PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER (EIN 23-1512747)
Tax period: 2018-07-01 to 2019-06-30
Filed: 2020-07-13
IRS object ID: 202001959349302710
Schema version: 2018v3.2
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2020-07-13T13:03:51-05:00	ReturnTs
Tax Period End	2019-06-30	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2018-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	231512747	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	HOLY SPIRIT HOSPITAL OF THE SISTERS	BusinessNameLine1Txt
Business Name Line2	OF CHRISTIAN CHARITY	BusinessNameLine2Txt

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

US Address USAddress

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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	RANDY B MORRIS	PersonNm
Person Title	TREASURER	PersonTitleTxt
Phone	5702716640	PhoneNum
Signature	2020-07-13	SignatureDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	52.38.98.93	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2020-07-13	IPDt
IP Tm	13:03:51	IPTm
IP Timezone	CD	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	0BB837DB6F385191FFF42EB654D419ADC5B15E8F	AtSubmissionCreationDeviceId
At Submission Filing Device Id	FF1125F2878301A011CA24FF165081C01AE77355	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2020-09-23 17:36:50Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

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

Field	Value	IRS element (for citing)
Principal Officer	RON DRNEVICH	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	100 N ACADEMY AVE MC 22-01	AddressLine1Txt
City	DAMVILLE	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	178229800	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$317,729,986	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.GEISINGER.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1963	FormationYr
Legal Domicile State	PA	LegalDomicileStateCd
Activity Or Mission	HOLY SPIRIT HOSPITAL OF THE SISTERS OF CHRISTIAN CHARITY (DOING BUSINESS AS GEISINGER HOLY SPIRIT HOSPITAL), SHARES GEISINGER HOLY SPIRITS MISSION AS A COMMUNITY CATHOLIC HEALTH SYSTEM AND SERVES TO CARRY OUT...SEE SCHEDULE O	ActivityOrMissionDesc
Voting Members Governing Body	12	VotingMembersGoverningBodyCnt
Voting Members Independent	9	VotingMembersIndependentCnt
Total Employee	2074	TotalEmployeeCnt
Total Volunteers	331	TotalVolunteersCnt
Total Gross UBI	$765,002	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$12,883	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$927,043	PYContributionsGrantsAmt
CY Contributions Grants	$402,023	CYContributionsGrantsAmt
PY Program Service Revenue	$307,911,085	PYProgramServiceRevenueAmt
CY Program Service Revenue	$314,552,232	CYProgramServiceRevenueAmt
PY Investment Income	$397,757	PYInvestmentIncomeAmt
CY Investment Income	$318,286	CYInvestmentIncomeAmt
PY Other Revenue	$1,826,913	PYOtherRevenueAmt
CY Other Revenue	$2,457,445	CYOtherRevenueAmt
PY Total Revenue	$311,062,798	PYTotalRevenueAmt
CY Total Revenue	$317,729,986	CYTotalRevenueAmt
PY Grants And Similar Paid	$5,000	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$123,224,804	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$124,379,249	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$191,769,273	PYOtherExpensesAmt
CY Other Expenses	$164,625,503	CYOtherExpensesAmt
PY Total Expenses	$314,999,077	PYTotalExpensesAmt
CY Total Expenses	$289,004,752	CYTotalExpensesAmt
PY Revenues Less Expenses	-$3,936,279	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$28,725,234	CYRevenuesLessExpensesAmt
Total Assets BOY	$110,417,979	TotalAssetsBOYAmt
Total Assets EOY	$112,020,267	TotalAssetsEOYAmt
Total Liabilities BOY	$180,733,629	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$161,318,643	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	-$70,315,650	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	-$49,298,376	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	HOLY 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 HEALTHY COMMUNITIES IN THE GREATER HARRISBURG AREA AND SOUTH CENTRAL PENNSYLVANIA.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$268,174,580	ExpenseAmt
Revenue	$315,652,217	RevenueAmt
Desc	PATIENT CARE SERVICES PATIENT CARE SERVICES IS DRIVEN BY THE HOSPITAL'S MISSION, VISION, AND VALUES (MVV). THE MVV ELEMENTS, DESCRIBED BELOW, 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. MISSION GEISINGER HOLY SPIRIT IS A COMMUNITY CATHOLIC HEALTH SYSTEM SPONSORED BY THE SISTERS OF CHRISTIAN CHARITY TO CARRY OUT THE HEALING MINISTRY OF JESUS CHRIST TO ALL IN NEED. WE PROVIDE HIGH QUALITY, ETHICALLY-GUIDED, AND COST-EFFECTIVE HEALTH SERVICES IN A CARING, PATIENT-FOCUSED ENVIRONMENT TO DEVELOP HEALTHY COMMUNITIES IN THE GREATER HARRISBURG AREA AND SOUTH CENTRAL PENNSYLVANIA. VISION GEISINGER HOLY SPIRIT WILL EXEMPLIFY GODS LOVE THROUGH OUR SERVICES AND SPIRIT OF CARING. WE WILL FOCUS ON SERVICES THAT PROVIDE COMMUNITY VALUE, INCLUDING: .. DEMONSTRATED COMMITMENT TO OUR HEALING MISSION OF PATIENT-CENTERED CARE. .. INNOVATIVE, COLLABORATIVE, AND RELATIONSHIP-BASED DELIVERY MODELS. .. CARE OF THE DISENFRANCHISED AND VULNERABLE. .. EXCELLENCE IN CLINICAL QUALITY. .. OUTSTANDING PATIENT AND EMPLOYEE SATISFACTION. .. SOUND FINANCIAL STEWARDSHIP TO ENSURE OUR CONTINUING COMMITMENT TO THE COMMUNITY. VALUES IN OUR SERVICE AND OUR CARE, WE COMMIT OURSELVES TO THESE VALUES: .. DIGNITY WE VALUE THE SACREDNESS OF LIFE AND THE DIGNITY OF EACH PERSON. .. WHOLISM WE PROMOTE THE PHYSICAL, EMOTIONAL, SOCIAL, AND SPIRITUAL NEEDS OF EACH PERSON. .. SERVICE WE MEET THE NEEDS OF OTHERS WITH COMPASSION AND COMPETENCE. .. STEWARDSHIP WE RESPONSIBLY USE THE RESOURCES ENTRUSTED TO OUR CARE. .. QUALITY WE COMMIT OURSELVES TO CONTINUOUS IMPROVEMENT AND TO THE SATISFACTION OF THOSE WE SERVE. .. INTEGRITY WE CONSISTENTLY DEMONSTRATE HIGH ETHICAL STANDARDS AND THE VALUES OF OUR ORGANIZATION. AWARDS AND RECOGNITION GEISINGER HOLY SPIRIT HOSPITAL MAINTAINED MULTIPLE QUALITY AWARDS IN 2019. (1)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. (2)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". (3)AWARDED BY THE JOINT COMMISSION IS THE NATIONAL QUALITY APPROVAL FOR ADVANCED CERTIFICATION IN INPATIENT DIABETES CARE AND PRIMARY STROKE CARE. (4)AWARDED BY THE AMERICAN COLLEGE OF CARDIOLOGY IS THE CHEST PAIN CENTER ACCREDITED PRIMARY PCI WITH RESUSCITATION. (5) OTHER ACHIEVMENTS 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). PRESENTATIONS REGISTERED 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 HENDRIC	Desc
Total Program Service Expenses	$268,174,580	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	Yes (true)	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	Yes (true)	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	2074	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	12	GoverningBodyVotingMembersCnt
Independent Voting Member	9	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	PA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	RANDY B MORRIS VP FINANCE HSHS	PersonNm
Phone	7177632130	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	100 N ACADEMY AVE MC 86-22	AddressLine1Txt
City	DANVILLE	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	17822	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (36 entries)

TitleTitleTxt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Average Hours Per WeekAverageHoursPerWeekRt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
CHINH N PHAM MD
DIRECTOR	40.00	Yes (X)	$0	$413,026	$42,102
CHRISTOPHER MOYER DO
DIRECTOR		Yes (X)	$0	$0	$0	0.25
DEBORAH KEYS
DIRECTOR	0.50	Yes (X)	$0	$0	$0	0.25
HANK STRAUB
DIRECTOR	0.50	Yes (X)	$0	$0	$0	0.25
KYLE C SNYDER MHA
CAO, DIRECTO		Yes (X)	$338,198	$0	$83,728	40.00	Yes (X)
LAURIE SALTZGIVER ESQUIRE
VICE CHAIR,	0.50	Yes (X)	$0	$0	$0	0.25	Yes (X)
LENKE ERKI MD
DIRECTOR	40.00	Yes (X)	$0	$481,250	$39,500
NORA HABIG
DIRECTOR	0.50	Yes (X)	$0	$0	$0	0.25
PATRICIA HUSIC
DIRECTOR	0.50	Yes (X)	$0	$0	$0	0.25
REVEREND ROBERT F SHARMAN
DIRECTOR	0.50	Yes (X)	$0	$0	$0	0.25
SISTER JOANN MARIE AUMAND SCC
DIRECTOR	0.50	Yes (X)	$0	$0	$0	0.25
SISTER MARIE PAULINE DEMEK SCC
DIRECTOR	0.50	Yes (X)	$0	$0	$0	0.25
RON DRNEVICH
CHAIR, DIREC	0.50	Yes (X)	$0	$0	$0	0.25	Yes (X)
DANIEL E LOHR ESQUIRE
ASST. SECRET	40.00		$0	$384,282	$45,980		Yes (X)
DAVID J FELICIO ESQUIRE
SECRETARY	40.00		$0	$918,533	$219,341		Yes (X)
LORI R GRAMLEY ESQUIRE
ASST. SECRET	40.00		$0	$220,016	$24,771		Yes (X)
RANDY B MORRIS
TREASURER			$310,132	$0	$34,385	40.00	Yes (X)
ELLEN R LENKEVICH CRNP
VP CHIEF NUR			$255,955	$0	$36,678	40.00		Yes (X)
JOSEPH A TORCHIA MD
CMO, HSHS			$499,503	$0	$25,270	40.00		Yes (X)
CHARLES J ARRISON
DIRECTOR, PH			$194,333	$0	$26,920	40.00			Yes (X)
GLORIA SANTOS
AVP, NURSING			$189,171	$0	$28,363	40.00			Yes (X)
RICHARD SCHREIBER
ASSOC CH INF			$259,445	$0	$19,375	40.00			Yes (X)
JASON STANFORD PHD RTRTCMD
RADIATION PH			$226,931	$18,495	$38,678	40.00			Yes (X)
AMI ZUMKHAWALA-COOK
DIRECTOR, HS	0.00		$166,210	$0	$11,022	40.00			Yes (X)
ANDREW R WALKER MD
FORMER 5 HIG	40.00		$0	$250,642	$36,280					Yes (X)
BARBARA SUMBATIAN MD
FORMER 5 HIG	40.00		$0	$223,030	$31,552					Yes (X)
COURTNEY K BAKER DO
FORMER 5 HIG	40.00		$0	$210,064	$11,407					Yes (X)
DAVID A GATESMAN
FORMER KEY E			$114,886	$0	$1,765	40.00				Yes (X)
GERALD R NEWHOUSE
FORMER KEY E	40.00		$0	$253,399	$6,999					Yes (X)
JAGADEESH K MOOLA MD
FORMER 5 HIG	40.00		$0	$248,902	$39,670					Yes (X)
KEVIN F BRENNAN CPA FHFMA
FORMER OFFIC	40.00		$0	$1,020,252	$29,604					Yes (X)
LISA F TORCHIA
FORMER KEY E			$118,102	$0	$855	40.00				Yes (X)
MICHAEL J PASZEK MD
FORMER 5 HIG	40.00		$0	$345,937	$36,310					Yes (X)
PAUL D BRETTSCHNEIDER MD
FORMER 5 HIG	40.00		$0	$273,766	$39,630					Yes (X)
RICHARD E LAVANTURE
FORMER KEY E			$148,270	$0	$0	40.00				Yes (X)
THOMAS J GRIFONE MD
FORMER 5 HIG	40.00		$0	$380,172	$41,493					Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,821,136	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$5,641,766	TotReportableCompRltdOrgAmt
Total Other Compensation	$951,678	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	114	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
SODEXO INC
9801 WASHINGTONIAN BLVD	GAITHERSBURG	MD	20878	DIETARY ETC	$9,362,066
MEDEFIS
2121 N 117TH AVE	OMAHA	NE	68164	CONTRA. AGENCY	$5,324,417
WEST SHOARE ANESTHESIA ASSOC
P O BOX 1050	CANP HILL	PA	170011050	C.ANESTHESIOLOG	$1,806,594
QUANTUM IMAGING THERAPEUTIC
629D LOWTHER RD	LEWISBERRY	PA	17339	IMAGING SERVICE	$1,442,690
HCSC INC
P O BOX 8016	LANCASTER	PA	17604	LAUNDRY	$1,057,697

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	41	CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIII	Yes (X)	InfoInScheduleOPartVIIIInd
Government Grants	$349,592	GovernmentGrantsAmt
All Other Contributions	$52,431	AllOtherContributionsAmt
Total Contributions	$402,023	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
PATIENT SERVICE REVENUE	621110	$312,567,297	$312,567,297
SELECT SPECIALTY HOSP. RENT	531120	$687,540		$687,540
OTHER INTERCOMPANY REVENUE	541900	$435,510	$435,510
IC RENTAL INCOME	531120	$398,539			$398,539
RENTAL INCOME	531120	$189,720			$189,720

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$273,626	TotalRevenueColumnAmt
Related Or Exempt Func Income	$273,626	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$314,552,232	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$197,987	TotalRevenueColumnAmt
Exclusion	$197,987	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$48,870	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$48,870	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$48,870	TotalRevenueColumnAmt
Exclusion	$48,870	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$106,299	SecuritiesAmt
Other	$14,000	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$106,299	SecuritiesAmt
Other	$14,000	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$120,299	TotalRevenueColumnAmt
Exclusion	$120,299	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
DIETARY INCOME	722514	$1,073,377	$1,073,377
PURCHASE DISCOUNTS	900099	$1,048,118		$1,048,118
GIFT SHOP	453220	$157,751	$157,751

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$129,329	TotalRevenueColumnAmt
Related Or Exempt Func Income	$51,867	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$77,462	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$2,408,575	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$317,729,986	TotalRevenueColumnAmt
Related Or Exempt Func Income	$314,376,418	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$765,002	UnrelatedBusinessRevenueAmt
Exclusion	$2,186,543	ExclusionAmt

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,020,510	TotalAmt
Program Services	$278,691	ProgramServicesAmt
Management And General	$741,819	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$1,559,728	TotalAmt
Program Services	$400,267	ProgramServicesAmt
Management And General	$1,159,461	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$94,571,788	TotalAmt
Program Services	$90,125,609	ProgramServicesAmt
Management And General	$4,446,179	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$4,156,733	TotalAmt
Program Services	$3,885,152	ProgramServicesAmt
Management And General	$271,581	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$15,905,216	TotalAmt
Program Services	$14,866,044	ProgramServicesAmt
Management And General	$1,039,172	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$7,165,274	TotalAmt
Program Services	$6,897,849	ProgramServicesAmt
Management And General	$267,425	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$31,313	TotalAmt
Program Services	$4,013	ProgramServicesAmt
Management And General	$27,300	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$65,431	TotalAmt
Management And General	$65,431	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$2,806	TotalAmt
Management And General	$2,806	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$242,397	TotalAmt
Program Services	$1,003	ProgramServicesAmt
Management And General	$241,394	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$29,772,029	TotalAmt
Program Services	$27,686,436	ProgramServicesAmt
Management And General	$2,085,593	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$508,522	TotalAmt
Program Services	$499,452	ProgramServicesAmt
Management And General	$9,070	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$9,045,056	TotalAmt
Program Services	$8,600,564	ProgramServicesAmt
Management And General	$444,492	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$1,683,062	TotalAmt
Program Services	$1,499,958	ProgramServicesAmt
Management And General	$183,104	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$7,854,555	TotalAmt
Program Services	$7,288,399	ProgramServicesAmt
Management And General	$566,156	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$481,106	TotalAmt
Program Services	$333,247	ProgramServicesAmt
Management And General	$147,859	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$17,670	TotalAmt
Program Services	$12,000	ProgramServicesAmt
Management And General	$5,670	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$3,907,154	TotalAmt
Program Services	$3,625,526	ProgramServicesAmt
Management And General	$281,628	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$9,168,867	TotalAmt
Program Services	$8,507,974	ProgramServicesAmt
Management And General	$660,893	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$3,271,142	TotalAmt
Program Services	$2,867,491	ProgramServicesAmt
Management And General	$403,651	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$48,712,522	$48,630,306	$82,216
IC EXPENSE	$42,435,567	$35,074,573	$7,360,994
UNCOLLECTIBLE EXPENSE	$6,779,254	$6,779,243	$11
BOOKS, LICENSES, FEES	$403,820	$288,373	$115,447

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$243,230	TotalAmt
Program Services	$22,410	ProgramServicesAmt
Management And General	$220,820	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$289,004,752	TotalAmt
Program Services	$268,174,580	ProgramServicesAmt
Management And General	$20,830,172	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

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

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$25,200,701	BOYAmt
EOY	$1,117,607	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$136,484	BOYAmt
EOY	$5,034,174	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$35,834,224	BOYAmt
EOY	$38,186,837	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$2,626	BOYAmt
EOY	$39,640	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$2,206,655	BOYAmt
EOY	$1,234,437	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$4,908,069	BOYAmt
EOY	$5,132,243	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$2,143,526	BOYAmt
EOY	$2,513,876	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$36,632,341	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$18,402,988	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$24,238,463	BOYAmt
EOY	$18,229,353	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$610,273	BOYAmt
EOY	$4,696,299	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$5,676,422	BOYAmt
EOY	$32,587,874	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$9,460,536	BOYAmt
EOY	$3,247,927	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$110,417,979	BOYAmt
EOY	$112,020,267	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$3,574,489	BOYAmt
EOY	$3,839,652	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$120,022,221	BOYAmt
EOY	$116,393,956	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$754,120	BOYAmt
EOY	$681,047	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$56,382,799	BOYAmt
EOY	$40,403,988	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$180,733,629	BOYAmt
EOY	$161,318,643	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	-$77,648,525	BOYAmt
EOY	-$56,772,050	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$7,332,875	BOYAmt
EOY	$7,473,674	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	-$70,315,650	BOYAmt
EOY	-$49,298,376	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$110,417,979	BOYAmt
EOY	$112,020,267	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$28,725,234	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$1,055,237	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$8,763,197	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$2,606	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$2,806	OtherActivitiesAmt
Total Lobbying Expenditures	$5,412	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

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

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,821,921	BeginningYearBalanceAmt
Contributions	$109,799,000	ContributionsAmt
Investment Earnings Or Losses	-$2,060,358	InvestmentEarningsOrLossesAmt
Other Expenditures	-$3,474,000	OtherExpendituresAmt
Administrative Expenses	$1,752	AdministrativeExpensesAmt
End Year Balance	$107,084,811	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,848,959	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$22,308	InvestmentEarningsOrLossesAmt
Administrative Expenses	$4,730	AdministrativeExpensesAmt
End Year Balance	$2,821,921	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.75000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.21000	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.04000	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (true)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (true)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$6,947,248	OtherCostOrOtherBasisAmt
Book Value	$6,947,248	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$29,685,093	OtherCostOrOtherBasisAmt
Depreciation	$18,402,988	DepreciationAmt
Book Value	$11,282,105	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$18,229,353	TotalBookValueLandBuildingsAmt

Closely Held Equity Interests CloselyHeldEquityInterestsGrp

Field	Value	IRS element (for citing)
Book Value	$32,587,874	BookValueAmt
Method Valuation	F	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Securities	$32,587,874	TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDesc	AmtAmt
DUE TO AFFILIATES	$20,960,482
ACCRUED COST TO RAZE BUILDING	$11,913,972
OBLIGATION UNDER CAPITAL LEASE	$4,048,256
PATIENT CREDIT BALANCE	$1,540,182
ESTIMATED 3RD PARTY PAYOR SETTLEMENT	$1,365,328
3RD PARTY LIABILITIES	$337,387
MEDICARE RAC	$238,381

Field	Value	IRS element (for citing)
Total Liability	$40,403,988	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

SCHEDULE D, PAGE 2, PART V, LINE 4

ENDOWMENT FUNDS ARE USED BY THE GEISINGER TO SUPPORT PATIENT CARE, RESEARCH, EDUCATION, AND CAPITAL AND PROGRAM EXPENSES. PART V, LINE 1B - CONTRIBUTIONS THE 376,968,866 REPORTED ON LINE 1G, COLUMN A, REPRESENTS THE TOTAL ENDOWMENTS HELD BY GEISINGER HEALTH ON BEHALF OF ALL ITS AFFILIATED ORGANIZATIONS. OF THAT AMOUNT, 3,411,000 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.

SCHEDULE D, PAGE 4, PART XIII

EFFECTIVE JULY 1, 2007, GEISINGER (1) ADOPTED ACCOUNTING STANDARDS CODIFICATION 740 (FIN48), (FORMERLY KNOWN AS "STATEMENT 109: ACCOUNTING FOR INCOME TAXES- OR "FAS 109"). FIN 48 CLARIFIES THE ACCOUNTING AND REPORTING FOR INCOME TAXES WHERE INTERPRETATION OF THE TAX LAW MAY BE UNCERTAIN. FIN 48 PRESCRIBES A COMPREHENSIVE MODEL FOR THE FINANCIAL STATEMENT RECOGNITION, MEASUREMENT, PRESENTATION AND DISCLOSURE OF INCOME TAX UNCERTAINTIES WITH RESPECT TO POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN INCOME TAX RETURNS. THE ADOPTION OF FIN 48 HAD NO IMPACT ON UNRESTRICTED NET ASSETS AS OF THE END OF THE FISCAL YEAR OR ANY PREVIOUS YEARS SINCE ADOPTION. ACCORDINGLY, NO FIN 48 FOOTNOTE DISCLOSURE WAS MADE IN THE GEISINGER CONSOLIDATED FINANCIAL STATEMENTS. (1) THROUGHOUT THIS DOCUMENT, THE TERMS "SYSTEM- OR "GEISINGER," SHALL REFER TO THE ENTIRE HEALTHCARE SYSTEM COMPRISED OF GEISINGER HEALTH "GH" AS PARENT AND ALL SUBSIDIARY ENTITIES COMPRISING THE SYSTEM.

Schedule H IRS990ScheduleH

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

Free Care Oth Percentage FreeCareOthPercentageGrp

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

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,283,015	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,283,015	NetCommunityBenefitExpnsAmt
Total Expense	0.01140	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$39,219,094	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$20,920,066	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$18,299,028	NetCommunityBenefitExpnsAmt
Total Expense	0.06330	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$42,502,109	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$20,920,066	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$21,582,043	NetCommunityBenefitExpnsAmt
Total Expense	0.07470	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$570,935	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$994	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$569,941	NetCommunityBenefitExpnsAmt
Total Expense	0.00200	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$891,352	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$109,446	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$781,906	NetCommunityBenefitExpnsAmt
Total Expense	0.00270	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,462,287	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$110,440	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,351,847	NetCommunityBenefitExpnsAmt
Total Expense	0.00470	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$43,964,396	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$21,030,506	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$22,933,890	NetCommunityBenefitExpnsAmt
Total Expense	0.07940	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$6,779,243	BadDebtExpenseAmt
Bad Debt Expense Attributable	$446,074	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$49,143,512	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$78,571,201	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$29,427,689	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost Accounting System	Yes (X)	CostAccountingSystemInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

Field	Value	IRS element (for citing)
Business Name Line1	GRANDVIEW SURGERY CT	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Primary Activities	MEDICAL SERVICES	PrimaryActivitiesTxt
Org Profit Or Ownership	0.42000	OrgProfitOrOwnershipPct
Physicians Profit Or Ownership	0.58000	PhysiciansProfitOrOwnershipPct

Field	Value	IRS element (for citing)
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	HOLY SPIRIT HOSPITAL	BusinessNameLine1Txt
Business Name Line2	OF THE SISTERS OF CHRISTIAN CHARITY	BusinessNameLine2Txt

US Address USAddress

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

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

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	HOLY SPIRIT HOSPITAL	BusinessNameLine1Txt
Business Name Line2	OF THE SISTERS OF CHRISTIAN CHARITY	BusinessNameLine2Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
CHNA Conducted	18	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	WWW.GEISINGER.ORG	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	WWW.GEISINGER.ORG	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	19	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	WWW.GEISINGER.ORG	StrategyWebsiteURLTxt
Strategy Attached	false	StrategyAttachedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	300.000000000000	FPGFamilyIncmLmtFreeCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	HTTP://GEISINGER.ORG-REFER TO SECTIONC	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	HTTP://GEISINGER.ORG-REFER TO SECTIONC	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	HTTP://GEISINGER.ORG-REFER TO SECTIONC	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Other Actions Taken	Yes (X)	OtherActionsTakenInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Prospective Medicare Medicaid	Yes (X)	ProspectiveMedicareMedicaidInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FACILITY 1, HOLY SPIRIT HOSPITAL - PART V, LINE 5	SECTION B., COMMUNITY HEALTH NEEDS ASSESSMENT, LINES 3, 5 AND 6A: A COLLABORATIVE APPROACH TO COMMUNITY HEALTH IMPROVEMENT THE GEISINGER COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED IN PARTNERSHIP WITH GEISINGER, ALLIED SERVICES INTEGRATED HEALTH SYSTEM, AND EVANGELICAL COMMUNITY HOSPITAL. THE STUDY AREA INCLUDED 19 COUNTIES ACROSS CENTRAL, NORTHEASTERN, AND SOUTH CENTRAL PENNSYLVANIA WHICH REPRESENT THE COLLECTIVE SERVICE AREAS OF THE COLLABORATING HOSPITALS. TO DISTINGUISH UNIQUE SERVICE AREAS AMONG HOSPITALS AND FOSTER COOPERATION WITH LOCAL COMMUNITY PARTNERS TO IMPACT HEALTH NEEDS, REGIONAL RESEARCH AND LOCAL REPORTING WAS DEVELOPED. THE COLLABORATING HEALTH SYSTEMS AGREED THAT BY COORDINATING EFFORTS TO IDENTIFY COMMUNITY HEALTH NEEDS ACROSS THE REGION, THE HEALTH SYSTEMS WOULD CONSERVE COMMUNITY RESOURCES WHILE DEMONSTRATING LEADERSHIP IN CONVENING LOCAL COMMUNITY PARTNERS TO ADDRESS COMMON PRIORITY NEEDS. BEST PRACTICES IN COMMUNITY HEALTH IMPROVEMENT DEMONSTRATE THAT FOSTERING "COLLECTIVE IMPACT" IS AMONG THE MOST SUCCESSFUL WAYS TO AFFECT THE HEALTH OF A COMMUNITY. COLLECTIVE IMPACT IS ACHIEVED BY COMMITTING A DIVERSE GROUP OF STAKEHOLDERS TOWARD A COMMON GOAL OR ACTION, PARTICULARLY TO IMPACT DEEP ROOTED SOCIAL OR HEALTH NEEDS. BY TAKING A COLLABORATIVE APPROACH TO THE CHNA, GEISINGER, ALLIED SERVICES INTEGRATED HEALTH SYSTEM, AND EVANGELICAL COMMUNITY HOSPITAL ARE LEADING THE WAY TO IMPROVE THE HEALTH OF COMMUNITIES IN CENTRAL, NORTHEASTERN, AND SOUTH CENTRAL PENNSYLVANIA. THE FOLLOWING PAGES DESCRIBE THE PROCESS AND RESEARCH METHODS USED IN THE 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. THE 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 ENGAGEMENT COMMUNITY 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 ARE PLANNED FOR FALL 2018 TO PRESENT CHNA FINDINGS AND IMPLEMENTATION PLANS TO COMMUNITY RESIDENTS AND PROVIDE A FORUM FOR DIALOGUE ABOUT ADDRESSING COMMUNITY HEALTH NEEDS. CHNA METHODOLOGY THE FY2019 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 OF STATISTICAL HEALTH AND SOCIOECONOMIC INDICATORS FROM ACROSS THE REGION 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 EFFORTS THE 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 NEEDS 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 (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 APPROVAL THE 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/IN-OUR-COMMUNITY/CHNA. RESEARCH PARTNER BAKER TILLY WAS ENGAGED AS THE RESEARCH PARTNER FOR THE CHNA. 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.
FACILITY 1, HOLY SPIRIT HOSPITAL - PART V, 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).
FACILITY 1, HOLY SPIRIT HOSPITAL - PART V, 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 MATERIAL/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 PRACTICING IN MEDICALLY UNDERSERVED AREAS (MUAS) AND HEALTH PROFESSIONAL SHORTAGE AREAS (HPSAS), 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 BEHAVIORAL AND PRIMARY HEALTHCARE. WE PROVIDE EDUCATION TO INCREASE RESIDENTS' AWARENESS OF BEHAVIORAL HEALTH ISSUES AND REDUCE THE STIGMA ASSOCIATED WITH BEHAVIORAL HEALTH CONDITIONS. AND WE STRIVE TO INCREASE ACCESS TO BEHAVIORAL HEALTH SERVICES. 3)MANAGING CHRONIC CONDITIONS: GEISINGER HAS NUMEROUS PROGRAMS TO HELP PATIENTS PREVENT AND MANAGE CHRONIC CONDITIONS. EFFORTS INCLUDE ENCOURAGING COMMUNITY INITIATIVES THAT SUPPORT ACCESS TO AND AVAILABILITY OF HEALTHY LIFESTYLE CHOICES, INITIATING EARLY-STAGE INTERVENTIONS FOR INDIVIDUALS AT HIGH RISK FOR CHRONIC DISEASE, AND DEVELOPING INTEGRATIVE CARE MODELS TO IMPROVE OUTCOMES FOR PATIENTS WITH CHRONIC DISEASE. ACCESS TO CARE GEISINGER HOLY SPIRIT HAS TAKEN NUMEROUS STEPS TO PROVIDE PEOPLE IN OUR LOCAL COMMUNITY WITH MORE ACCESS TO CARE. WE'VE HIRED MORE PROVIDER IN PEDIATRICS, INTERNAL MEDICINE AND FAMILY MEDICINE. IN FACT, OUR NUMBER OF PROVIDERS IN THOSE AREAS IS UP 37% OVER LAST YEAR. WE'RE INTEGRATING PEDIATRICIANS INTO PRIMARY CARE CLINICS TO CREATE TRUE OPTIONS FOR FAMILY MEDICINE AND WHEN WE LEARNED THAT BOYS AGING OUT OF PEDIATRICS OFTEN PREFERRED TO BE SEEN BY A MALE PROVIDER, WE MADE SURE TO BALANCE OUR RECRUITMENT EFFORTS TO MEET THOSE NEEDS. WE IMPROVED OFFICE EFFICIENCY BY ADDING A DESIGNATED CALL CENTER FOR PRIMARY CARE APPOINTMENT SCHEDULING. CALLERS NO LONGER DEAL WITH VOICE MAIL AND CAN BE SCHEDULED RIGHT AWAY WHILE REGULAR STAFF IS FREED UP TO DO OTHER THINGS. OUR APPOINTMENTS HAVE INCREASED 20% TO 23% SINCE THE CALL CENTER OPENED. GEISINGER HOLY SPIRIT HAS ALSO REDESIGNED TRANSITIONS OF CARE SO THAT PATIENTS DISCHARGED FROM THE HOSPITAL ARE SEEN BY THEIR PRIMARY CARE PROVIDERS WITHIN TWO TO FIVE DAYS. THIS APPROACH HAS CUT DOWN ON READMISSION RATES SIGNIFICANTLY BECAUSE PREVIOUSLY, PATIENTS WOULD WAIT TWO TO THREE WEEKS TO BE SEEN AND OFTEN NEEDED ATTENTION BEFORE THEN. WE ARE ALSO IMPROVING ACCESS TO CARE BY PARTNERING WITH COMMUNITY AGENCIES AND HEALTHCARE COALITIONS, ESPECIALLY IN PERRY COUNTY, WHICH IS IN THE BOTTOM 5% OF COUNTIES IN PENNSYLVANIA TO HAVE HEALTHCARE PROVIDERS. GEISINGER HOLY SPIRIT HAS A STRONG PRESENCE ON MANY BOARDS OF DIRECTORS. WE WORK WITH THE UNITED WAY AND HAMILTON HEALTHCARE TO ENSURE TWO COMMUNITY HEALTH WORKS ARE ON SITE AT THE HOSPITAL, ESPECIALLY IN THE EMERGENCY DEPARTMENT, LOOKING FOR PEOPLE WITHOUT PRIMARY CARE PROVIDERS OR INSURANCE TO HELP THEM FIND THE COVERAGE AND CARE THEY NEED. THIS COORDINATED EFFORT HAS SHOWN IMPRESSIVE RESULTS. GEISINGER HOLY SPIRIT IS EXTENDING SPECIALTY CARE OUTREACH BY SENDING CARDIOLOGISTS, ORTHOPAEDISTS AND PHARMACISTS OUT TO CLINICS IN MORE RURAL LOCATIONS ON A WEEKLY BASIS. WE ARE CURRENTLY LOOKING FOR FUNDING TO OFFER MORE TELEMEDICINE OPTIONS. ONE PROGRAM WE DO HAVE IN PLACE IS A PARTNERSHIP WITH LEHIGH VALLEY MEDICAL CENTER, THROUGH WHICH CONSULTATIONS WITH REMOTE BURN SPECIALISTS ARE PROVIDED ALONG WITH TRANSFERS, WHEN NECESSARY. TO ENCOURAGE INTEREST IN MEDICAL CAREERS, OUR ADVANCED PRACTITIONERS REACH OUT TO COMMUNITY HIGH SCHOOLS AND COLLEGES AS WELL AS THE REGIONAL CAMPUS OF THE GEISINGER COMMONWEALTH SCHOOL OF MEDICINE. BEHAVIORAL HEALTH GEISINGER HOLY SPIRIT TEENLINE HAS BEEN HELPING STUDENTS, FAMILIES, AND COMMUNITY MEMBERS IN THE CUMBERLAND-PERRY COUNTY AREA FOR 34 YEARS. TEENLINE OPERATES ON THE PENNSYLVANIA STATE STUDENT ASSISTANCE PROGRAM MODEL (SAP). TEENLINE COUNSELORS PROVIDE MENTAL HEALTH ASSESSMENTS AS AN OUTCOME OF THE SAP SCREENING AND RECOMMENDATION PROCESS. TEENLINE ASSISTS FAMILIES WITH CONNECTING WITH RECOMMENDED SERVICES ONCE THEY HAVE COMPLETED THE ASSESSMENT AND DISCUSSED RECOMMENDATIONS WITH THE FAMILY. IN THE SCHOOL YEAR 2017-18, TEENLINE CONDUCTED 611 MENTAL HEALTH ASSESSMENTS; IN THE SCHOOL YEAR 2018-19, 650 STUDENTS RECEIVED A MENTAL HEALTH ASSESSMENT. IN ADDITION, TEENLINE ATTENDS SCHOOL FUNCTIONS, SUCH AS PTO MEETINGS AND BACK TO SCHOOL NIGHTS, TO INCREASE MENTAL HEALTH AWARENESS, SHARE INFORMATION FOR STUDENT ASSISTANCE PROGRAMS AND ANSWER QUESTIONS. TEENLINE COUNSELORS CONDUCT IN-SERVICES ON REQUESTED MENTAL HEALTH TOPICS TO ASSIST SCHOOL PERSONNEL WITH MENTAL HEALTH-RELATED INFORMATION. IN 2019, TEENLINE HAD 20 SCHOOL MENTAL HEALTH PRESENTATIONS. THEY WORK CLOSELY WITH SCHOOL ADMINISTRATION AND STAFF AND GIVE INPUT INTO PROCEDURES FOR SAP. TEENLINE COUNSELORS RESPOND TO REQUESTS FOR ASSISTANCE WHEN THERE IS A DEATH OF A STUDENT OR STAFF MEMBER. IN 2018, TEENLINE RESPONDED TO 8 POSTVENTIONS AND 10 POSTVENTIONS IN 2019. THE GEISINGER HOLY SPIRIT BEHAVIORAL HEALTH DEPARTMENT OFFERS A WEEKLY SUPPORT GROUP FOR EXPECTING AND NEW MOTHERS, PARTICULARLY WITH A FOCUS ON MOTHERS WHO HAVE A BEHAVIORAL HEALTH DIAGNOSIS AND ARE STRUGGLING OR SYMPTOMATIC. OVER THE PAST 2 YEARS, GROUP MEMBERS HAVE BEEN MORE BLENDED. WE FOUND THAT MEMBERS WERE USING MORE ONLINE TOOLS AND WERE ALSO ABLE TO FIND INFORMATION ABOUT THE GROUP. THUS, THIS HAS SHIFTED OUR THINKING AND DESIGN OF THE GROUP. IT IS INCLUSIVE OF ALL WOMEN WHO ARE PREGNANT OR POSTPARTUM, AND WE CAN IDENTIFY WOMEN WHO ARE EXPERIENCING CLINICAL 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. CHRONIC DISEASE MANAGEMENT AND PREVENTION GEISINGER 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 INNOVATI
FACILITY 1, HOLY SPIRIT HOSPITAL - PART V, LINE 13B	RECENT WAGE STATEMENTS, UNEMPLOYMENT OR OTHER DOCUMENTATION OF BENEFITS OR COMPENSATION RECEIVED MAY BE CONSIDERED IN DETERMINING FINANCIAL ASSISTANCE ELIGIBILITY.
FACILITY 1, HOLY SPIRIT HOSPITAL - PART V, LINE 16J	THE FAP, FAP APPLICATION, AND A PLAIN LANGUAGE SUMMARY OF THE FAP ARE WIDELY AVAILABLE AT HTTPS://WWW.GEISINGER.ORG/PATIENT-CARE/PATIENTS-AND- VISITORS/BILLING-AND-INSURANCE/NEED-HELP. IN ADDITION, REGISTRATION PERSONNEL ALSO REFER UNINSURED AND/OR LOW INCOME PATIENTS TO FINANCIAL COUNSELORS TO DISCUSS THE FINANCIAL ASSISTANCE POLICY.

Supplemental Information Detail SupplementalInformationDetail (15 entries)

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PART I, LINE 3C - OTHER INCOME BASED CRITERIA FOR FREE OR DISCOUNTED CARE	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 (FROM FOUR PRIOR PAY PERIODS), 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 TREATEMENT AND ACTIVE LABOR TRANSPORT ACT NOF 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 - RELATED ORGANIZATION INFORMATION	COMMUNITY BENEFIT REPORT: A SUMMARY OF THE COMMUNITY BENEFIT PROVIDED BY THE HOSPITAL AND ITS RELATED CHARITABLE ORGANIZATIONS IS INCLUDED IN GEISINGER'S ANNUAL REPORT AND IS AVAILABLE AT GEISINGER.ORG AND MADE AVAILABLE TO THE PUBLIC UPON REQUEST. THE REPORT CAN BE FOUND AT: HTTPS://WWW.GEISINGER.ORG/ABOUT- GEISINGER/NEWS-AND-MEDIA/FOR-MEDIA/ANNUAL-REPORTS
PART I, LINE 7G - SUBSIDIZED HEALTH SERVICES EXPLANATION	THERE ARE NO PHYSICIAN CLINICAL SERVICES INCLUDED IN SUBSIDIZED HEALTH SERVICES.
PART I, LINE 7 - COSTING METHODOLOGY EXPLANATION	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 III, LINE 2 - BAD DEBT EXPENSE METHODOLOGY	REFER TO THE RESPONSE FOR PART III, LINE 4.
PART III, LINE 3 BAD DEBT EXPENSE, PATIENTS ELIGIBLE FOR ASSISTANCE	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 6.58% OF THE BAD DEBT ACCOUNTS ARE SUBSEQUENTLY RECLASSIFIED TO UNCOMPENSATED OR CHARITY CARE.
BAD DEBT EXPENSE FOOTNOTE TO FINANCIAL STATEMENTS	PART III, LINES 2 AND 4: GEISINGER HEALTH AND ITS AFFILIATES ("GEISINGER"), THAT INCLUDES THE HOSPITAL, PREPARE AND ISSUE AUDITED CONSOLIDATED FINANCIAL STATEMENTS. GEISINGER'S ALLOWANCE FOR DOUBTFUL ACCOUNTS (BAD DEBT EXPENSE) METHODOLOGY AND CHARITY CARE POLICIES ARE CONSISTENTLY APPLIED ACROSS ALL CHARITABLE AFFILIATES. SEE FOOTNOTE 3: SUMMARY OF SIGNIFICANT ACCOUNTING BEGINNING ON PAGE 8 OF THE ATTACHED GEISINGER CONSOLIDATED FINANCIAL STATEMENTS, JUNE 30, 2019 AND JUNE 30, 2018. SEE PAGE 13 FOR THE DISCUSSION REGARDING NET PATIENT SERVICE REVENUE AND ACCOUNTS RECEIVABLE.
PART III, LINE 8 - MEDICARE EXPLANATION	PART III, LINE 3-BAD DEBT: MEDICARE COSTS WERE DERIVED FROM THE MEDICARE COST REPORT AND THE COST ACCOUNTING SYSTEM. THE ORGANIZATION BELIEVES THAT MEDICARE UNDERPAYMENTS (SHORTFALL) AND THE COST OF BAD DEBT ARE COMMUNITY BENEFIT AND SHOULD BE INCLUDED ON FORM 990, SCHEDULE H, PART I. AS OUTLINED MORE FULLY BELOW, THE ORGANIZATION BELIEVES THAT THESE SERVICES AND RELATED COSTS PROMOTE THE HEALTH OF THE COMMUNITY AS A WHOLE AND ARE RENDERED IN CONJUNCTION WITH THE ORGANIZATION'S CHARITABLE TAX-EXEMPT PURPOSES AND MISSION IN PROVIDING MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON- DISCRIMINATORY MANNER WITHOUT REGARD TO RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY AND IS CONSISTENT WITH THE COMMUNITY BENEFIT STANDARD PROMULGATED BY THE IRS. THE COMMUNITY BENEFIT STANDARD IS THE CURRENT STANDARD FOR A TAX-EXEMPT AND CHARITABLE ORGANIZATION UNDER THE INTERNAL REVENUE CODE ("IRC") 501(C)(3). SATISFYING THE "COMMUNITY BENEFIT STANDARD," AS ARTICULATED BY THE INTERNAL REVENUE SERVICE (IRS) IN REVENUE RULING 69-545, IS CURRENTLY REQUIRED FOR A HOSPITAL TO BE RECOGNIZED AS A CHARITABLE ORGANIZATION UNDER INTERNAL REVENUE CODE (IRC) 501(C)(3). THIS RULING REMOVED THE PREVIOUS REQUIREMENT OF REVENUE RULING 56-185, KNOWN AS THE "CHARITY CARE STANDARD," THAT IN ORDER TO BE A CHARITABLE ORGANIZATION, A HOSPITAL HAD TO PROVIDE, TO THE EXTENT OF ITS FINANCIAL ABILITY, FREE OR REDUCED-COST CARE TO PATIENTS UNABLE TO PAY FOR THEIR CARE. THIS EARLIER RULING EMPHASIZED THAT A LOW LEVEL OF CHARITY CARE DID NOT MEAN THAT A HOSPITAL WAS CHARITABLE SINCE THAT LEVEL COULD REFLECT THE HOSPITAL'S FINANCIAL ABILITY TO PROVIDE SUCH CARE. REVENUE RULING 56-185 ALSO NOTED THAT PUBLICLY SUPPORTED COMMUNITY HOSPITALS WOULD NORMALLY QUALIFY AS CHARITABLE BECAUSE THEY SERVE THE ENTIRE COMMUNITY AND A LOW LEVEL OF CHARITY CARE WOULD NOT IMPACT A HOSPITAL'S CHARITABLE STATUS IF IT WAS DUE TO THE SURROUNDING COMMUNITY'S LACK OF CHARITABLE DEMANDS. AS DEVELOPED IN REVENUE RULING 69-545, UNDER THE COMMUNITY BENEFIT STANDARD, HOSPITALS WERE JUDGED ON WHETHER THEY PROMOTE THE HEALTH OF A BROAD CLASS OF INDIVIDUALS IN THE COMMUNITY. THIS RULING INVOLVED A HOSPITAL THAT ONLY ADMITTED THOSE WHO COULD PAY FOR THE SERVICES EITHER BY THEMSELVES, THROUGH PRIVATE INSURANCE OR PUBLIC PROGRAMS SUCH AS MEDICARE. IN ADDITION, THE HOSPITAL OPERATED A FULL-TIME EMERGENCY ROOM THAT WAS OPEN TO EVERYONE. THE IRS RULED THAT THE HOSPITAL WAS CHARITABLE BECAUSE IT PROMOTED THE HEALTH OF PEOPLE IN ITS COMMUNITY. THE IRS REASONED THAT BECAUSE THE PROMOTION OF HEALTH WAS A CHARITABLE PURPOSE ACCORDING TO THE GENERAL LAW OF CHARITY, IT FELL WITHIN THE "GENERALLY ACCEPTED LEGAL SENSE" OF THE TERM CHARITABLE, AS REQUIRED BY TREASURY REGULATION SECTION 1.501 (C)(3)-1(D)(2). THE IRS RULED THAT THE PROMOTION OF HEALTH, LIKE RELIEF OF POVERTY AND THE ADVANCEMENT OF EDUCATION AND RELIGION, IS ONE OF THE PURPOSES OF THE GENERAL LAW OF CHARITY THAT IS DEEMED BENEFICIAL TO THE COMMUNITY AS A WHOLE EVEN THOUGH THE CLASS OF BENEFICIARIES ELIGIBLE TO RECEIVE A DIRECT BENEFIT FROM ITS ACTIVITIES DOES NOT INCLUDE ALL MEMBERS OF THE COMMUNITY, SUCH AS INDIGENT MEMBERS OF THE COMMUNITY, PROVIDED THAT THE CLASS IS NOT SO SMALL THAT ITS RELIEF IS NOT OF BENEFIT TO THE COMMUNITY. THE IRS CONCLUDED THAT THE HOSPITAL WAS "PROMOTING THE HEALTH OF A CLASS OF PERSONS THAT IS BROAD ENOUGH TO BENEFIT THE COMMUNITY" BECAUSE ITS EMERGENCY ROOM WAS OPEN TO ALL AND IT PROVIDED CARE TO THOSE WHO COULD PAY, WHETHER DIRECTLY OR THROUGH THIRD-PARTY REIMBURSEMENT. OTHER FACTORS THAT DEMONSTRATED COMMUNITY BENEFIT INCLUDED: SURPLUS FUNDS WERE USED TO IMPROVE PATIENT CARE, EXPAND FACILITIES AND ADVANCE MEDICAL TRAINING, EDUCATION AND RESEARCH; AND IT WAS CONTROLLED BY A BOARD OF DIRECTORS THAT CONSISTED OF INDEPENDENT CIVIC LEADERS. THE AMERICAN HOSPITAL ASSOCIATION ("AHA") BELIEVES THAT MEDICARE UNDERPAYMENTS (SHORTFALLS) AND BAD DEBT SHOULD BE REPORTED AS COMMUNITY BENEFIT ON FORM 990, SCHEDULE H, PART I, LINE 7. THIS ORGANIZATION AGREES WITH THE AHA'S LETTER TO THE IRS DATED AUGUST 21, 2007 RESPONDING TO A DRAFT OF THE NEW FORM 990 AND SCHEDULE H, THE AHA ARGUED THAT MEDICARE UNDERPAYMENTS (SHORTFALLS) IS COMMUNITY BENEFIT FOR THE FOLLOWING REASONS: -PROVIDING CARE FOR THE ELDERLY AND SERVING MEDICARE PATIENTS REMAINS AN ESSENTIAL PART OF THE COMMUNITY BENEFIT STANDARD. -MEDICARE, LIKE MEDICAID, DOES NOT PAY THE FULL COST OF CARE. RECENTLY, MEDICARE REIMBURSES ONLY 92 CENTS FOR EVERY DOLLAR HOSPITALS SPEND TO CARE FOR MEDICARE PATIENTS. -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 34,838,511 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 2019, APPROXIMATELY 6.58% 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 6/30/2019, THE HOSPITAL'S COST OF PROVIDING PATIENT CARE FOR SERVICES ACCOUNTED FOR AS BAD DEBT WAS 1,416,864.
PART III, LINE 9B - COLLECTION PRACTICES EXPLANATION	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 - NEEDS ASSESSMENT	THE GEISINGER COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED IN PARTNERSHIP WITH GEISINGER, ALLIED SERVICES INTEGRATED HEALTH SYSTEM, AND EVANGELICAL COMMUNITY HOSPITAL. THE STUDY AREA INCLUDED 19 COUNTIES ACROSS CENTRAL, NORTHEASTERN, AND SOUTH CENTRAL PENNSYLVANIA WHICH REPRESENT THE COLLECTIVE SERVICE AREAS OF THE COLLABORATING HOSPITALS. TO DISTINGUISH UNIQUE SERVICE AREAS AMONG HOSPITALS AND FOSTER COOPERATION WITH LOCAL COMMUNITY PARTNERS TO IMPACT HEALTH NEEDS, REGIONAL RESEARCH AND LOCAL REPORTING WAS DEVELOPED. THE COLLABORATING HEALTH SYSTEMS AGREED THAT BY COORDINATING EFFORTS TO IDENTIFY COMMUNITY HEALTH NEEDS ACROSS THE REGION, THE HEALTH SYSTEMS WOULD CONSERVE COMMUNITY RESOURCES WHILE DEMONSTRATING LEADERSHIP IN CONVENING LOCAL COMMUNITY PARTNERS TO ADDRESS COMMON PRIORITY NEEDS. BEST PRACTICES IN COMMUNITY HEALTH IMPROVEMENT DEMONSTRATE THAT FOSTERING "COLLECTIVE IMPACT" IS AMONG THE MOST SUCCESSFUL WAYS TO AFFECT THE HEALTH OF A COMMUNITY. COLLECTIVE IMPACT IS ACHIEVED BY COMMITTING A DIVERSE GROUP OF STAKEHOLDERS TOWARD A COMMON GOAL OR ACTION, PARTICULARLY TO IMPACT DEEP ROOTED SOCIAL OR HEALTH NEEDS. BY TAKING A COLLABORATIVE APPROACH TO THE CHNA, GEISINGER, ALLIED SERVICES INTEGRATED HEALTH SYSTEM, AND EVANGELICAL COMMUNITY HOSPITAL ARE LEADING THE WAY TO IMPROVE THE HEALTH OF COMMUNITIES IN CENTRAL, NORTHEASTERN, AND SOUTH CENTRAL PENNSYLVANIA. THE FOLLOWING PAGES DESCRIBE THE PROCESS AND RESEARCH METHODS USED IN THE 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 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE	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 - COMMUNITY INFORMATION	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 HOME THE 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 HOME OWNERS 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 - PROMOTION OF COMMUNITY HEALTH	SCHEDULE H, PART I IN ADDITION TO THE NET COMMUNITY BENEFIT COSTS INCURRED BY THE ORGANIZATION AS REPORTED IN SCHEDULE H, PART I, LINE 7; PLEASE REFER TO SCHEDULE O OF THIS FORM 990 FOR THE ORGANIZATION'S NARRATIVE COMMUNITY BENEFIT STATEMENT FOR ADDITIONAL INFORMATION ON HOW THE ORGANIZATION PROMOTES HEALTH AND PROVIDES HEALTHCARE SERVICES TO THE COMMUNITY REGARDLESS OF THE INDIVIDUAL'S ABILITY TO PAY IN FURTHERANCE OF ITS CHARITABLE TAX EXEMPT PURPOSE.
PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEM	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. HISTORY. GEISINGER 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 STRUCTURE. THE 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.
ADDITIONAL INFORMATION	PART VI, LINE 7: FORM 990, SCHEDULE H, PART VI, LINE 7, STATE FILING OF COMMUNITY BENEFIT REPORT: AT THIS TIME, THE HOSPITAL AND ITS AFFILIATES ARE NOT REQUIRED TO FILE A COMMUNITY BENEFIT REPORT WITH ANY STATE.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	Yes (true)	InitialContractExceptionInd
Rebuttable Presumption Proc	Yes (true)	RebuttablePresumptionProcInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (26 entries)

TitleTitleTxt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt	Bonus Related OrganizationsBonusRelatedOrganizationsAmt
CHINH N PHAM MD
DIRECTOR	$406,731	$6,295	$12,869	$29,233	$455,128
KYLE C SNYDER MHA
CAO, DIRECTOR						$309,713	$28,485	$54,655	$29,073	$421,926
LENKE ERKI MD
DIRECTOR	$461,064	$20,186	$15,991	$23,509	$520,750
DANIEL E LOHR ESQUIRE
ASST. SECRETARY	$361,636	$22,646	$19,614	$26,366	$430,262
DAVID J FELICIO ESQUIRE
SECRETARY	$780,508	$138,025	$192,060	$27,281	$1,137,874						$74,220
LORI R GRAMLEY ESQUIRE
ASST. SECRETARY	$217,301	$2,715	$14,621	$10,150	$244,787
RANDY B MORRIS
TREASURER						$286,135	$23,997	$13,812	$20,573	$344,517
ELLEN R LENKEVICH CRNP
VP CHIEF NURSING OFF						$246,351	$9,604	$18,589	$18,089	$292,633
JOSEPH A TORCHIA MD
CMO, HSHS						$466,429	$33,074	$13,531	$11,739	$524,773
CHARLES J ARRISON
DIRECTOR, PHARMACY						$185,319	$9,014	$8,970	$17,950	$221,253
GLORIA SANTOS
AVP, NURSING						$154,507	$34,664	$7,221	$21,142	$217,534
RICHARD SCHREIBER
ASSOC CH INFO OFF						$232,426	$27,019	$11,810	$7,565	$278,820
JASON STANFORD PHD RTRTCMD
RADIATION PHYSICIST	$16,591	$1,904	$945	$2,227	$21,667	$172,136	$54,795	$7,661	$27,845	$262,437
AMI ZUMKHAWALA-COOK
DIRECTOR, HSHS OPS						$124,008	$42,202	$9,841	$1,181	$177,232
ANDREW R WALKER MD
FORMER 5 HIGHEST	$249,144	$1,498	$11,666	$24,614	$286,922
BARBARA SUMBATIAN MD
FORMER 5 HIGHEST	$193,243	$29,787	$13,952	$17,600	$254,582
COURTNEY K BAKER DO
FORMER 5 HIGHEST	$191,182	$18,882	$2,324	$9,083	$221,471
DAVID A GATESMAN
FORMER KEY EMPLOYEE							$114,886	$1,081	$684	$116,651
GERALD R NEWHOUSE
FORMER KEY EMPLOYEE	$74,630	$178,769	$4,090	$2,909	$260,398
JAGADEESH K MOOLA MD
FORMER 5 HIGHEST	$222,173	$26,729	$12,377	$27,293	$288,572
KEVIN F BRENNAN CPA FHFMA
FORMER OFFICER	$540,734	$279,518	$19,614	$9,990	$1,049,856							$200,000
LISA F TORCHIA
FORMER KEY EMPLOYEE							$118,102		$855	$118,957
MICHAEL J PASZEK MD
FORMER 5 HIGHEST	$322,503	$23,434	$19,086	$17,224	$382,247
PAUL D BRETTSCHNEIDER MD
FORMER 5 HIGHEST	$255,212	$18,554	$13,658	$25,972	$313,396
RICHARD E LAVANTURE
FORMER KEY EMPLOYEE							$148,270			$148,270
THOMAS J GRIFONE MD
FORMER 5 HIGHEST	$351,286	$28,886	$14,949	$26,544	$421,665

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE J, PAGE 1, PART I, LINE 4	DAVID J. FELICIO, ESQUIRE 0 74,220 0 DAVID A. GATESMAN 113,679 0 0 GERALD R. NEWHOUSE 163,610 0 0 KEVIN F. BRENNAN, CPA, FHFMA 0 248,228 0 LISA F. TORCHIA 114,006 0 0 RICHARD E. LAVANTURE 89,566 0 0
SCHEDULE J, PAGE 1, PART I, LINE 8	THE EMPLOYEES LISTED PARTICIPATE IN A COMPENSATION PROGRAM DESIGNED TO BE MARKET COMPETITIVE. FROM TIME TO TIME, DEPENDING ON THE AVAILABILITY OF QUALIFIED APPLICANTS, RECRUITMENT LOANS MAY BE MADE AVAILABLE TO QUALIFIED APPLICANTS IN DIFFICULT TO RECRUIT POSITIONS. SUCH LOANS ARE ONLY PROVIDED IF TOTAL COMPENSATION, INCLUDING THE LOAN AMOUNT, IS CONSIDERED REASONABLE COMPENSATION PER INDEPENDENT SALARY SURVEYS.
SCHEDULE J, PART III	PART I, LINE 4A - SEVERANCE PAYMENT UPON INVOLUNTARY SEPARATION, EMPLOYEES MAY BE ELIGIBLE TO RECEIVE CONTINUATION OF SALARY FOR A TERM THAT IS BASED ON THEIR YEARS OF GEISINGER SERVICE AND POSITION. PART I, LINE 4B - SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN COMPENSATION FOR ELIGIBLE EMPLOYEES MAY BE DEFERRED TO A 457(F) NONQUALIFIED PLAN THAT VESTS WITH COMPLETION OF SERVICE, DEATH AND/OR PERMANENT DISABILITY. __________________________________________________________________________ FOOTNOTE: THROUGHOUT FORM 990, THE TERMS "GEISINGER- AND "SYSTEM" SHALL 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 OrgRelationshipWithOrgTxt	Loan PurposeLoanPurposeTxt	Loan To OrganizationLoanToOrganizationInd	Original PrincipalOriginalPrincipalAmt	Balance DueBalanceDueAmt	DefaultDefaultInd	Board Or Committee ApprovalBoardOrCommitteeApprovalInd	Written AgreementWrittenAgreementInd	Loan From OrganizationLoanFromOrganizationInd
MICHAEL SERLUCO
FORMER DIRECTOR	MORTGAGE ON SPACE FOR PATIENT CARE	Yes (X)	$1,200,000	$681,047	false	Yes (true)	Yes (true)
GLORIA SANTOS
HIGHEST COMPENSATED	RECRUITMENT		$25,000	$22,007	false	Yes (true)	Yes (true)	Yes (X)
GLORIA SANTOS
HIGHEST COMPENSATED	RECRUITMENT		$25,000	$17,633	false	Yes (true)	Yes (true)	Yes (X)

Field	Value	IRS element (for citing)
Total Balance Due	$720,687	TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	ALEXANDRA B POCHAK	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	FAMILY	RelationshipDescriptionTxt
Transaction	$57,320	TransactionAmt
Transaction	EMPLOYEE COMP/BEN	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE L, PART V	FormAndLineReferenceDesc
Explanation	ALEXANDRA B. POCHAK IS A FAMILY MEMBER OF RANDY B. MORRIS, AN OFFICER OF HOLY SPIRIT HOSPITAL.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990 - ORGANIZATION'S MISSION	HOLY 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 HEALTHY COMMUNITIES IN THE GREATER HARRISBURG AREA AND SOUTH CENTRAL PENNSYLVANIA.
FORM 990	FORM 990, PART IV, LINE 24A: DID THE ORGANIZATION HAVE A TAX-EXEMPT BOND ISSUE WITH AN OUTSTANDING PRINCIPAL AMOUNT OF MORE THAN 100,000 AS OF THE LAST DAY OF THE YEAR, THAT WAS ISSUED AFTER DECEMBER 31, 2002? GEISINGER HEALTH (GH) IS CURRENTLY THE SOLE OBLIGOR UNDER A SERIES OF BOND ISSUES, INCLUDING BONDS ISSUED PRIOR TO DECEMBER 31, 2002, WITH A TOTAL OUTSTANDING BALANCE OF 1,719,446,520, INCLUSIVE OF UNAMORTIZED ORIGINAL ISSUE DISCOUNT AS OF JUNE 30, 2019. BECAUSE THE BOND PROCEEDS ARE DISBURSED TO GH SUBSIDIARIES, THE 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 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, PAGE 2, PART III, LINE 4A	PATIENT CARE SERVICES PATIENT CARE SERVICES IS DRIVEN BY THE HOSPITAL'S MISSION, VISION, AND VALUES (MVV). THE MVV ELEMENTS, DESCRIBED BELOW, 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. MISSION GEISINGER HOLY SPIRIT IS A COMMUNITY CATHOLIC HEALTH SYSTEM SPONSORED BY THE SISTERS OF CHRISTIAN CHARITY TO CARRY OUT THE HEALING MINISTRY OF JESUS CHRIST TO ALL IN NEED. WE PROVIDE HIGH QUALITY, ETHICALLY-GUIDED, AND COST-EFFECTIVE HEALTH SERVICES IN A CARING, PATIENT-FOCUSED ENVIRONMENT TO DEVELOP HEALTHY COMMUNITIES IN THE GREATER HARRISBURG AREA AND SOUTH CENTRAL PENNSYLVANIA. VISION GEISINGER HOLY SPIRIT WILL EXEMPLIFY GODS LOVE THROUGH OUR SERVICES AND SPIRIT OF CARING. WE WILL FOCUS ON SERVICES THAT PROVIDE COMMUNITY VALUE, INCLUDING: .. DEMONSTRATED COMMITMENT TO OUR HEALING MISSION OF PATIENT-CENTERED CARE. .. INNOVATIVE, COLLABORATIVE, AND RELATIONSHIP-BASED DELIVERY MODELS. .. CARE OF THE DISENFRANCHISED AND VULNERABLE. .. EXCELLENCE IN CLINICAL QUALITY. .. OUTSTANDING PATIENT AND EMPLOYEE SATISFACTION. .. SOUND FINANCIAL STEWARDSHIP TO ENSURE OUR CONTINUING COMMITMENT TO THE COMMUNITY. VALUES IN OUR SERVICE AND OUR CARE, WE COMMIT OURSELVES TO THESE VALUES: .. DIGNITY WE VALUE THE SACREDNESS OF LIFE AND THE DIGNITY OF EACH PERSON. .. WHOLISM WE PROMOTE THE PHYSICAL, EMOTIONAL, SOCIAL, AND SPIRITUAL NEEDS OF EACH PERSON. .. SERVICE WE MEET THE NEEDS OF OTHERS WITH COMPASSION AND COMPETENCE. .. STEWARDSHIP WE RESPONSIBLY USE THE RESOURCES ENTRUSTED TO OUR CARE. .. QUALITY WE COMMIT OURSELVES TO CONTINUOUS IMPROVEMENT AND TO THE SATISFACTION OF THOSE WE SERVE. .. INTEGRITY WE CONSISTENTLY DEMONSTRATE HIGH ETHICAL STANDARDS AND THE VALUES OF OUR ORGANIZATION. AWARDS AND RECOGNITION GEISINGER HOLY SPIRIT HOSPITAL MAINTAINED MULTIPLE QUALITY AWARDS IN 2019. (1)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. (2)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". (3)AWARDED BY THE JOINT COMMISSION IS THE NATIONAL QUALITY APPROVAL FOR ADVANCED CERTIFICATION IN INPATIENT DIABETES CARE AND PRIMARY STROKE CARE. (4)AWARDED BY THE AMERICAN COLLEGE OF CARDIOLOGY IS THE CHEST PAIN CENTER ACCREDITED PRIMARY PCI WITH RESUSCITATION. (5) OTHER ACHIEVMENTS 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). PRESENTATIONS REGISTERED 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 HENDRIC
FORM 990, PART V	FORM 990, PART V, LINE 1A: ENTER THE NUMBER REPORTED IN BOX 3 OF FORM 1096, ANNUAL SUMMARY AND TRANSMITTAL OF U.S. INFORMATION RETURNS. GEISINGER SYSTEM SERVICES (GSS), AN AFFILIATE OF THE ORGANIZATION, PROVIDES A CENTRALIZED ACCOUNTS PAYABLE FUNCTION FOR ALL GEISINGER ORGANIZATIONS. AS THE ACCOUNTS PAYABLE PROCESSOR, GSS PREPARES AND FILES FORM 1099 UNDER ITS EIN FOR ALL REPORTABLE PAYMENTS OF THE FILING ORGANIZATION. THE NUMBER OF FORM 1099'S FILED BY GSS FOR THE 2018 REPORTING PERIOD ON BEHALF OF ITSELF AND ITS AFFILIATES WAS 1,602.
FORM 990, PART VI	FORM 990, PART VI, SECTION A, LINE 1B: ENTER THE NUMBER OF VOTING MEMBERS THAT ARE INDEPENDENT. BASED ON THE FORM 990 DEFINITION OF "INDEPENDENCE" AS IT RELATES TO VOTING MEMBERS OF THE GOVERNING BODY, THREE VOTING MEMBERS ARE NOT INDEPENDENT BECAUSE THEY ARE COMPENSATED AS EMPLOYEES OF RELATED TAX-EXEMPT ORGANIZATIONS. FORM 990, PART VI, SECTION A, LINE 2: DID ANY OFFICER, DIRECTOR, TRUSTEE, OR KEY EMPLOYEE HAVE A FAMILY RELATION- SHIP OR BUSINESS RELATIONSHIP WITH ANY OTHER OFFICER, DIRECTOR, TRUSTEE, OR KEY EMPLOYEE? DANIEL E. LOHR, ESQUIRE, LORI R. GRAMLEY, ESQUIRE, KYLE C. SNYDER, MHA, DEBORAH KEYS, HANK STRAUB, LAURIE SALTZGIVER, ESQUIRE, LENKE ERKI, MD, NORA HABIG, PATRICIA HUSIC, RANDY B. MORRIS, REVEREND ROBERT F. SHARMAN, RON DRNEVICH, SISTER JOANN MARIE AUMAND, SCC, SISTER MARIE PAULINE DEMEK, SCC, AND DAVID J. FELICIO, ESQUIRE ALL HAVE A BUSINESS RELATIONSHIP WITH ONE ANOTHER BECAUSE THEY SERVE AS OFFICERS AND/OR DIRECTORS ON ONE OR MORE FOR-PROFIT AFFILIATE OF THE ENTITY. ALL OF THE AFFILIATES ARE PART OF GEISINGER.
FORM 990, PAGE 6, PART VI, LINE 6	GEISINGER HEALTH SERVES AS THE SOLE CORPORATE MEMBER OF HOLY SPIRIT HEALTH SYSTEM AND HOLY SPIRIT HEALTH SYSTEM SERVES 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, PAGE 6, PART VI, LINE 7A	THE BOARD OF DIRECTORS OF THE CORPORATION SHALL SERVE AS THE GOVERNING BODY OF THE CORPORATION. THE PRESIDENT OF THE CORPORATION SHALL BE A DIRECTOR BY REASON OF HOLDING SUCH OFFICE. THE REMAINING DIRECTORS SHALL BE ELECTED BY THE MEMBERS AT THE ANNUAL MEETING OF THE MEMBERS. THE MEMBERS OF THE CORPORATION MAY SERVE AS DIRECTORS AND DIRECTORS MAY SUCCEED THEMSELVES FROM TERM TO TERM. VACANCIES ON THE BOARD OF DIRECTORS SHALL BE FILLED BY THE MEMBERS AT THEIR DISCRETION AT THE ANNUAL MEETING OF THE MEMBERS OR AT A SPECIAL MEETING CALLED FOR SUCH PURPOSE.
FORM 990, PAGE 6, PART VI, LINE 11B	ALL OFFICERS AND DIRECTORS WERE ELECTRONICALLY PROVIDED A FINAL COPY OF THE FORM 990 PRIOR TO FILING THE RETURN WITH THE IRS. AN EXECUTIVE SUMMARY OF THE INFORMATION REPORTED ON THE RETURN IS PROVIDED TO ASSIST IN THE REVIEW. IN ACCORDANCE WITH THE GEISINGER HEALTH BOARD OF DIRECTOR'S FINANCE COMMITTEE CHARTER, GEISINGER ORGANIZATIONS' FORM 990 FILINGS ARE REVIEWED ANNUALLY. THE FORM 990 IS PREPARED BY GEISINGER TAX AND FINANCIAL REPORTING DEPARTMENTS WITH INFORMATION PROVIDED FROM FINANCE, TAX, HUMAN RESOURCES, LEGAL SERVICES AND OTHER RELEVANT DEPARTMENTS WITHIN GEISINGER. THE CHIEF FINANCIAL OFFICER (CFO) OF GEISINGER AND THE INDIVIDUAL ORGANIZATIONS SENIOR FINANCIAL MANAGERS REVIEW THEIR RESPECTIVE FORM 990 PRIOR TO MAKING THE FINAL RETURN AVAILABLE TO THE BOARD. IN ADDITION, THE CHIEF LEGAL OFFICER AND CHIEF HUMAN RESOURCE OFFICER OF GEISINGER REVIEW THE INFORMATION DISCLOSED ON THE FORM 990 RELEVANT TO THEIR RESPECTIVE AREAS OF RESPONSIBILITY. FOR PURPOSES OF THEIR ANNUAL AUDIT OF GEISINGER CONSOLIDATED FINANCIAL STATEMENTS, INDEPENDENT AUDITORS REVIEW ALL FEDERAL TAX RETURNS FILED BY GEISINGER ORGANIZATIONS TO IDENTIFY MATERIAL ITEMS, INCLUDING IF THERE ARE ANY UNCERTAIN TAX POSITIONS THAT MAY BE REQUIRED TO BE RECOGNIZED. THE COMPANY HAD NO UNCERTAIN TAX POSITIONS REQUIRED TO BE REPORTED FOR REPORTING PERIOD.
FORM 990, PAGE 6, PART VI, LINE 12C	THE OFFICERS AND DIRECTORS OF THE ORGANIZATION ARE SUBJECT TO THE GEISINGER CONFLICT OF INTEREST POLICY FOR DIRECTORS, OFFICERS AND SENIOR LEADERS. AT LEAST ONCE EACH YEAR DIRECTORS, OFFICERS, KEY EMPLOYEES, SENIOR LEADERS AND OTHERS DESIGNATED BY THE BOARD OF DIRECTORS ARE REQUIRED TO DISCLOSE IN WRITING THE EXISTENCE OF ANY POTENTIAL FINANCIAL INTERESTS THAT MAY GIVE RISE TO A CONFLICT OF INTEREST WITH ANY AFFILIATE WITHIN GEISINGER. THE DISCLOSURES ARE REVIEWED BY THE OFFICE OF THE CHIEF LEGAL OFFICER AND REPORTED TO THE AUDIT AND COMPLIANCE COMMITTEES AND BOARD OF DIRECTORS. AFTER REVIEW OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, INPUT FROM DEPARTMENT OF LEGAL SERVICES AND ANY DISCUSSION WITH THE PERSON DESIRED BY THE BOARD OR COMMITTEE, THE 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, PAGE 6, PART VI, LINE 15A	THE PROCESS TO REVIEW AND APPROVE THE COMPENSATION OF GEISINGER EMPLOYED BOARD DIRECTORS, OFFICERS, AND EXECUTIVE MANAGEMENT IS DESIGNED TO SATISFY THE REBUTTABLE PRESUMPTION PROCEDURE AVAILABLE FOR INTERMEDIATE SANCTION PURPOSES. THE PROCESS REQUIRES A REVIEW OF COMPENSATION DETERMINATIONS BY DISINTERESTED PARTIES, USE OF APPROPRIATE COMPARABILITY DATA AND CONTEMPORANEOUS DOCUMENTATION OF THE PROCESS. ON AN ANNUAL BASIS AN INDEPENDENT, NATIONALLY RECOGNIZED COMPENSATION CONSULTANT COMPLETES A COMPARATIVE ASSESSMENT OF COMPENSATION FOR THE CEO AND SENIOR MANAGEMENT WITHIN GEISINGER. THE CONSULTANT'S REPORT IS PRESENTED TO THE GEISINGER FAMILY COMMITTEE PRIOR TO ANY COMPENSATION ADJUSTMENT. THE REPORT SUPPORTS THE RIGOROUS REVIEW COMPLETED BY THE GEISINGER FAMILY COMMITTEE TO ENSURE THAT THE PROGRAM IS RESPONSIBLE TO THE GEISINGER CHARITABLE MISSION, REFLECTS REASONABLE COMPENSATION WITHIN THE NONPROFIT MARKET AND IS COMPLIANT WITH THE IRS'S INTERMEDIATE SANCTION REQUIREMENTS. THE SURVEY DATA IN THE COMPARATIVE ANALYSIS IS CAPTURED FOR FUNCTIONALLY COMPARABLE POSITIONS IN MULTIPLE SIMILAR NONPROFIT ORGANIZATIONS AND REFLECTS TOTAL REMUNERATION PROVIDED IN THE MARKET. ALL SURVEYS ARE CONDUCTED BY THIRD PARTY ORGANIZATIONS AND NOT CONDUCTED AT THE SPECIFIC DIRECTION OF GEISINGER. ANY COMPENSATION ADJUSTMENTS ARE APPROVED BY THE GEISINGER FAMILY COMMITTEE PRIOR TO THE EFFECTIVE DATE OF THE PAYMENT. THE GEISINGER FAMILY COMMITTEE AT ITS SOLE DISCRETION MAY POSITIVELY OR NEGATIVELY ADJUST ANY RECOMMENDED COMPENSATION.
FORM 990, PAGE 6, PART VI, LINE 15B	SEE SCHEDULE O RESPONSE TO FORM 990, PART VI SECTION B, QUESTION 15A.
FORM 990, PAGE 6, PART VI, LINE 19	THE 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-REPORTS. FINANCIAL STATEMENTS, FORM 990, FORM 990-T, THE CONFLICTS OF INTEREST POLICY, AND OTHER GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART VIII	FORM 990, PART VIII, LINE 2F: IC SUPPORT SERVICE REVENUE REPORTED WITHIN THE LINE 2F 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 11G	OUTSIDE AGENCY CLINICAL 3,996,008 0 0 CONTRACTED PHYS SVC OTHER 1,367,347 384,921 0 CLEANING SERVICE 297,869 2,297 0 CONSULTING FEE 17,034 302,980 0 COLLECTION AGENCY FEE 109,488 0 0 EQUIP MAINT SVC CONTRACTS 2,111,234 38,737 0 OUTSIDE PURCHASED SERVICE 18,555,119 1,345,858 0 ISS TRAINING AND SVC SCHOOL E 30,245 0 0 OUT AGENCY NONCLIN TEMP 713,272 0 0 REPAIR OF EQUIPMENT 46,868 0 0 RECRUIT NONPROVIDER 313 10,800 0 OUTSIDE TESTS PURCHASE 400,387 0 0 LOCUM PHYSICIAN SVC HOURLY 41,252 0 0 TOTAL 27,686,436 2,085,593 0
FORM 990, PART X	FORM 990, PART IX STATEMENT OF FUNCTIONAL EXPENSES, LINE 24E: UNRELATED BUSINESS INCOME TAX EXPENSE 138,434.
FORM 990, PART XI, LINE 9	TRANSFER FROM GEISINGER HEALTH 190,089 TRANSFER FROM PARENT HOLY SPIRIT HEALTH SYSTEM 12,800,000 ASSET IMPAIRMENT CHARGE -21,723,286 ASSETS RELEASED FROM RESTRICTION -30,000 TOTAL -8,763,197 THE AMOUNT REPORTED AS ASSET IMPAIRMENT CHARGE REPRESENTS THE REVALUATION OF HOLY SPIRIT HOSPITALS LAND, BUILDINGS, AND EQUIPMENT TO FAIR MARKET VALUE.
FORM 990, PART XII	FORM 990, PART XII, LINE 3A: AS A RESULT OF A FEDERAL AWARD, WAS THE ORGANIZATION REQUIRED TO UNDERGO AN AUDIT OR AUDITS AS SET FORTH IN THE AUDIT ACT OR OMB CIRCULAR A-133? FEDERAL AWARDS ARE AUDITED AS A PART OF THE GEISINGER'S CONSOLIDATED REPORT ON FEDERAL AWARDS IN ACCORDANCE WITH OMB CIRCULAR A-133. FOOTNOTE: THROUGHOUT FORM 990, THE TERMS "GEISINGER- AND "SYSTEM" SHALL REFER TO THE ENTIRE HEALTHCARE SYSTEM COMPRISED OF GEISINGER HEALTH AS PARENT AND ALL SUBSIDIARY CORPORATIONS COMPRISING THE SYSTEM.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (36 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
GEISINGER HEALTH
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	231995911	PHILANTHRO	PA	501C3	7	N/A	false
GEISINGER MEDICAL CENTER
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	240795959	HOSPITAL	PA	501C3	3		false	GH
GEISINGER CLINIC
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	236291113	PHYSN SVCS	PA	501C3	12A		false	GH
GEISINGER WYOMING VALLEY MED CTR
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	231996150	HOSPITAL	PA	501C3	3		false	GH
MARWORTH
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232171417	D&A REHAB	PA	501C3	3		false	GH
GEISINGER HEALTH PLAN
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232311553	HMO	PA	501C4			false	GH
GEISINGER SYSTEM SERVICES
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232164794	SUPPORT SV	PA	501C3	12A		false	GH
GEISINGER COMMUNITY HEALTH SERVICES
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232967235	HEALTHCARE	PA	501C3	10		false	GSS
GEISINGER INSURANCE CORPORATIONRRG
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	141909894	SELF INS	VT	501C3	12A		Yes (true)	GH
COMMUNITY MEDICAL CENTER
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	240862246	HOSPITAL	PA	501C3	3		false	GH
MOUNTAIN VIEW NURSING HOME INC
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232568288	LNGTM CARE	PA	501C3	10		false	GH
GEISINGER-BLOOMSBURG HOSPITAL
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232193572	HOSPITAL	PA	501C3	3		false	GH
GEISINGER-BLOOMSBURG HEALTHCARE CTR
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232242854	SKILLED NU	PA	501C3	10		false	GH
GEISINGER-LEWISTOWN HOSPITAL
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	231352187	HOSPITAL	PA	501C3	3		false	GH
LEWISTOWN AMBULATORY CARE CORP
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232344362	HOLDING CO	PA	501C3	12A		false	GH
FAMILY HEALTH ASSOCIATES OF GLH
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	251651582	PHYSN SVCS	PA	501C3	12A		false	GH
KEYSTONE HEALTH INFORMATION EXCH
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	464359893	RHIO	PA	501C3	12A		false	GH
HEALTH CARE CORP OF NORTHEAST PA
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232337286	SUPPORT SV	PA	501C3	12A		false	CMC
HOLY SPIRIT HEALTH SYSTEM
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	251865142	PHILANTHRO	PA	501C3	12A		false	GH
HOLY SPIRIT CORPORATION
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232214540	HOLDING CO	PA	501C2			Yes (true)	HSHS
SPIRIT PHYSICIAN SERVICES INC
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	251766971	PHYSN SVCS	PA	501C3	10		Yes (true)	HSHS
WEST SHORE ADVANCED LIFE SUPP SVCS
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232463002	HEALTHCARE	PA	501C3	10		false	GC
GEISINGER COMMONWEALTH SCH OF MED
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	260812968	EDUCATION	PA	501C3	2		false	GH
GEISINGER JERSEY SHORE HOSPITAL
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	240792115	HOSPITAL	PA	501C3	3		false	GH
GEISINGER JERSEY SHORE HOSPITAL FND
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232480603	HEALTHCARE	PA	501C3	3		false	GH
GSL HOSPITAL
801 OSTRUM STREET	BETHLEHEM	PA	18015	824432109	HOSPITAL	PA	501C3	3	N/A	false
GSLPG INC
801 OSTRUM STREET	BETHLEHEM	PA	18015	825423865	HEALTHCARE	PA	501C3	3		false	GSL HOSP
ATLANTICARE BEHAVORIAL HEALTH INC
2511 FIRE ROAD	EGG HARBOR TOWNSHIP	NJ	08234	210721208	HEALTHCARE	NJ	501C3	7		false	ARHS
ATLANTICARE FOUNDATION INC
6725 DELILAH ROAD	EGG HARBOR TOWNSHIP	NJ	08234	222148992	SUPPORT AR	NJ	501C3	7		false	AH SYSTEM
ATLANTICARE HEALTH ENGAGEMENT INC
2500 ENGLISH CREEK AVENUE	EGG HARBOR TOWNSHIP	NJ	08234	611608389	HEALTHCARE	NJ	501C3	12A		false	AH SYSTEM
ATLANTICARE HEALTH SERVICES INC
2500 ENGLISH CREEK AVENUE	EGG HARBOR TOWNSHIP	NJ	08234	223265214	HEALTHCARE	NJ	501C3	10		false	ARHS
ATLANTICARE HEALTH SYSTEM INC
2500 ENGLISH CREEK AVENUE	EGG HARBOR TOWNSHIP	NJ	08234	223265213	SUPPORT AR	NJ	501C3	12A		false	GH
ATLANTICARE REGIONAL MEDICAL CENTER
1925 PACIFIC AVENUE	ATLANTIC CITY	NJ	08401	210634549	HOSPITAL	NJ	501C3	3		false	ARHS
ATLANTICARE PHYSICIAN GROUP PA
2500 ENGLISH CREEK AVENUE	EGG HARBOR TOWNSHIP	NJ	08234	020701782	HEALTHCARE	NJ	501C3	10		false	AH SYSTEM
ATLANTICARE REGIONAL HEALTH SERVICE
2500 ENGLISH CREEK AVENUE	EGG HARBOR TOWNSHIP	NJ	08234	800834222	HOLDING CO	NJ	501C3	12A		false	AH SYSTEM
COOPERATIVE HOME HLTH CARE ATL CNTY
6550 DELILAH ROAD SUITE 304	EGG HARBOR TOWNSHIP	NJ	08234	233836022	HOME HEALT	NJ	501C3	10		false	AH SYSTEM

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (15 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct
KEYSTONE ACCOUNTABLE CARE ORG LLC
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	455484165	ACO	PA	N/A	false	false
LIFESOURCE GEISINGER BLOOD CTR LLC
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	364718005	BLOOD COLL	PA	N/A	false	false
GEISINGER ENCOMPASS HEALTH LLC
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	721398803	PHY THERAP	PA	N/A	false	false
EVANGELICAL-GEISINGER HEALTH LLC
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	460567687	HEALTHCARE	PA	N/A	false	false
LEMED II
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232391766	RENTAL	PA	N/A	false	false
GEISINGER-SCA HOLDINGS LLC
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	461615328	MANAGEMENT	DE	N/A	false	false
CAMP HILL AMBULATORY CENTERS
569 BROOKWOOD VILLAGE SUITE 901	BIRMINGHAM	AL	35209	521597478	HEALTHCARE	PA		false	Yes (true)	HSH	RELATED	$374,767	$1,953,117	0.51000
GRANDVIEW SURGERY CENTER LTD
569 BROOKWOOD VILLAGE SUITE 901	BIRMINGHAM	AL	35209	521597483	HEALTHCARE	PA	N/A	false	false
LACKAWANNA PHYS AMB SURG CTRLLC
569 BROOKWOOD VILLAGE SUITE 901	BIRMINGHAM	AL	35209	233024998	HEALTHCARE	PA	N/A	false	false
SOUTHERN JERSEY ONCOLOGY PROPERTIES
2500 ENGLISH CREEK AVENUE	EGG HARBOR TOWNSHIP	NJ	08234	943463625	HEALTHCARE	NJ	N/A	false	false
ATLANTICARE SURGERY CENTER LLC
2500 ENGLISH CREEK AVENUE	EGG HARBOR TOWNSHIP	NJ	08234	223491867	HEALTHCARE	NJ	N/A	false	false
COOPERATIVE HEALTH SRVS OF S JERSEY
1301 ATLANTIC AVENUE	ATLANTIC CITY	NJ	08401	223619231	PURCHASING	NJ	N/A	false	false
GEISINGER-HM JOINT VENTURE LLC
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	831871064	HEALTHCARE	PA	N/A	false	false
KEYSTONE HEALTHCARE PARTNERSHIPLLC
901 HUGH WALLIS ROAD	LAFAYETTE	LA	70508	833134941	HOME HLTH	PA	N/A	false	false
SOUTHERN JERSEY MEDICAL PROPERTIES
2500 ENGLISH CREEK AVENUE	EGG HARBOR TOWNSHIP	NJ	08234	383830843	REAL ESTAT	NJ	N/A	false	false

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (10 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	Province Or StateForeignAddress/ProvinceOrStateNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
ISS SOLUTIONS INC
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232077663	HOTEL/REST	PA	N/A	false
GEISINGER INDEMNITY INSURANCE CO
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232815174	HLTH INSUR	PA	N/A	false
GEISINGER QUALITY OPTIONS INC
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	204275139	HLTH INSUR	PA	N/A	false
XG HEALTH SOLUTIONS INC
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	461657345	CONSULTING	DE	N/A	false
GEISINGER ASSURANCE COMPANY LTD
				981016737	INSURANCE		N/A	false	23 LINE TREE BAY AVE PO BOX 1159	GRAND CAYMAN	GRAND CAYMAN	CJ	KY1-1102	CJ
HOLY SPIRIT VENTURES INC
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232407709	MED. SERV.	PA	N/A	Yes (true)
ENGLISH CREEK ASSURANCE LTD
				980656394	FINANCIAL		N/A	false	44 CHURCH STREET HM12 HAMILTON	BERMUDA	BERMUDA	BD		BD
ATLANTICARE HEALTH SOLUTIONS INC
2500 ENGLISH CREEK AVENUE BLDG 500	EGG HARBOR TOWNSHIP	NJ	08234	383856295	ACO/HEALTH	NJ	N/A	false
ATLANTICARE ASSURANCE ALLIANCE INC
2500 ENGLISH CREEK AVENUE BLDG 500	EGG HARBOR TOWNSHIP	NJ	08234	463730123	HEALTHCARE	NJ	N/A	false
GNJ PHYSICIANS GROUP PC
2500 ENGLISH CREEK AVENUE	EGG HARBOR TOWNSHIP	NJ	08234	820681884	PHYSIC SVC	NJ	N/A	false

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

Transactions Related Org TransactionsRelatedOrgGrp (27 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
GEISINGER ASSURANCE COMPANY LTD
M	$1,220,738	GAAP
GEISINGER CLINIC
L	$399,655	GAAP
GEISINGER CLINIC
M	$253,424	GAAP
GEISINGER CLINIC
P	$1,365,073	GAAP
GEISINGER COMMUNITY MEDICAL CENTER
L	$651	GAAP
GEISINGER HEALTH
C	$14,848,309	GAAP
GEISINGER HEALTH
L	$1,704	GAAP
GEISINGER HEALTH PLAN
L	$26,531,716	GAAP
GEISINGER LEWISTOWN HOSPITAL
L	$10,136	GAAP
GEISINGER LEWISTOWN HOSPITAL
M	$40	GAAP
GEISINGER MEDICAL CENTER
M	$3,299,383	GAAP
GEISINGER MEDICAL CENTER
L	$3,245	GAAP
GEISINGER RISK RETENTION GROUP
P	$1,158,568	GAAP
GEISINGER SYSTEM SERVICES
M	$18,005,394	GAAP
GEISINGER WYOMING VALLEY MEDICAL CE
L	$1,962	GAAP
GEISINGER WYOMING VALLEY MEDICAL CE
M	$569	GAAP
HOLY SPIRIT CORPORATION
L	$14,635	GAAP
HOLY SPIRIT CORPORATION
K	$1,112,094	GAAP
HOLY SPIRIT HEALTH SYSTEM
L	$10,941	GAAP
HOLY SPIRIT HEALTH SYSTEM
M	$473,201	GAAP
HOLY SPIRIT VENTURES INC
L	$14,635	GAAP
HOLY SPIRIT VENTURES INC
K	$571,776	GAAP
ISS SOLUTIONS INC
M	$5,866,788	GAAP
SPIRIT PHYSICIAN SERVICES INC
L	$270,932	GAAP
SPIRIT PHYSICIAN SERVICES INC
M	$14,462,802	GAAP
SPIRIT PHYSICIAN SERVICES INC
A	$398,539	GAAP
WEST SHORE ADVANCED LIFE SUPPORT
M	$255,677	GAAP

Supplemental Information Detail SupplementalInformationDetail

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