLUNTARY DISSOLUTION OF THE CORPORATION, (III) FILING OF A VOLUNTARY PETITION FOR RELIEF UNDER ANY BANKRUPTCY LAWS OR APPOINTMENT OF A RECEIVER OR LIQUIDATOR FOR ANY PART OF THE CORPORATION'S ASSETS OR PROPERTY OR THE MAKING OF A GENERAL ASSIGNMENT FOR THE BENEFIT OF ITS CREDITORS, OR (IV) ADMISSION OF A NEW MEMBER TO THE CORPORATION; - TO APPROVE ANY CHANGE TO THE NUMBER OF DIRECTORS APPOINTED BY HH IF SUCH CHANGE RESULTS IN A DILUTION OF HH'S BOARD REPRESENTATION; - TO APPROVE CERTAIN AMENDMENTS TO THE ARTICLES OF INCORPORATION AND BYLAWS OF THE CORPORATION; - TO APPROVE CERTAIN ACQUISITIONS BY THE CORPORATION WITHIN A SPECIFIED REGION OF ANY AN EQUITY, MEMBERSHIP OR GOVERNANCE INTEREST IN OR THE RIGHT TO RECEIVE ANY DISTRIBUTIONS/FUNDS FROM ANY HOSPITAL, HEALTH SYSTEM, AMBULATORY CARE FACILITY, SKILLED NURSING FACILITY, HOME HEALTH AGENCY, HOSPICE, PHYSICIAN PRACTICE, OR OTHER HEALTHCARE PROVIDER ENTITY; - TO APPROVE CERTAIN CORPORATION BORROWINGS OR GUARANTEES; - TO APPROVE CERTAIN CHANGES TO THE AGREEMENT BETWEEN PSU AND THE CORPORATION RELATED TO THEIR ACADEMIC AFFILIATION; - TO APPROVE CERTAIN CHANGES TO THE STRATEGIC PLAN FOR THE COMMUNITY-BASED CARE DELIVERY NETWORK COMPONENT OF CORPORATION AND RELATED COMMITTEE CHARTER; - TO APPROVE CERTAIN INVESTMENTS IN EXCESS OF SPECIFIED AMOUNTS; - TO APPROVE THE ENTRY INTO CERTAIN NEW ARRANGEMENTS BETWEEN PSU AND THE CORPORATION OR CERTAIN MODIFICATIONS TO EXISTING ARRANGEMENTS BETWEEN PSU AND THE CORPORATION; - WITH CERTAIN EXCEPTIONS, TO APPROVE THE DIVESTITURE OF ALL OR SUBSTANTIALLY ALL OF THE CORPORATION'S ASSETS OR A CONTROLLING MEMBERSHIP INTEREST IN THE CORPORATION TO AN UNAFFILIATED THIRD PARTY; AND - SUBJECT TO SECTION 2.2 AND 2.3, THE MEMBER SHALL HAVE THE RIGHT AND POWER TO GIVE SUCH APPROVALS AND TAKE SUCH OTHER ACTIONS AS ARE SPECIFICALLY RESERVED TO MEMBERS OF PENNSYLVANIA NONPROFIT CORPORATIONS UNDER THE PENNSYLVANIA NONPROFIT CORPORATION LAW.
FORM 990, PART VI, SECTION B, LINE 11B	ORGANIZATION'S PROCESS TO REVIEW FORM 990 THE FORM 990 IS PREPARED BY AN EXTERNAL ACCOUNTING FIRM; IT IS REVIEWED BY ACCOUNTING/FINANCE DEPARTMENT PERSONNEL AND THE CHIEF FINANCIAL OFFICER, AND THEN DISTRIBUTED TO ALL MEMBERS OF THE BOARD FOR REVIEW AND COMMENT BEFORE IT IS FILED WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12C	CONFLICT OF INTEREST POLICY THE FILING ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH ITS CONFLICT OF INTEREST (COI) POLICIES FOR OFFICERS, DIRECTORS, AND KEY EMPLOYEES (COVERED PERSONS). PER THE POLICY, NO COVERED PERSONS MAY ENGAGE IN ANY TRANSACTION OR ARRANGEMENT OR UNDERTAKE POSITIONS WITH OTHER ORGANIZATIONS THAT INVOLVE A CONFLICT OF INTEREST, EXCEPT IN COMPLIANCE WITH THE POLICY. EVERY COVERED PERSON SHALL DISCLOSE ALL ACTUAL AND POTENTIAL CONFLICTS THROUGH AN ANNUAL WRITTEN DISCLOSURE STATEMENT AND AS MATTERS INVOLVING AN ACTUAL OR POTENTIAL CONFLICT ARISE. THE BOARD WILL EVALUATE THE DISCLOSURES AND THE MATERIAL FACTS RELATING TO THE TRANSACTION OR ARRANGEMENT GIVING RISE TO THE POTENTIAL CONFLICT TO DETERMINE WHETHER THEY INVOLVE ACTUAL CONFLICTS OF INTEREST AND MAY ATTEMPT TO DEVELOP ALTERNATIVES TO REMOVE THE CONFLICT FROM THE TRANSACTION OR ARRANGEMENT. A COVERED PERSON WHO HAS AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST SHALL NOT BE PRESENT FOR OR SHALL LEAVE ANY PORTION OF A MEETING AT WHICH THE BOARD OF DIRECTORS OR A COMMITTEE IS VOTING TO DETERMINE WHETHER A CONFLICT EXISTS, BUT MAY BE PRESENT PRIOR TO THE VOTE TO MAKE PRESENTATION TO THE BOARD OR COMMITTEE TO DISCLOSE ADDITIONAL FACTS, OR TO RESPOND TO QUESTIONS. THE FILING ORGANIZATION MAY ENTER INTO A TRANSACTION OR ARRANGEMENT IN WHICH A COVERED PERSON HAS AN ACTUAL CONFLICT OF INTEREST IF A MAJORITY OF DIRECTORS WHO HAVE NO INTEREST IN THE TRANSACTION OR ARRANGEMENT APPROVE THE TRANSACTION OR ARRANGEMENT AT A BOARD OR COMMITTEE MEETING AFTER DETERMINING THAT THE TRANSACTION OR ARRANGEMENT IS FAIR AND REASONABLE TO THE CORPORATION, ANY COVERED PERSON WHO HAS A CONFLICT WITH RESPECT TO THE TRANSACTION OR ARRANGEMENT DOES NOT PARTICIPATE IN AND IS NOT PRESENT FOR THE VOTE REGARDING SUCH TRANSACTION OR ARRANGEMENT (EXCEPT THAT THE COVERED PERSON MAY APPEAR AT A MEETING TO ANSWER QUESTIONS), AND IF THE TRANSACTION OR ARRANGEMENT INVOLVES COMPENSATION OR OTHER FINANCIAL BENEFIT TO THE COVERED PERSON, THE BOARD RELIES ON APPROPRIATE COMPARABILITY DATA TO DETERMINE REASONABLENESS. THE FILING ORGANIZATION WILL DOCUMENT THE FOREGOING IN THE MINUTES OF BOARD AND COMMITTEE MEETINGS, AS APPLICABLE. EACH COVERED PERSON MUST SIGN A STATEMENT THAT AFFIRMS THAT HE OR SHE HAS RECEIVED A COPY OF THE COI POLICY, HAS READ AND UNDERSTANDS IT, AND HAS AGREED TO COMPLY WITH IT. IF THE BOARD OF DIRECTORS HAS REASONABLE CAUSE TO BELIEVE THAT A COVERED PERSON HAS FAILED TO COMPLY WITH THE POLICY, THE BOARD MAY COUNSEL THE COVERED PERSON REGARDING SUCH FAILURE AND, IF THE ISSUE IS NOT RESOLVED TO THE BOARD'S SATISFACTION, MAY CONSIDER ADDITIONAL CORRECTIVE ACTION, INCLUDING REMOVAL FROM THE BOARD OF DIRECTORS OR OTHER POSITION WITH THE FILING ORGANIZATION, AS APPROPRIATE. FORM 990, PART VI, SECTION B, LINES 13 & 14: WHISTLEBLOWER POLICY AND DOCUMENT RETENTION/DESTRUCTION POLICY: THE FILING ORGANIZATION FOLLOWS THE WHISTLEBLOWER POLICY AND DOCUMENT RETENTION AND DESTRUCTION POLICY OF A RELATED ORGANIZATION.
FORM 990, PART VI, SECTION B, LINE 15	PROCESS USED TO ESTABLISH COMPENSATION OF CEO, OFFICERS, AND KEY EMPLOYEES: THE FILING ORGANIZATION ADHERES TO ITS APPLICABLE RELATED ORGANIZATION'S PROCESS FOR ESTABLISHING COMPENSATION AS FOLLOWS: ANNUALLY, THE COMPENSATION COMMITTEE OF THE BOARD OF THE RELATED ORGANIZATION ENGAGES AN INDEPENDENT COMPENSATION CONSULTANT TO CONDUCT A COMPENSATION ANALYSIS FOR THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER, OFFICERS, AND KEY EMPLOYEES. AS PART OF THE ANALYSIS, THE INDEPENDENT COMPENSATION CONSULTANT IDENTIFIES, GATHERS, AND ANALYZES APPROPRIATE COMPARABILITY DATA UPON WHICH THE COMMITTEE AND THE FULL BOARD WILL RELY TO ASSESS THE REASONABLENESS OF THE TOTAL PROPOSED COMPENSATION (INCLUDING BENEFITS) OF THE CEO, OFFICERS, AND KEY EMPLOYEES. ONCE THE COMPENSATION ANALYSIS IS COMPLETE AND DOCUMENTED IN REPORTS, THE REPORTS ARE PROVIDED TO THE BOARD FOR REVIEW AND CONSIDERATION, TOGETHER WITH WRITTEN OPINIONS FROM THE COMPENSATION CONSULTANT THAT THE PROPOSED COMPENSATION ARRANGEMENTS FOR THE CEO, OFFICERS, AND KEY EMPLOYEES ARE REASONABLE WITHIN THE MEANING OF TREASURY REGULATION 53.4958-4(B)(1)(II)(A). WITH INPUT FROM THE COMPENSATION COMMITTEE, THE FULL BOARD MAKES ANNUAL DECISIONS WITH RESPECT TO COMPENSATION FOR THE CEO, OFFICERS, AND KEY EMPLOYEES BASED UPON THE DATA IN THE REPORT AND THE OPINION OF THE COMPENSATION CONSULTANT THAT THE PROPOSED COMPENSATION IS REASONABLE. THESE DECISIONS, THE BASIS FOR THESE DECISIONS, THE BOARD MEMBERS' NAMES WHO VOTE ON COMPENSATION, AND THAT NONE OF THE BOARD MEMBERS HAVE A CONFLICT OF INTEREST WITH RESPECT TO THESE COMPENSATION ARRANGEMENTS IS ALL CONTEMPORANEOUSLY DOCUMENTED IN THE MINUTES.
FORM 990, PART VI, SECTION C, LINE 19	REQUIRED DOCUMENTS AVAILABLE TO THE PUBLIC THE ORGANIZATION'S CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS OF THE PENNSYLVANIA STATE UNIVERSITY AND ITS SUBSIDIARIES (WHICH INCLUDES PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER) ARE AVAILABLE AT WWW.PSU.EDU.
FORM 990 PART VII	INDIVIDUALS WITH COMPENSATION REPORTED AS PAID FROM THE FILING ORGANIZATION WAS ISSUED BY HOLY SPIRIT HOSPITAL FOR THE PERIOD JANUARY 1, 2020 THROUGH OCTOBER 31, 2020. AFTER THE ACQUISITION ON NOVEMBER 1, 2020, COMPENSATION WAS PAID BY RELATED ORGANIZATION, PENN STATE HEALTH, FOR THE REMAINDER OF THE YEAR; HOWEVER, THERE IS DIFFICULTY IN BIFURCATING THE DATA FOR FORM 990 PURPOSES AND, PROSPECTIVELY, PENN STATE HEALTH REVERTED BACK TO HOLY SPIRIT ISSUING THEIR OWN PAYROLL ON JANUARY 1, 2021.
FORM 990, PART IX, LINE 11G	OTHER SERVICES: PROGRAM SERVICE EXPENSES 58,026,486. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 58,026,486.
FORM 990, PART XI, LINE 9:	ASSET REVALUATION 115,590,692. GEISINGER ENTITY TRANSFER 3,061,643. GEISINGER NET INCOME -13,698,965. GEISINGER NET ASSETS 13,332,531.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (11 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
ST JOSEPH MEDICAL CENTER FOUNDATION
2500 BERNVILLE RD PO BOX 316	READING	PA	19605	232649362	FUNDRAISING	PA	501(C)(3)	LINE 10	SJRHN	0
ST JOSEPH MEDICAL GROUP
2500 BERNVILLE RD PO BOX 316	READING	PA	19605	208544021	HEALTHCARE	PA	501(C)(3)	LINE 10	PSH	0
PENN STATE HEALTH
500 UNIVERSITY DRIVE MC H162	HERSHEY	PA	17033	473769205	MGMT/SUPPORT	PA	501(C)(3)	LINE 12A, I	PSU	0
THE PENNSYLVANIA STATE UNIVERSITY
ONE OLD MAIN	UNIVERSITY PARK	PA	16802	246000376	EDUCATION	PA	115			0	N/A
THE MILTON S HERSHEY MEDICAL CENTER
90 HOPE DRIVE	HERSHEY	PA	17033	251854772	HEALTHCARE	PA	115		PSH	0
PENN STATE HEALTH HAMPDEN MEDICAL CENTER
2200 GOOD HOPE RD	ENOLA	PA	17025	851608328	HEALTHCARE	PA	501(C)(3)	LINE 3	PSH	0
PENN STATE HEALTH LANCASTER MEDICAL CENTER
2160 STATE ROAD	LANCASTER	PA	17601	851620990	HEALTHCARE	PA	501(C)(3)	LINE 3	PSH	0
PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER
100 CRYSTAL A DRIVE MC CA210	HERSHEY	PA	17033	231512747	HEALTHCARE	PA	501(C)(3)	LINE 3	PSH	0
SPIRIT PHYSICIAN SERVICES INC
100 CRYSTAL A DRIVE MC CA210	HERSHEY	PA	17033	251766971	PHYSICIAN SERVICES	PA	501(C)(3)	LINE 10	PSH	0
HOLY SPIRIT HEALTH SYSTEM (END 103120)
100 CRYSTAL A DRIVE MC CA210	HERSHEY	PA	17033	251865142	PHILANTHROPY	PA	501(C)(3)	LINE 12A, I	PSH	0
HOLY SPIRIT CORPORATION
100 CRYSTAL A DRIVE MC CA210	HERSHEY	PA	17033	232214540	REAL ESTATE	PA	501(C)(2)		PSHHSMC	Yes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	EINEIN
HERSHEY OUTPATIENT SURGERY CENTER LP
15305 DALLAS PKWY	ADDISON	TX	75001	HEALTHCARE	PA	NITTANY HLTH	0	0
CGH REALTY ASSOCIATES
145 N 6TH STREET	READING	PA	19601	REAL ESTATE	PA	CGH REALTY CO	0	0
NITTANY HEALTH - VALUEHEALTH JOINT
11221 ROE AVE	LEAWOOD	KS	66211	HEALTHCARE	PA	NITTANY HLTH	0	0	851154159

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	OwnershipOwnershipPct
NITTANY HEALTH INC
500 UNIVERSITY DRIVE	HERSHEY	PA	17033	251769611	HOMECARE INTEGRTN	PA	PSH	C	0
CGH REALTY CO INC
2500 BERNVILLE ROAD	READING	PA	19605	232326801	REAL ESTATE	PA	SJRHN	C	0
HOLY SPIRIT VENTURES INC
100 CRYSTAL A DRIVE MC CA210	HERSHEY	PA	17033	232407709	REAL ESTATE	PA	PSHHSMC	C	Yes (1)	1.00000

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (1)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (1)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	0	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SUPPLEMENTAL INFORMATION	FormAndLineReferenceDesc
Explanation	SCHEDULE R LISTS ONLY THOSE RELATED ORGANIZATIONS THAT RELATE TO THE HEALTH CARE OPERATIONS UNDER THE COMMON CONTROL OF THE PENNSYLVANIA STATE UNIVERSITY. WE HAVE ATTACHED GEISINGER HEALTH SYSTEM'S SCHEDULE R WHICH WOULD REPRESENT RELATED ORGANIZATIONS TO PENN STATE HEALTH HOLY SPIRIT MEDICAL SYSTEM FROM JULY 1, 2020 THROUGH OCTOBER 31, 2020.	ExplanationTxt