COMMUNITY MEDICAL CENTER: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- COMMUNITY MEDICAL CENTER (EIN 24-0862246)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-11-07
- IRS object ID
- 202223119349302242
- Schema version
- 2021v4.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-11-07T13:22:57-05:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 240862246 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | COMM | BusinessNameControlTxt |
| Phone | 5702716624 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 N ACADEMY AVE MC 49-70 | AddressLine1Txt |
| City | DANVILLE | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 178229800 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | KEVIN V ROBERTS MBA CPA | PersonNm |
| Person Title | EVP, CFO, TREASURER | PersonTitleTxt |
| Phone | 5702716640 | PhoneNum |
| Signature | 2022-11-01 | SignatureDt |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | KEVIN V | PersonFirstNm |
| Person Last | ROBERTS | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | XXX-XX-XXXX | SSN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GEISINGER COMMUNITY MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JAEWON RYU MD JD | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 N ACADEMY AVE MC 22-01 | AddressLine1Txt |
| City | DANVILLE | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 178229800 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $431,897,374 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.GEISINGER.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1962 | FormationYr |
| Legal Domicile State | PA | LegalDomicileStateCd |
| Activity Or Mission | TO ENHANCE THE QUALITY OF LIFE OF THE POPULATION SERVED BY PROVIDING ACCESS TO QUALITY POPULATION HEALTH AND HOSPITAL SERVICES ACROSS NORTHEASTERN PENNSYLVANIA THROUGH AN INTEGRATED SERVICE...SEE SCHEDULE O | ActivityOrMissionDesc |
| Voting Members Governing Body | 7 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 3 | VotingMembersIndependentCnt |
| Total Employee | 2336 | TotalEmployeeCnt |
| Total Volunteers | 31 | TotalVolunteersCnt |
| Total Gross UBI | $101,675 | TotalGrossUBIAmt |
| CY Contributions Grants | $2,864,682 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $196,572,801 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $416,265,171 | CYProgramServiceRevenueAmt |
| PY Investment Income | $3,207,477 | PYInvestmentIncomeAmt |
| CY Investment Income | $10,024,838 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,249,381 | PYOtherRevenueAmt |
| CY Other Revenue | $2,742,683 | CYOtherRevenueAmt |
| PY Total Revenue | $201,029,659 | PYTotalRevenueAmt |
| CY Total Revenue | $431,897,374 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $50,000 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $410,000 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $63,232,873 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $136,522,278 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $127,381,486 | PYOtherExpensesAmt |
| CY Other Expenses | $263,846,550 | CYOtherExpensesAmt |
| PY Total Expenses | $190,664,359 | PYTotalExpensesAmt |
| CY Total Expenses | $400,778,828 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $10,365,300 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $31,118,546 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $420,837,683 | TotalAssetsBOYAmt |
| Total Assets EOY | $397,356,239 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $227,307,211 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $200,970,818 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $193,530,472 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $196,385,421 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO ENHANCE THE QUALITY OF LIFE OF THE POPULATION SERVED BY PROVIDING ACCESS TO QUALITY POPULATION HEALTH AND HOSPITAL SERVICES ACROSS NORTHEASTERN PENNSYLVANIA THROUGH AN INTEGRATED SERVICE ORGANIZATION BASED ON A BALANCED PROGRAM OF PATIENT CARE, EDUCATION, RESEARCH, AND COMMUNITY SERVICE. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $385,890,101 | ExpenseAmt |
| Grant | $410,000 | GrantAmt |
| Revenue | $417,487,743 | RevenueAmt |
| Desc | I. GENERAL INFORMATION COMMUNITY MEDICAL CENTER (CMC), DOING BUSINESS AS GEISINGER COMMUNITY MEDICAL CENTER (GCMC), IS A TAX-EXEMPT, PENNSYLVANIA NOT-FOR-PROFIT CORPORATION ORGANIZED UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. GCMC IS A 293-BED ACUTE CARE HOSPITAL IN SCRANTON, PA. ORIGINALLY CALLED HAHNEMANN HOSPITAL, IT WAS FOUNDED IN 1897 BY A GROUP OF 15 PHILANTHROPIC WOMEN. THE HOSPITAL WAS SCRANTON'S FIRST AND CURRENTLY ONLY ACUTE CARE HOSPITAL DEDICATED TO SERVING THE COMMUNITY AND THEIR HEALTH NEEDS THROUGH A CHARITABLE PURPOSE. GCMC CONTINUES TO PROVIDE THE COMMUNITY WITH A VARIETY OF SERVICES AS PART OF AN INTEGRATED HEALTH CARE DELIVERY SYSTEM. THIS CONTINUUM OF CARE INCLUDES PREVENTIVE, AMBULATORY, INPATIENT, AND EMERGENCY SERVICES. GCMC IS A NOTED REGIONAL REFERRAL CENTER WITH COMPREHENSIVE ACUTE CARE MEDICAL SERVICES AND HAS DEVELOPED MANY SPECIFIC AREAS OF EXPERTISE. PATIENT ORIGIN AND SERVICE AREA: THE HOSPITAL'S PRIMARY SERVICE AREA IS COMPRISED OF LACKAWANNA, LUZERNE, AND WAYNE COUNTIES. SECONDARY SERVICE AREAS INCLUDE MONROE, PIKE, SUSQUEHANNA, AND WYOMING COUNTIES. MEDICAL STAFF: THE MEDICAL STAFF OF GCMC IS MADE UP OF 205 ACTIVE PHYSICIANS. II. MAJOR PROGRAM SERVICE ACTIVITIES SPECIALIZED / REGIONAL SERVICES, CENTERS OF EXCELLENCE: GCMC IS THE ONLY LEVEL II TRAUMA CENTER IN LACKAWANNA COUNTY. THE NORTHEAST PA TRAUMA CENTER, DESIGNATED BY THE PENNSYLVANIA TRAUMA SYSTEMS FOUNDATION IN 1988, PROVIDES 24-HOUR COMPREHENSIVE SURGICAL INTERVENTION FOR CRITICALLY INJURED PATIENTS. THE TRAUMA CENTER IS STAFFED CONTINUOUSLY BY AN EMERGENCY PHYSICIAN, TRAUMA SURGEON, AND NURSES CERTIFIED IN CRITICAL CARE, TRAUMA, ORTHOPEDICS, AND THE NEUROSCIENCES. CARDIOLOGY SERVICES AT THE HOSPITAL INCLUDE THE REGION'S FIRST ELECTROPHYSIOLOGY LAB AND AN OPEN-HEART SURGERY CENTER AS WELL AS A CARDIAC REHAB PROGRAM. THE NON-INVASIVE CARDIOVASCULAR DEPARTMENT IS ACCREDITED IN ADULT TRANSTHORACIC ECHOCARDIOGRAPHY BY THE INTERSOCIETAL ACCREDITATION COMMISSION (IAC). GCMC IS ALSO A CERTIFIED CAROTID STENT FACILITY AND CERTIFIED HEART ATTACK RECEIVING CENTER. GCMC CARDIOLOGY HAS EARNED THE AMERICAN HEART ASSOCIATION'S MISSION: LIFELINE HEART ATTACK RECEIVING CENTER AWARD AND HIGHMARK'S BLUE DISTINCTION CENTER+ FOR CARDIAC CARE. IN 2019, GCMC OPENED A 4 MILLION HEAR AND VASCULAR CENTER. THIS BRAND NEW 10,000 SQUARE FOOT CLINIC FEATURES 22 EXAM ROOMS AND STREAMLINES CARDIOLOGY, CARDIAC, AND THORACIC SURGERY AT GCMC. NEUROSCIENCES AT GCMC SPECIALIZES IN THE CARE OF PEOPLE WITH BRAIN AND SENSE ORGAN DISORDERS. GCMC WAS AWARDED WITH THE AMERICAN STROKE ASSOCIATION'S GET WITH THE GUIDELINES GOLD PLUS QUALITY ACHIEVEMENT AWARD WITH TARGET: STROKE HONOR ROLL ELITE AND TYPE 2 DIABETES HONOR ROLL. GCMC ALSO EARNED THE JOINT COMMISSION'S GOLD SEAL OF APPROVAL FOR CERTIFICATION AS A PRIMARY STROKE CENTER (ONLY ONE OF 54 MEDICAL CENTERS IN PENNSYLVANIA TO OBTAIN THIS). IN ADDITION, GCMC IS THE ONLY HOSPITAL IN THE REGION TO OFFER A 10-BED ADULT INPATIENT EPILEPSY MONITORING UNIT. OTHER SPECIALIZED SERVICES INCLUDE: INTERVENTIONAL RADIOLOGY THE HOSPITAL'S INTERVENTIONAL RADIOLOGY SUITE OFFERS A STATE-OF-THE-ART SPACE FOR MINIMALLY INVASIVE SURGICAL PROCEDURES THAT TREAT VASCULAR ISSUES, TRAUMA, CANCERS, UTERINE FIBROIDS, KIDNEY STONES AND OTHER CONDITIONS. THE 2.9 MILLION, 2,110-SQUARE-FOOT SPACE BOASTS ADVANCED, HIGH-TECH IMAGING EQUIPMENT FOR MORE PRECISE IMAGING, BETTER DIAGNOSES AND MORE FOCUSED TREATMENT. COMPREHENSIVE BARIATRICS PROGRAM SCRANTON-AREA RESIDENTS COPING WITH SEVERE OBESITY AND OBESITY-RELATED HEALTH DISORDERS DON'T HAVE TO TRAVEL FAR TO FIND HIGH-QUALITY CARE THAT GOES WELL BEYOND TRADITIONAL WEIGHT-LOSS SURGERY WITH GCMC'S PROVENCARE BARIATRIC PROGRAM. THE PROGRAM OFFERS MORE THAN JUST SURGERY - IT'S AN ENTIRE PATHWAY OF CARE THAT STARTS WITH A FULL MEDICAL SCREENING AND EVALUATION BY A NUTRITIONIST. PATIENTS IN THE PROGRAM RECEIVE SEVERAL MONTHS OF CARE, INCLUDING BEHAVIOR MODIFICATION STRATEGIES, NUTRITION AND EXERCISE THERAPY AND GROUP EDUCATION SERVICES BEFORE THEIR SURGERY. GCMC'S PROGRAM IS NATIONALLY ACCREDITED BY THE METABOLIC AND BARIATRIC SURGERY ACCREDITATION AND QUALITY IMPROVEMENT PROGRAM, THE ONLY ONE IN LACKAWANNA COUNTY. GENERAL SURGERY GCMC'S GENERAL SURGEONS PERFORM LAPAROSCOPIC AND OPEN BARIATRICS, LAPAROSCOPIC BOWEL RESECTIONS, MINIMALLY INVASIVE CARDIAC SURGERY, MINIMALLY INVASIVE SPINAL SURGERY, ROBOTIC -ASSISTED SURGERY, AND MINIMALLY INVASIVE AND ENDOVASCULAR PROCEDURES ON HEART VALVES. SURGEONS IN GCMC'S HYBRID OR ARE PERFORMING RADIOLOGICALLY ASSISTED VASCULAR PROCEDURES, AND GCMC OFFERS THE MOST UP-TO-DATE APPROACH TO HIP ARTHROPLASTY IN THE COUNTRY. CANCER CENTER OPENED IN SEPTEMBER 2016, THE HENRY CANCER CENTER SCRANTON CAMPUS IS A 6,500-SQUARE-FOOT CANCER CENTER OFFERS MEDICAL ONCOLOGY SERVICES SUCH AS CHEMOTHERAPY, BLOOD THERAPIES AND INFUSION MEDICATIONS. THE 2.1 MILLION SPACE FEATURES A SOFTLY LIT WAITING AREA, ITS OWN PHARMACY STOCKED FOR THE UNIQUE NEEDS OF CANCER PATIENTS, 7 EXAM ROOMS AND 11 INFUSION BAYS WITH HEATED CHAIRS TO INCREASE PATIENT COMFORT. LABOR AND DELIVERY IN OCTOBER 2019, GCMC BEGAN DELIVERING BABIES AGAIN THE 15 MILLION MATERNITY CENTER OFFERS THE COMBINED EXPERTISE OF OB/GYNS AND CERTIFIED NURSE MIDWIVES (CNMS) TO ALLOWS EXPECTANT MOTHERS TO TAILOR THEIR BIRTH PLAN TO THEIR PREFERENCES AND HAVE THE RESOURCES TO DEVIATE FROM THAT PLAN IF NECESSARY; FEATURES 8 SPACIOUS SUITES DESIGNED FOR LABOR, DELIVERY AND RECOVERY, BIRTHING BALLS, HYDROTHERAPY TUBS AND STATE-OF-THE-ART MONITORING TECHNOLOGY. SINCE IT'S OPENING, THE CHILDBIRTH CENTER AT GCMC HAS BEEN SUCCESSFUL IN KEEPING THE NUMBER OF CESAREAN BIRTHS BELOW THE STATE AVERAGE. GEISINGER VIEWMONT OUTPATIENT ANCILLARY SERVICES UNDER THE NAME OF GEISINGER VIEWMONT, GCMC OFFERS A COMPREHENSIVE SET OF OUTPATIENT LAB, RADIOLOGY, AND PHYSICAL AND OCCUPATIONAL THERAPY SERVICES AT CONVENIENT LOCATIONS THROUGHOUT LACKAWANNA COUNTY. WITH EXPANDED HOURS AND WEEKEND APPOINTMENTS, GCMC PROVIDES THESE CRITICAL TESTING AND THERAPY SERVICES TO PATIENTS FOR TIMELY RESULTS. OTHER SERVICES GCMC ALSO OFFERS A SAME-DAY OUTPATIENT SURGERY CENTER, A 24-BED SHORT-TERM PSYCHIATRIC INPATIENT UNIT (THE ONLY ONE IN LACKAWANNA COUNTY), AN ORTHOPEDIC TRAUMA AND SPORTS MEDICINE CLINIC, A FULL SUITE OF RADIOLOGY AND LABORATORY SERVICES, PULMONOLOGY, WOUND CARE AND HYPERBARIC OXYGEN CHAMBER TREATMENTS, AND PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPY. IN OCTOBER 2020, GCMC OPENED THEIR NEW PROGRESSIVE CARE UNIT FEATURING 18 PRIVATE ROOMS AND A NURSING CARE MODEL THAT ALLOWS FOR DIRECT OVERSIGHT OF ALL PATIENTS. THE UNIT IS PART OF A 16M PROJECT THAT BEGINS GCMC'S PROCESS OF SHIFTING TO A PRIVATE-ROOM MODEL. III. PROGRAM SERVICE ACCOMPLISHMENTS UNCOMPENSATED CARE: GCMC RECOGNIZES THAT ITS MISSION IS TO SERVE ALL THE MEMBERS OF THE COMMUNITY WITH RESPECT TO THE PROVISION OF HEALTHCARE SERVICES AND EDUCATION. GCMC PROVIDES QUALITY MEDICAL HEALTHCARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. IN THIS REGARD GCMC PROVIDES FREE OR SUBSIDIZED CARE BELOW COST AND SUPPORTS VARIOUS HEALTH ACTIVITIES AND PROGRAMS IN SUPPORT OF THE COMMUNITY. A. CHARITY CARE THE PRIMARY CONCERN OF GCMC IS THE DELIVERY OF HEALTH CARE TO ALL THE CITIZENS OF NORTHEASTERN PENNSYLVANIA, REGARDLESS OF THEIR ABILITY TO PAY. THE UNREIMBURSED COST OF CHARITY CARE REPRESENTS THE COST GCMC INCURS BY PROVIDING FREE OR DISCOUNTED SERVICES TO THOSE WHO CANNOT AFFORD TO PAY. THE COST TO GCMC OF PROVIDING THIS CHARITY CARE DURING THE YEAR ENDED DECEMBER 31, 2021 WAS 4,196,787. B. MEDICARE/MEDICAID/OTHER GOVERNMENTAL RECOGNIZING ITS MISSION TO THE COMMUNITY, SERVICES ARE PROVIDED TO THE ELDERLY (MEDICARE) AND THE POOR (MEDICAID). GCMC PROVIDES CARE BELOW COST TO PERSONS COVERED BY THESE GOVERNMENTAL PROGRAMS. TO THE EXTENT REIMBURSEMENT IS BELOW THE COST OF PROVIDING HEALTHCARE, GCMC IS FURTHERING ITS CHARITABLE MISSION. THE UNREIMBURSED VALUE OF MEDICARE, MEDICAID AND OTHER GOVERNMENTAL PAYERS IS EQUAL TO THE COST OF PROVIDING SERVICES LESS THE AMOUNT RECEIVED AS REIMBURSEMENT UNDER THE PROGRAM. FOR THE YEAR ENDED DECEMBER 31, 2021, THE UNREIMBURSED COST OF PROVIDING CARE TO THESE PATIENTS WAS 53,105,508 C. OTHER UNCOMPENSATED PATIENT SERVICES IN ADDITION, GCMC PROVIDES OTHER PATIENT SERVICES FOR WHICH FULL PAYMENT IS NOT RECEIVED. THE UNCOMPENSATED COST OF PROVIDING SUCH PATIENT SERVICES DURING THE YEAR ENDED DECEMBER 31, 2021 WAS 1,264,319. RESIDENCY, FELLOWSHIP, AND ALLIED HEALTH PROGRAMS: GCMC HOSTS THE REGION'S ONLY PODIATRIC RESIDENCY PROGRAM AND IS AN ACCREDITED PROVIDER OF PODIATRIC MEDICINE AND SURGERY EDUCATION BY THE COUNCIL OF PODIATRIC MEDICAL EDUCATION. GCMC ALSO HAS AN AFFILIATION WITH THE WRIGHT CENTER FOR GRADUATE MEDICAL EDUCATION. THE WRIGHT CENTER IS AN ACCREDITED PROVIDER OF INTERNAL MEDICINE AND PSYCHOLOGY RESIDENCIES AND CARDIOVASCULAR DISEASE FELLOWSHIPS. IT IS ACCREDITED BY THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION. THE UNC | Desc |
| Total Program Service Expenses | $385,890,101 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (true) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (true) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | Yes (true) | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (true) | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | Yes (true) | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | Yes (true) | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 1 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 2336 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 7 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 3 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (true) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (true) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | PA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ERIN FITZGERALD CPA VP AND CAO | PersonNm |
| Phone | 5702142299 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 N ACADEMY AVE MC 49-70 | AddressLine1Txt |
| City | DANVILLE | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 178229800 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)
| TitleTitleTxt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd | Average Hours Per WeekAverageHoursPerWeekRt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| JAEWON RYU MD JD | |||||||||
| PRESIDENT AN | 40.00 | Yes (X) | Yes (X) | $0 | $3,769,824 | $842,873 | |||
| KEVIN V ROBERTS MBA CPA | |||||||||
| EVP, CFO, TR | 40.00 | Yes (X) | $0 | $1,681,517 | $373,015 | ||||
| MATTHEW WALSH | |||||||||
| DIRECTOR | 40.00 | Yes (X) | $0 | $1,131,646 | $255,279 | ||||
| STEVEN B BENDER ESQUIRE | |||||||||
| EVP, CLO, SE | 40.00 | Yes (X) | $0 | $804,901 | $130,641 | ||||
| GERALD V MALONEY DO | |||||||||
| DIRECTOR | 40.00 | Yes (X) | $0 | $758,072 | $118,704 | ||||
| DAVID J FELICIO ESQUIRE | |||||||||
| FORMER OFFIC | 40.00 | $0 | $536,113 | $0 | Yes (X) | ||||
| GARY SEBASTIANELLI CRNA | |||||||||
| CRNA, LEAD | $349,545 | $0 | $49,131 | 40.00 | Yes (X) | ||||
| MARIA MCGRAW CRNA | |||||||||
| CRNA, LEAD | $375,508 | $0 | $23,090 | 40.00 | Yes (X) | ||||
| ROSE A SADOWSKI CRNA | |||||||||
| CRNA, PASNAP | $351,236 | $0 | $31,704 | 40.00 | Yes (X) | ||||
| SRIKANTH HOSUR MD MBBS | |||||||||
| CMO | 40.00 | Yes (X) | $0 | $352,497 | $15,551 | ||||
| LORI R GRAMLEY ESQUIRE | |||||||||
| ACLO, ASST S | 40.00 | Yes (X) | $0 | $308,111 | $41,735 | ||||
| JOHN DITCHKUS CRNA | |||||||||
| CRNA, PASNAP | $281,320 | $0 | $49,598 | 40.00 | Yes (X) | ||||
| KEVIN T CHERNESKY CRNA | |||||||||
| CRNA, PASNAP | $277,403 | $0 | $50,129 | 40.00 | Yes (X) | ||||
| DANIEL E LOHR ESQUIRE | |||||||||
| FORMER OFFIC | 40.00 | $0 | $286,145 | $19,265 | Yes (X) | ||||
| LISA I GOLDEN MHA BSN ACM | |||||||||
| FORMER KEY E | 40.00 | $0 | $138,860 | $0 | Yes (X) | ||||
| JEFFREY A JACOBSON | |||||||||
| CHAIR, DIREC | 3.25 | Yes (X) | $0 | $0 | $0 | 0.25 | |||
| BENJAMIN K CHU MD MPH MACP | |||||||||
| DIRECTOR | 3.75 | Yes (X) | $0 | $0 | $0 | 0.25 | |||
| VIRGINIA MCGREGOR | |||||||||
| DIRECTOR | 3.50 | Yes (X) | $0 | $0 | $0 | 0.25 | |||
| V CHRIS HOLCOMBE PE | |||||||||
| VICE CHAIR, | 3.25 | Yes (X) | $0 | $0 | $0 | 0.25 | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,635,012 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $9,767,686 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $2,000,715 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 165 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt | Address Line2ContractorAddress/USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|
| MEDEFIS CONSOLIDATED | ||||||
| PO BOX 5068 | NEW YORK | NY | 100875068 | STAFFING | $15,642,528 | |
| WRIGHT CENTER FOR MEDICAL GRAD | ||||||
| 501 S WASHINGTON AVE | SCRANTON | PA | 18505 | PHYS RESIDENTS | $3,644,082 | SUITE 1000 |
| PRIMEMED PC | ||||||
| 5 MORGAN HIGHWAY | SCRANTON | PA | 18508 | CONSULT & DEVEL | $1,217,817 | SUITE 6 |
| HCSC | ||||||
| PO BOX 8016 | LANCASTER | PA | 17604 | LAUNDRY | $1,181,391 | |
| FRESENIUS MANAGEMENT SERIVCES | ||||||
| 16343 COLLECTION CENTER DRIVE | CHICAGO | IL | 60693 | HEMODIALYSIS | $956,853 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 22 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $2,864,682 | GovernmentGrantsAmt |
| Total Contributions | $2,864,682 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|---|
| PATIENT HEALTHCARE | 622110 | $414,476,328 | $414,476,328 | ||
| PATIENT CARE REV- PHARMACY | 446110 | $968,694 | $968,694 | ||
| RENTAL INCOME | 531120 | $718,474 | $718,474 | ||
| PHARMACY | 622110 | $101,675 | $101,675 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $416,265,171 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $241,844 | TotalRevenueColumnAmt |
| Exclusion | $241,844 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,695 | TotalRevenueColumnAmt |
| Exclusion | $3,695 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $9,779,299 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $9,779,299 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $9,779,299 | TotalRevenueColumnAmt |
| Exclusion | $9,779,299 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| PURCHASE DISCOUNTS | 900099 | $1,145,022 | $1,145,022 | |
| DIETARY INCOME | 722514 | $730,959 | $730,959 | |
| PENSION VALUATION | 900099 | $658,041 | $658,041 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $208,661 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $71,222 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $137,439 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $2,742,683 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $431,897,374 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $415,692,572 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $101,675 | UnrelatedBusinessRevenueAmt |
| Exclusion | $13,238,445 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $410,000 | TotalAmt |
| Program Services | $410,000 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $105,676,571 | TotalAmt |
| Program Services | $102,292,790 | ProgramServicesAmt |
| Management And General | $3,383,781 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,015,921 | TotalAmt |
| Program Services | $4,855,310 | ProgramServicesAmt |
| Management And General | $160,611 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,064,724 | TotalAmt |
| Program Services | $17,486,289 | ProgramServicesAmt |
| Management And General | $578,435 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,765,062 | TotalAmt |
| Program Services | $7,587,837 | ProgramServicesAmt |
| Management And General | $177,225 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $748,753 | TotalAmt |
| Program Services | $748,753 | ProgramServicesAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,000 | TotalAmt |
| Program Services | $12,000 | ProgramServicesAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,742 | TotalAmt |
| Management And General | $2,742 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $354,182 | TotalAmt |
| Program Services | $264,966 | ProgramServicesAmt |
| Management And General | $89,216 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,411,172 | TotalAmt |
| Program Services | $32,195,452 | ProgramServicesAmt |
| Management And General | $2,215,720 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $438 | TotalAmt |
| Program Services | $438 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,528,601 | TotalAmt |
| Program Services | $8,441,673 | ProgramServicesAmt |
| Management And General | $86,928 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $903,132 | TotalAmt |
| Program Services | $721,405 | ProgramServicesAmt |
| Management And General | $181,727 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,646,731 | TotalAmt |
| Program Services | $5,436,958 | ProgramServicesAmt |
| Management And General | $209,773 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $179,790 | TotalAmt |
| Program Services | $163,538 | ProgramServicesAmt |
| Management And General | $16,252 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $134,771 | TotalAmt |
| Program Services | $130,135 | ProgramServicesAmt |
| Management And General | $4,636 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,464,795 | TotalAmt |
| Program Services | $4,298,930 | ProgramServicesAmt |
| Management And General | $165,865 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,706,522 | TotalAmt |
| Program Services | $17,048,735 | ProgramServicesAmt |
| Management And General | $657,787 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,246,556 | TotalAmt |
| Program Services | $5,370,816 | ProgramServicesAmt |
| Management And General | $875,740 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| INTER-ENTITY EXPENSES | $87,573,727 | $81,532,323 | $6,041,404 |
| MEDICAL SUPPLIES | $84,033,531 | $84,030,640 | $2,891 |
| UNCOLLECTIBLE EXPENSE | $10,144,192 | $10,144,192 | |
| INTER-ENTITY TEACH & ADMI | $2,188,536 | $2,188,536 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $566,379 | TotalAmt |
| Program Services | $528,385 | ProgramServicesAmt |
| Management And General | $37,994 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $400,778,828 | TotalAmt |
| Program Services | $385,890,101 | ProgramServicesAmt |
| Management And General | $14,888,727 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $51,925,926 | BOYAmt |
| EOY | $4,591,610 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $42,673,893 | BOYAmt |
| EOY | $11,703,802 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,507,700 | BOYAmt |
| EOY | $37,269,004 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $19,622 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,044,532 | BOYAmt |
| EOY | $6,453,146 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,838,894 | BOYAmt |
| EOY | $8,213,173 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,671,852 | BOYAmt |
| EOY | $1,568,895 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $265,503,056 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $110,863,710 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $143,245,997 | BOYAmt |
| EOY | $154,639,346 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,015,267 | BOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $68,430,210 | BOYAmt |
| EOY | $116,629,188 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $45,527,775 | BOYAmt |
| EOY | $45,351,619 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,955,637 | BOYAmt |
| EOY | $10,916,834 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $420,837,683 | BOYAmt |
| EOY | $397,356,239 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,962,303 | BOYAmt |
| EOY | $5,713,176 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $42,768,006 | BOYAmt |
| EOY | $23,501,993 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $132,944,253 | BOYAmt |
| EOY | $130,141,148 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,156,654 | BOYAmt |
| EOY | $3,177,423 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $46,475,995 | BOYAmt |
| EOY | $38,437,078 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $227,307,211 | BOYAmt |
| EOY | $200,970,818 | 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 | $186,471,867 | BOYAmt |
| EOY | $188,855,132 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,058,605 | BOYAmt |
| EOY | $7,530,289 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $193,530,472 | BOYAmt |
| EOY | $196,385,421 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $420,837,683 | BOYAmt |
| EOY | $397,356,239 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $31,118,546 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $2,958,306 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$31,221,903 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $2,742 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $2,742 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE C, PART II-B, LINE 1 | FormAndLineReferenceDesc |
| Explanation | LINE 1I: OTHER LOBBYING ACTIVITIES REPORTED ON LINE 1I REPRESENTS THE PORTION OF MEMBERSHIP DUES, PAID BY THE ORGANIZATION TO TRADE OR PROFESSIONAL ASSOCIATIONS, ATTRIBUTABLE TO LOBBYING ACTIVITIES. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $372,716,000 | BeginningYearBalanceAmt |
| Contributions | $699,000 | ContributionsAmt |
| Investment Earnings Or Losses | $19,881,000 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $7,767,000 | OtherExpendituresAmt |
| End Year Balance | $385,529,000 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $369,232,000 | BeginningYearBalanceAmt |
| Contributions | $1,328,000 | ContributionsAmt |
| Investment Earnings Or Losses | $20,022,000 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $17,866,000 | OtherExpendituresAmt |
| End Year Balance | $372,716,000 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $373,558,000 | BeginningYearBalanceAmt |
| Contributions | $290,000 | ContributionsAmt |
| Investment Earnings Or Losses | -$502,000 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $4,114,000 | OtherExpendituresAmt |
| End Year Balance | $369,232,000 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $370,396,000 | BeginningYearBalanceAmt |
| Contributions | -$2,213,000 | ContributionsAmt |
| Investment Earnings Or Losses | $4,882,000 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $3,933,000 | OtherExpendituresAmt |
| End Year Balance | $373,558,000 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $366,613,658 | BeginningYearBalanceAmt |
| Contributions | $954,000 | ContributionsAmt |
| Investment Earnings Or Losses | $8,809,997 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | -$17,698 | GrantsOrScholarshipsAmt |
| Other Expenditures | $3,683,552 | OtherExpendituresAmt |
| End Year Balance | $372,676,405 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.73880 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.17060 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.09060 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (true) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (true) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $16,462,627 | OtherCostOrOtherBasisAmt |
| Book Value | $16,462,627 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $156,276,961 | OtherCostOrOtherBasisAmt |
| Depreciation | $27,406,837 | DepreciationAmt |
| Book Value | $128,870,124 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,111,674 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,153,310 | DepreciationAmt |
| Book Value | $1,958,364 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $76,934,105 | OtherCostOrOtherBasisAmt |
| Depreciation | $80,718,460 | DepreciationAmt |
| Book Value | -$3,784,355 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $11,717,689 | OtherCostOrOtherBasisAmt |
| Depreciation | $585,103 | DepreciationAmt |
| Book Value | $11,132,586 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $154,639,346 | TotalBookValueLandBuildingsAmt |
Closely Held Equity Interests CloselyHeldEquityInterestsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Book Value | $116,629,188 | BookValueAmt |
| Method Valuation | F | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $116,629,188 | TotalBookValueSecuritiesAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO AFFILIATES | $28,337,190 |
| THIRD PARTY LIABILITIES | $6,699,272 |
| PATIENT RECEIVABLE CREDIT BALANCES | $3,366,506 |
| SECURITY DEPOSITS | $28,428 |
| RENT RECEIVABLE ADVANCE | $5,682 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $38,437,078 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE D, PAGE 2, PART V, LINE 4 | TO SUPPORT RESEARCH, CAPITAL, AND PROGRAM EXPENSES AND PATIENT CARE AND PATIENT AND EMPLOYEE EDUCATION. |
| SCHEDULE D, PAGE 4, PART XIII | EFFECTIVE JULY 1, 2007, GEISINGER (1) ADOPTED ACCOUNTING STANDARDS CODIFICATION 740 (FIN 48), (FORMERLY KNOWN AS "STATEMENT 109: ACCOUNTING FOR INCOME TAXES- OR "FAS 109"). FIN 48 CLARIFIES THE ACCOUNTING AND REPORTING FOR INCOME TAXES WHERE INTERPRETATION OF THE TAX LAW MAY BE UNCERTAIN. FIN 48 PRESCRIBES A COMPREHENSIVE MODEL FOR THE FINANCIAL STATEMENT RECOGNITION, MEASUREMENT, PRESENTATION AND DISCLOSURE OF INCOME TAX UNCERTAINTIES WITH RESPECT TO POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN INCOME TAX RETURN. THE ADOPTION OF FIN 48 HAD NO IMPACT ON UNRESTRICTED NET ASSETS AS OF THE END OF THE FISCAL YEAR OR ANY PREVIOUS YEARS SINCE ADOPTION. ACCORDINGLY, NO FIN 48 FOOTNOTE DISCLOSURE WAS MADE IN THE GEISINGER CONSOLIDATED FINANCIAL STATEMENTS. (1) THROUGHOUT THIS DOCUMENT, THE TERMS "GEISINGER- OR "GEISINGER HEALTH" SHALL REFER TO THE ENTIRE HEALTH CARE SYSTEM COMPRISED OF GEISINGER HEALTH FOUNDATION (THE "FOUNDATION") AS PARENT AND ALL SUBSIDIARY CORPORATE ENTITIES COMPRISING THE HEALTH CARE SYSTEM. IN ADDITION, THROUGHOUT THIS DOCUMENT, THE TERM "SYSTEM" SHALL REFER TO THE ENTIRE HEALTH CARE SYSTEM AS PREVIOUSLY DEFINED PLUS ITS AFFILIATES. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 3.000000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | false | FPGReferenceDiscountedCareInd |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,196,787 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $4,196,787 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01050 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $73,477,113 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $49,066,798 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $24,410,315 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06090 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $889,869 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $766,638 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $123,231 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $78,563,769 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $49,833,436 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $28,730,333 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07170 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,941,472 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,941,472 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00980 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $12,719,453 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,544,354 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $11,175,099 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02790 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $509,631 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $509,631 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00130 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $17,170,556 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,544,354 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $15,626,202 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03900 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $95,734,325 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $51,377,790 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $44,356,535 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.11070 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $10,404,850 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $4,138,456 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $77,315,466 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $96,877,654 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$19,562,188 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost Accounting System | Yes (X) | CostAccountingSystemInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY MEDICAL CENTER | BusinessNameLine1Txt |
| Business Name Line2 | DBA GEISINGER-COMMUNITY MEDICAL CTR | BusinessNameLine2Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1822 MULBERRY STREET | AddressLine1Txt |
| City | SCRANTON | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 18510 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.GEISINGER.ORG | WebsiteAddressTxt |
| State License | 037101 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY MEDICAL CENTER | BusinessNameLine1Txt |
| Business Name Line2 | DBA GEISINGER-COMMUNITY MEDICAL CTR | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| Other | Yes (X) | OtherInd |
| CHNA Conducted | 20 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (true) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | false | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.GEISINGER.ORG | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 21 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | REFER TO RESPONSE TO 7D | StrategyWebsiteURLTxt |
| Strategy Attached | false | StrategyAttachedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 300.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | WWW.GEISINGER.ORG - REFER TO SECTION C | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | WWW.GEISINGER.ORG - REFER TO SECTION C | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | WWW.GEISINGER.ORG - REFER TO SECTION C | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Other Actions Taken | Yes (X) | OtherActionsTakenInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Prospective Medicare Medicaid | Yes (X) | ProspectiveMedicareMedicaidInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FACILITY 1, COMMUNITY MEDICAL CENTER - PART V, LINE 3E | PRIORITIZED COMMUNITY HEALTH NEEDS TO WORK TOWARD HEALTH EQUITY, IT IS IMPERATIVE TO PRIORITIZE RESOURCES AND ACTIVITIES TOWARD THE MOST PRESSING AND CROSS-CUTTING HEALTH NEEDS WITHIN THE COMMUNITY. PRIORITIES WERE JOINTLY DETERMINED BY THE CHNA COLLABORATING HEALTH SYSTEMS USING FEEDBACK FROM COMMUNITY STAKEHOLDERS. THROUGH THIS PROCESS, CHNA PARTNERS AFFIRMED THE FOLLOWING PRIORITY HEALTH NEEDS: ACCESS TO CARE BEHAVIORAL HEALTH CHRONIC DISEASE PREVENTION AND MANAGEMENT THESE PRIORITIES ARE CONSISTENT WITH THOSE DETERMINED IN THE PREVIOUS FY2019 CHNA AND REFLECT COMPLEX NEEDS REQUIRING SUSTAINED COMMITMENT AND RESOURCES. MATERNAL AND CHILD HEALTH NEEDS ARE ALSO PREVALENT ACROSS THE SERVICE AREA. WHILE CHNA PARTNERS DID NOT IDENTIFY MATERNAL AND CHILD HEALTH AS A PRIORITY ISSUE DUE TO THE NEED TO FOCUS AVAILABLE RESOURCES, MANY OF THE HOSPITALS SUPPORT MATERNAL AND CHILD HEALTH STRATEGIES AS PART OF THEIR IMPLEMENTATION PLAN. THESE STRATEGIES INCLUDE FREE OR LOW-COST CLASSES AND SUPPORT GROUPS FOR PREGNANT AND NEW MOTHERS, LACTATION CONSULTATION, TREATMENT AND SUPPORT SERVICES FOR MOTHERS IN RECOVERY, SOCIAL ASSISTANCE, AND POSTPARTUM DEPRESSION SCREENING, AMONG OTHERS. CHNA IMPLEMENTATION PLAN TO DIRECT COMMUNITY BENEFIT AND HEALTH IMPROVEMENT ACTIVITIES, CHNA PARTNERS CREATED INDIVIDUAL HOSPITAL IMPLEMENTATION PLANS TO DETAIL THE RESOURCES AND SERVICES THAT WILL BE USED TO ADDRESS HEALTH PRIORITIES. THE IMPLEMENTATION PLANS BUILD UPON PREVIOUS HEALTH IMPROVEMENT ACTIVITIES AND TAKE INTO CONSIDERATION NEW HEALTH NEEDS AND THE CHANGING HEALTH CARE DELIVERY ENVIRONMENT AS DETAILED IN THE 2021 CHNA. |
| FACILITY 1, COMMUNITY MEDICAL CENTER - PART V, LINE 5 | SECTION B., COMMUNITY HEALTH NEEDS ASSESSMENT, LINES 3, 5 AND 6A: CHNA COLLABORATING HEALTH SYSTEMS THE 2021 GEISINGER COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED IN PARTNERSHIP WITH GEISINGER, ALLIED SERVICES INTEGRATED HEALTH SYSTEM, AND EVANGELICAL COMMUNITY HOSPITAL. THE STUDY AREA INCLUDED 15 COUNTIES ACROSS CENTRAL AND NORTHEASTERN PENNSYLVANIA, WHICH REPRESENTED THE HEALTH SYSTEMS' COLLECTIVE SERVICE AREAS. COLLABORATION IN THIS WAY CONSERVES VITAL COMMUNITY RESOURCES WHILE FOSTERING A PLATFORM FOR "COLLECTIVE IMPACT" THAT ALIGNS COMMUNITY EFFORTS TOWARD A COMMON GOAL OR ACTION. TO DISTINGUISH UNIQUE SERVICE AREAS AMONG HOSPITALS, REGIONAL RESEARCH AND REPORTING WAS DEVELOPED. CHNA LEADERSHIP THE 2021 CHNA WAS OVERSEEN BY A PLANNING COMMITTEE OF REPRESENTATIVES FROM EACH HEALTH SYSTEM, AS WELL AS A REGIONAL ADVISORY COMMITTEE OF HOSPITAL AND HEALTH SYSTEM REPRESENTATIVES. COMMUNITY HEALTH CONSULTANTS ASSISTED IN ALL PHASES OF THE CHNA, INCLUDING PROJECT MANAGEMENT, DATA COLLECTION AND ANALYSIS, AND REPORT WRITING. CHNA METHODOLOGY THE 2021 CHNA WAS CONDUCTED FROM JULY TO DECEMBER 2020. QUANTITATIVE AND QUALITATIVE METHODS, REPRESENTING BOTH PRIMARY AND SECONDARY RESEARCH, WERE USED TO ILLUSTRATE AND COMPARE HEALTH AND SOCIAL TRENDS AND DISPARITIES ACROSS EACH REGION AND HOSPITAL SERVICE AREA. THE FOLLOWING RESEARCH METHODS WERE USED TO DETERMINE COMMUNITY HEALTH NEEDS: -STATISTICAL ANALYSIS OF HEALTH AND SOCIOECONOMIC DATA INDICATORS; A FULL LISTING OF DATA REFERENCES IS INCLUDED IN THE CHNA -ELECTRONIC SURVEY OF KEY STAKEHOLDERS, INCLUDING EXPERTS IN PUBLIC HEALTH AND INDIVIDUALS REPRESENTING MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS; A LIST OF KEY INFORMANTS AND THEIR RESPECTIVE ORGANIZATIONS IS INCLUDED IN THE CHNA -DISCUSSION AND PRIORITIZATION OF COMMUNITY HEALTH NEEDS TO DETERMINE THE MOST PRESSING HEALTH ISSUES ON WHICH TO FOCUS COMMUNITY HEALTH IMPROVEMENT EFFORTS COMMUNITY ENGAGEMENT COMMUNITY ENGAGEMENT WAS AN INTEGRAL PART OF THE 2021 CHNA. A VIRTUAL TOWN HALL WAS HELD IN AUGUST 2020 TO ANNOUNCE THE ONSET OF THE CHNA AND ENCOURAGE BROAD STAKEHOLDER PARTICIPATION. A KEY INFORMANT SURVEY WAS SENT TO NEARLY 1,000 COMMUNITY STAKEHOLDERS TO SOLICIT INPUT ON HEALTH DISPARITIES, OPPORTUNITIES FOR COLLABORATION, COVID-19 RESPONSE, COMMUNITY HEALTH PRIORITIES, AMONG OTHER INSIGHTS. CONTINUED COMMUNITY ENGAGEMENT ACTIVITIES ARE PLANNED TO ENSURE ONGOING DIALOGUE AND A FORUM FOR ADDRESSING COMMUNITY HEALTH NEEDS. CHNA IMPLEMENTATION PLAN TO DIRECT COMMUNITY BENEFIT AND HEALTH IMPROVEMENT ACTIVITIES, CHNA PARTNERS CREATED INDIVIDUAL HOSPITAL IMPLEMENTATION PLANS TO DETAIL THE RESOURCES AND SERVICES THAT WILL BE USED TO ADDRESS HEALTH PRIORITIES. THE IMPLEMENTATION PLANS BUILD UPON PREVIOUS HEALTH IMPROVEMENT ACTIVITIES AND TAKE INTO CONSIDERATION NEW HEALTH NEEDS AND THE CHANGING HEALTH CARE DELIVERY ENVIRONMENT AS DETAILED IN THE 2021 CHNA. BOARD APPROVAL THE 2021 CHNA WAS CONDUCTED IN A TIMELINE TO COMPLY WITH IRS TAX CODE 501 (R) REQUIREMENTS TO CONDUCT A CHNA EVERY THREE YEARS AS SET FORTH BY THE AFFORDABLE CARE ACT (ACA). THE RESEARCH FINDINGS WILL BE USED TO GUIDE COMMUNITY BENEFIT INITIATIVES FOR THE HOSPITALS AND ENGAGE LOCAL PARTNERS TO COLLECTIVELY ADDRESS IDENTIFIED HEALTH NEEDS. THE CHNA REPORT WAS PRESENTED TO THE GEISINGER BOARD OF DIRECTORS AND APPROVED IN DECEMBER 2020. GEISINGER IS COMMITTED TO ADVANCING INITIATIVES AND COMMUNITY COLLABORATION TO SUPPORT THE ISSUES IDENTIFIED THROUGH THE CHNA. FOLLOWING THE BOARD'S APPROVAL, ALL CHNA REPORTS WERE MADE AVAILABLE TO THE PUBLIC VIA THE GEISINGER WEBSITE AT HTTPS://WWW.GEISINGER.ORG/ABOUT- GEISINGER/IN-OUR-COMMUNITY/CHNA. 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. |
| FACILITY 1, COMMUNITY MEDICAL CENTER - PART V, LINE 6A | ALLIED SERVICES REHABILITATION HOSPITAL, HEINZ REHABILITATION HOSPITAL, EVANGELICAL COMMUNITY HOSPITAL, GEISINGER MEDICAL CENTER (INCLUDES GEISINGER-SHAMOKIN AREA COMMUNITY HOSPITAL), GEISINGER ENCOMPASS HEALTH LIMITED LIABILITY COMPANY (DBA GEISINGER ENCOMPASS HEALTH REHABILITATION HOSPITAL), GEISINGER WYOMING VALLEY MEDICAL CENTER (INCLUDES GEISINGER SOUTH WILKES-BARRE), GEISINGER-BLOOMSBURG HOSPITAL, COMMUNITY MEDICAL CENTER (DBA GEISINGER COMMUNITY MEDICAL CENTER), GEISINGER JERSEY SHORE HOSPITAL, GEISINGER-LEWISTOWN HOSPITAL, AND GEISINGER MEDICAL CENTER MUNCY. |
| FACILITY 1, COMMUNITY MEDICAL CENTER - PART V, LINE 7D | THE HOSPITAL'S CHNA AND CHNA IMPLEMENTATION STRATEGY ARE POSTED ON THE HOSPITAL'S WEBSITE AT WWW.GEISINGER.ORG/ABOUT-GEISINGER/COMMUNITY- ENGAGEMENT/CHNA. |
| FACILITY 1, COMMUNITY MEDICAL CENTER - PART V, LINE 11 | WHEN IT COMES TO THE HEALTH OF OUR COMMUNITIES, GEISINGER CONTINUES TO SURVEY THE NEEDS OF THE PEOPLE WE SERVE SO THAT WE MAY ADVANCE MEANINGFUL, MEASURABLE RESPONSES TO CARE FOR THEM. IN OUR MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), GEISINGER AND ITS CHNA PARTNERS SOUGHT INPUT FROM THE PEOPLE SERVED BY EACH OF THE NINE HOSPITALS THAT WERE OPERATING AT THE TIME. OUR RESPONDENTS INCLUDED EXPERTS IN PUBLIC HEALTH AND REPRESENTATIVES OF MEDICALLY UNDERSERVED, LOW INCOME AND MINORITY POPULATIONS. AMONG THE 1 MILLION PEOPLE WE SERVE, WE LOOKED FOR CURRENT COMMUNITY HEALTH NEEDS, EXISTING COMMUNITY RESOURCES TO MEET THOSE NEEDS AND ANY GAPS IN THE CURRENT SERVICE DELIVERY SYSTEM. TOP HEALTH ISSUES ACROSS THE CENTRAL PENNSYLVANIA REGION WE SERVE INCLUDE: -ACCESS TO CARE -BEHAVIORAL HEALTH -CHRONIC DISEASE PREVENTION AND MANAGEMENT MATERNAL AND CHILD HEALTH NEEDS ARE ALSO PREVALENT ACROSS THE SERVICE AREA. WHILE CHNA PARTNERS DID NOT IDENTIFY MATERNAL AND CHILD HEALTH AS A PRIORITY ISSUE DUE TO THE NEED TO FOCUS AVAILABLE RESOURCES, MANY OF THE HOSPITALS SUPPORT MATERNAL AND CHILD HEALTH STRATEGIES AS PART OF THEIR IMPLEMENTATION PLAN. THESE STRATEGIES INCLUDE FREE OR LOW-COST CLASSES AND SUPPORT GROUPS FOR PREGNANT AND NEW MOTHERS, LACTATION CONSULTATION, TREATMENT AND SUPPORT SERVICES FOR MOTHERS IN RECOVERY, SOCIAL ASSISTANCE, AND POSTPARTUM DEPRESSION SCREENING, AMONG OTHERS. MATERNAL AND CHILD POPULATIONS ARE INCLUDED IN THE OVERALL POPULATIONS SERVED WHEN ADDRESSING THE IDENTIFIED AREAS OF COMMUNITY NEED: ACCESS TO CARE, BEHAVIORAL HEALTH AND CHRONIC DISEASE PREVENTION AND MANAGEMENT. IN THIS MANNER BY ADDRESSING THE PRIORITIZED COMMUNITY HEALTH NEEDS, THESE VULNERABLE POPULATIONS' HEALTH NEEDS ARE ALSO POSITIVELY IMPACTED. ACCESS TO CARE OUR ASSESSMENTS CONTINUE TO REVEAL THE NEED FOR ACCESS, ESPECIALLY AMONG OUR VULNERABLE POPULATIONS. THOSE GROUPS INCLUDE THOSE IN RURAL AREAS WHERE THERE MAY BE A SHORTAGE OF CARE PROFESSIONALS, PATIENTS WITHOUT TRANSPORTATION, OLDER PATIENTS WHO HAVE MEDICALLY COMPLEX CONDITIONS, THE HOMEBOUND, THOSE WHO ARE UN OR UNDER INSURED EVEN THOSE WHO AVOID SEEKING MEDICAL CARE FOR CULTURAL REASONS. WITH ALL THAT IN MIND, GEISINGER DESIGNS ITS ACCESS TO CARE COMMUNITY INITIATIVES AROUND REGULAR, RELIABLE ACCESS TO HEALTH SERVICES THAT WILL HELP US DETECT AND TREAT ILLNESS AND PREVENT AND MANAGE DISEASE IN OUR PATIENT POPULATION. AS PEOPLE AGE, THEIR HEALTH NEEDS GET MORE COMPLEX. FOR OPTIMUM HEALTH, OLDER ADULTS NEED TO SPEND MORE TIME WITH PROVIDERS AND BE PROACTIVE ABOUT THEIR CARE. WE FOUND THAT MANY MEMBERS OF OUR GEISINGER GOLD HMO (THE TOP RATED MEDICARE ADVANTAGE PLAN IN PENNSYLVANIA) RARELY SEE THEIR PRIMARY CARE PROVIDERS (PCPS). WHEN THEY DO, THE APPOINTMENTS ARE VERY BRIEF. BASED ON THAT KNOWLEDGE, WE UNDERTOOK A MAJOR INITIATIVE. IN 2020, GEISINGER BUILT ITS FIRST GEISINGER 65 FORWARD SENIOR PRIMARY CARE HEALTH CENTER. THERE ARE NOW NINE 65 FORWARD CENTERS, ALL OF WHICH OFFER SENIOR PATIENTS ACCESS TO PROVIDERS, LONGER APPOINTMENT TIMES (UP TO ONE HOUR), SAME DAY ACUTE CARE APPOINTMENTS AND EXTRAS LIKE WELLNESS AND SOCIAL ACTIVITIES. BECAUSE SO MANY SENIORS ARE SOCIALLY ISOLATED, 65 FORWARD OFFERS A PLACE TO SPEND TIME AND INTERACT WITH OTHERS. ON SITE HEALTHCARE PROFESSIONALS INCLUDE DOCTORS; DIETITIANS; NURSES; PHARMACISTS; A WELLNESS COORDINATOR TO ASSESS FITNESS, DESIGN PERSONAL FITNESS ROUTINES AND HOLD WELLNESS CLASSES; AND HELPERS WHO PROVIDE TRAINING ON DIGITAL DEVICES. AMENITIES INCLUDE A LAB, IMAGING, EXAMINATION ROOMS, MENTAL HEALTH SERVICES, NUTRITION GUIDANCE AND A FITNESS CENTER, ALL DESIGNED FOR SENIORS WITH MOBILITY ISSUES. ANY PLAN FOR REDUCING BARRIERS TO CARE MUST INCLUDE TELEMEDICINE OPTIONS. DURING THE COVID 19 PANDEMIC, TELEHEALTH USE TOOK A MAJOR LEAP NATIONWIDE, AND GEISINGER LEVERAGED THAT OPPORTUNITY TO BECOME RECOGNIZED AS A TOP TELEHEALTH NETWORK IN THE US, FAR SURPASSING NATIONAL AVERAGES FOR TELEMEDICINE USE. THROUGH OUR REGULAR SCHEDULING PROCESS, WE ASK PATIENTS IF THEY WOULD PREFER A TELEHEALTH VISIT. IF SO, WE MAKE AN APPOINTMENT AND SEND AN EMAIL WITH A LINK THAT TAKES THEM DIRECTLY TO THEIR PROVIDER OR ANY OF THE 72 SPECIALTIES AVAILABLE VIRTUALLY. IF THE PATIENT HAS NO INTERNET ACCESS AT HOME, GEISINGER OFFERS TELEHEALTH VISITS VIA THE PATIENT'S NEAREST HEALTH CLINIC. TELEMEDICINE HELPS OUR PATIENTS WITHOUT TRANSPORTATION, AS WELL AS THOSE WHO HAVE TO DRIVE HOURS TO SEE THEIR DOCTOR OR THROUGH INCLEMENT WEATHER, ANY OF WHICH MAY CAUSE THEM TO CANCEL THEIR APPOINTMENT. IN MANY CASES, TELEMEDICINE MEANS OUR PATIENTS WHO ARE WAGE EARNERS DON'T NEED TO CLOCK OUT AND LOSE PAY TO VISIT THEIR DOCTOR. OUR DOCTORS CAN CONNECT WITH THEM BEFORE WORK OR DURING THEIR LUNCH HOUR. IN JUNE OF 2021, IN CONJUNCTION WITH A NATIONWIDE PROVIDER, WE STARTED OFFERING AN ON DEMAND URGENT CARE SERVICE. DURING OUR LOCAL COMMUNITY CARE HOURS, GEISINGER PATIENTS CAN NOW CONNECT WITH A PROVIDER TO ADDRESS THEIR URGENT CARE NEEDS. IN 2021, GEISINGER COMBINED CLINICAL AND POPULATION HEALTH EXPERTISE TO ADDRESS THE ACCESS NEEDS OF TWO PATIENT POPULATIONS: THOSE CHALLENGED BY THE RISING COST OF HEALTH SERVICES AND THE RAPIDLY GROWING SENIOR POPULATION. WE INTEGRATED A VARIETY OF HEALTH AND WELLNESS SERVICES MUCH NEEDED BY THESE TWO GROUPS. THE CARE MODELS INCLUDE TRADITIONAL (OUR HOSPITALS), 65 FORWARD (SENIOR PRIMARY CARE), CONVENIENTCARE (WALK IN CLINICS AND URGENT CARE) AND COMMUNITYCARE CLINICS (URGENT CARE AND PRIMARY CARE) AS WELL AS VIRTUAL HEALTH INITIATIVES. WE CAN NOW MORE READILY ADDRESS ACUTE, CHRONIC AND URGENT CARE NEEDS IN THE LOWEST COST SETTING, WHILE ALSO IMPROVING ACCESS TO OUTPATIENT CARE FOR DISEASE MANAGEMENT AND PREVENTION. IN SEPTEMBER 2021, GEISINGER TOOK A MAJOR STEP TOWARD OUR GOAL OF SUPPORTING COMMUNITY ORGANIZATIONS THAT PROVIDE PRIMARY CARE TO UNDERREPRESENTED AND UNINSURED POPULATIONS IN OUR REGIONS. WE HIRED OUR FIRST CHIEF DIVERSITY OFFICER TO DEVELOP A STRATEGIC PLAN FOR INFUSING DIVERSITY, INCLUSION AND EQUITY INTO THE GEISINGER CULTURE. THE ROLLOUT OF OUR NEW HEALTH EQUITY PROGRAM PROMISES TO POSITIVELY IMPACT OUR RELATIONSHIP WITH UNDER REPRESENTED POPULATIONS. IN AUGUST OF 2021, FIRST AND SECOND YEAR MEDICAL STUDENTS AT GEISINGER COMMONWEALTH SCHOOL OF MEDICINE (GCSOM) SIGNED UP FOR OUR NEW 18 MONTH COMMUNITY IMMERSION PROGRAM THAT WILL WORK TOWARD DEVELOPING A FREE CLINIC IN LACKAWANNA COUNTY. THE LEAHY CLINIC (A PROVIDER OF FREE NON EMERGENCY HEALTHCARE) AT THE UNIVERSITY OF SCRANTON IS DISCUSSING OPTIONS TO LEVERAGE THE GCSOM STUDENTS TO HELP THEM NEGOTIATE PROVIDER CONTRACTS, WITH GEISINGER PARTICIPATING. TO THAT SAME END, GEISINGER HAS DONATED TO A COMMUNITY CLINIC, WHICH OFFERS HEALTHCARE FOR THE UNINSURED IN SUNBURY, AND WILL HELP THE CLINIC WITH MARKETING, REFERRALS, LAB AND X RAY SUPPORT. IN THE INTEREST OF HEALTH EQUITY, GEISINGER HAS ALSO DEVELOPED OUTREACH PROGRAMS WITH COMMUNITY ORGANIZATIONS, NONPROFITS AND FAITH BASED GROUPS TO EDUCATE, INFORM AND DIRECT PEOPLE TO WELLNESS CARE. IN SCRANTON, GEISINGER'S "BARBERSHOP INITIATIVE" SUCCEEDED IN MEETING PEOPLE WHERE THEY ARE. AFRICAN AMERICAN PATRONS OF BARBERSHOPS WERE OFFERED FREE DIABETES, HYPERTENSION AND DENTAL SCREENINGS, THEN DIRECTED TO RESOURCES TO HELP IMPROVE THEIR OVERALL HEALTH. AIMING TO MAKE HEALTH ACCESSIBLE TO EVERYONE, IN 2021, GEISINGER PLEDGED TO OPEN THE FIRST PENNSYLVANIA CHAPTER OF "WALK WITH A DOC, ADVANCING WELLNESS THROUGH NATURE." THE ORGANIZATION HAS CHAPTERS NATIONWIDE THAT LINK HEALTH AND NATURE VIA DOCTOR LED STROLLS THROUGH LOCAL OUTDOOR RECREATION AREAS. WALKS BEGIN WITH A BRIEF DISCUSSION ON A CURRENT HEALTH TOPIC FOLLOWED BY A WALK AND CONVERSATION WITH THE DOCTOR. IN AUGUST 2021, MEDICAL STUDENTS FROM GCSOM WORKING WITH THE PENNSYLVANIA DEPARTMENT OF CONSERVATION AND NATURAL RESOURCES KICKED OFF OUR FIRST EVENT, AT WHICH 100 PEOPLE PARTICIPATED. WE PLAN TO ORGANIZE MORE WALKS AND EVENTUALLY OPEN A CHAPTER IN EACH LOCATION WHERE GEISINGER HAS A HOSPITAL. HEALTHCARE ACCESS REQUIRES HAVING ENOUGH HEALTHCARE PROFESSIONALS TO SERVE THE PATIENT POPULATION. GEISINGER SUCCESSFULLY RECRUITS AND KEEPS HEALTHCARE PROFESSIONALS WITHIN THE SYSTEM WITH A SERIES OF INITIATIVES. OUR SYSTEMWIDE CLINICAL CO OP PROGRAM HIRES HIGH SCHOOL AND TECHNICAL SCHOOL SENIORS INTERESTED IN HEALTHCARE. THEY WORK AS NURSING ASSISTANTS FOR ONE YEAR AND MAY SHADOW OUR NURSES IN PHLEBOTOMY OR SURGICAL TECH. THESE CO OP PROGRAMS ENCOURAGE MANY TO ENROLL IN NURSING SCHOOL WITH OUR SUPPORT AND COME TO WORK FOR GEISINGER AFTER GRADUATING. OUR NURSE RESIDENCY PROGRAM IS FOR NURSES JUST OUT OF SCHOOL. WE SUPPORT THESE NEW HIRES THROUGH THEIR FIRST AND MOST CHALLENGING YEAR OF NURSING BY EDUCATING THEM WITH RESIDENCY SESSIONS, CLASSES, AND SIMULATIONS TAUGHT BY OUR STAFF. AS PART OF THE NURSE RESIDENCY PROGRAM, WE OFFER A SIX MONTH MEDICAL SURGICAL FELLOWSHIP FOR NEW NURSES WHO WANT TO SPECIALIZE IN CARDIAC, ONCOLOGY, TRAUMA OR SURGERY. FELLOWSHIP COURSES ARE TAUGHT BY OUR NURSES, PHY |
| FACILITY 1, COMMUNITY MEDICAL CENTER - PART V, LINE 13B | RECENT WAGE STATEMENTS, UNEMPLOYMENT OR OTHER DOCUMENTATION OF BENEFITS OR COMPENSATION RECEIVED MAY BE CONSIDERED IN DETERMINING FINANCIAL ASSISTANCE ELIGIBILITY. |
| FACILITY 1, COMMUNITY MEDICAL CENTER - PART V, LINE 16J | THE FAP, FAP APPLICATION, AND A PLAIN LANGUAGE SUMMARY OF THE FAP ARE WIDELY AVAILABLE AT HTTPS://WWW.GEISINGER.ORG/PATIENT-CARE/PATIENTS-AND- VISITORS/BILLING-AND-INSURANCE/NEED-HELP. IN ADDITION, REGISTRATION PERSONNEL ALSO REFER UNINSURED AND/OR LOW INCOME PATIENTS TO FINANCIAL COUNSELORS TO DISCUSS THE FINANCIAL ASSISTANCE POLICY. |
| FACILITY 1, COMMUNITY MEDICAL CENTER - PART V, LINE 20E | REFER TO RESPONSE FOR PART III, LINE 9B |
Supplemental Information Detail SupplementalInformationDetail (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
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| SCHEDULE H, PART I, LINE 3C | SUPPORTING DOCUMENTATION FOR ELIGIBILITY MAY CONSIST OF INCOME AND ASSET INFORMATION, INCLUSIVE BUT NOT LIMITED TO: FEDERAL INCOME TAX FORM 1040 FROM THE PRIOR YEAR, PAY STUB COPIES, WRITTEN VERIFICATION OF ANY OTHER INCOME RECEIVED (I.E. SOCIAL SECURITY, ADC, CHILD SUPPORT, ALIMONY, ETC.), CURRENT CREDIT REPORTS AND ASSET VERIFICATION. THE HOSPITAL MAY ALSO UTILIZE INDUSTRY TESTED EXTERNAL ANALYTICAL TOOLS TO QUALIFY PATIENTS FOR UNCOMPENSATED CARE (AKA PRESUMPTIVE CHARITY). GEISINGER PROVIDERS, WITHOUT DISCRIMINATION, CARE FOR ALL EMERGENCY MEDICAL CONDITIONS TO INDIVIDUALS REGARDLESS OF THEIR FINANCIAL ASSISTANCE ELIGIBILITY OR ABILITY TO PAY. IT IS THE POLICY OF GEISINGER HOSPITAL FACILITIES TO COMPLY WITH THE STANDARDS OF THE FEDERAL EMERGENCY MEDICAL TREATMENT AND ACTIVE LABOR TRANSPORT ACT OF 1986 ("EMTLA") AND REGULATIONS IN PROVIDING MEDICAL SCREENING EXAMINATION AND SUCH FURTHER TREATMENT AS MAY BE NECESSARY TO STABILIZE AN EMERGENCY MEDICAL CONDITION FOR ANY INDIVIDUAL PRESENTING TO THE EMERGENCY DEPARTMENT SEEKING TREATMENT. |
| SCHEDULE H, PART I, LINE 6A | COMMUNITY BENEFIT REPORT: A COMMUNITY BENEFIT REPORT IS PROVIDED BY THE HOSPITAL AND ITS RELATED CHARITABLE ORGANIZATIONS TO THE GEISINGER HEALTH FINANCE COMMITTEE EACH YEAR. |
| SCHEDULE H, PART I, LINE 7G | THERE ARE NO PHYSICIAN CLINICAL SERVICES INCLUDED IN SUBSIDIZED HEALTH SERVICES. |
| SCHEDULE H, PART I, LINE 7 | A COST ACCOUNTING SYSTEM WAS USED TO DETERMINE THE COSTS REPORTED ON LINE 7 AND ADDRESSED PATIENT SEGMENTS BY PAYOR (E.G. MEDICARE, MEDICAID, COMMERCIAL PAYERS, SELF-PAY, ETC.). A COST TO CHARGE RATIO, CALCULATED PURSUANT TO WORKSHEET 2 OF THE FORM 990 INSTRUCTIONS, WAS USED TO CALCULATE THE COST OF CHARITY CARE. |
| SCHEDULE H, PART III, LINE 2 | REFER TO THE RESPONSE FOR PART III, LINE 4. |
| SCHEDULE H, PART III, LINE 3 | PATIENTS' ACCOUNTS ARE MONITORED THROUGHOUT THE BILLING PROCESS AND ARE RECLASSIFIED TO CHARITY CARE (100% DISCOUNTED CARE) WHENEVER A PATIENT BECOMES ELIGIBLE UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE/CHARITY CARE POLICY. DURING CALENDAR 2021, APPROXIMATELY 29% OF THE BAD DEBT ACCOUNTS WERE SUBSEQUENTLY RECLASSIFIED TO UNCOMPENSATED OR CHARITY CARE. THIS AMOUNT WAS IMPACTED BY THE COVID-19 PANDEMIC. |
| SCHEDULE H, PART III, LINE 4 | PART III, LINES 2 AND 4: GEISINGER HEALTH AND ITS AFFILIATES ("GEISINGER"), THAT INCLUDES THE HOSPITAL, PREPARE AND ISSUE AUDITED CONSOLIDATED FINANCIAL STATEMENTS, ANNUALLY. FOOTNOTE 4, SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES BEGINNING AT PAGE 8 WITHIN THESE FINANCIAL STATEMENTS INCLUDES A DESCRIPTION OF THE ACCOUNTING FOR NET PATIENT SERVICE REVENUE AND ACCOUNTS RECEIVABLE. THIS DISCLOSURE ALSO DESCRIBES THE RELATED EXPLICIT AND IMPLICIT PRICE CONCESSIONS AND BAD DEBTS EXPENSE. CHARITY CARE IS ALSO DESCRIBED IN THE SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES. GEISINGER'S PRICE CONCESSIONS, BAD DEBTS AND CHARITY CARE METHODOLOGIES ARE CONSISTENTLY APPLIED ACROSS ALL CHARITABLE AFFILIATES. |
| SCHEDULE H, PART III, LINE 8 | PART III, LINE 3 - BAD DEBT: MEDICARE COSTS WERE DERIVED FROM THE MEDICARE COST REPORT AND THE COST ACCOUNTING SYSTEM. THE ORGANIZATION BELIEVES THAT MEDICARE UNDERPAYMENTS (SHORTFALL) AND THE COST OF BAD DEBT ARE COMMUNITY BENEFIT AND SHOULD BE INCLUDED ON FORM 990, SCHEDULE H, PART I. AS OUTLINED MORE FULLY BELOW, THE ORGANIZATION BELIEVES THAT THESE SERVICES AND RELATED COSTS PROMOTE THE HEALTH OF THE COMMUNITY AS A WHOLE AND ARE RENDERED IN CONJUNCTION WITH THE ORGANIZATION'S CHARITABLE TAX-EXEMPT PURPOSES AND MISSION IN PROVIDING MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON- DISCRIMINATORY MANNER WITHOUT REGARD TO RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY AND IS CONSISTENT WITH THE COMMUNITY BENEFIT STANDARD PROMULGATED BY THE IRS. THE COMMUNITY BENEFIT STANDARD IS THE CURRENT STANDARD FOR A TAX-EXEMPT AND CHARITABLE ORGANIZATION UNDER THE INTERNAL REVENUE CODE ("IRC") 501(C)(3). SATISFYING THE "COMMUNITY BENEFIT STANDARD," AS ARTICULATED BY THE INTERNAL REVENUE SERVICE (IRS) IN REVENUE RULING 69-545, IS CURRENTLY REQUIRED FOR A HOSPITAL TO BE RECOGNIZED AS A CHARITABLE ORGANIZATION UNDER INTERNAL REVENUE CODE (IRC) 501(C)(3). THIS RULING REMOVED THE PREVIOUS REQUIREMENT OF REVENUE RULING 56-185, KNOWN AS THE "CHARITY CARE STANDARD," THAT IN ORDER TO BE A CHARITABLE ORGANIZATION, A HOSPITAL HAD TO PROVIDE, TO THE EXTENT OF ITS FINANCIAL ABILITY, FREE OR REDUCED-COST CARE TO PATIENTS UNABLE TO PAY FOR THEIR CARE. THIS EARLIER RULING EMPHASIZED THAT A LOW LEVEL OF CHARITY CARE DID NOT MEAN THAT A HOSPITAL WAS CHARITABLE SINCE THAT LEVEL COULD REFLECT THE HOSPITAL'S FINANCIAL ABILITY TO PROVIDE SUCH CARE. REVENUE RULING 56-185 ALSO NOTED THAT PUBLICLY SUPPORTED COMMUNITY HOSPITALS WOULD NORMALLY QUALIFY AS CHARITABLE BECAUSE THEY SERVE THE ENTIRE COMMUNITY AND A LOW LEVEL OF CHARITY CARE WOULD NOT IMPACT A HOSPITAL'S CHARITABLE STATUS IF IT WAS DUE TO THE SURROUNDING COMMUNITY'S LACK OF CHARITABLE DEMANDS. AS DEVELOPED IN REVENUE RULING 69-545, UNDER THE COMMUNITY BENEFIT STANDARD, HOSPITALS WERE JUDGED ON WHETHER THEY PROMOTE THE HEALTH OF A BROAD CLASS OF INDIVIDUALS IN THE COMMUNITY. THIS RULING INVOLVED A HOSPITAL THAT ONLY ADMITTED THOSE WHO COULD PAY FOR THE SERVICES EITHER BY THEMSELVES, THROUGH PRIVATE INSURANCE OR PUBLIC PROGRAMS SUCH AS MEDICARE. IN ADDITION, THE HOSPITAL OPERATED A FULL-TIME EMERGENCY ROOM THAT WAS OPEN TO EVERYONE. THE IRS RULED THAT THE HOSPITAL WAS CHARITABLE BECAUSE IT PROMOTED THE HEALTH OF PEOPLE IN ITS COMMUNITY. THE IRS REASONED THAT BECAUSE THE PROMOTION OF HEALTH WAS A CHARITABLE PURPOSE ACCORDING TO THE GENERAL LAW OF CHARITY, IT FELL WITHIN THE "GENERALLY ACCEPTED LEGAL SENSE" OF THE TERM CHARITABLE, AS REQUIRED BY TREASURY REGULATION SECTION 1.501 (C)(3)-1(D)(2). THE IRS RULED THAT THE PROMOTION OF HEALTH, LIKE RELIEF OF POVERTY AND THE ADVANCEMENT OF EDUCATION AND RELIGION, IS ONE OF THE PURPOSES OF THE GENERAL LAW OF CHARITY THAT IS DEEMED BENEFICIAL TO THE COMMUNITY AS A WHOLE EVEN THOUGH THE CLASS OF BENEFICIARIES ELIGIBLE TO RECEIVE A DIRECT BENEFIT FROM ITS ACTIVITIES DOES NOT INCLUDE ALL MEMBERS OF THE COMMUNITY, SUCH AS INDIGENT MEMBERS OF THE COMMUNITY, PROVIDED THAT THE CLASS IS NOT SO SMALL THAT ITS RELIEF IS NOT OF BENEFIT TO THE COMMUNITY. THE IRS CONCLUDED THAT THE HOSPITAL WAS "PROMOTING THE HEALTH OF A CLASS OF PERSONS THAT IS BROAD ENOUGH TO BENEFIT THE COMMUNITY" BECAUSE ITS EMERGENCY ROOM WAS OPEN TO ALL AND IT PROVIDED CARE TO THOSE WHO COULD PAY, WHETHER DIRECTLY OR THROUGH THIRD-PARTY REIMBURSEMENT. OTHER FACTORS THAT DEMONSTRATED COMMUNITY BENEFIT INCLUDED: SURPLUS FUNDS WERE USED TO IMPROVE PATIENT CARE, EXPAND FACILITIES AND ADVANCE MEDICAL TRAINING, EDUCATION AND RESEARCH; AND IT WAS CONTROLLED BY A BOARD OF DIRECTORS THAT CONSISTED OF INDEPENDENT CIVIC LEADERS. THE AMERICAN HOSPITAL ASSOCIATION ("AHA") BELIEVES THAT MEDICARE UNDERPAYMENTS (SHORTFALLS) AND BAD DEBT SHOULD BE REPORTED AS COMMUNITY BENEFIT ON FORM 990, SCHEDULE H, PART I, LINE 7. THIS ORGANIZATION AGREES WITH THE AHA'S LETTER TO THE IRS DATED AUGUST 21, 2007 RESPONDING TO A DRAFT OF THE NEW FORM 990 AND SCHEDULE H, THE AHA ARGUED THAT MEDICARE UNDERPAYMENTS (SHORTFALLS) IS COMMUNITY BENEFIT FOR THE FOLLOWING REASONS: -PROVIDING CARE FOR THE ELDERLY AND SERVING MEDICARE PATIENTS REMAINS AN ESSENTIAL PART OF THE COMMUNITY BENEFIT STANDARD. -MEDICARE, LIKE MEDICAID, DOES NOT PAY THE FULL COST OF CARE. RECENTLY, MEDICARE REIMBURSES ONLY 92 CENTS FOR EVERY DOLLAR HOSPITALS SPEND TO CARE FOR MEDICARE PATIENTS. THE MEDICARE PAYMENT ADVISORY COMMISSION ("MEDPAC") IN ITS MARCH 2007 REPORT TO CONGRESS CAUTIONED THAT UNDERPAYMENT WILL GET EVEN WORSE, WITH MARGINS REACHING A 10 YEAR LOW AT NEGATIVE 5.4 PERCENT. -MANY MEDICARE PATIENTS, LIKE THEIR MEDICAID COUNTERPARTS, ARE POOR. MORE THAN 46% OF MEDICARE SPENDING IS FOR BENEFICIARIES WHOSE INCOME IS BELOW 200% OF THE FEDERAL POVERTY LEVEL. MANY ARE ALSO ELIGIBLE FOR MEDICAID, SO CALLED -DUAL ELIGIBLES". PENNSYLVANIA REQUIRES NON-PROFIT HOSPITALS TO PROVIDE A MINIMUM LEVEL OF COMMUNITY BENEFIT TO RETAIN EXEMPTION FROM STATE AND LOCAL TAXES. ACCORDING TO STATE GUIDANCE AND CASE LAW, THE UNREIMBURSED COST OF MEDICARE AND BAD DEBT IS CONSIDERED TO BE COMMUNITY BENEFIT FOR STATE TAX EXEMPTION PURPOSES. PART III, LINE 6 ONLY INCLUDES THOSE COSTS THAT ARE PERMITTED TO BE REPORTED IN THE HOSPITAL'S MEDICARE COST REPORT THAT IS REQUIRED TO BE FILED WITH THE FEDERAL GOVERNMENT. THE HOSPITAL CONSIDERS THE TOTAL MEDICARE UNDERPAYMENTS (SHORTFALL) OF 28,571,961 SHOULD BE REPORTED AS COMMUNITY BENEFIT ON THE FORM 990, SCHEDULE H, PART I, LINE 7. ALONG WITH PROVIDING CARE TO MEDICAID PATIENTS AND PROVIDING FREE OR DISCOUNTED CARE TO OTHER LOW INCOME PATIENTS, THE IRS COMMUNITY BENEFIT STANDARD INCLUDES THE PROVISION OF CARE TO THE ELDERLY AND MEDICARE PATIENTS. LIKE MEDICAID, MEDICARE DOES NOT PAY THE FULL COST OF PROVIDING CARE TO THESE PATIENTS, FORCING THE HOSPITAL TO USE OTHER FUNDS TO COVER THE SHORTFALL. MEDICARE SHORTFALLS MUST BE ABSORBED BY THE HOSPITAL IN ORDER TO CONTINUE TREATING THE ELDERLY IN OUR COMMUNITIES. THE HOSPITAL PROVIDES CARE REGARDLESS OF THE MEDICARE SHORTFALL AND IS THEREBY PROVIDING ACCESS TO MEDICAL SERVICES FOR THE ELDERLY AND RELIEVING THE FEDERAL GOVERNMENT OF THE BURDEN OF PAYING THE FULL COST FOR PROVIDING CARE TO MEDICARE PATIENTS. ABSENT THE MEDICARE PROGRAM, IT IS LIKELY THAT MANY MEDICARE PATIENTS WOULD BE ELIGIBLE FOR CHARITY CARE OR OTHER NEED BASED GOVERNMENT PROGRAMS. THE AMOUNT EXPENDED TO COVER THE SHORTFALL IS MONEY NOT AVAILABLE FOR FINANCIAL ASSISTANCE AND OTHER COMMUNITY BENEFIT NEEDS. BOTH THE HOSPITAL AND THE AHA BELIEVE THAT PATIENT BAD DEBT BE REPORTED AS A COMMUNITY BENEFIT ON FORM 990, SCHEDULE H, PART I, LINE 7. LIKE MEDICARE UNDERPAYMENTS (SHORTFALLS), BAD DEBT SHOULD BE REPORTED AS COMMUNITY BENEFIT BECAUSE: -A SIGNIFICANT PORTION OF BAD DEBT IS ATTRIBUTABLE TO LOW-INCOME PATIENTS, WHO FOR MANY REASONS DECLINE TO COMPLETE THE FORMS REQUIRED TO ESTABLISH ELIGIBILITY UNDER THE HOSPITAL'S CHARITY CARE OR FINANCIAL ASSISTANCE POLICY (FAP). A 2006 CONGRESSIONAL BUDGET OFFICE ("CBO"), "NONPROFIT HOSPITALS AND THE PROVISION OF COMMUNITY BENEFIT", CITED TWO STUDIES INDICATING THAT "THE GREAT MAJORITY OF BAD DEBT WAS ATTRIBUTABLE TO PATIENTS WITH INCOMES BELOW 200% OF THE FEDERAL POVERTY LINE." -THE CBO REPORT ALSO NOTED THAT A SUBSTANTIAL PORTION OF THE BAD DEBT IS PENDING CHARITY CARE. UNLIKE BAD DEBT IN OTHER INDUSTRIES, HOSPITAL BAD DEBT IS COMPLICATED BY THE FACT THAT HOSPITALS FOLLOW THEIR CHARITABLE MISSION TO THE COMMUNITY AND TREAT EVERY PATIENT THAT COMES THROUGH THE EMERGENCY DEPARTMENT, REGARDLESS OF ABILITY TO PAY. PATIENTS WHO HAVE OUTSTANDING BILLS ARE NOT TURNED AWAY, UNLIKE OTHER INDUSTRIES. BAD DEBT IS FURTHER COMPLICATED BY THE AUDITING INDUSTRY'S STANDARDS ON REPORTING CHARITY CARE. MANY PATIENTS CANNOT OR DO NOT PROVIDE THE NECESSARY DOCUMENTATION REQUIRED TO BE DEEMED CHARITY CARE BY AUDITORS. AS A RESULT, ACCORDING TO THE CBO REPORT, ROUGHLY 40% OF BAD DEBT IS PENDING CHARITY CARE. (DURING THE CALENDAR YEAR ENDED DECEMBER 31, 2021, APPROXIMATELY 29% OF THE HOSPITAL'S BAD DEBT WAS SUBSEQUENTLY RECLASSIFIED TO CHARITY CARE.) THE CBO CONCLUDED THAT ITS FINDINGS "SUPPORT THE VALIDITY OF THE USE OF UNCOMPENSATED CARE (BAD DEBT AND CHARITY CARE) AS A MEASURE OF COMMUNITY BENEFITS" ASSUMING THE FINDINGS ARE GENERALIZED NATIONALLY. THE EXPERIENCE OF HOSPITALS NATIONWIDE REINFORCE THAT THEY ARE GENERALIZABLE. AS OUTLINED BY THE AHA, DESPITE THE HOSPITAL'S BEST EFFORTS AND DUE DILIGENCE, PATIENT BAD DEBT IS A PART OF THE CHARITABLE MISSION AND CHARITABLE PURPOSES. BAD DEBT REPRESENTS PART OF THE BURDEN HOSPITALS' BEAR IN SERVING ALL PATIENTS REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. IN ADDITION, THE HOSPITAL INVESTS SIGNIFICANT RESOURCES IN SYSTEMS AND STAFF TRAINING TO ASSIST PATIENTS THAT ARE IN NEED OF FINANCIAL ASSISTA |
| SCHEDULE H, PART III, LINE 9B | THE HOSPITAL IS COMMITTED TO PROVIDING MEDICALLY NECESSARY SERVICES TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY AND THE HOSPITAL'S COLLECTION ACTIONS ARE CONSISTENTLY APPLIED TO ALL PATIENTS. IT IS THE HOSPITAL'S POLICY TO PROVIDE FINANCIAL ASSISTANCE AND COUNSELING TO PATIENTS WITH LIMITED FINANCIAL MEANS. A PATIENT MAY BECOME ELIGIBLE FOR FINANCIAL ASSISTANCE AT ANY TIME DURING TREATMENT OR DURING THE CONTINUUM OF THE FINANCIAL/BILLING AND COLLECTION PROCESS. IN ANY STAGE OF THE BILLING PROCESS, COLLECTION ACTIONS ARE NOT PURSUED WHENEVER A PATIENT APPLIES AND IS BEING EVALUATED FOR FINANCIAL ASSISTANCE. UNDER NO CIRCUMSTANCES WILL THE HOSPITAL FREEZE OR ATTACH BANK ACCOUNTS OF A PATIENT, ENFORCE LIENS, ACTIVELY PURSUE ASSETS FROM A PRIOR JUDGMENT OR GARNISH THE WAGES OF A PATIENT AND/OR FAMILY MEMBER BEFORE DETERMINING IF THE PATIENT IS ELIGIBLE FOR ASSISTANCE UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM. GEISINGER MANAGEMENT HAS DEVELOPED POLICIES AND PROCEDURES FOR INTERNAL AND EXTERNAL COLLECTION PRACTICES THAT TAKE INTO ACCOUNT THE EXTENT TO WHICH THE PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE, A PATIENT'S GOOD FAITH EFFORT TO APPLY FOR GOVERNMENTAL PROGRAMS OR FINANCIAL ASSISTANCE FROM GEISINGER AND A PATIENT'S GOOD FAITH EFFORT TO COMPLY WITH HIS OR HER PAYMENT AGREEMENTS. BILLING AND COLLECTION POLICY: THE BILLING AND COLLECTION POLICY IS ADMINISTERED IN ACCORDANCE WITH THE MISSION AND VALUES OF THE HOSPITAL AS WELL AS FEDERAL AND STATE LAW. THE POLICY IS DESIGNED TO PROMOTE APPROPRIATE ACCESS TO MEDICAL CARE FOR ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY WHILE MAINTAINING GEISINGER'S FISCAL RESPONSIBILITY TO MAXIMIZE REIMBURSEMENT AND MINIMIZE BAD DEBT. THE ORGANIZATION'S BILLING AND COLLECTION POLICY IS INTENDED TO TAKE INTO ACCOUNT EACH INDIVIDUAL'S ABILITY TO CONTRIBUTE TO THE COST OF HIS OR HER CARE. THE ORGANIZATION MAKES SURE THAT PATIENTS ARE ASSISTED IN OBTAINING HEALTH INSURANCE COVERAGE FROM PRIVATELY AND PUBLICLY FUNDED SOURCES, WHENEVER POSSIBLE. ALL BUSINESS OFFICE CUSTOMER SERVICE DEPARTMENT REPRESENTATIVES ARE EDUCATED ON ALL ASPECTS OF THE BILLING AND COLLECTION POLICY AND ARE EXPECTED TO ADMINISTER THE POLICY ON A REGULAR AND CONSISTENT BASIS. BUSINESS OFFICE CUSTOMER SERVICE REPRESENTATIVES ARE HELD ACCOUNTABLE TO TREAT ALL PATIENTS WITH COURTESY, RESPECT, CONFIDENTIALITY AND CULTURAL SENSITIVITY. THE BILLING AND COLLECTION POLICY IS ADMINISTERED IN CONJUNCTION WITH THE PROCEDURES OUTLINED IN INTERNAL ADMINISTRATIVE POLICIES. THE GEISINGER EXECUTIVE VICE PRESIDENT, CHIEF FINANCIAL OFFICER AND VICE PRESIDENT, CHIEF REVENUE OFFICER HAVE OVERALL RESPONSIBILITY FOR THE BILLING AND COLLECTION ACTIVITIES OF THE HOSPITAL. THE BUSINESS OFFICE CUSTOMER SERVICE DEPARTMENT STAFF IS RESPONSIBLE FOR THE DAY-TO-DAY ENFORCEMENT OF APPROVED POLICIES AND PROCEDURES. GEISINGER MAY OFFER EXTENDED PAYMENT PLANS TO PATIENTS WHO ARE COOPERATING IN GOOD FAITH TO RESOLVE THEIR HOSPITAL BILLS. EMERGENCY & MEDICALLY NECESSARY SERVICES: GEISINGER DOES NOT ENGAGE IN ANY ACTIONS THAT DISCOURAGE INDIVIDUALS FROM SEEKING EMERGENCY MEDICAL CARE. THE ORGANIZATION WILL NEVER DEMAND THAT AN EMERGENCY DEPARTMENT PATIENT PAY BEFORE RECEIVING TREATMENT FOR EMERGENCY MEDICAL CONDITIONS. ADDITIONALLY, GEISINGER DOES NOT PERMIT DEBT COLLECTION ACTIVITIES IN THE EMERGENCY DEPARTMENT OR OTHER AREAS WHERE SUCH ACTIVITIES COULD INTERFERE WITH THE PROVISION OF EMERGENCY CARE ON A NONDISCRIMINATORY BASIS. ALL MEDICALLY NECESSARY HOSPITAL SERVICES ARE PROVIDED WITHOUT CONSIDERATION OF ABILITY TO PAY AND ARE NOT DELAYED PENDING APPLICATION OR APPROVAL OF MEDICAL ASSISTANCE OR THE GEISINGER FINANCIAL ASSISTANCE PROGRAM. ADVANCE PAYMENT IS NOT REQUIRED FOR ANY MEDICALLY NECESSARY SERVICES. COMPLIANCE WITH INTERNAL REVENUE CODE SECTION 501(R)(6): GEISINGER DOES NOT ENGAGE IN ANY EXTRAORDINARY COLLECTION ACTIONS ("ECAS") AS DEFINED BY INTERNAL REVENUE CODE SECTION 501(R)(6) PRIOR TO THE EXPIRATION OF THE NOTIFICATION PERIOD. THE NOTIFICATION PERIOD IS DEFINED AS A 120-DAY PERIOD OR GREATER, WHICH BEGINS ON THE DATE OF THE 1ST POST-DISCHARGE BILLING STATEMENT, IN WHICH NO ECAS ARE INITIATED AGAINST THE PATIENT. SUBSEQUENT TO THE NOTIFICATION PERIOD GEISINGER, OR ANY THIRD PARTIES ACTING ON ITS BEHALF, MAY INITIATE THE FOLLOWING ECAS AGAINST A PATIENT FOR AN UNPAID BALANCE IF THE FINANCIAL ASSISTANCE ELIGIBILITY DETERMINATION HAS NOT BEEN MADE OR IF AN INDIVIDUAL IS INELIGIBLE FOR FINANCIAL ASSISTANCE. GEISINGER MAY AUTHORIZE THIRD PARTIES TO REPORT ADVERSE INFORMATION ABOUT THE INDIVIDUAL TO CONSUMER CREDIT REPORTING AGENCIES OR CREDIT BUREAUS ON DELINQUENT PATIENT ACCOUNTS AFTER THE NOTIFICATION PERIOD. THE ORGANIZATION ENSURES REASONABLE EFFORTS HAVE BEEN TAKEN TO DETERMINE WHETHER AN INDIVIDUAL IS ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THE FINANCIAL ASSISTANCE POLICY AND ENSURES THE FOLLOWING ACTIONS ARE TAKEN AT LEAST 30 DAYS PRIOR TO INITIATING ANY ECA: 1) THE PATIENT IS PROVIDED WITH WRITTEN NOTICE WHICH: INDICATES THAT FINANCIAL ASSISTANCE IS AVAILABLE FOR ELIGIBLE PATIENTS; IDENTIFIES THE ECA(S) THAT GEISINGER INTENDS TO INITIATE TO OBTAIN PAYMENT FOR THE CARE; AND STATES A DEADLINE AFTER WHICH SUCH ECAS MAY BE INITIATED. 2) THE PATIENT IS PROVIDED WITH A COPY OF THE PLAIN LANGUAGE SUMMARY; AND 3) REASONABLE EFFORTS ARE MADE TO ORALLY NOTIFY THE PATIENT ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE AND HOW THE INDIVIDUAL MAY OBTAIN ASSISTANCE WITH THE FINANCIAL ASSISTANCE APPLICATION PROCESS. GEISINGER PROCESSES ALL APPLICATIONS FOR FINANCIAL ASSISTANCE SUBMITTED DURING THE APPLICATION PERIOD. THE APPLICATION PERIOD BEGINS ON THE DATE THE CARE IS PROVIDED AND ENDS ON THE 240TH DAY AFTER THE DATE OF THE FIRST POST-DISCHARGE BILLING STATEMENT. |
| SCHEDULE H, PART VI, LINE 2 | CHNA COLLABORATING HEALTH SYSTEMS THE 2021 GEISINGER COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED IN PARTNERSHIP WITH GEISINGER, ALLIED SERVICES INTEGRATED HEALTH SYSTEM, AND EVANGELICAL COMMUNITY HOSPITAL. THE STUDY AREA INCLUDED 15 COUNTIES ACROSS CENTRAL AND NORTHEASTERN PENNSYLVANIA, WHICH REPRESENTED THE HEALTH SYSTEMS' COLLECTIVE SERVICE AREAS. COLLABORATION IN THIS WAY CONSERVES VITAL COMMUNITY RESOURCES WHILE FOSTERING A PLATFORM FOR "COLLECTIVE IMPACT" THAT ALIGNS COMMUNITY EFFORTS TOWARD A COMMON GOAL OR ACTION. TO DISTINGUISH UNIQUE SERVICE AREAS AMONG HOSPITALS, REGIONAL RESEARCH AND REPORTING WAS DEVELOPED. 2021 CHNA GEOGRAPHIC REGIONS AND PRIMARY SERVICE COUNTIES 1- CENTRAL REGION INCLUDING THE COUNTIES OF COLUMBIA, MONTOUR, NORTHUMBERLAND, SCHUYLKILL, SNYDER AND UNION REPRESENTED BY GEISINGER- BLOOMSBURG HOSPITAL, GEISINGER MEDICAL CENTER (INCLUDES GEISINGER SHAMOKIN AREA COMMUNITY HOSPITAL), GEISINGER ENCOMPASS HEALTH LIMITED LIABILITY COMPANY (DBA GEISINER ENCOMPASS HEALTH REHABILITATION HOSPITAL) AND EVANGELICAL COMMUNITY HOSPITAL. 2- NORTH CENTRAL REGION INCLUDING THE COUNTIES OF CLINTON AND LYCOMING REPRESENTED BY GEISINGER JERSEY SHORE HOSPITAL AND GEISINGER MEDICAL CENTER MUNCY (LICENSED/OPERATIONAL JANUARY 2022) 3- NORTHEAST REGION INCLUDING THE COUNTIES OF LACKAWANNA, LUZERNE, WAYNE AND WYOMING REPRESENTED BY ALLIED SERVICES REHAB HOSPITAL, COMMUNITY MEDICAL CENTER (DBA GEISINGER COMMUNITY MEDICAL CENTER, GEISINGER WYOMING VALLEY MEDICAL CENTER (INCLUDES GEISINGER SOUTH WILKES-BARRE) AND HEINZ REHAB HOSPITAL. 4- WESTERN REGION INCLUDING THE COUNTIES OF CENTRE, JUNIATA AND MIFFLIN REPRESENTED BY GEISINGER-LEWISTOWN HOSPITAL. GEISINGER SYSTEMWIDE CHNA APPROACH THE 2021 CHNA FOCUSED ON THE PRIMARY SERVICE AREAS OF EACH OF GEISINGER'S NINE HOSPITAL CAMPUSES. UNDERSTANDING OVERLAPPING GEOGRAPHIC BOUNDARIES, SOCIOECONOMICS, AND RELATED COMMUNITY INDICATORS, GEISINGER HOSPITALS WERE GROUPED INTO REGIONS TO ALLOW FOR LOCALIZED DATA COMPARISONS. SYSTEMWIDE PRIORITIES WERE DETERMINED TO ADDRESS COMMON NEEDS ACROSS THE WHOLE SERVICE AREA, WHILE INDIVIDUAL HOSPITAL IMPLEMENTATION PLANS OUTLINED SPECIFIC STRATEGIES TO GUIDE LOCAL EFFORTS AND COLLABORATION WITH COMMUNITY PARTNERS. SEE ALSO THE DISCUSSION RELATED TO THE RESPONSE TO PART V, LINE 5. |
| SCHEDULE H, PART VI, LINE 3 | GEISINGER IS COMMITTED TO PROVIDING THE HIGHEST QUALITY HEALTHCARE SERVICES TO OUR COMMUNITY. GEISINGER IS COMMITTED TO A SERVICE EXCELLENCE PHILOSOPHY THAT STRIVES TO MEET OR EXCEED PATIENT EXPECTATIONS. ALL PATIENTS WILL RECEIVE A UNIFORM STANDARD OF CARE THROUGHOUT ALL GEISINGER FACILITIES, REGARDLESS OF SOCIAL, CULTURAL, FINANCIAL, RELIGIOUS, RACIAL, GENDER OR SEXUAL ORIENTATION. GEISINGER STRIVES TO ENSURE THAT ALL PATIENTS RECEIVE ESSENTIAL EMERGENCY AND OTHER MEDICALLY NECESSARY HEALTH SERVICES REGARDLESS OF THEIR ABILITY TO PAY. FOR URGENT AND EMERGENT SERVICES, PATIENTS ARE PROVIDED CARE REGARDLESS OF THEIR ABILITY TO PAY. IN THE EVENT A PATIENT HAS AN EMERGENCY MEDICAL CONDITION; TREATMENT IS NOT DELAYED TO PERMIT AN INQUIRY REGARDING A PATIENT'S METHOD OF PAYMENT OR INSURANCE STATUS. FOR OTHER THAN URGENT AND EMERGENT SERVICES, THE HOSPITAL PROVIDES UNCOMPENSATED CARE, FREE OF CHARGE, OR ON A 100% DISCOUNTED BASIS, TO THOSE PATIENTS WHO DEMONSTRATE AN INABILITY TO PAY. DEPENDING UPON FAMILY SIZE AND INCOME, FREE OR 100% DISCOUNTED SERVICES ARE AVAILABLE TO A PATIENT WITH FAMILY INCOME OF 300% OR LESS OF THE FEDERAL POVERTY GUIDELINES. IT IS THE HOSPITAL'S POLICY TO PROVIDE FINANCIAL ASSISTANCE AND FINANCIAL COUNSELING TO PATIENTS OF LIMITED MEANS. A PATIENT MAY BECOME ELIGIBLE FOR CHARITY CARE OR FINANCIAL ASSISTANCE AT ANY TIME DURING TREATMENT OR DURING THE CONTINUUM OF THE FINANCIAL/BILLING PROCESS. INFORMATION (SIGNS, BROCHURES, ETC.) REGARDING THE HOSPITAL'S CHARITY CARE AND FINANCIAL ASSISTANCE POLICIES ARE PROVIDED AT THE EMERGENCY ROOM, REGISTRATION AND VARIOUS ACCESS POINTS THROUGHOUT THE HOSPITAL. REGISTRATION PERSONNEL ALSO REFER UNINSURED AND/OR LOW INCOME PATIENTS TO FINANCIAL COUNSELORS TO DISCUSS THE FINANCIAL ASSISTANCE POLICY. NOTICE OF THE HOSPITAL'S CHARITY CARE AND FINANCIAL ASSISTANCE POLICIES CAN ALSO BE FOUND ON THE GEISINGER WEB SITE AT WWW.GEISINGER.ORG. PATIENTS ARE ALSO PROVIDED INFORMATION ON THE HOSPITAL'S CHARITY CARE AND FINANCIAL ASSISTANCE POLICIES WITH EACH PATIENT BILL. THE FINANCIAL ASSISTANCE POLICY ("FAP"), THE FAP APPLICATION AND PLAIN LANGUAGE SUMMARY ("PLS") ARE AVAILABLE ON-LINE. PAPER COPIES ARE AVAILABLE UPON REQUEST WITHOUT CHARGE BY MAIL OR ARE AVAILABLE AT REGISTRATION AREAS WHICH INCLUDES EMERGENCY ROOMS, ADMITTING AND REGISTRATION DEPARTMENTS, HOSPITAL-BASED CLINICS AND PATIENT FINANCIAL SERVICES DEPARTMENTS. ALL FAP DOCUMENTS ARE AVAILABLE IN ENGLISH AND IN THE PRIMARY LANGUAGE OF POPULATIONS WITH LIMITED ENGLISH PROFICIENCY ("LEP") THAT CONSTITUTE THE LESSER OF 1,000 INDIVIDUALS OR 5% OF THE HOSPITAL'S SERVICE AREA. SIGNS OR DISPLAYS ARE CONSPICUOUSLY POSTED IN PUBLIC HOSPITAL LOCATIONS INCLUDING THE EMERGENCY DEPARTMENT, ADMISSIONS DEPARTMENT AND REGISTRATION DEPARTMENT THAT INFORM PATIENTS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE. ALL PATIENTS ARE OFFERED A COPY OF THE PLS AS PART OF THE INTAKE AND DISCHARGE PROCESSES. ADDITIONALLY, FINANCIAL COUNSELORS AND CUSTOMER SERVICE REPRESENTATIVES ARE AVAILABLE TO ASSIST PATIENTS WITH CONCERNS. |
| SCHEDULE H, PART VI, LINE 4 | PART VI, LINE 4, DESCRIBE THE COMMUNITY THE ORGANIZATION SERVES, TAKING INTO ACCOUNT THE GEOGRAPHIC AREA AND DEMOGRAPHIC CONSTITUENTS IT SERVES: THE NORTHEAST REGION IS COMPRISED OF FOUR COUNTIES AND IS PRIMARILY SERVED BY THE FOLLOWING HOSPITALS: COMMUNITY MEDICAL CENTER (DBA GEISINGER COMMUNITY MEDICAL CENTER (GCMC)), GEISINGER WYOMING VALLEY MEDICAL CENTER (GWV) (INCLUDES GEISINGER SOUTH WILKES-BARRE (GSWB)), ALLIED SERVICES REHAB HOSPITAL, AND HEINZ REHAB HOSPITAL. GCMC DEFINED ITS PRIMARY SERVICE AREA AS 25 ZIP CODES, PRIMARILY WITHIN THE NORTHEAST REGION. THE PRIMARY SERVICE AREA WAS IDENTIFIED BASED ON THE PATIENT ZIP CODES OF ORIGIN COMPRISING 80% OR MORE OF HOSPITAL DISCHARGES IN FISCAL YEAR 2019. NORTHEAST REGION POPULATION TRENDS THE NORTHEAST REGION IS PREDOMINANTLY RURAL WITH SIGNIFICANT URBAN SETTINGS IN SCRANTON (LACKAWANNA COUNTY), WILKES-BARRE (LUZERNE COUNTY), AND HAZLETON (LUZERNE COUNTY). WITH A POPULATION OF ABOUT 76,200, SCRANTON IS THE LARGEST CITY IN NORTHEASTERN PA, FOLLOWED BY NEIGHBORING WILKES-BARRE WITH ABOUT 42,200 RESIDENTS. HAZLETON (LUZERNE COUNTY) HAS ABOUT 26,700 RESIDENTS. WAYNE COUNTY, WITH A TOTAL POPULATION OF ABOUT 54,000, AND WYOMING COUNTY, WITH ABOUT 28,000, ARE MORE RURAL OVERALL WITH LESS DENSE POPULATION CLUSTERS. DRIVEN BY THE SCRANTON-WILKES-BARRE-HAZLETON METROPOLITAN STATISTICAL AREA, APPROXIMATELY HALF OF ALL NORTHEAST REGION RESIDENTS LIVE IN LUZERNE COUNTY AND ONE-THIRD LIVE IN LACKAWANNA COUNTY. ALL NORTHEAST REGION COUNTIES HAVE A HIGHER PERCENTAGE OF SENIORS AND A HIGHER MEDIAN AGE COMPARED TO THE STATE AND NATION. WAYNE COUNTY HAS THE OLDEST POPULATION: 24% OF RESIDENTS ARE AGE 65 OR OVER AND THE MEDIAN AGE IS 48.6 COMPARED TO 41.6 STATEWIDE. CONSISTENT WITH MUCH OF PA'S RURAL GEOGRAPHY, THE POPULATION OF THE NORTHEAST REGION IS SLIGHTLY DECLINING AND PROJECTED TO DECREASE BY 0.1% BY 2025. THE LARGEST POPULATION DECLINE IS EXPECTED IN WYOMING COUNTY. WAYNE COUNTY HAD THE LARGEST POPULATION GROWTH IN THE NORTHEAST REGION FROM 2017 -2020 AT ABOUT 3%. AS A WHOLE, THE NORTHEAST REGION IS LESS DIVERSE COMPARED TO STATE OR NATIONAL BENCHMARKS, BUT THE CITIES OF SCRANTON, WILKES-BARRE, AND HAZLETON ARE SIGNIFICANTLY MORE DIVERSE THAN SURROUNDING TOWNS. HAZLETON BENEFITS FROM THE GREATEST DIVERSITY AMONG CITIES IN THE REGION. IN HAZLETON, APPROXIMATELY 64% OF RESIDENTS ARE LATINX (OF ANY RACE); 48% ARE WHITE; 6% ARE BLACK; AND 1% ARE ASIAN. IN WILKES-BARRE, 64% OF THE POPULATION IS WHITE; ABOUT 27% ARE LATINX; 16% ARE BLACK; AND 2% ARE ASIAN. IN SCRANTON, ABOUT 75% OF THE POPULATION IS WHITE; 17% ARE LATINX; 8% ARE BLACK; AND 6% ARE ASIAN. THE SCRANTON-WILKES-BARRE AREA IS HOME TO MULTIPLE COLLEGES AND UNIVERSITIES: THE UNIVERSITY OF SCRANTON, GEISINGER COMMONWEALTH SCHOOL OF MEDICINE, JOHNSON COLLEGE, KING'S COLLEGE, LACKAWANNA COLLEGE, MARYWOOD UNIVERSITY, MISERICORDIA UNIVERSITY, AND WILKES UNIVERSITY. SATELLITE CAMPUSES, COMMUNITY COLLEGES, AND VOCATIONAL SCHOOLS INCLUDE FORTIS INSTITUTE, LUZERNE COUNTY COMMUNITY COLLEGE, PENN FOSTER CAREER SCHOOL, PENN STATE SCRANTON, AND PENN STATE WILKES-BARRE. UNIVERSITY AND COLLEGE CAMPUSES OFTEN BRING GREATER COMMUNITY DIVERSITY, PARTICULARLY WITH REGARD TO AGE. DUE TO PARTIAL YEAR RESIDENCY, STUDENT POPULATIONS CAN IMPACT COMMUNITY DEMOGRAPHICS AND NEEDED SERVICES. SOCIOECONOMIC TRENDS THE ECONOMY IN THE NORTHEAST REGION GREW FROM ITS EARLY ROOTS IN IRON AND COAL PRODUCTION, ATTRACTING A DIVERSE LABOR FORCE TO WORK IN THE INDUSTRIAL CENTER. TODAY, THE TOP INDUSTRIES ACROSS THE REGION ARE HEALTH AND HUMAN SERVICES, PROFESSIONAL SERVICES, AND RETAIL. TOURISM IS AN IMPORTANT ECONOMIC ENGINE FOR THE REGION. MAJOR REVITALIZATION PROJECTS HAVE BEEN UNDERWAY IN RECENT YEARS IN SCRANTON, WILKES-BARRE, HAZLETON, CARBONDALE, AND OTHER TOWN CENTERS ACROSS THE REGION TO PRESERVE THE RICH HERITAGE OF THE AREA AND DESIGN FOR THE FUTURE. SCRANTON IS THE GEOGRAPHIC AND CULTURAL CENTER OF THE LACKAWANNA RIVER VALLEY AND NORTHEASTERN PA. LACKAWANNA AND LUZERNE COUNTY RESIDENTS, PARTICULARLY CHILDREN, EXPERIENCE MORE POVERTY AND RELATED CONCERNS THAN WAYNE AND WYOMING COUNTY RESIDENTS. IN LACKAWANNA AND LUZERNE COUNTIES, APPROXIMATELY 15% OF RESIDENTS LIVE IN POVERTY COMPARED TO 13% STATEWIDE. APPROXIMATELY 22% OF LACKAWANNA COUNTY CHILDREN AND 26% OF LUZERNE COUNTY CHILDREN LIVE IN POVERTY COMPARED TO 18% STATEWIDE. NEARLY ONE IN FIVE CHILDREN IN EITHER COUNTY LIVE IN FOOD INSECURE HOUSEHOLDS COMPARED TO 15% STATEWIDE AND NATIONALLY. POVERTY WAS WIDELY SEEN BY KEY INFORMANT SURVEY RESPONDENTS AS A KEY CONTRIBUTOR TO POORER HEALTH OUTCOMES. HEALTHCARE AND SOCIAL SERVICES WERE LISTED AMONG THE COMMUNITY'S STRENGTHS, YET ABOUT ONE-THIRD OF KEY INFORMANTS INDICATED A COMMUNITY NEED FOR MORE SOCIOECONOMIC ASSISTANCE, ESPECIALLY AFFORDABLE HOUSING. HIGHER POVERTY RATES WITHIN LACKAWANNA AND LUZERNE COUNTIES ARE PARTIALLY DRIVEN BY INCOME AND EDUCATION INEQUALITY AMONG RACIAL AND ETHNIC GROUPS. ACROSS BOTH COUNTIES, 35%-45% OF BLACK AND LATINX RESIDENTS LIVE IN POVERTY COMPARED TO 12%-14% OF WHITE RESIDENTS. APPROXIMATELY 8%-12% OF BLACK RESIDENTS AND 10%-13% OF LATINX RESIDENTS HAVE A BACHELOR'S DEGREE COMPARED TO 24%-28% OF WHITE RESIDENTS. IN COMPARISON TO THE STATE AND NATION, RESIDENTS OF WAYNE AND WYOMING COUNTIES ARE MORE LIKELY TO OWN THEIR HOME, WHILE RESIDENTS OF LACKAWANNA AND LUZERNE COUNTIES ARE JUST AS LIKELY TO OWN THEIR HOME. WAYNE COUNTY HAS THE HIGHEST MEDIAN HOME VALUE AND NEWEST HOUSING STOCK IN THE REGION, AND A HIGHER PERCENTAGE OF COST BURDENED HOMEOWNERS (SPENDING 30% OR MORE OF HOUSEHOLD INCOME ON MORTGAGE EXPENSES). HOUSING STOCK IN LACKAWANNA AND LUZERNE COUNTIES IS GENERALLY OLDER THAN IN WAYNE AND WYOMING COUNTIES, AND THE STATE AND NATION. AS A RESULT OF THE COVID-19 PANDEMIC, THE NORTHEAST REGION UNEMPLOYMENT RATE MORE THAN TRIPLED IN LACKAWANNA, LUZERNE, AND WAYNE COUNTIES AND MORE THAN DOUBLED IN WYOMING COUNTY FROM MAY 2019 TO MAY 2020. AS OF MAY 2020, LUZERNE COUNTY HAS THE HIGHEST UNEMPLOYMENT AT 16%, NEARLY 3 PERCENTAGE POINTS HIGHER THAN THE STATE UNEMPLOYMENT. HEALTH TRENDS ACCESS TO HEALTHCARE THE TOTAL UNINSURED POPULATION ACROSS THE NORTHEAST REGION HAS STEADILY DECLINED SINCE 2010, AND ALL COUNTIES HAVE FEWER UNINSURED ADULTS AND CHILDREN COMPARED TO THE STATE AND NATION. UNINSURED RATES AMONG MINORITY RESIDENTS ALSO DECLINED, BUT CONTINUE TO BE DISPROPORTIONATELY HIGHER COMPARED TO WHITES. AVAILABILITY OF PRIMARY CARE PROVIDERS AND DENTISTS IN LACKAWANNA AND LUZERNE COUNTIES IS COMPARABLE TO STATE AND NATIONAL RATES, WHILE THE PROVIDER RATES IN WAYNE AND WYOMING COUNTIES ARE NOTABLY LOWER. WYOMING COUNTY IN PARTICULAR HAS LOWER PROVIDER RATES THAN OTHER COUNTIES, AND A DECLINING DENTAL PROVIDER RATE. ALL COUNTIES ARE DENTAL HEALTH PROFESSIONAL SHORTAGE AREAS (HPSAS) FOR LOW-INCOME RESIDENTS. WHILE THE MENTAL HEALTH PROVIDER RATE INCREASED IN THE NORTHEAST REGION, ALL COUNTIES HAVE A LOWER PROVIDER RATE THAN THE STATE AND NATION. WAYNE COUNTY IS A MENTAL HEALTH HPSA. KEY INFORMANT SURVEY RESPONDENTS AFFIRMED THE NEED FOR ADDITIONAL BEHAVIORAL HEALTH SERVICES, PARTICULARLY MENTAL HEALTH SERVICES. CHRONIC DISEASE PREVENTION AND MANAGEMENT OBESITY AMONG ADULTS IN THE NORTHEAST REGION IS ON PAR OR SLIGHTLY HIGHER THAN STATE AND NATIONAL AVERAGES, BUT OBESITY AMONG SCHOOL STUDENTS IS HIGHER FOR EVERY REPORTED AGE GROUP AND IN EVERY COUNTY COMPARED TO THE STATE. OBESITY AMONG STUDENTS IN GRADES 7-12 INCREASED FOR ALL COUNTIES. KEY INFORMANTS SAW HEALTH HABITS AS A TOP CONTRIBUTING FACTOR TO OBESITY AND OTHER REGIONAL HEALTH CONCERNS. IN CONTRAST TO NATIONAL TRENDS, TOBACCO USE IS INCREASING AMONG ADULTS IN PA AND THE NORTHEAST REGION. LACKAWANNA (20.3%) AND LUZERNE (19.3%) COUNTIES EXCEED THE STATE (18.8%) AND NATION (17.1%) FOR THE PERCENTAGE OF ADULTS WHO SMOKE. VAPING AND E-CIGARETTE USE HAS SURPASSED TRADITIONAL CIGARETTE USE AMONG STUDENTS, AND THE PERCENTAGE OF STUDENTS USING VAPING OR E-CIGARETTE PRODUCTS IN THE NORTHEAST REGION IS HIGHER THAN STATEWIDE AVERAGES. LACKAWANNA COUNTY SAW THE GREATEST INCREASE IN ADULT SMOKING, AND HAS A HIGHER, INCREASING RATE OF DEATH DUE TO CHRONIC LOWER RESPIRATORY DISEASE. THE COUNTY ALSO HAS A HIGHER PERCENTAGE OF YOUTH WITH DIAGNOSED ASTHMA. HEALTH RISK FACTORS MAY CONTRIBUTE TO HIGHER DEATH RATES FROM CHRONIC DISEASE. THE NORTHEAST REGION HAS HIGHER DEATH RATES THAN THE STATE AND NATION FOR HEART DISEASE AND DIABETES. CANCER DEATH RATES ARE ALSO HIGHER AND INCREASING IN LACKAWANNA AND WYOMING COUNTIES. OF NOTE, DEATHS DUE TO CHRONIC DISEASE ARE DECREASING IN WAYNE COUNTY. NOTABLE HEALTH DISPARITIES EXIST WITHIN LUZERNE AND WYOMING COUNTIES. BOTH COUNTIES HAVE THE HIGHEST PREVALENCE OF ADULT OBESITY AND DIABETES IN THE REGION, AS WELL AS THE HIGHEST DEATH RATES DUE TO DIABETES. WYOMING COUNTY SAW INCREASES IN BOTH DIABETES PREVALENCE AND DEATH RATES. WYOMING COUNTY ALSO HAS THE HIGHEST RATES OF DEATH DUE TO CANCER AND CLRD IN THE REGION; DEATH RATES INCREASED AND EXCEED STATE AND N |
| SCHEDULE H, PART VI, LINE 5 | SCHEDULE H, PART I IN ADDITION TO THE NET COMMUNITY BENEFIT COSTS INCURRED BY THE ORGANIZATION AS REPORTED IN SCHEDULE H, PART I, LINE 7; PLEASE REFER TO SCHEDULE O OF THIS FORM 990 FOR THE ORGANIZATION'S NARRATIVE COMMUNITY BENEFIT STATEMENT FOR ADDITIONAL INFORMATION ON HOW THE ORGANIZATION PROMOTES HEALTH AND PROVIDES HEALTHCARE SERVICES TO THE COMMUNITY REGARDLESS OF THE INDIVIDUAL'S ABILITY TO PAY IN FURTHERANCE OF ITS CHARITABLE TAX EXEMPT PURPOSE. |
| SCHEDULE H, PART VI, LINE 6 | AS OF DECEMBER 31, 2021, GEISINGER HEALTH AND ITS SUBSIDIARIES (COLLECTIVELY REFERRED TO AS "GEISINGER") COMPRISE A PHYSICIAN-LED, INTEGRATED HEALTH SERVICES ORGANIZATION THAT HAS AS ITS MAIN COMPONENTS: (I) AN ARRAY OF HEALTH SERVICES PROVIDERS, INCLUDING SIX WHOLLY-CONTROLLED ACUTE-CARE HOSPITALS WITH MULTIPLE CAMPUSES, A JOINT VENTURE HOSPITAL AND A DRUG AND ALCOHOL TREATMENT FACILITY; (II) MULTISPECIALTY PHYSICIAN GROUP PRACTICES; (III) INSURANCE OPERATIONS, INCLUDING A LICENSED HEALTH MAINTENANCE ORGANIZATION; AND (IV) A COMMUNITY-BASED MEDICAL COLLEGE AND DEGREE-GRANTING INSTITUTION. GEISINGER OPERATES IN 46 OF PENNSYLVANIA'S 67 COUNTIES, WITH A SIGNIFICANT PRESENCE IN CENTRAL AND NORTHEASTERN PENNSYLVANIA. THE HOSPITAL IS AN AFFILIATE WITHIN GEISINGER. SEE SCHEDULE R FOR A LIST OF THE AFFILIATED ORGANIZATIONS COMPRISING GEISINGER. CORPORATE STRUCTURE. THE ORGANIZATIONAL STRUCTURE OF GEISINGER REFLECTS THE STRATEGIC GOAL OF OPERATING AS A FULLY INTEGRATED HEALTHCARE SYSTEM WHOSE CORPORATE COMPONENTS SHARE THE COMMON GOALS OF MANAGING AND IMPROVING THE HEALTHCARE OF ITS PATIENTS AND MEMBERS, WHILE RECOGNIZING AND RESPECTING THE CORPORATE IDENTITY OF EACH ENTITY. THIS INTEGRATION LINKS THE AREAS OF PHYSICIANS, HOSPITALS/CLINICS, AND HEALTHCARE INSURANCE. HISTORY. GEISINGER HAD ITS BEGINNINGS IN THE SMALL COMMUNITY OF DANVILLE, LOCATED IN CENTRAL PENNSYLVANIA ON THE NORTHERN BRANCH OF THE SUSQUEHANNA RIVER. THERE, IN 1915, ABIGAIL A. GEISINGER FOUNDED THE GEORGE F. GEISINGER MEMORIAL HOSPITAL IN MEMORY OF HER HUSBAND. FROM THE BEGINNING, THE NEW HOSPITAL WAS DESIGNED AS A COMPREHENSIVE HEALTHCARE INSTITUTION THAT WOULD OFFER SPECIALIZED MEDICAL CARE TO PEOPLE IN THE RURAL AREAS OF CENTRAL AND NORTHEASTERN PENNSYLVANIA. UNLIKE MOST HEALTHCARE SYSTEMS, WHICH EVOLVED WITH A HOSPITAL FOCUS, GEISINGER'S HISTORY AND TRADITION IS THAT OF A PHYSICIAN-LED AND PHYSICIAN-DRIVEN HEALTHCARE ORGANIZATION. THIS TRADITION BEGAN WHEN MRS. GEISINGER BROUGHT DR. HAROLD FOSS, A MAYO CLINIC TRAINED PHYSICIAN, TO BE HER HOSPITAL'S FIRST CHIEF OF STAFF. TODAY, GEISINGER IS REGARDED AS A NATIONAL MODEL OF HEALTHCARE DELIVERY CENTERED ON A SOPHISTICATED MULTISPECIALTY GROUP PRACTICE. SINCE THE 1970S, GEISINGER'S STRATEGY OF INTEGRATING PHYSICIANS AND HOSPITALS EXPANDED TO INCLUDE THE MANAGEMENT OF HEALTH AND THE FINANCING OF HEALTHCARE SERVICES THROUGH ITS WHOLLY CONTROLLED HEALTH MAINTENANCE ORGANIZATION, GEISINGER HEALTH PLAN. TWO INDEMNITY HEALTH INSURERS, GEISINGER INDEMNITY INSURANCE COMPANY AND GEISINGER QUALITY OPTIONS, INC. WERE ALSO ADDED. SEE SCHEDULE R FOR A LIST OF THE AFFILIATED ORGANIZATIONS COMPRISING GEISINGER. |
| SCHEDULE H, PART VI | PART VI, LINE 7: STATE FILING OF COMMUNITY BENEFIT REPORT: AT THIS TIME, THE HOSPITAL AND ITS AFFILIATES ARE NOT REQUIRED TO FILE A COMMUNITY BENEFIT REPORT WITH ANY STATE. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Non Cash AssistanceNonCashAssistanceAmt | Valuation Method UsedValuationMethodUsedDesc | Non Cash AssistanceNonCashAssistanceDesc | Purpose Of GrantPurposeOfGrantTxt | Cash GrantCashGrantAmt |
|---|---|---|---|---|---|---|---|---|---|---|
| CITY OF SCRANTON | ||||||||||
| 340 N WASHINGTON AVE 2 | SCRANTON | PA | 18503 | 246000704 | GOV | $310,000 | FMV | STREET IMPROVE | PUBLIC SAFETY | |
| SCRANTON MUNICIPAL REC AUTHORITY | ||||||||||
| 340 N WASHINGTON AVE | SCRANTON | PA | 18503 | 201614730 | GOV | CASH | PUBLIC SAFETY | $100,000 | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 2 | Total501c3OrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE I, PAGE 4, PART IV | FormAndLineReferenceDesc |
| Explanation | COMMUNITY MEDICAL CENTER (CMC) DOES NOT AWARD GRANTS; CMC PROVIDES ASSISTANCE IN THE FORM OF CHARITABLE CONTRIBUTIONS TO TAX-EXEMPT ORGANIZATIONS THAT QUALIFY FOR 501(C)(3) STATUS UNDER THE INTERNAL REVENUE CODE, LIMITED 501(C)(4) ORGANIZATIONS BASED ON EXPLICIT CRITERIA, PUBLIC BENEFIT OR NON-EXEMPT ORGANIZATIONS WHOSE ACTIVITIES FURTHER THE EXEMPT PURPOSE OF CMC. CMC NOTIFIES THE PUBLIC BENEFIT OR NON-EXEMPT ORGANIZATIONS OF THE INTENT AND PURPOSE OF THE CHARITABLE CONTRIBUTION. ORGANIZATIONS SEEKING SUPPORT MUST DEMONSTRATE THAT THEY EFFECTIVELY MEET AN IMPORTANT COMMUNITY HEALTH NEED. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Idemnification Gross Up Pmts | Yes (X) | IdemnificationGrossUpPmtsInd |
| Written Policy Ref T And E Expnss | Yes (true) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (true) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (true) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 entries)
| TitleTitleTxt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JAEWON RYU MD JD | ||||||||||||
| PRESIDENT AND CEO | $3,255,123 | $514,701 | $811,017 | $31,856 | $4,612,697 | $483,154 | ||||||
| KEVIN V ROBERTS MBA CPA | ||||||||||||
| EVP, CFO, TREASURER | $1,599,298 | $82,219 | $339,697 | $33,318 | $2,054,532 | |||||||
| MATTHEW WALSH | ||||||||||||
| DIRECTOR | $1,006,471 | $125,175 | $220,388 | $34,891 | $1,386,925 | $86,230 | ||||||
| STEVEN B BENDER ESQUIRE | ||||||||||||
| EVP, CLO, SECRETARY | $766,266 | $38,635 | $97,889 | $32,752 | $935,542 | |||||||
| GERALD V MALONEY DO | ||||||||||||
| DIRECTOR | $643,586 | $114,486 | $80,687 | $38,017 | $876,776 | $74,060 | ||||||
| DAVID J FELICIO ESQUIRE | ||||||||||||
| FORMER OFFICER | $536,113 | $536,113 | ||||||||||
| GARY SEBASTIANELLI CRNA | ||||||||||||
| CRNA, LEAD | $336,881 | $12,664 | $20,388 | $28,743 | $398,676 | |||||||
| MARIA MCGRAW CRNA | ||||||||||||
| CRNA, LEAD | $364,466 | $11,042 | $20,388 | $2,702 | $398,598 | |||||||
| ROSE A SADOWSKI CRNA | ||||||||||||
| CRNA, PASNAP | $340,167 | $10,039 | $20,388 | $11,316 | $382,940 | $1,030 | ||||||
| SRIKANTH HOSUR MD MBBS | ||||||||||||
| CMO | $204,511 | $147,986 | $14,520 | $1,031 | $368,048 | |||||||
| LORI R GRAMLEY ESQUIRE | ||||||||||||
| ACLO, ASST SECTY | $282,984 | $25,127 | $20,388 | $21,347 | $349,846 | |||||||
| JOHN DITCHKUS CRNA | ||||||||||||
| CRNA, PASNAP | $274,068 | $7,252 | $19,419 | $30,179 | $330,918 | |||||||
| KEVIN T CHERNESKY CRNA | ||||||||||||
| CRNA, PASNAP | $271,047 | $6,356 | $19,213 | $30,916 | $327,532 | |||||||
| DANIEL E LOHR ESQUIRE | ||||||||||||
| FORMER OFFICER | $269,149 | $16,996 | $18,550 | $715 | $305,410 | |||||||
| LISA I GOLDEN MHA BSN ACM | ||||||||||||
| FORMER KEY EMPLOYEE | $138,860 | $138,860 | ||||||||||
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE J, PAGE 1, PART I, LINE 1A | TAX INDEMNIFICATION AND GROSS-UP PAYMENTS - FROM TIME TO TIME, THE GEISINGER BOARD OF DIRECTORS OR GEISINGER SENIOR MANAGEMENT APPROVE THE GROSS-UP OF EXPENSES, WHICH FURTHER GEISINGER BUSINESS, FOR TAX OBLIGATIONS. |
| SCHEDULE J, PAGE 1, PART I, LINE 4 | JAEWON RYU, MD, JD 0 483,154 0 MATTHEW WALSH 0 86,230 0 GERALD V. MALONEY, DO 0 74,060 0 DAVID J. FELICIO, ESQUIRE 406,445 129,667 0 LISA I. GOLDEN, MHA, BSN, ACM 137,886 0 0 |
| SCHEDULE J, PART III | PART I, LINE 4A - SEVERANCE PAYMENT UPON INVOLUNTARY SEPARATION, EMPLOYEES MAY BE ELIGIBLE TO RECEIVE CONTINUATION OF SALARY FOR A TERM THAT IS BASED ON THEIR YEARS OF GEISINGER SERVICE AND POSITION. PART I, LINE 4B - SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN COMPENSATION FOR ELIGIBLE EMPLOYEES MAY BE DEFERRED TO A 457(F) NONQUALIFIED PLAN THAT VESTS WITH COMPLETION OF SERVICE, DEATH AND/OR PERMANENT DISABILITY. __________________________________________________________________________ FOOTNOTE: THROUGHOUT THIS DOCUMENT, THE TERMS "GEISINGER- OR "GEISINGER HEALTH" SHALL REFER TO THE ENTIRE HEALTH CARE SYSTEM COMPRISED OF GEISINGER HEALTH FOUNDATION (THE "FOUNDATION") AS PARENT AND ALL SUBSIDIARY CORPORATE ENTITIES COMPRISING THE HEALTH CARE SYSTEM. IN ADDITION, THROUGHOUT THIS DOCUMENT, THE TERM "SYSTEM" SHALL REFER TO THE ENTIRE HEALTH CARE SYSTEM AS PREVIOUSLY DEFINED PLUS ITS AFFILIATES. |
Schedule L IRS990ScheduleL
Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | VIRGINIA MCGREGOR | PersonNm |
| Relationship With Org | RELATIVE OF DIRECTOR | RelationshipWithOrgTxt |
| Loan Purpose | RECRUITMENT | LoanPurposeTxt |
| Loan From Organization | Yes (X) | LoanFromOrganizationInd |
| Original Principal | $25,000 | OriginalPrincipalAmt |
| Balance Due | $19,622 | BalanceDueAmt |
| Default | false | DefaultInd |
| Board Or Committee Approval | Yes (true) | BoardOrCommitteeApprovalInd |
| Written Agreement | Yes (true) | WrittenAgreementInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | $19,622 | TotalBalanceDueAmt |
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | VIRGINIA MCGREGOR | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | FAMILY | RelationshipDescriptionTxt |
| Transaction | $67,811 | TransactionAmt |
| Transaction | EMPLOYEE COMP/BEN | TransactionDesc |
| Sharing Of Revenues | false | SharingOfRevenuesInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE L, PART V | FormAndLineReferenceDesc |
| Explanation | VIRGINIA MCGREGOR IS A FAMILY MEMBER OF VIRGINIA MCGREGOR, A DIRECTOR OF COMMUNITY MEDICAL CENTER. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (16 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990 - ORGANIZATION'S MISSION | TO ENHANCE THE QUALITY OF LIFE OF THE POPULATION SERVED BY PROVIDING ACCESS TO QUALITY POPULATION HEALTH AND HOSPITAL SERVICES ACROSS NORTHEASTERN PENNSYLVANIA THROUGH AN INTEGRATED SERVICE ORGANIZATION BASED ON A BALANCED PROGRAM OF PATIENT CARE, EDUCATION, RESEARCH, AND COMMUNITY SERVICE. |
| FORM 990 | FORM 990, PART IV, LINE 24A: DID THE ORGANIZATION HAVE A TAX-EXEMPT BOND ISSUE WITH AN OUTSTANDING PRINCIPAL AMOUNT OF MORE THAN 100,000 AS OF THE LAST DAY OF THE YEAR, THAT WAS ISSUED AFTER DECEMBER 31, 2002? GEISINGER HEALTH (GH) IS CURRENTLY THE SOLE OBLIGOR UNDER A SERIES OF BOND ISSUES, INCLUDING TAX-EXEMPT BONDS ISSUED PRIOR TO DECEMBER 31, 2002, WITH A TOTAL OUTSTANDING BALANCE AT DECEMBER 31, 2021 OF 1,733,934,063, INCLUSIVE OF UNAMORTIZED ORIGINAL ISSUE DISCOUNT. BECAUSE THE BOND PROCEEDS ARE DISBURSED TO GH SUBSIDIARIES, THE TAX-EXEMPT BOND LIABILITIES ARE REFLECTED ON THE BALANCE SHEETS OF THE FOLLOWING SUBSIDIARY ORGANIZATIONS: GEISINGER MEDICAL CENTER EIN: 24-0795959 GEISINGER WYOMING VALLEY MEDICAL CENTER EIN: 23-1996150 GEISINGER CLINIC EIN: 23-6291113 MARWORTH EIN: 23-2171417 GEISINGER SYSTEM SERVICES EIN: 23-2164794 COMMUNITY MEDICAL CENTER EIN: 24-0862246 GEISINGER-BLOOMSBURG HOSPITAL EIN: 23-2193572 GEISINGER-LEWISTOWN HOSPITAL EIN: 23-1352187 GEISINGER COMMONWEALTH SCHOOL OF MEDICINE EIN: 26-0812968 GEISINGER JERSEY SHORE HOSPITAL EIN: 24-0792115 SCHEDULE K WAS PREPARED ON A CONSOLIDATED BASIS AND IS INCLUDED IN THE FORM 990 FILING OF GEISINGER HEALTH, EIN: 23-1995911. FORM 990, PAGE 10, LINE 24E, ALL OTHER EXPENSES: UNRELATED BUSINESS INCOME TAX REPORTED ON LINE 24E = 1,440 |
| FORM 990, PAGE 2, PART III, LINE 4A | I. GENERAL INFORMATION COMMUNITY MEDICAL CENTER (CMC), DOING BUSINESS AS GEISINGER COMMUNITY MEDICAL CENTER (GCMC), IS A TAX-EXEMPT, PENNSYLVANIA NOT-FOR-PROFIT CORPORATION ORGANIZED UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. GCMC IS A 293-BED ACUTE CARE HOSPITAL IN SCRANTON, PA. ORIGINALLY CALLED HAHNEMANN HOSPITAL, IT WAS FOUNDED IN 1897 BY A GROUP OF 15 PHILANTHROPIC WOMEN. THE HOSPITAL WAS SCRANTON'S FIRST AND CURRENTLY ONLY ACUTE CARE HOSPITAL DEDICATED TO SERVING THE COMMUNITY AND THEIR HEALTH NEEDS THROUGH A CHARITABLE PURPOSE. GCMC CONTINUES TO PROVIDE THE COMMUNITY WITH A VARIETY OF SERVICES AS PART OF AN INTEGRATED HEALTH CARE DELIVERY SYSTEM. THIS CONTINUUM OF CARE INCLUDES PREVENTIVE, AMBULATORY, INPATIENT, AND EMERGENCY SERVICES. GCMC IS A NOTED REGIONAL REFERRAL CENTER WITH COMPREHENSIVE ACUTE CARE MEDICAL SERVICES AND HAS DEVELOPED MANY SPECIFIC AREAS OF EXPERTISE. PATIENT ORIGIN AND SERVICE AREA: THE HOSPITAL'S PRIMARY SERVICE AREA IS COMPRISED OF LACKAWANNA, LUZERNE, AND WAYNE COUNTIES. SECONDARY SERVICE AREAS INCLUDE MONROE, PIKE, SUSQUEHANNA, AND WYOMING COUNTIES. MEDICAL STAFF: THE MEDICAL STAFF OF GCMC IS MADE UP OF 205 ACTIVE PHYSICIANS. II. MAJOR PROGRAM SERVICE ACTIVITIES SPECIALIZED / REGIONAL SERVICES, CENTERS OF EXCELLENCE: GCMC IS THE ONLY LEVEL II TRAUMA CENTER IN LACKAWANNA COUNTY. THE NORTHEAST PA TRAUMA CENTER, DESIGNATED BY THE PENNSYLVANIA TRAUMA SYSTEMS FOUNDATION IN 1988, PROVIDES 24-HOUR COMPREHENSIVE SURGICAL INTERVENTION FOR CRITICALLY INJURED PATIENTS. THE TRAUMA CENTER IS STAFFED CONTINUOUSLY BY AN EMERGENCY PHYSICIAN, TRAUMA SURGEON, AND NURSES CERTIFIED IN CRITICAL CARE, TRAUMA, ORTHOPEDICS, AND THE NEUROSCIENCES. CARDIOLOGY SERVICES AT THE HOSPITAL INCLUDE THE REGION'S FIRST ELECTROPHYSIOLOGY LAB AND AN OPEN-HEART SURGERY CENTER AS WELL AS A CARDIAC REHAB PROGRAM. THE NON-INVASIVE CARDIOVASCULAR DEPARTMENT IS ACCREDITED IN ADULT TRANSTHORACIC ECHOCARDIOGRAPHY BY THE INTERSOCIETAL ACCREDITATION COMMISSION (IAC). GCMC IS ALSO A CERTIFIED CAROTID STENT FACILITY AND CERTIFIED HEART ATTACK RECEIVING CENTER. GCMC CARDIOLOGY HAS EARNED THE AMERICAN HEART ASSOCIATION'S MISSION: LIFELINE HEART ATTACK RECEIVING CENTER AWARD AND HIGHMARK'S BLUE DISTINCTION CENTER+ FOR CARDIAC CARE. IN 2019, GCMC OPENED A 4 MILLION HEAR AND VASCULAR CENTER. THIS BRAND NEW 10,000 SQUARE FOOT CLINIC FEATURES 22 EXAM ROOMS AND STREAMLINES CARDIOLOGY, CARDIAC, AND THORACIC SURGERY AT GCMC. NEUROSCIENCES AT GCMC SPECIALIZES IN THE CARE OF PEOPLE WITH BRAIN AND SENSE ORGAN DISORDERS. GCMC WAS AWARDED WITH THE AMERICAN STROKE ASSOCIATION'S GET WITH THE GUIDELINES GOLD PLUS QUALITY ACHIEVEMENT AWARD WITH TARGET: STROKE HONOR ROLL ELITE AND TYPE 2 DIABETES HONOR ROLL. GCMC ALSO EARNED THE JOINT COMMISSION'S GOLD SEAL OF APPROVAL FOR CERTIFICATION AS A PRIMARY STROKE CENTER (ONLY ONE OF 54 MEDICAL CENTERS IN PENNSYLVANIA TO OBTAIN THIS). IN ADDITION, GCMC IS THE ONLY HOSPITAL IN THE REGION TO OFFER A 10-BED ADULT INPATIENT EPILEPSY MONITORING UNIT. OTHER SPECIALIZED SERVICES INCLUDE: INTERVENTIONAL RADIOLOGY THE HOSPITAL'S INTERVENTIONAL RADIOLOGY SUITE OFFERS A STATE-OF-THE-ART SPACE FOR MINIMALLY INVASIVE SURGICAL PROCEDURES THAT TREAT VASCULAR ISSUES, TRAUMA, CANCERS, UTERINE FIBROIDS, KIDNEY STONES AND OTHER CONDITIONS. THE 2.9 MILLION, 2,110-SQUARE-FOOT SPACE BOASTS ADVANCED, HIGH-TECH IMAGING EQUIPMENT FOR MORE PRECISE IMAGING, BETTER DIAGNOSES AND MORE FOCUSED TREATMENT. COMPREHENSIVE BARIATRICS PROGRAM SCRANTON-AREA RESIDENTS COPING WITH SEVERE OBESITY AND OBESITY-RELATED HEALTH DISORDERS DON'T HAVE TO TRAVEL FAR TO FIND HIGH-QUALITY CARE THAT GOES WELL BEYOND TRADITIONAL WEIGHT-LOSS SURGERY WITH GCMC'S PROVENCARE BARIATRIC PROGRAM. THE PROGRAM OFFERS MORE THAN JUST SURGERY - IT'S AN ENTIRE PATHWAY OF CARE THAT STARTS WITH A FULL MEDICAL SCREENING AND EVALUATION BY A NUTRITIONIST. PATIENTS IN THE PROGRAM RECEIVE SEVERAL MONTHS OF CARE, INCLUDING BEHAVIOR MODIFICATION STRATEGIES, NUTRITION AND EXERCISE THERAPY AND GROUP EDUCATION SERVICES BEFORE THEIR SURGERY. GCMC'S PROGRAM IS NATIONALLY ACCREDITED BY THE METABOLIC AND BARIATRIC SURGERY ACCREDITATION AND QUALITY IMPROVEMENT PROGRAM, THE ONLY ONE IN LACKAWANNA COUNTY. GENERAL SURGERY GCMC'S GENERAL SURGEONS PERFORM LAPAROSCOPIC AND OPEN BARIATRICS, LAPAROSCOPIC BOWEL RESECTIONS, MINIMALLY INVASIVE CARDIAC SURGERY, MINIMALLY INVASIVE SPINAL SURGERY, ROBOTIC -ASSISTED SURGERY, AND MINIMALLY INVASIVE AND ENDOVASCULAR PROCEDURES ON HEART VALVES. SURGEONS IN GCMC'S HYBRID OR ARE PERFORMING RADIOLOGICALLY ASSISTED VASCULAR PROCEDURES, AND GCMC OFFERS THE MOST UP-TO-DATE APPROACH TO HIP ARTHROPLASTY IN THE COUNTRY. CANCER CENTER OPENED IN SEPTEMBER 2016, THE HENRY CANCER CENTER SCRANTON CAMPUS IS A 6,500-SQUARE-FOOT CANCER CENTER OFFERS MEDICAL ONCOLOGY SERVICES SUCH AS CHEMOTHERAPY, BLOOD THERAPIES AND INFUSION MEDICATIONS. THE 2.1 MILLION SPACE FEATURES A SOFTLY LIT WAITING AREA, ITS OWN PHARMACY STOCKED FOR THE UNIQUE NEEDS OF CANCER PATIENTS, 7 EXAM ROOMS AND 11 INFUSION BAYS WITH HEATED CHAIRS TO INCREASE PATIENT COMFORT. LABOR AND DELIVERY IN OCTOBER 2019, GCMC BEGAN DELIVERING BABIES AGAIN THE 15 MILLION MATERNITY CENTER OFFERS THE COMBINED EXPERTISE OF OB/GYNS AND CERTIFIED NURSE MIDWIVES (CNMS) TO ALLOWS EXPECTANT MOTHERS TO TAILOR THEIR BIRTH PLAN TO THEIR PREFERENCES AND HAVE THE RESOURCES TO DEVIATE FROM THAT PLAN IF NECESSARY; FEATURES 8 SPACIOUS SUITES DESIGNED FOR LABOR, DELIVERY AND RECOVERY, BIRTHING BALLS, HYDROTHERAPY TUBS AND STATE-OF-THE-ART MONITORING TECHNOLOGY. SINCE IT'S OPENING, THE CHILDBIRTH CENTER AT GCMC HAS BEEN SUCCESSFUL IN KEEPING THE NUMBER OF CESAREAN BIRTHS BELOW THE STATE AVERAGE. GEISINGER VIEWMONT OUTPATIENT ANCILLARY SERVICES UNDER THE NAME OF GEISINGER VIEWMONT, GCMC OFFERS A COMPREHENSIVE SET OF OUTPATIENT LAB, RADIOLOGY, AND PHYSICAL AND OCCUPATIONAL THERAPY SERVICES AT CONVENIENT LOCATIONS THROUGHOUT LACKAWANNA COUNTY. WITH EXPANDED HOURS AND WEEKEND APPOINTMENTS, GCMC PROVIDES THESE CRITICAL TESTING AND THERAPY SERVICES TO PATIENTS FOR TIMELY RESULTS. OTHER SERVICES GCMC ALSO OFFERS A SAME-DAY OUTPATIENT SURGERY CENTER, A 24-BED SHORT-TERM PSYCHIATRIC INPATIENT UNIT (THE ONLY ONE IN LACKAWANNA COUNTY), AN ORTHOPEDIC TRAUMA AND SPORTS MEDICINE CLINIC, A FULL SUITE OF RADIOLOGY AND LABORATORY SERVICES, PULMONOLOGY, WOUND CARE AND HYPERBARIC OXYGEN CHAMBER TREATMENTS, AND PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPY. IN OCTOBER 2020, GCMC OPENED THEIR NEW PROGRESSIVE CARE UNIT FEATURING 18 PRIVATE ROOMS AND A NURSING CARE MODEL THAT ALLOWS FOR DIRECT OVERSIGHT OF ALL PATIENTS. THE UNIT IS PART OF A 16M PROJECT THAT BEGINS GCMC'S PROCESS OF SHIFTING TO A PRIVATE-ROOM MODEL. III. PROGRAM SERVICE ACCOMPLISHMENTS UNCOMPENSATED CARE: GCMC RECOGNIZES THAT ITS MISSION IS TO SERVE ALL THE MEMBERS OF THE COMMUNITY WITH RESPECT TO THE PROVISION OF HEALTHCARE SERVICES AND EDUCATION. GCMC PROVIDES QUALITY MEDICAL HEALTHCARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. IN THIS REGARD GCMC PROVIDES FREE OR SUBSIDIZED CARE BELOW COST AND SUPPORTS VARIOUS HEALTH ACTIVITIES AND PROGRAMS IN SUPPORT OF THE COMMUNITY. A. CHARITY CARE THE PRIMARY CONCERN OF GCMC IS THE DELIVERY OF HEALTH CARE TO ALL THE CITIZENS OF NORTHEASTERN PENNSYLVANIA, REGARDLESS OF THEIR ABILITY TO PAY. THE UNREIMBURSED COST OF CHARITY CARE REPRESENTS THE COST GCMC INCURS BY PROVIDING FREE OR DISCOUNTED SERVICES TO THOSE WHO CANNOT AFFORD TO PAY. THE COST TO GCMC OF PROVIDING THIS CHARITY CARE DURING THE YEAR ENDED DECEMBER 31, 2021 WAS 4,196,787. B. MEDICARE/MEDICAID/OTHER GOVERNMENTAL RECOGNIZING ITS MISSION TO THE COMMUNITY, SERVICES ARE PROVIDED TO THE ELDERLY (MEDICARE) AND THE POOR (MEDICAID). GCMC PROVIDES CARE BELOW COST TO PERSONS COVERED BY THESE GOVERNMENTAL PROGRAMS. TO THE EXTENT REIMBURSEMENT IS BELOW THE COST OF PROVIDING HEALTHCARE, GCMC IS FURTHERING ITS CHARITABLE MISSION. THE UNREIMBURSED VALUE OF MEDICARE, MEDICAID AND OTHER GOVERNMENTAL PAYERS IS EQUAL TO THE COST OF PROVIDING SERVICES LESS THE AMOUNT RECEIVED AS REIMBURSEMENT UNDER THE PROGRAM. FOR THE YEAR ENDED DECEMBER 31, 2021, THE UNREIMBURSED COST OF PROVIDING CARE TO THESE PATIENTS WAS 53,105,508 C. OTHER UNCOMPENSATED PATIENT SERVICES IN ADDITION, GCMC PROVIDES OTHER PATIENT SERVICES FOR WHICH FULL PAYMENT IS NOT RECEIVED. THE UNCOMPENSATED COST OF PROVIDING SUCH PATIENT SERVICES DURING THE YEAR ENDED DECEMBER 31, 2021 WAS 1,264,319. RESIDENCY, FELLOWSHIP, AND ALLIED HEALTH PROGRAMS: GCMC HOSTS THE REGION'S ONLY PODIATRIC RESIDENCY PROGRAM AND IS AN ACCREDITED PROVIDER OF PODIATRIC MEDICINE AND SURGERY EDUCATION BY THE COUNCIL OF PODIATRIC MEDICAL EDUCATION. GCMC ALSO HAS AN AFFILIATION WITH THE WRIGHT CENTER FOR GRADUATE MEDICAL EDUCATION. THE WRIGHT CENTER IS AN ACCREDITED PROVIDER OF INTERNAL MEDICINE AND PSYCHOLOGY RESIDENCIES AND CARDIOVASCULAR DISEASE FELLOWSHIPS. IT IS ACCREDITED BY THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION. THE UNC |
| FORM 990, PART V | FORM 990, PART V, LINE 1A: ENTER THE NUMBER REPORTED IN BOX 3 OF FORM 1096, ANNUAL SUMMARY AND TRANSMITTAL OF U.S. INFORMATION RETURNS. GEISINGER SYSTEM SERVICES (GSS), AN AFFILIATE OF THE ORGANIZATION, PROVIDES A CENTRALIZED ACCOUNTS PAYABLE FUNCTION FOR ALL GEISINGER ORGANIZATIONS. AS THE ACCOUNTS PAYABLE PROCESSOR, GSS PREPARES AND FILES FORM 1099 UNDER ITS EIN FOR CERTAIN REPORTABLE PAYMENTS OF THE FILING ORGANIZATION. THE NUMBER OF 1099'S FILED BY GSS FOR THE 2021 REPORTING PERIOD ON BEHALF OF ITSELF AND ITS AFFILIATES WAS 1,362. THE RESPONSE ENTERED ON LINE 1A FOR THE ORGANIZATION INCLUDES ONLY THOSE FORM 1099S FILED UNDER THE ORGANIZATIONS EIN. IT DOES NOT INCLUDE THOSE FILED BY GSS ON ITS BEHALF. |
| FORM 990, PART VI | FORM 990, PART I, SECTION A, LINE 4: FORM 990, PART VI, SECTION A, LINE 1B: ENTER THE NUMBER OF VOTING MEMBERS THAT ARE INDEPENDENT. BASED ON THE FORM 990 DEFINITION OF "INDEPENDENCE" AS IT RELATES TO VOTING MEMBERS OF THE GOVERNING BODY, THREE VOTING MEMBERS ARE NOT INDEPENDENT BECAUSE THEY ARE COMPENSATED AS EMPLOYEES OF THIS OR RELATED TAX-EXEMPT ORGANIZATIONS AND ONE VOTING MEMBER IS NOT INDEPENDENT DUE TO A TRANSACTION REPORTED IN SCHEDULE L, PART IV. FORM 990, PART VI, SECTION A, LINE 2: DID ANY OFFICER, DIRECTOR, TRUSTEE, OR KEY EMPLOYEE HAVE A FAMILY RELATION- SHIP OR BUSINESS RELATIONSHIP WITH ANY OTHER OFFICER, DIRECTOR, TRUSTEE, OR KEY EMPLOYEE? BENJAMIN K. CHU, MD, MPH, MACP, GERALD V. MALONEY, DO , JAEWON RYU, MD, JD, JEFFREY A. JACOBSON, KEVIN V. ROBERTS, MBA, CPA, LORI R. GRAMLEY, ESQUIRE, MATTHEW WALSH, STEVEN B. BENDER, ESQUIRE, V. CHRIS HOLCOMBE, PE, AND VIRGINIA MCGREGOR ALL HAVE A BUSINESS RELATIONSHIP WITH ONE ANOTHER BECAUSE THEY SERVE AS OFFICERS AND/OR DIRECTORS ON ONE OR MORE FOR-PROFIT AFFILIATE OF THE ENTITY. ALL OF THE AFFILIATES ARE PART OF GEISINGER. |
| FORM 990, PAGE 6, PART VI, LINE 1A | THERE WAS A DELEGATION OF AUTHORITY TO THE GEISINGER HEALTH EMERGENCY ACTION COMMITTEE, WHICH IS COMPRISED OF THE CHAIR OF THE BOARD, VICE-CHAIR OF THE BOARD, THE PRESIDENT AND CEO (EX-OFFICIO DIRECTOR), CHAIR OF THE FINANCE COMMITTEE AND CHAIR OF THE PATIENT EXPERIENCE, ACADEMIC AFFAIRS AND QUALITY COMMITTEE. UNDER THE NONPROFIT CORPORATION LAW AND UNDER GEISINGER HEALTH'S CORPORATE BYLAWS, THE EMERGENCY ACTION COMMITTEE SHALL EXERCISE THE POWER AND AUTHORITY OF THE BOARD OF DIRECTORS TO ACT ON EMERGENCY MATTERS BETWEEN MEETINGS OF THE BOARD OF DIRECTORS. |
| FORM 990, PAGE 6, PART VI, LINE 6 | THE MEMBERS OF THE CORPORATION HAVE THE POWER AND AUTHORITY TO ELECT AND REMOVE THE DIRECTORS; ELECT AND REMOVE THE PRESIDENT AND FILL ANY VACANCY IN THE OFFICE OF THE PRESIDENT OF THE CORPORATION; AND, MAY APPROVE AMENDMENTS TO THE CORPORATE BYLAWS IN LIEU OF SUCH APPROVAL BY THE BOARD OF DIRECTORS. THE MEMBERS ALSO HAVE THE RESERVE POWERS AS SET FORTH IN THE PENNSYLVANIA NONPROFIT CORPORATION LAW. |
| FORM 990, PAGE 6, PART VI, LINE 7A | THE BOARD OF DIRECTORS OF THE CORPORATION SHALL SERVE AS THE GOVERNING BODY OF THE CORPORATION. THE PRESIDENT OF THE CORPORATION SHALL BE A DIRECTOR BY REASON OF HOLDING SUCH OFFICE. THE REMAINING DIRECTORS SHALL BE ELECTED BY THE MEMBERS AT THE ANNUAL MEETING OF THE MEMBERS. THE MEMBERS OF THE CORPORATION MAY SERVE AS DIRECTORS AND DIRECTORS MAY SUCCEED THEMSELVES FROM TERM TO TERM. VACANCIES ON THE BOARD OF DIRECTORS SHALL BE FILLED BY THE MEMBERS AT THEIR DISCRETION AT THE ANNUAL MEETING OF THE MEMBERS OR AT A SPECIAL MEETING CALLED FOR SUCH PURPOSE. |
| FORM 990, PAGE 6, PART VI, LINE 7B | THE MEMBERS OF THE CORPORATION HAVE THE POWER AND AUTHORITY TO ELECT AND REMOVE THE DIRECTORS; ELECT AND REMOVE THE PRESIDENT AND FILL ANY VACANCY IN THE OFFICE OF THE PRESIDENT OF THE CORPORATION; AND, MAY APPROVE AMENDMENTS TO THE CORPORATE BYLAWS IN LIEU OF SUCH APPROVAL BY THE BOARD OF DIRECTORS. THE MEMBERS ALSO HAVE THE RESERVE POWERS AS SET FORTH IN PENNSYLVANIA NONPROFIT CORPORATION LAW. |
| FORM 990, PAGE 6, PART VI, LINE 11B | ALL OFFICERS AND DIRECTORS WERE ELECTRONICALLY PROVIDED A FINAL COPY OF THE FORM 990 PRIOR TO FILING THE RETURN WITH THE IRS. AN EXECUTIVE SUMMARY OF THE INFORMATION REPORTED ON THE RETURN IS PROVIDED TO ASSIST IN THE REVIEW. IN ACCORDANCE WITH THE GEISINGER HEALTH BOARD OF DIRECTOR'S FINANCE COMMITTEE CHARTER, GEISINGER ORGANIZATIONS' FORM 990 FILINGS ARE REVIEWED ANNUALLY. THE FORM 990 IS PREPARED BY GEISINGER TAX AND FINANCIAL REPORTING DEPARTMENTS WITH INFORMATION PROVIDED FROM FINANCE, TAX, HUMAN RESOURCES, LEGAL SERVICES AND OTHER RELEVANT DEPARTMENTS WITHIN GEISINGER.THE CHIEF FINANCIAL OFFICER (CFO) OF GEISINGER AND THE INDIVIDUAL ORGANIZATIONS SENIOR FINANCIAL MANAGERS REVIEW THEIR RESPECTIVE FORM 990 PRIOR TO MAKING THE FINAL RETURN AVAILABLE TO THE BOARD. IN ADDITION, THE CHIEF LEGAL OFFICER AND CHIEF HUMAN RESOURCE OFFICER OF GEISINGER REVIEW THE INFORMATION DISCLOSED ON THE FORM 990 RELEVANT TO THEIR RESPECTIVE AREAS OF RESPONSIBILITY. FOR PURPOSES OF THEIR ANNUAL AUDIT OF GEISINGER CONSOLIDATED FINANCIAL STATEMENTS, INDEPENDENT AUDITORS REVIEW ALL FEDERAL TAX RETURNS FILED BY GEISINGER ORGANIZATIONS TO IDENTIFY MATERIAL ITEMS, INCLUDING IF THERE ARE ANY UNCERTAIN TAX POSITIONS THAT MAY BE REQUIRED TO BE RECOGNIZED. THE COMPANY HAD NO UNCERTAIN TAX POSITIONS REQUIRED TO BE REPORTED FOR REPORTING PERIOD. |
| FORM 990, PAGE 6, PART VI, LINE 12C | THE OFFICERS AND DIRECTORS OF THE ORGANIZATION ARE SUBJECT TO THE GEISINGER CONFLICT OF INTEREST POLICY FOR DIRECTORS, OFFICERS AND SENIOR LEADERS. AT LEAST ONCE EACH YEAR DIRECTORS, OFFICERS, KEY EMPLOYEES, SENIOR LEADERS AND OTHERS DESIGNATED BY THE BOARD OF DIRECTORS ARE REQUIRED TO DISCLOSE IN WRITING THE EXISTENCE OF ANY POTENTIAL FINANCIAL INTERESTS THAT MAY GIVE RISE TO A CONFLICT OF INTEREST WITH ANY AFFILIATE WITHIN GEISINGER. THE DISCLOSURES ARE REVIEWED BY THE OFFICE OF THE CHIEF COMPLIANCE OFFICER AND REPORTED TO THE AUDIT AND COMPLIANCE COMMITTEE AND/OR BOARD OF DIRECTORS. AFTER REVIEW OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, INPUT FROM DEPARTMENT OF LEGAL SERVICES AND ANY DISCUSSION WITH THE PERSON DESIRED BY THE BOARD OR COMMITTEE, THE COMMITTEE/BOARD DECIDES IF A CONFLICT EXISTS AND TAKES APPROPRIATE ACTION. THE INDIVIDUAL DISCLOSING THE FINANCIAL INTEREST IS ABSENT DURING THE COMMITTEE/BOARD DELIBERATIONS AND DECISIONS ON THE MATTER. |
| FORM 990, PAGE 6, PART VI, LINE 15A | THE PROCESS TO REVIEW AND APPROVE THE COMPENSATION OF GEISINGER EMPLOYED BOARD DIRECTORS, OFFICERS, AND EXECUTIVE MANAGEMENT IS DESIGNED TO SATISFY THE REBUTTABLE PRESUMPTION PROCEDURE AVAILABLE FOR INTERMEDIATE SANCTION PURPOSES. THE PROCESS REQUIRES A REVIEW OF COMPENSATION DETERMINATIONS BY DISINTERESTED PARTIES, USE OF APPROPRIATE COMPARABILITY DATA AND CONTEMPORANEOUS DOCUMENTATION OF THE PROCESS. ON AN ANNUAL BASIS AN INDEPENDENT, NATIONALLY RECOGNIZED COMPENSATION CONSULTANT COMPLETES A COMPARATIVE ASSESSMENT OF COMPENSATION FOR THE CEO AND SENIOR MANAGEMENT WITHIN GEISINGER. THE CONSULTANT'S REPORT IS PRESENTED TO THE GEISINGER FAMILY COMMITTEE PRIOR TO ANY COMPENSATION ADJUSTMENT. THE REPORT SUPPORTS THE RIGOROUS REVIEW COMPLETED BY THE GEISINGER FAMILY COMMITTEE TO ENSURE THAT THE PROGRAM IS RESPONSIBLE TO THE GEISINGER CHARITABLE MISSION, REFLECTS REASONABLE COMPENSATION WITHIN THE NONPROFIT MARKET AND IS COMPLIANT WITH THE IRS'S INTERMEDIATE SANCTION REQUIREMENTS. THE SURVEY DATA IN THE COMPARATIVE ANALYSIS IS CAPTURED FOR FUNCTIONALLY COMPARABLE POSITIONS IN MULTIPLE SIMILAR NONPROFIT ORGANIZATIONS AND REFLECTS TOTAL REMUNERATION PROVIDED IN THE MARKET. ALL SURVEYS ARE CONDUCTED BY THIRD PARTY ORGANIZATIONS AND NOT CONDUCTED AT THE SPECIFIC DIRECTION OF GEISINGER. ANY COMPENSATION ADJUSTMENTS ARE APPROVED BY THE GEISINGER FAMILY COMMITTEE PRIOR TO THE EFFECTIVE DATE OF THE PAYMENT. THE GEISINGER FAMILY COMMITTEE AT ITS SOLE DISCRETION MAY POSITIVELY OR NEGATIVELY ADJUST ANY RECOMMENDED COMPENSATION. |
| FORM 990, PAGE 6, PART VI, LINE 15B | SEE SCHEDULE O RESPONSE TO FORM 990, PART VI, SECTION B, QUESTION 15A. |
| FORM 990, PAGE 6, PART VI, LINE 19 | FINANCIAL STATEMENTS, FORM 990, FORM 990-T, THE CONFLICTS OF INTEREST POLICY, AND OTHER GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART XI | FORM 990, PART XII, LINE 3A: AS A RESULT OF A FEDERAL AWARD, WAS THE ORGANIZATION REQUIRED TO UNDERGO AN AUDIT OR AUDITS AS SET FORTH IN THE SINGLE AUDIT ACT AND OMB CIRCULAR A-133? FEDERAL AWARDS ARE AUDITED AS A PART OF THE GEISINGER'S CONSOLIDATED REPORT ON FEDERAL AWARDS IN ACCORDANCE WITH OMB CIRCULAR A-133. FOOTNOTE: THROUGHOUT FORM 990, THE TERMS "GEISINGER- AND "SYSTEM" SHALL REFER TO THE ENTIRE HEALTHCARE SYSTEM COMPRISED OF GEISINGER HEALTH AS PARENT AND ALL SUBSIDIARY CORPORATIONS COMPRISING THE SYSTEM. |
| FORM 990, PART XI, LINE 9 | RECONCILATION OF PENSION LIABILTY 1,674,020 LOSS FROM INVESTMENT IN AFFILIATE -895,923 TRANSFER TO PARENT GEISINGER HEALTH -32,000,000 TOTAL -31,221,903 |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GEISINGER-SCA HOLDINGS LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 NORTH ACADEMY AVENUE MC 49-70 | AddressLine1Txt |
| City | DANVILLE | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 17822 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 461615328 | EIN |
| Primary Activities | HOLD CO | PrimaryActivitiesTxt |
| Legal Domicile State | DE | LegalDomicileStateCd |
| Total Income | -$122,719 | TotalIncomeAmt |
| End Of Year Assets | $7,455,476 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CMC | BusinessNameLine1Txt |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (22 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| GEISINGER HEALTH | |||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 231995911 | PHILANTHRO | PA | 501C3 | 7 | N/A | false | |
| GEISINGER MEDICAL CENTER | |||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 240795959 | HOSPITAL | PA | 501C3 | 3 | Yes (true) | GH | |
| GEISINGER CLINIC | |||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 236291113 | PHYSN SVCS | PA | 501C3 | 12A | Yes (true) | GH | |
| GEISINGER WYOMING VALLEY MED CTR | |||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 231996150 | HOSPITAL | PA | 501C3 | 3 | Yes (true) | GH | |
| MARWORTH | |||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 232171417 | D&A REHAB | PA | 501C3 | 3 | Yes (true) | GH | |
| GEISINGER HEALTH PLAN | |||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 232311553 | HMO | PA | 501C4 | false | GH | ||
| GEISINGER SYSTEM SERVICES | |||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 232164794 | SUPPORT SV | PA | 501C3 | 12A | Yes (true) | GH | |
| GEISINGER COMMUNITY HEALTH SERVICES | |||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 232967235 | HEALTHCARE | PA | 501C3 | 10 | Yes (true) | GSS | |
| GEISINGER INSURANCE CORPORATIONRRG | |||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 141909894 | SELF INS | VT | 501C3 | 12A | Yes (true) | GH | |
| GEISINGER-BLOOMSBURG HOSPITAL | |||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 232193572 | HOSPITAL | PA | 501C3 | 3 | Yes (true) | GH | |
| GEISINGER-LEWISTOWN HOSPITAL | |||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 231352187 | HOSPITAL | PA | 501C3 | 3 | Yes (true) | GH | |
| LEWISTOWN AMBULATORY CARE CORP | |||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 232344362 | HOLDING CO | PA | 501C3 | 12A | Yes (true) | GH | |
| FAMILY HEALTH ASSOCIATES OF GLH | |||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 251651582 | PHYSN SVCS | PA | 501C3 | 12A | Yes (true) | GH | |
| KEYSTONE HEALTH INFORMATION EXCH | |||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 464359893 | RHIO | PA | 501C3 | 12A | false | GH | |
| WEST SHORE ADVANCED LIFE SUPP SVCS | |||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 232463002 | HEALTHCARE | PA | 501C3 | 10 | Yes (true) | GC | |
| GEISINGER COMMONWEALTH SCH OF MED | |||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 260812968 | EDUCATION | PA | 501C3 | 2 | false | GH | |
| GEISINGER JERSEY SHORE HOSPITAL | |||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 240792115 | HOSPITAL | PA | 501C3 | 3 | Yes (true) | GH | |
| GEISINGER MEDICAL CENTER MUNCY | |||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 851226106 | HOSPITAL | PA | 501C3 | 3 | Yes (true) | GHM | |
| GNJ PHYSICIANS GROUP PC | |||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 820681884 | PHYSN SVCS | NJ | 501C3 | 10 | false | GH | |
| GSL HOSPITAL | |||||||||||
| 801 OSTRUM STREET | BETHLEHEM | PA | 18015 | 824432109 | HOSPITAL | PA | 501C3 | 3 | N/A | false | |
| GSLPG INC | |||||||||||
| 801 OSTRUM STREET | BETHLEHEM | PA | 18015 | 825423865 | HEALTHCARE | PA | 501C3 | 3 | false | GSL HOSP | |
| HEALTH CARE CORP OF NORTHEAST PA | |||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 232337286 | SUPPORT SV | PA | 501C3 | 12A | Yes (true) | CMC | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (7 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| KEYSTONE ACCOUNTABLE CARE ORG LLC | ||||||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 455484165 | ACO | PA | N/A | false | false | |||||
| GEISINGER ENCOMPASS HEALTH LLC | ||||||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 721398803 | PHY THERAP | PA | N/A | false | false | |||||
| EVANGELICAL-GEISINGER HEALTH LLC | ||||||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 460567687 | HEALTHCARE | PA | N/A | false | false | |||||
| LACKAWANNA PHYS AMB SURG CTRLLC | ||||||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 233024998 | HEALTHCARE | PA | false | Yes (true) | CMC | RELATED | $69,205 | $1,784,332 | 0.80290 | |
| GEISINGER-HM JOINT VENTURE LLC | ||||||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 831871064 | HEALTHCARE | PA | N/A | false | false | |||||
| KEYSTONE HEALTHCARE PARTNERSHIPLLC | ||||||||||||||
| 901 HUGH WALLIS ROAD | LAFAYETTE | LA | 70508 | 833134941 | HOME HLTH | PA | N/A | false | false | |||||
| COMMONWEALTH MSO LLC | ||||||||||||||
| 270 SUSQUEHANNA VALLEY MALL DRIVE | SELINSGROVE | PA | 17870 | 862178965 | HEALTHCARE | PA | N/A | false | false | |||||
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | Province Or StateForeignAddress/ProvinceOrStateNm | CountryForeignAddress/CountryCd | Foreign PostalForeignAddress/ForeignPostalCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ISS SOLUTIONS INC | ||||||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 232077663 | CLINIC ENG | PA | N/A | false | ||||||
| GEISINGER INDEMNITY INSURANCE CO | ||||||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 232815174 | HLTH INSUR | PA | N/A | false | ||||||
| GEISINGER QUALITY OPTIONS INC | ||||||||||||||
| 100 NORTH ACADEMY AVENUE MC 49-70 | DANVILLE | PA | 17822 | 204275139 | HLTH INSUR | PA | N/A | false | ||||||
| GEISINGER ASSURANCE COMPANY LTD | ||||||||||||||
| 981016737 | FINANCIAL | N/A | false | 23 LINE TREE BAY AVE PO BOX 1159 | GRAND CAYMAN | GRAND CAYMAN | CJ | KY1-1102 | CJ | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (true) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (true) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (27 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| GEISINGER CLINIC | ||
| A | $168,297 | FMV |
| GEISINGER SYSTEM SERVICES | ||
| A | $51,990 | FMV |
| GEISINGER WYOMING VALLEY MED CTR | ||
| A | $38,463 | FMV |
| GEISINGER COMMONWEALTH SCH OF MED | ||
| A | $1,500 | GAAP |
| GEISINGER HEALTH | ||
| B | $32,000,000 | GAAP |
| GEISINGER CLINIC | ||
| K | $73,455 | FMV |
| GEISINGER CLINIC | ||
| L | $7,797,113 | GAAP |
| GEISINGER COMMUNITY HEALTH SERVICES | ||
| L | $502,819 | GAAP |
| GEISINGER HEALTH PLAN | ||
| L | $77,710,945 | GAAP |
| GEISINGER INDEMNITY INSURANCE COMP | ||
| L | $3,114,248 | GAAP |
| GEISINGER MEDICAL CENTER | ||
| L | $5,144 | GAAP |
| GEISINGER QUALITY OPTIONS INC | ||
| L | $7,423,413 | GAAP |
| GEISINGER SYSTEM SERVICES | ||
| L | $4,009 | GAAP |
| GEISINGER WYOMING VALLEY MED CTR | ||
| L | $13,749 | GAAP |
| GEISINGER-BLOOMSBURG HOSPITAL | ||
| L | $3 | GAAP |
| GEISINGER COMMONWEATH SCHOOL OF MED | ||
| L | $6,917 | GAAP |
| GEISINGER MEDICAL CENTER MUNCY | ||
| L | $1,654 | GAAP |
| GEISINGER LEWISTOWN HOSPITAL | ||
| M | $787 | GAAP |
| GEISINGER CLINIC | ||
| M | $27,913,197 | GAAP |
| GEISINGER MEDICAL CENTER | ||
| M | $8,979,650 | GAAP |
| GEISINGER SYSTEM SERVICES | ||
| M | $49,624,271 | GAAP |
| GEISINGER WYOMING VALLEY MED CTR | ||
| M | $112,683 | GAAP |
| ISS SOLUTIONS INC | ||
| M | $2,098,531 | GAAP |
| GEISINGER HEALTH | ||
| M | $545,598 | GAAP |
| GEISINGER PHARMACY LLC | ||
| M | $798,404 | GAAP |
| GEISINGER INSURANCE CORPORATIONRRG | ||
| P | $1,480,685 | GAAP |
| GEISINGER HEALTH | ||
| R | $84,212 | FMV |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE R | FormAndLineReferenceDesc |
| Explanation | FORM 990, SCHEDULE R, PART V - TRANSACTIONS WITH RELATED ORGANIZATIONS: AS SHOWN IN FORM 990, SCHEDULE R, COMMUNITY MEDICAL CENTER IS CLOSELY AFFILIATED WITH SEVERAL OTHER ORGANIZATIONS. IN THE NORMAL COURSE OF THE OPERATIONS OF THESE AFFILIATED ORGANIZATIONS THERE ARE NUMEROUS INTER ORGANIZATIONAL TRANSACTIONS, WHICH MAY INCLUDE SALES, EXCHANGES AND LEASES OF PROPERTY, EXTENSIONS OF CREDIT, FURNISHING OF GOODS, SERVICES AND FACILITIES, AND TRANSFERS OF ASSETS. THESE INTER ORGANIZATION TRANSACTIONS PROMOTE THE EFFICIENT OPERATION OF THE VARIOUS ORGANIZATIONS AND THE ATTAINMENT OF THEIR TAX EXEMPT PURPOSES. THESE TYPES OF INTER ORGANIZATION TRANSACTIONS WERE DESCRIBED TO THE INTERNAL REVENUE SERVICE IN A RULING APPLICATION AND WERE RECOGNIZED BY THE NATIONAL OFFICE OF THE IRS IN A SERIES OF GEISINGER PRIVATE RULINGS AS BEING ENTIRELY CONSISTENT WITH THE ORGANIZATIONS' TAX EXEMPT STATUS. ___________________________________________________________________________ | ExplanationTxt |