GEISINGER MEDICAL CENTER: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization: GEISINGER MEDICAL CENTER (EIN 24-0795959)
Tax period: 2021-01-01 to 2021-12-31
Filed: 2022-11-07
IRS object ID: 202233119349302683
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 F
Schedule H
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2022-11-07T13:46:19-05:00	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	240795959	EIN

Business Name BusinessName

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

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

US Address USAddress

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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	KEVIN V ROBERTS MBA CPA	PersonNm
Person Title	EVP, CFO, TREASURER	PersonTitleTxt
Phone	5702716624	PhoneNum
Signature	2022-11-01	SignatureDt

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	KEVIN	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

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	$1,562,537,821	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	1932	FormationYr
Legal Domicile State	PA	LegalDomicileStateCd
Activity Or Mission	TO ENHANCE THE QUALITY OF LIFE OF THE POPULATION IT SERVES BY PROVIDING ACCESS TO QUALITY POPULATION HEALTH SERVICES DELIVERED BY PHYSICIANS AND ADVANCED PRACTITIONERS THROUGH AN INTEGRATED SERVICE...SEE SCHEDULE O	ActivityOrMissionDesc
Voting Members Governing Body	7	VotingMembersGoverningBodyCnt
Voting Members Independent	4	VotingMembersIndependentCnt
Total Employee	8129	TotalEmployeeCnt
Total Volunteers	91	TotalVolunteersCnt
Total Gross UBI	$59,288	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$32,730	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$35,737,120	PYContributionsGrantsAmt
CY Contributions Grants	$16,346,817	CYContributionsGrantsAmt
PY Program Service Revenue	$729,846,537	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,506,339,166	CYProgramServiceRevenueAmt
PY Investment Income	$13,948,914	PYInvestmentIncomeAmt
CY Investment Income	$30,995,632	CYInvestmentIncomeAmt
PY Other Revenue	$3,765,938	PYOtherRevenueAmt
CY Other Revenue	$8,063,531	CYOtherRevenueAmt
PY Total Revenue	$783,298,509	PYTotalRevenueAmt
CY Total Revenue	$1,561,745,146	CYTotalRevenueAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$231,389,548	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$481,104,866	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$440,242,222	PYOtherExpensesAmt
CY Other Expenses	$887,458,609	CYOtherExpensesAmt
PY Total Expenses	$671,631,770	PYTotalExpensesAmt
CY Total Expenses	$1,368,563,475	CYTotalExpensesAmt
PY Revenues Less Expenses	$111,666,739	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$193,181,671	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,315,288,452	TotalAssetsBOYAmt
Total Assets EOY	$984,030,697	TotalAssetsEOYAmt
Total Liabilities BOY	$1,008,663,066	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$946,196,380	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$306,625,386	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$37,834,317	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	TO ENHANCE THE QUALITY OF LIFE OF THE POPULATION IT SERVES BY PROVIDING ACCESS TO QUALITY POPULATION HEALTH SERVICES DELIVERED BY PHYSICIANS AND ADVANCED PRACTITIONERS 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	$1,324,272,067	ExpenseAmt
Revenue	$1,509,880,543	RevenueAmt
Desc	I. GENERAL PROGRAM SERVICE INFORMATION SINCE 1915, GEISINGER MEDICAL CENTER (GMC), A 501(C)(3) NOT-FOR-PROFIT CORPORATION, HAS BEEN PROVIDING HIGH-QUALITY HEALTHCARE SERVICES TO MORE THAN TWO MILLION RESIDENTS IN CENTRAL AND NORTHEAST PENNSYLVANIA. GEISINGER IS HOME TO SOME OF THE MOST ADVANCED TECHNOLOGY IN THE COUNTRY, INCLUDING A LEVEL I TRAUMA CENTER, THE REGION'S LONE PEDIATRIC TRAUMA CENTER, THE RENOWNED JANET WEIS CHILDREN'S HOSPITAL, THE STATE-OF-THE-ART HOSPITAL FOR ADVANCED MEDICINE AND CLINICAL RESEARCH FACILITIES. LOCATED IN DANVILLE, PENNSYLVANIA, A PREDOMINANTLY RURAL AREA, GMC OPERATES A 520 BED FACILITY ALONG WITH A 48 BED HOSPITAL LOCATED IN COAL TOWNSHIP, PENNSYLVANIA. PHYSICIANS IN PENNSYLVANIA AND THE SURROUNDING STATES REFER THEIR MOST COMPLEX CASES TO GEISINGER MEDICAL CENTER WHERE THE EXISTENCE OF QUATERNARY HEALTHCARE IN A GENERALLY RURAL AND MEDICALLY UNDERSERVED POPULATION IS UNCOMMON. GMC'S LIFE FLIGHT IS THE LEADER IN MEDICAL AIR TRANSPORTATION IN THE REGION SPECIALIZING IN TRANSPORTING CRITICAL CARE PATIENTS, INCLUDING PREMATURE NEWBORNS, CARDIAC PATIENTS, ORGAN TRANSPLANT PATIENTS AND ACCIDENT VICTIMS. A. SPECIALTIES AND SUBSPECIALTIES GEISINGER CLINIC PHYSICIANS PRACTICING AT GMC PROVIDE SKILLED SERVICES IN NUMEROUS SPECIALTY AND SUBSPECIALTY AREAS. SPECIAL SERVICES AVAILABLE INCLUDE, BUT ARE NOT LIMITED TO: ADULT & PEDIATRIC TRAUMA CENTER MATERNAL FETAL MEDICINE ADULT MEDICAL ONCOLOGY MICROBIOLOGY AERO-MEDICAL SERVICES MINIMALLY INVASIVE SURGERY AIMI (ACUTE INTERVENTION IN MOHS SURGERY MYOCARDIAL INFRACTION) MOLECULAR DIAGNOSTICS ANTICOAGULATION CLINIC MOVEMENT DISORDERS BACLOFEN PUMPS NEUROENDOVASCULAR BAHA (BONE ANCHORED HEARING AID) NEUROMUSCULAR BALANCE CENTER NEUROPSYCH BARIATRIC SURGERY NEUROPATHOLOGY BLOOD BANK NEUROPHYSIOLOGY BLOOD CONSERVATION NEUROSTIMULATORS BODY CONTOURING NEUROTRAUMA BRAIN TUMOR NUCLEAR STRESS TESTING BREAST SURGERY OPEN HEART SURGERY CANCER GENETICS CLINIC OPHTHALMOLOGY (GLAUCOMA, RETINAL, CAPSULE ENDOSCOPY PEDIATRIC, CORNEA, GENERAL, CARDIAC CAT SCAN ANGIOGRAPHY OPHTHALMOPLASTIC SURGERY) CARDIAC MRI TESTING ORTHOPAEDICS (TRAUMA, SPINE, HAND CAROTID STENTING SPORTS MEDICINE, PEDIATRIC, CAT SCAN CARDIAC SCORING JOINT, FOOT/ANKLE, GENERAL) CAT SCAN ORTHOPAEDIC ONCOLOGY CHEMISTRY PEDIATRIC CONGENITAL HEART SURGERY CHEMO-EMBOLIZATION OF LIVER PEDIATRIC GENETICS AND KIDNEY CANCER PEDIATRIC MEDICAL ONCOLOGY CLEFT PALATE CLINIC PEDIATRIC NEURODEVELOPMENT COAGULATION PEDIATRIC OBESITY COCHLEAR IMPLANT PEDIATRIC REHABILITATION COLORECTAL SURGERY PEDIATRIC SURGERY CORNEAL TRANSPLANTS PEDIATRIC UROLOGY CYTOLOGY PEDIATRIC COCHLEAR IMPLANT DEEP BRAIN STIMULATION PEDIATRIC NEUROLOGY/NEUROSURGERY DERMATOPATHOLOGY PET SCANS ECHOCARDIOGRAPHY PODIATRY ELECTROPHYSIOLOGY PRE-SURGERY CENTER EMERGENCY SERVICES PSYCHIATRY (ADOLESCENCE) ENDOVASCULAR PROCEDURES RADIATION ONCOLOGY ENDOVASCULAR GRAFT IMPLANTS EPILEPSY REGIONAL ANESTHESIA PROGRAM EXTRACORPOREAL SHOCK WAVE LITHOTRIPSY RENAL DENERVATION GYNONCOLOGY ROBOTIC SURGERY GYNECOLOGIC & UROPATHOLOGY SKULL BASE SURGERY HEAD AND NECK ONCOLOGY SLEEP DISORDERS LABORATORY HEADACHE SPINAL BIFIDA CLINIC HEART FAILURE SPINAL CORD INJURY HEMATOLOGY SPINE SURGERY HEMATOPATHOLOGY SPINE ASSESSMENT PROGRAM HEPATIC INTRA-ARTERIAL CHEMOTHERAPY STEM CELL TRANSPLANT HIGH DOSE INTERLEUKIN-2 THERAPY STEREOTACTIC RADIOSURGERY HIGH DOSE RATE INTRACAVITARY STRETTA (LASER PROCEDURE) BRACHYTHERAPY STROKE/TELE-STROKE IMMUNOLOGY SURGICAL ONCOLOGY (COLON, LIVER, INFERTILITY PANCREAS, ESOPHAGEAL, & RENAL) INTENSIVE O/P PSYCHIATRIC PROGRAM SURGICAL PATHOLOGY INTERVENTIONAL PAIN MANAGEMENT TRANSCATHETER AORTIC VALVE INTERVENTIONAL RADIOLOGY IMPLEMENTATION INTRA-OPERATIVE HEPATIC ULTRASOUND TISSUE BANKING AND RADIOFREQUENCY ABLATION OF TRAUMATIC BRAIN INJURY LIVER TUMORS TOXICOLOGY KIDNEY, LIVER & PANCREAS TRANSPLANTS TRAUMA SURGERY LASER SURGERY (YAG LASER) UROGYNECOLOGY LVAD (LEFT VENTRICULAR ASSIST DEVICE)VAGAL NERVE STIMULATORS MAGNETIC RESONANCE IMAGING WOUND CARE MEDICATION THERAPY MANAGEMENT PROGRAM B. RESIDENCY, FELLOWSHIP AND ALLIED HEALTH PROGRAMS GMC CONDUCTS 33 GRADUATE MEDICAL EDUCATION RESIDENCY PROGRAMS AND 23 FELLOWSHIP PROGRAMS. THERE WERE 553 GRADUATE PHYSICIANS PARTICIPATING IN THESE PROGRAMS IN THE YEAR ENDED DECEMBER 31, 2021. PROGRAM SPECIALTIES ARE AS FOLLOWS BUT ARE NOT LIMITED TO: RESIDENCY PROGRAMS ANESTHESIOLOGY CLINICAL PSYCHOLOGY DERMATOLOGY EMERGENCY MEDICINE FAMILY MEDICINE GENERAL SURGERY INTERNAL MEDICINE INTERNAL MEDICINE PEDIATRICS NEUROLOGY NEUROLOGICAL SURGERY OBSTETRICS GYNECOLOGY OPHTHALMOLOGY ORAL & MAXILLOFACIAL SURGERY ORTHOPAEDIC SURGERY OTOLARYNGOLOGY PATHOLOGY PHYSICAL MEDICINE & REHABILITATION PEDIATRICS PEDIATRIC DENTISTRY PODIATRY PSYCHIATRY RADIOLOGY UROLOGY FELLOWSHIP PROGRAMS ADDICTION MEDICINE CARDIOVASCULAR MEDICINE CLINICAL CARDIAC ELECTROPHYSIOLOGY CLINICAL INFORMATICS CRITICAL CARE MEDICINE CYTOPATHOLOGY DERMATOPATHOLOGY GASTROENTEROLOGY HOSPICE & PALLIATIVE MEDICINE INTERVENTIONAL CARDIOLOGY MATERNAL FETAL MEDICINE MEDICAL PHYSICS NEPHROLOGY MICROGRAPHIC SURGERY & DERMATOLOGICAL ONCOLOGY PULMONARY CRITICAL CARE MEDICINE RHEUMATOLOGY SPORTS MEDICINE VASCULAR/INTERVENTIONAL VASCULAR SURGERY RADIOLOGY GMC OPERATES FOUR SCHOOLS OF ALLIED HEALTH EDUCATION. THESE SCHOOLS ARE OPERATED WITHIN GMC IN CONJUNCTION WITH VARIOUS COLLEGES AND UNIVERSITIES. IN ADDITION TO CLASSROOM TIME, STUDENTS CONTRIBUTE CLINICAL EDUCATION HOURS AS AN INTEGRAL PART OF THEIR CURRICULUM. DURING THE YEAR ENDED DECEMBER 31, 2021, THE DIETETIC INTERNSHIP PROGRAM HAD FIVE STUDENTS; THE SCHOOL OF RADIOLOGY HAD EIGHTEEN STUDENTS; THE CHAPLAIN SCHOOL HAD FOUR STUDENTS AND THE PHARMACY RESIDENCY PROGRAM HAD FIVE STUDENTS. THE TOTAL COST TO GMC OF PROVIDING RESIDENCY, FELLOWSHIP, ALLIED HEALTH, AND RELATED EDUCATION PROGRAMS, NET OF THIRD-PARTY REIMBURSEMENTS WAS 57,729,414. C. TRAUMA CARE IN OCTOBER 1986 GMC WAS DESIGNATED BY THE PENNSYLVANIA TRAUMA SYSTEMS FOUNDATION AS A REGIONAL RESOURCE TRAUMA CENTER (LEVEL I) BASED ON THE PROVISION OF COMPREHENSIVE TRAUMA CARE 24 HOURS A DAY AND THE CONDUCT OF OUTREACH, EDUCATIONAL AND RESEARCH PROGRAMS IN TRAUMA CARE. IN 1996, THE PENNSYLVANIA TRAUMA SYSTEMS FOUNDATION ACCREDITED GMC AS ADDITIONAL QUALIFICATIONS IN PEDIATRICS. GMC HAS BEEN ACCREDITED AS A LEVEL II PEDIATRIC TRAUMA CENTER. THE TRAUMA CENTER INCLUDES LIFE FLIGHT, A MULTIPLE AIRCRAFT, REGIONAL HELICOPTER SERVICE. LIFE FLIGHT PROVIDES RAPID RESPONSE TO CRITICALLY ILL PATIENTS WHO NEED ADVANCE LIFE SUPPORT CARE AND TRANSPORTATION TO CRITICAL CARE FACILITIES. GEISINGER LIFE FLIGHT OPERATED NINE AIRCRAFT AND TWO GROUND CRITICAL CARE EQUIPPED AMBULANCES FROM SIX OPERATIONAL SITES FOR THE YEAR ENDED DECEMBER 31, 2021. NINE STATE OF THE ART MEDICAL HELICOPTERS INCLUDE TWO BK117S AND SEVEN EC145S. THE GROUND UNITS CONTAIN THE SAME EQUIPMENT AS THE AIRCRAFT FOR CRITICAL CARE GROUND TRANSPORTS. THE BASE LOCATIONS FOR THE YEAR ENDING DECEMBER 31, 2021 WERE IN DANVILLE, SELINSGROVE, STATE COLLEGE, AVOCA, WILLIAMSPORT, MINERSVILLE AND LEHIGHTON PA. THE DISPATCHING OF LIFE FLIGHT FOR INTER-HOSPITAL TRANSFERS AND SCENE CALLS IS AUTHORIZED BY A PHYSICIAN OR OTHER QUALIFIED PERSONNEL AND IS DETERMINED ON AN INDIVIDUAL BASIS ACCORDING TO MEDICAL NEED. IN THE YEAR ENDED DECEMBER 31, 2021, LIFE FLIGHT PROVIDED EMERGENCY TRANSPORTATION TO 4,580 PATIENTS AND SERVED MULTIPLE HOSPITALS IN PENNSYLVANIA AND NEIGHBORING STATES. D. JANET WEIS CHILDREN'S HOSPITAL THE JANET WEIS CHILDREN'S HOSPITAL HOUSES ALL INPATIENT PEDIATRIC BEDS INCLUDING 36 MEDICAL AND SURGICAL, 41 NEWBORN INTENSIVE AND SPECIAL CARE AND 14 PEDIATRIC INTENSIVE CARE BEDS. THE FACILITY ALSO PROVIDES SPACE FOR PEDIATRIC REHABILITATION AND HAS ESTABLISHED AN AMBULANCE TRANSPORT SERVICE FOR NEONATAL RETRIEVALS. THE FACILITY IS CONNECTED WITH THE REST OF THE MEDICAL CENTER AT FOUR OF THE FIVE LEVELS TO ALLOW FOR SMOOTH INTEGRATION OF ANCILLARY AND SUPPORT SERVICES. THE FUNDING FOR THE CONSTRUCTION OF THE JANET WEIS CHILDREN'S HOSPITAL WAS PROVIDED BY THE DONATING PUBLIC, INCLUDING FUNDS RAISED BY THE CHILDREN'S MIRACLE NETWORK TELETHON. THIS FACILITY IS VISIBLE EVIDENCE OF GEISINGER'S COMMITMENT TO THE CHILDREN OF PENNSYLVANIA. FOR THE YEAR ENDED DECEMBER 31, 2021, THE JANET WEIS CHILDREN'S HOSPITAL DISCHARGED 2,696 PATIENTS AND PROVIDED 11,792 PATIENT DAYS OF SERVICE. THE FACILITY AFFORDS MORE EFFICIENT CARE WITH AN IMPROVED LENGTH OF STAY. E. WOMEN'S HEALTH PAVILION THE WOMEN'S HEALTH PAVILION, ON THE CAMPUS OF GMC, WAS DEDICATED AS PART OF THE JANET WEIS CHILDREN'S AND WOMEN'S HOSPITAL IN 2000. THE WOMEN'S PAVILION FEATURES FAMILY-ORIENTED BIRTHING SUITES THAT ALLOW EACH WOMAN TO LABOR, DELIVER AND RECOVER IN THE SAME SPACE. IN ADDITION, THERE ARE SEMI-PRIVATE ROOMS, A NURSERY AND TWO CAESAREAN SECTION OPERATING SUITES. THE GEISINGER WOMEN'S PAVILION IS THE ONLY HOSPITAL IN THE AREA THAT OFFERS COVERAGE BY OBSTETRICIANS, NEONATOLOGISTS, PEDIATRICIANS AND ANESTHESIOLOGISTS 24 HOURS A DAY, SEVEN DAYS A WEEK. OU	Desc
Total Program Service Expenses	$1,324,272,067	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	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	Yes (true)	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	11	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	8129	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	4	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 (34 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	Key EmployeeKeyEmployeeInd	Average Hours Per WeekAverageHoursPerWeekRt	Highest Compensated EmployeeHighestCompensatedEmployeeInd
JAEWON RYU MD JD
PRESIDENT, D	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
JOHN P BERNETT MD
FORMER 5 HIG	40.00			$0	$789,195	$48,403	Yes (X)
ROSEMARY LEEMING MD
CMO	40.00		Yes (X)	$0	$644,856	$109,648
KYLE D YEBERNETSKY MD
FORMER 5 HIG	40.00			$0	$614,752	$54,237	Yes (X)
JASON C BROWN MD
FORMER 5 HIG	40.00			$0	$590,036	$58,547	Yes (X)
CHARLES S BROWN MD
FORMER 5 HIG	40.00			$0	$592,641	$43,054	Yes (X)
JENNIFER BROOKS MD
FORMER 5 HIG	40.00			$0	$597,240	$34,493	Yes (X)
KEROLOS R YOUSEF DO
FORMER 5 HIG	40.00			$0	$533,461	$51,506	Yes (X)
NINA AHUJA MD
FORMER 5 HIG	40.00			$0	$528,149	$32,356	Yes (X)
MARK MASSAK DO
FORMER 5 HIG	40.00			$0	$516,102	$35,295	Yes (X)
DAVID J FELICIO ESQUIRE
FORMER OFFIC	40.00			$0	$536,113	$0	Yes (X)
STEVEN R BONEBRAKE DO
FORMER 5 HIG	40.00			$0	$480,744	$48,027	Yes (X)
MEGAN BROSIOUS
CAO, CENTRAL	40.00			$335,123	$74,516	$93,442		Yes (X)
MISTRAINE DURAND DOUGLAS DO
FORMER 5 HIG	40.00			$0	$440,325	$50,685	Yes (X)
SHEEL MEHTA DO
FORMER 5 HIG	40.00			$0	$438,368	$41,487	Yes (X)
THOMAS P SOKOLA
CAO, CENTRAL				$368,904	$0	$84,839		Yes (X)	40.00
NICHOLAS SEBES MD
PHYSICIAN, D				$34,141	$355,697	$51,863			40.00	Yes (X)
GRANT A CIAVARELLA DO
PHYSICIAN, R				$58,525	$274,112	$56,704			40.00	Yes (X)
CRYSTAL K MUTHLER BSN RN MHA NE-
VP, CNO				$341,319	$0	$34,176		Yes (X)	40.00
LORI R GRAMLEY ESQUIRE
ACLO, ASST S	40.00		Yes (X)	$0	$308,111	$41,735
KASHIF TUFAIL MD
FORMER 5 HIG	40.00			$0	$313,627	$33,874	Yes (X)
LISSA L BRYAN SMITH
VP OPERATION				$276,059	$0	$43,401			40.00	Yes (X)
TAMMY ANDERER CRNP PHD
FORMER KEY E	40.00			$0	$282,013	$34,730	Yes (X)
DANIEL E LOHR ESQUIRE
FORMER OFFIC	40.00			$0	$286,145	$19,265	Yes (X)
PAMELA WALLACE
AVP,NURSING				$224,756	$0	$38,756			40.00	Yes (X)
ROBERT J MOYER MD
PHYSICIAN, A				$33,906	$194,782	$21,134			40.00	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	$1,672,733	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$17,536,945	TotReportableCompRltdOrgAmt
Total Other Compensation	$2,882,169	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	505	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	CompensationCompensationAmt
MEDEFIS INC
PO BOX 5068	NEW YORK	NY	100875068	$48,892,629
QUEST DIAGNOSTICS
PO BOX 912512	PASADENA	CA	91110	$7,169,184
GEISINGER ENCOMPASS HEALTH
64 REHAB LANE	DANVILLE	PA	17821	$4,709,109
CENTRAL PA BLOOD BANK
8167 ADAMS DRIVE	HUMMELSTOWN	PA	17036	$3,599,317
CEPHEID INC
PO BOX 74007357	CHICAGO	IL	606747537	$3,485,809

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	74	CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIII	Yes (X)	InfoInScheduleOPartVIIIInd
Government Grants	$16,346,817	GovernmentGrantsAmt
Total Contributions	$16,346,817	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt
PATIENT HEALTHCARE	621110	$1,425,493,405	$1,425,493,405
OUTPATIENT PHARMACY	446110	$72,436,485		$72,436,485
OTHER HEALTHCARE REVENUE	621300	$3,558,330	$3,558,330
RENTAL INCOME	531120	$2,992,160		$2,992,160
PARTNERSHIP INCOME	622310	$1,222,772	$1,222,772

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$636,014	TotalRevenueColumnAmt
Related Or Exempt Func Income	$512,770	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$46,160	UnrelatedBusinessRevenueAmt
Exclusion	$77,084	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,506,339,166	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$407,950	TotalRevenueColumnAmt
Exclusion	$407,950	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$8,231	TotalRevenueColumnAmt
Exclusion	$8,231	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$460,466	RealAmt
Personal	$13,128	PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$248,988	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$211,478	RealAmt
Personal	$13,128	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$224,606	TotalRevenueColumnAmt
Unrelated Business Revenue	$13,128	UnrelatedBusinessRevenueAmt
Exclusion	$211,478	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$31,036,555	SecuritiesAmt
Other	$86,583	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$543,687	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$31,036,555	SecuritiesAmt
Other	-$457,104	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$30,579,451	TotalRevenueColumnAmt
Exclusion	$30,579,451	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt
PURCHASE DISCOUNTS	900099	$3,541,377	$3,541,377
CAFE SALES	722514	$3,498,545		$3,498,545
GIFT SHOP SALES	453220	$683,117		$683,117

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$115,886	TotalRevenueColumnAmt
Exclusion	$115,886	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$7,838,925	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,561,745,146	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,434,328,654	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$59,288	UnrelatedBusinessRevenueAmt
Exclusion	$111,010,387	ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,104,091	TotalAmt
Program Services	$1,104,091	ProgramServicesAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$114,985	TotalAmt
Program Services	$114,985	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$363,465,371	TotalAmt
Program Services	$357,571,302	ProgramServicesAmt
Management And General	$5,894,069	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$15,344,019	TotalAmt
Program Services	$15,096,027	ProgramServicesAmt
Management And General	$247,992	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$74,455,810	TotalAmt
Program Services	$73,252,447	ProgramServicesAmt
Management And General	$1,203,363	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$26,620,590	TotalAmt
Program Services	$26,190,345	ProgramServicesAmt
Management And General	$430,245	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$575,642	TotalAmt
Program Services	$575,642	ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$192,241	TotalAmt
Management And General	$192,241	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$16,218	TotalAmt
Management And General	$16,218	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$904,756	TotalAmt
Program Services	$628,356	ProgramServicesAmt
Management And General	$276,400	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$113,473,322	TotalAmt
Program Services	$107,685,193	ProgramServicesAmt
Management And General	$5,788,129	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$4,481	TotalAmt
Program Services	$4,481	ProgramServicesAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$25,402,651	TotalAmt
Program Services	$24,912,181	ProgramServicesAmt
Management And General	$490,470	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$4,626,403	TotalAmt
Program Services	$3,921,499	ProgramServicesAmt
Management And General	$704,904	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$21,737,952	TotalAmt
Program Services	$21,035,824	ProgramServicesAmt
Management And General	$702,128	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$3,307,346	TotalAmt
Program Services	$2,865,107	ProgramServicesAmt
Management And General	$442,239	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$1,061,781	TotalAmt
Program Services	$1,042,316	ProgramServicesAmt
Management And General	$19,465	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$25,846,486	TotalAmt
Program Services	$25,011,654	ProgramServicesAmt
Management And General	$834,832	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$60,816,184	TotalAmt
Program Services	$58,999,100	ProgramServicesAmt
Management And General	$1,817,084	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$29,218,577	TotalAmt
Program Services	$21,776,324	ProgramServicesAmt
Management And General	$7,442,253	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$280,659,113	$280,292,930	$366,183
INTER-ENTITY EXPENSE	$271,217,044	$254,323,384	$16,893,660
INTER-ENTITY TEACHING/ADM	$40,603,610	$40,603,610
UNCOLLECTIBLE EXPENSE	$4,817,178	$4,817,178

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,977,624	TotalAmt
Program Services	$2,448,091	ProgramServicesAmt
Management And General	$529,533	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,368,563,475	TotalAmt
Program Services	$1,324,272,067	ProgramServicesAmt
Management And General	$44,291,408	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

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

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$131,894,825	BOYAmt
EOY	$11,102,984	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$96,886,216	BOYAmt
EOY	$16,995,832	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$142,141,752	BOYAmt
EOY	$176,998,491	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$3,329,268	BOYAmt
EOY	$4,957,217	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$33,010,029	BOYAmt
EOY	$31,039,698	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$10,635,023	BOYAmt
EOY	$15,334,440	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,127,570,642	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$691,876,375	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$454,278,307	BOYAmt
EOY	$435,694,267	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$48,970,413	BOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$316,113,091	BOYAmt
EOY	$140,141,777	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$78,029,528	BOYAmt
EOY	$151,765,991	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,315,288,452	BOYAmt
EOY	$984,030,697	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$11,638,042	BOYAmt
EOY	$19,826,724	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$129,714,231	BOYAmt
EOY	$80,141,689	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$729,180,529	BOYAmt
EOY	$699,922,520	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$7,752,727	BOYAmt
EOY	$6,747,296	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$130,377,537	BOYAmt
EOY	$139,558,151	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,008,663,066	BOYAmt
EOY	$946,196,380	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	$306,625,386	BOYAmt
EOY	$37,834,317	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$306,625,386	BOYAmt
EOY	$37,834,317	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,315,288,452	BOYAmt
EOY	$984,030,697	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$193,181,671	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$32,781,626	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$494,754,366	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

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

Schedule 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	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$1,141	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$16,218	OtherActivitiesAmt
Total Lobbying Expenditures	$17,359	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 1G: AMOUNT REPORTED ON LINE 1G REPRESENTS THE WAGES AND BENEFITS OF EMPLOYEES WHO ASSIST THE GOVERNMENT RELATIONS DEPARTMENT OF THE ORGANIZATION'S AFFILIATE, GEISINGER SYSTEM SERVICES. THE PRIMARY PURPOSE OF THE GOVERNMENT RELATIONS DEPARTMENT IS TO MAINTAIN CONTACT WITH FEDERAL, STATE, AND LOCAL GOVERNMENT OFFICIALS. THE DEPARTMENT PROMOTES LEGISLATIVE ACTIONS WITH RESPECT TO HEALTHCARE RELATED ISSUES THAT COULD IMPACT THE ORGANIZATION AND ITS AFFILIATES. 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. LINE 1I ALSO INCLUDES FLOW THROUGH LOBBYING EXPENSES FROM A PARTNERSHIP K-1.	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	$364,612,000	BeginningYearBalanceAmt
Contributions	$954,000	ContributionsAmt
Investment Earnings Or Losses	$8,483,000	InvestmentEarningsOrLossesAmt
Other Expenditures	$3,653,000	OtherExpendituresAmt
End Year Balance	$370,396,000	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.74000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.17000	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.09000	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	$18,648,800	OtherCostOrOtherBasisAmt
Book Value	$18,648,800	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$333,835,133	OtherCostOrOtherBasisAmt
Depreciation	$191,243,694	DepreciationAmt
Book Value	$142,591,439	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,704,154	OtherCostOrOtherBasisAmt
Depreciation	$2,270,868	DepreciationAmt
Book Value	$2,433,286	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$718,470,462	OtherCostOrOtherBasisAmt
Depreciation	$474,208,946	DepreciationAmt
Book Value	$244,261,516	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$51,912,093	OtherCostOrOtherBasisAmt
Depreciation	$24,152,867	DepreciationAmt
Book Value	$27,759,226	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$435,694,267	TotalBookValueLandBuildingsAmt

Closely Held Equity Interests CloselyHeldEquityInterestsGrp

Field	Value	IRS element (for citing)
Book Value	$140,141,777	BookValueAmt
Method Valuation	F	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Securities	$140,141,777	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDesc	Book ValueBookValueAmt
DUE FROM AFFILIATES	$109,295,929
INVESTMENT IN HMJV	$24,341,564
THIRD PARTY ASSETS	$15,188,759
INVESTMENT - GEISINGER ENCOMPASS LLC	$2,652,568
OTHER CURRENT ASSETS	$201,715
RENT RECEIVABLE	$85,456

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$151,765,991	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
DUE TO AFFILIATES	$95,419,867
DERIVATIVE OBLIGATION	$17,936,041
ACCOUNTS RECEIVABLE CREDIT BALANCES	$13,917,545
THIRD PARTY LIABILITIES	$12,274,923
DEPOSITS	$9,775

Field	Value	IRS element (for citing)
Total Liability	$139,558,151	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

SCHEDULE D, PAGE 2, PART V, LINE 4

ENDOWMENT FUNDS ARE USED BY THE GEISINGER(1) TO SUPPORT PATIENT CARE, RESEARCH, EDUCATION, AND CAPITAL AND PROGRAM EXPENSES.

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 RETURNS. THE ADOPTION OF FIN 48 HAD NO IMPACT ON UNRESTRICTED NET ASSETS AS OF THE END OF THE FISCAL YEAR OR ANY PREVIOUS YEARS SINCE ADOPTION. ACCORDINGLY, NO FIN 48 FOOTNOTE DISCLOSURE WAS MADE IN THE GEISINGER CONSOLIDATED FINANCIAL STATEMENTS. (1) THROUGHOUT THIS DOCUMENT, THE TERMS "GEISINGER- OR "GEISINGER HEALTH" SHALL REFER TO THE ENTIRE HEALTH CARE SYSTEM COMPRISED OF GEISINGER HEALTH FOUNDATION (THE "FOUNDATION") AS PARENT AND ALL SUBSIDIARY CORPORATE ENTITIES COMPRISING THE HEALTH CARE SYSTEM. IN ADDITION, THROUGHOUT THIS DOCUMENT, THE TERM "SYSTEM" SHALL REFER TO THE ENTIRE HEALTH CARE SYSTEM AS PREVIOUSLY DEFINED PLUS ITS AFFILIATES.

Schedule F IRS990ScheduleF

Field	Value	IRS element (for citing)
Grant Records Maintained	false	GrantRecordsMaintainedInd

Account Activities Outside US AccountActivitiesOutsideUSGrp

Field	Value	IRS element (for citing)
Region	CENTRAL AMERICA AND THE CARIBBEAN	RegionTxt
Type Of Activities Conducted	INVESTMENTS	TypeOfActivitiesConductedTxt
Region Total Expenditures	$11,289,772	RegionTotalExpendituresAmt

Field	Value	IRS element (for citing)
Subtotal Spent	$11,289,772	SubtotalSpentAmt
Total Spent	$11,289,772	TotalSpentAmt
Transfer To Foreign Corp	false	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	false	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	false	PassiveForeignInvestmestCoInd
Foreign Partnership	false	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE F, PAGE 1, PART I, LINE 3	FormAndLineReferenceDesc
Explanation	CENTRAL AMERICA AND THE CARIBBEAN 0 11,289,772	ExplanationTxt

Schedule H IRS990ScheduleH

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

Free Care Oth Percentage FreeCareOthPercentageGrp

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

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$9,527,982	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$9,527,982	NetCommunityBenefitExpnsAmt
Total Expense	0.00700	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$240,181,345	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$148,708,986	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$91,472,359	NetCommunityBenefitExpnsAmt
Total Expense	0.06680	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,224,822	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,066,705	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$158,117	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$254,934,149	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$153,775,691	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$101,158,458	NetCommunityBenefitExpnsAmt
Total Expense	0.07390	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,000,003	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$12,241	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,987,762	NetCommunityBenefitExpnsAmt
Total Expense	0.00440	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$75,701,004	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$17,971,590	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$57,729,414	NetCommunityBenefitExpnsAmt
Total Expense	0.04220	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$963,277	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,731	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$957,546	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,104,176	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$8,104,176	NetCommunityBenefitExpnsAmt
Total Expense	0.00590	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,151,973	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,151,973	NetCommunityBenefitExpnsAmt
Total Expense	0.00160	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$92,920,433	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$17,989,562	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$74,930,871	NetCommunityBenefitExpnsAmt
Total Expense	0.05480	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$347,854,582	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$171,765,253	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$176,089,329	NetCommunityBenefitExpnsAmt
Total Expense	0.12870	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$4,849,366	BadDebtExpenseAmt
Bad Debt Expense Attributable	$9,024,508	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$190,207,062	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$226,400,780	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$36,193,718	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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct
GEIS ENCOMPASS HLTH
REHABILITATION HOSPITAL SERVICES	0.50000
GEISINGER-HM JV LLC
CLINICAL SERVICES	0.60000

Field	Value	IRS element (for citing)
Hospital Facilities	2	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Childrens HospitalChildrensHospitalInd	Teaching HospitalTeachingHospitalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd	Business Name Line2BusinessName/BusinessNameLine2Txt	OtherOtherDesc
GEISINGER MEDICAL CENTER
1	100 NORTH ACADEMY AVENUE	DANVILLE	PA	17822	WWW.GEISINGER.ORG	071801	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A
GEISINGER ENCOMPASS HEALTH
2	2 REHAB LANE	DANVILLE	PA	17821	WWW.ENCOMPASSHEALTH.COM	07180100	Yes (X)					A	LIMITED LIABILITY COMPANY	REHABILITATION HOSPITAL

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
Facility	12	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
GROUP A, FACILITY 1, GEISINGER 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.
GROUP A, FACILITY 1, GEISINGER 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.
GROUP A, FACILITY 1, GEISINGER 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.
GROUP A, FACILITY 1, GEISINGER 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.
GROUP A, FACILITY 1, GEISINGER 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
GROUP A, FACILITY 1, GEISINGER 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.
GROUP A, FACILITY 1, GEISINGER 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.
GROUP A, FACILITY 1, GEISINGER 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
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 66% 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 88,410,091 SHOULD BE REPORTED AS COMMUNITY BENEFIT ON THE FORM 990, SCHEDULE H, PART I, LINE 7. ALONG WITH PROVIDING CARE TO MEDICAID PATIENTS AND PROVIDING FREE OR DISCOUNTED CARE TO OTHER LOW-INCOME PATIENTS, THE IRS COMMUNITY BENEFIT STANDARD INCLUDES THE PROVISION OF CARE TO THE ELDERLY AND MEDICARE PATIENTS. LIKE MEDICAID, MEDICARE DOES NOT PAY THE FULL COST OF PROVIDING CARE TO THESE PATIENTS, FORCING THE HOSPITAL TO USE OTHER FUNDS TO COVER THE SHORTFALL. MEDICARE SHORTFALLS MUST BE ABSORBED BY THE HOSPITAL IN ORDER TO CONTINUE TREATING THE ELDERLY IN OUR COMMUNITIES. THE HOSPITAL PROVIDES CARE REGARDLESS OF THE MEDICARE SHORTFALL AND IS THEREBY PROVIDING ACCESS TO MEDICAL SERVICES FOR THE ELDERLY AND RELIEVING THE FEDERAL GOVERNMENT OF THE BURDEN OF PAYING THE FULL COST FOR PROVIDING CARE TO MEDICARE PATIENTS. ABSENT THE MEDICARE PROGRAM, IT IS LIKELY THAT MANY MEDICARE PATIENTS WOULD BE ELIGIBLE FOR CHARITY CARE OR OTHER NEED-BASED GOVERNMENT PROGRAMS. THE AMOUNT EXPENDED TO COVER THE SHORTFALL IS MONEY NOT AVAILABLE FOR FINANCIAL ASSISTANCE AND OTHER COMMUNITY BENEFIT NEEDS. BOTH THE HOSPITAL AND THE AHA BELIEVE THAT PATIENT BAD DEBT BE REPORTED AS A COMMUNITY BENEFIT ON FORM 990, SCHEDULE H, PART I, LINE 7. LIKE MEDICARE UNDERPAYMENTS (SHORTFALLS), BAD DEBT SHOULD BE REPORTED AS COMMUNITY BENEFIT BECAUSE: -A SIGNIFICANT PORTION OF BAD DEBT IS ATTRIBUTABLE TO LOW-INCOME PATIENTS, WHO FOR MANY REASONS DECLINE TO COMPLETE THE FORMS REQUIRED TO ESTABLISH ELIGIBILITY UNDER THE HOSPITAL'S CHARITY CARE OR FINANCIAL ASSISTANCE POLICY (FAP). A 2006 CONGRESSIONAL BUDGET OFFICE ("CBO"), "NONPROFIT HOSPITALS AND THE PROVISION OF COMMUNITY BENEFIT", CITED TWO STUDIES INDICATING THAT "THE GREAT MAJORITY OF BAD DEBT WAS ATTRIBUTABLE TO PATIENTS WITH INCOMES BELOW 200% OF THE FEDERAL POVERTY LINE." -THE CBO REPORT ALSO NOTED THAT A SUBSTANTIAL PORTION OF THE BAD DEBT IS PENDING CHARITY CARE. UNLIKE BAD DEBT IN OTHER INDUSTRIES, HOSPITAL BAD DEBT IS COMPLICATED BY THE FACT THAT HOSPITALS FOLLOW THEIR CHARITABLE MISSION TO THE COMMUNITY AND TREAT EVERY PATIENT THAT COMES THROUGH THE EMERGENCY DEPARTMENT, REGARDLESS OF ABILITY TO PAY. PATIENTS WHO HAVE OUTSTANDING BILLS ARE NOT TURNED AWAY, UNLIKE OTHER INDUSTRIES. BAD DEBT IS FURTHER COMPLICATED BY THE AUDITING INDUSTRY'S STANDARDS ON REPORTING CHARITY CARE. MANY PATIENTS CANNOT OR DO NOT PROVIDE THE NECESSARY DOCUMENTATION REQUIRED TO BE DEEMED CHARITY CARE BY AUDITORS. AS A RESULT, ACCORDING TO THE CBO REPORT, ROUGHLY 40% OF BAD DEBT IS PENDING CHARITY CARE. (DURING THE YEAR ENDED DECEMBER 31, 2021, APPROXIMATELY 66% OF THE HOSPITAL'S BAD DEBT WAS SUBSEQUENTLY RECLASSIFIED TO CHARITY CARE.) THE CBO CONCLUDED THAT ITS FINDINGS "SUPPORT THE VALIDITY OF THE USE OF UNCOMPENSATED CARE (BAD DEBT AND CHARITY CARE) AS A MEASURE OF COMMUNITY BENEFITS" ASSUMING THE FINDINGS ARE GENERALIZED NATIONALLY. THE EXPERIENCE OF HOSPITALS NATIONWIDE REINFORCE THAT THEY ARE GENERALIZABLE. AS OUTLINED BY THE AHA, DESPITE THE HOSPITAL'S BEST EFFORTS AND DUE DILIGENCE, PATIENT BAD DEBT IS A PART OF THE CHARITABLE MISSION AND CHARITABLE PURPOSES. BAD DEBT REPRESENTS PART OF THE BURDEN HOSPITALS' BEAR IN SERVING ALL PATIENTS REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. IN ADDITION, THE HOSPITAL INVESTS SIGNIFICANT RESOURCES IN SYSTEMS AND STAFF TRAINING TO ASSIST PATIENTS THAT ARE IN NEED OF FINANCIAL ASSISTANCE. FOR TH
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	GEISINGER MEDICAL CENTER AND GEISINGER SHAMOKIN AREA COMMUNITY HOSPITAL OPERATE UNDER THE SAME LICENSE, AND AS SUCH ARE CONSIDERED A SINGLE ENTITY FOR PURPOSES OF THE CHNA. GEISINGER ENCOMPASS HEALTH REHABILITATION HOSPITAL IS LOCATED ON THE CAMPUS OF GEISINGER MEDICAL CENTER AND IS OPERATED AS A PARTNERSHIP BETWEEN GEISINGER MEDICAL CENTER AND ENCOMPASS HEALTH CORPORATION. COLLECTIVELY, THE THREE FACILITIES PRIMARILY SERVE RESIDENTS IN 81 ZIP CODES SPANNING 15 COUNTIES IN PENNSYLVANIA. THE PRIMARY SERVICE AREA, IDENTIFIED BASED ON THE PATIENT ZIP CODES OF ORIGIN COMPRISING 80% OF HOSPITAL DISCHARGES IN FISCAL YEAR 2019, IS LARGELY WITHIN THE CHNA CENTRAL REGION. CENTRAL REGION POPULATION TRENDS THE CENTRAL REGION IS PREDOMINANTLY RURAL WITH SMALL POPULATION CENTERS SCATTERED ACROSS THE 6-COUNTY GEOGRAPHY. THE LARGEST POPULATION CENTER IS BLOOMSBURG (COLUMBIA COUNTY) WITH 14,290 RESIDENTS, AND HOME TO BLOOMSBURG UNIVERSITY OF PENNSYLVANIA. OTHER POPULATION HUBS ARE CENTERED AROUND THESE CITIES AND BOROUGHS: POTTSVILLE (SCHUYLKILL COUNTY), WITH 13,965 RESIDENTS; BERWICK (COLUMBIA COUNTY) WITH 10,118 RESIDENTS; SUNBURY (NORTHUMBERLAND COUNTY), WITH 9,487 RESIDENTS; SHAMOKIN (NORTHUMBERLAND COUNTY), WITH 7,092 RESIDENTS; TAMAQUA (SCHUYLKILL COUNTY), WITH 6,784 RESIDENTS; SELINSGROVE (SNYDER COUNTY), WITH 5,861 RESIDENTS; LEWISBURG (UNION COUNTY), WITH 5,600 RESIDENTS; AND DANVILLE (MONTOUR COUNTY), WITH 4,656 RESIDENTS. TOTAL POPULATION OF THE CENTRAL REGION IS APPROXIMATELY 400,000 AND IS PROJECTED TO DECLINE AT A RATE OF 1.5% BY 2025. CONSISTENT WITH MUCH OF PA'S RURAL GEOGRAPHY, THE POPULATION OF MOST COUNTIES IN THE CENTRAL REGION IS DECLINING, WITH THE EXCEPTION OF SNYDER COUNTY AND UNION COUNTY, PROJECTED TO GROW 1.8% AND 1.1%, RESPECTIVELY, BY 2025. THE LARGEST POPULATION DECLINE IS EXPECTED IN NORTHUMBERLAND COUNTY (-3%), WHICH ALSO EXPERIENCED A 3% POPULATION DECLINE SINCE 2017. SCHUYLKILL COUNTY IS PROJECTED TO DECLINE AT 2.7%; COLUMBIA COUNTY AT 0.8%; AND MONTOUR COUNTY AT 0.7%. MORE THAN 20% OF RESIDENTS IN COLUMBIA (20.2%), MONTOUR (23%), NORTHUMBERLAND (22.5%), AND SCHUYLKILL (21.8%) COUNTIES ARE AGE 65 OR OLDER COMPARED TO THE STATE (19.3%) AND NATIONAL (16.6%) AVERAGES. MONTOUR (45.6), SCHUYLKILL (45.4), AND NORTHUMBERLAND (45.2) COUNTIES HAVE THE HIGHEST MEDIAN AGES, COMPARED TO THE STATE (41.5) AND NATION (38.5). AS A WHOLE, THE CENTRAL REGION IS SIGNIFICANTLY LESS DIVERSE THAN STATE AND NATIONAL BENCHMARKS. APPROXIMATELY 90% OR MORE OF THE COUNTIES' POPULATIONS ARE WHITE, COMPARED TO STATE (78.5%) AND NATIONAL (69%) AVERAGES. UNION COUNTY IS THE MOST DIVERSE: 6.5% OF THE POPULATION IS BLACK; 6.3% IS LATINX (OF ANY RACE); AND APPROXIMATELY 2% IS ASIAN. FEDERAL PRISONS WITHIN THE CENTRAL REGION SIGNIFICANTLY IMPACT DEMOGRAPHICS IN SCHUYLKILL AND UNION COUNTIES WITH DISPROPORTIONATE INCARCERATION RATES AMONG BLACK AND BROWN MALES THAT ARE REFLECTED IN CENSUS AND SOCIOECONOMIC DATA. SIMULTANEOUSLY, IN LINE WITH STATEWIDE AND NATIONAL TRENDS, MINORITY POPULATIONS ARE GROWING IN ALL COMMUNITIES ACROSS THE CENTRAL REGION. WITH RESPECT TO THESE COINCIDING TRENDS, DEMOGRAPHIC DATA FOR THESE COUNTIES MUST BE CAREFULLY CONSIDERED TO ACKNOWLEDGE THE IMPACT OF INCARCERATED POPULATIONS ON BROADER COMMUNITY DEMOGRAPHICS. UNION COUNTY DATA ARE PARTICULARLY IMPACTED BY PRISON POPULATIONS, WHICH COMPRISE 3% OF THE TOTAL COUNTY POPULATION. THERE ARE FIVE AMISH SETTLEMENTS ACROSS THE CENTRAL REGION TOTALING APPROXIMATELY 2,000 RESIDENTS. THE ESTIMATED AMISH POPULATION FOR THE REGION INCREASED MORE THAN 8% FROM 1,912 TO 2,072 FROM 2017 TO 2020. PENNSYLVANIA RESIDENTS OVERALL ARE SLIGHTLY MORE LIKELY TO REPORT A DISABILITY WHEN COMPARED TO THE NATION. RESIDENTS OF SCHUYLKILL (18%) AND NORTHUMBERLAND (17%) COUNTIES ARE MORE LIKELY TO HAVE A DISABILITY COMPARED TO THE STATE (14%) AND NATIONAL (13%) AVERAGES. SOCIOECONOMIC TRENDS THE CENTRAL REGION HAS A HISTORY OF COAL MINING, AGRICULTURE, AND MANUFACTURING. WHILE THESE INDUSTRIES HAVE PREDOMINANTLY BEEN REPLACED BY HEALTHCARE AND EDUCATION INDUSTRIES AS ECONOMIC DRIVERS, NATURAL GAS MINING HAS BROUGHT NEW INCOME SOURCES, AND NEW CHALLENGES, TO COMMUNITIES IN THE CENTRAL REGION. CONSISTENT WITH OTHER RURAL COMMUNITIES ACROSS PENNSYLVANIA, THE CENTRAL REGION REFLECTS A PREDOMINANTLY BLUE-COLLAR WORKFORCE; LOWER MEDIAN INCOME LEVELS; RURAL POVERTY; INCREASED FOOD INSECURITY; AVERAGE HIGH SCHOOL GRADUATION RATES WITH LESS HIGHER EDUCATION ATTAINMENT; AND MORE HOME OWNERSHIP WITH LOWER HOUSING COST BURDEN. DESPITE COMMON FACTORS ACROSS THE CENTRAL REGION, DISTINCT DIFFERENCES EXIST ACROSS THE COUNTIES. MONTOUR COUNTY IS HOME TO GEISINGER MEDICAL CENTER, WHICH EMPLOYS THOUSANDS OF CLINICAL AND NON-CLINICAL WHITE-COLLAR WORKERS. THIS WORKFORCE TREND IS REFLECTED IN SOCIOECONOMIC INDICATORS. MONTOUR COUNTY HAS ONE OF THE HIGHEST MEDIAN HOUSEHOLD INCOMES AND LOWEST POVERTY RATES, AND IS THE ONLY COUNTY TO HAVE A HIGHER PERCENTAGE OF RESIDENTS ATTAINING A BACHELOR'S DEGREE THAN THE STATE AND NATION. UNION COUNTY, HOME TO EVANGELICAL COMMUNITY HOSPITAL AND BUCKNELL UNIVERSITY, HAS SIMILAR INCOME AND POVERTY INDICATORS AS MONTOUR COUNTY AND THE SECOND HIGHEST PERCENTAGE OF RESIDENTS ATTAINING A BACHELOR'S DEGREE. SNYDER COUNTY ALSO HAS STRONG ECONOMIC INDICATORS, ALTHOUGH THE COUNTY'S TOP EMPLOYERS, WOOD-MODE, RECENTLY FACED ECONOMIC UNCERTAINTY, WHICH MAY IMPACT FUTURE SOCIOECONOMIC STANDING. ABOUT 33% OF KEY INFORMANT SURVEY RESPONDENTS NAMED POVERTY AMONG THE TOP THREE CONTRIBUTING FACTORS TO HEALTH CONCERNS, RANKING IT AS THE 3 CONTRIBUTOR IN THE REGION. RELATED SOCIOECONOMIC FACTORS, INCLUDING ABILITY TO AFFORD HEALTHCARE AND LACK OF TRANSPORTATION, WERE ALSO IDENTIFIED AS TOP CONTRIBUTORS. OVERALL CENTRAL REGION POVERTY RATES ARE GENERALLY CONSISTENT WITH STATE AND NATIONAL AVERAGES, BUT THERE IS A WIDER DISPARITY BETWEEN PEOPLE OF COLOR AND WHITE RESIDENTS, AND MOST COUNTIES EXCEED STATE AND NATIONAL BENCHMARKS ON THIS MEASURE. SCHUYLKILL AND UNION COUNTIES REFLECT THE HIGHEST DISPARITIES AMONG BLACK AND LATINX RESIDENTS, WITH POVERTY RATES UP TO FIVE TIMES MORE THAN WHITES. THIS SIGNIFICANT DIFFERENCE LIKELY REFLECTS THE IMPACT FROM THE FEDERAL PRISON POPULATIONS IN THESE COUNTIES, BUT NOTABLE DISPARITIES IN NEIGHBORING COUNTIES REINFORCE THE GAP IN POVERTY RATES BETWEEN PEOPLE OF COLOR AND THEIR WHITE NEIGHBORS. IN SNYDER COUNTY, 33% OF BLACK RESIDENTS VERSUS 10% OF WHITE RESIDENTS LIVE IN POVERTY. IN NORTHUMBERLAND COUNTY, 44% OF LATINX RESIDENTS LIVE IN POVERTY COMPARED TO 13% OF WHITE RESIDENTS. IN MONTOUR COUNTY, 41% OF BLACKS VERSUS 11% OF WHITES LIVE IN POVERTY. NORTHUMBERLAND COUNTY HAS A HIGHER PERCENTAGE OF CHILDREN LIVING IN POVERTY (19.5%) RELATIVE TO OTHER COUNTIES. THE COUNTY ALSO HAS A HIGHER PERCENTAGE OF FOOD INSECURE CHILDREN (18%). FOOD INSECURITY AMONG CHILDREN DECLINED IN ALL COUNTIES SINCE THE FY2019 CHNA. CENTRAL REGION RESIDENTS ARE MORE LIKELY TO OWN THEIR HOME, AND ARE GENERALLY LESS COST BURDENED COMPARED TO STATEWIDE AND NATIONAL AVERAGES. HOUSING COST BURDEN IS DEFINED AS SPENDING 30% OR MORE OF HOUSEHOLD INCOME ON RENT OR MORTGAGE EXPENSES. RESIDENTS OF SCHUYLKILL, SNYDER, AND UNION COUNTIES HAVE THE HIGHEST HOME OWNERSHIP RATES, EXCEEDING THE STATE AVERAGE. CENTRAL REGION HOUSING STOCK IS OLDER, PARTICULARLY IN NORTHUMBERLAND AND SCHUYLKILL COUNTIES, WHERE 77%-79% OF HOMES WERE BUILT BEFORE 1980. UNION COUNTY HAS THE NEWEST HOUSING STOCK, FOLLOWED BY MONTOUR COUNTY. FRACKING OR HYDROFRACKING HAS BEEN A CONTROVERSIAL INDUSTRY ACROSS PA AND THE CENTRAL REGION. IT HAS BROUGHT ECONOMIC BENEFIT TO THE CENTRAL REGION, BUT IT HAS ALSO GENERATED CONCERNS ABOUT HEALTH, INCREASED HOUSING RENTAL COSTS, DECREASED PROPERTY VALUES, AND LONG TERM ENVIRONMENT IMPACT. CONTINUED MONITORING OF HEALTH, SOCIOECONOMIC, AND ENVIRONMENTAL FACTORS ARE ESSENTIAL TO BETTER UNDERSTAND THE FULL IMPACT OF THIS INDUSTRY ON THE CENTRAL REGION. AS A RESULT OF THE COVID-19 PANDEMIC, CENTRAL REGION UNEMPLOYMENT RATES MORE THAN DOUBLED IN ALL COUNTIES EXCEPT SNYDER FROM MAY 2019 TO MAY 2020. OF INTEREST, AS OF MAY 2020, CURRENT UNEMPLOYMENT IS LOWER FOR ALL COUNTIES THAN THE STATE AND NATION. HEALTH TRENDS ACCESS TO HEALTHCARE ALL CENTRAL REGION COUNTIES EXCEPT MONTOUR AND UNION HAVE FEWER PRIMARY CARE PROVIDERS THAN THE STATE AND NATION, AND ALL COUNTIES EXCEPT MONTOUR HAVE FEWER DENTISTS AND MENTAL HEALTH PROVIDERS. (NOTE THAT PROVIDER RATES ARE CALCULATED BY THE PRIMARY ADDRESS OF THE OFFICE, AND DO NOT REFLECT SATELLITE LOCATIONS). NORTHUMBERLAND COUNTY HAS THE LOWEST PROVIDER RATES IN THE REGION. ALL COUNTIES EXCEPT UNION ARE DENTAL HEALTH PROFESSIONAL SHORTAGE AREAS (HPSAS); WITHIN UNION COUNTY, MIFFLINBURG IS A DENTAL HPSA. KEY INFORMANT SURVEY RESPONDENTS AFFIRMED THE NEED FOR ADDITIONAL BEHAVIORAL HEALTH SERVICES, PARTICULARLY MENTAL HEALTH SERVICES. MENTAL HEALTH SERVICES WERE THE TOP RANKED MISSING RESOURCE IN THE REGION, IDENTIFIED BY 67.5% OF RESPONDENTS. SUBSTANCE USE DISORDER SER
SCHEDULE H, PART VI, LINE 5	SCHEDULE H, PART I IN ADDITION TO THE NET COMMUNITY BENEFIT COSTS INCURRED BY THE ORGANIZATION AS REPORTED IN SCHEDULE H, PART I, LINE 7; PLEASE REFER TO SCHEDULE O OF THIS FORM 990 FOR THE ORGANIZATION'S NARRATIVE COMMUNITY BENEFIT STATEMENT FOR ADDITIONAL INFORMATION ON HOW THE ORGANIZATION PROMOTES HEALTH AND PROVIDES HEALTHCARE SERVICES TO THE COMMUNITY REGARDLESS OF THE INDIVIDUAL'S ABILITY TO PAY IN FURTHERANCE OF ITS CHARITABLE TAX EXEMPT PURPOSE.
SCHEDULE H, PART VI, LINE 6	AS OF DECEMBER 31, 2021, GEISINGER HEALTH AND ITS SUBSIDIARIES (COLLECTIVELY REFERRED TO AS "GEISINGER") COMPRISE A PHYSICIAN-LED, INTEGRATED HEALTH SERVICES ORGANIZATION THAT HAS AS ITS MAIN COMPONENTS: (I) AN ARRAY OF HEALTH SERVICES PROVIDERS, INCLUDING SIX WHOLLY-CONTROLLED ACUTE-CARE HOSPITALS WITH MULTIPLE CAMPUSES, A JOINT VENTURE HOSPITAL AND A DRUG AND ALCOHOL TREATMENT FACILITY; (II) MULTISPECIALTY PHYSICIAN GROUP PRACTICES; (III) INSURANCE OPERATIONS, INCLUDING A LICENSED HEALTH MAINTENANCE ORGANIZATION; AND (IV) A COMMUNITY-BASED MEDICAL COLLEGE AND DEGREE-GRANTING INSTITUTION. GEISINGER OPERATES IN 46 OF PENNSYLVANIA'S 67 COUNTIES, WITH A SIGNIFICANT PRESENCE IN CENTRAL AND NORTHEASTERN PENNSYLVANIA. THE HOSPITAL IS AN AFFILIATE WITHIN GEISINGER. SEE SCHEDULE R FOR A LIST OF THE AFFILIATED ORGANIZATIONS COMPRISING GEISINGER. CORPORATE STRUCTURE. THE ORGANIZATIONAL STRUCTURE OF GEISINGER REFLECTS THE STRATEGIC GOAL OF OPERATING AS A FULLY INTEGRATED HEALTHCARE SYSTEM WHOSE CORPORATE COMPONENTS SHARE THE COMMON GOALS OF MANAGING AND IMPROVING THE HEALTHCARE OF ITS PATIENTS AND MEMBERS, WHILE RECOGNIZING AND RESPECTING THE CORPORATE IDENTITY OF EACH ENTITY. THIS INTEGRATION LINKS THE AREAS OF PHYSICIANS, HOSPITALS/CLINICS, AND HEALTHCARE INSURANCE. HISTORY. GEISINGER HAD ITS BEGINNINGS IN THE SMALL COMMUNITY OF DANVILLE, LOCATED IN CENTRAL PENNSYLVANIA ON THE NORTHERN BRANCH OF THE SUSQUEHANNA RIVER. THERE, IN 1915, ABIGAIL A. GEISINGER FOUNDED THE GEORGE F. GEISINGER MEMORIAL HOSPITAL IN MEMORY OF HER HUSBAND. FROM THE BEGINNING, THE NEW HOSPITAL WAS DESIGNED AS A COMPREHENSIVE HEALTHCARE INSTITUTION THAT WOULD OFFER SPECIALIZED MEDICAL CARE TO PEOPLE IN THE RURAL AREAS OF CENTRAL AND NORTHEASTERN PENNSYLVANIA. UNLIKE MOST HEALTHCARE SYSTEMS, WHICH EVOLVED WITH A HOSPITAL FOCUS, GEISINGER'S HISTORY AND TRADITION IS THAT OF A PHYSICIAN-LED AND PHYSICIAN-DRIVEN HEALTHCARE ORGANIZATION. THIS TRADITION BEGAN WHEN MRS. GEISINGER BROUGHT DR. HAROLD FOSS, A MAYO CLINIC TRAINED PHYSICIAN, TO BE HER HOSPITAL'S FIRST CHIEF OF STAFF. TODAY, GEISINGER IS REGARDED AS A NATIONAL MODEL OF HEALTHCARE DELIVERY CENTERED ON A SOPHISTICATED MULTISPECIALTY GROUP PRACTICE. SINCE THE 1970S, GEISINGER'S STRATEGY OF INTEGRATING PHYSICIANS AND HOSPITALS EXPANDED TO INCLUDE THE MANAGEMENT OF HEALTH AND THE FINANCING OF HEALTHCARE SERVICES THROUGH ITS WHOLLY CONTROLLED HEALTH MAINTENANCE ORGANIZATION, GEISINGER HEALTH PLAN. TWO INDEMNITY HEALTH INSURERS, GEISINGER INDEMNITY INSURANCE COMPANY AND GEISINGER QUALITY OPTIONS, INC. WERE ALSO ADDED. SEE SCHEDULE R FOR A LIST OF THE AFFILIATED ORGANIZATIONS COMPRISING GEISINGER.
SCHEDULE H, PART VI	PART VI, LINE 7: FORM 990, SCHEDULE H, PART VI, LINE 7, STATE FILING OF COMMUNITY BENEFIT REPORT: AT THIS TIME, THE HOSPITAL AND ITS AFFILIATES ARE NOT REQUIRED TO FILE A COMMUNITY BENEFIT REPORT WITH ANY STATE.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
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 (30 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 Related OrganizationsBonusRelatedOrganizationsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt
JAEWON RYU MD JD
PRESIDENT, DIRECTOR	$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
JOHN P BERNETT MD
FORMER 5 HIGHEST	$475,704	$313,491	$20,388	$28,015	$837,598
ROSEMARY LEEMING MD
CMO	$534,476	$110,380	$75,959	$33,689	$754,504	$72,850
KYLE D YEBERNETSKY MD
FORMER 5 HIGHEST	$381,441	$233,311	$20,388	$33,849	$668,989
JASON C BROWN MD
FORMER 5 HIGHEST	$401,211	$188,825	$20,388	$38,159	$648,583
CHARLES S BROWN MD
FORMER 5 HIGHEST	$527,017	$65,624	$20,388	$22,666	$635,695
JENNIFER BROOKS MD
FORMER 5 HIGHEST	$553,480	$43,760	$20,388	$14,105	$631,733
KEROLOS R YOUSEF DO
FORMER 5 HIGHEST	$431,569	$101,892	$20,388	$31,118	$584,967
NINA AHUJA MD
FORMER 5 HIGHEST	$517,477	$10,672	$20,388	$11,968	$560,505
MARK MASSAK DO
FORMER 5 HIGHEST	$506,200	$9,902	$20,388	$14,907	$551,397
DAVID J FELICIO ESQUIRE
FORMER OFFICER		$536,113			$536,113
STEVEN R BONEBRAKE DO
FORMER 5 HIGHEST	$434,150	$46,594	$19,695	$28,332	$528,771
MEGAN BROSIOUS
CAO, CENTRAL REGION	$48,906	$25,610	$3,758	$7,999	$86,273		$308,490	$26,633	$57,630	$24,055	$416,808
MISTRAINE DURAND DOUGLAS DO
FORMER 5 HIGHEST	$340,313	$100,012	$20,388	$30,297	$491,010
SHEEL MEHTA DO
FORMER 5 HIGHEST	$360,037	$73,331	$20,388	$21,099	$479,855							$5,000
THOMAS P SOKOLA
CAO, CENTRAL REGION							$255,263	$93,641	$72,149	$12,690	$453,743		$20,000	$84,113
NICHOLAS SEBES MD
PHYSICIAN, DERMATOLO	$328,970	$26,727	$18,553	$16,370	$390,620		$33,767	$374	$106	$16,834	$51,081
GRANT A CIAVARELLA DO
PHYSICIAN, RADIOLOGY	$237,805	$36,307	$17,286	$21,685	$313,083		$58,292	$233	$106	$17,627	$76,258
CRYSTAL K MUTHLER BSN RN MHA NE-
VP, CNO							$332,192	$9,127	$20,388	$13,788	$375,495
LORI R GRAMLEY ESQUIRE
ACLO, ASST SECTY	$282,984	$25,127	$20,388	$21,347	$349,846
KASHIF TUFAIL MD
FORMER 5 HIGHEST	$287,122	$26,505	$18,138	$15,736	$347,501	$33,125
LISSA L BRYAN SMITH
VP OPERATIONS							$268,140	$7,919	$18,994	$24,407	$319,460
TAMMY ANDERER CRNP PHD
FORMER KEY EMPLOYEE	$265,768	$11,245	$19,233	$15,497	$316,743							$5,000
DANIEL E LOHR ESQUIRE
FORMER OFFICER	$269,149	$16,996	$18,550	$715	$305,410
PAMELA WALLACE
AVP,NURSING SERVICES							$195,464	$29,292	$14,224	$24,532	$263,512
ROBERT J MOYER MD
PHYSICIAN, ANESTHESI	$170,911	$23,871	$10,502	$3,780	$209,064		$33,790	$116		$6,852	$40,758

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 ROSEMARY LEEMING, MD 0 72,850 0 DAVID J. FELICIO, ESQUIRE 406,445 129,667 0 THOMAS P. SOKOLA 0 84,113 0 KASHIF TUFAIL, MD 0 38,928 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. 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 O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990 - ORGANIZATION'S MISSION	TO ENHANCE THE QUALITY OF LIFE OF THE POPULATION IT SERVES BY PROVIDING ACCESS TO QUALITY POPULATION HEALTH SERVICES DELIVERED BY PHYSICIANS AND ADVANCED PRACTITIONERS 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 = 5,457
FORM 990, PAGE 2, PART III, LINE 4A	I. GENERAL PROGRAM SERVICE INFORMATION SINCE 1915, GEISINGER MEDICAL CENTER (GMC), A 501(C)(3) NOT-FOR-PROFIT CORPORATION, HAS BEEN PROVIDING HIGH-QUALITY HEALTHCARE SERVICES TO MORE THAN TWO MILLION RESIDENTS IN CENTRAL AND NORTHEAST PENNSYLVANIA. GEISINGER IS HOME TO SOME OF THE MOST ADVANCED TECHNOLOGY IN THE COUNTRY, INCLUDING A LEVEL I TRAUMA CENTER, THE REGION'S LONE PEDIATRIC TRAUMA CENTER, THE RENOWNED JANET WEIS CHILDREN'S HOSPITAL, THE STATE-OF-THE-ART HOSPITAL FOR ADVANCED MEDICINE AND CLINICAL RESEARCH FACILITIES. LOCATED IN DANVILLE, PENNSYLVANIA, A PREDOMINANTLY RURAL AREA, GMC OPERATES A 520 BED FACILITY ALONG WITH A 48 BED HOSPITAL LOCATED IN COAL TOWNSHIP, PENNSYLVANIA. PHYSICIANS IN PENNSYLVANIA AND THE SURROUNDING STATES REFER THEIR MOST COMPLEX CASES TO GEISINGER MEDICAL CENTER WHERE THE EXISTENCE OF QUATERNARY HEALTHCARE IN A GENERALLY RURAL AND MEDICALLY UNDERSERVED POPULATION IS UNCOMMON. GMC'S LIFE FLIGHT IS THE LEADER IN MEDICAL AIR TRANSPORTATION IN THE REGION SPECIALIZING IN TRANSPORTING CRITICAL CARE PATIENTS, INCLUDING PREMATURE NEWBORNS, CARDIAC PATIENTS, ORGAN TRANSPLANT PATIENTS AND ACCIDENT VICTIMS. A. SPECIALTIES AND SUBSPECIALTIES GEISINGER CLINIC PHYSICIANS PRACTICING AT GMC PROVIDE SKILLED SERVICES IN NUMEROUS SPECIALTY AND SUBSPECIALTY AREAS. SPECIAL SERVICES AVAILABLE INCLUDE, BUT ARE NOT LIMITED TO: ADULT & PEDIATRIC TRAUMA CENTER MATERNAL FETAL MEDICINE ADULT MEDICAL ONCOLOGY MICROBIOLOGY AERO-MEDICAL SERVICES MINIMALLY INVASIVE SURGERY AIMI (ACUTE INTERVENTION IN MOHS SURGERY MYOCARDIAL INFRACTION) MOLECULAR DIAGNOSTICS ANTICOAGULATION CLINIC MOVEMENT DISORDERS BACLOFEN PUMPS NEUROENDOVASCULAR BAHA (BONE ANCHORED HEARING AID) NEUROMUSCULAR BALANCE CENTER NEUROPSYCH BARIATRIC SURGERY NEUROPATHOLOGY BLOOD BANK NEUROPHYSIOLOGY BLOOD CONSERVATION NEUROSTIMULATORS BODY CONTOURING NEUROTRAUMA BRAIN TUMOR NUCLEAR STRESS TESTING BREAST SURGERY OPEN HEART SURGERY CANCER GENETICS CLINIC OPHTHALMOLOGY (GLAUCOMA, RETINAL, CAPSULE ENDOSCOPY PEDIATRIC, CORNEA, GENERAL, CARDIAC CAT SCAN ANGIOGRAPHY OPHTHALMOPLASTIC SURGERY) CARDIAC MRI TESTING ORTHOPAEDICS (TRAUMA, SPINE, HAND CAROTID STENTING SPORTS MEDICINE, PEDIATRIC, CAT SCAN CARDIAC SCORING JOINT, FOOT/ANKLE, GENERAL) CAT SCAN ORTHOPAEDIC ONCOLOGY CHEMISTRY PEDIATRIC CONGENITAL HEART SURGERY CHEMO-EMBOLIZATION OF LIVER PEDIATRIC GENETICS AND KIDNEY CANCER PEDIATRIC MEDICAL ONCOLOGY CLEFT PALATE CLINIC PEDIATRIC NEURODEVELOPMENT COAGULATION PEDIATRIC OBESITY COCHLEAR IMPLANT PEDIATRIC REHABILITATION COLORECTAL SURGERY PEDIATRIC SURGERY CORNEAL TRANSPLANTS PEDIATRIC UROLOGY CYTOLOGY PEDIATRIC COCHLEAR IMPLANT DEEP BRAIN STIMULATION PEDIATRIC NEUROLOGY/NEUROSURGERY DERMATOPATHOLOGY PET SCANS ECHOCARDIOGRAPHY PODIATRY ELECTROPHYSIOLOGY PRE-SURGERY CENTER EMERGENCY SERVICES PSYCHIATRY (ADOLESCENCE) ENDOVASCULAR PROCEDURES RADIATION ONCOLOGY ENDOVASCULAR GRAFT IMPLANTS EPILEPSY REGIONAL ANESTHESIA PROGRAM EXTRACORPOREAL SHOCK WAVE LITHOTRIPSY RENAL DENERVATION GYNONCOLOGY ROBOTIC SURGERY GYNECOLOGIC & UROPATHOLOGY SKULL BASE SURGERY HEAD AND NECK ONCOLOGY SLEEP DISORDERS LABORATORY HEADACHE SPINAL BIFIDA CLINIC HEART FAILURE SPINAL CORD INJURY HEMATOLOGY SPINE SURGERY HEMATOPATHOLOGY SPINE ASSESSMENT PROGRAM HEPATIC INTRA-ARTERIAL CHEMOTHERAPY STEM CELL TRANSPLANT HIGH DOSE INTERLEUKIN-2 THERAPY STEREOTACTIC RADIOSURGERY HIGH DOSE RATE INTRACAVITARY STRETTA (LASER PROCEDURE) BRACHYTHERAPY STROKE/TELE-STROKE IMMUNOLOGY SURGICAL ONCOLOGY (COLON, LIVER, INFERTILITY PANCREAS, ESOPHAGEAL, & RENAL) INTENSIVE O/P PSYCHIATRIC PROGRAM SURGICAL PATHOLOGY INTERVENTIONAL PAIN MANAGEMENT TRANSCATHETER AORTIC VALVE INTERVENTIONAL RADIOLOGY IMPLEMENTATION INTRA-OPERATIVE HEPATIC ULTRASOUND TISSUE BANKING AND RADIOFREQUENCY ABLATION OF TRAUMATIC BRAIN INJURY LIVER TUMORS TOXICOLOGY KIDNEY, LIVER & PANCREAS TRANSPLANTS TRAUMA SURGERY LASER SURGERY (YAG LASER) UROGYNECOLOGY LVAD (LEFT VENTRICULAR ASSIST DEVICE)VAGAL NERVE STIMULATORS MAGNETIC RESONANCE IMAGING WOUND CARE MEDICATION THERAPY MANAGEMENT PROGRAM B. RESIDENCY, FELLOWSHIP AND ALLIED HEALTH PROGRAMS GMC CONDUCTS 33 GRADUATE MEDICAL EDUCATION RESIDENCY PROGRAMS AND 23 FELLOWSHIP PROGRAMS. THERE WERE 553 GRADUATE PHYSICIANS PARTICIPATING IN THESE PROGRAMS IN THE YEAR ENDED DECEMBER 31, 2021. PROGRAM SPECIALTIES ARE AS FOLLOWS BUT ARE NOT LIMITED TO: RESIDENCY PROGRAMS ANESTHESIOLOGY CLINICAL PSYCHOLOGY DERMATOLOGY EMERGENCY MEDICINE FAMILY MEDICINE GENERAL SURGERY INTERNAL MEDICINE INTERNAL MEDICINE PEDIATRICS NEUROLOGY NEUROLOGICAL SURGERY OBSTETRICS GYNECOLOGY OPHTHALMOLOGY ORAL & MAXILLOFACIAL SURGERY ORTHOPAEDIC SURGERY OTOLARYNGOLOGY PATHOLOGY PHYSICAL MEDICINE & REHABILITATION PEDIATRICS PEDIATRIC DENTISTRY PODIATRY PSYCHIATRY RADIOLOGY UROLOGY FELLOWSHIP PROGRAMS ADDICTION MEDICINE CARDIOVASCULAR MEDICINE CLINICAL CARDIAC ELECTROPHYSIOLOGY CLINICAL INFORMATICS CRITICAL CARE MEDICINE CYTOPATHOLOGY DERMATOPATHOLOGY GASTROENTEROLOGY HOSPICE & PALLIATIVE MEDICINE INTERVENTIONAL CARDIOLOGY MATERNAL FETAL MEDICINE MEDICAL PHYSICS NEPHROLOGY MICROGRAPHIC SURGERY & DERMATOLOGICAL ONCOLOGY PULMONARY CRITICAL CARE MEDICINE RHEUMATOLOGY SPORTS MEDICINE VASCULAR/INTERVENTIONAL VASCULAR SURGERY RADIOLOGY GMC OPERATES FOUR SCHOOLS OF ALLIED HEALTH EDUCATION. THESE SCHOOLS ARE OPERATED WITHIN GMC IN CONJUNCTION WITH VARIOUS COLLEGES AND UNIVERSITIES. IN ADDITION TO CLASSROOM TIME, STUDENTS CONTRIBUTE CLINICAL EDUCATION HOURS AS AN INTEGRAL PART OF THEIR CURRICULUM. DURING THE YEAR ENDED DECEMBER 31, 2021, THE DIETETIC INTERNSHIP PROGRAM HAD FIVE STUDENTS; THE SCHOOL OF RADIOLOGY HAD EIGHTEEN STUDENTS; THE CHAPLAIN SCHOOL HAD FOUR STUDENTS AND THE PHARMACY RESIDENCY PROGRAM HAD FIVE STUDENTS. THE TOTAL COST TO GMC OF PROVIDING RESIDENCY, FELLOWSHIP, ALLIED HEALTH, AND RELATED EDUCATION PROGRAMS, NET OF THIRD-PARTY REIMBURSEMENTS WAS 57,729,414. C. TRAUMA CARE IN OCTOBER 1986 GMC WAS DESIGNATED BY THE PENNSYLVANIA TRAUMA SYSTEMS FOUNDATION AS A REGIONAL RESOURCE TRAUMA CENTER (LEVEL I) BASED ON THE PROVISION OF COMPREHENSIVE TRAUMA CARE 24 HOURS A DAY AND THE CONDUCT OF OUTREACH, EDUCATIONAL AND RESEARCH PROGRAMS IN TRAUMA CARE. IN 1996, THE PENNSYLVANIA TRAUMA SYSTEMS FOUNDATION ACCREDITED GMC AS ADDITIONAL QUALIFICATIONS IN PEDIATRICS. GMC HAS BEEN ACCREDITED AS A LEVEL II PEDIATRIC TRAUMA CENTER. THE TRAUMA CENTER INCLUDES LIFE FLIGHT, A MULTIPLE AIRCRAFT, REGIONAL HELICOPTER SERVICE. LIFE FLIGHT PROVIDES RAPID RESPONSE TO CRITICALLY ILL PATIENTS WHO NEED ADVANCE LIFE SUPPORT CARE AND TRANSPORTATION TO CRITICAL CARE FACILITIES. GEISINGER LIFE FLIGHT OPERATED NINE AIRCRAFT AND TWO GROUND CRITICAL CARE EQUIPPED AMBULANCES FROM SIX OPERATIONAL SITES FOR THE YEAR ENDED DECEMBER 31, 2021. NINE STATE OF THE ART MEDICAL HELICOPTERS INCLUDE TWO BK117S AND SEVEN EC145S. THE GROUND UNITS CONTAIN THE SAME EQUIPMENT AS THE AIRCRAFT FOR CRITICAL CARE GROUND TRANSPORTS. THE BASE LOCATIONS FOR THE YEAR ENDING DECEMBER 31, 2021 WERE IN DANVILLE, SELINSGROVE, STATE COLLEGE, AVOCA, WILLIAMSPORT, MINERSVILLE AND LEHIGHTON PA. THE DISPATCHING OF LIFE FLIGHT FOR INTER-HOSPITAL TRANSFERS AND SCENE CALLS IS AUTHORIZED BY A PHYSICIAN OR OTHER QUALIFIED PERSONNEL AND IS DETERMINED ON AN INDIVIDUAL BASIS ACCORDING TO MEDICAL NEED. IN THE YEAR ENDED DECEMBER 31, 2021, LIFE FLIGHT PROVIDED EMERGENCY TRANSPORTATION TO 4,580 PATIENTS AND SERVED MULTIPLE HOSPITALS IN PENNSYLVANIA AND NEIGHBORING STATES. D. JANET WEIS CHILDREN'S HOSPITAL THE JANET WEIS CHILDREN'S HOSPITAL HOUSES ALL INPATIENT PEDIATRIC BEDS INCLUDING 36 MEDICAL AND SURGICAL, 41 NEWBORN INTENSIVE AND SPECIAL CARE AND 14 PEDIATRIC INTENSIVE CARE BEDS. THE FACILITY ALSO PROVIDES SPACE FOR PEDIATRIC REHABILITATION AND HAS ESTABLISHED AN AMBULANCE TRANSPORT SERVICE FOR NEONATAL RETRIEVALS. THE FACILITY IS CONNECTED WITH THE REST OF THE MEDICAL CENTER AT FOUR OF THE FIVE LEVELS TO ALLOW FOR SMOOTH INTEGRATION OF ANCILLARY AND SUPPORT SERVICES. THE FUNDING FOR THE CONSTRUCTION OF THE JANET WEIS CHILDREN'S HOSPITAL WAS PROVIDED BY THE DONATING PUBLIC, INCLUDING FUNDS RAISED BY THE CHILDREN'S MIRACLE NETWORK TELETHON. THIS FACILITY IS VISIBLE EVIDENCE OF GEISINGER'S COMMITMENT TO THE CHILDREN OF PENNSYLVANIA. FOR THE YEAR ENDED DECEMBER 31, 2021, THE JANET WEIS CHILDREN'S HOSPITAL DISCHARGED 2,696 PATIENTS AND PROVIDED 11,792 PATIENT DAYS OF SERVICE. THE FACILITY AFFORDS MORE EFFICIENT CARE WITH AN IMPROVED LENGTH OF STAY. E. WOMEN'S HEALTH PAVILION THE WOMEN'S HEALTH PAVILION, ON THE CAMPUS OF GMC, WAS DEDICATED AS PART OF THE JANET WEIS CHILDREN'S AND WOMEN'S HOSPITAL IN 2000. THE WOMEN'S PAVILION FEATURES FAMILY-ORIENTED BIRTHING SUITES THAT ALLOW EACH WOMAN TO LABOR, DELIVER AND RECOVER IN THE SAME SPACE. IN ADDITION, THERE ARE SEMI-PRIVATE ROOMS, A NURSERY AND TWO CAESAREAN SECTION OPERATING SUITES. THE GEISINGER WOMEN'S PAVILION IS THE ONLY HOSPITAL IN THE AREA THAT OFFERS COVERAGE BY OBSTETRICIANS, NEONATOLOGISTS, PEDIATRICIANS AND ANESTHESIOLOGISTS 24 HOURS A DAY, SEVEN DAYS A WEEK. OU
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 RELATED TAX-EXEMPT ORGANIZATIONS. FORM 990, PART VI, SECTION A, LINE 2: DID ANY OFFICER, DIRECTOR, TRUSTEE, OR KEY EMPLOYEE HAVE A FAMILY RELATION- SHIP OR BUSINESS RELATIONSHIP WITH ANY OTHER OFFICER, DIRECTOR, TRUSTEE, OR KEY EMPLOYEE? 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, MEGAN BROSIOUS, STEVEN B. BENDER, ESQUIRE, THOMAS P. SOKOLA, 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 VIII	FORM 990, PART VIII, LINE 2F: THE IC SHARED SERVICE REVENUE OF 8,583 REPRESENTS REVENUE FROM INTERCOMPANY MANAGEMENT, ADMINISTRATIVE, AND CONSULTING SERVICES PROVIDED TO RELATED TAXABLE ORGANIZATIONS. THE ORGANIZATION AND RELATED TAXABLE ORGANIZATIONS ARE ALL CONTROLLED BY GEISINGER HEALTH. THE SERVICES, PROVIDED AT OR BELOW COST, ARE PERFORMED WITHOUT A PROFIT MOTIVE TO PROMOTE THE EFFICIENT OPERATION OF GEISINGER IN CARRYING OUT ITS CHARITABLE MISSION. THE SERVICES ARE NOT OFFERED TO UNRELATED ORGANIZATIONS OR TO THE GENERAL PUBLIC. UNDER IRS ADVISORY DATED MARCH 7, 2014, THESE INTERCOMPANY SHARED SERVICES ARE NOT INCLUDED IN THE DEFINITION OF UNRELATED BUSINESS INCOME AND ARE NOT TO BE INCLUDED ON FORM 990-T DUE TO THE ABSENCE OF THE FOLLOWING TWO CONDITIONS: (1) THE SERVICES MUST BE ABOVE COST OR AT FAIR MARKET VALUE, AND (2) THERE MUST BE A PROFIT MOTIVE.
FORM 990, PART XI, LINE 9	TRANSFER FROM PARENT, GEISINGER HEALTH 1,948,286 TRANSFER FROM AFFILIATE, GEISINGER CLINIC 146,136 GAIN FM SUBSIDIARY GEISINGER-HM JV, LLC -6,392,603 GAIN FM EXTINGUISHMENT OF DEBT -456,185 TRANSFER TO PARENT, GEISINGER HEALTH -490,000,000 TOTAL -494,754,366
FORM 990, PART XII	FORM 990, PART XII, LINE 3A: AS A RESULT OF A FEDERAL AWARD, WAS THE ORGANIZATION REQUIRED TO UNDERGO AN AUDIT OR AUDITS AS SET FORTH IN THE 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 THIS DOCUMENT, THE TERMS "GEISINGER- OR "GEISINGER HEALTH" SHALL REFER TO THE ENTIRE HEALTH CARE SYSTEM COMPRISED OF GEISINGER HEALTH FOUNDATION (THE "FOUNDATION") AS PARENT AND ALL SUBSIDIARY CORPORATE ENTITIES COMPRISING THE HEALTH CARE SYSTEM. IN ADDITION, THROUGHOUT THIS DOCUMENT, THE TERM "SYSTEM" SHALL REFER TO THE ENTIRE HEALTH CARE SYSTEM AS PREVIOUSLY DEFINED PLUS ITS AFFILIATES.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (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 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
COMMUNITY MEDICAL CENTER
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	240862246	HOSPITAL	PA	501C3	3		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		false	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		false	Yes (true)	GMC	RELATED	$1,058,339	$4,373,282	0.50000
EVANGELICAL-GEISINGER HEALTH LLC
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	460567687	HEALTHCARE	PA	N/A	false	false
LACKAWANNA PHYS AMB SURG CTRLLC
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	233024998	HEALTHCARE	PA	N/A	false	false
GEISINGER-HM JOINT VENTURE LLC
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	831871064	HEALTHCARE	PA		false	Yes (true)	GMC	RELATED	-$4,169,224	$70,147,951	0.60000
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	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (54 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
COMMUNITY MEDICAL CENTER
M	$5,144	GAAP
COMMUNITY MEDICAL CENTER
L	$8,979,650	GAAP
GEISINGER CLINIC
L	$14,856,229	GAAP
GEISINGER CLINIC
M	$101,741,481	GAAP
GEISINGER CLINIC
P	$107,134,000	GAAP
GEISINGER CLINIC
C	$146,136	GAAP
GEISINGER COMMUNITY HEALTH SERVICES
L	$882,481	GAAP
GEISINGER HEALTH PLAN
L	$289,782,299	GAAP
GEISINGER HEALTH
L	$11,541	GAAP
GEISINGER HEALTH
C	$1,948,290	GAAP
GEISINGER HEALTH
M	$2,263,751	GAAP
GEISINGER INDEMNITY INSURANCE COMP
L	$10,145,553	GAAP
GEISINGER INSURANCE CORPORATIONRRG
P	$11,774,840	GAAP
GEISINGER QUALITY OPTIONS INC
L	$23,008,009	GAAP
GEISINGER SYSTEM SERVICES
L	$135,998	GAAP
GEISINGER SYSTEM SERVICES
A	$1,828,462	FMV
GEISINGER SYSTEM SERVICES
M	$196,482,915	GAAP
GEISINGER WYOMING VALLEY MED CTR
M	$339,327	GAAP
GEISINGER WYOMING VALLEY MED CTR
K	$4,223	FMV
GEISINGER WYOMING VALLEY MED CTR
L	$15,815,408	GAAP
GEISINGER BLOOMSBURG HOSPITAL
M	$4,352	GAAP
GEISINGER BLOOMSBURG HOSPITAL
K	$106,165	FMV
GEISINGER BLOOMSBURG HOSPITAL
L	$1,600,034	GAAP
GEISINGER LEWISTOWN HOSPITAL
M	$6,679	GAAP
GEISINGER LEWISTOWN HOSPITAL
L	$4,350,758	GAAP
GEISINGER ENCOMPASS HEALTH LLC
L	$1,857,374	GAAP
GEISINGER ENCOMPASS HEALTH LLC
P	$4,572,808	GAAP
GEISINGER ENCOMPASS HEALTH LLC
A	$180,653	FMV
MARWORTH
L	$47,344	GAAP
WEST SHORE ADVANCED LIFE SUPP SVCS
L	$5,031	GAAP
WEST SHORE ADVANCED LIFE SUPP SVCS
M	$114,491	GAAP
ISS SOLUTIONS INC
L	$8,583	GAAP
ISS SOLUTIONS INC
M	$8,114,568	GAAP
LEWISTOWN AMBULATORY CARE CORP
K	$1,749	FMV
GEISINGER HEALTH
B	$490,000,000	GAAP
GEISINGER CLINIC
A	$223,889	FMV
GEISINGER COMMONWEALTH SCH OF MED
L	$8,442	GAAP
GEISINGER HEALTH PLAN
K	$109,909	FMV
GEISINGER JERSEY SHORE HOSPITAL
L	$699,933	GAAP
GEISINGER SYSTEM SERVICES
K	$940,480	FMV
KEYSTONE HEALTH INFORMATION EXCH
M	$142,938	GAAP
GEISINGER-BLOOMSBURG HOSPITAL
A	$1,664	FMV
GEISINGER CLINIC
K	$46,486	FMV
GEISINGER JERSEY SHORE HOSPITAL
M	$183	GAAP
MARWORTH
M	$22	GAAP
GEISINGER-HM JOINT VENTURE LLC
L	$177,891	GAAP
GEISINGER COMMONWEALTH SCH OF MED
K	$32,400	FMV
GEISINGER PHARMACY LLC
L	$2,662	GAAP
GEISINGER PHARMACY LLC
A	$1,257	FMV
GEISINGER PHARMACY LLC
M	$12,289,953	GAAP
GEISINGER HEALTH
R	$1,188,665	GAAP
GEISINGER QUALITY OPTIONS INC
M	$2,208	GAAP
GEISINGER-HM JOINT VENTURE LLC
M	$3,096	GAAP
GEISINGER MEDICAL CENTER MUNCY
L	$1,736,330	GAAP

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE R	FormAndLineReferenceDesc
Explanation	INFORMATION REGARDING TRANSFERS TO AND FROM CONTROLLED ORGANIZATIONS: AS SHOWN IN FORM 990, SCHEDULE R, GEISINGER 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- ORGANIZATIONAL 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 LETTER RULINGS AS BEING ENTIRELY CONSISTENT WITH THE ORGANIZATION'S TAX EXEMPT STATUS. __________________________________________________________________________	ExplanationTxt