GEISINGER WYOMING VALLEY MEDICAL CENTER: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: GEISINGER WYOMING VALLEY MEDICAL CENTER (EIN 23-1996150)
Tax period: 2018-07-01 to 2019-06-30
Filed: 2020-07-13
IRS object ID: 202001959349302815
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 C
Schedule D
Schedule F
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	231996150	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	GEISINGER WYOMING VALLEY MEDICAL	BusinessNameLine1Txt
Business Name Line2	CENTER	BusinessNameLine2Txt

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

US Address USAddress

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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	KEVIN V ROBERTS MBA CPA	PersonNm
Person Title	EVP, CFO, TREASURER	PersonTitleTxt
Phone	5702715555	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	9E34BBD25CF3163DD4F224690AE715E8CD5C4016	AtSubmissionFilingDeviceId

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

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	JAEWON RYU MD JD	PrincipalOfficerNm

US Address USAddress

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

Field	Value	IRS element (for citing)
Gross Receipts	$662,719,684	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	1976	FormationYr
Legal Domicile State	PA	LegalDomicileStateCd
Activity Or Mission	TO ENHANCE THE QUALITY OF LIFE OF THE POPULATION SERVED BY PROVIDING ACCESS TO QUALITY POPULATION HEALTH AND HOSPITAL SERVICES AND ACCESS ACROSS NORTHEASTERN PENNSYLVANIA THROUGH AN INTEGRATED SERVICE... SEE SCHEDULE O	ActivityOrMissionDesc
Voting Members Governing Body	7	VotingMembersGoverningBodyCnt
Voting Members Independent	4	VotingMembersIndependentCnt
Total Employee	3137	TotalEmployeeCnt
Total Volunteers	280	TotalVolunteersCnt
Total Gross UBI	$592,731	TotalGrossUBIAmt
CY Contributions Grants	$0	CYContributionsGrantsAmt
PY Program Service Revenue	$585,309,217	PYProgramServiceRevenueAmt
CY Program Service Revenue	$655,467,002	CYProgramServiceRevenueAmt
PY Investment Income	$1,901,740	PYInvestmentIncomeAmt
CY Investment Income	$3,107,805	CYInvestmentIncomeAmt
PY Other Revenue	$2,123,525	PYOtherRevenueAmt
CY Other Revenue	$3,992,839	CYOtherRevenueAmt
PY Total Revenue	$589,334,482	PYTotalRevenueAmt
CY Total Revenue	$662,567,646	CYTotalRevenueAmt
CY Grants And Similar Paid	$5,500	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$157,410,504	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$176,456,452	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$345,317,364	PYOtherExpensesAmt
CY Other Expenses	$366,568,306	CYOtherExpensesAmt
PY Total Expenses	$502,727,868	PYTotalExpensesAmt
CY Total Expenses	$543,030,258	CYTotalExpensesAmt
PY Revenues Less Expenses	$86,606,614	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$119,537,388	CYRevenuesLessExpensesAmt
Total Assets BOY	$427,743,098	TotalAssetsBOYAmt
Total Assets EOY	$459,914,438	TotalAssetsEOYAmt
Total Liabilities BOY	$343,098,927	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$354,246,719	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$84,644,171	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$105,667,719	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	MISSION: TO ENHANCE THE QUALITY OF LIFE OF THE POPULATION SERVED BY PROVIDING ACCESS TO QUALITY POPULATION HEALTH AND HOSPITAL SERVICES AND ACCESS ACROSS NORTHEASTERN PENNSYLVANIA THROUGH AN INTEGRATED SERVICE ORGANIZATION BASED ON A BALANCED PROGRAM OF PATIENT CARE, EDUCATION, RESEARCH, AND COMMUNITY SERVICE.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$500,176,402	ExpenseAmt
Grant	$5,500	GrantAmt
Revenue	$657,536,982	RevenueAmt
Desc	I.GENERAL INFORMATION GEISINGER WYOMING VALLEY MEDICAL CENTER (GWV), A 501(C)(3) NOT-FOR-PROFIT CORPORATION AND MEMBER OF GEISINGER HEALTH, OWNS AND OPERATES A 300-BED, ACUTE CARE, HOSPITAL WITH ADVANCED TERTIARY SERVICES IN WILKES-BARRE, PA. GWV'S CONVENIENT LOCATION NEAR SEVERAL MAJOR HIGHWAYS MAKES IT ACCESSIBLE FROM ALL AREAS OF NORTHEASTERN PENNSYLVANIA. GEISINGER WYOMING VALLEY IS A MAGNET-DESIGNATED FACILITY, FULLY ACCREDITED BY THE JOINT COMMISSION, AND IS AN ACCREDITED LEVEL II TRAUMA CENTER, AMERICAN HEART ASSOCIATION ACCREDITED MISSION: LIFELINE ST-ELEVATION MYOCARDIAL INFARCTION (STEMI) RECEIVING CENTER AND JOINT COMMISSION-CERTIFIED PRIMARY STROKE CENTER OFFERING EMERGENCY AND TRAUMA CARE 24 HOURS A DAY. THE FACILITY OPENED IN 1981 AS THE NPW MEDICAL CENTER OF N.E. PENNSYLVANIA, INC., AND THE NAME CHANGED TO GEISINGER WYOMING VALLEY MEDICAL CENTER IN 1985. GWV PROVIDES QUALITY MEDICAL CARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE, OR ABILITY TO PAY. GWV IS CONSIDERED A DESIGNATED LEADER IN LESBIAN, GAY, BISEXUAL AND TRANSGENDER (LGBT) HEALTHCARE EQUALITY BY THE HUMAN RIGHTS CAMPAIGN (HRC) FOUNDATION FOR ITS COMMITMENT TO PROVIDING NON-DISCRIMINATORY QUALITY HEALTHCARE TO THE LGBT COMMUNITY. ONE OF THE OUTSTANDING SERVICES OFFERED BY GEISINGER WYOMING VALLEY MEDICAL CENTER ARE COMPREHENSIVE WOMEN'S AND CHILDREN'S SERVICES. THE MEDICAL CENTER'S OBSTETRICS UNIT FEATURES THE AREA'S ONLY SUB-SPECIALTY, FELLOWSHIP-TRAINED REPRODUCTIVE ENDOCRINOLOGIST/INFERTILITY SPECIALIST AS WELL AS A MATERNAL-FETAL MEDICINE SPECIALIST. GEISINGER WYOMING VALLEY'S MATERNAL FETAL MEDICINE SERVICE AT 190 WELLES STREET, FORTY FORT IS FOR MOTHERS AND FAMILIES FACING COMPLEX, HIGH RISK PREGNANCIES FEATURES ULTRASOUND, NON-STRESS TESTING, COMPLEX FETAL MONITORING, AND GENETIC COUNSELING. GWV WAS ALSO THE FIRST HOSPITAL IN THE AREA TO OFFER LABOR, DELIVERY, RECOVERY, POST-PARTUM (LRDP) SUITES FOR EXPECTANT PARENTS AND OFFERS TWO DEDICATED C- SECTION SURGICAL SUITES. THE WOMEN'S UNIT WAS EXPANDED IN 2011 TO PROVIDE 15 ADDITIONAL PRIVATE ROOMS EQUIPPED WITH THE MOST ADVANCED TECHNOLOGY FOR POSTPARTUM AND POSTOPERATIVE CARE, AS WELL AS TWO NEW LABOR TRIAGE AREAS FOR ENHANCED LABOR AND DELIVERY CAPABILITIES. GWV ALSO OFFERS A 13-BED LEVEL II NEONATAL INTENSIVE CARE UNIT (NICU), THE ONLY LOCATION IN LUZERNE COUNTY PROVIDING THIS LEVEL OF INTENSIVE CARE FOR PREMATURE INFANTS AND OTHER BABIES IN NEED OF HIGHLY SPECIALIZED MEDICAL CARE. THE JANET WEIS CHILDREN'S HOSPITAL PEDIATRICS UNIT AT GWV PROVIDES NUMEROUS PEDIATRIC SUB-SPECIALTY SERVICES. PEDIATRIC HOSPITALIST PHYSICIANS STAFF THE 7-BED UNIT. GWV'S MEDICAL STAFF ALSO INCLUDES A FELLOWSHIP TRAINED PEDIATRIC CARDIOLOGIST. GWV IS A BLUE DISTINCTION CENTER+ (BDC+) IN MATERNITY CARE BY HIGHMARK BLUE CROSS AND BLUE SHIELD FOR MEETING QUALITY-FOCUSED CRITERIA THAT EMPHASIZE PATIENT SAFETY AND OUTCOMES REGARDING BOTH VAGINAL AND CESAREAN DELIVERIES. BLUE DISTINCTION CENTERS+ HAVE A PROVEN TRACK-RECORD FOR DELIVERING BETTER RESULTS, INCLUDING FEWER COMPLICATIONS AND READMISSIONS. THE GWV CAMPUS ALSO CONSISTS OF SEVERAL SPECIALTY CENTERS. THERE IS THE 42,000-SQUARE-FOOT GEISINGER EAST MOUNTAIN SPECIALTY CLINIC AT 1155 EAST MOUNTAIN BOULEVARD. THE FACILITY MAKES IT CONVENIENT FOR PATIENTS TO ACCESS OUTPATIENT SERVICES SUCH AS CAREWORKS WALK-IN CLINIC/URGENT CARE; DERMATOLOGY/MOHS; GENERAL INTERNAL MEDICINE; LABORATORY SERVICES; OBSTETRICS & GYNECOLOGY (OB/GYN); PODIATRY; PRE-SURGICAL TESTING; RADIOLOGY; REPRODUCTIVE ENDOCRINOLOGY; UROGYNECOLOGY AND WOMEN'S HEALTH. THERE IS ALSO THE PRECISION HEALTH CENTER OPENED AS A CAMPUS OF GWV TO HOUSE GEISINGER'S GENOMIC MEDICINE INSTITUTE, THE AUTISM AND DEVELOPMENTAL MEDICINE INSTITUTE (ADMI) AND RESEARCH IN NORTHEASTERN PENNSYLVANIA. THE 178,000 SQUARE FOOT CRITICAL CARE BUILDING FEATURES A 24/7 EMERGENCY DEPARTMENT WITH TRAUMA SERVICES, ROOFTOP HELIPAD, AND INTENSIVE CARE UNIT (ICU). THE EMERGENCY DEPARTMENT CONTAINS A RAPID EVALUATION AREA TO HELP THE TEAM EVALUATE UP TO SIX MORE PATIENTS AT A TIME AND DIRECT THEM TO THE APPROPRIATE LEVEL OF EMERGENCY CARE. THE CRITICAL CARE BUILDING ALSO HOUSES GEISINGER WYOMING VALLEY'S HIGH-TECH SURGICAL SUITES, INCLUDING LUZERNE COUNTY'S FIRST ENDOVASCULAR OPERATING SUITE AND THE DAVINCI ROBOT TO PERFORM ADVANCED MINIMALLY INVASIVE PROCEDURES. IN FEBRUARY 2013, A 24- BED, 24,000-SQUARE-FOOT PROGRESSIVE CARE UNIT (PCU) OPENED ON THE BUILDING'S FIFTH FLOOR TO CARE FOR PATIENTS WHO REQUIRE A HIGHER LEVEL OF CARE BUT DO NOT NEED INTENSIVE CARE. TWO ROOMS ARE OUTFITTED TO CARE FOR INFECTIOUS ISOLATION PATIENTS, AND TWO ROOMS ARE FITTED WITH BARIATRIC LIFTS FOR SEVERELY OBESE PATIENTS. LIFEFLIGHT, GEISINGER'S MEDICAL HELICOPTER SERVICE, PROVIDES QUICK AIR MEDICAL RESPONSE FOR TRANSPORTING PATIENTS FOR LIFE-SAVING CARE. THE RICHARD AND MARION PEARSALL HEART HOSPITAL AT GWV OPENED IN OCTOBER 2001. IT IS DEDICATED TO BRINGING THE LATEST TECHNOLOGY USED IN THE TREATMENT OF HEART AND VASCULAR DISEASE TO THE PEOPLE OF NORTHEAST PENNSYLVANIA. THREE CARDIAC CATHETERIZATION LABORATORIES OFFER ADVANCED TREATMENTS TO PATIENTS WITH HEART DISEASE, INCLUDING A 24 HOUR PER DAY PRIMARY ANGIOPLASTY PROGRAM AND ADVANCED TECHNOLOGY TO OPEN AND REPAIR BLOCKED VESSELS. THERE IS ALSO AN ELECTROPHYSIOLOGY SUITE THAT INCLUDES TWO CATHETERIZATION LABORATORIES AND EIGHT REMODELED PATIENT ROOMS TO OFFER THE LATEST ADVANCES IN THE TREATMENT OF HEART RHYTHM DISORDERS. THE PEARSALL HEART HOSPITAL OFFERS ANCILLARY CARDIAC TESTING, PHYSICIAN CARE, AS WELL AS A NINE-BED STEP-DOWN UNIT AND AN EIGHT-BED OUTPATIENT UNIT USED FOR PRE AND POST CARDIAC CATHETERIZATION RECOVERY. THE PEARSALL HEART HOSPITAL IS HOME TO GWV'S CARDIOLOGY, CARDIOTHORACIC SURGERY AND VASCULAR SURGERY DEPARTMENTS AND INCLUDES AN INTERSOCIETAL ACCREDITATION COMMISSION (IAC) ACCREDITED NONINVASIVE DIAGNOSTIC LABORATORY. IN 2014, GWV BECAME THE FIRST REGIONAL HOSPITAL TO RECEIVE THE JOINT COMMISSION'S GOLD SEAL OF APPROVAL FOR LEFT VENTRICULAR ASSIST DEVICE (LVAD) TECHNOLOGY, WHICH PROVIDES LIFESAVING CARE FOR HEART FAILURE PATIENTS. GWV IS A BDC+ IN CARDIAC CARE. THE FRANK AND DOROTHEA HENRY CANCER CENTER PROVIDES MULTIDISCIPLINARY AND COMPREHENSIVE CARE INCLUDING CONSULTATIONS, DIAGNOSIS AND TREATMENT FOR ALL TYPES OF ADULT CANCERS. GWV'S CANCER PROGRAM PROVIDES HEMATOLOGY, AS WELL AS MEDICAL, SURGICAL AND RADIATION ONCOLOGY SERVICES, CLINICAL TRIALS AND CANCER GENETIC COUNSELING. THE PROGRAM HAS EARNED A FULL FOUR-YEAR APPROVAL BY THE COMMISSION ON CANCER OF THE AMERICAN COLLEGE OF SURGEONS. GWV IS CERTIFIED BY THE QUALITY ONCOLOGY PRACTICE INITIATIVE (QOPI) CERTIFICATION PROGRAM, AN AFFILIATE OF THE AMERICAN SOCIETY OF CLINICAL ONCOLOGY (ASCO) FOR OUTPATIENT HEMATOLOGY-ONCOLOGY PRACTICES. IN 2018, GWV ADDED A 4.5 MILLION TRUEBEAM CANCER TREATMENT SYSTEM FOR FAST, PRECISE, NON-INVASIVE RADIATION TREATMENT OF COMPLEX CANCERS IN ONLY A FEW SESSIONS. ALSO LOCATED IN THE HENRY CANCER CENTER IS THE CENTER FOR WOMEN'S IMAGING. THE CENTER OFFERS A FULL RANGE OF DIAGNOSTIC SERVICES AT ONE CONVENIENT LOCATION DESIGNED EXCLUSIVELY FOR WOMEN. SERVICES INCLUDE: DIGITAL MAMMOGRAPHY, ULTRASOUND, DXA SCAN BONE DENSITY TESTING, STEREOTACTIC BREAST BIOPSY AND A COMPREHENSIVE BREAST PROGRAM. THE BREAST PROGRAM OFFERS A MULTI-DISCIPLINARY APPROACH TO DIAGNOSING AND TREATING BREAST DISEASE. A DEDICATED NURSE NAVIGATOR AND A TEAM OF SURGEONS, RADIOLOGISTS, PATHOLOGISTS, AND ONCOLOGISTS COLLABORATE IN ONE CONVENIENT LOCATION TO SPEED TREATMENT AND CARE. GWV IS ACCREDITED BY THE AMERICAN COLLEGE OF SURGEONS' NATIONAL ACCREDITATION PROGRAM FOR BREAST CENTERS (NAPBC) AND A DESIGNATED BREAST IMAGING CENTER OF EXCELLENCE (BICOE) BY THE AMERICAN COLLEGE OF RADIOLOGY (ACR). THE RADIOLOGY DEPARTMENT OFFERS A COMPREHENSIVE IMAGING PROGRAM THAT OFFERS THE LATEST INTERVENTIONAL RADIOLOGY PROCEDURES AS WELL AS ENHANCED PRE-AND POST-PROCEDURE AREAS. NUCLEAR MEDICINE SERVICES INCLUDE P.E.T. SCANS THAT CAN DIAGNOSE AND MANAGE CERTAIN TYPES OF CANCER AS WELL AS CERTAIN OTHER METABOLIC DISEASES OF THE BODY. RADIOLOGY ALSO INCLUDES TWO DEDICATED MRI HIGH FIELD STRENGTH UNITS. THE IMAGING PROGRAM OFFERS GENERAL, OB AND VASCULAR SONOGRAPHY, CAT SCAN AND GENERAL DIAGNOSTIC RADIOLOGY. GWV EARNED ACCREDITATION BY THE AMERICAN COLLEGE OF RADIOLOGY (ACR) FOR COMPUTERIZED TOMOGRAPHY (CT), MAGNETIC RESONANCE IMAGING (MRI), MAMMOGRAPHY, POSITRON EMISSION TOMOGRAPHY (PET), NUCLEAR MEDICINE, STEREOTACTIC BREAST BIOPSY, AND ULTRASOUND. THE GWV NEUROSURGERY DEPARTMENT IS LOCATED ON THE SECOND FLOOR OF THE VALLEY MEDICAL BUILDING. THE DEPARTMENT HOUSES THE REGION'S LARGEST TEAM OF NEUROSURGEONS AS WELL AS ONE OF PENNSYLVANIA'S ONLY FELLOWSHIP TRAINED NEUROSURGICAL ONCOLOGISTS. GWV'S MEDICAL STAFF ALSO INCLUDES NORTHEASTERN PENNSYLVANIA'S ONLY FELLOWSHIP TRAINED INTERVENTIONAL NEURORADIOLOGIST AND CEREBROVASCULAR/ENDOVASCULAR NEUROSURGEON. GWV IS ALSO HOME TO A FULL TEAM OF NEUROLOGISTS WITH SPECIALIZED TRAINING TO CARE FOR EPILE	Desc
Total Program Service Expenses	$500,176,402	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	false	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
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	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	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	3137	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	7	GoverningBodyVotingMembersCnt
Independent Voting Member	4	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	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	false	InvestmentInJointVentureInd
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	WILLIAM M SCHULTZ VP FINANCE CFO	PersonNm
Phone	5707038309	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	300 KEYSTONE AVE 3RD FL MC 39-12	AddressLine1Txt
City	PITTSTON	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	18640	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)

TitleTitleTxt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Average Hours Per WeekAverageHoursPerWeekRt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
EDELYN L MILLER
DIRECTOR	40.00	Yes (X)	$0	$1,248,958	$267,108
GERALD V MALONEY DO
DIRECTOR	40.00	Yes (X)	$0	$559,127	$108,385
JAEWON RYU MD JD
INTERIM PRES	40.00	Yes (X)	$0	$1,422,096	$305,781	Yes (X)
JEFFREY A JACOBSON
DIRECTOR	3.50	Yes (X)	$0	$0	$0		0.25
ROBERT J DIETZ
CHAIR, DIREC	4.50	Yes (X)	$0	$0	$0		0.25
V CHRIS HOLCOMBE PE
VICE CHAIR,	4.00	Yes (X)	$0	$0	$0		0.25
VIRGINIA MCGREGOR
DIRECTOR	4.25	Yes (X)	$0	$0	$0		0.25
DAVID T FEINBERG MD MBA
PRESIDENT, D	40.00	Yes (X)	$0	$3,584,621	$1,183,261	Yes (X)
DANIEL E LOHR ESQUIRE
ACLO, ASST S	40.00		$0	$384,282	$45,980	Yes (X)
DAVID J FELICIO ESQUIRE
EVP, CLO, SE	40.00		$0	$918,533	$219,341	Yes (X)
KARLYN B PAGLIA MD
CMO	40.00		$0	$420,896	$20,137	Yes (X)
LORI R GRAMLEY ESQUIRE
ACLO, ASST S	40.00		$0	$220,016	$24,771	Yes (X)
KEVIN V ROBERTS MBA CPA
EVP, CFO, TR	40.00		$0	$1,132,816	$345,222	Yes (X)
RONALD BEER MHA FACHE
CAO, GNE			$361,546	$0	$79,815		40.00	Yes (X)
CARLA J SCOFIELD
RADIATION PH			$214,656	$0	$33,672		40.00		Yes (X)
ERIN A PICA
VP SURGERY I			$67,959	$203,877	$45,549		40.00		Yes (X)
JOHN ZELONIS
AVP, HEART I			$195,531	$0	$12,433		40.00		Yes (X)
KIMBERLY A ZIKOWSKI
AVP, MEDICIN			$134,533	$55,920	$31,175		40.00		Yes (X)
MARY P GILDEA MSN RN NEA-BC
AVP NURSING			$221,741	$0	$39,350		40.00		Yes (X)
KEVIN F BRENNAN CPA FHFMA
FORMER OFFIC	40.00		$0	$1,020,252	$29,604					Yes (X)
LISSA L BRYAN SMITH
FORMER 5 HIG	40.00		$0	$271,477	$37,523					Yes (X)
MAUREEN FITZSIMMONS RN NEA-BC
FORMER KEY E	40.00		$0	$327,776	$27,782					Yes (X)
STEVEN B PIERDON MD MMM
FORMER OFFIC	40.00		$0	$275,894	$28,540					Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,195,966	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$12,046,541	TotReportableCompRltdOrgAmt
Total Other Compensation	$2,885,429	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	107	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
MEDEFIS CONSOLIDATED
PO BOX 5068	NEW YORK	NY	100875068	STAFFING	$8,699,264
QUEST DIAGNOSTICS
12436 COLLECTION CENTER DRIVE	CHICAGO	IL	606930124	LAB TESTING	$1,376,277
HCSC
PO BOX 8016	LANCASTER	PA	17604	LAUNDRY	$1,194,692
FRESENIUS MEDICAL CARE
163 COLLECTION CENTER DRIVE	CHICAGO	IL	60693	HEMODIALYSIS	$867,896
E AND B PARKING SERVICE
ONE PARK PLACE SUITE 200	ANNAPOLIS	MD	21401	VALET SERVICE	$714,134

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	27	CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIII	Yes (X)	InfoInScheduleOPartVIIIInd

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT HEALTHCARE	622110	$653,071,217	$653,071,217
IC RENTAL INCOME	531120	$1,444,542		$1,444,542
PHARMACY	446110	$547,631			$547,631
IC SUPPORT SVC-SCHEDULE O	551112	$221,509	$221,509
RENTAL - GC PHARM EXEMPT	531120	$57,294	$57,294

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$124,809	TotalRevenueColumnAmt
Related Or Exempt Func Income	$79,709	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$45,100	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$655,467,002	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$126,933	TotalRevenueColumnAmt
Exclusion	$126,933	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,586	TotalRevenueColumnAmt
Exclusion	$4,586	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$38,345	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$38,222	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$123	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$123	TotalRevenueColumnAmt
Exclusion	$123	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$3,089,735	SecuritiesAmt
Other	$367	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$113,816	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$3,089,735	SecuritiesAmt
Other	-$113,449	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,976,286	TotalRevenueColumnAmt
Exclusion	$2,976,286	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt
PURCHASE DISCOUNTS	900099	$2,069,980	$2,069,980
CAFETERIA	722514	$1,586,197		$1,586,197
GIFT SHOP	453220	$224,784		$224,784

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$111,755	TotalRevenueColumnAmt
Exclusion	$111,755	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$3,992,716	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$662,567,646	TotalRevenueColumnAmt
Related Or Exempt Func Income	$655,499,709	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$592,731	UnrelatedBusinessRevenueAmt
Exclusion	$6,475,206	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$5,500	TotalAmt
Program Services	$5,500	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$463,850	TotalAmt
Management And General	$463,850	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$544,069	TotalAmt
Program Services	$544,069	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$132,578,817	TotalAmt
Program Services	$130,245,750	ProgramServicesAmt
Management And General	$2,333,067	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$5,946,207	TotalAmt
Program Services	$5,821,711	ProgramServicesAmt
Management And General	$124,496	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$26,973,116	TotalAmt
Program Services	$26,408,378	ProgramServicesAmt
Management And General	$564,738	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$9,950,393	TotalAmt
Program Services	$9,830,216	ProgramServicesAmt
Management And General	$120,177	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,273,092	TotalAmt
Program Services	$1,273,092	ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$81,095	TotalAmt
Management And General	$81,095	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$3,281	TotalAmt
Management And General	$3,281	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$344,573	TotalAmt
Program Services	$33,219	ProgramServicesAmt
Management And General	$311,354	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$23,136,209	TotalAmt
Program Services	$20,009,896	ProgramServicesAmt
Management And General	$3,126,313	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$22,316	TotalAmt
Program Services	$9,635	ProgramServicesAmt
Management And General	$12,681	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$11,686,748	TotalAmt
Program Services	$10,580,750	ProgramServicesAmt
Management And General	$1,105,998	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$243,390	TotalAmt
Program Services	$241,396	ProgramServicesAmt
Management And General	$1,994	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$9,584,875	TotalAmt
Program Services	$8,828,527	ProgramServicesAmt
Management And General	$756,348	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$827,114	TotalAmt
Program Services	$593,128	ProgramServicesAmt
Management And General	$233,986	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$98,141	TotalAmt
Program Services	$92,117	ProgramServicesAmt
Management And General	$6,024	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$10,055,826	TotalAmt
Program Services	$9,262,315	ProgramServicesAmt
Management And General	$793,511	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$24,658,411	TotalAmt
Program Services	$22,712,599	ProgramServicesAmt
Management And General	$1,945,812	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$10,754,727	TotalAmt
Program Services	$9,593,911	ProgramServicesAmt
Management And General	$1,160,816	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
INTER-ENTITY SERVICES	$129,677,925	$103,541,739	$26,136,186
MEDICAL SUPPLIES	$114,415,032	$114,220,554	$194,478
UNCOLLECTIBLE EXPENSE	$20,815,215	$20,815,215
INTERCO. TEACHING & ADMIN	$7,933,299	$4,727,060	$3,206,239

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$957,037	TotalAmt
Program Services	$785,625	ProgramServicesAmt
Management And General	$171,412	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$543,030,258	TotalAmt
Program Services	$500,176,402	ProgramServicesAmt
Management And General	$42,853,856	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$20,692,583	BOYAmt
EOY	$1,191,168	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$4,096,362	BOYAmt
EOY	$2,412,134	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$42,197,087	BOYAmt
EOY	$52,309,996	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$827,971	BOYAmt
EOY	$1,554,037	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$12,409,162	BOYAmt
EOY	$12,787,014	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$7,686,677	BOYAmt
EOY	$7,487,592	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$494,907,866	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$286,677,375	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$201,288,543	BOYAmt
EOY	$208,230,491	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$18,316,460	BOYAmt
EOY	$19,984,349	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$117,403,804	BOYAmt
EOY	$136,161,053	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,824,449	BOYAmt
EOY	$3,370,283	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
EOY	$14,426,321	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$427,743,098	BOYAmt
EOY	$459,914,438	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$3,634,377	BOYAmt
EOY	$8,389,483	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$276,999,616	BOYAmt
EOY	$276,067,160	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$62,464,934	BOYAmt
EOY	$69,790,076	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$343,098,927	BOYAmt
EOY	$354,246,719	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$84,644,171	BOYAmt
EOY	$105,667,719	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$84,644,171	BOYAmt
EOY	$105,667,719	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$427,743,098	BOYAmt
EOY	$459,914,438	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$119,537,388	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$3,911,074	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$102,424,914	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$1,114	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$3,281	OtherActivitiesAmt
Total Lobbying Expenditures	$4,395	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	$370,396,000	BeginningYearBalanceAmt
Contributions	$2,213,000	ContributionsAmt
Investment Earnings Or Losses	$4,882,000	InvestmentEarningsOrLossesAmt
Other Expenditures	-$3,933,000	OtherExpendituresAmt
End Year Balance	$373,558,000	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$364,612,000	BeginningYearBalanceAmt
Contributions	$954,000	ContributionsAmt
Investment Earnings Or Losses	$8,483,000	InvestmentEarningsOrLossesAmt
Other Expenditures	-$3,653,000	OtherExpendituresAmt
End Year Balance	$370,396,000	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$104,316,000	BeginningYearBalanceAmt
Contributions	$253,720,000	ContributionsAmt
Investment Earnings Or Losses	$10,396,000	InvestmentEarningsOrLossesAmt
Other Expenditures	-$3,820,000	OtherExpendituresAmt
End Year Balance	$364,612,000	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$106,772,000	BeginningYearBalanceAmt
Contributions	$3,027,000	ContributionsAmt
Investment Earnings Or Losses	-$2,009,000	InvestmentEarningsOrLossesAmt
Other Expenditures	-$3,474,000	OtherExpendituresAmt
End Year Balance	$104,316,000	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$106,445,000	BeginningYearBalanceAmt
Contributions	$5,503,000	ContributionsAmt
Investment Earnings Or Losses	-$1,560,000	InvestmentEarningsOrLossesAmt
Other Expenditures	-$3,616,000	OtherExpendituresAmt
End Year Balance	$106,772,000	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.74400	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.21360	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.04240	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	$4,070,446	OtherCostOrOtherBasisAmt
Book Value	$4,070,446	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$157,331,527	OtherCostOrOtherBasisAmt
Depreciation	$88,542,582	DepreciationAmt
Book Value	$68,788,945	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$956,106	OtherCostOrOtherBasisAmt
Depreciation	$623,245	DepreciationAmt
Book Value	$332,861	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$286,721,132	OtherCostOrOtherBasisAmt
Depreciation	$186,323,429	DepreciationAmt
Book Value	$100,397,703	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$45,828,655	OtherCostOrOtherBasisAmt
Depreciation	$11,188,119	DepreciationAmt
Book Value	$34,640,536	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$208,230,491	TotalBookValueLandBuildingsAmt

Closely Held Equity Interests CloselyHeldEquityInterestsGrp

Field	Value	IRS element (for citing)
Book Value	$136,161,053	BookValueAmt
Method Valuation	F	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Securities	$136,161,053	TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
DUE TO AFFILIATES	$49,620,172
FINANCIAL CONTRACT	$12,738,876
ESTIMATED 3RD PARTY PAYOR SETTLEMENT	$4,192,130
ACCOUNTS RECEIVABLE CREDIT BALANCES	$3,227,978
RENT PRE PAYMENT	$10,920

Field	Value	IRS element (for citing)
Total Liability	$69,790,076	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

SCHEDULE D, PAGE 2, PART V, LINE 4

TO SUPPORT RESEARCH, CAPITAL, AND PROGRAM EXPENSES AND PATIENT CARE AND PATIENT EDUCATION.

SCHEDULE D, PAGE 4, PART XIII

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

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

Field	Value	IRS element (for citing)
Region	CENTRAL AMERICA AND THE CARIBBEAN	RegionTxt
Type Of Activities Conducted	INVESTMENTS	TypeOfActivitiesConductedTxt
Region Total Expenditures	$4,191,666	RegionTotalExpendituresAmt

Field	Value	IRS element (for citing)
Subtotal Spent	$4,191,666	SubtotalSpentAmt
Total Spent	$4,191,666	TotalSpentAmt
Transfer To Foreign Corp	false	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	false	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	false	PassiveForeignInvestmestCoInd
Foreign Partnership	false	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE F, PAGE 1, PART I, LINE 3	FormAndLineReferenceDesc
Explanation	CENTRAL AMERICA AND THE CARIBBEAN 0 4,191,666	ExplanationTxt

Schedule H IRS990ScheduleH

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

Free Care Oth Percentage FreeCareOthPercentageGrp

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

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,076,015	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,076,015	NetCommunityBenefitExpnsAmt
Total Expense	0.00570	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$100,158,658	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$69,859,622	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$30,299,036	NetCommunityBenefitExpnsAmt
Total Expense	0.05580	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$103,234,673	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$69,859,622	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$33,375,051	NetCommunityBenefitExpnsAmt
Total Expense	0.06150	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,575,015	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$45,824	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,529,191	NetCommunityBenefitExpnsAmt
Total Expense	0.00280	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,433,335	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,364,262	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,069,073	NetCommunityBenefitExpnsAmt
Total Expense	0.00930	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,943,250	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,943,250	NetCommunityBenefitExpnsAmt
Total Expense	0.00730	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$12,951,600	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,410,086	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,541,514	NetCommunityBenefitExpnsAmt
Total Expense	0.01940	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$116,186,273	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$72,269,708	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$43,916,565	NetCommunityBenefitExpnsAmt
Total Expense	0.08090	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$20,815,204	BadDebtExpenseAmt
Bad Debt Expense Attributable	$3,561,482	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$113,344,996	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$126,573,349	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$13,228,353	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	GEISINGER WYOMING VALLEY MEDICAL	BusinessNameLine1Txt
Business Name Line2	CENTER	BusinessNameLine2Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1000 EAST MOUNTAIN DRIVE	AddressLine1Txt
City	WILKESBARRE	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	18711	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.GEISINGER.ORG	WebsiteAddressTxt
State License	148901	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Childrens Hospital	Yes (X)	ChildrensHospitalInd
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	GEISINGER WYOMING VALLEY MEDICAL	BusinessNameLine1Txt
Business Name Line2	CENTER	BusinessNameLine2Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
Other	Yes (X)	OtherInd
CHNA Conducted	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	WWW.GEISINGER.ORG - REFER TO SECTION C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	WWW.GEISINGER.ORG - REFER TO SECTION C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	WWW.GEISINGER.ORG - REFER TO SECTION C	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Other Actions Taken	Yes (X)	OtherActionsTakenInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Prospective Medicare Medicaid	Yes (X)	ProspectiveMedicareMedicaidInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FACILITY 1, GEISINGER WYOMING VALLEY MEDICAL - 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, GEISINGER WYOMING VALLEY MEDICAL - 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, GEISINGER WYOMING VALLEY MEDICAL - 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, REDUCING BARRIERS TO RECEIVING CARE FOR RESIDENTS WITHOUT TRANSPORTATION, IDENTIFYING OPPORTUNITIES TO DEVELOP OR AUGMENT FEDERALLY QUALIFIED HEALTH CENTERS IN UNDERSERVED COMMUNITIES AND FOSTERING THE PURSUIT OF HEALTH CAREERS AND ONGOING TRAINING OF HEALTH PROFESSIONALS. 2)ADDRESSING BEHAVIORAL HEALTH AND SUBSTANCE ABUSE: GEISINGER IS COMMITTED TO HELPING PATIENTS FIND HEALTHCARE SERVICES WHEN THEY ARE FACING BEHAVIORAL HEALTH CHALLENGES OR STRUGGLING WITH ADDICTION. WE ADVANCE DIALOGUE AT THE LOCAL AND STATE LEVEL TO ADDRESS BEHAVIORAL HEALTH NEEDS. WE FOSTER INTEGRATION OF BEHAVIOR AND PRIMARY HEALTH CARE. WE PROVIDE EDUCATION TO INCREASE RESIDENTS' AWARENESS OF BEHAVIORAL HEALTH ISSUES AND REDUCE THE STIGMA ASSOCIATED WITH BEHAVIORAL HEALTH CONDITIONS. AND WE STRIVE TO INCREASE ACCESS TO BEHAVIORAL HEALTH SERVICES. 3)MANAGING CHRONIC CONDITIONS: GEISINGER HAS NUMEROUS PROGRAMS TO HELP PATIENTS PREVENT AND MANAGE CHRONIC CONDITIONS. EFFORTS INCLUDE ENCOURAGING COMMUNITY INITIATIVES THAT SUPPORT ACCESS TO AND AVAILABILITY OF HEALTHY LIFESTYLE CHOICES, INITIATING EARLY-STAGE INTERVENTIONS FOR INDIVIDUALS AT HIGH RISK FOR CHRONIC DISEASE, AND DEVELOPING INTEGRATIVE CARE MODELS TO IMPROVE OUTCOMES FOR PATIENTS WITH CHRONIC DISEASE. ACCESS: GEISINGER WYOMING VALLEY MEDICAL CENTER AND GEISINGER SOUTH WILKES-BARRE ARE PROVIDING PROFESSIONAL TRAINING AND EDUCATION FOR CURRENT HEALTHCARE PROVIDERS AND STUDENTS IN PARTNERSHIP WITH THE GEISINGER COMMONWEALTH SCHOOL OF MEDICINE AND FAMILY PRACTICE RESIDENCY. TRAINING AND EDUCATION PROGRAMS THAT WE OFFER INCLUDE: THE MEDICAL SURGERY FELLOWSHIP, THE NURSE RESIDENCY PROGRAM, THE NURSE EXTERN PROGRAM AND THE ABIGAIL SCHOLARS PROGRAM. MANY OF THESE PROGRAMS ARE DESIGNED TO HELP INCREASE RECRUITMENT AND TRAINING OF NURSES. WE HAVE ALSO LAUNCHED A LUNCH-AND-LEARN PROGRAM IN NURSING WHERE LEADERSHIP PROVIDES INFORMATION ON CAREER PATHS WITHIN GEISINGER TO NURSING STUDENTS. THE CLINICAL LUNCHEONS WERE HELD WITH SCHOOLS THAT CONDUCT CLINICALS AT GEISINGER WYOMING VALLEY, AND A TOTAL OF 124 STUDENTS ATTEND LUNCHEONS. MORE LUNCHEONS WERE SCHEDULED; HOWEVER, DUE TO SCHOOL CANCELLATIONS, THE REMAINDER OF THE LUNCHEONS WERE CANCELED FOR THE SPRING OF 2020. APPROXIMATELY 43 STUDENTS WERE INTERESTED IN NURSING HERE AT GEISINGER. WE HAVE EXPANDED THE GEISINGER AT HOME AND MOBILE HEALTH PARAMEDICS PROGRAMS TO PROVIDE MEDICAL FOLLOW-UP CARE VIA MOBILE AND AUDIO-VISUAL TECHNOLOGY TO HIGH-RISK PATIENTS WHO CAME TO US THROUGH THE EMERGENCY DEPARTMENT (ED). THIS APPROACH HAS REDUCED HOSPITAL READMISSIONS, REDUCED ED VISITS BY HIGH-RISK PATIENTS, INCREASED CARE COORDINATION FOR MEDICALLY COMPLEX PATIENTS, AND REDUCED PREVENTABLE READMISSIONS AND ED VISITS FOR NON-EMERGENT CARE. GEISINGER WYOMING VALLEY MEDICAL CENTER AND GEISINGER SOUTH WILKES-BARRE ARE EXPLORING TELEMEDICINE OPTIONS THAT LINK PATIENTS TO SPECIALISTS IN REMOTE LOCATIONS, ADDRESSING TRANSPORTATION CHALLENGES AND PROVIDING ACCESS TO TIMELY CARE. BEHAVIORAL HEALTH: GEISINGER IS EXPLORING MANY OPTIONS TO INCREASE ACCESS TO BEHAVIORAL HEALTH SERVICES, INCLUDING THE CREATION OF A MENTAL HEALTH HUB IN THE NORTHEAST REGION. A MENTAL HEALTH CLINIC WAS LAUNCHED AT 8 CHURCH ST. IN WILKES-BARRE IN SEPTEMBER OF 2019. THIS SITE IS NOW STAFFED BY A LICENSED CLINICAL SOCIAL WORKER AND AN ADULT PSYCHOLOGIST. IN THE NEXT THREE MONTHS, A MENTAL HEALTH NURSE PRACTITIONER, A PHYSICIAN ASSISTANT AND A PEDIATRIC NURSE PRACTITIONER WILL BE JOINING THE TEAM. GEISINGER IS EXPANDING A MEDICATION ASSISTED TREATMENT PROGRAM IN WILKES- BARRE IN COLLABORATION WITH GEISINGER ADDICTION MEDICINE AND GEISINGER HEALTH PLAN. OUR MEDICATION-ASSISTED APPROACH HELPS LESSEN WITHDRAWAL SYMPTOMS ALONG WITH THE CRAVINGS THAT CAN CAUSE A PERSON IN TREATMENT TO RELAPSE. OUR OUTPATIENT ADDICTION CENTERS ARE SO EFFECTIVE, WE ARE A DESIGNATED PENNSYLVANIA CENTER OF EXCELLENCE. WE'RE ALSO FINDING NEW WAYS OF PROVIDING TREATMENT AND SUPPORT FOR ALZHEIMER'S DISEASE PATIENTS AND THEIR CAREGIVERS. GEISINGER NEUROLOGY'S MEMORY AND COGNITION LOCATION OFFERS MONTHLY SUPPORT GROUPS TO EDUCATE CAREGIVERS ON HOW TO DE-ESCALATE SITUATIONS WHEN THEY OCCUR, HELP THOSE IN THEIR CARE DEVELOP COPING SKILLS, HANDLE TRANSITIONS IN THE HOME AND OBTAIN RESOURCES IN INCLUDING OTHER SUPPORT IN THE COMMUNITY. GROWTH OF THE SUPPORT GROUP HAS INCREASED SINCE JANUARY 2018 BY 50%. THE GOAL IS TO HAVE 75% PARTICIPATION BY JUNE 2021. CHRONIC DISEASE PREVENTION AND MANAGEMENT GEISINGER WYOMING VALLEY MEDICAL CENTER AND GEISINGER SOUTH WILKES-BARRE SUPPORT COMMUNITY RACES, FUN RUNS, WALKS AND OTHER EVENTS THAT PROMOTE PHYSICAL ACTIVITY. SOME OF THE EVENTS WE SUPPORT INCLUDE THE SCRANTON HALF MARATHON, MARCH FOR BABIES, THE HEART WALK AND THE RACE FOR THE CURE. WE ARE ALSO PROVIDING CHRONIC DISEASE MANAGEMENT AND EVIDENCE-BASED PROGRAMS TO INCREASE AWARENESS AND IMPROVE KNOWLEDGE OF PARTICIPANTS IN THE PROGRAM. THE LIST OF EVIDENCE-BASED CHRONIC DISEASE SELF-MANAGEMENT PROGRAMS INCLUDE: CHRONIC DISEASE SELF-MANAGEMENT PROGRAM, DIABETES SELF- MANAGEMENT PROGRAM, A MATTER OF BALANCE, TOO GOOD FOR DRUGS, TOBACCO CESSATION AND OTHER WELLNESS PROGRAMS IN THE COMMUNITY TO COMPLIMENT THE CLINICAL CARE PROVIDED BY THEIR MEDICAL TEAMS. GEISINGER WYOMING VALLEY MEDICAL CENTER AND GEISINGER SOUTH WILKES-BARRE ARE PROVIDING NUTRITION-RELATED CLASSES FOR RESIDENTS IN THE NORTHEAST REGION TO INCREASE AWARENESS AND KNOWLEDGE OF HEALTHY EATING'S IMPACT ON MANAGEMENT AND/OR PREVENTION OF CHRONIC DISEASES. WE ARE TRACKING CLASS NUMBERS AND STUDYING PRE- AND POST-PARTICIPANT KNOWLEDGE TO MAKE SURE WE'RE MAKING A DIFFERENCE.
FACILITY 1, GEISINGER WYOMING VALLEY MEDICAL - 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, GEISINGER WYOMING VALLEY MEDICAL - 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 17% 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 13,228,353 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 17% 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 2,134,063.
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 FY2019 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 WYOMING VALLEY MEDICAL CENTER AND GEISINGER SOUTH WILKES-BARRE PRIMARILY SERVE RESIDENTS IN 31 ZIP CODES SPANNING LACKAWANNA, LUZERNE, MONROE, SUSQUEHANNA, AND WYOMING COUNTIES IN PENNSYLVANIA. THE 2017 POPULATION OF THE SERVICE AREA IS 371,119 AND IS PROJECTED TO DECREASE 0.6% 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 THE 31 ZIP CODE SERVICE AREA IS 3.0, INDICATING MODERATE OVERALL COMMUNITY NEED. ZIP CODE 18201, HAZELTON HAS THE HIGHEST SCORE, FOLLOWED BY WILKES-BARRE ZIP CODES 18701 AND 18702. BOTH AREAS ARE DESIGNATED AS MEDICALLY UNDERSERVED AREAS. POPULATIONS IN 10 OF THE 31 SERVICE AREA ZIP CODES HAVE HIGHER POVERTY RATES IN COMPARISON TO THEIR RESPECTIVE COUNTY. POPULATIONS IN SCRANTON, WILKES-BARRE, AND HAZLETON ZIP CODES HAVE THE HIGHEST POVERTY RATES AND THE LOWEST EDUCATIONAL ATTAINMENT. POPULATIONS IN THE ZIP CODES ARE DIVERSE. HAZLETON ZIP CODE, 18201, IN PARTICULAR IS COMPRISED OF 52% HISPANIC/LATINO RESIDENTS. RESIDENTS IN THE ZIP CODE ARE THE LEAST LIKELY TO BE ONLY ENGLISH SPEAKING AND HAVE THE HIGHEST UNINSURED RATE IN THE SERVICE AREA. RESIDENTS IN ZIP CODE 18466, TOBYHANNA, ALSO EXPERIENCE POORER SOCIAL DETERMINANTS OF HEALTH. THE ZIP CODE HAS THE HIGHEST UNEMPLOYMENT RATE IN THE SERVICE AREA, LOWER EDUCATIONAL ATTAINMENT, AND A HIGHER UNINSURED RATE. THE POPULATION IN THE ZIP CODE IS DIVERSE WITH APPROXIMATELY 30% OF RESIDENTS IDENTIFYING AS BLACK/AFRICAN AMERICAN AND/OR HISPANIC/LATINO. THE NORTHEAST REGION IS COMPRISED OF THREE COUNTIES AND IS SERVED BY FIVE OF THE CHNA COLLABORATING HOSPITALS, INCLUDING GEISINGER WYOMING VALLEY AND ITS GEISINGER SOUTH WILKES-BARRE MEDICAL CENTER CAMPUS. THE NORTHEAST 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; LUZERNE COUNTY IS PROJECTED TO EXPERIENCE THE GREATEST INCREASE IN THE POPULATION BY 2022. 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 NORTHEAST REGION, RESIDENTS IN ALL COUNTIES HAVE A LOWER MEDIAN HOUSEHOLD INCOME THAN THE STATE AND THE NATION, AND RESIDENTS IN LACKAWANNA AND LUZERNE COUNTIES HAVE HIGHER POVERTY RATES, PARTICULARLY AMONG CHILDREN. ALL THREE COUNTIES HAVE A SIMILAR UNEMPLOYMENT RATE TO THE STATE AND THE NATION, AND A SIMILAR PERCENTAGE OF RESIDENTS WHO HAVE ATTAINED LESS THAN A HIGH SCHOOL DIPLOMA. 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, PARTICULARLY IN LACKAWANNA AND LUZERNE COUNTIES. 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 NORTHEAST REGION IS 589,689. LUZERNE COUNTY COMPRISES THE LARGEST PORTION OF THE POPULATION (54%), FOLLOWED BY LACKAWANNA COUNTY (37%). COUNTY POPULATIONS ARE EXPECTED TO REMAIN STABLE WITH INCREASES OR DECREASES OF APPROXIMATELY 1% BY 2022. THE NORTHEAST 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. CONSISTENT WITH THE DEMOGRAPHICS OF THE SERVICE AREA, RESIDENTS ARE MORE LIKELY TO SPEAK ENGLISH AS THEIR PRIMARY LANGUAGE WHEN COMPARED TO THE STATE AND THE NATION. PENNSYLVANIA HAS A HIGHER MEDIAN AGE THAN THE NATION. THE MEDIAN AGE OF THE NORTHEAST REGION COUNTIES EXCEEDS THE STATE. WAYNE COUNTY HAS THE HIGHEST MEDIAN AGE, EXCEEDING THE STATE MEDIAN BY 7 POINTS. ECONOMIC INDICATORS VARY ACROSS THE REGION. LACKAWANNA COUNTY MIRRORS THE NATION FOR RESIDENTS LIVING IN POVERTY, DESPITE HAVING A LOWER MEDIAN HOUSEHOLD INCOME. LUZERNE COUNTY HAS THE LOWEST MEDIAN HOUSEHOLD INCOME IN THE REGION; RESIDENTS ARE MORE LIKELY TO LIVE IN POVERTY AND RECEIVE FOOD STAMP BENEFITS. WAYNE COUNTY HAS THE HIGHEST MEDIAN HOUSEHOLD INCOME IN THE REGION; RESIDENTS ARE THE LEAST LIKELY TO LIVE IN POVERTY OR RECEIVE FOOD STAMP BENEFITS. NORTHEAST REGION COUNTIES HAVE A MORE PROMINENT BLUE COLLAR WORKFORCE AND A LOWER OR COMPARABLE UNEMPLOYMENT RATE COMPARED TO THE STATE AND THE NATION. WAYNE COUNTY HAS THE LOWEST UNEMPLOYMENT RATE AND THE HIGHEST PERCENTAGE OF BLUE COLLAR WORKERS. HOMEOWNERSHIP IS A MEASURE OF HOUSING AFFORDABILITY AND ECONOMIC STABILITY. HOUSEHOLDERS IN ALL SERVICE COUNTIES ARE MORE LIKELY TO OWN THEIR HOME WHEN COMPARED TO THE NATION; HOUSEHOLDS IN WAYNE COUNTY ARE ALSO MORE LIKELY TO OWN THEIR HOME WHEN COMPARED TO THE STATE. WAYNE COUNTY HAS A HIGHER MEDIAN HOUSEHOLD INCOME AND HIGHER MEDIAN HOME VALUE WHEN COMPARED TO THE STATE AND THE NATION. EDUCATION IS THE LARGEST PREDICTOR OF POVERTY AND ONE OF THE MOST EFFECTIVE MEANS OF REDUCING INEQUALITIES. ACROSS ALL COUNTIES, THE PERCENTAGE OF RESIDENTS ATTAINING LESS THAN A HIGH SCHOOL DIPLOMA IS ON PAR WITH THE STATE AND LOWER THAN THE NATION. RESIDENTS ARE MORE LIKELY TO HAVE A HIGH SCHOOL DIPLOMA THAN A BACHELOR'S DEGREE OR HIGHER WHEN COMPARED TO BOTH THE STATE AND THE NATION.
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	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (19 entries)

TitleTitleTxt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt
EDELYN L MILLER
DIRECTOR	$1,019,495	$229,463	$245,682	$21,426	$1,516,066	$188,139
GERALD V MALONEY DO
DIRECTOR	$518,410	$40,717	$74,568	$33,817	$667,512
JAEWON RYU MD JD
INTERIM PRES, DIRECT	$1,351,415	$70,681	$273,817	$31,964	$1,727,877
DAVID T FEINBERG MD MBA
PRESIDENT, DIRECTOR	$3,371,760	$212,761	$1,158,031	$25,230	$4,767,882		$100
DANIEL E LOHR ESQUIRE
ACLO, ASST SECTY	$361,636	$22,646	$19,614	$26,366	$430,262
DAVID J FELICIO ESQUIRE
EVP, CLO, SECRETARY	$780,508	$138,025	$192,060	$27,281	$1,137,874	$74,220
KARLYN B PAGLIA MD
CMO	$398,574	$22,322	$19,614	$523	$441,033
LORI R GRAMLEY ESQUIRE
ACLO, ASST SECTY	$217,301	$2,715	$14,621	$10,150	$244,787
KEVIN V ROBERTS MBA CPA
EVP, CFO, TREASURER	$1,083,074	$49,742	$329,614	$15,608	$1,478,038
RONALD BEER MHA FACHE
CAO, GNE								$331,973	$29,573	$55,093	$24,722	$441,361
CARLA J SCOFIELD
RADIATION PHYSICIST								$204,221	$10,435	$13,648	$20,024	$248,328
ERIN A PICA
VP SURGERY INSTITUTE	$189,579	$14,298	$14,907	$20,557	$239,341			$63,193	$4,766	$3,233	$6,852	$78,044
JOHN ZELONIS
AVP, HEART INST/VASC								$173,668	$21,863	$12,159	$274	$207,964
KIMBERLY A ZIKOWSKI
AVP, MEDICINE	$50,379	$541	$5,063	$4,764	$65,747		$5,000	$133,082	$1,451	$7,076	$14,272	$155,881
MARY P GILDEA MSN RN NEA-BC
AVP NURSING SERVICES								$191,657	$30,084	$14,136	$25,214	$261,091
KEVIN F BRENNAN CPA FHFMA
FORMER OFFICER	$540,734	$279,518	$19,614	$9,990	$1,049,856		$200,000
LISSA L BRYAN SMITH
FORMER 5 HIGHEST	$259,551	$11,926	$18,520	$19,003	$309,000
MAUREEN FITZSIMMONS RN NEA-BC
FORMER KEY EMPLOYEE	$248,354	$79,422	$19,164	$8,618	$355,558	$32,577
STEVEN B PIERDON MD MMM
FORMER OFFICER	$234,471	$31,536	$9,938	$18,602	$304,434		$9,887

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

SCHEDULE J, PAGE 1, PART I, LINE 4

EDELYN L. MILLER 0 188,139 0 DAVID J. FELICIO, ESQUIRE 0 74,220 0 KEVIN F. BRENNAN, CPA, FHFMA 0 248,228 0 MAUREEN FITZSIMMONS, RN, NEA-BC 0 44,035 0 STEVEN B. PIERDON, MD, MMM 27,535 0 0

SCHEDULE J, PART III

PART I, LINE 4A - SEVERANCE PAYMENT UPON INVOLUNTARY SEPARATION, EMPLOYEES MAY BE ELIGIBLE TO RECEIVE CONTINUATION OF SALARY FOR A TERM THAT IS BASED ON THEIR YEARS OF GEISINGER SERVICE AND POSITION. PART I, LINE 4B - SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN COMPENSATION FOR ELIGIBLE EMPLOYEES MAY BE DEFERRED TO A 457(F) NONQUALIFIED PLAN THAT VESTS WITH COMPLETION OF SERVICE, DEATH AND/OR PERMANENT DISABILITY. __________________________________________________________________________ FOOTNOTE: THROUGHOUT FORM 990, THE TERMS "GEISINGER- AND "SYSTEM" REFER TO THE ENTIRE HEALTHCARE SYSTEM COMPRISED OF GEISINGER HEALTH "GH" AS PARENT AND ALL SUBSIDIARY CORPORATIONS COMPRISING THE SYSTEM.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	JILLIAN R GROCHAL	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	FAMILY	RelationshipDescriptionTxt
Transaction	$42,733	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	JILLIAN R. GROCHAL IS A FAMILY MEMBER OF MARY P. GILDEA, A FORMER KEY EMPLOYEE OF GEISINGER WYOMING VALLEY MEDICAL CENTER.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990 - ORGANIZATION'S MISSION	MISSION: TO ENHANCE THE QUALITY OF LIFE OF THE POPULATION SERVED BY PROVIDING ACCESS TO QUALITY POPULATION HEALTH AND HOSPITAL SERVICES AND ACCESS ACROSS NORTHEASTERN PENNSYLVANIA THROUGH AN INTEGRATED SERVICE ORGANIZATION BASED ON A BALANCED PROGRAM OF PATIENT CARE, EDUCATION, RESEARCH, AND COMMUNITY SERVICE.
FORM 990	FORM 990, PART IV, LINE 24A: DID THE ORGANIZATION HAVE A TAX-EXEMPT BOND ISSUE WITH AN OUTSTANDING PRINCIPAL AMOUNT OF MORE THAN 100,000 AS OF THE LAST DAY OF THE YEAR, THAT WAS ISSUED AFTER DECEMBER 31, 2002? GEISINGER HEALTH (GH) IS CURRENTLY THE SOLE OBLIGOR UNDER A SERIES OF BOND ISSUES, INCLUDING 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 10, LINE 24E, ALL OTHER EXPENSES: UNRELATED BUSINESS INCOME TAX REPORTED ON LINE 24E = 28,557
FORM 990, PAGE 2, PART III, LINE 4A	I.GENERAL INFORMATION GEISINGER WYOMING VALLEY MEDICAL CENTER (GWV), A 501(C)(3) NOT-FOR-PROFIT CORPORATION AND MEMBER OF GEISINGER HEALTH, OWNS AND OPERATES A 300-BED, ACUTE CARE, HOSPITAL WITH ADVANCED TERTIARY SERVICES IN WILKES-BARRE, PA. GWV'S CONVENIENT LOCATION NEAR SEVERAL MAJOR HIGHWAYS MAKES IT ACCESSIBLE FROM ALL AREAS OF NORTHEASTERN PENNSYLVANIA. GEISINGER WYOMING VALLEY IS A MAGNET-DESIGNATED FACILITY, FULLY ACCREDITED BY THE JOINT COMMISSION, AND IS AN ACCREDITED LEVEL II TRAUMA CENTER, AMERICAN HEART ASSOCIATION ACCREDITED MISSION: LIFELINE ST-ELEVATION MYOCARDIAL INFARCTION (STEMI) RECEIVING CENTER AND JOINT COMMISSION-CERTIFIED PRIMARY STROKE CENTER OFFERING EMERGENCY AND TRAUMA CARE 24 HOURS A DAY. THE FACILITY OPENED IN 1981 AS THE NPW MEDICAL CENTER OF N.E. PENNSYLVANIA, INC., AND THE NAME CHANGED TO GEISINGER WYOMING VALLEY MEDICAL CENTER IN 1985. GWV PROVIDES QUALITY MEDICAL CARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE, OR ABILITY TO PAY. GWV IS CONSIDERED A DESIGNATED LEADER IN LESBIAN, GAY, BISEXUAL AND TRANSGENDER (LGBT) HEALTHCARE EQUALITY BY THE HUMAN RIGHTS CAMPAIGN (HRC) FOUNDATION FOR ITS COMMITMENT TO PROVIDING NON-DISCRIMINATORY QUALITY HEALTHCARE TO THE LGBT COMMUNITY. ONE OF THE OUTSTANDING SERVICES OFFERED BY GEISINGER WYOMING VALLEY MEDICAL CENTER ARE COMPREHENSIVE WOMEN'S AND CHILDREN'S SERVICES. THE MEDICAL CENTER'S OBSTETRICS UNIT FEATURES THE AREA'S ONLY SUB-SPECIALTY, FELLOWSHIP-TRAINED REPRODUCTIVE ENDOCRINOLOGIST/INFERTILITY SPECIALIST AS WELL AS A MATERNAL-FETAL MEDICINE SPECIALIST. GEISINGER WYOMING VALLEY'S MATERNAL FETAL MEDICINE SERVICE AT 190 WELLES STREET, FORTY FORT IS FOR MOTHERS AND FAMILIES FACING COMPLEX, HIGH RISK PREGNANCIES FEATURES ULTRASOUND, NON-STRESS TESTING, COMPLEX FETAL MONITORING, AND GENETIC COUNSELING. GWV WAS ALSO THE FIRST HOSPITAL IN THE AREA TO OFFER LABOR, DELIVERY, RECOVERY, POST-PARTUM (LRDP) SUITES FOR EXPECTANT PARENTS AND OFFERS TWO DEDICATED C- SECTION SURGICAL SUITES. THE WOMEN'S UNIT WAS EXPANDED IN 2011 TO PROVIDE 15 ADDITIONAL PRIVATE ROOMS EQUIPPED WITH THE MOST ADVANCED TECHNOLOGY FOR POSTPARTUM AND POSTOPERATIVE CARE, AS WELL AS TWO NEW LABOR TRIAGE AREAS FOR ENHANCED LABOR AND DELIVERY CAPABILITIES. GWV ALSO OFFERS A 13-BED LEVEL II NEONATAL INTENSIVE CARE UNIT (NICU), THE ONLY LOCATION IN LUZERNE COUNTY PROVIDING THIS LEVEL OF INTENSIVE CARE FOR PREMATURE INFANTS AND OTHER BABIES IN NEED OF HIGHLY SPECIALIZED MEDICAL CARE. THE JANET WEIS CHILDREN'S HOSPITAL PEDIATRICS UNIT AT GWV PROVIDES NUMEROUS PEDIATRIC SUB-SPECIALTY SERVICES. PEDIATRIC HOSPITALIST PHYSICIANS STAFF THE 7-BED UNIT. GWV'S MEDICAL STAFF ALSO INCLUDES A FELLOWSHIP TRAINED PEDIATRIC CARDIOLOGIST. GWV IS A BLUE DISTINCTION CENTER+ (BDC+) IN MATERNITY CARE BY HIGHMARK BLUE CROSS AND BLUE SHIELD FOR MEETING QUALITY-FOCUSED CRITERIA THAT EMPHASIZE PATIENT SAFETY AND OUTCOMES REGARDING BOTH VAGINAL AND CESAREAN DELIVERIES. BLUE DISTINCTION CENTERS+ HAVE A PROVEN TRACK-RECORD FOR DELIVERING BETTER RESULTS, INCLUDING FEWER COMPLICATIONS AND READMISSIONS. THE GWV CAMPUS ALSO CONSISTS OF SEVERAL SPECIALTY CENTERS. THERE IS THE 42,000-SQUARE-FOOT GEISINGER EAST MOUNTAIN SPECIALTY CLINIC AT 1155 EAST MOUNTAIN BOULEVARD. THE FACILITY MAKES IT CONVENIENT FOR PATIENTS TO ACCESS OUTPATIENT SERVICES SUCH AS CAREWORKS WALK-IN CLINIC/URGENT CARE; DERMATOLOGY/MOHS; GENERAL INTERNAL MEDICINE; LABORATORY SERVICES; OBSTETRICS & GYNECOLOGY (OB/GYN); PODIATRY; PRE-SURGICAL TESTING; RADIOLOGY; REPRODUCTIVE ENDOCRINOLOGY; UROGYNECOLOGY AND WOMEN'S HEALTH. THERE IS ALSO THE PRECISION HEALTH CENTER OPENED AS A CAMPUS OF GWV TO HOUSE GEISINGER'S GENOMIC MEDICINE INSTITUTE, THE AUTISM AND DEVELOPMENTAL MEDICINE INSTITUTE (ADMI) AND RESEARCH IN NORTHEASTERN PENNSYLVANIA. THE 178,000 SQUARE FOOT CRITICAL CARE BUILDING FEATURES A 24/7 EMERGENCY DEPARTMENT WITH TRAUMA SERVICES, ROOFTOP HELIPAD, AND INTENSIVE CARE UNIT (ICU). THE EMERGENCY DEPARTMENT CONTAINS A RAPID EVALUATION AREA TO HELP THE TEAM EVALUATE UP TO SIX MORE PATIENTS AT A TIME AND DIRECT THEM TO THE APPROPRIATE LEVEL OF EMERGENCY CARE. THE CRITICAL CARE BUILDING ALSO HOUSES GEISINGER WYOMING VALLEY'S HIGH-TECH SURGICAL SUITES, INCLUDING LUZERNE COUNTY'S FIRST ENDOVASCULAR OPERATING SUITE AND THE DAVINCI ROBOT TO PERFORM ADVANCED MINIMALLY INVASIVE PROCEDURES. IN FEBRUARY 2013, A 24- BED, 24,000-SQUARE-FOOT PROGRESSIVE CARE UNIT (PCU) OPENED ON THE BUILDING'S FIFTH FLOOR TO CARE FOR PATIENTS WHO REQUIRE A HIGHER LEVEL OF CARE BUT DO NOT NEED INTENSIVE CARE. TWO ROOMS ARE OUTFITTED TO CARE FOR INFECTIOUS ISOLATION PATIENTS, AND TWO ROOMS ARE FITTED WITH BARIATRIC LIFTS FOR SEVERELY OBESE PATIENTS. LIFEFLIGHT, GEISINGER'S MEDICAL HELICOPTER SERVICE, PROVIDES QUICK AIR MEDICAL RESPONSE FOR TRANSPORTING PATIENTS FOR LIFE-SAVING CARE. THE RICHARD AND MARION PEARSALL HEART HOSPITAL AT GWV OPENED IN OCTOBER 2001. IT IS DEDICATED TO BRINGING THE LATEST TECHNOLOGY USED IN THE TREATMENT OF HEART AND VASCULAR DISEASE TO THE PEOPLE OF NORTHEAST PENNSYLVANIA. THREE CARDIAC CATHETERIZATION LABORATORIES OFFER ADVANCED TREATMENTS TO PATIENTS WITH HEART DISEASE, INCLUDING A 24 HOUR PER DAY PRIMARY ANGIOPLASTY PROGRAM AND ADVANCED TECHNOLOGY TO OPEN AND REPAIR BLOCKED VESSELS. THERE IS ALSO AN ELECTROPHYSIOLOGY SUITE THAT INCLUDES TWO CATHETERIZATION LABORATORIES AND EIGHT REMODELED PATIENT ROOMS TO OFFER THE LATEST ADVANCES IN THE TREATMENT OF HEART RHYTHM DISORDERS. THE PEARSALL HEART HOSPITAL OFFERS ANCILLARY CARDIAC TESTING, PHYSICIAN CARE, AS WELL AS A NINE-BED STEP-DOWN UNIT AND AN EIGHT-BED OUTPATIENT UNIT USED FOR PRE AND POST CARDIAC CATHETERIZATION RECOVERY. THE PEARSALL HEART HOSPITAL IS HOME TO GWV'S CARDIOLOGY, CARDIOTHORACIC SURGERY AND VASCULAR SURGERY DEPARTMENTS AND INCLUDES AN INTERSOCIETAL ACCREDITATION COMMISSION (IAC) ACCREDITED NONINVASIVE DIAGNOSTIC LABORATORY. IN 2014, GWV BECAME THE FIRST REGIONAL HOSPITAL TO RECEIVE THE JOINT COMMISSION'S GOLD SEAL OF APPROVAL FOR LEFT VENTRICULAR ASSIST DEVICE (LVAD) TECHNOLOGY, WHICH PROVIDES LIFESAVING CARE FOR HEART FAILURE PATIENTS. GWV IS A BDC+ IN CARDIAC CARE. THE FRANK AND DOROTHEA HENRY CANCER CENTER PROVIDES MULTIDISCIPLINARY AND COMPREHENSIVE CARE INCLUDING CONSULTATIONS, DIAGNOSIS AND TREATMENT FOR ALL TYPES OF ADULT CANCERS. GWV'S CANCER PROGRAM PROVIDES HEMATOLOGY, AS WELL AS MEDICAL, SURGICAL AND RADIATION ONCOLOGY SERVICES, CLINICAL TRIALS AND CANCER GENETIC COUNSELING. THE PROGRAM HAS EARNED A FULL FOUR-YEAR APPROVAL BY THE COMMISSION ON CANCER OF THE AMERICAN COLLEGE OF SURGEONS. GWV IS CERTIFIED BY THE QUALITY ONCOLOGY PRACTICE INITIATIVE (QOPI) CERTIFICATION PROGRAM, AN AFFILIATE OF THE AMERICAN SOCIETY OF CLINICAL ONCOLOGY (ASCO) FOR OUTPATIENT HEMATOLOGY-ONCOLOGY PRACTICES. IN 2018, GWV ADDED A 4.5 MILLION TRUEBEAM CANCER TREATMENT SYSTEM FOR FAST, PRECISE, NON-INVASIVE RADIATION TREATMENT OF COMPLEX CANCERS IN ONLY A FEW SESSIONS. ALSO LOCATED IN THE HENRY CANCER CENTER IS THE CENTER FOR WOMEN'S IMAGING. THE CENTER OFFERS A FULL RANGE OF DIAGNOSTIC SERVICES AT ONE CONVENIENT LOCATION DESIGNED EXCLUSIVELY FOR WOMEN. SERVICES INCLUDE: DIGITAL MAMMOGRAPHY, ULTRASOUND, DXA SCAN BONE DENSITY TESTING, STEREOTACTIC BREAST BIOPSY AND A COMPREHENSIVE BREAST PROGRAM. THE BREAST PROGRAM OFFERS A MULTI-DISCIPLINARY APPROACH TO DIAGNOSING AND TREATING BREAST DISEASE. A DEDICATED NURSE NAVIGATOR AND A TEAM OF SURGEONS, RADIOLOGISTS, PATHOLOGISTS, AND ONCOLOGISTS COLLABORATE IN ONE CONVENIENT LOCATION TO SPEED TREATMENT AND CARE. GWV IS ACCREDITED BY THE AMERICAN COLLEGE OF SURGEONS' NATIONAL ACCREDITATION PROGRAM FOR BREAST CENTERS (NAPBC) AND A DESIGNATED BREAST IMAGING CENTER OF EXCELLENCE (BICOE) BY THE AMERICAN COLLEGE OF RADIOLOGY (ACR). THE RADIOLOGY DEPARTMENT OFFERS A COMPREHENSIVE IMAGING PROGRAM THAT OFFERS THE LATEST INTERVENTIONAL RADIOLOGY PROCEDURES AS WELL AS ENHANCED PRE-AND POST-PROCEDURE AREAS. NUCLEAR MEDICINE SERVICES INCLUDE P.E.T. SCANS THAT CAN DIAGNOSE AND MANAGE CERTAIN TYPES OF CANCER AS WELL AS CERTAIN OTHER METABOLIC DISEASES OF THE BODY. RADIOLOGY ALSO INCLUDES TWO DEDICATED MRI HIGH FIELD STRENGTH UNITS. THE IMAGING PROGRAM OFFERS GENERAL, OB AND VASCULAR SONOGRAPHY, CAT SCAN AND GENERAL DIAGNOSTIC RADIOLOGY. GWV EARNED ACCREDITATION BY THE AMERICAN COLLEGE OF RADIOLOGY (ACR) FOR COMPUTERIZED TOMOGRAPHY (CT), MAGNETIC RESONANCE IMAGING (MRI), MAMMOGRAPHY, POSITRON EMISSION TOMOGRAPHY (PET), NUCLEAR MEDICINE, STEREOTACTIC BREAST BIOPSY, AND ULTRASOUND. THE GWV NEUROSURGERY DEPARTMENT IS LOCATED ON THE SECOND FLOOR OF THE VALLEY MEDICAL BUILDING. THE DEPARTMENT HOUSES THE REGION'S LARGEST TEAM OF NEUROSURGEONS AS WELL AS ONE OF PENNSYLVANIA'S ONLY FELLOWSHIP TRAINED NEUROSURGICAL ONCOLOGISTS. GWV'S MEDICAL STAFF ALSO INCLUDES NORTHEASTERN PENNSYLVANIA'S ONLY FELLOWSHIP TRAINED INTERVENTIONAL NEURORADIOLOGIST AND CEREBROVASCULAR/ENDOVASCULAR NEUROSURGEON. GWV IS ALSO HOME TO A FULL TEAM OF NEUROLOGISTS WITH SPECIALIZED TRAINING TO CARE FOR EPILE
FORM 990, PART V	FORM 990, PART V, LINE 1A: ENTER THE NUMBER REPORTED IN BOX 3 OF FORM 1096, ANNUAL SUMMARY AND TRANSMITTAL OF U.S. INFORMATION RETURNS. GEISINGER SYSTEM SERVICES (GSS), AN AFFILIATE OF THE ORGANIZATION, PROVIDES A CENTRALIZED ACCOUNTS PAYABLE FUNCTION FOR ALL GEISINGER ORGANIZATIONS. AS THE ACCOUNTS PAYABLE PROCESSOR, GSS PREPARES AND FILES FORM 1099 UNDER ITS EIN FOR CERTAIN REPORTABLE PAYMENTS OF THE FILING ORGANIZATION. THE NUMBER OF 1099'S FILED BY GSS FOR THE 2018 REPORTING PERIOD ON BEHALF OF ITSELF AND ITS AFFILIATES WAS 1,602. THE RESPONSE ENTERED ON LINE 1A FOR THE ORGANIZATION INCLUDES ONLY THOSE FORM 1099S FILED UNDER THE ORGANIZATIONS EIN. IT DOES NOT INCLUDE THOSE FILED BY GSS ON ITS BEHALF.
FORM 990, PART VI	FORM 990, PART I, SECTION A, LINE 4: FORM 990, PART VI, SECTION A, LINE 1B: ENTER THE NUMBER OF VOTING MEMBERS THAT ARE INDEPENDENT. BASED ON THE FORM 990 DEFINITION OF "INDEPENDENCE" AS IT RELATES TO VOTING MEMBERS OF THE GOVERNING BODY, THREE VOTING MEMBERS ARE NOT INDEPENDENT BECAUSE THEY ARE COMPENSATED AS EMPLOYEES OF RELATED TAX-EXEMPT ORGANIZATIONS. FORM 990, PART VI, SECTION A, LINE 2: DID ANY OFFICER, DIRECTOR, TRUSTEE, OR KEY EMPLOYEE HAVE A FAMILY RELATION- SHIP OR BUSINESS RELATIONSHIP WITH ANY OTHER OFFICER, DIRECTOR, TRUSTEE, OR KEY EMPLOYEE? GERALD V. MALONEY, DO, DANIEL E. LOHR, ESQUIRE, JEFFREY A. JACOBSON, LORI R. GRAMLEY, ESQUIRE, ROBERT J. DIETZ, VIRGINIA MCGREGOR, RONALD BEER, MHA, FACHE, V. CHRIS HOLCOMBE, PE, DAVID J. FELICIO, ESQUIRE, JAEWON RYU, MD, JD, DAVID T. FEINBERG, MD, MBA, KEVIN V. ROBERTS, MBA, CPA, AND EDELYN L. MILLER 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	THE MEMBERS OF THE CORPORATION HAVE THE POWER AND AUTHORITY TO ELECT AND REMOVE 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	THE IC SUPPORT SERVICE 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 THE 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 TO BE INCLUDED ON FORM 990-T DUE TO THE ABSENCE OF THE FOLLOWING TWO CONDITIONS: (1) THE SERVICES MUST BE ABOVE COST OR AT FAIR MARKET VALUE, AND (2) THERE MUST BE A PROFIT MOTIVE.
FORM 990, PART XI, LINE 9	TRANSFER FROM PARENT, GEISINGER HEALTH 575,086 TRANSFER TO PARENT, GEISINGER HEALTH -103,000,000 TOTAL -102,424,914
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		Yes (true)	GH
GEISINGER CLINIC
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	236291113	PHYSN SVCS	PA	501C3	12A		Yes (true)	GH
MARWORTH
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232171417	D&A REHAB	PA	501C3	3		Yes (true)	GH
GEISINGER HEALTH PLAN
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232311553	HMO	PA	501C4			false	GH
GEISINGER SYSTEM SERVICES
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232164794	SUPPORT SV	PA	501C3	12A		Yes (true)	GH
GEISINGER COMMUNITY HEALTH SERVICES
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232967235	HEALTHCARE	PA	501C3	10		Yes (true)	GSS
GEISINGER INSURANCE CORPORATIONRRG
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	141909894	SELF INS	VT	501C3	12A		Yes (true)	GH
COMMUNITY MEDICAL CENTER
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	240862246	HOSPITAL	PA	501C3	3		Yes (true)	GH
MOUNTAIN VIEW NURSING HOME INC
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232568288	LNGTM CARE	PA	501C3	10		Yes (true)	GH
GEISINGER-BLOOMSBURG HOSPITAL
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232193572	HOSPITAL	PA	501C3	3		Yes (true)	GH
GEISINGER-BLOOMSBURG HEALTHCARE CTR
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232242854	SKILLED NU	PA	501C3	10		Yes (true)	GH
GEISINGER-LEWISTOWN HOSPITAL
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	231352187	HOSPITAL	PA	501C3	3		Yes (true)	GH
LEWISTOWN AMBULATORY CARE CORP
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232344362	HOLDING CO	PA	501C3	12A		Yes (true)	GH
FAMILY HEALTH ASSOCIATES OF GLH
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	251651582	PHYSN SVCS	PA	501C3	12A		Yes (true)	GH
KEYSTONE HEALTH INFORMATION EXCH
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	464359893	RHIO	PA	501C3	12A		false	GH
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 HOSPITAL
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	231512747	HOSPITAL	PA	501C3	3		false	HSHS
HOLY SPIRIT CORPORATION
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232214540	HOLDING CO	PA	501C2			false	HSHS
SPIRIT PHYSICIAN SERVICES INC
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	251766971	PHYSN SVCS	PA	501C3	10		false	HSHS
WEST SHORE ADVANCED LIFE SUPP SVCS
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232463002	HEALTHCARE	PA	501C3	10		Yes (true)	GC
GEISINGER COMMONWEALTH SCH OF MED
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	260812968	EDUCATION	PA	501C3	2		false	GH
GEISINGER JERSEY SHORE HOSPITAL
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	240792115	HOSPITAL	PA	501C3	3		Yes (true)	GH
GEISINGER JERSEY SHORE HOSPITAL FND
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232480603	HEALTHCARE	PA	501C3	3		Yes (true)	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
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	N/A	false	false
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	Yes (true)
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	false
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	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (40 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
GEISINGER ASSURANCE COMPANY LTD
M	$1,824,472	GAAP
GEISINGER BLOOMSBURG HOSPITAL
L	$406	GAAP
GEISINGER CLINIC
M	$45,516,505	GAAP
GEISINGER CLINIC
K	$1,052,832	FMV
GEISINGER CLINIC
A	$287,614	FMV
GEISINGER CLINIC
L	$3,716,360	GAAP
GEISINGER CLINIC
R	$2,594,004	FMV
GEISINGER COMMUNITY HEALTH SERVICES
M	$72,807	GAAP
GEISINGER COMMUNITY HEALTH SERVICES
A	$90,672	FMV
GEISINGER COMMUNITY HEALTH SERVICES
L	$1,008,808	GAAP
GEISINGER COMMUNITY MEDICAL CENTER
L	$704,034	GAAP
GEISINGER COMMUNITY MEDICAL CENTER
M	$62,970	GAAP
GEISINGER HEALTH
B	$103,000,000	GAAP
GEISINGER HEALTH
C	$893,970	GAAP
GEISINGER HEALTH
L	$89,906	GAAP
GEISINGER HEALTH PLAN
L	$131,282,193	GAAP
GEISINGER INSURANCE CORPORATIONRRG
P	$1,928,625	GAAP
GEISINGER INSURANCE INDEMNITY CO
L	$5,880,990	GAAP
GEISINGER LEWISTOWN HOSPITAL
L	$213,833	GAAP
GEISINGER LEWISTOWN HOSPITAL
M	$8,118	GAAP
GEISINGER MEDICAL CENTER
M	$13,791,611	GAAP
GEISINGER MEDICAL CENTER
L	$427,997	GAAP
GEISINGER QUALITY OPTIONS INC
L	$11,534,586	GAAP
GEISINGER SYSTEM SERVICES
M	$71,131,040	GAAP
GEISINGER SYSTEM SERVICES
L	$40,930	GAAP
ISS SOLUTIONS INC
A	$64,452	FMV
ISS SOLUTIONS INC
M	$8,261,390	GAAP
MARWORTH
L	$118,290	GAAP
GEISINGER COMMONWEALTH SCHOOL OF ME
L	$1,950	GAAP
HOLY SPIRIT HOSPITAL
L	$569	GAAP
HOLY SPIRIT HOSPITAL
M	$1,962	GAAP
GEISINGER HEALTH
M	$1,650,756	GAAP
GEISINGER CLINIC
P	$11,724,301	GAAP
GEISINGER COMMUNITY MEDICAL CENTER
A	$1,478	FMV
GEISINGER HEALTH PLAN
A	$3,271	FMV
GEISINGER MEDICAL CENTER
A	$5,067	FMV
GEISINGER SYSTEM SERVICES
A	$915,189	FMV
ISS SOLUTIONS INC
L	$284	GAAP
MARWORTH
M	$44,736	GAAP
GEISINGER JERSEY SHORE HOSPITAL
L	$1,242	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, GEISINGER WYOMING VALLEY MEDICAL CENTER IS CLOSELY AFFILIATED WITH SEVERAL OTHER ORGANIZATIONS. IN THE NORMAL COURSE OF THE OPERATIONS OF THESE AFFILIATED ORGANIZATIONS THERE ARE NUMEROUS INTER ORGANIZATIONAL TRANSACTIONS, WHICH MAY INCLUDE SALES, EXCHANGES AND LEASES OF PROPERTY, EXTENSIONS OF CREDIT, FURNISHING OF GOODS, SERVICES AND FACILITIES, AND TRANSFERS OF ASSETS. THESE INTER ORGANIZATION TRANSACTIONS PROMOTE THE EFFICIENT OPERATION OF THE VARIOUS ORGANIZATIONS AND THE ATTAINMENT OF THEIR TAX EXEMPT PURPOSES. THESE TYPES OF INTER ORGANIZATION TRANSACTIONS WERE DESCRIBED TO THE INTERNAL REVENUE SERVICE IN A RULING APPLICATION AND WERE RECOGNIZED BY THE NATIONAL OFFICE OF THE IRS IN A SERIES OF GEISINGER PRIVATE RULINGS AS BEING ENTIRELY CONSISTENT WITH THE ORGANIZATIONS' TAX EXEMPT STATUS.	ExplanationTxt