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PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER (EIN 23-1512747)
Tax period
2019-07-01 to 2020-06-30
Filed
2021-05-17
IRS object ID
202121379349305802
Schema version
2019v5.2
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2021-05-17T13:28:40-05:00ReturnTs
Tax Period End2020-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN366055558PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1GRANT THORNTON LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12001 MARKET STREET SUITE 700AddressLine1Txt
CityPHILADELPHIACityNm
State AbbreviationPAStateAbbreviationCd
ZIP19103ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN231512747EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HOLY SPIRIT HOSPITAL OF THE SISTERSBusinessNameLine1Txt
Business Name Line2OF CHRISTIAN CHARITYBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlHOLYBusinessNameControlTxt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 CRYSTAL A DRIVE MC CA210AddressLine1Txt
CityHERSHEYCityNm
State AbbreviationPAStateAbbreviationCd
ZIP17033ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonRANDY MORRISPersonNm
Person TitleTREASURERPersonTitleTxt
Phone5702716624PhoneNum
Signature2021-05-14SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonRUSSLEE ARMSTRONGPreparerPersonNm
PTINP00288383PTIN
Phone2155614200PhoneNum
Preparation2021-05-15PreparationDt
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeYes (X)AddressChangeInd
Principal OfficerSTEVE MASSINIPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 CRYSTAL A DRIVE MC CA210AddressLine1Txt
CityHERSHEYCityNm
State AbbreviationPAStateAbbreviationCd
ZIP17033ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$326,226,738GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.GEISINGER.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1963FormationYr
Legal Domicile StatePALegalDomicileStateCd
Activity Or MissionPROVIDES HEALTH SERVICES IN THE GREATER HARRISBURG AREA AND SOUTH CENTRAL PA.ActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee2009TotalEmployeeCnt
Total Volunteers123TotalVolunteersCnt
Total Gross UBI$764,316TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$810NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$402,023PYContributionsGrantsAmt
CY Contributions Grants$14,670CYContributionsGrantsAmt
PY Program Service Revenue$314,552,232PYProgramServiceRevenueAmt
CY Program Service Revenue$320,273,050CYProgramServiceRevenueAmt
PY Investment Income$318,286PYInvestmentIncomeAmt
CY Investment Income$919,010CYInvestmentIncomeAmt
PY Other Revenue$2,457,445PYOtherRevenueAmt
CY Other Revenue$4,981,329CYOtherRevenueAmt
PY Total Revenue$317,729,986PYTotalRevenueAmt
CY Total Revenue$326,188,059CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$124,379,249PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$122,110,150CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$164,625,503PYOtherExpensesAmt
CY Other Expenses$173,950,626CYOtherExpensesAmt
PY Total Expenses$289,004,752PYTotalExpensesAmt
CY Total Expenses$296,060,776CYTotalExpensesAmt
PY Revenues Less Expenses$28,725,234PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$30,127,283CYRevenuesLessExpensesAmt
Total Assets BOY$112,020,267TotalAssetsBOYAmt
Total Assets EOY$95,423,962TotalAssetsEOYAmt
Total Liabilities BOY$161,318,643TotalLiabilitiesBOYAmt
Total Liabilities EOY$108,756,493TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$49,298,376NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$13,332,531NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionPROVIDES HEALTH SERVICES IN THE GREATER HARRISBURG AREA AND SOUTH CENTRAL PA.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$241,274,625ExpenseAmt
Revenue$319,585,510RevenueAmt
DescPATIENT CARE SERVICES:PATIENT CARE SERVICES IS DRIVEN BY THE HOSPITAL'S MISSION, VISION, AND VALUES (MVV). THE MVV ELEMENTS ARE AN ESSENTIAL COMPONENT TO PROVIDE HIGHLY SKILLED, COMPETENT, AND COMPASSIONATE NURSING CARE AT THE BEDSIDE AND TO FULFILL OUR NURSES' COMMITMENT TO EXCELLENCE IN CLINICAL PRACTICE, EDUCATION, AND NURSING RESEARCH.AWARDS AND RECOGNITIONGEISINGER HOLY SPIRIT HOSPITAL MAINTAINED MULTIPLE QUALITY AWARDS IN 2019. HIGHMARK AWARDS INCLUDE: HIGHMARK BLUE SHIELD, DESIGNATED BLUE DISTINCTION CENTER FOR CARDIAC CARE, BLUE DISTINCTION CENTER+ FOR KNEE AND HIP REPLACEMENT, BLUE DISTINCTION CENTER FOR MATERNITY CARE, BLUE DISTINCTION CENTER FOR SPINE SURGERY. AMERICAN HEART ASSOCIATION AWARDS INCLUDE GOLD 2019 "GET WITH THE GUIDELINES" FOR AFIB, GOLD PLUS 2019 "GET WITH THE GUIDELINES" FOR HEART FAILURE AND STROKE, AND GOLD PLUS 2018 RECEIVING "MISSION: LIFELINE". AWARDED BY THE JOINT COMMISSION IS THE NATIONAL QUALITY APPROVAL FOR ADVANCED CERTIFICATION IN INPATIENT DIABETES CARE AND PRIMARY STROKE CARE. AWARDED BY THE AMERICAN COLLEGE OF CARDIOLOGY IS THE CHEST PAIN CENTER ACCREDITED PRIMARY PCI WITH RESUSCITATION. OTHER AWARDS INCLUDE THE NATIONAL ACCREDITATION PROGRAM FOR BREAST CENTERS (NAPBC) A QUALITY PROGRAM OF THE AMERICAN COLLEGE OF SURGEONS ACCREDITED BREAST CENTER, AND NURSES IMPROVING CARE FOR HEALTHSYSTEM ELDERS (NICHE) AS A NICHE DESIGNATED HOSPITAL. NEW FOR 2019 IS THE AMERICAN COLLEGE OF SURGEONS AMERICAN SOCIETY FOR METABOLIC AND BARIATRIC SURGERY ACCREDITATION (MBSAQIP).PRESENTATIONSREGISTERED NURSES IN PATIENT CARE SERVICES AND CLINICAL EDUCATION PROVIDED PRESENTATIONS IN HOUSE, AT PROFESSIONAL CONFERENCES, AND AT VARIOUS OTHER VENUES. IN HOUSE PRESENTATIONS: TRAUMATIC BRAIN INJURY SESSION 1 - PRESENTED BY LAUREN MCNAUGHTON MSN, RN, CCRN, HHP TRAUMATIC BRAIN INJURY SESSION 2 - PRESENTED BY LAUREN MCNAUGHTON MSN, RN, CCRN, HHP TRAUMATIC BRAIN INJURY SESSION 3 - PRESENTED BY LAUREN MCNAUGHTON MSN, RN, CCRN, HHP TRAUMATIC BRAIN INJURY SESSION 4 - PRESENTED BY LAUREN MCNAUGHTON MSN, RN, CCRN, HHP SEPSIS MAKING THE PIECES FIT PRESENTED MONTHLY IN NURSING ORIENTATION BY MARYANN M. BROGDEN-BRANDT, ND, MSN, RN, APN-C, CCNS, SCRN, CRITICAL CARE CLINICAL NURSE SPECIALIST/STROKE & SEPSIS COORDINATOR NIH STROKE SCALE DO YOU SEE WHAT I SEE PRESENTED BY MARYANN M. BROGDEN-BRANDT, ND, MSN, RN, APN-C, CCNS, SCRN, CRITICAL CARE CLINICAL NURSE SPECIALIST/STROKE & SEPSIS COORDINATOR ON 4/25/19; 4/30/19; 5/3/19; 5/23/19; AND 5/24/19 STRESS MANAGEMENT AND AROMATHERAPY, NURSING SELF CARE (4/15/19) - PRESENTED BY LAUREN MCNAUGHTON, MSN, RN, CCRN, HHP MANAGING PATIENT WITH COMORBID PSYCHIATRIC ILLNESS AT HOME (7/18/18) PRESENTED BY MARY ROCK, DNP, CRNP, FNP, CNS MANAGING TRAUMA AND LOSS (5/14/19) - PRESENTED BY JODY BRANDT, MSW, LSW; AND PATRICIA VOGL, MSW, LSW CORE ESSENTIALS PROGRAM (9/12, 9/19, 9/26, 10/3, 10/24, 10/31, 11/14) PRESENTED BY DEBORAH AUDETTE DNP, RN, ACNS-BC, CCRN-CSC, ANN HENDRICKSON, MS, RN, ACNS-BC AND MARYANN BROGDEN-BRANDT, ND, MSN, RN, APN-C, CCNS, SCRN ESSENTIAL OILS: CLINICAL SIGNIFICANCE IN ACUTE AND CRITICAL CARE (9/27/18; 10/24/18) PRESENTED BY LAUREN MCNAUGHTON, MSN, RN, CCRN, HHP CORE ESSENTIALS PROGRAM - DEBORAH AUDETTE, DNP, RN, ACNS-BC, CCRN, CSC, & MELANIE DUFFY MSN, RN, CCRN, CCNS - PRESENTATION ON EVIDENCE-BASED PRACTICE IN COLLABORATION WITH MESSIAH COLLEGE SENIOR NURSING RESEARCH CLASS AND GHS RNS WHO WORKED WITH GROUPS OF SENIOR NURSING STUDENTS TO IDENTIFY PI ISSUE, PICO QUESTION, RESEARCH, AND RECOMMENDATIONS TOTAL OF 9 CLASSES IN 2018: 9/12, 9/19, 9/26, 10/10, 10/24, 10/31, 11/7, 11/14, AND 12/12. DELIRIUM PROTOCOL BUNDLE PILOT ON 6 ORTHO - ANN HENDRICKSON MS, RN, ACNS-BC DELIRIUM AND ITS RISK FACTORS: AN EDUCATIONAL MODULE PRESENTATION TO 6 ORTHO AND 6 MAIN STAFF FOR PILOT ON DELIRIUM PROTOCOL BUNDLE 5/29/2019; 5/30/2019; 6/1/2019; 6/2/2019; AND 6/3/2019 TOTAL OF 12 PRESENTATIONS. CORE ESSENTIALS PRESENTATION AUGUST, 2018 - DEBORAH AUDETTE, DNP, RN, ACNS-BC, CCRN-CSC; ANN HENDRICKSON, MS, RN, ACNS-BC; MELANIE DUFFY, MSN, RN, CCRN, CCNS; AND MARYANN M. BROGDEN, ND, MSN, RN, APN-C, CCNS, CSRN HAVE YOU EVER WONDERED WHY? PRESENTATION ON EVIDENCE-BASED PRACTICE AND CORE ESSENTIALS PROGRAM, PRESENTED TO STAFF RNS AT LEWISTOWN HOSPITAL.NURSING RESEARCH/EBP CONFERENCE DECEMBER 13, 2018: DR RICHARD SCHREIBER, DIPLOMATE CLINICAL INFORMATICS, ASSOCIATE CHIEF INFORMATICS OFFICER VENOUS THROMBOLYTIC DISEASE: OLD DISEASE, NEW APPROACHES PAUL FRAUNDORFER, RPH, PHD PHARMACOLOGIC THERAPIES FOR VENOUS THROMBOEMBOLISM (VTE) DEBORAH AUDETTE, DNP, RN, ACNS-BC, CCRN-CSC A FOCUSED EDUCATION PROGRAM TO IMPROVE NURSES' KNOWLEDGE OF DELIRIUM, RECOGNITION AND IMPLEMENTATION OF PREVENTATIVE MEASURES MICHAEL HAFER, RN, EMT-B IMPLEMENTING A SITTER REDUCTION PROGRAM TO REDUCE COST WHILE MAINTAINING PATIENT SAFETY PEGGY TRAHAN, RN, PCCN, & JENNIFER KANE, BSN, RN, PCCN QUALITY IMPROVEMENT IN MEAL-INSULIN GAP POSTER PRESENTATIONS: DEBORAH AUDETTE, DNP, RN ACNS-BC, CCRN-CSC A FOCUSED EDUCATION PROGRAM TO IMPROVE NURSES' KNOWLEDGE OF DELIRIUM, RECOGNITION AND IMPLEMENTATION OF PREVENTATIVE MEASURES BETH BRADLEY, MSN, RN, & LEAH PARDOE, MAS, RNC-OB IMPROVING OBSTETRICAL PATIENT EXPERIENCE THROUGH INNOVATIVE MEDICATION COMMUNICATION KARRIE PETERSON, BSN, RN INTERDISCIPLINARY ROUNDING AND REDUCING THE PATIENT LENGTH OF STAY JUDY HIMES, BSN, RN, CWON, & LINDA O'BRIEN, BSN, RN, CWON IMPLEMENTING WOUND PHOTO DOCUMENTATION IN THE EMR: A PROCESS IMPROVEMENT INITIATIVE PATRICIA NOVAK, MSN, RN, & DONNA PUTNAM, MSN, RN REDUCING RESTRAINT USAGE THROUGH DE-ESCALATION TECHNIQUES LAUREN MCNAUGHTON, MSN, RN, CCRN, RACHAEL ENGLE, BSN, RN, CCRN, & AMY NEWELL, BSN, RN, CCRN RESTRAINT USAGE IN THE ICU ROBYN RHOADES, BSN, RN, MA, MA, NE-BC, ANDREA WEATHERFORD, BSN, RN, CEN, & LINDSEY LONGWELL, BSN, RN DECREASING DEPENDENCY ON AGENCY STAFF: HOW CAN OUR FLOAT POOL MEET OUR NEEDS? SHEILA MARIE RHODES, RN, CNOR, & TAMARA ANN RICE, RN, CPAN VTE INCIDENCE REDUCTION IN THE AMBULATORY SURGICAL CARE/DAY SURGERY SETTING THROUGH USE OF SCREENING AND PROPHYLAXIS PAMELA HARRIS-HAMAN, DNP, CRNP, NNP-BC, & MARTHA LEE, BSN, RNC, NIC EFFECTIVE SKIN CARE INTERVENTIONS ON PRE-TERM INFANTS IN THE NICU STUDENT POSTER PRESENTATIONS: JESSICA RYDER, BSN, RN, CCRN, & AMANDA SHEETS, BSN, RN, CCRN WITH MESSIAH COLLEGE SENIOR NURSING STUDENTS IN CORE ESSENTIALS PROGRAM THE USE OF FISH OIL TO PREVENT ATRIAL FIBRILLATION IN POSTOPERATIVE CARDIAC PATIENTS SARAH TROUTMAN, RN WITH MESSIAH COLLEGE SENIOR NURSING STUDENTS IN CORE ESSENTIALS PROGRAM EVIDENCE-BASED INTERVENTIONS TO INCREASE LABORING WOMEN'S SATISFACTION ANN MARIE MCKILLIP, RN WITH MESSIAH COLLEGE SENIOR NURSING STUDENTS IN CORE ESSENTIALS PROGRAM SAFE ADMINISTRATION OF PARENTERAL ANTIBIOTIC THERAPY (OPAT) THROUGH A PICC LINE IN PATIENTS WITH A HISTORY OF IV DRUG USE SHERRI HEFNER, RN-BC, & NICOLE SHEEDY, BSN, RN-BC WITH MESSIAH COLLEGE SENIOR NURSING STUDENTS IN CORE ESSENTIALS PROGRAM THE EFFECT OF CLEAR LIQUIDS TWO-HOURS PRE-PROCEDURE VERSUS CURRENT PRACTICE OF NOTHING BY MOUTH AFTER MIDNIGHT OTHER PRESENTATIONS: IMPLEMENTING A DELIRIUM PROTOCOL BUNDLE FOR OLDER ADULT POSTOPERATIVE HIP FRACTURE PATIENTS ON AN ORTHOPEDIC UNIT, ANN HENDRICKSON, DNP, RN, ACNS-BC, AT NURSING SHARED GOVERNANCE COUNCIL, 4/23/2019, GEISINGER HOLY SPIRIT GERIATRIC TRAUMA, ANN HENDRICKSON, DNP, RN, ACNS-BC, AT TRAUMA NURSE COURSE, GEISINGER HOLY SPIRIT, 5/9/2019 SEPSIS MAKING THE PIECES FIT - MARYANN M. BROGDEN-BRANDT, ND, MSN, RN, APN-C, CCNS, SCRN, CRITICAL CARE CLINICAL NURSE SPECIALIST/STROKE & SEPSIS COORDINATOR FEBRUARY 2019 STROKE HAPPENS KNOW THE FACTS PRESENTED BY MARYANN M. BROGDEN-BRANDT, ND, MSN, RN, APN-C, CCNS, SCRN, CRITICAL CARE CLINICAL NURSE SPECIALIST/STROKE & SEPSIS COORDINATOR AT ENCOMPASS HEALTH ON 5/23/19 AND MULTIPLE EMS GROUPS ON 11/26/28; 1/7/19; 1/10/19; 1/14/19OSA (OBSTRUCTIVE SLEEP APNEA) PRESENTED BY MARYANN M. BROGDEN-BRANDT, ND, MSN, RN, APN-C, CCNS, SCRN, CRITICAL CARE CLINICAL NURSE SPECIALIST/STROKE & SEPSIS COORDINATOR AT ENCOMPASS HEALTH STROKE SUPPORT GROUP 6/3/19.Desc
Total Program Service Expenses$241,274,625TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan OutstandingYes (1)LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgYes (1)TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee2009EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members14GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldPAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1RANDY B MORRIS VPBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7177632100PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 CRYSTAL A DR MC CA210AddressLine1Txt
CityHERSHEYCityNm
State AbbreviationPAStateAbbreviationCd
ZIP17033ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (34 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndKey EmployeeKeyEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
DAVID J FELICIO ESQUIRE
SECRETARY0.2540.75Yes (X)$0$1,077,100$208,192
KYLE C SNYDER MHA
CAO, DIRECTOR40.000.75Yes (X)$472,255$0$77,805Yes (X)
LENKE ERKI MD
DIRECTOR0.2540.25$0$489,490$41,388Yes (X)
JOSEPH A TORCHIA MD
CMO, HSHS40.000.00$495,339$0$11,142Yes (X)
CHINH N PHAM MD
DIRECTOR0.2540.25$0$424,225$43,863Yes (X)
THOMAS J GRIFONE MD
FORMER 5 HIGHEST0.0040.00$0$380,501$43,697Yes (X)
MICHAEL J PASZEK MD
FORMER 5 HIGHEST0.0040.00$0$351,516$37,228Yes (X)
JASON STANFORD PHD RTR T CMD
FORMER 5 HIGHEST0.0040.00$0$300,013$52,024Yes (X)
RANDY B MORRIS
TREASURER40.000.75Yes (X)$313,189$0$35,470
AJAY K SAINI MD
DIRECTOR0.2540.25$0$299,432$42,405Yes (X)
LORI R GRAMLEY ESQUIRE
ASST. SECRETARY0.2540.75Yes (X)$0$304,113$30,799
PAUL D BRETTSCHNEIDER MD
FORMER 5 HIGHEST0.0040.00$0$278,722$41,008Yes (X)
RICHARD SCHREIBER
ASSOCIATE CIO40.000.00$274,275$0$35,990Yes (X)
DANIEL E LOHR ESQUIRE
FORMER OFFICER0.0040.00$0$287,662$20,511Yes (X)
ANDREW R WALKER MD
FORMER 5 HIGHEST0.0040.00$0$264,430$37,995Yes (X)
GLORIA SANTOS
VP, CNO40.000.00$272,143$0$29,698Yes (X)
JAGADEESH K MOOLA MD
FORMER 5 HIGHEST0.0040.00$0$256,928$40,338Yes (X)
BARBARA SUMBATIAN MD
FORMER 5 HIGHEST0.0040.00$0$249,626$34,628Yes (X)
ELLEN R LENKEVICH CRNP
VP, CHIEF NURSING OFFICER HSHS40.000.00$249,855$0$24,276Yes (X)
COURTNEY K BAKER DO
FORMER 5 HIGHEST0.0040.00$0$206,341$9,673Yes (X)
GERALD R NEWHOUSE
FORMER KEY EMPLOYEE0.0040.00$0$209,223$260Yes (X)
JAMES A WILKEMEYER
CLINICAL PHARMACIST40.000.00$174,906$0$17,965Yes (X)
MARK E PAINTER
SR. ADMIN DIRECTOR40.000.00$168,787$0$19,246Yes (X)
BETH A THOMSON
ASST. DIRECTOR, PHARM40.000.00$160,387$0$9,673Yes (X)
RON DRNEVICH
CHAIR, DIRECTOR0.250.50Yes (X)$0$0$0Yes (X)
LAURIE SALTZGIVER ESQUIRE
VICE CHAIR, DIRECTOR0.250.50Yes (X)$0$0$0Yes (X)
CHRISTOPHER MOYER DO
DIRECTOR0.250.50$0$0$0Yes (X)
DEBORAH KEYS
DIRECTOR0.250.50$0$0$0Yes (X)
HANK STRAUB
DIRECTOR0.250.50$0$0$0Yes (X)
NORA HABIG
DIRECTOR0.250.50$0$0$0Yes (X)
REVEREND DAVID DANNEKER
DIRECTOR0.250.50$0$0$0Yes (X)
REVEREND ROBERT F SHARMAN
DIRECTOR0.250.50$0$0$0Yes (X)
SISTER JOANN MARIE AUMAND SCC
DIRECTOR0.250.50$0$0$0Yes (X)
SISTER MARIE PAULINE DEMEK SCC
DIRECTOR0.250.50$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,581,136TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$5,379,322TotReportableCompRltdOrgAmt
Total Other Compensation$945,274TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K113IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
SODEXO INC
9801 WASHINGTONIAN BLVDGAITHERSBURGMD20878DIETARY ETC$9,227,430
MEDEFIS CONSOLIDATED
2121 N 117TH AVEOMAHANE68164CONTRA AGENCY$3,968,844
WEST SHORE ANESTHESIA ASSOC
PO BOX 1050CAMP HILLPA17011C ANESTHESIOLOGY$1,959,911
QUANTUM IMAGING
629D LOWTHER RDLEWISBERRYPA17339IMAGING SERVICE$1,330,406
RESTORIX HEALTH
445 HAMILTON AVENUE SUITE 800WHITE PLAINSNY10601MEDICAL SERVICES$1,288,517
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K35CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIIIYes (X)InfoInScheduleOPartVIIIInd
All Other Contributions$14,670AllOtherContributionsAmt
Total Contributions$14,670TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERV REVENUE621110$301,523,668$301,523,668
INTERCOMPANY REV621110$17,046,238$17,046,238
SALES REV GENERAL621110$983,248$983,248
SELECT SPECIALTY HOSP531120$687,540$687,540
EDUCATION621110$32,356$32,356
FieldValueIRS element (for citing)
Total Program Service Revenue$320,273,050TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$51,841TotalRevenueColumnAmt
Exclusion$51,841ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$290,424RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$290,424RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$290,424TotalRevenueColumnAmt
Exclusion$290,424ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$55,629SecuritiesAmt
Other$850,219OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$38,679SecuritiesAmt
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$16,950SecuritiesAmt
Other$850,219OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$867,169TotalRevenueColumnAmt
Exclusion$867,169ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
GAIN ON DEBT EXTINGUIS$2,604,489$2,604,489
OTHER REVENUE ANALYSIS$1,138,941$76,776$1,062,165
REBATE REVENUE$612,399$612,399

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$335,076TotalRevenueColumnAmt
Exclusion$335,076ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$4,690,905OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$326,188,059TotalRevenueColumnAmt
Related Or Exempt Func Income$322,189,999RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$764,316UnrelatedBusinessRevenueAmt
Exclusion$3,219,074ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,236,478TotalAmt
Program Services$11,638ProgramServicesAmt
Management And General$1,224,840ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$730,849TotalAmt
Program Services$401,300ProgramServicesAmt
Management And General$329,549ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$92,683,883TotalAmt
Program Services$88,134,887ProgramServicesAmt
Management And General$4,548,996ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$4,372,916TotalAmt
Program Services$4,462,084ProgramServicesAmt
Management And General-$89,168ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$15,954,237TotalAmt
Program Services$15,255,468ProgramServicesAmt
Management And General$698,769ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$7,131,787TotalAmt
Program Services$6,821,639ProgramServicesAmt
Management And General$310,148ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$42,709TotalAmt
Program Services$14,593ProgramServicesAmt
Management And General$28,116ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$46,456TotalAmt
Management And General$46,456ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$191,328TotalAmt
Program Services-$11,666ProgramServicesAmt
Management And General$202,994ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$30,426,569TotalAmt
Program Services$28,387,716ProgramServicesAmt
Management And General$2,038,853ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$21,141TotalAmt
Program Services$8,641ProgramServicesAmt
Management And General$12,500ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$7,415,552TotalAmt
Program Services$7,147,230ProgramServicesAmt
Management And General$268,322ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$1,762,807TotalAmt
Program Services$1,431,252ProgramServicesAmt
Management And General$331,555ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$7,638,018TotalAmt
Program Services$3,480,265ProgramServicesAmt
Management And General$4,157,753ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$385,788TotalAmt
Program Services$296,625ProgramServicesAmt
Management And General$89,163ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$20,215TotalAmt
Program Services$5,864ProgramServicesAmt
Management And General$14,351ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$3,650,914TotalAmt
Program Services$189,272ProgramServicesAmt
Management And General$3,461,642ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$7,288,678TotalAmt
Program Services$4,218,873ProgramServicesAmt
Management And General$3,069,805ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$3,899,101TotalAmt
Program Services$17,569ProgramServicesAmt
Management And General$3,881,532ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
INTERCOMPANY EXPENSE$54,004,397$24,030,705$29,973,692
MEDICAL SUPPLIES$47,861,900$47,743,617$118,283
UNCOLLECTIBLE EXPENSE$9,008,197$9,008,197$0
BOOKS,LIC,FEES,DUES$374,781$215,364$159,417

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total-$87,925TotalAmt
Program Services$3,492ProgramServicesAmt
Management And General-$91,417ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$296,060,776TotalAmt
Program Services$241,274,625ProgramServicesAmt
Management And General$54,786,151ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,117,607BOYAmt
EOY$343,100EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$5,034,174BOYAmt
EOY$24,235,536EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$38,186,837BOYAmt
EOY$35,356,135EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$39,640BOYAmt
EOY$19,743EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$1,234,437BOYAmt
EOY$2,648,664EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$5,132,243BOYAmt
EOY$5,554,233EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$2,513,876BOYAmt
EOY$2,731,775EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$45,689,342LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$25,152,973LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$18,229,353BOYAmt
EOY$20,536,369EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$4,696,299BOYAmt
EOY$3,998,407EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$32,587,874BOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$3,247,927BOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$112,020,267BOYAmt
EOY$95,423,962EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$3,839,652BOYAmt
EOY$3,838,457EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
EOY$25,790,683EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$116,393,956BOYAmt
EOY$4,194,445EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$681,047BOYAmt
EOY$603,410EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
EOY$11,549,513EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$40,403,988BOYAmt
EOY$62,779,985EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$161,318,643BOYAmt
EOY$108,756,493EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$56,772,050BOYAmt
EOY-$15,970,066EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$7,473,674BOYAmt
EOY$2,637,535EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$49,298,376BOYAmt
EOY-$13,332,531EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$112,020,267BOYAmt
EOY$95,423,962EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$30,127,283ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$481,785NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$5,356,777OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (1)DirectContactLegislatorsInd
Direct Contact Legislators$1,473DirectContactLegislatorsAmt
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$3,002OtherActivitiesAmt
Total Lobbying Expenditures$4,475TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE C, PART II-B, LINE 1FormAndLineReferenceDesc
ExplanationAMOUNT 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. OTHER LOBBYING ACTIVITIES REPORTED ON LINE 1I REPRESENTS THE PORTION OF MEMBERSHIP DUES, PAID BY THE ORGANIZATION TO TRADE OR PROFESSIONAL ASSOCIATIONS, ATTRIBUTABLE TO LOBBYING ACTIVITIES.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,821,921BeginningYearBalanceAmt
Contributions$109,799,000ContributionsAmt
Investment Earnings Or Losses-$2,060,358InvestmentEarningsOrLossesAmt
Other Expenditures$3,474,000OtherExpendituresAmt
Administrative Expenses$1,752AdministrativeExpensesAmt
End Year Balance$107,084,811EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.74920BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.03380PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.21700TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$11,662,683OtherCostOrOtherBasisAmt
Depreciation$1,807,866DepreciationAmt
Book Value$9,854,817BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$34,026,659OtherCostOrOtherBasisAmt
Depreciation$23,345,107DepreciationAmt
Book Value$10,681,552BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$20,536,369TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
PATIENT CREDIT BALANCE$2,646,149
UNFAV LEASE LIABILITY$2,458,990
OTHER ALLOWANCE$343,227
DUE TO AFFILIATES$57,331,619
FieldValueIRS element (for citing)
Total Liability$62,779,985TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE D, PAGE 2, PART V, LINE 4FormAndLineReferenceDesc
ExplanationENDOWMENT FUNDS ARE USED BY GEISINGER TO SUPPORT PATIENT CARE, RESEARCH, EDUCATION, AND CAPITAL AND PROGRAM EXPENSES. THE 373,386,246 REPORTED ON LINE 1G, COLUMN A, REPRESENTS THE TOTAL ENDOWMENTS HELD BY GEISINGER HEALTH ON BEHALF OF ALL ITS AFFILIATED ORGANIZATIONS. OF THAT AMOUNT 3,633,000 IS HELD ON BEHALF OF HOLY SPIRIT HOSPITAL. THE 2014 REPORTING PERIOD WAS THE FIRST REPORTING PERIOD DURING WHICH GEISINGER HEALTH HELD ENDOWMENTS ON BEHALF OF HOLY SPIRIT HOSPITAL.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other300.000000000000FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted Care0FPGReferenceDiscountedCareInd
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,446,792TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$4,446,792NetCommunityBenefitExpnsAmt
Total Expense0.01500TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$42,372,634TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$22,026,199DirectOffsettingRevenueAmt
Net Community Benefit Expns$20,346,435NetCommunityBenefitExpnsAmt
Total Expense0.06870TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$46,819,426TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$22,026,199DirectOffsettingRevenueAmt
Net Community Benefit Expns$24,793,227NetCommunityBenefitExpnsAmt
Total Expense0.08370TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$324,447TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$324,447NetCommunityBenefitExpnsAmt
Total Expense0.00110TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$766,587TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$113,592DirectOffsettingRevenueAmt
Net Community Benefit Expns$652,995NetCommunityBenefitExpnsAmt
Total Expense0.00220TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,091,034TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$113,592DirectOffsettingRevenueAmt
Net Community Benefit Expns$977,442NetCommunityBenefitExpnsAmt
Total Expense0.00330TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$47,910,460TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$22,139,791DirectOffsettingRevenueAmt
Net Community Benefit Expns$25,770,669NetCommunityBenefitExpnsAmt
Total Expense0.08700TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$9,008,197BadDebtExpenseAmt
Bad Debt Expense Attributable$1,261,870BadDebtExpenseAttributableAmt
Reimbursed By Medicare$45,836,049ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$69,486,459CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$23,650,410MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost Accounting SystemYes (X)CostAccountingSystemInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

FieldValueIRS element (for citing)
Business Name Line11 GRANDVIEW SURGERY CTBusinessNameLine1Txt
FieldValueIRS element (for citing)
Primary ActivitiesMEDICAL SERVICESPrimaryActivitiesTxt
Org Profit Or Ownership0.42000OrgProfitOrOwnershipPct
Physicians Profit Or Ownership0.58000PhysiciansProfitOrOwnershipPct
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HOLY SPIRIT HOSPITAL OF THE SISTERS OF CHRISTIAN CHARITYBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1503 NORTH 21ST STREETAddressLine1Txt
CityCAMP HILLCityNm
State AbbreviationPAStateAbbreviationCd
ZIP17011ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.GEISINGER.ORGWebsiteAddressTxt
State License340801StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Teaching HospitalYes (X)TeachingHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1HOLY SPIRIT HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
CHNA Conducted18CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.GEISINGER.ORGOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt19ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLWWW.GEISINGER.EDUStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care300.000000000000FPGFamilyIncmLmtFreeCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLWWW.GEISINGER.ORG; SEE SEC C, PART V, Q16FAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSAME AS 16A ABOVEFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSAME AS 16A ABOVEFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Prospective Medicare MedicaidYes (X)ProspectiveMedicareMedicaidInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
HOLY SPIRIT HOSPITALPART V, SECTION B, LINE 5: COMMUNITY HEALTH NEEDS ASSESSMENT, LINES 3, 5 AND 6A:A COLLABORATIVE APPROACH TO COMMUNITY HEALTH IMPROVEMENTTHE GEISINGER COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED IN PARTNERSHIP WITH GEISINGER, ALLIED SERVICES INTEGRATED HEALTH SYSTEM, AND EVANGELICAL COMMUNITY HOSPITAL. THE STUDY AREA INCLUDED 19 COUNTIES ACROSS CENTRAL, NORTHEASTERN, AND SOUTH CENTRAL PENNSYLVANIA WHICH REPRESENT THE COLLECTIVE SERVICE AREAS OF THE COLLABORATING HOSPITALS. TO DISTINGUISH UNIQUE SERVICE AREAS AMONG HOSPITALS AND FOSTER COOPERATION WITH LOCAL COMMUNITY PARTNERS TO IMPACT HEALTH NEEDS, REGIONAL RESEARCH AND LOCAL REPORTING WAS DEVELOPED. THE COLLABORATING HEALTH SYSTEMS AGREED THAT BY COORDINATING EFFORTS TO IDENTIFY COMMUNITY HEALTH NEEDS ACROSS THE REGION, THE HEALTH SYSTEMS WOULD CONSERVE COMMUNITY RESOURCES WHILE DEMONSTRATING LEADERSHIP IN CONVENING LOCAL COMMUNITY PARTNERS TO ADDRESS COMMON PRIORITY NEEDS. BEST PRACTICES IN COMMUNITY HEALTH IMPROVEMENT DEMONSTRATE THAT FOSTERING "COLLECTIVE IMPACT" IS AMONG THE MOST SUCCESSFUL WAYS TO AFFECT THE HEALTH OF A COMMUNITY. COLLECTIVE IMPACT IS ACHIEVED BY COMMITTING A DIVERSE GROUP OF STAKEHOLDERS TOWARD A COMMON GOAL OR ACTION, PARTICULARLY TO IMPACT DEEP ROOTED SOCIAL OR HEALTH NEEDS. BY TAKING A COLLABORATIVE APPROACH TO THE CHNA, GEISINGER, ALLIED SERVICES INTEGRATED HEALTH SYSTEM, AND EVANGELICAL COMMUNITY HOSPITAL ARE LEADING THE WAY TO IMPROVE THE HEALTH OF COMMUNITIES IN CENTRAL, NORTHEASTERN, AND SOUTH CENTRAL PENNSYLVANIA.CHNA LEADERSHIPTHE CHNA WAS OVERSEEN BY A PLANNING COMMITTEE OF REPRESENTATIVES FROM EACH HEALTH SYSTEM, AS WELL AS A REGIONAL ADVISORY COMMITTEE OF REPRESENTATIVES FROM EACH HOSPITAL.COMMUNITY ENGAGEMENTCOMMUNITY ENGAGEMENT WAS AN INTEGRAL PART OF THE CHNA. WEBINARS WERE HELD IN OCTOBER AND NOVEMBER 2017 TO ANNOUNCE THE ONSET OF THE CHNA AND ENCOURAGE BROAD PARTICIPATION ACROSS THE REGION. THROUGHOUT OCTOBER AND NOVEMBER 2017, A KEY INFORMANT SURVEY WAS SENT TO APPROXIMATELY 1,000 REPRESENTATIVES OF HEALTH AND HUMAN SERVICE ORGANIZATIONS, RELIGIOUS INSTITUTIONS, CIVIC ASSOCIATIONS, BUSINESSES, ELECTED OFFICIALS AND OTHER COMMUNITY REPRESENTATIVES. PARTNER FORUMS WERE HELD THROUGHOUT THE REGION IN JANUARY 2018 TO BRING TOGETHER THESE PARTNERS TO REVIEW RESEARCH FINDINGS AND PROVIDE FEEDBACK ON THE MOST PRESSING COMMUNITY HEALTH NEEDS. IN MARCH AND APRIL 2018, FOCUS GROUPS WITH SENIORS WERE HELD TO BETTER UNDERSTAND CHALLENGES AND OPPORTUNITIES TO IMPROVING HEALTH AMONG HIGH RISK POPULATIONS. COMMUNITY FORUMS WERE HELD IN FALL 2018 TO PRESENT CHNA FINDINGS AND IMPLEMENTATION PLANS TO COMMUNITY RESIDENTS AND PROVIDE A FORUM FOR DIALOGUE ABOUT ADDRESSING COMMUNITY HEALTH NEEDS.CHNA METHODOLOGYTHE CHNA WAS CONDUCTED FROM SEPTEMBER 2017 TO APRIL 2018 AND USED BOTH PRIMARY AND SECONDARY RESEARCH TO ILLUSTRATE AND COMPARE HEALTH TRENDS AND DISPARITIES ACROSS THE REGION. PRIMARY RESEARCH WAS USED TO SOLICIT INPUT FROM KEY COMMUNITY STAKEHOLDERS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY, INCLUDING EXPERTS IN PUBLIC HEALTH AND INDIVIDUALS REPRESENTING MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS. FOCUS GROUPS AND INTERVIEWS WERE USED TO COLLECT IN-DEPTH INSIGHT FROM HEALTH CONSUMERS REPRESENTING MEDICALLY UNDERSERVED OR HIGH RISK POPULATIONS. EXISTING DATA SOURCES, INCLUDING PUBLIC HEALTH STATISTICS, DEMOGRAPHIC AND SOCIAL MEASURES, AND HEALTHCARE UTILIZATION, WERE COLLECTED AND ANALYZED TO IDENTIFY HEALTH TRENDS ACROSS HOSPITAL SERVICE AREAS. SPECIFIC RESEARCH METHODS INCLUDED: -AN ANALYSIS OF STATISTICAL HEALTH AND SOCIOECONOMIC INDICATORS FROM ACROSS THE REGION -AN ANALYSIS AND COMPARISON OF ACUTE HOSPITAL UTILIZATION DATA -A KEY INFORMANT SURVEY WITH 113 COMMUNITY LEADERS AND REPRESENTATIVES -SIX REGIONAL PARTNER FORUMS WITH COMMUNITY BASED ORGANIZATIONS TO IDENTIFY COMMUNITY HEALTH PRIORITIES AND FACILITATE COLLABORATION TOWARD COMMUNITY HEALTH IMPROVEMENT-TWELVE FOCUS GROUPS WITH SENIORS TO EXAMINE PREFERENCES, CHALLENGES, AND OPPORTUNITIES TO ACCESSING AND RECEIVING HEALTHCARE -PRIORITIZATION OF COMMUNITY HEALTH NEEDS TO DETERMINE THE MOST PRESSING HEALTH ISSUES ON WHICH TO FOCUS COMMUNITY HEALTH IMPROVEMENT EFFORTSTHE CHNA BUILT UPON THE HOSPITALS' PREVIOUS CHNAS AND SUBSEQUENT IMPLEMENTATION PLANS. THE RESEARCH FINDINGS WILL BE USED TO GUIDE COMMUNITY BENEFIT INITIATIVES FOR THE HOSPITALS AND ENGAGE LOCAL PARTNERS TO COLLECTIVELY ADDRESS IDENTIFIED HEALTH NEEDS.PRIORITIZED COMMUNITY HEALTH NEEDSIN ASSESSING THE HEALTH NEEDS OF THE COMMUNITY, GEISINGER AND ITS CHNA PARTNERS SOLICITED AND RECEIVED INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITIES SERVED BY EACH HOSPITAL, INCLUDING THOSE WITH EXPERTISE IN PUBLIC HEALTH, REPRESENTATIVES OF MEDICALLY UNDERSERVED, LOW INCOME, AND MINORITY POPULATIONS, AND OTHER COMMUNITY STAKEHOLDERS WHO BROUGHT WIDE PERSPECTIVES ON COMMUNITY HEALTH NEEDS, EXISTING COMMUNITY RESOURCES TO MEET THOSE NEEDS, AND GAPS IN THE CURRENT SERVICE DELIVERY SYSTEM. THROUGH FACILITATED DIALOGUE AND A SERIES OF CRITERIA-BASED VOTING EXERCISES, THE FOLLOWING HEALTH ISSUES WERE PRIORITIZED AS THE MOST SIGNIFICANT HEALTH NEEDS ACROSS THE REGION ON WHICH TO FOCUS HEALTH IMPROVEMENT EFFORTS OVER THE COMING THREE-YEAR CYCLE.-ACCESS TO CARE-BEHAVIORAL HEALTH (TO INCLUDE SUBSTANCE ABUSE AND MENTAL HEALTH STRATEGIES)-CHRONIC DISEASE PREVENTION AND MANAGEMENT (WITH A FOCUS ON INCREASING HEALTHY HABITS)TO DIRECT COMMUNITY BENEFIT AND HEALTH IMPROVEMENT ACTIVITIES, GEISINGER AND ITS CHNA PARTNERS CREATED INDIVIDUAL IMPLEMENTATION PLANS FOR EACH HOSPITAL TO DETAIL THE RESOURCES AND SERVICES THAT WILL BE USED TO ADDRESS THESE IDENTIFIED HEALTH PRIORITIES.BOARD APPROVALTHE GEISINGER CHNA FINAL REPORTS WERE REVIEWED AND APPROVED BY THE GEISINGER HEALTH AFFILIATE BOARDS ON JUNE 20, 2018 AND THE GEISINGER HEALTH BOARD OF DIRECTORS ON JUNE 21, 2018. FOLLOWING THE BOARDS' APPROVAL, ALL CHNA REPORTS WERE MADE AVAILABLE TO THE PUBLIC VIA THE GEISINGER WEBSITE AT HTTPS://WWW.GEISINGER.ORG/ABOUT-GEISINGER/COMMUNITY-ENGAGEMENT/CHNA. RESEARCH PARTNER BAKER TILLY WAS ENGAGED AS OUR CHNA RESEARCH PARTNER. BAKER TILLY ASSISTED IN ALL PHASES OF THE CHNA INCLUDING PROJECT MANAGEMENT, QUANTITATIVE AND QUALITATIVE DATA COLLECTION, SMALL AND LARGE GROUP FACILITATION AND REPORT WRITING. THE BAKER TILLY TEAM HAS WORKED WITH MORE THAN 100 HOSPITALS AND THOUSANDS OF THEIR COMMUNITY PARTNERS ACROSS THE NATION TO ASSESS HEALTH NEEDS AND DEVELOP ACTIONABLE PLANS FOR COMMUNITY HEALTH IMPROVEMENT.THROUGHOUT THIS DOCUMENT THE TERMS "SYSTEM OR "GEISINGER" SHALL REFER TO THE ENTIRE HEALTHCARE SYSTEM COMPRISED OF GEISINGER HEALTH ("GH") AS PARENT AND ALL SUBSIDIARY ENTITIES COMPRISING THE SYSTEM.
HOLY SPIRIT HOSPITALPART V, SECTION B, LINE 6A: ALLIED SERVICES REHABILITATION HOSPITAL, JOHN HEINZ REHABILITATION HOSPITAL, EVANGELICAL COMMUNITY HOSPITAL, GEISINGER MEDICAL CENTER (INCLUDES GEISINGER-SHAMOKIN AREA COMMUNITY HOSPITAL), GEISINGER ENCOMPASS HEALTH LIMITED LIABILITY COMPANY (DBA GEISINGER ENCOMPASS HEALTH REHABILITATION HOSPITAL), GEISINGER WYOMING VALLEY MEDICAL CENTER (INCLUDES GEISINGER SOUTH WILKES-BARRE), GEISINGER-BLOOMSBURG HOSPITAL, COMMUNITY MEDICAL CENTER (DBA GEISINGER COMMUNITY MEDICAL CENTER), GEISINGER JERSEY SHORE HOSPITAL, GEISINGER-LEWISTOWN HOSPITAL, AND HOLY SPIRIT HOSPITAL (DBA GEISINGER HOLY SPIRIT).
HOLY SPIRIT HOSPITALPART V, SECTION B, LINE 11: FIVE PRIORITY AREAS WERE IDENTIFIED WITHIN OUR CURRENT CHNA: ACCESS TO CARE, BEHAVIORAL HEALTH, CHRONIC DISEASE, MATERNAL/INFANT HEALTH, AND SENIOR HEALTH. IN ASSESSING THE HEALTH NEEDS OF THE COMMUNITY, GEISINGER AND ITS CHNA PARTNERS SOLICITED AND RECEIVED INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITIES SERVED BY EACH HOSPITAL, INCLUDING THOSE WITH EXPERTISE IN PUBLIC HEALTH, REPRESENTATIVES OF MEDICALLY UNDERSERVED, LOW INCOME, AND MINORITY POPULATIONS, AND OTHER COMMUNITY STAKEHOLDERS WHO BROUGHT WIDE PERSPECTIVES ON COMMUNITY HEALTH NEEDS, EXISTING COMMUNITY RESOURCES TO MEET THOSE NEEDS, AND GAPS IN THE CURRENT SERVICE DELIVERY SYSTEM. THROUGH FACILITATED DIALOGUE AND A SERIES OF CRITERIA-BASED VOTING EXERCISES, THE FOLLOWING HEALTH ISSUES WERE PRIORITIZED AS THE MOST SIGNIFICANT HEALTH NEEDS ACROSS THE REGION ON WHICH TO FOCUS HEALTH IMPROVEMENT EFFORTS OVER THE COMING THREE-YEAR CYCLE: ACCESS TO CARE, BEHAVIORAL HEALTH, AND CHRONIC DISEASE. PROGRAMMING AND CLINICAL SERVICES WITHIN THESE PRIORITY AREAS IMPACT THE POPULATIONS OF MATERNAL/INFANT HEALTH AND SENIOR HEALTH AND ARE THEREBY SERVED THROUGH ALL APPROPRIATE HEALTH IMPROVEMENT EFFORTS.BELOW ARE SYSTEMWIDE PROGRAMS OFFERED BY GEISINGER TO FULFILL COMMUNITY NEEDS THAT WERE IDENTIFIED IN THE HOSPITAL'S MOST RECENT CHNA. SOME PROGRAMS ARE COMPLETELY OPERATED OR FUNDED BY GEISINGER AND SOME ARE OFFERED IN COOPERATION WITH LOCAL HEALTH AND HUMAN SERVICE AGENCIES. FOR MORE SPECIFIC NEEDS FOUND IN OUR LOCAL COMMUNITIES, WE OFFER PROGRAMS TO SERVE PATIENTS CLOSE TO HOME. THE TOP THREE NEEDS IDENTIFIED IN THE MOST RECENT AND/OR PAST CHNA SURVEYS FALL INTO ONE OF THREE COMMUNITY NEED CATEGORIES:1)IMPROVING ACCESS TO HEALTHCARE: THE MOST SIGNIFICANT NEED IDENTIFIED WAS FOR BETTER, FASTER, MORE CONVENIENT AND LESS COSTLY ACCESS TO HEALTHCARE SERVICES. GEISINGER IS TAKING INNOVATIVE STEPS TO ADDRESS BARRIERS TO HEALTHCARE BY: INCREASING THE NUMBER OF RESIDENTS WHO HAVE A REGULAR PRIMARY CARE PROVIDER, INCREASING ACCESS TO PRIMARY AND SPECIALTY CARE PROVIDERS, REDUCING BARRIERS TO RECEIVING CARE FOR RESIDENTS WITHOUT TRANSPORTATION, PROMOTING AWARENESS OF AVAILABLE OPTIONS FOR ASSISTANCE TO PAY FOR HEALTHCARE NEEDS AND FOSTERING THE PURSUIT OF HEALTH CAREERS AND ONGOING TRAINING OF HEALTH PROFESSIONALS.2)ADDRESSING BEHAVIORAL HEALTH AND SUBSTANCE ABUSE: GEISINGER IS COMMITTED TO HELPING PATIENTS FIND HEALTHCARE SERVICES WHEN THEY ARE FACING BEHAVIORAL HEALTH CHALLENGES OR STRUGGLING WITH ADDICTION. WE ADVANCE DIALOGUE AT THE LOCAL AND STATE LEVEL TO ADDRESS BEHAVIORAL HEALTH NEEDS. WE FOSTER INTEGRATION OF BEHAVIOR AND PRIMARY HEALTH CARE. WE PROVIDE EDUCATION TO INCREASE RESIDENTS' AWARENESS OF BEHAVIORAL HEALTH ISSUES AND REDUCE THE STIGMA ASSOCIATED WITH BEHAVIORAL HEALTH CONDITIONS. AND WE STRIVE TO INCREASE ACCESS TO BEHAVIORAL HEALTH SERVICES.3)MANAGING CHRONIC CONDITIONS: GEISINGER HAS NUMEROUS PROGRAMS TO HELP PATIENTS PREVENT AND MANAGE CHRONIC CONDITIONS. EFFORTS INCLUDE ENCOURAGING COMMUNITY INITIATIVES THAT SUPPORT ACCESS TO AND AVAILABILITY OF HEALTHY LIFESTYLE CHOICES, INITIATING EARLY-STAGE INTERVENTIONS FOR INDIVIDUALS AT HIGH RISK FOR CHRONIC DISEASE, AND DEVELOPING INTEGRATIVE CARE MODELS TO IMPROVE OUTCOMES FOR PATIENTS WITH CHRONIC DISEASE.
HOLY SPIRIT HOSPITALPART V, SECTION B, 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.PART V, LINE 16JIN ADDITION, REGISTRATION PERSONNEL ALSO REFER UNINSURED AND/OR LOW-INCOME PATIENTS TO FINANCIAL COUNSELORS TO DISCUSS THE FINANCIAL ASSISTANCE POLICY.
PART V, LINE 11 (CONTINUED)ACCESS TO CAREGEISINGER HOLY SPIRIT HAS TAKEN NUMEROUS STEPS TO PROVIDE PEOPLE IN OUR LOCAL COMMUNITY WITH MORE ACCESS TO CARE. WE'VE HIRED MORE PROVIDERS IN PEDIATRICS, INTERNAL MEDICINE AND FAMILY MEDICINE. IN FACT, OUR NUMBER OF PROVIDERS IN THOSE AREAS IS UP 37% OVER LAST YEAR. WE'RE INTEGRATING PEDIATRICIANS INTO PRIMARY CARE CLINICS TO CREATE TRUE OPTIONS FOR FAMILY MEDICINE AND WHEN WE LEARNED THAT BOYS AGING OUT OF PEDIATRICS OFTEN PREFERRED TO BE SEEN BY A MALE PROVIDER, WE MADE SURE TO BALANCE OUR RECRUITMENT EFFORTS TO MEET THOSE NEEDS. WE IMPROVED OFFICE EFFICIENCY BY ADDING A DESIGNATED CALL CENTER FOR PRIMARY CARE APPOINTMENT SCHEDULING. CALLERS NO LONGER DEAL WITH VOICE MAIL AND CAN BE SCHEDULED RIGHT AWAY WHILE REGULAR STAFF IS FREED UP TO DO OTHER THINGS. OUR APPOINTMENTS HAVE INCREASED 20% TO 23% SINCE THE CALL CENTER OPENED.GEISINGER HOLY SPIRIT HAS ALSO REDESIGNED TRANSITIONS OF CARE SO THAT PATIENTS DISCHARGED FROM THE HOSPITAL ARE SEEN BY THEIR PRIMARY CARE PROVIDERS WITHIN TWO TO FIVE DAYS. THIS APPROACH HAS CUT DOWN ON READMISSION RATES SIGNIFICANTLY BECAUSE PREVIOUSLY, PATIENTS WOULD WAIT TWO TO THREE WEEKS TO BE SEEN AND OFTEN NEEDED ATTENTION BEFORE THEN. WE ARE ALSO IMPROVING ACCESS TO CARE BY PARTNERING WITH COMMUNITY AGENCIES AND HEALTHCARE COALITIONS, ESPECIALLY IN PERRY COUNTY, WHICH IS IN THE BOTTOM 5% OF COUNTIES IN PENNSYLVANIA TO HAVE HEALTHCARE PROVIDERS. GEISINGER HOLY SPIRIT HAS A STRONG PRESENCE ON MANY BOARDS OF DIRECTORS. WE WORK WITH THE UNITED WAY AND HAMILTON HEALTHCARE TO ENSURE TWO COMMUNITY HEALTH WORKS ARE ON SITE AT THE HOSPITAL, ESPECIALLY IN THE EMERGENCY DEPARTMENT, LOOKING FOR PEOPLE WITHOUT PRIMARY CARE PROVIDERS OR INSURANCE TO HELP THEM FIND THE COVERAGE AND CARE THEY NEED. THIS COORDINATED EFFORT HAS SHOWN IMPRESSIVE RESULTS. GEISINGER HOLY SPIRIT IS EXTENDING SPECIALTY CARE OUTREACH BY SENDING CARDIOLOGISTS, ORTHOPEDISTS AND PHARMACISTS OUT TO CLINICS IN MORE RURAL LOCATIONS ON A WEEKLY BASIS. WE ARE CURRENTLY LOOKING FOR FUNDING TO OFFER MORE TELEMEDICINE OPTIONS. ONE PROGRAM WE DO HAVE IN PLACE IS A PARTNERSHIP WITH LEHIGH VALLEY MEDICAL CENTER, THROUGH WHICH CONSULTATIONS WITH REMOTE BURN SPECIALISTS ARE PROVIDED ALONG WITH TRANSFERS, WHEN NECESSARY. TO ENCOURAGE INTEREST IN MEDICAL CAREERS, OUR ADVANCED PRACTITIONERS REACH OUT TO COMMUNITY HIGH SCHOOLS AND COLLEGES AS WELL AS THE REGIONAL CAMPUS OF THE GEISINGER COMMONWEALTH SCHOOL OF MEDICINE.
PART V, LINE 11 (CONTINUED)BEHAVIORAL HEALTHGEISINGER HOLY SPIRIT TEENLINE HAS BEEN HELPING STUDENTS, FAMILIES, AND COMMUNITY MEMBERS IN THE CUMBERLAND-PERRY COUNTY AREA FOR 34 YEARS. TEENLINE OPERATES ON THE PENNSYLVANIA STATE STUDENT ASSISTANCE PROGRAM MODEL (SAP). TEENLINE COUNSELORS PROVIDE MENTAL HEALTH ASSESSMENTS AS AN OUTCOME OF THE SAP SCREENING AND RECOMMENDATION PROCESS. TEENLINE ASSISTS FAMILIES WITH CONNECTING WITH RECOMMENDED SERVICES ONCE THEY HAVE COMPLETED THE ASSESSMENT AND DISCUSSED RECOMMENDATIONS WITH THE FAMILY. IN THE SCHOOL YEAR 2017-18, TEENLINE CONDUCTED 611 MENTAL HEALTH ASSESSMENTS; IN THE SCHOOL YEAR 2018-19, 650 STUDENTS RECEIVED A MENTAL HEALTH ASSESSMENT.IN ADDITION, TEENLINE ATTENDS SCHOOL FUNCTIONS, SUCH AS PTO MEETINGS AND BACK TO SCHOOL NIGHTS, TO INCREASE MENTAL HEALTH AWARENESS, SHARE INFORMATION FOR STUDENT ASSISTANCE PROGRAMS AND ANSWER QUESTIONS. TEENLINE COUNSELORS CONDUCT IN-SERVICES ON REQUESTED MENTAL HEALTH TOPICS TO ASSIST SCHOOL PERSONNEL WITH MENTAL HEALTHRELATED INFORMATION. IN 2019, TEENLINE HAD 20 SCHOOL MENTAL HEALTH PRESENTATIONS. THEY WORK CLOSELY WITH SCHOOL ADMINISTRATION AND STAFF AND GIVE INPUT INTO PROCEDURES FOR SAP.TEENLINE COUNSELORS RESPOND TO REQUESTS FOR ASSISTANCE WHEN THERE IS A DEATH OF A STUDENT OR STAFF MEMBER. IN 2018, TEENLINE RESPONDED TO 8 POSTVENTIONS AND 10 POSTVENTIONS IN 2019.THE GEISINGER HOLY SPIRIT BEHAVIORAL HEALTH DEPARTMENT OFFERS A WEEKLY SUPPORT GROUP FOR EXPECTING AND NEW MOTHERS, PARTICULARLY WITH A FOCUS ON MOTHERS WHO HAVE A BEHAVIORAL HEALTH DIAGNOSIS AND ARE STRUGGLING OR SYMPTOMATIC. OVER THE PAST 2 YEARS, GROUP MEMBERS HAVE BEEN MORE BLENDED. WE FOUND THAT MEMBERS WERE USING MORE ONLINE TOOLS AND WERE ALSO ABLE TO FIND INFORMATION ABOUT THE GROUP. THUS, THIS HAS SHIFTED OUR THINKING AND DESIGN OF THE GROUP. IT IS INCLUSIVE OF ALL WOMEN WHO ARE PREGNANT OR POSTPARTUM, AND WE CAN IDENTIFY WOMEN WHO ARE EXPERIENCING CLINICAL PERI-PARTUM AND POSTPARTUM ISSUES EARLIER. WE SERVED 15 WOMEN IN 2019, WHO ATTENDED AT LEAST 2 TIMES A MONTH FOR 13 MONTHS.WE ALSO HAVE IDENTIFIED PROVIDERS WHO SPECIALIZE IN BEHAVIORAL HEALTH ISSUES DURING PERI-PARTUM AND POSTPARTUM PERIODS.GEISINGER HOLY SPIRIT MATERNAL ASSISTANCE PROGRAM OFFERS INTENSIVE CASE MANAGEMENT TO WOMEN IN THE PRENATAL THROUGH POSTPARTUM STAGE. THE PROGRAM OFFERS HOME VISITS, FOLLOW-UP, SUBSTANCE ABUSE TREATMENT REFERRAL, EDUCATION, AND SMOKING CESSATION INFORMATION. THE GOAL IS TO ASSIST WOMEN TO DELIVER A HEALTHY BABY AND OFFER SUPPORT TO LIVE A SUBSTANCE-FREE LIFESTYLE.IN AN EFFORT TO INTEGRATE BEHAVIORAL HEALTH SERVICES WITH PRIMARY CARE, GEISINGER HOLY SPIRIT IDENTIFIED TWO PSYCHIATRISTS FOR INTEGRATION. HOWEVER, BOTH PROVIDERS HAVE EITHER LEFT THE EMPLOYMENT OF GHS OR ARE NOW FLEX PROVIDERS. OUR GOAL IS TO RE-EVALUATE OUR POOL OF PROVIDERS IN ADDITION TO HIRING, AND EARMARK BEHAVIORAL HEALTH INTEGRATION INTO PRIMARY CARE AS A PRIORITY.
PART V, LINE 11 (CONTINUED)CHRONIC DISEASE MANAGEMENT AND PREVENTIONGEISINGER HOLY SPIRIT ENCOURAGES COMMUNITY INITIATIVES THAT SUPPORT ACCESS TO AND AVAILABILITY OF HEALTHY LIFESTYLE CHOICES. WE OFFER FREE PROGRAMS TO LOCAL RESIDENTS, INCLUDING THE MYCODE INNOVATIONS IN HEALTHCARE SERIES AS WELL AS LECTURES ON DIABETES AND HEART DISEASE, UNDERSTANDING HEART MEDICATIONS AND PARTIAL KNEE REPLACEMENTS.WE PROVIDE SUBSIDIZED EXERCISE CLASSES FOR SILVER CIRCLE MEMBERS AGE 55 OR OLDER AND SUPPORT COMMUNITY RACES, FUN RUNS, WALKS AND OTHER EVENTS THAT PROMOTE PHYSICAL ACTIVITY, INCLUDING FURRY FRIENDS, RACE FOR THEIR LIVES, ZERO PROSTATE CANCER WALK/RUN, TUSCARORA WILDLAND FIRE CREW, 5K BRUSH RUSH, SHAULL ELEMENTARY SCHOOL, FUN RUN, ROTARY CLUB OF MECHANICSBURG, 5K RUN TO END POLIO, ST. JOSEPH'S SCHOOL, RACE FOR EDUCATION AND THE KIWANIS CLUB OF DILLSBURG, 5K PICKLE CHASE.WE PARTICIPATE IN OR HOST FREE COMMUNITY HEALTH FAIRS TARGETING DIVERSE POPULATIONS, INCLUDING A MEN'S HEALTH EVENT IN PARTNERSHIP WITH UCPA (OFFERING PSA BLOOD TEST, BLOOD PRESSURE SCREENINGS, BMI, BONE DENSITY, SLEEP ASSESSMENT), 11/3 SCREENING EVENT (BLOOD PRESSURE, CHOLESTEROL/GLUCOSE, BONE DENSITY, BMI, MYCODE, CARDIAC RISK ASSESSMENT), A DAY OF PAMPERING AT FIRST UNITED METHODIST CHURCH, MECHANICSBURG (BONE DENSITY, BLOOD PRESSURE SCREENINGS AND SLEEP ASSESSMENTS FOR CAREGIVERS), PAXTONIA ELEMENTARY SCHOOL SCIENCE NIGHT (HAND HYGIENE), NATIONWIDE EMPLOYEE HEALTH FAIR (BONE DENSITY) AND 5/22 SKIN CANCER SCREENING EVENT.WE OFFER FREE OR REDUCED-COST CLASSES AND SUPPORT GROUPS FOR EXPECTANT MOTHERS AND THEIR FAMILIES, INCLUDING CHILDBIRTH PREP, BEAR ESSENTIALS, MOM'S PLACE SUPPORT GROUP AND BREASTFEEDING/PUMPING.WE PROVIDE DIABETES PREVENTION AND MANAGEMENT EDUCATION AND SCREENINGS AND FEATURE HOSPITAL MEDICAL PROVIDERS AT COMMUNITY HEATH EVENTS AND DOCTALK SEGMENTS ON THE LOCAL TELEVISION STATION.

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3C:SUPPORTING DOCUMENTATION FOR ELIGIBILITY MAY CONSIST OF INCOME AND ASSET INFORMATION, INCLUSIVE BUT NOT LIMITED TO: FEDERAL INCOME TAX FORM 1040 FROM THE PRIOR YEAR, PAY STUB COPIES, WRITTEN VERIFICATION OF ANY OTHER INCOME RECEIVED (I.E. SOCIAL SECURITY, ADC, CHILD SUPPORT, ALIMONY, ETC.), CURRENT CREDIT REPORTS AND ASSET VERIFICATION. THE HOSPITAL MAY ALSO UTILIZE INDUSTRY TESTED EXTERNAL ANALYTICAL TOOLS TO QUALIFY PATIENTS FOR UNCOMPENSATED CARE (AKA PRESUMPTIVE CHARITY).GEISINGER PROVIDERS, WITHOUT DISCRIMINATION, CARE FOR ALL EMERGENCY MEDICAL CONDITIONS TO INDIVIDUALS REGARDLESS OF THEIR FINANCIAL ASSISTANCE ELIGIBILITY OR ABILITY TO PAY. IT IS THE POLICY OF GEISINGER HOSPITAL FACILITIES TO COMPLY WITH THE STANDARDS OF THE FEDERAL EMERGENCY MEDICAL TREATMENT AND ACTIVE LABOR TRANSPORT ACT OF 1986 ("EMTLA") AND REGULATIONS IN PROVIDING MEDICAL SCREENING EXAMINATION AND SUCH FURTHER TREATMENT AS MAY BE NECESSARY TO STABILIZE AN EMERGENCY MEDICAL CONDITION FOR ANY INDIVIDUAL PRESENTING TO THE EMERGENCY DEPARTMENT SEEKING TREATMENT.
PART I, LINE 6A:A SUMMARY OF THE COMMUNITY BENEFIT PROVIDED BY THE HOSPITAL AND ITS RELATED CHARITABLE ORGANIZATIONS IS INCLUDED IN GEISINGER'S ANNUAL REPORT AND IS MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
PART I, LINE 7:A COST ACCOUNTING SYSTEM WAS USED TO DETERMINE THE COSTS REPORTED ON LINE 7 AND ADDRESSED PATIENT SEGMENTS BY PAYOR (E.G. MEDICARE, MEDICAID, COMMERCIAL PAYERS, SELF-PAY, ETC.). A COST TO CHARGE RATIO, CALCULATED PURSUANT TO WORKSHEET 2 OF THE FORM 990 INSTRUCTIONS, WAS USED TO CALCULATE THE COST OF CHARITY CARE.
PART I, LINE 7G:THERE ARE NO PHYSICIAN CLINICAL SERVICES INCLUDED IN SUBSIDIZED HEALTH SERVICES.
PART III, LINE 2:REFER TO THE RESPONSE FOR PART III, LINE 4.
PART III, LINE 3:PATIENTS' ACCOUNTS ARE MONITORED THROUGHOUT THE BILLING PROCESS AND ARE RECLASSIFIED TO CHARITY CARE (100% DISCOUNTED CARE) WHENEVER A PATIENT BECOMES ELIGIBLE UNDER THE HOSPITAL'S UNCOMPENSATED OR CHARITY CARE POLICIES.THE HOSPITAL ESTIMATES THAT APPROXIMATELY 14% OF THE BAD DEBT ACCOUNTS ARE SUBSEQUENTLY RECLASSIFIED TO UNCOMPENSATED OR CHARITY CARE.
PART III, LINE 4:GEISINGER HEALTH AND ITS AFFILIATES ("GEISINGER"), THAT INCLUDES THE HOSPITAL, PREPARE AND ISSUE AUDITED CONSOLIDATED FINANCIAL STATEMENTS, ANNUALLY. FOOTNOTE 3, 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.
PART III, LINE 8:MEDICARE COSTS WERE DERIVED FROM THE MEDICARE COST REPORT AND THE COST ACCOUNTING SYSTEM.THE ORGANIZATION BELIEVES THAT MEDICARE UNDERPAYMENTS (SHORTFALL) AND THE COST OF BAD DEBT ARE COMMUNITY BENEFIT AND SHOULD BE INCLUDED ON FORM 990, SCHEDULE H, PART I. AS OUTLINED MORE FULLY BELOW, THE ORGANIZATION BELIEVES THAT THESE SERVICES AND RELATED COSTS PROMOTE THE HEALTH OF THE COMMUNITY AS A WHOLE AND ARE RENDERED IN CONJUNCTION WITH THE ORGANIZATION'S CHARITABLE TAX-EXEMPT PURPOSES AND MISSION IN PROVIDING MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER WITHOUT REGARD TO RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY AND IS CONSISTENT WITH THE COMMUNITY BENEFIT STANDARD PROMULGATED BY THE IRS. THE COMMUNITY BENEFIT STANDARD IS THE CURRENT STANDARD FOR A TAX-EXEMPT AND CHARITABLE ORGANIZATION UNDER THE INTERNAL REVENUE CODE ("IRC") 501(C)(3).SATISFYING THE "COMMUNITY BENEFIT STANDARD," AS ARTICULATED BY THE INTERNAL REVENUE SERVICE (IRS) IN REVENUE RULING 69-545, IS CURRENTLY REQUIRED FOR A HOSPITAL TO BE RECOGNIZED AS A CHARITABLE ORGANIZATION UNDER INTERNAL REVENUE CODE (IRC) 501(C)(3). THIS RULING REMOVED THE PREVIOUS REQUIREMENT OF REVENUE RULING 56-185, KNOWN AS THE "CHARITY CARE STANDARD," THAT IN ORDER TO BE A CHARITABLE ORGANIZATION, A HOSPITAL HAD TO PROVIDE, TO THE EXTENT OF ITS FINANCIAL ABILITY, FREE OR REDUCED-COST CARE TO PATIENTS UNABLE TO PAY FOR THEIR CARE. THIS EARLIER RULING EMPHASIZED THAT A LOW LEVEL OF CHARITY CARE DID NOT MEAN THAT A HOSPITAL WAS CHARITABLE SINCE THAT LEVEL COULD REFLECT THE HOSPITAL'S FINANCIAL ABILITY TO PROVIDE SUCH CARE. REVENUE RULING 56-185 ALSO NOTED THAT PUBLICLY SUPPORTED COMMUNITY HOSPITALS WOULD NORMALLY QUALIFY AS CHARITABLE BECAUSE THEY SERVE THE ENTIRE COMMUNITY AND A LOW LEVEL OF CHARITY CARE WOULD NOT IMPACT A HOSPITAL'S CHARITABLE STATUS IF IT WAS DUE TO THE SURROUNDING COMMUNITY'S LACK OF CHARITABLE DEMANDS.AS DEVELOPED IN REVENUE RULING 69-545, UNDER THE COMMUNITY BENEFIT STANDARD, HOSPITALS WERE JUDGED ON WHETHER THEY PROMOTE THE HEALTH OF A BROAD CLASS OF INDIVIDUALS IN THE COMMUNITY. THIS RULING INVOLVED A HOSPITAL THAT ONLY ADMITTED THOSE WHO COULD PAY FOR THE SERVICES EITHER BY THEMSELVES, THROUGH PRIVATE INSURANCE OR PUBLIC PROGRAMS SUCH AS MEDICARE. IN ADDITION, THE HOSPITAL OPERATED A FULL-TIME EMERGENCY ROOM THAT WAS OPEN TO EVERYONE. THE IRS RULED THAT THE HOSPITAL WAS CHARITABLE BECAUSE IT PROMOTED THE HEALTH OF PEOPLE IN ITS COMMUNITY. THE IRS REASONED THAT BECAUSE THE PROMOTION OF HEALTH WAS A CHARITABLE PURPOSE ACCORDING TO THE GENERAL LAW OF CHARITY, IT FELL WITHIN THE "GENERALLY ACCEPTED LEGAL SENSE" OF THE TERM CHARITABLE, AS REQUIRED BY TREASURY REGULATION SECTION 1.501 (C)(3)-1(D)(2). THE IRS RULED THAT THE PROMOTION OF HEALTH, LIKE RELIEF OF POVERTY AND THE ADVANCEMENT OF EDUCATION AND RELIGION, IS ONE OF THE PURPOSES OF THE GENERAL LAW OF CHARITY THAT IS DEEMED BENEFICIAL TO THE COMMUNITY AS A WHOLE EVEN THOUGH THE CLASS OF BENEFICIARIES ELIGIBLE TO RECEIVE A DIRECT BENEFIT FROM ITS ACTIVITIES DOES NOT INCLUDE ALL MEMBERS OF THE COMMUNITY, SUCH AS INDIGENT MEMBERS OF THE COMMUNITY, PROVIDED THAT THE CLASS IS NOT SO SMALL THAT ITS RELIEF IS NOT OF BENEFIT TO THE COMMUNITY.THE IRS CONCLUDED THAT THE HOSPITAL WAS "PROMOTING THE HEALTH OF A CLASS OF PERSONS THAT IS BROAD ENOUGH TO BENEFIT THE COMMUNITY" BECAUSE ITS EMERGENCY ROOM WAS OPEN TO ALL AND IT PROVIDED CARE TO THOSE WHO COULD PAY, WHETHER DIRECTLY OR THROUGH THIRD-PARTY REIMBURSEMENT. OTHER FACTORS THAT DEMONSTRATED COMMUNITY BENEFIT INCLUDED: SURPLUS FUNDS WERE USED TO IMPROVE PATIENT CARE, EXPAND FACILITIES AND ADVANCE MEDICAL TRAINING, EDUCATION AND RESEARCH; AND IT WAS CONTROLLED BY A BOARD OF DIRECTORS THAT CONSISTED OF INDEPENDENT CIVIC LEADERS.THE AMERICAN HOSPITAL ASSOCIATION ("AHA") BELIEVES THAT MEDICARE UNDERPAYMENTS (SHORTFALLS) AND BAD DEBT SHOULD BE REPORTED AS COMMUNITY BENEFIT ON FORM 990, SCHEDULE H, PART I, LINE 7. THIS ORGANIZATION AGREES WITH THE AHA'S LETTER TO THE IRS DATED AUGUST 21, 2007 RESPONDING TO A DRAFT OF THE NEW FORM 990 AND SCHEDULE H, THE AHA ARGUED THAT MEDICARE UNDERPAYMENTS (SHORTFALLS) IS COMMUNITY BENEFIT FOR THE FOLLOWING REASONS: -PROVIDING CARE FOR THE ELDERLY AND SERVING MEDICARE PATIENTS REMAINS AN ESSENTIAL PART OF THE COMMUNITY BENEFIT STANDARD.-MEDICARE, LIKE MEDICAID, DOES NOT PAY THE FULL COST OF CARE. RECENTLY, MEDICARE REIMBURSES ONLY 92 CENTS FOR EVERY DOLLAR HOSPITALS SPEND TO CARE FOR MEDICARE PATIENTS.-MANY MEDICARE PATIENTS, LIKE THEIR MEDICAID COUNTERPARTS, ARE POOR. MORE THAN 46% OF MEDICARE SPENDING IS FOR BENEFICIARIES WHOSE INCOME IS BELOW 200% OF THE FEDERAL POVERTY LEVEL. MANY ARE ALSO ELIGIBLE FOR MEDICAID, SO CALLED DUAL ELIGIBLES".PENNSYLVANIA REQUIRES NON-PROFIT HOSPITALS TO PROVIDE A MINIMUM LEVEL OF COMMUNITY BENEFIT TO RETAIN EXEMPTION FROM STATE AND LOCAL TAXES. ACCORDING TO STATE GUIDANCE AND CASE LAW, THE UNREIMBURSED COST OF MEDICARE AND BAD DEBT IS CONSIDERED TO BE COMMUNITY BENEFIT FOR STATE TAX EXEMPTION PURPOSES.PART III, LINE 6 ONLY INCLUDES THOSE COSTS THAT ARE PERMITTED TO BE REPORTED IN THE HOSPITAL'S MEDICARE COST REPORT THAT IS REQUIRED TO BE FILED WITH THE FEDERAL GOVERNMENT. THE HOSPITAL CONSIDERS THE TOTAL MEDICARE UNDERPAYMENTS (SHORTFALL) OF $23,650,410 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. (IN FY 2020, APPROXIMATELY 14% 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 FISCAL YEAR ENDED 6/30/2020, THE HOSPITAL'S COST OF PROVIDING PATIENT CARE FOR SERVICES ACCOUNTED FOR AS BAD DEBT WAS $1,261,870
PART III, LINE 9B:THE HOSPITAL IS COMMITTED TO PROVIDING MEDICALLY NECESSARY SERVICES TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY AND THE HOSPITAL'S COLLECTION ACTIONS ARE CONSISTENTLY APPLIED TO ALL PATIENTS. IT IS THE HOSPITAL'S POLICY TO PROVIDE FINANCIAL ASSISTANCE AND COUNSELING TO PATIENTS WITH LIMITED FINANCIAL MEANS. A PATIENT MAY BECOME ELIGIBLE FOR FINANCIAL ASSISTANCE AT ANY TIME DURING TREATMENT OR DURING THE CONTINUUM OF THE FINANCIAL/BILLING AND COLLECTION PROCESS. IN ANY STAGE OF THE BILLING PROCESS, COLLECTION ACTIONS ARE NOT PURSUED WHENEVER A PATIENT APPLIES AND IS BEING EVALUATED FOR FINANCIAL ASSISTANCE.UNDER NO CIRCUMSTANCES WILL THE HOSPITAL FREEZE OR ATTACH BANK ACCOUNTS OF A PATIENT, ENFORCE LIENS, ACTIVELY PURSUE ASSETS FROM A PRIOR JUDGMENT OR GARNISH THE WAGES OF A PATIENT AND/OR FAMILY MEMBER BEFORE DETERMINING IF THE PATIENT IS ELIGIBLE FOR ASSISTANCE UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM.GEISINGER MANAGEMENT HAS DEVELOPED POLICIES AND PROCEDURES FOR INTERNAL AND EXTERNAL COLLECTION PRACTICES THAT TAKE INTO ACCOUNT THE EXTENT TO WHICH THE PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE, A PATIENT'S GOOD FAITH EFFORT TO APPLY FOR GOVERNMENTAL PROGRAMS OR FINANCIAL ASSISTANCE FROM GEISINGER AND A PATIENT'S GOOD FAITH EFFORT TO COMPLY HIS OR HER PAYMENT AGREEMENTS.BILLING AND COLLECTION POLICY: THE BILLING AND COLLECTION POLICY IS ADMINISTERED IN ACCORDANCE WITH THE MISSION AND VALUES OF THE HOSPITAL AS WELL AS FEDERAL AND STATE LAW. THE POLICY IS DESIGNED TO PROMOTE APPROPRIATE ACCESS TO MEDICAL CARE FOR ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY WHILE MAINTAINING GEISINGER'S FISCAL RESPONSIBILITY TO MAXIMIZE REIMBURSEMENT AND MINIMIZE BAD DEBT.THE ORGANIZATION'S BILLING AND COLLECTION POLICY IS INTENDED TO TAKE INTO ACCOUNT EACH INDIVIDUAL'S ABILITY TO CONTRIBUTE TO THE COST OF HIS OR HER CARE. THE ORGANIZATION MAKES SURE THAT PATIENTS ARE ASSISTED IN OBTAINING HEALTH INSURANCE COVERAGE FROM PRIVATELY AND PUBLICLY FUNDED SOURCES, WHENEVER POSSIBLE.ALL BUSINESS OFFICE CUSTOMER SERVICE DEPARTMENT REPRESENTATIVES ARE EDUCATED ON ALL ASPECTS OF THE BILLING AND COLLECTION POLICY AND ARE EXPECTED TO ADMINISTER THE POLICY ON A REGULAR AND CONSISTENT BASIS. BUSINESS OFFICE CUSTOMER SERVICE REPRESENTATIVES ARE HELD ACCOUNTABLE TO TREAT ALL PATIENTS WITH COURTESY, RESPECT, CONFIDENTIALITY AND CULTURAL SENSITIVITY.THE BILLING AND COLLECTION POLICY IS ADMINISTERED IN CONJUNCTION WITH THE PROCEDURES OUTLINED IN INTERNAL ADMINISTRATIVE POLICIES. THE GEISINGER EXECUTIVE VICE PRESIDENT, CHIEF FINANCIAL OFFICER AND VICE PRESIDENT, CHIEF REVENUE OFFICER HAVE OVERALL RESPONSIBILITY FOR THE BILLING AND COLLECTION ACTIVITIES OF THE HOSPITAL. THE BUSINESS OFFICE CUSTOMER SERVICE DEPARTMENT STAFF IS RESPONSIBLE FOR THE DAY-TO-DAY ENFORCEMENT OF APPROVED POLICIES AND PROCEDURES. GEISINGER MAY OFFER EXTENDED PAYMENT PLANS TO PATIENTS WHO ARE COOPERATING IN GOOD FAITH TO RESOLVE THEIR HOSPITAL BILLS.EMERGENCY & MEDICALLY NECESSARY SERVICES: GEISINGER DOES NOT ENGAGE IN ANY ACTIONS THAT DISCOURAGE INDIVIDUALS FROM SEEKING EMERGENCY MEDICAL CARE. THE ORGANIZATION WILL NEVER DEMAND THAT AN EMERGENCY DEPARTMENT PATIENT PAY BEFORE RECEIVING TREATMENT FOR EMERGENCY MEDICAL CONDITIONS. ADDITIONALLY, GEISINGER DOES NOT PERMIT DEBT COLLECTION ACTIVITIES IN THE EMERGENCY DEPARTMENT OR OTHER AREAS WHERE SUCH ACTIVITIES COULD INTERFERE WITH THE PROVISION OF EMERGENCY CARE ON A NONDISCRIMINATORY BASIS. ALL MEDICALLY NECESSARY HOSPITAL SERVICES ARE PROVIDED WITHOUT CONSIDERATION OF ABILITY TO PAY AND ARE NOT DELAYED PENDING APPLICATION OR APPROVAL OF MEDICAL ASSISTANCE OR THE GEISINGER FINANCIAL ASSISTANCE PROGRAM. ADVANCE PAYMENT IS NOT REQUIRED FOR ANY MEDICALLY NECESSARY SERVICES.COMPLIANCE WITH INTERNAL REVENUE CODE SECTION 501(R)(6): GEISINGER DOES NOT ENGAGE IN ANY EXTRAORDINARY COLLECTION ACTIONS ("ECAS") AS DEFINED BY INTERNAL REVENUE CODE SECTION 501(R)(6) PRIOR TO THE EXPIRATION OF THE NOTIFICATION PERIOD. THE NOTIFICATION PERIOD IS DEFINED AS A 120-DAY PERIOD OR GREATER, WHICH BEGINS ON THE DATE OF THE 1ST POST-DISCHARGE BILLING STATEMENT, IN WHICH NO ECAS ARE INITIATED AGAINST THE PATIENT.SUBSEQUENT TO THE NOTIFICATION PERIOD GEISINGER, OR ANY THIRD PARTIES ACTING ON ITS BEHALF, MAY INITIATE THE FOLLOWING ECAS AGAINST A PATIENT FOR AN UNPAID BALANCE IF THE FINANCIAL ASSISTANCE ELIGIBILITY DETERMINATION HAS NOT BEEN MADE OR IF AN INDIVIDUAL IS INELIGIBLE FOR FINANCIAL ASSISTANCE. GEISINGER MAY AUTHORIZE THIRD PARTIES TO REPORT ADVERSE INFORMATION ABOUT THE INDIVIDUAL TO CONSUMER CREDIT REPORTING AGENCIES OR CREDIT BUREAUS ON DELINQUENT PATIENT ACCOUNTS AFTER THE NOTIFICATION PERIOD.THE ORGANIZATION ENSURES REASONABLE EFFORTS HAVE BEEN TAKEN TO DETERMINE WHETHER AN INDIVIDUAL IS ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THE FINANCIAL ASSISTANCE POLICY AND ENSURES THE FOLLOWING ACTIONS ARE TAKEN AT LEAST 30 DAYS PRIOR TO INITIATING ANY ECA: 1) THE PATIENT IS PROVIDED WITH WRITTEN NOTICE WHICH: INDICATES THAT FINANCIAL ASSISTANCE IS AVAILABLE FOR ELIGIBLE PATIENTS; IDENTIFIES THE ECA(S) THAT GEISINGER INTENDS TO INITIATE TO OBTAIN PAYMENT FOR THE CARE; AND STATES A DEADLINE AFTER WHICH SUCH ECAS MAY BE INITIATED. 2) THE PATIENT IS PROVIDED WITH A COPY OF THE PLAIN LANGUAGE SUMMARY; AND 3) REASONABLE EFFORTS ARE MADE TO ORALLY NOTIFY THE PATIENT ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE AND HOW THE INDIVIDUAL MAY OBTAIN ASSISTANCE WITH THE FINANCIAL ASSISTANCE APPLICATION PROCESS.GEISINGER PROCESSES ALL APPLICATIONS FOR FINANCIAL ASSISTANCE SUBMITTED DURING THE APPLICATION PERIOD. THE APPLICATION PERIOD BEGINS ON THE DATE THE CARE IS PROVIDED AND ENDS ON THE 240TH DAY AFTER THE DATE OF THE FIRST POST-DISCHARGE BILLING STATEMENT.
PART VI, LINE 2:A COLLABORATIVE APPROACH TO COMMUNITY HEALTH IMPROVEMENTTHE FY19 GEISINGER COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED IN PARTNERSHIP WITH GEISINGER, ALLIED SERVICES INTEGRATED HEALTH SYSTEM, AND EVANGELICAL COMMUNITY HOSPITAL. THE STUDY AREA INCLUDED 19 COUNTIES ACROSS CENTRAL, NORTHEASTERN, AND SOUTH CENTRAL PENNSYLVANIA WHICH REPRESENT THE COLLECTIVE SERVICE AREAS OF THE COLLABORATING HOSPITALS. TO DISTINGUISH UNIQUE SERVICE AREAS AMONG HOSPITALS AND FOSTER COOPERATION WITH LOCAL COMMUNITY PARTNERS TO IMPACT HEALTH NEEDS, REGIONAL RESEARCH AND LOCAL REPORTING WAS DEVELOPED. THE COLLABORATING HEALTH SYSTEMS AGREED THAT BY COORDINATING EFFORTS TO IDENTIFY COMMUNITY HEALTH NEEDS ACROSS THE REGION, THE HEALTH SYSTEMS WOULD CONSERVE COMMUNITY RESOURCES WHILE DEMONSTRATING LEADERSHIP IN CONVENING LOCAL COMMUNITY PARTNERS TO ADDRESS COMMON PRIORITY NEEDS. BEST PRACTICES IN COMMUNITY HEALTH IMPROVEMENT DEMONSTRATE THAT FOSTERING "COLLECTIVE IMPACT" IS AMONG THE MOST SUCCESSFUL WAYS TO AFFECT THE HEALTH OF A COMMUNITY. COLLECTIVE IMPACT IS ACHIEVED BY COMMITTING A DIVERSE GROUP OF STAKEHOLDERS TOWARD A COMMON GOAL OR ACTION, PARTICULARLY TO IMPACT DEEP ROOTED SOCIAL OR HEALTH NEEDS. BY TAKING A COLLABORATIVE APPROACH TO THE CHNA, GEISINGER, ALLIED SERVICES INTEGRATED HEALTH SYSTEM, AND EVANGELICAL COMMUNITY HOSPITAL ARE LEADING THE WAY TO IMPROVE THE HEALTH OF COMMUNITIES IN CENTRAL, NORTHEASTERN, AND SOUTH CENTRAL PENNSYLVANIA. THE FOLLOWING PAGES DESCRIBE THE PROCESS AND RESEARCH METHODS USED IN THE FY2019 CHNA AND THE FINDINGS THAT PORTRAY THE HEALTH STATUS OF THE COMMUNITIES WE SERVE AND OUTLINE OPPORTUNITIES TO WORK WITH OUR COMMUNITY PARTNERS TO ADVANCE HEALTH AMONG ALL RESIDENTS ACROSS OUR SERVICE AREAS.SEE ALSO THE DISCUSSION RELATED TO THE RESPONSE TO PART V, LINE 5.
PART VI, LINE 3:FOR URGENT AND EMERGENT SERVICES, PATIENTS ARE PROVIDED CARE REGARDLESS OF THEIR ABILITY TO PAY. IN THE EVENT A PATIENT HAS AN EMERGENCY MEDICAL CONDITION; TREATMENT IS NOT DELAYED TO PERMIT AN INQUIRY REGARDING A PATIENT'S METHOD OF PAYMENT OR INSURANCE STATUS. FOR OTHER THAN URGENT AND EMERGENT SERVICES, THE HOSPITAL PROVIDES UNCOMPENSATED CARE, FREE OF CHARGE, OR ON A 100% DISCOUNTED BASIS, TO THOSE PATIENTS WHO DEMONSTRATE AN INABILITY TO PAY. DEPENDING UPON FAMILY SIZE AND INCOME, FREE OR 100% DISCOUNTED SERVICES ARE AVAILABLE TO A PATIENT WITH FAMILY INCOME OF 300% OR LESS OF THE FEDERAL POVERTY GUIDELINES. IT IS THE HOSPITAL'S POLICY TO PROVIDE FINANCIAL ASSISTANCE AND FINANCIAL COUNSELING TO PATIENTS OF LIMITED MEANS.A PATIENT MAY BECOME ELIGIBLE FOR CHARITY CARE OR FINANCIAL ASSISTANCE AT ANY TIME DURING TREATMENT OR DURING THE CONTINUUM OF THE FINANCIAL/BILLING PROCESS. INFORMATION (SIGNS, BROCHURES, ETC.) REGARDING THE HOSPITAL'S CHARITY CARE AND FINANCIAL ASSISTANCE POLICIES ARE PROVIDED AT THE EMERGENCY ROOM, REGISTRATION AND VARIOUS ACCESS POINTS THROUGHOUT THE HOSPITAL.REGISTRATION PERSONNEL ALSO REFER UNINSURED AND/OR LOW INCOME PATIENTS TO FINANCIAL COUNSELORS TO DISCUSS THE FINANCIAL ASSISTANCE POLICY. NOTICE OF THE HOSPITAL'S CHARITY CARE AND FINANCIAL ASSISTANCE POLICIES CAN ALSO BE FOUND ON THE GEISINGER WEB SITE AT WWW.GEISINGER.ORG. PATIENTS ARE ALSO PROVIDED INFORMATION ON THE HOSPITAL'S CHARITY CARE AND FINANCIAL ASSISTANCE POLICIES WITH EACH PATIENT BILL.THE FINANCIAL ASSISTANCE POLICY ("FAP"), THE FAP APPLICATION AND PLAIN LANGUAGE SUMMARY ("PLS") ARE AVAILABLE ON-LINE. PAPER COPIES ARE AVAILABLE UPON REQUEST WITHOUT CHARGE BY MAIL OR ARE AVAILABLE AT REGISTRATION AREAS WHICH INCLUDES EMERGENCY ROOMS, ADMITTING AND REGISTRATION DEPARTMENTS, HOSPITAL-BASED CLINICS AND PATIENT FINANCIAL SERVICES DEPARTMENTS. ALL FAP DOCUMENTS ARE AVAILABLE IN ENGLISH AND IN THE PRIMARY LANGUAGE OF POPULATIONS WITH LIMITED ENGLISH PROFICIENCY ("LEP") THAT CONSTITUTE THE LESSER OF 1,000 INDIVIDUALS OR 5% OF THE HOSPITAL'S SERVICE AREA. SIGNS OR DISPLAYS ARE CONSPICUOUSLY POSTED IN PUBLIC HOSPITAL LOCATIONS INCLUDING THE EMERGENCY DEPARTMENT, ADMISSIONS DEPARTMENT AND REGISTRATION DEPARTMENT THAT INFORM PATIENTS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE. ALL PATIENTS ARE OFFERED A COPY OF THE PLS AS PART OF THE INTAKE AND DISCHARGE PROCESSES. ADDITIONALLY, FINANCIAL COUNSELORS AND CUSTOMER SERVICE REPRESENTATIVES ARE AVAILABLE TO ASSIST PATIENTS WITH CONCERNS.
PART VI, LINE 4:GEISINGER HOLY SPIRIT PRIMARILY SERVES RESIDENTS IN 25 ZIP CODES SPANNING CUMBERLAND, DAUPHIN, PERRY, AND YORK COUNTIES IN PENNSYLVANIA. THE 2017 POPULATION OF THE SERVICE AREA IS 454,584 AND IS PROJECTED TO INCREASE 3.7% BY 2022.ZIP CODE OF RESIDENCE IS ONE OF THE MOST IMPORTANT PREDICTORS OF HEALTH DISPARITY; WHERE RESIDENTS LIVE MATTERS IN DETERMINING THEIR HEALTH. THE COMMUNITY NEED INDEX (CNI) WAS DEVELOPED BY DIGNITY HEALTH AND TRUVEN HEALTH ANALYTICS TO ILLUSTRATE THE POTENTIAL FOR HEALTH DISPARITY AT THE ZIP CODE LEVEL. THE CNI SCORES ZIP CODES ON A SCALE OF 1.0 (LOW NEED) TO 5.0 (HIGH NEED) BASED ON 2015 DATA INDICATORS FOR FIVE SOCIO-ECONOMIC BARRIERS:- INCOME: POVERTY AMONG ELDERLY HOUSEHOLDS, FAMILIES WITH CHILDREN, AND SINGLE FEMALE-HEADED FAMILIES WITH CHILDREN - CULTURE/LANGUAGE: MINORITY POPULATIONS AND ENGLISH LANGUAGE BARRIERS- EDUCATION: POPULATION OVER 25 YEARS WITHOUT A HIGH SCHOOL DIPLOMA- INSURANCE COVERAGE: UNEMPLOYMENT RATE AMONG POPULATION 16 YEARS OR OVER AND POPULATION WITHOUT HEALTH INSURANCE- HOUSING STATUS: HOUSEHOLDERS RENTING THEIR HOMETHE WEIGHTED AVERAGE CNI SCORE FOR GEISINGER HOLY SPIRIT'S 25 ZIP CODE SERVICE AREA IS 2.5, INDICATING LOWER OVERALL COMMUNITY NEED. SEVERAL ZIP CODES WITHIN HARRISBURG HAVE HIGHER CNI SCORES, INCLUDING 17102, 17104, 17110, AND 17113. ZIP CODE 17104 HAS THE HIGHEST SCORE (4.8). A SIGNIFICANT PORTION OF HARRISBURG CITY IS DESIGNATED AS A MEDICALLY UNDERSERVED AREA. POPULATIONS IN HARRISBURG ZIP CODES 17104 AND 17102 HAVE THE HIGHEST POVERTY, UNEMPLOYMENT, AND/OR UNINSURED RATES; ZIP CODE 17104 ALSO HAS THE LOWEST EDUCATIONAL ATTAINMENT AMONG RESIDENTS. POPULATIONS IN THE ZIP CODES ARE DIVERSE; APPROXIMATELY 38% TO 47% OF RESIDENTS IDENTIFY AS BLACK/AFRICAN AMERICAN AND 12% TO 31% OF RESIDENTS IDENTIFY AS HISPANIC/LATINO. RESIDENTS IN ZIP CODE 17043, LEMOYNE, ALSO EXPERIENCE POORER SOCIAL DETERMINANTS OF HEALTH. THE ZIP CODE HAS THE HIGHEST POVERTY AND UNINSURED RATES IN THE CUMBERLAND COUNTY SERVICE AREA. RESIDENTS ARE MORE LIKELY TO BE HISPANIC/LATINO AND SPEAK A LANGUAGE OTHER THAN ENGLISH. THE SOUTH CENTRAL REGION IS COMPRISED OF FOUR COUNTIES AND IS SERVED BY GEISINGER HOLY SPIRIT. THE SOUTH CENTRAL REGION POPULATION IS PRIMARILY WHITE, BUT DIVERSITY IS INCREASING. THE WHITE POPULATION AS A PERCENTAGE OF THE TOTAL POPULATION IS DECLINING IN ALL COUNTIES, WHILE BLACK/AFRICAN AMERICAN AND HISPANIC/LATINO POPULATIONS ARE GROWING. THE DEMOGRAPHIC SHIFT IS A STATEWIDE TREND; MINORITY POPULATIONS ARE THE ONLY GROWING DEMOGRAPHIC IN PENNSYLVANIA. THE HISPANIC/LATINO POPULATION IS ONE OF THE FASTEST GROWING DEMOGRAPHIC GROUPS; DAUPHIN AND YORK COUNTIES ARE PROJECTED TO EXPERIENCE THE GREATEST INCREASE IN THE POPULATION. PENNSYLVANIA FARES BETTER THAN THE NATION ON MOST ECONOMIC INDICATORS. PENNSYLVANIA RESIDENTS ARE LESS LIKELY TO LIVE IN POVERTY, HAVE A SIMILAR UNEMPLOYMENT RATE AS THE NATION'S AVERAGE, AND ARE MORE LIKELY TO HAVE ATTAINED AT LEAST A HIGH SCHOOL DIPLOMA. WITHIN THE SOUTH CENTRAL REGION, RESIDENTS HAVE A HIGHER MEDIAN HOUSEHOLD INCOME THAN THE STATE AND THE NATION, AND RESIDENTS IN ALL COUNTIES EXCEPT DAUPHIN HAVE LOWER POVERTY RATES. DAUPHIN COUNTY POVERTY RATES ARE SIMILAR TO STATE RATES. ALL COUNTIES ALSO HAVE A LOWER PERCENTAGE OF RESIDENTS WITH LESS THAN A HIGH SCHOOL EDUCATION WHEN COMPARED TO THE NATION. RACIAL AND ETHNIC MINORITY GROUPS LIKE BLACK/AFRICAN AMERICAN OR HISPANIC/LATINO RESIDENTS ARE MORE LIKELY TO BE IMPACTED BY ADVERSE SOCIOECONOMIC FACTORS, INCLUDING POVERTY, UNEMPLOYMENT, OR EDUCATION ATTAINMENT. POVERTY IS ONE OF THE BIGGEST DRIVERS OF DISPARITY IN THE SOUTH CENTRAL REGION. POVERTY RATES AMONG MINORITY POPULATIONS ARE DOUBLE THE RATES AMONG WHITES. SOCIOECONOMIC DISPARITY CONTRIBUTES TO WORSE HEALTH OUTCOMES. BECAUSE POPULATION COUNTS FOR MINORITY RESIDENTS ACROSS THE REGION ARE LOW, HEALTH DISPARITIES ARE PRIMARILY EVIDENCED BY STATE AND NATIONAL TRENDS. THE 2017 POPULATION OF THE SOUTH CENTRAL REGION IS 1,026,593. YORK COUNTY COMPRISES THE LARGEST PORTION OF THE POPULATION (44%), FOLLOWED BY DAUPHIN COUNTY (27%). COUNTY POPULATIONS ARE EXPECTED TO GROW WITH INCREASES OF 1% (PERRY) TO 6% (CUMBERLAND) BY 2022. THE SOUTH CENTRAL REGION POPULATION IS PRIMARILY WHITE, BUT INCREASINGLY DIVERSE. THE PERCENTAGE OF WHITE RESIDENTS DECREASED FROM 2010 TO 2017 AND IS PROJECTED TO DECREASE THROUGH 2022. THE PERCENTAGE OF RESIDENTS IDENTIFYING AS BLACK/AFRICAN AMERICAN AND/OR HISPANIC/LATINO IS INCREASING. DAUPHIN COUNTY HAS THE MOST DIVERSE POPULATION; RESIDENTS ARE LESS LIKELY TO SPEAK ENGLISH AS THEIR PRIMARY LANGUAGE WHEN COMPARED TO THE STATE. RESIDENTS IN ALL COUNTIES ARE MORE LIKELY TO SPEAK PRIMARILY ENGLISH WHEN COMPARED TO THE NATION. PENNSYLVANIA HAS A HIGHER MEDIAN AGE THAN THE NATION. THE MEDIAN AGE OF THE SOUTH CENTRAL REGION COUNTIES IS CONSISTENT WITH THE STATE. PERRY COUNTY HAS THE HIGHEST MEDIAN AGE, EXCEEDING THE NATION BY 5 POINTS. ALL SOUTH CENTRAL REGION COUNTIES HAVE A HIGHER MEDIAN HOUSEHOLD INCOME THAN THE STATE AND THE NATION. ALL COUNTIES EXCEPT DAUPHIN ALSO HAVE LOWER POVERTY RATES. DAUPHIN COUNTY POVERTY RATES ARE SIMILAR TO THE STATE. APPROXIMATELY 20% OF CHILDREN IN THE COUNTY LIVE IN POVERTY. CUMBERLAND AND DAUPHIN COUNTIES HAVE A MORE PROMINENT WHITE-COLLAR WORKFORCE COMPARED TO OTHER COUNTIES IN THE REGION AND THE STATE AND THE NATION. PERRY AND YORK COUNTIES HAVE A LARGER BLUE-COLLAR WORKFORCE. ALL COUNTIES EXCEPT YORK HAVE A LOWER UNEMPLOYMENT RATE THAN THE STATE AND THE NATION. THE YORK COUNTY UNEMPLOYMENT RATE IS SIMILAR TO THE NATION. HOMEOWNERSHIP IS A MEASURE OF HOUSING AFFORDABILITY AND ECONOMIC STABILITY. HOUSEHOLDERS IN ALL SERVICE COUNTIES EXCEPT DAUPHIN ARE MORE LIKELY TO OWN THEIR HOME WHEN COMPARED TO THE STATE AND THE NATION; DAUPHIN COUNTY MIRRORS THE NATION FOR HOME OWNERSHIP. DAUPHIN COUNTY HAS A SIMILAR MEDIAN HOUSEHOLD INCOME AND MEDIAN HOME VALUE TO PERRY COUNTY, BUT THE PERCENTAGE OF HOMEOWNERS IN PERRY COUNTY IS 10 POINTS HIGHER THAN IN DAUPHIN COUNTY. EDUCATION IS THE LARGEST PREDICTOR OF POVERTY AND ONE OF THE MOST EFFECTIVE MEANS OF REDUCING INEQUALITIES. RESIDENTS IN ALL SERVICE COUNTIES ARE MORE LIKELY TO HAVE GRADUATED FROM HIGH SCHOOL WHEN COMPARED TO THE NATION. A HIGHER PERCENTAGE OF RESIDENTS IN PERRY AND YORK COUNTIES COMPLETED THEIR EDUCATION WITH A HIGH SCHOOL DIPLOMA. RESIDENTS IN CUMBERLAND AND DAUPHIN COUNTIES ARE MORE LIKELY TO HAVE ATTAINED HIGHER EDUCATION; CUMBERLAND COUNTY EXCEEDS THE STATE AND THE NATION FOR THIS MEASURE.
PART VI, LINE 5:IN ADDITION TO THE NET COMMUNITY BENEFIT COSTS INCURRED BY THE ORGANIZATION AS REPORTED IN SCHEDULE H, PART I, LINE 7; PLEASE REFER TO SCHEDULE O OF THIS FORM 990 FOR THE ORGANIZATION'S NARRATIVE COMMUNITY BENEFIT STATEMENT FOR ADDITIONAL INFORMATION ON HOW THE ORGANIZATION PROMOTES HEALTH AND PROVIDES HEALTHCARE SERVICES TO THE COMMUNITY REGARDLESS OF THE INDIVIDUAL'S ABILITY TO PAY IN FURTHERANCE OF ITS CHARITABLE TAX EXEMPT PURPOSE.
PART VI, LINE 6:THE HOSPITAL IS AN AFFILIATE WITHIN GEISINGER, AN INTEGRATED HEALTH SERVICES ORGANIZATION THAT INCLUDES 13 HOSPITAL CAMPUSES, A NEARLY 600,000-MEMBER HEALTH PLAN, TWO RESEARCH CENTERS, THE GEISINGER LEWISTOWN HOSPITAL SCHOOL OF NURSING AND THE GEISINGER COMMONWEALTH SCHOOL OF MEDICINE. AND GEISINGER'S MYCODE COMMUNITY HEALTH INITIATIVE, THE LARGEST HEALTHCARE SYSTEM-BASED PRECISION HEALTH PROJECT IN THE WORLD, WITH NEARLY 200,000 VOLUNTEERS ENROLLED, IS CONDUCTING EXTENSIVE RESEARCH AND RETURNING MEDICALLY ACTIONABLE RESULTS TO PARTICIPANTS.HISTORYGEISINGER HAD ITS BEGINNINGS IN THE SMALL COMMUNITY OF DANVILLE, WHICH IS 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. HAVE BEEN ADDED IN RECENT YEARS.CORPORATE STRUCTURETHE ORGANIZATIONAL STRUCTURE OF THE SYSTEM 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.SEE SCHEDULE R FOR A LIST OF THE AFFILIATED ORGANIZATIONS COMPRISING GEISINGER.
PART VI, LINE 7AT THIS TIME, THE HOSPITAL AND ITS AFFILIATES ARE NOT REQUIRED TO FILE A COMMUNITY BENEFIT REPORT WITH ANY STATE.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract ExceptionYes (1)InitialContractExceptionInd
Rebuttable Presumption ProcYes (1)RebuttablePresumptionProcInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (24 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
DAVID J FELICIO ESQUIRE
SECRETARY$0$782,115$0$0$0$294,985$0$182,465$0$25,727$0$1,285,292$0$235,495
KYLE C SNYDER MHA
CAO, DIRECTOR$351,515$0$0$0$120,740$0$47,230$0$30,575$0$550,060$0$42,433$0
LENKE ERKI MD
DIRECTOR$0$443,706$0$24,935$0$20,849$0$15,409$0$25,979$0$530,878$0$0
JOSEPH A TORCHIA MD
CMO, HSHS$123,564$0$0$0$371,775$0$8,410$0$2,732$0$506,481$0$0$0
CHINH N PHAM MD
DIRECTOR$0$396,165$0$28,060$0$0$0$12,955$0$30,908$0$468,088$0$0
THOMAS J GRIFONE MD
FORMER 5 HIGHEST$0$358,084$0$0$0$22,417$0$14,179$0$29,518$0$424,198$0$0
MICHAEL J PASZEK MD
FORMER 5 HIGHEST$0$327,417$0$0$0$24,099$0$18,365$0$18,863$0$388,744$0$0
JASON STANFORD PHD RTR T CMD
FORMER 5 HIGHEST$0$210,478$0$0$0$89,535$0$25,030$0$26,994$0$352,037$0$0
RANDY B MORRIS
TREASURER$287,453$0$0$0$25,736$0$14,062$0$21,408$0$348,659$0$0$0
AJAY K SAINI MD
DIRECTOR$0$250,337$0$0$0$49,095$0$12,851$0$29,554$0$341,837$0$0
LORI R GRAMLEY ESQUIRE
ASST. SECRETARY$0$270,559$0$0$0$33,554$0$19,884$0$10,915$0$334,912$0$0
PAUL D BRETTSCHNEIDER MD
FORMER 5 HIGHEST$0$262,226$0$0$0$16,496$0$14,028$0$26,980$0$319,730$0$0
RICHARD SCHREIBER
ASSOCIATE CIO$245,788$0$0$0$28,487$0$14,595$0$21,395$0$310,265$0$0$0
DANIEL E LOHR ESQUIRE
FORMER OFFICER$0$285,686$0$0$0$1,976$0$19,884$0$627$0$308,173$0$0
ANDREW R WALKER MD
FORMER 5 HIGHEST$0$243,615$0$0$0$20,815$0$12,399$0$25,596$0$302,425$0$0
GLORIA SANTOS
VP, CNO$234,397$0$0$0$37,746$0$7,202$0$22,496$0$301,841$0$0$0
JAGADEESH K MOOLA MD
FORMER 5 HIGHEST$0$224,628$0$0$0$32,300$0$12,051$0$28,287$0$297,266$0$0
BARBARA SUMBATIAN MD
FORMER 5 HIGHEST$0$212,105$0$0$0$37,521$0$14,823$0$19,805$0$284,254$0$0
ELLEN R LENKEVICH CRNP
VP, CHIEF NURSING OFFICER HSHS$244,508$0$0$0$5,347$0$5,561$0$18,715$0$274,131$0$0$0
COURTNEY K BAKER DO
FORMER 5 HIGHEST$0$185,081$0$0$0$21,260$0$208$0$9,465$0$216,014$0$0
GERALD R NEWHOUSE
FORMER KEY EMPLOYEE$0$0$0$0$0$209,223$0$0$0$260$0$209,483$0$0
JAMES A WILKEMEYER
CLINICAL PHARMACIST$166,575$0$0$0$8,331$0$8,698$0$9,267$0$192,871$0$0$0
MARK E PAINTER
SR. ADMIN DIRECTOR$161,007$0$0$0$7,780$0$8,326$0$10,920$0$188,033$0$0$0
BETH A THOMSON
ASST. DIRECTOR, PHARM$156,503$0$0$0$3,884$0$0$0$9,673$0$170,060$0$0$0

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1TAX INDEMNIFICATION AND GROSS-UP PAYMENTS - FROM TIME TO TIME, THE GEISINGER BOARD OF DIRECTORS OF GEISINGER SENIOR MANAGEMENT APPROVE THE GROSS-UP OF EXPENSES, WHICH FURTHER GEISINGER BUSINESS, FOR TAX OBLIGATIONS.
PART I, LINE 4A - SEVERANCE, NONQUALIFED, AND EQUITY-BASED PAYMENTSUPON 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. JOSEPH A. TORCHIA, MD: $357,078 SEVERANCE GERALD R. NEWHOUSE: $203,622 SEVERANCE
PART I, LINE 4B - SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANCOMPENSATION FOR ELIGIBLE EMPLOYEES MAY BE DEFERRED TO A 457(F) NONQUALIFIED PLAN THAT VESTS WITH COMPLETION OF SERVICE, DEATH AND/OR PERMANENT DISABILITY. DAVID J. FELICIO, ESQUIRE: $235,495 NONQUALIFIED KYLE C. SNYDER, MHA: $42,433 NONQUALIFIED
PART I, LINE 8 - PURSUANT TO CONTRACT PER REGS. SECTION 53.4958-4(A)(3)THE EMPLOYEES LISTED PARTICIPATE IN A COMPENSATION PROGRAM DESIGNED TO BE MARKET COMPETITIVE. FROM TIME TO TIME, DEPENDING ON THE AVAILABILITY OF QUALIFIED APPLICANTS, RECRUITMENT LOANS MAY BE MADE AVILABLE TO QUALIFIED APPLICANTS IN DIFFICULT TO RECRUIT POSITIONS. SUCH LOANS ARE ONLY PROVIDED IF TOTAL COMPENSATION, INCLUDING THE LOAN AMOUNT, IS CONSIDERED REASONABLE COMPENSATION PER INDEPENDENT SALARY SURVEYS.
FOOTNOTE:THROUGHOUT FORM 990, THE TERMS "GEISINGER AND "SYSTEM" REFER TO THE ENTIRE HEALTHCARE SYSTEM COMPRISED OF GEISINGER HEALTH "GH" AS PARENT AND ALL SUBSIDIARY CORPORATIONS COMPRISING THE SYSTEM.

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp (3 entries)

Relationship With OrgRelationshipWithOrgTxtLoan PurposeLoanPurposeTxtLoan From OrganizationLoanFromOrganizationIndOriginal PrincipalOriginalPrincipalAmtBalance DueBalanceDueAmtDefaultDefaultIndBoard Or Committee ApprovalBoardOrCommitteeApprovalIndWritten AgreementWrittenAgreementIndLoan To OrganizationLoanToOrganizationInd
GLORIA SANTOS
KERECRUITMENTYes (X)$25,000$12,1170Yes (1)Yes (1)
GLORIA SANTOS
KERECRUITMENTYes (X)$25,000$7,6260Yes (1)Yes (1)
MICHAEL SERLUCO
FMR DIRMORTGAGE$1,200,000$603,4100Yes (1)Yes (1)Yes (X)
FieldValueIRS element (for citing)
Total Balance Due$623,153TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ALEXANDRA B POCHAKBusinessNameLine1Txt
FieldValueIRS element (for citing)
Relationship DescriptionFAMILYRelationshipDescriptionTxt
Transaction$62,612TransactionAmt
TransactionCOMP/BENTransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE L, PART V - ADDITIONAL INFORMATIONFormAndLineReferenceDesc
ExplanationALEXANDRA B POCHAK IS A FAMILY MEMBER OF RANDY B. MORRIS, AN OFFICER OF HOLY SPIRIT HOSPITAL.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART I, ORGANIZATION'S MISSIONHOLY SPIRIT HOSPITAL OF THE SISTERS OF CHRISTIAN CHARITY (DOING BUSINESS AS GEISINGER HOLY SPIRIT HOSPITAL), SHARES GEISINGER HOLY SPIRIT'S MISSION AS A COMMUNITY CATHOLIC HEALTH SYSTEM AND SERVES TO CARRY OUT THE HEALING MINISTRY OF JESUS CHRIST TO ALL IN NEED AND PROVIDING HIGH QUALITY, ETHICALLY-GUIDED, AND COST-EFFECTIVE HEALTH SERVICES IN A CARING, PATIENT-FOCUSED ENVIRONMENT TO DEVELOP HEALTH COMMUNITIES IN THE GRATER HARRISBURG AREA AND SOUTH CENTRAL PENNSYLVANIA.
CONTINUATION PART III PROGRAM SERV ACCOMPLISHMENTSTHE BIRTHPLACE AND NICU NURSES THE BIRTHPLACE AT GEISINGER HOLY SPIRIT IS EQUIPPED TO MEET THE NEEDS OF MEN DURING AND AFTER BABIES ARRIVE. A VARIETY OF SERVICES ARE OFFERED IN A COMFORTABLE AND WARM ENVIRONMENT WITH A TEAM OF SPECIALLY-TRAINED NURSES WHO PROVIDE CARE TO EACH MOM AND BABY DURING LABOR, DELIVERY, AND RECOVERY. THE NEONATAL INTENSIVE CARE UNIT (NICU) IS STAFFED BY SOME OF THE AREA'S MOST WELL-RESPECTED NEONATOLOGISTS, READY TO ASSIST PHYSICIANS OR MIDWIVES WITH BABIES' MEDICAL NEEDS. THE NICU OFFERS LEVEL III CARE ONSITE, WHICH MEANS TODAY'S MOST ADVANCED MEDICAL TECHNOLOGY IS CLOSE AT HAND TO DEAL WITH ANY SPECIAL NEEDS. STAFF MEMBERS HAVE CARED FOR BABIES AS YOUNG AS 27-28-WEEKS' GESTATION AND OTHER BABIES WHO NEED INTENSIVE CARE. SEXUAL ASSAULT NURSES CARING PROPERLY FOR INDIVIDUALS WHO ARE VICTIMS OF SEXUAL VIOLENCE AND PROVIDING A POSITIVE EXPERIENCE IN THE HOSPITAL SETTING CAN CONTRIBUTE GREATLY TO THE HEALING PROCESS. TO ENSURE DIGNITY AND COMPASSION, THE EMERGENCY DEPARTMENT HAS A DEDICATED EXAMINATION ROOM EQUIPPED WITH THE LATEST FORENSIC TECHNOLOGY. A TEAM OF NURSES TRAINED AS SEXUAL ASSAULT NURSE EXAMINERS (SANE CERTIFIED) COLLECT MEDICAL AND LEGAL EVIDENCE, WHILE BEING SENSITIVE AND EMPATHETIC TO PATIENT NEEDS. STUDENT NURSES GEISINGER HOLY SPIRIT STAFF FACILITATED CLINICAL EXPERIENCES FOR UNDERGRADUATE AND GRADUATE NURSING STUDENTS FROM THE FOLLOWING SCHOOLS: HARRISBURG AREA COMMUNITY COLLEGE, MESSIAH COLLEGE, PENN STATE UNIVERSITY HARRISBURG, PENN STATE UNIVERSITY MONT ALTO, PENN STATE UNIVERSITY HERSHEY, YORK COLLEGE, WIDENER UNIVERSITY, DUQUESNE UNIVERSITY, LOCK HAVEN UNIVERSITY, SPRING ARBOR UNIVERSITY, CHAMBERLAIN COLLEGE OF NURSING, GEISINGER LEWISTOWN HOSPITAL SCHOOL OF NURSING, UNIVERSITY OF SOUTH ALABAMA, MILLERSVILLE UNIVERSITY, HERZING UNIVERSITY, MARYVILLE UNIVERSITY, SIMMONS COLLEGE, AND WIDENER UNIVERSITY. UNCOMPENSATED CARE HOLY SPIRIT HOSPITAL RECOGNIZES THAT ITS MISSION IS TO SERVE ALL THE MEMBERS OF THE COMMUNITY WITH RESPECT TO THE PROVISION OF HEALTHCARE SERVICES AND EDUCATION. HOLY SPIRIT HOSPITAL PROVIDES QUALITY MEDICAL HEALTHCARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. IN THIS REGARD, HOLY SPIRIT HOSPITAL PROVIDES FREE OR SUBSIDIZED CARE BELOW COST AND SUPPORTS VARIOUS HEALTH ACTIVITIES AND PROGRAMS IN SUPPORT OF THE COMMUNITY. CHARITY CARE THE PRIMARY CONCERN OF HOLY SPIRIT HOSPITAL IS THE DELIVERY OF HEALTH CARE TO ALL THE CITIZENS OF THE GREATER HARRISBURG AREA AND SOUTH-CENTRAL PENNSYLVANIA, REGARDLESS OF THEIR ABILITY TO PAY. THE UNREIMBURSED COST OF CHARITY CARE REPRESENTS THE COST HOLY SPIRIT HOSPITAL INCURS BY PROVIDING FREE OR DISCOUNTED SERVICES TO THOSE WHO CANNOT AFFORD TO PAY. THE COST TO HOLY SPIRIT HOSPITAL OF PROVIDING THIS CHARITY CARE DURING THE FISCAL YEAR WAS $4,446,792. MEDICARE/MEDICAID/OTHER GOVERNMENTAL RECOGNIZING ITS MISSION TO THE COMMUNITY, SERVICES ARE PROVIDED TO THE ELDERLY (MEDICARE), THE POOR (MEDICAID) AS WELL AS OTHERS. HOLY SPIRIT HOSPITAL PROVIDES CARE, BELOW COST, TO PERSONS COVERED BY THESE GOVERNMENTAL PROGRAMS. TO THE EXTENT REIMBURSEMENT IS BELOW THE COST OF PROVIDING HEALTHCARE, HOLY SPIRIT HOSPITAL IS FURTHERING ITS MISSION TO THE ENTIRE COMMUNITY. THE UNREIMBURSED VALUE OF MEDICARE AND/OR MEDICAID AND/OR OTHER GOVERNMENTAL PAYERS IS EQUAL TO THE COST OF PROVIDING SERVICES LESS THE AMOUNT RECEIVED AS REIMBURSEMENT UNDER THE PROGRAM. FOR FISCAL YEAR, THE UNREIMBURSED COST OF PROVIDING CARE TO THESE PATIENTS WAS $51,774,783. OTHER UNCOMPENSATED PATIENT SERVICES IN ADDITION, HOLY SPIRIT HOSPITAL PROVIDES OTHER PATIENT SERVICES FOR WHICH FULL PAYMENT IS NOT RECEIVED. THE UNCOMPENSATED COST OF PROVIDING SUCH PATIENT SERVICES DURING THE FISCAL YEAR WAS $1,823,667. HEALTH PROFESSIONS EDUCATION HSH CONDUCTS ONE GRADUATE MEDICAL EDUCATION RESIDENCY PROGRAM. THERE WERE TWO GRADUATE PHYSICIANS PARTICIPATING IN THIS PROGRAM DURING THE FISCAL YEAR. THE PROGRAM SPECIALTY IS GENERAL SURGERY. THE TOTAL COST TO HSH OF PROVIDING RESIDENCY EDUCATION PROGRAM, NET OF THIRD-PARTY REIMBURSEMENTS WAS $652,995. COMMUNITY HEALTH, EDUCATION AND OUTREACH HOLY SPIRIT HOSPITAL STRIVES TO SERVE AS A PARTNER TO OUR LOCAL COMMUNITY AND RESIDENTS. HOLY SPIRIT HOSPITAL PROVIDES CARE TO THE COMMUNITY THROUGH MANY REDUCED-PRICE SERVICES AND FREE PROGRAMS OFFERED THROUGHOUT THE YEAR BASED UPON ACTIVITIES AND SERVICES WHICH HOLY SPIRIT HOSPITAL BELIEVES WILL SERVE A BONA FIDE COMMUNITY HEALTH NEED. THESE SERVICES AND PROGRAMS WERE PROVIDED AT A COST OF $324,447 DURING THE FISCAL YEAR. COMMUNITY BENEFIT SUMMARY CHARITY CARE $ 4,446,792 MEDICARE/MEDICAID/OTHER GOVERNMENTAL 51,774,783 OTHER UNCOMPENSATED PATIENT SERVICES 1,823,667 HEALTH PROFESSIONS EDUCATION 652,995 COMMUNITY HEALTH, EDUCATION, OUTREACH AND OTHER 324,447 TOTAL COMMUNITY SERVICE $ 59,022,684 STATISTICS - HOLY SPIRIT HOSPITAL FISCAL YEAR ENDED JUNE 30, 2020 DISCHARGES 11,159 OCCUPANCY 41.9% LENGTH OF STAY 4.5 OUTPATIENT VISITS 228,991 OUTPATIENT EMERGENCY CARE VISITS 28,722 SURGICAL PROCEDURES 6,760 BIRTHPLACE DELIVERIES 1,059 SUBSEQUENT EVENTS EFFECTIVE NOVEMBER 1, 2020, GEISINGER TRANSFERRED ITS MEMBERSHIP OF HOLY SPIRIT HEALTH SYSTEM AND AFFILIATES (HOLY SPIRIT HOSPITAL, HOLY SPIRIT CORPORATION, SPIRIT PHYSICIAN SERVICES) TO PENN STATE HEALTH.
FORM 990, PART IV, LINE 24A: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 JUNE 30, 2020 OF $1,958,191,188, 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 HOLY SPIRIT HOSPITAL; EIN: 23-1512747 GEISINGER COMMONWEALTH SCHOOL OF MEDICINE; EIN: 26-0812968 GEISINGER JERSEY SHORE HOSPITAL; EIN: 24-0792115 ATLANTICARE REGIONAL MEDICAL CENTER; EIN: 21-0634549 SCHEDULE K WAS PREPARED ON A CONSOLIDATED BASIS AND IS INCLUDED IN THE FORM 990 FILING OF GEISINGER HEALTH, EIN: 23-1995911.
FORM 990, PART V, LINE 1A:GEISINGER SYSTEM SERVICES (GSS), AN AFFILIATE OF THE ORGANIZATION, PROVIDES A CENTRALIZED ACCOUNTS PAYABLE FUNCTION FOR ALL GEISINGER ORGANIZATIONS. AS THE ACCOUNTS PAYABLE PROCESSOR, GSS PREPARES AND FILES FORM 1099 UNDER ITS EIN FOR ALL REPORTABLE PAYMENTS OF THE FILING ORGANIZATION. THE NUMBER OF FORM 1099'S FILED BY GSS FOR THE 2019 REPORTING PERIOD ON BEHALF OF ITSELF AND ITS AFFILIATES WAS 1,633. 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, SECTION A, LINE 2BUSINESS RELATIONSHIPS: AJAY K. SAINI, MD, CHINH N. PHAM, MD, CHRISTOPHER MOYER, DO, DAVID J. FELICIO, ESQUIRE, DEBORAH KEYS, HANK STRAUB, KYLE C. SYNDER, MHA, LAUIRE SALTZGIVER, ESQUIRE, LENKE ERKI, MD, LORI J. GRAMLEY, ESQUIRE, NORA HABIG, RANDY B. MORRIS, REVEREND DAVID DANNEKER, REVEREND ROBERT F. SHARMAN, RON DRNEVICH, SISTER JOANN MARIE AUMAND, SCC, AND SISTER MARIE PAULINE DEMEK, SCC 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, PART VI, SECTION A, LINE 6GEISINGER HEALTH SERVES AS THE SOLE CORPORATE MEMBER OF HOLY SPIRIT HEALTH SYSTEM AND HOLY SPIRIT HEALTH SYSTEM SERVICES AS CORPORATE MEMBER FOR HOLY SPIRIT HOSPITAL OF THE SISTERS OF CHRISTIAN CHARITY, SPIRIT PHYSICIAN SERVICES, INC., HOLY SPIRIT CORPORATION AND SOLE SHAREHOLDER OF HOLY SPIRIT VENTURES INC. 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, PART VI, SECTION A, LINE 7ATHE 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 COPRORATION 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, PART VI, SECTION B, LINE 11BALL 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 OR DIRECTOR'S FINANCE COMMITTEE CHARTER, GEISINGER ORGANIZATIONS' FORM 990 FILINGS ARE REVIEWED ANNUALLY. THE FORM 990 IS PREPARED BY AN OUTSIDE ACCOUNTING FIRM 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 AVAIALBE 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 REVEIW ALL FEDERAL TAX RETURNS FILED BY GEISIGNER 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 THE REPORTING PERIOD.
FORM 990, PART VI, SECTION B, LINE 12CTHE OFFICERS AND DIRECTORS OF THE ORGANIZATION ARE SUBJECT TO THE GEISINGER CONFLICT OF INTEREST POLICY FOR DIRECTORS AND OFFICERS. 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 AFFILITATE WITHIN GEISINGER. THE DISCLOSURES ARE REVIEWED BY THE COMPLIANCE OFFICE AND THE CHIEF LEGAL OFFICER AND REPORTED TO THE AUDIT AND COMPLAINCE COMMITTEES AND BOARDS OF DIRECTORS. AFTER REVIEW OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, INPUT FROM THE COMPLIANCE OFFICE AND THE DEPARTMENT OF LEGAL SERVICES AND ANY DISCUSSION WITH THE PERSON DESIRED BY THE BOARD OR COMMITTEE, THE BOARD DECIDES IF A CONFLICT EXISTS AND TAKES APPROPRIATE ACTION. THE INDIVIDUAL DISCLOSING THE FINANCIAL INTEREST IS ABSENT DURING THE BOARD DELIBERATIONS AND DECISIONS ON THE MATTER.
FORM 990, PART VI, SECTION B, LINE 15THE 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 FMAILY 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 THRID 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, PART VI, SECTION C, LINE 19THE ANNUAL REPORT FOR GEISINGER, CONTAINING COMMUNITY BENEFIT INFORMATION, CONSOLIDATED FINANCIAL INFORMATION AND OTHER INFORMATION, IS AVAILABLE ON THE GEISINGER WEBSITE. GO TO HTTPS://WWW.GEISINGER.ORG/ABOUT/GEISINGER/NEWS-AND-MEDIA/FOR-MEDIA/ANNUAL-RE PORTS. 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 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, FOUR VOTING MEMBERS ARE NOT INDEPENDENT BECAUSE THREE ARE COMPENSATED AS EMPLOYEES OF RELATED TAX-EXEMPT ORGANIZATIONS AND THE OTHER IS CAO OF THE ORGANIZATION.
FORM 990, PART VIII, LINE 2B:IC SUPPORT SERVICE REVENUE REPORTED WITHIN THE LINE 2B REVENUE REPRESENTS REVENUE FROM INTERCOMPANY MANAGEMENT, ADMINISTRATIVE, AND CONSULTING SERVICES PROVIDED TO RELATED TAXABLE ORGANIZATIONS. THE ORGANIZATION AND RELATED TAXABLE ORGANIZATIONS ARE ALL CONTROLLED BY GEISINGER HEALTH. THE SERVICES, PROVIDED AT OR BELOW COST, ARE PERFORMED WITHOUT A PROFIT MOTIVE TO PROMOTE THE EFFICIENT OPERATION OF GEISINGER IN CARRYING OUT ITS CHARITABLE MISSION. THE SERVICES ARE NOT OFFERED TO UNRELATED ORGANIZATIONS OR TO THE GENERAL PUBLIC. UNDER IRS ADVISORY DATED MARCH 7, 2014, THESE INTERCOMPANY SHARED SERVICES ARE NOT INCLUDED IN THE DEFINITION OF UNRELATED BUSINESS INCOME AND SHOULD NOT BE INCLUDED ON FORM 990-T DUE TO THE ABSENCE OF THE FOLLOWING TWO CONDITIONS: (1) THE SERVICES MUST BE ABOVE COST OR AT FAIR MARKET VALUE, AND (2) THERE MUST BE A PROFIT MOTIVE.
FORM 990, PART IX, LINE 11GOTHER SERVICES: PROGRAM SERVICE EXPENSES 28,387,716. MANAGEMENT AND GENERAL EXPENSES 2,038,853. TOTAL EXPENSES 30,426,569.
FORM 990, PART IX, LINE 24LINE 24E CONTAINS UNRELATED BUSINESS INCOME TAX REFUND RECEIVED OF $137,434.
FORM 990, PART XI, LINE 9:TRANSFERS TO/FROM AFFILIATE(S) 6,000,000. NET ASSETS RELEASED FOR EQUIPMENT PURCHASE 4,154,232. NET ASSETS RELEASED FROM RESTRICTION-FUND OPERATIONS -792,146. NET ASSETS RELEASED FROM RESTRICTION-EQUIPMENT PURCH -4,005,309.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (35 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
GEISINGER HEALTH
100 NORTH ACADEMY AVENUEDANVILLEPA17822231995911PHILANTHROPYPA501(C)(3)LINE 7N/A0
GEISINGER MEDICAL CENTER
100 NORTH ACADEMY AVENUEDANVILLEPA17822240795959HOSPITALPA501(C)(3)LINE 30GH
GEISINGER CLINIC
100 NORTH ACADEMY AVENUEDANVILLEPA17822236291113PHYSN SVCSPA501(C)(3)LINE 12A, I0GH
GEISINGER WYOMING VALLEY MED CTR
100 NORTH ACADEMY AVENUEDANVILLEPA17822231996150HOSPITALPA501(C)(3)LINE 30GH
MARWORTH
100 NORTH ACADEMY AVENUEDANVILLEPA17822232171417D&A REHABPA501(C)(3)LINE 30GH
GEISINGER HEALTH PLAN
100 NORTH ACADEMY AVENUEDANVILLEPA17822232311553HMOPA501(C)(4)0GH
GEISINGER SYSTEM SERVICES
100 NORTH ACADEMY AVENUEDANVILLEPA17822232164794SUPPORT SVPA501(C)(3)LINE 12A, I0GH
GEISINGER COMMUNITY HEALTH SERVICES
100 NORTH ACADEMY AVENUEDANVILLEPA17822232967235HEALTHCAREPA501(C)(3)LINE 100GSS
GEISINGER INSURANCE CORPORATION RRG
100 NORTH ACADEMY AVENUEDANVILLEPA17822141909894SELF INSVT501(C)(3)LINE 12A, I0GH
COMMUNITY MEDICAL CENTER
100 NORTH ACADEMY AVENUEDANVILLEPA17822240862246HOSPITALPA501(C)(3)LINE 30GH
MOUNTAIN VIEW NURSING HOME INC
100 NORTH ACADEMY AVENUEDANVILLEPA17822232568288LNGTM CAREPA501(C)(3)LINE 100GH
GEISINGER-BLOOMSBURG HOSPITAL
100 NORTH ACADEMY AVENUEDANVILLEPA17822232193572HOSPITALPA501(C)(3)LINE 30GH
GEISINGER-BLOOMSBURG HEALTHCARE CTR
100 NORTH ACADEMY AVENUEDANVILLEPA17822232242854SKILLED NUPA501(C)(3)LINE 100GH
GEISINGER LEWISTOWN HOSPITAL
100 NORTH ACADEMY AVENUEDANVILLEPA17822231352187HOSPITALPA501(C)(3)LINE 30GH
LEWISTOWN AMBULATORY CARE CORP
100 NORTH ACADEMY AVENUEDANVILLEPA17822232344362HOLDING COPA501(C)(3)LINE 12A, I0GH
FAMILY HEALTH ASSOCIATES OF GLH
100 NORTH ACADEMY AVENUEDANVILLEPA17822251651582PHYSN SVCSPA501(C)(3)LINE 12A, I0GH
KEYSTONE HEALTH INFORMATION EXCH
100 NORTH ACADEMY AVENUEDANVILLEPA17822464359893RHIOPA501(C)(3)LINE 12A, I0GH
HEALTH CARE CORP OF NORTHEAST PA
100 NORTH ACADEMY AVENUEDANVILLEPA17822232337286SUPPORT SVPA501(C)(3)LINE 12A, I0CMC
HOLY SPIRIT CORPORATION
100 NORTH ACADEMY AVENUEDANVILLEPA17822232214540HOLDING COPA501(C)(2)0HSHS
SPIRIT PHYSICIAN SERVICES INC
100 NORTH ACADEMY AVENUEDANVILLEPA17822251766971PHYSN SVCSPA501(C)(3)LINE 10Yes (1)HSHS
WEST SHORE ADVANCED LIFE SUPPORT SERVICES
100 NORTH ACADEMY AVENUEDANVILLEPA17822232463002HEALTHCAREPA501(C)(3)LINE 100GC
GEISINGER COMMONWEALTH SCH OF MED
100 NORTH ACADEMY AVENUEDANVILLEPA17822232463002EDUCATIONPA501(C)(3)LINE 20GH
GEISINGER JERSEY SHORE HOSPITAL
100 NORTH ACADEMY AVENUEDANVILLEPA17822240792115HOSPITALPA501(C)(3)LINE 30GH
GEISINGER JERSEY SHORE HOSPITAL FND
100 NORTH ACADEMY AVENUEDANVILLEPA17822232480603HEALTHCAREPA501(C)(3)LINE 30GH
GSL HOSPITAL
801 OSTRUM STREETBETHLEHEMPA18015824432109HOSPITALPA501(C)(3)LINE 30
GSLPG INC
801 OSTRUM STREETBETHLEHEMPA18015825423865HEALTHCAREPA501(C)(3)LINE 30GSL HOSP
ATLANTICARE BEHAVORIAL HEALTH INC
2511 FIRE ROADEGG HARBOR TOWNSHIPNJ08234210721208HEALTHCARENJ501(C)(3)LINE 70ARHS
ATLANTICARE FOUNDATION INC
6725 DELILAH ROADEGG HARBOR TOWNSHIPNJ08234222148992SUPPORT ARNJ501(C)(3)LINE 70AH SYSTEM
ATLANTICARE HEALTH ENGAGEMENT INC
2500 ENGLISH CREEK AVENUEEGG HARBOR TOWNSHIPNJ08234611608389HEALTHCARENJ501(C)(3)LINE 12A, I0AH SYSTEM
ATLANTICARE HEALTH SERVICES INC
2500 ENGLISH CREEK AVENUEEGG HARBOR TOWNSHIPNJ08234223265214HEALTHCARENJ501(C)(3)LINE 100ARHS
ATLANTICARE HEALTH SYSTEM INC
2500 ENGLISH CREEK AVENUEEGG HARBOR TOWNSHIPNJ08234223265213SUPPORT ARNJ501(C)(3)LINE 12A, I0GH
ATLANTICARE REGIONAL MEDICAL CENTER
1925 PACIFIC AVENUEATLANTIC CITYNJ08401210634549HOSPITALNJ501(C)(3)LINE 30ARHS
ATLANTICARE PHYSICIAN GROUP PA
2500 ENGLISH CREEK AVENUEEGG HARBOR TOWNSHIPNJ08234020701782HEALTHCARENJ501(C)(3)LINE 12A, I0AH SYSTEM
ATLANTICARE REGIONAL HEALTH SERVICE
2500 ENGLISH CREEK AVENUEEGG HARBOR TOWNSHIPNJ08234800834222HOSPITALNJ501(C)(3)LINE 12A, I0AH SYSTEM
COOPERATIVE HOME HLTH CARE ATL CNTY
6550 DELILAH ROAD SUITE 304EGG HARBOR TOWNSHIPNJ08234233836022HOME HEALTHNJ501(C)(3)LINE 100AH SYSTEM

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (15 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPct
KEYSTONE ACCOUNTABLE CARE ORG LLC
100 NORTH ACADEMY AVENUEDANVILLEPA17822455484165ACOPA00
LIFESOURCE GEISINGER BLOOD CTR LLC
100 NORTH ACADEMY AVENUEDANVILLEPA17822364718005BLOOD COLL.PA00
GEISINGER ENCOMPASS HEALTH LLC
100 NORTH ACADEMY AVENUEDANVILLEPA17822721398803PHY THERAPYPA00
EVANGELICAL-GEISINGER HEALTH LLC
100 NORTH ACADEMY AVENUEDANVILLEPA17822460567687HEALTHCAREPA00
LEMED II
100 NORTH ACADEMY AVENUEDANVILLEPA17822232391766RENTALPA00
GEISINGER-SCA HOLDINGS LLC
100 NORTH ACADEMY AVENUEDANVILLEPA17822461615328MANAGEMENTDE00
CAMP HILL AMBULATORY CENTERS
569 BROOKWOOD VILLAGE SUITE 901BIRMINGHAMPA35209521597478HEALTHCAREPA0Yes (1)HSHRELATED$394,907$1,856,4990.51000
GRANDVIEW SURGERY CENTER LTD
569 BROOKWOOD VILLAGE SUITE 901BIRMINGHAMAL35209521597483HEALTHCAREPA00
LACAKWANNA PHYS AMB SURG CTR LLC
569 BROOKWOOD VILLAGE SUITE 901BIRMINGHAMAL35209233024998HEALTHCAREPA00
SOUTHERN JERSEY ONCOLOGY PROPERTIES
2500 ENGLISH CREEK AVENUEEGG HARBOR TOWNSHIPNJ08234943463625HEALTHCARENJ00
ATLANTICARE SURGERY CENTER LLC
2500 ENGLISH CREEK AVENUEEGG HARBOR TOWNSHIPNJ08234223491867HEALTHCARENJ00
COOPERATIVE HEALTH SRVS OF S JERSEY
1301 ATLANTIC AVENUEATLANTIC CITYNJ08401223619231PURCHASINGNJ00
GEISINGER-HM JOINT VENTURE LLC
1301 ATLANTIC AVENUEATLANTIC CITYPA08401831871064HEALTHCAREPA00
KEYSTONE HEALTHCARE PARTNERSHIP LLC
901 HUGH WALLIS ROADLAFAYETTEPA70508833134941HOME HLTHPA00
SOUTHERN JERSEY MEDICAL PROPERTIES
2500 ENGLISH CREEK AVENUEEGG HARBOR TOWNSHIPNJ08234383830843REAL ESTATENJ00

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (10 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtProvince Or StateForeignAddress/ProvinceOrStateNmCountryForeignAddress/CountryCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
ISS SOLUTIONS INC
100 NORTH ACADEMY AVENUEDANVILLEPA17822232077663HOTEL/RESTPAC0
GIESINGER INDEMINTY INSURANCE CO
100 NORTH ACADEMY AVENUEDANVILLEPA17822232815174HLTH INSURPAC0
GIESINGER QUALITY OPTIONS INC
100 NORTH ACADEMY AVENUEDANVILLEPA17822204275139HLTH INSURPAC0
XG HEALTH SOLUTIONS INC
100 NORTH ACADEMY AVENUEDANVILLEPA17822461657345CONSULTINGDEC0
HOLY SPIRIT VENTURES INC
100 NORTH ACADEMY AVENUEDANVILLEPA17822232407709MED. SERV.PAC0
ATLANTICARE HEALTH SOLUTIONS INC
2500 ENGLISH CREEK AVENUE BLDG 500EGG HARBOR TOWNSHIPNJ08234383856295ACO/HEALTHNJC0
ATLANTICARE ASSURANCE ALLIANCE INC
2500 ENGLISH CREEK AVENUE BLDG 500EGG HARBOR TOWNSHIPNJ08234463730123HEALTHCARENJC0
GNJ PHYICIANS GROUP PC
2500 ENGLISH CREEK AVENUE BLDG 500EGG HARBOR TOWNSHIPNJ08234820681884PHYSIC SVCNJC0
GEISINGER ASSURANCE COMPANY LTD
981016737INSURANCEC023 LINE TREE BAY AVE PO BOX 1159GRAND CAYMAN KY1-CJCJ
ENGLISH CREEK ASSURANCE LTD
980656394FINANCIALC044 CHURCH STREET HM 12 HAMILTONBERMUDABDBD
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (1)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (29 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
SPIRIT PHYSICIAN SERVICES INC
A$245,678GAAP
GEISINGER HEALTH
B$6,148,923GAAP
HOLY SPIRIT CORPORATION
K$742,887GAAP
HOLY SPIRIT VENTURES
K$478,126GAAP
GEISINGER CLINIC
L$404,417GAAP
GEISINGER COMMUNITY MEDICAL CENTER
L$370GAAP
GEISINGER HEALTH PLAN
L$16,602,334GAAP
GEISINGER JERSEY SHORE HOSPITAL
L$1,347GAAP
GEISINGER LEWISTOWN HOSPITAL
L$9,780GAAP
GEISINGER MEDICAL CENTER
L$5,932GAAP
GEISINGER SYSTEM SERVICES
L$1,165GAAP
GEISINGER WYOMING VALLEY
L$268GAAP
HOLY SPIRIT CORPORATION
L$14,635GAAP
HOLY SPIRIT HEALTH SYSTEM
L$10,941GAAP
HOLY SPIRIT VENTURES
L$14,635GAAP
SPIRIT PHYSICIAN SERVICES INC
L$270,932GAAP
GEISINGER ASSURANCE COMPANY LTD
M$1,675,162GAAP
GEISINGER CLINIC
M$1,976,834GAAP
GEISINGER HEALTH
M$477,824GAAP
GEISINGER LEWISTOWN HOSPITAL
M$300GAAP
GEISINGER MEDICAL CENTER
M$3,962,895GAAP
GEISINGER SYSTEM SERVICES
M$22,238,829GAAP
GEISINGER WYOMING VALLEY
M$1,410GAAP
HOLY SPIRIT HEALTH SYSTEM
M$254,423GAAP
ISS SOLUTIONS INC
M$6,104,586GAAP
SPIRIT PHYSICIAN SERVICES INC
M$18,861,885GAAP
WEST SHORE ADVANCED LIFE SUPPORT
M$234,086GAAP
GEISINGER INSURANCE CORPORATION RISK RETENTION GROUP
P$16,800GAAP
GEISINGER HEALTH
R$10,336GAAP

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceFORM 990, SCHEDULE R, PART V - TRANSACTIONS WITH RELATED ORGANIZATIONSFormAndLineReferenceDesc
ExplanationAS SHOWN IN FORM 990, SCHEDULE R, THE HOLY SPIRIT HOSPITAL IS CLOSELY AFFILIATED WITH SEVERAL OTHER ORGANIZATIONS. IN THE NORMAL COURSE OF THE OPERATIONS OF THESE AFFILIATED ORGANIZATIONS THERE ARE NUMBEROUS INTER-ORGANIZATIONAL TRANSACTIONS, WHICH MAY INCLUDE SALES, EXCHANGES, AND LEASES OR PROPERTY, EXTENSIONS OF CREDIT, FURNISHING OF GOODS, SERVICES AND FACILITIES, AND TRANSFERS OF ASSETS. THESE INTER-ORGANIZATION TRANSACTIONS PROMOTE THE EFFICIENT OPERATION OF THE VARIOUS ORGANIZATIONS AND THE ATTAINMENT OF THEIR TAX EXEMPT PURPOSES. THESE TYPES OF INTER-ORGANIZATION TRANSACTIONS WERE DESCRIBED TO THE INTERNAL REVENUE SERVICE IN A RULING APPLICATION AND WERE RECOGNIZED BY THE NATIONAL OFFICE OF THE IRS IN A SERIES OF GEISINGER PRIVATE RULINGS AS BEING ENTIRELY CONSISTENT WITH THE ORGANIZATION'S TAX EXEMPT STATUS.ExplanationTxt